Thinking Outside of the Box with IBS: autonomic dysfunction, GLP-1s, vascular compression, and more

Weed and gut health...helpful or hype?   With cannabis possibly being reclassified federally, more people are asking whether THC or CBD can help digestive symptoms.   On this episode of The Gut Show, we're joined by @jordanshapiromd to talk about THC vs CBD, what the research shows, side effects and risks, and alternatives you can try.   Thank you to our partners:   @imodifyhealth is the leader in evidence-based, medically-tailored meal delivery offering Monash Certified low FODMAP, Gluten free, and Mediterranean meals - expertly crafted to help you achieve better symptom control AND improve overall health.    The best part? They make it easy by doing all prep work for you. Simply choose the meals you want, stock your fridge or freezer when meals arrive at your door, then heat and enjoy when you're ready. Delicious meals. Less stress. Complete peace of mind.   Check out modifyhealth.com and save 35% off your first order plus free shipping across the US with code: THEGUTSHOW.   @fodzyme is the world's first enzyme supplement specialized to target FODMAPs.   When sprinkled on or mixed with high-FODMAP meals, FODZYME's novel patent-pending enzyme blend breaks down fructan, GOS and lactose before they can trigger bloating, gas and other digestive issues.    With FODZYME, enjoy garlic, onion, wheat, brussels sprouts, beans, dairy and more — worry free! Discover the power of FODZYME's digestive enzyme blend and eat the foods you love and miss.   Visit fodzyme.com and save 20% off your first order with code THEGUTSHOW. One use per customer.   @mbiotaelemental is the next generation of the elemental diet. Developed with leading gastroenterologists and food scientists, it's the first formula that's both clinically effective AND genuinely easy to drink.   If you're looking for an option to support SIBO or your gut, mBIOTA Elemental may be one to consider. Learn more at mbiota.com and save 20% on their two-week protocol with code GUTIVATE

Acupuncture....can it actually help digestive symptoms?   On this episode of The Gut Show we explore what acupuncture is, what it can help with, the research behind it, and the big question: Will acupuncture resolve all of my IBS symptoms?   Conntect with Erin:  MASTER Method Membership FREE IBS Warrior Summit Take the quiz: What's your poop personality? Instagram   Thank you to our partners: @fodzyme is the world's first enzyme supplement specialized to target FODMAPs.   When sprinkled on or mixed with high-FODMAP meals, FODZYME's novel patent-pending enzyme blend breaks down fructan, GOS and lactose before they can trigger bloating, gas and other digestive issues.    With FODZYME, enjoy garlic, onion, wheat, brussels sprouts, beans, dairy and more — worry free! Discover the power of FODZYME's digestive enzyme blend and eat the foods you love and miss.   Visit fodzyme.com and save 20% off your first order with code THEGUTSHOW. One use per customer.   @mbiotaelemental is the next generation of the elemental diet. Developed with leading gastroenterologists and food scientists, it's the first formula that's both clinically effective AND genuinely easy to drink.   If you're looking for an option to support SIBO or your gut, mBIOTA Elemental may be one to consider. Learn more at mbiota.com and save 20% on their two-week protocol with code GUTIVATE.     @imodifyhealth is the leader in evidence-based, medically-tailored meal delivery offering Monash Certified low FODMAP, Gluten free, and Mediterranean meals - expertly crafted to help you achieve better symptom control AND improve overall health.    The best part? They make it easy by doing all prep work for you. Simply choose the meals you want, stock your fridge or freezer when meals arrive at your door, then heat and enjoy when you're ready. Delicious meals. Less stress. Complete peace of mind.   Check out modifyhealth.com and save 35% off your first order plus free shipping across the US with code: THEGUTSHOW.      

