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A Doctor’s Gut Reset: 4-Part Protocol to Stop Bloating, Boost Energy, & Feel Better Now

Why are you bloated all the time? Why can certain foods suddenly make you feel terrible? And what is actually going on inside your gut when nothing you try seems to work? Today, Mel is joined by Dr. Rajsree Nambudripad, MD, a board-certified medical doctor specializing in integrative gut health and integrative medicine, who has spent years helping patients uncover what’s really behind their most stubborn symptoms. Dr. Rajsree is beloved by millions of people who turn to her for advice here on YouTube at @drrajsree This conversation will change the way you understand your gut – and reveal a simple 4-part protocol for getting to the root of what’s making you feel so bad so you can feel your best again. Dr. Rajsree covers it all: IBS, bloating, SIBO, constipation, diarrhea, leaky gut, histamine intolerance, low stomach acid, reflux, food sensitivities, and more. And she explains the surprising ways your gut can impact your energy, anxiety, focus, sleep, skin, weight, metabolism, blood sugar, and thyroid health. You’ll learn: -The 4 systems that control your gut health – and what happens when even one is out of balance -2 steps you can start taking immediately to improve your gut health -What causes bloating and how to stop it fast -The 3 main symptoms of IBS and what they may be telling you -What histamine intolerance is and how it disrupts your “gut garden” -The surprising connection between your gut and your thyroid -The Hashimoto’s symptoms your gut may reveal first -How exercise can help reverse insulin resistance -Why your “acid reflux” may actually be the opposite problem If you’ve been told “everything looks normal” but you still don’t feel normal – or you’re tired of guessing which food, supplement, or symptom to chase next – this episode will help you understand what your body may be trying to tell you – and what to do. For more resources related to today’s episode, click here for the podcast episode page: https://www.melrobbins.com/episode/episode-430/. Follow The Mel Robbins Podcast on Instagram: https://www.instagram.com/themelrobbinspodcast I’m just your friend. I am not a licensed therapist, and this podcast is NOT intended as a substitute for the advice of a physician, professional coach, psychotherapist, or other qualified professional. Got it? Good. I’ll see you in the next episode. In this episode: 00:00 Meet the Guest 04:37 Why a Healthy Gut Matters 05:56 The 4 Keys to Better Gut Health 12:07 What to Take for Better Gut Motility 15:42 Why You’re Bloated and How to Fix Bloating 20:53 What to Do If You Have IBS 28:31 How to Know If You Have SIBO 30:23 The 4 Steps to Treat SIBO 35:38 How to Heal a Leaky Gut 42:46 The Best Diet for Gut Health 45:01 The Worst Foods for Gut Health 48:14 5 Daily Habits for Better Gut Health 51:49 Histamine Intolerance: Symptoms, Causes & Treatment 58:16 The Gut-Thyroid Connection Explained 01:01:27 3 Ways to Reverse Insulin Resistance 01:08:14 How to Treat Acid Reflux and GERD 01:12:04 How to Find the Right Gut Doctor 01:13:38 When to Worry About Gut Symptoms — Follow Mel: Instagram: https://www.instagram.com/melrobbins/ TikTok: http://tiktok.com/@melrobbins Facebook: https://www.facebook.com/melrobbins LinkedIn: https://www.linkedin.com/in/melrobbins Website: http://melrobbins.com​ — Sign up for Mel’s newsletter: https://melrob.co/sign-up-newsletter A note from Mel to you, twice a week, sharing simple, practical ways to build the life you want. — Subscribe to Mel’s channel here: https://www.youtube.com/melrobbins​?sub_confirmation=1 — Listen to The Mel Robbins Podcast 🎧 New episodes drop every Monday & Thursday! https://melrob.co/spotify https://melrob.co/applepodcasts https://melrob.co/amazonmusic — Looking for Mel’s books on Amazon? Find them here: The Let Them Theory: https://amzn.to/3IQ21Oe The Let Them Theory Audiobook: https://amzn.to/413SObp The High 5 Habit: https://amzn.to/3fMvfPQ The 5 Second Rule: https://amzn.to/4l54fah #guthealth #stomach #digestion

Mel RobbinshostDr. Rajsree Nambudripadguest
Aug 31, 20261h 16mWatch on YouTube ↗

EVERY SPOKEN WORD

  1. 0:00 – 4:37

    Meet the Guest

    1. MR

      Today, on The Mel Robbins Podcast, a doctor's guide to better gut health, and five simple steps to healing your gut with food and natural protocols. Dr. Rajsree Nambudripad is here to help you feel better now. Dr. Rajsree, I am so excited that you're here.

    2. RN

      Thank you, Mel. It's wonderful to be here.

    3. MR

      Well, welcome to The Mel Robbins Podcast. I would love to have you start, Dr. Rajsree, by speaking to the person who's with us. What could change about their life, their health, how they feel, if they really take to heart everything that you're about to teach us?

    4. RN

      Well, today, I'm gonna help you better understand what is actually happening in your gut. So if you're someone out there who's struggling with bloating every day, or chronic constipation, or inconsistent bowels, or maybe you have reflux or food sensitivities, and you don't even know what to eat anymore, I want you to know that there's hope, and there's so much we can do to heal your gut. And today, I'm gonna share a lot of practical tips that you can actually begin using right away to start feeling better. And by healing your gut and improving your digestion, you're gonna notice so many other aspects of your health improve, from your energy to your mental focus, your mood, your skin, your immune system, your metabolism, and so much more.

    5. MR

      One of the reasons why I wanted to talk to you is because you have such an extraordinary background, and you're in a clinical practice, but your approach is grounded in science and deeply personal. Could you just explain a little bit more in depth about your training and your background and how you approach your gut health medical practice?

    6. RN

      So I did my internal medicine r- training at Northwestern in Chicago, and then I did, um, gastroenterology training at UC Irvine. And so during that GI training, I did endoscopies and colonoscopies. I did all the traditional, uh, treatments. Like reflux was treated with proton pump inhibitors to just shut off the acid. If someone had constipation, they were given prescription laxatives. So intuitively, I just knew that there was so much more we could do for the gut. I really wanted to help patients heal, not just suppress the symptoms. So and then I had my own personal journey with SIBO, and I think that really transformed the way I saw so many things in the gut. And then a lot of things, I've actually learned from my patients.

    7. MR

      Why are you smiling so much? Like, what i- what, what have you discovered in 15 years of practice of not just treating symptoms-

    8. RN

      Mm-hmm

    9. MR

      ... but restoring the overall gut health-

    10. RN

      Mm-hmm

    11. MR

      ... and how a simple protocol that we're gonna learn today really is the place to start for absolutely every single thing that you may be experiencing right now related to gut issues?

