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How to Know If You Need HCl Hydrochloric Acid Supplementation 

Dr. Michael Ruscio, DC, DNM
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Wondering if you need HCl to help rectify stomach acid levels?
Today I'll walk you through:
-What HCl is
-How it works
-Symptoms that tell you that you need it
-The truth about stomach acid
-And a protocol to get started with
Please join me.
Featured Studies
www.ncbi.nlm.nih.gov/books/NB...
pubmed.ncbi.nlm.nih.gov/25994...
pubmed.ncbi.nlm.nih.gov/11256...
pubmed.ncbi.nlm.nih.gov/28770...
pubmed.ncbi.nlm.nih.gov/35565...
pubmed.ncbi.nlm.nih.gov/23980...
pubmed.ncbi.nlm.nih.gov/25274...
Other Sources
How to Take Betaine HCl: drruscio.com/betaine-hcl/
Mason’s Story: • Natural Treatment For ...
Continue Learning
Courses, free guides, and more: drruscio.com/resources?...
Timestamps
00:00 Intro
00:48 The physiology of digestion
03:48 Stomach acid & probiotics
06:20 How common is low acid?
08:56 Symptoms of low acid
10:45 Risk factors
14:49 Why does acid cause symptoms?
17:55 What about testing?
20:33 Protocol to safely take HCl
Get the Latest Updates
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Pinterest - / drmichaelrusciodc
#gut health #health and wellness #microbiome
DISCLAIMER: The information on this site is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified healthcare provider before starting any new treatment or discontinuing an existing treatment.
Music featured in this video: "Modern Technology" by Andrew G, audiojungle.net/user/andrew_g
*Full transcript available on RU-vid by clicking the “Show transcript” button on the bottom right of the video.

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29 июн 2024

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Комментарии : 263   
@DrRuscioDC
@DrRuscioDC 11 месяцев назад
Thanks for watching! For more practical, science-based insights and resources check out: drruscio.com/resources?.com_resources
@no_country_for_real_men
@no_country_for_real_men 6 месяцев назад
What would you do if you had bowel burning and rumbling after eating - would you try the HCL ?
@pachuco1674
@pachuco1674 4 дня назад
Hi Dr. Ruscio. Do you think Betaine HCL can increase Methane levels for people with IMO like how Dr. Mark Pimental states?
@MrKennkenn
@MrKennkenn 10 месяцев назад
Good doctors are a gift to mankind, here's one.
@MsBettyRubble
@MsBettyRubble 3 месяца назад
Exactly. Humankind needs them
@thomashelman3118
@thomashelman3118 8 месяцев назад
I was diagnosed with a hihital hernia and gerd in 1978. Was on pepcid and omeprazale until I started apple cider vinegar in 2018. Never had heartburn again. Now I switch between av and TMG. Never got too acidic in 5 years. 62 now and doing carnivore 4 years now. I got off 8 medications and got off disability. Degenerative Disc Disease gone after 35 years ☮️
@baileysice2715
@baileysice2715 7 месяцев назад
Just been diagnosed with ddd😢 so was yours an absorption issue? What is tmg?
@CoryHobbs2178
@CoryHobbs2178 7 месяцев назад
Wow such an incredible success story. Well done
@thomashelman3118
@thomashelman3118 7 месяцев назад
@@baileysice2715 TMG or betatine is for stronger stomach acid to get vitamins and minerals from diet. Is much better than apple cider vinegar. If you take NMN you need TMG to bind for mythelization.
@squeekytoys5911
@squeekytoys5911 6 месяцев назад
What is TMG?
@katemak7411
@katemak7411 3 месяца назад
Trimethlglysine
@SunilRawatFinance
@SunilRawatFinance 5 месяцев назад
Vitamin B1 Thiamine regulates the production of HCl in stomach..low stomach acid cause due to deficiency of vitamin B1
@urskaspan4598
@urskaspan4598 3 месяца назад
Low iron and zinc too. Low carbohydrates too.... i guess we need the whole spectrum of nutrients to produce HCL
@Faceclose
@Faceclose 2 месяца назад
​@@urskaspan4598source that carbs are needed for hcl? Then low carb diets wouldnt be possible
@powerinbeing4912
@powerinbeing4912 16 дней назад
@@Faceclose Hello there. A lower carbohydrate diet helps when one initially attempts to increase digestive function. I hope this helps.
@IndieThinkerJ
@IndieThinkerJ 5 дней назад
There are many possibilities for a root cause.
@jimatsydney
@jimatsydney 3 месяца назад
Before consuming HCL try adding a little more salt to your diet. I eat a low salt whole plant based diet. My doc asked me did the colour of beetroot go through to my poo. I said yes, and he said I had low stomach acid. You can’t produce HCL if you don’t consume enough chloride. The RDI for chloride is 3000 mg. The main source of chloride is NaCl (salt). I increased my NaCl to the RDI of 5000 mg. The poo colour went away and my gut settled down. Now I make sure I get the RDI of salt. My blood pressure is still very good because I eat a lot of veggies and they are high potassium foods.
@kevinjoseph517
@kevinjoseph517 3 месяца назад
huh
@user-oc1ji1du1c
@user-oc1ji1du1c 13 дней назад
How much salt is that
@jimatsydney
@jimatsydney 13 дней назад
5000 mg of salt is a teaspoon.
@jenniferarmour1435
@jenniferarmour1435 8 месяцев назад
He’s an amazing communicator- Great Dr 💯
@gmartinez5295
@gmartinez5295 2 месяца назад
You are the ULTIMATE doctor! Your capacity to explain clearly is unmatched, as is your compassion for your suffering patients!!! Thank you from one RN Mom of a beautiful Dtr with SIBO. Thank you!!
@BringItOn31124
@BringItOn31124 2 месяца назад
It's a sad testimony when a chiropractor/naturopath knows much more about the digestive system than a Gastro (MD) specialist. I've seen 5 in the last 38 years and have never been asked once, "what have you been eating"? Most are like, "you don't have cancer, so here's a PPI prescription."
@vickiroman189
@vickiroman189 9 месяцев назад
Wow. I wish I had found you 9 months ago when I started working with a "healthy gut" practitioner. I have been spending nearly $200 per month on their HCL (which I really, reallyo cannot afford), and they advised me to go up to 12 caps per meal. My gut issues are now worse than they've ever been. Thank you!
