The Gut Health Podcast

Discover the intricate world of celiac disease with insights from two esteemed GI dietitian experts, Nick Trott of the Royal Hallamshire Hospital in Sheffield, England and Lori Welstead, from the University of Chicago Medicine. Within minutes of this episode beginning, you learn that a celiac diagnosis can happen in the absence of noticeable GI symptoms and that it is possible to find great delicious gluten-free meals outside your home with some tips and tricks! Kate, Dr. Riehl and their guests highlight the challenges and triumphs of living gluten-free head-on, unraveling common misconceptions surrounding gluten-related symptoms and the necessity of gluten-free diets. We shed light on personal stories of dietary transitions (and the often undiscussed topic of food shaming), the grief of losing gluten, and the resilience needed to embrace a new lifestyle. While there can be emotional and nutritional challenges that accompany this diagnosis, you will feel validated and hopeful throughout this episode as you hear the latest research advancements and the evolving landscape of celiac disease management.  You are in for a gluten-free treat with Episode 10 as it is packed with practical guidance, hot off the press science and expert insights for anyone touched by or interested in celiac disease.Helpful information and resourcesInformation on the drug development pipeline:https://www.beyondceliac.org/research/drugdevelopment/drug-development-pipeline/Learn about the clinical trial process:https://www.beyondceliac.org/wp-content/uploads/2020/10/Clinical-Trial-Process-Infographic-from-Beyond-Celiac.pdfThe Dating and Celiac Disease StudyLebovits J, Lee AR, Ciaccio EJ, Wolf RL, Davies RH, Cerino C, Lebwohl B, Green PHR. Impact of Celiac Disease on Dating. Dig Dis Sci. 2022 Nov;67(11):5158-5167.https://pubmed.ncbi.nlm.nih.gov/35635630/ Restaurant finding app: Find Me Gluten Free America's Test Kitchen book: How Can it Be Gluten-Free Podcast and documentary: The Celiac ProjectThird party testing: Gluten Free WatchdogThank you to Zego Foods for the sponsorship of this episode. Learn more about Kate and Dr. Riehl:Website: www.katescarlata.com and www.drriehl.comInstagram: @katescarlata @drriehl and @theguthealthpodcastOrder Kate and Dr. Riehl's book, Mind Your Gut: The Science-Based, Whole-body Guide to Living Well with IBS.  The information included in this podcast is not a substitute for professional medical advice, examination, diagnosis or treatment.  Always seek the advice of your physician or other qualified health care provider before starting any new treatment or making changes to existing treatment.

Sleep isn’t a luxury—it’s essential. In this episode, we’re exploring the critical connection between sleep, gut health and overall well-being, backed by cutting-edge research. Join us as we welcome Dr. Cathy Goldstein, a renowned professor of neurology at Michigan Medicine and an expert in sleep disorders. Ever wondered why melatonin supplements might not be the solution to insomnia? Dr. Goldstein is here to debunk that myth and highlight the transformative impact of behavioral and lifestyle changes on sleep quality. We’ll also delve into the fascinating links between mental health, sleep, meal timing, and digestion. Plus, you might be surprised to learn that gastroenterologists often detect sleep disorders first, thanks to the unexpected findings during routine colonoscopies. Discover the current science for treating obstructive sleep apnea and insomnia, with a deep dive into the effectiveness of Continuous Positive Airway Pressure (CPAP) and a specialized therapy called, Cognitive Behavioral Therapy for Insomnia (CBT-I). Dr. Goldstein explains the significance of sleep hygiene and the vital role that different sleep stages play in our cognitive function and overall well-being. Learn about the impact of circadian rhythms on gut health and sleep, and how late-night eating can wreak havoc on your quality of sleep.  As we navigate through the fascinating relationship between nutrition and sleep, Dr. Goldstein highlights the potential of personalized dietary plans and surprising research regarding supplements and sleep quality. You'll also get practical advice on the limitations and best uses of wearable sleep tracking devices. No matter your age, this episode offers actionable tips to improve sleep at every stage of life. Don't miss this thought-provoking episode packed with expert advice and valuable information to optimize your sleep and overall health.Read more:The Role of Gut Microbiome in Sleep Quality and Health: Dietary Strategies for Microbiota SupportEffects of Diet on Sleep: A Narrative ReviewLearn more about Kate and Dr. Riehl:Website: www.katescarlata.com and www.drriehl.comInstagram: @katescarlata @drriehl and @theguthealthpodcastOrder Kate and Dr. Riehl's book, Mind Your Gut: The Science-Based, Whole-body Guide to Living Well with IBS.  The information included in this podcast is not a substitute for professional medical advice, examination, diagnosis or treatment.  Always seek the advice of your physician or other qualified health care provider before starting any new treatment or making changes to existing treatment.

