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4 One thing to note, although there are pharmacologic differences among the different PPIs, resulting in differences in acid suppression 19 , for day-to-day practice PPIs, when given in standard doses, are generally considered equal when treating common conditions such as Gastro Esophageal Reflux Disease (GERD) or peptic ulcer disease (PUD)

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In addition, hepatic dysfunction leads to imbalances in amino acids, with reductions in BCAAs and increases in aromatic amino acids (AAA)