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Gut health advice keeps assuming a life my patients do not have.

17 years, NHS Adult and paediatric Alder Hey Children's Hospital
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Not another wellness script

Most gut health content follows the same script: eat this, avoid that, buy the supplement. It assumes a kitchen, a schedule and a body that all behave themselves.

Seventeen years inside the NHS taught me something different. I have sat with a family whose child was withholding stool because there was no private toilet at home. I have watched patients with entirely normal test results carry symptoms that were entirely real. The clinical advice was correct. It was often pointed at the wrong target.

So I write from a different starting point: gut health is not purely a personal failing to fix with better habits. It is shaped by housing, poverty, sleep, stress and the ordinary chaos of real life. My work argues for normalcy and for equity, treating a tired, busy, imperfect life as valid ground for good clinical care, not an excuse for why the advice did not work.

In practice, that means writing in more than one register: peer level argument for a clinical or policy audience, plain English science for a general reader who still deserves to be respected, and the honest, funny, real life voice behind Your Gut Friend. Different rooms, same expertise underneath.

Your Gut Friend illustration: a woman holding a glass of wine, surrounded by a dog, a cat, a shopping bag and sticky notes reading 'doing my best here', with the tagline real life, real guts, real support.
Live now, new posts every other Sunday

Your Gut Friend

Real life. Real guts. Real support.

Your Gut Friend is the informal, honest cousin to my clinical writing. It exists because knowing what to do for your gut and actually doing it are two very different things when you are also managing a full time job, two kids, a dog, a cat and a possible perimenopause you have not quite named yet.

Every fortnight, a post pairs a cartoon with a short piece of real talk: no carousels and no seven step protocols, just what gut health actually looks like in an ordinary week. Free to read, with paid posts arriving later for anyone who wants to go deeper.

Follow Your Gut Friend on Substack

Background

HCPC registered Clinical Scientist Alder Hey Children's Hospital 17 years NHS gut physiology Adult and paediatric specialist Rumination syndrome Complex bowel management BSPGHAN Motility Working Group NHS England module author Simply Gut Health founder Highly commended, UK Small Business Awards 2025

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