Episode Transcript
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(00:00):
Underneath that is imbalancedmicrobes.
Okay.
So is that the root cause?
No.
What caused the imbalance in themicroorganisms in the first
place?
And that is where we havemultiple root causes coming into
effect.
Hey, everyone.
Welcome to The Nourished andThriving Show.
I'm your host, Katie Lovitt.
I'm a registered dietitian on amission to help you increase
(00:23):
your impact and legacy on theworld while healing your gut and
reducing your IBS symptoms.
I'm so grateful to have youhere.
Each week I'll inspire you tolive vibrantly and provide
valuable resources andinformation that empowers you to
take bold action towards yourhealth goals.
Before we dive in, make sure youfollow or subscribe to my show
(00:47):
wherever you're listening so younever miss an episode.
Ready?
Let's go! All right guys, I'mgetting pretty bold today.
Honestly, I.
Gently.
Realign you guys a lot of thetime, I guess you could say, but
today I'm getting pretty boldand possibly saying something
(01:10):
that I'm going to get somepushback.
On, especially potentially fromfellow dieticians, who I love
you.
Please don't.
Listen to what I'm about to sayin anger and just know that.
It's a different perspective andit's something that I've seen
and observed in helping myclients.
(01:31):
So if there's any otherdieticians on this.
You know, podcast listening tothis, please just listen to it
from that angle.
And not from one of I'm tryingto tell you you're doing your
job wrong because that's not thecase.
So what I'm going to say, let mejust get to it is.
Evidenced in the title of thisepisode?
(01:51):
Yes.
A low FODMAP diet is not goingto heal your gut.
If you're looking for differentthings to try, you're seeing
different things on theinternet.
Like let's just face it.
Everything contradictseverything else.
Whenever you start going to Dr.
Google.
Your Instagram or whatever.
You can find somebody who istelling you a vegan lifestyle,
(02:14):
like hello, the new Netflixdocumentary that just came out
new vegan lifestyle, is it?
And it's going to fix all ofyour problems and you're going
to feel so much better.
And then just as easily, you'regoing to find someone else who's
saying the paleo diet is goingto do the exact same thing.
Let me ask you how can twodifferent things.
(02:35):
Because the exact same resultswhenever they're completely
opposite it's because nothingever completely works for any
one person.
But.
I don't think the low FODMAPdiet works for anyone there.
I said it, I just don't.
I'm going to explain myselfnext.
So.
Keep listening.
(02:55):
So for those of you guys whodon't know what a low FODMAP
diet is let me break it down.
So a low FODMAP diet isbasically low in highly
fermentable foods.
Now what this does is you haveorganisms living in your
digestive tract.
(03:16):
And they break food down fiberdown.
And food and carbohydrates down.
Through a process calledfermentation.
And so whenever you have theseorganisms in there that are
maybe dysbiotic, which meansimbalanced or too much of the
wrong kind, or as is in the caseof CBO, which is actually
(03:38):
responsible.
For.
You know, upwards of 80% of IBScases.
They're in the wrong place.
These organisms are not thewrong things or the bad things.
They're just not where they'resupposed to be.
These guys can ferment these.
High FODMAP foods, highlyfermentable foods.
Really easily.
(03:59):
And with that ends up doing foryou is small bees.
Organisms are having a danceparty and your intestines.
You're in a lot of pain.
You're experiencing a ton ofbloating.
You're in a lot of discomfortand pain and honestly not
feeling great.
You're feeling like there's, youknow, somebody having like a
crazy party inside of you,honestly.
(04:22):
And it feels exhausting.
If you want to learn more aboutCBO, definitely check out other
episodes where I talk more aboutthat.
But as it comes to these foods,like it makes sense.
Right?
Okay.
Well, these foods are causingsymptoms, so you're going to cut
them out.
And you're going to feel better.
And yes, that sounds great.
(04:42):
Whenever you first hear it,like, if you're just new to the
space or if you're just aconsumer dealing with digestive
issues, it may sound like areally great thing.
But it's a really simplisticapproach and it doesn't actually
get to the root of the issue.
Or as I teach roots of theissue, Um, it's like onions, you
(05:06):
know, if you guys have everwatched Shrek, when donkey's
talking about onions with layersit's like that.
If you haven't seen Shrek in awhile, maybe you should go watch
it.
It's a good one.
Maybe we should actually watchthat for family movie night this
week.
I think our kids would like it.
Anyway, you're healing your gutand finding the root causes is
like peeling an onion.
(05:26):
So you think on the outside ofthis onion, That the issue is
these foods that you're eating.
And it sounds great and it looksgreat.
But there's these whole otherthings underlying it.
And so you're not getting to theactual cause.
And so what you're doingwhenever you're cutting out
these highly fermentable foods,you're removing this food source
(05:48):
for these organisms.
And so.
They stop having a party and youdo feel better in the short
term, but here's the thing forthose of you guys, who've not
followed a low FODMAP diet.
It's all based on amounts ofthese foods consumed.
So there's not a really clear,straightforward.
Yes EPS.
Foods.
(06:08):
No don't eat these foods list.
It's all based on serving size,which if you think about.
