The Gut Health Dialogues

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If you've been diagnosed with fatty liver and are struggling to tolerate the foods you're encouraged to eat, there's a connection worth understanding.

In this episode of The Gut Health Dialogues, Alyssa explores new research on fatty liver disease and SIBO (small intestinal bacterial overgrowth), and what it may reveal about the relationship between digestive health and metabolic health.

The findings raise an important question: when your gut symptoms make it harder to follow a nutritious eating pattern, should you keep changing your diet, or could something else be going on?

In this episode, we explore:

• The research that prompted a closer look at fatty liver and SIBO
• Why eating healthier doesn't always feel better when digestive symptoms are involved
• The connection between your gut and liver
• Symptoms that may deserve more attention than you think
• Why continually eliminating foods may not address the underlying problem
• How to approach digestive symptoms while working toward better long-term health

If you have fatty liver alongside persistent bloating, gas or unpredictable bowel movements, this conversation may give you a new perspective on what to discuss with your healthcare provider.

Resources mentioned in this episode:

• Download 30-Day Low FODMAP Diet Plan: A practical resource to help you navigate food choices and balanced meals while managing digestive symptoms.
• Listen to: Learn more about understanding breath test results and why testing details matter
• If you are still struggling with digestive symptoms despite previous testing & protocols, Book a 1:1 Strategy Call and we’ll look at your symptom history, what you’ve already tried, and whether working together makes sense, along with what that would look like.
• This free masterclass walks you through the five-step framework we use to help clients move beyond symptom management, rebuild food tolerance, and create a healthier, more resilient gut.
• Learn more about Nutrition Resolution’s Signature Healthy Gut Restoration Program — a personalized, root-cause approach to addressing bloating, constipation, and underlying digestive imbalances. In this program, testing is selected based on the person's history, symptoms, previous testing, and unanswered clinical questions rather than automatically ordering a broad panel.
• Follow Alyssa on: Instagram, LinkedIn, Facebook, Pinterest

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Looking for a supportive Gut Health community? Alyssa is building a community committed to helping people overcome their digestive symptoms by addressing the root cause using food and nutrition. Join Alyssa’s FREE Facebook Community here.

Tune in and subscribe to "The Gut Health Dialogues" for inspiring client transformation stories and expert insights into gut health. Leave a review. Your support will help Alyssa empower more people with the knowledge and tools to take control of their gut health and reclaim their lives.

Send us Fan Mail

What if weight management involved more than calories and restriction? In this episode, Alyssa speaks with Anu Simh, board-certified health and wellness coach, microbiome educator, founder of Nine Arms of Wellness, and author of Flourish from Within, about the connection between the gut microbiome, liver health, and metabolic function.

They explore how the gut and liver communicate, why fiber matters for the microbiome, and how this broader view can change the way we think about weight maintenance and blood sugar. Anu also shares practical ways to increase fiber when you have a sensitive gut, without making your diet even more restrictive.

In this episode, you’ll learn:

• What the gut-liver connection is and why it matters for metabolic health.
• How gut microbes and fiber may influence blood sugar, satiety, and weight maintenance.
• Why restrictive diets can make it harder to get a variety of nutrients.
• How to gradually introduce fiber and fermented foods when your digestion is sensitive.
• Why symptoms can be useful signals to help you understand your body.
• What to know about liver detoxification and the claims made by detox products.

Anu emphasizes that supporting the microbiome does not guarantee weight loss. Instead, the conversation looks at the body as an interconnected system and the value of asking better questions about your health.

Meet the guest: Anu Simh

Anu Simh is a board-certified health and wellness coach, microbiome educator and founder of Nine Arms of Wellness. Her work focuses on using food, sustainable habits and a systems-based perspective to support gut health and weight management. She is also the author of Flourish from Within, a book that combines microbiome education with a practical framework for everyday habits.

Resources mentioned:

• Flourish from Within by Anu Simh: Check out Anu’s book for a practical framework for understanding the gut microbiome and building sustainable food habits. Find it on Amazon.
• Reach out to Anu through Nine Arms of Wellness to get details about her group coaching programs and practitioner courses.
• Grab the Veggie Mash Guide (step-by-step strategy to expand your diet safely)
• This free masterclass walks you through the five-step framework we use to help clients move beyond symptom management, rebuild food tolerance, and create a healthier, more resilient gut.
• Learn more about Nutrition Resolution’s Signature Healthy Gut Restoration Program — a personalized, root-cause approach to addressing bloating, constipation, and underlying digestive imbalances. In this program, testing is selected based on the person's history, symptoms, previous testing, and unanswered clinical questions rather than automatically ordering a broad panel.
• If you are still struggling with digestive symptoms despite previous testing & protocols, Book a 1:1 Strategy Call and we’ll look at your symptom history, what you’ve already tried, and whether working together makes sense, along with what that would look like.
• Follow Alyssa on: Instagram, LinkedIn, Facebook, Pinterest

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Looking for a supportive Gut Health community? Alyssa is building a community committed to helping people overcome their digestive symptoms by addressing the root cause using food and nutrition. Join Alyssa’s FREE Facebook Community here.

Tune in and subscribe to "The Gut Health Dialogues" for inspiring client transformation stories and expert insights into gut health. Leave a review. Your support will help Alyssa empower more people with the knowledge and tools to take control of their gut health and reclaim their lives.

Send us Fan Mail

In this episode, Alyssa takes a closer look at what it takes to approach the elemental diet thoughtfully, including the questions to consider before starting, what the experience can look like while you're doing it, and what happens when those two weeks are over. We also discuss who may benefit, how the elemental diet compares with antibiotics and herbal antimicrobials, and why what happens after SIBO treatment can be just as important as the treatment itself.