MCAS. POTS. Hypermobility. GI symptoms that don't quite fit the usual boxes.   On this episode of The Gut Show, Dr. Alexis Cutchins joins us to unpack what cardiology has to do with GI—and why these systems are far more connected than most people realize.   We dive into the emerging overlap between cardiology, gastroenterology, and immune-driven conditions, exploring why these patterns so often show up together, what red flags clinicians should be watching for, and why GI symptoms may actually start far beyond the gut—especially when dysautonomia, heart palpitations, dizziness, and persistent fatigue are part of the picture.   Mentioned in this episode:  MASTER Method Membership FREE IBS Warrior Summit Take the quiz: What's your poop personality? MCAS episode   About our guest:  Dr. Alexis Cutchins is a board-certified Cardiologist and founder of Cutchins Cardiovascular Medicine. I began this work after years of caring for patients with POTS, MCAS, hypermobility, and other conditions that many doctors were not prepared to manage. My dedication to this patient community is what led me to build a practice centered on their needs. I wanted to create something different for people who are often under-recognized and left without answers. At Cutchins Cardiovascular Medicine, we provide inclusive, high quality support for those living with complex chronic illness. Follow on Instagram   Thank you to our partners:   @imodifyhealth is the leader in evidence-based, medically-tailored meal delivery offering Monash Certified low FODMAP, Gluten free, and Mediterranean meals - expertly crafted to help you achieve better symptom control AND improve overall health.    The best part? They make it easy by doing all prep work for you. Simply choose the meals you want, stock your fridge or freezer when meals arrive at your door, then heat and enjoy when you're ready. Delicious meals. Less stress. Complete peace of mind.   Check out modifyhealth.com and save 35% off your first order plus free shipping across the US with code: THEGUTSHOW.     @fodzyme is the world's first enzyme supplement specialized to target FODMAPs.   When sprinkled on or mixed with high-FODMAP meals, FODZYME's novel patent-pending enzyme blend breaks down fructan, GOS and lactose before they can trigger bloating, gas and other digestive issues.    With FODZYME, enjoy garlic, onion, wheat, brussels sprouts, beans, dairy and more — worry free! Discover the power of FODZYME's digestive enzyme blend and eat the foods you love and miss.   Visit fodzyme.com and save 20% off your first order with code THEGUTSHOW. One use per customer.   @mbiotaelemental is the next generation of the elemental diet. Developed with leading gastroenterologists and food scientists, it's the first formula that's both clinically effective AND genuinely easy to drink.   If you're looking for an option to support SIBO or your gut, mBIOTA Elemental may be one to consider. Learn more at mbiota.com and save 20% on their two-week protocol with code GUTIVATE.    

Dr. Rezaie is on The Gut Show to talk about all things SIBO and what the latest research is actually showing. If you've ever wondered what the elemental diet is, why it is used, or how long the results last, this episode is for you!   Mentioned in this episode: MASTER Method Membership FREE IBS Warrior Summit Take the quiz: What's your poop personality? SIBO episode   About our guest: Ali Rezaie is a physician-scientist in Los Angeles. Dr. Rezaie has published more than 200 peer-reviewed papers that have been cited over 11,000 times. His research focuses on microbiome, elemental diet, IBS, SIBO, IMO, medical device development and internal UV therapy. His inventions have been recognized by multiple organizations, including TIME magazine's "Best Inventions of 2025" for palatable elemental diet. Elemental Diet as a Therapeutic Modality: A Comprehensive Review Effect, Tolerability, and Safety of Exclusive Palatable Elemental Diet in Patients With Intestinal Microbial Overgrowth     Thank you to our partners: @mbiotaelemental is the next generation of the elemental diet. Developed with leading gastroenterologists and food scientists, it's the first formula that's both clinically effective AND genuinely easy to drink.   If you're looking for an option to support SIBO or your gut, mBIOTA Elemental may be one to consider. Learn more at mbiota.com and save 20% on their two-week protocol with code GUTIVATE.   @imodifyhealth is the leader in evidence-based, medically-tailored meal delivery offering Monash Certified low FODMAP, Gluten free, and Mediterranean meals - expertly crafted to help you achieve better symptom control AND improve overall health.    The best part? They make it easy by doing all prep work for you. Simply choose the meals you want, stock your fridge or freezer when meals arrive at your door, then heat and enjoy when you're ready. Delicious meals. Less stress. Complete peace of mind.   Check out modifyhealth.com and save 35% off your first order plus free shipping across the US with code: THEGUTSHOW.   @fodzyme is the world's first enzyme supplement specialized to target FODMAPs.   When sprinkled on or mixed with high-FODMAP meals, FODZYME's novel patent-pending enzyme blend breaks down fructan, GOS and lactose before they can trigger bloating, gas and other digestive issues.    With FODZYME, enjoy garlic, onion, wheat, brussels sprouts, beans, dairy and more — worry free! Discover the power of FODZYME's digestive enzyme blend and eat the foods you love and miss.   Visit fodzyme.com and save 20% off your first order with code THEGUTSHOW. One use per customer.

