Dropping Acid: The Reflux Diet Cookbook & Cure | Blog

This blog is a companion to Dropping Acid and it allows us to continually publish new material.

Q & A: Readers’ Questions & Comments



  1. I have been on your reflux diet for several months with excellent results. I’ve dropped over 22 pounds, feel energized, am sleeping better, have minimal reflux symptoms, AND I’m enjoying the recipes and scientific explanation for my disease(LPR). My “new favorite” recipe is the “Asian Pork Stir-Fry” made with chicken. This week I’m going to prepare your ‘Asian-Style Shrimp with Jasmine Rice’!

    My question concerns the use of two foods not mentioned in your book: All Natural roasted carob powder by Chatfield’s and Naked’s coconut water. I have this very tasty carob mousse recipe (silken firm tofu, carob powder, coconut water, vanilla, honey), and am wondering if I can eat this on the reflux diet.

    This book has really changed my life. Much gratitude to the team of folks who have worked so hard to put this info out.


  2. First, thank you for your work. I would like an answer with regards to my Vitamin C supplement. Is it okay to take or not?

  3. I hope you continue to use this blog/website to measure the pH values of both raw and commercial foods and drinks, and list the results here. Are lean cuts of pork and lamb acceptable? You are positive about chicken, turkey and fish.

  4. Question: Can buckwheat (kasha) be used on the Induction Reflux Diet? Thanks for the book and your work in this area. –Sol

  5. I am a vegetarian in the UK and eat Quorn products. Are they okay?

  6. I am on the Induction Reflux Diet and want to know if I can eat sauerkraut, beets (red, yellow, fresh), Matzah, and Jello?

  7. Love the book! Starting the 2 week detox today– I have the salmon dish on deck for tonight. Quick question: what is your take on low-acid Tropicana OJ? Any idea as to the pH level? Is it considered ok for the Induction Reflux Diet or should I wait a few weeks? Thanks for writing this book. It has already made a difference in the way I understand reflux.

  8. What about peanut butter? Full of protein, healthy non-animal fat? Almond butter?

  9. We can’t answer this question completely but we can tell you that Naked’s Coconut Water has a pH of 5.0 and compared to chocolate, carob has significantly lower levels of theobromine, the stimulate that causes reflux problems. What’s interesting about coconut water is not all coconut waters are the same. If acids are not added as ingredients, we believe coconut water will be okay. If acids are added, stear clear. We tested VitaCoco’s Coconut Water Passion Fruit flavor at pH 3.4.

  10. Lean cuts of pork and lamb? They are not okay on the Induction Reflux Diet, but they are okay during maintenance. Skinless poultry and fish should be your staple meats. They have lower fat content. Lamb and duck and other low-fat meats are acceptable for refluxers but not on the Induction Reflux Diet and not with rich fat-laden sauces. Portion control is also important. More than 8 ounces of meet is excessive. Some Americans think eating a pound of meat is a good thing–well it isn’t.

  11. We haven’t tested Quorn products, but from looking at their nutrition label we found that a lot of Quorn products have high fat content (between 25-60%), which is probably not good for reflux.

  12. First, the Induction Reflux Diet is the Induction Reflux Diet. We will update it in the future; however, there is no reason to look for occasional foods here or there, which may or may not be your favorite, because most such foods are not okay on the Induction Reflux Diet. Sauerkraut, Jello, and canned and bottle beets are acidic. Matzah and cooked beets are probably okay. Nevertheless, this is a bit of tough love, but the truth is a lot of patients who have committed to the Induction Reflux Diet without cheating have seen dramatic changes. So, in short, our advise is to religiously commit to the Induction Reflux Diet. The results are worth it.

    Understand that things like sauerkraut, which is cabbage that is fermented by various lactic acid bacteria, are acidic even not canned. Pickled and canned beets are acidified by preservatives for shelf-life. For JELLO, the story is on the label. The basic ingredients are, “Sugar, Gelatin, Adipic Acid (for Tartness), Less than 2% of Artificial Flavor, Disodium Phosphate and Sodium Citrate (Control Acidity), Fumaric Acid (for Tartness).” Anyone with reflux needs to get used to this level of label scrutinizing. Start looking for acids. Here we have two culprits, and it was not a surprise that when we pH tested pre-packaged JELLOs the pH was 3.7 or less. For boxed, dry JELLO, the ingredients are the same so we do not expect a difference.

  13. We tested low-acid Tropicana orange juice, and it is pH 4.0. It may be less acidic than other brands on the market, but it is not okay for refluxers. Regular Tropicana orange juice is pH 3.8.

  14. Most nuts are high in fat and not acceptable on the reflux diet. Likewise, nut-based products like peanut butter and almond butter are too high in fat. Trader Joe’s brand of almond butter has 18 grams of fat per serving and 190 calories, 150 of which are fat calories. Peanut butter is a similar story. Neither product is appropriate for refluxers.

  15. I thought I would buy some bottled aloe vera juice since I don’t own a plant, but buyer beware. I got home, drank some, and the fire began. I spun the bottle around to find out that it contains citric acid. I must get better about reading the labels before I make the purchase. I am now in search of an aloe plant.

  16. I’m a professional singer with LPR and have just found your book which makes more sense than anything I have read so far. Thank you! I’m looking forward to sharing it with my ENT. I’m a little confused as to which onions you list as “green” in the food lists (Onion-white). Later on in the list it is shown as a “red” food if sauteed. Does this mean that I might be able to safely use white onions raw or cooked other ways? Also, what about scallions and shallots? Are these more idiosyncratic foods that I will have to figure out by trial and error?

  17. I heard Dr. Jamie Koufman on XM Doctor radio and immediately knew this was my problem. I am a 65 year old woman and have had silent acid reflux (LPR) for 2 years. I have been to an ENT and a GI. I’ve had a upper GI endoscopy which showed chronic gastritis and a small hiatus hernia. I was diagnosed with Gerd and given a prescription for nexium. It did nothing for me even when I was taking it twice a day. I have tried all of the PPI’s available with no results. The ENT told me there was nothing more he could do. Of course this really upset me as my Dad died at 63 from esophageal cancer.

    I have been on the Induction Reflux diet for 10 days. I have been really strict and have lost 3 pounds already. I would not mind loosing maybe 5 more but I am small and in shape so that would be my limit. To date I have seen no change but I’m continuing with a positive attitude. I did go off the nexium and I’m wondering if I should have continued on it. Please advise. Thanks.

  18. One cup of coffee is OK on the induction diet. However, what about decaf coffee and tea. Is it the caffeine or other substances that cause the problem?

  19. In truth, caffeine is a problem for reflux and so is “the other substances” in many cases, including herbals. Red Zinger, for example, seems to cause reflux. For the Induction Reflux Diet, one cup of coffee (decaf or regular) or one cup of tea with caffeine (including the white, green, and black teas) PER DAY. During The Induction Reflux Diet, the only other more-than-one-cup-a-day tea that is okay during induction is chamomile. Even chamomile is a trigger for some people.

  20. Greetings. I am thankful to have in my arsenal such a book that explains my disease in such detail (LPR) that is. I was wondering about the Aloe Vera. I recently bought some Aloe Vera drink that says it’s a “stomach formula” that supposedly balances your PH. But if it contains, citric acid, should I stay away from it? And do they make a juice with no citric acid? I am a professianal singer who’s career is on the line. I have been on the Induction Diet for about a month. It may be that I’ve done permanent damage to my vocal cords. Thank you for writing this book!

  21. We agree. Aloe vera drinks are being heralded as a way to stay healthy and young, but we’re finding they are packed full of citric and ascorbic acid. We tested Fremo’s Aloe Vera drink at pH 3.5 and haven’t found one drink that doesn’t have either acid on the label! This is another addition to our list of specialty “health” drinks that are unsuspectingly loaded with acids. Our advice: read the label carefully and avoid the acids. If you’re going to control your reflux and watch the food you eat, you are going to have to learn to carefully read labels. Unfortunately, food manufacturers don’t want you to know about their additives. Here’s a partial list of things to watch out: ascorbic acid, adipic acid, citric acid, Vitamin C enhanced, and 100% Vitamin C.

  22. Presumably, you are taking the supplement as a pill, and its contents will be intact until they reach the stomach. Thus, the supplement’s contents shouldn’t be a problem. Still, we are recommending you take the supplement with banana, milk, or a high pH yogurt to help protect for pH balancing.

  23. We tested Buckwheat (kasha), and it’s pH is 6.0. This is great for the Induction Reflux Diet. We recommend making sure the product you’re buying doesn’t have any additives and wish you luck!

  24. Hi. My question is if I am on medication and have no signs of reflux how do I know what food may still be causing me problems. I have silent reflux, am on Nexium, and seem to be fine.

  25. I know bread is O.K. on the Reflux Induction Diet, and I’m only eating whole grain bread, but how about crackers? Specifically Kashi TLC Original 7 Grain and Triscuit Thin Crisps original. I read both ingredients on the packaging and they look just like the breads. In fact, the Triscuits only ingredients are whole-grain soft white winter wheat, soybean oil and salt.

  26. Title 21. The way canned and bottled foods and drinks are preserved in America is by acidification. The two most common substances used are citric acid and ascorbic acid (“Vitamin C”). Sometimes products will say “Vitamin C enhanced” to try to make you believe they are doing something good for your health. This is just another term for acidification in truth. If you have reflux and you want to be on a low acid diet, you have to read the labels and/or buy a pH meter. Most of the aloe vera drinks, beverages, and liquids are acidified; some are not. Generally speaking, “reflux laryngitis” or “acid laryngitis” does not produce permanent damage. The Reflux Induction Diet is always a good starting point. See pages 46-47 of the book.

  27. We’re taking a hard-line here, because we can’t measure every food, and we don’t know the exact ingredient ratio to each of the products you ask about. Our best guess is that both products are okay, but the Reflux Induction Diet is only 2 weeks. We recommend just following it as is.

  28. First of all, some people do get a great response from medication, so it is difficult to know what are trigger foods while on medication; however, we are still betting that you are not eating late and that you are avoiding fried foods, chocolate, carbonated beverages, and citrus. Finally, it may be a year or two, or even after you are off medication, before you know which are your specific trigger foods.

    There is a lot of variation in terms of what’s problematic in different individuals. Just recently, I have encountered two patients for whom oatmeal was a trigger food for reflux and two additional patients for whom bananas didn’t work out. Since oatmeal and bananas are foods we generally recommend for reflux, this only serves to point out that their is tremendous individual variation for trigger foods and refluxers. Inevitably, you may have to take a more scientific approach, including trial and error, after your medicine has been discontinued. And by the way, most reflux medicines need to be tapered by a doctor, and not stopped “cold turkey.”

  29. Generally, one should come off proton pump inhibitors (PIs) like Nexium slowly, that is, they should be tapered — because there is a rebound hypersecretion of acid with abrupt PPI discontinuance. That may be what happened to you. But now that you are off the medicine, as long as you are continuing to improve going forward you may be okay. About two-thirds of refluxers can manage on The Reflux Diet without medication, but that leaves many who need medical treatment period. In truth you should consult your doctor as we don’t really know your situation enough to make any blanket recommendation(s).

  30. I’m a professional singer with LPR and have just found your book which makes more sense than anything I have read so far. Thank you! I’m looking forward to sharing it with my ENT. I’m a little confused as to which onions you list as “green” in the food lists (Onion-white). Later on in the list it is shown as a “red” food if sauteed. Does this mean that I might be able to safely use white onions raw or cooked other ways? Also, what about scallions and shallots? Are these more idiosyncratic foods that I will have to figure out by trial and error?

  31. Onions are one of the big trigger foods for people who have reflux, but they are not a trigger food for everyone. The medical term for this is “idiosyncratic.” To make matters worse, some people can eat cooked onions but not raw onions, some people can eat raw onions but not cooked onions, and for some people, different types of onions trigger reflux, e.g. red, white, or yellow onions, shallots, or green onions.

    Onions that are sauteed in fat are certainly more likely to cause reflux. For most people with reflux, we do not recommend eating onions. It is possible, however, that you could be one of the people who tolerate onions just fine.

  32. This cookbook is amazing! I feel like substantive diet information has always been a Holy Grail for refluxers. Until now. What a great resource!

    My question centers around the Reflux Induction Diet and some holiday-themed foods. Specifically, I was wondering whether or not the following list is okay, and the reasons why or why not:

    -(dried) apricot
    -(dried) fig
    -(dried) dates

    Thank you so much for your guidance and continued help!

  33. My question is about adding flax seed (ground) to my foods for added fiber. Is that okay? Thank you, Lynn

  34. I just finished your book. I see no mention of the use of cinnamon. Is cinnamon pH OK for us with reflux?

  35. I also make a dressing for salads with canola oil, dijon mustard and balsamic vinegar. Is it too acidic? It is the only dressing I use on my daily salads.

  36. Thank you so much for all your wonderful insight and information. I have your book and am in day six of the induction diet. I think I have followed everything. My stomach ache of two months has disappeared. A symptom I am noticing is the acid taste in my mouth. It is very distinct. Is that common?

  37. Wonderful, wonderful cookbook. Before I ran into it, I thought I was condemned to a lifetime of rabbit food, which isn’t at all good for a gourmet.

    My question is, what about wheatgrass? I’ve read enthusiastic wheatgrass drinkers claim on the internet that it helps reflux (among other things), and it’s also been recommended to me, but then I’m also aware that the stuff contains abscisic acid.

    I’m just a bit skeptical, despite its (or maybe even because of its) being presented as a cure-all.

  38. I just finished reading through your book and have a few questions: (1) I notice that you say that ginger “in moderation” is a great food for people with reflux. Why the qualifier? And what amount would you say is “moderate”? I usually drink a cup of hot water with several slices of ginger in it before meals. (2) What is your opinion Smart Balance or other butter substitutes? (3) Several of the recipes call for chicken stock or vegetable stock. Are canned/boxed stocks acceptable, or do they need to be homemade? Thanks again!

  39. LPR has ruined my life. I used to sing before this. Now I can barely speak. I avoid all the typical “trigger foods” but still nothing. I wonder, is it ok to eat bread, noodles/pasta (without sauce) chicken and rice? That’s basically all I eat. I’m from Chile (South America) and doctors here don’t seem to know anything about LPR. I’m scared. I really don’t know what to do…

  40. I have a very sore throat from my reflux, and am beginning to follow the Reflux Induction Diet. Are there any throat lozenges that are acceptable on the Reflux Induction Diet? Is Organic Throat Coat Tea (caffeine free) an option? Any suggestions for managing the sore throat and still following the Reflux Induction Diet?

  41. Are IBS and Silent Reflux related? I seem to have both!

  42. What is the acidity of soy sauce? Is it an acceptable condiment to cook with? Thanks!

  43. Thanks to my ENT doctor for urging me to get this book! I am 59 and believe I have had reflux my whole life, but I never knew it. I started the Induction Reflux Diet yesterday and have a question concerning beans. Can I use canned beans? After your impassioned presentation that most all canned goods sold in the US are acidic, I’m not sure.

  44. Are garlic and onion powder okay to use when preparing my dishes during the Induction Reflux Diet … in the 1st couple of weeks?

  45. We don’t want to expand the induction diet to include things we aren’t sure about. Remember, our Induction Reflux Diet evolved over a period of three years. We used to include a few red apples, for example, but some of our patients had problems with them. So we took them out. In truth those ingredients in small quantities probably don’t cause reflux, but by the book … the answer is NO.

  46. We didnt test a lot of canned beans, but the canned red and navy beans we tested were okay, that is, above pH5.

  47. Good question. I don’t know the answer for sure. Both conditions are common, so surely some people should have both. But that said, there may be a relationship with the vagus nerves being the glue that binds most of the aerodigestive tract together. I know, for example, that some patients with reflux-related cough note that the cough (particularly after meals) seems to stop after they pass gas. We also know that some medications for reflux, such as domperidone, also improve IBS. Dr. Koufman

  48. Acid taste in the mouth may be due to reflux or it may be due to abnormalities in the smell and taste systems. If it is worse in the morning after you awake or after meals, it may more likely be reflux. It is a relatively uncommon symptom. Please let us know what happens with this symptom in your case over time.

  49. In moderation cinnamon is okay. I don’t think that I’d push it as a daily food item. Dr. K

  50. As long as you are not on the Induction Reflux Diet and as long as you use small amounts … and toss the salad so that there is no excess dressing n the bottom of the bowl, it is probably acceptable (even though it is an acidic salad dressing). In this case, it is the amount that matters most … less than a tablespoon is probably okay.

  51. Yes, that is okay.

  52. Are the following spices acceptable? Cumin, paprika, and turmeric. Also, have you tested the pH of Kefir?

  53. Two questions: (1) Can one take digestive enzymes while being treated for LPR (taking Prilosec and on Induction Diet)? (2) Can constipation exacerbate reflux?

  54. I’ve read that lemon is acidic but becomes alkaline in the body. I have reflux and am drinking lemon water on an empty stomach in the morning. It feels very good and no reflux effects are present as far as I can tell. Am I just increasing my reflux risk? Thanks.

  55. Do you maintain a list of “safe” foods which you update as you continue testing? If so, can you direct me to this list? Thanks for all your effort.

  56. Greetings from Finland and thank you for a great book. I have high hopes in the diet! You don’t mention anything about a approximate timespan for the cure in the book. I got an LPR diagnosis 2 weeks ago, but I have been suffering of classical LPR symptoms for approximately 2 years. I have been on the Reflux Induction Diet for 1 week and don’t feel any change yet. I guess it might take a longer time in my case to recognize an improvement due to the diet than say for a person who have had the same symptoms for a shorter time? Can it takes week/months before I notice any changes?

