Sly, I am doing better taking my medicine at the right time (I have to take my stomach med 30 min. before a meal) but not so good with the caffine or changing my diet, but I will. I am definetly working on it.......I feel better in the morning with the Zantac I take before bed. I used to get real nauseous in the morning, but the doc said it was because of refluxing at night, which I don't do with the Zantac. I have to eat smaller more frequent meals too, because a huge meal can wreck havoic on GERD....I have confidence that I am on the right path to feeling better... Thanks for asking!