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The Gut Health Dialogues

The Gut Health Dialogues

Alyssa 113 Episodes Aug 20, 2026

I'm Alyssa Simpson, a Registered Dietitian specializing in digestive health. This podcast is for people with IBS, SIBO, and other stomach issues to learn how to calm their symptoms and improve their gut health using natural solutions like diet, supplements, and lifestyle changes.

Episodes

Low FODMAP vs. Low Fermentation for SIBO Can Either Diet Prevent Relapse
Low FODMAP vs. Low Fermentation for SIBO Can Either Diet Prevent Relapse Aug 20, 2026 2441 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 contr
Digestive Enzymes Explained: IBS, SIBO & Food Intolerances | Erin Judge
Digestive Enzymes Explained: IBS, SIBO & Food Intolerances | Erin Judge Aug 13, 2026 3194 Send us Fan MailCan digestive enzymes actually reduce bloating and food reactions, or does it depend on what's causing your symptoms in the first place? In this episode, Alyssa sits down with GI dietitian Erin Judge, who works with the clinical team at FODZYME, to answer one of the biggest questions people with IBS, SIBO, and food intolerances ask: when do digestive enzymes actually help?  Th
Fat Malabsorption: Why Fat in Your Diet May Be Triggering Digestive Symptoms
Fat Malabsorption: Why Fat in Your Diet May Be Triggering Digestive Symptoms Aug 6, 2026 2347 Send us Fan MailIn this episode, Alyssa explains why fat malabsorption is an often-overlooked cause of chronic digestive symptoms like diarrhea, greasy stools, bloating, weight loss, and nutrient deficiencies. Learn how your liver, pancreas, and small intestine work together to digest fat, what happens when that process breaks down, and why continuing to eliminate foods may not solve the real prob
Pelvic Floor Dysfunction: The Overlooked Root Cause of SIBO, Chronic Constipation, Bloating & Motility Disorders with Rebecca Patton
Pelvic Floor Dysfunction: The Overlooked Root Cause of SIBO, Chronic Constipation, Bloating & Motility Disorders with Rebecca Patton Jul 31, 2026 2795 Send us Fan MailIf you've been treating chronic constipation, bloating, and motility issues from the gut side alone, microbiome work, methane SIBO protocols, bile flow, motility agents, and progress keeps stalling, there may be a structural piece nobody has assessed. In this episode, pelvic floor physical therapist Rebecca Patton explains how the muscles of the abdomen and pelvis form a singl
Is Your SIBO Diet Helping or Keeping You Stuck?
Is Your SIBO Diet Helping or Keeping You Stuck? Jul 21, 2026 1873 Send us Fan MailIn this episode, Alyssa explains one of the biggest misconceptions in SIBO recovery: the belief that a therapeutic diet is the treatment. While Low FODMAP and SIBO diets can be incredibly effective for reducing symptoms, they were never designed to be the finish line. They're a tool to create stability, not a permanent way of eating.Alyssa walks through why long-term restricti
Pancreatic Insufficiency: What to Eat, How to Structure Your Meals, and Why Enzymes Aren't Enough on Their Own
Pancreatic Insufficiency: What to Eat, How to Structure Your Meals, and Why Enzymes Aren't Enough on Their Own Jun 23, 2026 2792 Send us Fan MailIn this episode, Alyssa breaks down one of the most overlooked aspects of pancreatic insufficiency management: nutrition. While pancreatic enzyme replacement therapy (PERT) is essential, diet plays a major role in determining how well those enzymes work and how you feel day to day. We explore what a practical pancreatic insufficiency diet looks like, common mistakes that keep sympt
A New IBS Study Just Validated What Functional Practitioners Have Been Saying for Years
A New IBS Study Just Validated What Functional Practitioners Have Been Saying for Years Jun 11, 2026 2008 Send us Fan MailWhy do some people dramatically improve with a treatment that does absolutely nothing for someone else with the exact same IBS diagnosis? A new 2026 study may help answer that question. In this episode, Alyssa breaks down groundbreaking research that individualized IBS treatment based on microbiome findings rather than treating everyone with the same symptom-based approach. The res
Why We Need to Get Things Moving Before SIBO Treatment
Why We Need to Get Things Moving Before SIBO Treatment Jun 2, 2026 1711 Send us Fan MailIn this episode, Alyssa breaks down one of the overlooked pieces of successful SIBO recovery: making sure the digestive system is actually moving before starting SIBO treatment.Because when bowel movements are incomplete, sluggish, or backed up, the body has a much harder time clearing fermentation byproducts, gas, and bacterial die-off compounds, which can make treatment feel unbe
Root Causes of SIBO: Why It’s Usually a Gut Environment Problem, Not Just a Bacteria Problem
Root Causes of SIBO: Why It’s Usually a Gut Environment Problem, Not Just a Bacteria Problem May 22, 2026 3334 Send us Fan MailIf you’ve ever felt better temporarily after antibiotics, herbals, or restrictive diets only to have symptoms slowly return again, this episode explains why that happens and what’s often being missed underneath the surface.Rather than viewing SIBO as simply “bad bacteria coming back,” Alyssa walks through the larger gut environment that allows overgrowth to happen in the first plac
Why Your Constipation Diet May Be Making IBS-C Worse
Why Your Constipation Diet May Be Making IBS-C Worse May 15, 2026 2818 Send us Fan MailConstipation is one of the most oversimplified digestive symptoms online. But what happens when you’re already doing all of the things - eating more fiber, drinking more water, taking magnesium citrate and probiotic supplements - and you still feel bloated, backed up, uncomfortable, reactive to foods, and worse the harder you try to “eat healthy”?In this episode, Alyssa unpacks why
When Your SIBO Test Is “Negative,” But Your Symptoms Say Otherwise
When Your SIBO Test Is “Negative,” But Your Symptoms Say Otherwise May 8, 2026 2680 Send us Fan MailIn this episode, Alyssa breaks down why SIBO breath tests can miss what’s actually happening, and how to look beyond the “positive vs negative” label to understand what your body is really telling you. You’ll learn how factors like test type, timing, gas patterns, and even transit time can completely change how results should be interpreted.You’ll learn:Why glucose vs lactulose tes
Trying to Do Low FODMAP as a Vegetarian? Here’s How to Make It Actually Work
Trying to Do Low FODMAP as a Vegetarian? Here’s How to Make It Actually Work Apr 28, 2026 2265 Send us Fan MailIf you’ve ever tried to follow a low FODMAP diet as a vegetarian, you’ve probably had this exact thought: “What am I even supposed to eat?” Because the foods you rely on most are suddenly the very things you're told to avoid. And that’s where the frustration starts. In this episode, Alyssa breaks down how to actually make a low FODMAP vegetarian diet work in real life, without

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