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Thank you for the WARNING ⚠️ on PPIs.. took me years to fix my digestion after taking Omeprazole for just over a year. Used Betaine HCl high dose (4-5caps) to get things going. I’m off Betaine and on my way to full recovery. Awesome video 👏🏽👏🏽👏🏽👏🏽👏🏽

I subscribed just for the fact that you’re honest and not trying to push me to take drugs which I know will hurt me, because most have 👍

For me the bloating and gas after meals disappeared as a nice side effect when I began to eat low carb, no sugar and no junkfood and moderate vegetables. My diet consists now of more animal foods and not more then 2 of 3 different vegetables at the same time. No beans.

Dear Dr Nicole, i am an MD in Vietnam, i really appreciate your video, and i also have the same opinion on PPI. There is an Systematic review last year " Association Between Psychosocial Disorders and Gastroesophageal Reflux Disease: A Systematic Review and Meta-analysis". They also seperate GERD into erosive GERD and Nonerosive GERD. If nonerosive GERD, we should not give our patient PPI, because nonerosive GERD has different pathogenic to erosive GERD. Erosive GERD is usually has a lot of acid while, nonerosive GERD is usually related to Stress which has less Acid, Shorten of Acid and keep using PPI is really a problem. As my experience, if a patient has Non erosive GERD we should help them release stress, reduce inflammatory. I try the Curcumin in Tumerric for myself and it work, but i believe most of the inflammatory drugs will help, or lemon balm which reduce the cortisol also help.

I had my motility + gut lining impaired by food poisoning which caused constant reflux when I ate anything. Got put on pantoprazole (a PPI) REPEATEDLY because the issue kept coming back and developed SIBO pretty quick 😑 Wish I could get after every one of those doctors with a newspaper + that I’d found your channel earlier!

I’m glad you are bringing this to the front about PPI’s

As a practioner myself one must also evaluate Bile in this scenario. The last thing one wants is all that gastric acid/chyme hitting the duodenum unopposed by more alkaline media. Enter....Duodenal Ulcer! 😮

For me, it wasn’t how many HCLs I took a meal that caused symptoms… it was how many I took in a DAY. If I take any more than 3-4 HCLs a day, I get a burning in my esophagus from over production of acid. So for me I can’t take any more than 1 HCL per meal. My chronic reflux has improved soooo much as a result!

Hi Nicole, I'm fascinated with your videos!!You're the best teacher of gut health I've heard (and believe me I've heard a lot). Could you do a video on how to discontinue PPIs? thaaaanks!!!

Great video! 👍 Could you please also discuss the importance of histamine in acid production and how antihistamines lower our stomach acid? Tnx

Weird that they treated my Sibo with ppl and antibiotics 😳 now they are pushing my kids with them. I’m having us all do this test ! Good way to stay ‘ thank you 😊

PPI therapy 100% caused my SIBO. I suddenly got bloated eating my normal diet of beans. I smelled the difference in my BMs. 💯

I so appreciate all the helpful information you're putting out here! There are still a couple things I'm trying out to try to resolve issues on my own, but if that doesn't work then I'll for sure be setting up remote consultations with you. I like your style, and I'm hearing new, inciteful, nuanced information that leads me to believe that you'd be a great health ally to help rid me of my issues once and for all! Either way, thank you for what you do.

Your channel is fantastic

Thanks for addressing this Dr DiNezza! I’ve long suspected that I have low stomach acid but due to gastritis I have never tolerated HCL supplementation. Pretty sure I don’t have any stomach mucous lining so figuring out how to work on that first.

What if you mucus lining is bad and one pill gives you symptoms but your stomach acid is low? How will you know which it is?

Hang on low stomach acid means to high a ph level not volume. I took 16 pills a meal before I got warming but it stopped the reflux and digestive issues. Stopped due to cost. Reflux is poor diet plus high pH levels. Take 1/4 TSP of bicarb of soda in 1/2 glass of water, if your not burping within a couple of minutes your stomach pH is to high.

