For many people, this is one of the earliest signs of LPR… long before heartburn ever shows up.🫠 LPR (laryngopharyngeal reflux) happens when reflux reaches the throat and activates pepsin — an enzyme that irritates the voice box. And because it looks so different from classic GERD, most people don’t realize their symptoms are reflux at all. Here are 10 gentle shifts that can make a big difference in your healing: – Try to avoid throat clearing when possible. A hard swallow or a sip of water hel