This is an exceptional, not-to-miss episode because Dr. Miguel Toribio-Mateas is on the pod! Known affectionately as "The Creative Scientist," Miguel is a clinical neuroscientist and nutrition researcher in the UK. His expertise centers on the intricate gut-brain connection, drawing on a rich, real-world scientific foundation rather than purely academic pursuits. In today’s episode, your hosts take a deep dive into the world of the gut-brain connection with Miguel, exploring the role of our gut microbes and how they communicate with the brain, how changes in their composition can impact mental health and if lifestyle factors such as diet can influence this connection. This episode covers:

• How a resilient microbiome can be both good and bad
• Which microbes are detrimental to the gut
• Neurotransmitters 101: Serotonin, GABA, Dopamine & Acetylcholine
• Misconceptions about neurotransmitters produced in the gut
• When would microbiome testing be appropriate
• Current associations between the gut microbiome and mental health conditions
• How difficult it is to define mental health
• Mental health vs Mental Illness 
• If diet and lifestyle truly have a impact on this connection
• How ADHD is a type of brain without the need to pathologise it
• And much more! 

Your hosts tried their best not to keep Miguel for hours but he has been a wealth of knowledge, breaking down what the science is currently telling us about the gut-brain axis and the changes you need to make to look after that connection. 

More About Dr. Miguel Toribio-Mateas 

Dr Miguel Toribio-Mateas, known affectionately as "The Creative Scientist," is a clinical neuroscientist and nutrition researcher in the UK. His expertise centres on the intricate gut-brain connection, drawing on a rich, real-world scientific foundation rather than purely academic pursuits. Dr. Miguel's academic journey includes degrees in Nutritional Medicine and Clinical Neuroscience, culminating in a Doctorate focused on Mental Health and the Gut Microbiome. His doctoral studies coincided with a five-year Research Innovation Fellowship funded by the European Regional Development Fund, where he explored the profound effects of gut health on mood, cognition, and overall wellbeing. Today, he continues this important work as a Research Fellow at Cardiff University's School of Psychology.

Navigating life with ADHD and autism, Dr Miguel possesses a deep, personal understanding of the specific dietary needs of neurodivergent individuals. He

emphasises the critical role of dietary choices in enhancing executive functioning, sensory processing, and emotional regulation. His philosophy is captured in his words: “By understanding and addressing the nuanced relationships between what

we eat and how our brains operate, we empower ourselves to make choices that not only nourish our bodies but also support our neurodivergent minds in navigating daily tasks and interactions more smoothly.”

Dr Miguel offers personalised clinical consultations and has crafted a comprehensive course titled "Thrive with ADHD," available at drmiguelmateas.com/

thrive-with-adhd-course. He is also the author of a forthcoming book by the same name, set to be published by Jessica Kingsley Publishers in late 2024/early 2025. To discover more about his transformative work and offerings, visit drmiguelmateas.com or connect with him through social media @drmiguelmateas for further insights.

Another solo episode with Sandra shedding light on trendy topics within the realm of gut health, and today, it’s all about gut detoxes and cleanses. 

The concept of detox and cleanses has gained significant traction in recent years and it’s just not wanting to die! We're constantly bombarded with advertisements for detox teas, juice cleanses, colonics, and a variety of supplements promising to flush out toxins and rejuvenate our bodies. But are these so-called cleanses and detoxes causing more harm than good? Today’s episode covers:

• The types of popular detoxes and cleanses
• Why the term “detox” is not a medical term
• How our body’s own detoxification works
• Our gut’s role in detoxification
• 6 practices should you focus on to naturally enhance your body’s cleansing system including your gut

If someone comes to you with a gut detox or cleanse, RUN! 

Remember to subscribe to the pod for more gut journeys and poo talk! If you have any gut-related questions you’d like your hosts to answer live on the pod, send your questions to info@nutrition-az.com.

Connect with your hosts on LinkedIn

Sandra Mikhail

Wagdy Mikhail 

For more information visit instagram.com/nutritionaz_by_sandramikhail OR nutritition-az.com

Grab your copy of The Gut Chronicles: An uncensored journey into the world of digestive health and illness. 

Another season of the pod and kicking things off with very common complaints, and they are heartburn and reflux. GERD or GORD, however you’d like to call it, stands for gastroesophageal reflux disease is a collection of symptoms that shouldn’t be ignored. In this episode, Sandra and Wagdy start with their own experiences with reflux before getting into the details of GORD, from signs and symptoms to controversies around medication and how you can manage GORD through nutrition and lifestyle. This episode covers:

• Common symptoms of GORD and red flags you should never ignore
• The most common causes of GORD
• Complications of untreated reflux and how it could turn cancerous
• Barrett’s Oesophagus
• Sandra and Wagdy’s disagreement about PPIs
• Foods and food behaviours to avoid 
• The 3 ways in which stress can worsen reflux

You may have experienced heartburn or reflux at some point in time but give this episode a listen to learn about what to do when it becomes worrisome, what tests you may need and how nutrition, mind and sleep are crucial pillars to address GORD.

If you’ve enjoyed today’s episode, please don’t forget to hit the follow button, rate or review the pod! Also, Do you want to have your gut-health questions answered on the pod? Send us your questions via  info@nutrition-az.com

Either there’s something in the water or it’s pure coincidence, but this has been a year that Sandra’s seen so many clients diagnosed with diverticular disease. In the 10th episode of the season, your hosts talk about the silent condition impacting millions worldwide and that is Diverticular disease. In this episode, they walk you through everything you need to know about this condition including prevention and management through a round of fact or fiction. This episode covers:

• Diverticular disease 101
• A real life example of a patient from diagnosis and where they are to date
• Fact or fiction about fibre, nuts and seeds, antibiotics and surgery
• 3 high fibre strategies Sandra’s clients have adopteD
• And more! 

Sandra and Wagdy close off another season with their gut health tips for 2024! More guests are lined up for the next instalment so make sure you hit the follow button not to miss an episode! 

Do you want to have your gut-health questions answered on the pod? Send us your questions via  info@nutrition-az.com

Wishing you all a gut healthy 2024 ahead! 

In today's episode, Sandra and her guest, BDA registered dietitian Lisa Waldron, delve into a delicate yet enlightening discussion essential for those engaged in the realm of eating disorders and gut health. It is also an informative one for anyone struggling with an eating disorder and is experiencing gut issues. Here’s our TW though: The conversation about eating disorders can be a sensitive and potentially triggering topic for some listeners. If you feel that this topic might be triggering for you, we encourage you to skip this episode and join us for our next one.

Lisa lends her expertise to elucidate the intricate relationship between gut health and the journey of eating disorder recovery. This episode covers:

• How eating disorders impact gut health, and vice versa
• The most common gut issues experienced across the different forms of eating disorders
• Dietary changes that support gut health without triggering anxiety or obsessive behaviors
• Specific foods or nutrients that play a crucial role in restoring gut health during recovery
• The common misconceptions about gut health and its relationship with eating disorders?
• Address concerns about weight gain during the recovery process and more! 

If you’ve enjoyed today’s episode, please don’t forget to hit the follow button, rate or review the pod! 

Do you have any gut-related questions you’d like us to answer live on the pod? Send us your questions via  info@nutrition-az.com

About Lisa Waldron

Lisa Waldron is a BDA Registered Dietitian and qualified PE teacher. With a masters degree in dietetics and further specialist training in eating disorders, Lisa has worked in specialist eating disorders services for almost 10 years. She has held the role of Professional Development officer for Eating Disorders for the British Dietetics Association and has contributed to national guidance on eating disorders and developed recovery tools such as the vegan REAL food Pyramid. Lisa has experience in working with people across the full spectrum of eating disorders including Anorexia Nervosa, Bulimia Nervosa, Binge Eating disorder as well as disordered eating. She uses her passion for food and fitness and expertise in behaviour change to support people to develop a positive relationship with food and movement.

Follow Lisa on:

Instagram: @lisawaldrondietitian

This is an episode not to be missed! Stefanie Valakas joins Sandra in today’s episode to unpack fertility from within, helping us understand the gut-fertility connection better. Stefanie and Sandra cover three main areas today looking at the relationship between the gut microbiome and fertility, nutrition for reproductive health as well as the gut-hormone connection. This episode covers:

• How the gut microbiome impacts reproductive health including specific bacteria in the gut that are particularly beneficial or detrimental to fertility
• Key nutrients to focus on if you’re trying to conceive, two of which may not be on your radar
• How do conditions such as PCOS or Endometriosis impact digestive health and vice versa
• Stefanie’s supplementation strategy and much more! 