    12. RN

      So many people, I think, maybe are stuck, and they're just living with these symptoms every single day, and they may have nowhere to turn to, and they may feel like, "Is this how my life is gonna be for the rest of my life?" You know? I know because I was there, and how scary that was. So when I finally figured it out for myself, I thought, "I have to share this with others." Like, there's so many people suffering. I have to make this standardized, and I need to create a protocol, a roadmap for people, because if it was that difficult for me to figure out, imagine other people that don't have GI training. The feedback I get is incredible. I get emails for, from people every day that tell me that they were suffering for 20-plus years with IBS and diarrhea, and I've... You know, once they fixed their gut, they took a risk in following my protocol, and now they've gotten their life back. It's that powerful.

    13. MR

      So why is gut health so important, Dr. Rajsree, for your overall health?

    14. RN

      The gut is really the foundation of your health. So if you truly wanna be healthy, you absolutely have to pay attention to your gut. So your gut is sending signals to every organ in your body. So for example, let's start with your brain. Your gut is constantly talking to the brain through the gut-brain axis. So often, when I'll see patients who have gut issues, they're also suffering from anxiety and brain fog and often sometimes even insomnia. And then our gut strongly influences our immune system. So 70% of our immune cells are in the lining of our gut. So if your gut is inflamed, you might notice that inflammation pop up elsewhere in your body. And then our gut strongly influences

  2. 4:37 – 5:56

    Why a Healthy Gut Matters

    1. RN

      our skin through the gut-skin axis.

    2. MR

      Wait. The gut-skin axis? What is that?

    3. RN

      So our skin microbiome strongly reflects our gut microbiome.

    4. MR

      Really?

    5. RN

      Yeah. So what's fascinating is when I help patients heal their gut, they'll often come back and tell me, "Well, by the way, my acne cleared up. My eczema cleared up." And I treat some very complex cases of psoriasis, which is an autoimmune skin condition. Simply by healing the gut, we see the skin improve dramatically.

    6. MR

      You're kidding.

    7. RN

      Yeah.

    8. MR

      You talk about this concept of the gut garden. What is that?

    9. RN

      So basically, what I wanna make clear and share with the audience today is that our gut is not a simple tube where food goes in one end and waste comes out the other end.

    10. MR

      Okay.

    11. RN

      A lot of time, we're given that impression-

    12. MR

      Yes

    13. RN

      ... you know, because you might have had an endoscopy or a colonoscopy, and during those procedures, the gut kinda looks like a tube from the inside, you know, with twists and turns.

    14. MR

      Yeah.

    15. RN

      But so many of my patients have had those procedures, and they're just told that everything looks normal, but they don't feel normal, and they have a lot of symptoms that are affecting their quality of life. So what I wanna share today is that the gut is actually a complex and delicate ecosystem, and the best way that I like to explain

  3. 5:56 – 12:07

    The 4 Keys to Better Gut Health

    1. RN

      it is that it's a garden. So let me show you more about that.

    2. MR

      Oh, I'd love to see this.

    3. RN

      Okay. Hey, great. I'm gonna come in and help you guys out.

    4. MR

      All right. Our executive producer, Tracy-

    5. RN

      Okay

    6. MR

      ... is coming. You're wearing green today, Tracy, so-

    7. RN

      I'm ready for the garden

    8. MR

      ... she's ready for the garden Okay, and if, if you're listening right now, what we have is just a visual prop. We're gonna talk all about this, and it is just kind of a garden that we've put together. You see soil, you see a watering can, you see bees, and you've got all these beautiful flowers and greens that are growing in the garden.

    9. RN

      Mm-hmm.

    10. MR

      And one of the things I just wanna say, Dr. Rajsree-

    11. RN

      Mm-hmm

    12. MR

      ... is I am one of those people that have always envisioned a long tube-

    13. RN

      Okay

    14. MR

      ... when somebody says the gut.

    15. RN

      Yeah.

    16. MR

      So I think about, okay, my gut is basically from my mouth, down a long tube-

    17. RN

      Uh-huh

    18. MR

      ... out the other end.

    19. RN

      Yeah.

    20. MR

      That's the gut.

    21. RN

      Yeah.

    22. MR

      I've never, ever in my life envisioned a garden in there.

    23. RN

      Absolutely.

    24. MR

      Why do you want us to envision a gut garden?

    25. RN

      So what I've observed, you know, from 15 years of clinical practice and treating very complex gut disorders-

    26. MR

      Mm-hmm

    27. RN

      ... is that sometimes you can't explain these conditions if you just look at the structural aspects of our gut.

    28. MR

      Okay.

    29. RN

      So what I've discovered is that there's actually four main systems of our gut garden, and to really have ideal digestion and to feel your best, you have to correct all four aspects of this garden.

    30. MR

      Okay.

  4. 12:07 – 15:42

    What to Take for Better Gut Motility

    1. RN

      So you take it at bedtime- And you can adjust the dose based on your bowels, but that way, when you wake up, your bowels are like clockwork.

    2. MR

      Really?

    3. RN

      Yeah.

    4. MR

      Does that really work for a lot of people?

    5. RN

      Absolutely.

    6. MR

      So how much do you take?

    7. RN

      So usually, we start at around 250 milligrams-

    8. MR

      Okay

    9. RN

      ... up to 500 milligrams.

    10. MR

      Okay.

    11. RN

      And-

    12. MR

      And that's just, like, basic protocol-

    13. RN

      Oh, yeah

    14. MR

      ... in order to have good motility.

    15. RN

      Absolutely.

    16. MR

      Just take your magnesium. And it was the C, it was the G, and it was the M?

    17. RN

      Citrate, glycinate, and malate.

    18. MR

      Okay, got that.

    19. RN

      That's the one we use. So that's the first thing, but we also use something called a prokinetic.

    20. MR

      A who? A prokinetic?

    21. RN

      Yes.

    22. MR

      Okay.

    23. RN

      A prokinetic is not a laxative, but it's something that activates those cleaning waves in the gut.

    24. MR

      Really? What, what, what is a pro- what... Give me an example of what a prokinetic would be.

    25. RN

      So a natural prokinetic is ginger.

    26. MR

      Oh.

    27. RN

      Ginger. So we use a supplement, but it's essentially a patented formula of ginger and artichoke, and you take that along with the magnesium at bedtime. And what it's gonna do is it's gonna clean up your small intestine while you're sleeping, and you take that consistently. And that's gonna help that first system of the gut garden, that motility, that irrigation system, and that's huge.

    28. MR

      Okay.

    29. RN

      Yeah.

    30. MR

      So that's number one.

