As a Certified Nutritional Consultant for the last 16 years, by reflex I look for the cause behind the symptoms of dis-ease. I'm also reluctant to take medications. So, when I developed GERD affecting my swallowing, I realized 2 issues I am now addressing. First, I'm on strong medication to halt the progression of my Rheumatoid Arthritis. Second, my digestive system is apparently not functioning properly. I'm currently having my gut issue addressed through a stool analysis. I'm also looking into making some arthritis drug changes. We'll see how things go.