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Vijay Rao, a 60 year old male, has a past medical history of hypertension well controlled with ACE inhibitors, heartburn, which at his last appointment was discussed to start proton pump inhibitors (PPIs) but he declined, smoker for 35 years; 1 pack per day, alcohol use, and bilateral knee pain. At last appointment, Mr. Rao was resistant to smoking and alcohol cessation despite his father ...

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