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EasyGIGastro-oesophageal reflux diseaseuk-plab-1

A 55-year-old man presents to his GP with 3-month history of heartburn and acid regurgitation, worse after meals and when lying flat. He has tried over-the-counter antacids with partial relief. He denies weight loss, dysphagia, haematemesis or melaena. What is the most appropriate initial management in primary care?

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