Liver Disease: Treatment, Prevention, Reversal

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.

The New Year often pushes extreme gut health goals...but many resolutions actually make symptoms worse.    In this episode of The Gut Show, we break down common January mistakes, why drastic changes can backfire, and how to set realistic, supportive goals instead - especially if you have IBS.    What to expect this season + coming soon [3:12] New year messaging [4:28] If you're tempted, try this [6:35] Extreme changes all at once  [8:41] Increasing fiber [11:11] Fasting/calories [13:25] Inflammation, MCAS, Endometriosis [16:13] Taking advice from those without experience with your condition [17:36] How to choose goals for the new year [24:55] Map out the steps to reach those goals [27:34] Stress load [28:56] Make room to check in and adjust [32:05] For IBS specifically [35:08] How to achieve the best diet for IBS [37:42]   Mentioned in this episode: FREE IBS Warrior Summit MASTER Method Membership Take the quiz: What's your poop personality?   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.   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.   Connect with Erin Judge, RD:  Instagram TikTok Work with Erin FREE symptom tracker

To wrap up season 8 of The Gut Show, we're digging into the question: Which diet is best for IBS? 👉 When I do (and don't) recommend a specific diet 👉 The Low FODMAP diet 👉 The Mediterranean diet 👉 Other less-studied approaches Tune in to learn how to find what works for you!   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. Visit fodzyme.com and save 20% off your first order with code THEGUTSHOW. One use per customer. This episode is made possible with support from Ardelyx. Gemelli Biotech offers trusted, science-backed at-home tests for conditions like SIBO, IMO, ISO, and post-infectious IBS.  Their Trio-Smart breath test measures all three key gases: hydrogen, methane, and hydrogen sulfide to detect different forms of microbial overgrowth. And for those with IBS symptoms, IBS-Smart is a simple blood test that can confirm post-infectious IBS with clinical accuracy. You simply order the test, complete it at home, send it back, and get clinically backed results in about a week that you can take to your provider!  Find out which tests are right for you at getgutanswers.com and use code ERINJUDGE25 to save $35 on your order!  

IBS flares can feel overwhelming, but you're not alone. In this episode of The Gut Show, we cover what a flare actually is, what to do when you're in one, and strategies to help you get through it faster. From heat, stretches, and supports to tackling constipation or diarrhea flares, this is your go-to flare survival guide!   Mentioned in this episode: MASTER Method Membership Take the quiz: What's your poop personality?   Connect with Erin Judge, RD:  Instagram TikTok Work with Erin FREE symptom tracker   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.   This episode is made possible with support from Ardelyx.   Gemelli Biotech offers trusted, science-backed at-home tests for conditions like SIBO, IMO, ISO, and post-infectious IBS.  Their Trio-Smart breath test measures all three key gases: hydrogen, methane, and hydrogen sulfide to detect different forms of microbial overgrowth. And for those with IBS symptoms, IBS-Smart is a simple blood test that can confirm post-infectious IBS with clinical accuracy. You simply order the test, complete it at home, send it back, and get clinically backed results in about a week that you can take to your provider!  Find out which tests are right for you at getgutanswers.com and use code ERINJUDGE25 to save $35 on your order!

Getting answers for gut health symptoms like bloating, abdominal pain, diarrhea or constipationg isn't always easy. Traditional testing can be expensive, inconvenient, or hard to access. That's where Gemelli Biotech comes in. In this episode, we explore how Gemelli Biotech is making gut health testing more accessible for conditions like SIBO, IBS and more. From breath testing innovations to amazing customer support and their vision for the future of diagnostics, you'll hear how Gemelli is working to bring reliable testing to more people. If you've ever wondered how testing can fit more seamlessly into your gut health journey, this episode of The Gut Show is for you!   Mentioned in this episode:  MASTER Method Membership Take the quiz: What's your poop personality?   Connect with Erin Judge, RD:  IG: https://www.instagram.com/erinjudge.rd TikTok: https://www.tiktok.com/@erinjudge.rd   Work with Gutivate:  https://gutivate.com/services    Thank you to our partners:   This episode is made possible with support from Ardelyx.   Gemelli Biotech offers trusted, science-backed at-home tests for conditions like SIBO, IMO, ISO, and post-infectious IBS.  Their Trio-Smart breath test measures all three key gases: hydrogen, methane, and hydrogen sulfide to detect different forms of microbial overgrowth. And for those with IBS symptoms, IBS-Smart is a simple blood test that can confirm post-infectious IBS with clinical accuracy. You simply order the test, complete it at home, send it back, and get clinically backed results in about a week that you can take to your provider!  Find out which tests are right for you at getgutanswers.com and use code ERINJUDGE25 to save $35 on your order!   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.

Probiotics, prebiotics, or fermented foods....which actually help your gut? Let's break down the research, if I recommend taking any of these and what to consider before starting.   Mentioned in this episode:  What's your poop personality? https://quiz.tryinteract.com/#/657789ba420624001409ca1a Join the MASTER Method Membership: https://www.ibsmastermethod.com/master-method   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.     This episode is made possible with support from Ardelyx.   Gemelli Biotech offers trusted, science-backed at-home tests for conditions like SIBO, IMO, ISO, and post-infectious IBS.    Their Trio-Smart breath test measures all three key gases: hydrogen, methane, and hydrogen sulfide to detect different forms of microbial overgrowth. And for those with IBS symptoms, IBS-Smart is a simple blood test that can confirm post-infectious IBS with clinical accuracy.   You simply order the test, complete it at home, send it back, and get clinically backed results in about a week that you can take to your provider!    Find out which tests are right for you at getgutanswers.com and use code ERINJUDGE25 to save $35 on your order!

Bloating is one of the most common and frustrating gut symptoms. But what actually causes it? And why does it feel so different from person to person?   In this episode, we break down: 👉 What bloating really is 👉 The role of diet, fiber, and food intolerances 👉 Hormones, bacterial overgrowth, and other causes   If you've ever wondered why you feel so bloated and what to do about it, this episode is for you.   Mentioned in this episode:  Endometreosis episode SIBO episode MCAS episode What's your poop personality? https://quiz.tryinteract.com/#/657789ba420624001409ca1a Join the MASTER Method Membership: https://www.ibsmastermethod.com/master-method   Thank you to our partners:   Gemelli Biotech offers trusted, science-backed at-home tests for conditions like SIBO, IMO, ISO, and post-infectious IBS.    Their Trio-Smart breath test measures all three key gases: hydrogen, methane, and hydrogen sulfide to detect different forms of microbial overgrowth. And for those with IBS symptoms, IBS-Smart is a simple blood test that can confirm post-infectious IBS with clinical accuracy.   You simply order the test, complete it at home, send it back, and get clinically backed results in about a week that you can take to your provider!    Find out which tests are right for you at getgutanswers.com and use code ERINJUDGE25 to save $35 on your order!     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.     This episode is made possible with support from Ardelyx