When I was first diagnosed with GERD, I chafed at the dietary restrictions. After extensive thought, I came to the realization that what I really want is to be able to eat whatever I want, whenever I want, for 100% of my life. Even if it shortens my life, I'd rather eat what I want and live to 50 than comply with all the dietary restrictions and live to 100. Unfortunately, since the disease presents as difficulty eating, it's not that simple. Nevertheless, I have been rather lax in following the rules out of my usual combination of laziness and gluttony.
In the shower this morning, I realized that perfect compliance with the dietary restrictions would actually be the worst possible approach. My goal is to eat the way I want to for 100% of my remaining life. If I followed every single dietary restriction, I'd be eating the way I want for 0% of my remaining life. I still don't know how to reach the optimal balance (where I die of something that lets me eat before I die of something that prevents me from eating), but I do know that perfect compliance isn't it.