Adapted from episode 84 of The Perfect Stool podcast hosted by Lindsey Parsons, EdD with Erin Dunny, a registered dietitian specializing in Integrative Gastroenterology in her online private practice, Blunt Nutrition.
Lindsey:
So why don’t we start by talking about your gut health issues? I know that your history includes methane SIBO or SIBO-C or what’s now called IMO. And perhaps you can explain those terms and then tell us about your own story.
Erin Dunny, RD:
Absolutely, I never started out being a beacon of health. Nutrition wasn’t really on the top of my mind. I actually started out in communications and public relations. I was very overweight. As a child, I grew up basically eating pop tarts on the way to school. In college, it kind of caught up with me and I started having a lot of abdominal symptoms. I couldn’t eat anything without feeling nauseous, I probably lost about 75 pounds in a month. At that time, I went to multiple doctors, and they found out it was actually a gallbladder issue. It wasn’t functioning well. They ended up taking the gallbladder out, which if I would have known what I know now, I probably wouldn’t have gone that route, but it is what it is. Not having a gallbladder created further digestive issues. Personally, I had a really hard time with protein, so I went vegan for about seven years. I couldn’t digest anything else and it’s what I could tolerate at the time. After about seven years, I started getting really bad constipation and abdominal cramps. Anything I ate made me feel incredibly bloated, so I got the whole rundown, EGDs.
Lindsey:
What’s an EGD?
Erin Dunny, RD:
I had an endoscope (the tube that goes down to look at the stomach). I got colonoscopies. In a roundabout way I was diagnosed with irritable bowel syndrome, which basically is a diagnosis of symptoms. It’s not an actual diagnosis. It’s sort of a, “We don’t know you have these symptoms. So we’re going to label you with this, right?” So I decided that I just couldn’t take it anymore. I wanted to figure it out. I went actually back to school and that’s when I got my degree in dietetics. Next, I started working for a gym that introduced me to more of the functional medicine. The more I looked into it, I discovered small intestinal bacterial overgrowth. I got tested and I actually had hydrogen sulfide of small intestinal overgrowth. So I treated myself for that, and was able to become fully recovered, which is how I became passionate about just helping women in general managing IBS, which about 84% of the time, SIBO is a major contributor.
Lindsey:
It’s interesting that you had hydrogen sulfide SIBO, because I associate that normally with a high meat-fat diet. Although, I guess if you did not have a gallbladder, you probably weren’t digesting fats terribly well.
Erin Dunny, RD:
I was not. It’s always kind of an anomaly, but likely without a gallbladder, like you said, you can’t do fat.
Lindsey:
Right. And you were eating dairy?
Erin Dunny, RD:
Yes.
Lindsey:
Okay, that makes sense, then. So because you’ve had your gallbladder out, I’m curious how you support your digestion now, and your protein digestion, and how you would support a client’s digestion of fats without a gallbladder?
Erin Dunny, RD:
Yeah, so the one of the recommendations out there is ox bile. That one is very, very popular and works well for people. Personally, I couldn’t really tolerate ox bile. It would cause really bad diarrhea. I use digestive bitters. I do a couple of drops before every meal. That’s where I support, from a digestive standpoint, from the fat standpoint, but as far as the proteins, I don’t need that much support anymore. Once I worked on the gut and got everything healed up, those enzymes came back. Originally, I did have to start with a broad spectrum digestive enzyme. I also had to do a hydrochloric acid/pepsin combination in order to get my stomach acid backup as well. I remained on that treatment for a little while until I could get everything healed up and ready to go. I was able to move off of it, so now I only have to support with the bitters.
Lindsey:
Were you seeing a functional medicine person then when you got diagnosed with hydrogen sulfide SIBO.
Erin Dunny, RD:
I actually, believe it or not, wasn’t, but my doctor, (my PCP at the time) was more in the functional medicine space, so she worked with a naturopath. They were actually doing the testing in office and she consulted with the naturopath at the time. So in a roundabout way, technically I was.
Lindsey:
And how many years ago was that?
Erin Dunny, RD:
Oh man, I think probably 10 or 15 years ago now. It was a little while ago.
