About 80% of my IBS patients are undereating when they come to work with me. The vast majority of these patients are not deliberately under-fueling. Many have cut back due to symptoms or are skipping meals all together to prevent uncomfortable bloat. They are also often on strict diets that removed foods that were providing many of their calories. Some …
Amy Hollenkamp, MS, RD · Apr 22, 2026
Under-eating drives gut symptoms, fatigue and fog
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Many of my patients have no idea that they are under-eating, but it is driving so many symptoms that negatively effect their daily life

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