Is This Normal?

Amycretin: The Oral Obesity Drug and Gut Health Implications

Amycretin is Novo Nordisk's oral amylin/GLP-1 co-agonist. Learn what oral delivery means for your gut, GI side effects, and SIBO risk compared to injectables.

What Supplements Should I Take on Ozempic or Mounjaro?

GLP-1 medications reduce food intake dramatically, raising deficiency risks. Here are the essential supplements for Ozempic and Mounjaro users, with dosing and timing.

GLP-1 Medications12 min read

CagriSema: How the Amylin/GLP-1 Combo Affects Your Gut

CagriSema combines cagrilintide (amylin analogue) with semaglutide. Learn how this powerful combo affects gut motility, gastric emptying, and SIBO risk.

Compounded Semaglutide: Hidden Gut Health Risks

Compounded semaglutide carries FDA warnings, salt form differences, dosing inconsistencies, and unpredictable gut effects. Here's what you need to know before using it.

GLP-1 Drugs May Treat 175+ Conditions: What We Know So Far

From heart disease to Alzheimer's to addiction — GLP-1 drugs are linked to benefits in over 175 conditions. Here's what's proven, what's preliminary, and what the gut cost is.

GLP-1 Drugs and Alcohol: Why Drinking Changes on Ozempic

Many Ozempic users report dramatically reduced alcohol cravings. Here's the dopamine science behind it, what it means for alcohol use disorder, and the gut health implications.

GLP-1 Drugs and H. Pylori: A Complicated Relationship

H. pylori affects half the world's population. GLP-1 medications alter stomach acid and motility in ways that interact with H. pylori treatment and diagnosis. Here's what to know.

GLP-1 Drugs and Mental Health: What Patients Need to Know

FDA and EMA safety reviews, the gut-brain axis, suicidal ideation concerns, and who is at risk — a balanced look at GLP-1 drugs and mental health.

Do You Need Pancreatic Enzymes While on GLP-1 Medications?

GLP-1 drugs alter pancreatic secretion and slow digestion. Learn whether you might need enzyme replacement, how to recognize fat malabsorption, and what testing can tell you.

GLP-1 Drugs and SIFO: When Fungal Overgrowth Joins the Party

Slowed motility on GLP-1 medications creates ideal conditions for small intestinal fungal overgrowth (SIFO). Learn symptoms, diagnosis, and treatment options.

GLP-1 Drugs and Sleep: How Ozempic Affects Your Rest

GLP-1 drugs improve sleep apnea but can disrupt sleep through nausea, reflux, and blood sugar changes. Here's how to protect your sleep quality on Ozempic.

GLP-1 Drugs and Bile Acid Malabsorption: The Hidden Connection

Slowed motility on GLP-1 medications can disrupt bile acid recycling, causing chronic diarrhea that mimics SIBO. Learn the symptoms, tests, and treatment options.

How Long Does GLP-1 Bloating Last and When Does It Go Away?

Understanding the GLP-1 bloating timeline helps you distinguish normal medication adjustment from developing SIBO. Learn what to expect at each stage of treatment.

What Happens to Your Gut When You Stop Taking a GLP-1?

Stopping GLP-1 medications triggers gut rebound: accelerated gastric emptying, appetite surges, microbiome shifts, and SIBO risk. Learn tapering strategies and dietary transition plans.

Should I Lower My GLP-1 Dose to Fix Gut Symptoms?

When GLP-1 gut symptoms won't resolve, dose reduction may restore motility without sacrificing weight loss. Learn tapering strategies, timelines, and prokinetic combinations.

Are GLP-1 Drugs Being Over-Prescribed? A Gut Health Take

GLP-1 prescriptions have surged. We examine who should and shouldn't be on these drugs from a gut health perspective, and the questions every patient needs to ask.

GLP-1 Medications and Gallbladder Problems: Sludge, Stones, and SIBO

GLP-1 drugs reduce gallbladder motility and accelerate weight loss, both of which increase gallstone risk. Learn the connection to SIBO after gallbladder removal.

GLP-1 Insurance Coverage in 2026: What's Changed for Patients

Medicare Part D now covers GLP-1 drugs for obesity in 2026. Here's what changed, what it costs, how to navigate prior authorization, and what the future holds.

GLP-1 Drug Shortages: Safe Alternatives and What to Avoid

Navigating GLP-1 drug shortages safely — what the FDA crackdown on compounded semaglutide means, dangerous alternatives to avoid, and how to protect your gut health.

GLP-1 Medications7 min read

Can Your Gut Bacteria Predict How Well Ozempic Works?

Gut microbiome composition may predict GLP-1 drug response, including Ozempic. Learn which bacteria matter and what this means for SIBO patients on GLP-1 therapy.

How Ozempic Changes Your Gut Bacteria: What New Research Shows

New research reveals how semaglutide reshapes your gut microbiome — Bacteroidetes ratios, short-chain fatty acids, and what happens when you stop.

