This research conducted by the University of Arizona examined the use of acupuncture for heartburn that is resistance to the usual treatment. The usual treatment is by medications known as proton pump inhibitors. One of these- Omeprazole (the same medication given to the patients in this study)- is the most commonly prescribed medication in the world ! There are a number of patients for whom these medications are ineffective- in those cases the standard strategy is to double the use of the medications, but this offers limited therapeutic effect (only 20-25% of patients whose dose is doubled report significant improvement in symptoms) so this piece of research compared doubling the dose (the standard treatment) with adding acupuncture to the existing dose of medication. 30 patients were recruited for the study and were given acupuncture twice a week over four weeks for a total of 10 sessions. Each session lasted for 25 minutes. It was found that the acupuncture group got significantly better results than the group with the doubled medication dose: in other words acupuncture was better than the standard treatment.The authors of the study conclude by saying that it is unclear whether one course of ten sessions is enough or whether subjects would require ongoing treatment. In my experience, one course of ten sessions is enough for most patients, though there are patients who may well require more. But this is not usually one of the conditions that require indefinite ongoing treatment.