012 The Case of Daily Bloating and Gas w/ Dr. Seth Osgood

012 The Case of Daily Bloating and Gas w/ Dr. Seth Osgood

The Case:

  • Melissa is 35 woman experiencing daily stomach discomfort.
  • As each day progressed she got more bloated, gassy, and uncomfortable belly distention.
  • She tried elimination diets and even antibiotics but the bloating kept coming back.

The Investigation

When Melissa came to me she had already been diagnosed with SIBO (Small Intestine Bacterial Overgrowth). Her doctor prescribed antibiotics and that worked, at first. But, the symptoms came back so I knew we had to get to the root of the problem if we were going to help Melissa stop feeling like she was 4 months pregnant.

SIBO is an excessive amount of bacteria in the small intestine. This can cause a variety of symptoms and if left unchecked can lead to more serious concerns. SIBO can also be caused by more serious health concerns. Once considered to be rare, SIBO is now easier to diagnose and it is estimated to affect up to 15% of otherwise healthy people.

Dr. Seth Osgood is a board certified family nurse practitioner and Institute of Functional Medicine Certified Practitioner. He specializes in Autoimmune Disorders with specific emphasis on digestive health. It was his own family’s chronic gut issues that swayed him from his traditional medicine path to a functional medicine approach.

Bacteria Belongs in the Large Intestine

There is a lot of talk about healthy bacteria in the gut. This flora should mainly live in the large intestine. When it moves into the small intestine, the body is not set up to deal with it and so it ferments and produces gases. This is what causes bloating and that sense that you feel or look pregnant because of the distended belly.

Symptoms Range

Melissa’s main complaints are common symptoms of SIBO - gas, bloating, and an uncomfortable distended belly. Additional symptoms include diarrhea, constipation, belching, skin irregularities (eczema, rosacea, acne, and weird rashes), abdominal discomfort (sometimes diagnosed as IBS), and weight loss or weight gain.

SIBO is Seldom the Primary Issue

A more holistic approach to SIBO will look for the root cause of the bacterial overgrowth. A common cause is low stomach acid (creating an inability to breakdown food). A low functioning thyroid, stress, impaired vagal nerve dysfunction (parasympathetic response), autoimmune issue or nutritional deficiencies can also contribute to the development of SIBO. Low levels of pancreatic enzymes can also make it difficult to breakdown food which leaves the food to putrefy and breed bacteria.

Some Pharmaceutical Use Can Lead SIBO

Chronic use of antibiotics, non-steroidal anti-inflammatories (like aspirin and ibuprofen) can lead to dysbiosis (a microbial imbalance. PPI (proton pump inhibitors) is a commonly prescribed acid blocker that decrease the amount of acid in the stomach, so extended use of these can also contribute to SIBO.

How to Diagnose SIBO

There are a few tests that can be done to confirm SIBO. The gold standard is a three-hour hydrogen breath test. After consuming a sugary water (fuel for the bacteria), the time it takes to produce methane and hydrogen indicates where the bacteria are living - in the large or small intestine. The concentration of the gases is also telling. Additionally, an organic acid test will help determine if the issue is bacterial or fungal or both. A stool test may also help provide a bigger picture of digestive issues.

You Can’t Fix SIBO if You’re Not Pooping

Failure to clear your bowels on a regular basis leaves too much fuel for bacteria in your small intestine. For some, low motility is a symptom of SIBO but it can also be a contributing factor. In order to solve the gut imbalance, the bowels need to be moving regularly.

Options for Treatment

Once you have the whole picture and understand (and have dealt with) the root cause, there are several options for treatment. Dr. Osgood and I prefer an herbal approach. There are several combinations but the right one for you is going to be based on what’s working for your body. There is not a one size fits all and finding the right combination will require some testing. Temporarily following a specific diet (like the elemental or low fodmap diet) may help speed up recovery.

Treating SIBO is Tricky

For many people the first stop they make is to their traditional doctor and potential a gastroenterologist. And while SIBO can be diagnosed, the traditional approach is to treat SIBO with medication. This often will kill off the overgrowth but it doesn’t really deal with how the overgrowth happened in the first place. As a result, patients will often have a recurrence like Melissa did.

Prevent SIBO Relapses

Getting your gut bacteria back in balance is never a permanent state, you have to work at maintaining that balance. The keys to avoiding a relapse are maintaining stress levels, taking advantage of probiotics (find the right one for you as some may irritate your system), stimulate the parasympathetic tone with vagus nerve exercises, eating a clean diet, and encouraging good motility.

