**4.6 Additional medications**

Although this is not necessarily a TCR target, we have found that many people's gastroesophageal reflux disease (GERD) symptoms improve, allowing them to reduce or eliminate the use of proton pump inhibitors (PPIs) or H2 blockers. Patients may experience a rebound effect if treatment is abruptly stopped. Consider switching from a PPI to an H2 blocker for a few weeks before stopping or switching from every other day dosing to every other day dosing before stopping.
