Hi Nick! Very sorry for the issues you're having related to your esophagus. Mindbody issues are a bitch! While my experience is not the exact same as yours, I was on heavy PPIs for several years and was able to completely off and I credit that to Dr. Sarno. I do occasionally take a famotidine, but frankly, I don't consider that to be a big deal. My advice is worth exactly what you're paying for it... . But my suggestion would be to take a close look at Alan Gordon's Pain Recovery Program and apply it to your issue. http://www.tmswiki.org/forum/painrecovery/ (Pain Recovery Program) I've been going through it and re-going through it diligently for a chronic fatigue issue I've struggled with recently. To me, Alan's program is modern approach to TMS with concrete steps to get better. It's not just good for TMS, but for your overall well being. I'm a very big fan. Good luck on your journey, Nick!