Stefanie is a wealth of information and her passion for nutrition in this space is really echoed in this episode. 

About Stefanie Valakas: 

Stefanie Valakas APD is an expert certified fertility and pregnancy dietitian & nutritionist and founder of The Dietologist. Stefanie and her team of fertility & pregnancy dietitians are dedicated to excellence in nutrition for reproductive health concerns, fertility & pregnancy. Her passion for nutrition in this space has truly grown from her experience helping her clients online from around the world and also through her own personal experiences of navigating a diagnosis of endometriosis.  

The Dietologist has been awarded multiple awards for their excellence in nutrition care and Best Pregnancy & Fertility Nutrition Clinic in 2022, Quality in Primary Care Award by Dietitians Australia 2022. Stefanie has also been recognised for her contributions in the fertility nutrition arena as a finalist for the Dietitian of the Year Awards for 2020-21 & 2023, Impact & Innovation Finalist 2022, Allied Health Educator Excellence 2023 by the Allied Health Awards. 

Stefanie also hosts the popular fertility health podcast, Fertility Friendly Food. 

Stefanie truly believes every hopeful parent should have access to scientifically-backed nutrition information to prepare their body prior to conception, support them through fertility treatments, pregnancy and ultimately bringing home a healthy and happy baby. 

You can learn about how you can work with Stefanie and The Dietologist team below: 

Website: thedietologist.com.au
Instagram @the_dietologist and @endo.dietitian
TikTok: @the_dietologist
Facebook Pages: The Dietologist and The Endometriosis Dietitian

Podcast: Fertility Friendly Food

Another week, another episode! Your hosts are picking up where they left off on the topic of IBD and today, it’s all about ulcerative colitis (UC). In this episode, they first answer another listener’s question about colonics before taking a deep dive into the medical and lifestyle aspect of this chronic inflammatory bowel disease. This episode covers:

• What we currently know about the development of ulcerative colitis
• Signs and symptoms that may point to UC
• The diagnostic process Wagdy implements with patients
• The 3 dietary goals Sandra works on with her clients: symptom control, addressing inflammation then gut restoration to address microbial diversity
• Probiotics and UC
• What to consider if you plan to get pregnant and more…

This episode concludes their 2-part series on inflammatory bowel disease and while yes, they were highly specialised topics, listeners need to educate themselves on prevention, management upon diagnosis and a reminder to ensure you have the right support team to live a wholesome life with a chronic illness. Always consult your medical team before making any changes to your diet and never change your medical plan without the consent of your specialists. 

Do you have any gut-related questions you’d like us to answer live on the pod? Send us your questions via  info@nutrition-az.com

Get your copy of The Gut Chronicles: An uncensored journey into the world of digestive health and illness. 

Today, your hosts delve into the intricate landscape of Crohn's disease, offering a comprehensive exploration of both its medical and nutritional dimensions. From understanding the basics and symptoms to discussing diagnostic procedures and treatment options, you’ll get valuable insights into the medical intricacies of Crohn's. This episode covers:

• The most common risk factors for developing IBD including a surprising ingredient found in food
• Definition and overview of Crohn's disease and its impact on the digestive system
• Signs and symptoms you shouldn’t ignore and how they’re not only localised to the gut
• A detailed diagnostic process
• Key nutrient considerations for those with Crohn's disease:
• How individuals with Crohn's disease have explored various dietary approaches, including numerous elimination diets
• Common dietary approaches
• The treatment plan, which includes Sandra’s 4 pillar approach 

This is a highly specialised episode to raise awareness about a condition that may take a few years to diagnose. Always consult your medical team before making any changes to your diet and never change your medical plan without the consent of your specialists. 

Do you have any gut-related questions you’d like us to answer live on the pod? Send us your questions via  info@nutrition-az.com

Today’s episode is a follow up to last week’s episode, where Sandra takes an in depth look at what you should be eating if diagnosed with SIBO and when the use of some herbals may be indicated. This episode covers:

• The 3 most common dietary approaches to SIBO
• The pros and cons of the low FODMAP approach, the SCD and the elemental diet
• When is the use of herbals indicated?
• The 3 most common herbals used in managing SIBO including the duration and dosages
• The importance of a personalised, multidisciplinary approach 

Disclaimer: If you have been diagnosed with SIBO, please consult a specialist dietitian before undergoing any dietary changes as these guidelines do not replace your team’s medical advice. This episode offers to educate the listener about the most common dietary approaches to managing SIBO that must be personalised and supervised.

Do you have any gut-related questions you’d like us to answer? Send us your questions via  info@nutrition-az.com

Prof. Dr. Med. Stephan Vavricka is an incredible gastroenterologist that has been raising SIBO awareness and is one of the very few leading SIBO experts in Switzerland. Also known as “Dr House” - not sure he’s aware of that - Dr. Vavricka has truly helped Sandra’s clients get to the bottom of their gut woes with empathy, humour and kindness. 

This episode kicks off by breaking down the controversy surrounding small intestinal bacterial overgrowth and continues to cover the following points throughout the episode with today’s guest:

• What SIBO is and what the different types are including how they differ
• Symptoms to look out for and how they overlap with other conditions
• The diagnostic process
• Treatment protocols and the role of antibiotics
• The role of the low FODMAP diet
• Is SIBO preventable?

It was an absolute pleasure having him on the podcast and it was definitely interesting having two gastroenterologists discuss similarities and differences when it comes to managing SIBO. To find out more about Prof. Dr. Med. Stephan Vavricka, you can follow him on LinkedIn or head on over to their website. 

Do you have any gut-related questions you’d like us to answer? Send us your questions via  info@nutrition-az.com

You may be asking yourself, why the liver? So many of you may be neglecting one of the busiest and most powerful organs of our body, not realising that it is a part of your digestive system. In today’s episode, Sandra and Wagdy take an in-depth look at liver health from discussing the most common liver conditions to understanding the role of nutrition in maximising your liver’s health. This episode covers:

• Going through the most important functions of the liver including its most critical roles in the realm of digestive health
• The most common liver conditions including Non-alcoholic fatty liver disease (NAFLD), which is on the rise
• Looking at the role of dietitians in managing NAFLD
• Symptoms of liver disease
• The Gut-Liver connection
• Specific nutrients and foods that promote liver health
• Prevention strategies to reduce your risk of liver disease

This was one jam-packed episode that could have gone for hours especially when discussing NAFLD, given how prevalent it is becoming. Remember, if you’re concerned about the health of your liver, always consult your doctor or specialist gastroenterologist especially if you’re experiencing any of the symptoms mentioned in this episode. 

Are you looking for support? There are plenty of support groups to help you through any alcohol dependence. Some include:

Alcohol support groups in the UK

AA Europe

AA UAE

AA Australia

Do you have any gut-related questions you’d like us to answer? Send us your questions via  info@nutrition-az.com

Today’s mini episode is a solo one where Sandra walks you through one of her most requested topics recently: how to address your gut symptoms and eat throughout the menstrual cycle. This episode covers:

• What is the female gut and understanding the gut-hormone connection
• How our fluctuating hormone levels impact your gut at different phases of the menstrual cycle
• How to address your gut symptoms throughout the menstrual cycle
• Nutrients to focus on at different stages of the cycle

Do you want to learn more about the female gut and regain control over your health as a female? Then join Sandra’s final Rebalance group program kicking off the 11th of November 2023. Rebalance is Nutrition A-Z’s signature 4-week online group program aimed at rebalancing your nutrition, movement, mind and sleep with a focus on women’s health. Sign up to the final cohort of 2023 here. 

Do you have any gut-related questions you’d like us to answer? Send us your questions via  info@nutrition-az.com

A very special guest is on the pod today! In this episode, Sandra takes a deep dive into the personal and professional journey of Ariadna Masó, an innovator whose path to revolutionising patient care began with her own struggles. You’ll be listening to her story from the initial symptoms to the creation of Sanno, a groundbreaking platform in health management. This episode covers:

• Ariadna’s gut story and her journey from symptoms to being diagnosed with a chronic gut condition
• The birth of SANNO to address healthcare gaps
• How SANNO is changing patient progress and research in the fields of gut health, women’s health and metabolic health
• What balance looks like when you’re living with a chronic gut condition and are running a fast-growing business
• Ariadna’s lifestyle non-negotiables and habits
• Her message to young entrepreneurs

We are fairly certain that you’ll be inspired by Ariadna’s story. Remember, balancing health and ambition is a journey, not a destination. You can connect with our guest and learn more about her work at:

Website: https://www.sanno.health

Connect with Ariadna on LinkedIn: https://www.linkedin.com/in/ariadnamaso/

Connect with your hosts on LinkedIn

Sandra Mikhail

Wagdy Mikhail 

Remember to subscribe to the pod for more gut journeys and poo talk! If you have any gut-related questions you’d like your hosts to answer live on the pod, send your questions to info@nutrition-az.com.

