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Why “Healthy Gut Advice” Can Make Your Symptoms Worse (And What Stool Testing Reveals)

February 09, 20263 min read

If you’ve ever been told to cut entire food groups out, or go on a low FODMAP diet long term to fix your digestive issues and they're STILL there. This blog post is for you!

For many of the women I work with here in Canberra and online, gut health advice is often the first thing they try… and the thing that leaves them feeling more confused, more restricted, and sometimes worse.

Eat more fibre.
Add fermented foods.
Take probiotics.
Cut gluten.
Cut dairy.
Cut sugar.

It sounds sensible. It’s well-intentioned.
But it assumes everyone’s gut issue is the same.

I can tell you with certainty, it isn’t.

When “Good Gut Advice” Backfires

One of the most common things I see in clinic is women who are doing all the “right” things, yet still dealing with:

  • Bloating that worsens through the day

  • Constipation or loose stools or both!

  • Fatigue after meals

  • Food sensitivities that keep expanding

  • Hormonal symptoms that don’t improve

Often, the advice they’ve followed has added more stress to an already stressed system.

And this is where functional stool testing becomes invaluable.

Diagram of the digestive system showing gut bacteria, digestion and inflammation pathways related to women’s gut health symptoms

What Stool Testing Can Reveal That Generic Advice Misses

Rather than guessing, stool testing allows us to look at what’s actually happening in your gut.

Here are a few patterns I commonly see and why generic advice can be unhelpful (or harmful).

1. “Eat more fibre” - but fermentation is already an issue

Fibre is essential.
But in some guts, adding more too quickly feeds the wrong bacteria.

On stool testing, this can show up as:

  • Imbalanced gut bacteria

  • Excess fermentation

  • Gas production that contributes to bloating and pain

In these cases, more fibre isn’t the solution - the type, timing, and tolerance matter

2. Probiotics that worsen bloating and discomfort

Probiotics are often marketed as harmless.

But stool testing can reveal:

  • Bacterial overgrowth patterns

  • Poor microbial diversity

  • Situations where adding bacteria increases symptoms

This is why “just take a probiotic” can leave someone feeling worse, not better.

3. Ongoing inflammation despite “clean eating”

Some women are eating extremely well, yet still experiencing gut symptoms and fatigue.

Testing may show:

  • Markers of gut inflammation

  • Immune activation in the digestive tract

  • Poor digestion or absorption

In these cases, the issue isn’t willpower or food quality. It’s how the gut lining and immune system are responding.

4. Poor digestion, not food intolerance

Cutting foods can feel helpful initially, but over time it often leads to more restriction and fear around eating.

Stool testing can highlight:

  • Low digestive enzyme output

  • Impaired fat or protein digestion

  • Why meals feel “heavy” or leave you exhausted

Supporting digestion is very different from eliminating more foods.

Functional stool test showing gut bacteria and digestive health markers used in personalised gut health assessment for women

Why Gut Health Is Never “Just the Gut”

Gut symptoms don’t exist in isolation.

Chronic stress, hormonal shifts, burnout, and nervous system load, all common in professional women, directly affect digestion.

This is why a root-cause approach looks at:

  • Gut function

  • Stress and nervous system regulation

  • Hormonal pathways

  • Nutrient status

Not just food lists.

If You’re Tired of Guessing

If you’ve tried gut health advice and ended up:

  • More confused

  • More restricted

  • Or still symptomatic

It may be time to stop guessing and start investigating.

A functional stool test allows us to understand:

  • What’s driving your symptoms

  • What doesn’t need fixing

  • And what support will actually help your gut and your energy recover

If you’d like to talk through whether this approach is right for you, you can book a 15-minute call to discuss what’s been going on and what support might help.

Melanie Lansdown is a Clinical Nutritionist (Bachelor of Health Science, Nutritional Medicine) specialising in women’s hormone health, fatigue, and stress resilience. She helps women rebuild energy, balance hormones, and restore calm using nutrition, nervous system support, and sustainable lifestyle shifts.

Based in Canberra and working online across Australia, Melanie supports women navigating perimenopause, hypothyroidism, Hashimoto’s, gut health challenges, and burnout. Blending science with softness, her root-cause approach empowers women to feel like themselves again.

Melanie Lansdown

Melanie Lansdown is a Clinical Nutritionist (Bachelor of Health Science, Nutritional Medicine) specialising in women’s hormone health, fatigue, and stress resilience. She helps women rebuild energy, balance hormones, and restore calm using nutrition, nervous system support, and sustainable lifestyle shifts. Based in Canberra and working online across Australia, Melanie supports women navigating perimenopause, hypothyroidism, Hashimoto’s, gut health challenges, and burnout. Blending science with softness, her root-cause approach empowers women to feel like themselves again.

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