BEST Time to Take HCl, Ox Bile, TUDCA, Enzymes, and Bitters

[@ToubaYouness]

Dr. DiNezza. One doctor said Ox bile and Tudca should be taken a couple of hours after the meal because they neutralize the acid in the stomach and interfere with the digestive process. I do not know what I am talking about:), but I would like your opinion. Please.

[@Philip-xb7ko]

As ox bile's role is to neutralize stomach acid, and if you take it 10-15' before a meal, won't it alkanize the stomach for the food to come?

[@ra9552]

YES IT WILL. thats why i take it 1.5-2 hrs after a meal. its way too strong on an empty stomach.

[@Noah.Jesse.Jacob.Valencia]

I think it makes sense to take ox bile first, followed by HCL. Correct me if I’m wrong but it makes sense.

[@Aibots777]

Always wait hours to take oxbile after meals or it's a completely pointless doing it Tudca can be used during meals to help and will not neutralize ph levels

[@4elizabeth]

I’ve done lots of research and you should be taking TUDCA on an empty stomach or in between meals and you should be taking ox bile on an empty stomach or at least an hour AFTER meals. We need acidity in our stomach during meals and digestion THEN you want to add alkaline(ox bile) after so they (acidity & alkaline) can basically combust together in your stomach. I also wouldn’t consider TUDCA and ox bile “digestive enzymes” as they help get the bile flow moving but I don’t think they work like a digestive enzyme. But what do I know……..

[@rodneymoore2044]

@@4elizabeth100% right. She’s soooo off wow

[@beek7292]

I take ox bile 2h after my meal so that my hcl has enough time to acidify. I had terrible heart racing episodes every night and now after taking my ox bile after every meal, it's 90% gone

[@ra9552]

wow same. i thought i was imagining it. crazy stuff.

[@Aibots777]

You need potassium

[@rodneymoore2044]

@@ra9552she’s way off 🤷🏻‍♂️🤷🏻‍♂️🤷🏻‍♂️

[@hawk_1234]

Right after meal or 2h after meal?

[@Aibots777]

@@hawk_1234 2hrs

[@tyreechaplin8630]

Awesome video! Thank you sm doc

[@UncleDavesKitchen]

doesn't ox bile and Tudca lower stomach acid? Wouldn't you want to take them hours after a meal instead? I think ox bile should be in enteric coated capsules to pass through the stomach to avoid lowering stomach acid.

[@stacyjones4789]

Yes, you were right she is wrong

[@CynthiaSchoenbauer]

Your videos are soo helpful in contrast with others who make it difficult to understand what they are saying. I could listen to you all day long and learn a lot about my body in a way where I feel more of a sense of awe and a feeling of some control and caring. Thank you!

[@niminiminimnim]

Amazing channel! Finally some in depth information and clear guidance on gut function and how to navigate the maze of gut health supplementation out there. Thank you!

[@shinetoall]

This information is exactly what I was looking for. Thank you. I will watch more videos on your channel.

[@wendylpa]

Fantastic job as always! & happy belated BIRTHDAY! 🎉

[@dessijutt5907]

Well explained. Thanks.

[@StacBurger-x6s]

If you’re a diabetic, and your liver is getting clogged up and then your gallbladder doesn’t work and they remove your gallbladder, but your liver is still gummed up and not producing the bile, it’s a much bigger problem, and it’s not solved as easy as just taking these, I think, and as far as my body is concerned, I will be on these periodically for the rest of my life if I noticed that either, I have abdominal up right quadrant I know my liver is having problems. If I see my stool is lightning I know my liver is having problems. If I see floating oil I know my liver is having problems if I see undigested food particles now that can be the pancreas because that’s more enzyme related than the bile related, this is a long process

[@cherylecooper906]

This is SO helpful and SO needed. I LOVE Betaine HCI. It has helped me TREMENDOUSLY in this GI/SIBO/Gut dysbiosis journey. I also use with Digestive Enzymes and Ox Bile. Still, it is good to know balance and getting the best benefit. Thank you Dr. D!! ❤🙏😃

[@UlfaNadia]

when u take betaini HCL and Ox bile??

