Gut Microbiome And Weight Loss With Alyssa Simpson, RD

Alyssa Simpson is a Registered Dietitian based in Phoenix, Arizona. She is the founder of Nutrition Resolution, a group practice of GI-specialized dietitians that helps people struggling with complex digestive issues get real, lasting relief while still enjoying food. She also educates and supports the public through her podcast, The Gut Health Dialogues. 

Learn from and connect with Alyssa:

Website: nutritionresolution.com

Podcast: The Gut Health Dialogues 

Instagram: @nutritionresolution

Free Diet Guides: nutritionresolution.com/free-meal-plans-guides/

Veggie Mash: alyssa-simpson.mykajabi.com/veggie-mash-guide

We connect the dots between gut health and weight management, showing why calorie math alone can miss what your body is actually absorbing and signaling. We also talk through GLP-1 meds and digestion so you can reduce side effects, protect your microbiome, and build a plan that fits your real life. 

• how the gut microbiome affects energy harvest from food 
• metabolic endotoxemia, LPS, and low-grade inflammation that disrupts insulin signaling 
• appetite regulation and gut-driven hormones such as GLP-1 
• common symptom patterns that suggest imbalance or low microbial diversity 
• why long-term restriction can backfire on gut resilience 
• when stool testing helps and why expert interpretation matters 
• GLP-1 medications, slowed motility, and why constipation and bloating can worsen 
• simple ways to keep plant diversity high with small portions, including the veggie mash idea 
• easing into fiber and troubleshooting when fiber makes symptoms worse 
• probiotics versus prebiotics and what realistic expectations look like 

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Transcript

Welcome And Guest Introduction

Dr. Lindsay Ogle, MD 0:00

Welcome to the Modern Metabolic Health Podcast with your host, Dr. Lindsay Ogle, Board Certified Family Medicine and Obesity Medicine Physician. Here we learn how we can treat and prevent modern metabolic conditions such as diabetes, PCOS, fatty liver disease, metabolic syndrome, sleep apnea, and more. We focus on optimizing lifestyle while utilizing safe and effective medical treatment. Please remember that while I am a physician, I am not your physician. Everything discussed here is provided as general medical knowledge and not direct medical advice. Please talk to your doctor about what is best for you. Welcome back to Modern Metabolic Health Podcast. Today I have a very special guest, Alyssa Simpson. She is a registered dietitian who is based in Phoenix, Arizona. She is the founder of Nutrition Resolution, which is a group practice of GI specialized dietitians that helps patients struggling with complex digestive issues get real lasting relief while still enjoying food. She also educates and supports the public through her podcast, The Gut Health Dialogues. So welcome, Melissa. Thank you so much for being here today.

SPEAKER_01 1:19

Thank you for having me. You know, I had you on the gut health dialogues like about a year ago, was it? And you did such a great job. I actually seeked you out because I wanted someone expert in GLP1 to talk to my audience about it. And you did such a great job presenting the episode. I even sent it to my brother who's on a GLP one and it made him feel better about what he was doing and answered some of his questions. So I just appreciated that so much. And now it's great to be on your show.

Dr. Lindsay Ogle, MD 1:48

Yeah, full circle moment. So that's amazing. And I'm glad to hear that your brother is feeling better about his he's lost 60 pounds. That is so wonderful. That is great. Thank you for sharing that with me. Um, and in my work as an obesity medicine physician, I spend a lot of

Why Calories Aren’t The Full Story

Dr. Lindsay Ogle, MD 2:05

time, you know, talking to my patients and educating the public that weight management is so much more than calories in versus calories out. I talk a lot about the hormone side of things, but I'd love to hear from your perspective as a registered dietitian focusing on GI health, how the microbiome plays a role in weight management.

