Resolve IBS and IBD Naturally

Courtney Cowie NTP, FDN-P

This podcast is for you if you are struggling with symptoms of IBS and IBD and want to get to the root cause of your symptoms so you can take back your health through a holistic, whole-person approach.

  1. 1d ago

    Herxheimer Die-Off Reaction: Why Gut Healing Makes IBS Worse First | Ep 84

    Send us Fan Mail In this episode, you'll learn: How to tell the difference between a normal "die-off" reaction and a sign that something in your protocol is actually wrongWhy feeling worse before feeling better is common — but shouldn't last longer than 14 daysHow to build a support toolkit so you don't quit right before you'd start seeing resultsIf you've started an elimination diet, a new supplement, or a gut healing protocol and suddenly feel worse instead of better, you're not imagining it — and you're not necessarily doing something wrong. In this episode, Courtney breaks down the Herxheimer response (commonly called "die-off"): what's actually happening in your microbiome when you change your diet or introduce antimicrobial herbs, and why it can look like a full-blown flare, brain fog, fatigue, or even flu-like symptoms. Courtney shares her own experience going through an extended die-off period during one of her personal elimination diets, and explains the general 3-to-14-day timeline most people can expect to move through before symptoms start improving. She also walks through the questions she asks clients when symptoms aren't improving past that window — including a real client case where persistent IBS symptoms turned out to be caused by a prescription medication, not diet or infection at all. This episode also covers when die-off symptoms might be pointing to something deeper, like toxic mold exposure, tick-borne illness, or heavy metal burden, and why nervous system dysregulation and unmanaged stress can stall out even a well-designed gut protocol. Courtney closes with practical guidance for building your own "die-off toolkit" — including how to time a gut protocol around your life and how to build an emotional support plan before symptoms hit, so you're prepared instead of blindsided. Topics covered: Herxheimer reaction, die-off symptoms, IBS flare, IBD symptoms, elimination diet side effects, gut protocol, antimicrobial herbs, GI Map testing, toxic mold exposure, heavy metal toxicity, nervous system regulation, gut healing timeline Timestamped Chapters 00:00 — What is die-off / the Herxheimer response?  04:30 — Why changing your diet shifts your microbiome so fast  07:15 — What die-off symptoms actually look like (GI and non-GI)  10:45 — The typical 3-14 day die-off timeline  13:30 — Courtney's personal 4-week die-off experience  17:00 — When to suspect it's not die-off — it's something else  19:45 — Case study: the client whose "IBS" was actually medication-induced  23:30 — Questions Courtney asks clients when symptoms aren't improving  27:15 — When die-off points to deeper issues: mold, Lyme, heavy metals  31:00 — The role of nervous system dysregulation in stalled healing  34:00 — How to time your gut protocol around your life  36:30 — Building your die-off emotional support toolkit Link to my free training “The Root Cause Approach to Gut Healing”—my step-by-step framework to stop guessing and start healing Link to a free 30 minute Gut Check Call Link to my website Disclaimer: None of the content discussed is meant to be taken as medical advice. All information presented is for educational purposes only and listeners and viewers assume all responsibility around implementing any changes to their health and medical regimen.

  2. Sep 11

    Why Ultra-Restricted Diets Make IBS & IBD Worse (Carnivore, Low FODMAP Mistakes) | Ep 83

