DGL vs Slippery Elm for Acid Reflux – Which Is Better?

Deciding between DGL and slippery elm supplements for acid reflux? We compare the evidence on effectiveness, onset of action, side effects and value to help you choose.

Acid reflux is a common condition that occurs when the lower esophageal sphincter (LES) fails to close properly, allowing stomach acid to flow back into the esophagus. This can cause symptoms such as heartburn, chest pain, regurgitation, and throat irritation.

Many people use natural remedies to manage their acid reflux, such as dietary changes, lifestyle modifications, and herbal supplements. Two popular supplements for acid reflux are deglycyrrhizinated licorice (DGL) and slippery elm. But which one is better for you? In this article, we will compare DGL and slippery elm for acid reflux based on the following criteria:

• Effectiveness
• Onset of action
• Side effects
• Value

We will also provide some tips on how to use these supplements safely and effectively. By the end of this article, you will have a better idea of which supplement is more suitable for your needs.

Effectiveness of DGL and Slippery Elm for Acid Reflux

Both DGL and slippery elm have been used for centuries as natural remedies for various digestive disorders, including acid reflux. However, the scientific evidence for their effectiveness is limited and inconclusive.

DGL for Acid Reflux

DGL is a form of licorice root that has been processed to remove most of the glycyrrhizin, a compound that can cause adverse effects such as high blood pressure, low potassium levels, and fluid retention. DGL is thought to work by increasing the production of mucus in the stomach and esophagus, which can protect the lining from acid damage. DGL may also have anti-inflammatory and anti-ulcer properties.

Some studies have suggested that DGL may be beneficial for acid reflux, especially for people with ulcers or gastritis. For example, a 2014 study found that DGL was more effective than placebo in improving symptoms and quality of life in patients with functional dyspepsia, a condition that causes indigestion, nausea, and bloating. A 2018 study found that DGL was more effective than acid-suppressive drugs in healing gastric ulcers in rats.

However, other studies have failed to show any significant difference between DGL and placebo or conventional treatments for acid reflux. For example, a 1985 study found that DGL was no better than placebo in reducing heartburn, acid regurgitation, or dysphagia in patients with reflux esophagitis. A 2012 study found that DGL was no better than omeprazole, a proton pump inhibitor, in improving symptoms or healing esophageal lesions in patients with non-erosive reflux disease.

Slippery Elm for Acid Reflux

Slippery elm is a type of tree that grows in North America. The inner bark of the tree contains a substance called mucilage, which forms a gel-like coating when mixed with water. Slippery elm is believed to work by soothing and lubricating the inflamed tissues in the digestive tract, as well as stimulating the secretion of mucus. Slippery elm may also have antioxidant and anti-inflammatory effects.

There is very little scientific research on the use of slippery elm for acid reflux. Most of the evidence comes from anecdotal reports, traditional use, or animal studies. For example, a 2010 study found that slippery elm, as part of an herbal supplement, improved constipation-dominant irritable bowel syndrome (IBS-C), a condition that can be associated with acid reflux. A 2014 study found that slippery elm, as part of an herbal formula, increased mucus production in the stomach and esophagus of rats.

However, there are no clinical trials that have directly tested the efficacy of slippery elm for acid reflux in humans. Therefore, it is unclear how effective slippery elm is for this condition, and whether it is comparable to DGL or other treatments.

Onset of Action of DGL and Slippery Elm for Acid Reflux

The onset of action of a supplement is the time it takes for it to start working after ingestion. This can vary depending on the dosage, form, and individual factors. Generally, supplements that are taken in liquid or chewable form tend to have a faster onset of action than those that are taken in capsule or tablet form.

DGL and slippery elm are both available in various forms, such as capsules, tablets, powders, lozenges, and teas. However, for acid reflux, it is recommended to use DGL and slippery elm in chewable or liquid form, as this allows them to coat the esophagus and stomach more effectively.

According to some sources, DGL and slippery elm may have a similar onset of action, ranging from a few minutes to an hour after ingestion. However, this may vary depending on the severity of the symptoms, the amount and frequency of the supplement, and the individual response. Some people may experience immediate relief, while others may need to take the supplement for several days or weeks before noticing any improvement.

Side Effects of DGL and Slippery Elm for Acid Reflux

Both DGL and slippery elm are generally considered safe and well-tolerated when used as directed. However, like any supplement, they may cause some side effects or interactions in some people. Therefore, it is important to consult your doctor before using DGL or slippery elm, especially if you have any medical conditions or are taking any medications.

DGL Side Effects and Interactions

DGL is usually safer than regular licorice, as it has a lower risk of causing high blood pressure, low potassium levels, and fluid retention. However, DGL may still contain some glycyrrhizin, which can accumulate in the body and cause adverse effects if taken in large amounts or for a long time. Therefore, it is advisable to follow the dosage instructions on the label and not exceed the recommended amount.

Some of the possible side effects of DGL include:

• Nausea
• Bloating
• Gas
• Headache
• Allergic reactions

DGL may also interact with some medications, such as:

• Anticoagulants (blood thinners), such as warfarin, heparin, or aspirin
• Corticosteroids, such as prednisone, hydrocortisone, or dexamethasone
• Diuretics (water pills), such as furosemide, hydrochlorothiazide, or spironolactone
• Estrogens, such as birth control pills, hormone replacement therapy, or tamoxifen
• Antihypertensives (blood pressure medications), such as lisinopril, amlodipine, or losartan

DGL may either increase or decrease the effects of these medications, which can lead to bleeding, fluid imbalance, hormonal changes, or blood pressure fluctuations. Therefore, it is important to monitor your blood levels and adjust your medication dosage accordingly if you are taking DGL with any of these drugs.

