Many of us do a few different things. And we have a few Aussies and Kiwis here and there who pop on our twice-weekly free Zoom calls.... next call is Sunday at 6am for me in California... which is 11pm Sunday evening in Brisbane... and 9pm Sunday evening in Perth.

Anyway... some of us switch PPIs to Omeprazole... or Pantoprazole... as maybe these work better. Some of us switch up the dosages by taking one 40mg pill in the morning... some take two 40s a day... one in the morning and one before dinner or a bedtime. Some switch to taking two 20s a day instead of 40s. Some also take Gaviscon Advance before bedtime to quell the acid in their tummies.

And oddly enough... we have some that go against convention and don't follow the rule of NOT eating within 2 or 3 hours of bedtime. Instead they do the opposite and eat a bunch at bedtime.... maybe a sandwich or bagel or whatever... it fills their new stomaphagus and basically acts like a seal... keeping the acid and bile in their tummies so it can't come up towards their windpipe (trachea). If you come on our Zoom calls you can talk to these folks.

Gary