94: Your Labs Are Normal but You Feel Awful - The Hidden Gut Inflammation Blocking Hormone Healing with Josh Dech

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What if your lingering thyroid and hormone symptoms aren’t a lab problem at all, but a gut inflammation issue hiding beneath “normal” results?

In this episode of Hormones, Metabolism, and You, Dr. Cassie Smith sits down with holistic nutritionist and physician consultant Josh Dech to explore a core idea many patients never hear: your thyroid and hormone symptoms may be driven by hidden gut inflammation, even when labs look “normal.” Josh explains how gut dysfunction can interfere with hormone signaling, disrupt metabolism, and fuel chronic fatigue, brain fog, and stubborn symptoms. They also discuss common root drivers like toxins, infections, nutrient deficiencies, poor sleep, and chronic stress, plus practical steps to support healing without extreme protocols.

Key Topics Covered

• Why thyroid and hormone symptoms can persist even with “normal” lab results
  
• How gut inflammation can block hormone signaling and contribute to fatigue and brain fog
  
• Gut health on a spectrum: from mild symptoms to severe inflammatory conditions
  
• The “why” behind symptoms vs. labels and diagnoses
  
• Mold and environmental exposures as potential hidden drivers for some people
  
• The “three buckets” framework: toxins, microbes, and deficiencies
  
• The role of sleep, stress, and lifestyle in gut and immune function
  
• Why some “healthy” foods can still be personal triggers for certain individuals
  
• Supporting drainage and detox pathways as part of recovery
  
• Simple, sustainable steps for improving gut and overall health
  

About the Guest

Josh Dech is a Holistic Nutritionist and Physician Consultant specializing in Crohn’s disease, ulcerative colitis, and severe IBS. He is known for helping reverse over 400 cases of Crohn’s and colitis through a root-cause, holistic approach to gut health, conditions long considered irreversible within conventional care.

Josh has worked alongside some of the world’s most respected medical professionals and has become a trusted educator in the field of digestive and autoimmune health. He hosts a globally ranked top 2 percent podcast, has appeared on international television, and currently serves as a medical lecturer for Priority Health Academy.

Today, Josh focuses on educating both physicians and the public on integrative, evidence-informed strategies for healing chronic digestive diseases and restoring long-term gut health.

Connect with Josh Dech

Facebook: https://www.facebook.com/JoshDech
Instagram: https://www.instagram.com/joshdech.health/
YouTube: https://www.youtube.com/@joshdech

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