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.

Transitioning from the Induction Reflux Diet to Maintenance

In the few months since the publication of Dropping Acid: The Reflux Diet Cookbook & Cure, we have received hundreds of notes, inquiries, and questions about specifics. In my own medical practice, patients usually return to see me following the 2-3 week Reflux Induction Diet with big smiles, saying that they feel much better … asking, “now what?” Some patients think that you can go from the Reflux Induction Diet back to eating anything they want, anytime, but nothing can be further from the truth. Once you start down the road of self-monitoring and dietary self-maintenance for reflux disease, you will have to always be responsible for what, how much, and when you eat.

In reality, after a few months of thoughtful and planned analytic eating, it becomes second nature. For example, I always order sauces and dressings on the side; I always ask, “Is this baked, grilled, or steamed, but not fried?” It is marvelous that one can eat out without problems. In its most elemental form, the Reflux Maintenance Diet is a low-fat, low-acid (not no-fat, no-acid) diet, with an emphasis on using fats as flavorings and on pH balancing foods and beverages.

Remember to pH-Balance

Sometimes people are surprised that there are ingredients such as orange juice in some of our recipes. Let me assure that a few ounces of orange juice does not cause reflux, and that orange juice used as a flavoring in a recipe is not a problem. In other words, as an ingredient in a pH-balanced recipe, orange juice is just fine. Here is another example of pH balancing: I used to snack on raisins all the time. I would eat two or three little boxes of raisins at a sitting, but by themselves raisins are acidic and not good for someone who has acid reflux, particularly LPR. There is, however, no problem eating raisins in Raisin Bran cereal with milk (preferably low-fat milk) or in oatmeal. Why? Because of pH balancing … the milk will buffer the acidity of the raisins as will oatmeal.

So how do you go from Induction to Maintenance? Without question at the beginning of the transition, the worst-for-reflux foods still have to be completely avoided, including carbonated and other acidified beverages, all citrus, chocolate, and fried food. You may want to look again at the chapter “Notoriously Bad Reflux Foods” on pages 55-64 of the book. And for sure, late-night eating remains strictly off-limits.

Use Tasty Fats as Flavorings and Avoid Your Trigger Foods

What about a sautéed dish? How about grilled fish with a lemon-butter-caper sauce? What about a glass of wine or a cocktail? The answer to these questions is in moderation and with some vigilance. But the moderation is crucial. Have the fish dried on a paper towel, and the sauce served on the side. Put one tablespoon of acidic sauce on the fish max. For alcohol, it’s one beer, one glass of wine, or one cocktail, and not every day or not late in the evening. One glass of orange juice with Sunday morning brunch. One teaspoon of butter or cheese. Each of these things are permissible, particularly within the context of a generally low-acid, low-fat dish or meal. But all the while, you must self monitor. If every time you have wine, your throat burns, beware!

Here’s the thing – there is no hard and fast one-size-fits-all formula. Our book gives guidance, but your trigger (“idiosyncratic”) foods have to be identified by you. I have patient for whom even a small amount of tomato or wine causes problems. Unfortunately, a doctor alone can not identify your idiosyncratic foods for you. It takes a good deal of trial and error.

Another example of smart maintenance eating: I love eggs. I buy Jumbo eggs, because the yolk (the fat in eggs) is the same size in the different sized eggs. That’s why I get the Jumbo eggs, much more egg white. I make myself omelets with one whole egg and two eggs with the yolks discarded. My omelets taste as good to me as regular three-egg omelets.

Is Barrett’s Esophagus Curable?

About two years ago, a medical colleague called, “Jamie, I have Barrett’s Esophagus; what should I do?” That was before the book had been published, and he lived far away so I could not monitor his progress via examinations here in New York. For many people, the throat, which can be examined by an otolaryngologist, is an excellent barometer for reflux disease, and it can easily be examined in the office.