  57. I just started the induction diet two days ago and am currently on 20 mg. of Prilosec a day. Is there a specific dangerous ingredient I should look out for in canned beans? (I’m using Eden organic unsalted red, black and aduki beans.) Also, is there a point at which I could reintroduce raw, unsalted almond butter into my diet? Thank you!

  58. Try Herbal Aloe Force. It does not contain citric acid, and it’s the only aloe juice that I can tolerate. It has helped me tremendously whereas the other brands only made me worse.


  59. I was diagnosed with lpr. I also have celiac disease so I have to avoid gluten.
    Is quinoa acceptable for the induction reflux diet?

  60. We generally try not to alter the Reflux Induction Diet; however, in your case we think that quinoa is fine.

  61. Yes, “good reflux foods and beverages” are not always good if they are acidified. Avoid anything with “citric acid,” “ascorbic acid,” or that is “vitamin C enhanced.”

  62. There is no problem with any of those beans or items. Prilosec won’t react or anything unusual.

  63. (1) PubMed is the definitive on-line search for all peer-reviewed medical/scientific articles had it had nada, zilch, bubkis on digestive enzymes for reflux. In addition, we could find no substantive data on the Internet. There is hardly any anecdotal info. While enzymes might be an excellent new adjunctive reflux treatment some day, at this point all there is not much evidence to support their use. Personally, I would stay away from them. (2) Constipation and reflux are rarely related, but they can be. Some medications for reflux can cause constipation. We do not, however, think that constipation (“a big GI back-up”) can cause reflux. Dr. J. Koufman

  64. The spices are fine. We have not tested Kefir, so we do not know.

  65. Stay away from lemon if you have reflux. We do not know why you feel better, but in our experience with our patients lemon of all kinds exacerbates reflux.

  66. New questions about many foods come in daily, and we answer questions the best we can as we go. Look through this blog, many common questiones are answered here.

  67. We only measured Lee Kum Kee soy sauce, which is provided in little packets with sushi in our local supermarket. It’s pH was 4.3, which is fine as an ingredient. It is also fine on sushi. Remember only a little is used and the fish and the rice are not acidic at all. Bottom line, soy sauce is okay.

  68. Your diet is fine, but the problem may be bigger. I asume that you are seeing ENT doctors? LPR can ruin a voice, but many people who have voice problems also have vocal fold bowing from atrophy, aging, or even paresis (partial paralysis). Voice disorders often have more than one cause. Here’s a differentiating couple of points. Voice worse in the morning, usually due to reflux. Voice worse after meals, usually due to reflux. If however, the voice gets worse at the end of the day when you are talking in a noisy environment or just with prolonged voice use, then the problem is probably not just reflux. Surely you can find a physician who understands LPR. Maybe you should bring your doctor a copy of Dropping Acid: The Reflux Diet Cookbook & Cure. Have her or him read the “Science” chapter first!

  69. I just bought your book and am confused about avocados. On page 63 it is a red food due to high fat, but on pg 188 it is a green food. It would be helpful if you could clarify since I have been eating 1-2 avocados per week. Thank you.

  70. Well, you should be confused about avocados, because (as you figured out) we were when we wrote the book. The page 63 red avocado and the page 188 green avocado is the only actual mistake we’ve found so far in our book. The “mistake” stems from our uncertainty about the reflux effects of the avocado. Here’s the issue. The avocado is a high-fat food (albeit relatively healthy fat), and we generally steer away from high-fat foods. However, in our clinical experience, patients have not identified avocado as a trigger food for reflux. So, let’s settle this issue here and now: Avocado is probably okay on the Maintenance Reflux Diet in moderation, that is, 1-2 per week. Funny how things work out sometimes, isn’t it?

  71. “Very sore throat” is not a typical symptom of acid reflux alone. If the sore throat is worse in the morning and after meals and is associated with other symptoms such as hoarseness, throat-clearing, cough, globus (lump-in-the-throat feeling), then reflux may indeed be its cause. Still, in addition to the Induction Reflux Diet you should probably see an otolaryngologist (ear, nose and throat) doctor. If throat pain is your primary symptom by itself, and especially if speaking makes your throat hurt — a symptom called “odynophonia,” a term coined by Dr. Koufman 30 years ago — then there may be something more going on, and you MUST see a doctor. (Odynophonia is often associated with something called “neurogenic pain,” “sick nerve syndrome.”) To directly answer your questions. If it is just reflux, it should get better in a few weeks assuming that you are not eating late at night and still having have nighttime reflux. Your question, as you can see, is not easily answered, so we conclude you should see a doctor. Finally, for reasons that are not clear, “Throat Coat Tea” is BAD for reflux in many people and we recommend that you avoid it. Lozenges aren’t the answer either … fixing the underlying cause is. The best we can recommend is drinking warm Chamomile tea.

  72. Why does the chart in your book (which I just read) differ so much from other pH charts on the web? They all seem to be radically different?

  73. One of the biggest problems with getting information, particularly medical and scientific information, from the web is that sources are often unidentified and/or unreliable and the methodology of data collection unspecified. The answer to your question is that our pH measurements are accurate! To the extent that they vary from those posted by others on the web, there are two explanations. First, many of the previously web-posted measurements are inaccurate, just wrong, period. (That’s one of the reasons that we did our own pH measurements with reliable equipment.) Second, the pH of many foods and beverages vary by age, ripeness, and (most of all) by brand. For example, many brands of store-bought aloe vera have acid added, a few do not. In conclusion, trust that our measurements are accurate.

  74. What about almond butter and almond milk? Okay for the induction and/or maintenance diet?

  75. I know that beans and lentils are listed as best foods in the induction diet, but are split peas therefore okay for the Induction Reflux Diet?

  76. Are the cookbook recipes allowed during the Induction Reflux Diet? On page 45 you say that they are. Or is the two-week Induction Reflux Diet strictly limited to those foods listed on pages 46 and 47?

  77. We intend for the Induction Reflux Diet to allow/include the 75 recipes in the book, because they are all pH balanced and they employ few trigger foods. However, the ingredients can not be pulled out of those recipes and then used in other recipes that you devise. And honestly, for our patients with severe reflux disease, particularly those who are failing medical treatment, we usually recommend just the foods on the list (pp46-7) for the first two weeks.

  78. All of the green veggies are okay, except for peppers (green, jalapeno, etc.)

  79. Nope. These are high fat … not for the reflux diet at all.

  80. Hi, a couple of questions: (1) For whole wheat bread, how strict do we have to be about it – are there any ingredients on the package we should know to avoid? (2) is it necessary to avoid white bread? (3) Is it okay to chew gum? Thanks for your help. Very excited about trying some of the recipes.

  81. Bread is good for reflux, there is hardly any bad bread. As for gum chewing? It is actually a good thing to do, particularly for people who have symptoms after meals; see scientific article on the effects of gum chewing on reflux.

  82. Another question, whenever i get sick, I like to drink gatorade to replenish electrolytes, etc. I know now from your book that that is a no-no. My doctor suggested Pedialyte, but I cannot find any information about its pH level. Do you have any thoughts?

  83. Is Kale ok on the Induction Reflux Diet?

  84. I just wanted to let you know, that I have been following the induction diet strictly for 9 days now, and most of the symptoms I have been complaining about are either totally gone, or almost gone. With the exception of being slightly hoarse in the mornings (substantially less so than I was a week ago), I honestly almost feel 100%. My throat no longer burns, I no longer feel like I have bubbles coming up my chest, my post nasal drip and throat clearing has decreased dramatically. I hope my recovery continues, but I really think I have your diet to thank as I am not on any reflux medication right now. I hope others get the same relief that I am experiencing!

    I have also made my way through a number of your recipes, and they are delicious, and have made this dieting experience more bearable!

  85. I’m starting the Induction Diet. I have been drinking Ginger Tea from tea bags sold by Traditional Medicianls. May I continue?

  86. I’ve read that honey when cooked becomes acidic. Should we only eat raw honey during the induction diet? Also, what about honey that is cooked as an ingredient in whole-spelt bread?

  87. Are Rooibos and
    Honeybush herbal teas ok?

  88. I had heard that gum chewing was good, but are there certain flavors that are better than others? I have read that “mint” is not good for refluxers.

  89. Hi! I’m really getting a lot of relief from this cookbook, but wonder if there is a more comprehensive food list somewhere?

  90. I love the cookbook and agree with the comment that “it’s talking right to me!” Thank you. Now for the question. I have silent (throat) reflux. I love almonds: raw and toasted. Are they high/low acidity? (So much conflicting info on the internet …). I’ve also been putting a few drops of almond extract in hot water as a tea/coffee substitute. It tastes great but … I want to know if it’s OK. Thanks for any info.

  91. How about using Cinnamon to add flavor to foods?

  92. Cinnamon is fine …. usually. It is, however a trigger food for some people.

  93. For those on the maintenance diet, what is your opinion on low-fat ice cream, frozen yogurt, and instant pudding?

  94. I am just getting started on Induction Reflux Diet. Could you clarify the Vinaigrette that is listed? Thanks so much!

  95. Is it okay to add berries to a green smoothie? I was wondering if the spinach or other greens that are in the smoothie, made with rice or soy milk and 1/2 of a banana, would balance out the acid of blueberries and/or strawberries?

  96. Can you recommend a pH meter for testing foods at home? Thanks!

  97. Testing foods and beverages does require some skill and experience, but you can do it if you follow the directions. We like the MiniLab’s Model IQ128 Elite pH Meter with Silicone Chip Sensor, which sells online for about $200. We’ve had ours for over two years, and it continues to work well. It’s small, easy to calibrate, gives fast and accurate measurements, and is easy to clean. A less expensive, but still adequate pH meter is HM’s Digital Waterproof pH Meter available from Amazon for $79.95. Slightly bulkier, it requires more maintenance. Its sensor must be kept moist in its cap otherwise it is necessary to re-calibrate the meter before use, but it’s made of durable waterproof plastic.

  98. You are clever to realize that you can take advantage of pH balancing when making smoothies. Your recipe is probably okay, but we would recommend a base that is even more non-acid, perhaps use a whole banana, a cup (rice, soy, or other low-fat) of milk, and some crushed ice. Then, add your greens and (acidic) berries; and voila, even without measuring the pH, we think that you are probably just fine.

  99. Yes.

  100. At the moment, no. We are releasing a larger list but testing foods as needed.

  101. We have not tested wheatgrass drink. If there are no acids added, we suspect it will be fine for most people; however, if there are acids added, stay away.

  102. For almonds, it isn’t a question of acidity but of fat. Almonds are a fatty nut and cannot be eaten on The Reflux Diet. Almond extract in moderation should be fine.

  103. Hi, I’m enjoying reading your book and finding it very helpful. Of course, all the foods I love are the ones I should be avoiding :-(
    I am British and enjoy drinking alot of tea, 2 cups of black tea in a morning and rooibos tea throughout the day. Is rooibos ok to drink?

  104. I bought the book. I have finally put the pieces together and understand what has been plaguing me for such a long time and what experts could not give me real answers on. Thank you. Trying to get my refrigerator ready so I can start the induction diet. Already, with a few changes, I am feeling a difference. Curious about grapes on the maintenance diet….. What ph are red grapes???
    Thank you,

  105. I’m about to start the Induction Reflux Diet. What are your thoughts on Hellman’s Low Fat Mayonnaise, Hormel’s Canned Chicken Breast, and Hebrew National’s Lean Beef Salami? I remember a comment about beef, but I can’t remember if it has something to do with the fat content. This product is low fat.

  106. Yes. Unflavored Pedialyte is okay.

  107. Yes. Kale is okay.

  108. Yes. Rooibos is okay to drink. See our drinks blog for more information.

  109. Hi, I just go the book yesterday and started the induction phase today as the ‘silent reflux’ is very disruptive. I find I’m leaning towards the carbs and this is making me feel sluggish but I’m confused about salads. I read that cucumbers are no good for reflux, I can’t have tomatoes or peppers, so what can I put in a simple salad besides lettuce? Are all the other veggies okay? And what about eggplant? Thanks for this great forum. I hope you know how much it is appreciated. I have high hopes for this diet and getting my voice back.

  110. Would quinoa be acceptable on the Induction Diet?

  111. I have just been diagnosed with gastritis, GERD, esophagitis, and LPR. I read a book Heartburn Cured that says carb-reduction is the way to cure GERD. Have you heard of this? Eating less carbs (even from fruits and veggies) to cure reflux disease? I have been doing this and am starving. I weigh 102 lbs. and can’t lose more weight. Only eating protein and few veggies. I am 36 and formerly healthy. Please respond. Thank you.

  112. Is it ok to eat low-fat/fat-free frozen yogurt from places like Tasti D-lite or Pinkberry?Obviously avoiding the acidic fruits, chocolate and caffeine.

  113. Is soymilk a low acidic food?

  114. I have a question regarding ginger and breakfast. The ginger people make crystallized ginger chips. Ingredients are baby ginger and cane sugar. Would this be OK during induction diet? Is sugar or cane sugar OK? Also what type of breakfast cereals OK? OH’s, Cheerios, Honey Bunches of Oats, Corn flakes?
    So far I have had mixed results with the diet. I have lost 10 pounds and it is something of concern to me. It seems I may have problems with bananas, melon and too much oatmeal.

    Thank you.

  115. I know you have stated that almonds are very high in fat and you said that almond milk is also too high fat, but almond milk is only 2.5g per cup. is that really too much fat?

  116. I have been doing the diet and something is still not right. Trying to do lowfat, but I weigh 100 lbs and must gain weight. How do I gain weight without fats and sugars?

  117. Hi. I love your book. Thanks for finally giving me answers I’ve been looking for for ten years. Are cucumbers ok on the reflux diet? They are not on the induction list, but what about maintenance?

  118. Please explain “pH balancing”; is this done only between ingredients in recipes, or can it be done between menu items of a single meal?

  119. Hi-

    I have a question regarding maintaining weight on this diet. I am fairly athletic and workout 3-4 times a week. I am worried about not intaking enough calories while I am on this diet. I have completed half of the induction diet and have noticed weight loss already, I am just trying to figure out how to maintain my old lifestyle with my new diet.


  120. Hi, I am a professional singer and I also have LPR. Unfortunately, it seems to be quite severe. I tried to adhere to my own version of a strict no-acid diet for a couple weeks before a recent concert and ever since, almost everything I eat bothers me. I constantly feel like I need to clear my throat and my voice therapist also hears some fuzziness in my singing. I am starting the Induction diet to see if it makes a difference.
    My question is: I drink warm prune juice every morning for digestive purposes. Once I am in the Maintenance phase, is it ok to continue drinking it (6-8 oz.)?
    Thanks for the book.

  121. Do you have any comments on the value of taking supplemental digestive enzymes.

  122. I don’t have reflux but my stomach is making to much acid which if causing a lot of nausea. Almost all my trigger foods are high acidic foods. Would this cookbook help my condition? Thank you

  123. Hi, Great book. Have started the introduction diet. My main symtom is someting stuck in my throat. On medication as well from my doctor. Is there a approxomate timescale for that sesation to clear. Many Thanks

  124. Hi, I was wondering what your thoughts were on using a dilution of honey and apple cider vinegar for reflux? Is there truth to it helping? Thanks

  125. Hi, Great book. Have started the introduction diet. My main symptom is something stuck in my throat. On medication, as well from my doctor. PPI’s
    Is there a approximate timescale for that sensation to clear. Many Thanks

  126. When i look at the back of the nutrition label of some breads, some of them have acid in them. Should they be avoided?

  127. Is it good to have 1 tsp Apple Cider vinegar with 1 tsp honey each morning for acid reflux (Braggs all natural vinegar)? Thank you.

  128. My 6yrs old son has acid reflux and since being on your induction diet, his stomach/chest/throat pains have subsided greatly. Thank you so much for your book! Being that he is a child, i was wondering on the maintenance diet, what about white sugar in cooking and baking? is that allowed? what about non-tart non-chocolate candy? i don’t see it addressed in your book.

  129. I think I eat very healthy but yet I suffer from GERD. I am currently dealing with a flareup and couldn’t figure out why since I thought I was eating all the right foods. After reading your book, I am anxious to try your Reflux Diet as some of the food that you say are “bad” for reflux, I have been eating a lot of lately since it is the season for them such as strawberries, cherries, grapes, blueberries, and kiwi. I also was surprised that apples ( I eat Braeburn), walnuts, pumpkin seeds and avocados are culprits as well, as I eat a lot of them, too. Wish me luck as I begin the Induction Reflux Diet as I do not want to lose any weight. In fact, do you have any suggestions so that I will not lose weight?

  130. Your books is so helpful, but nowhere can I find anything about cottage cheese–can I use lowfat organic?

  131. Thank you for the cookbook. My husband is enjoying food again and has stopped losing weight too fast. He is getting some relief from the reflux gradually. The recipes are amazing. We love the Asian chicken salad but we discovered that cucumbers and cabbage are trigger foods for him, so we are making it with Romaine lettuce instead. Your chicken soup is heavenly. Thank you, thank you, thank you. Next we plan to try the tofu and vegetable stew.

  132. I am gluten intolerant and am wondering about common gluten-free substitutions for wheat, rye and barley. Here’s my list of ingredients that haven’t been metioned yet. Can I eat these?Sorghum, tapioca, garbanzo flour, fava flour, corn meal and corn flour and millet. Thanks so much!

  133. Hi,
    thanks for the book and the ton of advice! Is fat free Mozzarella (or any other) bad for the reflux diet? Is cheese aside from fatty also acidic?

