Acid Reflux - Management Algorithm - Step down and stop; restart on lowest effective dose if relapse occurs - Aim for lowest dose "on-demand therapy" - Always consider alternative diagnosis when treatment failure occurs Lifestyle and Diet Recommendations: Smoking cessation, Weight reduction, Avoid alcohol consumption, Avoid eating 3hrs before bed, Head of bed elevation, Smaller more frequent meals #Acid #Reflux #GERD #Management #Algorithm #ppi