Obstructive Sleep Apnea (OSA) is a condition characterized by pauses in breathing while you sleep. It usually occurs when the soft tissue in the rear of the throat collapses and the airway is blocked. Throughout the night as an individual struggles to breathe, they repeatedly leave deep sleep and partially awaken as they gasp for air. However, when morning comes they are unaware of their sleep disturbance. According to the National Sleep Foundation, sleep apnea affects somewhere between 10-30% of adults.
Symptoms and risk factors
OSA symptoms may first be noticed by another person, like snoring loudly (although not everyone who snores has sleep apnea), gasping for air, and moments when you stop breathing during sleep. Other symptoms can include headaches, daytime sleepiness, and waking up with a dry mouth.
The risk factors for the disorder include being overweight, male, and more than 40 years of age; but the disorder can affect anyone (even small children whose breathing may be obstructed by enlarged tonsils). Unfortunately, most sufferers are unaware that they have the disorder, so it often remains undiagnosed. But ignorance is not bliss.
Untreated obstructive sleep apnea can cause a host of serious medical problems including chronic tiredness, headaches, memory lapses, irritability, weight gain, depression, increased sensitivity to body aches and pain, and for postmenopausal women, an increase in joint pain. It also places sufferers at a higher risk of developing heart disease, stroke, and high blood pressure.
Finally, excessive sleepiness has public safety consequences: The American Automobile Association (AAA) estimates that one out of every six (16.5%) deadly traffic accidents, and one out of eight (13%) crashes requiring hospitalization of car drivers or passengers is due to drowsy driving.
Diagnosis and treatments
If you suspect you may have sleep apnea, you shouldn’t delay an evaluation. A good place to start is the Epworth Sleepiness Scale. It asks Eight Questions to assess your risk – if your score is equal to or higher than 10, you are at high risk for sleep apnea and should consult your provider. At The Kaplan Center, to help us detect sleep apnea, as well as providing markers for quality of sleep, we prescribe our patients a recyclable Home Sleep Apnea Test called the WatchPAT ONE (scroll down for more information).
Although there is no cure, there are steps you can take to help you get a more restful sleep. Here are 3 things to consider doing now:
Examine your lifestyle factors. Weight loss and/or maintaining a healthy weight, eliminating alcohol, and smoking cessation have all been shown to improve sleep. A one-step-at-a-time approach for any major lifestyle modifications will help you maintain these healthier practices for life.
Consider trying a mouthpiece. Patients diagnosed with mild to moderate sleep apnea may benefit from using an oral appliance. These are customized mouthpieces that are meant to reposition your jaw and/or tongue, depending on the specific device, to help keep your airway passage open while you sleep. If you think this may be a good fit for you, speak to both your healthcare provider and dentist for more information.
If you have been diagnosed with moderate-to-severe sleep apnea, a CPAP (continuous positive airway pressure) machine may be recommended by your provider. The machine uses a mask that fits over the mouth and nose, or just the nose, and gently blows air into the throat. The pressure from the air helps keep the airway open during sleep, minimizing disturbances due to sleep apnea.
Again, if you think you may be suffering from sleep apnea or another type of sleep disorder, don’t put off seeking help. Your sleep is very important, and we are here to get you back on track. Call us at 703-532-4892, ext. 2 to make an appointment.
WatchPAT® ONE for Diagnosing Sleep Apnea and Other Sleep Disorders
WatchPAT ONE Home Sleep Apnea Test (HSAT) can be a valuable tool to help us monitor if there are adequate amounts of Deep and REM sleep, apnea episodes, oxygen and heart rate, snoring, movement, and more.
Patients benefit from:
Convenience. WatchPAT ONE utilizes Bluetooth technology which allows patients to pair the device to their smartphone using Itamar’s proprietary app. Sleep study data is collected during the test and automatically sent to a secure, cloud-based server. Once the test is complete, a comprehensive report is automatically generated and sent directly to the prescribing physician.
An accelerated diagnosis. The sooner we have your data the sooner we can devise a treatment plan to improve your sleep.
Less travel. Patients do not need to come into our office to pick up or return their equipment.
A safe, hygienic product. Using a fully disposable product cuts down on the concern of spreading infection. No cleaning, sanitizing, or reusing of equipment.
