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Gut Pathways

Case studies

Real laboratory findings, read through the biochemistry of the gut.

Michelle's case IBSNew cases, 14 min read

The pill, dieting and quitting smoking slowed the bowel

Michelle, 64, has lived with IBS with constipation since university, when she started the pill and then followed extreme diets. Her case explains how progestins, dieting,…

Mike's case SIBONew cases, 20 min read

Gallbladder removal can lead to a fatty liver

Mike, 68, lost his gallbladder in 2014 and now has fatty liver, bloating, reflux and loose stools. His case explains the three links between the surgery…

Rondo's case Acid refluxNew cases, 15 min read

Sleeping late brings stomach pain at night

Rondo, 41, eats at 9 p.m., sleeps at 12:30 a.m. and wakes with epigastric pain, although his latest endoscopy is normal. His case explains how meal…

Anestis's case IBSNew cases, 24 min read

Testosterone therapy can keep the stomach feeling full

Anestis, 48, started testosterone and clomiphene in the same weeks, and daily bloating, heaviness and almost no appetite followed. His case explains how sex hormones act…

Lydia's case Chronic diarrheaNew cases, 16 min read

Why does diarrhea after gallbladder removal come and go?

Lydia, 65, has normal stools most days and an attack of diarrhea every 10 to 15 days, long after gallbladder surgery. Her case explains the bile-acid…

Kate's case IBSNew cases, 12 min read

Years of strict dieting slowed the bowel

Kate, 53, has a normal BMI, two decades of constipation and left-sided pain after vegetables and legumes. Her case links weight cycling, meal timing, the gut…

Maya's case Acid refluxNew cases, 11 min read

Antibiotics for recurrent UTIs left the stomach in pain

Maya, 41, took repeated antibiotics and then preventive nitrofurantoin for recurrent UTIs, and pain high in her stomach followed. Her case maps the medicine, the meal…

Antigone's case Acid refluxNew cases, 15 min read

An anticholinergic drug made acid reflux severe

Antigone, 70, developed severe reflux soon after starting an anticholinergic drug for incontinence, and the next medicine added new symptoms. Her case looks at the drugs,…

Marina's case IBSNew cases, 13 min read

Fullness feels stronger when IBS meets anorexia nervosa

Marina, 32, has had bloating since secondary school, and later lived through anorexia nervosa and big weight changes. Her case looks at gut movement, fullness and…