My suggestion would be that if you are able to stop the symptoms with just a diet change, I wouldn't try the PPI's. From my experience and what I have seen with others, once you start taking the PPI's, it can change how your body reacts to things. It could make it so you don't have any problems when you are on them but after awhile you start having other problems due to the lower production of stomach acid so your body isn't absorbing nutrients properly. It could also make your symptoms worse and more difficult to even get back to how you felt before trying them. If I were you, I would go down the route of finding the underlying problem instead of taking a medication to treat just the symptom. The underlying problem could be something that is easily fixed, such as HCL supplements, or if may be due to a hiatal hernia or weakened LES then look at the options to fix that. I was 24 when I was put on PPI's and for the 2 week trial they put me on, I didn't feel any heartburn, but the day after I was done, it came right back. So I was put on them permanently and when they seemed to stop working, the dr. would up the dose. I'm 31 now and wish I would have had all of the information I know now. If so I wouldn't have taken the PPI's to begin with but to find the underlying problem from the start and fixed that. Due to the route I had taken, it was a battle to get off the PPI's, but now that I am off, I'm still on H2 blockers and have LPR symptoms that I never had before. I currently don't see a dr. right now for my gerd, mainly due to the healthcare system and lack of funds to pay for it at the moment. But if I am unable to resolve it within 6 months to a year, I would consider going to a homeopath instead of a traditional dr. as they tend to try to fix the problem instead of masking the symptoms. That's just the way I feel about it though. It's ultimately your body and your decision, but the more educated you are on how to handle it, the better choice you can make for yourself for the long run. If I were you, I would choose the best option that would help me live the healthiest lifestyle in the long run. I hope this information helps you make a decision and it helps you out in the long run.