The Gut Health Dialogues

Episode

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  Is Your SIBO Diet Helping or Keeping You Stuck? 21.07.2026 31mnt

  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 shou...
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  Pancreatic Insufficiency: What to Eat, How to Structure Your Meals, and Why Enzymes Aren't Enough on Their Own 23.06.2026 46mnt

  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...
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  A New IBS Study Just Validated What Functional Practitioners Have Been Saying for Years 11.06.2026 33mnt

  Send us Fan Mail 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 dia...
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  Why We Need to Get Things Moving Before SIBO Treatment 02.06.2026 28mnt

  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”...
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  Root Causes of SIBO: Why It’s Usually a Gut Environment Problem, Not Just a Bacteria Problem 22.05.2026 55mnt

  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, ...
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  Why Your Constipation Diet May Be Making IBS-C Worse 15.05.2026 46mnt

  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 food...
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  When Your SIBO Test Is “Negative,” But Your Symptoms Say Otherwise 08.05.2026 44mnt

  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 negativesHow methane overgrowth (IMO) is often missed entirelyThe probl...
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  Trying to Do Low FODMAP as a Vegetarian? Here’s How to Make It Actually Work 28.04.2026 37mnt

  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 le...
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  SIBO Die-Off Explained: Why You Feel Worse Before You Feel Better (And What To Do About It) 21.04.2026 36mnt

  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 symptomsWhy SIBO die-off affects your whole body (not just your gut)The 2 main types of die-off symptoms (digestive vs systemic)The typical timelin...
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  The Nervous System Root Cause Most People Miss (And Why Your Symptoms Don’t Make Sense) ft. Alex Mufson 14.04.2026 54mnt

  Send us Fan Mail Your symptoms aren’t just physical, and not just “in your head” either. In this episode, Alyssa sits down with nervous system expert Alex Mufson to unpack one of the most overlooked drivers of chronic symptoms: The nervous system as a full-body regulator, not just a stress response. If you’ve ever been told “everything looks normal” while dealing with real symptoms like bloating, fatigue, anxiety, or unexplained pain, this conversation will connect the dots. What You’ll Learn...
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  Diverticulitis Diet: What to Eat During a Flare and How to Safely Add Fiber Back 07.04.2026 29mnt

  Send us Fan Mail In this episode of The Gut Health Dialogues, Alyssa breaks down exactly what to do during a diverticulitis flare, how to transition your diet safely, and how to prevent future episodes. Because one of the biggest mistakes people make is staying in the low-fiber phase for too long during a Diverticulitis flare. What You’ll Learn in This Episode The difference between diverticulosis vs diverticulitis (and why it matters)What’s actually happening in your body during a flar...
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  Why SIBO Comes Back After Rifaximin (3 Reasons Symptoms Return After Antibiotics) 31.03.2026 31mnt

  Send us Fan Mail If you’ve taken antibiotics like rifaximin for SIBO and found yourself right back where you started, you’re not alone. This is one of the most common patterns we see in practice, and it’s also one of the most frustrating. In this episode, Alyssa breaks down what’s actually happening beneath the surface when symptoms return, and why repeating the same approach often leads to the same outcome. You’ll learn how different SIBO patterns behave, why treatment sometimes only s...
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  Can Betrayal & Trauma Affect Your Gut? The Hidden Link Between Betrayal & Digestive Issues ft. Dr. Debi Silber 24.03.2026 38mnt

  Send us Fan Mail What if your gut symptoms weren’t just about food, but about something much deeper? In this episode, Alyssa sits down with Dr. Debbie Silber, founder of the Post Betrayal Transformation Institute, to explore the powerful and often overlooked connection between betrayal, trauma, and gut health. After experiencing profound personal betrayal, Dr. Debbie went on to complete groundbreaking PhD research, uncovering a completely new framework for healing, one that explains why many ...
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  When a Low Fiber Approach Can Help: What to Eat During Flares and Sensitivity 17.03.2026 17mnt

