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There are no adequate and well-controlled studies of ketorolac in pregnant women (2,3,5,6)

Positional techniques: Sit upright for 1-2 hours after eating (lying down worsens reflux and nausea) Sleep with upper body elevated 30 degrees (extra pillows or wedge pillow) Avoid bending over or tight waistbands (increases gastric pressure) Gentle walking after meals (helps gastric emptying without jarring movement) Breathing techniques: Slow, deep breathing through nose

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These effects on inflammation and bone resorption have been demonstrated in rats with experimental periodontitis