You'll also hear about:

• Elemental diet for SIBO and IMO
• Fully elemental vs. semi-elemental formulas
• How the elemental diet compares with antibiotics and herbal antimicrobials
• What to consider before starting a two-week elemental diet
• Nutritional needs, hydration, formula tolerance, and symptom monitoring
• What can happen during the adjustment and die-off period
• How to determine whether the treatment is working
• Why breath testing, symptoms, and food tolerance all matter after treatment
• How to transition from an elemental diet back to solid food
• Why rebuilding the microbiome matters after SIBO treatment
• Food reintroduction and expanding a restricted diet
• Addressing the factors that may contribute to SIBO recurrence

Resources mentioned:

• Download your FREE Elemental Diet Before & After Planner — a digital and printable planner designed to help you prepare for the elemental diet, track symptoms, plan questions for your practitioner, prepare for retesting, and think through the transition back to food.
• Listen to Methane SIBO Episode: a deeper episode on methane SIBO and how to address it naturally.
• Listen to: Root Causes of SIBO: Why It’s Usually a Gut Environment Problem, Not Just a Bacteria Problem
• This free masterclass walks you through the five-step framework we use to help clients move beyond symptom management, rebuild food tolerance, and create a healthier, more resilient gut.
• Learn more about Nutrition Resolution’s Signature Healthy Gut Restoration Program — a personalized, root-cause approach to addressing bloating, constipation, and underlying digestive imbalances. In this program, testing is selected based on the person's history, symptoms, previous testing, and unanswered clinical questions rather than automatically ordering a broad panel.
• If you are still struggling with digestive symptoms despite previous testing & protocols, Book a 1:1 Strategy Call and we’ll look at your symptom history, what you’ve already tried, and whether working together makes sense, along with what that would look like.
• Follow Alyssa on: Instagram, LinkedIn, Facebook, Pinterest

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Looking for a supportive Gut Health community? Alyssa is building a community committed to helping people overcome their digestive symptoms by addressing the root cause using food and nutrition. Join Alyssa’s FREE Facebook Community here.

Tune in and subscribe to "The Gut Health Dialogues" for inspiring client transformation stories and expert insights into gut health. Leave a review. Your support will help Alyssa empower more people with the knowledge and tools to take control of their gut health and reclaim their lives.

Send us Fan Mail

If you’ve been dealing with bloating, diarrhea, constipation, food reactions, or other ongoing digestive symptoms, you may have wondered whether functional gut testing can tell you something standard testing missed.

In this episode, Alyssa breaks down the difference between conventional and functional gut testing, what each approach is designed to look for, and why two tests that appear to measure the same marker may not answer the same question.

You’ll learn:

• Why conventional and functional gut testing ask different questions
• What conventional stool testing can reveal about infections, inflammation, digestion, and disease
• What functional stool testing can reveal about the microbiome, digestion, immune activity, and gut barrier
• Why the same marker can appear on different types of tests but have different clinical context
• How functional testing may provide additional information when conventional testing doesn’t explain ongoing symptoms
• Why a normal test result doesn’t automatically explain away symptoms like bloating, diarrhea, constipation, or food intolerance
• How to approach microbiome testing without treating every abnormal result
• Why emerging gut health markers require careful interpretation
• When conventional testing may be appropriate and when functional testing may add another layer
• Why your symptoms, history, test results, and treatment plan need to be considered together

Resources mentioned:

• This free masterclass walks you through the five-step framework we use to help clients move beyond symptom management, rebuild food tolerance, and create a healthier, more resilient gut.
• Learn more about Nutrition Resolution’s Signature Healthy Gut Restoration Program — a personalized, root-cause approach to addressing bloating, constipation, and underlying digestive imbalances. In this program, testing is selected based on the person's history, symptoms, previous testing, and unanswered clinical questions rather than automatically ordering a broad panel.
• If you are still struggling with digestive symptoms despite previous testing & protocols, Book a 1:1 Strategy Call and we’ll look at your symptom history, what you’ve already tried, and whether working together makes sense, along with what that would look like.
• Follow Alyssa on: Instagram, LinkedIn, Facebook, Pinterest

-

Looking for a supportive Gut Health community? Alyssa is building a community committed to helping people overcome their digestive symptoms by addressing the root cause using food and nutrition. Join Alyssa’s FREE Facebook Community here.

Tune in and subscribe to "The Gut Health Dialogues" for inspiring client transformation stories and expert insights into gut health. Leave a review. Your support will help Alyssa empower more people with the knowledge and tools to take control of their gut health and reclaim their lives.

Send us Fan Mail

What if the diet that's helping you control your methane SIBO symptoms isn't actually addressing the reason you still need such a restrictive diet? In this episode, we break down what we know about the methane SIBO diet, IMO, low FODMAP diets, constipation, intestinal motility, fermentation, fiber, resistant starch, and food reintroduction, including newer research from 2025 and 2026.

You’ll learn:

• Why methane SIBO/IMO can make eating feel so confusing
• Why low FODMAP can help symptoms without necessarily eliminating methane-producing organisms
• The connection between methane, constipation, and slow intestinal transit
• Why fiber, resistant starch, raw vegetables, and high-fat meals can sometimes be difficult to tolerate when you're significantly bloated and constipated
• How an increasingly restrictive diet can affect nutrition, food variety, and quality of life
• Why food tolerance can depend on portion size, preparation, and combinations, not simply whether a food is “good” or “bad”
• How to know when your diet may be ready to expand
• What makes an elemental diet fundamentally different from simply eliminating more foods
• What newer research tells us about elemental diets and methane
• Why your methane levels, bowel function, symptoms, and food tolerance all matter when deciding what happens next

Resources mentioned:

• Download Methane SIBO Diet Plan - a practical guide with a complete food list, meal ideas, a 7-day meal plan, and a 7-day grocery list to help put the dietary strategies discussed in the episode into practice.
• Listen to How to Comprehensively Address Methane SIBO - for a deeper look at the process of addressing methane SIBO beyond dietary symptom management.
• If you've been stuck on a restrictive diet and aren't sure what comes next, this free masterclass walks you through the five-step framework we use to help clients move beyond symptom management, rebuild food tolerance, and create a healthier, more resilient gut.
• Still relying on a highly restricted diet to keep symptoms under control? Book a 1:1 Strategy Call and we’ll look at your symptom history, what you’ve already tried, and whether working together makes sense, along with what that would look like.
• Learn more about Nutrition Resolution’s Signature Healthy Gut Restoration Program — a personalized, root-cause approach to addressing bloating, constipation, and underlying digestive imbalances.
• Follow Alyssa on: Instagram, LinkedIn, Facebook, Pinterest

-

Looking for a supportive Gut Health community? Alyssa is building a community committed to helping people overcome their digestive symptoms by addressing the root cause using food and nutrition. Join Alyssa’s FREE Facebook Community here.

