# llms-full.txt Generated: 2026-10-24T03:24:25.005Z Source index: https://www.drlovink.com/llms.txt Documents included: 42 --- title: "Home" entity: "page" canonical_url: "https://www.drlovink.com" markdown_url: "https://www.drlovink.com/llms/page/home" lastmod: "2026-10-20T19:35:23.048Z" --- # You've Tried Everything and You're Still Constipated and Bloated ### Naturopathic care for individuals with constipation, IBS and chronic gut symptoms. ### In person in Victoria or virtual across BC Use the self-assessment checklist to find out what kind of constipation you actually have, so you can focus on the right things for your gut. ## You don't need one more thing to try. ## You need a way forward that works. "My tests always come back normal, but I know something is wrong." "I've cut out so many foods and I still feel terrible." "I don't need it to be perfect, I just need it to work." Dr. Rachael Lovink, ND helps women understand what's driving their constipation, IBS and bloating, then build a plan that fits real life. ## Ways to work together ### Dr. Rachael Lovink offers gut health support designed to meet you wherever you are. ### Patient Care 1:1 Naturopathic Gut Care (BC Residents Only) Personalized 1:1 care for chronic constipation, IBS, other chronic gut symptoms and hormone-related concerns. Delivered in-person in Victoria or virtual across BC. ### Gut Health Coaching For Individuals Living Outside BC Education-based coaching drawing on 10+ years of clinical experience. These calls are meant to help you understand your symptoms and think through your options with more clarity. Includes guidance on what's worth focusing on and how to advocate for the testing or care needed. Book a Coaching Consultation ### For Clinicians For Clinicians and Healthcare Practitioners Practitioner-to-practitioner consulting for chronic gut cases. Get evidence-based support & guidance on how to navigate things like constipation, IBS, diarrhea and reflux. Explore Clinician Resources ## Dr. Rachael Lovink, ND Dr. Rachael Lovink is a Naturopathic Doctor with a dedicated clinical focus on chronic gut symptoms, including constipation, IBS, bloating, reflux, diarrhea and Disorders of Gut-Brain Interaction. She helps patients understand what is actually driving their symptoms and build a clear plan to resolve them, using an approach that is evidence-based, practical and patient-centered. Learn More About Dr. Lovink ## A clearer, more individualized approach to gut care Focus on understanding your unique health history, preferences and values Evidence-based care delivered with nuance & strategy An approach that looks at the whole picture: gut, brain, microbiome, nervous system and pelvic floor Specialized support for long-standing and complex gut symptoms/conditions Dr. Rachael's approach is designed to help you feel informed, empowered and confident in your gut health again. ## Gut Health Education for Clinicians In addition to patient care, Dr. Rachael Lovink offers consulting for healthcare practitioners navigating chronic gut cases. Consulting is available as 1:1 sessions focused on your specific questions and cases. Explore Clinician Resources --- title: "About" entity: "page" canonical_url: "https://www.drlovink.com/about" markdown_url: "https://www.drlovink.com/llms/page/about" lastmod: "2026-10-12T15:18:25.396Z" --- # You've Done the Work. # It's Time for the Right Support. If you've spent years trying to understand your gut and still don't have real answers, the problem was never how hard you tried. I'm Dr. Rachael Lovink, a licensed Naturopathic Doctor based in Victoria, BC. This is my story, my approach, and why I practice the way I do. Learn About Patient Care MY STORY ## How My Own Story Shapes Your Care I know what it's like to eat perfectly clean, try every elimination diet, and still feel terrible. For years I did exactly that: restrictive diets, cleanses, multiple rounds of SIBO treatment, all while quietly developing a complicated relationship with food. The more I chased answers, the worse I felt, in my gut and in how I felt about my own body. I was caught in the same cycle I now see in so many of my patients: believing that if I just found the right food to cut out, or the right protocol to follow, I would finally feel better. That belief kept me stuck for years. What actually changed things wasn't a new protocol. It was turning back to the evidence, with humility and a willingness to be wrong about what I thought I knew. When I finally understood what Disorders of Gut-Brain Interaction actually are, and accepted my own IBS-C diagnosis instead of fighting it, everything changed. My gut didn't need another elimination diet or a "root cause" to chase. It needed real nourishment (not more restriction or making another food the enemy), supportive daily routines that honored the gut-brain connection, nervous system support that optimized motility and rest & digest, and in my case, medication. Some of what helped me were medications (in my case laxatives). Some were habits. Some was learning to trust food again. What struck me then, and still drives me now, is how little anyone talks about these conditions with the seriousness they deserve. I didn't learn about Disorders of Gut-Brain Interaction in naturopathic school, and most conventional doctors get very little training in them either. That gap, between how common these symptoms are and how little support exists, is where I've built my practice. MY APPROACH ## Evidence-Based Gut Care, Built for Real Life The answers exist. The science is there. What's often missing is a practitioner who understands the evidence and has spent over a decade learning which parts of it actually apply to you. That's the gap I fill. I'm not against conventional medicine. I bring together what actually works : evidence-based tools from conventional care, combined with the time it takes to apply real clinical experience to your specific gut, not the five minutes left at the end of a rushed appointment. No fear-based advice. No elimination spirals. No expensive testing that won't change your care. Just clear explanations, an individualized plan, and support to follow it in your real life. Learn About Patient Care WHO I AM OUTSIDE THE CLINIC ## Living the Approach I Teach I practice what I teach, not in a perfect or optimized way, but in a way that actually works. I'm honoring my own IBS-C gut while also being a busy woman who wants to be present with her son, needs time outdoors, and isn't willing to let her gut run her life. I'm a devoted morning person. I'm up by 5am most days, and it's one of my favorite parts of the day: coffee, quiet, a little reflection. The forest is where I reset. My son Cedar and I get there almost every day. It's non-negotiable. I use breathwork and journaling to stay connected to myself. I'm a proud mom to Cedar, and I share a close bond with my dog George, a wire-haired Vizsla. I'm in favor of every evidence-based tool available, including medication when the body needs it. I'm not against natural approaches. I'm against doing something just because it's labeled natural. If the science supports it, we use it. If it doesn't, we let it go. That shows up at home too. My husband has learned that new health claims in our house get met with the same question: what's the source, and is there a study behind it. ## Where to Start Wherever you're starting from, there's a place for you here. ### In BC and Want 1:1 Support? Explore Patient Care ### Outside BC and Want Guidance? Explore Coaching ### Not Ready to Book? Start With the Free Masterclass --- title: "Coaching" entity: "page" canonical_url: "https://www.drlovink.com/coaching" markdown_url: "https://www.drlovink.com/llms/page/coaching" lastmod: "2026-10-12T15:22:33.694Z" --- # Gut Health Coaching ## For individuals living outside BC who want educational insight into their gut health Coaching helps you understand your symptoms, treatment & testing options and what's commonly considered in situations like yours, with guidance grounded in evidence-based medicine. Book a Coaching Consultation ## Who this is for This coaching is for people outside British Columbia dealing with chronic constipation, IBS, bloating or other chronic digestion concerns who want evidence-based educational insight & guidance on their symtpoms. It is not a replacement for medical care. It is a place to understand your symptoms, ask questions, and leave with clarity you can bring back to your own care team. ## What coaching includes A 60-minute or 30-minute session, whichever fits what you need, focused on your history and your questions Plain-language explanation of what may be driving your symptoms Discussion of treatment and testing options & how to advocate for appropriate care from your provider An opportunity to gain more insight on areas you might be feeling stuck ## How it works Choose a 60-minute or 30-minute session, complete your consent form, and then bring your questions to our call. Calls are delivered over a secure video platform on the Janeapp. Book a Coaching Consultation RESOURCES TO SUPPORT YOU ## Get to Know Dr. Rachael's Work Not ready to book? Start with one of these resources. #### FREE MASTERCLASS Why Nothing Has Worked For Your Constipation Learn what's been keeping you stuck and how to move forward with clarity & strategy. #### FREE CHECKLIST The Constipation Clarity Checklist. Questions to guide you towards a named diagnosis, plus the explanation you've never been given after "all your tests are normal". #### A STEP-BY-STEP GUIDE TO MORNINGS The Morning Motilty Reset ($22) This guide gives you insight in how to set up your mornings to help you poop with more ease, plus a mini-clear out strategy. #### MINI COURSE How to Use Laxatives to Get Things Moving ($197) This will help you understand the role laxatives play in your care, how to use them strategically & safely, and what to advocate for if things aren't working. --- title: "Constipation Confidence Preview" entity: "page" canonical_url: "https://www.drlovink.com/constipation-confidence-preview" markdown_url: "https://www.drlovink.com/llms/page/constipation-confidence-preview" lastmod: "2026-10-04T20:18:52.934Z" --- #### Take a Sneak Peek Inside... ## The Constipation Confidence Training ### Session 1 is yours, FREE. ### No sign-up required. If you've been dealing with chronic constipation for a while, you already know that the standard advice doesn't cut it. "Eat more fibre." "Manage your stress." "Try magnesium or restorlax." And yet here you are...still struggling. [The Constipation Confidence Training](/constipationconfidence/home) was built for women who are done spinning their wheels and ready to actually understand what's driving their constipation, and what to do about it. But, before you invest, watch Session 1 for free. It covers something most people with chronic constipation have never been told: why you have the subtype you have, why that matters, and why most approaches miss it entirely. The kind of clear, actionable information that makes you wonder why noone told you this sooner. ### Watch Session 1 below. ## The Full Training is 50% Off Until Midnight April 17th (50% off will be applied automatically at the checkout ) You just heard what's coming in Session 2... the bowel clear-out steps & the essential morning motility routine. That session is where most people have their biggest shift. It's where everything you just learned starts to become something you can actually feel in your body. ## And here's what Sessions 2, 3, and 4 walk you through: Session 2: Clear Out and Foundation This is the session where many women feel real relief for the first time in years. You'll learn how to use laxatives properly and without shame. And how to build a morning routine that works with your gut's natural motility window. Session 3: Building Your Gut's Rhythm Your gut runs on internal clocks. When those rhythms are disrupted, even the right foods and the right laxatives won't get you consistent results. This session shows you how meal timing, movement, stress, and sleep either support or undermine your motility, and how to build a daily structure your gut can actually work with. Session 4: Fibre and Food Freedom Not just "eat more fibre." A strategic, step-by-step approach to fibre that meets you where you are. And a real conversation about food fear: why restriction so often makes constipation worse, and how to start rebuilding tolerance without it feeling overwhelming. What's also included with your purchase: (in addition to the 4 videos) A written guide for each session (the Gut Rhythm Starter Plan) A Fibre Roadmap Routine and tracking tools A checklist to take to your doctor & confirm you diagnosis Lifetime access No new tests. No new protocols. No expensive supplements. Just real answers, applied step by step, in a way that makes a difference in your day-to-day life. There is a version of your life where your gut feels predictable, meals feel easy, and your confidence comes back. That's what this training is built for. 50% off will be applied automatically at the checkout until April 14th. --- title: "Contact" entity: "page" canonical_url: "https://www.drlovink.com/contact" markdown_url: "https://www.drlovink.com/llms/page/contact" lastmod: "2026-10-04T20:18:54.010Z" --- # Let’s talk about what’s really going on with your gut. ## If you’re ready for a more strategic, evidence-based approach to your chronic digestive symptoms, reach out below- I’m here to help. ### Booking A Patient Appointment Dr. Rachael Lovink, ND sees patients virtually throughout BC. If you're interested in booking an appointment, you can either book your Initial Naturopathic Visit now or book a FREE DISCOVERY CALL to discuss more about what working together will look like. Questions? Please email [info@drlovink.com](mailto:info@drlovink.com) BOOK A FREE GUT CLARITY CALL ## Let's Stay Connected! Follow Dr. Rachael, ND on instagram, [@drrachaelnd](https://www.instagram.com/drrachaelnd/) --- title: "Disclaimer" entity: "page" canonical_url: "https://www.drlovink.com/disclaimer" markdown_url: "https://www.drlovink.com/llms/page/disclaimer" lastmod: "2026-10-04T20:18:53.513Z" --- # Health Disclaimer Health Content Disclaimer The health information provided on drlovink.com (the "Site") is for educational purposes only. The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of a qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on the Site. Dr. Rachael Lovink • Naturopathic Doctor does not endorse any specific tests, physicians, products, procedures, opinions, or other information that may be mentioned on the Site. Reliance on any information provided by Dr. Rachael Lovink • Naturopathic Doctor, its employees, others appearing on the Site at the invitation of Dr. Rachael Lovink • Naturopathic Doctor, or other visitors to the Site is solely at your own risk. If you think you may have a medical emergency, call your doctor or 911 immediately. Dr. Rachael Lovink • Naturopathic Doctor does not recommend or endorse any specific tests, physicians, products, procedures, opinions, or other information that may be mentioned on the Site. Contact Information If you have any questions about the Health Content Disclaimer, please contact us at: Dr. Rachael Lovink • Naturopathic Doctor info@drlovink.com Effective Date: August 1, 2024 --- title: "Gut Care Roadmap Portal" entity: "page" canonical_url: "https://www.drlovink.com/gut-care-roadmap-portal" markdown_url: "https://www.drlovink.com/llms/page/gut-care-roadmap-portal" lastmod: "2026-10-04T20:18:52.554Z" --- _No content available._ --- title: "Patient Care" entity: "page" canonical_url: "https://www.drlovink.com/patient-care" markdown_url: "https://www.drlovink.com/llms/page/patient-care" lastmod: "2026-10-12T15:17:11.631Z" --- # Naturopathic Digestive Care for BC Patients ## Personalized, evidence-based care for constipation, bloating, unpredictable bowel movements, diarrhea, and other chronic digestive symptoms that deserve more than "everything's normal" or "just eat more fibre." Virtual appointments across British Columbia, or in-person in Victoria. Book an Initial Consultation ## When You Know Something's Off, But No One's Listening Maybe you've been told your labs are normal, or that it's "just IBS." Maybe you've tried elimination diets, SIBO testing, and every approach that was supposed to help, and nothing has stuck. You're more restricted around food than you've ever been, and it feels exhausting and impossible to plan your life around a gut that is so unreliable. You're starting to wonder if something real is being missed or if this is just how your life is going to be. ### You may be experiencing: Chronic constipation, diarrhea/loose stools, bloating or abdominal discomfort Bloating that gets worse as the day goes on, or never fully goes away Incomplete bowel movements or never feeling "done" Fatigue that isn't explained by anything else and/or feeling heavy in your body Brain fog (that often gets better when you finally poop) Headaches or migraines that seem connected to your gut symptoms Moods that shift with how your gut is feeling that day Anxiety and stress that often make gut symptoms worse Cramping or discomfort tied to bloating or bowel movements Feeling scared to travel or eat out When your symptoms are real but you keep being told "everything's normal" or "you'll just have to learn to live with it", it may be time for a more complete approach to your care. Book an Initial Consultation EVIDENCE-BASED GUT CARE ## Why a Different Approach Matters You've probably been told your labs are normal, then handed advice with no real direction: eat more fibre, manage your stress, take a laxative if you need to. The problem is that none of that comes with the context or nuance to actually make it work. And the wellness side (yes, including other Naturopathic treatments) often isn't any better. Chasing the one "root cause", elimination diets, supplements or protocols that promises to fix everything. But when symptoms return, you're left feeling like you're back at square one, looking for answers elsewhere...or worse, feeling like you're the problem. My approach fills that gap. We look at your gut as a full system: your gut, brain, microbiome, pelvic floor, and nervous system, and build a plan that actually honours that, focusing on evidence-based treatments, your values, your capacity and integrating into yoru real life. The goal isn't a lifetime of "treating" your gut. It's building a toolkit you feel confident using, so you can get back in the driver's seat of your gut and your life, not just managing symptoms, but actually learning how to live well. ## Areas of Clinical Focus ### Chronic Constipation Personalized care for chronic constipation when the standard advice hasn't worked. We go beyond basic fibre and laxative support to offer a comprehensive approach that helps you poop with ease. ### IBS & IBS-type Symptoms Helping you make sense of your IBS diagnosis & symptoms, and building a plan that puts you back in the driver's seat of your life again. ### Gut & Hormonal Health Support for women in mid-life who feel like their bodies & gut are changing and want a more comprehensive, personalized approach to their health ## What Working Together Looks Like ### 1. Discovery Call (Optional) A free, no-pressure call to see if this is the right fit and learn more about how we work together. ### 2. Initial Visit (75 minutes) A full review of your history, prior testing, and what you've already tried, so we can, not only, get the right diagnosis, but also build a plan that reflects where you are on your journey. Because all of it helps inform us as to where we need to support you next. ### 3. Your Personalized Plan A diagnosis & explanation that validates and provides context for your symptoms A dietary approach that optimizes gut function & your microbiome, that identifies problem foods, but that ultimately fits your life and avoids unnecessary restriction Empowering you with a toolkit of dietary, lifestyle, behavioural, mindset, supplement and medications (when needed) that supports gut function & improves your quality of life Specific support around stress management & nervous system health Coordination of care with other healthcare professionals (pelvic physio, dietitian, GP, counsellor, etc) as needed to support a team-based approach to your health ### 4. Ongoing Support Most patients complete initial care across 5 to 6 visits over 4-6 months. But care doesn't end there: many patients continue with ongoing support as life changes, including hormone-related concerns like perimenopause and menopause, if that wasn't already addressed during the gut care phase. Book an Initial Consultation SUPPORT THAT MEETS YOU WHERE YOU ARE ## Ways to Work Together If you live in BC ### 1:1 Naturopathic Care Personalized 1:1 care for chronic constipation, IBS, other chronic gut symptoms and hormone-related concerns. Delivered in-person in Victoria or virtual across BC. Learn More If you live outside BC ### Gut Health Coaching Education-based coaching drawing on 10+ years of clinical experience. These calls are meant to help you understand your symptoms and think through your options with more clarity. Includes guidance on what's worth focusing on and how to advocate for the testing or care needed. Learn More If you want to fast-track things ### VIP Gut Care Intensive A focused, in-person intensive in Victoria. Especially valuable if you're travelling from outside BC, but just as useful for locals who want to move quickly. Learn More ## What Makes This Different ### A Real Diagnosis, Not Another Dead End You've probably already been told your labs are normal, with no real explanation for what you're feeling. Before we build anything, we make sure you actually understand what's happening in your gut, and why the answers you've gotten so far haven't held up. ### A Plan That Adjusts With You, Not a One-Time Handout A protocol you're handed once and left to manage alone doesn't hold up once life changes: a flare, a trip, a stressful month. Your plan is staged and revisited, so it keeps working even when things shift, instead of falling apart the first time something does. ### Medication, Nervous System Support, and Lifestyle, Working Together You shouldn't have to pick a camp: "natural" or "medical." Those pieces work together here, not as competing philosophies, so you get whatever combination actually helps your gut, without guilt over needing medication or skepticism toward the lifestyle piece. ### Years of Experience, Applied to Your Specific Case This isn't a script built for "IBS" in general. Patterns in chronic gut symptoms get recognized quickly after years of seeing them, which means your case gets treated as yours: your history, your triggers, your life, not a generic checklist. Book an Initial Consultation RESOURCES TO SUPPORT YOU ## Get to Know Dr. Rachael's Work Not ready to book? Start with one of these resources. #### FREE MASTERCLASS Why Nothing Has Worked For Your Constipation Learn what's been keeping you stuck and how to move forward with clarity & strategy. #### FREE CHECKLIST The Constipation Clarity Checklist. Questions to guide you towards a named diagnosis, plus the explanation you've never been given after "all your tests are normal". #### A STEP-BY-STEP GUIDE TO MORNINGS The Morning Motility Reset ($22) This guide gives you insight in how to set up your mornings to help you poop with more ease, plus a mini-clear out strategy. #### MINI COURSE How to Use Laxatives to Get Things Moving ($197) This will help you understand the role laxatives play in your care, how to use them strategically & safely, and what to advocate for if things aren't working. ## You Deserve Clear Answers and a Plan That Works If chronic constipation, IBS, or gut-brain symptoms have taken over your life, support is available. Book an Initial Consultation ## Frequently Asked Questions Do I need a diagnosis to book? No. Many patients book because they are dealing with chronic constipation, bloating, diarrhea or reflux-like symptoms without a diagnosis. Or they have been told "it's just IBS" and given over-simplified advice, and want real answers and a more comprehensive plan that helps them feel more in control of their gut & improves their quality of life.  