Hello, Thank you for the query and welcome to healthcare magic I understand your concern. Here are a few things you need to know about the mediactions you are on. -Take your thyroid hormone before breakfast on an empty stomach -Omeprazole should also be taken 30 minutes before breakfast, but you should give a gap of atleast 2 hours between thyroid medication and omeprazole. -Acids in stomach are required for the absorption of thyroid, and omeprazole decrease the amount of acid in stomach.Taking both together will decrese the thyroid hormone absorption. I also recommwnd that you follow up with your doctor to see if you need a thyroid dose adjustment. -Meloxicam is a non steroidal anti inflammatory drug which can aggrevate acidity. It is given to reduce pain and inflammation. Meloxicam should only be taken along with food. Regarding discontinuation of Meloxicam, I would like to add that sometimes proper management of pain and inflammation is required to undergo physical therapy. I suggest that you consult with your doctor to see if the meloxicam can be discontinued . GERD /Acid reflux is caused due regurgitation of stomach acids into esophagus. It is best treated with PPIs like omeprazole. I do not recomment taking apple cider vinegar as it can increase the acidity of stomach.But there are few lifestyle changes that can help you with GERD - Avoid fatty, fried and spicy food -Do not go to bed/lay down immediately after eating -exercise regularly, weight loss if needed -Raise the head end of bed by using wood blocks below bed post.Using extra pillows don t work. Hope I was able to answer your questions Please feel free to address any more concerns Regards, Dr.Lekshmi