Experience runner's trots, belly cramping, and/or heartburn and reflux while exercising? You are not alone!  Join us in our latest episode featuring the expert insights of Leslie Bonci, a renowned sports dietitian who has worked with top-tier teams like the Kansas City Chiefs and Pittsburgh Steelers. Discover why less is often more when it comes to fueling during exercise. Leslie breaks down the myths surrounding fueling for exercise and provides actionable tips to help you train both your gut and muscles for peak performance. Fueling for endurance performance shouldn't be a one-size-fits-all approach. In this episode, we delve into the importance of carbohydrates and the benefits of customizable, homemade snacks that cater to sensitive stomachs. Not a fan of the overly sweet gels? Leslie shares delicious recipes for savory energy bites (and more) that can keep you going. We also explore the innovative concept of waterless electrolytes, a game-changer for athletes who struggle with high fluid volumes. You'll also hear valuable insights regarding the role of dietitians in crafting tailored nutrition plans.Athletic success is about more than just physical prowess—it's about holistic health. Leslie emphasizes the importance of maintaining muscle mass, emotional resilience, and a balanced diet! This episode provides key tips for achieving a well-rounded, mindful approach to exercise, along with essential information about nutritional science and stress management. Join us for an enlightening discussion that celebrates the synergy of the mind, the gut, and the foods you eat for optimum athletic performance.Learn more about Kate and Dr. Riehl:Website: www.katescarlata.com and www.drriehl.comInstagram: @katescarlata @drriehl and @theguthealthpodcastOrder Kate and Dr. Riehl's book, Mind Your Gut: The Science-Based, Whole-body Guide to Living Well with IBS.  The information included in this podcast is not a substitute for professional medical advice, examination, diagnosis or treatment.  Always seek the advice of your physician or other qualified health care provider before starting any new treatment or making changes to existing treatment.

Not one of us are completely immune to an occasional episode of diarrhea. Whether you can trace it back to something you ate or an uptick in stress, liquid poop is not ideal. Kate and Megan are joined by a giant in the field of gastroenterology, Dr. Jessica Allegretti from Brigham & Women's Hospital in Boston, Massachusetts to do a deep dive discussion into diarrhea. Together, they discuss the various causes of diarrhea, from common infections and food intolerances to more chronic conditions like irritable bowel syndrome (IBS) and inflammatory bowel disease (IBD). Dr. Allegretti offers valuable insights into the concerns surrounding Clostridium difficile (C. diff) infections and the complexities involved in diagnosing and treating recurrent cases. We also explore cutting-edge research of live biotherapeutic products (LBPs) and their promising role in the innovative area of fecal microbiota transplantation (FMT) with the guidance of this world-renowned expert.  And, we couldn't discuss diarrhea without acknowledging the potential role of food, stress and the intricate relationship between our gut microbiome and our behaviors. Kate and Megan provide practical tips and tricks to the nutritional and behavioral management of this often times anxiety provoking symptom that leave all listeners feeling empowered with strategies when it comes to the runs. Whether you've had C.Diff, are managing IBS-D or just curious about this common symptom this episode is a must listen!  Tune in for practical insights and valuable strategies to improve your well-being and gut health. Read more: Diagnosis and Management of Clostridioides difficile Infection in Patients with Inflammatory Bowel DiseaseYale Medicine: C. Diff Infection overviewApproach to the Patient with Diarrhea and MalabsorptionLow FODMAP toolsDiaphragmatic breathing (video by Dr. Megan Riehl)This podcast was sponsored by Salix Pharmaceuticals Learn more about Kate and Dr. Riehl:Website: www.katescarlata.com and www.drriehl.comInstagram: @katescarlata @drriehl and @theguthealthpodcastOrder Kate and Dr. Riehl's book, Mind Your Gut: The Science-Based, Whole-body Guide to Living Well with IBS.  The information included in this podcast is not a substitute for professional medical advice, examination, diagnosis or treatment.  Always seek the advice of your physician or other qualified health care provider before starting any new treatment or making changes to existing treatment.

