LPR: Unfortunately PPI's are often not effective in treatment of LPR but they are worth trying. I don't believe that stomach acid presence or absence has any significant effect on LPR. You will have low stomach acid if you take PPI's first thing in the morning before stomach cells secrete acid. People with no stomach acid develop B12 deficiency. If you take PPI's be sure to take sublingual B12 daily.
Answered 9/11/2018
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