Post by @mollypelletier.rd

I've been a reflux dietitian for years, and I want to be honest with you about what's actually working versus what isn't. What isn't working: the list. The ever-growing list of foods you're not allowed to eat. Here's what the list doesn't fix. It doesn't fix your LES. It doesn't fix your timing. It doesn't fix the tissue damage that's already happened. Here's what does work for the people I work with. First, we work on the LES, your lower esophageal sphincter (the valve between your stomach and esophagus). When it's under-supported, food choice matters far less than people think. Halland et al. 2021 (Mayo Clinic RCT, PMID 33009052) found LES pressure rose significantly during diaphragmatic breathing, and postprandial reflux events dropped from 2.60 to 0.36 per session. We use that same breathing, along with specific positioning, to restore pressure to that valve. Second, we build a 3-Hour Buffer. Stop food 3 hours before lying down (drinks are fine). Not because of what you ate. Because of physics. A full stomach, plus gravity, plus a tired LES equals reflux, whether that meal was "safe" or not. Third, we support the tissue while it heals. The throat and esophageal lining that's been irritated needs active support, not just time. This is where I use Sequoia Soothe, the mucosal support supplement I formulated with DGL, zinc carnosine, slippery elm, and L-glutamine working together to support the lining as everything else does its job. This is the architecture, not another food rule, not another thing to cut. When you build the architecture, the food list tends to get shorter on its own, because the mechanism is finally supported. Follow for more like this. And if a caption isn't enough support, 1:1 spots are open for U.S.-based clients In the link in my bio or at mollypelletier.com. 💚 #AcidReflux #GERD #LES #GutHealth #RegisteredDietitian