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westernized food penyakit yang mengancam para karyawan perkantoran kencing manis kurang olahraga diabetes mellitus indonesia masuk 5 besar dunia dalam hal diabetes junk food sedentary lifestyle melena gastric ph >6 peptic ulcer the most powerful ppi gastric acidity gastritis black stool dyspepsia haematemesis acute upper gi bleeding epigastric pain bloody vomiting pathogenesis udayana university - denpasar in dwi sutanegara md (internist-endocrinologist-pr pharmacologic treatment obesity energy balance mangatas sm manalu md (internist) 2004 bali-indonesia