Gut Feelings - by The Crohn's & Colitis Dietitians

Are you familiar with Vitamin B12 Deficiency Symptoms in IBD? 

Those with Crohn's & Ulcerative colitis are at higher risk of being deficient in Vitamin B12 - especially those with Crohn's that have inflammation in the ileum. 

If you've got Vitamin B12 deficiency you may feel tired or weak which is a classic feature of type of megaloblastic anemia. This is why it's so important to test appropriately and treat B12 deficiencies.

In our practice, we like to look at beyond just standard serum B12 labs - which can sometimes not be representative of B12 status. In this video we go over more on this. 

Vitamin B12 Deficiency Symptoms:
-Tiredness or weakness
-Pale skin
-Heart palpitations
-Loss of appetite
-Weight loss
-Infertility
-Numb or tingly hands and feet, a sign of nerve problems
-Problems with balance
-Depression
-Confusion
-Dementia
-Poor memory
-Soreness of the mouth or tongue

Vitamin B12 plays an important role in energy production and mood regulation. Sometimes people with IBD utilize more nutrients when there is inflammation and can also have a decrease in absorption of  beneficial nutrients, like B12. We cover the signs of B12 deficiency and when to test for it.  

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Takeaways-

- Fatigue in IBD patients can often be linked to nutrient deficiencies.
- B12 absorption is affected by stomach acid and intrinsic factor.
 - Vitamin B12 is crucial for energy production and mood regulation.
- Symptoms of B12 deficiency include fatigue, neuropathy, and mood changes.
- Folate and B12 are interconnected in their roles in the body.
- Testing for B12 levels is important for those with IBD - non standard tests can be useful.

Chapters-

00:00- Introduction to Vitamin B12 and IBD
02:04- Understanding B12 Deficiency and Symptoms
04:41- The Role of B12 in Energy Production
07:14- Interplay of B Vitamins and Mood
08:22- Folic Acid and B12 Deficiency
09:58- Dietary Considerations for B12

On MMA- 
https://my.clevelandclinic.org/health/diagnostics/methylmalonic-acid-test
https://ods.od.nih.gov/factsheets/VitaminB12-HealthProfessional/

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We love helping provide quality content on IBD nutrition and making it more accessible to all through our podcast, instagram and youtube channel. Creating the resources we provide comes at a significant cost to us. We dream of a day where we can provide even more free education, guidance and support to those with IBD like us. 

We need your support to do this. You can help us by liking episodes, sharing them on your social media, subscribing to YouTube and telling others about us (your doctors, friends, family, forums/reddit etc). 

Can you do this for us? In return, I promise to continually improve what we offer to you on all of these platforms!

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Up to 70% of those with Crohn's and over half of those with UC experience malnutrition.... and did you know this can impact your response to medication also?

Working with an IBD specialized dietitian can help correct malnutrition, reduce your risk of flare and give you tools for symptom relief - so that your body is in a better spot to respond to treatments.

In this podcast we highlight common signs of malnutrition and steps individuals can take if they are experiencing malnutrition.

Takeaways-
- Malnutrition can impact medication effectiveness.
- IBD patients can experience malnutrition due to various factors.
- Dietitians play a crucial role in managing malnutrition.
- Malnutrition is not solely defined by weight loss.
- Inflammation increases caloric needs in IBD patients.
- Certain medications can affect nutrient absorption.
- Common signs of malnutrition include fatigue and feeling cold.
- Addressing malnutrition can improve quality of life.
- Dietary restrictions can lead to malnutrition over time.

Chapters:
00:00- Understanding Malnutrition and Its Importance
05:54- Prevalence of Malnutrition in IBD Patients
08:12- Impact of Malnutrition on Health and Quality of Life
10:15- Steps to Address Malnutrition


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We love helping provide quality content on IBD nutrition and making it more accessible to all through our podcast, instagram and youtube channel. Creating the resources we provide comes at a significant cost to us. We dream of a day where we can provide even more free education, guidance and support to those with IBD like us. 

We need your support to do this. You can help us by liking episodes, sharing them on your social media, subscribing to YouTube and telling others about us (your doctors, friends, family, forums/reddit etc). 

Can you do this for us? In return, I promise to continually improve what we offer to you on all of these platforms!

...

Ever wondered what IBD dietitians (that also have IBD too) do to manage their own symptoms? Let us tell you all about it....

We chat about what we eat, how we stay hydrated, and the supplements that actually make a difference for us. We also get into the not-so-fun stuff—nausea, constipation, and fatigue—and share the simple habits that help us feel better on tough days.

From soothing teas to post-meal walks, we talk through the small things that add up and make living with IBD a little more manageable. If you’re navigating similar symptoms, hopefully some of our experiences give you ideas, comfort, or just the reminder that you’re not dealing with this alone.