Barrett’s Esophagus is a pre-cursor to esophageal cancer, and is thought to be irreversible, but I have seen Barrett’s go away on our low-acid, low-fat diet. Make no mistake about, I encouraged him to take his PPIs (e.g., Nexium, Prilosec, Prevacid, Protonix, Zegerid, Aciphex) twice a day (30-60 minutes before breakfast and dinner) with a third pill, an H2-antagonist like Zantac or Pepcid just before bed with a sip of water. And here’s what I told him about his diet:

“My friend for one year this is it: No Carbonated beverages. No fruit except for melons and bananas. No alcohol, chocolate, or fried food, and nothing out of a bottle or can, except water. ‘Eat close to the ground.’ Grains, cereals, fish, poultry, and vegetables should be the mainstay of your diet.”

A year later, I saw my colleague at a medical convention. He eagerly took me aside and with a big smile announced, “Guess who’s Barrett’s is gone? …MINE!”

So, how do you go from Induction to Maintenance? Slowly. Take a look at the recipes in the book. Look at some of the things we substitute for bad reflux foods. Prosciutto, for example, is a great substitute for bacon and other high-fat meat products. I often get a single slice of prosciutto (less than a ¼” thick), trim the fat, and cube it fine to add to soups, salads, and sauces. Lemon zest is a great substitute for lemon. It has the entire flavor and none of the acidity. Ginger, capers, olives, sesame seeds, rosemary, cilantro, basil, and parmesan cheese are some of my favorite flavorings. These are used as flavorings.

Here are a few more reminders and tips. Don’t exercise after eating; exercise on an empty stomach or have some antacids like Gaviscon before, if exercising makes you reflux. Beef is okay once a week, but not every day, and lean cuts are preferred. Try not to combine fatty foods at the same meal. When eating something acidic think about pH balancing. Orange juice is not quite as acidic when consumed with oatmeal, pancakes, egg whites, etc. (all non-acidic foods). Generally, low-fat products should be selected when it comes to dairy products, e.g. milk, ice cream, yogurts, and snack foods as well. Remember, The Reflux Maintenance Diet is less concerned about sugar and salt as some other diets. Obviously, if you have diabetes or hypertension you may have to restrict sugar and salt.

Here are other examples of my personal “good reflux practices.” For breakfast, the three best choices are cereals, oatmeal, and whole-grain low-fat bakery products. And remembering the concept of pH balancing, it’s okay to have fruit in your muffins or with your cereal. Try to have a similar lunch everyday. I like a salad with chicken, turkey, shrimp, mushrooms, and other vegetables. For dinner, the best choices are fish, poultry, vegetables, grains, rice, and tubers … with sauces on the side. Limit the amount of bad fat – Remember fats are flavorings! Last night, for example, I ordered endive salad with blue cheese and asked for the blue cheese on the side. The piece of blue cheese that came with the salad looked like 4 ounces of cheese. I took one spoonful and sent the rest back to the kitchen, enjoying my endive salad very much. For many people, learning trigger foods, fat moderation, and dietary restraint takes time. But over the long haul, low-fat and low-acid eating is the potential cure for your reflux disease. If you already have our book, the ball is in your court.

Bon Appétit! Dr. Jamie Koufman

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  1. Thank you for posting this page. I am transitioning to the maintenance diet tomorrow, and this is helpful.

  2. We recommend that you continue to stay away from the really very acidic foods and beverages. You might consider taking soda pop (all carbonated and highly acidic beverages) and citrus fruit out of your diet for at least six months. Also, go slow adding back any known trigger foods, especially chocolate, tomatoes, onions, and garlic. In time, you’ll know what you can “get away with.” Meanwhile, late night eating is also still a big no-no. Good luck!

  3. I just ordered your book and could not be more excited. I have horrible acid reflux since I was 7 and have just lived with it for the past 20 years. Reading through this site, it feels like you are talking directly to me! I can’t wait to get started on this diet and start feeling better!

  4. Is the Induction Reflux Diet something that is covered in the book? I’m seeing this term used a lot but can’t seem to find a definition. My wife was diagnosed with acid reflux about six months ago and has been suffering with having a healthy relationship with food that tastes like cardboard so I’ve ordered your book to give her something to look foreward to.

  5. I have a couple of questions. My husband has silent reflux. He also has to watch his intake of sodium and Vitamin K (he’s on a blood thinner). Thus, using soy sauce for flavor is not an option.

