I hope the visit with the doc goes well and there are some answers there. I know how hard it is to balance diet, meds, and several issues that seem to aggrevate each other. Have you by chance met with a dietician? If not, this helped me to balance my meds with IBS foods for toleration and to manage reflux; please consider asking the doc about a referral if you have not already met with one, especially in light of combining a heart healthy diet as well. It could be really beneficial.