  134. I’ve recently discovered coconut milk. Is it alright to drink during the induction two weeks?

  135. I have a ton of questions, and am ordering your book today. Thank you SO MUCH for your attention to a problem that has plagued me for almost 20 years. One question is dairy. Milk always gave me a nasal drip and “coated” my sinuses years ago, so i stopped drinking milk. Maybe your book will break this down. Also, bananas are okay, ONLY if it’s a small one. Anything more than 6 inches or so and i’ll be bloated! I don’t full know how i can stop eating after 8pm when i can’t possibly get home til almost 6 and then still go exercise and then still have to prepare dinner. I’ll cross that bridge when i come to it. I imagine most ppl’s problems are commuting, it’s almost impossible to stop eating 3 hours before bed if you commute and have a million things to do when you get home. :(((

  136. Great question Jared! I can only have Gatorade at the beach, i don’t get hydration from water and just end up bloated during the day and def after as i try to replenish. Now i know that Pedialyte helps, WOW. Thanks Dr. and thanks Jared.

  137. I usually put Swiss Miss in my 1 cup of morning coffee. May i substitute carob powder during the Induction Phase?

  138. I just ordered the book. Can’t wait to try out the recipes. I have been suffering with GERD for many years and taking Aciphex, but still having problems. I am told by family and friends I should take Betaine Hydrochlric Acid. I am told as we age we loose it and therefore have reflux disease. Have you heard of this?

  139. Is it okay to take fish oil even though it contains lemon? I have not found fish oil that does not contain lemon.

  140. What about ice cream? I didn’t see it listed anywhere in the book.

  141. What about lemongrass? Is that good?

  142. I noticed that Herbal AloeForce is being recommended. Their “pure” aloe vera juice contains sodium benzoate, which I thought was bad for reflux sufferers?

  143. Can you eat the great super grain Quinoa?

  144. I am using one pure Aloe that tastes horrid but I’ve found that if I put a capful of it in water and add honey, that I can get it down.

  145. Thank you for this writing the Dropping Acid cookbook and for the information on LPR. I was diagnosed 7 weeks ago and have already had dramatic improvement.

    As a vegetarian I eat a lot of grain and bean combinations to form complete proteins to include hummus on whole wheat pita, black beans and rice, lentils and rice and so on. Can you speak to best food practices for vegetarians who do not eat eggs to ensure a balanced diet in addition to ph balancing.

    Secondly, can you please let me know the ph for non-fat Greek yogurt
    (Fage brand for one).

    Thirdly, can you add the balanced ph value for the recipes in the next edition and/0r list them on the blog. This will be very helpful

    Many thanks again.

  146. Hello – I’m a competitive cyclist recently diagnosed with LPR and GERD. Upon my ENT’s advice I’ve purchased your cookbook and am learning a lot; many unanswered questions are now answered — THANK YOU!

    Cyclists may ride a bicycle for 3-5 hours at a time and because we’re in constant movement resort to sports drinks such as Cytomax, nutrition bars typically containing nuts and gels such as Power Gel. Now that I’m reading labels it’s becoming clear that many of these products contain citric acid and other preservatives, and reading that exercising without full digestion is contrary – yet not realistic in my sport. With that, several specific questions:

    1. Have you performed any research around sports drinks and nutrition in the context of using them in sport (as opposed to the average consumer who may think Gatorade is “healthier” to drink than soda”)? I switched my sports drink from Cytomax to Hammer Heed, as they advertise there is no citric acid to “burn your throat or stomach” but I still have no idea as to the PH of the drink.

    2. Can there be a link between ingesting drinks/foods/gels while under exercise and reflux in that the digestive system? And if so, any recommendations? (I would think constant consumption in small bits would be better than eating a whole bar at a time?).

    3. With regards to sports gel, I switched from Power Gel to a homemade mix containing 75% brown rice syrup with 25% fructose in the form of agave nectar, with a bit of salt for electrolytes. Can you estimate the PH of such a mix?

    Thank you!

  147. Hello, I was wondering,is dried fruit okay for refluxers such as raisins, dried crannberries, cherries, and papaya?

  148. Hi! We are getting ready to try the Induction Diet and see that sushi is listed. Does this mean that both white rice and soy sauce are okay in moderation during the two week period? Or shall we stick to sashimi?

    Thank you!

  149. I have been dealing with LPR for over 10 years. I am hoarse about 3 weeks out of a month. I will be having fundoplication surgery in Nov. 2011. Is it ok to eat Yoplait light flavored yogurt?

  150. My 80 year old dad is following your diet in order to alleviate his breathing issues. Can he put a small amount of diet mayonnaise on a chicken sandwich so that it isn’t quite so dry? (He has your book with him but cannot find the answer.) If not, what can you suggest to dab on the bread?

  151. My problems are PVVN, GERD and LPR. After working with your old associates at WFUBMC I am 50% improved. But, Dr. Wright nor Mr. Blalock can tell me why red grape juice, which contains citric acid and added Vitamin C, helps the inflamation in my throat. Should I keep drinking it? I tell you, it makes all the difference in my clarity and control! Thank you for your work which has given me hope.

  152. I would like to know if whey protein isolate (or a substitute like soy protein), can be taken in a shake after weightlifting on the maintenance diet? It could be mixed with oats, banana, and soy milk.

    I would also like to know what milk substitutes are acceptable for those who avoid dairy – is Soy milk the only option?

    Thank you so much!

  153. I don’t always have time to make my own chicken broth and sometimes resort to using the canned ones. Are there any preservatives that I should be aware of that might alter the Ph level? I typically use Swanson’s Chicken broth.

  154. Thank you so very much for all your hard work. I have been on the Reflux Induction diet for nearly 2 weeks and I have had very good results. I have your book, Dropping Acid…, but have not used any of the recipes, as of yet. I would, respectfully, request that another cookbook be made (Dropping Acid…#2??) utilizing easy, everyday recipes for busy people. A cookbook that would have more traditional recipes that the entire family would eat. Meals that could be made after a long day at work, school, etc., with classical versions of desserts such as cakes, pies, and cookies. I know, I am asking a lot. But, oh, I would certainly be the first to purchase this cookbook. Fancy meals are great, but as a wife and mother, I need more traditional foods to serve my family and still be low acid. Is one in the works? Thank you, again, for what you have done for me.

  155. are whey protein isolate or glutamine powder (glutamine is sometimes used for digestive issues as I understand it) ok on the maintenance diet?

  156. I’ve just been diagnosed with GERD and got your book from Amazon this week. Love it!!. Does the temperature of beverages/foods have any bearing on GERD? Some reflux websites state that eating/drinking anything cold or iced should be avoided because the stomach is temperature sensitive – when the temp of the food/drink is lower than body temperature everything will just sit in the stomach until it all gets warmed up to body temp., and the stomach can start working again…and that hot food/beverages speed up digestion. Any truth in any of this?

  157. Question: Would a Zantac 75 twice a day have a favorable affect when reducing acid or trying for a balanced ph.?

  158. Your recipes are great. I have many questions but will start with two. 1) is it a good idea to gargle with baking soda solution, and if so what are the proportions? 2) the induction diet appears to have virtually no protein. Seems to me this is important. What should one do about protein? Thank you

  159. I just bought your book and I really want to start the two week Induction Diet, but I’m a little confused. During the two week Induction Diet can you really eat any recipe that’s in the book? I ask because some of them seem to have things in them that aren’t on the “Best Foods” list? Thanks for you help

  160. I have had good results with the Induction phase of this diet, most noteably in my throat symptoms. The cough is GONE, and throat-clearing greatly reduced. How many grams of fat per day do you suggest for your maintenance diet?

  161. Hi. Your book is so enlightening. It is the answer to years of Dr. visits and mysterious symptoms.
    My question: does Valium make reflux worse? I take 10 mg./day. Would Xanax be a better choice for my anxiety? I’m concerned that the Valium might be relaxing the muscles and allowing for more reflux.
    Many thanks,

  162. Hi, in the UK there is a dairy free product called Kara Coconut Milk. I have been using it with water to make porridge in the morning. It’s ingredients are listed as : Filtered water, Coconut Milk 8.4%, Fruit extract concentrate, calcium phosphate, sucrose ester, sea salt and natural carotene. Per 100ml of milk there is 2.0g of medium chain fatty acids (which I know are important). However these are listed as Caprylic Acid(0.2g), Capric Acid(0.1g) and Lauric Acid(0.9g)!
    My question is, do you think that this would be ok for the maintenance reflux diet, or is it a no go area?

  163. Hi Dr. Kaufman, I just finished your wonderful book and am starting the plan this week. Thank you for writing the book and doing this ongoing Q&A which is super helpful. I have two questions:

    My ent found unilateral paresis (70% strength and bad relaxation) in addition to pain after a few minutes of vocalizing, so I believe there is some nerve damage either caused by or in addition to my reflux. Have you found paresis affected nerves heal with the reflux diet or is this particular type of nerve related damage always permanent?

    Second, do you find that the lower esophageal sphincter (or hiatal hernia) tightens up after the healing from the diet or will a loose LES always be loose?

  164. I am confused with use of ginger. Can marinated, (pickled) ginger from a Japanese restaurant be eaten during induction or after?

  165. When making your own Chicken Broth, is it ok to add a whole onion/garlic clove to enhance the flavor of the broth but take them out before adding veg/chicken?

  166. Thanks so much for your excellent book which I bought for my husband, a long-time refluxer.

    We’re vegans, and while sticking to the induction phase is no problem (it’s pretty easy to build a healthy diet around brown rice, bread, beans, tofu, and veggies for a couple of weeks), we’ll want to expand food choices as he moves into maintenance. I’m also a dietitian and would like to use the info in your book to help vegan clients who have reflux. I know you don’t currently have this information available, but it would be great to eventually have pH levels of foods that are common in vegetarian diets—tempeh, miso, veggie meats, veggie cheeses like Daiya brand, soy yogurt, coconut and almond milk, seitan (gluten) products, nutritional yeast. I know you can’t test every brand, but even a few choices would be helpful. If you ever decide to expand testing into these more “alternative” foods, I’d be happy to help identify the most common choices.

    Thanks again for both your book and this blog. Great resources.

  167. Hi,

    Can I have fat free or very lowfat cheese on the induction diet? I’d gladly forgo the fat from the allowed olive oil or vinagrette for lowfat cheese. What about soy chips (made only of soy protein and salt) and edamame? Fresh apricots?

    I’m a pediatrician with years of poorly treated severe LPR and GERD. I myself missed the boat, even with chronic nocturnal cough, postnasal drip, hoarseness. (My dentist actually made the call.) Lifestyle changes have been hard to make make with my schedule and 2 young children, but even with a decent diet and twice daily PPI’s I’m not seeing any relief. I’m just about to start your diet.

    Thank you,

  168. addendum: soy chips with soy flour, rice flour, sunflower oil and salt…as much fiber and lower fat than whole grain crackers. ok for induction?

  169. Thank you so much for your wonderful book. The points you make are so encouraging and helpful. I look foward to your expanded food list. I hope there is another book in the works – the more information we lpr sufferers can get the better. Thanks again.

  170. Is valerian root herbal tea okay. And what nuts are ok. Is there any. I read above almonds are ok. What about pine nuts or walnuts

  171. Excuse I meant to say almonds are not ok.As they are fatty

  172. Can I have very lowfat or fat free cheese on the induction diet? What about soy chips (soy, rice flour, salt, oil-lowfat and high fiber)


  173. I noticed in an earlier comment that you said that most breads are ok, but I notice many breads have preservatices in them. Are they still ok because they are balanced out by something else? Is it the same for whole grain cereals and instant oatmeal packets?

  174. Are soy products OK? (tofu, soy milk, tempeh, edamame) How about liquid fish oil supplements (can’t take gel pills) or glucosamine/chondroitin supplements? Hibiscus tea (supposed to be good for high blood pressure)? Can you comment about LPR and RNY gastric bypass (I must take daily vitamins, calcium supplements, iron supplements, B12)? I have both – any special considerations there for the induction reflex diet?

  175. I’ve been on 30mg of Prevacid for 4years with great success. I’ve had laryngitis for 25 years, along with bad sinus issues and asthma. I just got a bone density test and I have Osteopena. I want to get off of Prevacid. The problem is I brought your book to my Gastroenterologist and she laughed and said that a reflux diet wouldn’t work. My question, how can I taper off of Prevacid if she doesn’t believe that I should get off of it? Is there anything besides Aloe Vera that you recommend? Also, what about taking DGL , probiotics or Mastic Gum? I need help since I’ll be doing this without my doctor’s advice.

    Can I eat banana bread while on the induction phase?

  176. Thanks for your great book!
    I like to cook fresh rhubarb with some sugar and pour if over low fat frozen vanilla yogurt. Is rhubarb a “safe” food?

  177. Hi,
    My teenage boy has LPR. He took Prevacid 30 mg twice a day for 6 weeks and followed your Induction Reflux Diet for 2 weeks. He is now able to swallow with very little difficulty. Should he reduce the Prevacid to one a day?
    Thank you so much for your guidance.

  178. Actually it’s 30mg of Prevacid 2x a day.

  179. Hello, Thank you for your info about the PH of foods it really has helped me understand why certain foods that I thought would be harmless were giving me trouble. In searching the internet for a PH list of all foods, I came across several that gave the PH of foods based on the acid or alkaline ash the food left in your body, so foods that may be on the acid list for their actual PH are on the Alkaline list because they leave an alkaline ash.Is there any evidence of this? They claim Lemons are acidic but leave an alkaline ash for example. Do you know anything about these claims?

  180. I plan on buying your book. I wanted to check if your book is useful only for people with LPR or will it work for people with GERD and without LPR?

  181. are dates okay to eat?

  182. Is it OK to modify the recipes, or will doing so cause them to be more acidic? I am a picky eater and cannot abide mushrooms in any form. It seems most of the “good” foods are ones I won’t eat, like oatmeal. I find the recipe portion of the book disappointing, as I dislike cooking and have always used easy recipes, with shortcuts like canned vegetables, packaged soups, etc. I think about food as little as possible, and yet have to feed two young adult children and my husband, all similarly picky eaters. Is there a reflux diet for non-gourmets?

  183. Doctor
    I found something called the IPEV food table which assesses the dietary effects on acid-base balance. Many of the foods in this table which show an acid effect (like seafood) are shown to be non-acidic in the Induction Diet; also many foods on this table which are considered Base (like most fruit including oranges) are considered acid forming on the Induction Diet.
    You can see it at :


    David Raymond

  184. Do you know the pH value of miso. I have recently purchased and enjoyed miso from South River Miso Company and want to know if it is beneficial to a reflux diet.
    Many thanks!

  185. Are beans and tofu included in the diet? I’m a vegetarian, so these are staples for me. Thanks!

  186. Thank you for this cookbook, it’s great. It really tells the truth behind some of the foods we have been eating. I have a question regarding the use of Dijon mustard as a flavoring. I could not find it used in a recipe, so how much for example might be allowed occasionally? I also found a water by a company called hint which infuses essences of natural flavors and has no acids added on the ingredients. My favorite is watermelon, any chance you guys heard of this? i would love to see more reviews and more cookbooks. The information you are providing may save many people from chronic illness! Hooray! Thanks, nancee

  187. Hi. I am a big fan of this book and the diet. I generally eat well, but am making changes to keep my moderate reflux in order.
    Coconuts! There are so many contrasting views online about all the versions of coconut, I would love to know your official stance!
    Milk, water, the fruit. All of it!

    Thanks so much.


  188. I love your book! Could you please comment on the use of Omega 3 fish oil capsules, and multivitamin/minerals. Also, are salmon and sardines allowed on the diet?

  189. Is low-fat cottage cheese OK?
    Thank you again for answering all of our many questions.

  190. What can I put on my toast? The book says ginger Jam so I paid $20+ per jar for 2 jars and the first thing I saw on the ingredients list was citric acid. As soon as I eat it I begin to clear my throat.

    The GOOD news is that I immediately stopped taking protonix which I’ve taken for years. This book and info is a true miracle for which I am most grateful!

  191. I read your book and felt it was my story. I was diagnosed with silent reflux 3 years ago after going thru every professional that gave what they thought was the cause of my coughing, sore throat, etc. I have made an appointment to see a specialist ENT. What specific information or questions should I ask & tell them?

  192. For the induction diet, I note that mints are not permitted. I currently take 2 peppermint Tums Ultra a day as a calcium supplement. Is it OK to continue this during the induction diet? Is there enough mint in this to matter?

  193. 2 questions – is low fat cheese ok on the diet?
    2) has any association between dysmotility of the esophagus and reflux?

  194. I have red your book and am on your diet for 4 weeks includind taking Prilosex 2x a day and Zantac at night as prescribed by an ENT doctor. When I go out to dinner, I usually order 1 glass of wine. Could you tell me the wine (red or white) or liquor that has the least acidity.

  195. Are decaf coffee and decaf tea OK?
    Thanks so much for your work on this subject.

  196. I wouldn’t have heard of this book if it wasn’t for Dr. Radio on XM. So, I’m about to start the Induction diet and wanted to know if cinnamon is okay to add to my oatmeal. What’s the difference between steel cut oats and Quaker Oats?

  197. I just read your book and have read all of the Q and A on the website. I have GERD and have some irritation in my esphogus. I will try your diet to address my reflux problems. A couple of questions. You rule some foods out because they are high fat. Is this for acid specific issues or just general health? Secondly, what is the Ph of wine? Are white or red wine acceptable in moderation for the maintenance part of the diet?

  198. Hello – I’ve read that tomatillos are less acidic than tomatoes. Are tomatillos a good replacement for tomatoes for someone with GERD?


