POPULARITY
Bloating is a common presentation in primary care and can be caused by a wide variety of conditions, including irritable bowel syndrome, food intolerances, and small intestinal bacterial overgrowth.[Main] Bloating is a key characteristic of irritable bowel syndrome (IBS), but can also be a sign of a food intolerance (such as lactose intolerance) and small intestinal bacterial overgrowth (SIBO). In this episode of the Clinical Update podcast, MIMS Learning editors Sangeeta and Rhiannon explore the potential causes of bloating and how they should be diagnosed and managed.They review both the NICE and the Rome IV criteria for diagnosing IBS, subtypes, and management options (such as the FODMAP diet), and look at red flag symptoms that require further assessment. They also discuss the differences between functional gastrointestinal conditions and IBS.The bidirectional relationship between eating disorders and gastrointestinal conditions, and how bile acid malabsorption can masquerade as IBS-D, are also explored.Educational objectivesAfter listening to this episode, healthcare professionals should be more aware ofHow IBS is diagnosed and managedHow functional gastrointestinal disorders differ from IBSFood intolerances (including lactose intolerance) that are associated with bloatingThe bidirectional relationship between eating disorders and gastrointestinal conditionsYou can access the website version of this podcast, along with a list of key learning points, on MIMS Learning — and make notes for your appraisal. MIMS Learning offers hundreds of hours of CPD for healthcare professionals, along with a handy CPD organiser.Please note: this podcast is presented by medical editors and discusses educational content written or presented by doctors, nurses and other healthcare professionals on the MIMS Learning website and at live events.This episode was produced by Jude Owen.MIMS LearningRegister for a FREE accountBloatingConstipation: red flags and new dietary guidelinesDisorders of gut-brain interactionIrritable bowel syndrome: clinical reviewMIMS Learning Live SouthBook for free Hosted on Acast. See acast.com/privacy for more information.
In this episode, Dr. Ruscio breaks down the surprising gut and systemic benefits of NAC (N-acetylcysteine), including how it may help break down biofilms, support SIBO and H. pylori treatment, improve gut lining repair, boost nutrient absorption, and support glutathione, mitochondria, and brain health. You'll also learn when sustained-release NAC may be useful, how to dose NAC properly, and what side effects or cautions to keep in mind. ✅ Start healing with us! Learn more about our virtual clinic: https://drruscio.com/virtual-clinic/
EPISODIO 152 Modera: Dr. Luis Raúl Valdovinos García; invitadas: Dra. Laura Ofelia Olivares Guzmán y Dra. Viviana Parra Izquierdo.La colitis microscópica es una enfermedad inflamatoria crónica del colon que es frecuente, tratable y sistemáticamente subdiagnosticada porque es invisible a la colonoscopia.Se confirma solamente con biopsias que a veces se olvida realizar y se confunde frecuentemente con SII.Hablaremos con dos expertas en la materia, del diagnóstico diferencial del tratamiento de esta enfermedad.
Did you know one third of IBS-D cases could be triggered by bile acids in the large intestine? This week's interview is with Prof Bu'Hussain Hayee and helps explain all you need to know:What is bile acid diarrhoea?The effect of diets on bile acidsAsking your GP about whether this could be causing your IBS-DProfessor HayeeProfessor Hayee has been a Consultant Gastroenterologist at King's College Hospital since 2011. He has held Lead roles for the Inflammatory Bowel Disease service and endoscopy Training Lead and is now the Director for the Division of Liver, Gastroenterology and Endoscopy. He served as Director for the London Endoscopy Academy (2021-23) and is a member of the British Society of Gastroenterology Council, and a Fellow of the American Society of Gastrointestinal Endoscopy. He maintains an active role in basic science, endoscopic and clinical research as well as teaching internationally. His PhD, awarded in 2010, focussed on the gut immune system and Crohn's disease and he maintains an interest in gut health and immunity, treating people with a variety of long-term digestive problems through NHS and private practice.Buy my book - Inside Knowledge for people with IBS & SIBO (find it on Amazon)Get free weekly IBS & SIBO emails - https://mailchi.mp/goodnessme-nutrition.com/h6acndd1bsWork with me3 month Gut Reset - https://www.goodnessme-nutrition.com/consultations/Ready for your gut reset?
Send us Fan Mail"I think I lost 30 pounds in a month or in two months. And I went to a few different doctors and tried different herbs and supplements and nothing seemed to be helping. getting on the path of a specialist and seeing you... I felt a sense of hope and confidence return just right from the beginning.'I am going to report back to Jessie and Brooke that I tracked the Himalayas and I had zero flare-ups, zero fear,' and that actually came to be.”Struggling with IBS-D, diarrhea, or SIBO symptoms that won't go away?In this episode of the IBS Nutrition Podcast, dietitian Jessie Wong is joined by Ian, a former client who went from severe IBS-D symptoms and rapid weight loss to full gut recovery and symptom-free travel in the Himalayas for a multi-day retreat with no gut symptoms at all.Ian shares how chronic stress triggered his gut issues, how SIBO impacted his digestion, and why supplements and probiotics actually made things worse before he found the right approach.You'll hear how he used a structured plan including collaborating medical treatment between providers, the low FODMAP diet, and guided food reintroduction to stabilize his symptoms, rebuild his gut health, and regain confidence in eating and traveling.This episode is especially helpful if you are dealing with IBS diarrhea, SIBO, bloating, or feel stuck trying to “fix your gut” on your own.In this episode, we cover:IBS-D symptoms and why diarrhea can become severeHow SIBO develops and why probiotics can sometimes worsen symptomsWhen antibiotics for SIBO are necessary and effectiveHow the low FODMAP diet helps calm a sensitive gutWhy food reintroduction and portion size matter more than restrictionThe role of stress and the gut-brain connection in IBSHow Ian rebuilt his gut health and traveled internationally without flare-upsTimestamps:00:00 – Introduction03:35 – When IBS-D and SIBO symptoms started07:45 – Rapid weight loss and worsening diarrhea10:25 – Why probiotics made symptoms worse12:18 – Getting the right diagnosis (IBS-D + SIBO)14:05 – Starting the low FODMAP diet16:39 – Food reintroduction and portion awareness20:03 – Treating SIBO with antibiotics22:46 – Second flare-up and diverticulitis25:55 – Reintroducing fiber safely26:56 – Traveling without IBS symptoms31:40 – How diet variety improved gut health35:22 – Mindful eating and the gut-brain connectionIf you feel like you've tried everything and your IBS symptoms aren't improving, this episode will help you understand what Get our help:
Part 2 of the IBS-D SeriesWe sit down with GI dietitian Beth Rosen to talk about her lived experience with IBS-D, and how the absence of a clear diagnosis and effective treatment plan early on led to frustration and unnecessary food restriction. With the right diagnosis and support, she was able to shift toward a clearer path, building a sustainable, flexible approach to eating and symptom management. We share real-world strategies for identifying triggers, eating enough without panic, and using gut-brain tools so symptoms don't run the show. • Beth's IBS-D origin story after C. diff and the missteps that delayed care • Why “everything looks normal” needs context plus a plan • Building an IBS story document to speed up appointments and strengthen self-advocacy • Common IBS-D triggers and why broad food cuts can backfire • Fructans, lactose, gluten, and the value of a targeted approach • Coffee variables to consider including caffeine dose and acidity • Digestive enzymes as practical support when appropriate • Dining out tactics like menu scouting, calling ahead, and simple safe orders • Travel and social scripts that protect privacy and reduce stress • Beth's IBS toolbox picks: adequate + regular meals, targeted fiber, hydration, modified low FODMAP, gut-brain strategies • Diaphragmatic breathing for urgency (Check out Dr. Riehl's video on diaphragmatic breathing, here.)Other resources from our guest, Beth Rosen MS, RDN:Hot off the press: Gut Goals - the book for IBS patients, by Beth Rosen!The EDGI Training Project - the book and resources for practitioners on the intersection of ED and GI Learn more about Beth: Beth Rosen's website This episode has been sponsored by Salix Pharmaceuticals. Don't forget to subscribe, rate, and leave us a comment. You can also follow us on social media, instagram @theguthealthpodcast, where we'd love for you to share your thoughts, questions, and experiences. Learn more about Kate and Dr. Riehl:Website: www.katescarlata.com and www.drriehl.comInstagram: @katescarlata @drriehl and @theguthealthpodcastOrder Kate and Dr. Riehl's book, Mind Your Gut: The Science-Based, Whole-body Guide to Living Well with IBS. The information included in this podcast is not a substitute for professional medical advice, examination, diagnosis or treatment. Always seek the advice of your physician or other qualified health care provider before starting any new treatment or making changes to existing treatment.
Part 1 of the IBS-D SeriesWe map out a clear, practical way to understand IBS-D, from what it is, to how clinicians rule out the conditions that can look like it. With Dr. Anthony Lembo, we move from science to real-world next steps so you can feel more confident about diagnosis, treatment options, and hope for improvement. • How IBS-D is defined using stool form and pain patterns • When diarrhea needs more workup using alarm features • Common IBS-D mimickers including celiac disease, IBD, bile acid malabsorption, microscopic colitis, sucrase isomaltase deficiency and Giardia • What post-infectious IBS may change in the gut including immune activation, permeability, microbiome, and hypersensitivity • What the L-glutamine permeability study suggests and what remains unknown • How to approach it a stepwise treatment IBS-D plan using lifestyle, loperamide, antispasmodics, neuromodulators, rifaximin, and other prescriptions • Why brain-gut behavioral therapy helps even without severe anxiety or depression • How we avoid the trap of endless “root cause” chasing with a confident diagnosis Rome V will include an update of the Rome Criteria (publication available around May 2026). This episode has been sponsored by Salix Pharmaceuticals. Follow us on social media, instagram @theguthealthpodcast, where we'd love for you to share your thoughts, questions, and experiences. References: Black CJ, Ford AC. An evidence-based update on the diagnosis and management of irritable bowel syndrome. Expert Rev Gastroenterol Hepatol. Published online January 21, 2025. doi:10.1080/17474124.2025.2455586Marasco G, Cremon C, Barbaro MR, Stanghellini V, Barbara G. Journal of Clinical Gastroenterology Lectureship Dubai 2022 : Management of Irritable Bowel Syndrome With Diarrhea. J Clin Gastroenterol. 2024;58(3):221-231. Published 2024 Mar 1. doi:10.1097/MCGCongenital Sucrase-Isomaltase Deficiency: What, When, and How?Foley A, Halmos EP, Husein DM, et al. Adult sucrase-isomaltase deficiency masquerading as IBS. Gut. 2022;71(6):1237-1238. doi:10.1136/gutjnl-2021-326153Learn more about Kate and Dr. Riehl:Website: www.katescarlata.com and www.drriehl.comInstagram: @katescarlata @drriehl and @theguthealthpodcastOrder Kate and Dr. Riehl's book, Mind Your Gut: The Science-Based, Whole-body Guide to Living Well with IBS. The information included in this podcast is not a substitute for professional medical advice, examination, diagnosis or treatment. Always seek the advice of your physician or other qualified health care provider before starting any new treatment or making changes to existing treatment.
