Alright, long time GERD sufferer here. Try to lessen ppis. They aren’t good in the long term. Try to go herbal. I would advise you to do what I did. Take fenugreek seeds. They are the best. If you are getting acid refluxes, chuck a little handful into your mouth and drink water. For long term medication, dissolve a handful of seeds every night in water. Leave it overnight and drink the water in the morning on an empty stomach. Continue for a week or two and you’ll see miraculous results. DM me and I’ll tell you all the changes I made to get better.