ABC of everyday gut issues in private practice presented by Alyssa Lavy, Registered Dietitian, USA
Gut issues seen by dietitians are many and varied – especially when working in private practice. This presentation provides an overview of common gut issues seen in private practice; heartburn/reflux, diverticular disease, gall bladder disease, pancreatitis. Alyssa translates complex medical and nutritional concepts into practical, evidence-based strategies for dietitians and nutritionists.
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Personalised dietary management over broad restrictions
Dietary recommendations should be highly individualised rather than based on blanket restrictions. For instance, in reflux management, avoiding certain trigger foods is not always necessary for every patient. Instead, we should assess personal tolerance levels and consider non-dietary strategies like meal timing, portion control, and lifestyle adjustments.
The role of Bile Acid Diarrhea (BAD) and Pancreatic Enzyme Replacement Therapy (PERT)
Alyssa provides insights into the management of post-cholecystectomy diarrhea and exocrine pancreatic insufficiency (EPI). She discusses how bile acid sequestrants remain the primary treatment for bile acid diarrhea, and how pancreatic enzyme therapy should be properly dosed and timed to maximize effectiveness rather than simply restricting dietary fat intake.
The importance of collaborative care and advocacy
The role of dietitians in interdisciplinary communication is highlighted, working closely with doctors to ensure patients receive the appropriate medical management alongside dietary interventions. This is especially crucial in cases where patients self-diagnose or discontinue medications without proper guidance, requiring dietitians to advocate for comprehensive and coordinated patient care.
Alyssa Lavy, MS, RD, CDN, CPT is a certified dietitian, nutritionist and personal trainer specialising in gut health. She founded Alyssa Lavy Nutrition & Wellness, a wellness brand offering nutrition communications, nutrition program development and consulting services for individuals and corporations. Alyssa has also created Trust Your Gut, a comprehensive virtual program for those looking to manage their IBS.
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