In this episode, Dr. Eric Osansky talks with returning guest Dr. Izabella Wentz about her new book, IBS: Finding and Treating the Root Cause of Irritable Bowel Syndrome. Drawing from both personal experience and clinical insight, Dr. Wentz explains why IBS is often more than just a stress-related diagnosis and how it can serve as an early warning sign of deeper imbalances, including thyroid autoimmunity.The conversation explores the difference between IBS and inflammatory bowel disease, why some people diagnosed with IBS may actually have celiac disease or IBD, and the many possible root causes behind chronic digestive symptoms. Dr. Wentz discusses food reactions, SIBO, parasites, H. pylori, medications, nutrient deficiencies, thyroid hormone imbalances, stress, and lifestyle factors that can all play a role in gut dysfunction. She also shares why testing matters, why symptom relief is not the same as true resolution, and why approaches like the low FODMAP diet may only be a short-term tool.This episode gives listeners a broader, more practical understanding of how gut issues connect with immune dysregulation and thyroid health. If you want a clearer, more balanced understanding of IBS, IBD, and what these digestive symptoms may really be telling you, you'll get a lot out of this episode.Episode Timeline00:00 – Introducing the episode and why IBS matters 01:26 – Post-episode topics: IBS vs. IBD, celiac, H. pylori, and more 02:22 – Meet Dr. Izabella Wentz 03:58 – Why Dr. Wentz wrote a book on IBS 06:15 – How IBS can precede autoimmune disease 08:13 – How common IBS is and how it's typically diagnosed 09:25 – When IBS may actually be celiac disease or IBD 11:25 – Dr. Wentz's husband's ulcerative colitis story 14:18 – Is IBD autoimmune? 14:54 – The IBS and autoimmunity connection 18:09 – IBS-D vs. IBS-C and why treatment differs 19:59 – Root causes of IBS beyond stress and food sensitivities 24:37 – Medications that can disrupt gut health 26:12 – How to start identifying your IBS triggers 28:28 – Why testing matters for parasites and SIBO 32:24 – SIBO as a root cause or secondary issue 33:03 – Conventional care vs. a functional medicine approach 36:36 – What to do if you think you have IBS or IBD 40:52 – Surprising foods that can trigger IBS symptoms 42:14 – Concerns with the low FODMAP diet 45:20 – Where to learn more about Dr. Wentz and her new book 47:30 – Dr. Eric's post-episode takeaways on IBS, IBD, celiac, H. pylori, and low FODMAPAbout Dr. Izabella WentzDr. Izabella Wentz is an integrative pharmacist, educator, and New York Times bestselling author known Free resources for your thyroid healthGet your FREE Thyroid and Immune Health Restoration Action Points Checklist at SaveMyThyroidChecklist.comHigh-Quality Nutritional Supplements For Hyperthyroidism and Hashimoto' s Have you checked out my new ThyroSave supplement line? These high-quality supplements can benefit those with hyperthyroidism and Hashimoto's, and you can receive special offers, along with 10% off your first order, by signing up for emails and text messages when you visit ThyroSave.com. Do You Want Help Saving Your Thyroid?Get free access to hundreds of articles and blog posts: https://www.naturalendocrinesolutions.com/articles/all-other-articles Watch Dr. Eric's YouTube channel: https://www.youtube.com/c/NaturalThyroidDoctor/videos Join Dr. Eric's Graves' disease and Hashimoto's group: https://www.facebook.com/groups/saveyourthyroid Take the Thyroid Saving Score Quiz: https://quiz.savemythyroidquiz.com/sf/237dc308 Read all of Dr. Eric's published books: http://savemythyroid.com/thyroidbooks Work with Dr. Eric: https://savemythyroid.com/work-with-dr-eric/
What Is IBS? Signs, Triggers & Root Causes Most Doctors Miss | Functional Medicine Guide | Podcast #471
Based on a popular well known Christmas carol this episode reminds us about prescribing thoughtfully, recognising key red flags, and keeping often-missed diagnoses like bile acid diarrhoea, coeliac disease and liver disease on the radar. The episode also reinforces the importance of early-life microbiome influences and structured differential diagnosis for abdominal symptoms in primary care. Prescribing and de-prescribing • Taper PPIs rather than stopping abruptly to avoid rebound acid hypersecretion, driven by upregulated gastrin during PPI therapy. • Always link NSAID use and H. pylori status to ulcer risk, and remember: gastric ulcers typically cause pain with meals, duodenal ulcers 2–3 hours after eating. Diagnosis, tests and red flags • Use three coeliac test “groups”: serology (tTG/EMA, with total IgA checked), genetics (HLA‑DQ2/DQ8) and duodenal biopsies; ensure patients eat gluten for at least six weeks pre‑testing and to endoscopy. • Actively screen for GI red flags: dysphagia and weight loss (upper GI), PR bleeding and unexplained iron‑deficiency anaemia (lower GI), and escalate for urgent investigation. Practical tools and endoscopy indications • Use the Bristol Stool Chart (types 1–7) routinely in consultations to standardise conversations about stool form and avoid ambiguous “food analogies.” • Remember the three main indications for endoscopy: diagnostic (e.g. dyspepsia, chronic diarrhoea), surveillance (Barrett's, polyp follow‑up) and therapeutic (RFA/EMR in Barrett's, polyp removal). Conditions to consider and not miss • Keep bile acid diarrhoea prominent in the differential for IBS‑D: up to ~40% of IBS‑D patients may have it, particularly with ileal disease/resection, Crohn's, or post‑cholecystectomy. • Maintain a broad GI bleeding differential beyond cancer (e.g. gastritis, peptic ulcer, Mallory–Weiss tear, haemorrhoids/fissures, liver disease/coagulopathy, IBD, angiodysplasia, diverticular disease). Liver disease, microbiome and early life • Remember major causes of liver failure in primary care: excess alcohol, paracetamol overdose, DILI, autoimmune hepatitis, Wilson's disease, haemochromatosis, viral hepatitis B/C and progressive MASLD. • Support breastfeeding where possible to promote a healthy infant microbiome (HMOs favouring bifidobacteria) and recognise how birth mode and early microbes shape immune development and later allergy/immune risk. Structuring abdominal symptom assessment • For undifferentiated abdominal symptoms, consciously work through a core list: IBS, lactose intolerance, coeliac disease, gastroenteritis, SIBO, IBD, diverticular disease, colorectal cancer, peptic ulcer disease, gallstones/biliary colic, pancreatic insufficiency and medication‑related causes (e.g. metformin, NSAIDs, antibiotics). • Use these categories to guide targeted history, examination, basic tests and thresholds for referral back to gastroenterology or specialist services. Chapters (00:00:04) - The 12 Days of Gutmas(00:01:04) - PPIs(00:02:19) - How to manage gastric and duodenal ulcers on(00:03:40) - Celiac disease tests 6, Interventions(00:05:33) - GI red flags on Christmas Day(00:07:48) - The main indications for endoscopy(00:09:07) - 7 causes of liver failure on Christmas Day(00:10:17) - Healthy gut microbiome 8 days after Christmas(00:12:03) - Bile acid diarrhea(00:13:52) - 10 causes of abnormal gastrointestinal bleeding(00:15:34) - The microbiome of the body(00:17:55) - 12 causes of abdominal dysrhythmia(00:19:59) - 12 Days of Gutmas
In this follow-up to one of our most popular episodes, host Jacqueline Gaulin welcomes back Dr. Mark Pimentel, Executive Director of the Medically Associated Science and Technology (MAST) Program at Cedars-Sinai, to dive deeper into the science behind SIBO (Small Intestinal Bacterial Overgrowth) and IMO (Intestinal Methanogen Overgrowth). Dr. Pimentel answers listener questions and explains how these complex conditions relate to IBS-D and IBS-M, why methane and archaea matter for gut health, and how motility and the Migrating Motor Complex (MMC) play a crucial role in prevention and treatment. You'll also learn about the latest insights and therapeutic approaches that can help patients find lasting relief. Produced in collaboration with the American College of Gastroenterology's Patient Care Committee, this evidence-based discussion helps you better understand the "why" behind SIBO and IMO—and what steps you can take toward better gut health.
CME credits: 1.00 Valid until: 20-10-2026 Claim your CME credit at https://reachmd.com/programs/cme/diagnosing-and-treating-ibs-it-begins-with-one-simple-question/36607/ Presented at the 21st Annual Women's Health Annual Visit (WHAV 2025), this session reviews strategies for diagnosing and treating irritable bowel syndrome (IBS), with a focus on distinguishing IBS-C from IBS-D. Faculty explore the burden of disease, stigma, and the importance of a positive diagnostic strategy using Rome IV criteria, supported by history, physical examination, and selective testing. Treatment approaches include lifestyle changes, pharmacologic interventions, and brain-gut behavioral therapies. =
Dr. Wilner would love your feedback! Click here to send a text! Thanks!Many thanks to Functional Diagnostic Nutrition Practitioner Courtney Cowie, LBT, NTP, FDN-P, PN2-MHC, for joining me on the Art of Medicine with Dr. Andrew Wilner. Courtney is a nutrition health coach who specializes in helping people with gastrointestinal distress or excessive weight gain when conventional medical approaches fail. Courtney is certified in functional diagnostic nutrition testing. These tests assess adrenal health, hormone balance, and oxidative stress, and can help explain chronic, disagreeable gastrointestinal symptoms. Courtney has had great success working with patients to identify dietary triggers and alter their eating behaviors and lifestyles. These interventions can have a surprisingly beneficial effect on gastrointestinal symptoms such as bloating, frequent bowel movements, and lack of energy. During our 30-minute conversation, we addressed the potential harms of ultraprocessed foods and excessive weight gain. Courtney advised healthier food alternatives, as well as the benefits of an individualized, holistic approach to health. To contact Courtney Cowie, please check out her website: www.courtneycowie.com. You can find a free PDF guide to naturally achieve IBS-D and IBD symptom relief on her website.Please click "Fanmail" and share your feedback!If you enjoy an episode, please share with friends and colleagues. "The Art of Medicine with Dr. Andrew Wilner" is now available on Alexa! Just say, "Play podcast The Art of Medicine with Dr. Andrew Wilner!" To never miss a program, subscribe at www.andrewwilner.com. Follow me on Instagram: @andrewwilnermd X: @drwilner linkedin.com/in/drwilner Please rate and review each episode. To contact Dr. Wilner or to join the mailing list: www.andrewwilner.com This production has been made possible in part by support from “The Art of Medicine's” wonderful sponsor, Locumstory.com, a resource where providers can get real, unbiased answers about locum tenens. If you are interested in locum tenens, or considering a new full-time position, please go to Locumstory.com. Or paste this link into your browser: https://locumstory.com/?source=DSP_directbuy_drwil...