Tune in and subscribe to "The Gut Health Dialogues" for inspiring client transformation stories and expert insights into gut health. Leave a review. Your support will help Alyssa empower more people with the knowledge and tools to take control of their gut health and reclaim their lives.

Send us Fan Mail

If you've spent thousands of dollars on SIBO testing, antibiotics, herbal antimicrobials, supplements, restrictive diets, and practitioner visits but still aren't getting lasting relief, the problem may not be that you haven't tried hard enough.

After more than a decade working with difficult SIBO cases, I've seen how easily digestive care can become fragmented: one test, one protocol, one diet, one supplement, without a larger strategy connecting them.

In this episode, we're looking at what can be missing when SIBO treatment provides only temporary improvement, why treatment sequencing matters, and why a positive SIBO test doesn't tell you everything you need to know about the next step.

We'll explore:

• Why repeatedly adding treatments isn't necessarily the answer.
• How your SIBO type can influence the treatment approach.
• Why the timing and sequencing of treatment matter.
• What your previous treatment history can reveal about what may have been missed.
• Why addressing root contributors matters when you're trying to reduce recurrence.
• What needs to happen beyond simply clearing an overgrowth.
• Why rebuilding the gut and expanding your diet can be an important part of the bigger picture.
• What to ask before spending money on another SIBO test, supplement, or protocol.

Resources mentioned:

1. Listen to: Root Causes of SIBO: Why It’s Usually a Gut Environment Problem, Not Just a Bacteria Problem2. Listen to: Why SIBO Comes Back After Rifaximin (3 Reasons Symptoms Return After Antibiotics)

3. Listen to: SIBO Die-Off: Why You Feel Worse Before You Feel Better (And What To Do About It)

4. If you've been stuck on a Low FODMAP diet and aren't sure what comes next, this free masterclass walks you through the five-step framework we use to help clients move beyond symptom management, rebuild food tolerance, and create a healthier, more resilient gut.

5. Still relying on a highly restricted diet to keep symptoms under control? Book a 1:1 Strategy Call and we’ll look at your symptom history, what you’ve already tried, and whether working together makes sense, along with what that would look like.

6. Learn more about Nutrition Resolution’s Signature Healthy Gut Restoration Program — a personalized, root-cause approach to addressing bloating, constipation, and underlying digestive imbalances.

7. Follow Alyssa on: Instagram, LinkedIn, Facebook, Pinterest

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Looking for a supportive Gut Health community? Alyssa is building a community committed to helping people overcome their digestive symptoms by addressing the root cause using food and nutrition. Join Alyssa’s FREE Facebook Community here.

Tune in and subscribe to "The Gut Health Dialogues" for inspiring client transformation stories and expert insights into gut health. Leave a review. Your support will help Alyssa empower more people with the knowledge and tools to take control of their gut health and reclaim their lives.

Send us Fan Mail

If you're dealing with urgent, watery diarrhea after meals, you may have already started looking for the food responsible. But when eliminating dairy, gluten, FODMAPs, or other suspected triggers doesn't make much difference, it may be time to look beyond individual foods.

In this episode, Alyssa explores a commonly overlooked reason for persistent diarrhea and explains why the timing of symptoms, meal composition, fat intake, medical history, and digestive patterns can tell a very different story than another food elimination.

She also breaks down why some people continue struggling despite following a strict low-FODMAP diet, how fat can influence symptoms, where soluble fiber fits in, and why managing this condition doesn't have to mean living on an increasingly restrictive diet.

If you've been removing more and more foods but your diarrhea still feels unpredictable, this episode may give you a different way to look at what's happening.

Resources mentioned:

• Download Bile Acid Diarrhea Diet Guide - a practical guide with a complete food list, meal ideas, a 7-day meal plan, and a 7-day grocery list to help put the dietary strategies discussed in the episode into practice.
• If you've been stuck on a Low FODMAP diet and aren't sure what comes next, this free masterclass walks you through the five-step framework we use to help clients move beyond symptom management, rebuild food tolerance, and create a healthier, more resilient gut.
• Still relying on a highly restricted diet to keep symptoms under control? Book a 1:1 Strategy Call and we’ll look at your symptom history, what you’ve already tried, and whether working together makes sense, along with what that would look like.
• Learn more about Nutrition Resolution’s Signature Healthy Gut Restoration Program — a personalized, root-cause approach to addressing bloating, constipation, and underlying digestive imbalances.
• Follow Alyssa on: Instagram, LinkedIn, Facebook, Pinterest

-

Looking for a supportive Gut Health community? Alyssa is building a community committed to helping people overcome their digestive symptoms by addressing the root cause using food and nutrition. Join Alyssa’s FREE Facebook Community here.

Tune in and subscribe to "The Gut Health Dialogues" for inspiring client transformation stories and expert insights into gut health. Leave a review. Your support will help Alyssa empower more people with the knowledge and tools to take control of their gut health and reclaim their lives.

Send us Fan Mail

If a SIBO diet makes your symptoms disappear, does that mean the SIBO is gone?

In this episode, Alyssa breaks down the role of low FODMAP and low fermentation diets in SIBO care, and why symptom relief, bacterial eradication, and relapse prevention aren't necessarily the same thing.

She also explores how motility, constipation, post-infectious changes, and other underlying contributors can influence recurrence, and why the goal isn't to stay as restricted as possible forever.

