Julie Balsamo shares evidence-based nutrition advice focused on gut health and digestive recovery. They break down complex medical topics like PPIs and antibiotic impacts into relatable, easy-to-understand explanations. This educational approach resonates with people looking to move past normalized symptoms like constipation and acid reflux.
Registered Dietitian & Gut Health Dietitian
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![Finishing a course of antibiotics does not mean your gut has finished recovering!
Most people expect things to bounce back within a few days. But the research tells a different story.
Here is what is actually happening inside your gut after a course of antibiotics 👇🏻
• Bacterial diversity drops significantly
A single antibiotic course can eliminate entire bacterial species that took years to establish.
Some are directly responsible for butyrate production, motility regulation, and immune defense. Their absence is felt for months.
• Opportunistic bacteria move in fast
When beneficial species are depleted, bacteria and yeast that were previously kept in check by competition now have room to expand.
This shift drives the bloating, irregularity, and new food sensitivities that show up after treatment ends.
• The gut lining becomes more permeable
Beneficial bacteria play a direct role in maintaining the integrity of the intestinal barrier. When populations drop, the lining loses structural support, which is why food reactions that never existed before can appear post-antibiotic.
• S. boulardii is one of the most researched tools for recovery
Because it is a yeast rather than a bacteria, antibiotics do not affect it. It crowds out opportunistic species and supports the environment beneficial bacteria need to reestablish.
Recovery from antibiotics is a completely separate process from finishing the prescription.
Comment GUT and we will help you get back on track 🌿
[antibiotics and gut health, post-antibiotic recovery, gut microbiome disruption, S. boulardii, intestinal permeability, gut dysbiosis, root cause nutrition]
#guthealth #antibioticsandgut #gutmicrobiome #digestivehealth #rootcausenutrition](https://scontent-ord5-1.cdninstagram.com/v/t51.82787-15/810519054_18421842415145133_7602514149545595710_n.jpg?stp=dst-jpg_e35_tt6&_nc_cat=109&ccb=7-5&_nc_sid=18de74&efg=eyJlZmdfdGFnIjoiQ0xJUFMuYmVzdF9pbWFnZV91cmxnZW4uQzMifQ%3D%3D&_nc_ohc=NjWtLI3jIZIQ7kNvwGb9ykO&_nc_oc=AdoDYoJbpYeIOfZgCdiAeTkfud9z2ngezLsTAVpsqCL2B8z11dCWpI_8jR_LGXwg-Ag&_nc_zt=23&_nc_ht=scontent-ord5-1.cdninstagram.com&edm=ANo9K5cEAAAA&_nc_gid=R4m7RMBqBtQeCr_Y7-Jlsg&_nc_tpa=Q5bMBQLbc4LA7zo1PpVzMgSAKnzi4bf241B0BI1O5DxqZQjNGqEEKvtiUFminRQXfhSa6hlaFRT0a3zemg&oh=00_AQJ9cVgnTG3aTzmXTXAUNZ8crlrw9GHrx9FboPdBp9c5EA&oe=6AAE58BF)
Finishing a course of antibiotics does not mean your gut has finished recovering! Most people expect things to bounce back within a few days. But the research tells a different story. Here is what is actually happening inside your gut after a course of antibiotics 👇🏻 • Bacterial diversity drops significantly A single antibiotic course can eliminate entire bacterial species that took years to establish. Some are directly responsible for butyrate production, motility regulation, and immune defense. Their absence is felt for months. • Opportunistic bacteria move in fast When beneficial species are depleted, bacteria and yeast that were previously kept in check by competition now have room to expand. This shift drives the bloating, irregularity, and new food sensitivities that show up after treatment ends. • The gut lining becomes more permeable Beneficial bacteria play a direct role in maintaining the integrity of the intestinal barrier. When populations drop, the lining loses structural support, which is why food reactions that never existed before can appear post-antibiotic. • S. boulardii is one of the most researched tools for recovery Because it is a yeast rather than a bacteria, antibiotics do not affect it. It crowds out opportunistic species and supports the environment beneficial bacteria need to reestablish. Recovery from antibiotics is a completely separate process from finishing the prescription. Comment GUT and we will help you get back on track 🌿 [antibiotics and gut health, post-antibiotic recovery, gut microbiome disruption, S. boulardii, intestinal permeability, gut dysbiosis, root cause nutrition] #guthealth #antibioticsandgut #gutmicrobiome #digestivehealth #rootcausenutrition
![Most people are handed a PPI prescription without ever being told what it does mechanically or what else could be tried first🥲
PPIs reduce acid production. They do not address meal size, gastric emptying speed, the pressure sitting on your LES, or what happens to stomach contents the moment you lie down.
