A common but often overlooked cause or exacerbating factor of chronic pain are medications such as Proton Pump Inhibitors (PPIs). Learn more about the effect of PPIs on pain and what you can do in today’s article.
Proton pump inhibitors (PPIs) are a type of medication commonly prescribed to relieve symptoms of acid reflux.
Common PPIs include:
PPIs work by reducing the amount of stomach acid made by glands in the lining of your stomach.
Although this can be helpful in reducing heartburn symptoms stomach acid is essential to break down food so that vitamins and mineral can be absorbed. The use of PPIs can therefore have some unintended side effects, such as vitamin deficiency…
“Proton Pump Inhibitors (PPIs) have been associated with an increased risk of vitamin and mineral deficiencies impacting vitamin B12, vitamin C, calcium, iron and magnesium metabolism” [Heidelbaugh, 2013]
Deficiencies in B12 and magnesium in particular can lead to a range of muscle and nerve symptoms such as:
As well as other symptoms including:
You can learn more about the consequences of magnesium and B12 deficiency on pain here:
Given the risk of nutrient insufficiency/ deficiency with long term PPI use, consider taking a good quality multivitamin and calcium/ magnesium supplement to offset this risk, especially if you have one or more of the symptoms listed above.
If symptomatic, try a 1-month trial of a good quality multivitamin and calcium/magnesium supplement and review your symptoms. You can download the ‘Modified Multiple Symptoms Questionnaire’ and complete it before and after your trial to help you do this.
We recommend supplementing calcium/ magnesium separately because they are “bulky” and therefore most multivitamins do not contain enough.
We recommend:
Available from The Natural Dispensary (use practitioner ‘Steffen Toates’ to register).
Or from Amrita Nutrition (use code YCMZQD to register)
This post was written by Steffen Toates. Steffen is a chiropractor at Dynamic Health Chiropractic in Jersey CI. For more information about Steffen click here.
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