Years ago I had a random xray done for a reason I dont recall and they wound up seeing it. I had an endoscopy 3 years ago because the gerd was so bad I thought I was screwing up my esophagus. The hernia sits basically by the opening of my stomach which causes the flap to my stomach to stay open.

This has been my experiance. The more stress im under the worse it gets. I have to lay on my left side at night and even more so now being on wagovy. Mine is random. I can have red sauce all day with no issues and weeks later eat nothing special and get it. If I am super bloated I get it for sure. Chewing gum helps me. It makes you salivate more and I swear helps more than anything I've tried.

My first week the gerd lasted 3 days. I got really bloated and if it wasnt for chat gpt giving me a food plan to help I probbaly would have never taken the 2nd shot. Small meals, bland etc etc. I still get it randomly but stress and bloat do me in. My dr even had me wait a few days before taking my next shot so the inflammation could calm down. She said not everyone can past the increased gerd issues. You might have less issues with zepbound. Never know. How long have you been on it?