Resources Mentioned:

• Click to listen to learn why staying on a restrictive SIBO diet long-term may not always support gut resilience.
• Download the FREE Methane SIBO Diet Plan: A practical plan combining low FODMAP principles with modifications for methane-related symptoms and food tolerances.
• Click to listen to SIBO Root Contributors & Relapse Prevention episode: A deeper look at what can drive recurring SIBO and why addressing the overgrowth is only part of long-term care.
• Download the FREE Veggie Mash Guide:A practical way to add small portions of multiple vegetables to increase plant variety without an overwhelming fermentable load.
• If you've been stuck on a Low FODMAP diet and aren't sure what comes next, this free masterclass walks you through the five-step framework we use to help clients move beyond symptom management, rebuild food tolerance, and create a healthier, more resilient gut.
• Still relying on a highly restricted diet to keep symptoms under control? Book a 1:1 Strategy Call and we’ll look at your symptom history, what you’ve already tried, and whether working together makes sense, along with what that would look like.
• Learn more about Nutrition Resolution’s Signature Healthy Gut Restoration Program — a personalized, root-cause approach to addressing bloating, constipation, and underlying digestive imbalances.
• Follow Alyssa on: Instagram, LinkedIn, Facebook, Pinterest

-

Looking for a supportive Gut Health community? Alyssa is building a community committed to helping people overcome their digestive symptoms by addressing the root cause using food and nutrition. Join Alyssa’s FREE Facebook Community here.

Tune in and subscribe to "The Gut Health Dialogues" for inspiring client transformation stories and expert insights into gut health. Leave a review—Your support will help Alyssa empower more people with the knowledge and tools to take control of their gut health and reclaim their lives.

Send us Fan Mail

Can digestive enzymes actually reduce bloating and food reactions, or does it depend on what's causing your symptoms in the first place?

In this episode, Alyssa sits down with GI dietitian Erin Judge, who works with the clinical team at FODZYME, to answer one of the biggest questions people with IBS, SIBO, and food intolerances ask: when do digestive enzymes actually help? This conversation explores the bigger picture of why food intolerances develop, how different digestive enzymes work, and where they fit in alongside treating the underlying cause.

Whether you've been following a Low FODMAP diet for years or you're afraid to reintroduce foods after SIBO treatment, you'll come away with a clearer understanding of when digestive enzymes may help, and when another approach is needed.

In this episode, you'll learn:

• Why food intolerance is different from a food allergy
• The different types of food intolerances, and why they aren't all treated the same
• Why most over-the-counter digestive enzymes don't work the same way
• How digestive enzymes fit into IBS, SIBO, and Low FODMAP management
• When digestive enzymes may help you eat more foods with fewer symptoms
• Why digestive enzymes aren't a replacement for treating the root cause
• How to use digestive enzymes during food reintroduction
• Practical ways to reduce food fear while expanding your diet

About Erin Judge:

Erin Judge, RDN, LDN is a GI dietitian who has specialized in IBS and other functional disorders of gut-brain interaction for the last 8 years. She currently runs healthcare provider marketing for FODZYME to support clinical partners as they integrate digestive enzymes into patient care.

Resources Mentioned:

1. Want to try FODZYME before purchasing?

• Healthcare practitioners can request FREE FODZYME® samples for patients to try before purchasing, along with educational resources and clinical support at http://providers.fodzyme.com/hcp-sample-request
• Customers can save 20% off your first FODZYME subscription order at http://fodzyme.com/foodfreedom

2. If you've been stuck on a highly restrictive diet and aren't sure what to reintroduce next, explore our collection of evidence-based meal plans, food lists, recipes, and practical guides designed to help you expand your diet with confidence.

3. Still relying on food elimination to control your digestive symptoms? Book a free 15-minute 1:1 strategy call, and we'll talk through your history, what you've already tried, where you may be getting stuck, and whether working together is the right approach for you.

4. Learn more about Nutrition Resolution's Signature Healthy Gut Restoration Program—our personalized, root-cause approach to helping people move beyond food fear and build a more resilient digestive system.

5. Follow Alyssa on Instagram, LinkedIn, Facebook, Pinterest

6. DM “GUT CHECK” on Alyssa’s Instagram for a personalized quiz and free meal plans & resources to kickstart your gut healing journey.

Send us Fan Mail

In this episode, Alyssa explains why fat malabsorption is an often-overlooked cause of chronic digestive symptoms like diarrhea, greasy stools, bloating, weight loss, and nutrient deficiencies. Learn how your liver, pancreas, and small intestine work together to digest fat, what happens when that process breaks down, and why continuing to eliminate foods may not solve the real problem.

You'll learn:

• What fat malabsorption is and how it affects digestion
• The difference between fat malabsorption and food sensitivities
• Why greasy stools (steatorrhea) happen
• Symptoms that may point to poor fat absorption
• Common causes of fat malabsorption, including: Exocrine Pancreatic Insufficiency (EPI), Reduced bile production, SIBO, Celiac disease, Crohn's disease, and Short bowel syndrome
• Why fat malabsorption is different from bile acid malabsorption (BAD)
• How fat-soluble vitamin deficiencies develop
• Why healthy fats can still trigger symptoms
• Practical dietary strategies that can reduce symptoms while you investigate the underlying cause
• Why restricting more foods isn't always the answer

Resources mentioned:

• Not sure what to eat if you're dealing with fat malabsorption, chronic diarrhea, greasy stools, bloating, or difficulty digesting fatty foods? Download the 7-day Fat Malabsorption Diet Guide designed to help you reduce symptoms while supporting long-term gut health.
• Want to learn more about one of the most common causes of fat malabsorption? Read our Pancreatic Insufficiency (EPI) Guide to understand the symptoms, testing, diagnosis, and treatment of exocrine pancreatic insufficiency, and download our FREE Pancreatic Insufficiency Diet Guide for practical nutrition strategies, meal planning tips, and food recommendations.
• If you've been stuck on a Low FODMAP diet and aren't sure what comes next, this free masterclass walks you through the five-step framework we use to help clients move beyond symptom management, rebuild food tolerance, and create a healthier, more resilient gut.
• Still relying on a highly restricted diet to keep symptoms under control? Book a 1:1 Strategy Call and we’ll look at your symptom history, what you’ve already tried, and whether working together makes sense, along with what that would look like.
• Learn more about Nutrition Resolution’s Signature Healthy Gut Restoration Program — a personalized, root-cause approach to addressing bloating, constipation, and underlying digestive imbalances.
• Follow Alyssa on: Instagram, LinkedIn, Facebook, Pinterest

-

Looking for a supportive Gut Health community? Alyssa is building a community committed to helping people overcome their digestive symptoms by addressing the root cause using food and nutrition. Join Alyssa’s FREE Facebook Community here.

