I don't use any of the PPIs or acid reducers because they do so much long term damage (B12 issues, low stomach acid issues, etc...).
But I have found that slippery elm powder does wonders.
I used to have very bad GERD, but not anymore since using slippery elm powder.
Rx meds didn't help me. But 4.5 mg LDN +Paleo diet +supplements=REMISSION.Protein shakes w/almond milk,Maca powder,L-Glutamine,D-Ribose,chia seeds.VSL#3,K2,VIt. D3,slippery elm bark powder.For more info,my protocol is the 11th post at this link: https://www.healingwell.com/community/default.aspx?f=38&m=1666318
If you have any questions, you can find my email address at my profile.