Try the Koufman Low Acid (and low fat) Diet Part 1 of 2

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sunbeam48
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   Posted 9/13/2011 5:03 PM (GMT -6)   

Dr Koufman is a reasearcher in LPR and GERD, and represents the leading edge in her field of LPR. 

Here is the link to the article.  Nineteen of the 20 participants improved:  http://www.voiceinstituteofnewyork.com/wp-content/uploads/2011/05/Low-Acid-Diet.pdf

Here's what's allowed in the two-week induction phase of the diet:

Agave

Aloe vera juice

Artificial sweetener (2 tsp/day max)

Bagels and non-fruit low-fat muffins

Banana

Beans – all kinds

Bread – whole grain and rye

Caramel (fat-free, 4 tbsp/wk)

Celery

Chamomile tea

Chicken, not fat, no skin, chix stock

Coffee, max 1 cup/day

Egg whites

Fennel

Fish, no fat prep

Ginger

Graham crackers

Herbs (no peppers, citrus, garlic, mustard)

Honey

Melon

Mushrooms

Oatmeal

Olive oil max 2 tbsp/day

Parsley

Pasta (no acid sauce)

popcorn, no fats

Potatoes & other root vegetables

Rice, especially brown

Skim milk (also soy or lactaid skim)

Vegetable soups

Tofu

Turkey (no fats)

Vegetables (no onion, tomato, peppers)

Vinegarette max 1 tbsp/day

Whole grain breads, crackers, cereal

 

The diet is very low fat, as well as low acid.

Acidity or alkalinity of foods is based on actual pH value, not the acidified and alkalinized lists commonly found on the Internet.  Here's a list of pH values of foods: http://www.arrowscientific.com.au/educational-material/ph-values-of-foods-and-food-products.html

And here's a list of the fat content of common foods:  http://whatscookingamerica.net/NutritionalChart.htm

There are no good and bad fats for GERD, all take a lot of stomach acid to digest.

After the two-week phase, the book Dropping Acid:  The Reflux Diet and Cure teaches you how to balance some acids in your diet, and how to use fats just for taste.  I have ordered the book from Amazon, and started the diet on Sept 13.  My GI and throat symptoms have improved.  I use calcium carbonate or CalciBlend to reduce acidity in my food, and I have purchased a pH meter to test foods for acidity.

 

Q's and A's about the diet may be found at this link:  http://www.refluxcookbookblog.com/2011/01/25/replies-to-readers-questions-comments/ 

Post Edited By Moderator (stkitt) : 4/11/2012 11:05:32 AM (GMT-6)


theacidrefluxman
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   Posted 9/13/2011 5:24 PM (GMT -6)   
I will. I will start the diet in a few days definitely before next week...

theacidrefluxman
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   Posted 9/14/2011 6:00 AM (GMT -6)   
Only thing is....my reflux problem started in Nicaragua. There, I ate no canned food, there are no acid requirements to food to make them "safe", and I ate mostly rice, beans and chicken, which are all on the induction diet. I am sure I ate some other things as well...but I just realized the book's whole premise of the rise in reflux is US specific, with the acidity requirements of food, etc.

In any case nothing is lost by trying so I will try the diet for sure.

mudmagnetmum
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   Posted 9/14/2011 8:57 AM (GMT -6)   
ARM, presume you got checked for any infection you could have picked up there (stool test for ova, cysts, parasites, giardia etc)?

MMM
New stuff: GERD. Interstitial Cystitis
Lifelong stuff: Food allergies, eczema, asthma

sunbeam48
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   Posted 9/14/2011 8:58 AM (GMT -6)   
What surprised me is the acidity of most fruits, including apples. Apples are on the standard reflux "safe" list, but they are acidic. I bet you ate a lot of fruit in Nicaragua, and probably some irritating spices.

theacidrefluxman
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   Posted 9/14/2011 9:02 AM (GMT -6)   
the reflux came after food poisoning and taking an antibiotic...I was relieved at one point for 6 months, but upon taking another strong antibiotic it returned. It at least in appearance has never had anything to do with anything I have eaten. But I am always up for trying a new solution and will give this diet a try.