They’re back with another season packed with all things gut talk! After a much needed summer break, Sandra and Wagdy are back with a requested topic that unpacks everything you need to know about antibiotics. In today’s episode, they go through:

• What antibiotics are, their history and benefits
• The good: Indications of antibiotic use in certain gut conditions
• The bad: the side effects associated with taking antibiotics and when to call your doctor 
• The ugly: the impact of antibiotics on our gut microbiome and antibiotic resistance
• 3 foods you may need to avoid during your course of antibiotics 
• What you should eat after a course of antibiotics

The topic of probiotics also pops up as that is another area with changing recommendations. Enjoy today’s chat between a girl and her dad, one happens to be a gastroenterologist and the other, a gut-specialist dietitian. 

Do you have any gut-related questions you’d like us to answer? Send us your questions via  info@nutrition-az.com

It’s the final episode of the season! Coeliac disease (CD) warrants its own episode where Sandra and Wagdy delve into this often overlooked issue, which is an autoimmune disorder triggered by gluten consumption. In today’s episode, Wagdy walks the pod listener through why this condition is frequently underdiagnosed and why it warrants more awareness, particularly among the medical community. 

Can conditions such as anxiety, ADHD and infertility actually be CD that is undiagnosed? 

Symptoms of coeliac disease can overlap with other conditions but what makes Wagdy lean towards screening for CD? Both Sandra and Wagdy talk about common symptoms they’ve seen in clinic that led to them pursue testing for CD and highlight the importance of the right diagnostic tools and how to obtain an accurate diagnosis without the risk of false negatives. Sandra then emphasizes the 3 crucial nutritional modifications that have to be made to promote intestinal healing and to avoid nutrient deficiencies. She also lists the most common nutrients that need to be monitored in case of malabsorption. 

As they wrap up their first season, Sandra and Wagdy would love to hear from you! If you have a specific gut-related topic you would like to learn more about then voice your feedback via info@nutrition-az.com. 

Season 2 will be back in your ears soon! 

Connect with your hosts on LinkedIn

Sandra Mikhail

Wagdy Mikhail 

For more information visit instagram.com/nutritionaz_by_sandramikhail OR nutritition-az.com

The Gut Chronicles: An uncensored journey into the world of digestive health and illness - Sandra Mikhail’s book 

Now that Sandra’s book is out for the world to read, it was only fitting to have an episode dedicated to her passion project, the Gut Chronicles. In this solo episode, Sandra gathers the most frequently asked questions about the book and perhaps gives you a glimpse of what it is and what it isn’t, for you to decide whether this is the gut health book you need! 

The Gut Chronicles is not “just another health book” as it uses humour and storytelling to help readers navigate the 7 most common gut disorders we experience: reflux disease, bloating, constipation, diarrhoea, Irritable Bowel Syndrome, food intolerance and haemorrhoids. Sandra goes through each chapter in the book, offering you an idea of the book’s content as well as answering the following questions:

I’ve been struggling with chronic bloating for a very long time, can this book help me? 

Do I still need to see a dietitian when following any of these elimination diets?

You talk about the mind pillar when it comes to managing gut health, do you mention any strategies that helped you in the book? 

And more! 

Tune in to this episode as the Gastroenterologist and his Daughter slowly approaches the end of the first season! 

Connect with your hosts on LinkedIn

Sandra Mikhail

Wagdy Mikhail 

For more information visit instagram.com/nutritionaz_by_sandramikhail OR nutritition-az.com

The Gut Chronicles: An uncensored journey into the world of digestive health and illness - Sandra Mikhail’s book 

If you’ve struggled with your gut then you would’ve come across the term “leaky gut” or may have even been diagnosed with it at some point. Leaky gut syndrome has gained significant attention in recent years, with claims that it may be the root cause of a wide range of health issues, from digestive problems to autoimmune diseases and even mental health conditions. But what exactly is leaky gut, and is it a valid medical diagnosis?

In today’s episode, Sandra is joined by gastroenterology specialist dietitian, Kirsten Jackson, where they chat about all things leaky! They discuss why this term  has gained attention in alternative and complementary medicine communities, but its recognition and acceptance within the conventional medical community are somewhat divided. What is our intestinal barrier? Are the tests to diagnose leaky gut even valid? If it’s not leaky gut then what? Sandra and Kirsten answer the most frequently asked questions about leaky gut syndrome and how they manage their own clients suspecting it. 

About Kirsten Jackson

Kirsten Jackson BSc Hons PGCert is a UK consultant dietitian specialising in gut health. Kirsten graduated from The University of Hertfordshire in 2012 before joining the UK national health service where she specialised in gastroenterology. She later went on to complete her post-graduate certificate in Advanced Dietetics at The University of Nottingham. In 2018 Kirsten moved to the UAE as the lead dietitian for Kings College Hospital in Dubai. In this role she was part of the team which developed and opened the first British healthcare facility in the Middle East. Kirsten now runs an online IBS clinic called The Food Treatment Clinic to help those who suffer with the condition. Outside of clinical work, Kirsten is an official media spokesperson for The British Dietetic Association where she has worked on TV and with media outlets such as Cosmopolitan and The Guardian. She is also an expert advisor for the charity, The IBS Network. 

Excitingly, Kirsten has recently signed a book deal with Bloomsbury Publishing and you will be able to purchase her book in Spring 2024.

Website: www.thefoodtreatmentclinic.com

Instagram: https://www.instagram.com/the.ibsdietitian/

Connect with your hosts on LinkedIn

Sandra Mikhail

Wagdy Mikhail 

For more information visit instagram.com/nutritionaz_by_sandramikhail OR nutritition-az.com

The Gut Chronicles: An uncensored journey into the world of digestive health and illness - Sandra Mikhail’s book 

In this week’s episode, they’re changing things up a little bit and delve into the most common “gut mistakes” they see in clinic. Sandra’s list includes the biggest health scam of the 21st century that always gets her blood boiling. Wagdy, once again, highlights a damaging mistake that is creating a disturbing problem world-wide and walks everyone through the consequences of self-diagnosing and delaying seeking support or medical treatment.

Awareness of these common gut health mistakes is crucial for everyone trying to improve their overall wellbeing, especially their digestive health. As Sandra concludes, gut health is about inclusion and not exclusion and for a well-functioning gut, you need to adopt better approaches to reduce your risk of disrupting your inner ecosystem and to lower your chances of further digestive problems and associated complications. 

Connect with your hosts on LinkedIn

Sandra Mikhail

Wagdy Mikhail 

For more information visit instagram.com/nutritionaz_by_sandramikhail OR nutritition-az.com

The Gut Chronicles: An uncensored journey into the world of digestive health and illness. Sandra Mikhail’s upcoming book out May 2023. 

Colorectal cancer is the 3rd most common cancer worldwide with a strong association with diet and lifestyle and alarmingly we are seeing rates rising among young adults.  Are we being very dismissive with preventative actions? 

In today’s episode, Wagdy shares real-life stories of 3 different patients, the youngest being 25, with one similar diagnosis to highlight the most common symptoms of bowel cancer. An in-depth look at risk factors such as red meat consumption somehow creates a little quarrel between Sandra and her dad but is quickly resolved as they both agree on the power of lifestyle and nutrition in preventing bowel cancer. Sandra walks you through the reasons behind her suggestions of eliminating red meat, processed meats and alcohol as well as how fibre plays a crucial role in preventing this type of cancer. 

You’ll learn about the importance of screening and whether you should book your next colonoscopy as soon as possible! This episode is a reminder to screen early and take advantage of all the preventative measures out there to help you reduce your risk of developing bowel cancer before it’s too late. 

World Cancer Research Fund: https://www.wcrf.org/cancer-trends/colorectal-cancer-statistics

Connect with your hosts on LinkedIn

Sandra Mikhail

Wagdy Mikhail 

For more information visit instagram.com/nutritionaz_by_sandramikhail OR nutritition-az.com

The Gut Chronicles: An uncensored journey into the world of digestive health and illness. Sandra Mikhail’s upcoming book out May 2023. 

