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Avoid hot spicy foods and those which routinely give you gastric problems, such as fatty and deep fried foods.
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"I was searching for so long for answers and when you take gastric problems, back aches, sinus problems, a panic attack -- a doctor, understandably, is trying to put that in a puzzle and make that make sense," she said.
Box 2 Description of five illustrative observed client encounters Encounter 1: 'You got gastric?' [U01a] Young (mid-20s) male walks into the store, apparently in a rush.
The storekeeper then suggests an alternative (ibruprofen), but just before handing it over, he asks 'You got gastric?', and only when reassured that he has no past history of 'gastric' (heartburn) does he complete the transaction, selling a full card of ibuprofen.
But if you eat two scones (the optimum number: one is never enough, more than two will leave you groaning in gastric agony), then you certainly won't need an evening meal.
Steer clear of spicy foods or anything you know causes you heartburn or gastric distress.
My weight went up to 20 stone, partly because of diabetes, and my doctor said: "You'll never lose enough unless you have a gastric sleeve fitted".
And as you sat late into the night, unable to rise from the sofa so replete were you, I sincerely trust that you found a free gastric chink into which you could hammer that penultimate wafer-thin mint - the essential sugaring, I always think, for the bitter pill of the Christmas television schedules.
Note: I'm discounting mushy peas on the basis that the vast majority served in British chippies are an abject flavour fail, woolly and musty and also filling to the point that, halfway through a portion, you are likely to start begging a mate to shoot you – or, less dramatically, just take them away from you - to put you out of your gastric misery.
A montage of calorie-obsessed headlines is flashed up on a screen, ending with Anne Diamond's "Come on Dawn, we all know you've had a gastric band".
If you've had a gastric sleeve, it's in the bin, it's gone," says Ray Shidrawi, consultant physician and gastroenterologist at Homerton University hospital in east London, which accounts for 10% of all the UK's bariatric surgery.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com