SPEAKER_01 2:26

Yeah, you know, when we talk about calories in versus calories out, there's definitely truth to that. It's just an incomplete picture. And that's because that concept assumes that every calorie acts the same way in everybody. And that's just not how our physiology works. So from a gut health perspective, we want to ask, you know, what is your body actually doing with the calories that you eat? And the microbiome is a big part of that. So one thing we see is that um there can be a different difference in energy harvest. So certain gut bacteria balance, and we often see patterns where there's a higher ratio. So bacteria have certain phyla, meaning just groups, types of bacteria. So when we see a higher ratio of a phyla called fermic fermicides to bacteridides, we see our body is more efficient at breaking down components of food that otherwise wouldn't be fully absorbed. So, like certain fibers and non-digestible carbohydrates. So over time, that can actually increase the amount of usable energy your body's pulling from the same diet. So two people can eat very similarly, but their bodies are not necessarily working with the same caloric input on the back end. One person is absorbing more calories from that food. And then another one, and this is one of the biggest pieces, is inflammation. So there's something called metabolic endotoxemia. And that's where certain gut bacteria, particularly gram-negative bacteria, which are the less favorable type that we want to keep in check in our microbiome, they produce an inflammatory compound called LPS, stands for lipopolysaccharide. Um and someone, and if someone also has increased intestinal permeability, you might have heard of this. It's where they they call it leaky gut. It's just where the cells lining the intestinal wall that's the separate the contents of the intestines from the bloodstream have little gaps between them. And so microscopic particles and toxins from uh from inside the intestines get into the bloodstream and this causes inflammation. And so LPS that's produced by these gram-negative bacteria is just part of their cell wall and it can get into the bloodstream and it triggers this low-grade inflammatory response. And that matters because that inflammation interferes with things like insulin signaling, you know, and insulin signaling affects whether the body, how the body uses and stores energy effectively. So if someone is technically in a calorie deficit, they're but they're they have this inflammation happening, their body may not respond the way we expect because the underlying insulin insulin signaling is being disrupted. And then the other thing that we that the microbiome affects is appetite regulation. And that's something a lot of people don't necessarily connect back to the gut, but the microbiome in actually influences the production of hormones like GLP1, which helps

Energy Harvest From Gut Bacteria

SPEAKER_01 5:35

you feel full and satisfied after eating. So when the microbiome is in a healthier, more balanced state, those signals tend to be stronger and more consistent. And when it's not, you can be out of sync with your hunger, your cravings, and how satisfied you feel after meals.

Dr. Lindsay Ogle, MD 5:52

Yeah, that's so fascinating. And thank you for going over that. Um, and I think that just highlights how it's so much more complicated than what the I think the general public believes or has been told previously. And now there's so much more out there, um, like acknowledgement about the role of gut health in our overall health and well-being. And I think we're learning more and more all the time about that and um kind of filling those knowledge gaps, but there's still a lot to to you know learn and um apply to everyday life. Um, but I it makes me think also when some people um who may not struggle as much with their weight and they are doing well with um, you know, the typical diet and lifestyle recommendations and and they don't struggle versus other people who are doing all of those quote unquote right things and they're struggling. Something like um their gut microbiome or gut health could be one of those things that's playing a role in having that impact. Um, so I think that's just important to acknowledge. And in your practice, is this something that you can tell um is going on based on somebody's symptoms, or are you testing, um, doing any stool testing or blood testing, or how do you diagnose on some of these conditions?

SPEAKER_01 7:22

Yeah, I mean, we do testing. We can also look at the clinical picture. So if somebody's having a lot of um, say bloating, then we know that there's extra, let's say they're having bloating, um, just eating normally, you know, then we know there's extra fermentation happening that that shouldn't be there. And so that's usually an imbalance of the microbiome, um, typically an overgrowth of less favorable bacteria, but we can also see low microbial diversity. And this happens a lot in people who have dieted for a long time. So, especially if somebody's really restricted their food intake, we see it a lot in the gut health world because people will notice that certain foods give them symptoms. And very often in gut health, it's plant foods or fibers, which are in a ton of different foods, even in small amounts. So, like onion and garlic are big triggers, but they're in almost every cuisine on earth. Um, and so even if you don't think you're eating a lot of plant foods, they're showing up in your diet and they're the healthy foods, right?