[@majeedmohamed9523]

Does HCL helps with depression 😢😢😢😢?

[@hasalam1741]

Does any of this help Colitis?

[@westentrance]

Very smart presentation. I’ve heavily researched all four items and your recommendations match everything I’ve learned.

[@wendylpa]

Great job as always. Happy belated BD!!

[@ra9552]

can you take a prokenetic with oxbile or tudca? if so, how to space them from each other? PLEASE AND THANK YOU

[@AmericanPatriots87]

One source I saw said that Ox Bile lowers the Ph of the acid so it should be taken away from the meal to give your body time to break down the food first. Thoughts?

[@LastFirst-l1w]

Do you have to take Tudca or ox bile when taking betaine and digestive enzyme?

[@Blue-m1z]

First off, great video. What would you recommend to increase stomach acid production if you have peptic ulcers and betaine is not really an option?

[@alandraa5646]

how do you find your clients with hpylori do with taking the betaine HCL ?

[@directorski]

As a carnivore I still get acid reflux with no gallbladder. I'm trying HCL before meals is this a good idea? 🤔 Thank you.🙂

[@PaulvanderHeide-my5fw]

In italy they take bitter digestive drinks after the meal

[@FormatorYT]

What kind of bitter juices?

[@PaulvanderHeide-my5fw]

Averna, Frenet Branca. Or bitters made at home. Secret family recipe

[@FormatorYT]

@@PaulvanderHeide-my5fw pls could u share somthg that could be made at home

[@PaulvanderHeide-my5fw]

I have no idea. I only drank them at people's home after heavy meals.

[@FormatorYT]

Could you suggest some bitters.? Vegs, herbs

[@barbarawaddell-steele3603]

Do research on magnesium Stearate-which is a filler.

[@Taitai7]

hcl works better for me at the end of my meal and if I'm having any reflux symptoms I take an additional hcl and it closes the valve and the reflux stops.

[@ojz5800]

Help me understand the following: I heard that Ox Bile its alkaline, so if I take Ox Bile and Betaine HCL at the same time, it will be like pressing the gas and break of my car at the same time. Also, I heard that Ox Bile should be taken after I eat, like 30 to 60 min lates, so the Oxi Bile can process all the juices from my stomach. I do not have my gallbladder and I get swollen all the time after I eat. I take pancreatic enzymes and it seems to work, at least eating was not painful like before.

[@MC41288]

I want to know this answer as well...I reached out to my functional medicine doctor about it. I have my gallbladder and have fat malabsorption. I seem to react well with taking ox bile right after a meal. I'll respond back with what my functional medicine doctor says.

[@lydiadollface]

@@MC41288 did they say anything?

[@FormatorYT]

By bitters what are some bitter foods?

[@CynthiaSchoenbauer]

Swedish bitters is something you can buy to at least get you started to release bile from the taste in the mouth, or at least that is what I have surmised.

[@frangaglio1269]

Does Dr.Dinezza answer anyone’s questions?

[@ThatsTheSpiritGodCast]

She’s full of 💩 so it’s best she doesn’t answer lol😂 all her advice is so far away from helpful it’s down right dangerous. She doesn’t have a clue about what she’s talking about! Read the comments !

[@Karmin19991]

too complicated too many choices

[@loo762]

I don't have a gallbladder. I have Hashimoto Disease, hypothyroidism, and pre-diabetes. I have been bloated for a while. I recently started taking Bile Salt. I take 2 pills at a time. It appears to be working. I'm constantly searching for information to educate and help myself. Thanks to your video, I know I should take it 15 mins before a meal. Is there anything else you recommend for my situation?

[@janakainz1315]

can you help me? answer some questions.