  199. Are Vit. C supplements (ascorbic acid) bad for reflux? If so, what is an acceptable, low-acid food that provides Vit. C?


  200. Doctor ,

    Thank you for putting out such an important book. Doctor Aviv from ENT on 86 street made it a part of my treatment plan. Dr. I want to know if pure maple syrup is ok for refluxers. I alternate between pure maple , and agave to sweeten my oatmeal.

    Thank you,


  201. Limited amounts are okay on the maintenance diet.

  202. Rhubarb is acidic.

  203. Maple syrup is okay.

  204. Purchased your book recently, as prescribed by my doctor, and I’m hoping it will help me. Naturally, I have some questions. However, this blog is mostly questions from readers, and only two answers that I could see, provided months later. I realize you can’t answer ‘medical’ questions, but it would be really helpful if you could answer readers’ questions about the diet, and about the pH of other foods that are not covered in the book, within a short period of time. It leaves one feeling like you are ‘on your own’, when what you really need is support and more information. And I agree with the comment above that most of the recipes for entrees are rather long and involved, and would not likely be prepared on a typical weeknight. The book is terrific, however, and I’m on my second reading. Thanks for listening.

  205. Ok, I take it all back about the answers being provided. Didn’t see the ‘older comments’ section. It appears only the ‘newer comments’ are the issue. Maybe you are busy testing more foods? Mea culpa.

  206. I just learned about “Dropping Acid” yesterday at a visit to an ENT where I live here in Colorado. I feel so relieved and grateful to have gone to her, and to know there is a resource in addition to her advice/treatment for me. I will be getting the book soon. I have a question, don’t know if it has been addressed before. What are the Doctors’ opinions if any, of the apple cider vinegar theory? Especially for older people such as myself. (That problems with acid reflux can be caused from not enough acid rather than too much.) Is there a place for using apple c vinegar in the treatment regimen? In my case the culprit is LPR not GERD. I hate taking medications, but realize that is something I must do now, but thought I would ask about a.c. vinegar.

    Thank you for the book, thank you for the blog, and thank you for answering this query. AND, I wish you had an email newsletter. I would be more than happy to pay for it. But the blog/website is wonderful.

  207. Hi Starting Day 6 of induction diet. First thing I noticed on waking is that I feel I can breathe through my nose properly. I have had a feeling of a blocked nose since Sept 2009 when I had my last cold and chest infection. The last time I can recall having this feeling was in Dec 2006 after having my gullet widened. I wonder does this mean that perhaps I have an allergy to a certain food or drink that I usually consume?

    Also does anyone know if you can use veg stock cube such as OXO instead of chicken stock?

  208. So ALL high-fat foods are bad for refluxers? As you know, nuts, avocados and olive and canola oils are all “high” in fat, but the fat is mostly mono-unsaturated (healthy) fat, with very little saturated (unhealthy) fat. What is the scientific reason why ANY high fat food — healthy or unhealthy — is bad for reflux? Is it because the high fat content in general takes longer to digest, which requires the stomach to produce more acid? Thanks.

  209. Hi a very simple yet sweet recipe for all the people who are missing desserts chocolate etc. Adjust to own taste:

    Suitable for induction diet

    Rice pudding

    Approx half small cup of rice (I used White basmati which is low gi) and soya milk approximate 2 small cups

    Yes that is I put it in the oven 190 electric for approximate 45 mins
    It really hits the spot. Choc craving now gone.

    9th and 10th day of induction diet and have been desperate for chocolate all day long…

  210. Hi the induction diet is difficult especially trying to create different dishes every day, don’t like seafood only cod, did try salmon but too ‘fishy’ for my taste. I know I really would av appreciated some tried and tested dishes made by your chef Marc Bauer, which would be a real challenge for him I think. To help others I think if you could consider bringing out a cookbook with induction diet recipes would be perfect. Thanks Jill

  211. Yes, Although you can have those “healthy” fats in moderation after the induction period.

  212. Vegetable stock cubes should be fine, just avoid those that contain garlic, onions or peppers.

  213. I’m starting the induction phase reflux diet, was wondering how many hours should I space out meals from one another?

  214. Was also wondering, during the induction phase, are we supposed to be using the cookbook of recipes or is that strictly for after the two to five weeks?

  215. The recipes in the book are not on the induction diet. They are only for the maintenance stage of the diet.

  216. A few questions about the Induction diet:
    1. Pasta with non-acidic sauce is ok…what sauces would that be?? It seems that all non-acidic sauces are heavy and high in fat
    2. I love salads but have no idea what I can put on them in the induction phase. The only suggestion in the green foods list was Kraft zesty Italian which I personally can’t stand. Even if I’m making it myself, I’m at a loss for what to make
    3. The book says all the recipes are fine to try during induction because they are low in fat and acid but on the blog it was stated to NOT use them till maintenance. Can you explain the contradiction? I’ve been using the recipes and now confused.

    Thanks so much! I’m off medication and feeling better!

  217. Hi I have finished my 2 week induction diet. Got to say it got tough towards the end in terms of creating tasty yet plain food. However, after having a period of about 10 days constant suffering acid reflux, whilst I normally only suffer on average once every week to two weeks from. I decided enough was enough and after researching found this unique induction diet designed specifically for this. I decided I owed it to myself to try it. I noted that I contined to have reflux for the first 3 days of diet but noted it was triggered by what I ate/drank and I think possibly I was sore in my oesophagus after having suffered fir the previous 10 days. I stuck to the diet religiously but found that coffee made with milk triggered my reflux. First evening eating too much plain food and a little bit later than normal for me triggered my night time attack. So quickly after first day adopted the kitchen finishes at 8 pm rule. After first 3 days I can confirm no more reflux symptoms. On maintenance diet now.
    Gradually incorporating more tasty food stuffs but being careful not to over eat. Take time eating meals. Sticking to low fat. Fresh foods. With only occasional treat rather than an every day chocolate bar just once a week. Alcohol just once a week. Good luck to everyone trying the induction diet keep at it, don’t cheat, it will be worth it. Thank you Dr Kaufman and team!

  218. Hi Matt I have just finished 2 weeks induction diet. I found eating little but often helped 3 to 4 hours but very important I found to close kitchen at 8 pm. Good luck.

  219. I totally agree with this person. I need a lot more suggestions, and like she said simpler foods. After coming home from work, it is hard to be a chef and make a fancy meal. I wish that there were a way to get many more recipes!

  220. I finished the induction diet 4 days ago, but am going to continue just
    a little bit longer as I still have some symptoms..However, after just reading this response from Dr. Kaufman, I sure am wondering if it’s because I DID fix and eat many of the recipes! …and by the way, they were all very delicious!

    HOWEVER… Page 45 in our book, at the bottom of the page it states….

    “(You can still try every recipe in this book, as they are all acceptably low on acid and fat.)”

    I’m still a fan! …and grateful for all the knowledge to get myself healthy and maintain it!

    Thank you Dr. Kaufman and Team!


  221. Thank you David!

    Great info. It’s printing right now.

    Good luck to you!


  222. Though I am replying to a year old post…I just posted my own first
    blog today. Regarding the 2 mistakes,( we all make mistakes)…I found a 3rd.

    I’m not complaining at all. I just want share this so others don’t have to go
    backwards and repeat “Induction Reflux Diet” as I am going to do starting now.

    I have finished the induction diet, but still am symptomatic. I followed
    it to a T, and was told on page 45 “(you can still try every recipe in this
    book, as they are all acceptably low on acid and fat.)” All the recipes
    I tried were delicious. BUT…reading the answer of the Acid Reflux Diet
    Cookbook the answer was NO on recipes while on the Induction Diet.

    I have loved this book and am thrilled
    to have such wonderful information at my fingertips!

    Many, Many Thanks to all of your hard work!

  223. I am re-starting the Induction Diet. Is “Marc’s Way Oatmeal”
    acceptable on the Induction Diet? Nutmeg and Vanilla are my concern.

    Thank you!

  224. I am so happy I found your book! I have been dealing with LPR for about 10 years and am hopeful now. I am about to start the induction diet. My questions: Is Silk Almond Milk okay? And is it worthwhile to buy a pH monitor and test things myself? Thank you for your help!

  225. In the book ” Dropping acid…” on page 59 cucumbers are in red,
    but on page 63 cucumbers are in green color.
    This is confusing. What is right?
    thank you

  226. Cucumbers are fine

  227. YES! Almond Milk is a great option for refluxers.

  228. Hi there, I am loving this book. It is has been very helpful. I do have a few questions. Are protein shakes allowed on the Induction Reflux Diet? I workout quite a bit and I drink about 2 a day.

    Also, are raisins and soy sauce allowed on this 2 week diet?

    Also, I am not sure if you have an answer to this but I take an acne medication called spironolactone. Do you know if this can cause acid? I tried to stop taking it and starting breaking out again.

    Thank you for your help ;-).

  229. Hi, is Papaya ok on the induction reflex diet?

  230. Can onion and or garlic powder be used instead of the vegetable in cooking?

  231. Wondering about cinnamon and coconut milk? I see that almond milk is ok, so wondered about coconut milk. ** Wish someone would start a low acid restaurant chain. Vietnamese Noodle bowls can be ordered without spices and garlic and onions, and some of them will make what you ask for I have found out. Any other ideas when eating out? Thank you to the Dropping Acid team. I am spreading the word in Colorado.

  232. Hello,
    I had a question earlier on this blog about the apple cider vinegar cure. But you do not need to answer it, as I just read “The Science ” section of the book which addressed that query.

    I want to reiterate that I feel a newsletter would be so wonderful. I would be more than happy to pay for it. I am sure others would agree. In subsequent publications of your book you could advertise it. I still have so many questions. Like traveling. It is so hard to stay on even the maintenance diet in restaurants, and traveling has to be a nightmare. I have not traveled anywhere since I learned I have LPR, but we are planning some overseas trips. This will be quite a challenge, how to stay as non acidic as possible seems like a nightmare to me now if for example, we are in Italy, or Greece, etc. I don’t know if this a question, but I guess from what I have learned in the book, one must stay on the maintenance diet just about forever in order to avoid symptoms of LPR. I will be consulting with my ENT about this. What I wonder is, can one trade things out. So if you have a little bit of almond butter, but are “really good” the rest of the day, will you be ok? Or a teeny bit of chocolate-which I know is one of the foods to avoid. I don’t want to be whiny, but…man this is tough. But life could be worse I guess. Would love to hear from others and from “Reflux Cookbook”! Thank you.

  233. Low-fat or “light” coconut milk is OK for people with reflux, so long as the brand doesn’t have any form of added acid (citric, ascorbic, acetic). Always read the ingredients labels to check.

  234. How about cinnamon? I love to have it with my oatmeal. Thank you.

  235. I am hearing a lot of positive things about Kefir, the pro biotic, fermented milk drink. I wondered if you can tell me if this would be in line with the maintenance diet, or it it would be too acidic. An unsweetened, plain, organic variety is available. I looked at the ingredients, and on the bottle it lists pasteurized cultured organic lowfat milk, organic nonfat milk, Vit Palmitate, and Vit D 3. Here is a website of a company that sells the products:
    Thank you for looking into this and for all your other answers to reader’s questions.

  236. I would like to know why green peppers why green peppers and onions, which are not highly acidic, are taboo. What makes them unacceptable?

  237. They are one of the most common trigger foods for people with acid reflux.

  238. We haven’t had a chance to test that, but we’ll put it on the list for next time!

  239. Papaya is too acidic for the induction diet.

  240. Protein shakes are generally okay, once again watch out for any added acid, or chocolate varieties. We’ve tested a number of vanilla protein smoothies and they are okay for the induction diet.

  241. Cinnamon causes problems with some people with reflux, but if it doesn’t bother you then feel free to enjoy.

  242. Onions and garlic are usually big trigger foods. If they bother you, avoid the powered forms as well.

  243. Most people don’t find it necessary to buy their own pH monitor. And yes, Silk Almond Milk is OK for most people who suffer from reflux.

  244. Vanilla is OK on the induction diet, but we would skip the nutmeg for now.

  245. Folic acid found in bread products usually doesn’t bother people’s reflux, however, we recommend avoiding any products ascorbic acid.

  246. 1. You can make low-fat versions white sauces like the White Clam sauce featured in the book, or simply enjoy enjoy pasta with a table spoon of good olive oil and fresh herbs.

    2. During the induction phase, the simplest dressing is just mixing a little vinegar with olive oil, salt, and the herbs of your choice.

    3. The recipes in the book are intended for people on the maintenance diet. We apologize for this discrepancy.

  247. The apple cider vinegar treatment is a folk remedy that has no scientific evidence to support it. It’s OK to cook with a little vinegar if you have reflux, but generally apple cider vinegar is very acidic and will probably cause reflux if you take it straight.

  248. Hi Mary Lee,

    We receive many questions per day, and are working to stay on top of them as best we can. We hope to address as many reader issues as possible, and apologize for the occasional delays.

  249. Ascorbic acid is bad for reflux, but fortunately there are many healthy greens that are also good sources of vitamin C. Eat cabbage, watermelon, Brussels sprouts or kale to get your daily recommended intake.

  250. Jane,

    Tomatillos are a likely to be a trigger, but if tomatoes don’t trigger your reflux, then very small amounts are probably OK once you’ve reached the maintenance phase of the diet.

  251. High fat foods are a problem for people with reflux because they stay in the stomach longer. If you have mild reflux, one glass of red wine per day is probably OK with a meal. White wine is a very common trigger, and it’s best to avoid it.

  252. Avoid cinnamon on the induction diet. Steel cut oats are typically less processed than most Quaker Oats products, but both are good for people with reflux.

  253. I’m just 3 days into the induction diet: still not feeling great ( my reflux is causing considerable stomach pain and if I don’t have food in me, the pain gets very bad. Sometimes I have to get up at 4or 5 am to eat a banana) my question is; I notice a fair amount of sugar in the recipes, I understood that sugar turns acid in your body?
    Also, at night I get terribly hungry right around bedtime, is drinking a cup of low fat kefir or a piece of toast ok? I never eat before bed! but since this started in Jan, it hurts all the time!
    Also, about how long does it take for the pepsin to start calming down?

  254. Regarding sugar, it does not affect the acidity of the stomach. When it comes to eating before bed, it’s really best to avoid eating anything. Trying drinking a cup of chamomile tea with honey instead. If you really must have something withing 3 hours of bed, eat something small and free from any fat, like a few saltine crackers or a piece of dry toast. To answer you last question, everyone is different! If you’re not feeling relief from diet changes alone, you may need to add a prescription.

  255. Decaf coffee is somewhat better for reflux, but it’s still fairly acidic so you should still stick to one cup per day. Decaf teas vary greatly in acidity, please refer to our post regarding beverages.

  256. Beer and white wine are big reflux triggers for many people. However one drink with a meal is fine. Hard alcohol, like vodka or whiskey are not acidic, is best enjoyed on the rocks. Acidic mixers like cranberry juice, soda and orange juice should be avoided.

  257. Mike, there is ginger jam on the market that does not contain citric acid. We like The Ginger People.

  258. Yes, low-fat cottage cheese is a great option for people suffer from reflux.

  259. For people with reflux, canned coconut milk is typically too high in fat to be a good food for people with reflux. There are low-fat coconut milks on the market that are OK in moderation (like So Delicious). Likewise, coconut meat is high in fat and should only be eaten in small amounts. On the other hand, pure coconut water has a fairly high pH and is a good option for people with reflux, but always read the label to make sure there’s no added acid.

  260. Yes, beans and tofu are great foods for people who suffer from reflux.

  261. Yes, quinoa is a great option for people with acid reflux.

  262. Ice cream is typically too high in fat to be a good food for people with acid reflux.

  263. It’s best to avoid carob powder during the Induction Phase.

  264. It’s best to avoid coconut milk during the induction phase, as it is high in fat.

  265. During the maintenance phase, a small amount of cheese is OK. The low-fat verities are typically best.

  266. Yes, low-fat cottage cheese is good for people with reflux.

  267. Sugar does not affect the pH of the stomach, but should obviously be enjoyed in moderation for other health reasons. Low-fat and non-chocolate sweets are fine. We like ginger candy and marshmallows.

  268. The idea that apple cider vinegar can cure reflux is a myth, and is not supported by scientific or medical research. Apple cider vinegar is very acidic and is likely to make your reflux symptoms worse if consumed straight. However, Manuka honey may have some real benefits for people who suffer from reflux.

  269. It’s not hard to get sufficient calories on the reflux diet to prevent weight loss. Just be sure to eat plenty of lean proteins and healthy carbs, like whole grain breads and starchy vegetables (potatoes, yams, parsnips).

  270. Yes, this book can help you follow a low acid diet.

  271. We haven’t seen enough scientific evidence behind digestive enzymes to recommend them as a treatment for acid reflux.

  272. Michelle,

    Make sure you’re eating plenty of healthy carbs, like whole grain breads and cereals, potatoes, and sweet potatoes. You make also consider drinking high-calorie beverages, like Naked’s Protein Zone, Slim-fast’s Strawberry N Cream or Odwalla’s Original Super Protein.

  273. Miso is a great flavor to use while on a low-acid diet.

  274. Hi Nancee,

    We’re glad you’re finding the book helpful. Dijon mustard is a great flavor to add to low-fat salad dressing, or to use in a marinade for meats. You can also make a delicious spread by mixing it with plain low-fat Greek yogurt–great on sandwiches or with fresh veggies.

    Hint Unsweetened Essence Water water is deceptively acidic! It’s not reflected on the ingredients list, but when we tested it the pH is 3.9. That’s definitely not good for reflux.

