Successfully reported this slideshow.
We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. You can change your ad preferences anytime.

ASH13 Norm Robillard — Did Cavemen Get Heartburn?

11,250 views

Published on

A new theory suggests that acid reflux is caused by carbohydrate malabsorption, small intestinal bacterial overgrowth (SIBO) and microbe-induced gas pressure. The pressure drives acid reflux much like dropping a Mentos in a bottle of coke. Difficult-to-digest Carbohydrates lactose, fructose, resistant starch, fiber and sugar alcohols are most likely to cause malabsorption and symptoms of SIBO-related conditions such as GERD and IBS. A novel calculation called fermentation potential (FP) can measure the gut symptom potential of any food. The low FP approach was successfully tested in a small clinical study in the Boston area.

  • Uterine Fibroids Cure, Discover How To Eliminate Almost, All Uterine Fibroids Within 8 Weeks.. ♥♥♥ http://t.cn/Aig7V1M7
       Reply 
    Are you sure you want to  Yes  No
    Your message goes here
  • How I Cured My Uterine Fibroids? Reverse And Eliminate Uterine Fibroids, Safe & Natural With Fast Results.. ■■■ http://t.cn/Aig7bySW
       Reply 
    Are you sure you want to  Yes  No
    Your message goes here
  • How To Make Every Day Your Perfect Day By Raising Your Vibration ●●● http://t.cn/AiuvUMl2
       Reply 
    Are you sure you want to  Yes  No
    Your message goes here
  • How to Manifest Anything with the Law of Attraction ★★★ http://scamcb.com/manifmagic/pdf
       Reply 
    Are you sure you want to  Yes  No
    Your message goes here
  • Hear The Angels Sing: Listen to this free musical composition to clear away all the negativity in your life and welcome in miracles! Download your complimentary "Angel Soundscape" now. ●●● http://scamcb.com/manifmagic/pdf
       Reply 
    Are you sure you want to  Yes  No
    Your message goes here

ASH13 Norm Robillard — Did Cavemen Get Heartburn?

