Ugh. Sorry you’re going through this. One thing to keep in mind is that when you take your pantoprazole matters. If you get worse GERD symptoms at night, try taking your PPI 30 min before dinner. That way it’s highest in your system at night. Also, a good bed wedge can help some. Back Support Systems Bed Wedge... https://www.amazon.com/dp/B08PDQRCZ5?ref=ppx_pop_mob_ap_share