    So, as I try to make something that tastes good but accommodates his various needs, I am confused about the ban on onions and garlic. The pH levels for most onions fall between 5 and 6. So does a banana.

    If he had some sort of trigger response to eating something on the list of idiosyncratic foods, we could figure things by trial and error. I understand how sauteing them in oil or butter can be a problem. I’d like to carmelize them and add small bits to season a sauce or use as a garnish.

    But if he has no symptoms to monitor and the onions are not even cooked, why could he not eat as many raw onions as bananas?

  6. Thank you for writing a very helpful and encouraging book!

    I cook fish and chicken in a combination of canola and olive oil in
    a pan on the stove. Am I sautaing or frying?

  7. Is there any noticeable difference to the addition of mild-mix coffee to maintenance diet, especially when some acid reflux symptoms no longer appear? I still want my coffee in the morning and during work hours if its possible of course.

  8. Hi, I’m on day two of the induction diet…so far, so good! I noticed in the article above, in the boldface quote, it says “…nothing out of a bottle or can, except water.” Is that true for the maintenance diet, or just the induction diet, or just for this specific patient?

    I’m wondering if canned tuna, for example, is OK on the maintenance diet, as when I read the label, it doesn’t seem to have any acidic additives. Also, in your cookbook, some of the recipes call for canned beans.

    Can you clarify please? Thanks so much!

  9. I have recently found out that I have GERD. I have been clearing my throat for about 3 yrs. Trying to do away with foods, drinks etc that I, at fist thought was part of the cause. I have been to 3 different Dr.s and all three told me it is GERD… until I recently read some of your comments and also ordered the Cookbood I had little hope. True, the medications I am on and the anticids have done little good.
    Now I am very excited after reading the articles in the cook book and have a new hope of getting some major relief of this throat clearing. I was very concerned re: developing throat cancer.
    Dr. Kaufman you have actually given me hope I did not have before.
    God bless you for you hard work and study re: this dreadful disease.

  10. Along with having a LPR I am also a diabetic. I have followed diet as closely as possible but I am not seeing any relief except for voice hoarseness not as severe. As a diabetic I cannot eat many of the foods on the induction diet. They are to high carbed….rice pasta mellons etc…. I am at a loss as to what to do. My blood glucose levels are elevated as it is because I am trying to balance the two totally different diets for each disease as it is. Please help me..I have the book on Dropping Acid by Dr. Kaufmann. It was helpful but it does not address the issue of how to eat if you have lpr and diabetes and there is no info on the web either. I can’t even find a restaurant to eat at that can cater to my health issues as far as eating goes. I am miserable and feel very isolated from friends and family since treating this condition. I want to feel half way decent and I try very hard to take care of myself but never seem to get relief. I am on prilosec 20 mg 2xd and a 150mg Zantac before bed. I also take a digestive enzyme with each meal. My stomach burns most of the time and I can feel the burn up my esophagus to the lump in my throat ( not as painful in the esophagus area as it was before meds). I still constantly have to clear my throat and the cough never ends. The only time I am not in discomfort is when I am asleep. Help Help Help!!!!!! I also have asthma by the way.

  11. I was diagnosed with acid reflux this past February. It seems like everything triggers it even water at times. I had an endoscopy which showed little irritation on the esophagus. Just last week, I went to an ENT; and, he checked my throat and vocal cords; and, noted that everything looks fine; but, there is a little irritation in the throat. I bought your book; and, I should be finishing the induction diet this Friday; however, I’m still having the constant post-nasal drip, clearing of the throat, and coughing. Should I consider staying on the induction diet for another week. Also, I know it must be a pain getting all these food questions; but, what spices are okay. I noticed in your book that the recipes use ginger, nutmeg, allspice, cumin, and coriander. Are these okay on the induction diet? Also, on your Q&A section of the blog, someone asked about paprika; and, it was indicated that it was okay?! I thought paprika was from peppers so I’m getting very confused. Are egg beaters okay? I’m sorry this is long; but, I’m so frustrated at this point. I feel this blog is a lifesaver because you know what I’m going through. Thank you for listening.

