1 negotiate with suppliers from a stronger pre-deal position. 2  no negative surprises in communication to the Market.  KPIâs, budgets and forecasts are adjusted to reflect the changes in overhead and supplier costs.
Scleroderma is a group of diseases that affect connective tissue in the body. This tissue supports your skin and internal organs. Scleroderma involves tissue that gets hard or thick. It can also cause swelling or pain in the muscles and joints.
In the diffuse form of scleroderma, the esophagus and gastrointestinal tract are often affected. GERD, or gastroesophageal reflux disease, is a condition in which acid in the stomach flows backward up into the esophagus, causing heartburn and other problems.People with scleroderma often have GERD.The question, of course, is why. How Scleroderma Causes GERD Symptoms.ERD, or gastroesophageal reflux disease, is a condition in which acid in the stomach flows backward up into the esophagus, causing heartburn and other problems. People with scleroderma often have GERD. The question, of course, is why. How Scleroderma Causes GERD Symptoms.