What gut health care actually is
The gut does more than digest. It houses most of your immune tissue, produces and responds to neurotransmitters, and hosts a microbial community that interacts with metabolism, skin and mood. That makes it a legitimate target for care, and also the single most over-marketed area in wellness.
Our approach is deliberately conservative at the start. Before any protocol, we rule out the conditions that require conventional diagnosis and treatment: celiac disease, inflammatory bowel disease, infection, and anything suggested by alarm symptoms. Only once that ground is clear do we work on function.
How it works, step by step
- 01History: symptom pattern and timing, diet, medications including antibiotic and acid-suppression history, stress, travel and family history.
- 02Screening: celiac serology, inflammatory markers, fecal calprotectin, and referral for endoscopy or colonoscopy where indicated.
- 03Targeted testing: breath testing, stool studies or microbiome analysis when the clinical picture makes them likely to change the plan.
- 04Structured intervention: usually a staged dietary approach with adequate fiber and protein, alongside sleep and stress work, plus specific therapy where a cause was identified.
- 05Reintroduction and maintenance: restrictions are lifted systematically; the goal is the widest tolerated diet, not the narrowest.
Who it’s for, and who it isn’t
Likely a good fit: adults with bloating, reflux or irregular bowel habits who have been told nothing is wrong, patients with suspected food reactions and no clear pattern, people rebuilding after repeated antibiotics, and those with skin or energy issues that track with digestion.
Likely not a fit as a starting point: anyone with rectal bleeding, unintentional weight loss, iron-deficiency anemia, persistent vomiting, difficulty swallowing, a family history of colorectal cancer, or new bowel changes after age 45. Those need gastroenterology, and we will arrange it rather than work around it.
What to expect at your first visit
A long history and a screening plan. Many patients arrive expecting to leave with a stool kit and a supplement list; what they usually leave with is a short list of tests to exclude serious causes and a first dietary strategy. Testing follows the clinical question rather than leading it.
What the testing can and cannot tell you
Celiac serology, calprotectin and breath testing answer specific, well-defined questions and are worth doing when indicated. Microbiome sequencing is interesting science, but interpretation at the individual level remains immature: there is no validated healthy reference microbiome to compare you against.
IgG food sensitivity panels deserve a direct answer: major allergy and immunology societies do not support them for diagnosing food intolerance, because IgG to food reflects exposure rather than reaction. We do not use them to justify eliminating foods, and we will explain why if you arrive with one.
Pricing and insurance
Organic Well does not participate with insurance plans. Consultation and testing costs are quoted before anything is ordered, and superbills are provided for potential out-of-network reimbursement.
Gut health care in Coconut Grove, Miami
Consultations take place at 3661 S. Miami Ave, Suite 1003, serving Brickell, Coral Gables, South Miami and Key Biscayne, with follow-up and dietary reviews available by secure video across Florida.
