The Gut Health Dialogues

Alyssa

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.

  1. Pancreatic Insufficiency: What to Eat, How to Structure Your Meals, and Why Enzymes Aren't Enough on Their Own

    3 days ago

    Pancreatic Insufficiency: What to Eat, How to Structure Your Meals, and Why Enzymes Aren't Enough on Their Own

    Send us Fan Mail In 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 symptoms lingering, and why many people with EPI may also be dealing with overlapping conditions like SIBO, IBS, or gut microbiome imbalances. You'll learn: What is pancreatic insufficiency, and common EPI symptomsWhy EPI is often mistaken for IBS and SIBO, and how fat malabsorption affects digestionThe connection between EPI and bacterial overgrowthWhat to eat & limit with pancreatic insufficiencyMeal timing and meal structure strategiesNutrients commonly depleted in EPIWhy symptoms sometimes persist despite enzyme therapyFree resources: Listen to Daniella’s healing journey here. Download Alyssa’s Pancreatic Insufficiency Diet PDF for a practical starting point with foods that are generally easier to digest, lower in fat, and designed to help support nutrition while managing EPI symptoms.Book your free 15-minute strategy call, and we’ll look at your symptom history, what you’ve already tried, and whether working together makes sense, along with what that would look like. Watch Alyssa’s FREE Masterclass: “Why Your Gut Still Isn’t Better — The Real Reason You Feel Stuck” Learn more about Nutrition Resolution’s Signature Healthy Gut Restoration Program — a personalized, root-cause approach to addressing bloating, constipation, and underlying digestive imbalances.DM “GUT CHECK” on Alyssa’s Instagram for a personalized quiz and free meal plans & resources tailored to your symptoms.Follow Alyssa on: Instagram, LinkedIn, Facebook, Pinterest  - Looking for a supportive Gut Health community? Alyssa is building a community committed to helping people overcome their digestive symptoms by addressing the root cause using food and nutrition. Join Alyssa’s FREE Facebook Community here. Tune in and subscribe to "The Gut Health Dialogues" for inspiring client transformation stories and expert insights into gut health. Leave a review—Your support will help Alyssa empower more people with the knowledge and tools to take control of their gut health and reclaim their lives.

    47 min
  2. A New IBS Study Just Validated What Functional Practitioners Have Been Saying for Years

    11 June

    A New IBS Study Just Validated What Functional Practitioners Have Been Saying for Years

    Send us Fan Mail Why 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 results challenge one of the biggest assumptions in digestive health: that people with the same diagnosis need the same solutions. You’ll learn: Why IBS is a symptom description, not a root causeThe major flaw in much of IBS researchWhat a new 2026 personalized IBS study discoveredWhy averages can hide meaningful treatment successThe difference between symptom-based care and individualized careHow methane SIBO, pelvic floor dysfunction, and motility issues can overlapWhy diarrhea isn't always caused by the same underlying problemThe role of bile acid malabsorption and pancreatic enzyme insufficiencyHow histamine intolerance can masquerade as digestive dysfunctionWhy sequencing matters just as much as choosing the right interventionThe common mistake people make with probiotics, fiber, glutamine, and elimination dietsWhat personalized gut health care may look like in the futureFree resources: Download Alyssa’s IBS Constipation Diet Guide with gentle meal ideas, a list of foods to avoid, practical IBS-C-friendly strategies, and sample meals for bloating and constipation supportBook your free 15-minute strategy call, and we’ll look at your symptom history, what you’ve already tried, and whether working together makes sense, along with what that would look like. Watch Alyssa’s FREE Masterclass: “Why Your Gut Still Isn’t Better — The Real Reason You Feel Stuck” Learn more about Nutrition Resolution’s Signature Healthy Gut Restoration Program — a personalized, root-cause approach to addressing bloating, constipation, and underlying digestive imbalances.DM “GUT CHECK” on Alyssa’s Instagram for a personalized quiz and free meal plans & resources tailored to your symptoms.Follow Alyssa on: Instagram, LinkedIn, Facebook, Pinterest  - Looking for a supportive Gut Health community? Alyssa is building a community committed to helping people overcome their digestive symptoms by addressing the root cause using food and nutrition. Join Alyssa’s FREE Facebook Community here. Tune in and subscribe to "The Gut Health Dialogues" for inspiring client transformation stories and expert insights into gut health. Leave a review—Your support will help Alyssa empower more people with the knowledge and tools to take control of their gut health and reclaim their lives.