Send us a textIn this solo episode of the IBS Nutrition Podcast, dietitian and gut health expert Jessie Wong dives into one of the most frustrating parts of IBS: the unpredictability. If you're tired of guessing games, stuck in elimination diets, or noticing “safe” foods still trigger flare-ups, this episode is for you.Jessie shares the three biggest reasons IBS feels confusing and unmanageable—and while food can be a trigger, it's rarely the whole story. Symptoms are often tied to:Slow gut motility (especially in IBS-C)Overflow diarrhea (constipation masking as diarrhea)Stress and nervous system dysregulationLifestyle habits like poor sleep, dehydration, or inconsistent routinesUnderstanding your root cause is key. One client, Kathy, thought she had IBS-D, but tracking revealed overflow diarrhea from severe constipation. Once that and her food triggers were resolved, her symptoms disappeared.In This Episode, You'll Learn:✔️ Why symptoms don't appear randomly✔️ Mistakes that keep IBS sufferers stuck in food fear✔️ How overflow diarrhea is often misdiagnosed as IBS-D✔️ Why lifestyle—not food—may be the culprit✔️ A structured 3-step plan to uncover triggers✔️ Real client stories from chaos to clarityTimestamps:[00:00] Welcome + intro[01:06] Why symptoms aren't random[02:14] Guessing = anxiety + confusion[04:33] What actually works[07:09] Sharon's story: fear → freedom[12:03] Not all symptoms are food-related[14:16] Gut-brain axis + stress[15:39] Lindsay's story: lifestyle triggers[18:10] Symptom tracking[20:25] Kathy's story: wrong IBS type[22:46] Where to start (tools + resources)[23:53] What doesn't work[24:52] What does work: plan + support[27:19] The IBS Freedom Program[28:23] Can you cure IBS?[29:15] Mercedes' story: restriction → reintroduction[31:08] Final takeaways + masterclass inviteResources Mentioned:Episode 1: IBS Explained: Symptoms, Diagnosis and Getting ReliefEpisode 7: IBS Success Story: How Mercedes Overcame Chronic Diarrhea & MisdiagnosisEpisode 13. IBS Success Story: How Lindsey Stopped Diarrhea & Took Back Her Life (Without Extreme Diets)Get our help:
Send us a textImagine getting a perfectly clean bill of health from your doctor — yet still battling painful bloating, urgency, and daily bathroom anxiety. That was Kimberly's reality for years… until she finally uncovered her one true IBS food trigger.In this episode, IBS dietitian Jessie Wong talks with Kimberly, a former client who spent over a decade navigating IBS-D symptoms — including severe diarrhea, mucus, inflammation, food fear, and even 2am bathroom trips — without real answers. Despite multiple colonoscopies, blood tests, and visits with GI doctors.In this inspiring IBS success story, Kimberly shares how she went from food fear, late-night Google searches, and even paying for her own hotel room to hide her symptoms — to finally uncovering her unique IBS triggers and finding freedom with daily regularity, food freedom, and the confidence to travel, eat out, and enjoy life again.In This Episode, You'll Learn:✔️ Kimberly's 10+ year IBS journey, including urgency, bloating, and inflammation✔️ Why multiple GI doctors and clean colonoscopies didn't provide answers✔️ How poop photos and food tracking revealed her real trigger✔️ The role of expert dietitian support in safe reintroduction and food freedom✔️ Kimberly's advice for anyone stuck on the low FODMAP dietTimestamps:[00:00] Kimberly's IBS symptoms and early history[05:16] 3 GI doctors, tests, and no clear answers[08:15] Discovering the FODMAP diet[15:59] Life after finding her trigger[20:13] Dining out and travelling with IBS[22:03] Reintroducing foods and long-term success[30:00] How IBS affected her daily life[38:51] Advice for others with IBS-DGet our help:
Send us a textWhat does your stool say about your gut health?In this episode of the IBS Nutrition Podcast, Jessie Wong breaks down the Bristol Stool Chart, real stool photo references, and the little-known IBS pattern known as overflow diarrhea. You'll also uncover the root cause of your symptoms and why many people are misdiagnosed with IBS-D when they're actually constipated.Whether you're dealing with urgency, irregularity, or just not sure what's normal, this episode will help you decode what your poop is trying to tell you—and how it could hold the key to true IBS relief.In This Episode, You'll Learn: ✔️ The 7 stool types on the Bristol Stool Chart and what they mean ✔️ What different stool colors say about your gut and digestion ✔️ What overflow diarrhea really is (and how it's often misdiagnosed) ✔️ 3 real client stories that reveal how looking at poop changes everythingTimestamps:[00:00] Why poop isn't gross [02:17] What poop is made of and why it matters [03:25] Kinsey's story: misdiagnosed with diarrhea, actually constipated [04:34] How to assess your stool + visual library [06:52] Stool types 1–7 explained [08:48] Stool color and what it tells us [10:50] Joe's story: medication-induced fat malabsorption [15:29] Overflow diarrhea explained [17:20] Kathy's story: years of misdiagnosis & food fear [21:35] Why many IBS-D cases are actually constipation [22:41] Recap & how to track your poop like a pro [23:56] The story behind creating PoopPedia [24:57] Final message: use your poop as a tool, not something to fear⭐ Love this episode? Leave us a 5-star review! It helps us reach more people who need IBS support. As a special bonus, I want to give you FREE access to my signature IBS Course. • Leave a review of this podcast• Email a screenshot of your review to info@ibsdietitian.comGet our help:
Today I'm happy to chat with our patient Leslie who shares her successful journey with histamine intolerance healing. We'll go through how SIBO led to her histamine issues, the connection to low vagus nerve tone, as well as the low histamine diet and treatments such as dao enzymes. Tune in to learn how you can reduce histamine in the body naturally. Start healing with us! Learn more about our virtual clinic: https://drruscio.com/virtual-clinic/ Histamine Intolerance and Diet Guide: https://drruscio.com/guides/get-histamine-intolerance-guide/
If you've ever lived with chronic migraines—or any kind of long-term pain—you know how exhausting it is to try everything and still find no real relief. That was Kim's life for over 30 years. A dedicated nurse living with fibromyalgia, Lyme disease, IBS-D, and daily migraines, Kim tried everything from medications to blocks to specialists. Yet nothing brought the lasting change she desperately needed. In this powerful episode, Kim shares how she finally found freedom through the Freedom From Migraines Method® Elite Program—a holistic approach focused on addressing the root causes of pain, not just managing symptoms. Her story is proof that even if you feel stuck, even if you've lost hope, healing is still possible. In this episode, you'll hear: How Kim suffered from daily migraines for over 30 years Why conventional treatments aren't always the answer to lasting relief How Lyme disease and undiagnosed inflammation can play a hidden role in chronic pain What made the FFMM® approach different from everything she'd tried before The powerful mindset shifts that supported Kim's healing, and how they can help you, too How Kim reclaimed her energy, confidence, and joy, step by step, even when it felt impossible If you're feeling stuck in pain, Kim's story might be the sign you've been waiting for. Resources: Ready to explore a new healing path? Book your free call here to see if the Freedom From Migraines Method® is right for you! https://debbiewaidl.com/booking-page/schedule-your-call Connect with Debbie: Instagram: https://urlgeni.us/instagram/migrainefree Women's Migraine Freedom™ Facebook Group: https://urlgeni.us/facebook/Womensmigrainefreedom LinkedIn: https://urlgeni.us/linkedin/debbiewaidl Website: https://debbiewaidl.com/ Disclaimer: The Migraine Freedom™ Your Way Podcast and information provided by Debbie Waidl and guests in this podcast is presented solely to provide helpful information, education, and entertainment on the subjects discussed. The use of information or resources mentioned on or linked from this podcast is at the user's own risk and discretion. This podcast is not intended to diagnose or treat any medical condition. For diagnosis or treatment of any medical problem, consult your own physician. Debbie Waidl and In The Balance Health Coaching LLC are not responsible for any medical conditions or liable for any damages or negative consequences from any treatment, action, application, or preparation to any person reading or following the information presented on this podcast. References are provided for informational purposes only and do not constitute an endorsement of any websites or other sources.
If you struggle with diarrhoea, bloating, or trouble digesting fatty meals, your bile could be part of the problem. This episode covers:Bile acid malabsorption, and the similarity to IBS-D. Sluggish bile flow, menopausal effects on bile production, Supporting healthy bile flow through dietary habits, hormone levels, liver health, GallstonesWork with me3 month Gut Reset - https://www.goodnessme-nutrition.com/consultations/Book a discovery call about working with me - https://calendly.com/annamapson/30min Ready for your gut reset?
You've got IBS. And you don't want to live a life of restrictive eating. What do you do? Well, in today's episode two dietitians with IBS-D are going to share what they know to help you enjoy what you're eating and feel your absolute best. Sometimes, eating with irritable bowel syndrome is like playing the slots: you never know what's going to pop up next. Maybe you've been doing well on a low FODMAP diet but all of a sudden your symptoms crop up again….with zero changes to your diet. Or, maybe you can't seem to figure out which foods are causing issues because sometimes you get symptoms and sometimes you don't…with the same food!Which is why I'm chatting withJessica Roocroft, a dietitian who's an expert in caring for the different subtypes of irritable bowel syndrome and also somewhat unique in her practice because her programs include gut-directed hypnotherapy as a way to help symptoms reside with as few dietary restrictions as possible.We're going to chat about how nutrition influences IBS…and also why foods aren't necessarily causing your symptoms. They may in fact just be exacerbating the symptoms caused by something else entirely. We're going to talk about the gut brain connection so you understand its impact on digestive health, totally free of the psuedoscience you usually see on social media. Jess shares a wealth of very specific and detailed information on tools and practices that might help you get your symptoms under control so you can actually enjoy food again and learn to live a less restrictive and more enjoyable food life. About Jessica Roocroft RD:Jessica Roocroft (just call her Jess) is a Registered Dietitian from North Vancouver, BC who owns and operates an Irritable Bowel Syndrome-focused private practice. Most importantly, she knows first-hand what it's like to deal with gut drama due to IBS-D. It is her life's work to combine her lived experience with IBS with hundreds of hours of research and continuing education over the years and direct it right back at supporting clients navigate the overwhelming world of IBS. On this episode we chat about:How a family trauma initiated Jess' IBS-DHow does eating cause symptoms in IBSWhy low FODMAP isn't right for everyoneUnderstanding the gut-brain connection in IBSThe stress-symptom cycle How the heck does gut directed hypnotherapy work in IBSWhat happens low FODMAP or hypnotherapy don't work for youUnlearning a restrictive diet in IBSHow to build up your tolerance to fibreDigestive enzymes in IBSCorrection: around 1h 9m, I misspeak and say 30 different foods a day, I meant a week!Support the Pod!We couldn't make this podcast happen without the support of our amazing listeners…I love hearing your feedback on these episodes to be sure to join the conversation on our instagram@theallsortspod@desireenielsenrd@jess_nourishesIf you love this episode, please share it with your friends and family, or take a minute to rate, review or subscribe on your favourite podcast app. We appreciate EVERY. SINGLE. LISTEN
Charlie Andrews talks to Dr Chris Black about the management of IBS.This podcast provides key insights into managing Irritable Bowel Syndrome (IBS), emphasising a multidisciplinary and individualised approach to care. Here are the main takeaways:1. Multidisciplinary and Integrative CareIBS management requires a holistic, patient-centered approach involving dietitians, behavioral therapists, and gastroenterologists. This "team sport" approach expands treatment options and tailors care to individual patient needs1. Integrative care, which combines dietary, psychological, and medical interventions, has been shown to improve symptoms, psychological well-being, and quality of life for IBS patients1.2. Personalised TreatmentIBS is not a one-size-fits-all condition. There are different subtypes of IBS (e.g., IBS-D for diarrhea-predominant or IBS-C for constipation-predominant), and treatment must be customized based on the patient's symptoms and triggers4. Emerging research suggests the need to identify distinct subtypes of IBS to guide more effective treatments24.3. Dietary ManagementThe low FODMAP diet is a widely recommended dietary intervention for IBS. It helps identify food triggers and manage symptoms but should not be used long-term without personalization3. Probiotics may also play a role in symptom relief for some patients, though their effectiveness varies3.4. Behavioral InterventionsCognitive Behavioral Therapy (CBT) and gut-directed hypnotherapy are effective in managing IBS symptoms, particularly when patients are motivated to engage in these therapies1. Stress management is critical since stress and anxiety can exacerbate IBS symptoms15.5. Pharmacological TherapiesMedications are often used as complementary treatments when dietary or behavioral strategies alone are insufficient. These include antispasmodics, laxatives, or medications targeting gut-brain interaction Chapters (00:00:01) - Ingest on Irritable Bowel Syndrome(00:02:49) - In the Know: irritable bowel syndrome (IBs)(00:04:03) - Irritable bowel syndrome, management principles(00:08:07) - How to manage irritable bowel syndrome? ((00:16:15) - How much loperamide can one give for IBS?(00:17:36) - Non-steroidal anti-inflammation for IBS?(00:24:05) - Physical and psychological therapies for abdominal pain(00:26:17) - IBS, secondary care referrals(00:32:11) - First line diabetes: An integrated approach(00:32:40) - IBS, group-based care(00:40:27) - Management of IBS 11(00:42:28) - Primary Care: IBS Episode 4
If you've ever had haemorrhoids due to your IBS then you're not alone, it's a common symptom of issues with going to the toilet. Whether you're IBS-D and going 8 times a day, or straining to get one out twice a week, this can be a recipe for piles. In this episode I cover Different types of haemorrhoidsWhat causes themHow your diet might affect pilesTips for nutrients to include if you want to repair or avoid haemorrhoidsAs always if you're worried about your symptoms see a doctor. Work with me3 month Gut Reset - https://www.goodnessme-nutrition.com/consultations/Book a discovery call about working with me - https://calendly.com/annamapson/30min Ready for your gut reset?
