The primary concern is reduced stomach acid leading to nutrient deficiencies, particularly b12. There have been some long term studies correlating to dementia as a result. And some studies that have not found this. So the jury is still out, but keeping an eye on some nutritional markers is not a bad idea.

The dementia meta-analyses are a wash. It doesn’t lean strongly either way. I wouldn’t worry about it.

Good for you, but this mere fact does not mean it’s ideal.

Not a doctor, but I would at least try to look into this. Best of luck!

Why do you think I haven’t looked into it?

You’re not providing anything of note, so merely saying “I’ve looked into it. I’m good” seems like it’s the correct reply.

Definitely not a good idea to be on it longer than 2 months. If we can't treat the underlying condition and the patient needs life-long acid suppression therapy, we switch to H2 receptor antagonists, like cimetidine.

Long term PPI use has non-trivial risks, including magnesium and other micronutrient deficiencies, and can lead to things like SIBO and other primarily gut related morbidity.

I would definitely suggest sitting down with your doctor if you were not specifically instructed to take it for that long.

I hate to tell you this, but recommending cimetidine basically makes you a modern day sawbones.

I’d recommended getting up to date knowledge about the options before providing advice on them, starting with safer h2 antagonists like famotidine.