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For patients who value convenience and predictable costs, bundled telehealth programs often represent the most cost-effective access route

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Known gastroparesis or severe functional dyspepsia History of pancreatitis (particularly unexplained) Active gallbladder disease or prior complications Severe IBS-C unresponsive to standard measures Significant reflux worsened by delayed emptying Planned procedures under sedation/general anesthesia (coordinate care) These arent automatic nos, but they do call for individualized riskbenefit discussions

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