THE BETTER BELLY PODCAST - Gut Health Transformation Strategies for a Better Belly, Brain, and Body
Have you ever been diagnosed with IBS-C, IBS-D, or IBS-M?Do you have severe constipation, but no diet change, supplements, or doctor visits have helped?Do you have anxiety, fatigue, or weight gain - despite doing lots of things to manage all 3?Do you flip between constipated and getting diarrhea, and have no idea how to stop the cycle?Or - do you have unexplained diarrhea that diet changes and supplements haven't helped?If you said yes to any of these questions, then you may have a pathogen called Clostridium Difficile, or for short - C. Diff! Continuing with week 5 of our 7 pathogen series, today I'm going over:What Clostridium Difficile isCommon C. Diff. symptoms (like bloating and constipation OR diarrhea!)Less-common symptoms of C. Diff. (that you most likely have)How C. Diff. is spreadHow long C. Diff. can lastThe best chronic C. Diff. testingWhy C. Diff. gets overlookedAnd how to identify a good - and bad - C. Diff. protocolI'm going to debunk every single myth I can think of, because the #1 reason that clients who work with me AREN'T feeling after ALL the work they've done on their health is because of ALL the little things that can go wrong - but don't HAVE to go wrong. In part 5 of this series, I'm going to point you to the FASTEST way to heal. Because NO pathogen needs to be ruling your life. It's time to feel your best, have energy, and get back to your life.It's time to find, and kill, some C. Diff.EPISODES MENTIONED:41// Anxiety, depression, or ADHD? One reason to check your gut214// Is this Gene Mutation Making Your ADHD Worse?118// LIVER: The #1 Thing You Can Do to Ease Bloating and PMS45// The Gut-Skin Connection: Is your gut flaring up your skin?47// The Gut-Sinus Connection113// Crush Abdominal Pain & Get 90% of Your Energy Back [Dessie Pt. 2]35// Get Rid of Abdominal Pain, Joint Pain, and Fatigue, Lose 10 lbs., and Feel Better Than Ever [Client Testimonial – Dessie]HEAL YOUR GUT - FOR GOOD!Option #1)
Thank you for joining us for our 2nd Cabral HouseCall of the weekend! I'm looking forward to sharing with you some of our community's questions that have come in over the past few weeks… Raquel: Hi, I wanted to know if it's possible to get rid of food and environmental allergies. I cannot tolerate fruits, vegetables, nuts, and nickel-containing products due to these. Even if I cook everything (OAS), I still get an itchy mouth, wheezing, and/or vomiting/diarrhea (especially with eggplant, coconut, and nuts). I did IgE blood and skin testing and was allergic to everything tested. I also tried allergy shots for 5 years. I also have IBS-D and fiber/grains are a major trigger. The one thing that has worked to reduce my symptoms (hives, itchy mouth, asthma, diarrhea) is to eat an elimination diet (no plants), but I am worried about this long term. I am allergic to your HistPro and Sinus Support supplements I assume due to the plants in them. Any help greatly appreciated, thanks so much! Matthew: My mother saw her doctor and he told her that her heart is not pumping enough blood throughout her body and she needs to see specialist. Now on the allopathic side I know they're gonna have her take heart medication. I know my experience that heart medication causes so many problems overtime just like other medication cause problems. I wanted to know what can she do for a naturopathic/ functional medicine perspective, or should I say try before she goes into the medication aspect? Because from the sounds of it to me, her EF or ejection fracture is lower than it should be. I may be wrong but that's what it sounds like to me. I'm hoping you can help thanks Amy: Should one take a break from berberine need to be stopped after taking it 6 months? It is the only thing that stopped my hot flashes so i don't want to stop. Maria: Why does the heat of the sun make me feel sick? Jillian: My 3.5 year old daughter develops a cough that can last a month+ after being sick. This cough wakes her at night, sometimes causing her to vomit from coughing so hard. During these times she will cough after running around also. This happens every few months, with some time in between of no symptoms. It seems like asthma but I am unsure of what to do. How safe are breathing treatments and inhalers for children? Does this mean she requires antibiotics to clear any infection from a lingering sickness? Most importantly, why would this be happening to her? Would removing tonsils help? I'm trying to weigh the pros and cons of treating her with western medicine letting it be and seeing if it stops as she gets older. She's only had antibiotics once in her life and eats fairly well for a toddler. Thank you for tuning into this weekend's Cabral HouseCalls and be sure to check back tomorrow for our Mindset & Motivation Monday show to get your week started off right! - - - Show Notes and Resources: StephenCabral.com/3166 - - - Get a FREE Copy of Dr. Cabral's Book: The Rain Barrel Effect - - - Join the Community & Get Your Questions Answered: CabralSupportGroup.com - - - Dr. Cabral's Most Popular At-Home Lab Tests: > Complete Minerals & Metals Test (Test for mineral imbalances & heavy metal toxicity) - - - > Complete Candida, Metabolic & Vitamins Test (Test for 75 biomarkers including yeast & bacterial gut overgrowth, as well as vitamin levels) - - - > Complete Stress, Mood & Metabolism Test (Discover your complete thyroid, adrenal, hormone, vitamin D & insulin levels) - - - > Complete Food Sensitivity Test (Find out your hidden food sensitivities) - - - > Complete Omega-3 & Inflammation Test (Discover your levels of inflammation related to your omega-6 to omega-3 levels) - - - Get Your Question Answered On An Upcoming HouseCall: StephenCabral.com/askcabral - - - Would You Take 30 Seconds To Rate & Review The Cabral Concept? The best way to help me spread our mission of true natural health is to pass on the good word, and I read and appreciate every review!
What has happened to Future Pharm?; A large gallstone was found on a recent MRI. Is this contributing to my colitis and IBS-D?; What advice do you have for treating oral lichen planus?; Can you talk about Revive for skin, hair, nails and joints?; How much vitamin A can I take to avoid toxicity?; Do you know of a good functional medicine doctor in Los Angeles?
Not one of us are completely immune to an occasional episode of diarrhea. Whether you can trace it back to something you ate or an up tick in stress, liquid poop is not ideal. Kate and Megan are joined by a giant in the field of gastroenterology, Dr. Jessica Allegretti from Brigham & Women's Hospital in Boston, Massachusetts to do a deep dive discussion into diarrhea. Together, they discuss the various causes of diarrhea, from common infections and food intolerances to more chronic conditions like irritable bowel syndrome (IBS) and inflammatory bowel disease (IBD). Dr. Allegretti offers valuable insights into the concerns surrounding Clostridium difficile (C. diff) infections and the complexities involved in diagnosing and treating recurrent cases. We also explore cutting-edge research of live biotherapeutic products (LBPs) and their promising role in the innovative area of fecal microbiota transplantation (FMT) with the guidance of this world-renowned expert. And, we couldn't discuss diarrhea without acknowledging the potential role of food, stress and the intricate relationship between our gut microbiome and our behaviors. Kate and Megan provide practical tips and tricks to the nutritional and behavioral management of this often times anxiety provoking symptom that leave all listeners feeling empowered with strategies when it comes to the runs. Whether you've had C.Diff, are managing IBS-D or just curious about this common symptom this episode is a must listen! Tune in for practical insights and valuable strategies to improve your well-being and gut health. Read more: Diagnosis and Management of Clostridioides difficile Infection in Patients with Inflammatory Bowel DiseaseYale Medicine: C. Diff Infection overviewApproach to the Patient with Diarrhea and MalabsorptionLow FODMAP toolsDiaphragmatic breathing (video by Dr. Megan Riehl)Learn more about Kate and Dr. Riehl:Website: www.katescarlata.com and www.drriehl.comInstagram: @katescarlata @drriehl and @theguthealthpodcastOrder Kate and Dr. Riehl's book, Mind Your Gut: The Science-Based, Whole-body Guide to Living Well with IBS. The information included in this podcast is not a substitute for professional medical advice, examination, diagnosis or treatment. Always seek the advice of your physician or other qualified health care provider before starting any new treatment or making changes to existing treatment.
Digestion is a complex process that involves breaking down food into nutrients that the body can absorb and use. For a healthy person, the time it takes to digest meals and snacks can vary based on the type and composition of the food consumed. Keep in mind the digestive process varies significantly between healthy individuals and those with digestive disorders. While healthy individuals typically digest meals within a predictable timeframe, digestive disorders can cause delays or speed up this process. Keep in mind that GLP-1 agonists like semaglutide (Wegovy) and tirzepatide (Zepbound) influence digestion by slowing gastric emptying and regulating appetite, which can be beneficial for weight loss and diabetes management but may pose challenges for those with certain digestive conditions. In this podcast, we'll discuss how digestion is impacted by digestive orders and how GLP-1 agonists like semaglutide (Wegovy) and tirzepatide (Zepbound) affect digestion. The Digestive Process Explained Starting in the Mouth: The digestive process begins in the mouth when you chew food. Chewing breaks down food into smaller particles, and saliva, which contains an enzyme that starts the digestion of starches, moistens the food, making it easier to move along the gastrointestinal (GI) tract. Moving to the Esophagus: When you swallow, food travels down the esophagus. Here, peristalsis—rhythmic contractions—automatically propel the food forward. At the lower end of the esophagus, a circular muscle called the lower esophageal sphincter (LES) relaxes to allow food to pass into the stomach and then closes to prevent stomach acid from flowing back into the esophagus. Stomach Function: Once food reaches the stomach, muscles in the stomach wall mix it with stomach acid and enzymes, creating digestive juices that break the food down into a liquid mixture called chyme. The Small Intestine: In the small intestine, food mixes with digestive juices from the pancreas, liver, and gallbladder. The walls of the small intestine then absorb nutrients into the bloodstream before peristalsis moves the remaining mixture forward. Large Intestine Function: Undigested food, fluids, and damaged cells from the GI tract's lining enter the large intestine or colon. Here, water is absorbed, transforming the waste material from liquid to stool. Peristalsis then moves the stool into the rectum, where it is stored until it is expelled during a bowel movement. Typical Digestion Times: Liquids: Water and other clear fluids pass through the stomach quickly, usually within 20-30 minutes. Simple Carbohydrates: Foods like fruit, white bread, and sugary snacks are typically digested within 30-60 minutes. Complex Carbohydrates: Whole grains, quinoa, vegetables, and legumes take longer, around 2-3 hours. Proteins: Meat, dairy, and other high-protein foods generally take 3-4 hours to digest. Fats: Fatty foods such as nuts, cheese, and fried foods are the slowest to digest, often taking up to 6 hours or more. On average, the entire digestive process, from ingestion to elimination, can take about 24-72 hours in healthy individuals. Digestion in Individuals with Digestive Disorders Digestive disorders can significantly alter the time it takes for food to move through the digestive system. Conditions such as gastroparesis, irritable bowel syndrome (IBS), and inflammatory bowel disease (IBD) can disrupt normal digestive function. Gastroparesis: This condition, often caused by diabetes or other underlying issues, slows stomach emptying. Symptoms include nausea, vomiting, and bloating. In gastroparesis, digestion can be severely delayed, with food remaining in the stomach for prolonged periods, sometimes up to several hours longer than normal. Irritable Bowel Syndrome (IBS): IBS can cause both accelerated and delayed digestion, depending on whether diarrhea-predominant (IBS-D) or constipation-predominant (IBS-C) symptoms are present. IBS-D can lead to faster transit times, while IBS-C can slow digestion, causing significant delays in the passage of food. Inflammatory Bowel Disease (IBD): Conditions such as Crohn's disease and ulcerative colitis involve chronic inflammation of the gastrointestinal tract, which can disrupt normal digestion. Depending on the severity and location of inflammation, digestion can be faster or delayed. What is the Impact of GLP-1 Agonists on Digestion? GLP-1 (glucagon-like peptide-1) agonists, such as semaglutide (Wegovy) and tirzepatide (Zepbound), are medications primarily used for managing type 2 diabetes and obesity. These drugs mimic the action of the GLP-1 hormone, which plays an important role in regulating appetite, insulin secretion, and gastric motility. Slowed Gastric Emptying: GLP-1 agonists slow the rate at which food leaves the stomach. This effect can help increase feelings of fullness and reduce overall food intake, contributing to weight loss. In healthy individuals, this slowed gastric emptying can extend digestion times slightly but is generally well-tolerated. Appetite Regulation: By acting on receptors in the brain, GLP-1 agonists reduce appetite and promote satiety. This leads to smaller meal sizes and reduced caloric intake, which can aid in weight management. Blood Glucose Control: These medications enhance insulin secretion in response to meals and inhibit glucagon release, improving blood glucose control. This effect is particularly beneficial for individuals with type 2 diabetes but can also contribute to a more stable digestion process by preventing large spikes and crashes in blood sugar levels. Digestion Times While Taking GLP-1 Agonists Liquids: Typical: 20-30 minutes With GLP-1 Agonists: 30-60 minutes GLP-1 agonists slow the passage of liquids, increasing digestion time slightly. Simple Carbohydrates: Typical: 30-60 minutes With GLP-1 Agonists: 45-90 minutes Simple carbs take longer to leave the stomach, prolonging the digestion time. Complex Carbohydrates: Typical: 2-3 hours With GLP-1 Agonists: 3-4 hours Complex carbs, which already take longer to digest, experience further delays. Proteins: Typical: 3-4 hours With GLP-1 Agonists: 4-5 hours Protein digestion is slowed down, leading to extended stomach retention. Fats: Typical: Up to 6 hours or more With GLP-1 Agonists: 7-8 hours or more Fatty foods, being the slowest to digest, see the most significant increase in digestion time. Factors Affecting Digestion Times on GLP-1 Agonists Dosage: Higher doses of GLP-1 agonists tend to slow gastric emptying more, potentially leading to longer digestion times. Individual Variability: Each person's digestive system responds differently to GLP-1 agonists, so the exact digestion times can vary. Meal Composition: Mixed meals containing fats, proteins, and carbohydrates will generally take longer to digest, especially when combined with the effects of GLP-1 agonists. Side Effects and Considerations: While GLP-1 agonists are effective in managing weight and blood glucose levels, they can also cause gastrointestinal side effects such as nausea, constipation, belching, and diarrhea, particularly during the initial stages of treatment or when the dose is increased. These side effects are typically temporary and go away on their own when your body gets used to the medication. The use of GLP-1 agonists requires careful consideration and monitoring for individuals with digestive disorders. The slowed gastric emptying effect might exacerbate symptoms in conditions like gastroparesis. Therefore, it is important for patients with digestive disorders to consult their healthcare provider before starting GLP-1 agonist therapy. Thanks again for listening to The Peptide Podcast. We love having you as part of our community. If you love this podcast, please share it with your friends and family on social media, and have a happy, healthy week! We're huge advocates of elevating your health game with nutrition, supplements, and vitamins. Whether it's a daily boost or targeted support, we trust and use Momentous products to supercharge our wellness journey. Momentous only uses the highest-quality ingredients, and every single product is rigorously tested by independent third parties to ensure their products deliver on their promise to bring you the best supplements on the market.
