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For patients with pre-existing hiatal hernia and GORD, these gastrointestinal symptoms may overlap with or intensify existing reflux-related discomfort, making it challenging to distinguish between medication side effects and hernia-related symptoms

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While apple cider vinegar has a modest blood-sugar-lowering effect on its own, combining them could theoretically increase hypoglycemia riskespecially if you're also taking insulin or other diabetes medications

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