  5. 15:42 – 20:53

    Why You’re Bloated and How to Fix Bloating

    1. RN

      they tell me, "Well, I go to the bathroom every three to four days," well, then that's the problem. 'Cause if you're constipated that severely, that backup of stool in your colon is gonna make you feel bloated. So we have to fix that first.

    2. MR

      How often should you go number two?

    3. RN

      Every day.

    4. MR

      Every day?

    5. RN

      Every day.

    6. MR

      So is the protocol that you prescribe to your patients for constipation the same whether you're going once a day or going once every three days or going once a week?

    7. RN

      So we start with the basics.

    8. MR

      Okay.

    9. RN

      Magnesium's my favorite-

    10. MR

      Yeah

    11. RN

      ... because of the other benefits on the body. It's safe to take long term. The second, again, is that prokinetic, that motility activator. That's the ginger pill.

    12. MR

      Okay.

    13. RN

      That's also safe to take long term. If that's not working, we escalate. We use natural stimulant laxatives like aloe, the plant aloe vera.

    14. MR

      Yeah.

    15. RN

      They, they come in dried capsules, so it's the leaves of the aloe vera plant, and that's a little bit stronger. That will stimulate the bowels to move. That's not something I encourage people to use daily. They can for a while, but eventually, our goal is to transition back to just magnesium and motility activator. Honestly, it, those are kind of, like, game-changing treatments. Again, I'm surprised, because they're so simple. They're so accessible to anyone. But I don't think they get, uh, enough awareness in mainstream medicine.

    16. MR

      So Dr. Rajsree-

    17. RN

      Mm-hmm

    18. MR

      ... you said that when somebody comes in, and they're complaining about bloating-

    19. RN

      Uh-huh

    20. MR

      ... the first thing you do is you ask how often are you going to the bathroom.

    21. RN

      Yes.

    22. MR

      'Cause you wanna rule out consa- constipation.

    23. RN

      Absolutely.

    24. MR

      If somebody is bloated, and they are going to the bathroom regularly, what are the other causes of bloating?

    25. RN

      So usually, when we're talking about bloating, we're talking about trapped gas in the intestines.

    26. MR

      Okay.

    27. RN

      But I do wanna make one thing clear. Gas itself is not the problem. 'Cause if you're eating certain foods, like you're eating beans or a salad or broccoli, you're gonna have gas. That's normal. But if you pass the gas, and it doesn't bother you, that's totally fine, not a problem. It becomes a problem when that gas is trapped inside of you, and it's causing you pain. And trapped gas can present differently in different people. Some people get sharp, stabbing pain. Some people get this intense pressure. Other people get cramping.

    28. MR

      Hmm.

    29. RN

      So it really varies. And it can really, the pain can be anywhere in your abdomen. It could be at the top. It could be at the bottom, the sides. But usually, it comes down to a problem in- With one of three things in your gut.

    30. MR

      Okay.

  6. 20:53 – 28:31

    What to Do If You Have IBS

    1. RN

      really causing the symptoms. And so if you've been told you have IBS, there's so much more investigation that can be done.

    2. MR

      Okay.

    3. RN

      What we now know is that 70% of IBS is actually caused by SIBO.

    4. MR

      Wow. But if it's IBS-

    5. RN

      Mm-hmm

    6. MR

      ... what do you do about it?

    7. RN

      So if a person is coming to see me, I have the luxury of doing all that further investigation. So we always test for SIBO. We test for food allergies. And if we do- And most of the time, the SIBO test will be positive. If for some reason it's negative, then we move on to a gut microbiome test. So again, it's always about figuring out what that root cause is and fixing it. Now, if you're just someone with IBS and you don't know where to start, you can start with the first two systems of the gut garden, which is promoting motility, making sure your bowels are 100% and complete with the help of magnesium and motility activator at night, and improving your digestion of food. Try some digestive enzymes. It's a low-cost intervention. It might help you tremendously. And see where that takes you.

    8. MR

      What is SIBO?

    9. RN

      Small intestine bacterial overgrowth. So SIBO is basically when bacteria back up, so now they're in the wrong place. So normally, our small intestine does not have much bacteria. The job of the small intestine is to absorb nutrients from your food. The trillions of bacteria, they're located in the colon. That's where your primary microbiome is. But if something causes those bacteria to back up into your small intestine, where they're not supposed to be, they start fermenting your food too early. So every time you eat, you get this miserable gas and bloating.

    10. MR

      Huh.

    11. RN

      And it can alter your bowel habits, hence now it resembles IBS, and maybe you've been labeled with IBS. It can also cause acid reflux and nausea. It gives you that feeling of what we call early satiety, where you can't really eat that much 'cause you've got all this pressure in your abdomen.

    12. MR

      Yeah.

    13. RN

      And it can even interfere with your nutrient absorption, so then you get deficiencies in B12 and vitamin D and iron. And SIBO can even have effects outside the GI tract. So people with SIBO get really anxious. They get brain fog, fatigue, joint pain, and so much more.

    14. MR

      Wow.

    15. RN

      Yeah.

    16. MR

      I, I see that you have a model next to you-

    17. RN

      Yes

    18. MR

      ... of a human being, and it's-

    19. RN

      I sure do

    20. MR

      ... all the insides. It's like something you would see at a medical school, I think.

    21. RN

      Yes.

    22. MR

      So what's happening for someone who has SIBO?

    23. RN

      In this di- in this human model is these little stickers are the bacteria in your colon. Imagine what would happen if we take these bacteria and we move them to your small intestine, where they're not supposed to be. Oh my goodness, this is gonna cause so much havoc to your digestion.

    24. MR

      It looks like she's putting little, uh, like, explosions all over your small intestines.

    25. RN

      Yes. This-

    26. MR

      I'm just looking at this model, and it feels like I'm getting bloated.

    27. RN

      That's exactly what it does.

    28. MR

      It's like phew.

    29. RN

      Those bacteria, they start fermenting your food in the wrong place, and they interfere with your digestion of food.

    30. MR

      And there's no, there's not supposed to be bacteria- ... in the small intestine, because while the food is traveling through the small intestine, the intestines are trying to suck nutrients out?

  7. 28:31 – 30:23

    How to Know If You Have SIBO

    1. RN

      I couldn't eat brown rice. Those would make me bloated too. And then, all of a sudden, I couldn't eat cheese anymore.

    2. MR

      Wow.

    3. RN

      I had eaten cheese my whole life. Now I couldn't eat that. I couldn't have butter. So my diet became very restricted in order to control the symptoms. I literally was down to, like, eggs, salmon, ri- white rice, arugula salad, and chicken soup. So I couldn't even go out to restaurants. Uh, I was afraid when I got an invitation to someone's house. I would always eat before going, going out. The turning point for me was in, when I realized I couldn't eat fruit anymore, because fruit is what I consider healthy, and I had always enjoyed eating bananas, but now even a banana was causing bloating. So that's when I realized that the problem wasn't the food. The problem was my gut.

