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Deficiency SAMe levels tend to decline as people age

Repeated problems with injections occur

Your provider can help determine which approach (or combination) makes sense for your situation

Positional techniques: Sit upright for 1-2 hours after eating (lying down worsens reflux and nausea) Sleep with upper body elevated 30 degrees (extra pillows or wedge pillow) Avoid bending over or tight waistbands (increases gastric pressure) Gentle walking after meals (helps gastric emptying without jarring movement) Breathing techniques: Slow, deep breathing through nose

Either way, it makes comparison shopping more difficult than it needs to be