All throughout the course of aday, it can get really
complicated to try and figureout if you had a third of a cup
of something or two thirds of acup of something over the entire
course of the day.
And then add onto that, thatsometimes, especially for my
(06:29):
friends, dealing withconstipation, it can take three
days or so for the stuff tostart taking a fact.
And so then it's like, well, ifyou have it several days in a
row, then it can cause issues.
So.
It just starts to get reallytricky.
You can already tell from mejust talking about this.
So it's an elimination diet.
It's not meant to be a newlifestyle.
(06:51):
It's not meant to be somethingthat you stay on.
Long-term.
It's truly meant to be somethingyou do for about two weeks.
You cut all of these high FODMAPfoods out, or you reduce your
overall FODMAP intake.
And then you start reintroducingthese foods strategically.
So normally it is.
One food from a certain group.
(07:13):
So the FOD.
M a P H stands for a differenttype of fermentable fiber.
So it's like you pick an F food.
And you do a small portion of itfor three days.
And then you maybe do a largeportion of it for three days and
you see how you do, or sometimesyou just try it once or
sometimes you just try it forthree days.
(07:34):
Sometimes you increase it.
Each shade depends on who'shelping you work through it.
And then you have like athree-day wash out period.
And then you go on to the O's.
And you do the next one.
And you know, the problem iswith this is a, it takes
forever.
B.
You're not really necessarilygoing to find all of the
triggers because what if it'snot even the FODMAP you were
(07:55):
reacting to, but something elseentirely in the food and you
only.
Tried this one type of food inthe F category.
And it was something else inthat category that you were
struggling with, but you didn'treintroduce it.
And, you know, you didn't do atrial re-introduction of it.
And so then you add it later on.
It makes you feel bad, but youdon't realize that that's what
(08:17):
it was because you thought inyour mind, you'd already cleared
that whole category of food.
So it gets tricky.
Also, like I said, if you'redealing with something like
constipation, You can takeseveral days for these things to
start really having an impact onyou.
So it starts to get reallytricky to say, okay, well, is it
something that I did today?
(08:37):
Or is it something I did threedays ago or five days ago?
And you don't live in a vacuum.
There's so many variables inyour daily life.
That it it's tough to say it'sjust the food.
Was it the food or was it, theydidn't sleep all the night
before?
Was it that you, maybe weren'tdrinking enough water and that's
why you got constipated.
Was it that your toddler was,you know, having a complete
(09:00):
meltdown during meal time and soyou were stressed out and you,
weren't not eating in a rest anddigest state and your stomach
didn't produce enough stomachacid.
And then the rest of yourdigestive enzymes didn't get
produced.
And then your motility got allmessed up.
That's very possible too.
And so it's impossible.
Like the only thing changingfrom day to day is not the
(09:20):
presence or absence of theseFODMAP foods.
And so whenever you start tryingto do these Rancho doc,
re-introductions, it gets.
Really dicey.
Then following these diets, I'vealready said this, you know,
they are pretty involved.
You're really having to likelook everything up, see how much
you're having a thing is.
Measure them.
(09:40):
Like ask for options atrestaurants, if you're even
going to restaurants.
And for me, like I always trydifferent diets and things that
are recommended because I wantto see how it is, you know, for
people.
I really want to be able torelate to you guys and see what
you guys are going through.
It's really stressful.
(10:01):
To try and follow a diet likethis and stress tends to
increase symptoms.
So for me, I'm like, it's a passbecause I don't want to increase
the stress of doing thesethings.
It's really, really tough tosplice apart these symptom and
these food triggers.
Anyway.
And you know, long term, you'rereally not doing yourself any
(10:22):
favors by following the siteanyway.
Or by cutting foods out.
So what ends up happening onblood at the time?
This is what I hear over andover again.
Okay.
Is I felt better on the lowFODMAP diet.
Maybe not completely better, butit was improved.
I felt better.
I started reintroducing foods.
I never felt like I had anactual reaction to a food that I
(10:44):
re-introduced, but at some pointbetween entering the low FODMAP
diet and three months later, Ifelt bad again.
And I don't know what causedthat.
And now I'm back to where Istarted from, and I just wasted
so much time and effort on doingthis and don't feel like I have
really anything to show for it.
So there's that piece.
(11:04):
So what can often happen is,well, I did all of that.
I felt better on the low FODMAPdiet.
So I'm going to just stay on theelimination phase forever.
And it's not sustainable.
First of all, because alreadysaid it's pretty tricky to
follow.
You're eating a very limiteddiet.
And it's actually not beneficialfor your microbiome.
(11:28):
Long-term, you're cutting out alot of colorful veggies, a lot
of prebiotic foods, a lot offiber rich foods.
And that's what these goodbacteria are eating.
The problem wasn't the food, theproblem was something else.
And we know that as you eatfewer different types of foods,
you actually reduce themicrobial diversity in your gut.
(11:51):
And so much science has shownthat improved health is linked
with high gut diversity.
Whenever you, so think about itlike gardening, right?
If you have an organic lawn,which.
Y'all I try so hard.
We're trying a differentapproach this year.
I really want the organic lawncare thing to work for me.