[@leeniesevy-perahia7911]

I have a naturopath ….. but nothing is helping my gastroparesis, colitis, crohns, leaky gut….i have done cleansing for decades…..now it seems even if i wait everything is in the stomach at the same time…..thank you

[@danishiqbal2047]

look into dysautonomia and vagus nerver (vagopathy)

[@Aibots777]

Well this is mostly wrong here is the correct way: Hcl before 1st bite Ox bile 2hrs after meal Enzymes and bitters before meal 10 minutes So i have zero stomach acid and the second i bite food i would get insanely loud hiccups signifying that i had no acid in stomach When i take hcl i will not hiccup and i noticed that if i did not take enough hcl i would start hiccuping in the middle of the meal and if i take more hcl i would instantly stop hiccuping Tudca can be take at any point it will not neutralize acids i still prefer to take it with my artichoke tea after meals 2-hour wait Tudca is what you need to reduce bile sludge not bile I learned the hard way that this has to do with the pancreas, not the liver , tudca severally hurts me when i take it as it's detoxing pancreas I detox liver and still had bile sludge preventing gallbladder from working correctly Im at month 3 of tudca and barely starting to heal pancreas enough to reduce Bile sludge by itself

[@robotech21]

so you take ox bile and tudca 2 hours after the meal..? what do you mean that tucda hurts you?

[@Aibots777]

@@robotech21 tudca after meals , and I feel like my liver or pancreas is cramping up when I take tudca but now it's stopped after 6 months

[@band1tt]

"mostly wrong", argument is your personal way without a single study...

[@YodiJohsonna]

Look into beetflow flush by "kick it naturally"

[@debbiesimpson6140]

I have acalasia and had heller myotomy surgery. Must take ppi. What should I take besides enzymes?

[@lapear6068]

What tudca brand do you use its so hard to find a good brand that dont have fillers and binders and thats 3rd party tested

[@kimberlykaye76]

@laper6068 I use double wood brand. A holistic practitioner recommended to me. I take 2 first thing in the morning on an empty stomach.

[@lapear6068]

@kimberlykaye76 thank you for the reply but that brand has fillers inside there products

[@kimberlykaye76]

@@lapear6068thank you for that info! 🙏🏻 I didn’t notice that. I Will do more research!

[@ReonBrand]

THIS ADVICE MAKES NO SENSE!!! TUDCA does not neutralize stomach acid so it can be take with the meal. However bile is secreted by the gall bladder 2 hours AFTER your meal to neutralize stomach acids before the food enters the intestines. It makes no sense to take Oxbile before the meal, it will simply neutralize the stomach acid and Betaine HCL before it can perform its function. Oxbile needs to be take 2 hrs after eating to sync with the timing of your body in neutralizing stomach acid. It also makes no sense to take all digestive enzymes before the meal. The only exception is Pepsin, which breaks down proteins in the stomach's acidic environment and can therefore be taken before the meal. Any other enzymes such as Amylase (breaking down carbohydrates) and lipase (breaking down fat) are secreted by the pancreas. They will be inactivated in the stomach's acidic environment if taken before the meal. It makes sense to take them 15-20 minutes after taking oxbile (which neutralizes stomach acid as explained earlier).

[@marias5088]

I started a ketogenic diet, and since I have colitis together with congested liver from cholestasis of pregnancy years ago (which makes me prone to constipation), I cannot eat a big salad with each meal (only a small portion of it). I got constipated, and I am not sure if it would be advisable for me to take Tudca with the meal to help digest animal protein or 1-2 hours after the meal. If you know anything about this, please share. I would highly appreciate it!

[@FormatorYT]

There are digestive enzymes . with HCL betaine. It can be taken like that? Then could u suggest a brand fr digestive enzymes?

[@Morese56]

How much bitters? Being it comes in a dropper ?

[@zohandvir9606]

Why does my stomach simultaneously have low stomach acid, but also gives me LPR symptoms 2-3h after a meal?