Can Dr. Rachael help if I've already tried fibre, elimination diets, SIBO treatment and/or laxatives? Yes. Most of the patients Dr. Rachael works with have tried multiple treatments without success. The difference in working with her is the level of personalization, strategic direction and support with troubleshooting when treatments are working like they're supposed to.   Are appointments virtual or in person? Both. Virtual appointments are available across BC, with in-person visits in Victoria. Is naturopathic care right for IBS, chronic constipation or other chornic gut symptoms? Absolutely. Dr. Rachael's expertise bridges the gap between conventional and wellness, with an evidence-based approach that helps patients understand what's happening in their body and build a plan that gives them back confidence and quality of life. She addresses everything from diagnosis, to testing, to diet & lifestyle, and even prescribing medication where appropriate. How long does it take to see improvement? Most people notice improvements in the first few weeks working together. But lasting change often requires several appointments to navigate personalization, troubleshooting and shared decision making around next steps. Is this covered by insurance? Many extended health plans cover naturopathic care. Check with your provider directly. --- title: "Privacy Policy" entity: "page" canonical_url: "https://www.drlovink.com/privacy-policy" markdown_url: "https://www.drlovink.com/llms/page/privacy-policy" lastmod: "2026-10-04T20:18:54.205Z" --- # Privacy Policy Privacy Policy This privacy policy applies to the website located at drlovink.com (the "Site"), which is owned and operated by Dr. Rachael Lovink • Naturopathic Doctor ("us" or "we"). This policy sets out how we collect, use, disclose and protect the personal information of individuals who visit the Site. Personal Information Collection We may collect personal information from you, such as your name, email address, phone number, and address, when you sign up for our services, create an account, or otherwise interact with the Site. We may also collect information such as your IP address, browser type, operating system, and other information about your use of the Site. Use of Personal Information - We use the personal information we collect for the following purposes: - To provide the services you request through the Site. - To respond to your inquiries and provide customer support. - To send you promotional emails, newsletters, or other communications that we believe may be of interest to you. - To personalize your experience on the Site by showing you content that is relevant to your interests. - To improve the Site and our services. Disclosure of Personal Information - We may disclose your personal information to third parties for the following purposes: - To service providers who assist us in providing the services you request through the Site. - To comply with legal requirements, such as a law, regulation, search warrant, subpoena, or court order. - In connection with a merger, acquisition, or sale of all or a portion of our assets. - To protect the rights, property, or safety of Dr. Rachael Lovink • Naturopathic Doctor, our users, or others. Security of Personal Information We take reasonable steps to protect the personal information we collect from unauthorized access, use, disclosure, or destruction. However, no security measures are perfect or impenetrable, and we cannot guarantee the security of your personal information. Access to Personal Information You have the right to access, update, or delete your personal information at any time. If you would like to exercise this right, please contact us at info@drlovink.com. Changes to this Privacy Policy We may change this Privacy Policy from time to time, and the changes will be posted on this page. Your continued use of the Site after any changes are made indicates your agreement to the revised Privacy Policy. Contact Information If you have any questions about this Privacy Policy, please contact us at: Dr. Rachael Lovink • Naturopathic Doctor info@drlovink.com --- title: "Subscribe to Newsletter" entity: "page" canonical_url: "https://www.drlovink.com/subscribe" markdown_url: "https://www.drlovink.com/llms/page/subscribe" lastmod: "2026-10-04T20:18:54.139Z" --- # Smart, Grounded Gut Support # Straight to Your Inbox No wellness fluff. No recycled protocols. Just real help for your bloated, backed-up, burnt-out body. Get occasional emails with strategic tips, myth-busting insights, and honest tools to help you feel more regular, less reactive, and way more in control of your gut. --- title: "VIP Gut Care Intensive" entity: "page" canonical_url: "https://www.drlovink.com/vip-gut-care-intensive" markdown_url: "https://www.drlovink.com/llms/page/vip-gut-care-intensive" lastmod: "2026-10-12T15:23:02.447Z" --- # VIP Gut Care Intensive ## One immersive day in Victoria. A complete, personalized plan for your gut, start to finish. Open to BC residents and to those travelling from outside BC. Limited to 3 patients per month. Book a Discovery Call ## An Immersive Experience, Just for Your Gut Most care unfolds gradually: one visit at a time, spread across months, which is an ideal route for most. However, the VIP Intensive gives you something different: a single day (plus hand-holding prep work) where your gut gets my full, undivided attention. The groundwork happens before you arrive, so none of our time together is spent reviewing reports or stalled by missing information. That means real time for what actually matters: understanding your gut, building an individualized plan together, and leaving with a comprehensive plan you can rely on. ## Who's This For? This is an immersive, time-intensive way to build your plan when time is limited : more time together in one sitting, more hand-holding through the process, and more support after the visit so you can actually take your plan and run with it. It's a great fit if you're a busy person who can't easily fit in several shorter visits over months, or if you're travelling from outside BC/Victoria and want to make the most of the trip. This isn't a promise of "one and done." Chronic gut symptoms take ongoing care to manage well (and don't worry there's support for that too). What this format gives you is an experience that gives you the clarity you've been searching for and a personalized plan, built intentionally, with resources to help you carry it forward. ## What's Included Phase 1 ### Before Your Visit Intake forms Symptom questionnaires Food tracking using Rx Foods Symptom tracking with insightful guidance A checklist of tests required All of this is in Dr. Lovink's hands a few days before your appointment, so your visit time goes entirely to assessments & treatment planning. Phase 2 ### Your 3-Hour Visit in Victoria A physical exam Your motility plan, built together using a clear decision tree Hands on support with curating your daily routines to support your gut-brain communication and motility Feedback on your food tracking, with individualized dietary recommendations Guided breathwork and meditation together, to help regulate your nervous system and pelvic floor Phase 3 ### What You Take Home A full Gut Care Roadmap package, customized to you Your written motility plan and decision tree A dietary plan, tailored to your unique needs & preferences When appropriate, a letter you can bring to your doctor or another provider to support further assessment or referral ## The Investment $1,200 CAD This covers your full prep phase, your 3-hour visit, and your complete take-home plan. If you're a BC resident, follow-up visits after your intensive are available at an alumni rate. ## How It Works Every VIP Intensive starts with a Discovery Call : a short conversation to make sure it's the right fit before you book. From there, you'll move through the prep phase, your in-person visit in Victoria, and leave with your complete plan. Book a Discovery Call --- title: "Constipation Confidence" entity: "funnel" canonical_url: "https://www.drlovink.com/constipationconfidence" markdown_url: "https://www.drlovink.com/llms/funnel/constipationconfidence" lastmod: "2026-10-04T20:18:54.075Z" --- # The Constipation Confidence Trainings ## Finally, a clear path to daily, predictable bowel movements A 4-part video training that helps you finally understand what's actually driving your constipation, and gives you a clear, step-by-step plan for lasting relief. Instant access. Watch at your own pace. GET ON THE WAITLIST NOW ## You have done "all the right things" ## and yet you are still constipated... ### You’ve likely: Tried more fibre, more water, and more supplements Cut out gluten, dairy, coffee, sugar, or entire food groups Cycled through cleanses, probiotics, or SIBO protocols Been told everything looks "normal" or just take a laxative ### And yet you still: Feel bloated, heavy, or backed up most days Second guess every food choice Wonder if something important is being missed You’re not asking for perfection. You just want bowel movements that are predictable, comfortable, and reliable so digestion stops running your life. It shouldn’t be this hard to get clear, trustworthy guidance for something this common. ## Why Most Constipation Advice Falls Short #### For many people, chronic constipation isn’t a fibre or food problem. It’s a Disorder of Gut–Brain Interaction. That means communication between the gut, brain, microbiota and pelvic floor is disrupted. When that signalling is off: > Motility slows > Sensations in the gut can become amplified > Food reactions start to feel unpredictable > And BM's can start to feel incomplete, despite going daily This is why one-off fixes only go so far. They target symptoms, not the system driving them. #### These trainings will equip you with the knowledge AND tools to change that- for good! GET ON THE WAITLIST NOW ## The Investment ### The Constipation Confidence Training ### is $127 CAD This is a self-paced, 4-part video series that teaches you exactly what to focus on to create regular, comfortable bowel movements. No overwhelm. No complicated protocols. No starting over. Here’s what you get: - Four clear, in-depth video trainings you can watch at your own pace - The Gut Rhythm Starter Plan™- a written guide that lays out exactly what to work on and in what order - All supporting tools, including fibre guidance, laxative support, trackers, and daily routine tools - Lifetime access so you can revisit any section whenever you need By the end of the training you’ll know: - What to prioritize first. - When and how to adjust fibre. - How to use laxatives strategically without fear. - How to build your day in a way that supports regular poops. - What to do if things aren't working. Everything is laid out clearly so you’re not piecing it together on your own. If you’re ready for regular poops and to feel confident in your gut again, this is your next step. GET ON THE WAITLIST NOW ## Video Training Breakdown ### 4 part video training Session 1 (60 mins) Clarity & Baseline You will gain clarity on what kind of constipation you have and what baseline factors you need to know/track to guide your next steps. Session 2 (60 mins) Clear Out & Foundation You will learn how to clear out the backup using laxatives strategically and safely (without fear or shame), and how to build your mornings in a way that allows you to poop predictably. Session 3 (60 mins) Building Your Gut's Rhythm You will learn the routine-based activities that support optimal bowel motility & function including: meal timing, stress buffering, movement and sleep. But not in the same way you've heard before- this is strategic & relevant to constipation care. Session 4 (60 mins) Fibre & Food Freedom You will learn how to use fibre strategically, reduce food fear, and expand food tolerance without restrictive dieting. GET ON THE WAITLIST NOW ## What your life will look like after this training Imagine ...waking up knowing exactly what to do to have a BM with ease each day. Imagine... eating out, traveling, and enjoying food without worrying how your gut will handle it. Imagine... feeling at ease in your body and confident that your gut can keep up with your life. Imagine... knowing how to handle flare-ups calmly without starting over or spiralling into worry. This is the difference that the Constipation Confidence Trainings will give you. GET ON THE WAITLIST NOW ## Meet Your Guide ##### Dr. Rachael Lovink, ND ##### Your Gut Health Strategist I’m a Naturopathic Doctor in Victoria, BC, with a focused practice in chronic constipation and other Disorders of Gut–Brain Interaction. My work blends conventional and Naturopathic medicine- bridging the gap between standard medical care and the nuanced, individualized support people with gut issues truly need. I believe evidence-based medicine works best when paired with the time, nuance, individualization and education to apply it properly. I’ve lived through chronic constipation and bloating myself. I know how isolating and frustrating it can feel when you’re doing “everything right” but still don’t have the answers or relief that lasts. That experience shapes how I practice today: with a deep passion for evidence-based care- delivered with the context, nuance, and support most people have been missing. Outside of my work, I’m a mom (to a dog & toddler), forest lover, a big believer in morning routines, and someone who understands how much better life feels when your gut works with you, not against you. ## Common Questions #### Is this covered by insurance? Possibly. Because this training is delivered by a licensed Naturopathic Doctor, some extended health insurance plans may reimburse a portion of the cost under naturopathic services. Coverage varies by provider and plan, so check with your insurance company for confirmation before registering. #### Do I need to have a diagnosis to benefit? No, you don’t need a formal diagnosis. This training helps what questions you need to ask your primary care provider to clarify your diagnosis. We will also cover what are the common functional causes of chronic constipation if you've been told "everything looks normal" by your doctor. #### Will this help if I have IBS? Yes. IBS-C is one of the sub-types of primary (functional) constipation. We go over key strategies to help with gut-brain communication. #### Will you tell me exactly what to take? No. These sessions are educational only & are not considered 1:1 care. However, I’ll teach you how & when to use certain treatments & when to discuss more advanced options (prescriptions or further testing) in more detail with your provider. #### I’ve tried everything. Why would this be different? Because this time, you’ll finally learn how to apply the right strategies- with the right timing, context, and nuance. Most people have only ever been given fragments or focused on things that don’t truly move the needle. Here, you’ll understand how to build on the foundations you already know, using the right tools for your specific situation and the confidence to apply them with consistency. #### Will this help if I'm already on laxatives or medication for motility? Yes. You’ll learn how to use them more effectively as part of a larger plan. #### How much time will this take each week? There are 4 videos & each session is 60 minutes. Implementation steps are designed to fit into daily life/routines. You can go at your own pace. GET ON THE WAITLIST NOW ### Constipation Confidence Trainings Health Disclaimer These trainings are for educational purposes only. The information provided is general constipation education and is not a substitute for individualized medical advice, diagnosis, or treatment. Watching these trainings does not create a doctor–patient relationship with Dr. Rachael Lovink, ND. All content, examples, and tools (including cheat sheets, trackers, and frameworks) are presented for informational use, not as personalized treatment plans. No individualized dosing, therapeutic recommendations, or medical directives will be provided. Questions requiring personal medical guidance will be redirected to your licensed healthcare provider. If you have specific health concerns, red-flag symptoms, or require individualized care, please consult your own clinician, or if you reside in BC, you may book a [1:1 Gut Clarity Call with Dr. Lovink.](https://betahealth.janeapp.com/#/staff_member/91) Dr. Rachael Lovink info@drlovink.com Effective Date: November, 10 2025 © 2026. All rights reserved --- title: "Constipation Confidence - Checkout" entity: "funnel" canonical_url: "https://www.drlovink.com/constipationconfidence/checkout" markdown_url: "https://www.drlovink.com/llms/funnel/constipationconfidence/checkout" lastmod: "2026-10-04T20:18:53.681Z" --- ### The Constipation Confidence Trainings ### Your Step by Step Plan to Relief 127 CAD ### The Details 4 x 60 minute video trainings with Dr. Lovink Full Access to a step-by-step PDF guide on resolving chronic constipation (called the Gut Rhythm Starter Plan) Lifetime access to all videos & the PDF Support materials to help you implement each step of the process All rights reserved. [Checkout OLD](https://www.drlovink.com/constipationconfidence-checkout-old) --- title: "The Constipation Relief Guide" entity: "funnel" canonical_url: "https://www.drlovink.com/constipationreliefguide" markdown_url: "https://www.drlovink.com/llms/funnel/constipationreliefguide" lastmod: "2026-10-04T20:18:53.846Z" --- # The Constipation Relief Guide A science-backed, self-paced, step-by-step guide to help you POOP DAILY, feel lighter, and finally get LASTING RELIEF WITHOUT restrictive diets or supplement overload BUY NOW FOR $97 ## Still constipated- even though you eat healthy, take your supplements, and have “tried everything”? You’re not crazy. You’re not broken. And this isn’t JUST about fibre, food, or willpower. If you’ve spent years navigating constipation, bloating, restrictive diets, and dead-end protocols, with no lasting relief, it’s time for a different approach. # The Constipation Relief Guide # is different... This isn’t a cleanse. It’s not a detox. And it's definitely not another “maybe it’ll work” protocol. It’s the exact 4-step process I’ve used to help 100's of women get consistent relief- now laid out in a way that’s clear, approachable, and actually makes sense. You don’t have to figure this out alone. BUY NOW FOR $97 ### You'll learn how to: Identify