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P450c17 is encoded by a single gene (cyp17) and mutations can cause either 17-hydroxylase deficiency or 17,20-lyase deficiency or both [70

Whether or not you should seek treatment depends entirely on the symptoms they create

Unlike ordinary sulfur burps, gastroparesis often involves: Severe, persistent, or worsening burping that doesnt improve over weeks Nausea and vomiting, particularly after meals A feeling of extreme fullness, even after eating very small amounts Abdominal pain or pressure Unintended weight loss beyond expected levels Inability to tolerate food or liquids (Source: Medscape) If you experience any of these symptoms, reach out to your provider as soon as possible

Persistent pain may signal a more serious underlying issue

Nothing stuck longer than a month or two before I fell off