The Low Stomach Acid Conundrum

In this 154th episode, I unpack hypochlorhydria — low stomach acid — exploring what it is, why stomach acid matters for digestion and immune defense, and how reduced acid can cause symptoms that often mimic reflux. We review common causes (long‑term PPI use, H. pylori, autoimmune gastritis, age, etc.), practical evaluation (when to test, which labs to order), and some dangers of living with a low stomach acid condition. This is a very common condition that likely impacts you or someone you know. Yet it is managed incorrectly, most of the time.