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  “Proton-pump inhibitor therapy is now being prescribed for a wide variety of upper gastrointestinal symptoms on the basis that they might be acid induced and therefore may benefit from such treatment. This increasingly liberal usage of these powerful drugs is due to a number of factors, including reduced concerns about potential side effects, reduced Read More →

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  “We look for medicine to be an orderly field of knowledge and procedure. But it is not. It is an imperfect science, an enterprise of constantly changing knowledge, uncertain information, fallible individuals, and at the same time lives on the line. There is science in what we do, yes, but also habit, intuition, and Read More →

  It should surprise none of you that I consider weight dysregulation one of the many manifestations of gut dysbiosis. Obesity is associated with a whole host of disorders, including type 2 diabetes, cardiovascular disease and non-alcoholic fatty liver. Much of what I’ve written about endotoxemia also applies to obesity. This isn’t to say that Read More →

  Small intestinal bacterial overgrowth (SIBO) is exactly what it sounds like, an overgrowth of pathogenic or harmful bacteria in the small intestine, and I think a lot of people are walking around with this medical condition but have no idea they have it. Partly because most people have never heard of it and partly Read More →