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Very interesting point! In my case, we eliminated allergies as a source of my problems first. I'm pretty sure my posture is fine. My employer stresses ergonomics, gives us great furniture, etc., and I never eat late at night. My experience doesn't mean that others don't have allergy or lifestyle causes, of course. Even so, that might not mean that you could avoid surgery as a remedy. If your LES doesn't work (or doesn't exist at all), your stomach's contents will not stay put no matter what you do or how you eat.