They’re moving all the way down the Bristol Stool Chart today! Diarrhoea has no consideration of place and time and you have definitely experienced a bout of bumfluenza at some point. In today’s episode, Wagdy and Sandra continue their poo discussions where they go through the types of diarrhoea,  most common causes, when to worry and what your plan of action should be. Sandra covers the food related causes of chronic diarrhoea and goes extensively into her dietary management where there is absolutely no support for the BRAT diet! 

Wagdy voices his opinion against a famous antidiarrhoeal unless absolutely necessary as well as his dislike towards the over prescribing of antibiotics. Can diarrhoea kill you? Have a listen to find out. 

Connect with your hosts on LinkedIn

Sandra Mikhail

Wagdy Mikhail 

For more information visit instagram.com/nutritionaz_by_sandramikhail OR nutritition-az.com

The Gut Chronicles: An uncensored journey into the world of digestive health and illness. Sandra Mikhail’s upcoming book out May 2023. 

Poo. We all pass stool, faeces, a “number 2” or a “big one”. There is so much to say about this topic, hence, be prepared for this two part series where Sandra and Wagdy kick things off by discussing the importance of paying attention to our bowel movements and using the Bristol stool chart to monitor them. What is a normal poo? What is not normal? What are poo colours that warrant a visit to your doctor? They answer these questions in great detail before moving on to one of the most common gut complaints and that is constipation. 

Both Wagdy and Sandra go through the definition of constipation and the most common causes. When can constipation land you in A&E? You’ll learn about the warning signs and when to visit your doctor. They emphasise the importance of never resisting the urge to go, which can backfire. Wagdy also discusses the importance of a rectal exam and why you should not shy away from one if your specialist suggests it. Sandra then goes through her nutrition and lifestyle constipation toolbox, that includes the “big 6” modifications. She also highlights how increasing fibre may not be the right approach for one type of constipation. Wagdy briefly goes over common drugs to manage constipation and shares his opinion on colonics or colonic irrigation. 

Sandra and Wagdy urge you to be vocal about any changes in your poo habits as breaking the taboo and overcoming any apprehension to seek help can very well save your life! And finally, they have both agreed to stop using the word “important” and are on a mission to expand their vocabulary. 

Tune in next week for part 2, which will go through everything you need to know about diarrhea.

Connect with your hosts on LinkedIn

Sandra Mikhail

Wagdy Mikhail 

For more information visit instagram.com/nutritionaz_by_sandramikhail OR nutritition-az.com

The Gut Chronicles: An uncensored journey into the world of digestive health and illness. Sandra Mikhail’s upcoming book out May 2023. 

Bloating is one of the most common digestive complaints in people of all ages and despite being one of the most frequent and bothersome complaints, we still don’t fully understand the exact cause of bloating since it’s not that straight forward! In Sandra’s first “solo” episode, she offers a snapshot into the world of bloat, what is normal and goes through the 2 most common causes of bloating. 

As a gut-health dietitian, she focuses on the dietary approaches of managing the uncomfortable bloat discussing behaviors and fiber as well as elimination options such as lactose, artificial sweeteners and FODMAPs. She ends with her beat the bloat rundown that you can consider when addressing uncomfortable, chronic bloating and if probiotics and activated charcoal are worth it. 

Connect with your hosts on LinkedIn

Sandra Mikhail

Wagdy Mikhail 

For more information visit instagram.com/nutritionaz_by_sandramikhail OR nutritition-az.com

The Gut Chronicles: An uncensored journey into the world of digestive health and illness. Sandra Mikhail’s upcoming book out May 2023. 

It’s IBS awareness month and this episode is absolutely jam-packed with all things irritable bowel syndrome and then some! Wagdy and Sandra discuss both the up-to-date medical and lifestyle aspects of IBS where they take on a journey to understanding this chronic condition from both a gastroenterologist and dietitian’s point of view to learning how to manage and live with it. 

This episode starts off with two recent cases Wagdy has encountered in his clinic then goes into what actually is IBS to diagnosis then onto managing IBS via first and secondary approaches that include nutrition, lifestyle and medication. Sandra challenges her dad about diagnosing IBS (and was happy with his answer!), shares her uncensored journey with IBS and offers a snapshot of her 4-pillar approach when supporting her clients with IBS. Brace yourself for a ton of poo talk and Sandra’s constant quest on simplifying Wagdy’s use of “big words”.

Connect with your hosts on LinkedIn
Sandra Mikhail

Wagdy Mikhail 

For more information visit instagram.com/nutritionaz_by_sandramikhail OR nutritition-az.com

The Gut Chronicles: An uncensored journey into the world of digestive health and illness. Sandra Mikhail’s upcoming book out May 2023. 

Before listening to this episode, please note that your hosts do discuss the topic of weight so if you do find this triggering, please prioritise your mental wellbeing and skip this one! 

There has been a lot of talk about “obesity” recently, its definition and the flaws associated with that including how stigmatising this term can be. In this episode, your hosts have an honest discussion about what the current research says about gut-weight connection specifically looking at the role of the gut microbiome in relation to weight as well as certain gut conditions linked to obesity. This episode covers:

• Weight stigma in healthcare and the consequences of it
• Defining obesity, its causes and the flaws around using BMI
• How our gut microbiome influences our weight
• Understanding our gut microbiome’s role in appetite regulation and fat storage
• Gut conditions associated with excessive body fat that poses a risk to health
• Fact or Fiction when it comes to nutrition & weight management

We hope this episode sheds light on the complex relationship between the gut microbiome and weight, challenging common perceptions and encouraging a more informed and compassionate discussion around this topic. Remember, your hosts’ aim is to provide you with valuable insights and foster a supportive environment. If you have any gut-related questions you’d like them to answer live on the pod,  send your to  info@nutrition-az.com! 

Connect with your hosts on LinkedIn

Sandra Mikhail

Wagdy Mikhail 

For more information visit instagram.com/nutritionaz_by_sandramikhail OR nutritition-az.com

Grab your copy of The Gut Chronicles: An uncensored journey into the world of digestive health and illness. 

In this episode, get to know your hosts, Sandra and Wagdy Mikhail as they have an honest father-daughter chat, where one happens to be a gastroenterologist and the other, a gut-specialist dietitian. The episode highlights their journey to becoming gut health specialists, what gut health means to each of them including the dos and don’ts of achieving a blissful gut. They discuss their main takeaways which include looking after your gut using the 4 pillar approach, avoiding unnecessary antibiotics, regular screening, addressing the mind as well as their take on smoking and alcohol. 

Connect with your hosts on LinkedIn
Sandra Mikhail

Wagdy Mikhail 

For more information visit instagram.com/nutritionaz_by_sandramikhail OR nutritition-az.com

The Gut Chronicles: An uncensored journey into the world of digestive health and illness. Sandra Mikhail’s upcoming book out May 2023. 

Your pursuit of gut health has probably taken you down a rabbit hole of misinformation, useless concoctions and false promises so this is where this uncensored podcast comes in! 

The gastroenterologist and his daughter is the first of its kind bringing a specialist gastroenterologist and his daughter to help you navigate the world of all things gut health, from mouth to bum and everything in between! Join your hosts Sandra Mikhail, gut health-specialist dietitian and founder of nutrition A-Z and Dr. Wagdy Mikhail, specialist gastroenterologist and internist, as they unpack the most talked about topics in gut health covering both the medical and lifestyle aspects of all things gut with a ton of comedy and faecal tête-à-tête.

Phytic acid has gained a controversial reputation in recent years, with various health enthusiasts and dietary gurus and unqualified health coaches labelling it as an "anti-nutrient" to be avoided. This has led to misguided advice to steer clear of legumes, nuts, and seeds, which are staples in many healthy diets and are crucial for gut health. 

In this mini episode, Sandra debunks the top 3 fear-mongering messages that you’ve probably come across and talks about why you should not be fearful of phytic acid. This episode covers:

• The 3 fear mongering messages you should ignore
• The benefits of phytic acid especially when it comes to gut health
• Who should pay more attention to phytic acid and when does it matter?
• Smart approaches to reduce phytic acid
• Meal combinations to balance phytic acid content

Stop listening to unqualified quacks with online degrees and zero nutritional training! Social media has been one of the biggest sources of harmful pseudoscience. When in doubt, ask a registered nutritionist or dietitian and if  you have any gut-related questions you’d like us to answer live on the pod? Send us your questions via  info@nutrition-az.com! 

For more information visit instagram.com/nutritionaz_by_sandramikhail OR nutritition-az.com

Grab your copy of The Gut Chronicles: An uncensored journey into the world of digestive health and illness. 