Key Takeaways-

- A quick walk after meals can help with digestion and reduce bloating.
- Peppermint tea is calming and can be great for the gut.
- Alginates can ease reflux and make eating more comfortable.
- Staying hydrated is extra important.
- Ginger and cardamom are surprisingly effective for nausea.
- Soluble fiber can support more regular bowel movements.
- Fatigue improves with good nutrition and solid sleep.

Chapters-

00:00- Managing IBD Symptoms: Personal Strategies

07:22- Navigating Nausea and Digestive Discomfort

09:43- Tackling Fatigue: Nutrition and Lifestyle Solutions

15:47- Final Thoughts and Community Engagement

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We love helping provide quality content on IBD nutrition and making it more accessible to all through our podcast, instagram and youtube channel. Creating the resources we provide comes at a significant cost to us. We dream of a day where we can provide even more free education, guidance and support to those with IBD like us. 

We need your support to do this. You can help us by liking episodes, sharing them on your social media, subscribing to YouTube and telling others about us (your doctors, friends, family, forums/reddit etc). 

Can you do this for us? In return, I promise to continually improve what we offer to you on all of these platforms!

...

Do you have sleep disturbances with IBD? You're not alone, this is very common! This podcast discusses the various factors contributing to sleep issues, including medication effects, dietary habits, and nutritional deficiencies. We know sleep is so important and we provide coping strategies that we hope are helpful for improving sleep quality. 

Takeaways:

- About 70% of people with IBD have trouble with sleep.
- Medications like prednisone can disrupt sleep patterns.
- Stress and anxiety from chronic illness can affect sleep.
- Dietary choices can significantly impact sleep quality.
- Ginger tea can alleviate nausea and bloating at night.
- Avoiding caffeine and spicy foods can help reduce bowel stimulation.
- Walking after dinner can aid digestion and relaxation.
- Blue light exposure can interfere with melatonin production.
- Nutrient deficiencies, such as anemia, can lead to restless legs.
- Ensuring adequate nutrient intake is crucial for sleep quality.

Chapters:

00:00- Understanding IBD and Sleep Challenges
02:35- Dietary Strategies for Better Sleep
05:24- The Importance of Routine and Movement
08:27- Nutritional Deficiencies and Sleep Quality

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We love helping provide quality content on IBD nutrition and making it more accessible to all through our podcast, instagram and youtube channel. Creating the resources we provide comes at a significant cost to us. We dream of a day where we can provide even more free education, guidance and support to those with IBD like us. 

We need your support to do this. You can help us by liking episodes, sharing them on your social media, subscribing to YouTube and telling others about us (your doctors, friends, family, forums/reddit etc). 

Can you do this for us? In return, I promise to continually improve what we offer to you on all of these platforms!

...

In this episode, we discuss what we would tell our newly diagnosed selves about living with IBD. We emphasize the importance of seeking help early, understanding inflammation, and finding trustworthy resources. We also discuss the role of nutrition in managing IBD and the empowerment that comes from being informed and proactive in one's health journey.


Takeaways-
- Seek help early so that you have a supportive plan.
- Understand that inflammation can exist without symptoms.
- Regular monitoring of inflammation is crucial.
- Low appetite and weight loss need to be assessed by your provider.
- Find trustworthy resources and support systems.
- Empower yourself with knowledge about your condition.
- Nutrition plays a vital role in managing IBD.
- You have a role in your treatment plan.

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Chapters:
00:00- Navigating the Journey of IBD Diagnosis
02:30- The Importance of Seeking Help Early
05:27- Finding Trustworthy Resources and Support
08:13- Understanding Inflammation and Monitoring Health
10:47- The Role of Nutrition in Managing IBD
13:53- Empowerment Through Knowledge and Resources
16:26- Creating Effective Support Materials for Patients

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We love helping provide quality content on IBD nutrition and making it more accessible to all through our podcast, instagram and youtube channel. Creating the resources we provide comes at a significant cost to us. We dream of a day where we can provide even more free education, guidance and support to those with IBD like us. 

We need your support to do this. You can help us by liking episodes, sharing them on your social media, subscribing to YouTube and telling others about us (your doctors, friends, family, forums/reddit etc). 

Can you do this for us? In return, I promise to continually improve what we offer to you on all of these platforms!

...

We are so excited to have Dr. Yasmin Mohseni back to to talk about the latest advances in the world of immunology! We discuss the recent Nobel Prize awarded for research on regulatory T cells (Tregs) and how they help keep inflammation and autoimmunity in check. 

We talk about the complexities of autoimmune diseases, particularly Inflammatory Bowel Disease (IBD), and why Tregs play such a big role in keeping the immune system balanced. Dr. Mohseni walks us through some of the most innovative treatments on the horizon, from cell therapies to CAR T-cell approaches, and even how AI might shape the future of medicine. We wrap things up on a hopeful note, looking ahead at where autoimmune treatments are going and why ongoing research matters more than ever.

