@mollypelletier.rd: I cut dairy. Then gluten. Then tomatoes, citrus, coffee, alcohol, fried food and spicy food. At one point my safe list was shorter than everything I had eliminated, and my symptoms were still there. That is when I stopped asking what else to remove and started asking what was actually driving this. Food was irritating my reflux, and underneath it was a system that needed support: - A lower esophageal sphincter that was not holding pressure - A nervous system locked in survival mode - A microbiome that had been thrown off for years None of that shows up on a trigger food list. The root contributors to reflux often live far from your plate: H. pylori, hiatal hernia, sluggish gastric motility, constipation, hormonal changes and nervous system dysregulation. Food still plays a role. During a healing phase, pulling back on irritants gives damaged tissue room to recover. But food alone cannot restore a sphincter, a nervous system or a motility problem that is not working. When food becomes the whole strategy, I see the same pattern in nearly every client: hypervigilance around eating, growing food fear, and a world that keeps shrinking. If your list keeps growing and your symptoms stay, ask your provider about the contributors above. My free Reflux Vagus Nerve webinar is linked in my bio. 💚 Follow @mollypelletier.rd for the science behind your symptoms. #refluxtok #acidreflux #gerd #lpr #refluxdietitian

Molly | The Reflux Dietitian

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Wednesday 21 October 2026 19:59:31 GMT