DigestiveFoundation

Stomach Acid

The overlooked essential. Stomach acid (HCl) is critical for protein digestion, mineral absorption, B12 release, and killing pathogens. Low stomach acid is extremely common and often mistaken for high acid. Symptoms overlap, but causes and treatments are opposite.

Stomach acid function
pH 1-3
Optimal Range
Pepsin
Activates
↓ Age
Declines
Defense
Barrier

Functions of Stomach Acid

Protein Digestion

Denatures proteins. Activates pepsin. Without acid, proteins don't break down.

Mineral Absorption

Iron, calcium, zinc, magnesium. All need acidic environment. Deficiencies common.

B12 Release

Acid separates B12 from food proteins. Then intrinsic factor binds it.

Pathogen Defense

Kills bacteria, parasites in food. Sterilizes what you eat. First immune barrier.

Triggers Digestion

Signals pancreas and gallbladder. Releases bile and enzymes. Cascade effect.

SIBO Prevention

Keeps bacteria from migrating up. Low acid = overgrowth risk.

Signs of Low Stomach Acid

Bloating After Meals

Food sits undigested. Fermentation. Gas production.

Reflux/Heartburn

Paradoxically, low acid causes reflux. Food ferments, pressure builds, LES opens.

Undigested Food in Stool

Visible meat fibers. Digestion incomplete. Proteins need acid.

Nutrient Deficiencies

Low B12, iron, zinc despite eating well. Can't absorb.

Burping

Excessive belching. Gas from fermentation. Soon after eating.

Feeling Full Quickly

Food sits like a rock. Slow emptying. Heavy feeling.

Supporting Stomach Acid

Betaine HCl

Supplemental acid. With protein meals. Start low, increase until warmth.

Apple Cider Vinegar

1-2 tbsp before meals. Acidifies stomach. Gentler approach.

Bitter Herbs

Stimulate acid production naturally. Gentian, dandelion. Before meals.

Zinc

Needed to make HCl. Deficiency common. Test and supplement.

Chew Thoroughly

Mechanical breakdown first. Signals stomach. Eat slowly.

Avoid PPIs Long-Term

Acid blockers worsen root cause. Rebound issues. Nutrient deficiencies.

Stomach Acid Discussion