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Started taking 4-ap and now experience frequent heartburn (2 out of 3 meals). This never was a problem, so we have a call in to my neuro to stop the medicine and see if it's the culprit.

Anyone on the Diet who has coped with heartburn issues? Happily OMS 3.5 years, but you can imagine the difficulty following it while avoiding the possible irritants: tomatoes, spicy foods, caffeine, alcohol, onions, citrus. I am keeping a food journal, and drink water + baking soda for temporary relief (with a prescription med coming soon – a guy's got to eat, right?).

What's 4-ap?
Your food diary will help identify the trigger, have you considered doing the elimination diet on mcdougall.com to help you pin point what is your main trigger(s)?
Are you eating too much food in any one meal?
In the course of listening to the talks by practitioners of functional medicine that made up the Betrayal series on autoimmune issues, and more recently the 2nd MicrobiomeMedicine Summit, I heard a lot about the importance of stomach acid. Apparently a huge number of us believe, or are told, we have excess stomach acid whereas in fact, the opposite is more often true - that we don't have enough.

One thing I remember from the talks is the importance - in relation to heartburn - of eating the hard-to-digest protein rich part of your meal first. Don't "waste" your stomach acid on food that is easily digestible, like salad.

The site below carries information very much along the same lines that I was listening to in the above-mentioned talks, and provides instructions for how to test your stomach acid levels.

http://heartburnhelp.scdlifestyle.com/? ... rm=website

http://scdlifestyle.com/2012/03/3-tests ... mach-acid/

Hope you find some relief soon. Heartburn is horrid.

The Gut Microbiome is KEY to optimal health.
The OMS site & forum are brilliant! Thanks, everyone! :D
Typically the whole issue with heartburn has much more to do with your stomach not producing enough digestive acid instead of too much. Doctors often get this wrong and they describe PPIs which might help for a while but in the end just make things worse as they alter your body's ability to correct the situation on its own.

It's not at all uncommon for certain medications to alter your stomach's acid producing capabilities. You can certainly change around what you eat and this might help with some of your symptoms at times but this won't fix the problem completely.

The trick is to get your stomach back to work producing the correct amount of acids and digestive enzymes for the foods you do eat. Your body knows what to do but you just have to give it a little help.

For symptom relief, a great supplement to try is DGL. The licorice greatly calms your stomach and helps with inflammation (sore stomach lining that you might have). DGL is also great with gastritis, which us all related. If you like teas, you can try making a tea with fresh or dried anise herb. Do this before having a meal to calm things down.

To improve your acid production, when you first get up in the morning, have a glass of water with a tablespoon of natural apple cider vinegar stirred in. This will help "kick start" your stomach to produce acid.

This approach really works but it takes some time to retrain your body to work properly. Once your stomach acid is working properly you can go back to eating foods such as tomatos, etc.
Check your food diary, have more smaller meals, (4 or 5 a day instead of 2 to 3), avoid added salt, (check food labels for lots of salt and sugar).

Don't eat close to bed time, keep your head above your stomach when laying down.

But more importantly, check it out with your Doctors!
Be well, live long and prosper!
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