Tune in and subscribe to "The Gut Health Dialogues" for inspiring client transformation stories and expert insights into gut health. Leave a review—Your support will help Alyssa empower more people with the knowledge and tools to take control of their gut health and reclaim their lives.

Send us Fan Mail

If you've been treating chronic constipation, bloating, and motility issues from the gut side alone, microbiome work, methane SIBO protocols, bile flow, motility agents, and progress keeps stalling, there may be a structural piece nobody has assessed.

In this episode, pelvic floor physical therapist Rebecca Patton explains how the muscles of the abdomen and pelvis form a single pressure system, why pain drives that system into protective tension, and how that tension makes motility worse in a self-reinforcing loop.

The conversation covers outlet obstruction constipation, why not every pelvic floor therapist actually evaluates the pelvic floor, and the widely under-recognized role of past abdominal surgeries, C-sections, hysterectomies, gallbladder removals, appendectomies, in gut dysfunction that shows up years later.

What You'll Learn in This Episode:

• Why your gut and pelvic floor are one connected pressure system, not separate problems
• How pain creates protective muscle tension that slows motility even further
• What outlet obstruction constipation is, and why laxatives don't touch it
• Why Kegels can make things worse for some people
• How C-sections, hysterectomies, gallbladder removals, and appendectomies affect gut function years later
• Why recurrent SIBO may have a structural root cause nobody's checked
• What an actual pelvic floor evaluation involves, and the three questions to ask before booking
• Why gut protocols and pelvic floor rehab stall without each other

About Rebecca:

Dr. Rebecca Patton is a pelvic floor physical therapist and the founder of Patton Pelvic Health in Arizona. She provides personalized, trauma-informed, and inclusive care for people experiencing bowel and bladder dysfunction, constipation, chronic pelvic pain, and sexual health concerns. She is also an adjunct professor at Midwestern University, where she teaches gender-inclusive pelvic physical therapy, and mentors clinicians and graduate students pursuing pelvic health training.

Find Rebecca here:

Connect with Rebecca Patton: Patton Pelvic Health

Find a pelvic floor physical therapist:

• https://pelvicrehab.com
• https://www.aptapelvichealth.org
• https://pelvicguru.com

Resources mentioned:

• Learn the five-step framework we use to help clients move beyond symptom management and address the root causes of SIBO/IBS/and any other gut issues.
• If you’re enduring uncomfortable, painful, and embarrassing GI symptoms and feel like you’ve tried everything, Alyssa uses a specialized approach to help people who’ve gone from doctor to doctor finally find relief. Book a free 15-minute 1:1 strategy call, and we'll talk through your history, what you've already tried, where you may be getting stuck, and whether working together is the right approach for you.

Find Alyssa here:

• Follow Alyssa on Instagram, LinkedIn, Facebook, Pinterest
• DM “GUT CHECK” on Alyssa’s Instagram for a personalized quiz and free meal plans & resources to kickstart your gut healing journey.
• Learn more about Nutrition Resolution’s Signature Healthy Gut Restoration Program — a personalized, root-cause approach to addressing bloating, constipation, and underlying digestive imbalances.

Send us Fan Mail

In this episode, Alyssa explains one of the biggest misconceptions in SIBO recovery: the belief that a therapeutic diet is the treatment. While Low FODMAP and SIBO diets can be incredibly effective for reducing symptoms, they were never designed to be the finish line. They're a tool to create stability, not a permanent way of eating.

Alyssa walks through why long-term restriction can hold your gut back, the difference between symptom management and true healing, and what should happen between eliminating foods and successfully reintroducing them.

You'll learn:

• Why food doesn't cause SIBO
• How therapeutic diets actually work
• Why your food list may keep shrinking
• The hidden downside of long-term restriction
• Why microbiome diversity matters
• Stable gut vs resilient gut
• How to measure healing beyond symptom reduction
• Why food fear develops
• How Nutrition Resolution approaches food reintroductions
• What real food freedom looks like

Free resources:

• Not sure what to eat with SIBO, IBS, reflux, histamine intolerance, constipation, or other digestive conditions? Explore our free collection of evidence-based meal plans, food lists, recipes, and practical guides designed to help you reduce symptoms while supporting long-term gut healing.
• If you've been stuck on a Low FODMAP or SIBO diet and aren't sure what comes next, this free masterclass walks you through the five-step framework we use to help clients move beyond symptom management, rebuild food tolerance, and create a healthier, more resilient gut.
• Still relying on a highly restricted diet to keep symptoms under control? Book a 1:1 Strategy Call to identify what's keeping you stuck and get a personalized roadmap to help you expand your food choices with greater confidence and less fear.
• Learn more about Nutrition Resolution’s Signature Healthy Gut Restoration Program — a personalized, root-cause approach to addressing bloating, constipation, and underlying digestive imbalances.
• Follow Alyssa on: Instagram, LinkedIn, Facebook, Pinterest

-

Looking for a supportive Gut Health community? Alyssa is building a community committed to helping people overcome their digestive symptoms by addressing the root cause using food and nutrition. Join Alyssa’s FREE Facebook Community here.

Tune in and subscribe to "The Gut Health Dialogues" for inspiring client transformation stories and expert insights into gut health. Leave a review—Your support will help Alyssa empower more people with the knowledge and tools to take control of their gut health and reclaim their lives.

Send us Fan Mail

In this episode, Alyssa breaks down one of the most overlooked aspects of pancreatic insufficiency management: nutrition. While pancreatic enzyme replacement therapy (PERT) is essential, diet plays a major role in determining how well those enzymes work and how you feel day to day. We explore what a practical pancreatic insufficiency diet looks like, common mistakes that keep symptoms lingering, and why many people with EPI may also be dealing with overlapping conditions like SIBO, IBS, or gut microbiome imbalances.