@DrRuscioDC
@DrRuscioDC 9 месяцев назад
I'm sorry to hear about your experience. I'm glad you're able to get value from my content. :)
@carl8568
@carl8568 6 месяцев назад
Yes, in hindsight I think I've been taking too much. I was taking 10-12 with protein meals.
@mofrekinfoe
@mofrekinfoe 4 месяца назад
$200 a month? Wow! What brand?
@vcash1112
@vcash1112 3 месяца назад
Have you lowered the dose? How are you feeling?
@vickiroman189
@vickiroman189 2 месяца назад
@@vcash1112 I've since quit taking it at all and yes, I do feel better. Thank you for your concern :-)
@dianneunderwood8456
@dianneunderwood8456 24 дня назад
Thanks for sharing this information -- now in my 70's and while I suspected low stomach acid much earlier, it is most noticeable now. Going to work on this right now as the resulting problems can be a whole host of trouble.
@Flieder9
@Flieder9 4 месяца назад
Thank you so much ! Complicated subject, well explained.
@SongbirdRanch2005
@SongbirdRanch2005 8 месяцев назад
I also used ACV to cure my heartburn, however, once in a while, I need to take two HCL to stop the potential heartburn. I finally got rid of my prescription to stop heartburn.
@ishgumi44
@ishgumi44 Месяц назад
Excellent, clear, logical, informed presentation sir. Bravo!
@linasmith6819
@linasmith6819 2 месяца назад
Hi, Thank you for sharing this info. I took HCI as a test after watching this , when nothing else helped. I had a horrible feeling that someone was chocking me, I had a lump in my throat , now after taking 2 tablets at lunch and one at night, the symptoms are going away fast. As you said, if you need it, you should see instant result and I did. Even the the lump in my throat has eased. Thank you.
@rebeccamcdowell6255
@rebeccamcdowell6255 8 месяцев назад
I love all your videos. Thank you for sharing your knowledge with us.
@DrRuscioDC
@DrRuscioDC 8 месяцев назад
Thanks for the kind words! I appreciate it a lot. :)
@zedsmelee
@zedsmelee 5 месяцев назад
Exceptional information well presented, thank you
@planetguantanamo
@planetguantanamo 3 месяца назад
I saw evidence that HCL supplementation can assist with absorption of B12, which is what I desperately need. So along with a more natural diet and probiotics, oregano oil too, this is a no brainer for me. Thanks Dr Ruscio for your great podcasts.👏
@judierose7
@judierose7 10 месяцев назад
I have finally been using HCL for over a year now because my symptoms were getting so severe. I was told 16 years ago when I was 50 that I was low on HCL by doing that swallowing the pill test. I tried HCL then but it hurt my stomach so bad I couldn't take it and didn't for many many years. Recently I'd heard to take the HCL after the 1st bite of food. That has helped tremendously. I have just now started to increase it to see if that would help even more. Thank you so much for your videos.
@DrRuscioDC
@DrRuscioDC 10 месяцев назад
Thank you for sharing your experience with HCl. And thank you for watching!
@paulgillard5094
@paulgillard5094 8 месяцев назад
Is it ok to take HCL in tablet form or should it always be in capsules.?
@ScarlettDuchess
@ScarlettDuchess 8 месяцев назад
@@paulgillard5094I take tablets. Thompson’s Betaine HCL with pepsin.
@CoryHobbs2178
@CoryHobbs2178 7 месяцев назад
​@@paulgillard5094I've never seen it in tablet form. Capsules are easy to find and effective
@chetansoni5545
@chetansoni5545 Месяц назад
Dr I being suffered fro indigestion ibs for long long years, as now I just started taking 2 pills a day one with lunch and another with diner recently from a week, my query is how long or whole if my life and are 2 pills are ok
@parwizzamani6518
@parwizzamani6518 2 месяца назад
I appreciate your time and effort.
@loneborgen3920
@loneborgen3920 10 месяцев назад
Thank you Love Your program I am 70 using HCL but think my root cause is low bile When I started the HCL I could not eat without throwing up lots of burping etc the HCL helped right away . I have since been working with a practitioner releasing stagnant bile and stones but this has damaged my intestines so I got IBS thinking to order your Heal product ❤ Lone From Denmark
@DrRuscioDC
@DrRuscioDC 10 месяцев назад
I'm sorry to hear about your struggles. But I'm glad you're working through it and were able to get some use from my content. That's great. Best of luck in your journey! And if you have any questions about Elemental Heal, you can email info@drruscio.com.
@Kristina-sv1fm
@Kristina-sv1fm 3 месяца назад
Kick it naturally, Look it Up on RU-vid
@soundofkrisz7769
@soundofkrisz7769 10 месяцев назад
Thanks for addressing the outdated pill testing method! :)
@DrRuscioDC
@DrRuscioDC 10 месяцев назад
Happy to!
@elizagal7451
@elizagal7451 7 месяцев назад
Very helpful.
@powerinbeing4912
@powerinbeing4912 16 дней назад
This helps. Thanks for sharing.
@Priya-rf7ov
@Priya-rf7ov 9 месяцев назад
Thank you so much doctor 🙏🏽
@DrRuscioDC
@DrRuscioDC 9 месяцев назад
My pleasure!
@ponkacbg1969
@ponkacbg1969 11 месяцев назад
Thank you dr. Ruscio, much appreciated.
@markn4526
@markn4526 7 месяцев назад
Good video and informative. One word that was stated several times, "speculative", pretty much sums everything up regarding nearly all traditional medicine and natural alternatives. I don't think any of these professionals and experts absolutely know anything for sure as everyone's case is unique. Most treatments utilize trial and error methods until something is found that works, i.e. the symptoms clear up. The thing is that these symptoms may have cleared up on their own without any treatment at all and just happened to coincide with the last form of treatment tried. How would you know?
@rtcredeemed521
@rtcredeemed521 4 месяца назад
Last year I got diagnosed with H. Pylori. I was prescribed two treatments of antibiotics. The symptoms didn't change very much. I wake up with an acidic mouth taste every morning, bitter taste after meals. I really don't want to try more antibiotics. I tried probiotics for 3 months. Aloe vera with coconut water, and ginger. Now I'm trying celery juice. I've tried HCI, but I feel well after meals, but at night, I continue having my mouth acidic. A doctor said that it's possible that I developed SIBO. Also, I had my gallbladder removed 4 years ago, and I got my hiatal hernia repaired 7 years ago. I'm trying. Bile flow, bitter herbs, and oxy salts. The only thing that I noticed differently is that I don't have diarrea, but the stool is a little loose/undigested. I belch a lot after meals, but I don't feel indigestion or a sensation of something in my throat. That's gone! I will try HCI the way you recommended.