Hi, excellent information! My mother 89 years old, is always feeling full, bloating and worst of all, digestion problems, *CONSTIPATION.* -I think she is low in stomach acidity, so I have been giving her, for 2 days: -Before each meal: 6 pills Betaine HCL (I start with 3 pills, then 4....) -And after each meal:1 pill -Ox Bile Salts (adding to it some Nutritional Yeast Flakes). -None of this two meds had help her. But..... I have a problem with the HCL: -She says she feels too full to eat, after taking 6 pills HCL. Last time we wait more than 30-45 minutes to start eating. -Is that ok to wait so long to start eating, after taking HCL pills????? -I don't know how to help her with her constipation. (I Imagine, if it is hard, she taking the 6 HCL pills, how is she going to take 10 or 14?????) -Also want to know if it is ok to give her: 1 pill Ox Bile Salts, after each meal????? Thanks and Sorry for my English, l am from Puerto Rico! God bless you and have a nice day!!!

Confusing some say burping is the result of low stomach acid , some say it us caused by too much stomach acid.

I’ve mostly cured my heartburn with ACV and lemon water, but still dealing with bloating, constipation slow bowel movement. I’m Taking oregano oil and garlic extract as of now. Going to see what happens.

My gut has been ruined from H Pylori bacteria that was never diagnosed for 4 year! I am still not right with my digestion. 😢

I was diagnosed with stomach inflammation and gerd. On 6 weeks protonix

Hi Dr DiNezza I stumbled across this video. I’m helping My 17 yr old daughter start this challenge. She has suffered for many years with swallowing discomfort. We’ve been on and off of omeprazol several times, had every scope, scan, and test you can think of under the care of 2 different pedi gastroenterologists. I’m at a complete loss. So we are going to see if perhaps her issue is too LOW stomach acid. It’s her swallowing that bothers her so much, not really acid reflux feeling.

SO HELPFUL! GOD BLESS YOU!

I often theorized I have low acid.....I have some gastro problems & some tolerable discomfort, but very often, I get easy food poisoning when eating out. I always eat cooked food & nothing uncooked. Seems like I'm sensitive to the least amount of bacteria, & I get a stomach ach for a week. I was on Zantac as a kid in 1985-1992 & donatel liquid then also..

YES….I agree PPI’s are terrible! I Was diagnosed with gastritis (triggered by stress & coupled with back to back rounds of antibiotic/prednisone for virus). Three months of PPI’s caused my digestive system to get MUCH WORSE. Food sensitivities got even more restrictive and bloating/burping escalated exponentially. I’ll never take a PPI again.

Couldn't it also work the other way? Like someone with a thin mucus lining would feel burning with 1 capsule even if they need more

Thank you for great information and advice.

It's good to question conspiracies.

I wonder which HCL brand is recommended to try this test. Sounds interesting - will try it.

Very good educational video!

I have SIBO and i feel like being on a low carb high protein diet for over 10 yrs really messed up my tummy!! Now i am about 80% plant based because i have issues digesting animal proteins

Dr Nicole. Do you have a video on Helicobacter? Healing naturally as I have had 2 rounds of antibiotics. Also what are your thoughts on seamoss?

It was interesting but the giggle with the marker squeek won me.

If I took Betaine HCL and it helped but I had heart palpitations and axiety/panic attacks. Why would this be?

Quick question: at what point of the meal should the HCl be taken? Before, halfway the meal or by the end of it? Many thanks for your work. :)

Sounds fair to try the Betaine HCL challenge if you have low acid. But what if you suffer gastritis? An acid pill will make the gastritis worse.

Very good video! Thanks.

Hai..my problem is whan I eat even a little I feel quickly full.. maybe I have low stomach to..I don't know what to do..can any body help me..because I'm so upset this kind of situation.. even my hole day was ruend by this kind of sickness.. I just hoping that someday I beat this kind of struggle.. plss help ..