Hot flashes aren't the whole story. Perimenopause and menopause can impact your gut, hormones, and chronic illness symptoms - you're not imagining it. Listen to this episode of The Gut Show as we talk with Casey Farlow about what menopause is, how to get support, and more!   In this episode, we cover: Perimenopause and menopause [3:20] Introducing our guest [4:40] What is menopause? [6:01] Changes to gut health [8:53] Other symptoms [11:14] Monitoring estrogen and progesterone [13:53] Birth control [15:41] Can you stabilize hormones? [17:54] Hormone therapy & breast cancer [20:23] Is it hopeless? [21:30] Chronic illness & things getting worse [26:35] Hormone therapy and breast cancer [30:12] Who monitors this? [32:18] Labwork [35:20] Bone density screening [38:11]   Mentioned in this episode: MASTER Method Membership FREE IBS Warrior Summit Take the quiz: What's your poop personality?   About our guest: Casey Farlow, MPH, RDN is a registered dietitian and nationally recognized perimenopause nutrition expert who helps women stop fighting their bodies and start working with them during the hormonal transition of perimenopause. As the founder of The Perimenopause Nutritionist, Casey supports women struggling with stubborn weight gain, fatigue, sleep disruption, mood changes, and food frustration through hormone-aware nutrition, blood sugar regulation, and nervous system support. Connect with Casey   Thank you to our partners: ModifyHealth is the leader in evidence-based, medically-tailored meal delivery offering Monash Certified low FODMAP, Gluten free, and Mediterranean meals - expertly crafted to help you achieve better symptom control AND improve overall health.  The best part? They make it easy by doing all prep work for you. Simply choose the meals you want, stock your fridge or freezer when meals arrive at your door, then heat and enjoy when you're ready. Delicious meals. Less stress. Complete peace of mind. Check out modifyhealth.com and save 35% off your first order plus free shipping across the US with code: THEGUTSHOW.   mBIOTA is the next generation of the elemental diet. Developed with leading gastroenterologists and food scientists, it's the first formula that's both clinically effective and genuinely easy to drink. Pure, easily absorbed nutrients are essential, but the mBIOTA difference is in the details: from their proprietary Amino Taste Modification Technology (ATMT), to their fully vegan and gluten-free ingredients, mBIOTA provides balanced daily nutrition backed by science.  The result is a game-changing medical-grade formula that helps restore GI function in patients with SIBO, IMO, IBS, Crohn's, EoE and more. Learn more at mbiota.com and save 20% off their 2 week protocol with the code GUTIVATE.   FODZYME is the world's first enzyme supplement specialized to target FODMAPs. When sprinkled on or mixed with high-FODMAP meals, FODZYME's novel patent-pending enzyme blend breaks down fructan, GOS and lactose before they can trigger bloating, gas and other digestive issues.  With FODZYME, enjoy garlic, onion, wheat, brussels sprouts, beans, dairy and more — worry free! Discover the power of FODZYME's digestive enzyme blend and eat the foods you love and miss. Visit fodzyme.com and save 20% off your first order with code THEGUTSHOW. One use per customer.   Connect with Erin Judge, RD:  Instagram TikTok Work with Erin FREE symptom tracker  