    33 min
  3. Why We Need to Get Things Moving Before SIBO Treatment

    2 June

    Why We Need to Get Things Moving Before SIBO Treatment

    Send us Fan Mail In this episode, Alyssa breaks down one of the overlooked pieces of successful SIBO recovery: making sure the digestive system is actually moving before starting SIBO treatment. Because when bowel movements are incomplete, sluggish, or backed up, the body has a much harder time clearing fermentation byproducts, gas, and bacterial die-off compounds, which can make treatment feel unbearable. Inside this episode, we discuss: Why constipation is about more than “not going enough”The connection between methane gas and slowed motilityWhy many people feel awful during antibiotics or herbal protocolsThe relationship between constipation, toxin recirculation, and die-off symptomsWhy “eat more fiber” often backfires in IBS-C and methane SIBOWhy giant salads, fiber supplements, and roughage can worsen fermentationGentle strategies that often work better for methane-dominant casesWhy nervous system regulation plays a major role in digestion and motilityThe mistake of pushing through severe die-off symptomsSupportive strategies for bowel movements and downstream clearanceFree resources: Download Alyssa’s IBS Constipation Diet Guide with gentle meal ideas, a list of foods to avoid, practical IBS-C-friendly strategies, and sample meals for bloating and constipation supportWatch Alyssa’s FREE Masterclass: “Why Your Gut Still Isn’t Better — The Real Reason You Feel Stuck” Book your free 15-minute strategy call, and we’ll look at your symptom history, what you’ve already tried, and whether working together makes sense, along with what that would look like. Learn more about Nutrition Resolution’s Signature Healthy Gut Restoration Program — a personalized, root-cause approach to addressing bloating, constipation, and underlying digestive imbalances.DM “GUT CHECK” on Alyssa’s Instagram for a personalized quiz and free meal plans & resources tailored to your symptoms.Follow Alyssa on: Instagram, LinkedIn, Facebook, Pinterest  - Looking for a supportive Gut Health community? Alyssa is building a community committed to helping people overcome their digestive symptoms by addressing the root cause using food and nutrition. Join Alyssa’s FREE Facebook Community here. Tune in and subscribe to "The Gut Health Dialogues" for inspiring client transformation stories and expert insights into gut health. Leave a review—Your support will help Alyssa empower more people with the knowledge and tools to take control of their gut health and reclaim their lives.

    29 min
  4. Root Causes of SIBO: Why It’s Usually a Gut Environment Problem, Not Just a Bacteria Problem

    22 May

    Root Causes of SIBO: Why It’s Usually a Gut Environment Problem, Not Just a Bacteria Problem

