The Bile Acid Imbalance Accelerating Aging: How to Detect ​& Fix It

Have you ever struggled to understand why some patients just don’t respond as expected, even when you’re following all the usual gut protocols? In this episode, I sat down with Dr. Tom Fabian, who breaks down the latest insights from StoolOMX and GI-MAP testing and shows us how to put them into practice for our most complex cases. We dive into how identifying specific types of inflammation, bile acid patterns, and microbial imbalances can guide more precise interventions, whether it’s introducing fiber, addressing biofilms, or supporting secondary bile acid production. Dr. Fabian makes the science practical, helping us see not just what’s happening in the gut, but what to do about it in real-world clinical settings. ~DrKF FOLLOW ALONG WITH THE CONVERSATION! Curious about the StoolOMX Add-On to GI-MAP? Head to http://tinyurl.com/StoolOMX to download the StoolOMX Reference Guide to better understand results and create effective, actionable protocols Listeners, join me and Dr. Tom Fabian for a free webinar on October 23rd 2025 and get your questions answered on all things on all things bile acids, pattern recognition on functional stool testing and precision-based interventions for optimal gut health and longevity. Register here: ​​https://tinyurl.com/ydzsh6y6 Check out the show notes at www.drkarafitzgerald.com/fxmed-podcast/ for all the relevant links and resources. GUEST DETAILS Thomas Fabian, PhD, CNTP Email: [email protected] Dr. Tom Fabian, PhD, is a translational scientist focused on applying microbiome research in functional and integrative medicine. He serves as a consultant and science advisor with Diagnostic Solutions Laboratory, sits on the Science Advisory Board at Designs for Health, and is a certified Nutrition Therapy Practitioner. THANKS TO OUR SPONSOR Diagnostic Solutions Laboratory: https://tinyurl.com/2shv9jth Phone: 877-485-5336 CONNECT with DrKF Want more? Join our newsletter here: https://www.drkarafitzgerald.com/newsletter/ Or take our pop quiz and test your BioAge! https://www.drkarafitzgerald.com/bioagequiz YouTube: https://tinyurl.com/hjpc8daz Instagram: https://www.instagram.com/drkarafitzgerald/ Facebook: https://www.facebook.com/DrKaraFitzgerald/ DrKF Clinic: Patient consults with DrKF physicians including Younger You Concierge: https://tinyurl.com/yx4fjhkb Younger You book: https://tinyurl.com/mr4d9tym Better Broths and Healing Tonics book: https://tinyurl.com/3644mrfw