    Send us Fan Mail In this episode, you'll learn: Why ultra-restricted diets like carnivore can backfire long-term for IBS and IBD by shrinking your microbiome diversityWhy low FODMAP alone rarely resolves chronic gut symptoms — and what it's missingHow to know if your "healthy" restrictive diet is actually creating new food sensitivitiesIf you've been diagnosed with IBS, IBD, or chronic gut symptoms and you've tried cutting out food after food hoping for relief, this episode is for you. Courtney breaks down the double-edged sword of food restriction — why it can bring fast symptom relief in the short term, and why staying there long-term often makes food sensitivities worse, not better. Courtney walks through her own process for evaluating a new client's diet, including how she uses food journaling to identify individual food triggers rather than applying a one-size-fits-all protocol. She explains why common IBS/IBD trigger foods like wheat, dairy, and certain grains show up across so many cases, but why bio-individuality still determines how much variety any one person can eventually tolerate. A major focus of this episode is the carnivore diet and other extreme elimination approaches. Courtney shares her personal experience healing her own gut symptoms on a highly restricted, roughly 10-food diet — and why she ultimately moved away from that approach. She unpacks the physical risks of long-term ultra-restriction, including carbohydrate depletion's effect on the brain and thyroid, reduced microbiome diversity, and an increased risk of developing new food sensitivities from eating the same repetitive foods over and over. Courtney also addresses why low FODMAP, one of the most commonly recommended diets for IBS, is often not enough on its own to fully resolve symptoms. She explains that low FODMAP only addresses one category of fermentable carbohydrates, while true symptom relief usually requires a more individualized elimination approach combined with root cause testing — such as a functional stool test — to identify the specific stressors, imbalances, and food sensitivities driving each person's symptoms. Finally, Courtney discusses the often-overlooked role of the nervous system and subconscious brain in food tolerance and hypersensitization, and why working on that layer — alongside diet — tends to produce faster, more lasting results than nutrition changes alone. Topics covered: IBS-D, IBD, carnivore diet, low FODMAP mistakes, food sensitivities, leaky gut, microbiome diversity, elimination diets, gut-brain connection, root cause testing, functional stool testing, food triggers, autoimmune gut health Timestamped Chapters 00:00 — Intro: the double-edged sword of food restriction  02:15 — How Courtney builds a food journal protocol with new clients  05:40 — Common food triggers vs. individual bio-individuality  08:30 — Why carnivore and all-plant-based diets both carry risk for IBS/IBD  12:00 — Courtney's personal experience healing on a 10-food diet  16:45 — The psychological cost of ultra-restriction  20:10 — Why low FODMAP alone usually isn't enough  24:00 — What ultra-restriction does to your microbiome diversity  28:30 — How repetitive eating can create new food sensitivities  32:15 — The standard American diet's hidden restriction problem  35:50 — The nervous system's role in food tolerance and hypersensitization  39:20 — Why root cause testing comes before (or alongside) elimination Link to my free training “The Root Cause Approach to Gut Healing”—my step-by-step framework to stop guessing and start healing Link to a free 30 minute Gut Check Call Link to my website Disclaimer: None of the content discussed is meant to be taken as medical advice. All information presented is for educational purposes only and listeners and viewers assume all responsibility around implementing any changes to their health and medical regimen.

  3. Aug 28

    Why Raw Foods and Salads Might Be Making Your IBS Worse | Ep 82

    Send us Fan Mail If you've been told that salads, smoothies, and raw vegetables are the "healthy" choice, but your IBS or IBD symptoms seem to get worse after eating them, this episode explains why. I'm breaking down the concept of "cold damage" from classical Chinese medicine and how it connects directly to weakened digestive function, slow motility, and chronic GI symptoms like bloating, diarrhea, and constipation. This isn't about ditching vegetables forever — it's about understanding why raw and cold foods can overwhelm an already-weakened digestive system, and what to do instead if you're someone who's tried "eating healthy" and still isn't getting relief. In this episode, you'll learn: What "cold damage" means in Chinese medicine and why it matters for IBS and IBDWhy raw vegetables, salads, fruit, and ice water can worsen symptoms in someone with weak digestionWhat "weakened digestive fire" means and how to recognize it in your own bodyWhy cooked, warm foods can be easier to digest and absorb than raw onesHow stress and blood flow patterns contribute to poor digestive functionA simple one-to-two week experiment to test if cold and raw foods are aggravating your symptomsWhy chronic bloating, diarrhea, and constipation are signs of "loss of function," not just bad luckLink to my free training “The Root Cause Approach to Gut Healing”—my step-by-step framework to stop guessing and start healing Link to a free 30 minute Gut Check Call Link to my website Disclaimer: None of the content discussed is meant to be taken as medical advice. All information presented is for educational purposes only and listeners and viewers assume all responsibility around implementing any changes to their health and medical regimen.

  4. Aug 14

    Episode 81: How to Manage Mindset When Life Feels Out of Control Because of Your Autoimmune Disease, with Dr. Amy Behimer