    Send us Fan Mail If you’ve ever felt better temporarily after antibiotics, herbals, or restrictive diets only to have symptoms slowly return again, this episode explains why that happens and what’s often being missed underneath the surface. Rather than viewing SIBO as simply “bad bacteria coming back,” Alyssa walks through the larger gut environment that allows overgrowth to happen in the first place — including motility issues, digestion problems, nervous system dysregulation, constipation, microbiome depletion, and impaired gut defenses. You’ll learn: Why recurring SIBO is usually not just one single “root cause”The difference between treating bacterial overgrowth vs restoring gut functionHow the small intestine normally regulates bacterial balanceWhy impaired motility and the migrating motor complex matter so muchThe role of stomach acid, bile flow, digestive enzymes, and gut immunityWhy symptom relief does not always mean the gut environment has recoveredThe hidden reasons SIBO keeps relapsing after treatmentWhy restrictive diets alone rarely create lasting recoveryHow chronic stress and nervous system dysregulation affect digestionWhat needs to improve to make long-term progress possibleFree resources: Download Alyssa’s FREE SIBO Diet Recipe Collection for breakfast, lunch, snack, and dessert ideas that support gut healing without unnecessary restriction. Watch Alyssa’s FREE Masterclass: “Why Your Gut Still Isn’t Better — The Real Reason You Feel Stuck” Book your free 15-minute strategy call, and we’ll look at your symptom history, what you’ve already tried, and whether working together makes sense, along with what that would look like. Learn more about Nutrition Resolution’s Signature Healthy Gut Restoration Program — a personalized, root-cause approach to addressing bloating, constipation, and underlying digestive imbalances.DM “GUT CHECK” on Alyssa’s Instagram for a personalized quiz and free meal plans & resources tailored to your symptoms.Find Alyssa on: Instagram, LinkedIn, Facebook, Pinterest  - Looking for a supportive Gut Health community? Alyssa is building a community committed to helping people overcome their digestive symptoms by addressing the root cause using food and nutrition. Join Alyssa’s FREE Facebook Community here. Tune in and subscribe to "The Gut Health Dialogues" for inspiring client transformation stories and expert insights into gut health. Leave a review—Your support will help Alyssa empower more people with the knowledge and tools to take control of their gut health and reclaim their lives.

    56 min
  5. Why Your Constipation Diet May Be Making IBS-C Worse

    15 May

    Why Your Constipation Diet May Be Making IBS-C Worse

    Send us Fan Mail Constipation is one of the most oversimplified digestive symptoms online. But what happens when you’re already doing all of the things - eating more fiber, drinking more water, taking magnesium citrate and probiotic supplements - and you still feel bloated, backed up, uncomfortable, reactive to foods, and worse the harder you try to “eat healthy”? In this episode, Alyssa unpacks why IBS-C is often much more complex than a simple fiber deficiency, and why certain healthy foods can actually backfire in sensitive digestive systems.  You will learn: Why constipation and bloating are so closely connectedHow slowed motility and microbial fermentation create a vicious cycleWhy methane gas can actively slow digestion downThe gut-brain connection and the nervous system’s role in IBS-CSigns your constipation may actually be methane SIBO / IMOGentle strategies to support motility without overwhelming the gutMethane SIBO episodes: For Buzzsprout: What is Methane SIBO? Methane SIBO treatment.Why Methane SIBO Causes Weight GainMethane SIBO Diet Beyond Low FODMAPFree resources: Download the IBS-C Gentle 7-Day Meal Plan for meal ideas, supportive fiber strategies, snack ideas, and foods that commonly worsen bloating and constipation for sensitive digestion.Download the Methane SIBO Diet Plan: a 7-day guide to calm bloating and reset your gut motility.If you’re not sure what your symptoms actually point to, that’s where we can help you connect the dots. Book your free 15-minute strategy call, and we’ll look at your symptom history, what you’ve already tried, and whether working together makes sense, along with what that would look like.  Check out Alyssa’s FREE Masterclass “Why your gut still isn’t better - the real reason you feel stuck.Learn more about Nutrition Resolution’s Signature Healthy Gut Restoration Program — a personalized, root-cause approach to addressing bloating, constipation, and underlying digestive imbalances.DM “GUT CHECK” on Alyssa’s Instagram for a personalized quiz and free meal plans & resources.Find Alyssa on: Instagram, LinkedIn, Facebook, Pinterest  - Looking for a supportive Gut Health community? Alyssa is building a community committed to helping people overcome their digestive symptoms by addressing the root cause using food and nutrition. Join Alyssa’s FREE Facebook Community here. Tune in and subscribe to "The Gut Health Dialogues" for inspiring client transformation stories and expert insights into gut health. Leave a review—Your support will help Alyssa empower more people with the knowledge and tools to take control of their gut health and reclaim their lives.

