The dropping acid book was released in with the 2nd being released in Dr Koufman is somewhat seen as an authority in the area of reflux and LPR Laryngopharyngeal Reflux mainly because of her knowledge and treatment over the past years which has been gained somewhat from these books. As I recommend the newer version of the book I will focus more on its structure and content. The book first talks about everything you need to know about reflux and how said reflux can bring on LPR symptoms on top of or instead of the typical acid reflux symptoms. She talks about how reflux is caused and the strategy that can heal and eventually cure your reflux and LPR sometimes called silent reflux.
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There are two versions of the book available. The newest one is Dr. I recommend the newer version as it includes updated information and brings things more to the point. Funnily, it is a bit cheaper than the old version. What is Inside the Books? However, this part about the disease is very short. You can easily read them in an hour if you hurry through it. Instead of giving extensive, in-depth information, Koufman brings the facts to the point.
Her diet starts with a very strict 2-week detox program which only allows foods that cause the least reflux.
After those two weeks, you can reintroduce some foods and test out what you can tolerate. Low Acidity This is a unique factor. It differentiates the diet from others and explains the name of the first book: Dropping Acid. The pH is a way to measure acidity. All sodas, most canned foods, and fruits are below pH 5. Some other foods like yogurt are acidic as well. Once your symptoms are better, you can try to reintroduce foods down to pH 4.
That allows you a more diversified diet. Low Fat Another core component of Dr. The explanation is simple: fat relaxes the lower esophageal sphincter LES. The LES is the valve which sits above the stomach. Fat causes that valve to be looser. That is why fat promotes reflux. You will be able to reintroduce moderate amounts of fat back into your diet after a while.
Low-fat diets might introduce a host of new problems in the long-term. However, strongly cutting back on fats for a while gives your body a break from reflux and time to heal. Avoiding Reflux Triggers There are foods which are known causes of reflux.
Typical examples are garlic and onions. Others are coffee, tea, and chocolate. Some of those trigger foods produce gas in the stomach. The resulting pressure forces the sphincter up above the stomach. Other foods simply relax the sphincter so that anything opens it easier. One patient might not tolerate the smallest amounts of chocolate while the next does not feel a bit of reflux.
The goal is to avoid all those trigger foods until symptoms improve. Then you can reintroduce them into your diet one after the other. That allows you to check which ones you can tolerate in which amounts.
In her newest book, Dr. If you are somebody who just wants the basic information and to start with treatment — this book is the perfect fit for you. Without Dr. What is very good about the Dropping Acid Diet books is that they include a huge number of recipes.
So even if you say: I do not care about what LPR is or how it is caused — you can just follow the recipes, at least for the first few weeks, and see whether it works for you. Sooner or later you will want to eat something else, so you still need to understand the basics of what causes reflux. You can always dive deeper into the topic then.
Things I Missed The big upside of the books — that they are straight to the point — is also the downside. I believe that having all the information is the best foundation for fixing a problem. I know that many of my readers on Refluxgate are the severe LPR cases. Those types of patients need advanced strategies. What helps them is to get a deep understanding of LPR.
It enables them to experiment with different diet and treatment approaches. You will not get that in the Dropping Acid books. Koufman also does not go much into what happens after the 2-week induction diet.
She only writes that you have to test which foods you can tolerate and which ones you cannot. Many of my readers are confused about which of those two diets they should follow. The diets conflict with each other in some ways. The Fast Tract Diet sees bacteria in the gut as the cause of reflux. Those bacteria produce gas from fermentable carbohydrates. Maybe Dr. Koufman even agrees that the Fast Tract Diet approach could work well in some people? But her approach works more often?
Is it Scientifically Proven? The short answer is: the diet as a whole is not scientifically proven. However, its individual elements have a scientific basis. That means theoretically it should work. Jamie Koufman had to fight an uphill battle in bringing her knowledge to patients. Before the internet, it was very tough for physicians to introduce new concepts and treatments into the medical world.
It is a universal phenomenon that the establishment tends to block and slow change by new and innovative thinkers. Do not get me wrong, having a critical establishment is important. There are more fake treatments, hoaxes, modern snake oils and placebos on the market than working therapies.
That is why the medical establishment demands hard data to prove that a treatment concept works. How you get that data? Through independent studies from neutral parties. But guess what: Those studies are incredibly expensive. Usually, studies are sponsored by pharmaceutical companies who have an interest to show that their drugs are effective.
Getting a neutral party to do a study and providing the necessary funds for a dietary treatment approach is close to impossible. There are no parties with a monetary interest in the diet and deep enough pockets involved. You cannot put a patent on a diet or specific foods.
That explains why there is little scientific proof for the effectiveness of the Koufman diet. It is also why Dr. Koufman is often praised but can easily be attacked for the lack of scientifically proven results. Koufman has written a whole book about chronic cough called The Chronic Cough Enigma.
Many cases of chronic cough are caused by a damaged nerve. The medical term is neuropathy. I published an interview about this topic. I want to know how to treat my reflux! But are you sure that it is reflux that is causing your symptoms?
Especially since chronic cough can be caused both by reflux and neuropathy. Many people are writing to me that they do not manage to get better with reflux treatment. When I ask them to describe their symptoms, they sometimes sound much more like neuropathy than reflux.
Chronic cough is the most common symptom of neuropathy in the throat area. However, tingling, burning, general pain or painful speaking are other signs. Those symptoms can show up in the larynx or pharynx. Even the mouth can be hit. In that case, it is usually a burning feeling which explains the medical term: burning mouth syndrome BMS.
Both Diseases Can Show Up Simultaneously Usually coughing should only happen when something threatens to block the airways. Like slime which is produced as a reaction to reflux. The neuropathy causes nerves to become more sensitive. They start triggering an unnecessary coughing reflux from the slightest stimulation.
Some people have reflux and neuropathy. In those cases, even slight reflux can feel very bad. The damaged nerve multiplies how strong the symptoms are perceived.
Koufman Diet / Dropping Acid Diet Book – How Effective Is It?
Specialized treatments are available for people with vocal misuse and overuse syndromes, recurrent laryngitis, spasmodic dysphonia, vocal cord paralysis, the aging voice, cancer of the vocal cord, scarred vocal cords, and benign vocal cord growths, such as nodules, polyps, cysts, granulomas, and papillomas. Actually, Dr. Koufman coined the terms LPR, silent reflux , and airway reflux. Jamie Koufman has been a leading clinician and researcher in the fields of laryngology, acid reflux, and the voice for more than 25 years. The Reflux Center and Voice Institute of New York are uniquely qualified to evaluate and treat patients with reflux and voice disorders, because at present there is fragmentation of services both nationally and within the city of New York. The Center and the Instituteprovide all of the most advanced cutting-edge diagnostics including reflux testing and transnasal esophagoscopy and treatments including minimally-invasive, office-based, laryngeal laser surgery , all under one roof.
Review: The Koufman Diet & Dropping Acid Cookbook
There are two versions of the book available. The newest one is Dr. I recommend the newer version as it includes updated information and brings things more to the point. Funnily, it is a bit cheaper than the old version. What is Inside the Books? However, this part about the disease is very short.
Dropping Acid: The Reflux Diet Cookbook & Cure
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