@amethystfeathers7324
@amethystfeathers7324 Месяц назад
Have you tried Oil of Oregano capsules to rid the stomach of too much HPylori Bacteria? After triple therapy for HP I'm using it quite successfully and also Sporeprobioitics to reseed the gut with good bacteria after the microbiome has been nuked by antibiotics. Also slippery elm.
@futg6007
@futg6007 5 месяцев назад
Great video! Thank you! 👍🏻
@DrRuscioDC
@DrRuscioDC 5 месяцев назад
You're welcome!
@dennisward43
@dennisward43 8 месяцев назад
Since taking apple cider vinegar my acid reflux has disappeared and hardly ever suffer from indigestion now. I do still get gas though and find it difficult to pass stools. I'd love to hear more discussions on the latter, as I have added more fibre and taking prescribed macrogol powders and magnesium citrate to ease the passing.
@b.renard9785
@b.renard9785 8 месяцев назад
This is maybe Sibo
@ScarlettDuchess
@ScarlettDuchess 8 месяцев назад
I take betaine HCL with pepsin supplements and digestive enzymes supplements. They work great.
@emyleewong3600
@emyleewong3600 7 месяцев назад
You also need probiotics 80 billion and clean your colon with 7 days cleaners or anything else
@dennisward43
@dennisward43 7 месяцев назад
@@ScarlettDuchess Yes Scarlett, I have been taking both of these and they helped stop my constipation by raising stomach acid and speedier transit.
@dennisward43
@dennisward43 7 месяцев назад
@@emyleewong3600 I have probiotics daily but find that natural probiotics like kefir, bio-yogurt and sauerkraut are best and good value. It is your small intestine that needs cleaning from sibo and that requires sufficiently high stomach acid. I take flaxseed oil capsules and vitamin C tablets in the morning and betaine HCL during my evening meal.
@MsOMZOMZ
@MsOMZOMZ Месяц назад
Low stomach acid produces obvious symptoms like tightness in the chest, reflux, feeling full easily, tired after meals. You don't need drastic HCL supplementtion to give your digestion a boost. For me a few strawberries after meals did the trick. The acid from the strawberries was gentle and just enough. HCL can also mess up your stomach lining if taken without precaution.
@Helsyedd172
@Helsyedd172 Месяц назад
What frustrates me is that I suffer from chronic reflux, raised liver enzymes (possibly due to PPI use but who knows) I mentioned the possibility of low acid being the cause of my symptoms to my gastro consultant and he laughed and said “no, acid reflux is due to high stomach acid. Continue to take these tablets, double your dose.”
@thisguy2085
@thisguy2085 Месяц назад
Yep. Had reflux and used PPI for a while. Finally fixed it by cancelling PPI and taking beta in HCL.
@Your32Maker
@Your32Maker Месяц назад
You should force your Gastro to do an Ultrasound of your liver, just to be on the safe side...
@funghouls5498
@funghouls5498 7 месяцев назад
Thank you very much Dr. Ruscio.
@DrRuscioDC
@DrRuscioDC 6 месяцев назад
You are very welcome.
@altaylor1980
@altaylor1980 2 месяца назад
Like many I was prescribed omeprazole with naproxen. One day I had ham and lentil soup (after having bad heart burn and indigestion) which I have had many times before but this time I was throwing up with indigestion. I tried same meal with betainehcl and no indigestion (obviously stopped omeprazole). Went to the doctor with my findings and he prescribed peptac liquid which caused throwing up again. Using hcl regularly now
@The-J
@The-J 7 месяцев назад
Brilliant 👏
@DrRuscioDC
@DrRuscioDC 6 месяцев назад
Thank you!
@galileo3431
@galileo3431 7 месяцев назад
Thanks for the amazing content, just subbed! 🙏🏼 I'm wondering: Could a stool test result of very low pH level (4.4) indicate to much acid when supplementing HCL?
@maliksarsak
@maliksarsak 7 месяцев назад
Yes
@fritsvanzanten3573
@fritsvanzanten3573 4 месяца назад
Interesting video and good thinking. However I think numbers o the general population are not so relevant when so many/such a large amount is on acid-lowering medication (certainly when OTC). So I think there should be two 'scenarios'; 1) when you are using acid-lowering medication (for more than x weeks (for instance or especially) to fight side effects in other medication), 2) when you are not.
@musclezetherapies6133
@musclezetherapies6133 11 месяцев назад
So I hve Sibo. I’m pretty sure that in itself causes reflux. I am taking HCL and ACV in the morning first thing. With some improvements but not total.
@mariejoseebercier6426
@mariejoseebercier6426 8 месяцев назад
I am wondering why on the betaine hcl bottle it says to avoid it if cardiovascular problems? Does the acidity variation affect blood pressure?
@shirleyruth55
@shirleyruth55 9 месяцев назад
Great video! Now I know how to proceed. I was diagnosed w/Pernious Anemia and have taken B-12 injections for over 15 years. So far, so good, but stomach issues have gotten worse. As a result of your suggestions, I will stop HCI (doesn't do anything for me) and introduce Probiotics. I am hopeful that's the cure for several gut issues. Also, I take Slippery Elm which I find quite soothing. Recently, I was diagnosed w/Barretts as a result of an endoscopy. For years, I took prescription strength (40 mg.) pepcid which doesn't help, and switched to Slippery Elm which does.
@DrRuscioDC
@DrRuscioDC 9 месяцев назад
I'm so glad my content found you and can be of use to you. I wish you the best of luck! Please let me know how it goes after a while. :)
@ScarlettDuchess
@ScarlettDuchess 8 месяцев назад
I have autoimmune pernicious anaemia myself and do best on 2000 mcg of sublingual B12 spray daily. 14 years now. I tried the bicarb of soda (baking soda) test and I didn’t burp for 15 minute (my Mum didn’t burp at all!). We started Thompson’s betaine HCL with pepsin supplements and Executive Digestive enzyme supplements. They work great. I definitely felt better. No more bloating after meals either.
@maheway7880
@maheway7880 5 месяцев назад
How mny times u taking slippery elm , u take in powder form or capsule?
