Obese with has a history of GERD

Obese with has a history of GERD
Mr. Thompson is an obese 50 year old man who has a history of GERD. 

He admits to eating fast food many times per week. Most of his dietetic choices are fried foods.

He takes Pepcid for his GERD, but says he still has reflux at night.

What recommendations and drug adjustments may the physician suggests?

 Explain your reasoning in a one-page report.

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