With the right treatment, people seeking relief from depression or anxiety can live happy, productive lives. But if you’re one of the many Americans seeking relief from depression or anxiety, you’re no doubt aware of just how elusive successful treatment can be. It is estimated that as many as 30% of depressed patients do not respond to treatment, raising an important question: could it be that we’re thinking about — and therefore treating — these conditions in the wrong way?
A growing body of research suggests that depression and anxiety might not be mental disorders in and of themselves, but rather symptoms of a physical inflammation stemming from increased microglial activity in the brain. Microglia are the immune cells of the Central Nervous System (CNS) and are responsible for producing inflammatory chemicals in response to infection or other CNS damage.
This gives the medical community and those living with these debilitating conditions new hope. In thinking about depression and anxiety as symptoms, we’re afforded new insights into potential root causes, as well as alternative methods of treatment.
Here are eight often-overlooked causes of depression and anxiety that you should consider:
1. Celiac disease or gluten intolerance.
About 1% of Americans have celiac disease, an autoimmune disorder caused by the body’s negative reaction to gluten, the protein found in wheat, barley and rye. And gluten intolerance — also called non-celiac gluten sensitivity — is estimated to impact six times as many Americans.
While we don’t yet understand the mechanism of gluten intolerance in the body, the impact can be very similar to that seen with celiac disease. While intestinal complaints are most common, research is showing that some people with these conditions may, in fact, present with anxiety and depression as the only symptoms.
You can test for celiac disease with a simple blood test. The only way to test for gluten intolerance is to go gluten-free for six weeks and watch for any improvement. (Before making any major dietary changes, make sure to consult your provider or a registered dietitian.)
2. Sleep apnea.
There are two types of sleep apnea. Obstructive sleep apnea is the more common form and occurs when the soft tissue in the back of the throat collapses, thereby blocking the airway during sleep. Central sleep apnea, although not as common, is a result of the brain forgetting to tell the body to breathe. Studies confirm the relationship between sleep apnea and depression.
If you get plenty of sleep but never feel quite rested, or you find yourself often nodding off, a first step you can take is to answer the 8 questions on the Epworth Sleepiness Scale. If your score is equal to or higher than 10, the results should be discussed with your provider.
3. Lyme disease.
Lyme and other tick-borne diseases are becoming increasingly prevalent. While the most common symptom is joint pain, these diseases can also be associated with depression and anxiety disorders (affective disorders).
A study published in PNAS (Proceedings of the National Academy of Sciences of the United States of America) confirmed that “…frequent fried food consumption is strongly associated with a higher risk of anxiety and depression.”
On the other hand, eating a diet high in omega-3 fatty acids (fish oils, walnuts, and flaxseed) and antioxidants (colorful fruits, berries, and greens including spinach, broccoli, and collards) can help provide the brain with the nutrients it needs to repair free radical damage and optimize function.
5. Thyroid disease.
Both an under-functioning thyroid (hypothyroidism) and an over-functioning thyroid (hyperthyroidism) can present as depression or anxiety — not to mention other symptoms like weight changes and exhaustion. If you suffer from depression or anxiety, you may wish to have your thyroid hormone levels checked to rule out any disorder.
6. Medications.
It’s also possible that regular medications may be causing or worsening your depression or anxiety. Beta-blockers used to treat high blood pressure are known to cause depression, and acne-fighting Accutane, birth control pills, and even statins all list depression as a possible side effect.
If you take medication regularly, I recommend talking with your provider about the chances that your medication is bringing you down or making you anxious.
Several studies have demonstrated a link between coffee consumption and heightened anxiety. While most people can tolerate one to two cups of coffee per day without issue, if you are prone to anxiety, you may want to rethink your morning pick-me-up. Try cutting out coffee altogether for at least two months and observe whether or not your mental state changes as a result.
Temple JL, Bernard C, Lipshultz SE, Czachor JD, Westphal JA, Mestre MA. The Safety of Ingested Caffeine: A Comprehensive Review. Front Psychiatry. 2017 May 26;8:80. doi: 10.3389/fpsyt.2017.00080. PMID: 28603504; PMCID: PMC5445139.
It is not uncommon to occasionally experience acid reflux, but when it occurs repeatedly you may have Gastrointestinal Reflux Disease (GERD). Treating GERD is important because over time stomach acids can cause damage to your esophagus, pharynx, or respiratory tract.
Causes
GERD is the condition in which stomach acid frequently leaks upward into the esophagus, usually the result of a relaxed lower esophageal sphincter (LES). The LES is a ring of muscle that relaxes to let food pass through, and tightens to keep it from flowing back upward. When the muscle is weakened or malfunctions, symptoms of GERD may start to appear.