Lindsey:
So I’m thinking maybe you had hydrogen SIBO, not hydrogen sulfide, because hydrogen sulfide testing has only been around for like, three years. Yeah. I mean, honestly, it was at the time where they just started introducing it. It wasn’t yet super reliable over whatever they were doing anyways, so I think they were just guessing, and it ended up working. Obviously, we know a lot more about it now, but back at the time, when I was being treated, there wasn’t a lot out there. So they were kind of like, “Here, try this.” Oh, okay. Well, I did want to focus on SIBO-C, or constipation SIBO or IMO (intestinal methanogen overgrowth) today. I wondered if you could tell me first of all, do you see a lot of patients with that?
Erin Dunny, RD:
Yeah, absolutely. A lot of times, constipation is more of a different kind of beast in and of itself, even to the extent where they’re thinking about renaming it. When we’re looking at methanogen dominant SIBO, the species or the organism is actually an archaea. It’s not even a bacteria, so I feel like the name is kind of misleading (which is why they’re looking at renaming it). So because we’re looking at a different type of species, if you will, we’re looking at a different treatment method. This is what happens: we have archaea in the body. It’s not anything foreign. Our small intestine is very sterile. There’s not supposed to be a lot of stuff in there. These little guys can get an overgrowth either in the large intestine, or the small intestine, and it starts creating issues.
Lindsey:
Right. Yeah, I guess that’s another reason to call it IMO, rather than SIBO-C is because it’s not just SIBO (small intestine bacterial overgrowth). It could be a large intestine methanogen issue.
Erin Dunny, RD:
When you’re looking at a methanogen dominant [SIBO], there’s a couple of things to consider. One, you want to potentially test for other things. You might not only have that methanogen. You might have a yeast, you might have a fungus or you might have a parasite. Double check and make sure that that’s not the only thing contributing to the symptoms. From there, where you start with as far as treatment, you need kind of a broad spectrum of herbals. You want to rotate them a little bit just to prevent any sort of resistance. With methane dominant, specifically, some of the herbals that work really while are going to be your oregano oil, which is very popular to use for that. Allicin, which is coming from garlic, has been known to really help absorb that methane, and pairing with maybe a neem oil or berberine. Your primaries are going to be your oregano oil and your Allicin. You can then add a supportive, but I mean, really, everybody responds to herbals differently. Another thing that you can potentially use is Atrantil*. It has a peppermint oil, so it can help with some of the abdominal symptoms. Other things that have been shown to work really well for methane specifically, monolaurin can help. There’s also probiotics, which is very controversial as far as a treatment method. However, Lactobacillus plantarum* has been shown to work really well for methane or like a spore based, so as long as you don’t have an overgrowth in the large intestine, it kind of bypasses that. Those are just some of the options that you’re looking at as far as treatment and like I said, everybody is going to respond differently. You don’t use all of these. It’s just you have different things to manipulate based on how somebody responds. As far as length of treatment, it’s going to be different for everybody as well. Usually anywhere from two to three months is possible – just for the killing off phase, if you will. Exactly.
Lindsey:
What do you do for patients with this? With hydrogen SIBO. I see clients respond pretty quickly once you start to give them the antimicrobials Do you see the same thing with methane SIBO or does it seem to take a lot longer to begin to notice an effect?
Erin Dunny, RD:
It seems to take a little bit longer in my experience, and I don’t know if that’s the same for you as well. They’re just pesky little guys and it’s also possible because archaea feed off of hydrogen. It’s possible that you could have some bacterial overgrowth that are producing the hydrogen and it’s feeding the methane. You have to potentially kill both, which is also going to take a little bit longer as well.
Lindsey:
Right. It’s sort of a vicious cycle, right? You’ve got to kill the food source as well as the archaea. Do you have a product that you like?
Erin Dunny, RD:
Yeah, I really like Allimax* (find in my Fullscript dispensary) I use that primarily. It’s a good product, and I really haven’t had a lot of issues with it.
Lindsey:
Okay. Do you find though, that the methane SIBO is more intractable than other types of SIBO, just harder to eliminate?
Erin Dunny, RD:
SIBO, in general has a very, very high reoccurrence rate. It’s essentially like a giant puzzle, because there’s a lot of different factors that can trigger the progression of it. Not only do you have to kill it off, but you also have to figure out that root cause on how it got there in the first place. A lot of times, we’re looking at motility issues as well. We’re looking at low stomach acid; we’re looking at low pancreatic enzymes. If you have a history of abdominal surgery, that can cause issues, medication use. So depending on what that root cause is, how long you’ve had it and how severe the motility issues are, it definitely can make things harder as well.