@kaylankrolikowski
@kaylankrolikowski 5 месяцев назад
Slippery Elm is so good. I take 1,000 to 1,600 per day. Powder form.
@planetguantanamo
@planetguantanamo 3 месяца назад
Wow! Me too, also trying HCL and B12 spray with the other anti LG/SIBO measures, please Gd it will help as I can't afford B12 injections for longer than a month🙏 ​@@ScarlettDuchess
@urskaspan4598
@urskaspan4598 7 месяцев назад
As far as i know low stomach acid is more common than too much acid
@vanninquine3636
@vanninquine3636 Месяц назад
Thank you!
@joelgroth2437
@joelgroth2437 4 месяца назад
Love this video. I have had digestion problems for the last couple of years. I originally thought it was a to do with a unhealthy liver. I have been supporting the liver for last two years with no improvement. Trying to get bile flow as I started to get pale floating stools and unintentional weight loss. Decided to look into hcl supplementation. Tried the baking soda test. Failed miserably. No burp at all. Started to supplement Hcl with meals. After a few days my stool are normal formation and colour. Now bit constipated. But giving me hope. Maybe Hcl is raising the ph level to start the next stage of digestion. Bile secretion. Which is helping my fat absorption which may help me to gain some healthy weight back? Finger crossed. Love your work Dr
@danielaustralia4884
@danielaustralia4884 4 месяца назад
Look into @kickitnaturally videos on how to get bile flowing 😊. Helped me
@almontheralmonther9712
@almontheralmonther9712 9 месяцев назад
Please please please, Can you compare Betaine HCl + Pepsin with Zinc-L-Carnosine in terms of effectiveness? Which one is better for acid reflux, heartburn and digestive system? I will greatly appreciate it if you can make this comparison soon ….Thank you.
@stephenk8217
@stephenk8217 6 месяцев назад
I agree with this comment! My research has led me to both of these as viable options for chronic acid reflux. I'm thinking they would be OK and possibly beneficial to one another to take together (zinc right when you wake up on an empty stomach, HCL before meals). Thanks!
@kaylankrolikowski
@kaylankrolikowski 5 месяцев назад
That is correct! ^
@user-fk8ub5fw9e
@user-fk8ub5fw9e 6 месяцев назад
Can I continue with HCL for the foreseeable future if I find that it’s helping? I have noticed over the last few weeks that it has been helping me but I may have to increase the dosage to two pills instead of one, depending on what I’m eating or do I only take it for a few months and hope that my situation has resolved itself with my low stomach acid?
@shagbark54
@shagbark54 Месяц назад
Quarter teaspoon baking soda 4 ounces of water mixed together... right after you get up, before you eat or drink anything, mix drink it down...Stat a timer If you burp within three to five minutes, your stomach acid is fine. If you don't, you have low stomach acid... First time I did it, I didn't burp for 20 minutes. Yes, I have low stomach acid
@umtum
@umtum 20 дней назад
What did you do to fix it?
@shagbark54
@shagbark54 20 дней назад
@@umtum chew your food slower and more and don't drink water or anything else with your meals. Don't eat before bedtime Use HCL pills with bentane, if needed.
@umtum
@umtum 20 дней назад
@@shagbark54 thanks. Did you have a lot of bloating when you had low acid? Also do you no longer need hcl and when you do the test do you burp within 5 mins?
@shagbark54
@shagbark54 20 дней назад
@@umtumNo bloating ever.. I'm still using HCL periodically. Not tested recently
@lowellgilman765
@lowellgilman765 2 месяца назад
I have a hard time understanding what your talking about. You say things above my medical knowledge.
@susanlee8609
@susanlee8609 4 месяца назад
New Subscriber/Firat time viewer here. Appreciate your advice. I think I have IBS/GERD overlapping. Possible LPR. Question: How long to give yourself on low FODMAP before trying HCL?
@JoyfulArtist
@JoyfulArtist 4 месяца назад
It's an elimination diet. You work through different food groups and different foods over a period of several months. It's all on the Monash Univ app.
@VICE-H3RO
@VICE-H3RO 4 месяца назад
Look into SIBO (Small Intestinal Bacterial Overgrowth), these bacteria cause IBS symptoms.
@mrsnegy6001
@mrsnegy6001 6 месяцев назад
How about those who do not have a gall bladder but do suffer from GERD. Is it a good idea for them to try HCL?
@NancyErb
@NancyErb 2 месяца назад
@drRuscioDC Love your videos! Wondering about combining triple probiotic therapy with digestive enzymes (like digest gold) and betaine HCL. Could you take Betaine HCL and digest gold with your first bites of meal with protein and take a the triple probiotics toward the end of the meal?
@palomaathens3171
@palomaathens3171 5 месяцев назад
are these safe for esophageal ulcers? i've been taking them for a few days and so far they've greatly improved my reflux, but everything i CAN find says they're not safe for ulcers :( if i'm supplementing w aloe, manuka honey, and slippery elm/licorice is it okay?
@dabass438
@dabass438 7 месяцев назад
Heartburn and acid reflux are caused by low digestive enzymes; your body compensates by secreting HCl, which is what causes indigestion and eventually acid reflux. So you need to supplement digestive enzymes, not HCl.
@markn4526
@markn4526 7 месяцев назад
Interesting comment that seems to encompass both medical points of view on this subject. What evidence have you seen to back up and validate this comment?
@seebertha
@seebertha 4 месяца назад
Yes,interesting.. Thanks for sharing.Will check it out
@thisguy2085
@thisguy2085 Месяц назад
A proper amount of HCL keeps the esophageal sphincter closed. Low HCL leads to reflux. Had reflux and resolved it only after stopping PPI and taking HCL.
@deankostas7214
@deankostas7214 4 месяца назад
Low stomach acid, thalesthemia, also common to those from S Greece and S Italy.
@TheMoicani
@TheMoicani 2 месяца назад
I still haven't understood what symptoms we should have with the test, so when HCL is needed or not. Thank you anyway.
@SaiPhet
@SaiPhet 7 месяцев назад
Ever since I’ve been infected by mold. I’ve had nothing but digestive problems
@stevem9766
@stevem9766 7 месяцев назад
Me too
@DrRuscioDC
@DrRuscioDC 6 месяцев назад
Sorry to hear that! If you're looking for help, please reach out to the clinic, we'll be glad to assist. drruscio.com/virtual-clinic/
@mat77084
@mat77084 8 месяцев назад
I've has my gallbladder removed years ago. I heard that not having it means it's not sending acid to be digested. Is this true? If so should I be using HCL?