I am interested in the ph of berries, i.e. blueberry, strawberry. I think cutting those (and other things) out of the diet isn't so great b/c they have so many health benefits. But I guess with the post-induction maintenance diet you can integrate those in again when ph balanced.

I think for the induction diet since it is only 2 weeks the best thing to do is go rigidly with the guidelines. If it helps then afterwards integrate things by trial and error...apples help some (me), hurt others (my wife)...

stkitt
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Total Posts : 32602
   Posted 9/14/2011 4:51 PM (GMT -6)   
sunbeam,  I am the one that keeps giving the other thread a topic.............now I see what you were trying to do.  You cannot delete a thread as members do not have permission to delete other member's posts.  I will lock down the other post and refer people to this thread to help you out :)
 
Thanks and good luck with this thread.
 
Kitt
~~Kitt~~
Moderator: GERD/Heartburn and Heart/Cardiovascular Disease.
www.healingwell.com

"only as high as I reach can I grow, only as far as I seek can I go, only as deep as I look can I see, only as much as I dream can I be"

sunbeam48
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   Posted 9/15/2011 4:02 AM (GMT -6)   
Kitt, Thanks for your help and good work.

theacidrefluxman
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   Posted 9/15/2011 11:31 AM (GMT -6)   
@ sunbeam48

Dr. Kaufman was actually in a webinar last night answering questions. I found out late and for some reason was so selfish that it never occurred to me to post it here. I felt really bad about not letting others know, even with little advanced warning.

She only answered 4-5 questions, and most were "stupid" ones like "what can I do to prevent reflux", "why are tomatoes bad", etc. At least in my opinion they aren't the questions I would have asked. She did seem legit though and it was a good webinar...probably just a rehash of the book though for the most part, so others didn't miss much.

Tinlou
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Total Posts : 395
   Posted 9/15/2011 12:38 PM (GMT -6)   
What if we are gluten intolerant and can't eat the wheat and rye bread? Is there anything else other than those?

aciphexo
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Date Joined Apr 2011
Total Posts : 377
   Posted 9/15/2011 12:56 PM (GMT -6)   
BTW - I went and saw Dr. Koufman a few times over this summer. She is good, but since I can not take any drugs - my problem is so peculiar, I don't think any doctor can really "treat" me.

I've been on her diet - it is not that hard to get on her diet - there is plenty of variety in there. However, in my case since my diet was pretty good even before, I don't think changing the diet made any difference to me.

She tried the "neurodrugs" approach with me, so I was on gabapentin, but of course I got side effects from the gabapentin. Plus, I was also on klonopin to see if it can calm down the nerves. Klonopin helps with the symptoms a little bit, but I can not take it for too long.

She has recommended I go see a good psychiatrist as she thinks it could be some mental block I might be dealing with. I am scheduled to see one end of this month.

sunbeam48
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Date Joined Jun 2011
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   Posted 9/15/2011 3:59 PM (GMT -6)   
Hi all,
I'm on day 3 of the 2-week induction diet. So far I have discovered that olive oil makes an acceptable substitute for mayonaise. I made tuna/pasta salad yesterday, and potato salad today. To both I added fresh herbs from my garden, and I put uncooked swiss chard from my garden into the potato salad. The potatoes were with red, while and blue skins, a basket I purchased at the local farmers' market. Very colorful! But boy, was it hard today to walk by the basket of assorted local fruit I had been buying every week.
 
The outcome I am looking for is to reduce or eliminate my coughing and throat clearing.  What about you?

Tinlou, I don't know a single thing about gluten intolerance. Maybe you can try the diet without the wheat and rye breads. You are not required to eat everything on the list, I won't be having any coffee. Avoid all acids including preservatives, which are very common.

PPI-less, thanks for your post. I was on gabapentin for a few months for my spinal stenosis, and didn't like how it made me feel. I saw an earlier post of yours, and was reminded of it when reading the info on Dr. Koufman's site. It has occurred to me that I could go to see her, about 400 miles away, but I would see a local person first within that specialty. It would be much easier and cheaper. I do have the name of someone, I just need to get in to see my primary MD for a referral.

