Don't be burned but heartburn meds

If you’re someone who takes medicine daily, any medicine, it’s important to step back and consider whether you still need to be taking it. I’d also brush up on the side effects. While I’d love doctors to focus on getting patients off unnecessary meds, let’s face it medicine is a business. But if you, or someone close to you, are one of the 15 million Americans who take a certain type of acid blockers, there are some serious side effects.

There is a class of acid blocking (“heartburn”) meds called PPIs. Examples of PPI’s are Prevacid, Nexium and Prilosec. The concerns about taking these meds long-term have been out there; however, almost daily I have a client in my office who feels they’re totally safe.

Whenever I see one of these meds in a new client’s chart I ask a few questions.

How long have you been taking this medication?

Have you tried going off of it?

What modifications do you make in your diet for your reflux or heartburn?

The answers are quite similar. Most clients have been on their acid blockers for a while- usually years. They haven’t tried to discontinue them and they “can eat anything on these meds so there’s no need to change their diets.” Sigh. It’s so backward. The meds are like pain killers; they aren’t improving the condition. And just because you “can eat anything” doesn’t mean you should.

Stomach acid has important functions. We need an acidic environment for maximum vitamin and mineral absorption. On PPIs you see more bone fractures because calcium absorption is compromised. There have been cardiac side effects researched as well. There is an increased heart attack risk on PPIs. There’s also less gut diversity or less “good” bacteria when there’s less acid. Our gut flora is connected to mood and food cravings. Stomach acid helps digestion and prevents infection.

These meds should be used short term or occasionally. If you are interested in going off of your PPIs, you need to wean yourself gradually you can have rebound symptoms. As you decrease your dose, address your diet. For starters, try decreasing alcohol, sugar and caffeine. You can try a spoonful of apple cider vinegar diluted with water before meals. I also like a probiotic, vitamin D and glutamine supplement to restore your gut health.

While I only focused on these acid-blocking medications, talk to your physician if you are interested in discontinuing a particular drug. And yes, there are certain cases where you absolutely need a particular med, even the acid blockers. More often than not, this isn’t the case.

Should you be apple cider vinegar-ing?

Today we sent out our Monthly Morsels newsletter. May’s topic is what we call Ferm Foods (fermented/probiotic…too many syllables). We are Ferm freaks at Foodtrainers.  If you’re wondering what these foods can do for you, here you go.

One of our Ferm faves is apple cider vinegar (ACV). It seems there’s nothing ACV can’t do. While we remain leery of food miracles tied to ingesting any one item, we’re fans but have our limits. We’re not washing our hair with it (yet) or curing our foot odor (Foodtrainers don’t smell). Instead this ferm food slows the conversion of carbs to sugar and stabilizes blood sugar.  And if this didn’t resonate the benefits of better blood sugar include more energy and less excess sugar stored as…you guessed it fat.

Not sold? ACV is also great for seasonal allergies, gas and constipation.  And seems counterintuitive but ACV and ferm foods reduce reflux (or GERD). There’s also interesting information on ACV and Lyme. 

Of course all vinegar isn’t created equal. We like this ACV- first it’s palatable. Also, your ACV should be cloudy and not clear. You want “the mother” present which is that goopy stuff (where all the goodness exists). How much? Don’t go crazy- 1 Tbs. before breakfast diluted with water (if you like your tooth enamel) and a squeeze of lemon works. Going to twice a day is fine too.

And be careful sugar and especially fructose (fruit sugar) can undo the work ferm foods do, with summer nearly here be careful you don’t overfruit.

Do you ACV? Do you use it at meals or solo? Does your bottle have a mother?