A 35 year old man presents complaining of heartburn after eating for the last 3 months. He admits to a poor diet and his symptoms are worse after a large meal or lying down. He denies other symptoms and his examination is normal but he has a raised BMI of 31kg/m2. A trial of Lansoprazole has improved things only slightly so was stopped 4 weeks ago.
What is the most appropriate management option?
