Field Notes
The runner's gut: why your stomach betrays you at kilometre 32.
Splanchnic hypoperfusion, intestinal permeability, and the four pre-race protocols that have actual RCT support.
Field Notes · Issue 00
Twice a month. Decoding the evidence on gut health, performance, and longevity — where medicine meets muscle. By a gastroenterologist who trains like an athlete.
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[ Sample Issues ]
Every issue follows the same form: a clinical question, the literature, the guideline, and what to actually do.
Field Notes
Splanchnic hypoperfusion, intestinal permeability, and the four pre-race protocols that have actual RCT support.
Evidence Review
A close read of the Sardinian and Okinawan cohort studies — what survives translation, what doesn't.
Practice Note
Where CAG, ACG, and AGA agree, where they don't, and what I actually prescribe in clinic.
[ About this letter ]
The Gut Check is the letter I wish existed when patients asked me what to actually do — not what to buy, not what to fear, what to do. Cited primary literature. Twice a month. Free.
“If a sentence here ever sells you something, hold me to it. Email me. I’ll publish the correction.”
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