What is the most appropriate treatment plan


Problem: A 52-year-old woman presents with a chief complaint of intermittent epigastric pain and burning, foul taste in her mouth, non-productive cough × 3 months. She notes the symptoms are worse at nighttime. She has stopped eating spicy foods and doesn't eat past 7 p.m. She has been taking OTC antacids and famotidine (Pepcid) almost daily × 2 months. Her BMI is 32. She admits to drinking 4 cups of coffee daily. She is diagnosed with GERD. What is the most appropriate treatment plan?

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