Leaky Gut And Metabolic Inflammation

SPEAKER_01 8:25

So, you know, people who are trying to diet and lose weight, they're gonna eat more plant foods. So um, but anyway, people with gut health issues, if they're getting the bloating, if they're getting loose stools or abdominal discomfort or pain, they typically will restrict those foods, or maybe they'll even follow a structured diet protocol like the low FODMAP diet is a really popular um evidence-based one for IBS. But what that does over time and what just dietary restriction in general does over time is it lowers your microbial diversity because what feeds a diverse microbiome is a diversity of different plant foods. So what happens is the um your instead of your microbiome instead of your microbiome being able to handle um, you know, having a stable mic, a stable response, your system actually becomes more reactive over time and more prone to inflammation and blood sugar stability. So low diversity actually disrupts the metabolic environment because you know, if you think of your metabolism, if you think of your microbiome as kind of a team of workers, and each worker has a different job. Some, some are more, you know, um like helping with uh fermentation, breaking food down, producing short chain fatty acids, metabolic signaling, and then you just have fewer workers, you're gonna be overloaded and not able to do the job. Work's gonna build up, you're gonna have lots of um issues from that. So that's kind of what happens with this low diversity. So you asked, your question was, you know, what do we look for? So we can kind of look at the clinical picture, we look at the symptoms, we look at the history. Has this person restricted a lot? And how's that showing up? And then we do testing, we absolutely do comprehensive digestive stool analysis testing, which is a stool, a poop test. Um, and that will tell us it'll map out the microbiome, it tells us about the all it maps out pages and pages of microbes. So it kind of reads like it's in Greek, but you have your different names of all your different um microbes, and then it'll tell us the balance of the phyla. So it um earlier I mentioned the formicides to the bacteridides uh ratio. So it'll it'll calculate things like the ratio, it'll calculate the diversity score. We're talking about diversity, it'll kind of tell us is it in

Microbiome Effects On Hunger Hormones

SPEAKER_01 10:55

the red, is it really low, is it moderate in the yellow, or is it in the green? Um, so those are so we and then uh the stool testing I like to use also gives us, you know, indications of digestive sufficiency and inflammation and some other great information as well.

Dr. Lindsay Ogle, MD 11:15

Yeah, it sounds like it gives you a lot of information that you also then compare with the clinical picture. And I'm sure with you know, the same thing in in my field is that um it's something that I'm I'm sure you would agree that you recommend if somebody is getting that testing done, to not just get it alone and to work with somebody who specializes in this area to interpret it correctly. Because I don't know if it's the same thing as what I hear with um some like direct-to-consumer allergy testing. It can be interpreted incorrectly and could then lead to um over-restriction of certain foods or changes in dietary pattern that you don't necessarily need because it can be tricky to interpret. Um so I'm I'm curious if if you've seen people try to get those sorts of tests on their own and then apply it to their life and it didn't maybe didn't make that much of a difference, um, or they're kind of frustrated with that, versus if you are working directly with someone in more of a long-term capacity.

SPEAKER_01 12:21

Oh, we absolutely see that. I mean, like I said, it it look it's like it's in Greek. Now, the labs are trying to do a better job of you know, their printouts having more consumer-friendly like uh presentation. However, um these what we're talking about, these are really complex. So you really want someone who can bring insights to it. I mean, even newer clinicians, even newer dietitians and doctors who aren't familiar with these tests, still, it takes them reading dozens and dozens and dozens of them, and maybe even

Symptoms And Restriction Lower Diversity

SPEAKER_01 12:55

hundreds before they really start to, you know, see certain patterns show up. I mean, we can see certain a marker come up that I've never seen come up before because I've only seen this a few dozen times. So that that type of thing can always happen. So you really want a clinician that's experienced, that's seen lots of different situations, that can interpret this based on your clinical picture, because we never want to treat a lab test, right? We want to treat a person and we need to look at zoom out and look at the big picture and not try to, yeah, these direct to sumer could these direct to consumer labs, they're just I think they're just trying to sell more of their tests because it's I don't think it's necessarily responsible to expect people to doctor themselves. And I I do understand why people do that because it can be hard to find the right help with some of these situations. And I empathize with that, but I don't know, there's definitely a downside.

