Although some researchers call for more high quality studies, and maintain that seri- ous adverse effects rarely occur, some studies indicate the association of long-term use (more than one month) with these potential PPI side effects, and thus “judicious use of this medication”: (1) osteoporosis and bone fracture; (2) infection (including H. pylori, SIBO, salmonella, and C. diffi cile); (3) heart attack; (4) renal disease; (5) dementia; (6) autoimmune diseases; (7) an imbalance of healthy gut bacteria; (8) a reduction in ab- sorption of key vitamins and minerals (folate, B12, calcium, magnesium, potassium, zinc, and iron); (9) rebound excess stomach acid secretion and increased refl ux-like symp- toms; and (11) excess production of gastrin, which may be associated with an increased risk of stomach cancer.


Natural Alternatives


With so many potential health problems that can arise from the prolonged use of PPIs and OTC acid suppressors, exploring the natural approaches to management of AR/ GERD is a logical and empowering strategy.


1. Apple Cider Vinegar(ACV) (Unfi ltered / Raw/Organic): While no scientifi c study actually proves ACV is effective against AR/GERD, many swear by its diges- tive benefi ts. In mild AR cases, where


stomach acid is too low, ACV is thought to introduce more acid into the digestive tract and to combat various types of bac- teria and microbes. The acidity of ACV can, however, upset the stomach and damage the teeth and throat. Although there are various ACV cocktail recipes, one common approach calls for one-to- three teaspoons of ACV in eight ounces of water, with optional honey or stevia, before or after meals, or sipped slowly throughout the day.


2. Alginic Acid Blend: Raft-forming algi- nates create a temporary, pH-neutral barrier that blocks stomach contents from backing up into the esophagus. As the gummy polysaccharide mixture from brown seaweed expands in the stomach, it also soaks up excess acid.


3. Aloe Vera: In one 2015 randomized controlled trial of 79 subjects that compared aloe to Prilosec and Zantac, researchers proved what many clini- cal nutritionists have known for years. Namely, in GERD sufferers, aloe may provide a safe and effective treatment for reducing the frequency of heartburn, food and acid regurgitation, fl atulence, belching, diffi culty swallowing, nausea, and vomiting. Aloe gel, when taken properly, is especially effective in heal-


What will ecome?


UB offers a variety of health science programs at the graduate and professional level, with an emphasis in wellness and disease prevention, including:


human nutrition* acupuncture/tcm naturopathic medicine chiropractic physician assistant dental hygiene doctor of health sciences* * Online Option


bridgeport.edu/hs 36 Natural Nutmeg - September 2019


ing the damaged lining of the esopha- gus. However, aloe can interact with various drugs, including blood thinners, diabetes medications, and diuretics.


4. Astaxanthin: In a 2008 high quality study, researchers determined that 40mg of this potent antioxidant reduced AR symptoms, particularly in subjects with pronounced H. pylori infection.


5. Bicarbonate of Soda (Baking Soda): This stomach acid neutralizer can temporar- ily relieve heartburn, but prolonged use can make the body too alkaline, cause potassium, chloride, and cal- cium defi ciencies, and produce excess sodium levels relative to water intake. These imbalances can negatively impact respiration, cause heart arrhythmias, and damage the nervous system.


6. DGL (Deglycyrrhizinated Licorice): Studies have shown that this long-used anti-infl ammatory herb combats all aspects of indigestion, including heart- burn, regurgitation, loss of appetite/early satiety, upper abdominal fullness and pain, belching, bloating, nausea, and vomiting. It also repairs the intestinal lining and combats all forms of h. pylori bacterial infection, which can cause stomach and intestinal ulcers. Safe for prolonged use and even by those with


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