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IBS symptoms in men

by Serena Bansal Registered Dietitian BSc Hons Leave a Comment

IBS is common amongst both men and women, but do the symptoms of IBS in men differ? 

This post will discuss why some IBS symptoms may be more prevalent in men than women and why.

IBS symptoms in men

What is IBS?

The British Society of Gastroenterology classes IBS as a disorder between the gut-brain axis. This means that there is a disruption between the communication of the gut and brain that results in IBS symptoms. 

Prevalence of IBS in men

One large review found that there was a lower prevalence of 8.8% in men, in comparison to 10.2% in women (1).

However, it is difficult to know the exact prevalence of IBS in men. This is because:

  • Prevalence rates differ depending on the country, due to social and cultural differences.
  • Studies collect data in different ways, therefore some studies will get different results even in the same population.
  • Data on prevalence relies on people being able or willing to access healthcare. For example, primary care consultation rates amongst men in the UK have been shown to be 32% lower than in women (2). 

Risk factors of IBS in men

The risk factors for IBS in men are the same as for IBS in women. Some of the risk factors are:

  • Family history 
  • Anxiety/mental health 
  • Age
  • Poor sleep
  • Gut/stomach infection
  • Antibiotic use

It is possible that some of the risk factors above may be more common in women than men. This would therefore influence the prevalence of IBS.

Diagnosis of IBS in men

The diagnosis of IBS is the same as in women. Although men may be less likely to seek a diagnosis.

Click here to see how to get an official IBS diagnosis.

Are symptoms of IBS different in men than in women?

Both men and women can experience the same IBS symptoms. However, some differences in the rate of certain IBS symptoms in men and women have been reported. This will be discussed below. 

Constipation

Constipation can be a result of reduced gut motility. If stools are hard for more than 25% of the time, this is classed as IBS-C.

Women are more likely to have the IBS-C subtype than men (3).

Diarrhoea

Diarrhoea can be a result of increased gut motility. If stools are loose for more than 25% of the time, then this is classed as IBS-D. 

IBS-D is the more common subtype in men than women.  However, women are more likely to develop post-infectious IBS than men, where diarrhoea is a common symptom (3).

Bloating

Bloating is caused by the release of gasses produced by gut bacteria in the large bowel. 

Some people with IBS have excess gas production. On top, they may also have reduced gut motility, meaning these gasses can become trapped.

Men are less likely to experience bloating and distension from gasses than women (6). This can be explained by the fact that men have stronger, more developed abdominal walls. 

In addition, bloating often coexists with constipation, which is more common in females.

Stomach pain

People with IBS can have visceral hypersensitivity, meaning their gut is more sensitive. For example, they may experience pain from gas production in amounts that somebody with IBS would not feel the same pain.

Men are less likely to experience visceral hypersensitivity than women, therefore experience less stomach pain (3).

You can read more about the symptoms and causes of IBS here.

Why are there differences in IBS symptoms in men?

There is still a lot of unknown when it comes to the exact causes of IBS. This makes it difficult to know exactly what the differences are between men and women. 

Female sex hormones could negatively influence the following factors (3):

  • Stress
  • Gut motility 
  • Visceral pain
  • Gut microbiota

As the above factors play a role in IBS, it makes sense that IBS may be more common in women than males.

There is less data on male sex hormones and IBS risk. However, some research supports that they may have a protective role (3).

How does IBS affect men’s quality of life?

IBS can affect the quality of life due to the persistent and troublesome symptoms that individuals experience. As a result, people with IBS have been shown to have a lower quality of life than those without (4).

One study suggested IBS may reduce the quality of life in women more than men (5). This was related to symptom severity, the more severe the symptoms, the lower the quality of life. This suggests that symptoms may be worse in women but research is limited.

It is important to remember that men may be less likely to seek medical help. This can result in isolation, further increasing anxieties and worsening IBS symptoms. Without the correct help in management, quality of life is likely to further reduce.  

