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However, if symptoms persist or worsen, your doctor may recommend additional tests, such as: X-ray with barium contrast Endoscopy Esophageal pH monitoring Esophageal manometry Treatment Options for Heartburn Treatment for heartburn depends on the severity and frequency of symptoms

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Mechanisms and outcomes Vitamin B12 interventions are commenced upon diagnosis of low B12 status, typically comprise high dose injections until levels are within acceptable range, and then the intervention is changed to a maintenance dose that is typically administered every 3 months ad infinitum