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    Heartburn: why it happens and what you can do

    enDecember 01, 2022

    Podcast Summary

    • Professor Tim Spector's groundbreaking research on nutrition and personalized healthProfessor Tim Spector's research led to the creation of ZOE, a company revolutionizing nutrition science with discoveries on gut microbiome, menopause, and food response. Amassed 50,000 members, helped gov during COVID, and now offers community investment for research and personalized nutrition.

      Transformative impact of Professor Tim Spector's research on our understanding of nutrition and personalized health. Starting from his groundbreaking work on identical twins at King's College London, he demonstrated that our genes and environment interact in complex ways, particularly in relation to food. This discovery led to the creation of ZOE, a pioneering nutrition science company, which has since grown into a global community of over 50,000 members. Through various studies, ZOE has made significant discoveries about the gut microbiome, menopause, and our body's response to food. During the COVID-19 pandemic, they rebuilt their technology to help, contributing critical information to the government and amassing over 4 million participants in their COVID study. Now, ZOE is offering the opportunity for its community members to invest and become owners, with the goal of carrying out more research and improving their personalized nutrition program. This financial investment comes with potential risks, as ZOE is still a startup company. However, the chance to be part of this scientific revolution and contribute to a healthier future for millions is an exciting prospect.

    • Understanding Acid Reflux: More Than Just HeartburnAcid reflux, or GERD, affects 2 in 10 people globally and is characterized by symptoms like heartburn, regurgitation, and chest burning. Prevent it with lifestyle changes, including avoiding trigger foods, maintaining a healthy weight, and avoiding alcohol and nicotine.

      Acid reflux, also known as GERD, is a common condition where the esophagus, a tube connecting the throat to the stomach, experiences the backward flow of stomach acid. This is not supposed to happen as the esophagus is not designed to handle acid, leading to symptoms such as heartburn, a burning sensation in the chest. Heartburn occurs when acid irritates the nerves in the esophagus, but it's not the only symptom. Other symptoms include regurgitation, where stomach contents come back up without nausea. Acid reflux is prevalent, affecting nearly 2 in every 10 people globally. The condition can be prevented with lifestyle changes, such as avoiding trigger foods, maintaining a healthy weight, and avoiding alcohol and nicotine. It's important to note that heartburn and acid reflux are related but not exactly the same thing. The condition is more complex than just a burning sensation in the chest, and it's crucial to understand the underlying causes and symptoms to effectively manage it.

    • Misconception of excess stomach acid causing heartburnHeartburn is caused by acid flowing back up into the esophagus due to a weakened valve and disrupted movements, not an excess of stomach acid.

      Heartburn is not caused by an excess of stomach acid, but rather by the acid traveling in the wrong direction due to a weakened valve (lower esophageal sphincter) between the esophagus and stomach, and disrupted coordinated movements (motility) between the two. This results in the acid flowing back up into the esophagus, causing symptoms such as heartburn, acid brash, difficulty swallowing, and a sour taste in the back of the throat. Commonly used medications to treat these symptoms, like proton pump inhibitors (omeprazole, Lansoprazole, pantoprazole), work by reducing the amount of acid produced in the stomach, making the refluxed acid less irritating to the esophagus. Despite popular belief, it's not an excess of acid that is the actual problem, but the acid's presence in the esophagus that causes discomfort. Approximately a tenth of the world's population uses medication to treat these gastric issues.

    • Long-term use of heartburn medications can lead to dependency and health issuesInstead of relying on heartburn medications, consider changing dietary habits and maintaining a reasonable time gap between meals and bedtime for improved acid reflux and overall health.

      While commonly used heartburn medications are effective for occasional relief, their long-term use can lead to dependency and potential health issues. These medications reduce stomach acid, which can disrupt the balance of bacteria in the gut and lead to nutrient deficiencies. To avoid dependency on these medications, consider changing dietary habits as alternative solutions. Certain foods, such as spicy or acidic items, fatty foods, and sweet treats, can aggravate acid reflux. Additionally, maintaining a reasonable time gap between your last meal and bedtime can help reduce heartburn symptoms. These lifestyle changes not only improve acid reflux but also offer additional health benefits.

