The patient: “Clara,” a 39-year-old mother of two.

Why she came to see me: Clara came into my office complaining of intestinal distress, primarily in the form of excessive gas production and alternating constipation and diarrhea.

How I evaluated her: Clara and I began our work together by covering her personal and medical history. “Hardly a fanatic” about her health, as she put it, she nonetheless strived to take care of herself by refraining from alcohol and taking Spin classes four times a week. As the mother of two young children, her time away from work was spent chasing after her daughter and son, who she “never had a problem keeping up with.”… Read on…

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