Treatment of IBS in men

The treatment of IBS for men does not differ from the treatment for women. However, men are more likely to have IBS-D than women (3), so it may be that more men are given advice to fit this subtype than women are.

The treatment of IBS is based on your symptoms and IBS subtype rather than your sex. 

When we talk about treatment in IBS, we mean adjusting diet and lifestyle in order to manage symptoms. 

IBS treatment options for men include:

  • Dietary changes, such as adjusting intake fibre intake or the low FODMAP diet (under guidance of a Registered Dietitian)
  • Increasing physical activity, including yoga
  • Psychological therapies, such as CBT and mindfulness 
  • Medications, as advised by your GP or Pharmacist

This is something that needs to be considered long-term, as there is no cure for IBS.

Summary

IBS is a disorder between the gut-brain axis that affects both men and women. Some research suggests that it is less prevalent in men.

Much of IBS, such as risk factors, diagnosis and management, is the same in both men and women. However, some symptoms, such as diarrhea, are more common in men. 

Importantly, symptoms may be underreported and more poorly controlled in men. This is due to men being less likely to seek medical help than women are.

Written by Beth Willson Specialist Gastroenterology Dietitian BSc Hons, reviewed by Serena Bansal Registered Dietitian BSc Hons

Serena Bansal Registered Dietitian BSc Hons

Serena is a UK HCPC Registered Dietitian with a keen interest in IBS and gut health. Serena graduated from Coventry University in 2021 with an upper second class in Dietetics and Human Nutrition.

Filed Under: Treatments, Testing and Diagnosis

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WHAT ELSE WOULD YOU ADD? COMMENT BELOW πŸ‘‡ ​​ WHAT ELSE WOULD YOU ADD? COMMENT BELOW πŸ‘‡ ​​​​​​​​
​​​​​​​​
πŸ˜ͺ IBS is such a misunderstood condition and often​​​​​​​​
people view it as just a sore tummy which can be so​​​​​​​​
frustrating. I will emphasise again and again that it is a​​​​​​​​
VERY debilitating condition that can really limit​​​​​​​​
someones life.​​​​​​​​
​​​​​​​​
🀩 Are you sick of not being able to live the life you​​​​​​​​
want to? Work with an expert in the IBS field to help​​​​​​​​
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πŸ’©πŸ’© Do you wish you could manage constipation πŸ’©πŸ’© Do you wish you could manage constipation naturally?

⏩  Disclaimer -  some people have certain medical conditions which mean laxatives are a must and that's ok.

πŸ… 🍏 When you suffer with constipation you already know that it isn't as simple as just eating more fruit and veggies. These foods often cause bloating and pain when you have IBS. Which means you can end up using laxatives as a crutch.

πŸ™‹πŸΌβ€β™€οΈ But there is another way. In the Take Control 2.0 method, it looks like this...

1️⃣ Find out your normal fibre intake
2️⃣ Increase by 3g per week so your gut gets used to it
3️⃣ Opt for low FODMAP sources so you don't get bloated
4️⃣ Drink adequate fluid so the fibre can get all gel like in your gut rather than making it dry and slowing it down

πŸ‘πŸ‘If you want more tips like this then download my FREE IBS guide - link in bio

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πŸ’©πŸ’© Do you suffer from diarrhoea with your IB πŸ’©πŸ’© Do you suffer from diarrhoea with your IBS?

Here are 6 methods that may help..

