What is the next best step in management
Problem: A 57 year old man presents for follow up. He reports uncontrolled reflux symptoms. He also reports ongoing fatigue. He drinks 5-6 beers a day. He agrees to start treatment. What is the next best step in management?
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A 57 year old man presents for follow up. He reports uncontrolled reflux symptoms. He also reports ongoing fatigue. He drinks 5-6 beers a day.
He has no history of substance use disorder and does not take any medication. What is the most appropriate initial treatment for this patient?
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