  275. Lemongrass is a herb that’s great to cook with if you suffer from acid reflux.

  276. Unfortunately, a small number of people will have issues with foods that are generally “good for reflux.” Everyone’s trigger foods are different, so if you identified bananas and diary as foods that give you problems, by all means avoid them.

    We know that avoiding late-night eating a big challenge for many people, but the results will be worth it. Consider exercising in the morning before breakfast, or eating smaller meals throughout the day.

  277. All of these gluten-free substitutes are generally fine for people who also suffer from acid reflux, particularly flour-substitutes made from beans and corn.

  278. Love your book. I am trying to learn more about the ph of foods and came across charts on the internet that say alkaline-forming and acid-forming foods. I was surprised to see that some very acidic foods were good alkaline-forming foods. It sounds like this has to do with what happens to these foods once the body processes them. So, Is it correct to assume I have to be concerned about the acidity of food before you eat it because that is how it sits in our stomachs and comes back up before it is processed? Are you going to expand on your list of foods? Thank you for all your work.

  279. The Chicken South-of-the-Border Style recipe sounds delicious but I cannot find any tortillas, wheat or white or corn, that do not have acid in them. Some had an acid I have not heard of before (can’t remember what it was called). Do you know where I can find them or what brand. Also, All the vinaigrettes I saw had garlic or onion in them. Any suggestions? The induction period allows 1 Tbsp per day. Thank you for taking the time to answer so many questions.

  280. A friend has told me that cayenne pepper has given her relief. Can that be possible?

  281. 1.
    I am very confused about a couple of things. There seems to be two opinions about whether grains are good or bad for reflux. One opinion I have read, is that gluten products, including grains such as brown rice, are hard to digest so they should be avoided, with exceptions being millet and quinoa which are more easily digested. In “Dropping Acid”, the Drs say that breads and grains are good because they absorb the acid in your stomach. So…???

    2. Lemons. I took this off of an email I received from a well known nutritionist:

    …An organic lemon that is ripe tastes acidic, and will add a nice acidic base to salad dressings, but is actually alkaline-forming in the body, as its high concentration of alkaline minerals has an overall alkalizing effect. Lemon juice promotes the production of hydrochloric acid in the stomach (a great thing), and its acids are oxidized into carbon dioxide and water, which keep it from acidifying our systems.

    You can see why I am so confused. I hope you can clear these two issues up for me and thank you so much for all the answers to users questions on this site.

  282. I’ve been taking Nexium for several years now, and doing well, but want to improve my diet. I purchased your book – thank you for so much great information!
    My doc wants me to take 1,500 mg Calcium per day, also Vitamin D. Is Calcium Citrate OK? What is the preferred form of calcium?

    What other supplements, if any, do we need? Do acid reducing meds deplete any nutrients?

    Thank you.

  283. Hi Joelle,

    For you first question, many people with gluten intolerance also suffer from reflux. However, grains are otherwise not bad for people who have acid reflux.

    When it comes to lemons, this nutritionist is incorrect. Consuming acidic fruits will only worsen reflux, and should be avoided.

  284. No, spicy peppers trigger reflux and should be avoided.

  285. This theory of “alkaline-forming and acid-forming foods” does not apply to the way the pH of foods affects the stomach. People who suffer from acid reflux should avoid acidic foods, because they make the stomach more acidic.

    As to expanding our list of foods, look for our new iPhone app! You will be able to search hundreds of foods to find out if they’re reflux-friendly.

  286. Adapting a vegetarian diet to fit the needs of someone who suffers from acid reflux is very do-able. Rice, grains and beans are all great foods for people who suffer from reflux.

    As for hummus, it’s best to make it at home, and skip the lemon juice and garlic if it’s a trigger for you.

    Plain Fage non-fat yogurt is fine for most people with reflux, but about 10 to 20% of our patients report yogurt is a trigger for them.

  287. Dried prunes are OK for people with mild reflux to eat once they are on the maintenance phase, but the juice is probably too acidic.

  288. PH balancing can be done with the different items you eat at once. For example, for some eating a red apple alone would be too acidic. However, if one eats a small apple and two graham crackers, the grain helps to absorb the acid in the fruit. This can also be done with the ingredients in a dish. For example, eating a box of raisins is probable too acidic for someone with reflux, but you can pH balance a handful of raisins by adding them to oatmeal or a bowl of cereal.

  289. Yes, soy milk is fine for people who have reflux.

  290. Yes, frozen yogurt is fine for most people with reflux.

  291. Homemade vinaigrette is best.

  292. As long as you avoid chocolate, coffee and acidic fruits, these low-fat desserts are fine once you are on the maintenance diet.

  293. All forms of honey are good for people with reflux.

  294. Yes, quinoa is fine during the induction diet.

  295. We have not seen enough scientific evidence to substantiate the claim that a low-carb diet can benefit reflux. If you are struggling to keep weight on, don’t cut carbs from your diet.

  296. In short, most vegetables are good for people with reflux, with the exception of tomatoes and peppers as you mention. Cucumbers are fine for most people with reflux, although some people may discover they are an idiosyncratic trigger. Make a reflux-friendly salad with lettuces (romaine, arugula, spinach, kale), cabbage, carrots, mushrooms, beets, sprouts and broccoli. You can even add some protein with chickpeas or lean chicken.

  297. Red grapes are mildly acidic. Once you are on the maintenance diet, you can have them in moderation.

  298. Is chamomile the only recommended tea, what
    About rooibos ? Thanks

  299. I think I have silent reflux. I’ve been doing the Induction Diet for about one week and I think it’s working. I have a question with relation to Ascorbic Acid. I used take a tablet of Vitamin C 500mg. every day, but now I have stopped it. Is there a Vit. C tablet that I can take that is not made from Ascorbic Acid? What about Folic Acid 5mg. Is it also bad for refluxers?

  300. Non-acidic things to drink seem difficult to find. Have you tested rooibus tea? What about so called
    alkaline water?

  301. Hi, Thanks for the great book! Is it possible for bananas to undergo pH changes during the ripening process? I seem to be noticing that smoothies made with overripe bananas cause a problem but those just past the green stage are tolerable. Thanks so much!

  302. Bananas are a good for most people with reflux, but an atypical trigger food for about 10% of patients. It’s probably not related to the pH, but it’s quite possible that something about the ripening process turns this food into a trigger food for you.

  303. Rooibus tea is on our list of approved drinks. As far as alkaline water goes, we recommend Evamor.

  304. Most supplements in capsule form are fine for people with reflux, although to be honest vitamin C deficiencies are extremely rare in the US, even if you cut out citrus. Be sure to eat plenty of leafy greens, and you shouldn’t need supplements at all.

  305. Rooibos is a great option for people with reflux, please refer to our blog post about drinks: http://www.refluxcookbookblog.com/2011/03/29/water-water-everywhere-but-nothing-left-to-drink/

  306. Any supplements in capsule form are fine for people with reflux.

  307. Bread products typically contain so little acid that’s it’s OK to eat they, but it’s still better to look for the brands that don’t use them. When it comes to vinaigrette, it’s best to make your own at home.

  308. That’s right, mint is a big reflux trigger, although chewing gum can be helpful for people who reflux.

  309. Yes, rooibos and honeybush are both good for tea-drinkers with reflux.

  310. Even a “lean” beef salami and low-fat mayo are probably not the best idea for refluxers. Beef is too high in fat and simply takes too long to digest for it to be a good choice for refluxers. Instead of mayo, consider using 0% fat greek yogurt. The chicken is probably fine, as long as it contains no added acid.

  311. Cucumbers seem to be a trigger for a few people, but if they’re not for you, then feel free to enjoy them on the maintenance diet.

  312. You don’t have to cut out sugar to cure your reflux, so if you’re trying to gain weight, feel free to enjoy low-fat sweet treats like vanilla pudding or marshmallows. Also be sure to get plenty of healthy carbs like breads, grains, or sweet potatoes.

  313. Once you are on the maintenance diet, almonds and almond milk are fine in moderation.

  314. A small amount of the crystallized ginger chips is fine during the induction diet.

    All of the cereals mentioned would be fine, just remember to eat them with low-fat milk!

  315. Everyone is different, but many patients start to have relief from their symptoms immediately.

  316. Apple cider vinegar is very acidic and should be avoided. Honey, on the other hand, is a good sweetener for people with reflux. We recommend Manuka honey, read more about it here: http://www.refluxcookbookblog.com/2011/06/02/manuka-honey/

  317. There’s a very small amount of acid in bread products, so it’s fine to eat them.

  318. A naturopath gave me probiotics for my reflux. After a week of taking one pill a night, she upped it to two pills, and I think that contributed to worse reflux on the nights I tried it. Does it make sense that probiotics would be a problem?

  319. When lemon juice is metabolized, it does make your body more alkaline. As far as eating or drinking it, it is acidic when ingested and would not be good for refluxers.

  320. Are Pro-biotic capsules ok?

    I just received your book yesterday already 1/2 way read! Thanks.

  321. My doctor wants me to gargle twice a day with 1 cup warm water, 1 tsp sea salt and 1 tsp turmeric for my irritated throat (due to LPR). Do you consider this a safe practice for someone on the induction diet who is then continuing on to the maintenance diet? Or would the salt or turmeric cause any harm to the healing throat?

  322. correction for my post, 1/2 tsp sea salt and 1/2 tsp turmeric, 1 cup warm water

  323. Two part question:
    1. I have to avoid tomatoes now as they are a big trigger for me. Which unfortunately eliminates all kinds of dishes as so many are tomato based! What is a concern to me, is whether I am getting enough lycopene. I am trying to eat a lot of watermelon. I thought I might try lycopene supplements, but apparently they are made from tomato extract. Any thoughts on that?

    2. I like to make stir fries and notice soy sauce has lactic acid in it altho I have not checked organic varieties. So is soy sauce ok, and what about lactic acid in general~

    Thank you so much.

  324. I wanted to share this with the authors of Dropping Acid and the readers of this blog. I started on the reflux induction diet back in late Feb. I actually try to stay on that induction diet most of the time with rare exceptions. Since then I have lost 12 pounds. I was not even trying to lose weight, I was just trying to be healthy because I had begun to loose my voice. And I wanted to stop the reflux coughing and wheezing. I seldom cough now, seldom if ever wheeze, my voice is ever so much better, and I lost a lot of inches in the mid section. A bonus for all the sacrifices on the diet! I know all of us are so grateful to Dr. K and the other authors of D. Acid. But one feels the need to continue to express gratitude.

  325. I have many of the symptoms listed in your book so I am hopeful the non-acid diet will be helpful. I have a few questions.

    What whole grains can I eat if I am also gluten sensitive?

    Is edamame ok for the induction phase of the diet.

    Thank you.

  326. Citric acid appears in tons of products, including the liquid Aloe Gold I just bought. Should I worry about it in terms of LPR?

  327. I just got your book today. I’ve been pretty miserable and it looks fantastic. Two questions:

    1) I made the OMG banana pancakes tonight for dinner and loved them. I’ve suspected for some time now that I’m part of the 10% for whom bananas are a trigger food. I know that apples can also be a trigger. Would it work to make a homemade applesauce using apples on the “safe” list as a substitute for the mashed bananas.

    2) Sadly, dairy is also a major trigger food for me. I’ve tried over and over to incorporate it into my diet in small amounts and I always have an adverse reaction. Even lactaid causes problems. I noticed yogurt, lowfat milk and some cheese used throughout the cookbook. Any non-dairy alternatives you recommend as substitutes?

  328. I think your concept is brilliant, but like one of your commenters who is diabetic, I was diagnosed as pre-diabetic a few years ago (fasting blood sugar was 160), but got my condition under control by following Dr. Richard K.Bernstein’s high-protein, low-carbohydrate diet. I probably overdid the fat, which may have contributed to my LPR. As an accomplished and adventurous home cook, I can easily lower fat and acid, but I still cannot eat most of the foods in your book because they are too high in refined flour, sugar and other sweeteners. I also wonder about soy milk, which I prefer to cow’s milk (another sugar bomb). Is that okay on your diet?

  329. Is Fage no fat yogurt ok to eat during the induction phase of the diet?

  330. Hi! I’m on day two of the induction phase. Is Panko ok to use when cooking meats and fish? Also, I’m assuming using small amounts of cheese (parmesan) are ok, as they are listed in some of the recipes? Thanks! I’m really hoping this induction phase is going to help : )

  331. great book! How does one work a low acid diet with a low sugar diabetic one? It seens as tho something low acid is very high in sugar (banana?)

  332. Anxious for the app you are creating, hope it is available soon!

  333. We know that fruit and other sugary foods aren’t good for a lot of people. Cutting back on these items while following our diet shouldn’t be a problem, but we recommend that you take the book to discuss with the doctor treating your diabetes.

  334. Deep-fried Panko recipes aren’t a good idea. However, small amounts of flavorful cheese are fine.

  335. Yogurt should be avoided during the induction phase.

  336. Hi Michael,

    We’re glad that you’re finding the book helpful.

    1) During the Maintenance phase, homemade applesauce is to use as a substitute.
    2) Soy milk and rice milk make for good dairy substitutes for milk. Other soy substitutes like yogurt and cheese are also good options.

  337. Yes, you should avoid products that citric acid.

  338. Soy milk is fine. As far as making further restrictions to your diet, we recommend bringing the book to discuss with the doctor who treats your diabetes. Cutting down on carbs shouldn’t be a problem so long as you are getting sufficient calories and nutrient.

  339. Great – I don’t deep fry with panko crumbs – just use them to add some crunch when baking or cooking with a little olive oil in a pan. I’ll try to use something else – Thanks!

  340. I REALLY need to gain weight but all the meal replacements drinks have milk in them which makes my acid reflux worse. Do you have any suggestions? Thank you!

  341. I’ve been on the induction diet for a couple of weeks. Still having some symptoms. I have a couple of questions. I take waxy maize as a supplement. Is it ok on the diet? Are products like ” I can’t believe it’s not butter” ok?

  342. I have silent reflux and have been on Previcid for 6 weeks now and it has helped a lot, but I still have some annoying symptoms. I am trying your diet but also have read about Bragg Apple Cider vinegar being very good. Bragg vinegar has 5% acid and White wine vinegar has 6% as listed on the bottles.

    How do you explain something as acidic as vinegar being that high in ph as to enable it to be a food that could be on your reduction diet of 5% and over? And lemon juice isn’t? I am confused.

  343. Same here! I keep checking the App Store hoping to find it – it will help me greatly at the grocery store : )

  344. I just purchased “Dropping Acid” and have found it very enlightening. It will be extremely difficult for me to eliminate wine from my diet, however. You say that white wine is particularly bad. Does that mean I would be better off drinking red wine? Small amounts, of course.

    Is there someway that I can look up individual foods that are not in the book?

  345. Have you tested dates? I mean the kind you eat!

  346. Thank you so much for this book. I’m getting ready to start the induction diet and have a question. Many of the recipes use mushrooms, but my husband is allergic to them. Is there something that would be a good substitute for mushrooms in most of the recipes? Thank you!

  347. Just read your book and want to start Induction Diet. Two questions:
    (1) I want to use canned Eden Organic Black Beans, but wasn’t sure if the contents would be acidic. The ingredients listed are organic black turtle beans, water, and kombu seaweed.

    (2) I take heavy doses of iron supplements with vitamin C (250 mg Vit. C 3-4 times a day). Must I discontinue the Vitamin C if I go on the diet?

    Thanks for your help!

  348. Hi Matthews,

    1) Eden Organic Black Beans are fine for both the Maintenance Diet and the Induction Diet.

    2) Generally, pills and supplements in capsule form do not cause problems for reflux. However, we do not endorse them–vitamin C deficiencies are in fact extremely rare among Americans. The best source of nutrients is from whole foods!

  349. That’s a tough one, Amy. Unfortunately, we don’t have a good substitute to recommend.

  350. Dates in moderation are OK on the Maintenance diet, but should be avoided during the Induction diet.

  351. Most of our patients find that drinking a small glass of red wine with a low-acid meal is fine–once they reach the Maintenance phase. ‘

    We are working on an iPhone app that will allow you to look up individual foods. Until then, feel free to ask us questions here or on our Facebook page.

  352. Apple cider vinegar has been touted as a remedy for everything from weight loss to reflux–but there’s no research to support its use. It is in fact very bad for reflux. Please don’t include it in your diet.

  353. Consider making your own smoothies at home with low-acid fruits (bananas, melon), and diary substitutes like almond milk or soy milk. Also be sure to eat plenty of healthy carbs, like whole grain breads, sweet potatoes and pasta. Also remember that sugar doesn’t typically trigger reflux, so feel free to use honey or maple syrup (we like natural sweeteners!) to up your caloric intake.

  354. All grains are fine, so you may continue eating whatever gluten-free bread you usually have during the Induction diet. Edamame is also fine.

  355. 1. We feel that the majority of supplements are a waste of money. Fresh, whole foods are the best source of vitamins out there! Carrots are another reflux-friendly option that contains lycopene.
    2. Soy sauce is great ingredient that we use several times in the book. The Kikkoman brand, along with several others, does not contain added acids.

  356. We haven’t seen any research to support this practice, however, so long as you are not swallowing the mixture it’s probably fine for the induction diet.

  357. We have not seen sufficient research showing that probiotics help reflux in any way. We don’t recommend them, and if you feel they worsened your reflux, you’re probably right!

  358. Got the book and love it! I am trying to eat a salad every day for lunch but my biggest problem is dressing. Can you suggest any store bought brand to help me? Thanx

  359. Love your book. I’m confused about the use of avacados and cheeses such as goat cheese and feta cheese. Some websites say they are ok and others say no. Are these food items ok?

