PPI Review & Cessation Support
Wanting fewer medicines is a reason to review your care, not a reason to stop a PPI on your own. Wilmington Functional Medicine's original care description includes medication step-down planning, coordinated with the clinician who prescribes the medicine. [1]
Start with why the medicine was prescribed
Bring the PPI name, dose, schedule, duration, and original reason for treatment. Include any history of ulcers, bleeding, severe esophagitis, Barrett's esophagus, or EoE. Your prescriber needs that context before deciding whether a reduction is appropriate. [1]
Stopping is not the right goal for everyone
AGA guidance says PPI deprescribing should depend on the continuing indication, not fear of possible adverse effects alone. Some conditions require ongoing acid suppression. This page does not advertise a guaranteed medication-free outcome or replace your prescriber's decision. [1]
Plan for symptoms and follow-up
AGA notes that transient symptoms from rebound acid secretion can occur after long-term PPI discontinuation. Discuss what to do if symptoms return, which clinician to contact, and when the plan will be reviewed. There is no universal taper schedule on this site. [1]
Use the call to clarify fit
The discovery call can help you ask how supportive food and routine changes would fit with your medical care. A treatment or prescription decision needs the appropriate consultation, not a booking form or an online article. [1]
Support around meals and daily routines
A medication review can also be a chance to discuss the routines around reflux. Bring examples of late meals, sleep interruption, drinks or foods you suspect, and situations when symptoms improve. Food and lifestyle support can be worthwhile whether you remain on a PPI or a prescriber recommends a change. The practice can discuss its individualized functional approach and whether any offered testing relates to another digestive question. Testing is not a required gateway to reducing a medicine, and there is no single replacement supplement suitable for everyone. [1]
A review checklist you can keep
Before any change, write down the agreed medicine plan, the clinician directing it, the follow-up date or contact arrangement, and the response to returning symptoms. Ask whether the original diagnosis affects the decision and which symptoms need earlier assessment. Afterward, keep notes simple: symptom timing, sleep disruption, and medicines used as instructed. Bring those observations to review so the next decision is based on your experience and medical history. The discovery call is a no-cost, 15-minute opportunity to discuss the practice approach and whether a full consultation could add useful support. [1]
Continue exploring
Explore the testing options, diagrams and videos · Related patient education · How care is arranged
Questions before your appointment
How do I start?
Book a free 15-minute discovery call to discuss your symptoms, what you have tried, and whether our approach is a fit.
Can I discuss care from elsewhere in North Carolina?
Yes. Ask about remote consultations, home collection kits and local draw arrangements for the selected test.
Medical references
Further reading for the topics discussed on this page.