Join us on The Gut Health Podcast as we uncover the many facets about constipation with the distinguished gastroenterologist, Dr. Darren Brenner. Think probiotics are the cure for your sluggish digestive system? Think again. Dr. Brenner dispels common myths and reassures us about the safety of stimulant laxatives like Senna and Bisacodyl when used correctly. Together, we'll redefine what it means to be constipated, acknowledging that not everyone needs the "perfectly formed" daily bowel movement to be healthy.Dive into the often-missed topic of pelvic floor dysfunction and how it contributes to constipation. Dr. Brenner breaks down the complexities of functional defecation disorders and dyssynergic defecation, emphasizing the urgent need for early diagnosis and the role of specialized physical therapy. The conversation doesn't shy away from discussing the significant impact of trauma on pelvic floor health, advocating for open, empathetic communication between patients and providers to create a supportive therapeutic environment.For those over 45, we highlight red flags in constipation that you shouldn't ignore. Learn the distinctions between Small Intestinal Bacterial Overgrowth (SIBO) and Intestinal Methanogenic Overgrowth (IMO) and how they can exacerbate your symptoms. Finally, take home practical tips on nutrition, stress management, proper toileting behavior, and the importance of regular exercise. Check out great constipation references/resources below:Kate Scarlata's e-book, Constipation Essential: Your Guide to a Better Exit Strategy (a 20-page comprehensive guide)The psyllium powder Kate uses is Kate Naturals (not Kate Farms), here is an Amazon link to the product. Brenner, D et al. Best Practice for the Management of Chronic Idiopathic Constipation and Irritable Bowel Syndrome with Constipation: A Roundtable Discussion and Review.  The American Journal of Gastroenterology 117(4S):p S1, April 2022 IBS-C: New & Novel Management: Webinar via Tuesday Night IBSA multi-disciplinary approach to IBS with constipation.Axis, A et al Gastroenterology and Endoscopy News, 2024. Emerging Treatments for Chronic Constipation and Defecation Disorders. Review article: do stimulant laxatives damage the gut? A critical analysis of current knowledge.This podcast was sponsored by Ardelyx Learn more about Kate and Dr. Riehl:Website: www.katescarlata.com and www.drriehl.comInstagram: @katescarlata @drriehl and @theguthealthpodcastOrder Kate and Dr. Riehl's book, Mind Your Gut: The Science-Based, Whole-body Guide to Living Well with IBS.  The information included in this podcast is not a substitute for professional medical advice, examination, diagnosis or treatment.  Always seek the advice of your physician or other qualified health care provider before starting any new treatment or making changes to existing treatment.

Bloating can range from mildly annoying to downright painful, can happen for a multitude of reasons and you've likely experienced it! Expert and world-renowned gastroenterologist, Dr. Brian Lacy from Mayo Clinic Jacksonville joins Kate and Dr. Riehl to explore the science behind bloating and abdominal distention.  Dr. Lacy breaks down the details of when extraintestinal gas may not be your bloating culprit and how stress and diet can mess with your gut. Join us as we explore the brain-gut connection and uncover how our mental state can influence digestive symptoms. Discover how stress can turn a sensitive gut into a full-blown uproar of discomfort.  By highlighting that these symptoms are not "all in your head," Dr. Lacy helps us navigate the intersection of emotional well-being and physical health. He also emphasizes the importance of diet to manage bloating and why sometimes, eating the healthiest foods can bloat the belly. Finally, we focus on the often-neglected discussion connecting constipation and bloating. It's time to get acquainted with our pelvic floor muscles and learn why sometimes the best remedy is not another pill but a new understanding of our body's inner workings. Dr. Lacy sheds light on the relief pelvic floor physical therapy can offer and shares actionable tips — from diaphragmatic breathing to abdominal massages — that might just offer the release you've been seeking. So, if you're ready to banish bloating and calm your gut for good, this is an episode not to be missed.This episode is sponsored by ArdelyxReferences to check out:Lacy, Brian E. PhD, MD, FACG1; Cangemi, David J. MD1. A Pragmatic Approach to the Evaluation and Treatment of Abdominal Bloating. The American Journal of Gastroenterology 117(5):p 701-705, May 2022. | DOI: 10.14309/ajg.0000000000001665Lacy BE, Cangemi D, Vazquez-Roque M. Management of Chronic Abdominal Distension and Bloating. Clin Gastroenterol Hepatol. 2021;19(2):219-231.e1. doi:10.1016/j.cgh.2020.03.056Moshiree B, Drossman D, Shaukat A. AGA Clinical Practice Update on Evaluation and Management of Belching, Abdominal Bloating, and Distention: Expert Review. Gastroenterology. 2023;165(3):791-800.e3. doi:10.1053/j.gastro.2023.04.039Learn more about Kate and Dr. Riehl:Website: www.katescarlata.com and www.drriehl.comInstagram: @katescarlata @drriehl and @theguthealthpodcastOrder Kate and Dr. Riehl's book, Mind Your Gut: The Science-Based, Whole-body Guide to Living Well with IBS.  The information included in this podcast is not a substitute for professional medical advice, examination, diagnosis or treatment.  Always seek the advice of your physician or other qualified health care provider before starting any new treatment or making changes to existing treatment.

