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The Gut Health Dialogues

The Gut Health Dialogues

Alyssa 113 Episodes Oct 8, 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

The Elemental Diet for SIBO: What to Expect and What Comes Next
The Elemental Diet for SIBO: What to Expect and What Comes Next Oct 8, 2026 3655 Send us Fan MailIn this episode, Alyssa takes a closer look at what it takes to approach the elemental diet thoughtfully, including the questions to consider before starting, what the experience can look like while you're doing it, and what happens when those two weeks are over. We also discuss who may benefit, how the elemental diet compares with antibiotics and herbal antimicrobials, and wh
“I Already Had a Stool Test.” Why Functional Gut Testing Is Different From Conventional Testing
“I Already Had a Stool Test.” Why Functional Gut Testing Is Different From Conventional Testing Sep 19, 2026 2883 Send us Fan MailIf you’ve been dealing with bloating, diarrhea, constipation, food reactions, or other ongoing digestive symptoms, you may have wondered whether functional gut testing can tell you something standard testing missed.In this episode, Alyssa breaks down the difference between conventional and functional gut testing, what each approach is designed to look for, and why two tests that ap
Methane SIBO Diet in 2026 - What to Eat With IMO Without Over-Restricting
Methane SIBO Diet in 2026 - What to Eat With IMO Without Over-Restricting Sep 10, 2026 2561 Send us Fan MailWhat if the diet that's helping you control your methane SIBO symptoms isn't actually addressing the reason you still need such a restrictive diet? In this episode, we break down what we know about the methane SIBO diet, IMO, low FODMAP diets, constipation, intestinal motility, fermentation, fiber, resistant starch, and food reintroduction, including newer research from 2
Spent Thousands on SIBO Treatment but Still Not Better? Here’s What’s Missing
Spent Thousands on SIBO Treatment but Still Not Better? Here’s What’s Missing Sep 3, 2026 2239 Send us Fan MailIf you've spent thousands of dollars on SIBO testing, antibiotics, herbal antimicrobials, supplements, restrictive diets, and practitioner visits but still aren't getting lasting relief, the problem may not be that you haven't tried hard enough. After more than a decade working with difficult SIBO cases, I've seen how easily digestive care can become fragmented:
Could Bile Acid Diarrhea Be Part of Your IBS-D? What to Eat and How to Manage It
Could Bile Acid Diarrhea Be Part of Your IBS-D? What to Eat and How to Manage It Aug 27, 2026 2664 Send us Fan MailIf you're dealing with urgent, watery diarrhea after meals, you may have already started looking for the food responsible.  But when eliminating dairy, gluten, FODMAPs, or other suspected triggers doesn't make much difference, it may be time to look beyond individual foods. In this episode, Alyssa explores a commonly overlooked reason for persistent diarrhea and explains
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

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