in the stomach. Starting with one HCL capsule with a high protein meal, working up to as many capsules needed to feel a burning or hot sensation in the stomach. The more capsules it takes, typically no more than 3, indicates a low production of stomach acid. If burning is felt at first dose, this is a sign of adequate stomach acid production. Note: NSAIDS like Aleve and Ibuprofen can increase the risk of stomach damage with HCL, physician approval is recom- mended prior to performing the Betaine HCL challenge.
2. Food Intolerances
Food intolerances are different from food allergies in that food allergies create hypersensitivity reactions that can lead to life threat- ening situations like obstruction of breathing. Food intolerances can create low-level inflammation in the gastrointestinal system that can lead to indigestion and increase the chances of reflux. Inflammatory food triggers can be different for each person and can be quantified through food intolerance testing. Pinpointing inflammatory foods and eliminating them from the diet can bring about resolution of symptoms.
3. Neurological Disorders An intact neurological system is needed for proper chewing,
swallowing and propulsion of food into the stomach. Conditions that affect the neurological system like strokes, cerebral palsy, brain tumors, dementia and multiple sclerosis can all affect the central nervous system control of the process of swallowing. Neurological disorders usually have other symptoms associated than just digestive disruption but can also be a cause of GERD. With so many causes for the symptoms of GERD it is worth-
while to further explore your particular triggers rather than masking the symptoms given that long-term suppression of symptoms can lead to further health deterioration.
Dr. Ashley Burkman is a board certified licensed Naturopathic Physi- cian at Connecticut Natural Health Specialists, LLC. Like all the phy- sicians at Connecticut Natural Health Specialists, LLC, Dr. Burkman is dedicated to treating the cause of disease and is an in-network provider for most insurance companies. Visit http://www.ctnatural-
health.com. For an appointment, please call (860) 533-0179. See ad on page 26.
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