Dr. Mark Pimentel, an expert gastroenterologist, discusses SIBO, debunking myths about IBS, the impact of food poisoning on GI symptoms, breath testing for SIBO diagnosis, and evolving microbiome treatments. He emphasizes the importance of personalized treatment and the role of artificial sweeteners in gut health.

Irritable bowel syndrome (IBS) impacts more than 45 million Americans and about 1 in 10 globally. So, if you have abdominal pain, diarrhea and/or constipation on a regular basis...you are not alone. We are thrilled to have world-renowned gastroenterologist, Dr. William Chey, on this episode to discuss this diagnosis along with common IBS mimickers.  Dr. Chey is the Chief of Gastroenterology at the University of Michigan and a true physician champion for the importance of a multidisciplinary approach to the management of IBS. He discusses how this complex condition, once perceived purely as a psychosomatic disorder, has evolved into a multifaceted syndrome with new and improved treatment methods. Discover the transformative potential of dietary strategies like the low FODMAP diet, the integration of behavioral therapy along with complementary and alternative medicine (like acupuncture) into patient care, as we explore the nuances of treating IBS and its masqueraders. Dr. Chey sheds light on the enlightening findings from a recent study on disaccharidase deficiencies, particularly the surprising prevalence of sucrase-isomaltase deficiency in IBS patients with diarrhea predominance. Gain insight into the challenges of current testing methods and the role of bile acid malabsorption, which opens the door to a more precise and personalized approach to managing unruly gut symptoms. The conversation steers toward the promise and limitations of breath tests and the significance of a Dream Team approach, blending expertise from various specialists to address the unique needs of each patient. We also delve into the intricate relationship between small intestinal bacterial overgrowth (SIBO) and bile acid diarrhea, and the innovative work of researchers like Dr. Mark Pimentel. Dr. Chey emphasizes the growing importance of precision medicine in the field of gastroenterology and gut health, highlighting the complexities of diagnosing and treating conditions such as SIBO. While we share a wealth of knowledge that promises to enlighten both healthcare professionals and individuals navigating the intricacies of IBS and it's common mimickers, you won't want to miss the introduction to a very special guest! Welcome Mabel June Scarlata (hint: she's the Scarlata family's new chocolate lab puppy).  Don't forget to subscribe and share – your gut will thank you!P. S. Find Mind Your Gut:  The Science-Based, Whole-Body Guide to Living Well with IBS by Kate Scarlata MPH, RDN and Megan Riehl, PsyD which covers all things IBS along with IBS Mimickers in Chapter 10.This episode was sponsored by QOL medical and Schar.Learn more about Kate and Dr. Riehl:Website: www.katescarlata.com and www.drriehl.comInstagram: @katescarlata @drriehl and @theguthealthpodcastOrder Kate and Dr. Riehl's book, Mind Your Gut: The Science-Based, Whole-body Guide to Living Well with IBS.  The information included in this podcast is not a substitute for professional medical advice, examination, diagnosis or treatment.  Always seek the advice of your physician or other qualified health care provider before starting any new treatment or making changes to existing treatment.