Toxins, chemicals, environmental exposure... How much is too much, how much should we worry, who should be concerned? The goal isn't to be afraid, but to understand how this fits into IBS management - listen to this episode of The Gut Show to learn more about TILT theory without going down a fear-based rabbit hole.   Mentioned in this episode: MASTER Method Membership FREE IBS Warrior Summit Take the quiz: What's your poop personality? MCAS episode   Thank you to our partners: mBIOTA is the next generation of the elemental diet. Developed with leading gastroenterologists and food scientists, it's the first formula that's both clinically effective and genuinely easy to drink. Pure, easily absorbed nutrients are essential, but the mBIOTA difference is in the details: from their proprietary Amino Taste Modification Technology (ATMT), to their fully vegan and gluten-free ingredients, mBIOTA provides balanced daily nutrition backed by science.  The result is a game-changing medical-grade formula that helps restore GI function in patients with SIBO, IMO, IBS, Crohn's, EoE and more. Learn more at mbiota.com and save 20% off their 2 week protocol with the code GUTIVATE.   FODZYME is the world's first enzyme supplement specialized to target FODMAPs. When sprinkled on or mixed with high-FODMAP meals, FODZYME's novel patent-pending enzyme blend breaks down fructan, GOS and lactose before they can trigger bloating, gas and other digestive issues.  With FODZYME, enjoy garlic, onion, wheat, brussels sprouts, beans, dairy and more — worry free! Discover the power of FODZYME's digestive enzyme blend and eat the foods you love and miss. Visit fodzyme.com and save 20% off your first order with code THEGUTSHOW. One use per customer.   ModifyHealth is the leader in evidence-based, medically-tailored meal delivery offering Monash Certified low FODMAP, Gluten free, and Mediterranean meals - expertly crafted to help you achieve better symptom control AND improve overall health.  The best part? They make it easy by doing all prep work for you. Simply choose the meals you want, stock your fridge or freezer when meals arrive at your door, then heat and enjoy when you're ready. Delicious meals. Less stress. Complete peace of mind. Check out modifyhealth.com and save 35% off your first order plus free shipping across the US with code: THEGUTSHOW.   Connect with Erin Judge, RD:  Instagram TikTok Work with Erin FREE symptom tracker

Liver disease isn't just about alcohol, and it's way more common than most people realize.   In this episode of The Gut Show, @socalgastrodoc helps break down what your liver actually does, why cases are rising, how it's diagnosed, what's reversible, and where things like GLP-1s, supplements, and even coffee fit in.   If you've ever been told to "just drink less" or felt overwhelmed by perfection, this one's for you!   About our guest:  Dr. Wendi LeBrett is a double board-certified gastroenterologist and internal medicine physician. She holds a Bachelor of Arts in Economics from Stanford University and graduated from the University of California San Diego School of Medicine. She completed her internal medicine residency and gastroenterology subspecialty fellowship at UCLA. Her research has been published in several leading gastroenterology journals including Gastroenterology, The American Journal of Gastroenterology, Clinical Gastroenterology & Hepatology, and The Lancet Gastroenterology. Dr. LeBrett is a leading voice in gastroenterology on social media. She presented the presidential plenary at United European Gastroenterology Week 2025 on medical misinformation on social media and was awarded a Healio Gastroenterology Disruptor award as Social Media Influencer of the Year 2023. She has over 300K followers on social media and creates educational content as @socalgastrodoc. She is a trusted voice on gastrointestinal health and has been featured in the Wall Street Journal, TIME, SELF, the Huffington Post, Business Insider and Well+Good. She is the founder of ModernGut, a gastroenterology education platform. TikTok Instagram   Thank you to our partners:   @imodifyhealth is the leader in evidence-based, medically-tailored meal delivery offering Monash Certified low FODMAP, Gluten free, and Mediterranean meals - expertly crafted to help you achieve better symptom control AND improve overall health.    