You'll learn:

• What is pancreatic insufficiency, and common EPI symptoms
• Why EPI is often mistaken for IBS and SIBO, and how fat malabsorption affects digestion
• The connection between EPI and bacterial overgrowth
• What to eat & limit with pancreatic insufficiency
• Meal timing and meal structure strategies
• Nutrients commonly depleted in EPI
• Why symptoms sometimes persist despite enzyme therapy

Free resources:

• Listen to Daniella’s healing journey here.
• Download Alyssa’s Pancreatic Insufficiency Diet PDF for a practical starting point with foods that are generally easier to digest, lower in fat, and designed to help support nutrition while managing EPI symptoms.
• Book your free 15-minute strategy call, and we’ll look at your symptom history, what you’ve already tried, and whether working together makes sense, along with what that would look like.
• Watch Alyssa’s FREE Masterclass: “Why Your Gut Still Isn’t Better — The Real Reason You Feel Stuck”
• Learn more about Nutrition Resolution’s Signature Healthy Gut Restoration Program — a personalized, root-cause approach to addressing bloating, constipation, and underlying digestive imbalances.
• DM “GUT CHECK” on Alyssa’s Instagram for a personalized quiz and free meal plans & resources tailored to your symptoms.
• Follow Alyssa on: Instagram, LinkedIn, Facebook, Pinterest

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Looking for a supportive Gut Health community? Alyssa is building a community committed to helping people overcome their digestive symptoms by addressing the root cause using food and nutrition. Join Alyssa’s FREE Facebook Community here.

Tune in and subscribe to "The Gut Health Dialogues" for inspiring client transformation stories and expert insights into gut health. Leave a review—Your support will help Alyssa empower more people with the knowledge and tools to take control of their gut health and reclaim their lives.

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Why do some people dramatically improve with a treatment that does absolutely nothing for someone else with the exact same IBS diagnosis? A new 2026 study may help answer that question. In this episode, Alyssa breaks down groundbreaking research that individualized IBS treatment based on microbiome findings rather than treating everyone with the same symptom-based approach. The results challenge one of the biggest assumptions in digestive health: that people with the same diagnosis need the same solutions.

You’ll learn:

• Why IBS is a symptom description, not a root cause
• The major flaw in much of IBS research
• What a new 2026 personalized IBS study discovered
• Why averages can hide meaningful treatment success
• The difference between symptom-based care and individualized care
• How methane SIBO, pelvic floor dysfunction, and motility issues can overlap
• Why diarrhea isn't always caused by the same underlying problem
• The role of bile acid malabsorption and pancreatic enzyme insufficiency
• How histamine intolerance can masquerade as digestive dysfunction
• Why sequencing matters just as much as choosing the right intervention
• The common mistake people make with probiotics, fiber, glutamine, and elimination diets
• What personalized gut health care may look like in the future

Free resources:

• Download Alyssa’s IBS Constipation Diet Guide with gentle meal ideas, a list of foods to avoid, practical IBS-C-friendly strategies, and sample meals for bloating and constipation support
• Book your free 15-minute strategy call, and we’ll look at your symptom history, what you’ve already tried, and whether working together makes sense, along with what that would look like.
• Watch Alyssa’s FREE Masterclass: “Why Your Gut Still Isn’t Better — The Real Reason You Feel Stuck”
• Learn more about Nutrition Resolution’s Signature Healthy Gut Restoration Program — a personalized, root-cause approach to addressing bloating, constipation, and underlying digestive imbalances.
• DM “GUT CHECK” on Alyssa’s Instagram for a personalized quiz and free meal plans & resources tailored to your symptoms.
• Follow Alyssa on: Instagram, LinkedIn, Facebook, Pinterest

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Looking for a supportive Gut Health community? Alyssa is building a community committed to helping people overcome their digestive symptoms by addressing the root cause using food and nutrition. Join Alyssa’s FREE Facebook Community here.

Tune in and subscribe to "The Gut Health Dialogues" for inspiring client transformation stories and expert insights into gut health. Leave a review—Your support will help Alyssa empower more people with the knowledge and tools to take control of their gut health and reclaim their lives.

Send us Fan Mail

In this episode, Alyssa breaks down one of the overlooked pieces of successful SIBO recovery: making sure the digestive system is actually moving before starting SIBO treatment.

Because when bowel movements are incomplete, sluggish, or backed up, the body has a much harder time clearing fermentation byproducts, gas, and bacterial die-off compounds, which can make treatment feel unbearable.

Inside this episode, we discuss:

• Why constipation is about more than “not going enough”
• The connection between methane gas and slowed motility
• Why many people feel awful during antibiotics or herbal protocols
• The relationship between constipation, toxin recirculation, and die-off symptoms
• Why “eat more fiber” often backfires in IBS-C and methane SIBO
• Why giant salads, fiber supplements, and roughage can worsen fermentation
• Gentle strategies that often work better for methane-dominant cases
• Why nervous system regulation plays a major role in digestion and motility
• The mistake of pushing through severe die-off symptoms
• Supportive strategies for bowel movements and downstream clearance

Free resources:

• Download Alyssa’s IBS Constipation Diet Guide with gentle meal ideas, a list of foods to avoid, practical IBS-C-friendly strategies, and sample meals for bloating and constipation support
• Watch Alyssa’s FREE Masterclass: “Why Your Gut Still Isn’t Better — The Real Reason You Feel Stuck”
• Book your free 15-minute strategy call, and we’ll look at your symptom history, what you’ve already tried, and whether working together makes sense, along with what that would look like.
• Learn more about Nutrition Resolution’s Signature Healthy Gut Restoration Program — a personalized, root-cause approach to addressing bloating, constipation, and underlying digestive imbalances.
• DM “GUT CHECK” on Alyssa’s Instagram for a personalized quiz and free meal plans & resources tailored to your symptoms.
• Follow Alyssa on: Instagram, LinkedIn, Facebook, Pinterest

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Looking for a supportive Gut Health community? Alyssa is building a community committed to helping people overcome their digestive symptoms by addressing the root cause using food and nutrition. Join Alyssa’s FREE Facebook Community here.