@user-kq1vk4nd1k
@user-kq1vk4nd1k 4 месяца назад
You could subscribe to Kick it Naturally where I have learned some very useful information. No gallbladder (like me) means you need a bile supplement in between meals.
@netkotreci3135
@netkotreci3135 7 месяцев назад
I had heartburn every day. It started in August this year. I've done gastroskopy. Doctor told everything is ok. No hiatal hernia, Cardia closes completely, no h. Pylori, but after that I had heartburn every day still and the whole time. I looked for antoher doctor who gave the therapy for 3 months(PPIs). Before I started to take the therapy I checked my blood results and had vitamin D deficinecy, vitamin b12 was ok. Could this be related to low stomach acid? I am 31 now.
@DrRuscioDC
@DrRuscioDC 6 месяцев назад
Thanks for reaching out. I'm so sorry to hear about the issues you’re dealing with. Please know that due to legal restraints, I cannot address personal medical issues outside of the practice. But, if you’re interested in becoming a patient, the clinic offers a free consultation here: drruscio.com/virtual-clinic/ I hope to hear from you soon!
@chriswebb8587
@chriswebb8587 6 дней назад
Can you cover the topic of how H Pylori can cause raised pH levels in stomach acid? H Pylori is said to be in 50% of the population and it lives in the stomach lining. No one talks about how H Pylori can trigger the start of many digestive problems
@Freedom-Azadi14
@Freedom-Azadi14 Месяц назад
I took 4 capsules HCL with every meal for a while and they didn’t make a difference! BUT I did the baking soda test and I had no burping at all before and after the course ! Could you please kindly explain why didn’t I get the volcano effect while taking baking soda ?
@RobertLongM
@RobertLongM 10 месяцев назад
FODMAP at 15:30 is wild that it caused more of a problem for some. What's the mechanism for such people? This world makes it hard for patients as Everyone has the ideal diet or supplement. When it doesn't work, they force one to Keep going with it.
@healthconscience4931
@healthconscience4931 7 месяцев назад
I learned that spore probiotics are supposed to survive the acid in the belly
@cjjames83
@cjjames83 Месяц назад
this guy saw more in my stomach from where he's sitting then the useless GI that performed my endoscopy... smh good and competent Dr are hard to find
@Your32Maker
@Your32Maker Месяц назад
I am on day 5 of 1-Tbls of ACV Mother w 12 oz of water first thing in the morning... No more burning...
@HassanRaza-wl9hb
@HassanRaza-wl9hb 6 месяцев назад
Plz tell me Laboratory test name check stomach pH level?
@beatricejacobowitz7264
@beatricejacobowitz7264 5 месяцев назад
I took b1 benfothiamine for two weeks and noticed immediate constant hunger pangs that turned into burning sensation in the mouth… can I deduce anything from this? I am late 40s… no history of reflux… but since 2 weeks in b1 benfo ( which I stopped) my burning in mouth and constant hunger continues….
@spydercontreras3736
@spydercontreras3736 4 месяца назад
Ever since I took a ppi I've been having digestive problems
@wendymilam9914
@wendymilam9914 4 месяца назад
same happened to me, I was told that ppi stops necessary stomach acid that we need for digestion...keep hearing different information!
@annakon8423
@annakon8423 3 месяца назад
@@wendymilam9914 PPI not only stops the gastric acid.They stop the work of the pumps in the stomach that produce this acid like to PH5-6. It is very unhealthy and the stomach is supposed to digest our food. I didn't use it when the doctor prescribed me for an ulcer, I only drink fresh cabbage juice, carrots juice, eat only soft food and I only take Sucralfate on the covering of the stomach walls.
@briangaffney9804
@briangaffney9804 7 месяцев назад
Can you do a podcast on “Silent Reflux”?
@DrRuscioDC
@DrRuscioDC 6 месяцев назад
Thank you for reaching out. Noted, keep your eyes out!
@briangaffney9804
@briangaffney9804 6 месяцев назад
@@DrRuscioDC BTW, just got immediate relief after 4 decades by taking Betaine HCL + Pepsin!
@josephjrmondo1127
@josephjrmondo1127 11 часов назад
Dr Ruscio, is there a link between Hypochlorydia and Low fecal elastase?
@MelissaBliss
@MelissaBliss 2 месяца назад
Pretty positive I have sibo lots of pain after eating anything at all) so far oil of oregano & apple cider vinegar + probiotics seem to be helping somewhat but not really resolving, going to try next your meal replacement and probiotics together with a strict 17 day fast. (Fodmap after) Please comment if there are any other recommendations you might have.
@carl8568
@carl8568 6 месяцев назад
I have noticed that HCl eliminated anal itching I had, been on and off it for years. I've also noticed it can help encourage bowel movements and my ferritin number has been somewhat reluctant to come up despite having hemochromatosis.
@nenan1250
@nenan1250 7 месяцев назад
Great content. I did some lab testing and found high perinicus antibodies. I dont have anemia. But I have bloat that increases over time, and it is in the lower part of the abdomen. SIbO results are negative, but with comment that there might be methane SIBO, which I am tresting right now. But I am worried about the perinicus antibodies, are they treated somehow? Do they show autoimune decease?
@SabinaHodzic-hz8hf
@SabinaHodzic-hz8hf 3 месяца назад
The anti parietal and anti intrinsic antibodies are due to autoimmune gastritis that can lead to pernicious anemia. Anti parietal are not too specific, they are found in patients with other autoimmune conditions. You have to check your B12 level I if they are low you should do gastroskopy. They are sign of autoimmunity (antibodies) so be sure to change your diet, lifestyle, managing stress, gut health firstly.
