Thanks for your reply bestselfever. As we know, exercise is good for our lungs, but I guess the downward slant when on a road bike is the problem, especially if reflux may be involved. I've always believed cycling helped me to stay healthy, so it's hard to now imagine it being part of the problem. I've stopped drinking coffee and am riding two hours after a meal, so hoping that helps. Since taking the omeprazole and famotidine I've noticed less phlegm, possibly better breathing... surprised me that reflux can produce asthma symptoms. Glad to know your symptoms are controlled. So sorry you've had to give up the bike (for now!), but your answer showed you understand the joy of it. Hoping you are tolerating the 3 meds well and that the coming year holds great improvement! Thanks for your thoughts - best back to you.