    47 min
  6. When Your SIBO Test Is “Negative,” But Your Symptoms Say Otherwise

    8 May

    When Your SIBO Test Is “Negative,” But Your Symptoms Say Otherwise

    Send us Fan Mail In this episode, Alyssa breaks down why SIBO breath tests can miss what’s actually happening, and how to look beyond the “positive vs negative” label to understand what your body is really telling you. You’ll learn how factors like test type, timing, gas patterns, and even transit time can completely change how results should be interpreted. You’ll learn: Why glucose vs lactulose testing can lead to false negativesHow methane overgrowth (IMO) is often missed entirelyThe problem with strict lab cutoffs (and what they overlook)Why a “normal” result can still show clinically meaningful patternsWhat flatline results may actually indicate (including hydrogen sulfide)How slow or fast gut motility can distort your test resultsThe difference between lab interpretation and clinical interpretationReal patient case examples where “normal” results missed the diagnosisThis episode includes visual walkthroughs of real SIBO breath tests. 👉 Watch the full video breakdown on YouTube 👉 Read the full blog with graphs + explanations Free resources: Download the SIBO Diet Recipe Collection for delicious and varied breakfast, lunch, snack, and dessert options to keep you happy while you navigate the process of clearing your SIBO. Check out Alyssa’s FREE Masterclass “Why your gut still isn’t better - the real reason you feel stuck to understand the root causes behind your persistent gut symptoms.Learn more about Nutrition Resolution’s Signature Healthy Gut Restoration Program — a personalized, root-cause approach to addressing bloating, constipation, and underlying digestive imbalances.If you’re enduring uncomfortable, painful, and embarrassing GI symptoms and feel like you’ve tried everything, Alyssa uses a specialized approach to help people who’ve gone from doctor to doctor finally find relief. Book your 15-minute strategy call for FREE here.DM “GUT CHECK” on Alyssa’s Instagram for a personalized quiz and free meal plans & resources tailored to your symptoms.Find Alyssa on: Instagram, LinkedIn, Facebook, Pinterest  - Looking for a supportive Gut Health community? Alyssa is building a community committed to helping people overcome their digestive symptoms by addressing the root cause using food and nutrition. Join Alyssa’s FREE Facebook Community here. Tune in and subscribe to "The Gut Health Dialogues" for inspiring client transformation stories and expert insights into gut health. Leave a review—Your support will help Alyssa empower more people with the knowledge and tools to take control of their gut health and reclaim their lives.

    45 min
  7. Trying to Do Low FODMAP as a Vegetarian? Here’s How to Make It Actually Work

