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Body Aligned™ collective

Naturopathic Doctor located in Santa Monica and Venice California

Telehealth options are available
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Every week I share snippets of my conversations with patients, students, friends, things that I’ve read, heard, learned, reflected on and more. All with the intention of encouraging you to think critically, inspiring you and giving you practical tools to improve your health and hopefully as a byproduct, your life. 

Why Stress and Anxiety Can Cause Bloating

May 07, 2026

One of the most common complaints I hear from patients is feeling bloated, that is sometimes accompanied by pain, pressure, heaviness, or the sensation that food is just sitting in their stomach. Naturally, many people want to know which foods they should or should not eat to help with their symptoms — and there is absolutely nothing wrong with asking those questions.

What you eat most certainly impacts your gut health. However, food is not always the entire story!

Sometimes people are eating all the “right” foods and still feeling bloated, uncomfortable, or off. If that sounds familiar to you, you are not alone. And this is where I want to focus today.

The Connection Between Stress, Anxiety, and Bloating

Stress and anxiety can absolutely affect digestion.

In fact, many people notice that their bloating becomes worse during and after stressful periods with work, relationships, or anything else that makes them feel anxious and constantly “on.” Even without changing their diet, their digestion suddenly feels different.

This is because the health of your gut and the health of your nervous system are deeply connected.

And I want to say this clearly: this is not meant to stress you out even more. Quite the opposite. Understanding why your body responds this way can actually be empowering, because once you understand how your body functions, you can begin to support it.

Your Nervous System Impacts Digestion

When you are chronically stressed or anxious, your body shifts into a more heightened state of alertness (or hypervigilance). For many people, one of the systems most affected by this is the gastrointestinal system.

You have a nervous system outside of your gut (your central nervous system) and a nervous system inside of your gut (your enteric nervous system). These two systems are constantly communicating with one another through what is often called the gut-brain axis.

One of the major communication pathways involved in this process is the vagus nerve.

The vagus nerve plays a very important role in your parasympathetic nervous system — also known as your “rest and digest” state. This is the state in which the body is able to properly digest food, absorb nutrients, and support healthy gut function.

When the nervous system is dysregulated or stuck in a chronic stress response, digestion can become impaired. Stress can affect stomach acid and digestive enzyme production, gut motility, and even how sensitive the digestive tract feels.

This is one reason why some people experience bloating, pressure, nausea, constipation, loose stools, or the sensation that food is just sitting in their stomach when they are anxious or overwhelmed.

Stress Also Affects the Gut Microbiome

Stress hormones such as cortisol also influence the gut microbiome — the community of bacteria and microorganisms living inside your digestive tract.

A healthy gut microbiome plays an important role in your:

  • digestion
  • nutrient absorption
  • immune function
  • inflammation regulation
  • hormone metabolism and elimination
  • and even mood regulation

Over time, chronic stress and elevated cortisol levels can contribute to imbalances within the gut environment, which may further contribute to bloating, digestive discomfort, fatigue, and feeling emotionally dysregulated.

Of course, persistent or intense digestive symptoms should always be properly evaluated. But for many people, the nervous system is a very important, and often overlooked, piece of the puzzle.

There Is Good News

The good news is that there are supportive, effective, and realistic ways to help both the nervous system and digestion.

And no, it does not always require being on a dozen supplements, running countless specialty tests, or following extremely restrictive diets. While supplements and testing can absolutely have their place, they are only one part of the picture.

Sometimes the most powerful shifts begin with supporting your body in simpler and more foundational ways.

In my next blog, I’ll be sharing practical strategies you can begin using at home to support both your nervous system and digestion naturally. These include simple habits around breathing, meal pacing, chewing, stress regulation, and creating more separation between work mode and rest mode.

Because when the body feels safer, digestion often functions better too!

If you’ve been struggling with bloating, digestive discomfort, or stress-related gut symptoms and are looking for a more holistic and personalized approach, feel free to reach out. I’d be happy to support you.

If coffee is your first “meal”... then read this!

Dec 22, 2025

If you’re a woman — especially in your perimenopausal or menopausal years — and your mornings begin with coffee alone until midday, it may be time to gently reconsider this routine.

Yes, your body may be changing, but skipping food isn’t the solution. In fact, it can quietly work against you.

When you consume caffeine on an empty stomach, it can:

  • Disrupt your circadian rhythm (your internal clock)
  • Interfere with sleep and recovery
  • Drive up stress hormones like cortisol
  • Contribute to muscle loss and increased fat storage (often in unwanted areas)

And this isn’t just about perimenopause or menopause, it applies to women (and men) at any stage of life.

Your body needs consistent, real fuel to carry out its vital daily functions.

