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Most patients tolerate both medications well together, but watch for increased nausea, bloating, or delayed heartburn reliefsigns that your digestive system needs adjustment

Some physicians suggest starting with extended-release formulations rather than immediate-release versions to reduce peak drug levels in your bloodstream at any single moment, though this approach requires individualized assessment

patients with significant renal or hepatic impairment should seek specific advice from their clinical team before taking any supplement alongside an investigational medicine

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