Certain foods may aggravate symptoms, such as spicy, greasy, or fried foods, peppermint, citrus, dairy, tomatoes, grains containing gluten, as well as caffeine and alcohol. Medications such as non-steroidal anti-inflammatories (NSAIDs), birth control pills, and some heart medications may also aggravate the symptoms. NSAIDs can also lead to bleeding and ulceration in the stomach or small intestine. In some cases, GERD is a result of a hiatal hernia or a bacterial infection called Helicobacter Pylori.
For successful long-term results, it is essential to first pinpoint the root cause of your reflux.
Symptoms
The most common symptom of GERD is frequent heartburn, but other common symptoms include cough, hoarseness, sore throat, bad breath, wheezing, difficulty swallowing, and indigestion.
If your symptoms are persistent or severe, give us a call today at 703-532-4892 to make an appointment. Our providers can customize a holistic treatment plan to address not just your GERD symptoms, but any other underlying factors that are keeping you from feeling better
Treatment options for GERD
When GERD symptoms are mild, natural remedies can be a safe and effective option for managing GERD. Recommendations may include one or a combination of the following.
Lifestyle modifications: Try to adjust your routine to eat smaller meals more frequently throughout the day. If possible, elevate your head while sleeping, and don’t eat too close to your bedtime so you have more time to digest your food before lying down. Lying on your left side when sleeping may also help with digestion.
Dietary modifications: Nutritionally, start by eliminating inflammatory foods. Keeping a food diary may sound tedious, however, it is a great way to identify possible triggers. Once they are identified, dietary modifications can help reduce the severity of symptoms. Certain diets have also been found to be helpful as well – such as paleo and/or low FODMAP diets.
Weight loss: Losing weight may improve, or for some, eliminate symptoms. Carrying extra weight can add pressure on your stomach which leads to stomach acids traveling to the esophagus.
Quit smoking: If you are a smoker, stop smoking. Among the many other negative health effects, smoking weakens the esophageal sphincter which in turn increases acid reflux symptoms.
Herbal remedies/nutritional supplements: There are a variety of herbal remedies and supplements that can ease GERD symptoms because of their anti-inflammatory and antioxidant capabilities as well as their ability to support the microbiome. Based on a patient’s health profile, we may recommend one of the following: DGL (deglycyrrhizinated licorice root), marshmallow root, slippery elm, aloe vera juice that has been fractionally distilled, digestive enzymes, ginger, Betain with HCL, magnesium, and turmeric, apple cider vinegar, chamomile tea, probiotics. (Check with your provider before taking any supplement.)
Acupuncture: Acupuncture promotes relaxation, can improve gastrointestinal motility, and can restore balance to the microbiome.
Meditation/relaxation practice: Perhaps the simplest change you can make is practicing meditation. Mindfulness-based Stress Reduction (MBSR) practice can help GERD symptoms by reducing stress and anxiety – both of which can aggravate symptoms.
Depending on how severe your GERD symptoms are, your provider may prescribe medication. Acid blockers may be necessary for severe gastritis, ulcer, or Barrett’s esophagus, which is a precancerous condition. However, prolonged use can lead to calcium and magnesium deficiency, and achlorhydria (absence of hydrochloride acid) leading to an overgrowth of bacteria in the small intestine (SIBO). This condition and H. Pylori are diagnosed by a breath test and both are treated with different antibiotics or supplements, like garlic and Candibactin. Research has also confirmed that the long-term use of certain types of acid blockers – PPIs – can increase the risk of a cardiac event and also increase the risk of dementia, so it’s extremely important to speak to your provider about the risks, benefits, and length of use.
If you have GERD, a holistic treatment plan that includes medication, lifestyle changes, and alternative therapies can provide significant relief from your symptoms. We can help. Please call us at 703-532-4892 to make an appointment.
Could You Have Sleep Apnea? 3 Things to Consider
/in Conditions, Lifestyle, Sleep/by Gary Kaplan, DOObstructive Sleep Apnea (OSA) is a condition characterized by pauses in breathing while you sleep. It usually occurs when the soft tissue in the rear of the throat collapses and the airway is blocked. Throughout the night as an individual struggles to breathe, they repeatedly leave deep sleep and partially awaken as they gasp for air. However, when morning comes they are unaware of their sleep disturbance. According to the National Sleep Foundation, sleep apnea affects somewhere between 10-30% of adults.
