For GERD/acid reflux, the goal is to reduce acid exposure, support the protective mucus layer of the esophagus, and promote healing. Supplements may provide symptom relief but do not replace evaluation for severe reflux, difficulty swallowing, unexplained weight loss, vomiting blood, or long-standing symptoms.
Alginate Raft (e.g. RefluxRaft)
• Reacts with stomach acid to form a floating gel raft that reduces reflux
• Use after meals and before bed
• Good for GERD, silent reflux (LPR), throat irritation
⚠ High-sodium formulas: use caution with uncontrolled high blood pressure, heart failure, or kidney disease. Separate from medications by at least 2 hours.
Aloe Vera Liquid (e.g. Lily of the Desert)
Dose: 1–2oz once or twice daily before meals
• May soothe irritated esophageal/stomach lining
• Contains polysaccharides that may support the mucosal barrier
⚠ Avoid non-purified aloe latex (can cause diarrhea/electrolyte disturbances). Use caution with diabetes meds, diuretics, digoxin, and blood thinners.
Slippery Elm
Dose: 400–500mg capsules, 3–4x daily, before meals/bed
• Mucilage coats throat and esophagus, providing a protective barrier
⚠ Separate from all medications/supplements by at least 2 hours. Use caution with diabetes medications.
Deglycyrrhizinated Licorice (DGL)
Dose: 380–760mg chewable, 20 minutes before meals
• Stimulates protective mucus production for heartburn, gastritis, mucosal protection
⚠ DGL has glycyrrhizin removed so it's safer than regular licorice, but use caution with BP medications, diuretics, kidney disease, or pregnancy. Avoid regular licorice root with hypertension.
Zinc Carnosine
Dose: 37.5mg twice daily with meals
• Supports stomach/intestinal mucosal healing
⚠ Long-term high zinc may reduce copper levels. Separate from certain antibiotics and thyroid medications.
Lifestyle Support
• Avoid eating 2–3 hours before lying down
• Elevate the head of the bed for nighttime reflux
• Reduce trigger foods (alcohol, large fatty meals, chocolate, mint, spicy foods)
• Weight reduction can significantly improve reflux in overweight individuals