Hid your grandson's financial nest eggs because we watched episode 25 of Toei's Spider-Man entitled, “The Secret Treasure, the Dog, and the Human Clone”! This week we're joined guest-supreme Corey King of "Hit It & Crit It" and "This Existed"! Come along as we chat about honking, burning, past lives, IBS-D, Tetris, The "Kingdom Hearts Integrum Masterpiece" collection, Corey's marriage, Borders Bookstores, everyone's favorite hero, Jon Hamm, "Crazy Taxi", remastered "Vice Academy", freelance taxi services, MILF Manor 2", crab people, sea food, wired headphones, Lil' Wayne commercials, via dog, spoilin' grandmas, giraffes, & more! Want to hear more from your favorite Marsh Land Media hosts? Hear exclusive shows, podcasts, and content by heading to Patreon.com/MLMpod! Have fan mail, fan art, projects you want us to review, or whatever you want to send us? You can ship directly to us using "James McCollum, PO Box 180036, 2011 W Montrose Ave, Chicago, IL 60618"! Please, learn about Black Lives Matter, the protests, and find ways to donate at https://blacklivesmatters.carrd.co/. Follow the podcast on Facebook & Twitter @MSSPod, on Instagram @MSSPodcast! Watch James' "Mostly Playin' PlayStation" and our live streams on the MSS YouTube channel! On top of streaming on Facebook & YouTube, we also simul-stream at Twitch.tv/MostlySpeakinSentai! Listen to James' rap music under Marsh Land Monster on Spotify, Apple Music, Google Play, & more by clicking HERE. Send us a voice mail to be played on the show at (773) 270-0490! Head over to www.DarlingHomebody.com for all of Nicole'sart, the web comic Crumb Bums we make together, buy her merchandise, & watch her draw Gorma creations from the podcast! You can also buy her artwork on shirts and more on threadless.com/@darlinghomebody! Find her @DarlingHomebody on Instagram, Tumblr and Etsy! Buy her wares! Go purchase some of our original Sentai monster designs on RedBubble then post a pic on social media of you wearing the threads!www.redbubble.com/people/MSSPod/portfolio Find out more about James' other podcasts "Shuffling the Deck", "Sweet Child of Time", "Hit It & Crit It", and "This Movie's Gay" on our website, www.MLMPod.com!!! Plus, download James' albums!
Struggling with IBS-D? Did you know it could be related to bile acid diarrhoea (BAD)? You might not have heard of this, but some studies show that around 34% of people with Diarrhoea predominant IBS may have BAD.In this episode I'll coverWhat are bile acids, and how do we make them?What conditions could lead to issues with bile acid reabsorption? How would a doctor test for bile acid malabsorption, and what medication is available? Diet suggestions for bile acid diarrhoeaWork with meGroup Gut Reset - https://www.goodnessme-nutrition.com/group-course-ibsc/1:1 Gut Reset - https://www.goodnessme-nutrition.com/consultations/Ready for your gut reset?
This week we will continue our coverage of Bile acid malabsorption (BAM), a gastrointestinal disease. It's a common cause of chronic diarrhea. When bile acids aren't properly absorbed in your intestines, they build up, upsetting the chemical balance inside. Excess bile acids trigger your colon to secrete extra water, leading to watery stools. This week we will continue our coverage of Bile acid malabsorption (BAM), a gastrointestinal disease. It's a common cause of chronic diarrhea. When bile acids aren't properly absorbed in your intestines, they build up, upsetting the chemical balance inside. Excess bile acids trigger your colon to secrete extra water, leading to watery stools. Bile acid malabsorption (BAM) is often misdiagnosed as Irritable Bowel Syndrome or is overlooked in individuals with Crohn's disease. Bile Acid Malabsorption happens when the small intestine is unable to direct bile acid back to the liver. This means that the body doesn't absorb water properly and affects digestion. The condition results in what is known as Bile Acid Diarrhoea. How will a new test for Bile Acid Malabsorption be developed? Currently, the only test for bile acid malabsorption is the SeHCAT test which is expensive, time consuming and uses radiation. The team have developed a test which they believe will diagnose the condition more rapidly and cost effectively than the current test. For its initial testing phase, it will be used on stool (poo) samples, and in its second phase the research team will assess whether it can also guide treatment decisions on what dose should be given to individual patients. The aim of the study is to establish a better test for BAM, do the groundwork for a future study of the role of faecal bile acid measurements within the NHS, and use the data collected from this trial to prepare other studies to assist with the diagnosis and treatment of individuals with BAM. Why diagnose bile acid malabsorption? Chronic diarrhea is one of the most common reasons why people get referred to specialist gastroenterology clinics, and can account for as many as 1 in 20 referrals. Bile acid malabsorption is a major cause of chronic diarrhoea and is thought to affect up to 1 million people in the UK. As well as individuals with Crohn's disease, as many as one in three people diagnosed with IBS with diarrhoea (IBS-D) may actually be experiencing BAM but the current gold standard SeCHAT test is only available in certain UK centres. It is also time consuming and costly. In 2012 the National Institute for Health and Care Excellence's Diagnostic Advisory Group concluded that a new test for the diagnosis of BAM was needed. (credits: Diagnosing bile acid malabsorption - Bowel Research UK :Bowel Research UK )
If you're tired of almost shitting your pants and only having your doctor tell you that it's probably IBS-D, this episode is for you! We will dive into some common causes of loose stool, understanding gut health, and how to start healing!
Physician Assistant and prior C&P examiner Leah Bucholz discusses How can Medical Consultants Boost Your IBS Rating by 30%.Leah explains the intricacies of Irritable Bowel Syndrome (IBS) in the context of VA disability ratings. She clarifies that IBS, a functional gastrointestinal disorder, often requires a diagnosis of exclusion, and mentions the Rome criteria used in its diagnosis. Leah categorizes IBS into three types: IBS-C (constipation), IBS-D (diarrhea), and IBS-M (mixed), and discusses its potential connection to military service either on a primary or secondary basis. She particularly notes its prevalence among Gulf War veterans. Regarding the VA disability rating, she states that IBS can be rated at 0%, 10%, or 30%, with 30% being the highest. This highest rating is given for severe symptoms like constant abdominal pain, alternating diarrhea and constipation. Leah emphasizes the importance of the Disability Benefits Questionnaire (DBQ) in assessing these conditions and suggests her other videos for further guidance, especially on IBS secondary to PTSD.
In this week's episode, I am joined by another amazing client - Alex! Alex first started to experience anxiety in high school, and as it was left untreated, it progressively worsened until they decided to go on medication in university. Initially, the medication helped them to feel more in control, until 2020, which was, of course, very stressful for many people. At this point, Alex was in the last year of their undergrad, about to start their master's. Not only did the anxiety and irrational thoughts worsen despite being on medication, journaling, and working with a naturopath, but a lot of gut issues also started to present themselves, like nausea, IBS-D, SIBO, and insomnia. Alex was just about to start working as a therapist and, as they put it, they had three options: increase the medication, change the medication, or figure out a different solution. The different solution was working with me, learning how to support their body optimally through a customized dietary plan, customized supplements, supporting drainage pathways, addressing SIBO and parasites, and so much more that we discuss in this episode! I'm so excited for you to hear this conversation, and I hope it inspires you to decide that it's time to dive in, do the work, and take control of your mental health. – – Get my free Three Secrets to Natural Anxiety Banishment webinar training here: https://courses.taygendron.com/3secrets Join my Breaking Up With Anxiety™ The Group Coaching Program here: https://www.taygendron.com/breaking-up-with-anxiety Let's hang out on Instagram! @tay.gendron Website: www.taygendron.com – – If you'd like to submit a question for future episodes, fill out this form https://bit.ly/ask-tay-anything in as much detail as possible. All questions will remain anonymous and you will be notified via email when your question is answered! – – Looking for a transcript for this episode? CLICK HERE!
