Everyone seems to be trying to “fix their gut” these days, from probiotics and kombucha to food eliminations and supplement routines. Yet many people still feel bloated, tired, or low in energy even when they are eating well. The real question is not just what we eat, but whether our gut is actually able to digest, absorb and use the nutrients we give it.
In this episode of The Wellness Algorithm, I am joined by Ashley Koff, a registered dietitian, integrative nutritionist, author of the upcoming book, Your Best Shot: The Personalized System for Optimal Weight Health—GLP-1 Shot or Not and founder of The Better Nutrition Program. Together, we cut through the noise around gut health.
We explore how gut imbalances often show up beyond digestion, through skin, mood, energy, sleep, and hormones. We also talk about how learning to notice the body’s signals can lead to long term gut health.
To help you understand the tools mentioned in this conversation, here are some of the key assessments and tests discussed:
- Digestive Assessment Questionnaires: To identify issues with motility, digestion, absorption and elimination
- Bristol Stool Scale: To understand bowel patterns
- Stool Tests: Commonly used to look at gut function and balance
- Food Allergy and Food Intolerance Tests: To understand why they can be misleading when the gut is irritated
- Leaky Gut and Gut Irritation Testing
This episode is not about quick fixes or perfect diets. It is about understanding how your gut works so you can make more informed choices.

