Research, mechanism, and small daily decisions. Written by an ER physician for the cluster of people the textbooks keep missing.
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The short versionThe daily afternoon crash usually is not about sleep quantity. It tracks with fuel access in the nervous system: B1 and magnesium...
The short versionPost-meal fog is a gut-brain signaling event, not a character flaw. Blood flow shifts, signaling runs through one underfueled wire, and the...
From the Founder What an ER doctor learned about chronic gut symptoms July 10, 2026·Rick Pescatore, DO Notes from a lot of late shifts,...
Conditions Functional dyspepsia: why the stomach won't settle July 10, 2026·Rick Pescatore, DO TL;DR Functional dyspepsia is chronic upper-belly discomfort, early fullness, heaviness after...
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Clinical Evidence Rome V and disorders of gut-brain interaction: what changed July 10, 2026·Rick Pescatore, DO TL;DR If a doctor has ever called your...
Clinical Evidence Cannabinoid hyperemesis syndrome: what the evidence says July 10, 2026·Rick Pescatore, DO TL;DR Cannabinoid hyperemesis syndrome is a pattern of severe, recurring...
Gut-Brain Science What the gut-brain axis actually is July 10, 2026·Rick Pescatore, DO TL;DR Your gut and your brain are physically wired together, through...
Vitamins and Supplements Thiamine and the gut-brain connection: what vitamin B1 actually does July 8, 2026·Rick Pescatore, DO Reading because this is your pattern?MGB+...
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...
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