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in countries of high socioecominc status, 40 to 60 percent of the population have acquired the infection by the age of 70 years

Dietary modifications can significantly reduce symptoms: Eat smaller, more frequent meals rather than large portions Avoid high-fat, greasy, or fried foods that delay gastric emptying further Limit spicy, acidic, or heavily seasoned foods that may irritate the digestive tract Stay well-hydrated throughout the day Eat slowly and chew food thoroughly Avoid lying down immediately after meals Medication management strategies include gradual dose escalation as prescribed, which allows the digestive system to adapt progressively

In practice, the risks are real

Mills, C