Hello, enjoyed the video! I did the baking soda test the other day and i didnt burp:/ i think i have low stomach acid. What HCL Supplement is the best to get?

Thank God and you for this video

Are digestive bitters bitters better than HCL? Very informative video. Thank you so much for sharing your knowledge

Can you do a video on fixing the mucus lining?

My first GI doctor ( this was 4 years ago ) told me to take PPI for 30 days and that's it . She didn't want me to become addicted to PPI. I have been off them for 4 years. I take Betaine HCI , and a few other things for now.

My doctor automatically assumed that I had a high acid level because of epigastric pain. She did not examine me but prescribed PPI because she said the stomach acid enters the esophagus and causes pain. I suffer from constant bloating and stomach pain despite having given up smoking and minimizing coffee and spicy food. Now I understand that PPI suppresses stomach acid; I took the baking soda test and did not burp at all within 3 or 5 or even 10 minutes. If I would try the HCL test, what type or brand would I use? Can you recommend?

I thought low stomach acid meant not acidic enough, instead of not enough volume....do these terms get used interchangeably or has the term always meant not enough volume?

Should you take hcl if you have a possible h pylori infection or presence? I have heard this before but not sure if I understand the connection or the science of it. My gi map stool test came back positive for h pylori but I don’t have any of the usual symptoms of h pylori

Heartburn,feeling food stuck on my chest,lump in my troat..indigestion,feeling full after a small meal..anxiety,panic attack.. pls help me..

Milk could protect your tummy from over acidity especially if take too much pills. Based on personal experience

What mg of HCL are we talking about. There are 100mg and 600mg pills. Thanks! 3 or 4 pills is how many mg?

Thankyou , this helped me very much . I have taken high hcl and no symptons . Plus high acid food . But sibo hitt and i yhink some of it was cause by too much hcl .Thankyou .

Hi Nicole! I am on a low dose aspirin (81mg) daily for heart issues. How do I proceed with HCL.?

Great video! Would it be ok to take Apple Cider vinegar + HCl supplement with pepsin? Or would it be one or the other?

I have no stomach acid anymore

i just came across you !!!!! Thank you so much!!! If we have no gallbladder and have been using bile salts, should we still use these? and when should you take the salts? TIA!!!!!!

Are these supplements and licorice root safe while breastfeeding?

I’ve been on lansoprazole for 13 years..I tried betaine HCL I took the recommended daily dose of 2 capsules which where 480mg i experienced severe headaches from it also I tried ACV 2 table spoons in a glass of water and that also gave me a headache and jaw pain..I need to get off the PPI’S

Hi Dr. DiNezza I'm a 35Y old male who was recently prescribed Dexilant from an ENT specialist where he noticed that my throat was dry and my vocal cords we're irritated. However, I have NO heartburn or acid reflux, I do however have belching or what feels like stomach gurgling or pressure after I eat which is then followed by a burning in my throat as well quite a lot of gas.This occurs on a daily basis. Could this be low stomach acid or simply stress or anything else for that matter? Thanks you and love your videos

Hi Dr. I am taking almost 10 capsule of betain hcl with food but no burning sensation or any kind of discomfort. I even tried to take 1 capsule of betain hcl on empty stomach still no burning or discomfort at all. Can you explain whats happening? You may have answered it in the video but please share your thoughts. Btw my baking soda test also produces no burping at all, even after doing the test multiple time.

There is great confusion between low (as in volume) vs low (low PH). The latter is good, the former not. What volume of acid is good??