  12. I don’t know the acid content of chicory (perhaps someone else here does) but it makes a great coffee substitute. I sometimes pass my chicory through a filter with one teaspoon of ground coffee cup. The French drink a blend of 80% chicory to 20% coffee.

  13. As I have been researching acid-reflux on the web, I have come across many people who are using Apple Cider Vinegar to cure their symptoms. The idea behind using it is that we acually have too little acid in our stomach…obviously this does not fit with the Dropping Acid protocols…I am curious about your thoughts on this…..thanks for your insights.

  14. The book does not recommend Apple Cider Vinegar as a remedy. I can’t remember the exact wording but ACV affects the flap. Buy the book, the amount of information is wonderful.

  15. Did you ever get an answer to whether canned tuna (or salmon) is OK when there aren’t any other ingredients listed i.e. American tuna from Whole Foods Market

  16. I do was wondering about the use of apple cider vinegar. How do you know if the cause is too much or too little acid?

  17. Coffee is often a trigger food, but some people find they can introduce a small amount back into their diet.

  18. 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.

  19. Canned tuna, as long as it contains no acid, is a good food for people who suffer from reflux.

  20. Chicory is a reflux friendly food, so this method could be a great way to make coffee less of a trigger. Nonetheless, we still recommend drinking any beverage containing coffee in moderation.

  21. The line between “Sautéing” and “frying” is pretty thin, but typically if something calls to be sautéed it needs less oil. For those who suffer from reflux, it’s best to use just enough oil to cover the pan.

  22. Dear Doctors,

    I love your book. It’s a life saver. Not even the gastroenterologist helped me find what foods were o.k. and which were forbidden. God Bless you both! I have been having shortness of breath associated with my reflux. I take two meds., one in a.m. and Zantac at night. My doctor said I’m getting small amounts of acid in my lungs.

  23. Dear Dr. Koufman, thanks a lot for all the new hope you bring to our lives! I’ve heard that lemon, although an acid fruit, becomes alkaline when it hits the stomach. So, taking water with lemon juice in the morning (20 minutes before breakfast) helps to prevent reflux. Is this true? Thanks a lot,

  24. This is not true, lemon does not become alkaline in the stomach. It will only make the stomach more acidic.

  25. Hiya
    Am 10 days into the induction diet and wondering if you can post a chicken stock recipe?

    Also, I’m having problems managing to include enough iron & calcium in my diet (although a few chicken livers & fortified cereal are helping with the iron). Is this ok for a couple of weeks?

    Do you have any recommendations for good high-calcium foods? I’m not a milk drinker, though I’m managing a bit in my oatmeal.

  26. Dear Doctors,

    I have just purchased your book and I must say among all the books I have read it is the one I like the most.
    I was wondering about the ph of papaya?
    Can we eat papaya after the 2 weeks induction period?
    Also what about probiotics? Do they increase acidity in the stomach?
    Thank you

  27. We’re glad you’re happy with the book. Papaya is OK in moderation during the maintenance phase, but should be avoided during the induction phase. As far as probiotics go, we have not seen significant data to show that they affect reflux.

  28. Any low-fat sock recipe is good for people with reflux. If you are eating plenty of leafy greens, you shouldn’t have a problem with iron or calcium deficiencies. Include broccoli, kale and spinach in your diet. Iron and calcium are also found in beans.

  29. Yes, the Induction Diet is laid out in the book. It is a stricter diet that is only intended to be followed for about two weeks.

  30. Got the book. Hope to start soon. I just have a couple of questions if anyone is able to answer. Is red meat ok to have as often as youd like on the induction diet as long as the meat is very lean? I make a meat loaf out of 93% ground beef, oatmeal, zuchinni, green beans, and carrots. These ingredients really make the meat much more moist. The beef is only 8g of fat for every 4 oz. Is this ok? How many grams of fat does one want to stay under while under the induction diet? Is it ok to have 1/4 of an avocado for breakfast with egg whites?…i think thats only about 6-8 grams of fat and can substitute for the 2 tbsp of olive oil allowed during induction.

