You can ask him if famotidine will work for you. It's an h2 blocker, which also suppresses acid, but at a much lower rate than the proton pump inhibitors like omeprazole. May not affect bone density according to the little I read. Also ask if you went the low-acid, whole food and lifestyle route changes would that address all your issues? I have GERD and did omeprazole for four years until I found out it the drug blew out my kidneys. I do the diet/lifestyle option now. It takes longer and a lot more discipline, and you are restricted in what you eat, but it is working better for me in terms of overall health. Some doctors see it as a legit option, others poo poo it. Doesn't hurt to ask though. There are two ENTs who have competing low acid diets; one is Dr. Aviv, and there is a FB group that has a ton of recipes based on his diet: https://www.facebook.com/groups/199013402360712. The other is Dr. Koufman, and she has a web site with a lot of info on GERD and LPR: https://jamiekoufman.com.