The Trusted Pharmacist

We've Been Fixing the Gut All Wrong w/ Kiran Krishnan


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For years, we've approached gut health like a math problem. If you introduced more strains, higher CFUs, ate more fiber, and fermented foods, the body should fall in line.

But if that were true, the people doing everything right would already feel amazing.

Instead, I see people following the "rules" but still dealing with bloating, skin reactions, hormone chaos, new food sensitivities, and rising inflammation markers.

What if the issue is that we're trying to win biological battles in a system that runs on diplomacy? Because the microbiome isn't a product we install, it's an ecosystem we're supposed to manage.

Ecosystems depend on infrastructure, communication, territory, timing, and balance. For most people, those things have collapsed from stress, antibiotics, hormonal shifts, or years of under-feeding the right organisms. Throwing more microbes into the chaos makes recovery harder, not easier.

Research microbiologist Kiran Krishnan has seen this in both the lab and in clinical outcomes across thousands of patients. What we now know is that the gut ecosystem actually needs stability, fuel, and coordination, not force.

So how do we restore order instead of creating more noise?

In this conversation, Kiran talks about the gut health practices that actually help microbes rebuild structure and train the immune system properly.

We also discuss why stress behaves like repeated antibiotic exposure, and how tiny breaches in the gut barrier can quietly build toward chronic disease long before symptoms appear.

Things You'll Learn In This Episode

More probiotics don't mean better outcomes Flooding the system with high doses of foreign strains can interfere with how the gut naturally rebuilds and organizes itself. When might doing more actually make things worse?

Gut health depends on infrastructure, not just ingredients Bacteria have to survive stomach acid, control their environment, and coordinate repair of the intestinal barrier before benefits can happen. If that terrain isn't stable, what are supplements really able to accomplish?

Stress reshapes the microbiome every dayRepeated cortisol spikes can increase permeability, shift microbial territory, and give opportunistic organisms an advantage. How is modern life pushing the ecosystem toward dysfunction?

P.S. Are you looking for gut health supplements that support clear skin, recovery, energy, and immune health? Explore our gut health collection to find the best solution for you: https://magnoliapharmacy.com/collections/gut-health.

Guest Bio

Kiran Krishnan is a research microbiologist and the co-founder and Chief Scientific Officer of Microbiome Labs. He specializes in the human microbiome, immune regulation, and systemic inflammation and is widely recognized for translating complex microbiology into practical, real-world strategies. Kiran works closely with clinicians to rethink how gut health influences the entire body. He has been involved in the dietary supplement and nutrition market for the past 17 years. He comes from a strict research background, having spent several years with hands-on R&D in the fields of molecular medicine and microbiology at the University of Iowa. Kiran is also a co-founder and partner in Nu Science Trading, LLC., a nutritional technology development, research, and marketing company in the U.S. Dietary Supplement and Medical Food markets. Most recently, Kiran is acting as the Chief Scientific Officer at Physician's Exclusive, LLC., and Microbiome Labs. He has developed over 50 private-label nutritional products for small to large brands in the global market. He is a frequent lecturer on the Human Microbiome at Medical and Nutrition Conferences. He conducts the popular monthly Microbiome Series Webinars through the Rebel Health Tribe Group practitioner training program, is an expert guest on National Radio and Satellite radio, and has been a guest speaker on several Health Summits as a microbiome expert. Follow @kiranbiome on Instagram.

About Your Host

Steve Hoffart is an award-winning pharmacist, entrepreneur, speaker and podcaster. As the visionary founder of Magnolia Pharmacy, Steve saw a need for a more personal pharmacy that could make a bigger impact. Today, Steve and his team of experts deliver on that promise, working with patients and their physicians to solve medication problems and offer personalized solutions to achieve better health and wellness. As host of The Trusted Pharmacist podcast and through his combined reach of over 1M on social media, Steve shares actionable advice on nutrition, supplements, and wellness strategies while advocating for meaningful change in healthcare.

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The Trusted PharmacistBy Steve Hoffart

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