Shop · MGB+ Core Trio - Complete Gut-Brain Support
Pattern fit

For people who recognize more than one pattern

Start here if your pattern moves between bloating + fog, upper-gut heaviness, and queasy or nervous-stomach days.

What this is meant to help you get back Built to give you the full BellyMD system so you can match the day you are actually having instead of forcing every symptom into one formula.
Not sure? Take the 2-minute formula quiz
Pattern fit

For people who recognize more than one pattern

Start here if your pattern moves between bloating + fog, upper-gut heaviness, and queasy or nervous-stomach days.

What this is meant to help you get back Built to give you the full BellyMD system so you can match the day you are actually having instead of forcing every symptom into one formula.
Not sure? Take the 2-minute formula quiz
MGB+ Core Trio - Complete Gut-Brain Support lifestyle image
The full system when more than one pattern sounds familiar.
The simple science

Why active B1 + magnesium?

Gut-brain symptoms often involve signaling, motility, sensitivity, and cellular energy. MGB+ starts with lipid-soluble B1 and magnesium glycinate, then adds formula-specific actives based on the symptom pattern.

This page is focused on mixed gut-brain patterns that move between formulas.

See every ingredient and dose →
How MGB+ works Your gut and brain run on the same wiring.
One loopThe vagus nerve links gut and brain. When one side is irritated, you feel it on both: bloat, burn, queasiness, fog.
Three patternsSymptoms travel together. Each formula is built for one pattern: Clear, Cool, or Calm.
Zero mysteryEvery dose is printed on the label. Take it daily. Judge it over 12 weeks, money back if it is not right.
Research, advocacy, and standards

Physician-led. Research-connected. Patient-advocacy grounded.

BellyMD is built to feel different from ordinary supplement brands: open formula, clinical discipline, manufacturing transparency, and careful educational framing.

Research

University technology option agreement

BellyMD has entered into a research option agreement with a major U.S. research university around blood biomarkers and diagnostic methods for cannabinoid hyperemesis syndrome. The agreement gives BellyMD an option to negotiate an exclusive license in the field of use.

Clinical framework

Guideline-informed education

Our educational framework is informed by Rome Foundation diagnostic concepts and ACG/AGA guidance on disorders of gut-brain interaction. BellyMD supplements are not diagnostic tools and are not intended to treat disease.

Patient advocacy

Built close to the patient community

Rick serves on the G-PACT Board of Advisors. BellyMD also supports GI patient advocacy initiatives, including Crohn's & Colitis community efforts, and Rick serves on the End Overdose board.

How to take it

Three formulas. One simple routine.

No complicated schedule. No fixed order. Built to fit the way you already eat.

Step 1

Two capsules a day. Total.

Not two of each. Two total — pulled from whichever formula matches what your day is doing.

With food makes them gentler on the stomach. Three capsules a day is the maximum.

Step 2

Mix and match to find your pattern.

The three formulas target different sides of the gut-brain axis. A bloating-and-brain-fog day might be 2 Clear. A heavy-meal evening might be 1 Cool. A queasy morning might be 1 Calm. A mixed day might be 1 of each.

Pay attention to what shifts. The Trio is built for flexibility, not a fixed schedule.

Step 3

Give it 8 to 12 weeks.

Some shifts come within days: brain fog, sleep quality, morning queasiness. The full gut-brain pattern shift takes the full window.

Track honestly. That's why our guarantee runs 12 weeks.

If you take prescription medications, are pregnant or nursing, or have a chronic medical condition, check with your doctor before starting any new supplement.

What Trio customers report

What you'll feel.

Self-reported outcomes from Trio customers. Three formulas working in concert.

Customer testimonial: woke up in tears, now wakes up with a smile (Clear)
Customer testimonial for MGB+ Cool
Customer testimonial for MGB+ Calm
Customer testimonial for MGB+ Cool

Aggregated from a Klaviyo customer survey, n=204 respondents, May 2026. Self-reported, not a clinical trial.

