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Why your stomach needs more acid
"My acid reflux is so bad, I burp and melt my lipstick!" - Joan Rivers.
Could your acid reflux medication be doing more harm than good? Here’s why blocking stomach acid might be one of the biggest health mistakes of our time.
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Stomach acid: critical for your health.
Most people take acid-blocking medications without understanding how vital stomach acid is for overall health. Doctors frequently prescribe these drugs too quickly, potentially causing more harm than good. This widespread medical practice has created a dangerous misunderstanding about the critical role of stomach acid in our body's complex digestive system.
These medications were initially intended for rare, specific conditions but have become a catch-all solution for digestive discomfort.
Presently, it is estimated that over 27% of Americans take antacids and that over 15% of the USA population (increasing with age) take PPIs. For context, PPIs are the most powerful acid-suppressing medications - a single pill often removes almost all of the stomach's acid for the rest of the day - but simultaneously are sold over the counter, allowing many to self-medicate with them. Primarily, people treat acid reflux this way.
Proton pump inhibitors (PPIs) and other acid-blocking medications can create serious health problems:
Increased risk of dangerous infections like pneumonia
Reduced absorption of critical nutrients
Higher chances of liver disease
Potential link to dementia
Possible increased risk of stomach cancer
Weakening of overall digestive health
19% higher overall risk of mortality
28% increase in major cardiac events
37% higher risk of community-acquired pneumonia
This study found a 74% increase in severe kidney disease, resulting in a 142% increased risk of death for those patients)
Significant disruption of gut microbiome balance
The largest review that has been done so far of PPIs and COVID-19 found PPIs increased a COVID patient's risk of dying by 77%.
The surprising role of stomach acid.
Stomach acid isn't just about digestion. It plays several crucial roles in your body:
Killing harmful bacteria, viruses, and parasites
Breaking down proteins into usable nutrients
Helping your body absorb essential minerals like zinc, magnesium, calcium, and iron
Enabling absorption of critical vitamins, especially B12
Regulating digestive system functions
Activating important digestive enzymes
Protecting the body from potential infections
Historically, doctors have overlooked these critical functions, treating stomach acid as a mere digestive inconvenience rather than a vital biological mechanism.
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Why acid reflux really happens.
Surprisingly, acid reflux often occurs because of LOW stomach acid, not excess acid. As we age, our stomach acid naturally decreases. This reduction can trigger:
Digestive complications
Nutrient deficiencies
Weakened immune response
Increased susceptibility to autoimmune conditions
Difficulty breaking down proteins
Potential food sensitivities
Chronic inflammation
Root causes of declining stomach acid.
Several factors contribute to reduced stomach acid production:
The natural aging process (especially after age 60)
Poor dietary habits
Lack of unprocessed salt in modern diets
Autoimmune conditions attacking acid-producing cells
H. Pylori infections
Mitochondrial dysfunction
Continuous use of acid-blocking medications
Chronic stress
Processed food consumption
Different health conditions linked to low stomach acid.
Research suggests low stomach acid may contribute to:
Asthma
Skin diseases like eczema and dermatitis
Depression
Gallbladder disease
Migraine headaches
Osteoporosis
Accelerated aging
Macular degeneration
Hay fever
Small intestinal bacterial overgrowth (SIBO)
Chronic fatigue
Autoimmune disorders
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How the lower esophageal sphincter (LES) works.
The stomach's opening is pH-sensitive and only closes when sufficient acidity is present. Without enough acid, this muscle stays open, causing reflux. Certain foods and medications can also weaken the LES, including:
Fats
Chocolate
Coffee
Caffeinated drinks
Mints
Sugar
Onions
Some alcoholic beverages
Muscle-relaxing medications
Certain blood pressure drugs
Natural approaches to improve stomach health.
Instead of relying solely on medications, consider:
Eating less processed food
Identifying and removing trigger foods
Supporting digestive function
Addressing underlying nutritional deficiencies
Working with a healthcare professional who understands functional medicine
Potentially using digestive enzyme supplements
Considering hydrochloric acid supplementation under professional guidance
Maintaining a balanced, nutrient-rich diet
Managing stress levels
Regular exercise
Stomach acid is essential for digestion, nutrient absorption, and overall health. Before taking acid blockers, understand their potential risks and explore alternative solutions with a knowledgeable healthcare provider.
Always consult a healthcare professional before significantly changing your medical treatment or diet.
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