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(Etiology) Even though there is generally no definitive cause for the occurrence of Hiatal Hernia, the following conditions may potentially result in it: Increased abdominal pressure Chronic or intense coughing Extreme tension exerted during bowel movements Pregnancy, labor, and delivery Significant weight gain Intense lifting (heavy weights) Slouching or bending too much over long periods of time Congenital weakness in the diaphragm or surrounding regions

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Communication channels remain open between scheduled appointments through secure messaging systems

When its time to inject, we measure the dose with an insulin syringe

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