    4. MR

      So how did you treat SIBO? Like, what was the first thing that you did-

    5. RN

      Mm-hmm

    6. MR

      ... to either confirm that this was what this was or to just go, "You know what? I have a feeling this is what this is." And so what do you do to treat this?

    7. RN

      So the conventional treatment for SIBO is to take an antibiotic.

    8. MR

      What?

    9. RN

      Yes.

    10. MR

      Wait. How, how does that work if what you've just explained is you have bacteria in there that's creating havoc-

    11. RN

      Yes

    12. MR

      ... and impacting the functioning of the lining of the small intestine-

    13. RN

      Mm-hmm

    14. MR

      ... and potentially creating these, like, gross pools of overgrowth of junk?

    15. RN

      Uh-huh.

    16. MR

      I mean, I'm, I'm like, you know-

    17. RN

      Yes

    18. MR

      ... that's my words, not yours.

    19. RN

      Absolutely. The conventional treatment unfortunately doesn't work well. It has a very high failure rate and a very high relapse rate. When I treat SIBO- I look at this as a full garden ecosystem problem.

  8. 30:23 – 35:38

    The 4 Steps to Treat SIBO

    1. MR

      Okay.

    2. RN

      We have to fix the motility in the gut. We have to fix your breakdown of food. During my own personal struggle with SIBO, I actually first wanted to treat it naturally. I tried to take the herbal antimicrobials, and there were so many different ones out there, different potencies. I didn't know how long to take them. I just tried different things. I got super nauseous. I got sick. So then I switched gears and I said, "Well, if this is my only option, let me take the antibiotic." So I did, and I did not get better. In fact, I did a repeat SIBO breath test and it looked identical. Like, the antibiotics did not touch it at all.

    3. MR

      Wow.

    4. RN

      So that's when I really dug deeper. I'm like, "Why does S- why does SIBO happen? What are the root causes?" So that's when I realized something, that I really had to address the gut motility. That's that irrigation system of the garden. So I started taking that prokinetic. That was a game changer for me.

    5. MR

      The ginger artichoke pill?

    6. RN

      Absolutely. What I didn't realize is gas was all trapped inside of me. It was never coming out. After I took the motility activator, that ginger artichoke pill, I was finally passing gas.

    7. MR

      Wow.

    8. RN

      The second turning point was when I started taking a supplement called betaine and pepsin.

    9. MR

      Betaine and pepsin? Okay.

    10. RN

      When I took it, it helped me break down the food better, so I wasn't bloated anymore.

    11. MR

      So is this just what you did to get the bacteria out of the small intestine and to get things moving again, and then once you are kind of cleared of the gas and you start feeling better and you pass the breath test-

    12. RN

      Mm-hmm

    13. MR

      ... now it's just the standard protocol of the magnesium, the digestive enzymes, and some of the other things we're gonna get into?

    14. RN

      Well, when I was-

    15. MR

      'Cause you don't want it to come back.

    16. RN

      Absolutely.

    17. MR

      And if you have the problem-

    18. RN

      Uh-huh

    19. MR

      ... 'cause those little bacteria keep sneaking out of the colon-

    20. RN

      For sure

    21. MR

      ... and back up, I, I'm, I'm assuming-

    22. RN

      Yeah

    23. MR

      ... they might come right back.

    24. RN

      Absolutely. So I call it the foundational steps of treating SIBO. The foundational steps is where we get everything ready to kill the bacteria. We don't kill the bacteria until the fourth and final phase of treatment.

    25. MR

      Oh.

    26. RN

      So phase one is promoting motility. That's the magnesium and the motility activator. We gotta get that all going first. Phase two is the digestive enzymes. Some people need that extra betaine and pepsin. Not everybody, but some people have low stomach acid, and that can be a game changer. So that's the pollinators. We're getting that going. Phase three is there's probably inflammation in the gut from all these bacteria, so I start patients on a spore probiotic that has immunoglobulins to heal the inflammation in their gut. So that's phase three. So those are the foundational steps to get everything in order before we can actually kill the bacteria in phase four with the herbal antimicrobials. The ones we use are called berberine. It comes from the root of a berberine plant.

    27. MR

      Okay.

    28. RN

      Oregano oil, so you're probably familiar-

    29. MR

      Oh, yeah

    30. RN

      ... with oregano.

  9. 35:38 – 42:46

    How to Heal a Leaky Gut

    1. RN

      And the job of these cells is to just absorb nutrients from your food.

    2. MR

      Okay.

    3. RN

      But if something disrupts these tiny junctions between these cells and pops them open, now, it could be a variety of things. It could be the standard American diet, which is full of preservatives and, and emulsifiers and additives.

    4. MR

      Okay.

    5. RN

      It could be antibiotics. It could be NSAIDs, like, uh, if you're taking a lot of ibuprofen on an empty stomach. Could be if, if you're a heavy drinker. So all of these are insults to the gut.

    6. MR

      Can the bacteria we talked about also be... Okay, great.

    7. RN

      Absolutely. So SIBO is a big root cause of leaky gut because of the bacteria, again, interfering with the enzymes, creating inflammation in the gut. So this is what leaky gut looks like. Now you've got openings between these tiny cells in your small intestine.

    8. MR

      Oh, so instead of having a tube, you have mesh.

    9. RN

      Exactly. You have little holes in your s- in your gut now. This is a problem because bacteria and food that are normally on the inside of your gut-

    10. MR

      Uh-huh

    11. RN

      ... instead of getting properly absorbed through these cells, they now have a s- an open window to enter your bloodstream.

    12. MR

      Uh-oh. Uh-oh.

    13. RN

      Like this, this little ball-

    14. MR

      She's now, she's got a ping pong ball and she just shoved it through the wall.

    15. RN

      Yeah.

    16. MR

      So now it's floating around in my body?

    17. RN

      It's entered your bloodstream, and guess what's over on this side?

    18. MR

      The rest of me.

    19. RN

      Yeah, and 70% of your immune cells. They're sitting right there on the other side of these tiny cells in your gut.

    20. MR

      Oh, so on the inside you've got this lining-

    21. RN

      Yes

    22. MR

      ... that's absorbing nutrients, and that's also, when working correctly, is supposed to keep all the food, bacteria, and crap on the tube.

    23. RN

      Exactly.

    24. MR

      But if you're eating a bunch of unhealthy, ultra-processed crap or-

    25. RN

      Uh-huh

    26. MR

      ... doing too much ibuprofen or taking, like, antibiotics, or you got bacterial or SIBO or other stuff-

    27. RN

      Uh-huh

    28. MR

      ... it starts to stretch the lining, and now all the stuff on the inside is scooting through, and now it's in your bloodstream. But the first thing in your bloodstream on the outside of your intestinal t- walls-

    29. RN

      Uh-huh

    30. MR

      ... is the immune cells.

