Evidence-based guides to gut and liver health, written the way I’d explain them in clinic — no jargon, no scare tactics. Five minutes a read.
“I only drink a few times a week – so why am I always so tired?” Alcohol’s short-term effects fade by morning, but the long-term damage builds quietly over years…
Read ↗I’m Dr. Kash Gupta, and some conversations stay with me. Memory loss after years of heavy drinking isn’t always permanent – with early help, the brain can often recover…
Read ↗A glass or two of wine with dinner feels harmless. But I regularly see patients whose bloating and night-time heartburn ease once they cut alcohol for a few weeks…
Read ↗“Doc, it’s just a few drinks.” I hear it in clinic all the time. But the effects of alcohol on the body go well beyond the liver — your brain, heart, gut and bones all feel it too…
Read ↗Last winter, a mother rang me at midnight. Her son, nineteen, had come home from a party and gone straight to bed. She couldn’t wake him properly. I told her to call an ambulance…
Read ↗I’m Dr. Kash Gupta, and this is the question I hear most from expecting mums. “Can I have just one glass?” I get why you ask. Here’s my honest answer on pregnant women and alcohol: skip it…
Read ↗A patient walked into my clinic last month holding a printed lab report, hands slightly shaking. “It says liver fibrosis.” That was it. No pain, no yellow skin, nothing dramatic. She looked…
Read ↗I had a patient a few months back – late forties, active, no complaints beyond “just tired.” By the time he came to see me, his liver was already in trouble. That’s the thing about liver disease. It doesn’t…
Read ↗“Just tell me what to eat.” I hear some version of that almost every week, usually from someone who’s already spent hours down a rabbit hole of contradictory advice. So if you’ve typed best diet for…
Read ↗I had a patient a while back – mid-thirties, ran her own business, hadn’t eaten out with friends in months because she never knew when her stomach would turn on her. She’d already tried three…
Read ↗Last Tuesday, a patient in their mid-thirties, who runs marketing for some startup, hasn’t had a “normal” week in months, sat down and said, “I think I need one of those food intolerance tests…
Read ↗I lost count years ago of how many patients have come into my clinic gripping their chest, certain they’re having a heart attack, when really it’s just acid reflux acting up. It’s more common than…
Read ↗I had a patient last week – mid-forties, otherwise fit, ate reasonably well – who told me she’d been living on antacids for two years. Not occasionally. Daily. She’d never actually looked into…
Read ↗A patient sat across from me last week, halfway through describing her third bottle of antacids this month, and just stopped. “Is there actually a way to fix this for good?” she asked. Not manage it.…
Read ↗I’ve lost count of how many times I’ve pulled up a scan and seen the liver of an alcoholic staring back at me, while the person sitting across from me insists they feel totally fine. That gap …
Read ↗I had a patient last month – early forties, fit, ran marathons – who told me he “barely drinks.” Turned out it was wine most evenings, nothing wild, just… consistent. His scan showed early scarring.…
Read ↗Almost every week, someone sits across from me in clinic and says, “But I feel fine.” And that’s the strange thing about this condition. By the time it’s picked up, the signs of fatty liver have…
Read ↗Last month, a patient sat across from me, scan report in hand, and asked something I get asked all the time: “Doc, is this the same as what my sister has? She said hers was MASH, mine says MASLD.”…
Read ↗As a hepatologist, I get this question in clinic almost every week now. Patients see “MASLD” on a new report and panic, thinking it’s a brand-new disease. It isn’t. MASLD vs NAFLD is really a story…
Read ↗“So what should I actually eat?” That’s usually the first thing patients ask me once they hear the words fatty liver. And it’s a fair question. A fatty liver diet isn’t about starving yourself or…
Read ↗I see fatty liver in the clinic almost every week. And there’s one thing that keeps striking me. Most people never notice fatty liver symptoms until the disease has already been progressing quietly…
Read ↗I get asked about food sensitivity testing almost every week in clinic, and honestly, it’s usually the same scene. Someone walks in holding a printout from an online kit, a long list of “reactive”…
Read ↗If you have been told you have IBS but nothing ever really fixes it, you are not alone. I hear this in clinic almost every week. Patients come in tired and frustrated. They have tried every diet, cut…
Read ↗A patient asked me something last month that stuck with me: “Doc, why does my sugar keep climbing when I’m not even eating that badly?” We ran a few extra tests. Turned out her liver was the real…
Read ↗A patient sat across from me last month, staring at her blood test results, completely confused. “My liver enzymes are up, but I barely drink,” she said. I hear some version of this almost every week…
Read ↗A patient walked into my clinic a few weeks ago holding a printout, looking genuinely worried. Twenty foods flagged as “reactive.” Eggs, wheat, dairy, even coffee. She’d already cut half of them out…
Read ↗“Doctor, do I have IBS, or is this something more serious like IBD?”
Read ↗“Doc, which fatty liver supplements should I actually be taking?” I probably hear some version of this question three or four times a week. Fair enough, honestly. Walk into any pharmacy, and there’s…
Read ↗I still remember the first patient I diagnosed with fatty liver. This was back when I was training in Oxford. She wasn’t overweight; she was fit, and she had absolutely no idea anything was wrong…
Read ↗One patient told me she felt she was simply “getting older. She was tired all the time, with a slight ache in her ribcage that had become unnoticeable, and a weight that she couldn’t seem to move, no…
Read ↗“Am I going to die younger because of this?” That’s usually the real question hiding behind a fatty liver diagnosis, even when patients ask it more politely. I hear it almost every week in clinic…
Read ↗“ Can alcohol cause diarrhea ?” I get this question a lot in clinic, more than you’d think. Patients often ask it almost apologetically, like it’s a strange thing to bring up. It isn’t. It’s one of…
Read ↗I get this question in clinic more than almost any other: “Doc, which digestive health supplements should I actually be taking?” And honestly, my answer usually disappoints people a little, because…
Read ↗As a gastroenterologist, I hear the same question almost every week in clinic: “Why does my stomach feel off all the time, and how do I actually find out what’s wrong?” My honest answer is usually…
Read ↗Have you ever wondered what your gut is trying to tell you?
Read ↗Honestly, this topic comes up almost every single week in my practice. Someone gets a report, sees the words “fatty liver” on it, and completely panics. Then they spend three hours on Google and come…
Read ↗One practical, evidence-based insight on gut and liver health — every Sunday, from Dr. Kash Gupta. No fads, no fear, no inbox clutter.