Symptoms and risk factors
OSA symptoms may first be noticed by another person, like snoring loudly (although not everyone who snores has sleep apnea), gasping for air, and moments when you stop breathing during sleep. Other symptoms can include headaches, daytime sleepiness, and waking up with a dry mouth.
The risk factors for the disorder include being overweight, male, and more than 40 years of age; but the disorder can affect anyone (even small children whose breathing may be obstructed by enlarged tonsils). Unfortunately, most sufferers are unaware that they have the disorder, so it often remains undiagnosed. But ignorance is not bliss.
Untreated obstructive sleep apnea can cause a host of serious medical problems including chronic tiredness, headaches, memory lapses, irritability, weight gain, depression, increased sensitivity to body aches and pain, and for postmenopausal women, an increase in joint pain. It also places sufferers at a higher risk of developing heart disease, stroke, and high blood pressure.
Finally, excessive sleepiness has public safety consequences: The American Automobile Association (AAA) estimates that one out of every six (16.5%) deadly traffic accidents, and one out of eight (13%) crashes requiring hospitalization of car drivers or passengers is due to drowsy driving.
Diagnosis and treatments
If you suspect you may have sleep apnea, you shouldn’t delay an evaluation. A good place to start is the Epworth Sleepiness Scale. It asks Eight Questions to assess your risk – if your score is equal to or higher than 10, you are at high risk for sleep apnea and should consult your provider. At The Kaplan Center, to help us detect sleep apnea, as well as providing markers for quality of sleep, we prescribe our patients a recyclable Home Sleep Apnea Test called the WatchPAT ONE (scroll down for more information).
Although there is no cure, there are steps you can take to help you get a more restful sleep. Here are 3 things to consider doing now:
Again, if you think you may be suffering from sleep apnea or another type of sleep disorder, don’t put off seeking help. Your sleep is very important, and we are here to get you back on track. Call us at 703-532-4892, ext. 2 to make an appointment.
WatchPAT® ONE for Diagnosing Sleep Apnea and Other Sleep Disorders
WatchPAT ONE Home Sleep Apnea Test (HSAT) can be a valuable tool to help us monitor if there are adequate amounts of Deep and REM sleep, apnea episodes, oxygen and heart rate, snoring, movement, and more.
Patients benefit from:
For more information about sleep apnea, please visit the National Institute of Neurological Disorders & Stroke website.
This article was originally published in March 2016. It was reviewed and updated in May 2023.
We are here for you, and we want to help.
Our goal is to return you to optimal health as soon as possible. To schedule an appointment please call: 703-532-4892 x2
References
National Sleep Foundation
Owens, J.M., Dingus, T.A., Guo, F., Fang, Y., Perez, M., McClafferty, J. & Tefft, B.C. (2018). Prevalence of Drowsy Driving Crashes: Estimates from a Large-Scale Naturalistic Driving Study (Research Brief). Washington, D.C.: AAA Foundation for Traffic Safety.
Li, M., Zou, X., Lu, H. et al. Association of sleep apnea and depressive symptoms among US adults: a cross-sectional study. BMC Public Health 23, 427 (2023). https://doi.org/10.1186/s12889-023-15358-8
Odai T, Terauchi M, Umeki H, Miyasaka N, Somekawa Y. Sleep apnea in postmenopausal women is associated with joint pain severity and fatigability: a cross-sectional study. Menopause. 2022 Jun 1;29(6):680-686. doi: 10.1097/GME.0000000000001974. PMID: 35231006.
Gomase VG, Deshmukh P, Lekurwale VY. Obstructive Sleep Apnea and Its Management: A Narrative Review. Cureus. 2023 Apr 10;15(4):e37359. doi: 10.7759/cureus.37359. PMID: 37182079; PMCID: PMC10174073.
RMIT University. (2019, January 31). Sleep apnea creates gaps in life memories: People with sleep apnea struggle to remember details of memories from their own lives, putting them at risk of depression. ScienceDaily.
8 Commonly Overlooked Causes Of Anxiety and Depression
/in Conditions, Mental Health, Wellness/by Gary Kaplan, DOWith the right treatment, people seeking relief from depression or anxiety can live happy, productive lives. But if you’re one of the many Americans seeking relief from depression or anxiety, you’re no doubt aware of just how elusive successful treatment can be. It is estimated that as many as 30% of depressed patients do not respond to treatment, raising an important question: could it be that we’re thinking about — and therefore treating — these conditions in the wrong way?
