Molly Pelletier, MS, RD | The Reflux Dietitian 

Hi, I'm Molly, MS, RD. I specialize in acid reflux (GERD), LPR (laryngopharyngeal reflux / silent reflux), and IBS. I founded FLORA Nutrition because I've lived this — chronic reflux and IBS were what pulled me into this field — and because I kept seeing the same pattern in my practice: people who had eliminated everything, tried the PPIs, seen the specialists, and were still symptomatic.

Restriction alone doesn't rebuild the mechanisms that are failing. On this channel, I explain the physiology your GI doctor often doesn't have time to cover — your LES, your nervous system, your barrier mechanics — and I back every recommendation with peer-reviewed research. If you want to understand why your body is doing what it's doing, not just what to stop eating, you're in the right place.

♡ Instagram ⭐️ www.instagram.com/mollypelletier.rd
♡ Website / App / About / Work with FLORA Nutrition: flora-nutrition.com


Molly Pelletier, MS, RD | The Reflux Dietitian

If your scope came back normal and you're still clearing your throat all day, this one is for you.

I made a video on the full silent reflux (LPR) symptom picture, including the eye, nose, and ear symptoms most people never connect to reflux, and why "everything looks fine" doesn't rule LPR out. I also share the five things we start with in the clinic before anyone has a diagnosis on paper. Tell me in the comments: what's your most persistent throat symptom?

11 hours ago | [YT] | 18

Molly Pelletier, MS, RD | The Reflux Dietitian

Would you join a live open house with the FLORA dietitians on Tuesday, September 22 at 5pm ET? It's a relaxed meet and greet with past clients, free, and everyone who registers gets the recording. FLORA app and Sequoia Soothe Giveaway at the end.

Register: calm-queen-816.myflodesk.com/openhouse

17 hours ago | [YT] | 5

Molly Pelletier, MS, RD | The Reflux Dietitian

If you've been feeling heavy after dinner, try this experiment: take about a third of your usual dinner portion and save it for a late afternoon snack instead.

You're eating the same amount of food across the day, just redistributing it so the evening meal is smaller and easier to process before bedtime.

Curious if this small shift changes not just your reflux symptoms, but also your energy levels throughout the day. A lot of people find they actually feel more consistently fueled.

What's been your experience with meal size and timing? 🌿

3 days ago | [YT] | 65

Molly Pelletier, MS, RD | The Reflux Dietitian

Six weeks on omeprazole, and the lump in your throat is exactly where it was. 🌿

Globus is one of the most common symptoms of LPR, laryngopharyngeal reflux, the silent kind that affects the throat and voice box. It is also one of the least likely to respond to acid suppression alone.

Here is why:
🔹 Pepsin, the enzyme in refluxate that keeps damaging tissue even in low-acid environments, gets taken up into throat tissue and parks there. In lab conditions it stayed stable for 24 hours at neutral pH and kept 79% of its activity once acid returned (Johnston et al., The Laryngoscope, 2007, PMID 17417109).
🔹 Irritated tissue sensitizes the nerves around it, so ordinary swallowing starts registering as a lump.
🔹 Stress tightens the upper esophageal sphincter in everyone, and a sensitized throat feels that normal tightening as something stuck.

A PPI lowers the acid in your stomach. The pepsin is already upstairs.

Breaking the loop takes tissue support and nervous system support at the same time. The full mechanism, plus the seven tools I teach my clients, is here:

The Lump in Your Throat: Globus Sensation, Silent Reflux, and the Nervous System Loop → www.mollypelletier.com/acid-reflux-gerd-nutrition-…

#AcidReflux #LPR #SilentReflux #GERD #RegisteredDietitian

3 days ago | [YT] | 36

Molly Pelletier, MS, RD | The Reflux Dietitian

New clip: the 3 breathing exercises I give almost every reflux client.

Reflux and anxiety share the same wiring. Fight-or-flight slows gastric emptying, tightens the diaphragm, and loosens LES coordination. These three practices (extended exhale, hand on chest and belly, and the LES Lock right after meals) are the fastest way I know to move the other direction. A Mayo Clinic trial found LES pressure nearly doubled during diaphragmatic breathing and post-meal reflux events dropped from 2.60 to 0.36 (Halland 2021, PMID 33009052).

Which one are you going to try first? Tell me in the comments to hold yourself accountable.

4 days ago | [YT] | 7

Molly Pelletier, MS, RD | The Reflux Dietitian

New episode with pepsin researcher Dr. Nikki Johnston. Must watch if you have LPR or throat symptoms of reflux.

Short version: PPIs lower acid. They do not remove pepsin, the enzyme that rides up with refluxate and damages throat tissue even at neutral pH. In the largest placebo-controlled PPI trial for throat symptoms, under 15% of patients got relief. Same as placebo.

Are you still symptomatic on a PPI and suffering with LPR? Tell me in the comments what your main throat symptom is. And make sure you watch this episode.

4 days ago | [YT] | 3

Molly Pelletier, MS, RD | The Reflux Dietitian

When I was in college, my doctor handed me a prescription and sent me home. No explanation of why my reflux was happening. No mention that the medication only worked for about 50% of people. No plan for what would happen if it stopped working.

I was a nutrition student who couldn't eat without pain and had no idea why.

That experience is exactly why I became The Reflux Dietitian. And it's why I share everything I know here, every week, for free.

youtube.com/@MollyPelletierRD/videos

Drop a ❤️ if you've felt dismissed by the medical system when it comes to reflux.

4 days ago | [YT] | 50

Molly Pelletier, MS, RD | The Reflux Dietitian

The 2-Minute Breathing Exercise I Teach Every Acid Reflux Client

This quick video may just help you reduce reflux AND anxiety. You don't want to miss this protocol from my clips channel ‪@MollyPelletierClips‬ make sure to subscribe for bite sized reflux tips.

5 days ago | [YT] | 24

Molly Pelletier, MS, RD | The Reflux Dietitian

I am so excited to share that I will be speaking at the Asia Pacific Laryngology Congress in Istanbul this April.

My talk, "Dietary and Lifestyle Interventions in LPR: Evidence-Based Strategies for Limiting Pepsin Activity," is part of a 90-minute Airway Reflux session with laryngologists, surgeons, and pepsin researchers from the Medical College of Wisconsin, Mayo Clinic, the University of Washington, Norton Thoracic Institute, and the University of Milan.

Being part of the reflux conversation at this level, and bringing the nutrition and lifestyle research to a room that is working to improve outcomes for people with LPR, means a lot to me. Every one of you who has shared your story with me shaped what I will be presenting.

More to come as April gets closer. 🌿

#LPR #SilentReflux #AcidReflux #RegisteredDietitian #APLA2027

5 days ago | [YT] | 39

Molly Pelletier, MS, RD | The Reflux Dietitian

Here's why smaller meals help mechanically:

Larger meals require more hydrochloric acid for digestion and more aggressive stomach contractions to break food down. Both of these increase intragastric pressure, the force pushing outward (and upward) against the LES.

By spreading your intake across more frequent, smaller meals, you're reducing the peak workload on the stomach at any given time. The LES has a much easier job when it's holding back a half-cup of food versus a full plate's worth.

It's about reducing the workload while still giving your body all the nutrition it needs. 🌿

5 days ago | [YT] | 46