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Understanding Hiatal Hernias A hiatal hernia, also known as a diaphragmatic or paraesophageal hernia, occurs when a portion of the stomach pushes up through the esophageal opening in the diaphragm into the chest

A list of principal investigators, affiliated study sites, and information regarding the overseeing IRB is provided in Supplementary Table 1

The Myers' Cocktail protocol involves mixing magnesium chloride (24 mEq), B-complex vitamins, hydroxocobalamin B12 (1,0002,000 mcg), calcium gluconate (13 mEq), and ascorbic acid (5,00010,000 mg) in 100 mL sterile saline, infused intravenously over 3060 minutes

Some of these have already been discussed, including the need to follow a clinical hierarchy of diagnoses, the variability of the symptoms and impacts of endometriosis, concerns about laparoscopy, managing trials of treatment (as sanctioned in the National Institute for Health and Care Excellence [NICE] guidance), 17 and supporting women who, at points in their care journey do not want referral (for example, if their symptoms are well controlled in primary care)