Mystery Solved

We did some further testing with Melissa and were able to narrow down the details of her SIBO and identify a food allergy that she was unaware of. We also had to deal with her constipation which we did with Calcium Magnesium Citrate and Paleo Fiber. We stimulated her stomach acid production with supplements and started doing vagal nerve exercises so that she could better produce the acid without supplements. She was then ready for a cleanse. She responded well to a low fodmap diet and implemented some natural antimicrobials. Six weeks later, she was feeling better and took some maintenance and support supplements for a few more months to help her avoid an immediate relapse. The supplements used are listed below.

Eliminating Health Mysteries

For Melissa we were able to determine that just dealing with the gut bacteria wasn’t enough for long-term health. We found all of the pieces to her digestive issues and she was thrilled to be feeling better (and fitting into those skinny jeans again). Could gut imbalance or SIBO be the missing clue for you or someone in your life? Share this episode with them and take action to restore a healthy microbiome in your belly.

Links:

Thanks to my guest Dr. Seth Osgood. You can connect with him through his business Grassroots Functional Medicine: https://grassrootsfunctionalmedicine.com/. Or connect with him on Facebook or Instagram.

Want to see more SIBO research? Here is a prominent study: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3099351/

Mentioned Supplements:

FC Cidal

GI MicrobX

Allicillin

Motil Pro

Cal/Mag Citrate

Paleo Fiber

Bitter X

Digestzymes...

Avsnitt(200)

197 What No One Told You About The Connection of Progesterone, Estrogen, and Hashimoto’s with Dr. Felice Gersh (Part 1)

197 What No One Told You About The Connection of Progesterone, Estrogen, and Hashimoto’s with Dr. Felice Gersh (Part 1)

In this episode of Thyroid Mystery Solved, Inna welcomes back the brilliant Dr. Felice Gersh for a conversation that takes Hashimoto’s and hormones to a whole new level. Together, they dive deep into the role of estrogen and progesterone in regulating the immune system, inflammation, and thyroid health. Most people have only heard the basics about these hormones, but as Dr. Gersh explains, the story goes far beyond reproduction. From Hashimoto’s flares that appear around menstrual cycles to the critical impact of hormones during perimenopause and menopause, this discussion unpacks what most doctors never tell their patients and you are going to be amazed!Dr. Gersh also shines a light on how misconceptions about hormones, especially progesterone, have shaped conventional medicine and why so many women are left without the support they truly need. This episode is part one of a two-part series, and it is filled with insights that will completely change the way you think about hormones and Hashimoto’s.----------For full show notes, please see https://innatopiler.com/podcasts/connection-progesterone-estrogen-and-hashimotos-dr-felice-gersh/Get ThyroLove - the first all in one bottle multi-nutrient comprehensive formula designed specifically for those with Hashimoto’s at ThyroLove.com - use code “Podcast” to get 10% off and free shipping For more information about everything Hashimoto’s please visit InnaTopiler.comIf you are struggling to lose weight with Hashimoto’s, Inna has a 10 day plan just for you at InnaTopiler.com/jumpstartIf you need help with fatigue or brain fog with Hashimoto’s, please check out Inna’s 9 Day Exhaustion Solution at innatopiler.com/energyIf you don’t yet know your thyroid type, please be sure you sign up for Inna’s next free training at InnaTopiler.com/zoomcall