your unique constipation subtype Clear the physical backup & learn what long-term motility support looks like Re-establish the rhythm behind your gut’s motility reflexes Rebuild the daily routines that support calm, consistent digestion Expand your diet with confidence Unlock how your gut actually works and what it needs to stay regular BUY NOW FOR $97 ## This is for you if.... You’ve done SIBO protocols, low FODMAP, elimination diets, and nothing has stuck. You want a long-term solution. You’re constantly bloated, backed up, and uncomfortable in your own body. You crave feeling light, regular & at ease again. You restrict food just to get through the day. You want freedom & confidence with food again. You plan your life around your bowels. You want to trust your gut again. You’re tired of spending money on things that don’t deliver. You want a plan rooted in science, not sales. You know this is deeper than fibre and food triggers. You want real answers and a roadmap that puts the pieces together. You’re overwhelmed, over it, and just want to feel normal again. You want simple, strategic steps that actually fit your life. BUY NOW FOR $97 ## What You'll Get Inside: The Constipation Relief Guide Your complete, science-backed roadmap with the exact 4-step method I use in practice. You’ll learn how to clear the backup, reset your motility reflexes, rebuild gut-brain communication, and create daily rhythms that support lasting relief- without more guessing or restriction. Gut Routine Tracker A simple, powerful tool to help you spot patterns, track your progress, and reinforce the daily routines that support consistent bowel movements- so you can see what's working and stay on track without overthinking. Gentle Fibre Roadmap Not all fibre is helpful- especially if your gut’s already reactive. This guide walks you through which types of fibre to add, how to layer them in, and when to back off, so you can support motility without triggering bloating or overwhelm. Laxative Cheatsheet If you’re using laxatives (or thinking about it), this is the smart way to do it. Learn what to use, when to use it, how to support motility safely- and how to avoid dependency or flare-ups. Fibre Tracking Tool Get clarity on how much fibre you’re actually getting (hint: it’s often too much, the wrong kind, or too chaotic). This tool helps you dial in your fibre strategy with confidence- not confusion. BUY NOW FOR $97 ## 🚫 No supplements to buy. ## 🚫 No food list to obsess over. ## 🚫 No guessing what your body needs. ## Just a clear, evidence-based plan built from both the science & real-world clinical experience of what works. INVESTMENT: ONLY $37 ## For less than the cost of one stool test or supplement stack, you get: ## ✔️ A full, evidence-based strategy (no more BS) ## ✔️ Tools you can use today- and for life ## ✔️ A path that finally makes sense GET THE STARTER PLAN NOW ## Start pooping better, feeling lighter and finally living your life again. © 2024. All rights reserved --- title: "The Constipation Relief Guide - Checkout" entity: "funnel" canonical_url: "https://www.drlovink.com/constipationreliefguide/checkout" markdown_url: "https://www.drlovink.com/llms/funnel/constipationreliefguide/checkout" lastmod: "2026-10-04T20:18:53.131Z" --- # Ready to Feel Lighter, Regular, and Back in Control? You’re just one click away from the constipation relief plan that finally makes sense. ## THE CONSTIPATION RELIEF GUIDE Total Investment: ONY $37 CAD ✔️ Instant access ✔️ Self-paced, no expiration ✔️ No extra supplements or food lists required ## What You’re Getting Today: The Constipation Relief Guide My 4-step, science-backed roadmap Gut Routine Tracker Build consistent, calm digestion Gentle Fibre Roadmap Know what to add (and when) Laxative Cheatsheet Use the right tools, safely Fibre Tracking Tool Clarity, not confusion Built from years of clinical experience helping 100s of women just like you. © 2024. All rights reserved --- title: "How to Use Laxatives to Get Things Moving" entity: "funnel" canonical_url: "https://www.drlovink.com/how-to-use-laxatives" markdown_url: "https://www.drlovink.com/llms/funnel/how-to-use-laxatives" lastmod: "2026-10-04T20:18:53.949Z" --- A MINI-COURSE # How to Use Laxatives to Get Things Moving ## A step-by-step plan for what to take, when to take it, and what to do if it's not working. If you feel like a failure every time you reach for a laxative, this is your permission slip to stop. Needing help to go isn't a character flaw. It's often a sign that you're dealing with a condition that actually needs that kind of support. Inside this course, you'll learn what kind of condition you're very likely dealing with, why laxatives are a necessary tool AND how to use them safely and effectively, so you can stop feeling guilty and start feeling confident. This is the exact approach I use with patients after 10+ years treating chronic constipation. ## If You're Here, You've Probably Already Tried Everything. You've added more fibre. You've taken magnesium. You've tried probiotics, SIBO protocols, and cutting out foods. You've spent hours searching for the "root cause" of your constipation. And when things became unbearable, you took a laxative. But just enough to get things moving. Then you stopped because you were worried about becoming dependent on it. Before long, you were right back where you started. Wondering what to do next. If that sounds familiar, you're not alone. One of the hardest parts of living with chronic constipation isn't just the constipation itself. It's never feeling like you have a clear plan. Instead, you're left piecing together advice from Google, social media, friends, family, and well-meaning health professionals. Everyone has an opinion, but very few people explain how to think about laxatives in a way that actually makes sense. This course changes that. And it starts with dropping the guilt. ## THE INVESTMENT IS ONLY $197 ## What If Everything You've Been Told About Laxatives Has Been Keeping You Stuck? For years, you've probably heard that laxatives should only be used as a last resort. That they'll make your bowel "lazy." That you'll become dependent on them. So it's no surprise you've been reluctant to use them. Or that you've only reached for one when things became unbearable. Here's what's actually true: if your gut has struggled to move things through on its own for years, that's a real dysfunction, not a personal failing. And using a laxative to correct it isn't dependence. It's the same idea as using glasses to help your eyes focus. You're supporting a part of your body that needs a little extra help. In this course, you'll learn what the evidence actually says, so you can understand your options and use laxatives with confidence instead of fear. ULTIMATELY THE GOAL IS TO HELP YOU START POOPING REGULARLY. This course helps you do that! ## THE INVESTMENT IS ONLY $197 ## Here's What You'll Walk Away With Understand how laxatives can be used safely and confidently as part of managing chronic constipation, without the fear, shame, or misinformation that surrounds them. Know the difference between the main types of laxatives, how they work, and how they fit into an overall approach to getting things moving. Understand why so many common constipation strategies haven't worked for you, and why getting things moving FIRST is an essential strategy. Have a clear understanding of the morning routine that supports regular bowel movements and how it fits in with laxative use. Know how to troubleshoot when things aren't working, instead of feeling like you've run out of options. Feel more confident making informed decisions and having productive conversations with your healthcare provider about your constipation. You'll leave with a clear understanding of your options, an evidence-based framework you can come back to whenever you need it, and the confidence to approach laxatives without fear or guesswork. ## THE INVESTMENT IS ONLY $197 ## Take a Peek Inside the Course Welcome: Start Here Before you dive in, you'll learn how to get the most from the course, who it's designed for, and the important safety considerations to keep in mind before making any changes. Step 1: Understanding & Reframe Learn why constipation can persist even when you've tried "all the right things," and discover what the evidence really says about chronic constipation and laxative use. We'll address common myths, explain why so many people are afraid to use laxatives, and introduce a new way of thinking about how to resolve your chronic constipation. Step 2: Set the Foundation Before introducing laxatives, you'll assess your current bowel habits, understand what healthy bowel movements look like, take the right approach to fibre, and build a simple morning routine that works with your body's natural rhythms to support getting things moving. Step 3: Use Motility Support with Confidence Learn the evidence-based principles behind using laxatives safely and effectively. You'll understand the different types of laxatives, how they work, when each may be appropriate, and the general strategy behind choosing, progressing through, and combining different options. By the end of this step, you'll have a clear understanding of how the different pieces fit together, so you can make informed decisions with confidence. Step 4: Troubleshooting & Long-term Support Chronic constipation isn't always straightforward, which is why this step is dedicated to troubleshooting. You'll understand common reasons progress may stall, when it may be appropriate to seek additional support, and what long-term management can look like. BONUS: Starter Meal Plan Support everything you're learning with a simple, constipation-friendly meal plan designed to complement the course. You'll learn which foods to lean into while getting things moving, which foods to go easy on, and how to make fibre work with your plan, not against it. ## THE INVESTMENT ## ONLY $197 ## Who's This Course For? You've been struggling with constipation for years without consistent relief. You've been told all your tests are normal and only given general advice that hasn't helped. You've avoided laxatives altogether because of fear, shame, or conflicting information You've tried laxatives, but only when things get desperate, and you're never quite sure if you're using them right You're taking one every day, but you don't know if it's the right one, the right dose, or what your long-term plan should be You want a strategy grounded in evidence, not another guess ## Why I Created This Course As a clinician, I've spent more than 10 years helping people with chronic constipation. I've seen firsthand how often people are given conflicting advice about laxatives or avoid them altogether because of fear, shame, and stigma. I've also lived with IBS-C for more than 20 years, so I understand the frustration of trying everything to "fix the root cause" and always ending up back in the same place: feeling like your gut is running the show and never knowing if you'll be able to poop consistently. What I've learned, both personally and professionally, is that improving your quality of life matters. The evidence shows that laxatives play an important role in managing chronic constipation, yet most people are never taught how they fit into the bigger picture. I created this course to change that. To give you clear, practical, evidence-based education so you can stop guessing and feel more confident in the decisions you make about your care. Dr. Rachael Lovink, ND ## It's Time to Stop Guessing You've spent enough time trying to piece together conflicting advice, wondering whether you're doing the right thing, and feeling unsure about where laxatives fit into managing chronic constipation. This course gives you the evidence-based education you've probably never been taught, so you can stop relying on trial and error and feel more confident in the decisions you make about your care. ## When You Join Today, You'll Get: Clear, evidence-based guidance on how laxatives fit into managing chronic constipation A practical framework for understanding the different types of laxatives and when they may be appropriate Strategies to troubleshoot common roadblocks and understand your next steps A BONUS printable constipation-friendly meal plan Lifetime access so you can revisit the lessons whenever you need them ## THE INVESTMENT ## ONLY $197 ## Still Have Questions? ## Frequently Asked Questions I've already tried laxatives and they didn't work. Is this course still for me? Yes. Many people have tried laxatives without ever being taught how they work, when different types may be appropriate, or how they fit into an overall management strategy. This course will help you understand why laxatives don't always work as expected, common reasons people get stuck, and the evidence-based principles behind using them effectively. Can you become dependent on laxatives? This is one of the biggest myths surrounding laxatives, and the answer isn't as simple as yes or no. It depends on the type of constipation you have, why you're using them, and what other strategies you're using to help resolve your constipation. As I mentioned above, using a tool to correct a real, ongoing dysfunction isn't the same as becoming dependent on it. Inside the course, I'll explain what the research says about laxative dependence so you can understand the facts, not the fear. Are laxatives safe to use long term? For many people with chronic constipation, laxatives can play an important role in long-term management. The key is understanding which types of laxatives are appropriate, how they work, and how they fit into your overall management plan. In this course, we'll explore the evidence behind long-term laxative use and address many of the common concerns that keep people from using them with confidence. Which laxative should I take for chronic constipation? There isn't one laxative that's right for everyone. Different laxatives work in different ways, and each has a role depending on your symptoms and circumstances. Rather than recommending a one-size-fits-all solution, this course will help you understand the different options, how they work, and the evidence-based principles behind choosing and using them. What if fibre makes my constipation worse? You're not alone. While fibre is an essential part of long-term gut health, adding more isn't always the answer, especially if you have chronic constipation or IBS-C. In this course, you'll learn how to approach fibre in the context of chronic constipation so that it works for you, not against you. I want to find the root cause. Is this course just about taking laxatives? Not at all. As a clinician, I always look at the bigger picture. Diet, lifestyle, gut health, pelvic floor function, medications, and other contributing factors can all play an important role in chronic constipation. But here's what I've found after more than 10 years in practice. The piece that so many people get stuck on is laxatives. They're often misunderstood, avoided because of fear, or used without a clear understanding of how they fit into managing chronic constipation. This course focuses on that missing piece. It will help you understand where laxatives fit within the bigger picture, so you can feel more confident in your options and stop letting fear or misinformation stand in the way of feeling better. Is this course right for me if I have IBS-C? Yes. This course is designed for people living with chronic constipation, including those with IBS-C. While everyone's situation is different, the education is based on current evidence and will help you better understand the role laxatives can play in managing constipation. Will I be getting individual medical advice? No. This course is designed to educate and empower you with evidence-based information about managing chronic constipation and using laxatives safely and effectively. It isn't a substitute for personalized medical advice, diagnosis, or treatment. If you have concerns about your health or symptoms, you should speak with your healthcare provider. How long will I have access to the course? You'll receive instant access and can work through the lessons at your own pace. You'll also be able to revisit the content whenever you need a refresher. # Ready to Feel More Confident About Managing Your Constipation? Stop guessing. Start understanding how to use laxatives with confidence. ## THE INVESTMENT ## ONLY $197 --- title: "How to Use Laxatives to Get Things Moving - Checkout page" entity: "funnel" canonical_url: "https://www.drlovink.com/how-to-use-laxatives/checkout" markdown_url: "https://www.drlovink.com/llms/funnel/how-to-use-laxatives/checkout" lastmod: "2026-10-04T20:18:53.545Z" --- # You're One Step Away ## from securing access to THE MINI COURSE ### How to Use Laxatives to Get Things Moving ### Step-by-Step Plan for What to Take, When, and What to Do if it's Not Working ## Secure Your Spot! ## Your Order Includes: The complete "How to Use Laxatives to Get Things Moving" course Four self-paced video modules 5-day constipation-friendly meal plan Lifetime access Watch anytime, at your own pace --- title: "Morning Motility Reset" entity: "funnel" canonical_url: "https://www.drlovink.com/morningmotilityreset" markdown_url: "https://www.drlovink.com/llms/funnel/morningmotilityreset" lastmod: "2026-10-04T20:18:53.880Z" --- # THE MORNING MOTILITY RESET ## A clinical guide to predictable morning bowel movements from an ND with 10+ years treating chronic constipation ### You're not backed up because you need more fibre or water. ### You're backed up because your gut has stopped responding the way it should and nobody has shown you how to change that. ### This guide does that. ### This IS For You If You've been constipated for months or years and nothing has held You want something grounded in real clinical experience — not advice you've already read a hundred times You're willing to adjust your morning routine and give it a few consistent weeks. You live outside BC, or you want to experience my approach before committing to more ### This Is NOT For You If You're still looking for quick fix You're not open to changing your morning routine (including, potentially, the time you wake up) You're unwilling to eat in the morning (yes, this is key and yes, continuing to avoid this is going to keep you stuck) You have red flag symptoms like blood in stool, unexplained weight loss, or a sudden change in bowel habits- please see your doctor first. # What's Inside The Morning Motility Protocol Exactly what to do in that 90-minute window- and why it works when everything else hasn't. This is the clinical detail most people have never received. Not generic advice. The actual steps, in the right order, with the reasoning behind each one. An Introductory Clear Out Plan Routine alone often won't move backed-up stool. This section tells you which laxatives to start with, what dose to take, how to know if it's working after 2–3 days, and what to do if it's not. Evidence-based, practical, and explained in plain language. Posture & Breathing The mechanics most people have never been taught- that make emptying easier, more complete, and less effortful. Troubleshooting No appetite in the morning? Eating but nothing happens? Going but never feeling empty? These are the sticking points I see in practice every day and this is where 10+ years of clinical experience shows up in a way no generic guide can replicate. A Printable Weekly Tracker + Daily Reflection Questions Designed to help you notice patterns that most people miss and understand what's actually affecting your gut Clinical guide + printable tracker. Instant PDF download. [Thank You](https://www.drlovink.com/morningmotilityreset-thank-you) ## Why This Works When Nothing Else Has Most constipation advice treats it like a fibre problem. It's not (and you know that by now). For most people with chronic constipation, it's a gut-brain problem- one that involves motility, the nervous system, the pelvic floor, and the microbiome. Addressing one piece without the others is why nothing has held up to this point. This guide starts at the foundation: your strongest morning motility window and a laxative strategy to get things moving. The two pieces that have to come first before anything else can work. This is where lasting constipation care begins. Built on 10+ years of treating it. ## Stop waiting for your gut to figure it out. ## Meet Your Gut Health Strategist I'm Dr. Rachael Lovink, a licensed Naturopathic Doctor based in Victoria, BC. My clinical practise is focused on chronic digestive conditions, specifically Disorders of Gut-Brain Interaction such as IBS & chronic constipation. My approach is built around strong evidence based guidelines, but infused with the practical, nuanced strategies & tools to make it work in real life. I also have IBS-C myself. So when I say I've tried everything before finding what actually works, I mean it. This guide is the starting point I wish I'd had. ## Disclaimer This resource is for educational purposes only and is not intended to diagnose, treat, cure, or prevent any disease. It does not replace personalized medical advice, diagnosis, or treatment from a licensed healthcare provider. Always consult a qualified healthcare professional before making changes to your diet, lifestyle, or medications. Do not disregard medical advice or delay seeking care because of information in this guide. Dr. Rachael Lovink, ND, provides naturopathic medical care to residents of British Columbia, Canada only. Accessing this resource does not establish a doctor–patient relationship. --- title: "Morning Motility Reset - Checkout page" entity: "funnel" canonical_url: "https://www.drlovink.com/morningmotilityreset/checkout" markdown_url: "https://www.drlovink.com/llms/funnel/morningmotilityreset/checkout" lastmod: "2026-10-04T20:18:53.917Z" --- # The Morning Motility Reset- $22 ##### A science-backed guide to help you poop predictably every morning #### Instant access. Yours to keep. This is the starting point I wish every patient had before trying anything else. Simple, evidence-based, and built around how your gut actually works. -Dr. Rachael Lovink, ND Instant PDF download Printable tracker included Science-backed, no restrictive diet or supplement list Insights delivered over email --- title: "Morning Motility Reset - Thank You" entity: "funnel" canonical_url: "https://www.drlovink.com/morningmotilityreset/thank-you" markdown_url: "https://www.drlovink.com/llms/funnel/morningmotilityreset/thank-you" lastmod: "2026-10-04T20:18:54.273Z" --- # You're in! ## The Morning Motility Reset is on it's way to your inbox. ## Here's What to do Next: 👉 Check your email for the reset (check your promotions/spam folder if you don't see it right away). 