{"id":30788,"date":"2023-05-22T14:19:43","date_gmt":"2023-05-22T19:19:43","guid":{"rendered":"https:\/\/wholehealthchicago.com\/blog\/?p=30788"},"modified":"2023-05-22T14:19:47","modified_gmt":"2023-05-22T19:19:47","slug":"how-to-take-care-of-your-gut","status":"publish","type":"post","link":"https:\/\/wholehealthchicago.com\/blog\/2023\/05\/22\/how-to-take-care-of-your-gut","title":{"rendered":"How To Take Care Of Your Gut"},"content":{"rendered":"\n

I must admit being intrigued by a New York Times article earlier this month entitled, \u201cHow a Gastroenterologist Cares for Her Gut<\/a>\u201d, because, let\u2019s face it, we do a lot of \u201cgut rehab\u201d work here at WholeHealth Chicago. I was curious about the conventional recommendations. In fact, all of us pretty much agree with the naturopathic mantra, \u201cAll illness begins in the gut.\u201d<\/p>\n\n\n\n

Since that gastroenterologist, Olufemi Kassim, M.D. (who is over at Loyola), clearly has the best of intentions for her intestines, making a consultation with one of our Functional Medicine physicians, Kristen Halland, D.C.<\/a>, for example, and reviewing a comprehensive tests like the GI Effects or the Gut Zoomer, might really be helpful for her.<\/p>\n\n\n\n

Dr. Kassim starts by bemoaning that, \u201cEven I don\u2019t eat the recommended 25-30 grams of fiber every day\u201d, so she pops several fiber 500 gm capsules (probably Metamucil), apparently between colonoscopies. One consultation with our nutrition provider, Tam Dickson Meyer<\/a>, will teach the doctor how to easily reach the recommended fiber amount without pill popping. It can even be accomplished in the fiber-free mush of a hospital cafeteria.<\/p>\n\n\n\n

Dr. K. also recommends staying well hydrated but doesn\u2019t give any guidelines. I wrote about this<\/a> recently and want to remind you that you simply take your body weight and convert to ounces of water, then cut that number in half. If you weigh 150 lbs., then you need 75 oz. of water a day.<\/p>\n\n\n\n

Physical activity is important, she says, and I fully agree. This is easy being a hospital-based physician (you walk constantly!), and she adds yoga on her off days. It can be a real challenge for those of us stuck on an expressway for two hours a day or sit in front of a computer. My suggestion would be to literally walk at every opportunity and buy a treadmill or elliptical for your home, using it for more than hanging up your wardrobe.<\/p>\n\n\n\n

Some of Dr. Kassim\u2019s recommendations are well intended but don\u2019t make a lot of sense considering our busy lifestyles. She warns against \u201ceating large meals\u201d and recommends \u201cmultiple small meals throughout the day\u201d. I don\u2019t know anyone who eats \u201clarge meals\u201d anymore (especially for breakfast or lunch), and that \u201csmall meal\u201d suggestion seems a path to weight gain.<\/p>\n\n\n\n

She recommends that you not lie down after eating but try to stand up and perhaps walk around. Well, for those of you out there who lie down after a meal, like a Roman emperor, don\u2019t do it. You\u2019ll be cursed with constipation.<\/p>\n\n\n\n

Lastly, Dr. K. adds that she is \u201csomewhat\u201d sensitive to high FODMAP foods and tries to avoid them when possible. I\u2019m sure you\u2019ve seen the acronym, FODMAP. This is an immense list of foods that contain certain types of sugars that can be very hard to digest because they increase the water and gas content in the small intestine. Many (70%) of people who have been diagnosed with symptoms of irritable bowel syndrome (especially abdominal cramping, bloating, gas, diarrhea and\/or constipation) will feel better when they reduce their FODMAP foods.<\/p>\n\n\n\n

I advise patients to \u201cplay detective\u201d and figure out for themselves the real culprits. It\u2019s usually just two or three foods (onions, garlic, wheat, dairy, for example). But don\u2019t worry too much about this. Eating high FODMAP foods has never been a line item on anyone\u2019s death certificate.<\/p>\n\n\n\n

For the rest of us without irritable bowel symptoms, the high FODMAP foods<\/a> are quite healthy, and all-in-all only a very small subset of the population needs to go on a low FODMAP diet.<\/p>\n\n\n\n

I was a bit surprised that Dr. K. made no mention of prebiotics or probiotics or the importance of a healthy microbiome. It is certainly acknowledged by researchers worldwide that an unhealthy microbiome is associated<\/a> with a huge variety of chronic physical and mental illnesses from heart disease to cancer, from autoimmune disease to chronic kidney failure. Her fiber supplements and high fiber diet will help her microbiome, but she made no mention of probiotic supplements or fermented foods. Tam Dickson Meyer to the rescue!<\/p>\n\n\n\n

I also think that anyone who bothers to reduce her FODMAP because of IBS symptoms (there\u2019d be no other reason to do this) really should get a more thorough evaluation of her digestion. Ironically, gastroenterologists are utterly clueless about tests like the GI Effects<\/a> and the Gut Zoomer<\/a>, and perhaps what symptoms she attributes to FODMAP foods can be helped by digestive enzymes<\/a>, or clearing her intestinal parasites, or improving her microbiome.<\/p>\n\n\n\n

FYI: If you follow the links and look at the \u201csample report\u201d, that\u2019s great, but do make an appointment with one of the WHC practitioners<\/a> to interpret the results for you. This goes for Dr. K. as well.<\/p>\n\n\n\n

Just trying to be helpful.<\/p>\n\n\n\n

Be well,<\/p>\n\n\n\n

David Edelberg, MD<\/p>\n","protected":false},"excerpt":{"rendered":"

I must admit being intrigued by a New York Times article earlier this month entitled, \u201cHow a Gastroenterologist Cares for Her Gut\u201d, because, let\u2019s face it, we do a lot of \u201cgut rehab\u201d work here at WholeHealth Chicago. I was curious about the conventional recommendations. In fact, all of us pretty much agree with the […]<\/p>\n","protected":false},"author":4902,"featured_media":30789,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[28,398,2333,2366,130],"tags":[409,1657,2005,1880,2256],"class_list":["post-30788","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-alternative-therapies","category-fitness-exercise","category-functional-medicine","category-gut-health","category-integrative-medicine","tag-diets","tag-gut-health","tag-gut-health-formulas","tag-gut-microbiome","tag-gut-restore"],"yoast_head":"\r\nHow To Take Care Of Your Gut<\/title>\r\n<meta name=\"description\" content=\"How To Take Care Of Your Gut\" \/>\r\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\r\n<link rel=\"canonical\" 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