Hi sir
There is strong relation between gut and brain and having depression and gastric reflux os interrelated
And after starting the medications there will will be better response in symptom. For any medications there is tolerance which can develop over time and also plateau phase where in further response is not achieved , during such cases we usually re evaluate and adjust the medications dosage
I would also suggest Cognitive behaviour therapy to consider to enhance coping skills and also to address cognitive distortion’s - kindly consider
Thank you
Answered2024-05-11 15:32:13
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