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Reflux precautions do not have a universal definition but can include burping, holding an infant upright pre\u2010 and postfeed, smaller and more frequent feedings, and elevating the head of the bed. Despite a lack of consensus on what constitutes reflux precautions, and a paucity of research, physicians and other providers continue to recommend them. In recommending reflux precautions, we pathologize normal physiology, sending mixed messages to families. 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