A growing body of research suggests that depression and anxiety might not be mental disorders in and of themselves, but rather symptoms of a physical inflammation stemming from increased microglial activity in the brain. Microglia are the immune cells of the Central Nervous System (CNS) and are responsible for producing inflammatory chemicals in response to infection or other CNS damage.
This gives the medical community and those living with these debilitating conditions new hope. In thinking about depression and anxiety as symptoms, we’re afforded new insights into potential root causes, as well as alternative methods of treatment.
Here are eight often-overlooked causes of depression and anxiety that you should consider:
1. Celiac disease or gluten intolerance.
About 1% of Americans have celiac disease, an autoimmune disorder caused by the body’s negative reaction to gluten, the protein found in wheat, barley and rye. And gluten intolerance — also called non-celiac gluten sensitivity — is estimated to impact six times as many Americans.
While we don’t yet understand the mechanism of gluten intolerance in the body, the impact can be very similar to that seen with celiac disease. While intestinal complaints are most common, research is showing that some people with these conditions may, in fact, present with anxiety and depression as the only symptoms.
You can test for celiac disease with a simple blood test. The only way to test for gluten intolerance is to go gluten-free for six weeks and watch for any improvement. (Before making any major dietary changes, make sure to consult your provider or a registered dietitian.)
2. Sleep apnea.
There are two types of sleep apnea. Obstructive sleep apnea is the more common form and occurs when the soft tissue in the back of the throat collapses, thereby blocking the airway during sleep. Central sleep apnea, although not as common, is a result of the brain forgetting to tell the body to breathe. Studies confirm the relationship between sleep apnea and depression.
If you get plenty of sleep but never feel quite rested, or you find yourself often nodding off, a first step you can take is to answer the 8 questions on the Epworth Sleepiness Scale. If your score is equal to or higher than 10, the results should be discussed with your provider.
3. Lyme disease.
Lyme and other tick-borne diseases are becoming increasingly prevalent. While the most common symptom is joint pain, these diseases can also be associated with depression and anxiety disorders (affective disorders).
This link between Lyme disease and neuropsychiatric disease was first documented in 1994 in the American Journal of Psychiatry and has been widely documented since, but the potential connection is frequently overlooked when diagnosing those with psychiatric illness. If you are suffering from chronic pain and a mental disorder, this diagnosis should be considered.
Questions? Give Us a Call!
703-532-4892 x2
4. Unhealthy diet.
A study published in PNAS (Proceedings of the National Academy of Sciences of the United States of America) confirmed that “…frequent fried food consumption is strongly associated with a higher risk of anxiety and depression.”
On the other hand, eating a diet high in omega-3 fatty acids (fish oils, walnuts, and flaxseed) and antioxidants (colorful fruits, berries, and greens including spinach, broccoli, and collards) can help provide the brain with the nutrients it needs to repair free radical damage and optimize function.
5. Thyroid disease.
Both an under-functioning thyroid (hypothyroidism) and an over-functioning thyroid (hyperthyroidism) can present as depression or anxiety — not to mention other symptoms like weight changes and exhaustion. If you suffer from depression or anxiety, you may wish to have your thyroid hormone levels checked to rule out any disorder.
6. Medications.
It’s also possible that regular medications may be causing or worsening your depression or anxiety. Beta-blockers used to treat high blood pressure are known to cause depression, and acne-fighting Accutane, birth control pills, and even statins all list depression as a possible side effect.
If you take medication regularly, I recommend talking with your provider about the chances that your medication is bringing you down or making you anxious.
7. Toxic mold exposure.
Exposure to certain indoor molds can result in a wide range of symptoms, including depression, ADHD, difficulty concentrating, fatigue, chronic sinus infections, and various pulmonary and neurologic issues. If you fear that you’ve been exposed to indoor molds, it’s critical that you speak with a physician who is familiar with mold toxicity disorder.
8. Coffee.
Several studies have demonstrated a link between coffee consumption and heightened anxiety. While most people can tolerate one to two cups of coffee per day without issue, if you are prone to anxiety, you may want to rethink your morning pick-me-up. Try cutting out coffee altogether for at least two months and observe whether or not your mental state changes as a result.
This article first appeared in Dr. Kaplan’s column on MindBodyGreen.com in September 2015. It was reviewed and updated in May 2023.
