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

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stkitt
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   Posted 4/11/2012 12:07 PM (GMT -6)   
Part 2 of 2 original poster - Sunbeam
 
 
****************************************************************************************

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/

 

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


stkitt
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Date Joined Apr 2007
Total Posts : 32602
   Posted 4/11/2012 12:09 PM (GMT -6)   
 Posted 3/28/2012 6:23 AM (GMT -6)   by sunbeam48
 
I visited my gp yesterday, and he prescribed the H2 blocker Zantec. Certainly a big part of my motivation for this diet has been to get off PPI's, and now I have achieved that. The fracture risk of PPI long term use is a bad thing for a person like me with osteopenia (thin bones) and significant arthritis. I had been told by my GI doc that H2 blockers weren't viable meds because I would develop tolerance, making it ineffective, but my gp said that he has numerous patients on long term use of H2 blockers, so that is what he recommended. I will continue on this diet, eating daily yogurt, drinking rooibos and licorice teas, and night time Pepto Bismol tabs for my tender stomach. My current doseage is 150 mg daily, but it can be taken twice daily and at higher dosage, so there is room if I need more. If this medication does become ineffective, I will temporarily switch to Gaviscon and TUMS to allow my body to re-adjust. This is my long term plan.
CME, how are you doing?

ericapeace2000
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Date Joined Mar 2012
Total Posts : 1110
   Posted 4/11/2012 1:22 PM (GMT -6)   
sounds like a good plan. I, too, am in the process of weening off my PPI and started my rigid acid reflux diet 2 months ago. I am going to a new GI doctor this friday, we will see how it goes. Right now I am on half of the dose I have been taking for years (20 mg of generic protonix) and I have mild symptoms. It is a hard diet but it is worth it.

sunbeam48
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Date Joined Jun 2011
Total Posts : 795
   Posted 4/11/2012 4:14 PM (GMT -6)   
Hi Erica,
I have seen some of your posts, and I am glad you posted on this thread. It tends to attract people following various forms of healthy eating. This diet has definitely given me sound guidance for what to eat, as opposed to those lists of what not to eat. The fat is really what bothers me, so I avoid most of it. My husband likes to cook, and he is gradually creating more dishes that I can eat and we both like. On Easter he made a lovely warm pasta salad dish with orzo pasta, shrimp, cucumber, green pepper, roasted red pepper, a few grape tomatoes (I can eat a couple), and baby spinach. Yum! I am fortunate I can eat these things, not everyone can. I haven't tested the pH in anything for quite some time.

On the meds side of things, I had a hard time for a couple of days last week, which would have been two weeks after discontinuing the 10 mg dose of Prilosec I was taking. I am definitely better this week. I was disappointed to experience such discomfort (chest pain, the kind that goes right through me and feels like someone is stabbing me between the shoulder blades) after so carefully paring down my dose, but I'm grateful that it is over. My singing voice is also better than it was last week. I sing two nights per week, in chruch choir and a 100-voice chorus that does classical stuff with an orchestra.

Kitt, thanks for doing that housekeeping job on the thread. In doing that, thanks for including my original post at the beginning of this new thread.

stkitt
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Date Joined Apr 2007
Total Posts : 32602
   Posted 4/11/2012 6:43 PM (GMT -6)   
sunbeam,
 
You are welcome and I know this topic has become very popular so it can carrry on here in Part 2 cool
~~Kitt~~
Moderator: Anxiety, Osteoarthritis,
GERD/Heartburn and Heart/Cardiovascular Disease.

www.healingwell.com

"Life is not about waiting for the storms to pass...
It's about learning how to dance in the rain."~ Vivian Greene

stkitt
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Date Joined Apr 2007
Total Posts : 32602
   Posted 4/20/2012 4:53 PM (GMT -6)   
bump for newbies

mudmagnetmum
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Date Joined Apr 2011
Total Posts : 1604
   Posted 5/8/2012 6:53 AM (GMT -6)   
Bump for Cassie
New stuff: GERD, Recurrent cystitis/Overactive bladder
Lifelong stuff: Food allergies/intolerance, eczema, asthma

Cylon101
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Date Joined Mar 2012
Total Posts : 68
   Posted 5/8/2012 2:28 PM (GMT -6)   
I am curious if anyone has used the diet on it's own to battle LPR/GERD without any combination of PPI's or any other medication etc and seen a noticeable sustained improvement in symptoms?

I have dabbled with the induction, not 100% committed and have thought about going full force, but am still a bit skeptical of it having a beneficial effect on it's own.
 
Any feedback guys? Thanks
 

sunbeam48
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Date Joined Jun 2011
Total Posts : 795
   Posted 5/8/2012 5:04 PM (GMT -6)   
Hi Cylon,
I have read all of the posts on this long thread (and responded to most), and I've read Dr Koufman's book.  I don't remember anyone who has reduced their GERD symptoms through this diet without medication.  It was developed more for people with LPR, who frequently do not respond as well to meds, even double doses of PPI's.  As you probably have read, I personally am just delighted to be off the PPI I was on for nearly a year.  I think Dr. Koufman does talk about a few people eventually getting off meds, but they first used the meds to get their symptoms under control.
 
