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Heartburn, Broken Bones, and the FCA
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Dexilant Bone Fracture Data Collection - Please Enter Your Information

First Name

Last Name

Email

Phone

When did you begin Dexilant?

Last dose of Dexilant

Date of Birth

What mg did you take? 30 or 60?

Did you break a bone since starting Dexilant? Yes or NO

If so, which bone?

Thanks for submitting!

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