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The medications such as antacids, PPIs, or H2 blockers surgery, such as a gastric bypass endoluminal therapy In addition, the NLM advises that the following lifestyle modifications may help relieve the symptoms of GERD: weight loss, if a person has excess body weight avoiding meals for at least 3 hours before bedtime maintaining good sleep hygiene elevating the head when lying down Lifestyle changes are the primary treatment for GERD

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Chewing tobaccos effect isnt as well documented, but studies suggest a similar reduction in lifespan due to heart disease, cancer, and other complications