If you made it through the last episode on gut health diagnostics, then good on you! It was a jam packed episode and today, it’s time to close the very brief chapter on diagnostic tests related to the gut. The episode starts with them answering a listener’s question whether over-investigating is better than under-investigating. Then, Wagdy will walk you through all the imaging techniques, which include X-rays, CT scans, MRI scans, and ultrasound, while Sandra will walk you through breath testing. 

This episode covers:

• Whether over-investigating is better than under-investigating
• Imaging Techniques in assessing gut health, including X-rays, CT scans, MRI scans, and ultrasound; why and when?
• Breath testing including their pros and cons specific to SIBO
• Why we need to be mindful of the interpretation of results
• What conditions can be diagnosed with each imaging technique
• The importance of PET scans in cancers of the GI tract

And with this, your hosts’s aim with this specific topic was to equip you with the confidence in understanding why your health care practitioner might request a specific test, what these tests mean and what to expect. 

Do you have any gut-related questions you’d like us to answer live on the pod? Send us your questions via  info@nutrition-az.com

Connect with your hosts on LinkedIn

Sandra Mikhail

Wagdy Mikhail 

This topic is worth a 2-part series as there is so much to cover! Your hosts explore the spectrum of diagnostic tools available to assess gut health and decipher the most common tests, debunk myths, and shed light on the reliability of various diagnostic methods. From stool tests to endoscopy, Sandra and Wagdy aim to equip you with the knowledge you need to know about gut health diagnostics and what they all mean. This episode covers: 

• Stool tests, why we need them and what your poo’s colour, consistency and other faecal markers can tell us
• What makes an essential blood work up 
• Understanding markers such as CRP and antibody serology
• Sandra’s take on screening for “leaky gut” using Zonulin 
• Why you shouldn’t take a microbiome test
• How food intolerance tests are the biggest wellness scam 

This episode is packed with information so we do suggest keeping some notes! Part 2 will cover the next set of diagnostics such as breath tests and imaging (CT, MRI and Ultrasounds) so make sure you hit the follow button not to miss an episode! 

If you have any questions about gut health tests and diagnostics, don’t forget to send your questions through to   info@nutrition-az.com

Previous episodes to listen to that have been mentioned today:

S01E04 | All about poo Part 1: Understanding Constipation

S01E05 | All about poo Part 2: Understanding Diarrhoea

S01E08 | Debunking Leaky Gut with guest dietitian, Kirsten Jackson

In today’s mini episode, Sandra’s flying solo and explores how IBS affects men and women differently. She uncovers the various factors contributing to these sex differences, from hormones and immune responses to psychosocial influences. Learn why women often experience more pronounced symptoms and how understanding these nuances can lead to more personalised approaches to diagnosis and treatment. Whether you're living with IBS or simply curious about the science behind it, this episode offers valuable insights into a common yet often misunderstood condition. Today’s episode covers:

• 
  Explanation of sex differences in IBS prevalence and symptom presentation
• Role of hormones, including oestrogen and progesterone, in influencing gut function
• Sex-specific differences on the gut microbiota and immune responses
• Influence of psychosocial factors such as stress, anxiety, and societal norms on IBS
• Importance of personalised approaches to diagnosis and management based on sex differences
• Call for greater awareness, research, and support for individuals living with IBS

We hope you’ve been enjoying our episodes and please don’t forget to follow, rate and review our pod not to miss an episode and for us to keep working hard to bring you more! 

Resources and support: 

Chapter 9 of  The Gut Chronicles:

Season 1 Episode 2: Cracking the IBS code

Nutrition A-Z Rebalance Programs: The Gut Edition 

Free Workshop 30.04.2024

The GUTSMART Workshop: A proven blueprint to master your gut health and IBS

Connect with your hosts on LinkedIn

Sandra Mikhail

Wagdy Mikhail 

For more information visit instagram.com/nutritionaz_by_sandramikhail OR nutritition-az.com

The Gut Chronicles: An uncensored journey into the world of digestive health and illness. Sandra Mikhail’s upcoming book out May 2023. 

It’s hard to believe that the pod is a year old! This IBS awareness month, your hosts cover advances and developments that impact how IBS is being managed. Before listening to this episode, please revisit this episode here that talks about cracking the IBS code covering everything you need to know about irritable bowel syndrome. Today’s episode covers:

• The main areas of IBS research to date
• Emerging treatments and studies investigating the gut microbiome in IBS
• Updates with the FODMAP process and its cons such as disordered eating 
• Sandra’s GUTSMART method in managing IBS
• The gut-brain axis in IBS

Breaking the stigma around a diagnosis of IBS should be part of every gut specialist’s mission. IBS is a chronic, relapsing disorder that extends beyond gut motility issues and includes intestinal dysbiosis and a disordered gut–brain interaction. For this reason, a multidisciplinary approach is crucial to work towards living with a more blissful gut. 

Resources and support: 

Chapter 9 of  The Gut Chronicles:

Season 1 Episode 2: Cracking the IBS code

Nutrition A-Z Rebalance Programs: The Gut Edition 
Free Workshop: The GUTSMART Method workshop 30.04.2024

In this mini episode, Sandra shares her most recent health hiccup which made her break a 13 year streak of no antibiotics. Antibiotics are life-saving medications that have been overly prescribed over this past decade with devastating consequences such as antibiotic resistance. However, there is a time and place when antibiotics are needed. If you’ve had to go on a course of antibiotics recently, then this episode is for you. Today’s episode covers:

• Sandra’s health update that led her to take antibiotics
• How probiotic supplements can backfire after antibiotics
• The 3-step guide to restoring your gut health after antibiotics with food
• Why prebiotics should be the focus
• Foods that can disrupt the balance of your gut microbes 

This is also a good time to remind you of an important disclaimer that is constantly highlighted in this podcast: This podcast is not meant to be used, nor should it be used, to diagnose or treat any medical condition. For diagnosis or treatment of any medical problem, consult your own physician or healthcare provider. The podcast is for education purposes only and it is advised that you exercise your own judgement before using the information provided. Always consult your healthcare team for medical advice before taking any action.

Get your copy of The Gut Chronicles: An uncensored journey into the world of digestive health and illness. 

Do you have any gut-related questions you’d like us to answer live on the pod? Send us your questions via  info@nutrition-az.com

In the latest episode of The Gastroenterologist and His Daughter, your hosts are back and dive into a condition that impacts millions worldwide: gastritis. Kicking off this new season, they discuss what gastritis is, the common symptoms, and key causes—ranging from bacterial infections and NSAID use to alcohol, smoking, and stress. 

While diet alone doesn’t cause gastritis, it can aggravate symptoms, so they explore how foods like fatty, spicy, or acidic items can influence discomfort. Sandra & Wagdy also cover lifestyle tips and soothing foods that support healing, helping listeners manage and prevent gastritis through smart, everyday choices. This episode covers: 

• Defining gastritis and what the most common symptoms are
• What causes gastritis and how is it diagnosed?
• Can diet and stress cause gastritis? 
• How to treat gastritis medically 
• What should I eat and avoid if I am diagnosed with gastritis?
• If gastritis causes cancer
• The gastritis prevention plan

Disclaimer: This podcast is not meant to be used, nor should it be used, to diagnose or treat any medical condition. For diagnosis or treatment of any medical problem, consult your own physician or healthcare provider. The podcast is for education purposes only and it is advised that you exercise your own judgement before using the information provided. Always consult your healthcare team for medical advice before taking any action.

Connect with your hosts on LinkedIn

Sandra Mikhail

Wagdy Mikhail 

For more information visit instagram.com/nutritionaz_by_sandramikhail OR nutritition-az.com

The Gut Chronicles: An uncensored journey into the world of digestive health and illness is out now worldwide where books are sold. 

In this mini, solo episode, Sandra tackles a frequently asked question: Are gut health supplements really worth it? With so much buzz around gut health in the wellness world, it’s time to separate fact from fiction and explore whether these products live up to their promises.

Disclaimer

This episode is for educational purposes only and does not constitute medical advice. Always consult with a qualified healthcare professional, dietitian, or gastroenterologist before starting any new supplement to ensure it aligns with your unique needs. 

Today’s episode covers: 

• The boom of gut health supplements and how marketing is shaping perceptions
• A deep dive into popular supplements starting with probiotics
• How to choose a fibre supplements
• Gut health aides like peppermint oil capsules and magnesium
• What to avoid in the supplement aisle including anti-bloat supplements and random probiotic blends
• How to choose the right supplement and questions to ask before purchasing

Gut health is personal, and there’s no one-size-fits-all solution. Supplements can be beneficial for specific conditions, but they’re not a cure-all. Understanding your body’s needs and consulting with professionals is key to making informed decisions.