If you’re dealing with fatigue, anxiety, midday crashes, hormonal shifts or restless sleep, here are a few supportive changes you can start implementing right away:

Meal Timing

  • Eat within 30–90 minutes of waking
  • Avoid skipping meals (this is especially important for women)
  • Front-load calories earlier in the day
  • Don’t go long stretches without food
  • Add balanced snacks if you’re prone to energy dips

Caffeine & Food

  • Avoid caffeine on an empty stomach (morning or mid-day)
  • Enjoy coffee after a full meal rather than a light snack
  • Try not to use coffee to suppress your appetite (your hormones will thank you)

About Black Coffee

  • Black coffee on its own, especially first thing in the morning, can spike your cortisol at a time when it’s already naturally high.
  • If you’re sensitive to blood sugar drops, anxiety or jitters, this can amplify those symptoms.

The bigger picture
When you rely on caffeine to “power through,” you’re borrowing energy you don’t actually have. 

That burst of energy comes from stress hormones and while it can feel helpful at first, it always catches up with you. Running on stress hormones feels good until it doesn’t!

Fatigue, hair loss, low libido, constipation, muscle loss, stubborn belly fat, premature aging can all be signs that your body is living in a prolonged state of survival.

These are signs your body is feeling out of balance and living in a perpetual state of survival.

The goal isn’t to quit coffee.
It’s to reclaim real energy so coffee becomes something you enjoy — not something you depend on.

Feeling wired, jittery and exhausted all at once isn’t normal! Rather it is a signal that your body is running on stress hormones.

If you’re exhausted, the answer isn’t more coffee — it’s more support, nourishment, and rest.

In my practice, fatigue is one of the most common concerns I hear. For some it’s debilitating; for others it’s quieter but still plays a direct role in their daily life and decisions. If this resonates with you, please know there are many effective and practical ways to restore your energy, resilience, and vitality.

This is what Naturopathic Medicine is all about, and if you’re curious to learn more or explore whether this approach can work for you, you can read more here.

The most dangerous prescription …isn’t always a pill — but forgetting that you can heal

Oct 06, 2025

Today I want to talk about the power of words — especially when they come from people we see as authority figures: doctors, scientists, financial advisors, politicians and the like.

This piece was inspired by two conversations I’ve recently had with patients.

Patient #1

She was diagnosed with ulcerative colitis and soon after underwent surgery to remove a part of her colon. She felt rushed into the decision and recalls being told it was “absurd” to think that diet or lifestyle could have any influence on a “serious condition” like ulcerative colitis.

No one offered her other options or even space to process what was happening.
She told me that she regretted the surgery almost immediately but felt overwhelmed, confused, and powerless. Later, she was placed indefinitely on immunosuppressant medication.

Patient #2 

Over two decades ago, as a young woman, she was prescribed blood pressure medication. Her doctor told her, “This is genetic — there’s nothing we can do besides giving you medication.”

No one mentioned nutrition, stress management, movement, or even basic daily habits that could make a difference for her.
Today, she’s on three different medications, yet her blood pressure remains inconsistent.

Both of these women followed their doctors’ instructions exactly — as we’re told we should.
And both shared that, even back then, a quiet voice inside them wondered: Is this really my only option?

But they overrode that voice — their intuition — because they trusted the “expert” in front of them more than themselves.

In an ideal world, you should be able to fully trust your doctor’s recommendations.
But we don’t live in an ideal world.

In conventional medicine, there’s often only one standard of care — a one-size-fits-all approach that leaves little room for individuality or intuition.

And yes, I am a doctor. But I want to challenge that notion!

I want to invite you to start trusting your quiet yes and your quiet no.

Of course, seek professional guidance — but consulting an expert is not the same as surrendering your agency.

When receiving guidance, ask yourself:

Is this person empowering me, or disempowering me?

Because the therapeutic relationship (between doctor and patient) plays a direct role in patient outcome.

Empowering care looks like this:

  • You’re given options
  • Your doctor practices informed consent (shares the good, the bad and the ugly)
  • They remind you how resilient and capable your body is
  • They respect your intelligence and your right to choose
  • They encourage you to develop a deep relationship with your body
  • They remind you that you already have everything you need to heal

Disempowering care looks like this:

  • “My way or the highway” energy
  • Dismissing your intuition or symptoms
  • Making you believe you need them to heal
  • You’re rushed or coerced into making health decisions
  • You’re made to fear your own body, the disease and what lies ahead

In my practice, I remind my patients daily:
Your body is infinitely wise and you have everything you need to heal.

And our work together is simply to remove what’s standing in the way — not to add more noise, fear, or dependency.

This is what naturopathic medicine is all about.

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