    Send us Fan Mail If you're living with an autoimmune condition — whether that's IBD, Hashimoto's, Graves', MS, or another diagnosis — and you feel like your body and your life are spiraling out of control, this episode is for you. Dr. Amy Behimer, PharmD and board-certified health coach living with four autoimmune diagnoses herself, joins me to break down the mindset side of autoimmune healing that most practitioners never talk about. We cover why your thoughts about your diagnosis directly shape your symptoms, how to shift from "managing disease" to "creating health," and why tiny, believable changes outperform massive overhauls every time. If you've tried every diet, every supplement, and every doctor and still feel stuck, this conversation will help you understand the missing piece. In this episode, you'll learn: Why feeling hopeless after trying everything isn't a sign you're "unfixable" — it's a sign your inner habits haven't caught up to your outer onesThe difference between managing autoimmune disease and creating autoimmune healthHow your thoughts about your diagnosis directly influence inflammation and symptom flaresWhy "trust in the tiny" works better than drastic diet or lifestyle overhaulsHow to know if fear (not evidence) is driving your health decisionsThe real reason so many people quit a new protocol before it has a chance to workWhat it actually looks like to rebuild identity after a chronic diagnosisKeywords/topics for search optimization: autoimmune disease mindset, autoimmune healing, IBD flare ups, managing autoimmune symptoms naturally, autoimmune and anxiety, gut brain connection autoimmune, chronic illness mindset shift, habit change for chronic illness, feeling hopeless with autoimmune disease, autoimmune identity change, Dr. Amy Behimer Guest: Dr. Amy Behimer, PharmD, board-certified health coach, host of Autoimmune Health Secrets podcast www.amybehimercoaching.com https://www.instagram.com/amybehimercoaching/ https://podfollow.com/autoimmune-health-secrets www.amybehimercoaching.com/quiz Link to my free training “The Root Cause Approach to Gut Healing”—my step-by-step framework to stop guessing and start healing Link to a free 30 minute Gut Check Call Link to my website Disclaimer: None of the content discussed is meant to be taken as medical advice. All information presented is for educational purposes only and listeners and viewers assume all responsibility around implementing any changes to their health and medical regimen.

  5. Jul 31

    Episode 80: Why IBS and IBD Make You So Tired: 6 Root Causes of Chronic Fatigue

    Send us Fan Mail If you have IBS-D, IBD, or chronic gut issues and you're exhausted all the time — needing naps to get through the day, relying on caffeine to function, waking up tired no matter how much you sleep — your fatigue isn't a separate problem. It's coming from your gut. In this episode, I break down the six root causes of chronic fatigue in IBS and IBD, why eating a healthy diet isn't enough when your digestive system is compromised, and where to look for answers when "everything looks normal" on your labs. During my own IBS-D struggle, the fatigue was so profound I sometimes had to lie down midday just to function. Here's what I've learned — personally and in my functional nutrition practice — about why this happens and how to get your energy back. What you'll learn in this episode: Why a healthy diet can't fix your energy when digestion is broken: the "high-quality gas in a broken engine" problemRoot cause #1 — Impaired digestion: how low stomach acid, weak enzyme production, and poor bile quality drain your energy (and how a GI Map stool test reveals it)Root cause #2 — Malabsorption and leaky gut: why nutrients are "going right through you" and how small intestine damage activates the immune systemRoot cause #3 — Chronic inflammation: the hidden energy thief connecting your gut to high blood pressure, high cholesterol, blood sugar issues, and autoimmune conditionsRoot cause #4 — Blood sugar instability: why energy crashes after meals trace back to gut dysfunctionRoot cause #5 — The chronic stress response and stored trauma: how living with unpredictable gut symptoms keeps your nervous system locked in survival mode — and why that consumes enormous energyRoot cause #6 — Toxic burden and poor detox capacity: mycotoxins, chemical toxins, microplastics, and the Total Tox Burden testWhy hidden gut infections silently drain energy in the background — and how specialized testing uncovers what conventional GI workups missIf you're exhausted, brain-fogged, and feel like food is "going right through you" — and your doctor says everything looks fine — there's a root cause your labs haven't found yet. Link to my free training “The Root Cause Approach to Gut Healing”—my step-by-step framework to stop guessing and start healing Link to a free 30 minute Gut Check Call Link to my website Disclaimer: None of the content discussed is meant to be taken as medical advice. All information presented is for educational purposes only and listeners and viewers assume all responsibility around implementing any changes to their health and medical regimen.