    • Avoid eating before bedtime to reduce acid reflux symptomsEating 3-4 hours before bedtime, a high fiber diet, avoiding bending or lying down after meals, and eating in a relaxed manner can help improve acid reflux symptoms, potentially reducing dependence on medication.

      To reduce the symptoms of acid reflux, it's important to avoid eating just before bedtime. This is because when we lie down flat, gravity no longer helps keep food in the stomach, allowing it to flow back into the esophagus. Ideally, dinner should be consumed 3-4 hours before bedtime. Additionally, a high fiber diet, avoiding bending or lying down after meals, and eating in a relaxed manner can help improve acid reflux symptoms. These lifestyle changes may take time, but they can lead to a reduction in dependence on medication and an overall improvement in health. It's important to note that these suggestions are not a substitute for medical treatment, but rather a complementary approach. Symptoms of acid reflux should guide individuals in determining if these changes are effective.

    • Enjoying Food and Better Health with the Mediterranean DietThe Mediterranean diet, a flexible and balanced approach to eating, promotes enjoyment of food while improving health through a variety of fruits, vegetables, whole grains, legumes, nuts, seeds, herbs, spices, healthy fats, moderate consumption of fish, poultry, eggs, and dairy, and limited intake of red meat, processed meat, and sweets.

      Taking pleasure in your food is an essential aspect of life, and the Mediterranean diet pattern is a helpful guide to achieving this enjoyment while also promoting better health. The Mediterranean diet, a flexible and balanced approach to eating, includes a variety of fruits, vegetables, whole grains, legumes, nuts, seeds, herbs, and spices. It also encourages healthy fats like olive oil, moderate consumption of fish, poultry, eggs, and dairy, and limited intake of red meat, processed meat, and sweets. By following this diet, you'll not only be able to savor your meals but also improve your overall health. If you're interested in personalizing your nutrition plan based on your unique body's needs, consider trying Zoe's program. Use the code PODCAST10 for a 10% discount when you sign up at joinzoe.com/podcast. Tune in next week for more health and nutrition insights on the Zoe podcast.

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    Books by our ZOE Scientists:



    Studies referenced in today’s episode: 


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    Timecodes

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    Timecodes:

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    Timecodes:

    00:00 Introduction

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    Timecodes

    00:00 Introduction

    01:17 Quickfire questions

    03:32  The first window of opportunity is before you are born

    06:04 It takes two to tango: equal roles in conception

    07:25 The science behind sperm health and diet

    09:10 What is life course nutrition?

    10:35 Why generic nutrition advice isn't enough

    13:00 Critical changes in the first 12 weeks of pregnancy

    16:25 Nutritional needs in the second trimester of pregnancy

    17:20 Preventing allergies during pregnancy

    20:30 Nutrition in childhood and adolescence

    21:00 The importance of a diverse diet for teenagers

    22:57 Children learn to eat from us: exposure is key

    25:10 The impact of ultra-processed foods on teenagers

    27:40 Do you need to eat meat to grow well?

    32:55 Lifestyle choices in your 30s affect long-term health

    36:00 Longevity supplement myths

    37:40 Gut microbiome changes in adulthood

    43:28 How to extend your lifespan through diet at any age

    46:05 Preparing for healthy aging and avoiding 'Sniper Alley'

    50:10 How to eat right in your 70s and beyond

    54:22 Protein needs as you age

    56:30 Becoming a ZOE member is like having a nutritionist in your pocket!

    59:20 Summary

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    FREE STUFF:

    If you need help with your gut, I've created free programs for all sorts of conditions like IBD, IBS (C and D), SIBO, Acid Reflux, Fatty Liver and more:

    You can find them for free on my website: https://www.reversablepod.com/free

     

    SOCIAL MEDIA:

    Follow me on Instagram or Facebook @joshdech.health

     

    Part 2: Heartburn

    Part 2: Heartburn

    In this episode, Dr. Christopher Tookey and Dr. Rose Wolbrink review some over the counter medicines to try if the lifestyle changes in part 1 aren't enough. 

    A disclaimer, we're providing general guidance but everyone is different and you should always discuss with your health care professional management of any disease and therapy before trying anything you discover from a source on the internet (including this podcast)