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MediumGastroenterologyDyspepsia red flagsau-racgpau-amc

A 58-year-old man presents with recurrent epigastric pain relieved by food and antacids. He has taken NSAIDs intermittently for osteoarthritis. There is no weight loss or bleeding. According to Australian recommendations, which factor is a red flag warranting prompt endoscopy rather than empirical therapy alone?

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