
Masqueraders of IBS with Kate Scarlata, RD
01/12/21 • 39 min
What are some conditions that look a lot like irritable bowel syndrome? Kate explores conditions that can masquerade as IBS and often lead to prolonged digestive symptoms!
Kate Scarlata, MPH, RDN, LDN is a Boston-based dietitian with 30 years of experience. Kate’s expertise is in gastrointestinal disorders and food intolerance, with a particular focus on the application of the low FODMAP diet for functional gut disorders. She was awarded the Outstanding Massachusetts Dietitian Award and recognized as Boston’s Best Dietitian by Boston Magazine. Kate is the author of numerous books and articles on digestive health topics including the New York Times Best Seller, The 21 Day Tummy Diet. Her latest book is The Low FODMAP Diet Step by Step. Kate completed her postgraduate training at Brigham and Women’s Hospital, a Harvard Medical School teaching affiliate.
Kate and I talked about the conditions typically on the radar which include:
- Inflammatory bowel disease
- Celiac disease
- Colorectal Cancer
- Microscopic Colitis
And then we get into conditions not typically on the radar, which include:
- GI infections
- Mast cell activation syndrome
- Milk protein intolerance
- SIBO
- Sucrase isomaltase deficiency (CSID)
And also discuss the importance of recognizing that IBS is a very real condition that has several excellent management options too!
If you don’t already follow Kate, you should she is on Instagram @katescarlata and on Twitter @KateScarlata_RD: and can learn more at katescarlata.com
What are some conditions that look a lot like irritable bowel syndrome? Kate explores conditions that can masquerade as IBS and often lead to prolonged digestive symptoms!
Kate Scarlata, MPH, RDN, LDN is a Boston-based dietitian with 30 years of experience. Kate’s expertise is in gastrointestinal disorders and food intolerance, with a particular focus on the application of the low FODMAP diet for functional gut disorders. She was awarded the Outstanding Massachusetts Dietitian Award and recognized as Boston’s Best Dietitian by Boston Magazine. Kate is the author of numerous books and articles on digestive health topics including the New York Times Best Seller, The 21 Day Tummy Diet. Her latest book is The Low FODMAP Diet Step by Step. Kate completed her postgraduate training at Brigham and Women’s Hospital, a Harvard Medical School teaching affiliate.
Kate and I talked about the conditions typically on the radar which include:
- Inflammatory bowel disease
- Celiac disease
- Colorectal Cancer
- Microscopic Colitis
And then we get into conditions not typically on the radar, which include:
- GI infections
- Mast cell activation syndrome
- Milk protein intolerance
- SIBO
- Sucrase isomaltase deficiency (CSID)
And also discuss the importance of recognizing that IBS is a very real condition that has several excellent management options too!
If you don’t already follow Kate, you should she is on Instagram @katescarlata and on Twitter @KateScarlata_RD: and can learn more at katescarlata.com
Previous Episode

Lab-made Food? How science literacy helps us to understand food tech with Chana Davis, PhD
Food made in a lab using microbes? It's happening now! New tech can be scary and none of us are immune to being mislead or adopting a belief based on misinformation.
In this episode Chana Davis, PhD and I discuss new and exciting food technology using microbes, and how improving scientific literacy can help to shape the conversation around food technology!
We talk about:
- How Chana got involved in science communication
- What is a critical thinking mindset? How do you get one?
- How to find credible sources of information?
- What are the limitations of science?
- Why science isn’t perfect
- How can we ‘pressure test’ the news?
- What is ‘food tech’?
- How do microbes help us in making food and food ingredients?
- What’s the future of our food?
- Plant based diets and the movement towards new food technology for sustainability and increasing options for different dietary patterns
- Why food technology isn’t something to be afraid of
- Molecular diagnostics – what is it?
To learn more about Chana, here are her social links!
Website & Newsletter: https://fueledbyscience.com/
Next Episode

Fact or Fiction? Dysbiosis & the Gut Microbiome in Patient Care with Gabrielle Fundaro, PhD
Is dysbiosis fact or fiction? And can we use the information we have about the gut microbiome to diagnose and treat disease?
In this episode of Let's Gut Real I interview Gabrielle Fundaro, PhD on more deeply understanding gut microbiome science, and how practitioners and clinicians need to communicate that science in a connective way for their patients.
Gabrielle Fundaro holds a PhD in Human Nutrition, Foods, and Exercise from Virginia Tech as well as a BS in Exercise, Sport, and Health Education from Radford University. She is an ACE-certified Health Coach with both Monash Low-FODMAP and ISSN Sport Nutritionist certifications and provides client-centered coaching and consulting telehealth services via Vitamin PhD Nutrition that focus both on gastrointestinal disorders and health behavior change. In her free time, she enjoys hiking, reading, spending time with my dogs, and lifting weights.
In this episode, Gabrielle and I chat about:
- Her research with the gut microbiome and lipopolysaccharides (LPS)
- How do we define gut health?
- Dysbiosis – what is it? Is there a diagnostic test? The problems with this?
- Why do you see patients gravitate towards gut microbiota tests and other gut health tests that aren’t validated?
- How do we find the balance between discussing science and connecting with patients?
- Can the results of 1 study to provide health interventions?
- Red flags & green flags to watch out for when reading about the gut microbiome on the internet
- How health care providers need to do a better job at communicating and connecting with their patients -and how to do that!
To learn more from Gabrielle, follow her on Instagram @vitaminphd or visit her website at www.vitaminphdnutrition.com
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