Maritide: Monthly GLP-1 Injections and Gut Health Concerns

Maritide is Amgen's monthly amylin/GLP-1 combo. Learn what ultra-long-acting pharmacokinetics mean for sustained gut motility suppression, MMC, and SIBO risk.

Digestive Enzymes on Mounjaro: Do They Actually Help?

Mounjaro slows digestion in multiple ways. Learn how digestive enzymes can compensate, which types matter, and how to time them with your smaller meals.

Should You Take Probiotics While on Mounjaro?

Mounjaro changes your gut environment in ways that affect probiotic survival and usefulness. Learn which strains matter, when to take them, and SIBO risks.

Why Mounjaro Causes Bloating and How to Get Relief

Mounjaro's dual GIP/GLP-1 mechanism makes bloating especially common. Learn what drives it, dose-dependent effects, and how to find real relief.

Mounjaro Constipation: Side Effect or Hidden SIBO?

Constipation is common on tirzepatide, but sometimes it signals methane SIBO. Learn how to tell the difference and what to do about it.

GLP-1 Medications13 min read

Mounjaro Dose Escalation: Managing Gut Symptoms at Every Level

From 2.5mg to 15mg, gut symptoms change with every Mounjaro dose step. Learn what to expect and how to protect your gut throughout escalation.

Understanding Gas and Bloating Patterns on Mounjaro

Gas and bloating on Mounjaro follow patterns that reveal their cause. Learn to decode hydrogen, methane, and hydrogen sulfide signals, and when patterns suggest SIBO.

Mounjaro Sulfur Burps: Causes, Concerns, and Solutions

Sulfur burps on Mounjaro are more than just embarrassing — they signal delayed gastric emptying and possible hydrogen sulfide SIBO. Here's what to do.

Ozempic Babies: How GLP-1 Drugs Boost Fertility Unexpectedly

The 'Ozempic baby' phenomenon explained — how GLP-1 drugs restore ovulation, improve PCOS, and what women and men need to know before and during pregnancy.

Ozempic Gastroparesis Lawsuits in 2026: What Patients Should Know

Over 4,400 Ozempic gastroparesis lawsuits have been filed against Novo Nordisk. Here's what the lawsuits allege, how to know if you're affected, and the SIBO connection.

Ozempic Gut: The GLP-1 Side Effect Nobody Talks About

Ozempic gut is a real, persistent GI condition affecting GLP-1 users. Learn the symptoms, how it differs from SIBO, and what to tell your doctor.

Ozempic Personality: Emotional Flatness, Food Joy & Your Gut

Ozempic personality changes — emotional blunting, loss of food joy — may trace back to the gut-brain axis. Here's what the science says about GLP-1 and mood.

Ozempic vs Wegovy: Same Drug, Different Gut Side Effects?

Ozempic and Wegovy both contain semaglutide but at different doses. Learn how each affects gut health, GI side effects, and what this means for SIBO and bloating.

Ozempic Weight Regain and Gut Health: What Happens When You Stop

Most people regain weight after stopping Ozempic. Learn how gut motility, microbiome shifts, SIBO risk, and appetite signals change — and how to transition off GLP-1 medications safely.

Pemvidutide: GLP-1/Glucagon Dual Agonist and Gut Health

Pemvidutide (Altimmune) is a GLP-1/glucagon dual agonist with strong liver fat effects. Here's what the MOMENTUM trial data means for your gut and SIBO risk.

SURMOUNT-5: Tirzepatide Beat Semaglutide — What It Means

SURMOUNT-5 head-to-head trial results explained: tirzepatide vs semaglutide for weight loss, GI side effects, gut health implications, and what patients should know.

Survodutide: What This New GLP-1/Glucagon Drug Means for Your Gut

Survodutide is a dual glucagon/GLP-1 receptor agonist in Phase 3 trials. Learn how its unique mechanism affects gut motility, SIBO risk, and liver health.

Why Does Wegovy Cause So Many Digestive Issues?

Wegovy (semaglutide 2.4mg) has a distinct GI side effect profile. Learn what the STEP trials found, how it compares to Ozempic, and when symptoms may signal SIBO.

Zepbound and Gut Health: What SIBO Patients Should Know

Zepbound (tirzepatide) has a distinct gut side effect profile from Mounjaro. Learn what SIBO patients need to know about FDA approval differences, GI risks, and monitoring.

SIBO 10114 min read

10 SIBO Myths That Are Keeping You Sick: What the Science Actually Says

From 'just take probiotics' to 'one round of antibiotics cures it,' these 10 SIBO myths are keeping people stuck. Here's what the research actually shows.

April 15, 2025

SIBO 10113 min read

What Causes SIBO? The Root Causes and Risk Factors Behind Bacterial Overgrowth

Discover the root causes of SIBO: MMC dysfunction, food poisoning, low stomach acid, PPIs, opioids, and more. Science-backed guide to why SIBO develops.

April 10, 2025