Dr. Robert Whitfield discusses managing gut health in patients with breast implant illness (BII), emphasizing the gut–brain axis and microbiome. He considers short-term, patient-specific interventions (e.g., lemon water) and connects gastrointestinal complaints to hormonal issues in premenopausal women (PCOS, endometriosis, heavy bleeding) and resulting anemia/fatigue.
I have a lot of patients who have breast implant illness who have trouble with their guts and everybody's probably heard about the gut brain axis and how important your microbiome is. So when I have somebody who is communicating with us that they're having trouble, what I try to figure out is there a short term solution to the problem based on what they're telling me? So lemon water has been touted for a period of time to really help and eliminate we'll say bad bacteria. So the, the next steps, it may not make sense but I'll try to help you with it. So the woman who's still pre menopausal who has a cycle, who may experience problems with their cycle, they may have a lot of pain, they may have a lot of bleeding, they may have pcos, they may have endometriosis. That means they usually have a lot of elevated estrogen levels in particular estrogen. So that's one bucket. So anemia is difficult because you're obviously going to be more tired.
