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A normal lipase level is 0-160 U/L
level of 22 is not considered low.
GERDs and excessive stomach acid production can cause gastritis inflammation of your stomach and pain below the left ribs and nausea
you may need to avoid spicy foods, fried foods, alcohol, sodas, tomato sauces, large meals, fatty meals to help your stomach acid symptoms.
how old are you? it looks like your TSH levels are normal
are you male or female?
have you worked on adding in regular exercise and weight training?
have you seen a nutritionist or dietician to help you with meal planning and eating healthier?