I think I would seek out a different BS. Get a different opinion. Thats what I did.. i figured there is no place better than the Mayo Clinic. Im not sure where you live but. Reach out somewhere. You are only 38 years old. Acid reflux is extremely damaging to your esophogus. You are at risk for developing Barretts disease or eventually cancer. I think i would definately seek out more information. The Dr at Mayo Clinic in Phoenix is definately worth consulting. You can have all your records forwarded to them for review. Have appts through zoom. My bariatric journey started in 2013. The last 3 years fighting acid reflux and a sliding hernia has severly damaged my esophogus. From a stage 1 to a stage 4 in just 1 years time. It has to be fixed. Acid reflux is a very serious issue