  1. 1. Did Cavemen Get Heartburn? Norm Robillard Ph.D. Founder, Digestive Health Institute
  2. 2. What is heartburn & GERD? GERD: Chronic acid reflux. Acid Reflux: When stomach contents escape past the LES – causes irritation. Reflux Symptoms: Heartburn, cough, sour/bitter taste, sore throat, hoarseness, sinus irritation, gas, bloating, nausea, LPR. Long Term Health Risks: Esophagitis, Barrett's esophagus, esophageal cancer.
  3. 3. PPIs and H2 blockers Block the production of stomach acid • Inhibit the absorption of vitamins, minerals and nutrients • Lead to weakened bones and fractures of hip, wrist and spine – osteoporosis, calcium absorption hindered in the absence of acid • Linked to pneumonia • Linked to C diff (Clostridium difficile) • Cause and perpetuate SIBO • Cause dangerously low magnesium blood levels (hypomagnesaemia) - FDA warning • Don’t address the underlying cause.
  4. 4. Underlying cause of Acid Reflux Conventional • Relaxation of LES from alcohol, trigger foods (TLESRs) New concept • Carbohydrate malabsorption promotes small intestinal bacterial overgrowth (SIBO - >106 bacteria per mL) • Bacteria produce gas (Hydrogen, Carbon Dioxide, Methane) and intragastric pressure • Drives reflux – like Mentos in Coke bottle • LES is “forced” open.
  5. 5. Evidence SIBO causes Reflux  Restricting the growth of intestinal bacteria reduces the symptoms of reflux1,2,3  Reflux can be created experimentally with FOS (Gas, TLESRs, Symptoms)4  Reflux is associated with increased gas pressure in the stomach (and fundo side effects)5,6  Health conditions associated with malabsorption and SIBO are linked to Reflux7,8,9  SIBO has been detected in GERD patients10
  6. 6. Worst offenders for SIBO  Fructose  Lactose  Fiber  Sugar alcohols  Amylose starch (resistant starch)
  7. 7. Fermentation Potential (FP) Formula GI = Glycemic Index NC = Net Carbs (g) DF = Dietary Fiber (g) SA = Sugar Alcohols (g)
  8. 8. FP Recommendations  FP recommendation for single meal ◦ 0 to 7 grams - low ◦ 8 to 15 grams - moderate ◦ > 15 grams - high  FP recommendation for single day ◦ 20 to 30 grams – low ◦ 30 to 45 grams – moderate ◦ > 45 grams - High
  9. 9. Did Cavemen get Heartburn?  Occasionally ◦ Lots of plants - some high in fructose, fiber and RS ◦ Periodic food poisoning likely  Protective ◦ Adapted to diet – unlike the “everything all the time” (SAD diet), balanced microbiome ◦ No antibiotics or preservatives (more diverse microbiome) ◦ Periodic fasting - gut healthy, prevents SIBO ◦ Seasonal diet
  10. 10. How about modern Foods?
  11. 11. Comparing Rices for FP Food (GI) Serving Size (Oz) Ferm. Potent. (G) Symptom Potential Jasmine Rice 5 0 Low Glutinous Rice 5 3 Low Basmati Rice 5 17 High Brown Rice 5 19 High Uncle Bens Rice 5 20 High
  12. 12. Comparing Fruits for FP Food Serving Size (Oz) Ferm. Potent. (G) Symptom Potential Watermelon 4 2 Low Cantaloupe 4 4 Low Grapes 4 11 Moderate Banana, ripe 4 15 High Banana, green 4 18 High Dates 2 4 Low Apricots 2 23 High
  13. 13. Comparing Tubers for FP Food Serving Size (Oz) Ferm. Potent. (G) Symptom Potential Pontiac Potato 5 4 Low Parsnip 5 5 Low Taro 5 6 Low Russet Potato 5 7 Low Ontario Potato 5 13 Moderate Sweet Potato 5 21 High
  14. 14. Comparing Dairy for FP Food Serving Size (Oz) Ferm. Potent. (G) Symptom Potential Mozz cheese 2 1 Low Plain Yogurt 8 7 Low Sweet Yogurt 8 23 High Cream 8 2 Low Whole milk 8 8 Moderate Chocolate milk 8 18 High
  15. 15. Comparing vegies for FP Food Serving Size (Oz) Ferm. Potent. (G) Symptom Potential Spinach 3 2 Low Tomatoes 3 3 Low Broccoli 3 4 Low Avocado 3 6 Low Squash 3 6 Low Corn 3 9 Moderate Plantain 3 16 High
  16. 16. FP values for Grains / Legumes Food Serving Size (Oz) Ferm. Potent. (G) Symptom Potential Pasta (rice) 6 5 Low Pasta (wheat) 6 28 High French baguette 1 1 Low 7 grain bread 1 9 Moderate Course Rye 1 14 Moderate Soy beans 5 11 Moderate Kidney beans 5 31 High