Dr. Lindsay Ogle, MD 13:54

Yeah, yeah, absolutely. Um, and speaking of you know, the gut microbiome and medications like GLP1s that have become more and more popular, what has been your clinical experience in people who are using these medications and has that been impacting their gut health? And how can um, you know, working with a dietitian who maybe specializes in gut health um impact how they are doing on a GLP1 medication?

SPEAKER_01 14:26

Yeah, so I really see um, you know, I see it as working hand in hand. Um, so we really want to think of gut health as the foundation that GLP1 medications are working on top of because GLP1 medications are incredibly effective at helping regulate appetite and blood sugar by amplifying that fullness signal and slowing gastric empty emptying in a controlled way, but the gut still needs to be functioning well. So we see a few, you know, areas that really where gut health really helps. Um, and the the first is motility and digestion, because GLP1 medications naturally slow gastric emptying, which is a big part of why people feel full. But if someone already has sluggish or uncoordinated coordinated motility, maybe they're they're they already kind of run constipated, or maybe they kind of swing between constipation and diarrhea. You know, it's surprising how many people out there are walking around chronically constipated, and it's not really, they don't really, it doesn't bother them, or maybe they don't realize that it's not normal or not optimal. And that's something that can be amplified when you start a medication like a GLP one. So maybe it was something you were dealing with or you'd gotten used to before, and now things are really slowing down. So food is sitting heavier, bloating is starting to happen or getting worse, you're getting more constipated. So we still need to have you know smooth, coordinated movement through the gut, not just the goal is not just to slow things down further and further. Um, and then the second thing is when people eat less, it can affect the microbiome. So very common with GLP1s, people eat less, meaning they also eat less variety and less fiber. Um, and over time, that can impact the microbiome. So, again, um a wider variety of plant foods feeds a wider diversity of microbes. So, if you're eating fewer plant foods, we get lower diversity over time, kind of like how I was saying when people restrict foods because they cause pain or symptoms or just to lose weight. Um, we also see reduced short chain fatty acid production, and those are metabolites that come out of the process of gut bacteria, good gut bacteria, eating plant foods, and then they produce these short chain fatty acids, which can help us have better metabolic signaling, help us feel more satisfied, and then just more sensitivity to foods, especially fibers. So part of, so that's where GLP1s can kind of amplify what's already happening. So part of gut health work here is helping people to maintain or rebuild a resilient microbiome even when they have a reduced appetite. Um, and then also it can, you know, a lot of the side effects people experience like nausea, constipation, food aversions, they can overlap

Stool Testing And Smart Interpretation

SPEAKER_01 17:35

with things we already see in people with underlying gut dysfunction. So it's not necessarily that the GLP1 created those issues from scratch, but just amplified what was already there. And so we want to look at, you know, supporting the gut, whether that's motility, digestion, or just the overall microbial environment, you know, maintaining a diversity of plant foods, even in smaller amounts, doing what we need to do to support motility, um, whether that's bumping up the hydration, electrolytes, um, even just adding in additional supports as needed, um, because we really need to keep that motility going. And then uh, if we're we do that, we're gonna tolerate the medicine better, we're gonna have fewer side effects and just be able to stay more consistent with it.

Dr. Lindsay Ogle, MD 18:26

Yeah, um, that was wonderful. I have a few thoughts off of that. And one of the things overall that um I was just thinking while you were talking was just again, kind of how how complex it can be and how much it the treatment needs to be individualized based off of that person where they were starting, you know, before uh they were on a GLP one versus how they're responding to the medication and what their long-term goals are. Um, so I this is a common theme in my podcast is that it's important to work with somebody who is individualizing your plan and not just following a um like their standard protocol. Um, you deserve something that is individualized to you and how you're responding. And I think working with an obesity physician and a dietitian is such a big part of that and can really help improve your tolerance of the medication, your ability to stay on it long term and to get the results that uh you're looking for. So I always recommend my patients to work with a dietitian if they have that option. Um, and sometimes people are like, well, I I already know I'm I should eat more fruits and vegetables, or they, you know, I should have this many calories, but uh, I think it it can be so much more than that. And I'm I'm curious kind of what that process looks like when you are working with with a client. Um how does that relationship build over time? And um and I guess, yeah, what does that process look like for when you're working?