Connect with your hosts on LinkedIn

Sandra Mikhail

Wagdy Mikhail 

For more information visit instagram.com/nutritionaz_by_sandramikhail OR nutritition-az.com

A resource mentioned in this episode is Sandra’s book: The Gut Chronicles: An uncensored journey into the world of digestive health and illness. 

What a pleasure it is having Dr. Janna Scharfenberg as the next guest on the pod! Dr. Scharfenberg is a medical doctor and Ayurveda expert and joins your hosts for an insightful conversation on how ancient Ayurvedic principles can transform modern gut health practices.

Ayurveda is an ancient system of natural medicine that originated in India over 5,000 years ago. Its name translates to "the science of life" (Ayur meaning life and Veda meaning knowledge). Rooted in the belief that health and wellness depend on a delicate balance between the mind, body, and spirit, Ayurveda focuses on prevention and holistic healing. This episode covers:

• What the principles of Ayurveda are and an introduction to the three doshas
• The role of the gut in Ayurveda, and how it compares to modern medicine
• Common Ayurvedic remedies that can benefit gut issues
• Key Ayurvedic herbs and spices and their impact on gut health
• How to combine Ayurvedic approaches with conventional treatments for digestive disorders
• Dr. Janna’s advice on how to start integrating Ayurvedic practices into our modern lives

While Ayurveda offers some truly profound insights, achieving true wellness often requires balancing these ancient practices with evidence-based conventional medicine to ensure safe and effective outcomes.

About Dr. Janna Scharfenberg:

Dr. Janna Scharfenberg is a holistic physician, certified yoga instructor, and author based in Zurich, Switzerland. She specialises in integrating conventional medicine with Ayurveda. Through her Modern Ayurveda Institute, Dr. Scharfenberg offers comprehensive training programs, empowering individuals to incorporate Ayurvedic principles into their personal and professional lives. She is also the author of "Ayurveda for Life," a practical guide that adapts ancient Ayurvedic wisdom for modern lifestyles.

Connect with Janna:

Instagram

Website 

Podcast 

This season, your hosts are introducing a series called Gut Stories - bringing the "patient or client" perspective to the show. 

Up until now, they’ve focused on professionals and how they manage various gut conditions but it’s time to explore and share the challenges people face within the medical and healthcare systems.  This will help raise awareness about different gut conditions from their unique point of view.

On today’s episode, you’ll meet Jennifer. She shares her story and journey living with two chronic conditions, endometriosis and coeliac disease. Endometriosis occurs when tissue similar to the lining of the uterus grows outside of it, leading to pain, infertility, and other complications. Coeliac disease is an autoimmune condition where eating gluten damages the small intestine, leading to symptoms like diarrhea, bloating, fatigue, and nutrient deficiencies. The only treatment is a strict gluten-free diet.

Could there be a connection? Listen to this raw discussion of one person’s difficult journey, her struggles within the healthcare system and where she is now. 

About Jennifer

Jennifer Walter is a sociologist, pathfinder, and certified NLP and EFT practitioner who supports too-brilliant-to-not- shine humans on their scenic route from surviving to thriving. With an MA in Sociology, 20+ years of working in branding, design and communication, and a wealth of personal experience, Jennifer brings academic expertise and down- to-earth relatability. Jennifer is also the host of the Scenic Route podcast, which Sandra had the pleasure of previously being on. 

Connect with Jennifer:

Instagram

LinkedIn

Website 

Dr. Sophie Bostock joins Sandra on the pod today to uncover the mysteries of sleep and its profound impact on our health. Starting with the essential functions of sleep, Dr. Bostock explains why it’s vital for both physical and mental well-being. They explore how sleep connects to our circadian rhythms, the body’s natural clock, and how disruptions can lead to health issues.

Dr. Bostock also delves into the effects of stress and hormonal changes on sleep, particularly for women, and weighs in on the safety of sleep aids like melatonin. Finally, she shares her favourite sleep hacks, common mistakes to avoid, and strategies to get better rest. This episode covers: 

• Why do we sleep?
• Circadian rhythms and the impact of sleep disruption on our health
• Stress and hormonal influences on sleep
• Should we use melatonin if we’re struggling with sleep?
• The top 3 mistakes people do that negatively impact their sleep
• Sophie’s sleep hacks for a good night’s sleep
• Sandra and Wagdy tie it all together through the lens of gut health

About Dr. Sophie Bostock:

Dr Sophie Bostock is a Sleep Evangelist on a mission: to help millions of people to improve their lives by unlocking the science of sleep and performance. With a background in medicine, Sophie became fascinated by the role of sleep and circadian rhythms for protecting health. After working on the award-winning sleep improvement programme, Sleepio, Sophie launched TheSleepScientist.com to provide sleep training and consultancy for for clients in business, the media, the military and elite sport.

Connect with Sophie:

Instagram

Linked In

Youtube

In today’s episode, your hosts are sharing another gut story. This time, it’s all about a possible gut-thyroid connection. Joyce was recently diagnosed with Hashimoto’s thyroiditis, an autoimmune condition where the immune system attacks the thyroid, leading to inflammation and reduced thyroid hormone production. In addition, she has been navigating the challenges of Small Intestinal Bacterial Overgrowth (SIBO), a condition where excessive bacteria in the small intestine cause uncomfortable symptoms like bloating, gas, and digestive distress.

Join us as we take a journey with Joyce to hear her story of living with a thyroid condition, how it has impacted her gut health, and the ups and downs of managing SIBO along the way. This episode is a deep dive into the intersection of these two conditions, shedding light on how interconnected the gut and thyroid really are.

About Joyce

Joyce is a Dubai-based Choreographer, Fashion Stylist, and Content Creator with over 20 years of experience in dance and the performing arts. She trained and performed extensively with the renowned Sharmila Dance company, appearing at major events, concerts, and opening ceremonies.

Throughout her career, Joyce has collaborated with global brands like Nike, Adidas, Swarovski, Sephora, and Harper’s Bazaar, as well as celebrities such as Shaggy, Nancy Ajram, Sean Paul, and Maya Diab. She has choreographed for music videos, concerts, and photoshoots, blending her expertise in dance and fashion to create dynamic, engaging content.

Joyce also teaches weekly dance classes, inspiring aspiring dancers to pursue their passion, and has a strong background in the fashion industry, from PR for high-end brands to co-founding an e-commerce fashion platform and beauty salon.

Connect with Joyce:

Instagram

TikTok

Is there a place for yoga when it comes to gut health? 

This episode aims to answer that question with Kaitlin Colucci aka The Mission Dietitian. Whether you're new to yoga or looking to deepen your gut-health toolkit, this episode uncovers how the power of movement and breathwork can transform the way your gut feels. Today’s episode covers:

• What is gut-directed yoga and how it differs from general yoga and its role in digestive health.
• The gut-brain connection: How yoga influences the gut-brain axis to support digestion.
• Managing gut issues with yoga including targeted poses and techniques for IBS, bloating, and reflux.
• What the research says: Evidence-backed benefits of yoga for gut health.
• Yoga, nutrition & lifestyle: Best practices for integrating yoga with diet and daily habits.

Tune in to discover how reconnecting with your body might just be the missing piece in your gut healing journey.

About Kaitlin Colucci RD MNutr

Kaitlin is one of the leading gut health dietitians in the UK and founder of The Mission Dietitian, combining nearly a decade of experience in dietetics with her passion for yoga teaching. Renowned for her innovative approach, Kaitlin specialises in integrating science-backed nutrition with the healing practices of yoga, meditation, and breathwork to address the complexities of IBS and other gut health disorders through a holistic lens. She is also a British Dietetic Association media spokesperson with her expertise prominently featured on BBC Countryfile, BBC Food Truth or Scare, and Channel 4's Food Unwrapped. More recently, Kaitlin has offered her wealth of experience and expert consultancy for the UK launch of the Belly Balance App.

Connect with Kaitlin

Instagram @themissiondietitian

https://www.kaitlincolucci.com/retreats

Episode What’s new with IBS?

Episode The Perimenopause Gut with Nicole Dynan

Episode Gut Health and GPs: Bridging the Gap

Could your IBS symptoms actually be something else? In this easy-to-digest episode, your hosts break down what BAM really is, the different types, and the key symptoms to watch out for. Before they get into it, they take a tricky question from a listener about H.pylori. 

