In this episode of the Histamine Well Podcast, Joanne is joined by Naturopath Mariela Gebhardt from Austria to discuss a fascinating and complex case. Initially thought to be related to SIBO, Mariela shares how, despite seeing early improvement in her patient's gut health, she remained in a heightened anxious state and developed an unusual symptom: toe pain.

Mariela identified this as an oxalate issue, which was later confirmed through Organic Acids testing. This discovery prompted Mariela to inquire further about mould exposure, which quickly became clear as a significant factor.

Mariela humbly acknowledges that the mould and oxalate issue should have been identified during the initial consultation, but, due to her lack of training in this area at the time, it wasn’t immediately apparent. However, after mentoring with Joanne and her colleague Melanie Peers, her perspective shifted, and she now approaches these cases with greater insight.

This episode is a must-listen for anyone dealing with chronic histamine issues, as well as practitioners and students interested in more complex cases.

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