What Actually Causes GERD and Acid Reflux? Why Long-Term PPI Use Often Makes It Worse — Working with Biomelogic on GERD and PPI dependency

If the patterns described above resonate with the reflux case you have been navigating, a Biomelogic consultation may be useful. The work is appropriate for patients with an established gastroenterology relationship, who are interested in understanding the mechanistic layer that conventional GERD care does not address, who want to explore alternatives to long-term PPI dependence, or who have tried unsuccessfully to come off PPIs in the past. The lowest-friction starting point is the free 15-minute discovery call. For patients ready to proceed directly to a full case workup, the Gate 1 intake form is the starting point. For gastroenterologists and integrative practitioners working with PPI-dependent patients or with treatment-resistant GERD, the Practitioner Collaboration service provides a mechanistic re-read of a single case with the practitioner present. For readers wanting the deeper framework, The Host Capacity Model is the canonical framework page.