Low stomach acid is one of the most overlooked causes of digestive symptoms, yet it sits at the very top of the digestive cascade. When stomach acid is low, food is not properly broken down, nutrients are poorly absorbed, and downstream issues such as reflux, bloating, fatigue, gut dysbiosis and hormone imbalance can develop. In this article, we explore why reflux is not always caused by excess acid, how low hydrochloric acid affects digestion, energy and hormones, and how a naturopathic, functional approach can help restore healthy digestive function at the root.