ConditionsDigestive
Digestive

Acid Reflux / GERD

Gabriel investigates root cause: paradoxically, GERD is often LOW stomach acid—without adequate acid, stomach can't close LES properly, food ferments (creates pressure), proteins don't digest.

Root Causes

12 identified

Supplements

11 recommended

Lab Markers

7 to test

Treatments

1 modalities

Gabriel's Approach

Gabriel investigates root cause: paradoxically, GERD is often LOW stomach acid—without adequate acid, stomach can't close LES properly, food ferments (creates pressure), proteins don't digest. PPIs make problem WORSE long-term by further suppressing acid. Protocol: 1) Test stomach acid status, 2) Increase stomach acid if low (HCl supplementation, apple cider vinegar, bitters), 3) Address H. pylori if present, 4) Heal esophageal lining, 5) Support LES function, 6) Eliminate food triggers, 7) Address SIBO/dysbiosis, 8) Weight loss if overweight. Many patients can eliminate PPIs completely with proper protocol.

Root Causes

LOW stomach acid (counterintuitive—GERD often caused by insufficient acid)
Hiatal hernia
Obesity
H. pylori infection
Food sensitivities
Poor lower esophageal sphincter (LES) function
Gut dysbiosis
SIBO
Delayed gastric emptying
High-carb diet
Stress
Medications

Why Conventional Fails

Standard Treatment

PPIs (proton pump inhibitors: Prilosec, Nexium, Prevacid), H2 blockers (Pepcid, Zantac), antacids (Tums, Maalox), prokinetic agents (metoclopramide), surgery (Nissen fundoplication for severe cases).

The Problem

PPIs suppress stomach acid (worsens underlying problem of LOW acid), long-term PPI use: increased risk of bone fractures, B12 deficiency, increased infections (C. diff, pneumonia), SIBO, kidney disease, dementia risk, difficult to discontinue (rebound hyperacidity), doesn't address root cause (low acid, hiatal hernia, obesity, food sensitivities, dysbiosis), patients often on PPIs for YEARS or life (unnecessary with proper root cause treatment).

Your Complete Protocol

A comprehensive, tiered approach combining supplements, herbs, and advanced therapies

Functional MedicineChinese Herbal MedicinePeptide TherapyWhole Food Nutrition

Your Protocol for Acid Reflux / GERD

Choose the level that's right for your healing journey

Essential Protocol

Start Here
$75/mo

What's Included

  • Betaine HCl with Pepsin (start low, gradually increase with protein meals—CRITICAL for low acid)
  • Digestive Enzymes
  • DGL 500mg 3x/day
  • Zinc Carnosine 75mg 2x/day
  • Licorice Root (Gan Cao) — Soothes inflamed stomach lining and reduces acid reflux symptoms
  • Ginger (Sheng Jiang) — Calms the stomach and helps food move down instead of backing up
Get Essential Protocol

Available through Fullscript

Practitioner-Grade Protocol

Most Popular

Practitioner-Grade — Not Available on Amazon

$165/mo

What's Included

  • Zypan — Powerful digestive enzyme formula with stomach acid support
  • DiGest Forte — Herbal digestive support for bloating, gas, and discomfort
  • Okra Pepsin E3 — Gentle digestive aid with okra and pepsin to support the stomach lining and healthy digestion
  • Left Metal Pill (Zuo Jin Wan) — Drains stomach fire and stops acid from backing up into the throat
  • Pinellia and Magnolia Bark (Ban Xia Hou Po Tang) — Relieves the sensation of something stuck in the throat and calms stress-related reflux
Get Practitioner Protocol

Whole food supplements by Standard Process

Complete Protocol

Best Value
$245/mo

What's Included

  • All Practitioner-Grade supplements & herbs
  • BPC-157 (tissue repair + gut healing)
  • Thymosin Alpha-1 (immune modulation)
Get Complete Protocol

Standard Process + Matter peptides

Recommended Supplements

Betaine HCl with Pepsin (start low, gradually increase with protein meals—CRITICAL for low acid)
Digestive Enzymes
DGL 500mg 3x/day
Zinc Carnosine 75mg 2x/day
Slippery Elm 400-500mg before meals
Aloe Vera juice ¼ cup before meals
Apple Cider Vinegar 1 Tbsp in water before meals
Digestive Bitters before meals
Probiotics 50B CFU
L-Glutamine 5-10g/day
Melatonin 3-6mg at bedtime

Key Lab Markers

H. pylori testing (stool antigen or breath test)
SIBO breath test
Comprehensive stool test
Upper endoscopy (if severe)
Heidelberg test (gold standard stomach acid test)
HCl challenge test
Food sensitivity panel

Dietary Guidance

Eliminate common triggers: caffeine, alcohol, chocolate, peppermint, tomatoes, citrus, spicy foods (individual variation), low-carb diet (reduces fermentation), small frequent meals, chew thoroughly, don't drink large amounts with meals, avoid eating 3 hours before bed, identify food sensitivities, increase zinc-rich foods, bone broth, fermented foods (if tolerated), avoid processed foods and sugar.

Lifestyle Factors

Elevate head of bed 6-8 inches, sleep on left side, weight loss if overweight (reduces abdominal pressure dramatically—often curative), stress management, don't eat when stressed, posture (don't slouch), avoid tight clothing, quit smoking, address hiatal hernia if present, diaphragmatic breathing exercises, visceral manipulation therapy.

Mind, Body & Spirit

Evidence-based practices that complement physical treatment protocols

Mind

Mindful Eating

strong

Slowing down, chewing thoroughly, and eating in relaxed state to improve digestion.

Stress Management

strong

Reducing stress that triggers reflux and impairs digestion.

Body

Diaphragmatic Breathing

moderate

Strengthening diaphragm and supporting lower esophageal sphincter function.

Posture Awareness

moderate

Improving alignment to reduce abdominal pressure and reflux.

Spirit

Emotional Release

emerging

Processing emotions rather than 'swallowing' them (gut-emotion connection).

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