Wow, 30 plus years later, and after a Shotzie Surgical procedure on my Esphogus then the Medical Profession finally came up with these tests. Voila! Great. Me, I had to do it by trying EVERYTHING as Doctors were of no help. Cheap solution here is 30 minutes before a heavy meal, or one with meat I take about half a fork full of Sauerkraut. That puts acid into your stomach to process your food. If I do NOT do that, then I get an Acid Storm, as my stomach tries to process the meat etc. and can not so it produces an Acid Storm, and there starts all of your problems! Also after breakfast before I take a handful of Natural Supplements, as that sets off a bomb in my stomach too. Sauerkraut besides inducing acid is also a wonderful Probiotic and CHEAP. 1 small can will last me about 10 to 14 days for about $.85. Can also make it yourself for even cheaper. Truth is anyone over 60, your body starts producing less and less acid per year so this problem will not be going away for you if you do not treat it.. Also Blood Type figures in huge here. I am AB negative and we are naturally very low acidic. I suggest Eat Right 4 Your Type book by Naturalist Doctor Peter J. D Adamo. That will teach you what your body is best attuned to eat and process by your blood type, and it varies greatly between blood types. Billions of dollars made every year by Big Pharma supplying you with Zantax and TUMS etc. that are doing the wrong thing. You actually need more acid before you eat NOT tamp down the acid, to prevent an acid storm after your stomach receives the foot. Also for those with milder symptoms ( I would get horrible Flem Attacks that could dehabilitate me for 30 to 45 minutes at a time) is to make a big pot of Cascara Sagrada (a bark) and leave it on the stove all week. Take a 6 oz.glass as soon as you wake up and before you got to bed. Leave the bark in the pot and it will just cotninue to get stronger and stronger (darker). Just every time you take it when its dark is add water so it gets the color of Iced Tea. It instantly tranquilizes your stomach in 30 seconds (even quicker than Zantax or TUMs) and it is super cheap. A small bag, good enough for 2 to 3 months for only like $3.00 at a Mexican little Super Market. My Dad used to say he thought it was Quinine Bark, but I have no idea if that is correct.

Do you every try just not drinking liquids with or for an hour after meals????? It helps...

Hello Nicole, When talking about stomach ph can a mesured level explain it or also the quantity produced? and if (?) so how can the quantity be evaluated? Thanks for your reply.

Are you supposed to take the supplement before, with or after your meal? How quickly would you feel the reflux if you were taking too much?

Hi Nicole, very informative video, thank you. I took 1 hcl table after a high protein meal and got a warm feeling in my stomach, however around 3 hours after I took it and lasted thru the day. Does that mean I have sufficient stomach acid?

Do you advise on Acid Reflux ?I would think yes. Been taking PPI for 20 years they don’t seem to be working anymore & I want to get off.

How can you treat low stomach acid when there is gastritis?

How about the baking soda test?

This is too complicated. Can someone create a stool test to find out how much stomach acid?

Dr I have gastritis and I think leaky gut issues besides suffering from high histamine and I know my stomach acid is low because of my I take aloe Vera juice and the supplements like enzymes and DLG and something called gut healing that help me too. I stopped taking omeprazol few years ago I never took for long time and I am taking the least medication for all my overall health and trying to get rid of the those medication as soon as I can

agree about PPI (autopsy)

Very helpful video for me but looking for one more note of advice on this challenge. My naturopath wants me to do the HCL challenge for 6 months, seems rather long right? She makes it sound like the HCL challenge is a cure, because it will teach my body to actually produce more acid on its own once I am done with the challenge. Is this true? I have not been able to find any research to verify that. Is there any danger in doing this challenge without knowing weather your stomach lining is robust or weak? Thanks!

I was on PPI for many years and may condition was getting worse and worse I was also very breathless bad stomach after every meal , now I take HCL + pepsin one per meal NOW I FEEL AMAZING ALL SYMPTOMS ARE GONE !!! this lady is telling the TRUTH !!!

Thank you so much for this video!!! So helpful :)

I never understood what is the concept of supplements? Why the hell we need suppliment.. we were born to eat from the nature and not from pharma factory! ACV lemon ginger garlic works amazing for acid restore

If one capsule helps, but you can't tolerate two, why not take one? You said you don't need to take any, then.

