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Practical strategies to manage these symptoms include: Eating smaller, more frequent meals rather than large portions, which reduces gastric distension and pressure on the lower oesophageal sphincter Avoiding late-night meals aim to finish eating at least 23 hours before lying down Elevating the head of the bed by 1520 cm to reduce nocturnal reflux Limiting trigger foods such as fatty or fried foods, chocolate, caffeine, alcohol, and spicy dishes Maintaining a healthy weight , as obesity increases intra-abdominal pressure and worsens both hiatal hernia and reflux symptoms Staying upright after meals to facilitate gastric emptying Stopping smoking , as smoking can worsen reflux symptoms Medication optimisation is also important

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Body recomposition in already-fit individuals : If you're already exercising and eating well but can't lose the last 510 pounds around the midsection, tesamorelin's targeted fat mobilization is designed for exactly this scenario

From 0.5 mg, increase to 1 mg