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Gut Pathways

Case studies

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

Xenia's case IBSNew cases, 12 min read

Late evenings drive morning bloating in diverticulosis

Xenia, 61, has had diverticula for ten years and daily bloating for three, with dinners close to midnight. Her case shows why her evening routine sits…

Eliot's case Chronic diarrheaNew cases, 13 min read

Childhood antibiotics set the stage for C. diff at 19

Eliot, 19, had loose stools up to nine times a day since birth, after repeated antibiotics in his first year. A molecular stool test found C.…

Antonis's case IBDNew cases, 12 min read

Nightly junk food can keep the rectum inflamed

Antonis, 39, had two years of blood and mucus in the stool before a colonoscopy found chronic proctitis. A full stool test linked his nightly junk…

Christian's case IBSNew cases, 12 min read

One man needed the toilet four times every morning

Christian, 39, had about four bowel movements every morning for ten years, starting after gastroenteritis. His case links the morning pattern with late sleep, midnight eating…

Marios's case IBSNew cases, 10 min read

Why did bloating stay after two rounds of antibiotics?

Marios, 28, had bloating and constipation that came back after two rounds of antibiotics and two clean scopes. A molecular stool panel and immune markers finally…

Michael's case Chronic diarrheaBook cases, 9 min read

Diabetes hid a weak pancreas behind IBS symptoms

Michael, 56, had type 2 diabetes, diarrhea, oily stools and bloating, while his scans were normal. This book case follows his exocrine pancreatic insufficiency through the…

Jim's case IBDNew cases, 9 min read

Crohn’s disease appeared after a trip to Colombia

Jim, 36, was diagnosed with Crohn's disease soon after a trip to Colombia, although he had almost no gut symptoms. His case explains how parasites and…

Nick's case SIBONew cases, 8 min read

SIBO can look exactly like celiac disease on a biopsy

Nick, 26, was on a strict gluten-free diet for two and a half years with little change. His case explains how small intestinal bacterial overgrowth can…

Katherine's case IBSNew cases, 8 min read

Thyroxine did not settle IBS and reflux in Hashimoto’s

Katherine, 25, hoped that thyroxine would fix her constipation and reflux, but things got worse. Her case explains how Hashimoto's thyroiditis can slow the migrating motor…