The patient: “Patrice,” a 55-year-old massage therapist.

Why she came to see me: Patrice appeared to be the epitome of health when she stepped into my office for the first time. Radiant and fit, it was clear she treated herself with tremendous care. Right off the bat, however, she told me that she’d spent the last month battling digestive distress that had ranged from mild to severe. Gas, constipation, bloating, and diarrhea had come to rule her days—so much so her symptoms determined her wardrobe while her ability to maintain her list of massage clients was starting to wane. She wanted to get to the bottom of her intestinal issues, and to address them without the use of pharmaceuticals.

How I evaluated her: I began my assessment as I always do…

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