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Optimizing Your Health: Healthy Digestion in the Stomach and Upper Small Intestine





Dr. Jacob Teitelbaum

Dr. Jacob Teitelbaum's Column advice on CFS, Fibromyalgia and other Health Topics.









Jacob Teitelbaum MD is Medical Director of the Fibromyalgia and Fatigue Centers
( Senior author of the landmark studies "Effective Treatment of Chronic Fatigue Syndrome and Fibromyalgia -- a Placebo-controlled Study" & "Effective Treatment of CFS & Fibromyalgia with D-Ribose". Author of the best-selling book "From Fatigued to Fantastic!"(3rd ed-Penguin/Avery Oct 4, 2007) , "Three Steps to Happiness! Healing through Joy", and "Pain Free 1-2-3- A Proven Program to Get YOU Pain Free!" (McGraw Hill, 2006). He does numerous media appearances, including CNN and FOX National News and is a frequent guest on Oprah and Friends with Dr. Oz.. He lives in Kona, Hawaii. Visit his web site at


You can benefit from Dr. Teitelbaum's wisdom and experience by visiting us at The Environmental Illness Resource regularly to read articles from his latest newsletter!




Monday, September 10th, 2012:


Optimizing Your Health, Part 5: Healthy Digestion (Upper)

Waking Up in the Middle of the NightWaking Up in the Middle of the NightWaking Up in the Middle of the Night


by Jacob Teitelbaum MD



Dear Readers,


Stomach got you down? We all love food. But sometimes food doesn't love us! Instead of feeling satisfied after a meal, you feel digestive distress, with symptoms like burning and belching. Maybe you suffer that kind of digestive discomfort every day. Or maybe it's just once in a while. But it's never fun! And it's not natural.

Mother Nature designed your digestive tract to do its job, effortlessly, efficiently and pleasantly! (Did you ever see a cat or dog salivating over an antacid? They rarely suffer tummy troubles. And if they do, they just take a nap.)

Well, I have good news for when your stomach has the feeling, as they used to say in the old Alka Seltzer commercial, "I can't believe I ate the whole thing!" So if you feel like you ate a whole cow, when you just had a hamburger, read this week's feature article to learn three easy steps you can take to have optimal, healthy digestion.


Easy Step #1: Chew Slowly

The best type of chewing for optimal digestion is s-l-o-w, thorough chewing. When you chew slowly, you break down the food, and put your salivary enzymes to work, making the food much easier to digest. Yes, healthy, comfortable digestion can really be that simple!

Side Benefit: Weight Loss!

Chewing slowly and thoroughly not only helps you digest better. It can also help you lose weight. That's because it takes 20 to 30 minutes for "satiety signals" from your stomach to reach your brain with the message: "Hey, you're full — time to stop eating!" If you chew haphazardly, you can eat a lot of food before your brain realizes you're full. If you chew slowly, you brain gets the "full" message long before you inadvertently stuff yourself. And so you eat less.

A study of nearly 9,000 adults, published in the May 25, 2012 issue of Nutrition, Metabolism & Cardiovascular Diseases, found that people who ate slowly weighed less — and also had lower blood pressure, healthier blood sugar levels, and higher good HDL cholesterol. "Eating slowly is recommended for weight reduction," concluded the researchers.


Easy Step #2: Take Plant-Based Digestive Enzymes

Healthy digestion depends on the enzymes in your food — the feisty biochemicals that ripen fruits and vegetables before they reach your dinner table. But food manufacturers typically don't like those enzymes, because they can shorten a food's shelf life and ruin its "cosmetic appearance." So they usually remove them. That might make the food last longer on the shelf and look prettier, but it also makes the food tougher to digest!

If you have occassional digestive difficulties, consider taking a supplement of plant-based enzymes with every meal. (I find animal-based enzymes don't work nearly as well). An excellent one is CompleteGest from Enzymatic Therapy.

Also, enjoy iced drinks between, not during meals. Digestive enzymes need a temperature of 98.6º to function optimally. Drinks at refrigerator temperature are okay, as you'll read more about in a moment. Take a tip from the Chinese and have some hot tea with heavy meals instead.

