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The image is of a document, specifically a page from a medical or scientific literature article. The title of the article, "Unintended consequences of gastric acid inhibition," is visible at the top, along with authorship information. The page contains the following sections: "INTRODUCTION," "EXPOSURE," and "CLINICAL EXPRESSION," with a subheading under "CLINICAL EXPRESSION" labeled "Draff," suggesting it is still a draft or unfinished section. The document is written in English. The text is too small and blurry to read in detail, but one can discern columns of print with headings and references under "REFERENCES" at the bottom.
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