SPEAKER_01 19:58

Well, it really is the personalization because I mean, what you just said, they're like, I already know what to do, right? But are you doing it? And do you know what to do when there's complexity in there? Um, because we're in the information age. I mean, we have and now we have AI and people can, I mean, so a dietitians may not be giving you new information, but a dietitian can bring to you strategies, tools, coaching. Um, you know, and she also has her own body of experience working with lots of different patients that have been dealing with very similar challenges that come up. So a lot of it's coaching, a lot of it's problem solving, a lot of it's helping you just to kind of navigate the things that always that what's it's like what's coming up that's for if you know what to do, excuse me, what's coming up that keeps preventing you from doing it? There are probably some things and we can help you sit down, think about or notice or track patterns, start to identify what's coming up, and then try some different ways of approaching things. So you actually can incorporate some of these things. And it's gonna look different for everybody. I mean, like, you know, someone who doesn't like any vegetables, they're not gonna sit there and make a veggie mash with 10 to 15 different vegetables in their um, you know, in their uh blender, or maybe they will, but they'll put the ice cube in their smoothie. So we do something in gut health called a veggie mash where you, and because we're talking here about diversity, so you basically train your microbiome, and this might work really well for your patients as well, because you're not able to eat a large volume. And when we're working with clients, it's because they have that low diversity or maybe microbial overgrowth. So they're they just can't tolerate a lot, but we want that diversity. So you throw 10 to 15 different vegetables in a food processor, you mix them together, you um put them in an ice cube tray and freeze them, and then you just pop out a cube. And while it's not very much volume, you get that diversity of different fibers to help work toward that goal of diverse microbiome. So anyway, that might be a

GLP-1s, Motility, And Side Effects

SPEAKER_01 22:10

strategy that you can start with, but maybe for somebody else that's way too much work. They're not going to do it. But maybe they can pick up, you know, um a cereal blend with seven different grains at their grocery store and have that instead of oatmeal for breakfast. So it's just things, you know, we can't replace experience and clinical expertise. Um, and I also brought up the complexity, you know, on paper, you may be able to, you know, you might need to eat a certain number of calories, you might need to increase your vegetable intake just to stick with those two examples. But if you're harvesting more energy because your microbiome is out of balance, um, then that's not going to work for you. So then we need to maybe do some further testing, figure out what's overgrown, rebalance the microbiome, and then the standard advice will work better for you. Um, so that's what we see a lot. You know, when I first became a dietitian, I thought I would just be like educating people, regurgitating what I learned. But people have the information, they just need to know, well, what do I do in my situation? I have this going on, I have that going on. So I can't do this piece and I can't do that piece. And that's really where working with someone for that with that personalized specialized care can be so helpful.

Dr. Lindsay Ogle, MD 23:36

That's amazing. I think those are great examples of how working with somebody who is specializes and does this day in and day out can bring so much value to you that, yeah, I don't think that AI would necessarily come up with that veggie mash that you came up with. I've I have never heard of that. So I think that that's wonderful. Um, because that is a very common um issue with my patients is how can I, in a smaller volume, in an overall lower calorie plan, get all of the nutrients that I need. Um, another thing I thought of when you're talking earlier is patients who are on GLP1 medications, there's so much emphasis on protein and getting enough protein in their diet that fiber often gets overlooked or forgotten. So that's something that I'm I'm um reminding patients that we need to focus on. Do you have some tips on how to get started in incorporating more fiber in anyone in general? Um, and then for people who are on GLP1 medications.

