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need for probiotics and what type of probiotic is  TREATING GERD NATURALLY         My first
            best suited for the particular patient.      The protocol I use to treat GERD is com-
               A second feature of the CDSA is the assess-  mon sense, straightforward and effective. My   step is to
            ment of the patient’s digestive function by look-  first step is to prescribe a digestive enzyme  prescribe a
            ing at carbohydrate, protein and fat breakdown  based on the patient’s test results and specific   digestive
            products present in the stool. This allows us to  needs. At a minimum, the enzyme must con-
            glean information about specific enzymes that  tain betaine hydrochloride as well as pepsin.   enzyme
            may be necessary to support their particular  However, a more complete enzyme offering  based on
            situation. Most GERD patients will need a form  digestive support for a full range of foods is   the patient’s
            of hydrochloric acid known as betaine hydro-  almost always needed.
            chloride to increase the acidity of the stomach   Secondly, I typically prescribe Gastrex   test results
            (that is, to lower pH) and ensure proper protein  by Standard Process. Gastrex is a whole food  and specific

            breakdown. In many cases, pancreatic support  supplement consisting of okra, chlorophyll,   needs.
            is also necessary for fat and carbohydrate diges-  bentonite and Tillandsia usneoides (Spanish
            tion. Thus, a quality comprehensive digestive  moss), along with other synergistic ingredients
            enzyme is preferable in most cases of GERD.   to support digestion and the body’s normal tis-
               The GI Effects Stool Profile assesses in-  sue repair process. The dose is two capsules,
            flammation (one of the four pillars) using several  fifteen minutes prior to meals, two to three times
            well studied markers, including eosinophil pro-  per day. I often combine Gastrex with a product
            tein X (EPX), calprotectin and fecal secretory  by Designs for Health called GastroMend-HP,
            IgA. Along with these inflammatory markers,  especially if the patient has tested positive for
            we can use the serum zonulin test to assess the  H. pylori or has an active gastric or peptic
            integrity of the intestinal tight junctions and  ulcer. GastroMend-HP contains deglycyrrhi-
            screen for leaky gut. When combined, all of  zinated licorice root (excellent at helping heal
            these markers (and more) give us a look at the  the mucous lining of the stomach); “vitamin
            severity of the situation for each person, al-  U” (methymethionine sulfonium chloride), a
            lowing the treatment plan to be tailored to the  cabbage extract useful for healing ulcers; and
            individual.                               zinc carnosine (effective at killing off H. pylori).


































                                 FIGURE 3: Manual adjustment of the stomach for hiatal hernia patients


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