    28 Apr

    Trying to Do Low FODMAP as a Vegetarian? Here’s How to Make It Actually Work

    Send us Fan Mail If you’ve ever tried to follow a low FODMAP diet as a vegetarian, you’ve probably had this exact thought: “What am I even supposed to eat?” Because the foods you rely on most are suddenly the very things you're told to avoid. And that’s where the frustration starts. In this episode, Alyssa breaks down how to actually make a low FODMAP vegetarian diet work in real life, without over-restricting, under-eating protein, or getting stuck in the elimination phase forever. You’ll learn: Why low FODMAP + vegetarian feels so restrictive (and what’s really happening)The biggest misconception about FODMAP food lists (this trips up almost everyone)How portion sizes + food stacking can trigger symptoms — even with “safe” foodsA simple framework to build meals that are balanced, filling, and gut-friendlyHow to get enough protein without worsening symptomsWhy you might still feel bloated, even when you’re “doing everything right”When low FODMAP isn’t enough, and what deeper issues to look for (SIBO, motility, digestion)The exact mistakes keeping people stuck in elimination for months (or years)Free resources: Download the Low FODMAP Vegetarian Meal Plan + Food Guide: Includes full food list, portion sizes, recipes & grocery list.Download the Free FODMAP Reintroduction Guide for the step-by-step process to expand your diet without triggering symptomsCheck out Alyssa’s FREE Masterclass “Why your gut still isn’t better - the real reason you feel stuck to understand the root causes behind your persistent gut symptoms.Learn more about Nutrition Resolution’s Signature Healthy Gut Restoration Program — a personalized, root-cause approach to addressing bloating, constipation, and underlying digestive imbalances.If you’re enduring uncomfortable, painful, and embarrassing GI symptoms and feel like you’ve tried everything, Alyssa uses a specialized approach to help people who’ve gone from doctor to doctor finally find relief. Book your 15-minute strategy call for FREE here.DM “GUT CHECK” on Alyssa’s Instagram for a personalized quiz and free meal plans & resources tailored to your symptoms.Find Alyssa on: Instagram, LinkedIn, Facebook, Pinterest  - Looking for a supportive Gut Health community? Alyssa is building a community committed to helping people overcome their digestive symptoms by addressing the root cause using food and nutrition. Join Alyssa’s FREE Facebook Community here. Tune in and subscribe to "The Gut Health Dialogues" for inspiring client transformation stories and expert insights into gut health. Leave a review—Your support will help Alyssa empower more people with the knowledge and tools to take control of their gut health and reclaim their lives.

    38 min
  8. SIBO Die-Off Explained: Why You Feel Worse Before You Feel Better (And What To Do About It)

    21 Apr

    SIBO Die-Off Explained: Why You Feel Worse Before You Feel Better (And What To Do About It)

    Send us Fan Mail If you’ve ever started antibiotics, herbals, or an elemental diet, and suddenly felt more bloated, more fatigued, and completely off, this episode will explain exactly why. We’re breaking down one of the most misunderstood parts of SIBO recovery: die-off (Herxheimer reaction). You’ll learn: What endotoxins are and why they trigger symptomsWhy SIBO die-off affects your whole body (not just your gut)The 2 main types of die-off symptoms (digestive vs systemic)The typical timeline (why symptoms often start around day 2–5)How yeast (SIFO/candida) changes the pattern completelyWhy constipation makes die-off significantly worseThe truth about “pushing through” (and why it backfires)How to properly ramp dosing to avoid overwhelming your systemThe role of binders, hydration, and bile flow in detox supportWhen symptoms are not die-off and you need to pivotFree resources: Tune in to know how to fully address methane SIBO here.Tune in to know how to fully address hydrogen sulfide SIBO here.DM “GUT CHECK” on Alyssa’s Instagram for a personalized quiz and free meal plans & resources tailored to your symptoms.Check out Alyssa’s FREE Masterclass “Why your gut still isn’t better - the real reason you feel stuck here. Learn more about Nutrition Resolution’s Signature Healthy Gut Restoration Program — a personalized, root-cause approach to addressing bloating, constipation, and underlying digestive imbalances.Find Alyssa on: Instagram, LinkedIn, Facebook, Pinterest  - If you’re enduring uncomfortable, painful, and embarrassing GI symptoms and feel like you’ve tried everything, Alyssa uses a specialized approach to help people who’ve gone from doctor to doctor finally find relief. Book your 15-minute strategy call for FREE here. Looking for a supportive Gut Health community? Alyssa is building a community committed to helping people overcome their digestive symptoms by addressing the root cause using food and nutrition. Join Alyssa’s FREE Facebook Community here. Tune in and subscribe to "The Gut Health Dialogues" for inspiring client transformation stories and expert insights into gut health. Leave a review—Your support will help Alyssa empower more people with the knowledge and tools to take control of their gut health and reclaim their lives.

    37 min

Trailer

About

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.

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