Meet New York City’s first integrative gastroenterologist—Dr. Alexandra Shustina. While versed in conventional methods of addressing GI complaints, she has concluded that “many patients are treated inappropriately.” Powerful drugs are invoked when natural therapies, like diet, supplements, and stress management are insufficiently leveraged. Calling upon her training in osteopathic medicine, Dr. Shustina employs visceral manipulation to address such conditions as GERD, IBS, and severe constipation. She describes the constraints she experiences in introducing a holistic perspective to her young GI trainees in a hospital setting. She discusses the limitations inherent in using powerful immunosuppressive drugs for ulcerative colitis and Crohn’s Disease. What problems are associated with the pervasive use of potent acid-suppressing medications? When can digestive enzymes help GI complaints? What role for probiotics? Colostrum? Chinese herbal formulas? Vitamin D? Is the Specific Carbohydrate Diet the best regimen for inflammatory bowel disease? Are antibiotics the best answer for H. Pylori and SIBO?