Betaine HCI (Hydrochloric Acid Capsules)

Betaine HCl is a commonly available OTC supplement, which can help improve the digestion of those patients with inadequate secretion of hydrochloric acid in their stomach.

The first step in the digestive process is acidification, or secretion of hydrochloric acid by the stomach, which aids in breaking down proteins and activating certain digestive enzymes. After this process, the contents of the stomach are presented to the small intestines, which is an alkaline environment in which enzymes secreted primarily by the pancreas are active in further digesting the previously consumed foodstuffs.

With aging and many types of chronic unwellness, those prone to anergy, low adrenal function or other types of hormonal aberration and chronic fatigue syndrome tend to have low stomach acid output. This is often accompanied by symptoms of indigestion, such as gas, bloating, irritation, gastritis, abdominal cramping, etc. Lower hydrochloric acid levels in the stomach are associated with increased risks of chronic fungal or Candida infection, chronic dysbiosis or bacterial imbalances within the large intestine and digestive tract. Adequate acidification of the stomach is also required for normal absorption of certain nutrients, such as vitamin B12.

As an aid to improving digestion in some patients, the adjunctive use of Betaine HCl preparations is required. Generally, betaine hydrochloride (or Betaine HCl) is available in a dose of 6-8 grains per capsule, or approximately 525 mg. The usual dose ranges 1-2 capsules with meals, although as high as 6-8 capsules can be required in some individuals who have extremely low stomach acid output. Oftentimes, the starting dose is one capsule with meals. If this proves helpful, then it is often worth an experiment to increase the dose to two or three capsules with meals. If there are symptoms of irritation or burning, the dose should be decreased.

In general, one would not want to use the supplement if there is a co-existing history of ulcer or significant gastritis. Surprisingly, however, those situations (such as gastroesophageal reflux) that are generally thought to be associated with excess acid production do sometimes respond clinically to hydrochloric acid supplements. This decision should be made between the patient and the physician.

Generally, the only side effects of hydrochloric acid preparations are stomach irritation or burning sensations. If this occurs, it is best to discontinue the supplement and contact your physician.

It is rare that an individual would require a supplement such as this for an extended duration of therapy. As the patient's overall health improves, their digestive efficiency begins to improve as well, and supportive therapies, such as Betaine HCl can often be diminished or discontinued.

If you have further questions, please call the Advanced Medical Center.

Dale Guyer, M.D.