Lindsey:
Do you use breath testing? Or do you do stool testing? Or both?
Erin Dunny, RD:
I primarily do stool testing. But I also go through Vibrant Labs. I actually do the testing for cytolethal distending toxin B. So what is that, basically? A lot of times when people get SIBO, it can be from food poisoning. When you get food poisoning, which is very, very common, (it could be you don’t even know you have it), the bacteria is going to produce this toxin. We’ll just call it CdtB. That toxin is going to start attacking a part of your digestion called vinculin. Vinculin basically regulates your migrating motor complex. I’m using a lot of big words. What does that mean? Basically, that migrating motor complex, you can consider it the Roomba of your digestive track. Every 90 to 120 minutes, as long as you’re not eating, this migrating motor complex is going to create a wave; it’s going to take all of that debris sitting in your stomach and wipe it out. It’s kind of like that Roomba going through and cleaning any debris that’s on your floor. So what happens is, if you get damage to the vinculin, then that’s going to make it to where your body is not scrubbing out that debris, so it’s just sitting there and it’s creating this breeding ground for bacteria, archaea, all of that to feed off. I tend to test that as opposed to doing the breath testing just because it’s another measurable way to detect whether or not SIBO is present. You can use that with the stool tests to figure out whether we’re dealing with some SIBO.
Lindsey:
Does Vibrant Labs have that marker then?
Erin Dunny, RD:
Yes.
Lindsey:
Okay, because I’ve used the IBSsmart that has the anti-vinculin antibodies and the anti-CdtB antibodies, which incidentally, I have elevated. I have post infectious IBS, essentially. I didn’t realize that Vibrant Labs was but I can’t access their tests because they don’t let health coaches order them [Note – I can now through my new Rupa Health account]. So you mentioned rotating, tell me about how you rotate.
Erin Dunny, RD:
Gotcha. Yeah. As far as the supplements?
Lindsey:
Herbals, yes.
Erin Dunny, RD:
So I typically will start somebody out with a Candibactin AR and BR* (find in my Wellevate Dispensary), just because I like that it’s a broad spectrum. Plus, I find that your oregano oils, it’s just very potent. Typically, I don’t necessarily like to use that right away because also that die off reaction can be very intense for people. Sometimes people tolerate the Candibactin AR and BR* just fine. We might just do a little bit longer with that. If that’s not working, that’s where I then will do the heavy hitters like the oregano oil. The other thing to consider with oregano oil is just double checking and making sure that people are getting the enteric coated; because, if it’s not enteric coated, it’s just going to go in your stomach. That’s not going to help anything either. That’s typically how I would do it and I would just keep people potentially on the oregano, potentially throwing in that neem or the monolaurin. Keep them on a little bit longer. The other thing I didn’t mention is berberine. Berberine is also another one, although that specifically responds a little bit better to diarrhea and the berberine is nice because it does have a little bit of a biofilm disrupter. If you need something to kill that protective shield that some of the bacteria can have, or archaea can have, that’s nice, but it’s also if you have a fungal overgrowth or some sort of yeast, the berberine is going to help with that as well.
Lindsey:
Right, right. So when you say rotating, I was thinking you meant short term rotations. I’ve heard of practitioners using four day rotations, but you’re talking more like six week rotations?
Erin Dunny, RD:
Exactly, I don’t rotate that much. If somebody’s not responding, that’s where I’ll add some of these other things. So, you’re not necessarily changing too much. You’re kind of using the same thing. You’re just playing around with the dosages and also adding some of these other supplements to see if they might respond better to that.
Lindsey:
Yeah. And have you found that some people need to stay on something long term? That it comes back so quickly, you just have to keep them on it.
Erin Dunny, RD:
Yeah. So typically, with the right dosages, I like to have people test every three months and I think that’s another thing that I see. At the end of the day, I know it’s a hard investment for people to make, so they don’t necessarily want to retest. I know a lot of practitioners out there are saying, “Okay, well your symptoms are at 90%. We don’t have to retest.” That’s why I like testing the endotoxin that we talked about in the vinculin because it’s a way to see if we are making progress. I think that because most of the protocols are only around six weeks. Herbal people are feeling better and they go off of it. They get the reoccurrence because they didn’t retest to ensure that it was completely gone. So the question is, “Is there a high reoccurrence rate because it’s really hard to kill? Or is there a high recurrence rate because people aren’t retesting?” Ideally want to test at three months and at six months, and make sure that it’s 100% gone. And then getting into more of the supportive measures where we talked about including some herbals, to support that migrating motor complex to make sure that you’re getting that motility and getting things pushed out. To support that migrating motor complex, you’re going to be on six months to a year. That’s a little bit longer term than the initial kill off, if you will.