1️⃣ Psyllium husk can help bulk stools
2️⃣ Alcohol avoidance - alcohol can loosen stools
3️⃣ FODMAPs - these can draw water into your large bowel and cause loose stools (you need to do the whole process to pin point your specific triggers)
4️⃣ Avoidance of fatty foods - fatty foods can trigger your gastro-colic reflex
5️⃣ Avoid large portions - again this can trigger the gastro-colic reflex
6️⃣ Meditation - stress can cause loose stools through the gut-brain axis

⏩ ⏩ Don't forget to download my free IBS download (link in bio)

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What else could you add to this travelling list? C What else could you add to this travelling list? COMMENT BELOW πŸ‘‡ ​​​​​​​​
​​​​​​​​
πŸ˜ͺ I will say it over and over again. IBS is not about the​​​​​​​​
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 ​​​​​​​​
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Can you relate? Comment below πŸ‘‡ ​​​​​ Can you relate? Comment below πŸ‘‡ ​​​​​​​​
​​​​​​​​
πŸ˜“ IBS feels like a continuous emotional roller coaster.  Yes there are physical symptoms but IBS is way more than what’s seen at the surface level. The reality is that IBS impacts almost every aspect of life and is consuming at all times. This can leave us feeling exhausted and frustrated and not knowing where to turn to next. ​​​​​​​​
​​​​​​​​
☺️ The Take Controls multi-factorial approach considers the emotional symptoms of IBS as well as the physical. This is turn has helped so many of my members to achieve that ultimate symptom relief.​​​​​​​​
​​​​​​​​
πŸ₯³ Fed up of trying everything you can but nothing​​​​​​​​
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mistakes! Link in bio.​​​​​​​​
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WHAT WOULD YOU ADD? Comment below πŸ‘‡ ​​​​​​​​
​​​​​​​​
😣 IBS is a condition that others cannot see. As humans, we struggle to understand or truly believe in things that we can't touch, hold or see. As a result, IBS sufferers often feel quite alone.⠀⠀⠀⠀⠀⠀⠀⠀⠀​​​​​​​​
⠀⠀⠀⠀⠀⠀⠀⠀⠀​​​​​​​​
πŸ˜‡ Instead of feeling alone, imagine being on a programme where you get a step by step approach to follow. AND group sessions where you can chat to other IBS sufferers going through the same thing as you.⠀⠀⠀⠀⠀⠀⠀⠀⠀​​​​​​​​
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πŸ€”When you were diagnosed with IBS did you get a πŸ€”When you were diagnosed with IBS did you get a prescription of Buscopan and left to fend for yourself?

⏩ Let's be clear πŸ™ for some people, this works so great - carry on. But the chances are, that it isn't.

⏩ ⏩ If this isn't working for you, know this.. taking medications like this for IBS can be like taking a painkiller for a headache, they don't really resolve the underlying situation.

πŸ’© If this option isn't working for you then consider the Take Control 2.0 approach instead. This means looking at your diet, mood, sleep and movement to 1/ find your dietary triggers and 2/ improve your gut function.

‼️ don't forget to download my free IBS guide - link in bio.

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CAN YOU ADD ANYTHING ELSE? Comment below πŸ‘‡ ​​​​​​​​
​​​​​​​​
πŸ€·β€β™€οΈIBS is such a frustrating condition it can take a lot to mentally process. Why you? What did you do to deserve to get a condition that no one understands, that impacts your whole life and for which there is no cure?⠀⠀⠀⠀⠀⠀⠀⠀⠀​​​​​​​​
⠀⠀⠀⠀⠀⠀⠀⠀⠀​​​​​​​​
πŸ™‹β€β™€οΈ I often hear awful client stories about how when they finally pluck up the courage to reach out for help they are dismissed. This could be opening up to a friend about trialling the low FODMAP diet or perhaps seeking medical help from a doctor. Again frustration, anger and hurt can build. ⠀⠀⠀⠀⠀⠀⠀⠀⠀​​​​​​​​
⠀⠀⠀⠀⠀⠀⠀⠀⠀​​​​​​​​
πŸ€“ Whilst you have SO much to be angry about (yes even in a world where others have it worse, it is ok to be angry about your own situation), you need a support network. 1 in 7 people have IBS so my suggestion is this (if you can build that courage back up) try to be open about having IBS because you will be surprised about how many other people around you also have the condition! Talking to other people who have it = immediate understanding.⠀⠀⠀⠀⠀⠀⠀⠀⠀​​​​​​​​
⠀⠀⠀⠀⠀⠀⠀⠀⠀​​​​​​​​
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πŸŽ‰ Take Control 2.0 success πŸŽ‰ πŸ™ Thank you πŸŽ‰ Take Control 2.0 success πŸŽ‰

πŸ™ Thank you to Mike for agreeing to chat about his experiences and how his health has been impacted.

