Calcium is best absorbed when there is some acid in your stomach and also with a meal that contains fat - fish oil is also absorbed better with a fatty meal. So, since breakfast is rarely a high fat meal (unless you're eating bacon, which you shouldn't with your digestive problems), you're better off taking the vitamins after lunch or dinner. You're probably taking your PPI before dinner, so I would take the Calcium, Fish Oil, and Vitamin D (you should be taking D3) right after lunch.
Yes. Reflux is not simply acid. It's also whatever else is in your stomach, including bile and undigested food. And when that comes up, it's very irritating to your esoph/throat, as well.Can the throat still get damaged from food even if the PPIs are keeping acid at bay?
The reason I suggested to Acidstrom that he take digestive enzymes is because the bloating he is experiencing is due to the food sitting undigested in his stomach. So the food rots/ferments and produces gas. The gas bloats you. And the LES (lower esoph sphincter) relaxes and opens and then the food and other junk in your stomach refluxes into your esoph. Digestive enzymes help to absorb and digest the food so it passes from your stomach downward where it's supposed to go and your stomach is empty sooner. Less gas, less bloating, less reflux.
Take the digestive enzymes with every meal. That's what made ALL the difference for me. I don't take PPI's.
Oh, and regarding fish oil, a lot of people with digestive problems find fish oil to be aggravating. You may want to stop the fish oil for a week and see if you notice any difference. It's good for you and you do need an omega 3 supplement, but it is possible that that is adding to the problem, too.