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Moderatemaintenance PPI at the lowest effective dose is reasonable. Dilation is for strictures (B). Antibiotics for SIBO are not indicated (C). Surgery is reserved for refractory cases or preference with objective reflux (D). H2 blockers may be adjunctive but less effective alone (E)."Gastroenterology"moderate"

A 45-year-old with suspected GERD underwent an 8-week PPI trial with near-complete relief. After discontinuation, symptoms recur. Next best step?

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