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Get Tif Procedure Np02165-01d 2016-2025

D affects daily activities 5 Incapacitating to do daily activities Questions (Circle One): How bad was the heartburn? 0 1 2 3 4 5 Heartburn when lying down? 0 1 2 3 4 5 Heartburn when standing up? 0 1 2 3 4 5 Heartburn after meals? 0 1 2 3 4 5 Does heartburn change your diet? 0 1 2 3 4 5 Does heartburn wake you from sleep? 0 1 2 3 4 5 Do you have difficulty swallowing? 0 1 2 3 4 5 Do you have pain while swallowing? 0 1 2 3 4 5 Do you have.

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