  31. Could anyone tell me if it’s okay to drink decaf coffee, and if so, how much?

  32. Love your book. It has helped and I keep it nearby to refer to it everyday.

  33. A cup of coffee per day is fine once you reach the maintenance phase.

  34. I am a 67 yr old male. Have had excess sinus drainage, phlegm and constant clearing of throat and upper chest FOREVER. For some years now I have been taking 2 Omeprazole/day which controls my obvious GERD. ENT says I have LPR so I bought the book and have followed the Induction Diet for two weeks. Feel little difference. Still get excess phlegm with difficulty clearing after nearly every meal and it stays with me into bedtime. Should I see some symtomatic relief at this point?
    Other questions? Is there a broader list of pH levels than those in the book? How about deer meat (low fat)? My wife and I eat mostly canned vegetables for convenience and to avoid waste. Is this something I need to stop? Can I transition to maintenance diet or should I wait until my symptoms subside? I remain hopeful, but a bit skeptical. Thank you for your efforts.

  35. We really recommend that you stay away from beef and avocados during the Induction Phase, but these things are OK in moderation once you reach the Maintenance Phase. However, even lean beef takes the stomach a very long time to digest, so if you reflux at night (as most of our patients do) it’s best to stay away from it at dinner time.

  36. Hi Ken,

    We would recommend that you stay on the Induction Diet for four weeks if you are not feeling any relief from your symptoms before transitioning to the Maintenance diet. Some patients do recover very slowly, for some the process takes over a year.
    We are working on an app that will provide patients with a more comprehensive list of foods, but until it’s available, we’re doing our best to answer all your questions here. Unfortunately, most canned vegetables contain added acid, so if you wish to continue eating these you will have to do some serious label-reading to avoid citric acid, ascorbic acid, ect. Once you reach the Maintenance Phase, deer meat and venison is OK in moderation, but it’s probably better to avoid it at dinner.

  37. We steer clear of onions in our recipes because it is such a common trigger, but if they don’t bother your husband then feel free to cook with them.

  38. This article will help thhe internet visitors ffor setting up new weblog or even a blog from start to end.

  39. Hi

    I am interested to know if

    A/ the app you mentioned has been finished yet?
    B/ you have a more comprehensive food list?

    Thanks :-)

  40. Where can i buy this reflux book

  41. I am interested to buy the book but i dont know where to buy..pls i need you help..thank u

  42. How does a person with reflux get vitamin c? Are there any types of c vitamins that do not bother the stomach? Also are green olives okay to eat?

  43. I am on the maintenance diet and have several questions:
    1) Is cinnamon O.K.
    2) Is coconut O.K
    3) The recipes in the book seem to include a lot of bread and other dough products. Is the author making his own bread or using prepackaged. If prepackaged what brands are O.K.? Seems like all prepackaged bread includes some kind of preservative.
    4) I read that Graham crackers have a PH above 7. Sounds like that would be a good reflux diet food. Can someone please verify. Do I have to make my own or is store bought O.K.
    5) I know the difference between whole grain and whole wheat but I can not find any whole grain flour to make my own bread. Does anyone know where I can get whole grain flour?

  44. Hi. I have been diagnosed with LPR. I start on the induction phase tomorrow. I have your book. I see recipes for pork roast but do not see it on either food list. I saw a post about someone trying to balance diabetes with LPR as am I along with high BP and cholesterol. I don’t eat beef and cannot eat most raw veggies due to IBS. I am feeling discouraged.

  45. Hi I just bought your book, love it and can’t wait to get started! You mention here it’s ok to “ph balance”, is that OK to do even in the induction or just on maintenance?
    Would a small amount of vinegar or lemon be acceptable for a salad dressing that was otherwise low acid? Or are those just total no-no’s?

    Thank you for all your work on this subject! I am so thrilled to FINALLY have some clarity and answers.

