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Acid Reflux causes and Treatment

How to Stop Taking PPIs, Antacids, and H2 blockers

How to Stop Taking PPIs, Antacids, and H2 blockers

(intro music) – Hi, this is Tobias from
sciencebackedhealth.com. Today, we’ll talk about
how you can get off your proton pump inhibitors,
anti-acids or acid-blockers. First, we’ll quickly look
at some of the science behind all of this, and
then we’ll go through the science-backed lifestyle
changes that you can take to try and remove the root cause of stomach-acid-related problems, instead of just using medications to try and suppress the symptoms. The reason I know about all this, is that I went through it myself. Years ago, when I was on
holidays, I was hospitalized with a severe case of food poisoning. Our entire group fell ill, actually. And for months after that, I
had heart burn and gastritis, which is an inflamed stomach. And all these would only go away once I started taking
proton pump inhibitors. But then, every time
I’d try to wean myself off the medication, then the
problems came right back. So I started to research
and try and find a solution to this problem without
medication, because I didn’t really want to take medications
for the rest of my life. And while I was researching for
this, and this was years ago I was at first quite shocked
to learn that our western diet is a huge cause of
gastrointestinal problems. I wasn’t aware of that
at all, since I never had any GI issues whatsoever. The good news though,
is that these problems can often be solved simply by making some healthy diet and lifestyle changes, which is exactly what I did. And this got me from thinking
that I’ll have to take proton pump inhibitors
for the rest of my life to now, where I didn’t
touch them in years. All thanks to some diet
and lifestyle changes, and in this video I’ll
show you how I did it. Proton pump inhibitors, or
PPIs in short, are actually some of the most-prescribed
medications in the world, and they are used to treat
GERD, which is acid reflux, and silent reflux, and
gastritis, and so on. And they work by blocking the
production of stomach acid, which is, which then usually results in a reduction of
gastric-acid-related symptoms. They are often taken on a long-term basis. But using them for sure
should not be taken lightly because it can have some
serious side effects. For example, this study of over 16 million clinical documents on
three million individuals examined whether PPI usage was associated with cardiovascular risk and they found that GERD
patients that took PPIs had a 16% increased risk of heart attacks. And there are also studies showing a link between PPIs and dementia. For example, this study
of over 73,000 patients found that patients that were regularly taking PPI medication were at a 44% increased risk of dementia. And other studies found that
gastric acid inhibitor use was significantly
associated with the presence of vitamin B12 deficiency,
and the list goes on and on. So there’s really good reason for you to want to stop taking them. And the only way to stop
taking anti-acid medication is by removing the underlying
cause of the problem. That’s often the only way how you can really get rid of the problem, by eliminating the thing
that is causing it. And for many problems in
the gastrointestinal tract, the problem is what we are
putting into our mouths. So you need to first, remove
the things from your life that are contributing to the problem, and then you can, with
agreement of your doctor, try and phase out the
anti-acid medication. So the big question is, what is causing or
worsening your problems? And there are some interesting studies that shine some light on this, for example, this study on silent reflux compared a dietary approach
using alkaline water, a plant-based, Mediterranean-style diet, and standard reflux precautions, with the traditional treatment approach of proton pump inhibition and
standard reflux precautions. After six weeks on one of
those two treatment approaches, the patients were questioned on the severity of their symptoms, and what they found
was pretty interesting. “Our data suggests that the
effect of proton pump inhibition “on reflux symptoms among
patients with silent reflux “is not significantly better
than that of alkaline water “and a plant-based,
Mediterranean-style diet. “In fact, our data suggests
that the plant-based approach “is at least as good, if not better, “than proton pump inhibition therapy. “Thus, we recommend that
a patient with suspected “silent reflux at least
attempt a dietary approach “prior to any pharmacological
intervention.” So a healthy dietary
approach may be even better than some of the
most-prescribed medications with serious potential for side effects. The reason for this likely is that the standard American diet which is appropriately abbreviated as SAD is the cause for so many health issues. It’s both rich in foods that
are causing gastric problem, and low in foods that
have protective effects. This paper reviewed 19 scientific studies related to functional dyspepsia,
which is a common disorder with upper gastrointestinal symptoms, also called indigestion
or an upset stomach. And they found that diet
plays an important role in the pathophysiology of dyspepsia through different mechanisms,
and that fatty foods are associated with occurrence
of dyspeptic symptoms, and reduction of fat intake
may alleviate symptoms among patients with functional dyspepsia. So, when healthy diets
are low in fatty foods, then this already removes one
the possible troublemakers. And a healthy diet may
also protect against dreaded complications that can arise from gastric-acid-related
health issues, for example, dietary fiber has several
anticarcinogenic effects and is thought to be protective
against esophageal cancer. The vast majority, if not
all, of esophageal cancers arise from Barrett’s esophagus. This is a condition where
