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The Gut Health Dialogues

The Gut Health Dialogues

Alyssa 113 Episodes Jul 21, 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

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
SIBO Die-Off Explained: Why You Feel Worse Before You Feel Better (And What To Do About It)
SIBO Die-Off Explained: Why You Feel Worse Before You Feel Better (And What To Do About It) Apr 21, 2026 2194 Send us Fan MailIf you’ve ever started antibiotics, herbals, or an elemental diet, and suddenly felt more bloated, more fatigued, and completely off, this episode will explain exactly why. We’re breaking down one of the most misunderstood parts of SIBO recovery: die-off (Herxheimer reaction).You’ll learn:What endotoxins are and why they trigger symptomsWhy SIBO die-off affects your whole body (not
The Nervous System Root Cause Most People Miss (And Why Your Symptoms Don’t Make Sense) ft. Alex Mufson
The Nervous System Root Cause Most People Miss (And Why Your Symptoms Don’t Make Sense) ft. Alex Mufson Apr 14, 2026 3242 Send us Fan MailYour symptoms aren’t just physical, and not just “in your head” either. In this episode, Alyssa sits down with nervous system expert Alex Mufson to unpack one of the most overlooked drivers of chronic symptoms: The nervous system as a full-body regulator, not just a stress response.If you’ve ever been told “everything looks normal” while dealing with real symptoms like bloating, fa
Diverticulitis Diet: What to Eat During a Flare and How to Safely Add Fiber Back
Diverticulitis Diet: What to Eat During a Flare and How to Safely Add Fiber Back Apr 7, 2026 1791 Send us Fan MailIn this episode of The Gut Health Dialogues, Alyssa breaks down exactly what to do during a diverticulitis flare, how to transition your diet safely, and how to prevent future episodes.Because one of the biggest mistakes people make is staying in the low-fiber phase for too long during a Diverticulitis flare. What You’ll Learn in This EpisodeThe difference between diverticulosis vs
Why SIBO Comes Back After Rifaximin (3 Reasons Symptoms Return After Antibiotics)
Why SIBO Comes Back After Rifaximin (3 Reasons Symptoms Return After Antibiotics) Mar 31, 2026 1906 Send us Fan MailIf you’ve taken antibiotics like rifaximin for SIBO and found yourself right back where you started, you’re not alone. This is one of the most common patterns we see in practice, and it’s also one of the most frustrating. In this episode, Alyssa breaks down what’s actually happening beneath the surface when symptoms return, and why repeating the same approach often leads to the sam

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