AcidRefluxMan, I am glad to hear that the media is still interested in this diet. There are some clips on the web site from I guess when it first came out.

Post Edited (sunbeam48) : 9/15/2011 4:02:41 PM (GMT-6)


theacidrefluxman
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Date Joined Oct 2009
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   Posted 9/15/2011 4:40 PM (GMT -6)   
@ sunbeam, just FYI not sure if canned tuna fits within the induction diet. Not sure if the tuna you mention was canned. But I know she says avoid canned everything due to acidification, just fyi. I may be wrong.

sunbeam48
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Date Joined Jun 2011
Total Posts : 795
   Posted 9/15/2011 7:08 PM (GMT -6)   
ARM, canned items are discouraged because they usually have some acid added, but my tuna did not. Canned beans are often OK, but one always needs to read the label.  It's the acid, not the can:  tuna, water, salt was all that was listed.

Post Edited (sunbeam48) : 9/15/2011 7:22:36 PM (GMT-6)


sunbeam48
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Date Joined Jun 2011
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   Posted 9/16/2011 5:30 PM (GMT -6)   
Hi all,
It is evening of my day 4 on the induction diet phase, and I believe that I have coughed less today. I rode my bike for three hours, so it's not like I wasn't exposed to drying wind. It is too soon to claim success, but this is VERY encouraging.

theacidrefluxman
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Date Joined Oct 2009
Total Posts : 739
   Posted 9/16/2011 5:47 PM (GMT -6)   
great news sunbeam. Can't wait to see how it goes.

sk55
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Date Joined Jun 2011
Total Posts : 225
   Posted 9/16/2011 6:35 PM (GMT -6)   
I am glad to see people following the Low ACID (high PH) diet.

The induction diet definitely works for LPR (probably just as good for GERD).

as far as symptoms my LPR is about 90%-95% better... (Diet + 2x PPI)


Can the diet cure LPR?

For me its still too early too tell, but the RELIEF from LPR symptoms is remarkable.


some tips:

actually having a 2 point or 3point calibration food grade PH meter helped me understand the diet better.
Our food is soo acidified, its really hard to tell some times what PH some foods are.



if you are not responding to Hi dose PPI or if you have LPR, the book is a definite good read.

some foods on the induction list could be triggers, so use your judgement.


If you follow the induction diet strictly you should have some good results by 2-3 weeks.


I hope you guys get good results!

-Jesse

sunbeam48
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Date Joined Jun 2011
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   Posted 9/17/2011 4:47 AM (GMT -6)   
Thanks, Jesse! My copy of the book is on it's way from Amazon.com. I will look into buying a pH meter. She gives some tips on this on her site, I believe.

A few of the foods listed do puzzle me, especially coffee. Since I don't experience heartburn, it really is hard to tell what bothers me, but coffee makes me cough.

I hardly coughed at all last night.
 
I don't believe there is a cure for me, I have a life long condition.  I have Barrett's, and I doubt that is reversible.  Relief is what I'm looking for, but I really would like to be able to sing again.  I used to sing in two groups, two nights per week, but now I can't sing it all.  This makes me incredibly sad, singing brings great joy to my heart.  I will be asking for a referral to a throat specialist, but I want to see how I do on this diet first.

Post Edited (sunbeam48) : 9/17/2011 4:52:49 AM (GMT-6)


aciphexo
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Date Joined Apr 2011
Total Posts : 377
   Posted 9/17/2011 7:13 AM (GMT -6)   
sunbeam - why have you ruled out the nissen option? Is it because you only have atypical symptoms (no heartburn)?

sunbeam48
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Date Joined Jun 2011
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   Posted 9/17/2011 8:56 AM (GMT -6)   
Hi PPI-less,
I have not ruled out this option, but MD's have not suggested it to me. I believe I do not meet criteria for surgery. I certainly would prefer to deal with my problem through dietary means rather than surgery. My symptoms (chest pain) just began in Feb 2011, got really bad in March due to work-related stress. I don't believe any insurance company would pay for surgery for me without exhausting all other choices. I do hate PPI's, they haven't helped me, they just make my hair fall out and will over time make my bones get thin. I already have osteopenia, severe arthritis, lumbar stenosis so the 50% increase in vertebrae fractures assoicated with long-term PPI use is very worrisome to me.

