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Choose loose-fitting clothing: Tight waistbands also create abdominal and lower esophageal sphincter pressure Eliminate reflux-triggering foods and beverages: Common culprits include fried or fatty foods, tomato-based sauces, alcoholic drinks, chocolate, mint, garlic, onion, and caffeinated items Reduce portion sizes: Large meals increase stomach pressure and encourage reflux Stay upright after eating: Allow at least three hours between your last meal and lying down or sleeping Johns Hopkins Medicine emphasizes that adopting these modifications can decrease how often and how severely acid reflux occurs

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