SPEAKER_01 24:36

Yeah, I definitely think um it does depend on the gut environment. Um, you know, fiber can be a tricky one. So if uh if the person is also experiencing constipation, it it depends. You know, you might need to ease into fiber. Um, we think that we think in the general advice is eat more fiber, it will help with constipation, but there are some situations where it can actually make it worse. Maybe you're not, excuse me, maybe you're not hydrated enough, or maybe the bacteria that are in your gut or the balance of microbes in your gut are actually gonna produce, you know, we see something called a methane overgrowth pattern where certain microbes will actually produce methane gas when they eat fiber, which will slow um slow motility further. So I'm saying all this to say we always want to ease in when we're talking about amount of fiber. And I'm thinking specifically with like a fiber supplement. So if we're taking a fiber supplement, you might start with a third of the scoop and do that for a week. If that's too much, uh start with a quarter teaspoon and do that for a week. I mean, with fiber, you want to start with the most ridiculously small amount you can tolerate. If, and I'm saying if it's something that's challenging, which is why we're talking about it, right? Um start with if you just find the ridiculous portion you can tolerate and let your body get used to that, and then make an increase every few days or every week or something like that. So, in the example of a quarter teaspoon, then the second week you're up to a half teaspoon. And it, you know, time come time passes. So if you keep going like this, you will build that resilience of your microbiome in a way that you can tolerate. Um, and then the other thing is we talk about this with just sensitive guts, or um, it's great for your audience too, is just more diversity. So the veggie mash, I think gives everyone a great visual of what we're talking about. It can be a teeny tiny amount. I mean, gut bacteria, they're incredibly small. They don't need very much, but they need a variety if we want a variety of them, because different bacteria like different types of fibers and different types of foods. So, you know, it could be the veggie mash. Um, I love the idea of like different, there are so many, you know, if you go to sprouts or whole foods, there are so many different fun, cool grain blends um that might have half

Dietitian Support And The Veggie Mash

SPEAKER_01 27:05

a dozen grains and seeds and in them. Um, so it could be like a hot cereal, it could be a cold cereal, might, I mean they could even have a dozen plant foods in there. Because remember, a plant food, when we're talking about fiber, we've been talking a lot about vegetables, but plant foods are vegetables, fruits, nuts, seeds, legumes, and whole grains. So we have seven categories. Um, so it could be more like a grain, grain and seed blend. They have little, you know, snack bars that might have half a dozen or a dozen grains and seeds in them. So that's another area that you can tap into. I was at Sprouts the other day and they have these um frozen veggie burgers that have like legumes and different veggies in them. And there, I counted about 10 different plant foods in there and just have a small portion. If you can't eat the whole thing, eat a portion of it. But think about it diversity. If you're walking around the produce section, instead of buying a bag of romaine lettuce, buy a bag of the mixed greens that has five or six grains in there. So when you start thinking in terms of diversity, you'll see more and more opportunities to get it, even in small amounts.

Dr. Lindsay Ogle, MD 28:16

Yeah, that's great advice. And it's something that you can build on over time, kind of like you're mentioning. You can find one thing at the store that you want to try. And if you like it, you can keep doing that, and then you can look for the next thing that you want to try and add into your diet. Um, I think that's wonderful. Um I I know this could get us on a whole different topic, but I just wanted to at least briefly get your opinion on probiotics because I think also when you're talking about like the direct-to-consumer um testing, then there's a lot of marketing out there for selling those tests. Um, I feel like similar thing with probiotics, and I'm sure we, like I said, we can get into the weeds, but I would just love to hear your thoughts if someone is thinking about starting a probiotic. Um, is that a good idea? Should they talk with a dietitian or a doctor first? What are your, I guess, overall thoughts about that?

