Conventional medicine
Rule out structural disease, suppress acid, treat H. pylori if present, escalate to scope and specialist if persistent past 8 weeks.
Gut-first / holistic
Treat the gut as a system that responds to inputs: food triggers, microbiome composition, meal timing, and vagal tone. Reset before reaching for acid blockers.
History, abdominal exam, red-flag screen (weight loss, blood, dysphagia, anemia, age >55 new onset).
Log every meal, drink, supplement, symptom severity (0–10), and sleep. Identify pattern: postprandial, fasting, nocturnal, stress-linked.
Omeprazole 20–40mg daily x 8 weeks. Stool antigen or urea breath test for H. pylori; triple therapy if positive.
6-week strict elimination of fermentable carbs, then structured reintroduction. Most-validated diet for IBS-type symptoms.
Direct visualization of esophagus, stomach, duodenum. Biopsy for Barrett’s, eosinophilic esophagitis, celiac, gastritis.
30+ plant species / week. Targeted fermented foods (kefir, sauerkraut, yogurt). Optional stool / microbiome test for personalization.
For persistent symptoms: pH-impedance study, gastric emptying scan, colonoscopy if indicated. Functional dyspepsia / IBS workup.
12–14 hr overnight fast. Slow eating, no liquids with meals, post-meal walks. Vagal exercises: humming, cold face dunks, breath holds.
For refractory GERD: Nissen fundoplication, TIF, LINX device. Hiatal hernia repair if structural.
30+ plants / week. Fermented food daily. 12 hr fast. Stress regulation: breathwork, walking, sleep. Reassess every 8 weeks.
Every step has a price.
Here’s what we found.
We called clinics across Austin and pulled cash-pay quotes. Click any tile for the full provider list, phone numbers, and last-verified dates.
Who built
track B.
Consolidated from what these doctors, scientists, and podcasters publish, with edits where peer-reviewed work disagrees.
"Fiber is the most underused tool in gut health." Plant diversity over restriction. Author of Fiber Fueled.
Microbiome diversity drives metabolic + GI health. Personalized nutrition via stool + blood markers.
Vagal tone, meal timing, and circadian eating shape gut function. Cold exposure, breathwork, no late meals.
Evidence-first. Many "gut hacks" are noise; protein, fiber, and total calories do most of the work.
- AGA Clinical Practice GuidelineSpecialty body
- JAMA · PPI safety meta-analysesMeta-analysis
- Cochrane · H. pylori eradicationSystematic review
- Will Bulsiewicz MD · @theguthealthmdGI MD · 1.4M
- Tim Spector · ZOE HealthEpidemiologist · King’s College
- Monash University · FODMAPResearch protocol
- Andrew Huberman · Huberman LabStanford neuroscientist