Gut health expert Dr. Daryl Gioffre has raised alarm about the growing prevalence of acid reflux among men, warning of its potential to become a ‘silent epidemic’ with severe health consequences. While gastroesophageal reflux disease (GERD) affects both genders, men face a disproportionately higher risk of severe complications, including Barrett’s esophagus—a precancerous condition that can develop into esophageal cancer. Studies reveal that men are nearly twice as likely to develop Barrett’s esophagus, and esophageal cancer is up to nine times more common in men, making them significantly more susceptible to the dangers of chronic acid reflux.
Dr. Gioffre attributes this disparity to a combination of biological and lifestyle factors. Men produce less protective mucus and saliva, which act as the body’s natural defense against acid reflux. This biological disadvantage is compounded by lifestyle elements such as chronic stress, poor sleep, consumption of processed foods, alcohol, and overuse of medications, which all contribute to gut health decline. Additionally, men tend to ignore symptoms of acid reflux, increasing their risk of developing severe complications. Dr. Gioffre further highlights that men are more likely to have diets rich in meat, alcohol, and ultraprocessed foods, which exacerbate the condition.
Other lifestyle factors, such as late-night eating, large portions, and high caffeine intake, also contribute to the problem. Many men skip meals, eat too quickly, and rely on convenience foods that lack essential nutrients like minerals and fiber. Over time, these habits create what Dr. Gioff and describes as an ‘ongoing acid assault’ that erodes the gut lining, allowing acid to rise into the esophagus and turning normal esophageal cells into precancerous Barrett’s cells. These changes significantly raise the risk of esophageal cancer, a condition that can be life-threatening if left untreated.
Dr. Gioffre emphasizes the role of specific food components in worsening acid reflux. Refined salt, sugar, and seed oils—often found in ultraprocessed foods—are particularly problematic. These ingredients inflame the gut and weaken both digestion and the lower esophageal sphincter, which is responsible for keeping stomach acid contained. Men also tend to consume more coffee than women—often two to three cups a day—typically on an empty stomach. This habit strips the body of essential minerals, causes dehydration, and spikes acidity, further increasing the risk of acid reflux.
Moreover, Dr. Gioffre notes that men’s hormonal differences also play a role in their higher vulnerability to acid reflux. Estrogen, present in higher levels in women, appears to offer protective benefits by enhancing blood flow and promoting mucosal repair in the esophagus. Men lack this protective mechanism, leading to slower recovery from acid exposure. Additionally, younger men often carry more visceral abdominal fat, which adds pressure to the stomach and forces acid upward into the esophagus.
To combat these risks, Dr. Gioffre recommends several lifestyle and dietary changes. He highlights the importance of timing meals, advising men to stop eating at least three hours before bedtime. This allows the body time to digest and reduce acid levels, preventing the upward movement of acid when lying down. He also identifies common food triggers such as garlic, onions, spicy foods, alcohol, chocolate, citrus fruits, and carbonated drinks, all of which weaken the lower esophageal sphincter, allowing acid to reflux into the esophagus.
Dr. Gioffre recommends incorporating alkaline-rich foods like leafy greens, vegetables, fruits, nuts, and seeds into the diet, along with mineral water or spring water. He also suggests starting the day with warm lemon water and honey or a tea containing slippery elm to soothe the upper gastrointestinal tract and ease reflux. Staying hydrated throughout the day is also encouraged.
In addition to dietary changes, Dr. Gioffre emphasizes the importance of stress management and quality sleep. Poor sleep leads to elevated cortisol levels, which impair the body’s ability to manage acid reflux by shifting blood flow away from the gut to muscles and the brain. This results in slower digestion, decreased stomach acid production, and prolonged food retention, which contributes to bloating, gas, and more reflux. Techniques such as grounding practices, nature exposure, and breathing exercises are recommended to activate the parasympathetic ‘rest-and-digest’ system and promote gut health naturally.
Ultimately, Dr. Gioffre stresses that addressing acid reflux is not just about changing diet but also adopting a holistic approach to health. Quality sleep, stress management, and lifestyle adjustments are essential for restoring gut health and controlling acid reflux at its root. His warnings underscore the gravity of what he describes as a growing public health issue, urging men to take proactive steps to protect their long-term well-being.