4 Sep 45min

196 Why Positive Thinking Can Backfire with Hashimoto’s with Anat Peri

196 Why Positive Thinking Can Backfire with Hashimoto’s with Anat Peri

In this powerful episode, Inna is joined by transformational leader and inner child expert Anat Peri to explore an unexpected twist in the Hashimoto’s healing journey. Together, they dive into the case of Jessica, who was doing all the “right” things, following the AIP diet, taking supplements, working on her mindset, but still felt exhausted and stuck. Her symptoms weren’t improving, and her doctor’s solution was to increase her medication yet again.The turning point came when she uncovered something deeper. Jessica was trying so hard to stay positive, think positive, do her affirmations because that is what she was told she should be doing. However by doing that, she was unintentionally overriding her true emotions and it made her feel way worse.Anat explains how this kind of forced positivity can be a detriment because it can actually create stress in the nervous system, keeping the body in a chronic state of fight, flight, or freeze. This episode unpacks how overriding your feelings can actually worsen autoimmune symptoms and why true healing starts with emotional safety.Anat also shares the science behind how the nervous system reacts faster than the conscious mind, how inner child work helps create safety, and why nervous system regulation must come before mindset work can truly be effective. From breathwork to sensation naming to reparenting tools, you’ll learn how to create space for your emotions and support your healing from the inside out.This episode is an essential listen for anyone who has tried it all and still feels like something is missing. It might not be about doing more. It might be about feeling more.For full show notes, please see:https://innatopiler.com/podcasts/positive-thinking-hashimotos-anat-peri/Get ThyroLove - the first all in one bottle multi-nutrient comprehensive formula designed specifically for those with Hashimoto’s at ThyroLove.com - use code “Podcast” to get 10% off and free shipping For more information about everything Hashimoto’s please visit InnaTopiler.comIf you are struggling to lose weight with Hashimoto’s, Inna has a 10 day plan just for you at InnaTopiler.com/jumpstartIf you need help with fatigue or brain fog with Hashimoto’s, please check out Inna’s 9 Day Exhaustion Solution at innatopiler.com/energyIf you don’t yet know your thyroid type, please be sure you sign up for Inna’s next free training at InnaTopiler.com/zoomcall

24 Juli 54min

195 The Surprising Empath–Thyroid Connection with Kristen Schwartz

195 The Surprising Empath–Thyroid Connection with Kristen Schwartz

If you have Hashimoto’s, there’s a very real chance you’re also an empath and you may not even realize it.This matters more than you think. Because when you’re highly sensitive and constantly absorbing everything around you (other people’s energy, emotions, even stress), your nervous system takes the hit. And when the nervous system is in overdrive, it becomes very hard to heal, no matter how clean your diet is or how many supplements you take.In this episode, Inna is joined by trauma-informed coach and empath expert Kristen Schwartz to talk about something that’s rarely discussed in the Hashimoto’s world: how being an unrecognized empath can be one of the biggest hidden blocks to healing. Kristen breaks down how fatigue, overstimulation, anxiety, heart palpitations, and even sleep issues can all trace back to nervous system dysregulation and how this shows up differently in sensitive people.You’ll learn how to tell if this is what’s really happening in your body, how to start regulating (without adding more to your to-do list), and how to gently reconnect to yourself without pressure or performance. Kristen shares simple but powerful shifts that help you reclaim your energy, feel safe in your body again, and finally get unstuck.If you've ever felt like you're doing all the right things but still feel wired, tired, or anxious, this conversation could be the missing link. You’ll walk away with a deeper understanding of what’s really going on under the surface and what to do about it.----------For full show notes, please see:https://innatopiler.com/podcasts/empath-thyroid-connection-kristen-schwartz/Get ThyroLove - the first all in one bottle multi-nutrient comprehensive formula designed specifically for those with Hashimoto’s at ThyroLove.com - use code “Podcast” to get 10% off and free shipping For more information about everything Hashimoto’s please visit InnaTopiler.comIf you are struggling to lose weight with Hashimoto’s, Inna has a 10 day plan just for you at InnaTopiler.com/jumpstartIf you need help with fatigue or brain fog with Hashimoto’s, please check out Inna’s 9 Day Exhaustion Solution at innatopiler.com/energyIf you don’t yet know your thyroid type, please be sure you sign up for Inna’s next free training at InnaTopiler.com/zoomcall

10 Juli 50min

194 Conflicting Hashimoto’s Advice: How To Find Your Path to Healing

194 Conflicting Hashimoto’s Advice: How To Find Your Path to Healing

When you’re living with Hashimoto’s,  it’s easy to end up overwhelmed, especially when you’re getting conflicting advice from different practitioners. In this episode, Inna shares a real-life case where a client was stuck in that very situation, caught between protocols and unsure how to move forward. What helped wasn’t more advice, instead it was learning to trust her own intuition.To explore this idea further, Inna is joined by Karly Ashworth, a transformational coach and intuitive guide who helps people reconnect to their inner voice and find clarity. Together, they talk about how tuning into your intuition can help you navigate confusing symptoms, make better health decisions, and even uncover emotional patterns that might be affecting your thyroid.They dive into what intuition really is (and why we all have it), how it relates to the throat chakra and the thyroid, and why emotional triggers such as indecision or self-doubt can sometimes do just as much damage as physical ones. Karly also shares practical ways to quiet the noise, get grounded, and start recognizing the signals your body is already sending you.Whether you’ve been second-guessing your health decisions or you’ve just felt out of touch with your body, this episode is a powerful reminder that sometimes, the answers you’re looking for aren’t out there but they’re already within.For full show notes, please see (TIM PLEASE ADD LINK)Get ThyroLove - the first all in one bottle multi-nutrient comprehensive formula designed specifically for those with Hashimoto’s at ThyroLove.com - use code “Podcast” to get 10% off and free shipping For more information about everything Hashimoto’s please visit InnaTopiler.comIf you are struggling to lose weight with Hashimoto’s, Inna has a 10 day plan just for you at InnaTopiler.com/jumpstartIf you need help with fatigue or brain fog with Hashimoto’s, please check out Inna’s 9 Day Exhaustion Solution at innatopiler.com/energyIf you don’t yet know your thyroid type, please be sure you sign up for Inna’s next free training at InnaTopiler.com/zoomcall

