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If lifestyle changes and medications dont control symptoms, or if you cant tolerate medications, a gastroenterologist might discuss either a laparoscopic fundoplication (wrapping part of the stomach around the lower esophagus to strengthen the valve and prevent reflux.) or a magnetic sphincter augmentation (LINX device) which is a ring of magnetic beads around the lower esophagus that opens for swallowing and closes to prevent reflux

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November 1, 1991

Though not as rampant or widespread as smaller swarming pests, tomato hornworms are almost ubiquitous with gardening as they are easily one of the most recognizable insects of the season