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The evaluation by the physician should include an assessment for possible complications of GERD based on the presence of such symptoms or findings as: Cough Asthma Hoarseness Sore throat Difficulty swallowing Unexplained lung infections Anemia (due to bleeding from esophageal inflammation or ulceration) Clues to the presence of diseases that may mimic GERD, such as gastric or duodenal ulcers and esophageal motility disorders, should be sought

Or there may be a serious problem such as moving or buying real estate

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Consequently, these donor cells were utilized in our subsequent study