[@fireworksofbeauty9743]

Could you make a video about urinary tract infection and the link with the gut please ? I found nothing about this on the web

[@victoriafrantchuk2198]

Hello, look into supplement D-Monnose for reoccurring UTI!

[@anjap.j.8954]

Is hydro zyme also hcl?

[@shannontsoi3161]

I have pancreatic cancer n spread to my liver. I've been taking enzymes Idk if it's working. I'm still having dirreah.

[@CynthiaSchoenbauer]

❓Should you drink a little water with the taking of the first bite and the HCl if you normally don't do liquids with the meal? That way it will be able to dissolve right away with a little more water than just what it takes to get it down?

[@AngryMiddleAgedMan]

You need the stomach to be acid to digest the food, thats why you need the HCL acid before eating to prepare the stomach... Ox bile and Tudca is alcaline... You want to take them AFTER you eat... Not before

[@joyceprentice1350]

There's too much conflicting advice and it leaves a person confused. One so called specialist says one thing and another says something totally different.

[@WillMoon]

Do you see local patients? I'm in Chapel Hill, I understand you're just south of where I'm at, both my wife and I have been suffering from gut issues since college. I kinda wonder if NCSU's dining halls have properly cooked food lol...

[@Spirituality_videoschannel]

I'm having issues with capsule shells, can i open it up and then have the contents with water?

[@YodiJohsonna]

Not with betaine hcl

[@Morese56]

How to know when too much hci is enough

[@YodiJohsonna]

You will get a uncomfortable or burning feelings in your stomach and its said u should go one capsule down and thats the dosage rigbt for u.

[@maja6172]

I can eat a lot of betane hcl and feels nothing 🥴🥴 its not working or killing anything for me...why?

[@chillrider33]

What dosage? You may need a higher dose than on bottle of betaine HCL if your stomach acid is too low, and then over time would reduce it as the stomach acidifies.

[@YodiJohsonna]

You either need a higher dose or you have pathogens like hpylori that are preventing the hcl from working as strong as it should. Look into kick it naturally on youtube he explains it

[@wanderingfree149]

My stomach acid was zero due to h pylori and sibo which ive handled naturally. When i take hcl you get heart birn a bit. So im thinking im now making stomach acid with hcl but maybe not enough to close the valve? ??? Should i up on hcl pill or lower?

[@pattersonellen]

Did u use bitters to solve sibo?

[@EJ257IHI]

You NEVER open the HCL capsules, this stuff is the same as what your stomach makes, you don't want this stuff traveling down your esophagus. You eat 2-3 bites of your cooked protein meal, then swallow your HCL caps with a little bit of water and then finish your meal as regularly. If you get heart burn with HCL, you may need to strengthen your stomach linings.

[@tinamarshall6039]

Every time I have tried oxbile it made me nauseous

[@diegoromero04]

Perhaps you don’t need it, or you are taking too much… dosage is important

[@royrogers495]

Hi Dr Dinezza, will taking tudca reduce my bodies own ability to produce it? (I have low faecal elastase)

[@Ama_Sing]

Is the magnesium stearate in Tudca safe?

[@ra9552]

this is a filler in almost all supplements..

[@mattwest8642]

Well i guess HCL doesn't kill you but i've read it must be used sparingly, wouldn't want to be burning holes in the stomach, not a good look?

[@milycome]

Most ulcers are Not caused by excessive production of stomach acid during or immediately after a meal. The food in the stomach somewhat buffers the stomach acidity which is needed in the stomach to digest food, breakdown the peptide bonds in the protein in the food and also to absorb minerals. Most ulcers are caused by H. Pylori organism inhabiting the gut.

[@sarah.hodophile505.]

​@@milycome I have an ulcer. Did endoscopy and colonoscopy. Biopsies done. Results are H. Pylori negative. I had done all the blood tests, stool test and breath test. The results came negative for SIBO and h.pylori.