⏩ As always, please note that this is a personal story and can not act as a guarantee of outcomes.
Can you relate? Comment below πŸ‘‡πŸ˜’β€‹β€‹β€‹β€‹ Can you relate? Comment below πŸ‘‡πŸ˜’β€‹β€‹β€‹β€‹β€‹β€‹β€‹β€‹
​​​​​​​​
πŸ˜” IBS is totally exhausting with experiencing the symptoms and the emotions that come alongside that but also with trying to find something that works to get  that all important symptom relief. You end up feeling totally defeated that you've tried every diet or remedy out there and still coming back with the same symptoms.…​​​​​​​​
​​​​​​​​
😊️ Instead of continuously dealing with the above​​​​​​​​
emotions, adopt a small change like the Take​​​​​​​​
Control method of tracking your sleep, mood, food intake and symptoms. This will allow you to start to gain control as you start to see patterns/ triggers to what is causing your symptoms.​​​​​​​​
​​​​​​​​
πŸ₯³πŸ₯³ Fed up of trying everything you can but nothing​​​​​​​​
seems to be working? Download my FREE top 10 IBS​​​​​​​​
mistakes! Link in bio.​​​​​​​​
​​​​​​​​
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SHOCKED BY ANY OF THESE FACTS? ​​​​​​​​
Comment below πŸ‘‡ ​​​​​​​​
​​​​​​​​
😫 There is a lot to know about IBS and it is easy for​​​​​​​​
people to become confused and overwhelmed😫.​​​​​​​​
​​​​​​​​
😊 Want to increase your knowledge on IBS and make​​​​​​​​
IBS work around your life, not work your life around​​​​​​​​
your IBS? Work with me and adopt the Take Control Method to help achieve that all important symptom relief.​​​​​​​​
​​​​​​​​
πŸŽ‰ Fed up of trying everything you can but nothing seems to be working? Download my FREE top 10 IBS mistakes! Link in bio.⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀​​​​​​​​​​​​​​​
​​​​​​​​
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#fodmapfree #gutinstinct #healthygut #ibsd #ibd #tea​​​​​​​​
#5steps #chronichealth #multifactorial.​​​​​​​​
#chronicallyunwell #endo #ibstype #ibstyping #ibsc
πŸ’© Have you experienced this before? Comment bel πŸ’© Have you experienced this before? Comment below πŸ‘‡

⏩ IBS is partly diagnosed through the exclusion of other conditions so your test results should come back negative.

⏩ BUT this doesn't meant there is nothing wrong with you.

πŸ™ Don't ever let anyone make you believe that your IBS is all in your head.