Tune in and subscribe to "The Gut Health Dialogues" for inspiring client transformation stories and expert insights into gut health. Leave a review—Your support will help Alyssa empower more people with the knowledge and tools to take control of their gut health and reclaim their lives.

Send us Fan Mail

If you’ve ever felt better temporarily after antibiotics, herbals, or restrictive diets only to have symptoms slowly return again, this episode explains why that happens and what’s often being missed underneath the surface.

Rather than viewing SIBO as simply “bad bacteria coming back,” Alyssa walks through the larger gut environment that allows overgrowth to happen in the first place — including motility issues, digestion problems, nervous system dysregulation, constipation, microbiome depletion, and impaired gut defenses.

You’ll learn:

• Why recurring SIBO is usually not just one single “root cause”
• The difference between treating bacterial overgrowth vs restoring gut function
• How the small intestine normally regulates bacterial balance
• Why impaired motility and the migrating motor complex matter so much
• The role of stomach acid, bile flow, digestive enzymes, and gut immunity
• Why symptom relief does not always mean the gut environment has recovered
• The hidden reasons SIBO keeps relapsing after treatment
• Why restrictive diets alone rarely create lasting recovery
• How chronic stress and nervous system dysregulation affect digestion
• What needs to improve to make long-term progress possible

Free resources:

• Download Alyssa’s FREE SIBO Diet Recipe Collection for breakfast, lunch, snack, and dessert ideas that support gut healing without unnecessary restriction.
• Watch Alyssa’s FREE Masterclass: “Why Your Gut Still Isn’t Better — The Real Reason You Feel Stuck”
• Book your free 15-minute strategy call, and we’ll look at your symptom history, what you’ve already tried, and whether working together makes sense, along with what that would look like.
• Learn more about Nutrition Resolution’s Signature Healthy Gut Restoration Program — a personalized, root-cause approach to addressing bloating, constipation, and underlying digestive imbalances.
• DM “GUT CHECK” on Alyssa’s Instagram for a personalized quiz and free meal plans & resources tailored to your symptoms.
• Find Alyssa on: Instagram, LinkedIn, Facebook, Pinterest

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Looking for a supportive Gut Health community? Alyssa is building a community committed to helping people overcome their digestive symptoms by addressing the root cause using food and nutrition. Join Alyssa’s FREE Facebook Community here.

Tune in and subscribe to "The Gut Health Dialogues" for inspiring client transformation stories and expert insights into gut health. Leave a review—Your support will help Alyssa empower more people with the knowledge and tools to take control of their gut health and reclaim their lives.

Send us Fan Mail

Constipation is one of the most oversimplified digestive symptoms online. But what happens when you’re already doing all of the things - eating more fiber, drinking more water, taking magnesium citrate and probiotic supplements - and you still feel bloated, backed up, uncomfortable, reactive to foods, and worse the harder you try to “eat healthy”?

In this episode, Alyssa unpacks why IBS-C is often much more complex than a simple fiber deficiency, and why certain healthy foods can actually backfire in sensitive digestive systems.

You will learn:

• Why constipation and bloating are so closely connected
• How slowed motility and microbial fermentation create a vicious cycle
• Why methane gas can actively slow digestion down
• The gut-brain connection and the nervous system’s role in IBS-C
• Signs your constipation may actually be methane SIBO / IMO
• Gentle strategies to support motility without overwhelming the gut

Methane SIBO episodes:

For Buzzsprout:

• What is Methane SIBO?
• Methane SIBO treatment.
• Why Methane SIBO Causes Weight Gain
• Methane SIBO Diet Beyond Low FODMAP

Free resources:

• Download the IBS-C Gentle 7-Day Meal Plan for meal ideas, supportive fiber strategies, snack ideas, and foods that commonly worsen bloating and constipation for sensitive digestion.
• Download the Methane SIBO Diet Plan: a 7-day guide to calm bloating and reset your gut motility.
• If you’re not sure what your symptoms actually point to, that’s where we can help you connect the dots. Book your free 15-minute strategy call, and we’ll look at your symptom history, what you’ve already tried, and whether working together makes sense, along with what that would look like.
• Check out Alyssa’s FREE Masterclass “Why your gut still isn’t better - the real reason you feel stuck.
• Learn more about Nutrition Resolution’s Signature Healthy Gut Restoration Program — a personalized, root-cause approach to addressing bloating, constipation, and underlying digestive imbalances.
• DM “GUT CHECK” on Alyssa’s Instagram for a personalized quiz and free meal plans & resources.
• Find Alyssa on: Instagram, LinkedIn, Facebook, Pinterest

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Looking for a supportive Gut Health community? Alyssa is building a community committed to helping people overcome their digestive symptoms by addressing the root cause using food and nutrition. Join Alyssa’s FREE Facebook Community here.

Tune in and subscribe to "The Gut Health Dialogues" for inspiring client transformation stories and expert insights into gut health. Leave a review—Your support will help Alyssa empower more people with the knowledge and tools to take control of their gut health and reclaim their lives.

Send us Fan Mail

In this episode, Alyssa breaks down why SIBO breath tests can miss what’s actually happening, and how to look beyond the “positive vs negative” label to understand what your body is really telling you. You’ll learn how factors like test type, timing, gas patterns, and even transit time can completely change how results should be interpreted.

You’ll learn:

• Why glucose vs lactulose testing can lead to false negatives
• How methane overgrowth (IMO) is often missed entirely
• The problem with strict lab cutoffs (and what they overlook)
• Why a “normal” result can still show clinically meaningful patterns
• What flatline results may actually indicate (including hydrogen sulfide)
• How slow or fast gut motility can distort your test results
• The difference between lab interpretation and clinical interpretation
• Real patient case examples where “normal” results missed the diagnosis

This episode includes visual walkthroughs of real SIBO breath tests.