  10. 42:46 – 45:01

    The Best Diet for Gut Health

    1. RN

      on your plate as possible. So that means, you know, having some berries or colorful pot- you know, purple potatoes or purple cabbage, carrots, because colors is when you're gonna get the antioxidants and the phytonutrients. So try your best to eat a diverse array of colors. The third thing is to listen to your gut and figure out which fibers agree with you.

    2. MR

      Now, how do you know?

    3. RN

      So it's a little bit of trial and error.

    4. MR

      Okay.

    5. RN

      But let's say you eat arugula. Arugula is usually well-tolerated because it doesn't have any fermentable carbohydrate. So if you eat arugula with lemon juice and olive oil, and you feel good eating that, that's a great fiber to keep in your diet, versus if you eat beans and you get bloated, maybe that doesn't agree with you. So fiber is good, but you may have to do trial and error to figure out what fibers agree with your gut, and keep those in your diet. And the fourth and final thing is to try to diversify your diet as much as possible. So what that means is that instead of just having, like, broccoli every night, maybe try green beans or asparagus, or better yet, stir-fry a bunch of vegetables together. Because the more diverse your diet, the more robust and resilient your gut microbiome. So you're gonna get more plants growing in your gut garden, and that's gonna make it more strong so that the weeds don't come back.

    6. MR

      Um, what foods tend to make your gut health symptoms worse?

    7. RN

      Okay, great question. The first one is beans and legumes. I think that's an obvious one. I mean, that can cause gas and bloating.

    8. MR

      It's true, but I, for some reason, I look at beans and legumes, and I'm like, "They're so good."

    9. RN

      I know. They're so yummy, right?

    10. MR

      Yeah.

    11. RN

      So yummy, but again, it's very specific. Each person's different.

    12. MR

      Yes.

    13. RN

      Some people eat beans every day, and they're great. You know, they have the microbiome that's able to break it down.

    14. MR

      Gotcha. So beans, beans and legumes.

    15. RN

      Yeah.

    16. MR

      Anything else that tend to make gut health symptoms worse?

    17. RN

      The second would be dairy, again, because a lot of people have lactose intolerance, or they have sensitivity to the dairy proteins, uh, which are casein and whey. So that would be the second one. The third would be whole

  11. 45:01 – 48:14

    The Worst Foods for Gut Health

    1. RN

      grains. So that's like quinoa, brown rice, oatmeal. Again, it's not for everyone, but again, the people struggling with SIBO, bloating, that's a category that can cause discomfort for them. The next one would be garlic and onions. Again, if you're having bloating and SIBO, those can be problematic. Again, not long term. Our goal is to always heal the gut and try to reintroduce all these foods back.

    2. MR

      What does fiber do for your gut?

    3. RN

      So when we think about fiber, usually we think of it as bulking up your stool, keeping your bowels flowing regularly.

    4. MR

      Mm-hmm.

    5. RN

      But it does so much more for your gut. So fiber is actually food for the good bacteria in your gut. So when you're eating fiber, it's like putting fertilizer into your gut garden.

    6. MR

      Mm.

    7. RN

      So you're gonna have more flowers popping up, and the good bacteria use the fiber to then produce critical postbiotics that are critical for your health. I mean, these postbiotics influence your immune system, your metabolism, your skin, and so much more.

    8. MR

      How much fiber do you recommend to your patients that they try to get every day, and do you have your favorite forms of it?

    9. RN

      So that's a great question. Fiber, for a lot of my gut patients, can be like a double-edged sword.

    10. MR

      [laughs]

    11. RN

      [laughs] A lot of my gut patients are what I call fiber sensitive. So even though fiber, in theory, is so good for your gut, I can't just tell patients to take the recommended 25 grams for a woman or 38 grams for a man. That'll probably cause them a lot of problems.

    12. MR

      Okay.

    13. RN

      Usually what I recommend is start with the leafy greens. That's like the arugula, the spinach, the chard, and start with the cooked form if you prefer. Cooked vegetables are always easier to tolerate than the raw. But the nice thing about these leafy greens is they don't have any fermentable carbohydrate, so they usually don't cause bloating.

    14. MR

      Mm.

    15. RN

      So if you're someone who's fiber sensitive, try sauteing a bunch of spinach first. Make sure it's well-cooked. So usually it's about taking baby steps, starting with really well-cooked, figuring out what agrees with you, and then trying new things in your diet. And then whatever does work for you, keep that in your diet, and try to diversify.

    16. MR

      What are the five most important daily habits for having a healthy gut?

    17. RN

      I love this question because I think we pay so much attention to what we eat, but how we eat and when we eat are so important. So the first thing I recommend to all my patients is to practice meal spacing.

    18. MR

      Meal spacing?

    19. RN

      Yep. So meal spacing essentially means no snacking between meals. So that's having four to five hours between your meals, and what that does is it activates the cleaning waves in your gut, so it really reduces bloating. The second thing I recommend is to practice mindful eating. So I think so many of us are eating under very stressful circumstances. You know, we've got stress from work.

  12. 48:14 – 51:49

    5 Daily Habits for Better Gut Health

    1. RN

      We may be eating on the go, you know, or while doing work or scrolling through stressful emails or news, and that stress puts us into a state of fight or flight. So when you're eating, you wanna activate the parasympathetic nervous system, which helps you rest and digest. So as- One of the easiest things you can do is put away all your devices, take a few moments for yourself, take a few deep breaths, and that's gonna activate that vagus nerve. And that vagus nerve is what tells your stomach to make stomach acid, your pancreas to make pancreatic enzymes, and it gets that motility going, so your digestion will be so much better. And when you eat, you really wanna enjoy every bite. You know, take the time to ch- chew your food, taste your food. The third thing would be to only eat when you are truly hungry. So when you are truly hungry, that's when your stomach acid's gonna be strongest, your pancreatic enzymes are gonna be strongest, your motility is gonna be activating, and your digestion's just gonna be so much better. So the fourth thing is to stay active throughout the day. So after eating, if you can go for a little walk, again, you're gonna naturally activate the motility in the gut. So, w- you know, if you can w- work in a little bit of movement throughout the day, that's gonna help your digestion so much more. Again, being stagnant and just sitting at your desk is probably the worst thing you can do for your, for your digestion. And the fifth thing is to try not to drink too much water with your meals.

    2. MR

      Really?

    3. RN

      Yeah.

    4. MR

      Why?

