My wife has GERD after GB surgery for a few years now. She has a very bland diet, no animal protiens. She tried by chance of taking a doctors advise over the phone to take 4 times per day Pepcid, 20 mg. Now she as reduced that to 3 times per day and has this under control. Even I have gotten use to sleeping on a bed, propted up. Before Pepcid, she tried all the other meds and many visits to the doctors and almost gave up. I use to take to Kaiser in the middle of the night. Pepcid, 20 mg 4 times a day build up her reserve and she reduced this to 3 times per day. Good luck to you. John413