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Silent Damage: The Price of Heartburn Meds
28 Feb
Summary
- Long-term heartburn medication use linked to fractures.
- Nutrient deficiencies and organ damage are serious risks.
- Stopping PPIs can cause a difficult rebound effect.

Millions of Americans regularly use heartburn medications, primarily proton pump inhibitors (PPIs) like Prilosec and Nexium, to manage conditions such as GERD. While these drugs effectively reduce stomach acid, growing research indicates prolonged use carries serious health consequences. These risks include weakening bones to the point of fracture, significant nutrient deficiencies, and potential organ damage.
Stopping PPIs can be challenging due to a rebound effect where stomach acid production surges aggressively. This occurs because the body adapts to the drug by increasing acid-producing cells. Additionally, PPIs have been associated with gastrointestinal issues, including a higher risk of Clostridioides difficile infections, headaches, and migraines.
Furthermore, PPIs can impede the absorption of vital nutrients like copper and iron, potentially leading to anemia and fatigue. The medication's impact on calcium absorption may also contribute to bone density loss and an increased risk of fragility fractures, prompting FDA warnings. Kidney damage, including chronic kidney disease, is another serious concern linked to PPI use, often progressing silently without early symptoms.




