Still searching for an answer to your symptoms?

by Valerie Polley | Jan 17, 2019 | 0 comments

Over my years as a dietitian, I have seen many individuals struggle with various symptoms. Even while working at Johns Hopkins, there were some they just couldn't quite figure out what was going on. I was always under the impression that if you go to the doctor, you come out with answers. That is not always the case. Not because they don't understand, but because they can't know everything and there is so much we don't know. With a focus on GI nutrition, I try and learn everything I can about it, but I also keep my eyes and ears open for
other conditions, diseases, etc, that can have overlapping symptoms. I can't make a diagnosis for a client, but I can give advice to clients about what questions they can ask their doctors.

So, are you still on a search for your health journey? You have had every test done under the sun and still don't have a clue why you don't feel good? For many it can take years to get the correct diagnosis. For example, it has been shown that individuals with celiac disease see multiple physicians over an average of 11 years before receiving a definitive diagnosis. This was discovered in research studies conducted at Columbia University in New York and by the Canadian Celiac Association. It is estimated that only 5%-20% in the U.S. and Canada have been diagnosed. What about IBS? IBS generally takes a long time to diagnose. So much needs to be ruled out, such as celiac disease, inflammatory bowel disease, etc., before an IBS diagnosis is given.

I mostly see clients with gastrointestinal issues, but I also see many with outlying issues, such as joint pain, brain fog, body aches, etc. Yes, something like celiac disease and IBS can cause these symptoms, but what if you aren't feeling better after following all of the necessary recommendations?

I love the fact that we have so many options for healthcare right now. We have traditional doctors, functional medicine doctors and also many nurse practitioners that have their own practice. Functional medicine doctors are medical doctors that have just taken a different route in their studies. Some were traditional doctors, and at some point decided they wanted a different approach for their patients. I believe there is a fit for all doctors for different reasons. Many of my clients over time made a choice to go the functional medicine route because they needed a different focus on their symptoms.

Our bodies are intricate machines, so figuring them out takes many great minds. That is why we need all kinds of practitioners. No one is better than the other, but you need to find your fit and that can take time and money.

So many of these illnesses have overlapping symptoms. I am going to list many that I have learned about over the past years and what I have seen in my clients, learned at conferences, or have seen in my personal story.

-Celiac Disease
-Irritable Bowel Syndrome (IBS)
-Inflammatory Bowel Disease (Crohn's and Colitis)
-Small Intestinal Bacterial Overgrowth (SIBO)
-Sucrase-Isomaltase Deficiency
-Mast Cell Activation Syndrome (MCAS)
-Lyme Disease
-Chronic Inflammatory Response Syndrome (CIRS)

I have written about a few of these on previous blogs. Kate Scarlata, dietitian from For A Digestive Peace of Mind recently wrote a 3 part blog on MCAS. She also has a great blog on SIBO. Go to her website at katescarlata.com or google search Kate Scarlata MCAS/SIBO blog. Dr. Carnahan is a functional medicine doctor and has blogs on many of the above illnesses. Some of these fit a traditional doctor diagnosis and others are more for a functional medicine doctor. It is your health and your life, so it is up to you to help navigate it. I tell my clients that their health journey is like a puzzle. It may take weeks, months or even years to get the pieces to fit together, but that is the ultimate goal. You have to decide how you are going to try and attain that goal, and where your comfort level is with varying health practitioners.

The information in this blog is not a substitute for professional medical advice, examination, diagnosis and treatment. Always seek advice from your physician or other qualified healthcare provider before altering your diet, starting a new treatment or making changes to an existing treatment.

Spend any amount of time on social media these days, and you'd think protein is the answer to all your health concerns. Protein coffee, protein cereal, protein deserts…even foods that never needed protein are getting a boost.

Protein absolutely plays an important role in overall health. But when it comes specifically to gut health, fiber is the real MVP.

Why Gut Health Depends on What Your Microbes Eat

Your gut is home to trillions of microorganisms collectively known as the gut microbiome. These microbes, which include bacteria, viruses, fungi, and more, influence everything from digestion and metabolism to inflammation and immune function

But microbes need fuel to survive.

Unlike human cells, your gut microbes thrive on dietary fiber—not protein—as their main source of energy. When you eat fiber, your gut microbes ferment it and produce compounds that actively support health.

However, when fiber intake is low, your gut microbes are forced to rely on other sources of fuel, including protein. And that shift can change which metabolic byproducts are produced in your gut. And spoiler alert—that's not always for the better.

What Happens When You Eat Fiber

Fiber is a type of carbohydrate that resists digestion in the small intestine. Instead of being absorbed, it travels to the colon intact. 