@barongough9615
@barongough9615 8 месяцев назад
I've suffered with my stomach since I was 18 I'm now 48 and it's worse, I think I have an autoimmune problem but all my bloods come back normal, also think i might have leaky gut ,what step by step process do I need to take to get better , its so frustrating no one gives a proper protocol to follow , I need help
@socrates470BCE
@socrates470BCE 8 месяцев назад
i fixed my leaky gut with high does L-glutamine, try low dose 1st to make sure it doesn't have any bad side effects, if not build up to half gram per kilo of body weight, i took 20g 3 times per day on an empty stomach and the difference within days was remarkable. I'm now working on my low stomach acid, the cause of the leaky gut issue in the 1st place, hope this helps as much as it did for me 🤞
@barongough9615
@barongough9615 8 месяцев назад
@stallion758 thanks will give it a try 😀 👍
@socrates470BCE
@socrates470BCE 8 месяцев назад
@@barongough9615 your welcome, hope it works as well for you 🤞👍
@bvim75
@bvim75 4 месяца назад
Its safe to use 5 drops of Hulda Clark Hydrochloric acid 5% in 200ml of water? I cant take Betaine HCL.
@frediphillips
@frediphillips 10 месяцев назад
Ibs c for 8 years, just tried Betaine hcl from enzymedica and now i can eat everything after years on low fodmap?? I no longer suffer fromthat constant gas. Only started taking 2 weeks ago 2 pills a day. Treated h pylori in 2018..never really used ppi except when treating it back then for like 3 weeks
@patrickjuan6057
@patrickjuan6057 8 месяцев назад
How are you now, ihave ibs C as well. Did it work for you?
@frediphillips
@frediphillips 8 месяцев назад
@@patrickjuan6057 doing well. No signs of ibs after years of struggle. Im on a sibo protocol atm. Breath test came back positive for methan and hidrogen sibo. Dr put me on oregano oil pills, berberine, allicin. Still use hcl and make sure i get enough fiber using phgg sunfiber. Thats it. Hope you improve, many blessing to you.
@MarthaMutambo-ge1qh
@MarthaMutambo-ge1qh 7 месяцев назад
How did you that your h pylori?
@thesteve9825
@thesteve9825 4 месяца назад
Anybody here?
@frediphillips
@frediphillips 4 месяца назад
I found hpylori through biopsy taken from stomach during endoscopy. @@MarthaMutambo-ge1qh
@yourvidia5815
@yourvidia5815 8 месяцев назад
Probably I have LPR, burning throat, post nasal drip, sometimes caught, indigestion, sometimes constipation and flack pain…endoscopy and colonoscopy all good, burping and B12 deficiency. I tried HCI and start lightly burning at the first pill, I tried another day and same thing…I don’t what to believe, I have low or high stomach acid
@ScarlettDuchess
@ScarlettDuchess 8 месяцев назад
I like the lower dosage so I take Thompson’s betaine HCL with pepsin.
@ameliacarter4376
@ameliacarter4376 11 месяцев назад
I'm gonna try HCL, I have spent hundreds of dollars with this issue. I have Hashi coupled with being post menopause. I feel like my intestine is lazy :/ I've had 2 colonoscopies and it's all good... minus a polyp each time, nothing significant. I'm the epitome of health! It has to be related to my IBS/post meno. I'm at healthy weight, u can even see my abs, I eat great, fiber, now probiotics.... nothing! I have to take ex-lax every time.. every 3-4 days... it's like my brain don't tell my intestines to empty out! any advise on what to run? I'm beside myself 😢
@borizz3643
@borizz3643 10 месяцев назад
similar problems... hcl and food that helps producing hcl helps so digestion works better..also herbs tea or capsules
@mat77084
@mat77084 8 месяцев назад
Try Slippery elm for constipation and diarrhea it works for both sounds crazy but it works for me.
@trippedtom1409
@trippedtom1409 7 месяцев назад
how was if
@Kristina-sv1fm
@Kristina-sv1fm 3 месяца назад
Cut Out Fiber
@ameliacarter4376
@ameliacarter4376 3 месяца назад
@@Kristina-sv1fm really? ok... may I ask why? It's preached to me all the time to increase my fiber.. but I'm willing to listen to what u have to say about it.
@CoryHobbs2178
@CoryHobbs2178 7 месяцев назад
I'm supplementing with HCL, ACV, d-limonene, mastic gum, beet flow and enzymes. I did my first organic cold pressed celery juice yesterday and somehow I'm needing less HCL to keep my reflux away. I'm thinking I have a bacterial overgrowth in there Edit: I was sometimes having to take 7 HCL caps to get my reflux to go away. Like 3,500 mg. But my bile flow and stool did seem normal and healthy
@DrRuscioDC
@DrRuscioDC 6 месяцев назад
Sorry to hear that! If you're looking for help, please reach out to the clinic, we'll be glad to assist. drruscio.com/virtual-clinic/
@CoryHobbs2178
@CoryHobbs2178 6 месяцев назад
@@DrRuscioDC will do, thank you
@codaily
@codaily 7 месяцев назад
Wow I think I’m finally figuring out what’s wrong with me. I’m 42yrs old and two years ago I had H.pylori and a stomach ulcer took ppi’s for 3 months got better but had belching after and was b12 deficient and now I got Tinnitus because of it I think 🤔 can’t win 😅
@DrRuscioDC
@DrRuscioDC 6 месяцев назад
Sorry to hear that! If you're looking for help, please reach out to the clinic, we'll be glad to assist. drruscio.com/virtual-clinic/
@amethystfeathers7324
@amethystfeathers7324 Месяц назад
PPI's stop the glands in the stomach from producing stomach acid. Drs don't tell you that after HPylori treatment we're going to be stuck with very low stomach acid and a annihilated microbiome. We have to fix it ourselves. Good luck. HPylori treatment was brutal for me.
@webber977
@webber977 7 месяцев назад
I suffered from GERD for years eventually came across apple cider vinigar ( organic with the Mother, that is live bacteria,) within a month GERD was gone never came back
@kaorimiyamoto3299
@kaorimiyamoto3299 4 месяца назад
That’s great. How many times a day did you take it? Before every meal?
@patriciaweir9459
@patriciaweir9459 3 месяца назад
Did you take apple cider before or after meals? and how much-needed
@kellyflanagan4501
@kellyflanagan4501 11 месяцев назад
I've been so afraid to try HCI, but have had silent reflux for just over three years and have tried so many things. Currently, I'm using your Saccharomyces Boulardii (just started) to see if that might give me some relief if SIBO is playing a part. I'm also using Reflux Gourmet and it's helping to keep my throat swelling down. Honestly, I'm just not sure if anything will ultimately help because the underlying problem is that I have primary hyperparathyroidism the hyperplasia form and it's just wreaking havoc on my body. I've had two surgeries that have removed two glands, but I have an ectopic gland that they haven't been able to find, and I feel pretty confident that if they were able to find it, much, if not all of my issues would resolve. Hyperparathyroidism does a lot of terrible things to your body, but the two that are most important with regards to LPR and gastro problems is it weakens your muscles (sphincters) and can make your stomach produce more acid. I'm so glad you did this video because I keep reading that I might actually have low acid and trying a course of HCI Betaine might be the cure...I've already been to UC for my throat swelling so bad and just can't bring myself to do it. But if I did find the courage to try it, this sounds more reasonable than the other way so many speak of. Thank you for this video, Dr. Ruscio!