  360. I’ve been following the induction diet in this book for about two months and I certainly have improved. Since then, I decided to stop taking my daily 81mg. aspirin which I have taken for several years and which was prescribed by my doctor. Would aspirin be bad for reflux?
    Sorry to submit my question again but it’s been several days and haven’t had an answer yet. Thanks!

  361. Thanks so much for the response. The only reason I take the vit. C is to help absorb my iron supplements.

  362. One more question:
    I have LPR that is giving me a sore throat and contributing to very bad voice problems(I’m in voice therapy). I wanted to see if dietary changes would work before going on a PPI. I’ve followed the Induction Diet strictly for almost a week, but haven’t seen a change in my symptoms. So my question is: At what point should I conclude that the diet alone isn’t going to be enough? 1 week? 2 weeks? A month? I don’t want to go on the medicatoin prematurely, but I also don’t want to postpone recovery, if I am ultimately going to need both the medication and the diet.
    Thanks much!

  363. Hi,
    Thank you for writing the book. I’m working on the induction diet, but eat a sandwich everyday at lunch. Do you have some suggestions to replace mayo and mustard? Thank you!

  364. I guess my question about aspirin is a medical question and therefore you’re not answering. I will check with my own doctor and see what he says. Thank you anyway.

  365. Hi. I am loving the book Dropping Acid! I have started the Induction diet and have not had any episodes with reflux so far, so I am really encouraged by this.

    I did notice that two of my all time favorite foods, figs and dates, are not listed anywhere. Are figs and dates allowed? It will be so hard to say goodbye to these. I have already had to say goodbye to mangos, strawberries and grapes.

  366. I know that tea, green or black, is not allowed on the diet. But someone at a tea shoppe recommended red tea (roobois)? I was thinking this could be a good alternative for tea drinkers and was wondering what your thoughts on this are.

  367. Rooibos tea is a great caffeine-free option for people with reflux. However, note that a small cup of green or black tea per day is fine once you reach the maintenance phase.

  368. Figs and dates, like raisins, are OK in moderation once you reach the maintenance phase of the Dropping Acid diet.

  369. It is fine for people with acid reflux to take aspirin as proscribed by your physician.

  370. About a third of patients are able to cure their reflux without any medications, although most are able to eventually manage their reflux through diet alone after a period of taking medications. If you are interested in avoiding medication, we would allow at least two weeks to a month on the induction diet. Also, please remember that even with medication many patients need about a year to fully recover.

  371. A homemade vinaigrette is the best option, because almost all the store brand dressings contain either a common trigger food or added acid.

  372. Tablet supplements typically do not worsen reflux, however, we do not endorse them. Butter substitutes are OK on the maintenance diet as long as they do not contain added acid–but if you’re going to enjoy spread in moderation anyway, why not use real organic butter?

  373. There’s no evidence that probiotic supplements help reflux in any way. We recommend that you don’t that them.

  374. Spreads are a tough one! Once you reach the Maintenance Phase, low-fat mayo is OK in moderation. Low-fat Greek yogurt is also a good spread substitute, you can even mix in some fresh herbs like dill or basil to add some flavor.

  375. These foods should be avoided during the Induction Diet because they are relatively high in fat, but are OK in moderation once you reach the Maintenance Phase.

  376. Thanks so much for the responses to my questions. I will add roobois tea to my diet, as I have a great love for tea but I’m not really that fond of chamomile.

  377. Try to look for aloe vera with no additives. We recommend buying the leaves fresh and cut the meat out yourself.

  378. Supplements in capsule for typically do not trigger reflux, however, we think nutrition supplements are a waste of money.

  379. No, this is likely to irritate your reflux. In fact, we don’t recommend the use of most dietary supplements.

  380. Supplements in capsule form aren’t likely to trigger reflux, but we don’t recommend that you don’t take dietary supplements unless you have been told you have a deficiency by your physician. Yes, fish is a great option on the Dropping Acid diet.

  381. Your book has been a real blessing for me, in not only results, but in helping me to understand what is causing my acid reflux problem.

    I was reading the blog about bottled and canned food. I had no idea there was so much acid in processed foods. I am on the inductions diet and doing very well. I have avoided all bottled drinks due to their PH levels.

    The only things I still consume that are not fresh whole foods are canned low fat milk (for coffee) and canned beans. I checked the labels and the ingredients do not list preservatives or acid.

    The canned beans contain just beans, water, and salt. The canned milk contains dipotassium phosphate, and Wikipedia states that “the PH of a dipotassium phosphate solution is almost neutral”.

    So my question is are these canned items OK? It would be time-consuming to cook beans from dried, and milk goes bad so quickly which is why I use canned. However I can get rid of these last two processed items from my diet if necessary, although they do not appear to bother me.

    Much appreciated!

  382. If canned items don’t contain acid, they’re fine. Sounds like you’ve done some good research.

  383. How acicic are nuts, raw and cooked? I wonder if our acid rain fallout from coal burning has slightly changed the acidity of the U.S water, resulting in many more cases of silent reflux… Also, perhaps the chlorination and filtering of our water has made it a touch more acidic than it used to be. In addition to an acid diet, we may have an underlying water problem.
    Has anyone tried “essentia” water with a 9.5 pH?

  384. I am just getting started. I just got your book and am excited. I do not see any reference to nuts. I am pre-diabetic and trying to control it with diet. One of my go-to snacks is nuts. I usually have either pistachio nuts, almonds or cashews. Are these ok?

  385. Wonderful book–read it in one sitting yesterday.
    I had a tonsillectomy 10 months ago at a late age – 64. Ever since, have had the extreme metallic mouth taste, back of throat irritation and somewhat lower, need to throat clear, and small amount of mucous not originating from my sinuses. From your books description and my ENT’s comment, sounds like I may have silent reflex issues.
    Have been an exclusively certified organic at home for over 15 years (eating out on average once every 2 1/2-3 wks.). I eat very balanced meals several mini-meals per day, but have always eaten a lot of tomatoes/products and once-a-day chocolate, both of which I’m cutting from my diet.
    I told my ENT that I did not want to take medication to try to resolve my problem, as am wondering if the antibiotics (given before surgery and for 2 weeks after) might actually have been the cause for my condition. (Never had any of these problems pre-surgury.) My ENT said I may want to read your book. Indeed.
    I had knee replacement three years ago, so was told to take 2,000 amoxicillin before dentist appointments (2x/yr) for these past 3 years. Have recently read that the risks of taking antibiotics pre-dental visit far outweighs the risk of infection.
    Any antibiotic/reflux correlation that you know of?
    Thank you very much.

  386. Left out mg in above email – 2,000 mg amoxicillin

  387. Bread, I’m having terrible trouble getting whole grain, nowhere seems to sell it. I can’t eat Rye bread, can you please suggest some alternatives (I’m in the UK)

  388. Hi! I am really excited to begin the elimination diet. I hope after reading your research for the past week I have finally found the answer to my problem! I have made many of the dietary changes you suggest already…before realizing they were part of the elimination diet. Did I understand correctly that whiskey is non-acidic and ok to consume one drink per day–after the elimination diet?

  389. Is the Doctor still answering questions? I don’t think I see any entries since June 2012. And what about the app?

    I’m starting the induction diet and after 1 week no longer having the squeezing or tightness sensation in my throat. So thank you for that!

    Is that the same symptom as what you call lump in the throat?

  390. Other websites distinguish between alkaline foods and alkalizing foods. For example, http://www.rense.com/1.mpicons/acidalka.htm. For example, hot pepper is supposedly an alkalizing food! Please comment.

  391. Dr. Koufman, here are some quotes from the link I just posted. True or false?

    “Although it might seem that citrus fruits would have an acidifying effect on the body, the citric acid they contain actually has an alkalinizing effect in the system.

    Note that a food’s acid or alkaline forming tendency in the body has nothing to do with the actual pH of the food itself. For example, lemons are very acidic, however the end products they produce after digestion and assimilation are very alkaline so, lemons are alkaline forming in the body. Likewise, meat will test alkaline before digestion, but it leaves very acidic residue in the body so, like nearly all animal products, meat is very acid forming.”

  392. Another source asserting a major difference between the alkiline measure of a food and its alkilizing effect: http://www.alkalizingforlife.com/page/page/5128908.htm. PLEASE comment, Dr. Koufman.

  393. Excellent website. Lots of useful info here.
    I am sending it to several friends ans additionally sharing in delicious.

    And obviously, thank you on your sweat!

  394. The same food will show as being alkaline on one website and acidic in another.

    I understand that some websites show what the PH level is before it is eaten and some will show the PH level after it is eaten.

    As an LPR suffer who is trying to denature pepsin in my throat, which should I be concerned with? The actual PH of the food itself (or) the affect that it will have after I eat it?

    This stuff gets confusing. Please forgive me if you have answered this question a million times, but I’m getting ready to do my grocery shopping and I don’t have time to comb the internet for the answer.

    I do have the Dropping Acid book on my list of things that I need to get my hands on.


  395. I thought Dr. Koufman said that all canned foods contained acid.

  396. At least in US canned foods are acidic.

  397. I am starting the induction diet and as a cost- and time-saving measure I would like to roast up a whole turkey this weekend so that I can make multiple meals for the week out of it. The best foods list, however, specifies turkey breast only, although under chicken, it says only methods of cooking, not limiting it to the breast portions. As long as I don’t eat the skin, is it acceptable to eat any part of the turkey? I’d really like to be able to have turkey breast one night, then turkey leftovers, turkey soup, maybe turkey over pasta. I’m trying to be creative as my poor husband is also eating these same meals right along with me and we like to be able to make our lunches for the week out of leftovers.

  398. Wendy, she has already commented on that subject if you read through the thread. The food has to be NON acidic when it is going down your throat, or it will trigger the pepsin. So lemons are a big no-no.

  399. I bought the tiny snack pack sized tuna cans and an ingredient on them is pyrophosphate. I tried googling it and its used to keep mineral deposits from forming in the can but I can’t tell if its a salt or an acid and if safe to eat on the induction diet? I was planning to have it on saltless saltine crackers. If it is an acid then when I transition to maintenance, would the saltines balance out the pyrophosphate if it is an acid?

  400. I am trying to gain muscle this year. Do you know a recipe for a shake or a shake in stores I can drink for this purpose?

  401. Brooke – if you go look at the “Water water everywhere” blog post they post a link to the beverages they tested and there’s a few bottled protein drinks there that you might try?

  402. Hi! I didn’t see my email that I did yesterday?? May have done incorrectly?
    I recently got your book and have been on diet 3 days now.
    I noted that Kraft Zesty Italian is on list of OK for diet…
    which form is the best to use…original…light…fat free..
    I assumed fat free since suppose to watch that??

  403. Got your book and am following your diet. Your book doesn’t mention slippery elm. A cup of slippery elm tea (made from powder) before bedtime has been the salvation of my night’s sleep. Any drawbacks you might share? Thanks.

  404. I did the induction diet strictly for two weeks and have slowly introduced ingredients back in over the past week. Since starting the induction diet I have experienced intermittent stomach pain, sharp and today am in the middle of a sudden onset of the worst stomach pain I ave ever had, with chills shaking and sweats. This was about 20 minutes after trying a veggie omelet with one strip of bacon for the first time. I don’t know what is going on as I have always been able to eat anything I wanted with no ill effect. The only reason I was giving this diet a try was because I had been having a globes feeling and hoarseness for about two years. It only improved slightly on the induction diet but now it seems the whole rest of my system has been thrown off. This is sever pain now.

  405. Is raw milk ok ?

  406. Is alkaline water ok during the induction diet?

  407. Has anyone read this: http://chriskresser.com/get-rid-of-heartburn-and-gerd-forever-in-three-simple-steps
    It says to eat things that Dr. Koufman says not to eat. I thought Dropping Acid made a lot of sense, but his articles make a lot of sense too. They’re less simplistic than acid down causes acid up. Does that make them more realistic? Our digestive systems are really complicated and I don’t think anybody really understands it all. I’ve tried some of what he recommends (apple cider vinegar, raw sauerkraut, not drinking while eating) and it seems to help. I don’t feel the need to give up carbs, however. Has anyone else read his stuff? And I’m still wondering where Dr. Koufman or her people are. They haven’t replied on this blog in more than 2 and 1/2 years. I hope they’re not afraid to admit that its not as simple as Dropping Acid would have us believe.

  408. Has anyone already addressed “SMOK-EY” – flavored items? I’ve searched everywhere and read the book but can’t find anything anywhere on this. Of course I’m not talking about smok-ing, which is something different altogether – at least to my knowledge… but whatever components going into making something “smoke-flavored”…. is there acid involved? something else just as bad?

    So, for example: smoked turkey breast, chipotle flavoring, smoked salmon, smoked sausage, smoky whisky (the latter 2 understandably bad for other reasons, thus only asked here in the context of “is smokiness insult to injury?”)

    I am the type with ZERO symptoms, so I would have no idea just by noticing my own reactions….Thanks!

  409. Hi, I have the book and had read it through twice now making notes to become educated on the Induction diet. My diagnosis is GERD but it is not responding to meds, my doctor recommended your book with the hopes the diet will do the trick.

    Question for you: I cannot eat bananas. Is there something that can be substituted for Banana in the recipes in the book?

    Thank you for all of your good work, it is appreciated so much.

  410. Hi,
    Besides trying to get on top of dealing with GERD, I had persistent Thyroid Cancer, for the later desease I belong to an online support group that provides volumes of information/help from others who are suffering from various forms of Thyroid Cancer too.

    I mention this because it occured to me we might be able to help each other with the various forms of Reflux deseases, so does anyone know if there is a support group for this? Can we do that here? Just wondering as it sure would be good to know what others have found helpful.

  411. Doug, are you there? I am not connected with Dr Koufman, nor a doctor myself but in the interest of being supportive of each other in our journey bearing in mind that everyone is different…

    On smoked meats/cheeses…
    first they do cause me to have problems
    secondly they are not highly recommended due to the ‘smoking’ process and a link to cancers
    and lastly, cheeses are restricted in Dr Koufman’s diets due to fat content.

    Hope that helps you.

  412. Jackie are you there?

    I am curious about your question regarding ‘raw milk’. Are you from a dairy farm? Do you use raw milk? I understood that for safe consumption milk needed to be pasturized. What is your understanding?

    Thank you in advance if you see this and respond.

  413. The book is so helpful! I’m starting a 2 week reflux diet. I take 3 lipoflavonoid pills daily for my tinnitus. These pills contain vitamin B. Are they ok to take?

  414. Several years ago, I had many of the symptoms of LPR especially great difficulty breathing. Went to doctor after doctor with no diagnosis because all the tests were normal. Finally, the pulmonologist tested me for asthma and said it was positive and put me on asthma meds. A couple of weeks later my symptoms got a lot better and I have been so for about 3 years.

    A month ago, I was helping my husband clear snow and had trouble breathing. My inhaler did not work, I ended up in the ER. Again, tests were normal (oxygen 98%, etc.) I started looking online for another reason for my labored breathing and found Dr. Koufman’s articles. My doctor has me seeing another pulmonologist and he changed up my medications with some improvement, but it’s still not right.

    I have a few questions. If it was LPR a few years ago, was it a coincidence that it went away with the asthma medicine? If so, why did it go away for a few years and then come back? I hadn’t changed anything about my lifestyle or my eating habits. From what I’m reading, I need to make major changes, but am wondering why it went away without any changes and why it returned if it is indeed LPR.

    Any help in figuring this out would be greatly appreciated.

    Thank you.

  415. Hi,
    I am on day 5 of the induction diet and haven’t felt any change. Still coughing alot and having to clear my throat. For others that have had success on this diet, how long did it take for your symptoms to get better? I’ve really been careful sticking to only the recommended foods.

  416. I was diagnosed with LPR 10 months ago. I talked to 3 different doctors who tried the typical GERD medications but the meds were unsuccessful, in fact the meds made my symptoms worse. I heard about Dr. Koufman and began the induction diet. Given I was not able to take GERD medications, I stayed on the induction diet for 4 weeks. I felt an improvement going into the 4th week. Then I slowly introduced the maintenance diet back into my daily eating habits. 10 months later I am much better and I am still introducing some food items back into my diet. The process takes time and patience. I am still not symptom free, but I feel like I am human again. Once I began the maintenance diet, I learned to only introduce one food product a week to see if it was a trigger food for me. I keep a diary of my trigger foods so I can avoid them in the future. To those that are currently suffering, hang in there, it will get better as long as you stick with Dr. Koufman’s process. Thank God for Dr. Koufman as I truly feel she saved my life in a time of great despair.

  417. My PA is testing me for silent reflux. She wants to scope me. Is this a procedure that you feel is necessary? Or should I proceed with your a2 week detox diet before I locate a doctor that is knowledgeable in silent reflux symptoms etc?

    Thank you!

  418. Hello,

    Have been on PPIs for about a year and a half after initially being diagnosed. Just finished the induction diet last week…difficult but had great results and only ate what was on the list. Now I’m transitioning to the maintenance diet but I am a vegetarian and wondered about the ph of nutritional yeast. Is it ok to use regularly? (very happy to see the post about buckwheat :))

  419. Heard that DGL Licorice is good for Acid Reflux. Is it good for Silent Reflux also?

  420. CAROB.
    Has anyone tested out carob to see if it causes reflux. The research I’ve done says it is good for stomach problems. It would be great if we could eat carob in place of chocolate – I know it’s not as good…but still! Any feedback?

  421. On page 29 you mention treating a Japanese man for candida of the throat and esophagus. I am allergic to Nystatin liquid (throat swells) and was wondering what you did to help him get rid of his thrush.

