The Gut Whisperer - Dr. David Miller, ND

04/17/2026

Low back pain. Sacral pain. Hip mobility that won’t hold.
If even skilled chiro or physio helps only temporarily, and the pattern keeps returning, it may be worth considering whether factors beyond muscles and joints are contributing.

Sometimes these patterns may correlate with things like:

• Low back pain + constipation or difficulty with defecation → consider colon or re**um.
• Sacral pain + gynecological symptoms → consider uterine involvement.
• Low back pain + urinary frequency, bladder irritation, or kidney-area discomfort → consider bladder or kidneys.
• Low back pain + peri-umbilical bloating, tension, or discomfort → consider small intestine.

These patterns can exist with or without obvious digestive or pelvic symptoms.
But when those symptoms are present, a visceral contribution may become even more worth considering.

And sometimes what’s needed is a skilled investigation of tissues beyond the joints — including the abdominal and pelvic tissues — not just repeated treatment directed at the painful area.

Maybe I’m old-school, but I think every patient with persistent low back, sacral, or hip issues deserves an examination of the abdominal and pelvic area.

Sometimes the question isn’t just Where does it hurt?
It’s also What structures may be contributing to the pattern?

Patterns matter. Correlations matter. Assessment matters

03/06/2026

PPIs are some of the most commonly used medications in the world.
They can be extremely helpful when needed.
But they were never designed to be lifelong solutions.
The stomach isn’t just where food sits.
It’s more like the conductor of the digestive orchestra — coordinating digestion, microbial balance, and motility throughout the gut.
When we dramatically change stomach chemistry, it’s no surprise that the effects can be felt throughout the entire digestive system.
That’s why long-term PPI use has been associated with things like:
• microbiome changes
• SIBO
• enteric infections
• nutrient deficiencies
• IBS-like symptoms
• bone fracture risk
These medications absolutely have a place in medicine.
But people deserve to understand the full physiology — not just the symptom relief.
Have you ever been told how long you’re supposed to stay on a PPI?






sibo
digestivehealth
gutbrainaxis
integrativeme

03/04/2026

Constipation is often described in simple terms such as low fiber intake or dehydration.
While these factors can contribute, bowel function depends on a much more complex system that coordinates digestive propulsion.
When propulsion becomes disrupted — whether in the stomach, intestines, nervous system, luminal environment, or pelvic floor — bowel movements can become difficult or infrequent.
Understanding where that breakdown occurs is often the key to effective treatment.
Full article:�🔗 drdavidmillernd.com/why-am-i-constipated

02/25/2026

It’s often not as simple as drinking more water.

Hard stool usually reflects how long stool is spending in the colon.

Hydration is a safe place to start — but if that doesn’t change things, it may be worth looking at the pattern more closely.

02/24/2026

Iron is the most common nutrient deficiency worldwide.
But we rarely evaluate it properly.

Ferritin is storage.
Transferrin is transport.
Copper enables movement.

Iron is about flow — not just levels.

Full explanation on YouTube: https://youtu.be/2w2bEb5-EcA?si=CIJdqhk7bFD8wlwt

02/14/2026

Most floating stool is just gas.

True fat male absorption usually comes with other signs –– pale color, greasy texture, oily film, strong, smell, difficulty flushing.

One clue, rarely tells the whole story.

Digestion is about patterns.

02/12/2026

Does coffee make you run to the bathroom?

02/05/2026

01/29/2026

Fibre changes stool.
It doesn’t retrain coordination.

When constipation involves straining, holding, or outlet dysfunction, this pattern often needs more than supplements.

01/14/2026

When we measure serum magnesium, we’re checking whether your body has been able to keep magnesium stable in the blood.

Your body works hard to protect blood levels because things like heart rhythm and nerve signaling depend on them.

So if intake or absorption drops, the body will pull magnesium from tissues and cells to keep blood levels normal.

That means a “normal” serum magnesium doesn’t always mean your body has enough magnesium everywhere — it just means your body has kept blood levels safe.

This is why someone can have normal bloodwork and still have symptoms that improve with magnesium.

Over time in practice, noticing this pattern is what changed how I test. I now look at markers that reflect what’s happening inside cells, not just what’s being held steady in the blood — because that often explains symptoms that didn’t make sense otherwise.

Looking at magnesium inside red blood cells helps show whether your cells have had enough magnesium over time, not just whether blood levels are being maintained

01/12/2026

Lab results don’t exist in isolation.
The same numbers can mean very different things depending on:
– the symptoms
– the physical exam
– the pattern of other markers
– the overall context of the system

A result that looks “normal” on paper can be limiting in one person
and completely appropriate in another.

That’s why interpretation matters more than any single test.

The goal isn’t to chase values —
it’s to understand what the body is doing with what it has.

When labs are read in context,
clarity usually follows.