    5. RN

      So water, obviously, is important for hydration, but when you drink a ton of it with your meals, you're actually diluting your stomach acid and your pancreatic enzymes. So what I've observed with my patients, and with myself, is when I eat my meal, I'll take a few sips of water if needed, but I'll save the bulk of my water for, like, 45 minutes later. And by doing that, I need far less digestive support. Like, I don't need to take as much digestive enzymes because my natural acid and enzymes are concentrated.

    6. MR

      Wow. I didn't realize that about the water.

    7. RN

      Yeah.

    8. MR

      'Cause when I sit down to have dinner, in particular-

    9. RN

      Uh-huh

    10. MR

      ... we always have a glass of water for everybody at the table.

    11. RN

      Yeah.

    12. MR

      And I make myself wrong if I don't finish it because I think I'm supposed to have a lot of water-

    13. RN

      Right

    14. MR

      ... while I'm sitting eating a meal. And it makes sense now that you explain it that way, that the water dilutes the environment-

    15. RN

      Exactly

    16. MR

      ... which makes it more difficult f- And here I thought I was doing something... I mean, it is very healthy to drink water. It's better to drink water than not drink water, but I see what you're saying. You get up, take a quick 10-minute walk, and then have your water. Awesome. So I'd love to switch gears. What is histamine intolerance?

    17. RN

      So histamine intolerance is another extreme form of food sensitivity, and basically, a person with histamine intolerance suddenly feels like they're allergic to everything. And the unfortunate part is a lot of really healthy foods that we think are good for our gut are loaded in histamines. So that's the fermented foods, like the kimchi, sauerkraut, kombucha, and the bone broth.

    18. MR

      What is a histamine?

    19. RN

      So histamine is a compound that's made by our immune system, and it's naturally released when we're having an allergic reaction. So if you're having, um, a sneezing attack or n- you know, environmental allergies, your immune cells are

  13. 51:49 – 58:16

    Histamine Intolerance: Symptoms, Causes & Treatment

    1. RN

      releasing that histamine, and that's causing the nasal co- congestion. But histamines can affect multiple organs in your body. So in your brain, it can create anxiety, insomnia, headaches. In your skin, it can cause rashes and hives.

    2. MR

      Huh.

    3. RN

      In your heart, it can cause palpitations. And in your stomach, it can, it can cause acid reflux. And in your gut, it can cause bloating and diarrhea. So it can really affect your whole body. And histamines are found, like I said, in those fermented foods. It's also found in aged foods. So it's found in soy sauce, in aged vinegars, aged cheeses, and alcohol.

    4. MR

      Can you show me how histamine builds up in the body?

    5. RN

      Absolutely. So let me get a, an example over here.

    6. MR

      Okay, she's got a glass-like vase-

    7. RN

      Uh-huh

    8. MR

      ... that has, uh, ping pong balls in it, white and blue. And there's a red line halfway up to mark halfway up, and then we've got, you've got some more ping pong balls here.

    9. RN

      Yeah.

    10. MR

      Okay.

    11. RN

      So these balls represent the histamines.

    12. MR

      Okay.

    13. RN

      So to, I'm gonna give you a story of one of my patients, and, uh, describe his day and what happens with his histamine levels.

    14. MR

      Okay.

    15. RN

      So one of my patients, let's just call him John, he's a 45-year-old man, and he comes to see me, and he's basically reacting to everything. Everything he eats is making him feel sick. He's bloated all the time. He's got diarrhea. He's got headaches now. He's super anxious, and he can't sleep at night, and his skin is breaking out.

    16. MR

      That's a lot.

    17. RN

      And sinus congestion.

    18. MR

      It sounds like everything's going haywire.

    19. RN

      Everything's falling apart. He's now relying on Benadryl all the time, Zyrtec all the time. He's trying to suppress all these symptoms. He's even been to the ER, and they just give him steroids and Benadryl and send him on his way. So let me describe what's happening to John. So let's say he wakes up in the morning, and he's trying to be healthy, so he has his sourdough toast with avocado, a slice of tomato, and an egg.

    20. MR

      That sounds healthy.

    21. RN

      It sounds healthy, but little does he realize that avocado and the tomato have histamines. So now his body's got more histamines. And I'm gonna explain the root cause of all this in a little bit, but I'm gonna describe his day first.

    22. MR

      Okay.

    23. RN

      So after lunch, he's trying to be healthy again, and he's trying to keep up his protein intake, and he heard sardines are healthy.

    24. MR

      Yep.

    25. RN

      So he has a sardine salad. Little does he realize sardines are loaded in histamines, so sure enough, his body has a higher exposure to histamines.

    26. MR

      Okay.

    27. RN

      And then for dinner, he goes out to dinner with his wife to his favorite Japanese restaurant, and he has a couple glasses of wine, which again, have histamines. Oops. And then he has his favorite sushi with a bunch of soy sauce. Soy sauce is loaded in histamines. So guess what happens to John that night? He comes home, he has a horrible headache. He's super anxious. He can't sleep the whole night. His skin is breaking out, it's itching. He's absolutely miserable. So he basically crossed the threshold of his histamine bucket. It's overflowing in his system.

    28. MR

      Hmm.

    29. RN

      So why did this happen? Because literally six months ago, he could have eaten the exact same foods and been fine.

    30. MR

      Yes.

  14. 58:16 – 1:01:27

    The Gut-Thyroid Connection Explained

    1. RN

      those acid pills that I talked about. Now, people with hypothyroidism, because of that slow motility, they're also at higher risk of getting SIBO. So if they're struggling with bloating or food sensitivities or bowel issues, we always test for SIBO. So now let me explain how the gut can affect the thyroid. So again, because the immune cells are in the gut, a lot of people with autoimmune thyroid disease, whether it's Hashimoto's or Graves' disease... Hashimoto's is the one that's associated with low thyroid, and Graves' disease is the one that's associated with high thyroid. A lot of that can be linked to what's happening in the gut. So if their disease is flaring, again, it could be because of leaky gut-

    2. MR

      Hmm

    3. RN

      ... or inflammation in the gut. So when we pay attention to, to the gut and treat whatever we find there, we often see antibody levels go down.

    4. MR

      That's super helpful. What actually is Hashimoto's, and what are the symptoms?

    5. RN

      So Hashimoto's is an autoimmune disease of the thyroid. Your body is producing an antibody, it's called the thyroid peroxidase antibody, or TPO antibody, and that's attacking your thyroid. Now, there's many stages to Hashimoto's. Like, a lot of times we can catch Hashimoto's early, before it actually makes you hypothyroid. So the symptoms of Hashimoto's are kinda general. It depends on how active the disease is. Some people with mild disease may not have any symptoms.

    6. MR

      Hmm.