And it's a lot.
(12:12):
We have a really big yard too,but so let's talk about lawn
care.
I promise.
I have a point.
So you've heard if you've donelawn care very much that healthy
grass is the best weed controlis the best defense for weeds
because you have this healthygrass.
That's not penetrable by weeds.
Normally we'd show up with aproblem.
(12:34):
So for example, last fall, wehad a lot of weeds that have
these long, deep tuber typewheat roots.
So D and D lions and saltmarshAster, which is a native plant
here in the area where I live.
And so I actually had an organicOneCare guy come out.
And talk with me about this.
(12:54):
And you know, all of these roottypes are deep tubular types and
it's because the water is downbelow.
And so our grass wasn't thrivingbecause the root type on our
Bermuda grass is not that sametype of grass.
And so basically we are needingto airfreight to allow more air
and water and all of that tocirculate through the soil.
(13:16):
But you, you, you get what I'msaying, where the Bermuda was
weak because it could not getthe nutrients it needed through
its root.
Source.
And so these other things werecoming in and had space to grow
your guts, the exact same way.
You have a really healthymicrobiome.
It's like linked arms with eachother.
It's super strong, superresilient.
Yeah.
If you don't have that, if youdon't have a lot of different,
(13:39):
good organisms going on, itleaves room for these what we
call them opportunisticorganisms to come in and
overgrow and cause issues.
So you really want a highdiverse, strong, robust
microbiome for longterm health.
Okay.
So low FODMAP diets out.
(13:59):
What's in.
When I do Katie.
So you really want to usescience and wisdom to help
figure it out.
So I think there is a place fora low FODMAP diet.
I think for people who are justso miserably, bloated, and they
are able to just follow a mealplan, that's handed to them.
So say I came up with a likeperfect low FODMAP meal plan.
(14:20):
Handed it to someone and theywere like, great.
I can do this.
Exactly.
Like no stress, like that'sfine.
For short term, while we figureout a longer term solution, it
can be helpful with symptomrelief.
I just do not buy it thatfollowing a low FODMAP diet in
and of itself will cure CBO.
I just don't buy it.
I'm sorry for thosepractitioners out there who are
(14:41):
in this camp.
I'm sorry.
I just disagree.
And it's okay to disagree.
It takes all types.
Right.
But that's not me.
So you've got to keep peelingback the layers of that onion.
So, okay.
I've alluded to this.
You have these reactions tofoods?
Underneath that is imbalancedmicrobes.
Okay.
So is that the root cause?
(15:02):
No.
What caused the imbalance in themicroorganisms in the first
place?
And that is where we havemultiple root causes coming into
effect.
Okay.
That's where it's things likeyou've taken a ton of
antibiotics.
Cause you keep getting sick,which may be because you didn't
have good gut health.
Because your immune system islinked to your gut and your
(15:22):
microbiome, but that's kind of achicken egg thing.
Maybe you're super high stress.
Maybe you're not getting enoughsleep.
Maybe you're not getting enoughfiber and you're not getting
enough healthy, you know?
You're not feeding your goodtummy bugs, as I say to my kids
it can be any of those thingsthat lead to that.
And it didn't just happenovernight.
That microbiome became low indiversity or they moved to the
(15:45):
wrong place.
Over a period of time and ittakes time to get back there,
but you really need tounderstand.
What is going on and what areall of the different
contributing factors that aremaking this worse?
So that then you can go in andfix them.
And that is really what workingwith a provider like me gets
you.
(16:05):
I'm not just going to stay onthat surface on that.
Outer ring at that onion, we'rereally digging deep and asking
why and what caused this andwhy, how did this happen?
And really connecting thosedots.
And that's what ultimately, Ithink a lot of you guys are
really craving and wanting andmeeting and why, when you follow
other programs or you go seedoctors, you're just really left
(16:27):
feeling unfulfilled andunsatisfied is because you still
subconsciously maybe even thinkthat there's something else to
it.
That no one has quite caught onto.
So if this is something whereyou're like, man, I was going to
do a low FODMAP diet next andnow I don't know what else to
try or I've tried the low FODMAPdiet or I don't know what to do.
And you're really needing somehelp with your gut health.
(16:50):
Reach out.
I'd love to talk with you.
Follow me over on Instagram.
I'm dropping my user below I'mover there all the time.
Send me an email, visit mywebsite.
You can, you can reach out to methat way.
But don't suffer in silence anddon't suffer alone.
There are answers and theirsolutions out there.
And I love to talk with youabout helping you find them.
So till next week, guys, Thankyou so much for listening to the
(17:15):
entire episode.
I hope you are feeling inspiredand empowered to take bold
action towards your healthgoals.
If you enjoy what you heard,don't forget to follow my show
so you never miss a new episode.
And it would mean the world tome, if you left me a review, so
others know what to expect frommy show.
(17:37):
Last, get in touch.
Let me know what bold actionyou're taking.
Let me know how you're inspired.
Follow me on Instagram@the_healthygut_dietitian.
I've put a link in my show notesfor you, so you can simply click
and follow.
Come say hi, I respond to all mymessages and I can't wait to get
in touch.