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avoid lying down immediately after meals Elevate the head of your bed by approximately 1520 cm if night-time symptoms are troublesome Avoid eating within two to three hours of bedtime If you smoke, stopping smoking can significantly reduce reflux symptoms and is strongly recommended Maintaining a healthy weight supports overall digestive health, though weight loss with retatrutide should be gradual and medically supervised Medication considerations: For typical reflux symptoms, alginate-based preparations (such as Gaviscon Advance) are recommended as an effective first-line option in UK practice, as they form a physical barrier over stomach contents and can provide prompt symptomatic relief