Dr.  Yasmin Mohseni, PhD is an immunologist with 6+ years of experience in the cell and gene therapy biotech space, specializing in immunotherapy for cancer and immunoregulation. Dr Mohseni earned her PhD in Immunotherapy from King’s College London, where she focused on using engineered regulatory T cells (Tregs) to promote immune tolerance in solid organ transplantation with applications to autoimmunity. She began her industry journey at Quell Therapeutics, advancing Treg-based therapies, and now works at A2 Biotherapeutics in the cancer immunotherapy space, developing therapies for solid tumors. 

Find Dr Yas here: https://www.instagram.com/doctor.yas_/

Takeaways-
- Tregs are crucial for suppressing inflammation in the immune system.
- The Nobel Prize recognition highlights the importance of Tregs in immunology.
- Autoimmunity involves a complex interplay of genetic and environmental factors.
- Tregs can be dysfunctional in autoimmune diseases, leading to chronic inflammation.
- Cell therapy, including CAR T-cells, shows promise for treating autoimmune diseases.
- AI is revolutionizing target discovery in immunology and personalized medicine.
- The future of autoimmune treatments is hopeful, with ongoing research and innovation.
- Understanding the mechanisms of Tregs can lead to better therapeutic strategies.
- The balance of immune responses is critical in managing autoimmune diseases.

Chapters-
00:00- Introduction and Personal Updates
03:40- Nobel Prize in Immunology: Tregs and Their Significance
10:34- Understanding Autoimmunity and Inflammatory Bowel Disease (IBD)
16:12- The Role of Tregs in Autoimmunity
21:49- Exploring Cell Therapy and CAR T-Cell Approaches
27:26- Future of Autoimmunity Treatments and AI in Medicine
46:36- Conclusion and Future Perspectives

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We love helping provide quality content on IBD nutrition and making it more accessible to all through our podcast, instagram and youtube channel. Creating the resources we provide comes at a significant cost to us. We dream of a day where we can provide even more free education, guidance and support to those with IBD like us. 

We need your support to do this. You can help us by liking episodes, sharing them on your social media, subscribing to YouTube and telling others about us (your doctors, friends, family, forums/reddit etc). 

Can you do this for us? In return, I promise to continually improve what we offer to you on all of these platforms!

...

We look at the emerging research linking ultramarathoning to a possible increased risk of colorectal cancer, particularly in individuals with inflammatory bowel disease (IBD). The discussion highlights the importance of hydration, nutrition, and recovery strategies for endurance athletes. Vitamin D and gut health also play an important role in decreasing risks. 

Takeaways-
- Some research suggests that Ultramarathoning may increase the risk of colorectal cancer.
- Hydration and nutrition are critical for endurance athletes.
- Vitamin D levels should be regularly assessed, especially in athletes.
- The gut microbiome can change with extreme endurance activities.
- Recovery is essential for preventing long-term damage in athletes.
- Training the gut to tolerate nutrition is important for performance.
- Repeated extreme endurance events can lead to gut ischemia (lack of blood flow).
- Nutrient deficiencies can exacerbate health risks in athletes with IBD.
- A tailored approach to nutrition is necessary for athletes with IBD.
- Understanding the mechanisms behind gut health can inform better training practices.

Chapters:
00:00- Introduction to Ultrarunning and Colon Cancer Risk
02:37- Exploring the Connection Between Endurance and Colorectal Cancer
05:17- The Role of Hydration and Nutrition in Endurance Sports
08:07- Nutritional Considerations for Athletes with IBD
10:48- The Importance of Vitamin D in Athletic Performance
13:38- Understanding the Mechanisms of Gut Damage in Endurance Athletes
16:23- The Impact of Recovery on Gut Health
19:05- Conclusions and Recommendations for Athletes with IBD

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We love helping provide quality content on IBD nutrition and making it more accessible to all through our podcast, instagram and youtube channel. Creating the resources we provide comes at a significant cost to us. We dream of a day where we can provide even more free education, guidance and support to those with IBD like us. 

We need your support to do this. You can help us by liking episodes, sharing them on your social media, subscribing to YouTube and telling others about us (your doctors, friends, family, forums/reddit etc). 

Can you do this for us? In return, I promise to continually improve what we offer to you on all of these platforms!

...

In this podcast we answer a question we got around fear of failure associated with taking medications.  We often talk about a multifaceted approach when treating IBD. It is also important to weight the risk of untreated inflammation against the possible risk of taking medication. 