  422. I forgot to add… how should I determine which doctor to go to for scoping, ENT or GI?

  423. Is it ok to use cocoa powder (in a smoothie or in baking)?

  424. I submitted a comment but it seems to have vanished. I am wondering about rice cakes, tempeh, buckwheat, and gluten-free breads made from whole grains. Thanks for your good work!

  425. This response is for Paula: I have been coughing and clearing my throat for well over 2-1/2 years. I was already taking Prevacid for reflux but was diagnosed with LPR by an ENT. He changed my meds to Prilosec twice daily and I started eliminating foods (coffee, tea, chocolate etc) and the redness in my throat disappeared but not the cough/throat clearing. The ENT said the LPR was under control so then it must be allergies or asthma. On and on this went. I had chest xrays, swallow tests and even tried an inhaler. Finally my primary care doctor sent me for a CT scan and they discovered that I have bronchiectasis. I never heard of it either! Apparently I have damage to my lungs and bronchial tubes from aspirating something into my lungs. Most likely gastric acids. I’m now waiting to see an gastroenterologist. Not sure if this is what is your problem but I thought I’d mention it just in case.

  426. Do you have app for Android devices? I noticed the reference to an iPhone app. in the blog. Would appreciate one for Android devices. Any recommendation for an app or website that lists pH of foods? I saw several questions about whey protein and sports snacks and gels, but no response. What about pea protein? I would like to use it as a quick and easy protein shot after workouts. It is difficult to tell what post you are responding to when you give short answers like “yes” after a string of posts on different topics. Thank you.

  427. I’m about six days into the induction diet. Things seem to be getting better. What is your opinion of taking probiotics?

  428. I have started the diet a couple of days ago and still waiting for the magic to happen. Today for lunch I had sprouts and the GERD hit me with it’s full strength. I’m a bit confused, I thought that all veggies were allowed (besides tomatoes, onions, etc.). It seems that the cabbage family is also out off the table…Thoughts anyone?

  429. Andrew,
    I am a big fan of these. I am also suffering from IBS so they are helping me out there as well. Don’t you find the induction diet really challenging? Good luck!

  430. Have owned your book for a while and followed the induction diet. Now into maintenance part. I did however start the medication (Dexilant) along with diet. As before when Acid Reflux returned it took months to get back to somewhat normal. I have cataract surgery coming up in 3 weeks and concerned about excess mucus in my throat being a problem with having anesthesia. Do you have any information on this? Thank you. P.S. Your book has been a godsend.

  431. Hi just bought the book and currently planning my meals for the induction phase. Been suffering with globus for about 3 months now and doctor is itching to put me on PPI tablets but this is my last Chance saloon … Quick question is kale ok and what about buckwheat . Feel like I am going to get on well with this as the introduction all makes sense to me.

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  433. Is Erythritol ok as a sugar substitute? I’m trying to keep the calories down. I was also interested in the app and haven’t been able to find it. Thanks for the help!

  434. Both my wife and I are about to start the Induction Reflux diet and I’m a little confused by a statement on page 45 of your book. At the bottom of the page it says that you can try every recipe in the book during the induction phase. Many of the recipes include ingredient that are not acceptable for the induction phase. Is it really okay to eat all of those recipes during the induction phase?

  435. Only tried one receipt and ruined 2 lbs. of pork loin. Brine for the loin on page 126 calls for 1 1/2 cups of salt, meat came out like a salt lick and little bit scared off of buying more ingredients just to throw away.

  436. Is nutritional yeast OK? I just started on the induction diet. I am vegan and we use nutritional yeast a lot at home.
    Also, would love to know about safe fake meats for refluxers. Our favorite are the Whole Foods 365 Breaded Chickenless Patties.

  437. Hi! Is sheep yogurt ok on the induction diet? I live in Europe where we eat sheep yogurt. How about almonds? I did the induction diet 14 days. Felt great. 2 days off and onto maintenance and NG. Back on induction. Does it often take longer than 2 weeks with chronic gastritis? Thanks so much.

  438. One more question after going through ALL the questions on your blog. You said that sugar doesn’t typically trigger reflux so feel free to use honey or maple syrup. Really?? I have always been told that sugar was highly acidic and thus a no-no for refluxers? Thank you SO much for your great book and advice!!

  439. Is ricotta allowed on the Reflux

  440. Is Cottage Cheese OK, ( ie. below 5.0 ph ) ?

    Re: I love celery, black olives , and cottage cheese .

  441. Hi! I have recently just started your diet and am in the induction phase. I was wondering if Triscuit hint of salt crackers are ok to eat? The ingredients are whole grain wheat, vegetable oil and sea salt. I usually have 3-4 when I need a snack but I’m questioning if they are ok to eat. Thanks for your help!!

  442. I bought the book 3 years ago and have been working the program with mixed results. Since the last comments by the doctor were 3 years ago, I’m wondering about furthur info re alkaline water, manuka honey and aloe. I’m wondering why there’s been no follow up on this website—is the good doctor in the house???? pleez don’t keep us hanging. We’re all in this to heal. Thanx

  443. Is it possible for hidden reflux to cause pvc’s, strange changes in heart rate? I definitely used to eat oat bran at 3am and go right to bed, and wake with my heart racing later.

  444. I just wanted to say thank you for the book. I bought it last month after one of my doctors diagnosed me with acid reflux. I had been suffering with silent reflux since March. I’ve had strep throat twice and about half a dozen doctor appointments to treat my asthma that was not getting better. Now I know what I’ve got and have changed my diet drastically. Thank you, thank you.

  445. I remember a few years ago, you mentioned that some prescription meds can cause LPR sphincter relaxation. Is Amlodopine, Cavedilol, Benicar, or Tamsulosin a problem? Thank you very much.

  446. Can you please reconcile these two responses?

    Reflux Cook Book

    February 12, 2011 • 6:18 pm
    We intend for the Induction Reflux Diet to allow/include the 75 recipes in the book, because they are all pH balanced and they employ few trigger foods. However, the ingredients can not be pulled out of those recipes and then used in other recipes that you devise. And honestly, for our patients with severe reflux disease, particularly those who are failing medical treatment, we usually recommend just the foods on the list (pp46-7) for the first two weeks

    Reflux Cook Book

    March 7, 2012 • 10:52 am
    The recipes in the book are not on the induction diet. They are only for the maintenance stage of the diet.

  447. Do you have recipes for people with a combination of reflux, celiac disease, and lactose intolerant? I am at a loss as to what to prepare anymore. Please help!

  448. I was diagnosed with barretts esophagus in jan2014.I put myself on your diet about 2 months ago.Ive been doing very well except i used to weigh from 160 to 165 lb and now im more abouts 147 to 150 lb.I eat constantly and a lot of starchy foods like potatos pasta and lean meats and whole grain breads and bagels.Ihave a very high metabolism even at 61 years old.My family doctor highly recommends your diet but is concerned about this weight loss and he is sending me back to the specialist for another scope a little earlier.I would appreciate any suggestions.Thank-you.

  449. Can I chew gum during the induction “detox” phase of this diet? I’m wondering if the mint will exacerbate my symptoms?

  450. Are these three ok: Psyllium husks for fiber, flaxseed freshly ground, and organic unsulfured blackstrap molasses, a great source of potassium, iron, calcium, etc.? Ok during induction or maintenance?

  451. I am in your maintenance period. Would like to know if whey protein powder is ok in my almond milk and bananna smoothie? Thank you.

  452. Happy Labor Day!

    I have been diagnosed with LPR/silent reflux. My main symptom is excessive throat mucous. Therefore, I stay away from dairy. I heard eggs and wheat also increase mucous level. Is that true?

    Also, are the following ingredients okay in foods/drink: canola oil, ground chicken, barley, pumpkin, and almond milk? If it helps, I am trying to eat and drink items above a pH level of 5.0.


  453. Any suggestions for a plant based organic vegan with GERD? Can something like coconut aminos be used for seasoning or just stick with salt and maybe some organic veggie broth?

    Just had an endoscopy and a biopsy was done in two areas that are irritated…..throat and stomach, and thank God, both negative. All this started after being on a bunch of different meds after having the flu for 8 weeks.


  454. Thank you so much for this book! I was have been suffering with throat and sinus issue for years and low and behold it is actually LPR! After the 2 week induction phase of the diet are vegan protein powders such as hemp and rice based acceptable?

    Thank you!

  455. Toolie, were you on the two week induction phase? I just started it not going below a 5 pH. I’m also on a prescription PPI that the doc just gave me….3rd day on it, no relief. 2nd day of induction..

  456. Is anyone moderating this site that can help with questions. Went through and read from day one, but a lot of the responses you can’t tell to what question they’re answering.

    I just started the induction 5, and I do have questions, and can use some help. I would like to pre-order the new book, but without support it’s kind of useless.


  457. Hello. I am curious if anyone has addressed the fact that MoriNu tofu has an ingredient some brands do not, and it appears to be acidifying. It is “Gluconolactone.” I wonder if it’s best to avoid this tofu brand when on the induction diet. (This brand tastes much better, in my opinion, which is why I’m wondering.) Thank you in advance for any feedback.

  458. I haven’t seen any responses from the author in ages. Is this thread still working?

  459. any advice on weaning off protonix when starting the induction diet phase

  460. I have a tight/dry feeling at the back of my mouth and in my throat. My ENT checked it and said nothing was wrong. Is this also a symptom of acid reflux?

  461. thanks for your book. 3 questions i don’t find in the book:

    1. i’m wondering if any of the supplements i take could
    be contributing to my reflux. i take b complex c,d, fish oil, prostate supplement, a probiotic and calcium.

    2. do you recomend digestive enzymes?

    3. any recomendations about drinking with meals, or the best time
    to take your fluids?

  462. how do i delete or edit my comment?

  463. Hello and thank you. Are leeks acidic in the same way that onions/garlic are? I make a lot of soups with pureed onion and of course chicken stock etc, might I substitute leeks instead.
    Again, thanks ever so much!

  464. I have episodes of esophagitis (verified by endoscopy) near my LES (stomach sphincter) but no other known reflux problems. I just discovered your book. The concept regarding the role of pepsin is an immense new understanding. Thanks. I have a few observations/questions and would appreciate your comments/recommendations on them:
    1. Fat lasts longer in the stomach and therefore sustains stomach acidity longer. Meanwhile it is better to eat more or less continuously during the day (rather than 3 big meals). But this too keeps the stomach more continuously acidic during the day. It seems the main fat issue is mostly for meals before bedtime when we lay down (my reflux seems to be 90%+ at night). I do consider fat an important nutrient and not a cardiac risk (I subscribe to the inflammation model and the role of carbs). It seems to me the most important fat issue for my reflux is to minimize it in evening dinners and to be certain to eat no later than three hours before bedtime. To be safer I use four or more hours. I also use a bed with the upper end elevated which is very helpful.
    2. To check my understanding: pepsin gets into the esophagus as part of the reflux activity. It does not readily wash out with food and drink; but binds to the esophageal tissue. Thus, as you say, consuming acidic foods and drink activates the pepsin and cause havoc and therefore the value of low pH diet. Is there anything (e.g., drink) that directly reduces pepsin in the esophagus?
    3. I have found chewing gum is sometimes comforting. Saliva pH is essentially neutral and I’m not sure about gums. Beyond avoiding any mint variety, there are few choices. I choose aspartame-free gums. There are pomegranate and bubble gum flavors.
    4. I understand the role of alcohol in reducing the LES muscle tone. Do you know how long this effect on the LES lasts after consuming; e.g., a glass of wine?
    5. I have the same question regarding caffeine.

    Thanks again,

  465. Hello,
    During the induction diet are honey bunches of oats and the protein cheerios good options for cereal?

  466. Being a southerner, I like to drink iced tea. I usually drink decaf regular tea (Lipton or something similar). I’ve stopped for the moment till I can figure it out. Thanks for your input.

  467. Hello,

    3 months ago I developed acid reflux which was treated with 10 days of lansoprazole by my GP. I finished the drugs at the start of Janunary. Since then I have had next to no acid relfux symptoms apart from the strong feeling of a lump in my throat/feeling of restriction. I then realised it could be silent reflux. I came across your book when researching and have bought a copy. I have started the introduction diet and am desperate for it to work because the lump in my throat is SO uncomfortable. The book should arrive tomorrow, in the meantime I am using the list on the website. I want to ask – How long will it take for this feeling to lessen in my throat? Does happen very gradually? (I know it will be different for each person but just a guess based on your professional opinion would be great – or any other information).

    Also one other question – Do hot liquids cause a problem? (I sip camomile when its quite hot)

    Thanks so much for making me feel there is hope for this.


  468. Good morning!
    I am just starting to read and implement this book in my life along with some of the recipes. I wanted to check and see if doing Oriental recipes with rice noodles and other things like water chestnuts and bean sprouts (raw and cooked) are ok in the beginning stages of the diet or any part of the diet…..

  469. I was just diagnosed with LPR, and was wondering about a certain fiber bar I usually eat. I had a total thyroidectomy and have to take calcium 4 times a day. With taking that much calcium, I need to eat at least 25g of fiber a day. I usually eat Quest bars, which their lemon cream has 17 grams of fiber, 1g of sugar, 5g of fat, saturated & trans fat are 0g, sodium is 250mg & 20 grams of protein. There is no lemon acid at all in this bar, in fact no acid period. Are these Quest bars okay to eat on the 2 week strict diet? I would not eat the chocolate, mint or peanut butter one.

  470. Can a person us Whey Protein Power during the Induction Phase?

  471. Can I take supplements during the Induction Phase? There are 8 capsules in a packet and I take 2 packets daily. There is 500mg vitamin C in each packet.

  472. I’ve read the book and learned much from it. But there is a difference between foods that are acidic and foods that when digested make your body acidic. Ex: Lemons are acidic, but when digested they help make the body alkaline. So, I have Silent Reflux, as described in your book – should I be eating food that makes my body alkaline or that the food itself is not acidic? Also, the list in the book is not comprehensive – where do you suggest getting a comprehensive list?

  473. First I’d like to thank Dr. Koufman from the bottom of my heart for finally shining a light on the cause of a cough that has lasted for years. I can’t tell you how many tests I’ve had for my lungs, for cancer of my lungs and throat, allergy shots, and the steroids such as Advair, predinsone and various asthma related medicines over the years. Just like you said, all the x-rays always showed my lungs were clear. After 2 weeks of start the reboot diet, I stopped coughing. AMAZING!!!

    I have a question to ask about lemons. I keep reading in low ph diet material things like this “…lemons are very acidic, however the end-products they produce after digestion and assimilation are alkaline so lemons are alkaline-forming in the body. ”

    Is the reason you advise against eating lemons not so much the acidity in the stomach, as much as the damage it does going down and passing by the pepsins as it goes by?

    Thank you again for finally helping me solve the problem with coughing and reducing acid reflux since I’ve been following your advice.

  474. Hi I have found out I have silent reflux after 7 months scary as I don’t drink or smoke I’m not over weight so I’m doing your dropping acid but don’t want to loose weight is feta cheese allowed in the induction?

  475. Do you have any suggestions on which brand of Whole grain crackers.

  476. Hi, Is cashew milk ok on the induction diet? Thank you.

  477. I have purchased the original book and am gearing up to begin the induction diet. I have had LPR off and on since going through chemo-therapy several years ago. Mostly it’s under control but of late it has flared again – constant burning throat and post-nasal drip, etc. I’m hoping it will offer some relief!

    My questions:

    1) I take a Vit. D3 supplement that is chewable and contains organic lemon and raspberry “flavor” whatever that means. Wise to switch to another non-chewable for a time or fine to continue?

    2) Quinoa is not mentioned on either the induction diet list or the maintenance list. Is it okay for either?

    3) On page 187 of the original hardback book you mention that the pH of more foods are listed on this blog as there wasn’t (understandably) enough room in the book. I don’t see that here. I do see a couple of blog posts about yogurt, dried fruit and tomatoes but that’s it. Am I missing something?

    4)Is it possible to purchase those pH meters you use in your testing anywhere? Are accurate ones prohibitively expensive for the general public?

    Thank you for all of the great info! I look forward to hearing from you soon!

  478. I was diagnosed with LPR about 10 years ago & have been taking 20 mg of omeprazole since then. It seems to work great for me as long as I avoid the common foods that cause reflux. But I am afraid that long-term use of the omeprazole will cause damage. I have tried several times to gradually get off, but I start having throat & stomach issues. My question is this: should I just stay on the medication forever? Do some people just need to? Several doctors just told me to try to get off of it, but to just stay on it if I need to.

  479. I have a moderate hiatle hernia. I take a PPI which stops the reflux symptoms. Will the refux diet work with a hernia and get me off medication?

  480. Is it ok to have deli meat for the initial 2 week’s detox? For example sliced turkey or chicken from the deli counter.

  481. For the 2-week detox, you say only melons and bananas for fruit; but you have a detox recipe for a smoothie that contains melon, pear, & bananas. Can you clarify if pears are ok for the detox weeks?

    Also, on the approved foods list, it says, “Whole-grain breads, crackers, and breakfast cereals (one serving per day, limit wheat)”. Does this mean one serving of whole-grain products per day or just one serving of whole-grain cereal?

    Finally, do you know where you can buy aloe vera juice without citrus? We can’t seem to find it anywhere?

  482. Does anybody know why the Dr Kauphman’s people are not responding to questions anymore? Hey susan B I was thinking the same thing about deli meats turkey & chicken but most of them contained citric acid which is one of the things we were supposed to avoid. I found a packaged one called naturals which did not have it as a preservative. I use aloe vera too, the only one I have found that does not have the citric acid is Georges you can get it on line.

