I'm not jumping on the bandwagon for stopping ppi's. I took ppi's since they were invented and everything else available before that. I only had the surgery after I was forced to following a wreck that pushed my stomach into my chest.
I got osteoporosis, but I'm on Medicare, so expected that. More important I think, is that all of us who live in the north don't make use of the calcium we ingest because we are so low on vitamin D. I had mine tested, found I needed 4000 units a day more than I was already getting with vitamin, calcium and dairy sources. I don't know if it's helped, haven't rechecked D levels, but I feel better.
I got my husband to start taking 2000 units a day and the brown spots he had from bumping into things over many years started disappearing. His skin heals much faster too!