In Dr. Mike Eades’ latest blog, GERD Treatment: Nutrition vs Drugs, he highlights a video presentation by a Dr. Johnson, an academic gastroenterologist from a medical school in Virginia who advises other doctors to ignore the risks of PPIs. Mike and I have been on the same page on both the risks of PPIs and the use of diet for GERD ever since we first met in California. I still remember meeting Mike and Mary Dan in a coffee shop where I explained my theory on the root cause of acid reflux.
We can’t ignore the significant risks of long term PPI use which include:
- Vitamin B12 deficiency
- Impaired calcium absorption
- Impaired magnesium absorption
- Increased rate fractures, especially hip, wrist and spine
- Rebound effect of extra-heavy gastric acid secretion
- Heart attacks
Dr. Eades hits the nail on the head when he says: “If a patient were to present to me with a medical problem, the first thing I would think of is how (or if) the problem could be treated nutritionally. If a nutritional treatment is appropriate, then pursuing that therapeutic option is the epitome of the first pillar of the practice of good medicine: Primum non nocere. First, do no harm.” Why don’t some doctors get it?
One reason could be they don’t understand how easy it is to treat chronic acid reflux effectively with either low carb diet or Fast Tact Diet, both designed to attack the underlying cause of acid reflux, samll intestinal bacterial overgrowth (SIBO) which stands for small intestinal bacterial overgrowth.