With roots in both Western and Eastern medicine, Dr. Troncozo explains how bridging these worlds helps patients better understand and heal digestive issues like reflux.
Recognizing Low Stomach Acid and Its Symptoms
Josef Kreitmayer:
Hello, we are back with another segment with Dr. Rommy Troncozo. Last time, we ran short on time, and since she has so much more valuable information to share, we decided to continue the conversation. Welcome back, Rommy.
Dr. Rommy Troncozo:
Thank you for having me! Yes, we were a bit rushed last time, and there are still a few practical things I want to explain. We often talk about concepts, but today I want to focus on how to apply them.
We discussed how reflux is often caused by low stomach acid. There are specific signs that may indicate you’re dealing with low stomach acid, and the treatment approach is different in that case. So here are some signs to look out for: bloating or gas an hour after eating, a sense of fullness like the food isn’t digesting well, chronic diarrhea—especially shortly after meals—and undigested food in stools.
Other signs include not being hungry in the morning or feeling better when you skip meals, feeling really tired or sleepy after eating, chipping or peeling fingernails, bad breath, strong-smelling sweat, and food intolerances. Also, if you experience reflux or heartburn, especially after high-protein meals, that might be due to low stomach acid, not high.
If that’s the case, treatment focuses on increasing acid levels safely. Apple cider vinegar is a popular trend, but it can be dangerous without context. I tried the shot myself, and it caused serious pain, even though I have a healthy gut. I recommend starting with one teaspoon of apple cider vinegar diluted in eight ounces of water, sipped over 15 minutes.
If even diluted vinegar causes symptoms like nausea or heartburn, it may indicate damage to the gut lining. In those cases, aloe vera and bone broth can help heal the lining. For vegan options, chia seeds are great. However, bone broth isn’t suitable for everyone—those with histamine intolerance should be cautious. It always needs to be tailored.
Safe Support for Low Stomach Acid and Acupressure Techniques
Dr. Rommy Troncozo:
Aside from apple cider vinegar, eating bitter foods helps stimulate natural acid production. Another important habit is to signal to your body that it’s time to eat—sit down, breathe, and be present before meals. The most aggressive approach is taking HCl supplements, but this must be done under a doctor’s supervision, only once the gut lining is healed.
One method I love because it’s safe and effective is acupressure. It’s easy to learn, safe for self-application, and very effective if done consistently. The only thing it requires is patience and regular use. I’ve seen great results in both myself and my patients.
Some may think it sounds “too holistic,” but acupressure is well-supported by science now. One of my favorite points is Pericardium 6. You can find it by tracing down from your pinky finger—there’s a slight bump on your inner wrist. Press that area firmly. You can apply steady pressure, tap, or gently vibrate the area. Hold for at least 30 seconds, ideally two minutes, and repeat three times a day for at least a week. It supports digestion and helps calm the nervous system—use it before or after meals.
Josef Kreitmayer:
So you don’t have to hold your arm up to do this—it can be done in your lap or at a table, right?
Dr. Rommy Troncozo:
Absolutely. I only hold it up now for the camera. But yes, you can be discreet about it. Although personally, I don’t mind doing it in public—it often sparks helpful conversations.
The key is applying pressure to the correct point. If you’re unsure, just move around the area until you find a slightly tender or sore spot—that’s usually it.
More Acupressure Points for Reflux Relief
Dr. Rommy Troncozo:
Another great acupressure point is between your sternum and belly button. Place your pinky on your belly button and your thumb on the bottom of your sternum—your middle finger will fall right between them. That’s where you should press. It’s particularly helpful during a reflux episode or even while lying in bed when your abdominal muscles are relaxed.
Press gently at first. It may feel slightly painful if you’re experiencing symptoms. Breathe through it, and gradually apply deeper pressure.
There’s also a point called Stomach 36, located on the leg, which is great for digestion and bloating. I have a video on Instagram that demonstrates how to find and use this point—we’ll link it under this video. It even helps boost immunity because hydrochloric acid doesn’t just digest food—it kills harmful microorganisms, and low acid can allow them to pass through.
Natural Remedies and Proper Usage
Dr. Rommy Troncozo:
Two remedies I often recommend are DGL licorice—not regular licorice, as it can raise blood pressure—and slippery elm tea, which coats and soothes the esophagus. These are good for managing symptoms, but they’re not long-term solutions.
It’s a common mistake to assume natural means you can use it forever. These should only be used during active symptoms, ideally not more than eight weeks. The goal is to treat the root cause so you no longer need these remedies.
Working With Patients and Reversing Food Intolerances
Josef Kreitmayer:
If someone wants to work with you, how can they reach out?
Dr. Rommy Troncozo:
Right now, I specialize in working with patients with food intolerances. Many who suffer from reflux also have intolerances because they often share root causes like low stomach acid, SIBO, or leaky gut.
I have a free questionnaire available—linked below. I review each one. Based on your answers, I’ll determine whether your intolerance is reversible. In some cases, like celiac disease, they are more complex, but even then, I help reduce symptoms and identify trigger foods.
Many people treat food intolerances like a permanent label—“I’m lactose intolerant,” as if that’s a life sentence. But in about 95% of cases, especially if there’s no autoimmune condition, we can reverse it. I’ve helped patients go from not tolerating any lactose to eating cheese and milk with no issues—no more reflux after every meal.
It’s about fixing the root cause step by step, then reintroducing foods without fear or anxiety.
Final Message: Advocate for Yourself
Josef Kreitmayer:
Is there one final message you’d like to leave for people on their reflux journey?
Dr. Rommy Troncozo:
Yes. Information is power. Everything shared during this summit helps you advocate for yourself, not just to treat yourself, but to understand what to ask your doctor. You have the right to ask questions. The doctor-patient relationship should be equal, not one above the other.
Start conversations with the information you’ve learned. If a doctor doesn’t feel right or isn’t listening, know that you have options.
