Dr. Rachael Lovink consulting with a colleague
Patients who plateau despite common dietary interventions such as Low FODMAP, gluten free, lactose free
Uncertainty about how to explain to your patient what's driving their symptoms despite normal testing
Knowing what "functional" tests are worth pursuing and will provide clinically actionable data
Understanding different treatment options and testing for each constipation sub-type
How to strategically prescribe OTC laxatives, pro-motility medications & neuromodulators
Knowing when to refer your patient for more advanced testing/treatment (anorectal manometry, colonoscopy, biofeedback, etc)
Help with lab interpretation (CRP, fecal calprotectin, celiac testing etc)
Challenging chronic constipation, diarrhea, bloating or reflux-like cases
Making a DGBI diagnosis using Rome V criteria
Laxative strategy and long-term use
How to prescribed neuromodulators for DGBI's such as functional dyspepsia & IBS
What functional testing is indicated for a case
Coordinating care across a patient's care team (eg. referrals to other health professionals)
Building a stepwise treatment plan
Naturopathic Doctors
Nurse Practitioners
Dietitians
Physiotherapists (pelvic floor)
Integrative Healthcare Providers
Rome Foundation Partner with a focused clinical niche
Real-world experience with complex, long-standing gut cases
Practical application & patient-centered approach
Evidence-based & Guideline aligned