You Heard It Here First

I predict that in the next 20 years food processors will create technology that puts the enzymes they took out of food back into the food when you open a can or other food container. So that "pop top" may not only open the lid, but may also pop digestion supporting enzymes into the food!


Easy Step #3: Boost Your Stomach Acid

The "parietal cells" lining your stomach generate the acid that digests food. But several factors can muck up the works, and decrease the production of healthy stomach acid, including aging. To add insult to injury, proton pump inhibitors (PPIs) like Nexium and Priolosec (the third bestselling class of drugs in the U.S.) shut down parietal cells and stomach acid production completely. (For the latest research on one of the side effects from PPIs, see Antacids and Bowel Infections.)

But you might ask: What's the problem with squelching stomach acid? Isn't too much acid the cause of heartburn and other digestive discomforts?

Surprisingly, no. The real cause of most post-meal digestive upset isn't too much stomach acid. It's too little!

This lack of acid causes food to sit in your stomach like a lump until acid "reflux" comes back up your esophagus — burning the pipe's lining and triggering belching. If you can tell what you ate more than an hour ago while belching, the likely cause is too little stomach acid.

Three Easy Ways to Boost Stomach Acid

1. Take two betaine hydrochloride tablets with each meal.

Betaine Hydrochloride tablets can deliver a healthful dose of hydrochloric acid to your stomach, the same type of acid your stomach produces. If you feel better after taking this supplement, it's likely your stomach acid is low — and it's advisable to include this pre-meal supplement as part of your health routine for optimal digestion. Betaine hydrochloride is available in most health food stores.

Red flag: TUMS (and most other chewable antacids) are a bad idea because they're loaded with plain calcium, and supplemental plain calcium has been linked to a 31% increased risk of heart attack (see Calcium Supplements Threaten the Heart). Better: Immediate Heartburn Relief antacid chews, which adds heart-healthy magnesium, vitamin D, and vitamin K to the calcium.

2. Make a salad dressing with vinegar.

Vinegar supplies more acid for digestion. Best: I think a great tasting rice vinegar for salads is Marukan seasoned gourmet rice vinegar. Don't worry about the small amount of sugar in it. Meanwhile, want the best balsamic vinegar in the world? I heartily recommend the traditional 18 year balsamic vinegar from Oliver's (visit their website or call them at 949-497-6917). A simple apple cider vinegar and olive oil dressing can also be delicious.

3. Drink 6 to 8 ounces of diet cola with heavy meals.

Diet cola contains phosphoric acid, which has the same acidity (pH) as hydrochloric acid. I recommend Zevia, a stevia-sweetened brand of diet cola (and other sodas) that you can find in health food stores. But for most people even a bit of diet Coke or diet Pepsi will work fine. It's okay to have it refrigerator cold instead of over ice.


Also Helpful

Below are a couple more easy-to-do tips that can help your digestion, leaving you and your stomach much happier.

  1. The supplement Gut Soothe (by EuroPharma) contains probiotics and DGL licorice, both of which can help promote a happy healthy stomach. Give it a month to see the full effect.
  2. If your stomach continues to remind you that it's there, consider Advanced Heartburn Rescue (also by EuroPharma in the Terry Naturally line), which contains limonene from orange peels. This will help you maintain a healthy level of bacteria in your stomach.






Used with permission from Dr Jacob Teitelbaum's free newsletters-available at



Learn more from Dr. Teitelbaum's books:



From Fatigued To Fantastic


From Fatigued to Fantastic!: A Proven Program to Regain Vibrant Health, Based on a New Scientific Study Showing Effective Treatment for Chronic Fatigue and Fibromyalgia

Buy from

Buy From Your Health: Healthy Digestion in the Stomach and Upper Small Intestine

Pain Free 1-2-3


Pain Free 1-2-3: A Proven Program for Eliminating Chronic Pain Now!

Buy from

Buy From Your Health: Healthy Digestion in the Stomach and Upper Small Intestine

Real Cause, Real Cure


Real Cause, Real Cure: The 9 Root Causes of the Most Common Health Problems and How to Solve Them

Buy from

Buy From Your Health: Healthy Digestion in the Stomach and Upper Small Intestine




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