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EPISODE · Aug 21, 2026 · 16 MIN

Your leaky gut tests aren't fixing you

from The Podcast by KevinMD

A teacher came in for migraines and weight loss with a stack of leaky gut test results and a diagnosis that never fixed her. Shiv K. Goel is a board-certified internal medicine and functional medicine physician who argues that leaky gut is not a diagnosis but a physiological response, and that the upstream driver is often chronic stress and a dysregulated cortisol rhythm. This episode is based on his article "Why your leaky gut tests aren't fixing your symptoms," published on KevinMD. You will hear why a normal scope and an IBS label can still leave a patient uncured, why no single permeability test is reliable on its own, and why objective results still matter because they drive patient adherence. He explains why he reaches for sleep, stress reduction, and targeted support over a generic supplement stack, and why you should neither dismiss patients with normal labs nor over-order unvalidated panels. Press play to hear why the fix starts with the story behind the symptoms, not the next panel. Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast

Episode metadata supplied by the publisher feed · Published Aug 21, 2026

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Your leaky gut tests aren't fixing you

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