@MM-is7hq
@MM-is7hq 11 месяцев назад
Please get slippery elm capsules and try it two pills with warm water 15 or 30 minutes before you eat.if you got the good results,come back and let me know. Good luck
@doradean3097
@doradean3097 10 месяцев назад
I concur with slippery elm, but I might add a short course of licorice root powder as well. Should you have high blood pressure, there is a deglycerized version of licorice that you can get which won’t increase your blood pressure but can help coat your stomach lining.
@funghouls5498
@funghouls5498 7 месяцев назад
I concur on using DGL liquorice to help soothe stomach and digestive tract. Also digestive enzymes.
@justkeepswimming6549
@justkeepswimming6549 3 месяца назад
Have you been to the Norman Parathyroid Center? I had an ectopic gland and they found it.
@kellyflanagan4501
@kellyflanagan4501 3 месяца назад
I haven’t. They will probably be my next stop, though. My first surgery was with Kaiser and my second with Dr. Babak Larian - also one of the very best phpt surgeons…right up there with the Norman Parathyroid Center. I’m so happy that Dr. Norman found that gland for you. I’m sure you’re feeling so much better!@@justkeepswimming6549
@sarthakjain8145
@sarthakjain8145 2 месяца назад
I have questions would you please answer them 😢 Firstly when I take ACV I feel much better whys that Secondly I noticed when I have some extra sugar it is a disaster I get which discharge in my poop very much and hard stool Lastly is it compulsory to have acid reflux to be low hcl
@douggrant3431
@douggrant3431 5 месяцев назад
What probiotic do you recommend because the last time I took it it made me feel like crap
@DrRuscioDC
@DrRuscioDC 5 месяцев назад
I actually have a video that covers the best way to take probiotics in detail that I’ll link here: ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-U7OSa1zh760.html. And I also think you should watch my video on probiotic side effects (ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-mbHCR6esOuY.html), it might help you understand why you had the response you did last time you tried probiotics. Hope that helps!
@cathyvanderelst49
@cathyvanderelst49 7 месяцев назад
I had a test and I found out I have H pylori which was causing my acid reflux. Now on 2 antibiotic and a ppl for two weeks.
@stuford
@stuford 6 месяцев назад
Hello, how are you now? If you had H. pylori that might indicate low stomach acid, so why on PPIs?
@Sportsdesire-zk4sh
@Sportsdesire-zk4sh 6 месяцев назад
​@stuford cos hpylori cause gastritis and you can't tale acv ..it will do more burning
@Sportsdesire-zk4sh
@Sportsdesire-zk4sh 6 месяцев назад
@tammie3150 in how many days
@lorismider9642
@lorismider9642 23 дня назад
No one talks about timing! I’ve tried adding HCL starting with one capsule. Any pain I get happens approximately 2 hours after the meal. What does that mean? Or does it happen within 10 minutes. Can you be more specific please.
@rshondasmith3697
@rshondasmith3697 2 месяца назад
Can low stomach acids cause persistent bad breath?
@fidrewe99
@fidrewe99 5 месяцев назад
What if I experience common fullness after a meal, burping a few times per day and rare reflux, but no symptoms down the line that would indicate SIBO? Might I still have malabsorption of food due to not enough stomach acid? If so, would that be evident as elevated fat or protein in the stool? Or might I have some dysbioses not involving H. pylori in the gut that could trigger my weird inflammatory symptoms (like an ongoing infection) due to low stomach acid? Since I've already optimized my diet and tried probiotics, Is it worth trying HCL supplementation?
@DrRuscioDC
@DrRuscioDC 5 месяцев назад
Great question! Every person is going to have different needs. To make sure you know what's right for you, ask your doctor or reach out to us at the clinic! drruscio.com/virtual-clinic/
@OGAesthetics
@OGAesthetics 11 месяцев назад
Love ur videos. I used 3 betaine hcl pills today and i was short of breath and burning sensation for hours. Safe to say; i dont think i need any! Even tho i have candida. Please do a new video on candida :/
@barbarapesti2464
@barbarapesti2464 11 месяцев назад
Why 3? Take one.
@jawadhazrat4349
@jawadhazrat4349 6 месяцев назад
I took it today, i didnt feel anything.
@annakon8423
@annakon8423 3 месяца назад
Just take one, not two. I think you overdosed and that's why you have that burning.. My husband usually does that when taking medicine. He thinks it's made of iron and nothing will harm him. One doctor said that if it burning after swallowing, you don't need it. And if it doesn't burn you need it.
@krissto22
@krissto22 9 месяцев назад
Hubby has been popping PPIs every day for decades. So far so good but I’m worried about his well-being after suppressing his stomach acids for such a long time once he gets much older.
@Janet4444
@Janet4444 9 месяцев назад
Hope his B12 levels are okay. 👍🏻
@ScarlettDuchess
@ScarlettDuchess 8 месяцев назад
The worse thing you can do is suppress stomach acid. Unfortunately my mum was like your husband taking acid blockers for years and her health deteriorated. In the end she was close to death. Switched her over to betaine HCL with pepsin supplements and digestive enzymes supplements. Her health improved drastically!
@andresfamily5599
@andresfamily5599 6 месяцев назад
I can take up to 24 pills and getting no burning 🥺plus I get symptoms of horrible taste in my mouth a heavy stomach burping, how do I get my acid back?
@geethamona3981
@geethamona3981 8 месяцев назад
Iam .suffering from gastrouble from childhood. Now at 70 .suffering alot If.l take. Sucrafil l feel more hungry I can't digest..protein pulses grams. Can..I..try..Apple cidar .vinegar Iam diabetic. Please Give me answer. Thank. You. Doctor
@johnwarner8569
@johnwarner8569 2 месяца назад
Horrific methane SIBO. Betaine, acv, grapeseed extract, activated charcoal low fodmap did a beautiful job
@pachuco1674
@pachuco1674 4 дня назад
Did that protocol work for your methane overgrowth? Did you eradicate it? Did the betaine hcl or acv aggrevate your methane?