    7. RN

      Maybe they're having fatigue, brain fog. Maybe they're having slow gut motility and bloating and constipation, sometimes joint pain. So it really varies.

    8. MR

      How do you heal your thyroid?

    9. RN

      You know, our thyroid is dependent on critical nutrients. So an easy thing that I do for patients is I check their nutrient levels, and we try to optimize that. You can easily do that by taking a high-quality multivitamin that has all of these things in there. Um, but if someone's really deficient in iron or vitamin D, I might have them work on that specifically. And then again, if we're talking about Hashimoto's, because of the autoimmune process, we really need to target gut inflammation, the health of the microbiome, and seeing what we can do there to improve the immune regulation.

    10. MR

      Let's talk about insulin.

    11. RN

      Mm-hmm.

    12. MR

      What is insulin?

    13. RN

      So insulin is a hormone that's been made by our pancreas, and the job of insulin is to tell our cells to take up blood sugar. So let's say you have a piece of cake.

    14. MR

      Okay.

    15. RN

      Your blood sugar goes up- And the way your body controls that is by releasing insulin from the pancreas. Now, the key thing is whether or not your insulin receptors are listening. So let me show you an example.

    16. MR

      Oh, I would love to see an example.

    17. RN

      Okay.

    18. MR

      Okay, she's got a, a glass jar of sugar cubes. Perfect.

    19. RN

      Mm-hmm.

    20. MR

      Ooh, and she's got a Tupperware, round Tupperware thing with a lid on it.

    21. RN

      So this Tupperware container is like the cells in our body, and then these sugar cubes represent glucose

  15. 1:01:27 – 1:08:14

    3 Ways to Reverse Insulin Resistance

    1. RN

      in your bloodstream. So you had your piece of cake, and your blood sugar just, is just going up. So your body is going to release insulin from your pancreas, and insulin is like the key. Now, in order for insulin to work and tell your cells to take up the blood sugar, the cells' insulin receptors have to be unlocked.

    2. MR

      Got it.

    3. RN

      So let's say this is a receptive cell. It's unlocked, so it opens up, it listens to insulin, and it takes up the blood sugar. And interestingly, you can actually nac- naturally open up your receptors.

    4. MR

      You can? How?

    5. RN

      By exercising.

    6. MR

      Really?

    7. RN

      When you exercise, your muscles will naturally open up their insulin receptors and take up glucose. But the problem is a lot of people have cells where the insulin receptors are locked, so that's like having a tightly closed Tupperware container that's not responding to this insulin key.

    8. MR

      Got it. Okay.

    9. RN

      So when this happens, your pancreas responds by increasing the production of insulin.

    10. MR

      Oh, so hold on. So if your insulin cells are locked-

    11. RN

      Mm-hmm

    12. MR

      ... and they're not responding to the little bit of insulin that you have, or the normal amount of insulin that would unlock it-

    13. RN

      Mm-hmm

    14. MR

      ... your pancreas is like, "Okay, hold on. I'm getting the memo. Let's flood the body with insulin."

    15. RN

      Exactly.

    16. MR

      "Because we gotta get these cells unlocked because this woman just ate some cake."

    17. RN

      Absolutely.

    18. MR

      "We gotta bring the glucose down." Okay, so now the pancreas has come online.

    19. RN

      Yeah.

    20. MR

      You now have more insulin, and now what happens?

    21. RN

      This is a problematic scenario-

    22. MR

      Okay

    23. RN

      ... because high insulin levels is inflammatory on the body. High insulin levels tells your cells to store fat and lock it away, and high insulin levels makes you very hungry. So guess what? Two hours later, you're ready for your cookie, even though you just had cake. So it c- drives this vicious cycle of hunger and weight gain. So people who have high insulin levels, they often struggle to lose weight. It's very difficult to fast because of the hunger that's-

    24. MR

      Hmm

    25. RN

      ... you know, controlling everything. Insulin resistance can happen far before you're diagnosed with prediabetes or diabetes, and we now know that about half the population here in America are insulin resistant. What I do in my practice is I test people's fasting insulin level. This is a test that's not usually part of routine blood work, but you could ask your doctor for it, because you could have a normal fasting glucose. So normal fasting glucose is under 100, and you could have a normal hemoglobin A1c. That's that marker of your sugar for three months. But you could have elevated fasting insulin far before those become a problem. The good news, though, there's so much we can do to reverse insulin resistance, so that's kind of, um, a, a window of opportunity where we can intervene and reverse this whole process.

    26. MR

      What can you do to reverse insulin resistance?

    27. RN

      So usually it's a combination of three things. The first thing is the diet. So we take away the things that spike the insulin, because that's feeding into this whole vicious cycle. So obviously, we want to avoid simple sugars and carbohydrates, as well as alcohol, 'cause alcohol turns into sugar. So we really wanna put you on a diet that's gonna stabilize your blood sugar. When we do that, and you focus more on eating proteins and vegetables and healthy fats like avocados and nuts, that totally reduces your blood glucose level, so you're not having these spikes up and down all day. Your blood sugar is kind of stable meal to meal. So guess what happens? Your pancreas doesn't have to produce as much insulin, so your hunger goes down. I mean, you can still have some carbs, like from berries and yams. So the insulin goes down, and then all of a sudden, because the cells are not over-flooded with the insulin, they start opening up.

    28. MR

      What's the second?

    29. RN

      The second thing we can do is exercise. Like I mentioned, exercise is gonna naturally open up those insulin receptors. So I'd recommend 30 to 45 minutes of cardio every day, you can split it up into two sessions if you want, and strength training two to three times a week, 'cause the more muscle mass you have, the more insulin sensitive you are. So that's the second thing, and the third thing you can do is to take some natural supplements. And so the two that I use in my practice are berberine and cinnamon and chromium.

    30. MR

      You're smiling as you say this.

  16. 1:08:14 – 1:12:04

    How to Treat Acid Reflux and GERD

    1. RN

      clearing their throat after meals. And in the SIBO IBS population, this non-acid reflux is very, very common, and so it's an important distinction. So when we're dealing with true acid reflux, the patient will often describe burning in their stomach, burning in their chest.

    2. MR

      So they kinda hold it in between their-

    3. RN

      Yes

    4. MR

      ... breasts or right above it, saying, "It's kinda right here."

    5. RN

      Exactly. When they're talking about non-acid reflux, they don't describe any burning. They're talking about phlegm and throat clearing.

    6. MR

      Huh.

    7. RN

      And so I have to ask these questions to really tease it out because, otherwise, patients just think they all have acid reflux, but this distinction is so important because the treatments are opposite.

    8. MR

      How do you treat acid reflux and GERD versus non-acid reflux?

    9. RN

      I'll start with the non-acid reflux, 'cause that's the easy one.

    10. MR

      Okay.