👉 Download the reset and set yourself up for tomorrow morning. # Understanding Your Constipation, and Where This Fits In Most chronic constipation isn't solved by fibre alone, a supplement stack, or one off laxative use... Your bowels are influenced by the brain, microbiome, and pelvic floor, all of which need to be working together. When one piece stalls, the whole system gets stuck. The reset you just downloaded is your entry point to building better communication between the brain & gut. It taps into a window of opportunity (the morning) that capitalizes on your body's internal clock (the diurnal pattern of peristaltic activity), so pooping feels easier and more predictable. ## But there's more to it... The Morning Motility Reset builds the reflex, the timing, the conditions for your gut to respond. But if things are still slow, backed up, or inconsistent, that foundation can only do so much. Fibre, routine, nervous system work...none of it moves as well when the colon itself is still stuck. That's why getting things moving is an next essential step. (in fact it often has to happen alongside the morning routine piece) [How to Use Laxatives to Get Things Moving](/how-to-use-laxatives/home) picks up exactly where the reset leaves off: what to take, when to take it, how to move through your options in the right order, and what your body's response is telling you. It's short, bite-sized video training you can work through at your own pace. Once things are moving, everything else you're already doing has a much better chance of sticking. SHOW ME THE FULL CONSTIPATION PLAN --- title: "Why Nothing Has Worked for Your Constipation: And What Effective Treatment Actually Looks Like" entity: "funnel" canonical_url: "https://www.drlovink.com/why-nothing-has-worked-for-your-constipation" markdown_url: "https://www.drlovink.com/llms/funnel/why-nothing-has-worked-for-your-constipation" lastmod: "2026-10-11T12:44:05.695Z" --- #### FREE MASTERCLASS FOR WOMEN WITH CHRONIC CONSTIPATION # Why Nothing Has Worked for Your Constipation ## And What Effective Treatment Actually Looks Like ##### Discover what may actually be keeping you stuck- and the evidence-based path to more predictable, lasting relief. SIGN UP NOW Get immediate access ## For the Constipation Warrior Who's Tried it All If you’ve tried fibre, magnesium, probiotics, elimination diets, SIBO protocols, supplements- maybe even worked with multiple practitioners- and you’re still bloated, backed up and wondering what the heck you’re missing, this masterclass is for you. In this free masterclass, Dr. Rachael Lovink will show you why constipation can persist despite doing all the “right” things and how to stop chasing the next fix and start understanding what your gut actually needs. SIGN UP NOW Get immediate access ## You've Already Tried So Much! Maybe you’ve been told: “Just eat more fibre.” “Take magnesium.” “Try a probiotic.” “It’s probably SIBO.” “Cut out these foods.” And every time, you think: Maybe THIS is the thing. But weeks or months later, you’re right back where you started. Still constipated. Still bloated. Still thinking about your bowel movements way more than any human should have to. And wondering: "Why does nothing seem to actually fix this?" ## HERE'S WHAT I WANT YOU TO KNOW: ## You don't need another random gut protocol. You need to understand why the things you've already tried haven't worked. Because chronic constipation isn't one single problem with one universal solution. Two people can have what looks like the exact same symptom- constipation- for very different reasons. Which means something that works beautifully for one person can do very little for another. And when no one has properly identified what may be keeping you stuck, it's easy to spend years cycling through diets, supplements, tests and protocols without getting the lasting change you're looking for. That's what we're going to unpack in this free masterclass. SIGN UP NOW Get immediate access ## In This Free Masterclass, You'll Discover: Why “doing all the right things” may still leave you constipated We'll unpack why fibre, magnesium, probiotics, restrictive diets and gut protocols can help some people- while leaving others just as frustrated. What your “normal” tests may not explain You'll understand why very real constipation symptoms can persist even when scopes, scans or bloodwork haven't given you a satisfying answer. Why the right intervention at the wrong time may still fail Sometimes it’s not that what you tried was wrong — it may simply have been the wrong step at that point in your treatment. You’ll learn why the order in which you address constipation can make a difference. What a more strategic approach to constipation looks like You'll see how I think through chronic constipation so you can begin to understand where previous approaches may have missed the mark. ## BY THE END OF THIS MASTERCLASS... You'll walk away with a clearer understanding of why your constipation has persisted despite everything you've tried- and what a more effective path forward can look like. SIGN UP NOW Get immediate access #### Meet Your Gut Health Strategist ## Hi, I'm Dr. Rachael Lovink #### Naturopathic Doctor And I don't just work with constipation. I've lived it. I have IBS-C, so I know what it's like to keep searching for the thing you're missing. To try something new and wonder: “Is this finally going to work?” And to feel incredibly frustrated when your gut doesn't seem to respond the way it's “supposed” to. What changed my perspective wasn't discovering one magical supplement or protocol. It was understanding that chronic constipation requires us to stop chasing symptoms and start looking more strategically at why someone is constipated in the first place. I've now spent more than a decade working with patients and helping them make sense of complicated digestive symptoms. And in this masterclass, I'm going to help you start making sense of yours. ## This Masterclass is For You If: You’ve been dealing with constipation for years. We'll unpack why fibre, magnesium, probiotics, restrictive diets and gut protocols can help some people- while leaving others just as frustrated. You’ve tried multiple supplements, diets, protocols or practitioners. You'll understand why very real constipation symptoms can persist even when scopes, scans or bloodwork haven't given you a satisfying answer. You’ve been told your testing looks “normal,” but you know something still isn't right. Sometimes it’s not that what you tried was wrong — it may simply have been the wrong step at that point in your treatment. You’ll learn why the order in which you address constipation can make a difference. You’re tired of constantly experimenting with your gut. You'll see how I think through chronic constipation so you can begin to understand where previous approaches may have missed the mark. You don't want another trendy hack. You want to understand what's actually going on. If you're nodding along... You're exactly who I created this for. SIGN UP NOW Get immediate access --- title: "Why Nothing Has Worked for Your Constipation: And What Effective Treatment Actually Looks Like - Thank You" entity: "funnel" canonical_url: "https://www.drlovink.com/why-nothing-has-worked-for-your-constipation/thank-you" markdown_url: "https://www.drlovink.com/llms/funnel/why-nothing-has-worked-for-your-constipation/thank-you" lastmod: "2026-10-11T12:44:25.097Z" --- ## Thank you! You are now registered the LIVE Masterclass ## Why Nothing Has Worked for Your Constipation ## And What Effective Treatment Actually Looks Like ##### When: Monday, July 27th ##### Time: 12:30 PM PST ##### Location: On Zoom (link will arrive in your inbox) ## Here's What to do Next: Check your email for confirmation of registration, zoom link & other important details Put the event in your calendar. (click calender link below to add to your google calender) --- title: "What 10 Years of Treating Chronic Constipation Has Taught Me" entity: "blog" canonical_url: "https://www.drlovink.com/blog/10-years-of-treating-chronic-constipation" markdown_url: "https://www.drlovink.com/llms/blog/10-years-of-treating-chronic-constipation" lastmod: "2026-10-04T08:20:37.000Z" --- The patients that land in my office have often been struggling for a long time. Sometimes over 15 years. Some of them have just learnt to live with it. Others have spent hundreds, if not thousands, of dollars trying different protocols, tests, supplements and approaches. Each one promising to be the "cure". Only to see that, time and time again, the symptoms come back. So when they reach me they are often frustrated, confused and so over it. They just want something to work. And so when I was thinking about all the reasons people stay stuck, I came up with a list. A list of the most important things I would tell someone who was on this journey that would help redirect them towards what actually works. Listen, I've been doing this for 10+ years. I've seen all the trends come and go. I've heard all the things people try. And I've even learnt from my own mistakes as a Naturopathic Doctor. And this is what I came up with. The Top 9 Things You Need to Know About Chronic Constipation If constipation is your issue, these are the things I would focus on over and above anything else you've heard: A quick note first: everything here is about functional constipation, which means other causes have been ruled out. This is general education, not individual medical advice. 1. Your constipation likely has more than one cause Some of it you can change, and some of it you can't. Focus on what's in your control. Get help with the rest. And yes, that can mean medications or over-the-counter laxatives. There usually isn't one root cause. When one explanation gets all the attention, the other pieces get missed. And I'd say this is among one of the top reasons people stay stuck: eg. chasing SIBO protocols. 2. Food and constipation is nuanced Unless you have IBS with pain, food is rarely the main driver. There may be some intolerances, and those are usually pretty easy to figure out, like lactose intolerance. But most food reactions in constipation come from the backup. Clear the back up (yes, using laxatives or prokinetics) and most food reactions go away. If your list of "safe" foods keeps getting shorter, and you're still constipated, this is a key sign you need to get the poop moving. It's amazing what happens to "sensitivity" when the bowels are moving well. 3. Fibre matters if you're deficient Fibre isn't the villain, and it isn't the cure. Whether it helps depends on where you're starting. So know your baseline. If you don't know it, track it. If you're under about 25 grams a day, let's build a plan (strategically!! not all at once) to bring it up. If you're not under, adding more while you're backed up can do more harm than good. So pause, and get support with motility first. 4. Laxatives aren't a failure When I say laxatives, I mean both over-the-counter and prescription options, including prokinetics. You may need them short term. You may need them long term. Dosing and timing matter, so get support. There is a lot to know, and it's rarely as simple as "take this." These aren't fringe options. The 2023 AGA-ACG guideline for chronic idiopathic constipation made strong recommendations for polyethylene glycol, sodium picosulfate, linaclotide, plecanatide, and prucalopride, and conditional recommendations for fibre, lactulose, senna, magnesium oxide, and lubiprostone. Translated: they are safe and endorsed options for you chronic constipation. Not a last resort. Not something to fear. Get support with knowing which one is right for you, dosing, combination options and how to make them effective (this is exactly why I built the [Laxative course](/how-to-use-laxatives/home) - it will help you translate confusion and uncertainty into action and relief). If you need them long term, let's remove the shame. Some causes we can change, and some we can't. You deserve to be supported and monitored over the long haul. To date, there's no convincing evidence that laxatives cause damage, dependence, or tolerance. In fact, I'm writing a paper on this right now. 5. Your gut-brain connection matters Stress didn't cause this, but it shapes it. How tense you are through the day, how much rest and digest you get, and how your gut and brain are interpreting signals in the gut all play a role. Some of that may be beyond your control right now, which is exactly why you need some tools. Find what helps your body settle. That could be micro-moments of regulation, adjusted exercise that fits where you are, gut-directed hypnotherapy, counselling, or more down time. There are lots of options. Find the one that helps you feel more relaxed in your body. 6. Your pelvic floor is the most missed piece This might be the number one thing I see missed in people who have been constipated for a long time. Some for 20 years. Many have never had their pelvic floor assessed. Some have had it checked for vaginal health, but never around their bowels, and never adequately treated. Dyssynergic defecation is when the pelvic floor muscles don't relax or coordinate when you strain to have a bowel movement. Biofeedback is the treatment. It teaches you to relax and coordinate those muscles. In randomized trials, biofeedback worked better than standard therapy (diet, exercise, and laxatives) for people with dyssynergic defecation. I That's why assessment matters. Without it, you can try everything else on this list and still be missing the piece that matters most for you. 7. Your relationship with food matters Under-eating, fearing foods, and irregular meals can all slow things down. This goes beyond eating disorders. I'm also talking about ARFID (Avoidant Restrictive Food Intake Disorder) and disordered eating, including the sneaky ways it shows up: how often you eat, how much you eat, and how much fear you carry around food. Some of that fear can be completely legitimate. It still matters for your bowels. If this is a struggle for you, it may be one of the biggest things standing in your way. 8. Your microbiome matters, but SIBO and IMO aren't the first step Methane can slow transit. In one recent study of 188 adults, higher methane was linked with slow transit, though only about 69 percent of the high methane producers had slow transit. True overgrowth happens in a small subset of people with risk factors (eg. scleroderma, abdominal surgeries, diabetes, strictures from Crohn's, long-term PPI use etc), NOT everyone with bloating and gas. And chasing a treatment that isn't true leads to not only wasted time & money, but also negative effects on the microbiome. So address the foundations before chasing treatment. Getting things moving, supporting a diversity of fibres, and not letting stool sit in the bowel all help. 9. Understand your diagnosis Before chasing a root cause, learn what a Disorder of Gut-Brain Disorder (DGBI) means. Working with someone who understands how multifactorial it is leads to the right treatment. What I want you to take from this My goal is to change how chronic constipation currently gets treated. Too many people are under-managed and misinformed. I'm here to change that. Most people don't need to start over. They need someone to look at the whole picture, work out what's driving their constipation, and strategically address things in the right order (yes, this matters!!). If you'd like help with that, here are a few places to start: - Learn more about why you're still stuck: Watch my Free Masterclass, "Why Nothing Has Worked for Your Constipation" - Learn the strategy behind how to use laxatives & prokinetics in a way that actually helps. It includes bite-sized videos and actionable information to help you move towards relief. Grab the course here: ["How to Use Laxatives to Get Things Moving"](/how-to-use-laxatives/home) - And of course if you're in BC, my 1:1 work is where real transformation happens . Individualized. Strategic. And helps you build a plan that works lifelong, not just for a few weeks. [Book a Discovery Call here](https://drrachaelnd.janeapp.com/#/naturopathic-medicine). - Not in BC, but interested in 1:1 work? Send me a message at [info@drlovink.com .](mailto:info@drlovink.com) You've got options. --- title: "Why You Still Have Gut Symptoms- Even When All the Tests Are “Normal”" entity: "blog" canonical_url: "https://www.drlovink.com/blog/disorders-of-gut-brain-interaction" markdown_url: "https://www.drlovink.com/llms/blog/disorders-of-gut-brain-interaction" lastmod: "2024-05-03T17:38:00.000Z" --- If you’ve been living with chronic bloating, constipation, or unpredictable digestion, you know how draining it can be. You do everything right- eat healthy, take supplements, manage stress...and yet your gut still feels off. Then you see your doctor, only to be told that everything looks normal. But deep down, you know it’s not. So what’s actually going on? It’s not in your head- it’s in your gut–brain connection. Most people with ongoing gut symptoms aren’t dealing with inflammation or infection. They’re dealing with what’s called a Disorder of Gut–Brain Interaction (DGBI)- a legitimate, evidence-based condition recognized by leading gastroenterology societies. In DGBIs, the digestive system looks normal but doesn’t function normally. The nerves, muscles, and communication between the gut, brain, and pelvic floor are out of sync. This can cause constipation, diarrhea, bloating, pain, or that constant feeling that your gut never quite settles. What your doctor means when they say “everything looks normal” When your tests come back clear, your doctor isn’t saying your symptoms aren’t real- they’re saying there’s no serious disease. The problem is, that often leaves people wondering why they still feel awful. That’s where a diagnosis of a DGBI comes in: these are conditions where the gut looks healthy, but its communication with the brain, gut, microbiota, nervous system and pelvic floor is off. Managing DGBIs requires more than reassurance. It takes personalized guidance with diet, lifestyle, behaviour, and sometimes medication. Most primary care settings just don’t have the time or training for that level of care- but with the right framework and support, consistent relief is absolutely possible. What actually helps Chronic constipation, bloating, and IBS-type symptoms aren’t solved by another test or supplement. They improve when you address the whole system- the gut, brain, nervous system, microbiota and pelvic floor- together. Evidence-based care focuses on: - Building consistent routines that support motility & communication between brain & gut - Supporting nervous system regulation to calm gut sensitivity - Using the right type and timing of fibre - Utilizing laxatives to help with motility & support quality of life - Re-training pelvic floor coordination if needed - Supporting gut sensitivity & gut-brain communication with specific tools such as Gut-Directed Hypnotherapy, lifestyle medicine and sometimes medications - Building a plan to support dietary expansion, more food freedom & confidence. This is where strategy and personalization make all the difference. The bottom line You're not constipated because you're missing some hidden root cause, a special supplement or specific diet. You've likely just never had a plan that brought all of this together, in the right order, for your specific situation. That's exactly what the [Gut Care Roadmap](/work-with-me) is built to do. It starts with real clarity about what's actually going on in your gut. From there, it moves into stabilizing your symptoms and building consistent relief, then into the daily structure that keeps things steady over the long term, and finally into expanding your food freedom and confidence. If you're a BC resident, you can book a [free Gut Clarity Call](https://betahealth.janeapp.com/#/staff_member/91) to see what 1:1 care could look like for you. And if laxatives and pro-motility support are the piece you've never fully understood or trusted, my course [How to Use Laxatives](/how-to-use-laxatives/home) is a great place to start, and it's available no matter where you're located. --- title: "Eating “Healthier” and Not Feeling Better?" entity: "blog" canonical_url: "https://www.drlovink.com/blog/eating-healthier-and-not-feeling-better" markdown_url: "https://www.drlovink.com/llms/blog/eating-healthier-and-not-feeling-better" lastmod: "2021-03-13T04:00:00.000Z" --- Have you had this experience? You’ve started to eat “healthier”, maybe you’ve gone vegan, maybe you’ve started eating more plants, maybe you’ve taken out gluten and dairy, and you actually start feeling worse? This happens a lot more than you think! I often see this, in particular, with patients who decide to adopt a Vegan diet. This is so frustrating and confusing and can be really discouraging. However, it doesn’t necessarily mean the diet you’ve decided to adopt is bad or wrong for you (although you may also want to be open to the idea that it may not be ideal for you), it just may mean there are a few kinks you need to be aware of and sort out. #### Here are some of the most common reasons why eating “healthier” may make you feel worse: 1) You’re feeding bacteria . Eating “healthier” often involves adding more plant material, aka fibre, into the diet. Fibre has many health benefits including helping to keep you satiated, bulking stool to help with constipation and regulating blood sugar. In particular, soluble fibre acts a source of fuel for bacteria in the large intestine, who then ferment it to produce health-promoting Short-Chain Fatty Acids (SCFA). Going from low to high fibre can initially produce discomfort and increased gassiness as you suddenly start feeding the bacteria. In other cases, this may be because you have an imbalanced bacterial population in the large intestine AND/OR you have an overgrowth of bacteria in the small intestine (not where you want large numbers of bacteria). Solution : start slow with upping your fibre intake. And if you’re still having problems, talk to a license health professional about the possibility of a bacterial overgrowth in the small intestine (SIBO). 