This is where the magic happens. Your gut microbes ferment fiber, producing a variety of different compounds. Some of the most important byproducts of fiber breakdown by your microbiome are short-chain fatty acids (SCFAs).

SCFAs are incredibly beneficial for overall health. Here are just some of their benefits:

  • Nourish colon cells
  • Strengthen the gut barrier
  • Reduce inflammation
  • Support regular bowel movements
  • Maintain a healthy gut pH
  • Protect against several diseases

In other words, fiber doesn't just help you poop—it actively supports the structure and function of your gut.

The Different Types of Fiber (And Why They All Matter)

You might be surprised to learn that not all fiber works the same way. Soluble fiber, which dissolves in water to form a gel-like substance, slows digestion, helps regulate blood sugar, lowers cholesterol, and, in some cases, acts as fuel for your good gut microbes. The fiber that can act as fuel for your gut microbes is called prebiotic fiber, and you can think of it as fertilizer for your gut microbiome. 

In contrast, insoluble fiber does not dissolve in water, but adds bulk to stool, helping promote gut regularity and speeding up the transit of waste through your digestive tract.

Both types of fiber are needed for a healthy gut, but soluble fiber is typically "gentler" on digestion and can be especially helpful for people with IBS.

What Happens When Protein Reaches the Colon

Protein is essential for muscle repair, immune function, and hormone regulation, and most of it is digested and absorbed in the small intestine. However, when large amounts of protein (especially protein from animal products) reach the colon, your gut microbes break it down through fermentation. Unlike fiber fermentation, protein fermentation produces compounds that can negatively affect gut health.

Byproducts of protein fermentation can include ammonia, hydrogen sulfide, phenols, and indoles. In large amounts, these compounds have been linked to gut barrier irritation, increased inflammation, unfavorable changes in gut microbiome composition, and a potential increase in colorectal disease risk.

This doesn't mean protein is harmful, but it highlights that a high-animal-protein, low-fiber diet shifts microbial activity toward less beneficial metabolic pathways. In other words? The extremely popular carnivore diet is not a good choice for gut health. Overall, it's best to focus on plant-based sources of protein, which studies show can improve gut microbiome composition. 

Why Fiber Matters More Than Protein for Gut Health

From a gut health perspective, fiber has several advantages over protein:

  • Feeds beneficial microbes
  • Produces anti-inflammatory compounds
  • Supports stool consistency and transit
  • Improves microbial diversity

Most people meet or exceed the recommended protein intake, but fall dramatically short on fiber intake (some studies suggest that as many of 95% of people in the United States don't reach the recommended fiber intake).

The National Academy of Medicine recommends that women aim for around 25 grams of fiber per day, while men should target about 38 grams per day.

Simple Ways to Increase Fiber Intake

Increasing your fiber intake doesn't require a complete diet overhaul. Small, consistent changes tend to work best, especially if you have a sensitive digestive system.

Instead of removing foods from your diet, focus on adding fiber where you can or switching to higher fiber options:

  • Toss canned beans or chickpeas into salads
  • Add chia or ground flax seeds to your yogurt
  • Include at least one plant food at every meal
  • Switch to whole wheat or fiber-enriched pasta
  • Choose rolled oats instead of sugary breakfast cereals
  • Cook and cool starchy foods like potatoes, rice, and pasta before eating to naturally increase resistant starch (a type of prebiotic) content

To avoid digestive problems, increase your fiber intake slowly by 2-3 grams per day, and ensure you're drinking plenty of fluids to keep things moving smoothly. To increase the diversity of fiber you're providing to your microbes, aim to eat 30 different plant foods (which include fruits, vegetables, legumes, nuts, seeds, herbs, and spices) per week.

The Bottom Line

Protein is essential for overall health, but when it comes to gut health, fiber plays the starring role. It feeds your beneficial gut microbes, strengthens the gut linking, and produces anti-inflammatory compounds that help keep your digestive system running smoothly. Meanwhile, diets high in protein but low in fiber may encourage metabolic byproducts linked with less favorable gut outcomes.

If your priority is improving gut health, the evidence consistently points in one direction. Eat more fiber, and your gut microbes will thank you. If you're struggling with increasing your fiber intake, a dietitian can help. Click here to get in touch with us at Blue Tree Nutrition and learn about how we can support your journey to better gut health.

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Hello, I am

Valerie

My name is Valerie Polley. I am a Indianapolis-based registered dietitian and owner of Blue Tree Nutrition. I consult with clients both local and far away.
I have a bachelor’s degree in nutrition from Purdue University and I have been practicing for 20 years.
I thoroughly enjoy helping clients through their gut health journey. I see a range of GI issues including, but not limited to celiac disease, IBS and SIBO. I also specialize in the FODMAP elimination diet.