Manos's case IBSNew cases, 15 min read
Bloating starts within one hour of eating on quetiapine
Manos, 64, had bloating within an hour of every meal, three bowel movements a week and oily stools. His case connects the gut's reflex to a…
Biochemical topic / All topics
Absorption
How the gut takes up fats, sugars, proteins, vitamins and minerals, and what gets in the way.
6 articles, 4 case studies
IBS15 min read
Symptoms of fat malabsorption you shouldn’t ignore
The symptoms of fat malabsorption, from greasy, floating stool to fat-soluble vitamin signs, what causes it, how IBS and EPI differ, the fecal elastase test and…
Acid reflux15 min read
How long-term PPI use can lead to vitamin B12 deficiency
PPIs and vitamin B12 deficiency: how acid suppression blocks B12 release from food, the Kaiser Permanente numbers, PPI potency, duration, SIBO, MTHFR, other nutrients at risk…
IBS12 min read
Irritable bowel syndrome and anemia
How irritable bowel syndrome and anemia are connected: low iron during flares and restrictive diets, PPIs, tea and calcium, why anemia is a red flag in…
IBS16 min read
Intestinal disaccharidase deficiency and 5 habits that make it worse
What intestinal disaccharidase deficiency is, how it causes bloating and diarrhea, how it is tested, and five habits that make it worse, with practical steps for…
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…
IBS16 min read
Gallstones and pregnancy, and life after gallbladder surgery
Why gallstones and pregnancy go together: how estrogen, progesterone and prolactin change bile, how often sludge and stones appear and disappear after birth, what breastfeeding does…
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…
Melina's case IBSNew cases, 9 min read
Pain after every meal pointed to mesenteric ischemia
Melina, 72, had pain soon after every meal for three years, and her final diagnosis was stress. Her case shows how the timing of symptoms led…
Acid reflux14 min read
Why stomach acid matters more than an alkaline diet
Why stomach acid matters more than an alkaline diet: what pH means, why food cannot change blood pH, how acid digests protein and frees vitamin B12,…