2) You’ve started eating more packaged/processed “green washed” foods . I’ve talked about this in earlier posts, but this often happens when individuals adopt a vegan diet and rely on packaged alternative “meat” products. These foods appear to healthy but often contain many undesirable ingredients such as added sugars, oils, emulsifiers/thickeners, flavouring and other filler materials. This is called a “green-washed” label as it has catchy/trendy words such as organic, vegan, natural, etc, but in reality contains many “unhealthy” ingredients. In my opinion, this is a deceptive and tricky marketing tactic that does a huge disservice to individuals who are striving to make healthier choices. Solution : Read your labels and try to avoid added sugars, oils, emulsifiers/thickeners, flavouring and colouring agents. Even better, if you’re adopting a vegan diet try to soak and cook your own legumes to make a variety of high protein dishes. If you check out my 7-Day Reset Guide I have some great vegan recipes. 3) You’ve accidentally reduced your protein and/or iron intake . Again, this mostly happens when going vegan and/or vegetarian. Insufficient protein at meals can lead to blood sugar regulation problems and general fatigue. Not getting enough iron can also be a problem, especially for menstruating women. Solution: Aim for 30 g of protein/meal. If you’re relying on plant-sources of iron be sure to soak your legumes & grains before cooking to help make the iron more accessible for absorption. Other good sources of protein include: nuts, seeds, organic soy products and fermented/sprouted plant protein powders (hemp protein is great). 4) You’ve eliminated or cut back too far on carbs. To all my lady friends, carbs are your friends!! Taking them out entirely or going too low can cause all kinds of hormone, energy and mood problems, to name a few. Also, carb containing foods are often a major source of fibre for your good gut bacteria. Going too low starves your good gut bacteria from their food source and over long periods of time can actually create/worsen digestive issues. Solution: If you’ve eliminated/reduced carbs for a weight or blood sugar issue, it’s important to not throw the baby out with the bath water. Not all carbs are “bad”. The above health issues most often come from either eating too many refined/simple carbs or from over-fueling (ie. eating more calories than your body needs). You don’t need to completely eliminate carbs, instead I’d suggest focusing on eating complex carbs (such as yams, sweet potatoes, potatoes, whole oats, rice, quinoa, squash, etc) and pairing them with protein and healthy fats. 5) You’ve created stress around food. Being overly restrictive and/or obsessed with your food intake can cause significant distress and emotional fatigue. Even in your best attempts to be healthy, having a balanced and healthy relationship with food is key to feeling your best long term. Solution: If you’re on a short-term elimination-type of diet, try to reframe it and know that you are working on the underlying health issues so you can work towards the broadest diet possible. You should NOT be on an elimination or restrictive diet forever. If you’ve gotten yourself backed into a corner eating a small amount or variety of foods, then it’s time to seek help in understanding why you’re not able to thrive on a broader diet. Try to be mindful when you eat and make peace with food, it is meant to be a source of pleasure and fulfillment. There are many other reasons, but these are some of the most common issues I see with my patients. Striving for a healthier diet is fantastic!….it’s just important that you question and are open to making adjustments if you’re not feeling your best. And I can honestly say that there is no best way of eating, except the one that makes your thrive. If you’re not feeling well, it’s time to re-evaluate. Focus on whole foods, lots of plants and as much variety as you can. The rest is really an “n” of 1 experiment. [Read more about Dr. Rachael Lovink, ND](/about) [Read more about Dr. Lovink's 1:1 care process called the Gut Care Roadmap](/work-with-me) Disclaimer The information provided in this blog post is for educational and informational purposes only and is not intended as medical advice. The information should not be used to diagnose, treat, or prevent any health issue or disease without consulting a qualified healthcare professional. The author of this blog and the website do not bear any responsibility for any actions taken based on the information provided in this blog. --- title: "Food reactions in chronic gut conditions: A clear, grounded explanation" entity: "blog" canonical_url: "https://www.drlovink.com/blog/food-reactions-in-chronic-gut-conditions-a-clear-grounded-explanation" markdown_url: "https://www.drlovink.com/llms/blog/food-reactions-in-chronic-gut-conditions-a-clear-grounded-explanation" lastmod: "2026-01-24T17:33:00.000Z" --- If you have chronic gut symptoms, it’s easy to assume food is the problem. You eat, symptoms flare, and so you start taking foods out. But when reactions are inconsistent from one "exposure" to the next, or symptoms persist despite restriction, it’s often a sign that food alone isn’t the driver. This is especially relevant for people with chronic functional gut conditions, where food reactions are usually about how the gut is responding, not the food itself. (If you’ve had ongoing symptoms, normal testing, and still don’t have a clear explanation, you might have what's called a Disorders of Gut–Brain Interaction. You can learn more about them [HERE](/blog/disorders-of-gut-brain-interaction) ). What follows breaks down why food reactions happen in this context, why eliminating foods so often falls short, and what’s actually worth paying attention to instead. “Food sensitivity” isn’t a diagnosis For many people with chronic gut symptoms, “food sensitivity” becomes the explanation when eating reliably triggers symptoms. What that usually reflects is this: - symptoms worsen after eating - certain foods feel harder to tolerate - avoidance brings short-term relief That experience is real. But “food sensitivity” itself isn’t a medical diagnosis, and it doesn’t point to a single mechanism or treatment. Most commercial food sensitivity tests aren’t supported by good evidence. They don’t reliably identify foods that are causing symptoms, and they rarely explain why reactions are happening. In chronic functional gut conditions, this label often keeps attention focused on eliminating foods, even when restriction isn’t changing the underlying pattern. More often, the issue isn’t a reaction to food. It’s how the gut is responding during digestion. A sensitive gut reacts more strongly to normal digestion In functional gut conditions, the gut isn’t damaged or inflamed. It’s more reactive. That means everyday digestive events that most people barely register, like the gut stretching after a meal, normal gas, or food moving through the intestines, can feel uncomfortable, intense, or even painful. Foods don’t need to be harmful to trigger symptoms. They only need to increase pressure, volume, fermentation, or digestive workload in a gut that’s already on high alert. This is why reactions can feel out of proportion to what was eaten, and why the same food can feel fine one day and intolerable the next. Fermentation and pressure matter more than “bad foods” Some carbohydrates pull water into the gut and ferment more quickly. This increases gas and pressure. In a sensitive gut, that pressure is felt more intensely. This helps explain why short-term approaches that reduce fermentable load (eg. the Low FODMAP diet) can reduce symptoms for some people. Not because foods are inherently problematic, but because the digestive system is temporarily less challenged. Over time, however, long-term restriction often reduces tolerance rather than restoring it. Constipation amplifies food reactions Constipation changes how food feels in the body. When stool is backed up, slow moving, or difficult to evacuate, eating almost anything can increase bloating and discomfort. In these cases, food often gets blamed simply because it was the most recent input. The underlying driver is frequently impaired motility or evacuation, not the specific food itself. This is especially relevant in chronic constipation and constipation-predominant gut patterns. The nervous system plays a real role The gut and brain are closely connected. After repeated uncomfortable meals, the body can begin to anticipate symptoms around eating. This increases gut sensitivity and symptom intensity. This isn’t imagined or psychological. It’s a physiological amplification of gut signalling. Some true intolerances exist, but they’re specific Certain intolerances do occur, such as lactose intolerance or other carbohydrate malabsorptions. These are digestive capacity issues , not immune reactions. They tend to be dose-dependent, inconsistent, and influenced by factors like stress, sleep, hormones, and motility. They don’t usually explain widespread reactions to many unrelated foods. A more useful way to think about food reactions Instead of asking: “What foods am I sensitive to?” More helpful questions are: - What increases pressure or distension in my gut? - Is constipation or slow motility contributing? - Is my nervous system amplifying symptoms around meals? - Am I stuck in restriction that’s shrinking tolerance over time? Food reactions are usually about context, not villains. The goal is tolerance, not perfection For most people with chronic gut symptoms, progress looks like: - fewer fear foods - less symptom amplification - more flexibility - more trust in their body Not zero reactions. You don’t need a diagnosis of food sensitivity to justify your symptoms. They’re real. They just require a broader explanation. Want help applying this to your own symptoms? Understanding food reactions is one piece of the picture. Applying it in a way that actually improves symptoms takes structure, nuance, and support. I work with people who have chronic gut symptoms and normal testing to: - identify what’s actually driving their reactions - reduce unnecessary restriction - improve tolerance over time - create a plan that fits real life [You can learn more about working with me here.](/the-gut-rhythm-method) BOOK APPOINTMENT WITH DR. LOVINK Want support beyond the blog? Here are a few places to start. [How to Use Laxatives to Get Things Moving ($197)](/how-to-use-laxatives/home) is a self-paced course teaching you how to use laxatives and pro-motility medications safely and confidently: what to take, when to take it, and what to do if it's not working. [→ Learn more here](/how-to-use-laxatives/home) Want to understand why you're still stuck? [Why Nothing Has Worked for Your Constipation](/why-nothing-has-worked-for-your-constipation/home) i s a free masterclass on why chronic constipation persists, and what effective treatment actually includes. [→ Watch it here](/why-nothing-has-worked-for-your-constipation/home) My 1:1 work is built around the Gut Care Roadmap : a four-stage clinical framework for people with chronic gut symptoms who are ready to stop guessing and start working with a clear plan. I see patients in Victoria and virtually across BC. If you're wondering whether working together makes sense, a [Gut Clarity Call](https://drrachaelnd.janeapp.com/#/staff_member/2) is the best next step. It's free, it's low-key, and you'll walk away knowing exactly where you stand. [→ Book your call here](https://drrachaelnd.janeapp.com/#/staff_member/2) --- title: "Food “Sensitivities” are NOT the Root Cause of your Digestive Problems" entity: "blog" canonical_url: "https://www.drlovink.com/blog/food-sensitivities-are-not-the-root-cause-of-your-digestive-problems" markdown_url: "https://www.drlovink.com/llms/blog/food-sensitivities-are-not-the-root-cause-of-your-digestive-problems" lastmod: "2021-05-02T03:00:00.000Z" --- This is one of the most common requests/questions I get from patients… “I can’t figure out what foods I’m reacting to. Can we do a food sensitivity test?” My answer is, No. Here’s why.... I only run a test if I think that the outcome/result of that test is going to do 1 or more of the following : - Change your treatment plan by providing unique insight that we can’t otherwise gather from your clinical presentation (signs/symptoms). - When there are many competing possible diagnosis and running the test is going to shorten the timeline to figuring that out. - When we need a benchmark for your progress. Patients are often drawn by the allure of the food sensitivity test in hopes that identifying & avoiding certain foods will solve “x” symptom/health condition. Aside from the fact that these tests are not reliable & evidence does not support their use, they are often very misleading and, dare I say, dangerous in many situations. Why? Because food isn’t the problem . Yes, there may be certain foods that are causing your symptoms. But, it’s not because you have an inherent “sensitivity” to that food. It’s because there is an underlying issue that has created an environment conducive for these “reactions” to occur (more on this below). On top of that, when a person sees a list of foods that are labelled as “red” (to avoid) or “yellow” (may want to avoid), they often walk away with an instilled fear of these foods. In many cases, I’ve had patient show up in my office years after having had a food sensitivity test (that told them they were sensitive to broccoli or kale or apples, etc) and have yet to reintroduce those foods because of fear. In my opinion, this has the potential to create far more harm than good. Food sensitivities are often temporary and will disappear once the underlying cause has been addressed. Food is not the problem, the underlying cause is. Here are some of the most common reasons why you may be “reacting” to a certain food… Top Reasons you may be reacting to certain foods: - You have IBS (and have visceral hypersensitivity) - You have a carbohydrate malabsorption - You have an enzyme deficiency (eg. lactose intolerance) - The effects of chronic stress - Poor meal hygiene. This includes things such as not chewing your food properly, eating too quickly or eating on the go. - You have an infection such as H pylori - You are experiencing a nocebo effect - You have celiac disease - You have GERD - You have functional dyspepsia (a gut-brain disorder) So, after all is said and done. If you seem to be reacting to or getting symptoms from a number of foods and can’t figure it out, what do you do? YOU HAVE TO IDENTIFY & TREAT THE UNDERLYING PROBLEM . Here are my final parting words… There are a lot of “functional” tests out there, which look really appealing and seem like they might give you a clear-cut answer to your “x” health problem. But, in my experience, you’ve got to be very discerning about why you’re using the test. Go back to the top of my article and go through the list of reasons why I run a test (you’ll likely want to do this with your healthcare practitioner) and if it doesn’t do those things then it’s probably not worth your money. Even with all their glam and glitter, these tests can be misleading, be prone to misinterpreting and often are NOT based on any significant evidence. I would wayyyyyyyy rather a patient spend $500 on buying a meal delivery service (if they don’t have time to cook), or more appointments with me so we can address the underlying issues, or on self-care (like a massage or childcare) to help manage their stress. These are the things that will get you closer to your goal, of feeling better in your gut and able to enjoy a greater bandwidth of foods! In health, Dr. L [Read more about Dr. Rachael Lovink, ND](/about) [Read more about Dr. Lovink's 1:1 care process called the Gut Care Roadmap](/work-with-me) Disclaimer The information provided in this blog post is for educational and informational purposes only and is not intended as medical advice. The information should not be used to diagnose, treat, or prevent any health issue or disease without consulting a qualified healthcare professional. The author of this blog and the website do not bear any responsibility for any actions taken based on the information provided in this blog. --- title: "Half of Women With Chronic Gut Symptoms Are Struggling With Food in a Way Nobody Is Talking About" entity: "blog" canonical_url: "https://www.drlovink.com/blog/half-of-women-with-chronic-gut-symptoms-are-struggling-with-food-in-a-way-nobody-is-talking-about" markdown_url: "https://www.drlovink.com/llms/blog/half-of-women-with-chronic-gut-symptoms-are-struggling-with-food-in-a-way-nobody-is-talking-about" lastmod: "2026-03-28T20:03:12.000Z" --- When a patient with chronic gut symptoms comes in asking for food sensitivity testing, I recognize the story before she's finished telling it. Years of symptoms. Foods quietly removed, one by one. A gut that feels unpredictable and a relationship with eating that has, somewhere along the way, gotten complicated. Sometimes it looks like being careful, eating clean, doing the right things. Other times there's a history of disordered eating that she's carried for years. But the pattern is almost always the same, and the test she's asking for won't get her where she needs to go. IgG food sensitivity testing isn't something I recommend for chronic gut symptoms The evidence just isn't there. What these tests measure, IgG antibodies, often just reflects how frequently you eat a food, not whether it's causing your symptoms. And for someone already carrying the weight of a complicated relationship with food, a list of "positive" results tends to make things worse. Leading to more restriction, more fear, more foods to avoid. And that's what I want to talk about today...this conversation points to something much bigger that most gut care is still largely missing. The numbers are hard to ignore A study published earlier this year in Gastroenterology assessed over 4,000 adults for Disorders of Gut-Brain Interaction (DGBIs, the umbrella that includes IBS, functional constipation, and related conditions) alongside avoidant and restrictive eating patterns. A what they found was significant... 