    11. RN

      Non-acid reflux, the treatment is to provide the acid, so we use those capsules of betaine and pepsin. Betaine is hydrochloric acid, and pepsin is an enzyme to digest proteins. So a patient will try that. They'll take it after a meal, and if they notice all these symptoms reduce, their phlegm is gone, throat clearing's gone... Burping is another symptom I forgot to mention. Burping, excessive belching after meals, is a symptom of low stomach acid.

    12. MR

      Oh.

    13. RN

      So when a patient starts taking this betaine and pepsin, they notice their belching goes away, um, their throat clearing goes away, their phlegm goes away, then we know it's working. And if they take it and they don't feel any burning, that means they need it. It's actually helping them.

    14. MR

      Huh.

    15. RN

      But if they were to get burning, then we know that they don't need it. They have enough acid. So that's the treatment of non-acid reflux.

    16. MR

      You just add acid.

    17. RN

      Yeah.

    18. MR

      Okay, got it.

    19. RN

      Very simple. Very simple. Now, when we're dealing with acid reflux, um, there are natural treatments, but we also need to do more investigation. We use DGL capsules, which are a type of licorice, and they're convenient because they're in capsules that they can take with them anywhere, and it's very soothing to the stomach and the esophagus. So that's the symptomatic relief part. But then acid reflux is your body almost saying that it doesn't like what you ate. It's sending it back up. Then it could be food sensitivities, so I review their diet very carefully. Like, maybe they're drinking six cups of coffee a day, or maybe they're drinking a lot a, of wine at night, or maybe it's the tomato sauce, uh, or spicy foods. So maybe there's a trigger that we can identify. Then we do a more investigation of their gut garden. So SIBO, interestingly, is a big root cause of acid reflux, and part of that is because if you have a lot of pressure under the diaphragm from the SIBO, that gas pressure's gonna push the acid upward. So we have to take a full picture at their gut ecosystem. And once we fix that, usually we see acid reflux go away.

    20. MR

      How do you suggest or recommend that I or the person listening go about finding the right doctor when you have unexplained gut issues? Because I think as I listen to you, and as the person who's watching and listening who's like, "I want you to be my doctor," but what questions would you ask, or how do you find somebody that takes such a holistic approach to gut issues?

    21. RN

      So you probably need to do a little bit of research. I think your, your gastroenterologist is a great starting point as far as ruling out all the structural issues, um, for doing all the standard tests to make sure nothing really serious is going on, like ruling out colon cancer, ruling out inflammatory bowel disease, celiac disease. Th- they can help with all of that. A lot of times, what you could ask

  17. 1:12:04 – 1:13:38

    How to Find the Right Gut Doctor

    1. RN

      your GI doctor for the SIBO test. A lot of them are familiar-

    2. MR

      Hmm

    3. RN

      ... with it. Um, for some reason, they don't offer it unless you kinda ask for it. And unfortunately, I've even had patients who ask for the test, and instead of being given the test, they're just handed the antibiotics for SIBO without even testing. So you, you don't really wanna go that route.

    4. MR

      No.

    5. RN

      You always wanna know what you're treating. Then you might w- want to research someone who has knowledge in integrative and functional medicine, someone who's familiar with SIBO, familiar with the microbiome, who offers these tests, so the stool microbiome test, the SIBO test, someone who's gonna pay attention to your diet, the food allergies, the food sensitivities. So it may take a little bit of research.

    6. MR

      What are, for you, kind of top red flag symptoms-

    7. RN

      Mm-hmm

    8. MR

      ... that you would recommend that I or the person listening go talk to a doctor about?

    9. RN

      So if you have blood in the stools, that's usually a red flag. I mean, it can be hemorrhoids, and so I try to understand the patient's history, like if it was after a significant straining and it was a one-time thing-

    10. MR

      Yep

    11. RN

      ... when wiping. But if it's a consistent blood in the stools, that is definitely a red flag.

    12. MR

      Okay.

    13. RN

      If you're vomiting a lot, that's a red flag, because SIBO can cause nausea, but it shouldn't cause persistent vomiting. If you're losing a substantial amount of weight, more than 10 pounds, and you can't seem to stabilize that weight, it's just coming off, that's another red flag.

    14. MR

      Dr. Rajsree, what are your parting words?

  18. 1:13:38 – 1:16:42

    When to Worry About Gut Symptoms

    1. RN

      So if you're someone out there who's struggling with gut issues, whether it's bloating every day or constipation or reflux, or you're reacting to foods, I just wanna bring you hope that healing is possible, that you don't have to live like this for the rest of your life. There's so much we can do. It's just a matter of figuring out what part of your gut, gut garden needs support. So hopefully with all of these tools and tips that we've talked about today, you can see improvement in your gut health and in your overall health.

    2. MR

      Well, I just wanna say thank you. Thank you for getting on a plane and flying across country and taking time out of your extraordinarily busy clinical practice to share all this. This is a comprehensive guide that not only left us with specific things to do that you're seeing work for yourself, for your clinical practice over and over again, but that also was easy to understand, and I really appreciated that, and I feel way more hopeful, and I've got, like, seven people in mind that I'm sending this to immediately that are having constant problems with their gut. And what I also appreciate that you brought to this is that there is the emotional side. It impacts your quality of life.

    3. RN

      Yeah.

    4. MR

      And so I loved that your approach kept coming back to the baseline understanding of these four factors of how you create this healthy garden in your gut system-

    5. RN

      Mm-hmm

    6. MR

      ... so that your overall life becomes healthier. So thank you, thank you, thank you.

    7. RN

      Thank you, Mel. It's, it was such an honor and a privilege to be here today to have this amazing conversation, and I really hope it reaches a lot of people and helps so many people.

    8. MR

      I know it will. And I also wanna thank you. Thank you for taking the time to listen to this, to better understand your gut, and to learn how to create a healthier gut. There's no doubt in my mind, based on the way that she explained this all to us, that you can feel better in your life, and I really hope that you not only take the recommendations and try it, but you also share this free resource with people in your life who deserve to feel better, too. And in case no one else tells you, I wanna be sure as your friend to tell you that I love you, and I believe in you, and I believe in your ability to create a better life. And boy, wouldn't your life feel better if your gut felt better? Of course it would. I will welcome you in to the next episode the moment you hit play. I'll see you there. Thank you for watching all the way to the end. Didn't you love this? And don't you love knowing that you have this as a free resource, both to help you heal your gut and something that you can share with people in your life so that they can understand gut health and take these simple steps to start healing theirs? And I know you enjoyed watching this one, which means you're gonna love watching this video next of The Mel Robbins Podcast, and I'm gonna welcome you in the moment you hit play. [outro music]

Episode duration: 1:16:43

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