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Many people suffer from either IBS, diarrhea, acid reflux, constipation, abdominal pain, leaky gut, SIBO, bloating and gas, and so on. In this video, Dr. Kharrazian explains the number-one rule he follows when working with any gut health patient: Start at the top and work your way down. If you are trying to improve your microbiome but your gallbladder is congested, you likely won't be successful. If you have IBS symptoms but you're not addressing low stomach hydrochloric acid, or if you are constipated and your brain is dysfunctional due to a head injury, neuroinflammation, or degeneration, again, your success will be limited. Chapters 0:00 Introduction 0:58 How our physiology works 3:04 Key concepts of a leaky gut 3:58 Production of saliva when you smell food 7:00 Inability to swallow 9:19 Symptoms 10:11 Key issues; production of hydrochloric acid 13:01 fats causing gallbladder sludge 15:17 Single most overlooked gut issues 16:13 Review 20:13 What to do in order to have a healthy microbiome 23:21 Summary 26:00 Cranial nerves and what they affect 27:55 Q&A session