BAM can be difficult to diagnose as its symptoms generally overlap with IBS. Wagdy breaks down how BAM is diagnosed and some very distinct features that make BAM a condition not to dismiss when consulting patients. Today’s episode covers: 

• What BAM actually is and its types
• Common symptoms to watch out for
• If IBS and BAM can co-exist & how Sandra’s clients have been misdiagnosed
• How to get a diagnosis of BAM including
• Sandra’s main dietary goals for clients she consults
• The type of fibre you should include

If you’re struggling with chronic diarrhoea, make sure to pay your GP or specialist a visit as the consequences if left untreated can be serious. 

Want to ask your hosts a question? Send them through to info@nutrition-az.com, and they’ll get back to you during one of the episodes.

Disclaimer: No personalised medical or nutritional advice can be provided, as this podcast is for educational purposes only and does not replace professional consultation. Always seek advice from a qualified healthcare provider for your individual needs.

Connect with your hosts on LinkedIn

Sandra Mikhail

Wagdy Mikhail 

For more information visit instagram.com/nutritionaz_by_sandramikhail OR nutritition-az.com

A resource mentioned in this episode is Sandra’s book: The Gut Chronicles: An uncensored journey into the world of digestive health and illness. 

Today’s episode dives into the gut-hormone connection during one of the most misunderstood (and under-discussed) phases in a woman’s life: perimenopause. Sanda is  joined by the brilliant dietitian and gut health expert, Nicole Dynan, to explore what’s really going on when your digestion goes off track in your 40s and beyond. Today’s episode covers:

• What perimenopause actually is and how it differs from menopause
• How hormonal shifts affect gut motility, microbiome balance, and digestion
• The most common gut symptoms women report and why they happen
• Why fibre is your friend (even if social media says otherwise)
• How stress and sleep can make or break your gut function
• Practical strategies to improve gut health and when to seek professional help

Whether you’re noticing more bloating, bathroom drama, or just feeling out of sync with your body, this conversation is packed with insights and evidence-based tips to help you feel more in control.

About Nicole Dynan: Accredited Practising Dietitian, gut health expert, and founder of The Gut Health Dietitian.

Before retraining in nutrition, Nicole worked in the corporate world and it was there she saw firsthand how many women around her were struggling with gut issues, stress, low energy, and hormonal changes, especially as they moved into their 40s. After healing her own gut and making sense of the overwhelm through science, she made it her mission to help others do the same.

Nicole and her team have now supported over 40,000 women to improve their gut health through evidence-based nutrition and she’s soon to launch the Peri Gut Plan, a 3-week program designed to support the gut-brain-hormone connection during perimenopause.

When she’s not helping women feel lighter, more comfortable, and more like themselves again, Nicole is a regular media contributor, a guest lecturer at The University of Sydney, and a passionate runner, yogi, and edible garden enthusiast.

Connect with Nicole

https://www.guthealthdietitian.com/

Instagram: @the.guthealthdietitian

The Peri-Gut Plan

It's our 2-YEAR PODIVERSARY and IBS Awareness Month and what better way to celebrate than diving into one of the most requested and misunderstood topics in gut health. 

In this candid (and slightly chaotic) episode, your hosts talk through the latest science, some cringey myths floating around online, and the supplements worth knowing about, plus a few bloopers we decided to keep in. Because real talk is how they roll. Today’s episode covers:

• Why IBS is still such a hot topic in the gut world
• The latest research, including the ATLANTIS trial on low-dose amitriptyline
• What we now know about the gut-brain connection and mental health in IBS
• The truth behind common myths like: “Probiotics are the magic cure” or “Just go carnivore” 🙄
• Supplements worth your attention
• And of course… a few laughs, real moments, and a bit of blooper magic

Thank you for sticking with us for TWO YEARS of gut talk, myth-busting, and bringing science to the people, one bowel movement at a time.
Don’t forget to subscribe, leave us a review if you loved it, and tag us when you're tuning in on IG at @nutritionaz_by_sandramikhail

Connect with your hosts on LinkedIn

Sandra Mikhail

Wagdy Mikhail 

For more information visit instagram.com/nutritionaz_by_sandramikhail OR nutritition-az.com

Chapter 9 of Sandra’s book cover all you need to know about IBS: The Gut Chronicles: An uncensored journey into the world of digestive health and illness. 

In this episode, your hosts sit down with Dr. Hasini Perera, a seasoned GP based in Dubai, to explore gut health through the lens of primary care.

From the most common gut complaints in clinic to when it’s time to refer to a specialist, Dr. Hasini shares how GPs approach gut-related concerns and what patients can do to feel heard and supported. We also dive into often-overlooked conditions, the role of nutrition in general practice, and why some popular trends might be doing more harm than good.

We shine a spotlight on women’s health and how to prepare for that all-important GP appointment. Today’s episode covers:

• Why gut issues are often overlooked in general practice
• When a GP decides it’s time to refer
• The impact of lifestyle and nutrition on gut health
• What’s missing in the conversation about women’s health and gut health
• Myths and social media trends and more! 

Whether you’ve felt dismissed in a consult or want a grounded take on gut health, this episode brings clarity and real talk from a trusted frontline expert.

Connect with Hasini

Instagram: @douknowmedicine

LinkedIn: Dr. Hasini Perera 

About Dr. Perera

Dr. Hasini Perera is a dedicated General Practitioner with over 11 years of clinical experience out of which 5th year working in Dubai. She is currently based at Emirates Specialty Hospital, Dubai Healthcare city, Dubai, where she blends compassionate care with evidence-based medicine.Dr. Hasini holds ECFMG certification, has completed all of the USMLE steps, and completed MRCP (UK) Part 1 and 2, reflecting her commitment to continuous medical excellence.

Her special interests lie in internal medicine, endocrinology, musculoskeletal conditions, chronic disease management, and above all patient education and prevention of diseases. With a passion for making healthcare accessible and understandable, she actively creates educational content for global audiences on LinkedIn/ Instagram and through engaging videos.

Born with a name that means “laughter,” Dr. Hasini brings joy, empathy, and clarity into her practice. She believes in treating the person, not just the disease, and is known for her relatable explanations, deep listening skills, and holistic care approach.

Outside of medicine, she loves drawing, storytelling, and crafting meaningful connections through humor and humanity. Dr. Hasini envisions a world where healthcare isn’t intimidating but empowering and she’s working every day to make that vision a reality.

From rural clinics to high-end hospitals, from managing chronic diseases to creating viral awareness videos online, Dr. Hasini’s mission is simple: make healthcare human again.

She’s funny, fearless, and deeply compassionate and today, she’s here to talk not just as a doctor, but as someone who understands what it means to fight, fall, and rise with a smile. 

As preparations for season 5 are in full swing, we thought we’d take a trip down memory lane and share the most listened-to episodes, starting with this one!

Dr. Sophie Bostock joined Sandra on the pod to uncover the mysteries of sleep and its profound impact on our health. Starting with the essential functions of sleep, Dr. Bostock explained why it’s vital for both physical and mental well-being. They explored how sleep connects to our circadian rhythms, the body’s natural clock, and how disruptions can lead to health issues.

Dr. Bostock also delved into the effects of stress and hormonal changes on sleep, particularly for women, and weighed in on the safety of sleep aids like melatonin. Finally, she shared her favourite sleep hacks, common mistakes to avoid, and strategies to get better rest. This episode covered: 

• Why do we sleep?
• Circadian rhythms and the impact of sleep disruption on our health
• Stress and hormonal influences on sleep
• Should we use melatonin if we’re struggling with sleep?
• The top 3 mistakes people do that negatively impact their sleep
• Sophie’s sleep hacks for a good night’s sleep
• Sandra and Wagdy tie it all together through the lens of gut health

About Dr. Sophie Bostock:
Dr Sophie Bostock is a Sleep Evangelist on a mission: to help millions of people to improve their lives by unlocking the science of sleep and performance. With a background in medicine, Sophie became fascinated by the role of sleep and circadian rhythms for protecting health. After working on the award-winning sleep improvement programme, Sleepio, Sophie launched TheSleepScientist.com to provide sleep training and consultancy for clients in business, the media, the military and elite sport.

Connect with Sophie:
www.thesleepscientist.com
Instagram
Youtube

In this solo mini-episode, Sandra breaks down what food intolerance really is, why most tests are a waste of money, and how proper diagnosis works. This episode covers:

• Allergy vs intolerance: why mixing them up leads to confusion and why IgG “intolerance tests” are a scam.
• The main types of intolerances: enzymatic (like lactose), food chemical sensitivities, and FODMAP-related symptoms.
• How diagnosis really happens
• Where to start & who to see

Food intolerance isn’t a quick test. It’s a structured process best done with expert guidance to avoid unnecessary restriction, fear of food, and malnutrition. With the right support, you can get clarity without the chaos.