  6. Jul 17

    Episode 79: Why Food Sensitivity Tests Don't Fix IBS (And What Actually Works Instead)

    Send us Fan Mail If you've taken a food sensitivity test for IBS, IBD, or chronic bloating and followed the avoidance list perfectly — but your symptoms didn't improve — this episode explains why. And if you're in the opposite camp, convinced food has nothing to do with your gut symptoms because "sometimes I eat it and I'm fine," I'm going to challenge that thinking too. As a Functional Diagnostic Nutrition Practitioner trained to run food sensitivity testing, I rarely use it in my practice — and in this episode I share my own failed experience with food sensitivity testing during my IBS-D journey, why IgG antibody tests only capture one piece of the puzzle, and the approach that actually moves the needle for chronic digestive symptoms. What you'll learn in this episode: Why food sensitivity test results often don't lead to symptom relief — and what that means about your gutThe gut-immune connection: how leaky gut (mucosal barrier breakdown) drives food reactions, and why 70–80% of your immune system lives in your gutThe hidden reasons food triggers bloating, gas, and diarrhea that no IgG test can detect: microbiome imbalances, low stomach acid, weak enzyme production, and FODMAP malabsorption"Sometimes wheat bothers me, sometimes it doesn't" — why food sensitivities are so hard to detect on your own, and how IgG antibodies (which live 90–100 days) mask the signalHow long you actually need to eliminate a food before you can trust your body's feedback (hint: it's longer than you think)The food sensitivity testing "merry-go-round": why direct-to-consumer tests keep giving you new foods to avoid without ever clearing the old onesSigns your symptoms outside the gut — fatigue after meals, brain fog, joint pain, skin issues, anxiety, depression — may be delayed food reactionsThe truth about sourdough and ancient wheat: why "gut-friendly" wheat may still trigger your immune system through protein cross-reactivityWhy therapeutic elimination diets remain the gold standard over food sensitivity testing — and how to use both strategicallyIf you've been stuck on the food sensitivity testing merry-go-round — or you've written off diet entirely because elimination "didn't work" — there's likely a root cause driving your symptoms that no food list can fix. Link to my free training “The Root Cause Approach to Gut Healing”—my step-by-step framework to stop guessing and start healing Link to a free 30 minute Gut Check Call Link to my website Disclaimer: None of the content discussed is meant to be taken as medical advice. All information presented is for educational purposes only and listeners and viewers assume all responsibility around implementing any changes to their health and medical regimen.

  7. Jul 3

    Episode 78: Why Your Gut Won't Heal If You Can't Say No: The Connection Between Boundaries, Stress, and IBS with Savannah Busnelli

    Send us Fan Mail If you've tried every diet, supplement, and elimination protocol for your IBS or IBD — and you're still not getting lasting relief — there's a piece of the puzzle most practitioners never address: your boundaries. In this episode, I sit down with Savannah Busnelli, professional life coach and wellness coach at Wellness by Savvy, to talk about the powerful and often overlooked connection between poor boundaries, chronic stress, and gut symptoms. If you live with IBS-D, Crohn's disease, ulcerative colitis, or any chronic digestive condition, this conversation will shine a light on why your nervous system — and therefore your gut — may be stuck in survival mode. Savannah shares her own journey with boundary struggles that led her to specialize in this work, and we explore the practical, compassionate tools she uses to help people start setting limits without guilt, fear, or losing the relationships they care about. If stress is one of your biggest gut triggers, this episode is essential listening. In this episode we cover: • How to recognize if poor boundaries are silently fueling your IBS or IBD flare-ups • Why resentment is your body's built-in signal that a boundary has been crossed • The real reason saying yes to please others is making your gut worse — not better • Why making health changes (like dietary shifts for IBS) can feel threatening to people around you — and how to handle it • The guilt and burden women with chronic illness feel when their health needs disrupt family routines • How emotional trauma and high-conflict relationships can directly trigger digestive symptoms • A step-by-step approach to setting boundaries starting with safe people first • How to use "I" statements to communicate limits calmly — especially with high-conflict individuals • The role of affirmations, journaling, and role-playing in building boundary confidence • Why consistency is the most important ingredient in boundary-setting — and how to build it This episode is especially helpful if you're experiencing: – IBS or IBD flare-ups that seem tied to stress or difficult relationships – Feeling like a burden when your gut condition requires special food or rest – Chronic anxiety, mood swings, or emotional exhaustion alongside your gut symptoms – Resentment that builds up after agreeing to things that drain you – Difficulty asserting your health needs with family, friends, or coworkers – A pattern of putting others' comfort above your own healing Key takeaway: Your gut heals in a regulated nervous system. If your relationships and daily environment are keeping you in a constant state of stress, no supplement or diet plan will be enough. Setting boundaries is not selfish — it is part of your treatment plan. About Savannah Busnelli: Savannah Busnelli is a professional life coach and wellness coach at Wellness by Savvy. She specializes in helping people set healthy boundaries, break people-pleasing patterns, and build the emotional skills needed to sustain long-term personal and health transformations. Connect with Savannah: Website: www.wellnessbysavvy.com Instagram: https://www.instagram.com/wellnessbysavvy/ Facebook: https://www.facebook.com/wellnessbysavvy Newsletter sign-up: https://www.wellnessbysavvy.com/newsletter Free boundaries resource: https://www.wellnessbysavvy.com/shop/free-resources Upcoming workshops: https://www.wellnessbysavvy.com/workshops Learn more about working with me: If stress and emotional overwhelm are driving your IBS-D or IBD symptoms, The Tame Your Gut Program was built for you. Together we identify your food triggers, uncover root cause stressors, and give you the tools to regulate your nervous system and reclaim your quality of life — for good. Link to my free training “The Root Cause Approach to Gut Healing”—my step-by-step framework to stop guessing and start healing Link to a free 30 minute Gut Check Call Link to my website Disclaimer: None of the content discussed is meant to be taken as medical advice. All information presented is for educational purposes only and listeners and viewers assume all responsibility around implementing any changes to their health and medical regimen.

