Gutgalz

Gutgalz Gastroenterology Nurse Practitioner who specializes in motility and hereditary GI cancer.

Featured on NPR "Science Friday", King 5 New day Northwest, Seattle Times

08/26/2026

Pyloric Botox isn’t the gastroparesis treatment that everyone may make it sound like.

The theory makes sense.

The problem is what happens when we test that theory in controlled trials. Unfortunately the data just isn’t there.

And this is an important reminder that “it improved my gastric emptying” and “it improved my gastroparesis” are not necessarily the same thing. This isn’t to say that some haven’t found it helpful!

The pylorus is still an important area of research. We just don’t yet have a reliable way to identify every patient who might benefit.

08/19/2026

5 things I want my gastroparesis patients to know as a GI NP

Gastroparesis doesn’t look the same for everyone and treatment shouldn’t either.

From medication safety to nutrition, we have to treat the patient, not just the gastric emptying result.
And one of the most important things to remember: you can be malnourished at any body size. Weight alone doesn’t tell us whether you’re meeting your nutritional needs.

What do you wish more people understood about gastroparesis?

08/14/2026

Delayed gastric emptying is part of the diagnosis, but symptoms can also be influenced by antral contractions, pyloric function, gastric accommodation, and visceral sensitivity.

That’s why two people with similar gastric emptying results can experience very different symptoms.

The test matters to confirm that it is there, but the number doesn’t tell the whole story.

08/12/2026

That’s actually where the evaluation starts…not where it ends.

As a GI NP, before jumping straight to a gastric emptying study, I want to understand:
-What symptoms are you having?
-When do they occur in relation to eating?
-Are you actually vomiting?
-Are you losing weight or struggling with nutrition?
-What medications are you taking?
-Do you have diabetes?
-Have you had prior abdominal surgery?
-Could another condition be causing similar symptoms?
-Has mechanical obstruction been excluded?

Medications deserve particular attention because opioids, anticholinergic medications, cannabis, and GLP-1 receptor agonists can delay gastric emptying and/or cause symptoms that overlap with gastroparesis.

Once other causes have been considered, objective testing is an important part of establishing the diagnosis.

The point: I’m not trying to talk you out of your diagnosis. I’m trying to make sure we’re treating the right diagnosis.

Because “nausea + bloating + feeling full quickly” can have more than one explanation.

I recently had the chance to co-author A Framework for Ethical and Legal Social Media Use Among Gastroenterologists in G...
08/05/2026

I recently had the chance to co-author A Framework for Ethical and Legal Social Media Use Among Gastroenterologists in GI & Hepatology News.

Social media has become such an important way to educate patients, but it also comes with a lot of responsibility. We put together a practical framework to help healthcare professionals navigate things like HIPAA, sponsorship disclosures, evidence, and professional boundaries while creating content online.

I’m incredibly thankful to my co-authors for letting me be part of this project. It’s been a fun reminder that social media and academic medicine don’t have to be separate worlds, they can actually make each other better.

Thanks to everyone who’s followed along over the years. You all are a big part of why I keep showing up and making GI education accessible. 💙

🔗https://news.gastro.org/issues/2026/august-2026/a-framework-for-ethical-and-legal-social-media-use-among-gastroenterologists/

When the week ahead intimidates me, I like to start things out by eating the rainbow. Here’s a quick, easy way to reset!...
08/03/2026

When the week ahead intimidates me, I like to start things out by eating the rainbow. Here’s a quick, easy way to reset! 🌈✨

Here is the breakdown:
The Veggies: I roasted red cabbage, zucchini, tomatoes, and yellow peppers using B R I G H T L A N D extra virgin olive oil and The Spice House Lake Shore Drive shallot & herb seasoning (courtesy of one of the best gift givers I know 😘).
The Base: Made a batch of Israeli couscous.
The Secret Sauce: Took some of the roasted veggies (zucchini, tomatoes, and peppers) and blended them with lentils and cottage cheese to create a creamy, protein-packed sauce.
The Finish: Tossed the warm couscous and blended veggie-cottage cheese sauce together, then topped it all off with fresh basil, and Parmesan for the ultimate cozy, warm pasta salad.

How do you tackle an intimidating week? 💛

08/01/2026

If you’re constantly bloated, dealing with stomach pain, or struggling with constipation… this is your reminder: you don’t have to just “live with it.”

I’m a GI nurse practitioner who likes to break down what’s normal, what’s not, and what you can actually do about it.

Follow for evidence-based gut health education without the nonsense. 💙

Juice cleanses promise a gut reset…but here’s what they’re actually removing.When you juice a fruit or vegetable, you ta...
07/27/2026

Juice cleanses promise a gut reset…but here’s what they’re actually removing.

When you juice a fruit or vegetable, you take out liquid and leave most of the fiber behind in the pulp. That fiber is doing a lot of the work you’re actually after (feeding your gut bacteria, keeping you full, and helping regulate blood sugar).

To be clear, juicing can be fine in moderation. It’s just not the “gut reset” that some may claim. There’s no evidence that juice cleanses flush out toxins or reset anything. In fact, your kidneys and liver do that continuously, no matter what you’re eating or drinking.

Eating the fruit whole is the best but blending can be a close second. It’s always best to discuss with your provider if you’re having any concerns.

And as always, trust your gut.

07/24/2026

Ever feel like you’re about to pass out on the toilet? 🚽 You’re not alone! It’s called defecation syncope, and can be very common.

Severe cramps, gas, or straining can trigger your vagus nerve, causing your blood pressure and heart rate to drop suddenly.

07/15/2026

You can’t see, smell, or taste Cyclospora is a parasite that can contaminate fresh produce and cause prolonged watery diarrhea.

A few ways to lower your risk:
-Wash fresh produce thoroughly under running water before eating
-Keep produce refrigerated and avoid cross-contamination with raw foods
-Wash your hands before preparing food and after handling unwashed produce
-Pay attention to food recalls and outbreak updates
-If you are immunocompromised or at higher risk for complications, consider discussing whether cooked produce is a better option during outbreaks

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