Tag Archives: gastroesophageal reflux disease

LCHF Diet Cures GERD In European-American Women

Looks European-American to me

Looks European-American to me

European-American? I guess that’s American women who are of European descent rather than Asian, Eskimo, African, etc.

LCHF in my headline refers to low-carb, high-fat.

GERD is gastro-esophageal reflux disease, i.e., frequent or severe heartburn. GERD is the most common reason to use a proton pump inhibitor drug like Prilosec. It’s expensive. I run across patients taking it every day for years.

Dr. Michael Eades has a great post about GERD and the potential drawbacks of proton pump inhibitors (PPIs):

The scientific literature has shown long-term PPI therapy to be related to the following conditions:

Anemia
Pneumonia
Vitamin B12 deficiency
Impaired calcium absorption
Impaired magnesium absorption
Increased rate fractures, especially hip, wrist and spine
Osteopenia [thin brittle bones]
Rebound effect of extra-heavy gastric acid secretion
Heart attacks

From the recent study at hand:

“GERD symptoms and medication usage was more prevalent in European-American women, for whom the relationships between dietary carbohydrate intake, insulin resistance and GERD were most significant. Nevertheless, high-fat/low-carbohydrate diet benefited all women with regard to reducing GERD symptoms and frequency of medication use.”

Source: Dietary carbohydrate intake, insulin resistance and gastro-oesophageal reflux disease: a pilot study in European- and African-American obese women. – PubMed – NCBI

Pay attention and follow all the links and you may be able to see the entire journal report. You just can’t wait, right?!!

Another study showed improvement in heartburn with a low-carb diet a few years ago.

All of my diet books offer low-carb high-fat options except for the original first edition of Advanced Mediterranean Diet from 2007. In 2009, I learned that low-carb high-fat eating wasn’t dangerous.

Steve Parker, M.D.

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Consider Carbohydrate Restriction for Your GERD

Dr. Michael Eades has a post on gastroesophageal reflux disease (GERD) and it’s treatment with carbohydrate-restricted eating versus drugs. GERD is relatively severe and/or frequent heartburn caused by stomach acid backing up in to the esophagus. The lining of your stomach is designed to be resistant to a high-acid environment; your esophagus not so much. A quote from Dr. Eades:

Most people who have GERD, have it for the long term. It’s not something that comes and goes. So these folks go on GERD therapy for the long term, and the most prescribed medications for long-term GERD treatment are PPIs [proton pump inhibitors], which, you now know, keep stomach acid neutralized for the long term, and, as you might imagine, creates a host of problems.

The scientific literature has shown long-term PPI therapy to be related to the following conditions:

  • Anemia
  • Pneumonia
  • Vitamin B12 deficiency
  • Impaired calcium absorption
  • Impaired magnesium absorption
  • Increased rate fractures, especially hip, wrist and spine
  • Osteopenia [thin brittle bones]
  • Rebound effect of extra-heavy gastric acid secretion
  • Heart attacks

Read the rest if you or someone you love has GERD.

Here’s a scientific report supporting Dr. Eades’ clinical experience. Carbs were reduced to 20 grams a day.

Steve Parker, M.D.

PS: Some studies find no association between PPI use and pneumonia. It makes sense that we have stomach acid for good reasons, and that suppressing it may well have adverse effects.

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Should You Try the Low FODMAPs Diet for Your IBS or GERD?

You won’t know until you try it, suggests dietitian Melanie Thomassian. These are some of the diagnoses that may respond positively: irritable bowel syndrome (IBS), Crohns disease, and gastroesophageal reflux disease (GERD).

Very low-carb diets also help GERD.

I’ve written before about the low FODMAPs diet and irritable bowel syndrome. The low FODMAPs diet essentially involves limiting the delivery of particular carbohydrates to your intestinal bacteria.

Steve Parker, M.D.

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