The Gut Health Dialogues

Send us Fan MailIBS symptoms are often approached through food, but digestive health involves more than what you eat. The gut and brain are in constant communication, and changes in that communication can contribute to symptoms such as abdominal pain, bloating and altered bowel habits. In this episode, Alyssa speaks with Claire Hall, Research Lead at Mindset Health, about the science behind gut-directed hypnotherapy and how Nerva makes this approach accessible through an app. They explore why gut-directed hypnotherapy is different from general relaxation, what happens during its six-week programme, and what clinical research tells us about its potential role in IBS symptom management. They also discuss how it can fit alongside dietary therapy and medical care, particularly for people who struggle to reintroduce foods after following a restrictive diet. About the guest: Claire Hall is the Research Lead at Mindset Health, the company behind Nerva, an app that delivers gut-directed hypnotherapy. An early team member, Claire coordinates the company’s clinical trials and research partnerships to help advance understanding of gut-brain therapies and their role in digestive health.Explore the gut-directed hypnotherapy app at nervahealth.comInformation for healthcare professionals about the programme and referrals at Nerva for Clinicians.FREE RESOURCES: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 MailHave you been experiencing brain fog, fatigue, hair loss, bloating, changes in weight or sleep problems, but still feel like you don't have clear answers?During perimenopause and menopause, hormonal changes can overlap with symptoms associated with gut health, thyroid function, iron deficiency and other conditions. Figuring out what's contributing to how you feel can take more than looking at one symptom or one lab result.In this episode, Alyssa sits down with Perla Puebla, FNP-BC, CWCN-AP, a bilingual, board-certified family nurse practitioner and founder of PERLA Bienestar Center in Phoenix, Arizona. Perla shares her perspective on women's health, hormone therapy and the importance of listening to patients rather than dismissing symptoms because a test result falls within a standard reference range.Together, they explore how to approach perimenopause and menopause with greater understanding, why gut health deserves a place in the conversation, and how to advocate for a more individualized evaluation.In this episode, we discuss:Perimenopause vs. menopause and how symptoms can change over timeCommon menopause symptoms, including brain fog, fatigue, hair loss, joint discomfort and sleep changesThe connection between gut health and hormonal healthWhy digestive symptoms may overlap with hormonal changesThe role of thyroid function, iron, B12 and other potential contributors to fatigueHormone testing and questions to discuss with your healthcare providerHormone replacement therapy, including the importance of understanding individual benefits and risksWhy investigating the cause of a nutrient deficiency mattersHow to use the SBAR framework to prepare for a medical appointmentPractical ways to advocate for yourself when you don't feel heardAbout the guest: Perla Puebla, FNP-BC, CWCN-AP, is a bilingual, board-certified family nurse practitioner and founder of PERLA Bienestar Center in Phoenix, Arizona. Her practice includes primary care, women’s health, hormone therapy, and metabolic health, with a particular interest in supporting women through perimenopause and menopause. Perla takes a holistic, individualized approach, making space for patients to share their concerns and ask questions. She believes women deserve clear explanations, thoughtful conversations about treatment, and a voice in decisions about their health. Through her clinical work and education in English and Spanish, she helps make complex health topics understandable so women can approach these transitions with knowledge and confidence.For listeners who would like to connect with Perla:WebsiteBook an appointmentConnect on Instagram: @perlabienestarcenter FREE RESOURCES: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 MailIf 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 SIBOWhy eating healthier doesn't always feel better when digestive symptoms are involvedThe connection between your gut and liverSymptoms that may deserve more attention than you thinkWhy continually eliminating foods may not address the underlying problemHow to approach digestive symptoms while working toward better long-term healthIf 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  -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 MailWhat 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 SimhAnu 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  -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 MailIn 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 dietNutritional 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 ProblemThis 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 MailIf 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 questionsWhat conventional stool testing can reveal about infections, inflammation, digestion, and diseaseWhat functional stool testing can reveal about the microbiome, digestion, immune activity, and gut barrierWhy the same marker can appear on different types of tests but have different clinical contextHow functional testing may provide additional information when conventional testing doesn’t explain ongoing symptomsWhy a normal test result doesn’t automatically explain away symptoms like bloating, diarrhea, constipation, or food intoleranceHow to approach microbiome testing without treating every abnormal resultWhy emerging gut health markers require careful interpretationWhen conventional testing may be appropriate and when functional testing may add another layerWhy your symptoms, history, test results, and treatment plan need to be considered togetherResources 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 MailWhat 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 transitWhy 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 MailIf 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  -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 MailIf 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 MailIf 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.