I'm confused.....at 2:49 in someone with plenty of acid naturally occurring, they take one tablet and acid gets pushed up the esophagus and causes symptoms to be felt. However, then at 4:57, where someone may have an outrageous amount of acid, but has a good mucous lining, you said they will not feel symptoms from the extra acid put in by the tablets. But wouldn't it still get pushed up the esophagus and so therefore WOULD be felt? It doesn't look like the mucous lining would prevent acid being pushed up the esophagus. maybe I am missing something, but that has me confused.

I'm confused: if the person has healthy mucus and high level of stomach acid (like in min 3 of the video) and took 14 HCl pills - wouldn't they still have symptoms from it?

I have 650 mg. What dosage of Betaine HCl is used for this test?

If someone already has acid reflux then how would he know after taking back if he has burning or not because he already has burning?

So by taking the HCL test, and one arrives at their magic number. But that treats the symptoms, is the expectation to do this for the remainder of their lives? What about RCA?

I have gastritis and hypylori. So how should I deal with low stomach acid? Can I take this supplement or should I fix my inflamed stomach lining first. Please make a video about this dilemma.

Thank you for this great information! Now, what if you have chronic gastritis? No ulcers. Can you take HCI? I had this functional test done and it showed mild/moderate low stomach acid.

Can I have this with diagnosed gastritis 😭😭😭😭 cause sometimes my stomach burns then i start with prazolones then the burning stops and I feel like the food stays in my stomach the whole day… burping, bloating… it’s so confusing 😢

This is great info! I have a special situation that needs a modified approach, I fear. I believe my son has low stomach acid (he was diagnosed with GERD and spent long periods of time on anti-acids). He is a special-needs child and he doesn’t necessarily complain if something hurts or if he feels uncomfortable, but we know he has reflux and it has caused him esophagitis. I’m trying to find the best way to test his level of stomach acid and figure out how much Betaine he would need. He does have a G-tube, so I could draw out a bit of the contents of his stomach with a syringe and test it. I’m thinking this might be the best way? Anyone know of any ways of directly testing the stomach juices or contents for level of acidity?

Why tea and coffee with milk and sugar cause acidity and acid reflux

Does your program help gastritis also? Is gastritis because of low acid or high acid?

Just taking four capsules even if they were empty, I gives me acid reflux. Also when I finally get it to calm down the last thing I want to do is experiment to see how many capsules it takes to flare me up. SMH. I’ve tried this test. Too bad it doesn’t come in a liquid?

Hi there, I have a problem with stomach discomfort; even after eating food and being complete, I feel the hunger pain in my stomach. Could this be a result of low stomach acidity? Thanks

I have no idea what's going on. I can't take hcl or most antthing else. When I say reactions i mean I have extreme head pressure with hcl or lots of foods, drink, even water. Also chemical and other intolerances. 😢

Do we ever really know the etiology behind low stomach acid to begin with?

so the opposite of PPI is HCL pills for the rest of your life? What about finding the cause of the low stomach acid? How do we do that?

Taking hcl until you get symptoms while you are already having the symptoms? What?

How long after taking the hcl should you expect symptoms if you are going to get any?

Doc i have acid reflux for 3 yrs now. I don't know if i have low or high acid. Please help me what to do. Thank you

Helppp! I cant swallow pills, how can I take Betaine? I've read you arn't allowed to open the capsule!

I dropped a piece of my steak on the floor yesterday. Picked it up in 4.7 seconds so it was under 5 seconds. This morning, I'm pooping hot chocolate. Help.

Does “low” and “high” stomach acid refer to volume or acidity (ph)?

Agree on the mucus lining masking stomach acid effects but regardless of that, wouldn't the real test be to repeat the baking soda and water test until you begin to burp within 1-3 minutes as the indicator that you've reached the optimal number of bHCL capsules? Or is the bHCL intake/response local to the meal you take it with and doesn't evolve into a permanent fix? Further, before one starts screwing around with one's stomach acid pH, shouldn't one first assess/fix any bile thickness/sludge/stones/issues with the gallbladder before the bHCL-enhanced acidic load from the stomach comes marching down to the duodenum so it can be neutralized by the bile beforehand?