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149 Supportive therapy of ARDS A recent report from an expert panel in the UK suggested that supportive management of patients with ARDS caused by COVID-19 should follow existing evidence-based ARDS guidelines

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The clearance of salicylates may be increased with concurrent use of corticosteroids

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Several factors increase your likelihood significantly: History of GERD or acid reflux , even if it was well-controlled before starting tirzepatide Hiatal hernia , which already weakens the lower esophageal sphincter Obesity , which increases abdominal pressure (though this improves as you lose weight on the medication) Smoking , which relaxes the esophageal sphincter Certain medications like NSAIDs, calcium channel blockers, or bisphosphonates that independently increase reflux risk Eating large meals or eating close to bedtime If you had occasional heartburn before starting tirzepatide, the medication can amplify it significantly during the early weeks