  46. I have been treated with Nexium for GERD for years with pretty good success…until November of 2014 when horrid sinus issues and drainage have made me feel sick ever since. I saw an ENT yesterday who diagnosed LPR…this sure explains the throat clearing I have been doing for years as well. I await the arrival of the book in tomorrow’s mail and have appreciated the quantity of information I have found online as to how to reduce acid by increasing alkaline foods. I began the induction diet today based on what I have found online and while I will miss some of my favorite foods, sure hope that I will be feeling some relief soon. My friends will benefit from the gift of all those tomatoes now ripening in my Florida backyard. :(
    I look forward to reading in more detail! Thanks.

  47. I am starting the induction diet and I see bread is recommended to be whole grain but is it necessarily bad if it is not. We have a wonderful local bakery and like to get a weekly kalamata olive loaf.

    In addition, once on the maintenance diet, where does black tea sit on the ph scale?

  48. Hello Dr.
    I bought your book two weeks ago and I’ve already started to see some improvements! Yet I have two questions i would like to ask you. In the book you labeled avocado as high ph vegetable yet it should not be included in the induction diet? Also is tilapia ok lpr?


  49. Hi, I recently was diagnosed with reflux and found your website when I got curious about why I did not have heartburn.I have a clogged Estuation tube w/ post nasal drip that nothing cures!! My ENT said that it is unlikely but it MIGHT be reflux based. Based on some other people’s testimonies, I think this could be the key to getting rid of that middle ear fluid and getting my hearing back! Your book is in the mail, on the way and I can’t wait to read it.

    My main concern is combining it with my current “paleo-style” diet. I have Polycystic Ovarian Syndrome, which means I have a very high risk of developing diabetes. I have to stay low glycemic index/ low carb in order to keep a clear face (free of cystic acne), keep testosterone levels low and to keep me ovulating! Giving up bread was hard but sadly, I use cashews a lot in my baking. I know this is a no-no for silent reflux. The thing is, I use a lot of coconut oil for baking too (saturated fat) since I am dairy free and gee makes me break out as well. I assume I have to give this all up in the induction phase, but would I be able to break it out again?

    Also, if my only symptoms took time to develop (2-4 years for the ear to become clogged to a point that I can’t take it anymore) then how can I tell what makes me reflux? Do I need regular visits with the ENT 1 x a month to check up on what the throat looks like?

  50. I have read that drinking baking soda with water helps reflux? Is that true is it the same as alkaline water?

  51. Is 100% whole grain bread with many different seeds ok on the induction diet?

  52. ANONYMOUS, February14,2015. I,bought the and started the induction diet, I would to know if beets are ok and what kind of seasoning to use for my poultry and fish to give them a taste.

  53. Your book has helped me so much! I will probably always need to watch acids in my diet so it is great to have this guide. I know my triggers – coffee, wine, tomatoes, onions, peppers – so I just totally avoid them. I use decaf coffee occasionally, but try to stick with herbal teas. Fennel tea is one that seems to help a lot.

    Thank you so much for this guide! It has been my salvation on when it comes to controlling this reflux.

  54. SO CONFUSED! I am reading this blog and I see that a prior question came up abotu avocados – and the rsponse was that they werent a good choice in the induction phase….but, they are on the induction list in the book so….? I also wish we had a comprehensive list of spices that are suitable….and breads….and whats happening with dairy – low fat only , or is no-fat an option? No peppers at all or only hot ones? Rice – brown only, or?? Can we have almond milk? Would love some clarity on the bread situation, too. Thanks for any help!

  55. As far as bread – I am trying to figure out if it should be GF, Spelt, etc….and clarification on the 100% grain – is 100% wheat ok? I want to start today, but IDK if Iam doing this right …. Does anyone know how often we get reponses on here? The last response I see is from 2012.

  56. Last, what about take Flax Oil and Chia Oil? I see the Chia Oil ingrediants say “Alph Linolenice Acid, Linoleic Acid and Oleic Acid” – are these safe?

  57. I have finished 2 weeks on the detox….throat clearing gone….except I feel mucous? dropping in my throat…sometimes I can hack up phlegm…what is this issue?

  58. How about tempeh? And rice cakes? And gluten free breads not listed ingredients on the “red” list? Also, nonfat icelandic yogurt (e.g., Siggi’s plain)? Many thanks for your good work!

