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Dietary and lifestyle interventions include: Consuming smaller, more frequent meals rather than large portions that increase gastric distension Avoiding late evening meals and maintaining at least a 3-hour interval between dinner and bedtime Limiting foods that relax the lower esophageal sphincter (chocolate, peppermint, high-fat foods, caffeine, alcohol) Reducing acidic and spicy foods that may irritate the esophageal mucosa Elevating the head of the bed by 6-8 inches using blocks or a wedge pillow Maintaining upright posture for at least 2-3 hours after eating Avoiding tight-fitting clothing around the abdomen Smoking cessation (if applicable) Continuing weight loss efforts, as weight reduction is an evidence-based therapy for GERD [16] [21] Pharmacologic management may be necessary for persistent symptoms

They are also costly and subject to variable insurance coverage, leading many med spas and compounding pharmacies to offer compounded versions of these FDA-approved medications with varying degrees of safety

Medication switching is also available at no additional cost if the current prescription is not producing expected results

Because there are so many variables in play, our team at Southern California Foot & Ankle Specialists provides a wide range of treatment optionsand takes the time to create a customized plan for you