Barretts esophagus itself is not harmful, and only a small percentage of people with Barretts esophagus will ever develop cancer

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Long-term use appears well-tolerated when dosing is appropriate and monitored
But people who have a history of disordered eating really need to be honest with themselves before starting this medication. As GLP-1 prescriptions surge, experts say awareness among doctors and patients alike is critical
doi: 10.5812/ijem.105669 91 BednarekJWysockiHSowinskiJ
For details see the When to Take section of the Protein Powder and Drinks Review