Measuring Bile Acids and Short Chain Fatty Acids with Dr. Tom Fabian: Rational Wellness Podcast 421
Update: 2025-07-30
Description
View the Show Notes For This Episode
Dr. Tom Fabian discusses Measuring Bile Acids and Short Chain Fatty Acids with Dr. Ben Weitz.
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Podcast Highlights
In this episode of the Rational Wellness Podcast, host Dr. Ben Weitz interviews Dr. Tom Fabian, an expert in microbiome science and a clinical education specialist at Diagnostic Solutions Lab. They discuss the new Stool Omics test—an advanced quantitative analysis of bile acids and short-chain fatty acids used in conjunction with the GI Map stool test. The discussion covers the clinical need for this test, the differences between commensals, opportunists, and pathogens, and how bile acids and fiber can impact gut health, motility, and inflammation. The episode also touches on dietary interventions, including fiber and polyphenols, and highlights the complexities of treating conditions like IBS and inflammatory bowel disease.
00:30 Meet Dr. Tom Fabian: Expert in Microbiome Science
00:54 Understanding the Stool Omics Test
01:21 The Importance of Discussing Gut Health
01:45 Clinical Need for the Stool Omics Test
03:05 Explaining Key Microbial Terms
04:40 Bile Acid Metabolism and Gut Health
07:35 Inflammation and Gut Health
11:10 Bile Acid Malabsorption and Its Effects
11:37 Biofilm and Bile Acid Malabsorption
13:08 Impact of Gallbladder Removal on Bile Regulation
14:51 Addressing SIBO and Dysbiosis
16:05 Role of Dietary Fiber in Gut Health
18:47 Introducing the Apollo Wearable
20:18 Different Forms of Fiber and Their Effects
21:21 Significance of LCA to DCA Ratio
25:13 Strategies for Managing Excess Bile
25:44 Understanding Bile Acid Malabsorption
27:20 The Role of Bile Acids in Gut Health
31:22 Exploring Short Chain Fatty Acids
33:20 Interpreting Stool Test Results
41:53 Balancing Fiber and Protein Intake
47:36 Case Studies and Practical Applications
49:30 Conclusion and Resources
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Dr. Tom Fabian is a Functional Medicine trained PhD, who serves as a clinical education specialist at Diagnostic Solutions Laboratory, which now offers the StoolOMX add on test to their GI Map stool test.
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