@diane47 @benniej23 @meadows I've had Gerd for years and on top of that a hiatal hernia (with bronchiectasis and sometimes MAC) and I don't take the PPI medication anymore and have stuck with natural, alternative remedies which work pretty well. I take aloe vera juice (George's 100% Aloe Vera...you can get it on Amazon) and I drink 2 ounces in the morning and 2 ounces in the evening. I also chew up to DGL Plus tablets (I use the Pure Encapsulations brand that you can also get on Amazon) before a big meal (you can take them before every meal actually). Sometimes I forget. And then also at night before I go to bed and especially if I've eaten a big dinner I chew up 2 Esophageal Guardian tablets (by Life Extension)...they can kinda blow up in your mouth but you have to drink 4-8 ounces of water to down it. It forms a little inner tube of sorts at the top of your stomach so that the acid doesn't flow up your esophagus. Because the biggest issue here is that the acid doesn't burn up your esophagus. And I don't remember to do all of this all the time but I look at it as my little toolbox of remedies to help the problem. Nan