The best part? They make it easy by doing all prep work for you. Simply choose the meals you want, stock your fridge or freezer when meals arrive at your door, then heat and enjoy when you're ready. Delicious meals. Less stress. Complete peace of mind.   Check out modifyhealth.com and save 35% off your first order plus free shipping across the US with code: THEGUTSHOW.   @fodzyme is the world's first enzyme supplement specialized to target FODMAPs.   When sprinkled on or mixed with high-FODMAP meals, FODZYME's novel patent-pending enzyme blend breaks down fructan, GOS and lactose before they can trigger bloating, gas and other digestive issues.    With FODZYME, enjoy garlic, onion, wheat, brussels sprouts, beans, dairy and more — worry free! Discover the power of FODZYME's digestive enzyme blend and eat the foods you love and miss.   Visit fodzyme.com and save 20% off your first order with code THEGUTSHOW. One use per customer.   @mbiotaelemental is the next generation of the elemental diet. Developed with leading gastroenterologists and food scientists, it's the first formula that's both clinically effective AND genuinely easy to drink.   If you're looking for an option to support SIBO or your gut, mBIOTA Elemental may be one to consider. Learn more at mbiota.com and save 20% on their two-week protocol with code GUTIVATE  

Intimacy isn't off-limits just because you have IBS, but it can be complicated.   Nothing is TMI in this episode of The Gut Show with GI Psychologist @drantoniarepollet of @gipsychusa!      Thank you to our partners:   @fodzyme is the world's first enzyme supplement specialized to target FODMAPs.   When sprinkled on or mixed with high-FODMAP meals, FODZYME's novel patent-pending enzyme blend breaks down fructan, GOS and lactose before they can trigger bloating, gas and other digestive issues.    With FODZYME, enjoy garlic, onion, wheat, brussels sprouts, beans, dairy and more — worry free! Discover the power of FODZYME's digestive enzyme blend and eat the foods you love and miss.   Visit fodzyme.com and save 20% off your first order with code THEGUTSHOW. One use per customer.   @mbiotaelemental is the next generation of the elemental diet. Developed with leading gastroenterologists and food scientists, it's the first formula that's both clinically effective AND genuinely easy to drink.   If you're looking for an option to support SIBO or your gut, mBIOTA Elemental may be one to consider. Learn more at mbiota.com and save 20% on their two-week protocol with code GUTIVATE.   @imodifyhealth is the leader in evidence-based, medically-tailored meal delivery offering Monash Certified low FODMAP, Gluten free, and Mediterranean meals - expertly crafted to help you achieve better symptom control AND improve overall health.    The best part? They make it easy by doing all prep work for you. Simply choose the meals you want, stock your fridge or freezer when meals arrive at your door, then heat and enjoy when you're ready. Delicious meals. Less stress. Complete peace of mind.   Check out modifyhealth.com and save 35% off your first order plus free shipping across the US with code: THEGUTSHOW.   Mentioned in this episode:  FREE IBS Warrior Summit MASTER Method Membership Take the quiz: What's your poop personality?