Lindsey:
And are you keeping people on antimicrobials up through the testing then?
Erin Dunny, RD:
Ideally, yes, because I don’t want to stop treatment until I know it’s gone.
Lindsey:
Interesting. Are you retesting with the full stool test or full vibrant labs with the antibodies? What are you retesting, just the antibodies?
Erin Dunny, RD:
Just the antibodies because it’s a lot cheaper to do that. it’s nice, because you can just pick that one and just retest that.
Lindsey:
And you see those numbers come down on the antibodies after treatment?
Erin Dunny, RD:
Absolutely.
Lindsey:
Okay. I never I never actually thought to retest the antibodies. That’s an interesting technique. Do you find that people with IMO or SIBO-C have worse bloating? Are they in more pain? They seem to be just more uncomfortable than people with hydrogen SIBO?
Erin Dunny, RD:
Yeah, absolutely. If you think about it, bacteria kind of sit and feed off of the stool, right. If it’s just sitting there and not going anywhere, basically, it’s full on feeding ground, where when they are eating the food that’s essentially just sitting there for them. They produce so much gas, and methane gas is so uncomfortable.
Lindsey:
I’m curious because obviously, if you’re looking at an elevated CdtB antibody, you could be dealing with any type of SIBO, so are you basically judging on the this is a constipated person versus this is a person with diarrhea at that point to decide? Often I’ve discovered that when I look at stool tests for methane, I see the presence of the archaea, but I don’t necessarily see that it’s elevated. It doesn’t show as elevated.
Erin Dunny, RD:
Vibrant Labs’ stool panel is very, very comprehensive. They have the archaea, they have. They have the Methanobrevibacter smithii. Yeah, it might not necessarily be high, but you can tell based off of the symptoms as well where they’re at. I would say, just in my clinical practice between those two, I’ve had really good results to where I haven’t really had to do the breath test. The breath tests, you can argue back and forth, are not always going to be accurate either. In my experience, just using those two markers has been enough to say, “Okay, this is what you have.”
Lindsey:
I do find though that when you get somebody with H. pylori sometimes you get this overlap with H. Pylori and the methane SIBO and they both cause constipation. Now you’re not quite sure which one you’re dealing with and you deal with the H. Pylori, I feel like sometimes that might cause the methane to overgrow, because you’re killing off bacteria that respond to the mastic gum, perhaps, but those aren’t the archaea.
Erin Dunny, RD:
Exactly, and like you said, H. pylori itself can produce methane as well. If you have both, you’re getting just doubled up on the methane and yeah, that’s real uncomfortable.
Lindsey:
Okay, I didn’t realize that H. pylori was a methane producer. So I understand that your history also includes a severe case of COVID with complications. So can you tell me more about that story?
Erin Dunny, RD:
Yeah, my digestive health has been real fun. There was a series of events leading up to it. To kind of backtrack a little bit: I had knee surgery in November. I was out for a little bit with that. In December, my husband brought home what felt like the world’s worst stomach bug in the world. I don’t even know where this thing came from, but he’s a grown man literally, keeled over on the floor with such bad body aches he couldn’t even move. So he recovered from that in about 24 hours, but my son who was three at the time – what can happen after a stomach infection, which we learned, the lymph nodes in your stomach can swell. He ended up being sick for a month. He threw up between 2 and 3 a.m., every single night for a month with severe body aches. Needless to say, I was under a very large amount of stress for a good three months at that time. I say that because it’s important leading up to the COVID situation and why I got it so bad. It took about a month for my son to get better and when I say he threw up every night for a month, he threw up every night for a month; it was insane. Two days later, I was going to go back to work, but we got COVID. My husband got it from work and didn’t know. They were fine. During the actual COVID, I was fine. I just had a little bit of body aches, but a couple of weeks later, I would start waking up in the middle of the night. My heart rate then would be 150 beats per minute, which if you ever wake up in the middle of the night with your heart rate that high, I will tell you, it’s terrifying. You’re from a dead sleep, you don’t even know what’s going on. So that would actually happen a few times. I would just be sitting on the couch and my heart rate would just jump up or my right left arm was starting to get numb. Sometimes starting from my chest, it felt like lava started to flow through my body. Needless to say, that shouldn’t happen to an individual. I contacted my primary care physician. Because I had COVID, they wouldn’t see me in office, even though I was