Your gut-brain axis, in plain English.
How it works

Your gut-brain axis, in plain English.

Your gut and brain are in constant conversation. The vagus nerve, the enteric nervous system, and the gut microbiome signal up. The brain signals back down through hormones, inflammation, and stress chemistry. When that conversation runs smoothly, you feel clear, comfortable, and steady. When it doesn't, you get the pattern: bloating, brain fog, fatigue, queasy mornings, sleep that won't hold.

Each MGB+ formula targets a different layer of that conversation. Clear addresses the bloating-and-brain-fog cluster. Cool calms the upper-gut layer. Calm steadies the morning rhythm. The Trio works because the three layers reinforce each other.

See the full science
Rick Pescatore, DO
Rick Pescatore, DO · Founder
The founder

Built by an ER physician for the pattern medicine keeps missing.

I'm Rick Pescatore. ER doctor. Editor-in-chief of Emergency Medicine News. The emergency department is where I first saw the pattern. It's not where the pattern lives. Bloating. Brain fog. Fatigue that doesn't lift. The gut that runs the day. The labs come back normal. The scans come back normal. The medications never quite fit.

MGB+ is built around that pattern, not around the symptoms it produces. Three formulas. Real doses. Every ingredient on the label. It's the protocol I'd run on my own family. It's the protocol I run on myself.

More about Rick
Rick Pescatore, DO
Emergency Medicine · Editor-in-Chief, Emergency Medicine News · BellyMD Founder
Trio FAQ

Common Trio questions.

How do I take the Trio?

Two capsules a day, total. Not two of each. The three formulas are designed to be mixed and matched — pull from whichever one matches what your gut is doing that day. With food is easier on the stomach. Maximum is three capsules a day.

How do I decide which formula to take each day?

Match the formula to the pattern. A bloating-and-brain-fog day might be 2 Clear. A heavy-meal evening might be 1 Cool. A queasy morning might be 1 Calm. A mixed day might be 1 of each. The Trio is built for flexibility, not a fixed schedule. Pay attention to what shifts after a few weeks and lean into the formula that's doing the most work for your pattern.

Can I take the Trio with my other supplements or medications?

Generally yes. The Trio is built on well-studied molecules with strong safety profiles, and most customers stack it with other things they're already taking. If you take prescription medications, are pregnant or nursing, or have a chronic medical condition, check with your doctor before starting any new supplement.

What if one formula works better than the others?

After 8 to 12 weeks, you'll have a clearer sense of which formula is doing the most work for your specific pattern. You can stay on the full Trio, drop to two formulas, or shift to a single one. Your subscription is fully editable. Pause, swap, skip, or cancel anytime.

How quickly will I feel a difference?

Some customers feel a shift within days, particularly with brain fog, sleep quality, and morning queasiness. The full pattern shift takes 8 to 12 weeks. That's why our guarantee runs 12 weeks. It's the realistic window for gut-brain conditions to remodel.

How often does the Trio ship?

Every 90 days. One box of three bottles is a 90-day supply at the standard two-capsule-per-day dose, so the subscription ships in time to keep you covered without piling up surplus bottles. Single Trio is one box, one-time, no subscription. You can switch between subscription and one-time anytime, and you can pause, skip, swap, or cancel.

Is the Trio third-party tested?

Yes. Every batch is tested by an independent laboratory for ingredient potency, heavy metals, and contaminants — not the same lab that makes the supplement. We use US cGMP facilities.

How does the 12-week money-back guarantee work?

Use your first order for up to 12 weeks. If you are not happy, email support@belly-md.com and we refund the order in full. Opened bottles count. Empty bottles count. Keep the bottle, we do not want it back. Refunds go to your original payment method. We process them in 1-3 business days; your bank may take another 5-10 to post it. If your pattern points somewhere else, we can also help you switch formulas instead.

Every MGB+ subscription funds gut-brain research and patient advocacy. $50,000+ directed to date. Partners: Crohn's & Colitis Foundation (Take Steps sponsor), G-PACT. We publish what we fund.
The gut-brain newsletter

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