If you’re suspecting a food intolerance, connect with a Nutrition A-Z specialist today here. 

Connect with your hosts on Instagram

Sandra Mikhail

Wagdy Mikhail 

Sandra and Wagdy are back with another season and in this episode, they break down the awkward but common world of haemorrhoids: what they actually are, why they happen, and when bleeding isn’t “just haemorrhoids.” This episode covers: 

• What haemorrhoids actually are and why they’re normal structures (not a disease), plus the most common causes and risk factors.
• Key symptoms vs. red flags , when bleeding is typical, and when it signals something more serious.
• Management 101: Sandra’s 6 step tool kit including fibre, fluids, toilet habits, OTC options, and when doctors escalate to banding, injections, or surgery.

It’s time to drop the embarrassment. Haemorrhoids are common, treatable, and nothing to hide. The more we talk about them, the faster people get the help they need.

Disclaimer: This podcast is not meant to be used, nor should it be used, to diagnose or treat any medical condition. For diagnosis or treatment of any medical problem, consult your own physician or healthcare provider. The podcast is for education purposes only and it is advised that you exercise your own judgement before using the information provided. Always consult your healthcare team for medical advice before taking any action.

Connect with your hosts on Instagram

Sandra Mikhail

Wagdy Mikhail 

For more information visit nutritition-az.com

A resource mentioned in this episode is Sandra’s book: The Gut Chronicles: An uncensored journey into the world of digestive health and illness. 

This was another popular episode looking at fertility from within.

Stefanie Valakas joined Sandra to uncover the gut-fertility connection better. Stefanie and Sandra covered three main areas looking at the relationship between the gut microbiome and fertility, nutrition for reproductive health as well as the gut-hormone connection. This episode covered:

• How the gut microbiome impacts reproductive health including specific bacteria in the gut that are particularly beneficial or detrimental to fertility
• Key nutrients to focus on if you’re trying to conceive, two of which may not be on your radar
• How do conditions such as PCOS or Endometriosis impact digestive health and vice versa
• Stefanie’s supplementation strategy and much more! 

Stefanie is a wealth of information and her passion for nutrition in this space is really echoed in this episode.

About Stefanie Valakas:

Stefanie Valakas APD is an expert certified fertility and pregnancy dietitian & nutritionist and founder of The Dietologist and cofounder of arxi . Stefanie and her team of fertility & pregnancy dietitians are dedicated to excellence in nutrition for reproductive health concerns, fertility & pregnancy. Her passion for nutrition in this space has truly grown from her experience helping her clients online from around the world and also through her own personal experiences of navigating a diagnosis of endometriosis.
 
The Dietologist has been awarded multiple awards for their excellence in nutrition care and Best Pregnancy & Fertility Nutrition Clinic in 2022, Quality in Primary Care Award by Dietitians Australia 2022. Stefanie has also been recognised for her contributions in the fertility nutrition arena as a finalist for the Dietitian of the Year Awards for 2020-21 & 2023, Impact & Innovation Finalist 2022, Allied Health Educator Excellence 2023 by the Allied Health Awards.
 
Stefanie also hosts the popular fertility health podcast, Fertility Friendly Food.  Stefanie truly believes every hopeful parent should have access to scientifically-backed nutrition information to prepare their body prior to conception, support them through fertility treatments, pregnancy and ultimately bringing home a healthy and happy baby.

Connect with Stefanie:
thedietologist.com.au
Instagram
TikTok: @the_dietologist

Misinformation around ‘leaky gut’ continues to rage so this episode will never get old!

If you’ve struggled with your gut then you would’ve come across the term “leaky gut” or may have even been diagnosed with it at some point. Leaky gut syndrome has gained significant attention in recent years, with claims that it may be the root cause of a wide range of health issues, from digestive problems to autoimmune diseases and even mental health conditions. But what exactly is leaky gut, and is it a valid medical diagnosis?

In this episode, Sandra is joined by gastroenterology specialist dietitian, Kirsten Jackson, where they chatted about all things leaky! They discussed why this term has gained attention in alternative and complementary medicine communities, but its recognition and acceptance within the conventional medical community are somewhat divided. What is our intestinal barrier? Are the tests to diagnose leaky gut even valid? If it’s not leaky gut then what? Sandra and Kirsten answered the most frequently asked questions about leaky gut syndrome and how they managed their own clients suspecting it.

About Kirsten Jackson
Kirsten Jackson BSc Hons PGCert is a UK consultant dietitian specialising in gut health and the author of ‘Take Control of your IBS’. Kirsten graduated from The University of Hertfordshire in 2012 before joining the UK national health service where she specialised in gastroenterology. She later went on to complete her post-graduate certificate in Advanced Dietetics at The University of Nottingham. In 2018 Kirsten moved to the UAE as the lead dietitian for Kings College Hospital in Dubai. In this role she was part of the team which developed and opened the first British healthcare facility in the Middle East. Kirsten now runs an online IBS clinic called The Food Treatment Clinic to help those who suffer with the condition. Outside of clinical work, Kirsten is an official media spokesperson for The British Dietetic Association where she has worked on TV and with media outlets such as Cosmopolitan and The Guardian. She is also an expert advisor for the charity, The IBS Network.

Connect with Kirsten:
www.thefoodtreatmentclinic.com
Instagram
Get the book: Take Control of Your IBS

This episode was a popular one!

Bloating is one of the most common digestive complaints in people of all ages and despite being one of the most frequent and bothersome complaints, we still don’t fully understand the exact cause of bloating since it’s not that straight forward! In Sandra’s solo episode, she offered a snapshot into the world of bloat, what is normal and goes through the 2 most common causes of bloating.

As a gut-health dietitian, she focuses on the dietary approaches of managing the uncomfortable bloat discussing behaviours and fibre as well as elimination options such as lactose, artificial sweeteners and FODMAPs. She ends with her beat the bloat rundown that you can consider when addressing uncomfortable, chronic bloating and if probiotics and activated charcoal are worth it.

Connect with Sandra:
Nutrition A-Z
Instagram
LinkedIn

We’re often told that stress “affects the gut,” but rarely are we given a clear explanation of how or what to actually do about it. In this episode, Dr. Kelly Watkins joins Sandra to unpack the science and psychology behind the mind–gut connection and why approaches like Cognitive Behavioural Therapy (CBT) are becoming an essential part of digestive care.

This episode covers:

• How stress and anxiety physically affect gut function
• The science behind the brain–gut communication loop
• Why CBT is increasingly used in digestive disorders
• Common psychological triggers for bloating, pain and IBS flares
• How gut symptoms and anxiety can reinforce each other
• Practical CBT tools for managing gut-related anxiety
• Why “it’s in your head” is a misleading and harmful myth

This conversation bridges the gap between gut health and mental health, tackles stigma head-on, and offers practical tools for anyone living with IBS, bloating, chronic pain or stress-related digestive symptoms.

About Dr. Kelly Watkins

Dr Kelly Watkins, BSc (Hons), MSc, PG Dip, PgD, is a Cognitive Behavioural Psychotherapist, EMDR Therapist, and HCPC-registered Practitioner Psychologist. With over a decade of experience working with clients across the NHS, HM Prison Service, private healthcare, and community settings, Kelly brings a unique blend of psychological expertise and mind-body understanding to her work.

Kelly supports clients worldwide through 1:1 work, online workshops and retreats designed to help individuals rebuild their relationship with food, understand the mind-gut connection, and heal the emotional patterns that contribute to digestive distress. Her integrative approach combines evidence-based psychological therapies with practical, holistic strategies that empower people to transform their wellbeing from the inside out.

Alongside her clinical work, Kelly lectures and supervises the next generation of CBT therapists and conducts research into personality disorders, staff training, and therapeutic engagement. She has also built a successful online platform, creating accessible education, digital resources, and mental wellness products for a global audience. Her content and expertise have led to regular media interviews and collaborations focusing on forensic psychology, mental health and whole-body wellbeing.

Passionate about demystifying therapy and reducing stigma around mental health, she is committed to supporting people to make meaningful, sustainable changes and live fuller, healthier lives.

Connect with Dr. Kelly Watkins:

Instagram

LinkedIn

Website

Join “The Live Gut Chat: A Night with The Gastro & His Daughter” on the 26.01.2026 at 5:00pm CET / 8:00pm Gulf Standard Time. You’ve listened to us in your ears, now join us in the room for a live recording of the pod. For more information and registration, click here.