#irritablebowelsyndrome #ibs #dietitian #chronichealth
Can you add any more? Comment below!πŸ‘‡πŸ‘‡β€‹β€‹ Can you add any more? Comment below!πŸ‘‡πŸ‘‡β€‹β€‹β€‹β€‹β€‹β€‹β€‹β€‹
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πŸ˜₯ IBS has widespread implications on our overall health and well-being and it can feel like a never ending battle.​​​​​​​​
⠀⠀⠀⠀⠀⠀⠀⠀⠀​​​​​​​​
😊 Our gut health plays a big role in our overall health and wellbeing! Therefore it is super important we adopt the Take Control Method and focus on all aspects of well-being not just nutrition! ​​​​​​​​Sleep, movement and mental health optimisation are just as important!​​​​​​​​
​​​​​​​​
πŸŽ‰ Fed up of trying everything you can but nothing seems to be working? Download my FREE top 10 IBS mistakes! Link in bio.⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀​​​​​​​​⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀​​​​​​​​
#ibsdiet diet #ibs #guthealth #ibsfood #guthealth #lowfodmapdiet #guthealthy #guthealing #guthealthdiet #guthealthiskey #bloating #gutmicrobes #gutscience #healthylife #bloating #irritablebowelsyndrome #fodmapfree  #healthygut #goodguthealth #gutfood #fermentedfoods #trustyourgut #chronichealth #microbiome #tipsforgoodguthealth #guthealth #guthealthtips
CAN YOU RELATE? COMMENT BELOW ⬇️⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀​​​​​​​​
πŸ‘‰Anyone else feel like they just can't catch a break from IBS for just one minute? I've said it before and I will say it again, IBS is a debilitating condition that can impact so many aspects of your life, the big and the small things - they can all be a struggle when you have IBS!β €β €β €β €β €β €β €β €β €β €β €β €β €β €β €β €β €β €β €β €β €β €β €β €β €β €β €β €β €β €β €β €β €β €β €β €β €πŸ‘ But what if you could fully understand your IBS so you were able to identify your triggers AND improve gut health so it was less sensitive - this would allow you to control your IBS, and enjoy life! Seek help from a trained professional βœ”οΈ.​​​​​​​​
​​​​​​​​
πŸŽ‰ Fed up of trying everything you can but nothing seems to be working? Download my FREE top 10 IBS mistakes! Link in bio.β €β €β €β €β €β €β €β € ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀​​​​​​​​
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What else do people not understand when they hear What else do people not understand when they hear IBS? Comment below ⬇️ ​​​​​​​​​​​​​​​​
​​​​​​​​​​​​​​​​
☹️On the surface, IBS is seen as no more than a pathetic excuse to complain. But dig just a little bit deeper and you will find that IBS is so much more than what it seems and far worse than others can ever imagine πŸ˜”.​​​​​​​​​​​​​​​​
​​​​​​​​​​​​​​​​
πŸ€” Sometimes having someone that understands is the most important thing…so that you don’t feel β€˜guilty’ for being ill. In the Take Control Method, emotional support is seen as the foundation for IBS control - it is so important to have a hand to hold when you need it!​​​​​​​​​​​​​​​​
​​​​​​​​​​​​​​​​
πŸ₯³ πŸŽ‰ Fed up of trying everything you can but nothing seems to be working? Download my FREE top 10 IBS mistakes! Link in bio.​​​​​​​​​​​​​​​​​​​​​​​​
​​​​​​​​​​​​​​​​
#ibs #irritablebowelsyndrome #bloating #diarrhoea #constipation #bloatingtips #ibsdietitian #ibsdiet #ibstips
πŸ’© Is this you? Comment below πŸ‘‡ ⏩ Did you πŸ’© Is this you? Comment below πŸ‘‡

⏩ Did you know the low FODMAP diet is only part 1 of 3 of the process? After 4-6 weeks you are supposed to followed a structured reintroduction to diagnose your food intolerances.

⏩ Did you know that FODMAPs are good for your microbiome and continuing to restrict them without need with reduce your levels of good gut bacteria. The diet can also increase your risk of nutritional deficiencies.