Takeaways-

- Medication is a valid part of treatment, not a failure.
- Diet is often overlooked in discussions about IBD.
- IBD is an autoimmune disease that requires comprehensive care.
- Fear of medication side effects is common but manageable.
- Cultural perceptions of wellness can impact self-acceptance.
- A multifaceted approach is essential for effective IBD management.
- Nutrition can support and improve outcomes of medical treatment.
- Mental health plays a crucial role in managing IBD.
- You're not alone; many share similar struggles.

Chapters-
00:00- Navigating Medication and Self-Forgiveness
02:22- The Role of Diet in IBD Management
04:56- Understanding the Fear of Medication
07:35- Cultural Influences on Health Perception
10:18- The Multifaceted Approach to IBD Treatment

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Subscribe to YouTube

We love helping provide quality content on IBD nutrition and making it more accessible to all through our podcast, instagram and youtube channel. Creating the resources we provide comes at a significant cost to us. We dream of a day where we can provide even more free education, guidance and support to those with IBD like us. 

We need your support to do this. You can help us by liking episodes, sharing them on your social media, subscribing to YouTube and telling others about us (your doctors, friends, family, forums/reddit etc). 

Can you do this for us? In return, I promise to continually improve what we offer to you on all of these platforms!

...

In this podcast, we discuss when it may be time to bring in a dietitian that specializes in IBD. We explore different reasons why someone might consider working with a dietitian, including stress related to food choices, nutritional deficiencies, and the need for long-term management strategies. We talk about the significance of feeling safe in one's body, the role of nutrition in managing symptoms, and the common misconception that IBD nutrition is only about tracking your food triggers.

Takeaways-

• It's crucial to seek help when IBD symptoms are unstable.
• Stress about food choices can significantly impact well-being.
• Having a nutritional plan can alleviate stress and improve confidence.
• Nutritional deficiencies are often overlooked in IBD management.
• Long-term strategies are essential when managing IBD.
• Food tracking is not the only solution for managing IBD symptoms.
• Adding diversity to the diet can help reduce symptoms.
• Feeling safe in one's body can reduce IBD symptoms.

Chapters-
00:00- The Importance of IBD-Focused Dieticians

02:53- Understanding Food Stress and Safety

05:35- Addressing Nutrient Deficiencies in IBD

08:04- Long-Term Strategies for Flare-Up Prevention

10:57- Connecting Symptoms and Nutrition

13:38- Beyond Food Tracking in IBD Nutrition

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Need Support from an IBD Dietitian?
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One-on-One Coaching

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Want our Top E-books?
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Flare Guide + Meal Plan

For Sensitive Guts & Symptom Relief
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Subscribe to YouTube

We love helping provide quality content on IBD nutrition and making it more accessible to all through our podcast, instagram and youtube channel. Creating the resources we provide comes at a significant cost to us. We dream of a day where we can provide even more free education, guidance and support to those with IBD like us. 

We need your support to do this. You can help us by liking episodes, sharing them on your social media, subscribing to YouTube and telling others about us (your doctors, friends, family, forums/reddit etc). 

Can you do this for us? In return, I promise to continually improve what we offer to you on all of these platforms!

...

This conversation dives into the often-overlooked topic of lymphocytic colitis, focusing on its unique challenges and the nutrition strategies that can help manage symptoms. We go over the importance of fiber, hydration, and being mindful of gut irritants.


Takeaways-
- Microscopic colitis is often overlooked in discussions about IBD.
- Patients may feel forgotten and have limited treatment options.
- Nutrition plays a crucial role in managing symptoms.
- Increasing soluble fiber can help bulk stools.
- Hydration and electrolytes are essential for those with frequent bowel movements.
- Common gut irritants include caffeine, spicy foods, and sugar alcohols.
- Not all fibers are the same; many can be beneficial.
- Diet-related products often contain hidden sugar alcohols.
- Personalized support can be vital for managing symptoms effectively.

Chapters-

00:00 - Understanding Lymphocytic Colitis
04:44 - Nutritional Strategies for Management
06:05 - Common Gut Irritants and Their Impact

Send us Fan Mail

Need Support from an IBD Dietitian?
🌟Work with us here
One-on-One Coaching

🌟Affordable Membership
IBD Nutrition Collective

Want our Top E-books?
🌈Get our top e-book here
Flare Guide + Meal Plan

For Sensitive Guts & Symptom Relief
🌈We developed a product for you
Back to Balance Plus

Support our Growing YouTube by Subscribing🎊
Subscribe to YouTube

We love helping provide quality content on IBD nutrition and making it more accessible to all through our podcast, instagram and youtube channel. Creating the resources we provide comes at a significant cost to us. We dream of a day where we can provide even more free education, guidance and support to those with IBD like us. 

We need your support to do this. You can help us by liking episodes, sharing them on your social media, subscribing to YouTube and telling others about us (your doctors, friends, family, forums/reddit etc). 

Can you do this for us? In return, I promise to continually improve what we offer to you on all of these platforms!

...