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Yesterday a client asked what my own go-to is when reflux spikes to a 10 out of 10. Here is the flare protocol I gave her, step by step. Before any of the steps, the reframe: a flare is a window to support your system while it settles, and none of your progress disappears because of it. The plan for the next 7 to 10 days: Start by leaning on alkaline foods. Alginates. They form a raft that floats on top of your stomach contents and physically blocks reflux. Take them after lunch, after dinner, and again before bed. In a randomized placebo-controlled trial of 136 patients still symptomatic on a once-daily PPI, adding an alginate produced a significantly greater drop in reflux symptom scores and in nights with symptoms (Reimer et al., 2016, Alimentary Pharmacology and Therapeutics, PMID 26909885). Alkaline water, sipped between meals. In laboratory testing, pH 8.8 alkaline water irreversibly denatured human pepsin, the enzyme that keeps irritating your throat, and buffered acid well (Koufman and Johnston, 2012, PMID 22844861). If your throat feels raw, add a throat spray, 3 to 4 sprays after meals and as needed. Slippery elm lozenges or non-mint gum between meals. Both get you producing alkaline saliva, and that soothes the burn naturally. Raise the head of your bed to cut down on nighttime reflux. Protect your mealtime hygiene and avoid your known triggers this week. This is the week to be consistent. Do one FLORA 5 to 10 minute reset from the playlist every day. Calming your nervous system during a flare does more than most people expect. Slippery elm or @Sequoia Soothe , 2x a day for 7 to 10 days, then drop to once daily. Both bring slippery elm to coat and soothe irritated tissue. Head to the link in my bio to learn more. Rescue option when the burn gets intense: a calcium carbonate antacid, or a small glass of calcium-fortified almond milk. A flare is loud. It is also temporary, and you have tools for it. Ps. Reflux Raft is the alginate I use. It is in the link in my bio, along with my free 14-Day Reflux Reset. Follow for more. 💚 Small hinges swing big doors. 🌿 #AcidReflux #GERD #LPR #RefluxRelief #RefluxFlare