The Hidden Causes Of Your Gut Issues (It’s Not What You Think)

17 Sept 2026 · 62 min
1:01:43

In this hour‑long podcast, Ben Greenfield interviews certified nutritionist and former paramedic Josh Dech about his personal battle with severe colitis/ulcerative colitis and how he built a functional‑medicine practice that claims a 92% reversal rate for inflammatory bowel disease (IBD). The conversation moves from Dech’s accidental entry into gut health, through a critique of the dominant genetic/autoimmune narrative (twin studies, NOD2, GWAS, missing heritability), to a deep dive on environmental and lifestyle drivers – ultra‑processed foods, glyphosate, antibiotics, mold, chronic stress, trauma, and early‑life exposures. They compare prevalence in Western versus industrialized Asian nations, argue that modern diets and chemicals are the primary “smoking guns,” and outline a three‑step protocol: (1) eliminate active environmental toxins, (2) repair drainage pathways (liver, bile, lymph, skin, sinuses, kidneys, bladder), and (3) rebuild gut lining with targeted nutrients, probiotics, and, when appropriate, peptides or parasite‑cleansing regimens. The episode also covers diagnostic philosophy (history‑first, cautious use of stool/urine panels), the role of biomechanics in bowel movements, and practical maintenance tips for a “princess gut.” Throughout, Dech emphasizes a systems‑engineering mindset, caution against over‑detoxing, and the importance of terrain (soil) before transplanting healthy microbes (FMT).

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