1 in 3 adults with a Disorder of Gut-Brain Interaction screened positive for avoidant or restrictive patterns around food. For those with IBS specifically, that number was closer to 1 in 2. And as the number of gut regions affected increased, so did the prevalence, reaching over 60% in those with the most widespread symptoms. Women with both gut symptoms and restrictive eating patterns also had significantly higher rates of anxiety and depression, lower quality of life, more difficulty participating in social activities, and higher healthcare use than those with gut symptoms alone. The study's conclusion was direct: routine screening for how patients relate to food should be standard in gut care. But in my experience, it rarely happens. Why this intersection exists If you've been living with chronic gut symptoms for any length of time, this probably isn't hard to understand. When eating consistently leads to bloating, pain, or unpredictable bowel movements, your body learns to be cautious. Foods get quietly removed. Meals become something to manage rather than enjoy. Over time, the list of safe foods shrinks and the mental load around eating grows. This isn't a character flaw. It's adaptation. Your brain & nervous system doing exactly what it's designed to do, protect you from discomfort. But here's the part that matters: that adaptation can become part of what's driving your symptoms. How restriction worsens gut symptoms There are several mechanisms at play, and they're worth understanding... - Motility slows. Adequate food volume is one of the key signals that drives bowel movement. When your caloric intake drops, whether through deliberate restriction or simply not feeling hungry, transit slows. If you're already dealing with constipation or sluggish motility, this creates a cycle that's hard to break. - Your microbiome suffers. Dietary diversity is one of the most important drivers of a healthy gut microbiome. Long-term elimination of whole food groups reduces that diversity, which in turn affects motility, gut-brain signaling, and how severe your symptoms feel day to day. - Your nervous system stays activated . Fear and anxiety around food keep your nervous system in a low-grade state of alert. And a nervous system that isn't in rest-and-digest mode is a gut that won't function well. Stress and hypervigilance around eating directly suppress the motility signals your gut relies on. - The gastrocolic reflex weakens. This is your body's built-in signal, triggered by eating, that tells your colon it's time to move. When meals are skipped, delayed, or eaten in a state of anxiety, this reflex doesn't fire properly. Over time it becomes quieter and harder to re-engage. - Visceral hypersensitivity increases. When your gut is chronically backed up or reactive, normal sensations feel amplified. This can make food reactions feel more severe than they actually are, reinforcing the belief that food is the problem and deepening the restriction further. These mechanisms don't operate in isolation. They compound each other. And none of them get better with another elimination diet. Why this keeps getting missed Part of it is that food feels like the obvious lever. Symptoms show up around mealtimes. Certain foods seem to correlate with flares. It makes intuitive sense to start there. But the bigger issue is that almost everything in the wellness space confirms it. Clean eating. Elimination diets. Food sensitivity testing. Gut healing protocols. The message is consistent and loud: find the bad food, remove it, heal your gut. And it's not just coming from wellness influencers... Even in naturopathic training, a model that prides itself on treating the whole person, food elimination is often the default recommendation for gut symptoms. It gets handed out broadly, without always considering the food journey you may have already been on. I know because I lived it. I followed protocol after protocol. Restricted carefully. Ate clean. Genuinely believed that if I could get precise enough, my gut would finally settle. What I didn't see at the time was that the restriction was part of the problem. And this is the piece that keeps getting missed. Not because the question of food is irrelevant, but because it's being asked in the wrong way. Here's what often doesn't get explained: there are many reasons symptoms flare at mealtimes that have nothing to do with what you're eating. - Visceral hypersensitivity means your gut nerves are amplifying normal sensations into pain or discomfort. - Backup and bloat from sluggish motility creates pressure that gets worse when you add food on top. - A nervous system running on high alert suppresses the very signals your gut needs to move properly. - Poor meal hygiene, eating rushed, distracted, or in a state of stress, interrupts the reflexes that drive healthy digestion. None of those are fixed by removing a food. They require entirely different tools. What needs to change Before reaching for elimination, we need to start asking different questions. Not just what you're eating, but how eating feels. Whether food has become something to fear rather than enjoy. Whether the mental load around meals has quietly taken over. There are validated screening tools that can help open that conversation. Questions like: - Are you satisfied with your eating patterns? - Does your weight affect the way you feel about yourself? - Would you say that food dominates your life? Simple questions. But ones that rarely get asked in a gut health appointment. And if the answers point to a complicated food journey, more restriction is rarely the answer. What you actually need is someone willing to look at that journey honestly. To work gently with the hypervigilance that's built up. To support your nervous system in coming out of the low-grade threat response that food has become. To rebuild nutritional sufficiency and predictable structure, so your body finally has enough safety and input to move the way it's supposed to. And that's the conversation I've built my practice around. Because so much of this lives quietly in the background. In the foods that have gradually disappeared from your plate. In the mental energy spent navigating every meal. In the shame that doesn't get named because it doesn't look like an eating disorder, it just looks like someone who's really careful about what she eats. I see it. And I know how long you may have been carrying it. Your gut deserves support that goes beyond the food. And so does your relationship with eating. If you're in BC and ready for care that looks [at](https://drrachaelnd.janeapp.com/#/staff_member/2) the whole picture, I'd love to work with you. [Book a Discovery Call here. ](https://drrachaelnd.janeapp.com/#/staff_member/2) Other Resources: Y ou don't need a formal diagnosis to deserve support. If any of this resonated, if food feels complicated, stressful, or like it takes up more space than it should, please know that help is available. NEDIC (National Eating Disorder Information Centre) Canada's only national toll-free helpline and live chat for anyone affected by disordered eating or eating disorders. Helpline: 1-866-NEDIC-20 Live chat: [www.nedic.ca](http://www.nedic.ca) Monday to Thursday 9am–9pm EST, Friday 9am–5pm EST NIED (National Initiative for Eating Disorders) Resources, education, and support for individuals and caregivers across Canada. [www.nied.ca](http://www.nied.ca) References: Flack R, Brownlow G, Burton-Murray H, Palsson O, Aziz I. The prevalence and burden of avoidant/restrictive food intake disorder symptoms in adults with disorders of gut-brain interaction: a population-based study. Gastroenterology. 2026;170:365–374. [https://doi.org/10.1053/j.gastro.2025.07.043](https://doi.org/10.1053/j.gastro.2025.07.043) Cotton MA, Ball C, Robinson P. Four simple questions can help screen for eating disorders (Eating Disorder Screen for Primary Care, ESP). Journal of General Internal Medicine. 2003;18(1):53–56. [https://doi.org/10.1046/j.1525-1497.2003.20374.x](https://doi.org/10.1046/j.1525-1497.2003.20374.x) Morgan JF, Reid F, Lacey JH. The SCOFF questionnaire: assessment of a new screening tool for eating disorders. BMJ. 1999;319:1467–1468. [https://doi.org/10.1136/bmj.319.7223.1467](https://doi.org/10.1136/bmj.319.7223.1467) --- title: "How to Stop Rushing and Start Pooping: A 10-Second Strategy That Actually Helps" entity: "blog" canonical_url: "https://www.drlovink.com/blog/how-to-stop-rushing-and-start-pooping-a-10-second-strategy-that-actually-helps" markdown_url: "https://www.drlovink.com/llms/blog/how-to-stop-rushing-and-start-pooping-a-10-second-strategy-that-actually-helps" lastmod: "2025-06-11T18:45:31.000Z" --- You’re doing all the right things. Eating well (most days). Trying to get enough fiber. Maybe even taking magnesium. But here’s what no one tells you: When you’re always rushing, always clenching, always overriding your body’s cues- your gut can’t let go. Even if you’re pooping once a day, you might still feel: - Bloated right after meals - Gassy and heavy by afternoon - Like you never fully “finished” your bowel movement This is sneaky constipation. And more often than not, it’s driven by SNEAKY STRESS. Sneaky stress shows up like this: - Rushing through your mornings without sitting down to eat - Skipping meals or eating while multitasking - Holding tension in your belly, jaw, or glutes all day - Controlling your food to avoid symptoms - Ignoring (or missing) the urge to go Your nervous system stays in fight-or-flight, and your gut gets the message: It’s not safe to release. The result? Sneaky constipation & BACK UP BLOAT. What is backup bloat- and why it matters When stool sits in your colon too long (even if you’re pooping daily), your gut bacteria start fermenting it- which leads to: - Trapped gas - Increased bloating - Harder, drier stool that’s even more difficult to pass This backup triggers a familiar cycle: - You eat → Your gastrocolic reflex kicks in to help move things - But there’s already a traffic jam in your gut - So you bloat, cramp, or feel urgent- but don’t actually pass much When the gastrocolic reflex adds to the problem Your gastrocolic reflex is a natural response that tells your colon to contract when you eat. But in IBS, slow motility, or chronic constipation, this reflex can become: - Overactive (causing cramping or urgency with no relief) - Ineffective (triggering movement with nowhere to go) - A source of anxiety (as post-meal discomfort becomes a daily pattern) All of this feeds into a loop of bloating, straining, gut-focused worry… and more TENSION. The antidote? Pause and create space. The most effective place to start isn’t with more fiber or stricter food rules. It’s with your nervous system. And the first step is building moments of pause into your day- consistently. Try this 10-second gut reset Set a reminder on your phone that pops up 3-5x's per day that reminds you to: - Breath into your belly - Unclench your jaw, glutes, and gut - Drop your shoulders - Ask: “Am I holding? Can I soften?” These micro-pauses (repeated throughout the day) shift your system into a state of safety and release- the environment your gut needs to move. Practising before & after meals is an especially good time to help optimize & regulate that gastrocolic reflex (see above); which, over time, helps to build a more regular & predictable poop pattern. Want to go deeper? This is one of the first strategies I teach inside the Gut Rhythm Method™ - my evidence-based, 4-step process for long-term constipation relief. Together, we: - Clear the backlog (yes, sometimes with laxative support) - Identify your constipation pattern - Rebuild your gut’s natural motility rhythm - Create sustainable routines that support flow, safety, and consistency - Build safety & freedom with food again If you’re ready to feel lighter, more regular, and back in sync with your gut- Book a free Gut Clarity call below Your gut can feel better. And your life doesn’t have to revolve around symptoms. --- title: "Laxatives Aren't a Last Resort: What the Evidence Actually Says About Treating Chronic Constipation" entity: "blog" canonical_url: "https://www.drlovink.com/blog/laxatives-aren-t-failure-they-re-strategy" markdown_url: "https://www.drlovink.com/llms/blog/laxatives-aren-t-failure-they-re-strategy" lastmod: "2025-11-03T22:05:00.000Z" --- If you've been constipated for a long time, you've probably absorbed some very specific beliefs along the way: - "Laxatives are habit forming" - "They're a last resort, something you reach for once everything else has failed" - "If you do use them, it should only be short term" - "Real relief is supposed to come 'naturally' " - "And the truly effective path is finding and treating the 'root cause' " I want to name all of that directly, because none of it holds up the way you've been told it does. And it's probably part of what's keeping you stuck. Why Fibre Alone Often Isn’t Enough Somewhere in that story, fibre became the "natural," acceptable first move, and laxatives became the last resort. But if your gut is already backed up, more fibre is like piling traffic onto a jammed highway. Nothing moves. The pressure just builds. That stretched, uncomfortable feeling after a "healthy" high-fibre meal? That's often back up bloat, a sign your system needs help before fibre can do its job. Laxatives (or a pro-motility medication) are often a necessary first step to help clear out retained stool, wake motility back up, and create the conditions fibre and routine actually need to work. Laxatives Aren't a Last Resort. They're First-Line, Evidence-Based Care. In 10+ years treating chronic constipation and Disorders of Gut-Brain Interaction, I've heard the "last resort" belief more than almost any other. Here's the truth: laxatives are recommended as first-line care for chronic constipation by the American Gastroenterological Association (AGA), the American College of Gastroenterology (ACG), and the Rome Foundation. Essentially all the major organizations that write guidelines on how to effectively treat constipation acknowledge that they are safe and should be used as part of an evidence-based plan. They aren't what you turn to after everything else has failed. They're often where an effective plan starts. I think of them the way I think of reading glasses. They don't correct your eyes, they make it possible to see clearly. Laxatives work the same way for your gut. They create the conditions for the rest of the plan (routines, fibre, nervous system regulation, gut-brain tools) to actually take hold. When and How Laxatives Are Used in Chronic Constipation Care In evidence-based constipation management, laxatives and medications are used in two key ways: - As part of an initial clear-out ( aka. "reset"): When stool retention and backup bloat are present, the first goal is to clear space so the gut can respond again. A structured clear-out- using osmotic and, if needed, stimulant laxatives- helps reset the system and restore movement. I walk through how to safely approach this inside my [Gut Rhythm Starter Plan,](/gutrhythmstarterplan/welcome) which teaches how to move from relief to retraining with confidence. - As ongoing support when motility needs help: For many people with chronic constipation, the colon’s natural motility remains sluggish even after routines, fibre, and nervous system regulation are in place. In these cases, long-term laxative or prescription medication use may be part of sustainable management. Keep in mind, this isn’t one-size-fits-all. The right fit depends on your constipation subtype, medical history, and how your body responds. Finding that fit takes time and collaboration with a licensed ND or MD who can monitor progress and ensure long-term safety. Laxatives fit within a broader plan that includes meal timing, motility cues, and gut-brain support. When used thoughtfully, they’re what help transform short-term relief into long-term predictability and confidence with your gut. (This is the foundation of the work I do 1:1 with my patients in the [Gut Care Roadmap](/work-with-me) ) The "Root Cause" Doesn't Always Exist If you've been constipated for months, years, or for as long as you can remember, that's information. It's telling you this was never going to resolve with the right supplement or the right diet alone. Likely, your bowels need support. That's not failure. And it's not "taking the easy way out". Continuing to chase a "natural" answer that hasn't come has a cost. Your time. Your energy. Your quality of life. And so if you've genuinely tried everything and you're still stuck, this is often a sign you do need laxatives as part of your plan. And in fact, using them properly can be the catalyst that then allows some of the things you've been trying to actually work. It's one part of a plan built to give you your life back. Doesn't that seem worth it? Next Steps If you're ready to stop guessing and finally understand how to use laxatives well, that's exactly what my mini-course, [How to Use Laxatives to Get Things Moving](/how-to-use-laxatives/home) , walks you through. You'll learn what to take, when to take it, and what to do if it's not working, step by step. [Check out How to Use Laxatives to Get Things Moving](/how-to-use-laxatives/home) References: Chang L, Chey WD, Imdad A, et al. American Gastroenterological Association–American College of Gastroenterology Clinical Practice Guideline: Pharmacological Management of Chronic Idiopathic Constipation. Gastroenterology. 2023;164(7):1086–1106. [https://doi.org/10.1053/j.gastro.2023.03.214](https://doi.org/10.1053/j.gastro.2023.03.214) Steele SR, Paquette IM, Bohl JL, et al. The American Society of Colon and Rectal Surgeons Clinical Practice Guidelines for the Evaluation and Management of Constipation. Dis Colon Rectum. 2024;67(10):1101–1124. [https://doi.org/10.1097/DCR.0000000000003430](https://doi.org/10.1097/DCR.0000000000003430) World Gastroenterology Organisation (WGO). Global Guideline: Constipation – A Global Perspective. 2025. [https://www.worldgastroenterology.org/UserFiles/file/guidelines/constipation-english-2025.pdf](https://www.worldgastroenterology.org/UserFiles/file/guidelines/constipation-english-2025.pdf) American College of Gastroenterology (ACG) & American Gastroenterological Association (AGA). Chronic Idiopathic Constipation: Management Guideline Summary. Guideline Central. 2024. [https://www.guidelinecentral.com/guideline/3975470](https://www.guidelinecentral.com/guideline/3975470) American College of Gastroenterology (ACG) & American Gastroenterological Association (AGA). Diagnosis of Constipation: Clinical Guideline Comparison Tool. Guideline Central. 2023. [https://www.guidelinecentral.com/guideline/2836451](https://www.guidelinecentral.com/guideline/2836451) --- title: "Should You Avoid Dairy?" entity: "blog" canonical_url: "https://www.drlovink.com/blog/should-you-avoid-dairy" markdown_url: "https://www.drlovink.com/llms/blog/should-you-avoid-dairy" lastmod: "2021-03-19T03:00:00.000Z" --- Dairy has gotten a bad rap, being touted as the cause for “inflammation”, gut issues, acne and all other kinds of health problems. So, what’s the truth? And should you avoid it? Here’s a summary of what the research seems to suggest so far. However, keep in mind that the research and our knowledge on ALL health-related topics is constantly evolving, so no information is perfect or immune to changing over time. - Individuals who have acne may benefit from removing it. - Dairy can cause some androgens (male hormones) to increase, which can aggravate conditions such as PCOS. - Dairy increases oil production in the skin, which for some can worsen acne. - Dairy is also high in protein, which helps to regulate blood sugar. - Dairy contains a sugar/carb called lactose. Some individuals do not produce enough of the enzyme (lactase) to break it down. This is called Lactose Intolerance and can be easily remedied by using a lactase enzyme and/or buying lactose free dairy products. - The dose matters. Many studies have shown that those who moderate their intake of dairy in a week (less than 6 servings/week), seem to have less severe acne. - Whey is milk-based protein, which does contains some lactose. However, whey isolate contains very little to no lactose. - Individuals who eat an abundance of vegetables and exercise regularly (ie. avoid a SAD, Standard American Diet) don’t appear to be as affected by dairy intake. So there you have it. There is no straightforward answer. But honestly there never is with nutritional information. Choosing what is going to be right for you requires weighing the benefits & risks associated with your unique health, as well as some trial & error. And if you can't seem to figure out whether dairy is an issue for you or not, that’s what health professionals, such as myself, are here to help with. We look at the nuances, help you create a plan, take a birds eye view and also a deep dive into your health to understand the context of your symptoms. [Read more about Dr. Rachael Lovink, ND](/about) [Read more about Dr. Lovink's approach to chronic gut symptoms called the Gut Care Roadmap](/work-with-me) Disclaimer The information provided in this blog post is for educational and informational purposes only and is not intended as medical advice. The information should not be used to diagnose, treat, or prevent any health issue or disease without consulting a qualified healthcare professional. The author of this blog and the website do not bear any responsibility for any actions taken based on the information provided in this blog. --- title: "The Gut Health Trends I Get Asked About Most. Here's What the Evidence Actually Says." entity: "blog" canonical_url: "https://www.drlovink.com/blog/the-gut-health-trends-i-get-asked-about-most-heres-what-the-evidence-actually-says" markdown_url: "https://www.drlovink.com/llms/blog/the-gut-health-trends-i-get-asked-about-most-heres-what-the-evidence-actually-says" lastmod: "2026-04-28T05:56:20.000Z" --- Gut health is having a moment. And with that comes an overwhelming amount of information, products, and protocols being marketed as the answer to chronic digestive symptoms such as bloating, IBS and chronic constipation. Some of it is genuinely useful. But a lot of it isn't. And