EPISODE · Jul 31, 2026 · 36 MIN
Episode 80: Why IBS and IBD Make You So Tired: 6 Root Causes of Chronic Fatigue
from Resolve IBS and IBD Naturally · host Courtney Cowie NTP, FDN-P
Send us Fan MailIf you have IBS-D, IBD, or chronic gut issues and you're exhausted all the time — needing naps to get through the day, relying on caffeine to function, waking up tired no matter how much you sleep — your fatigue isn't a separate problem. It's coming from your gut. In this episode, I break down the six root causes of chronic fatigue in IBS and IBD, why eating a healthy diet isn't enough when your digestive system is compromised, and where to look for answers when "everything looks normal" on your labs.During my own IBS-D struggle, the fatigue was so profound I sometimes had to lie down midday just to function. Here's what I've learned — personally and in my functional nutrition practice — about why this happens and how to get your energy back.What you'll learn in this episode:Why a healthy diet can't fix your energy when digestion is broken: the "high-quality gas in a broken engine" problemRoot cause #1 — Impaired digestion: how low stomach acid, weak enzyme production, and poor bile quality drain your energy (and how a GI Map stool test reveals it)Root cause #2 — Malabsorption and leaky gut: why nutrients are "going right through you" and how small intestine damage activates the immune systemRoot cause #3 — Chronic inflammation: the hidden energy thief connecting your gut to high blood pressure, high cholesterol, blood sugar issues, and autoimmune conditionsRoot cause #4 — Blood sugar instability: why energy crashes after meals trace back to gut dysfunctionRoot cause #5 — The chronic stress response and stored trauma: how living with unpredictable gut symptoms keeps your nervous system locked in survival mode — and why that consumes enormous energyRoot cause #6 — Toxic burden and poor detox capacity: mycotoxins, chemical toxins, microplastics, and the Total Tox Burden testWhy hidden gut infections silently drain energy in the background — and how specialized testing uncovers what conventional GI workups missIf you're exhausted, brain-fogged, and feel like food is "going right through you" — and your doctor says everything looks fine — there's a root cause your labs haven't found yet.Link to my free training “The Root Cause Approach to Gut Healing”—my step-by-step framework to stop guessing and start healingLink to a free 30 minute Gut Check CallLink to my websiteDisclaimer: None of the content discussed is meant to be taken as medical advice. All information presented is for educational purposes only and listeners and viewers assume all responsibility around implementing any changes to their health and medical regimen.
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Send us Fan Mail If you have IBS-D, IBD, or chronic gut issues and you're exhausted all the time — needing naps to get through the day, relying on caffeine to function, waking up tired no matter how much you sleep — your fatigue isn't a separate problem. It's coming from your gut. In this episode, I break down the six root causes of chronic fatigue in IBS and IBD, why eating a healthy diet isn't enough when your digestive system is compromised, and where to look for answers when "everything l...
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Episode 80: Why IBS and IBD Make You So Tired: 6 Root Causes of Chronic Fatigue
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