I always suggest that people try the full-fledged induction and see what happens.  It is close to free (ya gotta eat!) and it is only two weeks out of a probable lifetime of GERD.  If this diet is going to help you, you should see some slight reduction of symptoms in those two weeks.
 
I wish you well.  We are all in this battle together, just going down different roads.

mudmagnetmum
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Date Joined Apr 2011
Total Posts : 1604
   Posted 5/10/2012 3:01 PM (GMT -6)   
bump
New stuff: GERD, Recurrent cystitis/Overactive bladder
Lifelong stuff: Food allergies/intolerance, eczema, asthma

theacidrefluxman
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Date Joined Oct 2009
Total Posts : 739
   Posted 5/16/2012 10:43 AM (GMT -6)   
I am trying this diet once again...does anyone know if decaffeneited green tea and taking fish oil supplements are allowed during the induction phase?

Thanks!

ericapeace2000
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Date Joined Mar 2012
Total Posts : 1110
   Posted 5/16/2012 10:45 AM (GMT -6)   
I think she recommends chamimille tea versus green tea. Not sure about the fish oil

sunbeam48
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Date Joined Jun 2011
Total Posts : 795
   Posted 5/16/2012 1:03 PM (GMT -6)   
Hi ARM, I think the induction diet is just what's listed on the first post of this thread. After those two weeks, the small amount of fat in this supplement shouldn't be a problem.

mudmagnetmum
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Date Joined Apr 2011
Total Posts : 1604
   Posted 5/21/2012 1:10 PM (GMT -6)   
Bump
New stuff: GERD, Recurrent cystitis/Overactive bladder
Lifelong stuff: Food allergies/intolerance, eczema, asthma

mudmagnetmum
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Date Joined Apr 2011
Total Posts : 1604
   Posted 6/19/2012 3:46 PM (GMT -6)   
Bump
New stuff: GERD, Recurrent cystitis/Overactive bladder
Lifelong stuff: Food allergies/intolerance, eczema, asthma

sunbeam48
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Date Joined Jun 2011
Total Posts : 795
   Posted 6/19/2012 7:52 PM (GMT -6)   
Thanks, MMM, for every time you bump this thread. When I think of how i was struggling a year ago, before you posted the research on this diet, I am overwhelmed.

Post Edited (sunbeam48) : 6/19/2012 6:56:09 PM (GMT-6)


sunbeam48
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Date Joined Jun 2011
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   Posted 7/17/2012 8:02 PM (GMT -6)   

mudmagnetmum
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Date Joined Apr 2011
Total Posts : 1604
   Posted 7/25/2012 5:47 PM (GMT -6)   
Bump
New stuff: GERD, Recurrent cystitis/Overactive bladder
Lifelong stuff: Food allergies/intolerance, eczema, asthma

mudmagnetmum
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Date Joined Apr 2011
Total Posts : 1604
   Posted 8/17/2012 5:57 PM (GMT -6)   
Bump
New stuff: GERD, Recurrent cystitis/Overactive bladder
Lifelong stuff: Food allergies/intolerance, eczema, asthma

mudmagnetmum
Veteran Member


Date Joined Apr 2011
Total Posts : 1604
   Posted 9/19/2012 3:46 PM (GMT -6)   
Bump for new members
New stuff: GERD, Recurrent cystitis/Overactive bladder
Lifelong stuff: Food allergies/intolerance, eczema, asthma

starbuxgal3
Regular Member


Date Joined Oct 2011
Total Posts : 79
   Posted 10/3/2012 7:59 PM (GMT -6)   
what if a person has silent reflux? turns out I had reflux and didn't know it....so if I did the diet how would I know it's helping??

sunbeam48
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Date Joined Jun 2011
Total Posts : 795
   Posted 10/4/2012 10:34 AM (GMT -6)   
You probably have experienced symptoms that led to your diagnosis of silent reflux. You should see a slight reduction in those symptoms during the two week induction phase of this diet, and continued reduction if you stay with the diet. I continue to generally follow this diet, and continue to feel better. I'm off ppi's since April, take 150 Mg zantec twice daily supplemented occasionally by a few tums.

mudmagnetmum
Veteran Member


Date Joined Apr 2011
Total Posts : 1604
   Posted 10/10/2012 3:59 PM (GMT -6)   
Bump up for new members
New stuff: GERD, Recurrent cystitis/Overactive bladder
Lifelong stuff: Food allergies/intolerance, eczema, asthma

GGc0ok
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Date Joined Oct 2012
Total Posts : 2
   Posted 10/10/2012 5:37 PM (GMT -6)   
What is Bump

GGc0ok
New Member


Date Joined Oct 2012
Total Posts : 2
   Posted 10/10/2012 5:38 PM (GMT -6)   
Is Mrs Dash table blend allowed on the diet?
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