Fall Routines for Reflux Relief: Schedule, Sleep & the Acid Pocket, Explained w/ Dr Inna Husain

Fall is when reflux routines fall apart. Earlier sunsets, later dinners, heavier meals, a schedule that shifts with the season, and the symptoms creep back in. I went live with Inna Husain, MD (‪@Drnosethroat‬ ) a board-certified otolaryngologist with sub-specialization in Laryngology, trained at Northwestern and Harvard, with over 30 peer-reviewed publications on laryngopharyngeal reflux (LPR), to rebuild a fall routine around the physiology instead of the food list. ✅ Try Reflux Raft: refluxraft.com/MOLLYPELLETIER ✅ Personalized Nutrition Therapy for reflux and LPR with our expert team of reflux Dietitians: www.mollypelletier.com/acid-reflux-specialist 📎 FREE Resources for Reflux Relief: hwww.mollypelletier.com/free-resources-for-acid-ref… 📎 Recommended Reflux Products page (our favs!): htwww.mollypelletier.com/acid-reflux-recommended-pro… 🌿 Learn more: httwww.mollypelletier.com/ere is what we cover: The acid pocket. After a meal, an unbuffered layer of acid floats on top of the food in your stomach, right below the junction with your esophagus. It is the reason reflux is worst in the hour or two after eating, and it is the thing most reflux advice never mentions. Dr. Husain and I walk through what it is and how to keep it below the diaphragm. Why alginate works on the acid pocket specifically. In a randomized trial, an alginate raft localized to the acid pocket and cut post-meal acid reflux episodes from 15 to 3.5, with the first reflux event pushed from 14 minutes out to 63 (Rohof et al. 2013, Clin Gastroenterol Hepatol, 16 GERD patients, PMID 23669304). Reflux Raft (‪@refluxraft‬ ) is the alginate we both use with our patients and a product I love and use myself, after trigger meals and before bed. The fall schedule. How to set meal timing when the days get shorter, why the 3-hour buffer between your last bite and bed matters more this season (drinks are fine), and what the data says: people who ate within 3 hours of bed had about seven times the odds of GERD compared with 4 hours or more (Fujiwara et al. 2005, Am J Gastroenterol, 147 GERD patients and 294 controls, PMID 16393212). Sleep. Left-side sleeping and head-of-bed elevation, and why both work. With concurrent sleep-position and pH monitoring, nighttime acid exposure on the left side was a median 0.0% vs 1.2% on the right, and the esophagus cleared acid in 35 seconds vs 90 (Schuitenmaker et al. 2022, Am J Gastroenterol, 57 patients, PMID 34928874). Let Inna and I know below ⬇️ what you want us to cover on the next live! 🫶