@rshondasmith3697
@rshondasmith3697 2 месяца назад
Any alternatives to HCL supplements?
@TheReddy999
@TheReddy999 6 месяцев назад
If low acid is reason for reflux, why oranges/coffee caused my reflux? And why do we need to avoid them later too since reflux seems wont cure that quickly?
@keithjay4944
@keithjay4944 4 месяца назад
You got it twisted, your acid is low because it’s not acidic enough. You have a muscle called sphincter to close that you need below level of 3 above 4 your acid goes up because that muscle is now thinking that it’s not enough acidic to close the muscles. That’s why it’s called “HEART BURN or you might call it acid reflux” you need your acid to be really acidic to kill off bad bugs or viruses bacteria’s etc. I’m taking Apple cider vinegar in the morning one table spoon in a full cup. If it hurts your stomach you might have gerd which you need to coat your stomach take slippery elms or celery juice or eat banana to heal your stomach walls. Then take Apple cider after a week of slippery elms
@TheReddy999
@TheReddy999 2 месяца назад
Thanks for details. Yes, I started using betaine HCl, and it is miracle. Slippery elm also for few weeks. coffee is culprit, it loosens LES, and oranges just happened to have caused more acid in quantity in my cause.
@firdousabano5995
@firdousabano5995 6 месяцев назад
Can nursing mothers take hcl
@dmx1721
@dmx1721 8 месяцев назад
i can't find a doc that will take sibo or candida into consideration , so i'm still dealing with acid reflux ,hypothyriod , getting tired after supper where i end up sleeping for 3-5 hours and now that has messed up my circadian rhythm , my mental state is not very good this is also due to the fact that i feel hopless because no doc has helped me at all they all just say it's IBS and i will never be 100% better , any little thing can set me off and i have constipation and lose stool i seem to alternate between the 2 . i have been taking a probiotic for years it was working great but now it dose nothing . ive tried B hcl when these issues first started because i was getting a nausea's feeling after eating any kind of protein but i got up to 24 pills and nothing happened . ive also tried a super low carb low sugar,fruit and veggies , lean protein , no prepackaged food diet for a month and i felt like i was always hungery and never got full i ended up losing alot of weight fast in that month . so any help or advice would be great thanks
@emiliegray6737
@emiliegray6737 8 месяцев назад
Go see a Naturopath or Functional Doctor. Both have sites for recs.
@mindgains2463
@mindgains2463 8 месяцев назад
I have the same issues as you, i started using a red light and my sleep improved dramatically, my energy skyrocket. Candida thrives in humidity and darkness,ofcourse candida feeds of sugar and complex carbs so avoid those foods-fodmap diet. Reduce fiber to a minumum. Start loading on probiotics non dairy ofcourse
@dmx1721
@dmx1721 8 месяцев назад
@@mindgains2463 i was wondering what do you mean by red light ? is it some kind of special light
@mindgains2463
@mindgains2463 8 месяцев назад
@@dmx1721 search red light or red light therapy. Is much more cost effective to buy a red light for your home is about 350-500, it will last a decade and works wonders. Trust me. Covid vaccines and antibiotics messed me up so much, so red light was the only thing that helper alot with eating a keto diet and getting rid of parasites like candida
@thesteve9825
@thesteve9825 7 месяцев назад
​@@dmx1721I am suffering from similar problems from 2 years. I'm 14 years old. Went to so many gastrointelogists but couldn't find any solution for the problem. Bloating,constipation,belching gas. Please help me😢 I beg you
@imanishimwerenovat8622
@imanishimwerenovat8622 7 месяцев назад
How can I get HCl ?in Zambia we don't have that medicine?
@manfredzaloumis1855
@manfredzaloumis1855 Месяц назад
True
@Rick-zw7zv
@Rick-zw7zv 3 месяца назад
Taking 500 mg of Ox Bile and a glass of water like 60 minutes after eating should tell you something about your stomach acid levels. If you burp the whole thing up then you probably have low stomach acids.
@devinentity
@devinentity Месяц назад
So do you have to eradicate the H pylori before you try the HCL
@calikokat100
@calikokat100 8 месяцев назад
I took HCL plus pepsin a few minutes after eating and felt worse....so i guess i have high stomach acid and Im just putting gas on the fire by adding HCL😐
@sarojaravva9072
@sarojaravva9072 11 часов назад
You take middle meals
@natachagauthier3376
@natachagauthier3376 4 дня назад
Hi, would anyone know a brand of HCL without Betaine? Thanks
@blueknight6645
@blueknight6645 12 дней назад
How much hcl is recommended ?
@vijayamara817
@vijayamara817 8 месяцев назад
Hi doc, how do you treat autoimmune gastritis where you neer hcl supplementation forever
@ScarlettDuchess
@ScarlettDuchess 8 месяцев назад
I have autoimmune pernicious anaemia/gastritis. Pesky antibodies attacking the stomach. I take Thompson’s betaine HCL with pepsin supplements and Digestive Executive enzyme supplements. They work great.
@vijayamara817
@vijayamara817 7 месяцев назад
@@ScarlettDuchess i some time get burn from them and pain. Have you ever happened it to you. Thanks
@Faceclose
@Faceclose 2 месяца назад
​@@ScarlettDuchesshow many do you usually need? Do you know how low/alkaline your stomach acid is?
@ScarlettDuchess
@ScarlettDuchess 2 месяца назад
@@Faceclose I just need one per meal. I don’t know how low exactly but I felt a lot better after starting as I am finally absorbing nutrients properly and my low acid symptoms like bloating after eating, rectal itching etc went away. I tried out the bicarb of soda (baking soda) test and I didn’t burp for 15 minutes. My mum tried this test and never burped. She has severe GERD/LPR which goes away with these supplements. Same dosage as I take interestingly. You can try this test out. Search here on RU-vid: Abundant Health - How To Test For Proper Stomach Acid.
@ScarlettDuchess
@ScarlettDuchess 2 месяца назад
@@vijayamara817 I don’t have any burning but my mum has has that happen with the higher dosages which is why she likes Thompson’s brand as it’s a lower dosage (324 mg betaine and 39 mg pepsin).
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