Post by @mollypelletier.rd

Antacids do not have to be your only tool for reflux 👇 Antacids can be useful, and many people reach for them because they work fast. If you want more tools than that, here are four I use with my patients. 1. Smaller, more frequent meals. After a meal, a pocket of acid collects at the top of your stomach, and a big meal adds fullness and pressure behind the valve. In a study of 323 people with GERD, those who also had silent reflux were more likely to report overeating, eating too fast, and lying down within 30 minutes of a meal. Try stopping when you are comfortably full and eating again a few hours later. 2. A temporary low-acid phase. In a 6-week study of 184 people with silent reflux, a mostly plant-based diet with alkaline water brought symptom scores down about as well as a PPI did. That study looked back at patient records, so it shows a link, not proof. I use a lower-acid phase for a few weeks to calm things down, and then we add foods back. 3. An alginate after meals. In a 2025 review of 14 studies, adding an alginate to a PPI eased symptoms more than a PPI alone, and some trials found an alginate worked about as well as a PPI. 4. Something soothing. During my own low-acid phases I stir @Sequoia Soothe slippery elm blend into warm water, since it soothes the throat and esophagus. Talk to your doctor before you change any medication. My 14-Day Reflux Reset Guide is in my bio. 📚 Cao H et al., 2025, BMC Gastroenterol, retrospective case-control, n=323 GERD patients (131 with LPR) and 225 controls, PMID 41174535. Zalvan CH et al., 2017, JAMA Otolaryngol Head Neck Surg, retrospective cohort, n=184, PMID 28880991. Lechien JR et al., 2025, J Otolaryngol Head Neck Surg, systematic review of 14 controlled studies, 1,269 patients, PMID 40742828. Kahrilas PJ et al., 2013, Am J Gastroenterol, review, PMID 23629599. #acidreflux #refluxtok #antacids #GERD #refluxdietitian