  8. Jun 26

    Episode 77: Living With Crohn's Disease: What Doctors Don't Tell You About Managing IBD Long-Term, with Justin Brown

    Send us Fan Mail If you've been living with Crohn's disease or IBD and feel like you've tried everything — only to still be struggling with unpredictable symptoms, fatigue, and a life that feels smaller than it should — this episode is for you. My guest today is Justin Brown, founder of Rhino Skin Solutions and a Crohn's disease warrior since the age of 12. Justin's story is raw, honest, and deeply relatable. We talk about what it's really like to grow up managing a chronic gut condition, how Crohn's disease reshaped his career and his identity, and — most surprisingly — how starting an antidepressant dramatically improved his GI symptoms. Whether you have Crohn's disease, ulcerative colitis, IBS-D, or any form of inflammatory bowel disease, you'll walk away from this episode with a new lens on your symptoms — and real hope. In this episode we cover: • What it's like to be diagnosed with Crohn's disease as a child — and how symptoms are often missed • The social isolation and shame that comes with living with an invisible illness • How chronic gut conditions like IBD force unexpected career and life pivots • Why stress management isn't optional when you have a gut condition — it's medicine • The gut-serotonin connection: why 90% of your serotonin is made in your gut and what that means for your mental health • How sertraline (an SSRI antidepressant) unexpectedly improved Justin's Crohn's disease symptoms — and what this might mean for the gut-brain axis • Adapting your life, travel, and outdoor activities when you have IBD — without letting fear run the show • Finding small wins and non-linear progress when living with a chronic digestive condition This episode is especially helpful if you're experiencing: – Chronic diarrhea or loose stools from Crohn's disease or IBS-D – Anxiety and depression caused by gut symptoms – Fatigue and brain fog from IBD – Social anxiety around eating, leaving home, or traveling – Frustration that conventional medicine isn't giving you answers – The feeling that your gut condition is running your life Key takeaway: Living with IBD doesn't mean your quality of life has to suffer. Whether it's adapting your career, finding the right combination of medication and lifestyle support, or finally understanding the gut-brain connection — healing is non-linear, and progress is still progress. About Justin Brown: Justin Brown is the founder of Rhino Skin Solutions, a natural skincare line created for athletes dealing with conditions like psoriasis, joint pain, and skin inflammation. He has lived with Crohn's disease since age 12 and is passionate about the intersection of active living, chronic illness management, and community. To check out Rhino Skin Solutions: https://rhinoskinsolutions.com/collections/all Learn more about working with me: If you're ready to stop managing your IBS-D or IBD symptoms one flare-up at a time and finally get to the root cause, I'd love to connect. The Tame Your Gut Program helps goal-oriented women identify their food triggers, run targeted root cause testing, and build a sustainable plan to reclaim their energy, confidence, and quality of life. Link to my free training “The Root Cause Approach to Gut Healing”—my step-by-step framework to stop guessing and start healing Link to a free 30 minute Gut Check Call Link to my website Disclaimer: None of the content discussed is meant to be taken as medical advice. All information presented is for educational purposes only and listeners and viewers assume all responsibility around implementing any changes to their health and medical regimen.

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This podcast is for you if you are struggling with symptoms of IBS and IBD and want to get to the root cause of your symptoms so you can take back your health through a holistic, whole-person approach.

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