⏩ Don't forget to download my free IBS guide - link in bio

#irritablebowelsyndrome #lowfodmapdiet
#fodmapfree #dietitian
Do you practice any of these to help​​​​​​​​
with IBS management? Comment below πŸ‘‡ ​​​​​​​​
 ​​​​​​​​
😒 IBS is a very complex disorder to navigate by​​​​​​​​
yourself. It's way more than just changing your diet,​​​​​​​​
contrary to what people think, a lot of factors are at​​​​​​​​
play with your IBS.​​​​​​​​
​​​​​​​​
πŸ™Œ Adopting the Take Control Method, where the 4​​​​​​​​
pillars of IBS relief are all addressed (diet, movement,​​​​​​​​
mental-health and sleep), has helped so many of my​​​​​​​​
members to achieve that ultimate symptom relief. The​​​​​​​​
Take Controls multi-factorial approach considers​​​​​​​​
EVERYTHING not just what goes into your mouth!​​​​​​​​
Why don't you try to incorporate one of these factors​​​​​​​​
this week, just 5 minutes of meditation or ensuring​​​​​​​​
adequate hydration!​​​​​​​​
​​​​​​​​
πŸŽ‰πŸŽ‰ Fed up of trying everything you can but nothing​​​​​​​​
seems to be working? Download my FREE top 10 IBS​​​​​​​​
mistakes! Link in bio.​​​​​​​​
​​​​​​​​
#ibsdiet #ibsmanagement #guthealth #ibsfood​​​​​​​​
#guthealth #lowfodmapdiet #guthealthy #guthealing​​​​​​​​
#guthealthdiet #guthealthiskey #bloating​​​​​​​​
#gutmicrobes #gutscience #healthylife​​​​​​​​
#lowfodmapdiet #bloating #irritablebowelsyndrome​​​​​​​​
#fodmapfree #gutinstinct #healthygut #ibsd​​​​​​​​
#ibsmanagement #ibssymptomrelief #IBShelp
Do you suffer from bloating? Comment below πŸ‘‡ ​​​​​​​​
​​​​​​​​
🀰 Bloating is a common symptom for those suffering from IBS or digestive issues. Bloating often results in significant pain/ discomfort and I have seen it time and time again in my clinic where my clients don't want to leave the house for fear of bloating. It really can ruin your whole day and just make you feel downright​​​​​​​​
rubbish!​​​​​​​​
​​​​​​​​
Life should not and does not have to be like this! 🀰 By investing in a qualified professional such as an IBS dietitian you can take control of your life and live bloat free! πŸ‘  The Take Control Method can help with foods and drinks you may better tolerate. ​​​​​​​​
​​​​​​​​
πŸŽ‰ Fed up of trying everything you can but nothing​​​​​​​​
seems to be working? Download my FREE top 10 IBS​​​​​​​​
mistakes! Link in bio.​​​​​​​​
​​​​​​​​
#ibsbloattips #ibsbloat #ibs #ibsdiet #ibsmanagement #guthealth #ibsfood #guthealth #lowfodmapdiet #guthealthy #guthealing #guthealthdiet #guthealthiskey #bloating #gutmicrobes #gutscience #healthylife #lowfodmapdiet #bloating #irritablebowelsyndrome #fodmapfree #gutinstinct #healthygut #ibsd #ibsmanagement #ibssymptomrelief #IBShelp
πŸŽ‰ We hit 40k team! πŸŽ‰ πŸ™πŸ™ A huge thank πŸŽ‰ We hit 40k team! πŸŽ‰

πŸ™πŸ™ A huge thank you to all of you for getting behind this account! It means the world to me and my team.

πŸ™πŸ™ How many followers we have is not a simple vanity metric. The more followers = the more people who are getting researched backed health advice for what is otherwise a debilitating condition.

⏩ ⏩ As a little thank you πŸ™ I am going to be giving 1 person access to my Take Control 2.0 Programme.

⏩⏩ To enter - simply tag a friend or family member below. I will privately message the winner in 1 weeks time.
⏩ Can anyone relate? Comment below πŸ‘‡ πŸ’© IB ⏩ Can anyone relate? Comment below πŸ‘‡

πŸ’© IBS impacts all areas of your physical and mental health which can lead you to feeling pretty isolated.

πŸ™ Please know this - there may be no 'cure' for IBS but you can manage it effectively. You don't need to accept your symptoms.

We have some things that may help;
1️⃣ Join our free FB group where you can find others like you - search 'IBS Management for Women' in your FB search bar.
2️⃣ Download my free guide (link in bio) which covers the top 10 mistakes I see people making with their IBS.

#dietitian #gutbrainaxis #mentalhealth #irritablebowelsyndrome
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