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For starters, you want to steer clear of common triggers of GERD and heartburn, such as: Spicy foods Citrus fruits Tomatoes Onions Garlic Chocolate Mint Canned or highly processed foods Because triggers can vary, keeping a food log can help you spot patterns between what you eat and when heartburn strikes

Watch for signs such as extreme pain, swelling that gets worse over time, pus or drainage at the site, or a fever

Trial SUMMIT (NEJM 2024) Population 731 patients with HFpEF + obesity

Diabetes 61 (1), 187196

Bottom line: a logged step-up or missed dose gives the next clinician visit facts to work from instead of memory

A thorough investigation of dental, medical, family, and social histories is also necessary to ensure accurate diagnosis