  59. Doing extremely well on the induction diet! Not even 2 weeks and my 10 year cough and throat issues are pretty much gone. I’m wondering about allowing egg whites during the induction phase? I understand no yolks because of the fats. But how about egg whites?

    You are amazing and I thank God that I found your book. After going to an ENT. Allergist, Gastroenterologist and switching to different medical docs, finally someone (Dr. Jamie Kaufman) made sense and was able to help me. Again, I have a hopeful future. Do you realize what that means to me? :)

  60. Hello,

    I have just read the book and started the induction diet today. Please can you tell me when I should expect to notic a change in my symptoms- I currently clear my throat or cough after every meal, and feel excess mucous in my throat constantly. Also, I was wondering if rice milk and almond milk are ok in the induction phase. Thanks!

  61. Hello,

    I have just read the book and started the induction diet today. Please can you tell me when I should expect to notice a change in my symptoms- I currently clear my throat or cough after every meal, and feel excess mucous in my throat constantly. Also, I was wondering if rice milk and almond milk are ok in the induction phase. Thanks!

  62. I just hit the two-week mark on the Induction Diet. Your book states to do this for 2-4 weeks. Should my symptoms be gone within that time frame? In other words, do I stay on the Induction Diet until my symptoms are gone (no matter how long), or can I simply phase into the Maintenance Diet at two or three weeks? Thank you for your reply. Love your book!

  63. Hi thank you for posting this kind of helpful information and advise and also bought your book last week n im doing great and learning to manage my condition ..i’d like to to know if its ok and helpful if we drink alkaline water for life? Or Is there any adverse effect ? Thank you so much .

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  69. I have read your comments re phasing into the maintenance diet after successfully finishing “boot camp” for 2 weeks and getting rid of my cough!! Thank you!!!!
    I would like to know if , eventually, the silent reflux does disappear, or , do symptoms remain?? I am asking if I will always need to be on the Maintenance diet.

  70. I was diagnosed with LPR 14 weeks ago. I bought your book last week and am entering into Induction Diet this morning. I figure my RSI is about 15 presently. I have already been watching what I eat for weeks now, and have lost a solid 10 pounds…I am presently at my high school weight….very thin..very fit looking. But I have always exercised and stayed in shape. I am 61. I am also very upset about this diagnosis. It has rocked my entire world in very negative ways. I never even knew that LPR existed. Here is my question of the day to the authors of this very well intended opus…Have you heard yet of the Reza Band?…and what are your thoughts regarding such?..and, if I get one this week fitted (necessarily) by a doctor, would you be interested on my reporting about it to you and my co-sufferers here? Thank you for your work and for this equally important book.

  71. Oh sorry. I thought I would add that I was on the PPI Protonix early on for 15 days and chose to discontinue some 8 weeks ago. I am on no drugs or pills whatsoever and am trying to do this with lifestyle and diet changes only…(loved my booze and my coffee..have been cheating with one beer and one cup a day unless symptoms indicate not to). But no alcohol for 2 weeks from today according to the Induction Diet…:(….. Also, received my Medslant Pillow today and hope that it will alleviate some symptoms as well. Best wishes to all on this page…Keep the faith and always keep looking for rays of sunshine…they are there! Just keep looking.

  72. What about Apple cider vinegar? I am in the induction stage, would this help to build up acid in the stomach?

  73. Please tell me where I can purchase the cook book.

  74. I’m in tube induction diet and wondering what kin d if sauces I could use on pasta….and if drinking a high protein boost drinkmis ok

  75. Sorry fir the typing its my phone

  76. To Everyone.
    Check out Dr. Jamie Kaufman’s YouTube shorts. Tons of questions answered on them.
    Kind regards, Julie

  77. It had been more helpful to present recipes for the induction diet only. As it is easier to add than to discard. Recipes that don’t use any garlic, onions and tomatoes and can be tasty with using substitutes… like what? Those three
    are so frequent in recipes. And vinaigrettes without any vinegar or lemon juice. And to be more healthy, desserts without sugar, using dry fruits purees by exemple. As the induction diet is supposed to last a short period, it is easier to change already something in our usual meals instead of trying new recipes. Only after, we can feel like adding slowly new recipes. If tasteful, one can decide to do the induction diet during one month instead of two weeks. Or to do it once a year. For that, some “mommy” recipes could be more useful than chef’s one.