👉 Watch the full video breakdown on YouTube👉 Read the full blog with graphs + explanations

Free resources:

• Download the SIBO Diet Recipe Collection for delicious and varied breakfast, lunch, snack, and dessert options to keep you happy while you navigate the process of clearing your SIBO.
• Check out Alyssa’s FREE Masterclass “Why your gut still isn’t better - the real reason you feel stuck to understand the root causes behind your persistent gut symptoms.
• Learn more about Nutrition Resolution’s Signature Healthy Gut Restoration Program — a personalized, root-cause approach to addressing bloating, constipation, and underlying digestive imbalances.
• If you’re enduring uncomfortable, painful, and embarrassing GI symptoms and feel like you’ve tried everything, Alyssa uses a specialized approach to help people who’ve gone from doctor to doctor finally find relief. Book your 15-minute strategy call for FREE here.
• DM “GUT CHECK” on Alyssa’s Instagram for a personalized quiz and free meal plans & resources tailored to your symptoms.
• Find Alyssa on: Instagram, LinkedIn, Facebook, Pinterest

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Looking for a supportive Gut Health community? Alyssa is building a community committed to helping people overcome their digestive symptoms by addressing the root cause using food and nutrition. Join Alyssa’s FREE Facebook Community here.

Tune in and subscribe to "The Gut Health Dialogues" for inspiring client transformation stories and expert insights into gut health. Leave a review—Your support will help Alyssa empower more people with the knowledge and tools to take control of their gut health and reclaim their lives.

Send us Fan Mail

If you’ve ever tried to follow a low FODMAP diet as a vegetarian, you’ve probably had this exact thought: “What am I even supposed to eat?” Because the foods you rely on most are suddenly the very things you're told to avoid. And that’s where the frustration starts. In this episode, Alyssa breaks down how to actually make a low FODMAP vegetarian diet work in real life, without over-restricting, under-eating protein, or getting stuck in the elimination phase forever.

You’ll learn:

• Why low FODMAP + vegetarian feels so restrictive (and what’s really happening)
• The biggest misconception about FODMAP food lists (this trips up almost everyone)
• How portion sizes + food stacking can trigger symptoms — even with “safe” foods
• A simple framework to build meals that are balanced, filling, and gut-friendly
• How to get enough protein without worsening symptoms
• Why you might still feel bloated, even when you’re “doing everything right”
• When low FODMAP isn’t enough, and what deeper issues to look for (SIBO, motility, digestion)
• The exact mistakes keeping people stuck in elimination for months (or years)

Free resources:

• Download the Low FODMAP Vegetarian Meal Plan + Food Guide: Includes full food list, portion sizes, recipes & grocery list.
• Download the Free FODMAP Reintroduction Guide for the step-by-step process to expand your diet without triggering symptoms
• Check out Alyssa’s FREE Masterclass “Why your gut still isn’t better - the real reason you feel stuck to understand the root causes behind your persistent gut symptoms.
• Learn more about Nutrition Resolution’s Signature Healthy Gut Restoration Program — a personalized, root-cause approach to addressing bloating, constipation, and underlying digestive imbalances.
• If you’re enduring uncomfortable, painful, and embarrassing GI symptoms and feel like you’ve tried everything, Alyssa uses a specialized approach to help people who’ve gone from doctor to doctor finally find relief. Book your 15-minute strategy call for FREE here.
• DM “GUT CHECK” on Alyssa’s Instagram for a personalized quiz and free meal plans & resources tailored to your symptoms.
• Find Alyssa on: Instagram, LinkedIn, Facebook, Pinterest

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Looking for a supportive Gut Health community? Alyssa is building a community committed to helping people overcome their digestive symptoms by addressing the root cause using food and nutrition. Join Alyssa’s FREE Facebook Community here.

Tune in and subscribe to "The Gut Health Dialogues" for inspiring client transformation stories and expert insights into gut health. Leave a review—Your support will help Alyssa empower more people with the knowledge and tools to take control of their gut health and reclaim their lives.

Send us Fan Mail

If you’ve ever started antibiotics, herbals, or an elemental diet, and suddenly felt more bloated, more fatigued, and completely off, this episode will explain exactly why. We’re breaking down one of the most misunderstood parts of SIBO recovery: die-off (Herxheimer reaction).

You’ll learn:

• What endotoxins are and why they trigger symptoms
• Why SIBO die-off affects your whole body (not just your gut)
• The 2 main types of die-off symptoms (digestive vs systemic)
• The typical timeline (why symptoms often start around day 2–5)
• How yeast (SIFO/candida) changes the pattern completely
• Why constipation makes die-off significantly worse
• The truth about “pushing through” (and why it backfires)
• How to properly ramp dosing to avoid overwhelming your system
• The role of binders, hydration, and bile flow in detox support
• When symptoms are not die-off and you need to pivot

Free resources:

• Tune in to know how to fully address methane SIBO here.
• Tune in to know how to fully address hydrogen sulfide SIBO here.
• DM “GUT CHECK” on Alyssa’s Instagram for a personalized quiz and free meal plans & resources tailored to your symptoms.
• Check out Alyssa’s FREE Masterclass “Why your gut still isn’t better - the real reason you feel stuck here.
• Learn more about Nutrition Resolution’s Signature Healthy Gut Restoration Program — a personalized, root-cause approach to addressing bloating, constipation, and underlying digestive imbalances.
• Find Alyssa on: Instagram, LinkedIn, Facebook, Pinterest

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If you’re enduring uncomfortable, painful, and embarrassing GI symptoms and feel like you’ve tried everything, Alyssa uses a specialized approach to help people who’ve gone from doctor to doctor finally find relief. Book your 15-minute strategy call for FREE here.

Looking for a supportive Gut Health community? Alyssa is building a community committed to helping people overcome their digestive symptoms by addressing the root cause using food and nutrition. Join Alyssa’s FREE Facebook Community here.

Tune in and subscribe to "The Gut Health Dialogues" for inspiring client transformation stories and expert insights into gut health. Leave a review—Your support will help Alyssa empower more people with the knowledge and tools to take control of their gut health and reclaim their lives.