[@Frida-w2g]

@@milycome Before you start taking HCL don’t you need to make sure your gallbladder is secreting enough bile to protect your intestine from HCL?

[@milycome]

@@Frida-w2g Whether you take HCL as a supplement or your stomach produces sufficient HCL the small intestines is the area where this acidity gets neutralized by bile acids and even more so by sodium bicarbonate. Yes, your own body produces sodium bicarbonate to neutralize stomach acid after it leaves the stomach. In a perfect world the body does this unassisted by nutritional supplements. How do you know if your stomach is producing enough acid, or your gallbladder is releasing sufficient bile acids, or your body is producing enough sodium bicarbonate and releasing it in the small intestines ?? You would have to go and receive a battery of tests to determine this. One additional important factor that I need to mention is the pancreas producing enough digestive enzymes to break down and digest the proteins, carbohydrates, and fats for the body to absorb and assimilate. Digestive Enzymes need an alkaline environment to function properly which the sodium bicarbonate provides in the small intestines. I haven't done the plethora of tests to determine if I need assistance in this complicated process. What I do instead is to provide my body insurance in the form of supplements. This is a bit costly. I intermittent fast each day. I eat one meal each day, or sometimes 1 and half meals a day, one meal and one snack. At the start of my meal or in the middle of my meal I take one HCL capsule to insure I have sufficient acid in my stomach . When I finish my meal I look at the clock and notice what time I have finished my one meal for the day. Approximately two hours after finishing my meal when the food in the stomach is about to empty out, or has just recently emptied out, I take one quarter of a teaspoon of powdered sodium bicarbonate dissolved in a small amount of water along with one bile acid capsule and one capsule of pancreatic digestive enzymes. Dr. Berg, I believe, suggests about a two hour wait time from the acidic stomach acid upon first eating, to a subsequent alkalizing of the gut with powered sodium bicarbonate with the addition of bile acids , if needed, and pancreatic digestive enzymes taken, if needed, in an alkaline environment where the digestive enzymes function properly. As an alternative some pancreatic digestive enzyme supplements are enteric coated for the purposes of Not breaking down immediately in the stomach and break down further down the digestive tract where they can function properly in an alkaline environment. These enteric coated tablets can be taken with HCL at the beginning of the meal. The timing of these supplements are Not always properly indicated by the manufacturer on the label. For instance, one manufacturer suggesting their non-enteric coated digestive enzyme tablet be taken a half hour Before (????) the meal. I'm a bit puzzled by this timing suggestion. If the pancreatic digestive enzyme supplement is enteric coated (then, Yes it could be taken with a meal ), because it will Not be broken down in the stomach, but further down the digestive tract. But if the digestive enzyme is Not enteric coated then I think it would behoove the individual to take it two or two and a half hours after the meal (and maybe with a very small amount of powered bicarbonate of soda dissolved in a small amount of water to further insure alkalinity for the digestive enzymes to function properly). Finally, the risk of too much acid in the stomach burning a hole in your stomach or causing an ulcer may be real, but very small. First of all the food in your stomach somewhat is a buffer against the acid normally produced in the stomach. Secondly, it has now been shown that the large majority of ulcers are Not the result of excessive acid production, but is usually caused by a bacteria called H. Pylori which if present and if in excess needs to be dealt with medically. To prevent ulcers the presence of H.Pylori should be investigated to determine if there is H.Pylori present. Do the research. Type in the Google address bar : H.Pylori and ulcers. Then press Enter or click on the magnifying glass 🔎🔎🔎🔎🔎. Read all the articles - keep scrolling down for more information.

[@rbublitz3322]

No. No. No. Ox bile needs to be taken half hour after meal. Needs to get into small intestine to make it alkaline

[@vanessahall5067]

It’s not her job to answer everyone’s questions on here. Could you imagine? If you want her to answer questions, reach out and make an appointment. This video is a curtesy and for informational purposes. Do your research.