You might have heard the buzz around berberine, often referred to as “nature's Ozempic”. Berberine is a powerhouse for many things, from reducing inflammation to regulating blood sugar levels. Tune in to hear which benefits the science supports (and the surprising ones it doesn't) and get a simple dosing guide. And if you have any additional questions you would like answered in the future, let me know in the comments! Watch/Read Next… Diets Debunked: The Noom Program: https://drruscio.com/noom-debunked/ Diets Debunked: Weight Watchers: https://drruscio.com/weight-watchers/ Genetic Testing for Weight Loss Isn't Worth it. Here's what is: https://drruscio.com/genetic-testing-for-weight-loss/ How to Heal Your Gut Naturally: https://drruscio.com/how-to-heal-your-gut-naturally/ Timestamps 00:00 Intro 01:00 What is berberine? 01:37 Weight loss 02:34 Cholesterol 05:52 Blood sugar 08:47 Gut health 11:15 SIBO 12:53 Berberine dosing guide Featured Studies Biological properties and clinical applications of berberine: https://pubmed.ncbi.nlm.nih.gov/32335802/ Berberine: Botanical Occurrence, Traditional Uses, Extraction Methods, and Relevance in Cardiovascular, Metabolic, Hepatic, and Renal Disorders: https://pubmed.ncbi.nlm.nih.gov/30186157/ The Effect of Berberine on Reproduction and Metabolism in Women with Polycystic Ovary Syndrome: A Systematic Review and Meta-Analysis of Randomized Control Trials: https://pubmed.ncbi.nlm.nih.gov/31915452/ The effect of berberine supplementation on obesity parameters, inflammation and liver function enzymes: A systematic review and meta-analysis of randomized controlled trials: https://pubmed.ncbi.nlm.nih.gov/32690176/ The effect of berberine supplementation on lipid profile and obesity indices: An umbrella review of meta-analysis: https://www.sciencedirect.com/science/article/abs/pii/S2213434423000361 Berberine decreases plasma triglyceride levels and upregulates hepatic TRIB1 in LDLR wild type mice and in LDLR deficient mice: https://pubmed.ncbi.nlm.nih.gov/31666640/ Berberine decreases cholesterol levels in rats through multiple mechanisms, including inhibition of cholesterol absorption: https://pubmed.ncbi.nlm.nih.gov/25002181/ Overall and Sex-Specific Effect of Berberine for the Treatment of Dyslipidemia in Adults: A Systematic Review and Meta-Analysis of Randomized Placebo-Controlled Trials: https://pubmed.ncbi.nlm.nih.gov/36941490/ Efficacy and Safety of Berberine Alone or Combined with Statins for the Treatment of Hyperlipidemia: A Systematic Review and Meta-Analysis of Randomized Controlled Clinical Trials: https://pubmed.ncbi.nlm.nih.gov/31094214/ The Effect of Berberine on Metabolic Profiles in Type 2 Diabetic Patients: A Systematic Review and Meta-Analysis of Randomized Controlled Trials: https://pubmed.ncbi.nlm.nih.gov/34956436/ Overall and Sex-Specific Effect of Berberine on Glycemic and Insulin-Related Traits: a Systematic Review and Meta-Analysis of Randomized Controlled Trials: https://pubmed.ncbi.nlm.nih.gov/37598753/ Effects of berberine and barberry on selected inflammatory biomarkers in adults: A systematic review and dose-response meta-analysis of randomized clinical trials: https://pubmed.ncbi.nlm.nih.gov/37675930/ Berberine improves intestinal epithelial tight junctions by upregulating A20 expression in IBS-D mice: https://pubmed.ncbi.nlm.nih.gov/31306972/ Berberine Enhances Intestinal Mucosal Barrier Function by Promoting Vitamin D Receptor Activity: https://pubmed.ncbi.nlm.nih.gov/37046128/ Berberine influences multiple diseases by modifying gut microbiota: https://pubmed.ncbi.nlm.nih.gov/37599699/ Berberine Improves Intestinal Motility and Visceral Pain in the Mouse Models Mimicking Diarrhea-Predominant Irritable Bowel Syndrome (IBS-D) Symptoms in an Opioid-Receptor Dependent Manner: https://pubmed.ncbi.nlm.nih.gov/26700862/ A Randomized Clinical Trial of Berberine Hydrochloride in Patients with Diarrhea-Predominant Irritable Bowel Syndrome: https://pubmed.ncbi.nlm.nih.gov/26400188/ Efficacy and safety of berberine in preventing recurrence of colorectal adenomas: A systematic review and meta-analysis: https://pubmed.ncbi.nlm.nih.gov/34509605/ Berberine and rifaximin effects on small intestinal bacterial overgrowth: Study protocol for an investigator-initiated, double-arm, open-label, randomized clinical trial (BRIEF-SIBO study): https://pubmed.ncbi.nlm.nih.gov/36873985/ Berberine and health outcomes: An umbrella review: https://pubmed.ncbi.nlm.nih.gov/36999891/ Bioavailability study of berberine and the enhancing effects of TPGS on intestinal absorption in rats: https://pubmed.ncbi.nlm.nih.gov/21637946/ Efficacy of berberine in patients with type 2 diabetes mellitus: https://pubmed.ncbi.nlm.nih.gov/18442638/ Get the Latest Updates Facebook - https://www.facebook.com/DrRusciodc Instagram - https://www.instagram.com/drrusciodc/ Pinterest - https://www.pinterest.com/drmichaelrusciodc DISCLAIMER: The information on this site is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified healthcare provider before starting any new treatment or discontinuing an existing treatment. Music featured in this video: "Modern Technology" by Andrew G, https://audiojungle.net/user/andrew_g *Full transcript available on YouTube by clicking the “Show transcript” button on the bottom right of the video.
Leaky gut symptoms go far beyond digestion. Let's look at the 8 tell-tale signs of leaky gut that you're likely overlooking. Watch/Read Next… What is Leaky Gut? https://drruscio.com/what-is-leaky-gut/ The Elemental Diet: An Effective Therapy for Gut Relief https://drruscio.com/elemental-diet/ The 4 Most Effective Leaky Gut Treatments: https://www.youtube.com/watch?v=MW1ezm3d0JQ&t=1092s Timestamps 00:00 Intro 00:49 What leaky gut is & how it's measured 03:08 The digestive symptoms 06:04 Body-wide (systemic) symptoms Featured Studies Association between increased intestinal permeability and disease: A systematic review: https://www.sciencedirect.com/science/article/abs/pii/S221295881730160X#:~:text=Results,and%2017%E2%80%9365%25%20respectively. Plasma and fecal zonulin are not altered by a high green leafy vegetable dietary intervention: secondary analysis of a randomized control crossover trial: https://pubmed.ncbi.nlm.nih.gov/35413837/ Specific Immunoglobulin E and G to Common Food Antigens and Increased Serum Zonulin in IBS Patients: A Single-Center Bulgarian Study: https://pubmed.ncbi.nlm.nih.gov/35466276/ Diet and intestinal bacterial overgrowth: Is there evidence?: https://pubmed.ncbi.nlm.nih.gov/35801041/ Relationship between Gut Microbiota, Gut Hyperpermeability and Obesity: https://pubmed.ncbi.nlm.nih.gov/32693755/ Leaky Gut and the Ingredients That Help Treat It: A Review: https://pubmed.ncbi.nlm.nih.gov/36677677/#:~:text=Thus%2C%20leaky%20gut%20syndrome%20and,diabetes%20mellitus%2C%20and%20celiac%20disease. Cytokine-induced alterations of gastrointestinal motility in gastrointestinal disorders: https://pubmed.ncbi.nlm.nih.gov/22013552/ Serum zonulin is elevated in IBS and correlates with stool frequency in IBS-D: https://pubmed.ncbi.nlm.nih.gov/31210949/ The Role of Leaky Gut in Functional Dyspepsia: https://pubmed.ncbi.nlm.nih.gov/35422683/ Duodenal Mucosal Barrier in Functional Dyspepsia: https://pubmed.ncbi.nlm.nih.gov/34607017/ Gut dysbiosis in severe mental illness and chronic fatigue: a novel trans-diagnostic construct? A systematic review and meta-analysis: https://pubmed.ncbi.nlm.nih.gov/33558650/ Reduced diversity and altered composition of the gut microbiome in individuals with myalgic encephalomyelitis/chronic fatigue syndrome: https://pubmed.ncbi.nlm.nih.gov/27338587/ C-type lectin-like receptor 2 and zonulin are associated with mild cognitive impairment and Alzheimer's disease: https://pubmed.ncbi.nlm.nih.gov/31715011/ Targeting zonulin and intestinal epithelial barrier function to prevent onset of arthritis: https://pubmed.ncbi.nlm.nih.gov/32332732/ Prevalence of sleep disorder in irritable bowel syndrome: A systematic review with meta-analysis: https://pubmed.ncbi.nlm.nih.gov/29652034/ Dysbiosis in food allergy and implications for microbial therapeutics: https://pubmed.ncbi.nlm.nih.gov/33463542/ Gut-Skin Axis: Current Knowledge of the Interrelationship between Microbial Dysbiosis and Skin Conditions: https://pubmed.ncbi.nlm.nih.gov/33670115/ Get the Latest Updates Facebook - https://www.facebook.com/DrRusciodc Instagram - https://www.instagram.com/drrusciodc/ Pinterest - https://www.pinterest.com/drmichaelrusciodc DISCLAIMER: The information on this site is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified healthcare provider before starting any new treatment or discontinuing an existing treatment. Music featured in this video: "Modern Technology" by Andrew G, https://audiojungle.net/user/andrew_g *Full transcript available on YouTube by clicking the “Show transcript” button on the bottom right of the video.
Today's guest is a shining example of never giving up on yourself despite going through many uphill health battles... On today's episode, we have an incredible guest joining us, someone whose journey from struggle to success is both enlightening and motivating. Lauren, is a former college athlete, a military veteran, and an avid surfer, and she embarked on a remarkable transformation with our coaching program over the last 2 years. She's here to share her story of overcoming chronic health challenges including Hashimotos Hypothyroidism, Adrenal Fatigue, IBS-D, Over-Active immune system, and chronic injuries and the process of redefining her identity and discovering the true meaning of health and wellness. In today's episode as well, we'll discuss how Lauren found VGFN (hint: through this very podcast), what Lauren tried before our approach, how she is now chasing her surfing dream in another country, and more! Time Stamps: (2:20) Finding VGFN Through The Podcast (2:47) Lauren Before VGFN (4:10) What Lauren Tried Before VGFN (5:52) Wanting the Quick Fix (8:03) Before and After Lauren's Transformation (10:02) Identifying As An Athlete (14:32) Slowing Down (15:29) Our Black Friday Special Offer (19:15) Moving To Another Country and Chasing Surfing (20:15) Advice to Others Wanting a Change with Little Support (21:46) Specific Benefits Lauren Gained Through VGFN (24:12) The Role of Mindset (26:47) Advice to Others On The Fence (30:20) Where to Find Lauren---------------------BLACK FRIDAY COACHING SPECIAL! Limited to the first 10 people. Fill out the brief application here for details: https://bit.ly/ApplytoworkwithVGFN---------------------Follow @vanessagfitness on Instagram for daily fitness tips & motivation. ---------------------Download Our FREE Metabolism-Boosting Workout Program---------------------Join the Women's Metabolism Secrets Facebook Community for 25+ videos teaching you how to start losing fat without hating your life!---------------------Click here to send me a message on Facebook and we'll see how I can help or what best free resources I can share!---------------------Interested in 1-on-1 Coaching with my team of Metabolism & Hormone Experts? Apply Here!---------------------Check out our Youtube Channel!---------------------Enjoyed the podcast? Let us know what you think and leave a 5⭐️ rating and review on iTunes!
