@mollypelletier.rd: I eliminated dairy. Then gluten. Then tomatoes, citrus, coffee, alcohol, anything fried, anything spicy. The list of foods I had removed grew longer than the list of foods I still ate, and I was still symptomatic. That was when I stopped asking "what else should I cut out?" and started asking why this was happening in the first place. What I eventually understood: food was aggravating my reflux, but something else was driving it. My system was not being supported: • Lower esophageal sphincter (LES): the valve between my stomach and esophagus was under pressure • Nervous system: stuck in chronic fight-or-flight • Microbiome: disrupted for years None of these show up on a trigger food list, and cutting citrus does nothing for any of them. Root contributors to reflux often have nothing to do with your plate: H. pylori, hiatal hernia, slow gastric motility, constipation, hormonal shifts, and nervous system dysregulation. Food still matters. In a healing phase, reducing triggers gives irritated tissue space to recover. But food alone cannot rebuild the mechanisms that are failing, and treating it as the full answer leads to something I see in almost every client: hypervigilance, food fear, and a life that keeps getting smaller. If your safe list keeps shrinking, bring that list of contributors to your next appointment. Follow for more of the science behind your symptoms. #refluxtok #acidreflux #gerd #silentreflux #refluxdietitian

Molly | The Reflux Dietitian

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Monday 02 November 2026 18:30:46 GMT