My journey into this nightmare started when I started peri menopause. I didn’t know then that dropping estrogen weakens the sphincter muscle. Around that time I lifted a stupidly heavy table and heard and felt the les muscle rip. The pain was unbelievable. So now, many, many years later and with my estrogen continuing to drop, the reflux is sometimes unbearable. If I’m really careful I can obtain some pain free days but I usually end up eating something I shouldn’t and then it’s like having to start over from scratch. Such a miserable way to live. PepZinGI which is zinc has helped me a lot and sticking to a low acid diet is the way to go. I wish everyone luck in this walk. Not much fun being part of this club but since we are not given a choice, it’s good to share what helps. Hoping this helps someone else.