Prepare to transform your gut health knowledge as we navigate the sometimes "colorful" details and scientific facts all about bowel movements. That's right, we are talking all about poop with our special guest, renowned Mayo Clinic (in Jacksonville, Florida) gastroenterologist, Dr. Jami Kinnucan. She is an expert in inflammatory bowel disease, among many other extraordinary contributions in the field of gastroenterology and medicine. With valuable insights from our guest, we cover it all in this episode. From discussing how the hues in your loo can reveal the state of your health to the details of the proper pooping position, we're taking a somewhat embarrassing topic to an informed next level. Dr. Kinnucan breaks down the facts on diet's impact on digestion, the role of stress on your pooping habits, and how to keep your "exit strategy" going strong!Ever wondered if your poop's performance is up to par? In this episode, we decode the signals of digestive distress and share some humorous anecdotes that promise to change the way you view your daily deed. We tackle everything from cannabis to constipation, ensuring you're equipped with the know-how to interpret your body's messages. Plus, we float the idea (pun intended) of what it means when your stool defies gravity – it's a conversation too buoyant to miss!Finally, we serve up a fiber-rich feast for thought, dishing out delectable advice for those tricky tummy troubles. Whether you're battling the bloat or seeking solace for your stool, we've got you covered with practical tips for a happier gut. Join our Gut Health Podcast Community as we digest the latest trends, debunk myths, and share a gutful of belly laughs along the way. Don't forget to subscribe and share – your gut will thank you!This episode was sponsored by QOL medical and Schar.Resources: Kate Scarlata's e-book Constipation Essentials: Your Guide to a Better Exit Strategy (a 20 page comprehensive guide to constipation subtypes and treatments).Episode mentions:Kate and Dr. Riehl's bookMind Your Gut: The Science-based, Whole-body Guide to Living Well with IBSCrohn's and Colitis Foundation gut-friendly recipes (These recipes were reviewed by GI dietitians Kelly Issokson and Therezia Alchoufete. https://www.crohnscolitisfoundation.org/patientandcaregivers/gutfriendlyrecipesLearn more about Kate and Dr. Riehl:Website: www.katescarlata.com and www.drriehl.comInstagram: @katescarlata @drriehl and @theguthealthpodcastOrder Kate and Dr. Riehl's book, Mind Your Gut: The Science-Based, Whole-body Guide to Living Well with IBS.  The information included in this podcast is not a substitute for professional medical advice, examination, diagnosis or treatment.  Always seek the advice of your physician or other qualified health care provider before starting any new treatment or making changes to existing treatment.

When Kate Scarlata's health teetered during a precarious pregnancy, it was a wake-up call to the importance of nutrition and digestion for gut health and beyond. However, at the time of that pregnancy, very little science-based nutrition support was offered. In today's episode, Kate, along with Dr. Megan Riehl, will guide you through the complex world of the gut microbiome and its fascinating link to not just our physical health, but also, our mental well-being. Welcome to The Gut Health Podcast. This episode highlights how and why Gut Health Matters!From the foods that nourish our inner gut microbes to the undeniable brain-gut connection contributing to our emotions, we leave no stone unturned. We're also giving you a peek at the evolution of our own careers in healthcare, revealing how our individual journeys have enhanced our intention and compassion to help those struggling with GI challenges. With the rise of psychological therapies in the management of GI conditions and the spotlight on diet's role in influencing our inner gut microbes and digestive symptoms, we're here to guide you through the maze of misinformation and provide everyday tips for nurturing your gut ecosystem and digestive well-being.But it's not all heavy-duty science in this episode; we dive into the day-to-day reality of managing stress and prioritizing overall health. Discover why simple acts like diaphragmatic breathing can be a game-changer for your gut and how embracing regular self-care through nutrition and lifestyle changes could help your health journey. And as we look ahead to our next episode, we hope you join us as we have the opportunity to ask all the burning questions about something that we all do...poop. We'll explore what your poop reveals about your health with Mayo Clinic Jacksonville gastroenterologist,  Dr. Jami Kinnucan.  Join us for the first episode of The Gut Health Podcast as we provide you with practical, real-world strategies to give your gut the love it deserves.This episode was sponsored by QOL medical and Schar.Learn more about Kate and Dr. Riehl:Website: www.katescarlata.com and www.drriehl.comInstagram: @katescarlata @drriehl and @theguthealthpodcastOrder Kate and Dr. Riehl's book, Mind Your Gut: The Science-Based, Whole-body Guide to Living Well with IBS.  The information included in this podcast is not a substitute for professional medical advice, examination, diagnosis or treatment.  Always seek the advice of your physician or other qualified health care provider before starting any new treatment or making changes to existing treatment.