Research, mechanism, and small daily decisions. Written by an ER physician for the cluster of people the textbooks keep missing.
The word magnesium on a supplement label is doing too much work. Magnesium is the element. The form it is bound to changes almost...
Two patients walk into a GI clinic. Both describe early fullness, upper abdominal pain, nausea, and the feeling that food sits like a brick....
Most people who feel post-meal burning, fullness, or upper-abdominal pain are told they probably have reflux. Half the time, that label is right. The...
Every six to ten years, the Rome Foundation, the international body of gastroenterologists who define and classify what used to be called functional GI...
Fiber is the most over-recommended intervention in gut health. Add fiber, the story goes, and the bowel sorts itself out. For disorders of gut-brain...
Most people doing low-FODMAP are doing it wrong, and the diet itself never asked them to. Low-FODMAP was designed by researchers at Monash University...
The acid blocker stopped working. That is almost never the actual problem. The story plays out the same way in clinic after clinic. Someone...
The Sunday-evening gut flare is not in your head. It is in the wire that runs between your head and your gut. You know...
A child whose stomach hurts every school morning is almost never making it up. The pattern is real, the biology is real, and pediatric...
Most symptom logs I get handed in clinic are useless to me. Forty pages of dense free-text journaling, written under stress, with no time...
A gastroenterology referral is the path of least resistance in primary care. It is also, for most disorders of gut-brain interaction (DGBI), a months-long...
Most people talk about "my gut" the way they talk about "my car." One thing. One mood. Either it works or it doesn't. That...