yet it's often presented with a confidence that the evidence simply doesn't support. I get asked about many of these topics in my 1:1 practice, in my DMs, and in the comments section of my posts. So I want to address them directly, with the nuance they deserve, so you can stop spending time and money on things that aren't moving the needle and focus on what actually works. So here's my evidence-based "hot take" on several popular gut health topics. OTC Laxatives and Pro-Motility Medications My hot take: Yes. This might surprise people, but I'm a proponent of strategic laxative and pro-motility medication use for chronic constipation. The idea that laxatives are a crutch, or that your gut will become permanently dependent on them, is one of the most persistent myths I encounter in practice. For people with chronic constipation, these medications are often an important part of getting things moving while the underlying drivers are being addressed. They are safe, well-studied, and underused, largely because of stigma that isn't supported by evidence. Fermented Foods My hot take: generally, yes Fermented foods (yogurt, kefir, kimchi, sauerkraut, miso, sourdough) have promising data supporting their role in microbiome diversity and reducing inflammatory markers. Most studies looking at fermented dairy specifically show improvements in GI symptoms. The research isn't definitive yet, but the risk profile is low and the potential upside is small, but real. And one under-appreciated benefit: fermentation breaks down carbohydrates before the food ever reaches your gut. This is meaningful for people who struggle with bloating and gas, because the fermentation process happens outside the body, not inside it. That pre-digestion can make foods like wheat, cabbage, and dairy significantly easier to tolerate. I generally support including fermented foods as part of a gut-friendly diet. Olive Oil Shots in the Morning My hot take : Sure, I can get behind it. There is evidence that fat intake in the morning stimulates the gastrocolic reflex, the signal that prompts your colon to contract and move things forward. Is olive oil a magic solution? No. Is it a low-risk, reasonable thing to try as part of a morning motility routine? Yes. Colonics My hot take: No. The claims that colonics remove toxins, improves "vitality", or prevens chronic disease have no support from controlled trials (the kind of research we want to feel confident an intervention actually helps and doesn't harm). None. In fact, a systematic review found no rigorous data behind any of these claims and instead found real documented risks: bowel perforation, electrolyte imbalances, infection, and disruption of the mucosal barrier in ways that may actually increase bacterial absorption rather than reduce it. There are narrow medical contexts where bowel irrigation has shown some benefit, specifically in patients with severe neurological bowel disorders or fecal incontinence that has failed all other treatments. But these are medically supervised procedures with specialized equipment. They are not what is being sold at a wellness clinic. The way I look at it is this- there are MANY other safe, effective, and well-studied treatments for chronic constipation that DO work (without all the risk & cost). And if you feel like "nothing has worked"...it's often a strategy problem (the when & how)...that's where I come in ;) Probiotics My hot take: It depends. The research on probiotics is genuinely mixed and highly strain-specific. The probiotic that helped your friend may do nothing for you, and the evidence supporting specific strains for specific conditions is far more limited than the marketing suggests. What concerns me most in practice is the trial and error involved. Most people who come to see me have already spent significant money on supplements that didn't work. Probiotics add another variable to that cycle. And they are not without risk: certain strains can worsen bloating and gas, particularly in people with slow motility or incomplete evacuation. I don't recommend them universally, and I'm skeptical of how broadly they're marketed for gut health. Screening for Disordered Eating Before Making Dietary Recommendations My hot take: Non-negotiable yes. A significant proportion of people with chronic gut symptoms have a complicated relationship with food, often without fully recognizing it. Orthorexic patterns, restriction, and food fear are common in this population and are frequently normalized or even reinforced by wellness culture. Putting someone on an elimination diet without first screening for disordered eating patterns can cause real harm. This should be standard practice in gut health care. It isn't yet. GI Map and Microbiome Testing My hot take : Hard no. I understand the appeal. When you've been dealing with chronic symptoms and conventional testing keeps coming back normal, the idea of a detailed map of your microbiome feels like it might finally provide answers. But the biggest problem is the results of these tests don't provide information that we can actually act, over and above what we would do with you anyways (aka. increase your fibre, etc). The microbiome science is genuinely exciting, but we are not yet at a point where commercial microbiome testing reliably guides treatment in a meaningful way. Fibre Powders My hot take : It depends. Fibre powders are not categorically wrong, but they are frequently misused. Psyllium husk has good evidence for IBS and constipation and is one I do recommend in specific contexts. Inulin-based powders are a different story: they are highly fermentable and can be brutal for someone dealing with bloating and gas. The type of fibre, the dose, and what someone is actually dealing with all matter enormously. Fibre from whole food sources is almost always preferable. But if a powder is being used, the type needs to match the clinical picture. Fibre Sufficiency and Diversity My hot take : Heck yes, but with strategy. This is one of the most important things I work on with patients, and one of the most commonly mishandled pieces of gut health advice. More fibre is not simply better. The type matters. The amount matters. How quickly it was introduced matters. And what the gut was already dealing with before you started matters enormously. Adding fibre without a strategy can make things significantly worse before they get better, which is exactly why so many people conclude that fibre doesn't work for them when the real issue was the approach. All Chronic Gut Symptoms Are SIBO My hot take : No. SIBO (small intestinal bacterial overgrowth) is a real condition. But it is genuinely over-diagnosed. Part of the problem is the testing itself. Breath tests for SIBO have a high false positive rate, which means many people are being treated for something they don't actually have. The antimicrobial protocols used for SIBO treatment are not without consequence, and treating for SIBO when it isn't the problem is a waste of time, money, and often sets people back. Not everyone with bloating has SIBO. Not everyone with constipation has SIBO. And in my experience, when we work on motility & clear the back up FIRST, the problem we thought was SIBO often goes away. IBS and Other Disorders of Gut-Brain Interaction Are Legitimate Diagnoses My hot take: Fully, unequivocally yes. This one matters to me. Disorders of gut-brain interaction (DGBIs), which include IBS, functional constipation, and 30 other recognized conditions, affect approximately 40% of the population. They are not diagnoses of exclusion. They are not a way of saying "we don't know what's wrong." They have established diagnostic criteria, well-researched clinical pathways, and effective treatments. The problem is that most people who receive these diagnoses are never given a proper explanation of what they actually mean, what's driving their symptoms, or what can be done about it. That is a failure of the healthcare system, not the diagnosis. Food Sensitivity Testing My hot take: Big fat no. The evidence for IgG food sensitivity testing is not there. These tests consistently produce false positives, lead to unnecessary food elimination, and in my experience contribute significantly to the food fear and restriction that makes chronic gut symptoms worse, not better. A growing list of foods to avoid is not a treatment plan. The Common Thread Very few things in gut health are categorically good or bad. Most of them depend on what you're actually dealing with, where you're starting from, and what else is going on. The trendy and the popular are not always the most effective, and in many cases they actively get in the way of treatments that have real evidence behind them. My job is to help you cut through the noise and focus on what actually works for your gut specifically. Want support beyond the blog? Here are a few places to start. [How to Use Laxatives to Get Things Moving ($197)](/how-to-use-laxatives/home) is a self-paced course teaching you how to use laxatives and pro-motility medications safely and confidently: what to take, when to take it, and what to do if it's not working. [→ Learn more here](/how-to-use-laxatives/home) Want to understand why you're still stuck? [Why Nothing Has Worked for Your Constipation](/why-nothing-has-worked-for-your-constipation/home) i s a free masterclass on why chronic constipation persists, and what effective treatment actually includes. [→ Watch it here](/why-nothing-has-worked-for-your-constipation/home) My 1:1 work is built around the Gut Care Roadmap : a four-stage clinical framework for people with chronic gut symptoms who are ready to stop guessing and start working with a clear plan. I see patients in Victoria and virtually across BC. If you're wondering whether working together makes sense, a [Discovery Call](https://drrachaelnd.janeapp.com/#/staff_member/2) is the best next step. It's free, it's low-key, and you'll walk away knowing exactly where you stand. [→ Book your call here](https://drrachaelnd.janeapp.com/#/staff_member/2) --- title: "The Hormone–Gut Connection: What Every Woman Needs to Know" entity: "blog" canonical_url: "https://www.drlovink.com/blog/the-hormone-gut-connection-what-every-woman-needs-to-know" markdown_url: "https://www.drlovink.com/llms/blog/the-hormone-gut-connection-what-every-woman-needs-to-know" lastmod: "2025-10-02T15:44:00.000Z" --- If your gut feels more unpredictable before your period, after pregnancy, or in your 40s, you’re not imagining it. These hormonally sensitive stages aren’t just about mood swings or hot flashes- they can directly affect digestion too! For many women, gut issues such as constipation, bloating, or urgency suddenly flare during these windows of life. It's often not random. It’s often the result of complex changes in hormones, the nervous system, and the gut–brain connection. The Hormone–Gut Connection: Why hormonally sensitive windows matter Certain times in a woman’s life make the gut more vulnerable: ✨ Pre-Menstrual Window : Estrogen and progesterone shifts affect motility, and stress amplifies PMS symptoms 2–3x. ✨ Postpartum : Hormones crash, sleep is disrupted, and stress is high. The gut often feels it. ✨ As Early as Your 40's : Estrogen and progesterone gradually decline, nervous system reactivity increases, and pelvic floor changes can add new challenges. All three are hormonally sensitive periods where stress, hormones, and gut function overlap. Perimenopause: The Hidden Gut Disruptor Many women in their 40s don’t realize that new gut symptoms (among other signs/symptoms) may actually be an early sign of perimenopause. Here’s why this happens: - Estrogen + progesterone decline → slower gut motility, more constipation. - Brain + nervous system changes → heightened stress reactivity, more bloating and/or urgency. - Pelvic floor shifts → incomplete emptying becomes more common. Are you 40+ and not sure if you're in Perimenopause?? Here are a few things to watch out for (beyond gut symptoms): - Shorter, irregular, heavier, or lighter cycles - Changes in sleep quality or quanitity - Night sweats, hot flashes - Worsening of PMS - Cyclical anxiety, irritability, or brain fog - Worsening migraines or headaches - Joint pain - New onset or worsening fatigue - Changes in libido or vaginal dryness - Mid-section weight redistribution despite similar habits Perimenopause often gets dismissed as “just aging” or “just stress.” And while there are MANY other things that can cause these same symptoms, it's still worth a conversation with your healthcare practitioner. Here are a few questions you can ask to get a more complete picture: - “Could these gut changes be related to hormonal shifts?” - “Can we do baseline labs to check things like iron (ferritin), thyroid, blood sugar, B12, vitamin D?” - "Do I have any concerning symptoms or a medical history that should be investigated further or more proactively (eg. family history of colon cancer or celiac disease, blood in your stool or progressively worsening symptoms)? - “What are my options for hormonal and non-hormonal support?” - “What can I do to support my gut health while my hormones are changing?” This isn’t about demanding a specific treatment- it’s about opening up a nuanced, whole-picture conversation. Where You Can Start Now Once you’ve opened that conversation, the next step is figuring out what you can actually do day-to-day to feel better in your gut (and the benefits will be felt "hormonally" too). The good news? You don’t have to overhaul everything at once. Even small shifts create momentum when they target what matters most. Consider some of the items from below as part of your daily strategy towards more balance in your gut (and hormones). 1) Anchor your routines: - Protect your [morning motility routine](/morningmotilityreset/welcome) (check out the link for the secret weapon I teach on how to move your bowels in the morning). - Keep meals consistently spaced throughout the day. Avoid fasting as this can interrupt motility & gut-brain communication. - Prioritize a regular sleep schedule and consistent movement each day (even a 20 min walk counts!) 2) Support your nervous system - Incorporate short "resets" throughout the day: unclench jaw, exhale slowly, soften your belly. - Gentle movement instead of overtraining (eg. more walks, less HITT), especially if you're in a sleep deficit or feeling stressed out. - Build in “buffer” moments when stress peaks. Take a pause, slow the pace when you notice rushing. 3) Use fibre wisely - Swap some of your insoluble fibre (eg. raw salads/veg, lots of nuts) to more gentle soluble sources (chia, oats, cooked veg). - Increase slowly, with hydration. - Don’t pile fibre on top of a sluggish gut- work on clearing out your bowels first (if you're struggling with Constipation, I go over this and so much more in the course [How to Use Laxatives to Get Things Moving](/how-to-use-laxatives/home) Final Word PMS, postpartum, and perimenopause are hormonally sensitive stages where your gut, brain, and hormones are deeply connected. If you’re in your 40s and noticing new gut issues- constipation, bloating, reflux, incomplete emptying- alongside other subtle changes, it’s worth paying attention. You’re body isn't broken, you're not suddenly failing at life, and it’s likely not random. These shifts are explainable, and there are tools to support you: routines, nervous system care, supplements, fibre strategy, and when needed medical or hormonal support. 👉 If you’re noticing changes and want a plan that looks at the whole picture- [Book a FREE Discovery Call](https://drrachaelnd.janeapp.com/#/staff_member/2) (BC Residents only). Together, we’ll connect the dots and build a strategy that supports both your gut and your hormones. Not in BC and struggling with Constipation? Watch my [FREE Masterclass: Why Nothing Has Worked for Your Constipation](/why-nothing-has-worked-for-your-constipation/home) Or have a look at my [MINI COURSE: How to Use Laxatives to Get Things Moving](/how-to-use-laxatives/home) --- title: "The Shifts That Changed Everything for My Gut" entity: "blog" canonical_url: "https://www.drlovink.com/blog/the-shifts-that-changed-everything-for-my-gut" markdown_url: "https://www.drlovink.com/llms/blog/the-shifts-that-changed-everything-for-my-gut" lastmod: "2025-07-03T16:43:00.000Z" --- For years, I felt like a prisoner to my digestion. Chronic bloating. Constipation that made me feel heavy, foggy, and completely disconnected from my body. I micromanaged everything I ate, skipped meals when I felt too backed up, avoided plans, and spiralled down rabbit holes of gut health advice online. And the hardest part? I was a Naturopathic medical student at the time. I had access to education, tools, and protocols- and yet, I was still stuck. Still bloated. Still backed up. Still anxious about every bite of food. It wasn’t until early in my career that I stopped trying to "fix" my gut and started asking better questions: - Was food really the root of all my symptoms? - Did I need to kill off SIBO or eliminate dysbiosis to feel better? - Was healing really about avoiding gluten, dairy, or only eating organic? - Did I need the latest supplement or most expensive test to finally feel better? The answer to all of those, I discovered, was a gentle but resounding: No . The truth? I had been focusing on the wrong things. I was following fear-based advice and ignoring the actual foundations of gut health: rhythm, routines, the right kind of fibre, and nervous system "regulation" (backed by evidence, not pseudoscience). Here are the shifts that changed everything for me (and now shape the way I help others) - I stopped skipping meals and started eating regularly . I used to think eating less or waiting longer between meals would help reduce bloating (hello disordered eating disguised as "wellness"). In reality, it was doing the opposite. Once I started fuelling my body at consistent intervals, I supported the natural motility rhythms that keep things moving. This was uncomfortable at first (and I definitely leaned on counselling & other nervous system support tools) but over time, it was one of the most powerful shifts I made. - I let go of food rules . I stopped labeling food as "good" or "bad." I stopped fearing carbs and gluten just because someone online said to. Instead, I focused on what made me feel nourished and energized. I learned how to understand food reactions (based on what the evidence said) in the context of constipation, not fear. - I made nervous system regulation a daily non-negotiable . No more saying, "I don’t have time." I began weaving in micro-moments of regulation throughout the day- before meals, during stress, in between patients. When your body feels safe, your gut can finally do its job. - I cleaned up my information diet . I unfollowed accounts that promoted rigid thinking, disordered eating disguised as "wellness", black-and-white advice, or fear-based protocols. I stopped chasing "the one answer" or "the fix" and embraced nuance. Most of my answers now start with, "it depends," because that's what real medicine looks like. - I stopped chasing shiny protocols . No more jumping on the newest microbiome test or supplement stack. I simplified. I started focusing on what was sustainable, strategic, and rooted in research. - I slowed down and started listening . I created space in my day to feel urges, to pause, to eat without rushing, to rest. I let my body lead. I gave myself permission to stop forcing my gut to work, and instead, supported it with consistency and care. These shifts didn’t just help me feel better. They became the foundation for how I now help others. Because what I needed wasn’t another protocol or elimination diet. I needed RHYTHM . Enter: The Gut Rhythm Method™ The Gut Rhythm Method™ is my 4-phase framework designed to help you retrain your body to poop regularly, without the fear, restriction, or supplement overload. It includes: - Root Cause Clarity: We figure out what type of constipation you’re actually dealing with (IBS-C, dyssynergic defecation, slow transit, etc.) so we stop guessing and start choosing the right tools. - Reset: We clear out backup safely (often using short-term laxative support) to create space for your gut to function more normally again. - Rhythms & Routines: We rebuild the natural timing cues and lifestyle foundations that your gut relies on: consistent eating, movement, stress support, and nervous system regulation. - Right Kind of Fibre (and Food): We bring food back in, strategically. No more fear-based restriction. Just the right kinds of fibre at the right time, based on your body’s current needs and capacity. This is the method I wish I had 15 years ago. It’s not about doing more. It’s about doing what actually works- CONSISTENTLY! Ready to start? [Book a Gut Clarity Call](https://betahealth.janeapp.com/#/staff_member/91) to learn more about how this method might help you finally feel light, regular, and at ease in your body again. --- title: "Why Constipation Could Be the Real Cause of Your ‘Food Reactions" entity: "blog" canonical_url: "https://www.drlovink.com/blog/why-constipation-could-be-the-real-cause-of-your-food-reactions" markdown_url: "https://www.drlovink.com/llms/blog/why-constipation-could-be-the-real-cause-of-your-food-reactions" lastmod: "2025-06-03T20:34:00.000Z" --- If you're constantly second-guessing what’s