We are here for you, and we want to help.
Our goal is to return you to optimal health as soon as possible. To schedule an appointment please call: 703-532-4892 x2
Additional Resources
Harding CF, Pytte CL, Page KG, Ryberg KJ, Normand E, Remigio GJ, DeStefano RA, Morris DB, Voronina J, Lopez A, Stalbow LA, Williams EP, Abreu N. Mold inhalation causes innate immune activation, neural, cognitive and emotional dysfunction. Brain Behav Immun. 2020 Jul;87:218-228. doi: 10.1016/j.bbi.2019.11.006. Epub 2019 Nov 18. PMID: 31751617; PMCID: PMC7231651.
Temple JL, Bernard C, Lipshultz SE, Czachor JD, Westphal JA, Mestre MA. The Safety of Ingested Caffeine: A Comprehensive Review. Front Psychiatry. 2017 May 26;8:80. doi: 10.3389/fpsyt.2017.00080. PMID: 28603504; PMCID: PMC5445139.
Natural Remedies for Treating GERD
/in Inflammation, Nutrition/by Kaplan CenterIt is not uncommon to occasionally experience acid reflux, but when it occurs repeatedly you may have Gastrointestinal Reflux Disease (GERD). Treating GERD is important because over time stomach acids can cause damage to your esophagus, pharynx, or respiratory tract.
Causes
GERD is the condition in which stomach acid frequently leaks upward into the esophagus, usually the result of a relaxed lower esophageal sphincter (LES). The LES is a ring of muscle that relaxes to let food pass through, and tightens to keep it from flowing back upward. When the muscle is weakened or malfunctions, symptoms of GERD may start to appear.
Certain foods may aggravate symptoms, such as spicy, greasy, or fried foods, peppermint, citrus, dairy, tomatoes, grains containing gluten, as well as caffeine and alcohol. Medications such as non-steroidal anti-inflammatories (NSAIDs), birth control pills, and some heart medications may also aggravate the symptoms. NSAIDs can also lead to bleeding and ulceration in the stomach or small intestine. In some cases, GERD is a result of a hiatal hernia or a bacterial infection called Helicobacter Pylori.
For successful long-term results, it is essential to first pinpoint the root cause of your reflux.
Symptoms
The most common symptom of GERD is frequent heartburn, but other common symptoms include cough, hoarseness, sore throat, bad breath, wheezing, difficulty swallowing, and indigestion.
If your symptoms are persistent or severe, give us a call today at 703-532-4892 to make an appointment. Our providers can customize a holistic treatment plan to address not just your GERD symptoms, but any other underlying factors that are keeping you from feeling better
Treatment options for GERD
When GERD symptoms are mild, natural remedies can be a safe and effective option for managing GERD. Recommendations may include one or a combination of the following.
Depending on how severe your GERD symptoms are, your provider may prescribe medication. Acid blockers may be necessary for severe gastritis, ulcer, or Barrett’s esophagus, which is a precancerous condition. However, prolonged use can lead to calcium and magnesium deficiency, and achlorhydria (absence of hydrochloride acid) leading to an overgrowth of bacteria in the small intestine (SIBO). This condition and H. Pylori are diagnosed by a breath test and both are treated with different antibiotics or supplements, like garlic and Candibactin. Research has also confirmed that the long-term use of certain types of acid blockers – PPIs – can increase the risk of a cardiac event and also increase the risk of dementia, so it’s extremely important to speak to your provider about the risks, benefits, and length of use.
If you have GERD, a holistic treatment plan that includes medication, lifestyle changes, and alternative therapies can provide significant relief from your symptoms. We can help. Please call us at 703-532-4892 to make an appointment.
References
https://www.sciencedirect.com/science/article/pii/S0254627215301515?via%3Dihub
https://www.sciencedirect.com/science/article/pii/S027153171931187X
https://pubmed.ncbi.nlm.nih.gov/33351048/
https://pubmed.ncbi.nlm.nih.gov/30864012/
https://pubmed.ncbi.nlm.nih.gov/35148031/
https://www.frontiersin.org/articles/10.3389/fcvm.2022.767987/full
Additional resources
For more information on how to treat acid reflux symptoms while staying heart healthy, click here.
We are here for you, and we want to help.
Our goal is to return you to optimal health as soon as possible. To schedule an appointment please call: 703-532-4892 x2
This article was originally published in January 2016. It was reviewed and updated in December 2023.