Thank you, yes I read that is suggested by Gastroligist. The Paxel was suggested by some woman friends that are on it so my primary ordered it at my request. I haven't seen a gastro for my gerd for several years only about the liver, lately. I made an appointment about this issue, new doctor and they made a video appointment. I guess that's the new way I would prefer a face to face but wouldn't get in as soon. Thanks again, glad you found relief.