SPEAKER_01 29:11

It can be helpful, but I think we want to understand what they're actually doing and what situations they're helpful in. So we do know that certain strains have certain health benefits. Um, and those are benefits that we, you know, that we might need to incur. So some are more helpful for, you know, certain symptoms, some are more helpful maybe for certain metabolic outcomes. And so it makes sense to take that strain. I think one of the biggest misconceptions is that if we take probiotics, we're gonna seed the microbiome. So we're gonna fill up our gut with all the good bacteria that we need. But probiotics, they're not, you know, and so maybe we can take the probiotics for a while and then we'll be, you know, we'll be planted, our garden will be lush and vibrant. Um, but probiotics, they're only active as long as they're transient. So if we take a probiotic, it'll be active as long as it's in our gut, but it's gonna get flushed out uh after a certain period of time. It's not like it's gonna stay there in seed and thrive forever. So probiotics are beneficial as long as you're taking them. Um, the other thing to keep in mind is that they uh uh they take some time to work. So I see this so often, not just with probiotics, but any supplement that people are taking for a specific purpose like this, is they might take it for a few days, they don't quote, notice anything and they stop. So probiotics can take actually months to start seeing those effects, weeks to months, I would say, just depending on the study, depending on the strain. So it's a long game. Um, so just keeping that in mind. It's not something where I

Fiber Diversity Without Overdoing It

SPEAKER_01 30:55

very rarely have somebody just take a hear about somebody taking a probiotic and suddenly their bloating is gone or suddenly they're not having diarrhea anymore. It's it's it's builds, it's an effect that builds over time gradually. Um, I honestly like pre-biotics, if we wanted to talk about the best thing, it would be prebiotics, because prebiotics are actually aka for a lot of kind of the fibers we're talking about today, because prebiotics are the food for bacteria. So if I were in a world where I had to choose probiotics or prebiotics, I would say prebiotics are more important. It's just that because of a lot of the issues we've been talking about today, if the microbiome is not ready for it, just like fiber, sometimes it can backfire and cause things like bloating or loose stools or um discomfort. So I do think for your population, people who are on GLP1s, maybe having some digestive side effects or challenges with that, and also not eating, having challenges eating a diversity of different plant foods, a probiotic might be helpful just to, but you would want to pick a strain that has researched benefits in what's important to you. And I would, you'd probably need to stick with it, but I would not ignore the other things we're talking about to help support the healthy microbiome.

Dr. Lindsay Ogle, MD 32:21

Thank you. And we've covered so much great information today. If anyone is looking to uh you know learn more about you and learn from you or work with you, where should they go?

SPEAKER_01 32:34

So we're at nutritionresolution.com. Um our team helps people with you know stubborn chronic digestive issues. A lot of our patients have been, you know, they've been to the GI doctor, they've had all the scopes. Sometimes they find something wrong, and maybe the treatment is a medication, but it's you know not helping that much, or sometimes they can't find anything wrong. So it kind of fall falls under that IBS or functional dyspepsia sort of umbrella. So we help people, you know, to address their microbiome, support digestion. We we help with diet and lifestyle interventions and you know, targeted supplements to actually restore digestive wellness so that they and and

Probiotics Versus Prebiotics

SPEAKER_01 33:25

the key, like the biggest emphasis in our practice is without having to be super restrictive with your diet, because if you whittle your diet down to chicken and rice, you may be able to control your digestive symptoms, but that's not going to work long term. So we help people rebalance their gut to get back to resilient um microbiome, you know, resilient um digestive health, calm their symptoms without dietary restriction being the end all be all. And we're at nutritionresolution.com. We have a ton of blog articles, free diet, you know, free diet guides um that are based on your problem. So if you go to our diet guide tab, you'll see just all kinds of different free materials. And then if you if you feel like you'd like that, you know, personalized support, we have a team of dietitians, so you can just schedule a strategy call and we'll go from there.

Dr. Lindsay Ogle, MD 34:19

I love it. And I will definitely link that below for anyone interested. Thank you so much, Alyssa. I really appreciate you taking the time and sharing your knowledge and experience with my audience. Thank you for listening and seeing how you can improve your metabolic

Where To Learn More And Closing

Dr. Lindsay Ogle, MD 34:35

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