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Step inside the gut and see what really drives inflammation. In this episode of the New Frontiers podcast, I’m joined by microbiome scientist Dr. Tom Fabian from Diagnostic Solutions Laboratory. Together, we explore how the gut environment contributes to dysbiosis, link butyrate to oxygen control in the colon, decode bile acids, and turn immunometabolism into clear clinical takeaways. Real science. Actionable insights. Clinic ready. What you’ll learn: Dysbiosis and inflammation, defined in today’s language How shifts in the gut environment reset the microbiome Immunometabolism in practice and why metabolic reprogramming matters Butyrate for oxygen balance and epithelial fuel Primary vs secondary bile acids and the patterns that show up on testing When fiber helps and when it can backfire Ileal biofilms and targeted ways to disrupt them Mapping Type 1, Type 2, and Type 3 patterns to specific interventions FOLLOW ALONG WITH THE CONVERSATION! Curious about the new StoolOMX Add-On to GI-MAP? Head to http://tinyurl.com/StoolOMX to download the StoolOMX Reference Guide to better understand results and create effective, actionable protocols. Listeners, join me and Dr. Tom Fabian for a free webinar on October 23rd 2025 and get your questions answered on all things on all things bile acids, pattern recognition on functional stool testing and precision-based interventions for optimal gut health and longevity. Register here: https://drkarafitzgerald.zoom.us/webi... Check out the show notes at https://www.drkarafitzgerald.com/fxme... for the full list of links and resources. GUEST DETAILS Thomas Fabian, PhD, CNTP Email: [email protected] Dr. Tom Fabian, PhD, is a translational scientist focused on applying microbiome research in functional and integrative medicine. He serves as a consultant and science advisor with Diagnostic Solutions Laboratory, sits on the Science Advisory Board at Designs for Health, and is a certified Nutrition Therapy Practitioner. THANKS TO OUR SPONSOR Diagnostic Solutions Laboratory: https://tinyurl.com/2shv9jth Phone: 877-485-5336 CONNECT with DrKF Want more? Join our newsletter here: https://www.drkarafitzgerald.com/news... Or take our pop quiz and test your BioAge! https://www.drkarafitzgerald.com/bioa... Instagram: / drkarafitzgerald Facebook: / drkarafitzgerald DrKF Clinic: Patient consults with DrKF physicians including Younger You Concierge: https://tinyurl.com/yx4fjhkb Younger You book: https://tinyurl.com/mr4d9tym Better Broths and Healing Tonics book: https://tinyurl.com/3644mrfw