the lining of the esophagus, the food pipe, changes
into cells resembling cells of the intestines,
and among patients with this conditions, the
risk of esophageal cancer is 10 to 40-fold higher than
among the general population. Individuals with the highest
dietary fiber intake however, have an approximately
30% lower risk of cancer. Some of these protective
effects from fiber may come from a reduced risk of
gastro-esophageal reflux symptoms, and from the fact that
a diet high in fiber may aid weight control
by promoting satiety and postponing the onset of hunger. Also high consumption of
fruits and vegetables, which are high in fiber,
has been repeatedly linked with a reduced risk of esophageal cancer. So there is a recurring
pattern of western-style foods doing damage to the stomach,
and whole-plant foods protecting the stomach
through different mechanisms. Which brings us to step one: following a stomach-friendly diet. A dietary approach that incorporates pretty much all those things is a wholefood plant-based diet, a diet centered around whole plant foods. This gets rid of the
stuff that does damage, like fatty and carcinogenic foods, and includes large amounts of
foods with protective effects. And this is essentially also
the way that the populations of this planet eat that
are living the longest. Where you eat a lot of
greens, veggies, tubers, like sweet potatoes, fruits,
legumes, some whole grains, nuts and seeds, and you limit
the consumption of foods like processed foods, added sugars, added fats, animal foods like dairy,
eggs, meat and fish, and also sugary beverages, and alcohol. So what you are eating lots of, are exactly the foods that
are mostly low in fat, but contain a lot of fiber. While you’re limiting the
intake of animal foods, and processed plant foods, which both contain no or little fiber. And this dietary approach of course, also has many other
benefits, regarding longevity and also other facets of health. Step number two: getting
rid of other triggers that can cause or worsen your symptoms. A common factor when it comes
to GI issues is caffeine. Especially coffee seems
to be a common offender. And if you cannot get completely by without your caffeine fix, then, based on my personal experience, a better option may be
matcha tea, or guarana. Matcha tea can be consumed
as tea or also as capsule, and guarana is available
in many different forms. What I personally prefer
is a capsule-form, with no other ingredients
than guarana extract. Both matcha and guarana can still have irritative effects on the stomach, since there still is caffeine in them, but they can be easier on the stomach. And, aside from what you consume, there are also some other factors that can cause or worsen symptoms. And they can make it hard to wean off anti-acid medication,
so you should be aware of what they are, namely:
smoking, other forms of tobacco, being overweight, wearing
clothing that is unusually tight-fitting around the
chest or stomach area, and also some medications can have serious GI problems as a side effect. So, let’s say, you’ve
sorted out all these things, you’re still on your anti-acid medication, but are symptom-free
and think you’re ready to reduce the medication. Then, you are ready for step three which is weaning off your
anti-acid medication. If you are on any medication,
then don’t make any changes without talking to your doctor first. I’m not a doctor, and
your doctor can tell you if you can try getting
rid of your medication because there are
certain health conditions where you should not
just stop taking them. And your doctor can also tell you at which rate you can start
to wean of the medication, for example by reducing the
daily dosage every week by 25 or 50% until you’re at the
lowest daily dosage possible. And once you are at the
minimum amount per day, then increase the amount of
time between talking pills like taking them only every other day instead of every day, and so on. And your doctor can
also tell you if you can break them up in smaller dosages or not, because that is actually not
something that you should do with any medication,
because the coating of pills determines at which point in the GI tract the medication gets dissolved
and released into your body. So by breaking up the
pills you basically remove the effect of the coating,
which can then can cause unwanted changes in how your
body absorbs the medication. So, if you don’t already
have the medication with the smallest dosage per pill, then you might wanna ask
your doctor about it, because it makes weaning off easier. So, to recap, step one
is: sort out your diet, step two: sort out any
additional trigger factors, and then, step three: if you
are largely symptom-free, create a weaning off schedule
together with your doctor. I created a free downloadable document with all the most important actionable steps and tips from this video, that you can use to guide you along, and you can download it onto your phone, you can print it out and
stick it on your fridge. So you can, you keep getting
reminded to stay on track, so you can maximize
your chances of success. And if you like that then link
to it is in the description. That’s it for now. Now you know how you can
use science-backed diet and lifestyle changes to try and remove the root cause of
stomach-acid-related problems to wean off your anti-acid medication. So, let me know in the comments down below if you liked this video. And if you know somebody
who has gastric-acid related problems who could use this, then share this video with them, or share it with your friends. This really helps out this channel. Be sure to subscribe, with
the notification-bell on, and hit the Like button if you want to see more videos like this. Thank you very much for watching, and I’ll see you in the next one. (outro music)

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