two weeks out, I wasn’t contagious anymore. They wouldn’t see me. I would go to urgent care and they couldn’t really help me. They found me a new PCP. That PCP was like, “Well, have you’ve had a lot of stress lately and so it’s silent anxiety.” He just wanted to give me Lexapro and sent me on my merry way. It kept getting worse and worse. I went back. I went to the ER, because all my heart blood markers were fine, they’re said, “We can’t do anything for you.” They just labeled me long haul or COVID and sent me home. I went back to my PCP and he changed his story to, “Well, you’re a COVID long hauler,” and just gave me a steroid injection. In a two-week time span went to the ER four times, as it was getting worse and worse. They kept sending me home, like to a point that a nurse came in saying, “I don’t know why you’re here, we’re not going to do anything for you.” For a time, I was literally begging and pleading for my life and saying, “Something is wrong, do not send me home.” Luckily they admitted me. So I ended up in the hospital for about three days, I ended up with myocarditis, which is an inflammation of your heart, I had a small scar on my heart, as well. So that’s where the irregular heartbeats were coming from. I developed a massive stomach ulcer that actually was about to puncture if they hadn’t seen it. First moral of the story: you know, something’s wrong, advocate for yourself. Don’t just say, “I’m just gonna go home and live with it.” Second moral of the story: So I started diving into the literature and come to find out COVID can actually cause a lot of stomach issues. Part of that is because COVID impacts ACE-2 receptors and that’s how it gets into the body. Basically, you have ACE-2 receptors in the lungs, which is causing all the lung issues in the heart, your heart is lined with those. However, your intestinal tract has a bunch of them. You have them in your stomach, you have them in your small intestine, you have them in your large intestine. What we’re starting to see is that one can cause ulcers. A combination between high-stress medications, because I mean, at the end of the day, when your heart is going nuts, I’m going to do whatever they want me to do, because it’s incredibly scary. You’re getting residual impacts, because of that, the steroid use and things like that. So one, COVID is causing ulcers due to the medications and treatments. The other thing that it’s causing is intestinal permeability, because it’s breaking down that lining of the stomach that’s supposed to be blocking out things. You can look at your intestinal tract like a cheesecloth, it’s supposed to keep out the the bad things and only let certain amount of things in. Basically, COVID can cause these little holes or bigger holes in the cheesecloth. What’s happening is you’re getting these proteins and other things into the body that are not supposed to be there. It’s causing this incredibly large inflammatory response and that can create digestive issues like bloating, constipation. You can get postinfectious – they’re looking at postinfectious COVID now – triggering IBS. Lastly, it can create dysbiosis as well. So you’re getting some bacterial imbalances in there as well. I did run the Zoomer on myself and actually confirmed all of these things. I had leaky gut, I had my secretory IgA, which if it’s low, your immune system is going to be crap, that was low. I did all the research and ran the panel, and my results lined up perfectly for that. Yeah, it was really cool/not cool for me, but it was cool that it basically confirmed I had intestinal permeability which lined up perfectly with the research.
Lindsey:
So what did you do for yourself?
Erin Dunny, RD:
Yeah, great question. So in my particular case, I had to bite the bullet and I did have to take a PPI for a couple of months. I did a couple different things. I did the mastic gum, I did a GI microbial. I did licorice root. I did Aloe – literally none of that worked.
Lindsey:
Did you have H. Pylori too?
Erin Dunny, RD:
No.
Lindsey:
Okay, yeah.
Erin Dunny, RD:
When I was in the hospital because they did check that, they biopsied it. I didn’t have H. Pylori or anything like that, and I had no other risk factors. I was a little frustrated because none of these things worked. So really, the PPI was the only thing. I did the standard leaky gut profile. I did a combination of EPA DHA. For my anti-inflammatory, curcumin, I did as an anti-inflammatory. Berberine actually can really help support the mucosal tissue and start regenerating that. L glutamine – I did that, vitamin C and zinc. I also did a little bit of magnesium, because I think because with COVID, your adrenals are impacted with that. If your adrenals are taxed out, which given the series, I was very stressed out obviously. So I needed to do some sort of support there as well, because if your adrenals are taxed out, your immune system is low, and it’s going to be harder to manage the gut. The gut isn’t going to heal as fast because you just don’t have the capacity. So I did add some of that in as well.
