for Aloe’s ability to almost immediately provide relief from the rag- ing turmoil within. Its potent soothing effect has been compared to applying balm to sunburn (an appropriate comparison- even some hospital emergency departments keep a live plant on hand for that very purpose!). When taking aloe internally, it’s a good idea to find a product from which the bitter anthraquinones and aloins have been removed, as they will cause a diarrheic effect when more than a cou- ple of tablespoons are ingested – the juice will also taste much better. The product label should note that it is for internal use, and is free of preservatives. I recommend a product which uses fractionated dis- tillation to permit better assimilation both to the bloodstream, and to the cells lining the digestive tract. One to two ounces twice daily (but up to three or four ounces 3-4X daily in instances of severe dis- tress) is the usual dosage, but be sure it is the version for internal use!
Limonene
D-limonene, a compound extracted from the oil of citrus fruits, has been found to be an effective treatment for heartburn and GERD. In each of two phased studies, more than 85% of participants taking 1000 mg. of limonene every day or every other day had complete resolution of reflux symptoms, and in some, the effect lasted up to six months. The greatest improvement occurs after a 10-capsule regimen, and after that only 1 capsule is needed as symptoms recur. Limonene is thought to increase stomach secretion of protective mu- cus, and may also increase muscle tone to remove stomach contents more quickly and reduce regurgitation into the esophagus. Look for a product which provides 1000 mg. citrus oil extract per capsule, standardized to contain 98.5% d-limonene.
Slippery Elm
An old folk and natural medicine favorite for its demulcent (soothing and protective) properties, slippery elm can be taken alone, in capsule or lozenge form or made into a tea, or it may be an ingredient in combination formulations designed to reduce GI tract inflammation and resultant discomfort. It provides a mucus-like layer over compromised mucus membranes, lessening the irritating ef- fects of acid or food contents; it also contains antioxidants to reduce inflammation and fibrous substances to attract and absorb toxins. Capsules which contain 400-500 mg. of the bark may be taken 3-4X daily (apart from meals by an hour or more) with a glass of water to “activate” the protective mucilage; a tea from the powdered bark may be made by pouring two cups not-quite-boiling water over two tablespoons of the powdered bark, steeping for 5 minutes and taking this 3-4X daily. In thanks to our healing friend, the Slippery Elm tree, look for products which are harvested in such a way as to permit continued healthy growth for the tree.
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