Those are the mechanics driving most reflux. And most people have never had a single conversation about them.
Medication has its place. But the mechanism matters, and you deserve the full picture before committing to something long term.
Comment COACH and we will send you info on working with our team to get to the actual root of your reflux 👇🏻
[acid reflux, PPI, LES, gastric emptying, reflux mechanics, meal timing reflux, root cause nutrition]
#refluxrelief #guthealth #GERDsupport #digestivehealth #rootcausenutrition](https://scontent-ord5-1.cdninstagram.com/v/t51.82787-15/808507461_18421683364145133_2245913609098982942_n.jpg?stp=dst-jpg_e35_tt6&_nc_cat=109&ccb=7-5&_nc_sid=18de74&efg=eyJlZmdfdGFnIjoiQ0xJUFMuYmVzdF9pbWFnZV91cmxnZW4uQzMifQ%3D%3D&_nc_ohc=AM_ElXHFRwgQ7kNvwH9_QTj&_nc_oc=Adqboz2RG5A3Fximq9j84G-FrszWfheREe6K6hN2qAxeF-ntr52XRj13vPFuvTJQFKI&_nc_zt=23&_nc_ht=scontent-ord5-1.cdninstagram.com&edm=ANo9K5cEAAAA&_nc_gid=R4m7RMBqBtQeCr_Y7-Jlsg&_nc_tpa=Q5bMBQInOxV1fNv_BeJZBVns2-wmVI9Ex5lHN_nUK-6_CmQxvdli05TRdCNOjOW7mMn7KsYVcgqWvoIUZg&oh=00_AQIjTPBQKIIjd68QddnLGTHCVruGT3FP41EhMMlY--9ncw&oe=6AAE6B51)
Most people are handed a PPI prescription without ever being told what it does mechanically or what else could be tried first🥲 PPIs reduce acid production. They do not address meal size, gastric emptying speed, the pressure sitting on your LES, or what happens to stomach contents the moment you lie down. Those are the mechanics driving most reflux. And most people have never had a single conversation about them. Medication has its place. But the mechanism matters, and you deserve the full picture before committing to something long term. Comment COACH and we will send you info on working with our team to get to the actual root of your reflux 👇🏻 [acid reflux, PPI, LES, gastric emptying, reflux mechanics, meal timing reflux, root cause nutrition] #refluxrelief #guthealth #GERDsupport #digestivehealth #rootcausenutrition
![Most people with silent reflux spend years treating the wrong thing 🫠
Allergy medication for the throat clearing.
Lozenges for the hoarseness.
Assuming the cough is just a lingering cold.
Here is what is actually happening 👇🏻
1. Pepsin is the driver most people never hear about
During a reflux episode, pepsin travels up alongside stomach contents and deposits in throat and laryngeal tissue.
Unlike the esophagus, the throat has almost no defense against it. Even tiny repeated exposures cause chronic irritation that shows up as clearing, hoarseness, and that persistent lump sensation.
2. Pepsin stays active for hours after the episode
Once deposited in throat tissue, pepsin can be reactivated by anything acidic, including food, drink, or residual stomach contents.
The irritation continues long after the reflux itself has passed.
3.Symptoms are often worse in the morning
Overnight, gravity is no longer working in your favor.