  17. 17. Comparing drinks for FP Food Serving Size (Oz) Ferm. Potent. (G) Symptom Potential Coconut milk 9 0 Low Rum, whiskey, vodka, gin, etc. 1 0 Low Lite beer, dry wine 12, 7 2 Low Non lite beer 12 6 Low Orange juice 9 14 Moderate Apple juice 9 18 High
  18. 18. FP values for meats, fats and seafood Food Serving Size (Oz) Ferm. Potent. (G) Symptom Potential Beef, pork, chicken, etc. 6 0 Low Fish, shellfish 6 0 Low Lard, talow, ghee, butter, oils 3 0 Low
  19. 19. Clinical study of Fast Tract Diet heartburn symptoms
  20. 20. Clinical study of Fast Tract Diet gas related symptoms
  21. 21. References 1. Yancy WS Jr, Provenzale D, Westman EC. Improvement of gastroesophageal reflux disease after initiation of a low-carbohydrate diet: five brief cased reports. Altern Ther health med. 2001. Nov-Dec; 7(6):120,116-119. Austin GL, Thiny MT, Westman EC, Yancy WS Jr, Shaheen NJ. A very low-carbohydrate diet improves gastroesophageal reflux and its symptoms. Dig Dis Sci. 2006 Aug;51(8):1307-12. 2. Pennathur A, Tran A, Cioppi M, Fayad J, Sieren GL, Little AG. Erythromycin strengthens the defective lower esophageal sphincter in patients with gastroesophageal reflux disease. Am J Surg. 1994 Jan;167(1):169-173. Pehl C, Pfeiffer A, Wendl B, Stellwag B, Kaess H. Effect of erythromycin on postprandial gastroesophageal reflux in reflux esophagitis. Dis Esophagus. 1997 Jan;10(1):34-37. 3. Mertens V, Blondeau K, Pauwels A, Farre R, Vanaudenaerde B, Vos R, Verleden G, Van Raemdonck DE, Dupont LJ, Sifrim D. Azithromycin reduces gastroesophageal reflux and aspiration in lung transplant recipients. Dig Dis Sci. 2009 May;54(5):972-9. 4. Piche T, des Varannes SB, Sacher-Huvelin S, Holst JJ, Cuber JC, Galmiche JP. Colonic fermentation influences lower esophageal sphincter function in gastroesophageal reflux disease. Gastroenterology. 2003 Apr;124(4):894-902. 5. Dodds WJ, Dent J, Hogan WK, Helm JF, Hauser R, Patel GK, Egide MS, Mechanisms of gastroesophageal reflux in patients with reflux esophagitis. N. Engl J Med. 1982. Dec 16;307(25):1547-52. Lin M, Triadafilopoulos G. Belching: dyspepsia or gastroesophageal reflux disease? Am J Gastroenterol. 2003 Oct;98(10):2139-45.
  22. 22. References 6. Vakil N, Shaw M, Kirby R. Clinical effectiveness of laparoscopic fundoplication in a US community. Am J Med. 2003 Jan;114(1):1-5. Klaus A, Hinder RA, DeVault KR, Achem SR. Bowel dysfunction after laparoscopic anti reflux surgery: incidence, severity, and clinical course. Am J Med. 2003 Jan;114(1):6-9. Beldi G, Gláttli A. Long-term gastrointestinal symptoms after laparoscopic Nissen fundoplication. Surg Laparosc Endosc Percutan Tech. 2002 Oct;12(5):316-9. 7. Ledson MJ, Tran J, Walshaw MJ. Prevalence and mechanisms of gastro-oesophageal reflux in adult cystic fibrosis patients. J R Soc Med. 1998 Jan;91(1):7-9. Vic P, Tassin E, Turck D, Gottrand F, Launay V, Farriaux JP. Frequency of gastroesophageal reflux in infants and in young children with cystic fibrosis. Arch Pediatr. 1995 Aug;2(8):742-6. Fridge JL, Conrad C, Gerson L, Castillo RO, Cox K. Risk factors for small bowel bacterial overgrowth in cystic fibrosis. J Pediatr Gastroenterol Nutr. 2007 Feb;44(2):212-8. 8. Lisowska A, Wójtowicz J, Walkowiak J. Small intestine bacterial overgrowth is frequent in cystic fibrosis: combined hydrogen and methane measurements are required for its detection. Acta Biochim Pol. 2009;56(4):631-4. 9. Nastaskin I, Mehdikhani E, Conklin J, Park S, Pimentel M. Studying the overlap between IBS and GERD: a systematic review of the literature. Dig Dis Sci. 2006. Dec;51(12):2113- 20. 10. Lombardo L, Foti M, Ruggia O, Chiecchio A. Increased incidence of small intestinal bacterial overgrowth during proton pump inhibitor therapy. Clin Gastroenterol Hepatol. 2010 Jun;8(6):504-8
  23. 23. “No Disease That Can Be Treated By Diet Should Be Treated With any Other Means.” -Maimonides

×