What is PCOS, how does it overlap with IBS, and what can you do about it? Join me and our guest Cory Ruth as we break down all of the above and more! Cory Ruth is a registered dietitian nutritionist and women's health expert who specializes in PCOS and nutrition therapy for infertility and assisted reproductive technology. She is the founder and principal of The Women's Dietitian.   PCOS Is My Power: The first complete guide to thriving with Polycystic Ovary Syndrome (PCOS), offering a science-backed, holistic path to managing symptoms, plus 68 recipes and 6 meal plans.   In this episode, we cover: Meet Cory 3:13 What is PCOS? 4:17 What have you been focused on? 7:01 Why does it take so long to get a diagnosis? 8:59 IBS + PCOS overlap 12:17 Inflammation 14:30 Treating PCOS 20:26  GLP-1s 23:27 How do diet and lifestyle modifications help? 25:15 Biggest myths 30:02 PCOS is my power 32:45  Connect with Cory 36:58    Thank you to our partners:  mBIOTA is the next generation of the elemental diet. Developed with leading gastroenterologists and food scientists, it's the first formula that's both clinically effective and genuinely easy to drink. Pure, easily absorbed nutrients are essential, but the mBIOTA difference is in the details: from their proprietary Amino Taste Modification Technology (ATMT), to their fully vegan and gluten-free ingredients, mBIOTA provides balanced daily nutrition backed by science.  The result is a game-changing medical-grade formula that helps restore GI function in patients with SIBO, IMO, IBS, Crohn's, EoE and more. Learn more at mbiota.com and save 20% off their 2 week protocol with the code GUTIVATE.   FODZYME is the world's first enzyme supplement specialized to target FODMAPs. When sprinkled on or mixed with high-FODMAP meals, FODZYME's novel patent-pending enzyme blend breaks down fructan, GOS and lactose before they can trigger bloating, gas and other digestive issues.  With FODZYME, enjoy garlic, onion, wheat, brussels sprouts, beans, dairy and more — worry free! Discover the power of FODZYME's digestive enzyme blend and eat the foods you love and miss. Visit fodzyme.com and save 20% off your first order with code THEGUTSHOW. One use per customer.   ModifyHealth is the leader in evidence-based, medically-tailored meal delivery offering Monash Certified low FODMAP, Gluten free, and Mediterranean meals - expertly crafted to help you achieve better symptom control AND improve overall health.  The best part? They make it easy by doing all prep work for you. Simply choose the meals you want, stock your fridge or freezer when meals arrive at your door, then heat and enjoy when you're ready. Delicious meals. Less stress. Complete peace of mind. Check out modifyhealth.com and save 35% off your first order plus free shipping across the US with code: THEGUTSHOW.   Connect with Erin Judge, RD:  Instagram TikTok Work with Erin FREE symptom tracker    

Looking for diet strategies that improve IBS symptoms and are backed by research, not trends?  In this episode, we cover: Can you give me a diet plan? [4:07] Low FODMAP diet [5:13] Long term [8:32] Fiber [12:19] Is all fiber the same? [14:29] How much fiber? [18:02] Is there "bad" food to avoid? [23:17] What are ultra processed foods? [25:44] What should your diet look like? [27:43] Where to start? [34:25]   Thank you to our partners: ModifyHealth is the leader in evidence-based, medically-tailored meal delivery offering Monash Certified low FODMAP, Gluten free, and Mediterranean meals - expertly crafted to help you achieve better symptom control AND improve overall health.  The best part? They make it easy by doing all prep work for you. Simply choose the meals you want, stock your fridge or freezer when meals arrive at your door, then heat and enjoy when you're ready. Delicious meals. Less stress. Complete peace of mind. Check out modifyhealth.com and save 35% off your first order plus free shipping across the US with code: THEGUTSHOW.   mBIOTA is the next generation of the elemental diet. Developed with leading gastroenterologists and food scientists, it's the first formula that's both clinically effective and genuinely easy to drink. Pure, easily absorbed nutrients are essential, but the mBIOTA difference is in the details: from their proprietary Amino Taste Modification Technology (ATMT), to their fully vegan and gluten-free ingredients, mBIOTA provides balanced daily nutrition backed by science.  The result is a game-changing medical-grade formula that helps restore GI function in patients with SIBO, IMO, IBS, Crohn's, EoE and more. Learn more at mbiota.com and save 20% off their 2 week protocol with the code GUTIVATE.   FODZYME is the world's first enzyme supplement specialized to target FODMAPs. When sprinkled on or mixed with high-FODMAP meals, FODZYME's novel patent-pending enzyme blend breaks down fructan, GOS and lactose before they can trigger bloating, gas and other digestive issues.  With FODZYME, enjoy garlic, onion, wheat, brussels sprouts, beans, dairy and more — worry free! Discover the power of FODZYME's digestive enzyme blend and eat the foods you love and miss. Visit fodzyme.com and save 20% off your first order with code THEGUTSHOW. One use per customer.