on your plate, wondering.... “Is this going to bloat me?” or “Will this back me up for days?” You're not alone. And no, the answer isn’t another elimination diet. The problem isn’t the food- It’s the fear + the backup Here's what's really happening.... Most food “sensitivities” in constipated bodies are not permanent food issues. They’re a byproduct of living in a chronically backed-up, bloated, over-restricted gut. When your bowels aren’t moving daily and fully, everything gets thrown off: - Gas builds up behind the logjam - The microbiome starts to lose diversity from food restriction - Your nervous system stays stuck in hypervigilance - And even safe foods can start to feel like triggers This creates a vicious cycle: You feel bloated → You restrict more → You eat less fiber, less volume, less variety → Your gut gets even more sluggish → You start fearing food itself. Sound familiar? That’s not food intolerance. That’s constipation calling the shots. The Body Remembers If you’ve had painful reactions after eating certain foods, your brain flags them as a threat. So even before the first bite, your body tenses up- preparing for battle. This “gut war” often leads to real physical symptoms. But the trigger? It’s often NOT the food. It’s the fear, the tension, the backup. So many of my patients feel broken, convinced their body can't tolerate anything. But here’s what they discover- and what you need to know: Once we clear the backup and restore regular, complete BMs- most food reactions go away. When the bowel’s no longer backed up and your gut-brain connection is calm again, the bloating fades, the list of “safe foods” expands, and the confidence comes back. What You Actually Need: Step 1: A Reset- Not Another Restrictive Plan Let’s stop blaming apples, carrots, or chickpeas for what’s really a motility problem. When your bowels are backed up, your gut isn’t responding properly- not to food, not to fibre, not even to natural urges. You don’t need more food rules. You need RELIEF . That’s why the first step in my Gut Rhythm Method™ is a Reset: a short-term, strategic clear-out that helps remove retained stool and relieve the backup. This creates the space your body needs to reawaken natural motility reflexes- like the gastrocolic reflex- and sets the foundation for everything that comes next. Because before you can retrain your gut, you have to give it room to respond. Step 2: Rebuild with Rhythms & Routines- Not Rules Once the backup is cleared, we shift into Rhythms & Routines- the daily structure that trains your gut to stay regular. This step is about consistency, not perfection: - Activating your natural motility rhythms (like the gastrocolic reflex) - Eating at regular intervals to create predictable timing cues - Regulating your nervous system so your gut knows it’s safe to digest - Making space for morning BMs- not rushing out the door Rhythm is what retrains the internal clock of your gut. Routine is what sustains it. Start here: ✅ Make breakfast a ritual – Eat within an hour of waking. A calm, nourished morning activates the gastrocolic reflex and sets the stage for a better day. ✅ Breathe before you eat – Take three deep, slow belly breaths to help shift from stress mode into “rest and digest.” ✅ Add one microbiome-friendly food per week – Try 1 tbsp chia pudding, kiwi, or canned lentils (rinsed) alongside a trusted food. Go slow, build confidence. You Deserve to Eat Without Fear If you're tired of planning your life around your gut- and still not seeing results- the problem isn't your willpower. It's the plan. The Gut Rhythm Method ™ is built for women like you: 👉 Who feel bloated, backed up, and betrayed by their body 👉 Who’ve tried all the protocols, but nothing seems to stick 👉 Who are ready for a step-by-step system that actually works — without the B.S. We blend evidence-based tools, gentle & realistic nervous system support, and daily routines that retrain your gut to move again- consistently. So you can feel light, regular, and at ease in your body again. Learn more by booking a FREE Gut Clarity Call below. --- title: "Why Treating SIBO Hasn't Fixed Your Gut Symptoms (and what will)" entity: "blog" canonical_url: "https://www.drlovink.com/blog/why-treating-sibo-hasn-t-fixed-your-gut" markdown_url: "https://www.drlovink.com/llms/blog/why-treating-sibo-hasn-t-fixed-your-gut" lastmod: "2025-08-30T16:37:00.000Z" --- You Treated SIBO… but You’re Still Symptomatic If you've been told you have SIBO (Small Intestinal Bacterial Overgrowth), you've probably gone through at least one round of antibiotics, antimicrobials, or restrictive diets. Maybe you felt better for a while… but then the bloating, the backup, the urgency came back. It's a frustrating experience...and unfortunately a common one. I'm going to help you understand why SIBO is often over-diagnosed and over-treated...and ultimately what a more effective path forward can look like. So let's start with the obvious question… does SIBO actually exist? Yes. SIBO is a real condition. It occurs when bacteria overgrow in the small intestine, where bacterial counts are normally kept very low. But it's also one of the most over-diagnosed and misunderstood conditions in gut health right now. Here's what the research actually tells us: Symptoms like bloating, gas, diarrhea, and constipation are not unique to SIBO. They overlap heavily with IBS, functional constipation and other common gut conditions. True SIBO is estimated to affect less than 5% of the general population. IBS affects closer to 10 to 15%. Bloating plus irregular bowels does not automatically equal SIBO. And one of the biggest problems is that breath tests, the main way SIBO is diagnosed, are not fully accurate. False positives are well documented. Which is why a return of symptoms after treatment doesn't always mean the overgrowth came back. In many cases, the original diagnosis may not have been SIBO at all. There's also something that doesn't get talked about enough: a SIBO diagnosis can sometimes do more harm than good. For people who are already anxious about their gut or prone to food restriction, the dietary protocols that come with SIBO treatment can deepen food fear and make symptoms worse, not better. SIBO vs. IBS: why this distinction matters This is where a lot of people get stuck. IBS (Irritable Bowel Syndrome) and SIBO share many of the same symptoms. But they are not the same condition, and they don't have the same underlying cause. IBS is primarily a Disorder of Gut-Brain Interaction. It involves how the gut and brain communicate, how sensitive the gut's nervous system is, and how well the gut regulates its own movement. SIBO, on the other hand, involves actual bacterial overgrowth in the small intestine, typically caused by a specific structural or motility-related reason. Just because the symptoms overlap doesn't mean the cause is the same. IBS is far more common than SIBO. So when someone has bloating, irregular bowels, and discomfort, IBS is statistically a much more likely explanation. Treating it as SIBO without a clear reason for overgrowth often leads people through multiple rounds of antimicrobials without ever addressing what's actually going on. What about constipation specifically? The relationship between constipation and SIBO is worth understanding on its own. When the gut moves slowly, a few things happen: - Transit time increases, meaning food and waste sit in the gut longer - This shift in gut environment appears to favor certain bacteria, particularly methane-producing ones - Methane gas can slow transit even further, creating a cycle that worsens constipation and bloating So yes, there is a real connection. But here's the key clinical point: constipation should be ruled out and treated first before pursuing a SIBO diagnosis. In many cases, addressing the constipation changes the picture entirely. Why breath testing has real limitations Even when testing is appropriate, the results need to be interpreted carefully. For people with constipation, breath tests are particularly unreliable: - Slow transit means the test solution moves through the gut more slowly than it should, causing colonic gases to appear earlier in the test window. This can look like a positive SIBO result when it may actually just reflect slow transit. - Retained stool can trap and release gases in bursts, creating false peaks in the test. For people with diarrhea or loose stool, testing is generally more reliable. And if you meet the criteria for IBS with diarrhea (IBS-D), current clinical guidelines actually support treating with Rifaximin without requiring a positive breath test first . This is one of the more evidence-backed approaches for IBS-D specifically. Even so, Rifaximin isn't a permanent fix for most people. Without addressing the underlying gut dysregulation, symptoms tend to return. When does SIBO testing actually make sense? Not everyone needs a breath test. Testing makes most sense when there's a clear, identifiable reason that bacterial overgrowth could be happening in the first place. Conditions that genuinely increase SIBO risk include: - Reduced stomach acid: from long-term use of acid-suppressing medications (like PPIs), or conditions like achlorhydria or post-gastrectomy - Motility disorders: gastroparesis, intestinal pseudo-obstruction, or conditions like diabetes, scleroderma, hypothyroidism, or long-term opiate use that slow gut movement - Structural changes to the gut: strictures, adhesions, blind loops, diverticulosis, or fistulas that alter normal flow through the small intestine - Ileocecal valve compromise: from surgery or Crohn's disease, removing the barrier between the small and large intestine - Pancreatic insufficiency or malabsorption: reduced digestive enzymes can fuel bacterial growth - Immune deficiencies: including inherited immune conditions, AIDS, or severe malnutrition - Complex multifactorial conditions: celiac disease, cystic fibrosis, liver disease, end-stage renal disease, or short-bowel syndrome If none of these apply to you, jumping straight to SIBO testing is usually premature. The same is true if you meet IBS criteria and haven't yet worked through the evidence-based approaches for managing it. The bigger picture: it's a system problem This is the part that most people haven't been told. Chronic gut symptoms, whether that's constipation, diarrhea, bloating, or all three, are rarely caused by one thing. They're often the result of a gut-brain-microbiota (and sometimes pelvic floor) that isn't operating & communicating effectively. That system includes: - Gut-brain communication: the signals between your gut and nervous system that regulate how and when you move your bowels - Gut motility: how efficiently your gut actually moves things through - Pelvic floor coordination: especially relevant in constipation, where muscle tension can block stool even when everything else is working - Visceral hypersensitivity: when the gut's nervous system becomes overreactive, amplifying sensations like bloating, pain, and urgency - Microbiome balance: both constipation and diarrhea alter the gut's bacterial environment in ways that keep the cycle going When these pieces aren't addressed, even the most targeted SIBO treatment won't hold. So what actually works? Getting lasting relief means addressing the system, not just the bacteria. That looks like: - Getting a clear, accurate diagnosis before layering in treatments - Understanding your specific symptom pattern and what's driving it - Improving motility & getting the backlog cleared out (my [MINI COURSE: How to Use Laxatives to Get Things Moving](/how-to-use-laxatives/home) does exactly that) - Building the daily structure your gut needs to regulate itself over time - Addressing gut-brain communication, not just gut contents And this is exactly how bloating, constipation, and gut unpredictability get addressed within my 1:1 work called the [Gut Care Roadmap](/patient-care) . Not as isolated symptoms to suppress, but as part of a bigger picture we work through together, step by step. The takeaway If treating SIBO hasn't given you lasting relief, it's probably time to re-evaluate the plan. We often have to zoom out and look at the bigger picture. The gut-brain system. [Learn more about working together 1:1 here.](/patient-care) --- title: "Your Gut Has a Clock: What That Actually Means for Constipation and Bloating" entity: "blog" canonical_url: "https://www.drlovink.com/blog/your-gut-has-a-clock-what-that-actually-means-for-constipation-and-bloating" markdown_url: "https://www.drlovink.com/llms/blog/your-gut-has-a-clock-what-that-actually-means-for-constipation-and-bloating" lastmod: "2025-12-06T20:03:00.000Z" --- Most people know the gut responds to what you eat. Far fewer know it also responds to when you eat, sleep, and wake. Emerging research in chronobiology shows that the digestive tract operates on a daily rhythm guided by internal biological clocks . These clocks do not explain constipation or bloating for everyone, but for many women with Disorders of Gut Brain Interaction (like IBS-C or functional constipation), disrupted timing can make symptoms feel more unpredictable. This blog breaks down what the science says, what it doesn’t, and how you can apply it in real life without chasing yet another internet “fix.” Your Body Runs on Clocks, Not Just Calories Inside the brain sits the suprachiasmatic nucleus (SCN), often called the master clock. It syncs to daylight and sets the rhythm for the entire body: sleep-wake cycles, hormones, metabolism, and digestive function. But the gut also has peripheral clocks that operate on their own rhythm. They help regulate: - Motility (how quickly or slowly stool moves) - Secretion (enzymes, acids, mucus) - Barrier function - Immune activity - Microbiome composition These gut clocks respond to meal timing, feeding–fasting patterns, light exposure, and sleep. When the timing cues are disrupted, gut clocks can fall out of sync with the brain’s master clock. That “misalignment” has been linked with constipation, diarrhea, abdominal pain, and heightened visceral sensitivity in some individuals. (Reference: Gastroenterology 2025 circadian-gut review) Why This Matters for Functional Constipation and IBS-C Certain patterns increase the likelihood of circadian disruption: - Irregular meal timing (long gaps, skipping meals, inconsistent breakfast) - Chronic poor sleep or variable bed/wake times - Shift work or frequent jet lag - High stress loads that affect sleep patterns Circadian misalignment does not cause constipation on its own. But for people already living with a Disorder of Gut Brain Interaction, it can: - Blunt the gastrocolic reflex - Slow transit - Increase pain sensitivity - Disrupt coordination between the gut and pelvic floor - Increase urgency or looseness in others In other words, circadian rhythms can be a modifying factor, not the root cause. This matches what many of my patients describe: “When my sleep is off, everything feels off.” “When I skip breakfast, I can't go in the morning.’” “When I’m stressed or traveling, my constipation worsens.” The science validates their lived experience. Realistic Ways to Support Your Gut’s Clock You do not need a perfect routine. You also shouldn’t overhaul your life, especially if you already struggle with burnout or rigid habits. Here are some accessible, low-pressure strategies that support circadian alignment: 1. Keep wake times fairly consistent Your master clock synchronizes to morning light. Even a 30–60 minute swing day-to-day can help. 2. Eat at regular intervals The gut anticipates meals. Predictable timing strengthens digestive signaling, especially for the morning gastrocolic reflex. 3. Protect the first hour of your morning This is when your gut is most responsive. If possible: light exposure, hydration, a meal or warm drink, gentle movement, and unhurried bathroom time. Want the full routine? Check out the [Morning Motility Reset.](/morningmotilityreset/welcome) 4. Prioritize wind-down time Late-night eating and bright light can disrupt sleep, which downstream disrupts the gut’s clocks. 5. Pair timing with the fundamentals Supporting the circadian system works best alongside: - Adequate fibre at the right pace - Consistent meals - Movement - Nervous system support - Pelvic floor evaluation when needed - Medication or laxatives when clinically indicated (the [Laxative Mini Course](/how-to-use-laxatives/home) can help you out here) The goal isn’t perfection. It’s giving your gut clearer signals so the system can coordinate more predictably. So Is This the Missing Piece for Everyone? No. Constipation is multifactorial, and circadian biology is one component among many. But for people whose symptoms flare with sleep disruption, travel, skipped meals, or inconsistent routines, supporting gut timing can make a meaningful difference. Think of it as strengthening the communication between the gut and brain. Not a fix-all, but a foundational support. Dr. Rachael, ND Want support beyond the blog? Here are a few places to start. [How to Use Laxatives to Get Things Moving ($197](/how-to-use-laxatives/home) ) is a self-paced course teaching you how to use laxatives and pro-motility medications safely and confidently: what to take, when to take it, and what to do if it's not working. [→ Learn more here](/how-to-use-laxatives/home) Want to understand why you're still stuck? [Why Nothing Has Worked for Your Constipation](/why-nothing-has-worked-for-your-constipation/home) i s a free masterclass on why chronic constipation persists, and what effective treatment actually includes. [→ Watch it here](/why-nothing-has-worked-for-your-constipation/home) My 1:1 work is built around the Gut Care Roadmap : a four-stage clinical framework for people with chronic gut symptoms who are ready to stop guessing and start working with a clear plan. I see patients in Victoria and virtually across BC. If you're wondering whether working together makes sense, a [Discovery Call](https://drrachaelnd.janeapp.com/#/staff_member/2) is the best next step. It's free, it's low-key, and you'll walk away knowing exactly where you stand. [→ Book your call here](https://drrachaelnd.janeapp.com/#/staff_member/2) --- title: "Gut Care Intensive Portal" entity: "store" canonical_url: "https://www.drlovink.com/store/gut-care-intensive-portal" markdown_url: "https://www.drlovink.com/llms/store/gut-care-intensive-portal" lastmod: "2026-10-19T18:24:16.731Z" --- # Gut Care Intensive Portal Type: digital ## Description The Gut Care Intensive Portal includes materials to support you on your Gut Care Roadmap journey. --- title: "Gut Feelings Workshop" entity: "store" canonical_url: "https://www.drlovink.com/store/gut-feelings-workshop" markdown_url: "https://www.drlovink.com/llms/store/gut-feelings-workshop" lastmod: "2026-07-05T03:12:30.779Z" --- # Gut Feelings Workshop Type: service Gut feelings, explained: learn what drives constipation, bloating, and slow motility in this workshop with Dr. Rachael Lovink, ND. --- title: "Morning Motility Reset" entity: "store" canonical_url: "https://www.drlovink.com/store/morning-motility-reset" markdown_url: "https://www.drlovink.com/llms/store/morning-motility-reset" lastmod: "2026-06-02T13:20:48.846Z" --- # Morning Motility Reset Type: digital Morning poops not happening? The Morning Motility Reset shows what to do each morning to support motility, ease constipation, and improve regularity. ## Description The Morning Motility Reset shows you what to do in the morning to help make your poops happen more predictably. --- title: "The Constipation Confidence Live Trainings" entity: "store" canonical_url: "https://www.drlovink.com/store/the-constipation-confidence-live-trainings" markdown_url: "https://www.drlovink.com/llms/store/the-constipation-confidence-live-trainings" lastmod: "2026-03-04T16:17:37.673Z" --- # The Constipation Confidence Live Trainings Type: service Get relief from chronic constipation with a 4-part live series. Learn the step-by-step approach for predictable, comfortable bowel movements. ## Description A 4 part live training series that teaches you exactly how to get relief from chronic constipation using the tools that actually work. You’ll learn the step by step approach I use in practice so you can finally have predictable, comfortable bowel movements without restriction, over testing, or guesswork. --- title: "The Gut Rhythm Starter Plan" entity: "store" canonical_url: "https://www.drlovink.com/store/the-gut-rhythm-starter-plan" markdown_url: "https://www.drlovink.com/llms/store/the-gut-rhythm-starter-plan" lastmod: "2026-04-22T18:39:12.020Z" --- # The Gut Rhythm Starter Plan Type: digital Get daily regularity with the Gut Rhythm Starter Plan: a self-paced guide to reduce bloating, ease constipation, and build predictable BMs. ## Description The Gut Rhythm Starter Plan™ is a self-paced, evidence-based guide that shows you exactly how to get your bowels moving daily, reduce bloating, and feel lighter—without endless supplements, restrictive diets, or guesswork. You’ll get my step-by-step 4-part framework plus four practical tools: the Constipation Laxative & Medication Cheatsheet, Gut Rhythm & Routine Daily Checklist, Fibre Roadmap Companion Guide, and Daily Fibre & Plant Diversity Tracker. Together, they give you the clarity, structure, and strategy you need to finally get—and stay—regular.