  78. I have been on a once daily dose of Prilosec for several years and it totally relieves my symptoms of reflux. With the recent studies of the health concerns with long term use of these medications (dementia mostly in women over 60), I would really like to get off the Prilosec. I just finished the induction diet for 2 weeks. I think my mistake was to cold turkey stop taking the Prilosec on the 3rd day into the 2 weeks. Each day my reflux got worse, especially in the evening. A Roland usually helped. By the end of the 2 weeks I was feeling really bad all day. Finally took a Prilosec and feel so much better. It wasn’t clear in the book how to handle the medication. How long does it take to flush the pepsin out? Should I keep taking the Prilosec while I continue into the maintenance diet and eventually wean off?

  79. Hello! I see that you’re recommending not to eat a few items that were mentioned on the ‘best foods list’ for the Induction phase such as avocados. Which that are on the list should we not eat? and also which foods are we allowed to eat that we don’t know about? Such as egg whites, dates,what about flax seeds?

  80. Hi RCB,

    Avocados are on the induction list so just like other people I’m feeling confused. Please may we have another response to this question. What pH are fresh dates? They are in the book but not on any of the food lists. Thank you for writing this book it is wonderful. My gp didn’t give any food advice to me at all. Thanks, Kim

  81. Have been on induction for over three months and still can’t even tolerate even half the food on the induction list. Breads, rice, oatmeal make me cough and have a sore throat shortly after, and so I can’t make any of the recipes, and am surviving on potatoes, veggies, pea protein smoothly, egg whites. Skim milk, melons. That’s it . Feeling some better but can’t move forward . Latest g scope shows ulcers at bottom of my esophagus. Dr. wants me to stay on PPI permanently. Help. So sad and hungry.

  82. I have been diagnosed with LPR and have been on the induction diet of 2 weeks. I am staying on it until I see my doctor on September 10th. I would like
    to know if the app has been developed yet or if there is and additonal list of
    pH friendly foods.

  83. I am submitted a correct email for I mistyped the one submitted with my comment. Thanks

  84. I find the Dropping Acid Cookbook fantastic!!! The diet is tremendously healthy and as a person who was not overweight, I lost 13 pounds just eating the foods on the reflux induction diet. I would like more information on balancing the ph of foods and the relationship on pH and cooking foods.
    Also, is there any news of the Acid Reflux App?

  85. I have started the the first 2 weeks of the diet in the book. I have LPR and gastritis. I Can not have soy or almond milk. Can I use coconut milk or rice milk instead? Thanks

  86. I have the book and have been trying to follow the induction diet. Couple questions: Is almond, hemp or coconut milk okay? What about 1/2 an avocado a day? Can I put a couple tablespoons of olive oil on my salads?
    What spices can I use? Cumin, tumeric, pumpkin pie spice, cinnamon?
    Please respond.

  87. Thank you for writing such an encouraging book. I found it today after a discouraging dr visit. I have had an upper endoscopy and today an esophogram…..both show the esophagus spasming….I constantly feel like I have a lump in my throat. Sore throats in the morning, hard to swallow and constant air trapped causing hiccuping/ belching….over the counter mess don’t work and insurance denied the med my dr prescribed…so reading your book in the store gives me hope things can get better. Thank you😉

  88. Hi I am feeling lucky to find this book. But I’m a bit frustrated with it.

    I am finding it hard to discern easily which recipes in the book are good for induction phase. Is there any place where they might be grouped as such, so I am not flipping back and forth to the list to check each ingredient?

    Thanks for your help!

  89. 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.

  90. Just got the book today and I am starting the diet. I don’t see any mention of cinnamon or it’s use in any of the recipes. Is cinnamon ok to use in oatmeal? Also I read it’s ok to have one coffee a day, I drink green tea, is that ok at one cup per day? I did not see the Pink Lady variety of apples on the list, where do they fall on the ph scale?