Perhaps  I should have said that most babies misdiagnosed with GERD have 
food allergies  or structural issues

I agree with your statement that many babies are MISDIAGNOSED with  GER.  I 
still see no evidence that it is food allergies causing the  problem.  I am 
not physiologist enough to know if the research supports  your cytokine 
theory.  Human milk has many more anti-inflammatory cytokines  than 
pro-inflammatory cytokines and the microbiome interacts with both.
 
I do know that diagnoses, like many things, swing on a pendulum - like  
ankyloglossia, laid-back nursing (the old Australian position), finger-feeding, 
 candida mastitis, etc., etc.
 
Nancy
Nancy E. Wight MD, IBCLC, FABM,  FAAP
Neonatologist
Sharp Mary Birch Hospital for Women and  Newborns
Medical Director, Sharp HealthCare Lactation Services
San Diego,  CA 
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