In this episode of "The Genetic Genius," your host, Dr. LuLu, explores the fascinating world of gut health with a special guest, Dr. Loredana Shapson. Together, they take a deep dive into crucial topics like bloating, acid reflux, pain, IBS-D, IBD-C, SIBO, food sensitivities, gut health, and optimizing digestion. If you've ever wondered about the mysteries of your gut and how it affects your overall well-being, this episode is a must-listen. Dr. Loredana sheds light on the common problems people face with their gut health, often exacerbated by restrictive diets and an overabundance of herbal remedies. Discover why the gut is often the root of many health issues and learn about holistic approaches to addressing these concerns. But that's not all – this episode also touches on energy healing and muscle testing, techniques that Dr. Loredana incorporates into her practice, whether she's working with patients in person or remotely. You'll also gain insights into the important topics of fasting in women and achieving hormone balance, as Dr. Loredana shares her mission to empower women with holistic tools to take control of their health. As a former pharmacist turned holistic health advocate, Dr. Loredana has a unique perspective on how various factors, including food, herbs, medications, supplements, mindset, and lifestyle choices, impact your health. Her personal journey of overcoming health challenges adds a compassionate touch to her mission of helping other women achieve transformative, lasting change in their lives. If you're ready to unlock the secrets of your gut, optimize your health, and embrace holistic wellness, join Dr. LuLu and Dr. Loredana in this enlightening conversation. Tune in to "The Genetic Genius" podcast and explore how you can transform your gut from a source of blues into a realm of greatness. "Candidly addressing the pivotal aspects of gut health and holistic wellness, we'll explore questions like..." What are the common mistakes people make when trying to correct gut health? When it comes to food during the gut healing phase, what should be on our plates, and what should we avoid like the plague? Probiotics are often hailed as gut health superheroes, but what does the clinical research really say about their use? Can you shed some light on the importance of probiotic strain, dosage, and the length of time they should be taken? Fiber and prebiotics are frequently mentioned in the context of gut health. Can you explain their importance and how they fit into the bigger picture of digestive wellness? Finally, can you leave our listeners with some practical, actionable steps they can take today to start improving their gut health and embark on their own journey from "belly blues to gut greatness"? Before we part ways today, here's a powerful call to action for all our listeners. If you're tired of dealing with bloating and digestive discomfort, Dr. Loredana has a fantastic opportunity for you. Say "Bye Bye Bloat for Women" with her transformative 2-week online program. This program is designed to help you eliminate bloat for good and regain control of your digestive wellness. But wait, there's more! Dr. Loredana is offering a valuable freebie – her Belly Bloating Elixir Fixer. You can download it right from her website at https://lifemodsolutions.com/lifemod-solutions-bloating-fixer/. If you're seeking expert support for women's health, hormone balance, or understanding the potential of epigenetics, I'm here to help. As the host of The Genetic Genius, I invite you to a discovery call where we can discuss your unique health goals and chart a path towards your optimal well-being. Schedule your call now using this link: https://p.bttr.to/3gZ1IAa. Let's work together to unlock your wellness potential! Join us next week for another captivating episode as we welcome Dr. Van Thielen. We'll delve into the fascinating topic of unleashing your mental power and explore strategies for achieving optimal performance. You won't want to miss it! Thank you for being part of our growing community of genetic geniuses. Remember to subscribe, rate, and review the podcast, and please share it with anyone you think could benefit from our discussions. Until next week, stay curious and keep exploring the incredible world of health and genetics. Dr. LuLu
Global cancer expert, Peter Johnson, is among the most highly regarded clinical researchers in the field of oncology. He is the Chief Clinician at Cancer Research UK and Professor of Medical Oncology at the University of Southampton, and his research has led the application of diagnosis and treatment of lymphoma, a cancer that affects the body's disease-fighting white blood cells, and has been responsible for designing pivotal clinical trials in this field. Karan and the Professor discuss the future of cancer treatment, the cures in the pipeline and the science behind it all. Karan also answers your health and science questions, this week focusing on IBS-D. If you have your very own question and want to get in touch, simply head to TheReferralPod.com. A Sony Music Entertainment production. Find more great podcasts from Sony Music Entertainment at sonymusic.com/podcasts and follow us at @sonypodcasts To bring your brand to life in this podcast, email podcastadsales@sonymusic.com Learn more about your ad choices. Visit podcastchoices.com/adchoices
Marnie Swindells is the queen of mental strength; she's a champion boxer, a qualified solicitor, a boxing coach, and now has opened her own community gym, having won a quarter of a million pounds on this year's Apprentice. She talks to Karan about how she created her own success, how she copes with pressure and stress - and what motivates her to keep going every single day. This episode also talks about boxing and injury - what exactly is concussion, how you can avoid it and the benefits of boxing for fitness. Karan also answers your health and science questions, this week focusing on IBS-D. If you have your very own question and want to get in touch, simply head to TheReferralPod.com. A Sony Music Entertainment production. Find more great podcasts from Sony Music Entertainment at sonymusic.com/podcasts and follow us at @sonypodcasts To bring your brand to life in this podcast, email podcastadsales@sonymusic.com Learn more about your ad choices. Visit podcastchoices.com/adchoices
Dr. Tom Fabian discusses Mast Cell Activation, Dysbiosis, and IBS at the Functional Medicine Discussion Group meeting on August 24, 2023 with moderator Dr. Ben Weitz. [If you enjoy this podcast, please give us a rating and review on Apple Podcasts, so more people will find The Rational Wellness Podcast. Also check out the video version on my WeitzChiro YouTube page.] Podcast Highlights 6:18 IBS is a condition that is diagnosed mainly by symptoms and these are part of the Rome IV Criteria. [These are found at TheRomeFoundation.org] There are four recognized subtypes of IBS: IBS-C (constipation), IBS-D (diarrhea), IBS-M (mixed), and IBS-U (undefined). Bloating and distension are common symptoms associated with IBS, but they are not officially included in the Rome IV criteria. There is no currently accepted test for the diagnosis of IBS. This is a good review article on what we currently know about IBS: Camilleri M, Boeckxstaens G. Irritable bowel syndrome: treatment based on pathophysiology and biomarkers. Gut. 2023 Mar;72(3):590-599. 11:38 There are a number of conditions that result in similar symptoms to IBS, including Bile-acid malabsorption, exocrine pancreatic insufficiency, carbohydrate intolerance, SIBO, SIFO, Dyssynergic defecation, Ehlers-Danlos syndrome, mast cell activation syndrome, eosinophilic gastroenteritis, intra-abdominal adhesions, celiac disease, and giardiasis. Dr. Fabian noted that we are learning that a significant number of patients with IBS symptoms, esp. on the diarrhea side, have a sucrase-isomaltase deficiency, which is one of the brush border enzymes in the small intestine. This leads to a malabsorption of sucrose and certain starches. 16:15 IBS Mechanisms. Diet is an important factor since 85% of IBS patients report their symptoms are triggered by eating, often 60 min or so after eating. Leaky gut is a factor in most GI conditions. We see immunoactivation/inflammation, though a more subtle form of inflammation than what we see with inflammatory bowel disease like Crohn's disease. This is where mast cells come into play. There is also the gut-brain axis. 18:12 Disorders of Gut-Brain Interaction. The new name for functional GI disorders being adopted in research is Disorders of Gut-Brain Interaction. This is a good review article on this: Vanuytsel T, Bercik P, Boeckxstaens G. Understanding neuroimmune interactions in disorders of gut–brain interaction: from functional to immune-mediated disorders Gut 2023;72:787-798. We see as part of the pathophysiology in IBS a subtle mucosal infiltration of immune cells, especially mast cells and eosinophils, along with the increased release of nociceptive mediators, which lead to visceral hypersensitivity, which plays a role in abdominal pain. 22:20 The pathogenesis of IBS is explained well in the following article: Carco C, Young W, Gearry RB, Talley NJ, McNabb WC, Roy NC. Increasing Evidence That Irritable Bowel Syndrome and Functional Gastrointestinal Disorders Have a Microbial Pathogenesis. Front Cell Infect Microbiol. 2020 Sep 9;10:468. Dysfunctional microbiota leads to increased intestinal permeability that leads to immune activation that results in mast cell activation and visceral hypersensitivity that leads to abdominal pain, bloating, and altered motility. Dr. Tom Fabian is a leading expert on the role of the microbiome in health, immune function, chronic disease and aging. He received his PhD in molecular biology from the University of Colorado Boulder, and he's worked as a biomedical researcher in the biotechnology industry and more recently as a consultant in the microbiome testing field. Currently, Dr. Fabian serves as a consultant and science advisor with Diagnostic Solutions Lab. Tom's website is Microbiome Mastery.com. Dr. Ben Weitz is available for Functional Nutrition consultations specializing in Functional Gastrointestinal Disorder...
This is the most comprehensive guide Jared has ever recorded about digestive health. It is primarily focused on the key supplements needed to improve gut health and digestion but also goes into how the digestive tract works. If you struggle with your digestive health, this episode is the best place to start. Learn about digestive enzymes, probiotics, aloe vera juice, ox bile salts, apple cider vinegar, and much more in this extensive breakdown.Products: Vital 5 Assimil-8 Digestive EnzymesEnzymedica Digest GoldEnzymedica Digest SpectrumPrecision ProbioticNatural Factors Apple Cider Vinegar CapsulesAloeLife Stomach Plus FormulaAloeLife Detox Plus FormulaNutriCology Ox BileVisit the podcast website here: VitalityRadio.comYou can follow @vitalityradio and @vitalitynutritionbountiful on Instagram, or Vitality Radio and Vitality Nutrition on Facebook. Join us also in the Vitality Radio Podcast Listener Community on Facebook. Shop the products that Jared mentions at vitalitynutrition.com. Let us know your thoughts about this episode using the hashtag #vitalityradio and please rate and review us on Apple Podcasts. Thank you!Please also join us on the Dearly Discarded Podcast with Jared St. Clair.Just a reminder that this podcast is for educational purposes only. The FDA has not evaluated the podcast. The information is not intended to diagnose, treat, cure, or prevent any disease. The advice given is not intended to replace the advice of your medical professional.
How do you help patients with soft stool that won't move through manage idiopathic constipation? Join Drs Lin Chang and Anthony Lembo as they discuss nuanced decision-making around treating IBS subtypes. Relevant disclosures can be found with the episode show notes on Medscape (https://www.medscape.com/viewarticle/987261). The topics and discussions are planned, produced, and reviewed independently of advertisers. This podcast is intended only for US healthcare professionals. Resources Irritable Bowel Syndrome (IBS) https://emedicine.medscape.com/article/180389-overview Sigmoid Afferent Mechanisms in Patients With Irritable Bowel Syndrome https://pubmed.ncbi.nlm.nih.gov/9201070/ Peripheral Opioids for Functional GI Disease: A Reappraisal https://pubmed.ncbi.nlm.nih.gov/16699267/ Dietary Concerns and Patient-Focused Care in Irritable Bowel Syndrome https://pubmed.ncbi.nlm.nih.gov/36398143/ The Epidemiology of Irritable Bowel Syndrome https://pubmed.ncbi.nlm.nih.gov/24523597/ Diagnosis and Treatment of Irritable Bowel Syndrome: A Review https://pubmed.ncbi.nlm.nih.gov/33651094/ Review Article: An Integrated Approach to the Irritable Bowel Syndrome https://pubmed.ncbi.nlm.nih.gov/10429736/ AGA Clinical Practice Guideline on the Pharmacological Management of Irritable Bowel Syndrome With Diarrhea https://pubmed.ncbi.nlm.nih.gov/35738725/ Psyllium Reduces Inulin-Induced Colonic Gas Production in IBS: MRI and in Vitro Fermentation Studies https://pubmed.ncbi.nlm.nih.gov/34353864/ Efficacy of Secretagogues in Patients With Irritable Bowel Syndrome With Constipation: Systematic Review and Network Meta-Analysis https://pubmed.ncbi.nlm.nih.gov/30144426/
Dr. Mark Pimentel discusses New Research Findings on SIBO and IBS at the Functional Medicine Discussion Group meeting on May 25, 2023 with moderator Dr. Ben Weitz. [If you enjoy this podcast, please give us a rating and review on Apple Podcasts, so more people will find The Rational Wellness Podcast. Also check out the video version on my WeitzChiro YouTube page.] Podcast Highlights 4:24 Dr. Pimentel started a fellowship at Cedars in 1996 on motility and his colleagues questioned why he would want to get involved with treating IBS patients, who are psychologically altered? Patients with IBS seemed like regular folks who were struggling and it is too easy to attribute medical conditions that are not well understood to psychological causes. He reflected on when heart disease was thought to be primarily due to stress and in the early 70s if you had a heart attack, you were told that you needed to quit your job. But it turned out that what caused their heart attack was more due to the steakhouse with the cholesterol and the alcohol and the smoking and your genetics and all the other things we learned about cardiovascular disease. One of his colleagues in 1996 told him that "IBS is a disease of hysterical women." 5:41 Anti-diarrheals. Even in the last three years, the AGA guidelines say that anti-diarrheals like Imodium should be first-line therapy for irritable bowel syndrome because they're cheap. This is not a good reason to recommend a medication, rather than trying to figure out the cause of IBS and then treating that. This is because the research that Dr. Pimentel has conducted and published for the last 26 years that demonstrates that SIBO is the main cause of IBS has still not been fully accepted by the GI community. 6:36 Food poisoning is the cause of about 60% of cases of IBS-D and there is now enough research data to prove this. The bacteria that cause food poisoning, whether it be E. coli or Campylobacter or Shigella or Salmonella secrete an endotoxin--Cytolethal Distending Toxin (CDT) and specifically the B version of CTD--CDTB--that leads to SIBO/IBS. The immune system reacts to the CDTB and those anti-CDTB antibodies end up cross reacting with a structural protein in the intestinal wall called Vinculin. Thus the immune system is attacking the body, an auto-immune reaction. This leads to damage of the nerves that control the intestinal cleansing waves, which leads to a buildup of the bacteria in the small intestine (SIBO). These small intestinal cleansing waves are peristaltic waves that are occur when you haven't eaten for more than 3 or 4 hours, which help to clear out excess bacteria. These cleansing waves are caused by the deep muscular plexus-interstitial cells of Cajal. Dr. Pimentel has developed a second generation test that measures antibodies to CDTB and to vinculin via blood testing that is extremely accurate, the IBS Smart test from Gemelli Biotech. 25:37 Methane SIBO (IMO) does not appear to be caused by food poisoning. By paralyzing the gut in the case of hydrogen and hydrogen sulfide SIBO, this can lead to diarrhea. In the case of methane, this causes the gut to hypercontract and this overcontraction of the gut muscles leads to constipation. 29:33 In a study published in 2020 Dr. Pimentel's group showed that a lactulose breath test--not a glucose breath test--and using the 90 minute cutoff of more than 20 parts per million increase in hydrogen it correlated well with the bacteria in the gut seen in culture and the hydrogen-producing enzyme machinery in the small intestine was elevated. This shows that the hydrogen is being produced in the small intestine and not in the colon. (Leite G, Morales W, Weitsman S, Celly S, Parodi G, Mathur R, Barlow GM, Sedighi R, Millan MJV, Rezaie A, Pimentel M. The duodenal microbiome is altered in small intestinal bacterial overgrowth. PLoS One. 2020 Jul 9;15(7):e0234906.)