Even small amounts of backflow during sleep deposit pepsin in the throat that you feel the moment you wake up.
4. It gets missed because there is no heartburn to connect it to
Silent reflux and classic reflux share the same root mechanism.
The difference is where the damage lands, and the throat shows it first.
Comment REFLUX and we will send you our free Silent Reflux Guide 👇🏻
[silent reflux, LPR, pepsin, throat clearing, hoarseness, laryngopharyngeal reflux, digestive health]
#silentreflux #LPR #refluxrelief #guthealth #digestivehealth](https://scontent-ord5-2.cdninstagram.com/v/t51.82787-15/807949632_18421534036145133_4096498945716971245_n.jpg?stp=dst-jpg_e35_tt6&_nc_cat=103&ccb=7-5&_nc_sid=18de74&efg=eyJlZmdfdGFnIjoiQ0xJUFMuYmVzdF9pbWFnZV91cmxnZW4uQzMifQ%3D%3D&_nc_ohc=r6KAZtDQuV0Q7kNvwEPSpBd&_nc_oc=Adp0N7BeYEetqAZkcB6A_7HXiZbcWvs-8MwIdyShPI0-BP9iANhdbnQVV4aAMz4-TmY&_nc_zt=23&_nc_ht=scontent-ord5-2.cdninstagram.com&edm=ANo9K5cEAAAA&_nc_gid=R4m7RMBqBtQeCr_Y7-Jlsg&_nc_tpa=Q5bMBQK7czKrEtViywjXI3U2ZF_jOfbvCm5a3TkaUlDuMOTXNheQZ0Mrc1f8DRM6vIYHaPG13Rj6NhQ5rw&oh=00_AQK3VeMA9-uPJ8wBwuo2X4Oh4oNaJmDWLuMpR7tDkm6ssg&oe=6AAE7239)
Most people with silent reflux spend years treating the wrong thing 🫠 Allergy medication for the throat clearing. Lozenges for the hoarseness. Assuming the cough is just a lingering cold. Here is what is actually happening 👇🏻 1. Pepsin is the driver most people never hear about During a reflux episode, pepsin travels up alongside stomach contents and deposits in throat and laryngeal tissue. Unlike the esophagus, the throat has almost no defense against it. Even tiny repeated exposures cause chronic irritation that shows up as clearing, hoarseness, and that persistent lump sensation. 2. Pepsin stays active for hours after the episode Once deposited in throat tissue, pepsin can be reactivated by anything acidic, including food, drink, or residual stomach contents. The irritation continues long after the reflux itself has passed. 3.Symptoms are often worse in the morning Overnight, gravity is no longer working in your favor. Even small amounts of backflow during sleep deposit pepsin in the throat that you feel the moment you wake up. 4. It gets missed because there is no heartburn to connect it to Silent reflux and classic reflux share the same root mechanism. The difference is where the damage lands, and the throat shows it first. Comment REFLUX and we will send you our free Silent Reflux Guide 👇🏻 [silent reflux, LPR, pepsin, throat clearing, hoarseness, laryngopharyngeal reflux, digestive health] #silentreflux #LPR #refluxrelief #guthealth #digestivehealth

Whoooops 😅😂 Cruciferous veggies likkeee broccoli, cauliflower, Brussels sprouts and cabbage are loaded with fiber & sulfur compounds that your gut bacteria absolutely FEAST on, and that fermentation party is what leaves you puffy hours later😭 If this is you, try… ➡️Cooking them until they’re properly soft ➡️Sticking with smaller portions until you find your “tolerance” levels ➡️Actually chewing your food ➡️Swapping for easier to digest options like zucchini, green beans or carrots And follow @nutritionbyjulie for real answers about your gut instead of another Google spiral😉 Love you guys🫶🏼

I don’t know how everyone else has been feeling, but personally I feel like now is truly the time to l start reading the labels and actually understand where your food is actually coming from😅 Follow along ➡️ @nutritionbyjulie

Okay mom’s - what’s your secret because ya’ll make exercising look easy on here 😂😅