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  4. Does the MediHerb DiGest bitters supplement take the place of betaine HCl and digestive enzymes, or are they complementary? Can you explain their different functions and how they are or aren’t combined?

Does the MediHerb DiGest bitters supplement take the place of betaine HCl and digestive enzymes, or are they complementary? Can you explain their different functions and how they are or aren’t combined?

Dr. Amy Nett: I’m not familiar specifically with the MediHerb DiGest bitters, but I’m guessing that these are just a digestive bitters supplement. There are a lot of different digestive bitters out there. Digestive bitters and HCl, these are different, so they would be complementary, not one or the other. Digestive bitters promote bile flow actually, whereas HCl is more directly targeted at digestion. HCl is essentially increasing the stomach acid to improve digestion. Digestive bitters is promoting bile flow. That may help with detoxification, and it may help with digestion more so with fats because you’re moving the bile into the small intestine. Those are the different functions, and so they’re used for slightly different indications. Again, if you’re doing a detoxification protocol and wanting to upregulate detoxification, moving out toxins, or improving bile flow for fat digestion, then you can think about using digestive bitters. For some people, they also help more generally with digestion. I have patients who experience some somewhat nonspecific bloating or abdominal discomfort after eating. Those patients do well with digestive bitters. I like the ones on Amazon called Urban Moonshine because they have some maple flavor or citrus flavor, so I think the taste is a little bit better. Then HCl you’re going to be using more, as you mentioned in the previous question, if someone has gastroesophageal reflux. We often think that’s because of low stomach acid, so that’s a time when you’ll want to use HCl, or if you’re seeing that they’re not digesting their protein well. Sometimes you might not know why a patient is having digestive distress, so you can try both HCl and digestive bitters. You might try them separated by a few days so you can see which one they respond to better, and maybe they do best with a combination of both.

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