  Send us Fan Mail Have you ever tried to do everything right for your gut - add more fiber, eat more vegetables, sprinkle chia seeds on everything, only to feel worse instead of better? There are times when pushing fiber can actually make symptoms more uncomfortable, more urgent, and more unpredictable. In this episode, Alyssa talks about temporarily lowering fiber to help the gut calm down during a flare. You’ll learn when a short-term low fiber approach can be helpful, what foods tend ...
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  What to Eat with Diverticulosis: Fiber, Nuts, Seeds & the Diet Advice Most People Get Wrong 10.03.2026 26mnt

  Send us Fan Mail In this episode, Alyssa breaks down the most common misconceptions about the diverticulosis diet and explains what current research actually shows about fiber, seeds, nuts, and everyday eating patterns. Many people unintentionally mix up diverticulosis and diverticulitis, even though the dietary approaches for these two conditions are very different. You’ll learn why much of the advice circulating online comes from outdated guidelines, and how that confusion often leads...
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  How to Support a Loved One With Digestive Issues (Without Making Things Harder) 03.03.2026 46mnt

  Send us Fan Mail Digestive issues don’t just affect the person experiencing symptoms. They affect relationships, routines, meals, plans, and emotional safety. In this episode, Alyssa talks to the partners, parents, and loved ones who are watching someone they care about struggle and want to help, but don’t want to push, pressure, or make things worse. In this episode, Alyssa explains: Why digestive symptoms rarely exist in isolationWhy food reactions are often signals, not root causesThe hidd...
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  From Education to Execution: Making Elimination Diets Work in Real Life with Laurie Gauguin 24.02.2026 38mnt

  Send us Fan Mail If you’ve ever stared at your elimination diet food list thinking, “What on earth am I supposed to eat?”, this episode is for you. Alyssa sits down with professional chef Laurie Gauguin, author of Heal Simply: 1-2-3 Ingredient Recipes for Elimination Diets, to talk about the part of healing no one prepares you for: Actually implementing the elimination diet. Together, Alyssa and Laurie discuss: Why elimination diets often fail (and it’s not lack of willpower)The biggest mista...
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  High Fiber Diet: What to Eat, Why It Matters, And How to Do It Without Upsetting Your Gut 17.02.2026 39mnt

  Send us Fan Mail Fiber is everywhere right now. It’s being praised as the answer for gut health, blood sugar, cholesterol, hormones, and weight regulation, often all at once. And yet, for many people, actually trying to eat more fiber leads to the opposite of what they expected: bloating, discomfort, gas, or pain. In this episode, Alyssa unpacks why the conversation around fiber has become so confusing, and why so many well-intentioned people feel worse when they follow generic “eat more fibe...
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  Hydrogen Sulfide SIBO: The Nitty-Gritty of the Tools We Use & Why 10.02.2026 27mnt

  Send us Fan Mail In this episode, Alyssa takes the conversation around hydrogen sulfide SIBO one level deeper. She shares how hydrogen sulfide SIBO is actually approached in practice, and why jumping ahead, whether to antimicrobials, binders, or protocols, often makes symptoms worse instead of better. Rather than focusing on “what to take,” Alyssa breaks down the sequence that matters: Why clarity has to come before treatmentWhy symptom calming isn’t the same as healing (but still matters)Why...
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  Why Methane SIBO Causes Weight Gain (Even When Eating Less) 04.02.2026 24mnt

  Send us Fan Mail Have you ever looked at your plate and thought, “I’m eating less than ever… so why is my weight going up?” If you’ve tried low-FODMAP, cut sugar and carbs, cleaned up your diet, and somehow feel heavier, slower, and more inflamed, this episode is for you. In this episode, Alyssa dives into one of the most confusing and overlooked patterns in gut health: why some people with SIBO experience weight gain instead of weight loss, and why everything you’ve been told to do might act...