Thank you for your thoughts. Based on stories here, surgery is often not without problems of its own. It could ultimately be where I end up, but life for me will never be the same as it was less than a year ago.

aciphexo
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Date Joined Apr 2011
Total Posts : 377
   Posted 9/17/2011 9:07 AM (GMT -6)   
I am sort of on the same boat as you. My troubles also started in Feb of this year. I don't want to lose hope that someday I could be normal again.

Some thoughts:
- So if you have chest pain, then the likely cause still is heartburn / acid there - no?
- Do the PPIs reduce / help your symptoms though? In my case, they do but cause terrible side effects.
- Recovery from surgery is probably hard - but it has made several people here asymptomatic.
- Have you got your pH and manometry tests done?

sk55
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Date Joined Jun 2011
Total Posts : 225
   Posted 9/17/2011 9:52 AM (GMT -6)   
hi sunbeam,


koufman says that she seen barrets reversed (its in the book or on the site i forget)


therapy is basically being on hi dose ppi... something like prilosec 2x a day and zantac at night. You basically stay on the induction diet permanently.


as for coffee, i used to be addicted, i think it has been a factor in LPR. As far as i can tell now the symptomps of a trigger or a gastro problem can be very subtle... it won't be like extreme pain like injuring your foot...

i quit coffee cold turkey, i don't even miss it now... i believe it has improved my LPR as well.

anyways i am hopeful i will find a cure.

i forgot to add the induction diet, in addition to HIGH PH Foods, Low Fat content is important.... I learned this the hard way...


Jesse

Post Edited (sk55) : 9/17/2011 9:59:07 AM (GMT-6)


theacidrefluxman
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Date Joined Oct 2009
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   Posted 9/17/2011 11:58 AM (GMT -6)   
hey sunbeam.

Decided to start the diet today and join you. Found some aloe vera plants in the farmers market and hope to put some gel into milkshake each morning. Hope you are feeling well :)

theacidrefluxman
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Date Joined Oct 2009
Total Posts : 739
   Posted 9/17/2011 12:03 PM (GMT -6)   
Stkitt...so you have done the induction diet with good results? What high fat food were you still eating? I am getting ahead of myself because I don't even know if the induction diet will work for me, but if it does and I go on to the maintenance diet, if I can't eat almonds (or make my own almond butter), i'll be heartbroken. I have such a restricted diet that to take the few things I have left would just suck. Like you I happily gave up coffee (and alchohol, and eating out, and a number of other things), which was fine, but taking out healthy things (like almonds) makes me angry. I love fruit too, and couldn't get by on bananas and melons. I love blueberries :)

sk55
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Date Joined Jun 2011
Total Posts : 225
   Posted 9/17/2011 12:31 PM (GMT -6)   
ARM,

i guess you are referring to me? yes good results.. i was eating salmon which was giving me a mild soreness i guess near my LES, didn't hurt but felt strange. I cut it out recently, notice i been burping less, less symptomps.

oatmeal cookies were making me feel slightly strange (cheated while on induction)... cut that out.

eating out is a wild card. really impossible to tell whats in restaurant food, made further gains stopping that.



well i figure i have to give up these things until i am completely healed... otherwise i will be stuck taking ppi for years... i rather not do that...

i was in your boat loved almonds, blueberries, etc. But i love feeling normal.... i gave it up, after a while i don't even miss it.

you can look at this way, heal yourself, then scale back in with the things you like (in moderation of course).

i also look at the downside, you really don't want acid/ pepsin splashing on your throat or your esophagus, this could lead to cancer (discussed in detail in the book)

i figure we got 3 options:

diet,
meds
surgery.


even surgery has no guarantee for LPR, i have seen a few post here with negative results.


At the very least the diet gives you an option, for me it healed my throat well enough so i can experiment with other things... a few months back i basically had a knife in my throat 24/7.



-Jesse
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