26 Juni 50min

193 Root Canals, Cavities, and Hashimoto’s: What Your Dentist Isn’t Telling You with Dr. Michelle Jorgensen

193 Root Canals, Cavities, and Hashimoto’s: What Your Dentist Isn’t Telling You with Dr. Michelle Jorgensen

When a patient has tried every clean-eating plan, every supplement protocol, and every practitioner,  but is still exhausted, anxious, and foggy  it’s time to look where no one else has. In this episode, Inna teams up with functional dentist Dr. Michelle Jorgensen to explore a very overlooked trigger and aggravator for Hashimoto’s symptoms: your mouth.Through the case of “Cindy,” a Hashimoto’s patient who did everything right but still wasn’t getting better, Inna and Dr. Michelle reveal how hidden dental infections, past root canals, and even the materials used in old dental work can silently drive inflammation and autoimmune flares. What looks like “perfect” dental health on X-rays might actually be masking deep, ongoing issues that most conventional dentists never catch.Dr. Michelle brings her unique insight as a dentist-turned-health detective, showing how problems like cavitations, mixed metals, and even mouth breathing can create a ripple effect on the immune system, the microbiome, and the thyroid. She also explains how to safely investigate and address these issues  and why healing often requires asking the questions no one else is asking.This episode opens a powerful new conversation for anyone with Hashimoto’s who still doesn’t feel well despite doing “everything right” and exactly what you can do to explore what your mouth is trying to tell you.----------For full show notes, please see:https://innatopiler.com/podcasts/root-canals-cavities-hashimotos-dentist-dr-michelle-jorgensen/Get ThyroLove - the first all in one bottle multi-nutrient comprehensive formula designed specifically for those with Hashimoto’s at ThyroLove.com - use code “Podcast” to get 10% off and free shipping For more information about everything Hashimoto’s please visit InnaTopiler.comIf you are struggling to lose weight with Hashimoto’s, Inna has a 10 day plan just for you at InnaTopiler.com/jumpstartIf you need help with fatigue or brain fog with Hashimoto’s, please check out Inna’s 9 Day Exhaustion Solution at innatopiler.com/energyIf you don’t yet know your thyroid type, please be sure you sign up for Inna’s next free training at InnaTopiler.com/zoomcall

12 Juni 52min

192 The Emotional Root of Chronic Symptoms in Hashimoto’s with Lizzy Swick

192 The Emotional Root of Chronic Symptoms in Hashimoto’s with Lizzy Swick

If you’ve ever felt like you’ve tried everything…very diet, every supplement, every protocol, but your Hashimoto’s symptoms still aren’t budging, this episode might be the missing link. In this tender and deeply personal conversation, Inna sits down with her dear friend and colleague Lizzy Swick, RDN, to explore a part of healing that’s so often overlooked: the emotional and nervous system layer. Lizzy shares her own journey of chronic migraines, pain, and doing all the right things until she discovered that true progress began when she stopped doing more and started feeling more.Together, they unpack what it really means to feel safe in your body and how emotions, past experiences, and the way we push ourselves can quietly drive inflammation, fatigue, and even autoimmunity. You’ll hear practical tools like "rage on the page" journaling, embodiment meditation, and the internal shifts that helped Lizzy finally get relief after years of searching. It’s gentle, honest, and eye-opening in the most beautiful way.This conversation is one that Inna truly hopes you’ll take to heart. It’s not just about healing your thyroid, it’s about healing you. If you’ve been stuck, if nothing is working, or if you’ve ever wondered whether your emotions and nervous system might be part of the puzzle, this episode will feel like a breath of fresh air. Please listen, it might be the turning point you didn’t know you needed.----------For full show notes, please see https://innatopiler.com/podcasts/root-chronic-symptoms-hashimotos-lizzy-swick/Get ThyroLove - the first all in one bottle multi-nutrient comprehensive formula designed specifically for those with Hashimoto’s at ThyroLove.com - use code “Podcast” to get 10% off and free shipping For more information about everything Hashimoto’s please visit InnaTopiler.comIf you are struggling to lose weight with Hashimoto’s, Inna has a 10 day plan just for you at InnaTopiler.com/jumpstartIf you need help with fatigue or brain fog with Hashimoto’s, please check out Inna’s 9 Day Exhaustion Solution at innatopiler.com/energyIf you don’t yet know your thyroid type, please be sure you sign up for Inna’s next free training at InnaTopiler.com/zoomcall