Slippery Elm Side Effects and Interactions

Slippery elm is generally safe and well-tolerated when used as directed. However, some of the possible side effects of slippery elm include:

• Nausea
• Bloating
• Gas
• Allergic reactions

Slippery elm may also interact with some medications, such as:

• Anticoagulants (blood thinners), such as warfarin, heparin, or aspirin
• Diabetes medications, such as insulin, metformin, or glipizide
• Digoxin, a medication used to treat heart failure and irregular heartbeat

Slippery elm may reduce the absorption of these medications, which can decrease their effectiveness and increase the risk of complications. Therefore, it is advisable to take slippery elm at least two hours before or after taking these drugs.

Value of DGL and Slippery Elm for Acid Reflux

The value of a supplement is determined by its cost, quality, and availability. The cost of a supplement depends on the brand, form, dosage, and quantity. The quality of a supplement depends on the purity, potency, and safety of the ingredients. The availability of a supplement depends on the supply, demand, and distribution of the product.

Both DGL and slippery elm are widely available in various forms and brands, both online and offline. The price of DGL and slippery elm may vary depending on the factors mentioned above, but they are generally affordable and comparable to each other. However, the quality and effectiveness of DGL and slippery elm may differ depending on the source, extraction, and processing methods of the ingredients. Therefore, it is important to choose a reputable and reliable brand that follows good manufacturing practices and provides third-party testing and certification of their products.

FAQs on DGL and Slippery Elm for Acid Reflux

Here are some frequently asked questions on DGL and slippery elm for acid reflux:

Question: Can I take DGL and slippery elm together for acid reflux?

Answer: There is no evidence that taking DGL and slippery elm together is more effective or safe than taking them separately for acid reflux. However, some people may prefer to combine them for synergistic or complementary effects. If you decide to take DGL and slippery elm together, make sure to follow the dosage instructions on the label or consult your doctor for the appropriate amount and frequency for your condition.

Question: Are there any other natural remedies for acid reflux?

Answer: Besides DGL and slippery elm, there are other natural remedies that may help with acid reflux, such as:

• Apple cider vinegar: This is a fermented product made from apples that contains acetic acid, which may help balance the pH of the stomach and prevent acid reflux. However, apple cider vinegar may also irritate the esophagus and stomach, so it should be diluted with water and taken with caution.
• Aloe vera: This is a succulent plant that has anti-inflammatory and healing properties, which may help soothe and protect the esophagus and stomach from acid damage. However, aloe vera may also have laxative effects, so it should be taken in moderation and avoided by people with diarrhea or bowel disorders.
• Ginger: This is a spice that has anti-inflammatory and anti-nausea properties, which may help reduce inflammation and discomfort in the digestive tract. However, ginger may also increase stomach acid production, so it should be used sparingly and avoided by people with ulcers or gastritis.
• Chamomile: This is a herb that has calming and anti-spasmodic properties, which may help relax the muscles of the digestive tract and prevent acid reflux. However, chamomile may also cause allergic reactions, especially in people who are sensitive to plants in the same family, such as ragweed, chrysanthemums, or marigolds.

Question: How can I prevent or reduce acid reflux naturally?

Answer: Besides using natural remedies, there are some lifestyle and dietary changes that may help prevent or reduce acid reflux, such as:

• Avoiding or limiting foods and drinks that trigger or worsen acid reflux, such as spicy, fatty, acidic, or caffeinated foods and drinks, alcohol, chocolate, mint, garlic, onion, tomato, citrus, or carbonated beverages.
• Eating smaller and more frequent meals, rather than large and heavy meals, and avoiding eating within three hours before bedtime.
• Elevating the head of the bed by six to eight inches, or using a wedge pillow, to prevent acid from flowing back into the esophagus while sleeping.
• Losing weight if overweight or obese, as excess weight can put pressure on the stomach and LES and increase the risk of acid reflux.
• Quitting smoking if a smoker, as smoking can weaken the LES and increase the production of stomach acid and mucus.
• Managing stress and practicing relaxation techniques, such as deep breathing, meditation, yoga, or massage, as stress can trigger or worsen acid reflux by affecting the nervous system and the digestive system.

Summary

DGL and slippery elm are two popular supplements for acid reflux that may have some benefits, but also some limitations. Both supplements are thought to work by coating and protecting the esophagus and stomach from acid damage, but the scientific evidence for their effectiveness is limited and inconclusive. Both supplements are generally safe and well-tolerated when used as directed, but they may cause some side effects or interactions in some people. Both supplements are widely available and affordable, but their quality and effectiveness may vary depending on the brand and form. Therefore, it is important to consult your doctor before using DGL or slippery elm, and to choose a reputable and reliable product.

Disclaimer: This article is for informational purposes only and does not constitute medical advice. Always consult your doctor before using any supplements or natural remedies, especially if you have any medical conditions or are taking any medications. The information provided here is based on the best available evidence at the time of writing, but it may change or be updated as new research emerges. The views and opinions expressed here are those of the authors and do not necessarily reflect those of Bing or Microsoft.