The Perfect Stool Understanding and Healing the Gut Microbiome
Rich Maurer went on an experimental journey to improve his health with Human Milk Oligosaccharides or HMOs, a prebiotic found in human breastmilk that feeds beneficial bacteria. Through tracking his microbiome using 16s RNA testing, Rich was able to see a significant increase in his and family members' Bifidobacteria and Akkermansia muciniphila, and concurrent improvements in their health, including improvements to IBS-D, asthma and acne, lower LDL cholesterol and triglycerides, and reducing hemoglobin A1C from prediabetic to optimal. Lindsey Parsons, your host, helps clients solve gut issues and reverse autoimmune disease naturally. Take her quiz to see which stool or functional medicine test will help you find out what's wrong. She's a Certified Health Coach at High Desert Health in Tucson, Arizona. She coaches clients locally and nationwide. You can also follow Lindsey on Facebook, Tiktok, Twitter, Instagram or Pinterest or reach her via email at lindsey@highdeserthealthcoaching.com to set up a free 30-minute Gut Healing Breakthrough Session. Show Notes
In this episode of Get Your Shit Together we chat about:
Thank you for joining us for our 2nd Cabral HouseCall of the weekend! I'm looking forward to sharing with you some of our community's questions that have come in over the past few weeks… Simon: Hi Dr Cabral, I have a quick question on sugar vs non-caloric sweeteners such as xylitol, erythritol and mannitol. I mostly eat a very healthy Mediterranean diet however sweets are my guilty pleasure! I try not too eat too much sugar and avoid artificial sweeteners at all cost, so lately I've been buying some ice cream and chocolate sweetened with xylitol and erythritol assuming this would be 'better for me', but deep down I'm wondering whether a bit of sugar would actually be better than these additives. I've listened to your podcasts on natural non-nutritive sweeteners but never heard you directly compare them to sugar and say which would be a healthier choice. For context I'm fit and healthy with good insulin sensitivity but have suffered from IBS-D in the past. Thanks! Luke: I have been through quite a lot, from going to the gym 6 days a week, eating relatively balanced, happy and healthy individual to one day January 2nd 2021, massive panic attack I thought i was going to die. 2 weeks later, Fibromyalgia symptoms, then Chronic Fatigue, then burning sensations all over my body, then balance issues, then brain fog got so bad I didn't even recognize who I was. I ended up with 30 plus chronic symptoms. I found functional medicine and I have healed 20 of the 30 symptoms I was experiencing but some still remain. I am a strong believer that EBV was the main cause for all of this. My remaining symptoms are (new symptom) very warm sensation, feels like someone poured warm milk down the left side of my leg, calf mainly but also my arm and sometimes my head. ER said these warm sensations are nothing to worry about and go home. Ectopic beats, could this be EBV or the parasite, I did a 6 month parasite protocol Still have Blastocystis hominis. But because I got 80% better, was it really ever the parasite as a lot of people I spoke to said it is super bad. But I could never get rid of it with taking very targeted supplements like everything in your parasite protocol and also a 10 day course of a compounded anti parasitic antibiotic. I feel my heart beat generally all over my body, very heavy at times especially when I do something active, I think the main issue is that I can feel it. I've been through 2 cardioligist and they say everything is normal and fine and benign ectopics. This is the main issue I want to get rid of. Still fatigue and bodily sensations remain too. I WAS 80 percent better, but now about 50% better. Surely after 12 months of clean eating, protocols left right and centre, targeted supplements to go along with my results, I would be feeling the needle move forward and not backwards. What am I missing here? Thank you Dr Cabral Joy: Hello Dr Cabral, my question/concern is related to pancreatic insufficiency. After years of being treated for CBO then SIBO, plus ongoing treatment for past trauma and still no improvement, actually feeling worse with more bloating and gas my gastroenterologist did more stool testing. The results showed pancreatic insufficiency. I am told the only way to treat this is by taking the prescription digestive enzymes. I was also told just take the enzymes and I'll be fine, that I should be able to eat what I want. I have been taking the enzymes for over a month now and still experiencing bloating and gas, although much better than before taking them. Are taking the enzymes the only answer? There must be other things I can do I support my system? Thank you for your help! Thank you for all you do! Joan: Hi Dr. Cabral, I'm addicted to your podcasts. :) Thank you for sharing your knowledge with us for free!! My question: I know you said something to the effect that anything that's wrong with the body can be fixed or reversed, but does that pertain to mental issues as well? I'm 57 and have been diagnosed with bipolar disorder. I've been taking SSRIs for 30 years. I'm worried that there will be poor long-term side effects. I'm also afraid to wean off them because I've tried that and it wasn't pretty. Thank you for your help! Joan Thomas: What would you do about a high AG ratio? My Albumin has been high for two years in a row, and this year my globalin level got closer to the bottom of the range triggering a high A/G ratio. I do the quarterly Dr. Cabral detox and typically add in the blueberries and sweet potatoes day 3 since I'm apt to losing weight. You are the GOAT - thank you for leading the way to better health around the world! Thank you for tuning into this weekend's Cabral HouseCalls and be sure to check back tomorrow for our Mindset & Motivation Monday show to get your week started off right! - - - Show Notes and Resources: StephenCabral.com/2494 - - - Get a FREE Copy of Dr. Cabral's Book: The Rain Barrel Effect - - - Join the Community & Get Your Questions Answered: CabralSupportGroup.com - - - Dr. Cabral's Most Popular At-Home Lab Tests: > Complete Minerals & Metals Test (Test for mineral imbalances & heavy metal toxicity) - - - > Complete Candida, Metabolic & Vitamins Test (Test for 75 biomarkers including yeast & bacterial gut overgrowth, as well as vitamin levels) - - - > Complete Stress, Mood & Metabolism Test (Discover your complete thyroid, adrenal, hormone, vitamin D & insulin levels) - - - > Complete Food Sensitivity Test (Find out your hidden food sensitivities) - - - > Complete Omega-3 & Inflammation Test (Discover your levels of inflammation related to your omega-6 to omega-3 levels) - - - Get Your Question Answered On An Upcoming HouseCall: StephenCabral.com/askcabral - - - Would You Take 30 Seconds To Rate & Review The Cabral Concept? The best way to help me spread our mission of true natural health is to pass on the good word, and I read and appreciate every review!
In today's episode of Luxury IBS, I am doing a Q&A where I answer all of the questions you have submitted to me on Instagram. During this episode, I answer everything from where I shop the most, how I developed my own personal style and how you can too, what style says about your own personality, some of my favourite memories from this year, how plant food and supplements impact your gut microbiome and my own experience with diets and nutrition to help my own chronic health issues. ✗ Free Masterclass - (bonus at end) https://beckyrashidifard.lpages.co/7-steps-to-healing-ibs/ ✗ Heal bloating, IBS-C, and IBS-D for good and finally live in your best body (course + group coaching) https://www.beckyrashidifard.com/d7d75648-bde2-47db-8521-ba37ed17876e ✗ Work 1:1 with me to heal IBS (full, no longer taking clients)
In this episode, we review the clinical presentation, history and physical examination as well as the ROME-IV diagnostic criteria for a diagnosis of IBS. We review the different subtypes of IBS as well as symptom management and emerging treatments for IBS. Our medicine minute focuses on the evidence supporting the use of eluxadoline in patients with IBS-D. Podcast written by: Dr. Nawid Sayed (Internal Medicine Resident)Reviewed by: Dr. David Rodrigues (Neurogastroenterology) and Dr. Laura Marcotte (General Internist)Sound editing by: Dr. Alison LaiInfographic by Dr. Caitlyn VlasschaertSupport the show
Berberine is an isoquinolone alkaloid that is bitter and bright golden yellow in color. It is derived mainly from the roots, stems and rhizomes of plants such as Coptis chinensis (Chinese golden thread), Hydrastis canadensis (goldenseal), Berberis aquifolium (Oregon grape), and Berberis vulgaris (barberry). It has been used for thousands of years in traditional Chinese and Ayurvedic medicine and is generally considered safe, though it should be avoided during pregnancy and lactation. Berberine Click here to learn more about the Hedberg Institute Membership. Gastrointestinal side effects may occur due to berberine's impact on bowel motility. These include abdominal pain, distention, nausea, vomiting, and constipation. Side effects appear to be dose dependent, with increased symptoms such as low blood pressure, dyspnea, and flu-like symptoms at higher doses. Berberine is commonly used as an antibacterial, antiviral, antimicrobial, antifungal, and antihyperlipidemic agent. The many therapeutic applications of berberine are due to its antioxidant and anti-inflammatory properties, making it one of the top supplements of choice in clinical practice. It has traditionally been used for gastrointestinal related issues as well as issues involving liver dysfunction, digestive complaints, blood sugar regulation, inflammation, and infectious diseases. While berberine has exhibited a bioavailability of
In today's episode of Luxury IBS, I am talking about the five things you have to give up on in life in order to move up in life. I know this might sound a little scary, especially if you are someone who likes to stay in control but often times when we can relinquish control and give up certain habits, that's when we can really see growth! This episode is all about crafting a new mindset which is so important in life but especially so when it comes to dealing with chronic illness. I can give you all the tips and tricks to deal with IBS but if your mindset isn't right then nothing will help. As someone who is fascinated by rags to riches stories, I know the power of mindset and how it can drastically change your life! I talk about some of my favorite inspirational stories, how we can manifest the life we want and make small switches during the day, and the five things you need to give up now to go up in life. Whenever you're ready, there are 3 ways I can help you: 1. Start buying IBS friendly foods today here (15,000 students) https://www.beckyrashidifard.com/ 2. Heal chronic IBS-C, IBS-D, and bloating for good (5 star rated program) https://www.beckyrashidifard.com/0e344824-f3fa-4097-8fb5-c78062023193 3. Work 1:1 with me to heal IBS (booked until 2023) Connect with me: TikTok: https://www.tiktok.com/@beckyrashidifard? Instagram: https://www.instagram.com/beckyrashidifard/