29 Maj 50min

191 Hashimoto’s and the Hidden Growth You Might Not See Yet

191 Hashimoto’s and the Hidden Growth You Might Not See Yet

When you’re in the thick of it, whether it’s fatigue, brain fog, a flare, or something even bigger, it’s so easy to feel like you’re losing yourself. But what if something deeper is happening beneath the surface? In this heartfelt solo episode, Inna shares a powerful reframe that might just change how you see your Hashimoto’s journey… and your life.Drawing from her own healing path with Hashimoto’s and the ongoing challenges she’s facing with her son Jake’s autism and PANDAS diagnosis, Inna opens up about what it means to go through something and become someone in the process. She shares how surrender, patience, humor, and deep empathy have shaped her, not just as a mom, but as a woman and practitioner.This episode is an invitation to pause and reflect on your own journey, what it’s teaching you, how it’s changing you, and who you’re becoming through it all. If you’ve ever felt alone in your struggles or unsure of your path, this conversation will help you feel seen, grounded, and more hopeful.----------For full show notes, please see https://innatopiler.com/podcasts/hashimotos-hidden-growth/Get ThyroLove - the first all in one bottle multi-nutrient comprehensive formula designed specifically for those with Hashimoto’s at ThyroLove.com - use code “Podcast” to get 10% off and free shipping For more information about everything Hashimoto’s please visit InnaTopiler.comIf you are struggling to lose weight with Hashimoto’s, Inna has a 10 day plan just for you at InnaTopiler.com/jumpstartIf you need help with fatigue or brain fog with Hashimoto’s, please check out Inna’s 9 Day Exhaustion Solution at innatopiler.com/energyIf you don’t yet know your thyroid type, please be sure you sign up for Inna’s next free training at InnaTopiler.com/zoomcall

15 Maj 22min

190 The Hidden Factor Behind Brain Fog and Fatigue in Hashimoto’s with Inna Topiler

190 The Hidden Factor Behind Brain Fog and Fatigue in Hashimoto’s with Inna Topiler

There’s one hidden factor that could be draining your energy and clouding your brain, and most people with Hashimoto’s have no idea it’s happening.In this episode, Inna reveals the overlooked role that poor blood and lymph flow play in fatigue and brain fog, and very specific things that can make a big difference in how your brain functions and how your body feels.She walks you through the exact steps you can take right now to improve circulation, clear your head, and start feeling better with gentle, doable strategies that actually work for Hashimoto’s. Plus, she dives into the full picture of why energy gets blocked, including deeper layers like blood sugar, mitochondrial inflammation, adrenal rhythm, and nutrient deficiencies. It’s everything you need to understand why you’re still tired and what to do about it.If you’ve been doing everything “right” but still feel off, you need to hear this.----------For full show notes, please see https://innatopiler.com/podcasts/brain-fog-fatigue-hashimotos-inna-topiler/Get ThyroLove - the first all in one bottle multi-nutrient comprehensive formula designed specifically for those with Hashimoto’s at ThyroLove.com - use code “Podcast” to get 10% off and free shipping For more information about everything Hashimoto’s please visit InnaTopiler.comIf you are struggling to lose weight with Hashimoto’s, Inna has a 10 day plan just for you at InnaTopiler.com/jumpstartIf you need help with fatigue or brain fog with Hashimoto’s, please check out Inna’s 9 Day Exhaustion Solution at innatopiler.com/energyIf you don’t yet know your thyroid type, please be sure you sign up for Inna’s next free training at InnaTopiler.com/zoomcall

1 Maj 18min

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