  483. Wondering if this diet may be helpful in treating gastritis that I have had the last 3 months (on and off)? Any changes/ differences to treat gastritis compared to GERD? or any suggestions you may have would be greatly appreciated…Thank you

  484. I want to take a multivitamin. I need one for women over 50 (I’m 77). They all seem to have citric acid in the description. Please guide me on which one to use. Thanks so much. Gloria

  485. After reading the book I realized how important alkaline water is. Just wondering if you have a recipe for alkaline water I can make at home with tap water or bottled spring water. Ionizers are soooo expensive. Many bottled alkaline waters are very expensive as well. I have been suffering for years with acid reflux and have been diagnosed 5 years ago with Barretts and I just want some relief! Bought Manuka honey trying to stick to induction diet as best as I can. Please lend some help on the home made alkaline water thanks.

  486. I am doing the Introductory diet from The Dropping Acid Book, and I love it, Great recipes and so much helpful information. My question is this, I have non-dysplastic Barrett’s esophagus, Short Barrett’s. Doctor has put me on 1 Prilosec at night since I have night time reflux and also a low acid diet, which is the reason I purchased your book. Can non-dysplastic Barrett’s esophagus be reversed? I am other wise a healthy active 54 year old lady.

    Please help any advice you can give is so very greatly appreciated.

  487. Many thanks for all the information on your book Dropping Acid. Great book!.

    Just one question: Would you please recommend a PH tester for use with food and drinks at home? The ISFET pH Metter shown on page 16 of your book is now unavailable at AMAZON.

  488. Can I use other milks, almond and rice, instead of soy?

  489. Is the iPhone app. available now? If so, what is the name of the app?

  490. Love the book! Thank god I found it as there is so much contradictions (on ph of a lot of foods). After being diagnosed with Barrett’s esophagus I went into research mode. If not I would have myself dead and buried already seriously. I also want to know if almond milk is okay as well as licorice root tea? I also see from reading the blog I should resume my Prilosec (I stopped it thinking just doing the diet alone would be the answer). Probably not a good idea?

  491. Question: During the Induction Diet, could I drink completely natural Coconut Water? It’s not mentioned in the book. Also, in the Maintenance Diet, which is the best yogurt to have. Is Greek Yogurt Ok?

  492. just starting reflux diet after reading book. would love to better understand acceptability and avoidance of all foods individually in order to create recipes that fit a vegan diet. i.e. nuts/seeds. sources often list this grouping in degrees of acceptability. almonds are usually good. pistachios and seeds as okay. cashews as questionable. walnuts to be avoided. you use some nuts and seeds in your recipes. is there a clear listing of what can and can’t be used.

  493. I was wondering about seeds. I have a recipe for chia seeds that include pumpkin and sunflower seeds. Are they OK on the induction and maintenance diet?

  494. I recently purchased your book and have implemented the induction diet however I have silent reflux and eat my main meal(not large) between 5-6pm in order to go to bed with an empty stomach. Last night I woke with my stomach growling and reflux, which is on a regular basis, but decided not to take Gaviscon but have 1/2 of one of your oatmeal pancakes from the book, left over from my dinner. It did help and I went back to sleep after an hour but I would like to get through the night without waking up with reflux.
    I take Rabeprazole 20mg before breakfast. Any suggestions?

  495. Thank you for this book. God bless all the efforts of Dr. K and the Voice Institute.

    I am wondering about:

    Green grapes
    Fresh apricots (I see that asorbic acid would rule out the dried apricots)
    Ham (as a cold cut, or cooked/baked/steamed in a way that is acceptable for refluxers.)

  496. And one more – sunflower seed spread! I have been enjoying organic, unsalted sunflower butter on whole wheat toast as a protein-strong breakfast for about three years straight. Unfortunately, I am guessing that the fat content has contributed to my devastating silent reflux . . .

  497. I have gone gluten free for few months and my arthritic pain is so much better, had read it helped others so wanted to try.
    I am on nexium and when off I have terrible heartburn, even2x of bile back up, have in past few months started getting hoarse and a cough every a.m. for about hr or so. Then it leaves.
    When on nexium, no heartburnbut still cough just less.

    My question is do I have to eat wheat again? I would rather eat minimal bread or perhsps ezekial bread etc?
    Thanks for a great book, going with me to my next dr apointment.

  498. Just finished Dropping Acid and found it fascinating, esp. since I was just diagnosed with reflux laryngitis (LPR). I already eat a whole foods diet, so the book’s diet won’t be difficult to do, since most of the RED goods I already do not eat.

    But what about coconut milk and other non-milks. I am avoiding dairy right now and use almond and/or coconut milk. Neither is listed on your Summary Table @ the end of Dropping Acid.


  499. I have all three of Dr Koufman’s books and am finding them so helpful as I try to help my 8 year old son’s reflux. I have the lists of foods int he books, but wanted if there is a website or list that shows the pH value of common foods?
    Thanks again.

  500. Hi, Is it ok to drink natural alkaline water all day, even with meals? I’ve read online that it could interfere with the acidic breakdown of food if you drink within a certain window of eating but wonder if this is true…

  501. Should I continue omezaprole while on induction/ maintenance phase?

  502. I bought your book and am starting to follow the guidelines. It has already helped just knowing about fat. I am wondering about when to try to go off my heartburn medications, how about Kale and other greens, cinnamon, and many other things now. I also would love to know the answers to all the questions others have asked above. Where can we get more answers. The blog would be great if you could answer the questions… I hope you reply. Thank you for writing your book. Joanna

  503. I know of someone who had mild gastritis and has cured herself with the Acid Reflux Diet. So, I bought it for a family member of mine who has gastritis (likely to be caused by H. pylori, as she was diagnosed). She took antibiotics to kill H. pylori but her gastritis is still there. She has been on tecta (Pantoprazole Magnesium 40mg) for approximately 6 months. The doctor is saying that she needs to take tecta for a year or more. I am aware of the side effects of tecta and that is why I am considering this diet for her. I have a question regarding the diet. She can’t eat few things (like tortillas, other bread, Parmesean cheese and beans), so is it ok to exclude that from recipes and for bread and cheese, she can alternate it with Rye or spelt bread and mozzarella cheese? as she feels better with that. Like is it ok to alternate few ingredients from the recipes?
    Also, few things are mentioned in the recipes of this book such as corn in One-Pot vegetable and rice tofu (page 116), however, as for snack she like to eat steamed corn, is that ok? Most importantly, is it ok for her to take the ingredients from the book and cook it the way she likes (not fatty, of course)? For example, taking zucchini and cooking with onions, garlic, ginger, cooked tomatoes and then eating with some Rye bread?
    Any help will be appreciated.

  504. She wants to quit tecta because of its side effects. Is there any other medication that she can take that has less side effects.
    I tell her to avoid lime or orange zest as it may bother her stomach because whenever she has even a drop of lime or orange, she feels like she is dying and has pain all over her body but does not burn her stomach.
    I also recommended her taking Vitamin A and E along with Ester C as it helps damaged tissue. I have read that Zinc-Carnosine acts as a buffer to strengthen the mucosal layer that protects the stomach from scalding by gastric acid and still allows for the natural process of digestion to occur from the book Ulcer Free: Nature’ Safe and Effective Remedy for Ulcers written by Georges M. Halpern.
    Will this diet help her cure her gastritis? If not, please recommend something else that will help her gastritis to be cured.

  505. Hello ,can you please tell me,how can someone tell when it a time to stop Ppi for his/her Lpr if there are no findinga i a throat ensoscopy but still has some symptoms?Thank you very much

  506. Hello ,can you please tell me,how can someone be sure when its time to stop PPI s for Lpr if there are no findings in a throat ensoscopy but still has some symptoms?Thank you very much

  507. I have been trying to avoid deli meats, but I notice that you include prosciutto as an ingredient. Is this acceptable?

  508. Hello i have Lpr symptoms two years now but the last.doctor i visited(i have seen 4,noone really helped)told me i do not have Lpr because the throat endoscopy looks fine.I told him i am on nexium for about a month and maybe because of that the throat doesn t look irritated but he insisted that i don t have lpr because there are no findings and my
    Upper esophageal sphincter is absolutely normal.
    The question is:Can i have Lpr with normal upper sphincter and no findings in endoscopy?Thank you very much.

  509. I have just been diagnosed with acid reflux. Because I cannot tolerate the normal acid reflux medications due to an array of side effects my gastro suggested I might want to try organic apple cider vinegar. I have just started using 2 to 3 teaspoons Bragg Organic Apple Cider Vinegar mixed with 1 teaspoon of raw honey in 8 oz. of water twice daily…once before dinner and once before bedtime. This seems to be helping but I don’t understand this as I thought adding acid to my diet was the last thing I should be doing. Would you please explain? Am I adding insult to injury? I am most eager to get your book.
    Thank you!

  510. Hi! What about using Himalayan sea salt on the induction diet???

  511. Also, what about taking HCL with pepsin with the induction diet and maintainence diet? Thank u!!!

  512. I am going to start the detox reflux diet soon. I have found Imported Glacier Isle Naturally Alkaline Spring Water 8.8 pH. How much should I drink each day to eliminate the pepsin and when during the day? Should I continue drinking it at home after the two-week period or will it cause some other problems? Thank you for your books and answering my question!

  513. Hi

    Is all nuts going to be out of bounds for refluxers for as long as they live?

    And what about sun flower seeds and pumpkin seeds can we eat it after induction period?


  514. I’m reading all these questions, but not seeing any responses to the questions.
    My question is in my research (I have LPR )I find people saying the reason for Acid Reflex is that we have TOO LITTLE acid in our stomaches which happens as we age. So if we try to eliminate acid, then what is going to break down the protein? You have the opposite position in saying we need to eliminate acid. So I’m totally confused!

  515. Hello,can you tell me if D-Limonene is helpfull in trating Lpr?Thank you very much.

  516. Is a cereal with cacao and milk OK? I was told cacao is not really chocolate or cocoa powder. Thank you.

  517. Also, I find no mayo at all without lemon juice, acids, etc. Hellmans Light looked promising with lemon peel but had ascorbic and another acid? Yikes.
    Thank you.

  518. Since mint is such a troublesome food, do you have any recommendations for gum chewing and toothpaste? Also are there nuts that are lower in fat that would be less likely to trigger reflux. Is there a difference between raw and roasted nuts? Any recommendations of what to put on a sandwich to make it less dry?
    Thanks for your time and for the work that you are doing!

  519. Hello,

    What about almonds (in moderation)? I often read, that they are very healthy. And good against Reflux. But in the book I found no info about them.
    Only that nuts are not o.k.

    What about pretzel sticks/salt sticks? I eat them for years in moderation as a snack (max. 20 pieces per day), because they are a low-fat alternative.

    Last question: What about sweet, grainy mustard? I use it as a seasoning.

    Thank you, Greetings from Germany
    (Explains the stone-age-English! 😉


  520. Hi, I tried vanilla rice milk and it bothers me. Then I tried vanilla sweetened soy milk and that bothered me too. I’ve tried almond milk, lactose free fat free milk, and 2% milk all seem to cause reflux.
    Which milk should I try without getting reflux?

    I’m also drinking Iceland spring water ph 8.8 and Evamor. Is it ok to drink Iceland spring during the induction diet? Or should I just drink Evamor water?

    During the two week reflux diet it says to use agave syrup, honey..etc if i want to make an oatmeal, do I use maple syrup from recipe or agave? If mostly non dairy milk and most milks bother me, which is best to use to make oatmeal?

    For watermelon, I use the nutribullet to liquefy it and drink it with every meal and between meals for snacks. But my stomach feels like acid is coming up..is this too much?

    For pasta; when I shop at whole foods I see many, so I usually buy angel hair gluten free quinoa pasta. Is this a good choice?

  521. My question is about toothpaste. Is it o.k. to use toothpaste with mint or peppermint flavoring? Thanks so much!

  522. Dr. Koufman,

    My colleagues and I would like to have access to a comprehensive list of all foods and beverages and their pH’s. Does such a list exist?

    We are also interested in your opinion about PPI’s decreasing gastric HCl and whether that would decrease the conversion of pepsinogen to pepsin, thereby decreasing the concentration of aerosolized pepsin reflux into the throat area. Also, since pepsin digests protein, would a lower protein intake (like in a vegetarian diet) lower the concentration of refluxable pepsin?

    Lastly, we would like your views on alginate barriers such as in U.K. aluminum free Gaviscon Advance. Would that be as useful as your 2 week induction diet since less or even no pepsin would be escaping and refluxing after meals?


    Dr. Gustin

  523. I would like to have access to a comprehensive list of all foods and beverages and their pH’s. Does such a list exist?

    I am also interested in your opinion about PPI’s decreasing gastric HCl and whether that would decrease the conversion of pepsinogen to pepsin, thereby decreasing the concentration of aerosolized pepsin reflux into the throat area. Also, since pepsin digests protein, would a lower protein intake (like in a vegetarian diet) lower the concentration of refluxable pepsin?

    Lastly, I would like your views on alginate barriers such as in U.K. aluminum free Gaviscon Advance. Would that be as useful as your 2 week induction diet since less or even no pepsin would be escaping and refluxing after meals?

  524. What is the name of your iPhone app? And what is the name of your FB page?

    After ***15*** years of suffering, thanks to your methods (and my doctor who follows them), I have had fabulous success! I am so very excited! Thank you!

  525. my business was searching for CAA Form 34.0 some time ago and discovered a website that hosts an online forms database . If you are interested in CAA Form 34.0 also , here’s a https://goo.gl/dbIHza

  526. My 17 year old daughter has LPR. She was not responding well to PPIs. Her symptoms were horrible; laryngospasm and ashthma like symptoms in addition to severe cough and on and off hoarseness. She improved when we shifted to PPI 40 mg before breakfast and Ranitidine 300 mg before dinner in addition to ganaton 50 mg as a prokinetic before breakfast and dinner.In addition to low Ph diet but not very strict as the induction diet. When she improved, we stopped nexium and replaced it with ranitidine. This was abrupt and used less restrictive diet…Unfortunately she developed severe symptoms due to the rebound. Laryngoscope showed inflammation and edema of larynx that ENT physician rated as moderate. He asked for 6 months of PPIs 40 mg b.i.d. Response was not improved except after replacing the before dinner PPI with ranitidine 300 mg.

    After reading your article and consulting her GI consultant, she is now on pentazole 40 mg before breakfast and dinner and Ranitidine 150 mg at bed time. We have started the 2 weeks detox.
    My questions are:
    -Can shrimp, smoked turkey breasts and white sauce for pasta (one cup of skimmed milk and one cup of home made soup with celery with no pepper and 2 spoons of wheat flour and no fat; no oil, no butter) be used during the 2 weeks of induction?
    -We do the egg white omlete with very few olive oil without pre-heating oil. Is this fine?
    -We use water Ph 8. That is the most alkaline we found at stores here. Should she drink from it only? Or use it after meals?
    -If she is showing improvement should she continue on the extensive reflux medications for complete 6 months? ENT consultant is suggesting tapering after 3 month and over another 3 months.
    -Does she need to do a GI endoscope? We prefer according to ENT advice to wait after the 6 months.
    -Is there’s a pdf version of the book that we can buy? What is the link?
    Thanks very much. I am a histopathologist and only understood what’s going on from your articles and few of the open access pages of your book.

  527. I have been suffering from GERD for about 2 years and have been on Prilosec but chose to change to Pepcid AC due to Prilosec’s reputation regarding bone loss. The pepcid ac caused severe constipation and I stopped taking it with my doctors ok. I’ve had your book for over 5 years and now realize I need to get serious!
    I have been using papaya enzyme tablets after each meal and whenever I feel acid reflux. It seems to help.
    I will be starting the induction diet and plan on being strict and hopefully stay on it for more than 2 weeks.
    My question… I see papaya is not on the allowable food list for the induction diet. Can I continue using them ?

  528. I read “The Chronic Cough Enigma” and the “Dropping Acid” book and started the induction diet two days ago. I was wondering about getting a ph meter and a ph water filter. I looked on Amazon and there were so many brands that I became overwhelmed. I have no idea which brand is trustworthy. Do you have suggestions?

  529. I forgot to say “Thank you!” :)

  530. Hi – Just started the induction diet. Just wanted to double check that avacados were ok? Also can lactose free milk be semi skimmed? Any advice greatly appreciated. Thanks

  531. Forgot to ask about chewing gum, have read that some gum can help to neutralise acid. Do you have any recommendations? Thanks

  532. Thanks for doing all the hard work.
    Is Oat milk ok for both induction and Maintenance Phase.

    Thank you

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  534. no response

  535. Magali De La Torre
    March 21, 2017 • 6:25 pm
    I’m pretty scared because I have GERD and some symptoms of LPR … I’m losing so much weight and that’s scaring me. To begin with I’m 20 years old Female and 5’1 height and this year I began the year with weighing 105lbs. Today I weight myself and I’m down to 86lbs. I can’t lose anymore weight PLEASE HELP ME!!!!! I’m take Digestive Enzymes and I’m going to buy Probiotics and Vitamin D3 gummies because I keep losing weight. Please help me ASAP.

  536. Can you tell me if fruit of the earth aloe vera juice is safe for silent reflux? My sister saw it in a store here in alberta canada and said there was nothing added to it, but when I looked online it shows citric acid, and sodium benzoate. Also wondering if Exact brand sugar free liquid calcium with vitamin D3 natural blueberry flavour gluten free supplement is safe? Little worried due to the blueberry flavour and also lists citric acid in it. Need calcium and vitamin D supplement due to deficiency results.

  537. I am the .1% who gets dizziness from Zantac. Is there a substitute?