diagnosed with duodenal ulcer and duodenitis in past. Endoscopy done all time. With h pylori infection treated. Both times. Doctor told me to reduce my ppi usage slowly as I am bound to have rebound effect. On first occasion I was able to wean it completely. Now on second occasion I am down to 20 mg alternate day rekool 20. I tried to wean to 10 mg alternate but was not that successful. I was on rekool 20 mg alternate. Days now I take it on demand. Its generally once in a week. Feel slight heartburn in between the doses but it is manageable. I had question how can I reduce it further. No symptoms. Currently I am 29 years old.