Do you feel bloated? Can’t lose weight? Skin issues that don’t seem to go away? Digestive issues? Then you may possibly have low stomach acid.

Stomach acid has gotten a bad rap as the growing antacid industry marketed products to reduce acid and provide relief.

Estimates suggest that half to 3/4 of North Americans struggle with having too little stomach acid and continually taking things to reduce stomach acid can make the problem worse.

Low stomach acid needs to be addressed before healing can begin and fat can be reduced.

Low Stomach Acid Symptoms

Symptoms of low stomach acid are related to impaired digestion, increased susceptibility to infection, and reduced absorption of nutrients from food.

Symptoms may include:

• bloating
• burping
• upset stomach
• nausea when taking vitamins and supplements
• heartburn
• diarrhea
• gas
• desire to eat when not hungry
• indigestion
• hair loss
• undigested food in stool
• weak, brittle fingernails
• fatigue
• GI infections
• iron deficiency anemia
• deficiencies of other minerals, such as vitamin B-12, calcium, and magnesium
• protein deficiency

A number of chronic health conditions have been associated with low levels of stomach acid. These include conditions such as:

• Lupus
• Allergies
• Asthma
• Thyroid issues
• Acne
• Psoriasis
• Eczema
• Gastritis
• Chronic autoimmune disorders
• Osteoporosis

Risk factors for low stomach acid include:

• stress
• consumption of processed foods
• candida
• aging
• antibiotic or prescription drug use
• drinking ice water with meals
• mineral deficiencies

Why we need stomach acid

Stomach acid (HCL) is a necessary part of the digestive system:

• Stomach acid is a vital part of our digestive and immune systems. It helps break down food, but also maintains the acidic environment in the digestive system that kills bacteria, parasites and pathogens that we may ingest with food.
• HCL is also important for stimulating the pancreas and intestines to produce bile and enzymes needed to break down foods.
• Low HCL makes it difficult to break down foods, especially protein, into vital amino acids (which the body needs for hormone support, neurotransmitters and healthy skin, hair and nails).
• Nutrient deficiencies and undigested food in the body can also raise cortisol levels and deplete the adrenals since they don’t have the needed nutrients to function properly.
• Over time, this can create an imbalance in the gut that can make problems like Candida and SIBO worse since pathogenic bacteria that would normally be killed by stomach acid are able to thrive in the gut.
• Leaky Gut and autoimmune disease– There is some evidence that the undigested food in the gut can lead to leaky gut syndrome. At this point, small particles of proteins from undigested foods can enter the bloodstream, which may create autoimmune diseases.

Can Low Stomach Acid Lead to Heartburn & Indigestion?

Stomach acid signals something called the Lower Esophageal Sphincter (which separates the stomach and esophagus) to close tightly when the body has enough acid to digest the food that was consumed. When there is not adequate stomach acid to digest a food, the Lower Esophageal Sphincter will not receive this signal and will not close tightly, letting acid and undigested food creep up into the esophagus leading to heartburn and indigestion.

Additionally, if food is not properly digested, signaling to the small intestine will also be delayed. Food can sit in the stomach longer, leaving more time for acid to reach the esophagus.

How Betaine HCL Can Help

In a perfect world, our bodies would naturally create enough (and just enough) HCL to digest our food properly. In reality as many of us encounter risk factors like excess stress, less than optimal diet, and other underlying health issues daily, our bodies may not always produce HCL properly.

In these cases, supplemental HCL can be beneficial when used correctly:

• HCL can be a life-changing supplement for some people, but it should be used with caution and under the supervision of a practitioner.
• Those on medications, corticosteroids, anti-inflammatories or other medication should not use HCL.
• Those with ulcers should not use HCL.
• HCL should only be taken with meals containing proteins as not as much stomach acid is needed for digesting vegetables and fruits.
• It is important to figure out the correct dose of HCL needed as too much or too little can be problematic.

Tests for Low HCL

There are lab tests that measure stomach acid levels but SCD Lifestyle has instructions for some simple tests that can be done at home, including the baking soda test:

1. Mix 1/4 teaspoon of baking soda in 4-6 ounces of cold water first thing in the morning before eating or drinking anything.
2. Drink the baking soda solution.
3. Time how long it takes you to belch. Time up to five minutes.

If you have not belched within five minutes stop timing.

In theory, if your stomach is producing adequate amounts of stomach acid you’ll likely belch within two to three minutes. Early and repeated belching may be due to excessive stomach acid (but don’t confuse these burps with small little burps from swallowing air when drinking the solution). Any belching after 3 minutes indicates a low acid level.

Apple Cider Vinegar is another way to help determine if a person has low stomach acid. ACV is often recommended as a natural remedy for indigestion, heartburn or other temporary digestive problems. Since it is a natural source of acid, it contributes to the acidic environment in the stomach. It isn’t a perfect test, but if taking 1 tsp of ACV in water helps alleviate heartburn, it may be a sign of inadequate HCL production.

The Betaine HCL Challenge Test

The at-home test that is administered by a functional medicine practitioner or registered nutritionist involves using Betaine HCL capsules to test your body’s response.

Other Ways to Boost HCL Production Naturally

Supplementing with Betaine HCL with Pepsin should only be done under the care of a qualified practitioner, but there are other natural ways to help increase stomach acid production:

• Do not eat when stressed or upset, as stress can lower HCL levels
• Consume a teaspoon of apple cider vinegar in water about 30 minutes before meals.
• Consume high quality proteins and vegetables and avoid processed foods, added sugars and additives.
• Use a high quality salt to taste.
• Digestion begins in the mouth, chew foods thoroughly to make them easier to digest.
• Don’t drink with meals. Only drink between meals
• Add 1/4 cup of homemade or unpasteurized sauerkraut to each meal
• Drink ginger tea or chew a small piece of ginger between meals to stimulate stomach acid production
• Do not eat within a few hours of bedtime to allow adequate time for digestion

Having low stomach acid can affect the body in many ways. If you think you may suffer from this, message me to learn how to address this problem.