In this conversational interview, Speaker A asks Dr. Rajshree about the two immediate interventions she recommends to patients with any gut issue. Dr. Rajshree explains that she first focuses on improving gut motility (the "irrigation system") by ensuring a complete daily bowel movement. She prescribes nighttime magnesium (citrate, glycinate, or malate) at 250‑500 mg and a natural prokinetic supplement containing ginger and artichoke to stimulate cleaning waves in the small intestine while sleeping. The second intervention targets the "pollinators" – the digestive breakdown process – by recommending high‑potency digestive enzymes taken with meals (or, if supplements are unavailable, acidic aids such as water with lemon juice or a splash of apple cider vinegar). She notes that more than 50 % of patients report significant improvement within a month, even before test results return, experiencing less bloating and the ability to tolerate foods that previously caused discomfort.
Chapters
So if you have any gut issue and I were to come to your office, Dr. Rajshree, you would tell me, start doing these 2 things immediately because these 2 things, no matter what you're dealing with, are going to help your overall gut health?
Absolutely.
What are they?
What I do with my patients when I see them, most of the time, I have them work on that irrigation system, the motility, and the pollinators breaking down their food, starting at that initial consult. Even while we're waiting for testing to come back. And for more than 50% of people, that's going to help them tremendously. Okay, so to promote motility, usually we want to make sure your bowels are 100% and complete every day.
What does that mean?
So many of us, we have some, some form of constipation. So we got to get the bowels emptying perfectly. So I'll put patients on magnesium at bedtime.
Which kind?
Magnesium citrate. Glycinate and malate. So usually we start at around 250 milligrams.
Okay.
Up to 500 milligrams. So that's the first thing, but we also use something called a prokinetic. Prokinetic is not a laxative, but it's something that activates those cleaning waves in the gut. Natural prokinetic is ginger.
Oh.
So we use a supplement, but it's essentially a patented formula of ginger and artichoke. And you take that along with the magnesium at bedtime. And what it's going to do is it's going to clean up your small intestine while you're sleeping. And you take that consistently, and that's going to help that first system of the gut garden, that motility, that irrigation system. And that's huge.
Okay, so that's number one.
The second thing is I enhance their pollinators.
Okay.
So I give them digestive enzyme support.
And what does that mean?
So I have them take high-potency digestive enzymes. Either before or after their meals, and they can try it both ways and see what works for them. But what that does is it helps break down the food better.
Huh.
So it breaks down proteins, fats, and carbohydrates. So guess what? You don't get bloated. You might be able to eat foods that normally would upset you. Like, I have some patients who can't eat Brussels sprouts, but if they take their digestive enzymes, they can, because it breaks down the food better.
Is there an example of, like, a food That acts as a digestive enzyme?
Absolutely. So if you don't have access to these supplements, you can at least have water with lemon juice.
Oh, okay.
Or a little bit of apple cider vinegar. The acidity will help you break down the food better.
So just those 2 recommendations. You take magnesium before bed, and then you try some digestive enzymes with your meals. That's going to help a lot of your patients just out of the gate, to feel a little bit better?
Basically, when I see patients at their second appointment, they've already started this. They've been doing it for maybe a month. We now have all their test results back, but they tell me they're over 50% better.