Lindsey:
How long did it take you to recover from all that?
Erin Dunny, RD:
I would say I’m at 90% right now. So about seven months, a long time.
Lindsey:
And did you have fatigue?
Erin Dunny, RD:
For probably about six weeks, I could only handle walking to the end of my driveway and back.
Lindsey:
Wow. Did you did you use any L-arginine?
Erin Dunny, RD:
I did not.
Lindsey:
Oh, yeah. That’s what I’ve heard for the blood vessel impacts that happen. What did they do for your heart, though?
Erin Dunny, RD:
For the heart stuff, I just was put on Metaprolol. I am on that basically until we are confirming that the inflammation is gone. After that, I’ll wean off of it, but it’s just one of those things where I think sometimes it’s hard in functional medicine. You really don’t want to take medications and you almost go too far the other way, where sometimes you need to do a combination of the two, but it can’t be all or nothing. I think is hard is that sometimes it’s either doing all herbals or you’re doing medication, and then there’s this argument between, but really I found some good results doing a combination of both.
Lindsey:
I wouldn’t goof around with like a heart problem. It’s one thing to take herbals for your diarrhea or constipation; it’s a whole nother thing when your heart is at risk. I’ll take what the doctor said.
Erin Dunny, RD:
Exactly. There are some things that you need to concede on. That’s definitely one of them. No, I mean, I am just so honored to have the opportunity to come on. And I think I really enjoyed having the opportunity even to talk about the COVID stuff, because I feel like it’s really not talked about a lot. And the more I see people and the more I work with them, I’m finding that it’s really becoming a huge issue having so many digestive issues post COVID. So I think the biggest takeaway I want to let people know even from my experience, and through all of this is that it’s never in your head. You’re not making stuff up. You know your body best. If you’re not finding results from one person, keep finding and I think that there’s something to be said about using functional medicine along with conventional medicine. The two can definitely work together. It doesn’t have to be this either or situation. I think just looking at your care team and making sure that you have some good people behind you to help figure this out. You don’t have to do it alone and these conditions are very complicated. There are a lot of layers to it and I think it helps working with practitioners, both in the functional medicine and conventional space to help you kind of deep dive into what’s going on specific for you and figure out the best plan of attack based on what’s going on.
Lindsey:
Well, all that is very interesting and I appreciate hearing about your story. Anything else you want to share before we get off? Yeah, yeah. No I do and have heard and do know from my own experience, that if you have existing gut issues, that COVID is likely to give you gastrointestinal symptoms. You definitely want to get your gut in order, because COVID is still circulating and, you’re much better off if you have healthy gut – that and good vitamin D levels
Erin Dunny, RD:
Absolutely and get off those PPIs if you can. Like I said, if you need it you need it; one study I even looked at COVID becomes inactivated with a stomach pH of less than two. So you really do need that stomach acid as another layer of defense to basically increase your chances of not having a severe outcome. Think about how many people are on PPIs right now. COVID isn’t going away. It’s going to be living with us. Not to sound like doomsday, but we’re going to have other viruses that are coming out. If you look at history, we have one coming out every two to three years. So we just need to make sure that we are supporting the gut because that’s a huge part of our immune system. That’s 70 to 80%. We just need to make sure that that’s intact, so when the next thing comes, we’re strong, and we’re going to be able to fight that off as well. Tell me where people can find you. You can find me in all the places for the most part – Facebook and Instagram. I also encourage you to go to my website, Bluntnutrition.com. I have a blog on there, so if you want to learn more about topics surrounding IBS, right now, I’m writing a series specifically about COVID and its impact the gut. If you’re interested, hop on over. Join my email list. I have a nice little freebie on there – a roadmap to becoming symptom for IBS. That will get you on my email list, so you get some exclusive content every month as well. Just other nutrition tidbits and other little goodies with that.
If you’re struggling with IMO, constipation or other gut health or all over body problems, you’re welcome to set up a free, 30-minute breakthrough session with me (Lindsey). We’ll talk about what you’ve been going through and I’ll tell you about my 3- and 5- appointment health coaching programs in which I recommend lab tests, educate you on what the results mean and the protocols used by doctors to fix the problems revealed. Or if you’re ready to jump in right away or can just afford one appointment at a time, you can set up an 1-hour consultation with me.
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