The Low Stomach Acid Conundrum
From A Functional Approach with Dr. Jim Chialtas by Jim Chialtas, DACM, L.Ac.
February 25, 2026 · 41 min · Episode 154
About this episode
This episode explores low stomach acid, its causes, symptoms, and management strategies.
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.
People in this episode
Host: Jim Chialtas
Topics covered
- low stomach acid
- hypochlorhydria
- digestion
- immune defense
- reflux symptoms
- evaluation
- health management
Keywords
- hypochlorhydria
- stomach acid
- digestion
- immune defense
- reflux
- PPI
- H. pylori
- autoimmune gastritis
- evaluation
- health
Mentioned in this episode
Organizations: H. pylori, PPI, autoimmune gastritis
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