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š Gut Health Recipes, Bloating Tips & Why You Are Tired...
The Weekly Dose - Episode 166
Easy DIY At Home Gut Friendly Food!
After a few weeks of stress, takeaways and drifting from my usual routine⦠Iām back in the kitchen and cooking from scratch to dial my nutrition back to order. Hereās what Iāve been cooking up for my gut health:
1) Fermented red onions (easy, no equipment)

Ingredients (makes 1 medium jar)
2 medium red onions, thinly sliced
1 cup (240 ml) boiled then cooled water (important: room temp, not hot)
1 teaspoon fine sea salt (NOT table salt with iodine if possible)
Equipment
1 clean glass jar with lid (no need to sterilize⦠just washed and dried)
Instructions
Slice the onions thinly (half-moons work well).
Add onions to your jar and lightly press down so they sit snug but not crushed.
In a cup or bowl, mix the salt into the cooled water until fully dissolved.
This is your brine.Pour brine over the onions until they are fully submerged
Press onions down with a spoon⦠they need to stay under the liquid.
(Exposure to air = mold. Under brine = safe.)Loosely place the lid on (do NOT screw tight as gases need to escape).
Leave the jar at room temperature (ideally somewhere out of direct sunlight).
24 hours = lightly tangy
48ā72 hours = more fermented, more sour
To finish
Once you like the taste, tighten the lid and refrigerate.
Keeps 3ā4 weeks in the fridge.
Use it in: salads, tacos, rice bowls, sandwiches, eggs.
2) Homemade natural yogurt (no machine needed)

Ingredients (makes ~1 litre / 4 cups)
1 litre (4 cups) whole milk
2 tablespoons plain yogurt with live cultures (this is your āstarterā)
Equipment
A saucepan
A clean jar or bowl with lid
A warm place (oven with light on, airing cupboard, or wrapped in a towel)
Instructions
Heat the milk in a saucepan until it reaches 180°F / 82°C (just before boiling).
This step changes milk proteins so your yogurt thickens later.Turn off heat and let it cool to 110°F / 43°C⦠warm but not hot.
(If you can dip your finger in for 10 seconds comfortably, it's right.)In a small bowl, mix 2 tbsp yogurt starter with a little warm milk to thin it.
Pour this mixture back into the saucepan and stir gently to combine.
Pour into your jar or bowl.
Cover and keep somewhere warm and still for 8ā12 hours.
8 hours = milder yogurt
12 hours = tangier and firmer
Once set, refrigerate at least 4 hours before eating.
It will thicken further as it cools.
Save 2 tbsp of this batch to use as the starter for your next one.
3) High-fiber seeded bread

Ingredients (makes 1 loaf)
3 cups (360g) bread flour
1 cup plain yogurt
1 packet (7g / 2¼ tsp) dry yeast
1 tablespoon sugar (to help activate the yeast)
1 cup (240 ml) warm water (about 105°F / 40°C⦠warm, not hot)
1 teaspoon salt
½ cup pumpkin seeds
¼ cup black sesame seeds
Olive oil (for greasing pan)
LOAM prebiotic fiber (optional)
Instructions
In a bowl, mix warm water + sugar + yeast.
Let stand 10 minutes until foamy.
(If it doesnāt foam⦠water was too hot or yeast is expired.)Add yogurt to the yeast mixture and stir.
In a large mixing bowl, combine bread flour + salt.
Pour the wet mixture into the flour and mix until a dough forms.
Knead for 5ā7 minutes (or mix with a spoon until smooth).
Cover bowl with a towel and let rise 1ā2 hours until doubled in size.
Grease a loaf tin with olive oil.
Transfer dough into the tin and smooth the top.
Let it rest 15 minutes.
Brush top lightly with a mix of flour + water (this helps seeds stick).
Sprinkle pumpkin + sesame seeds evenly on top.
Bake
Preheat the oven to 200°C / 392°F.
Bake for 40 minutes, until the top is golden brown.
Tap the bottom of the loafā¦if it sounds hollow, itās done.
Cool completely before slicing.
(Slicing hot bread makes it gummy. Trust the process.)
P.S Those three are my current go-to favourites. For an added fiber bonus you can actually add LOAM prebiotic fiber to the bread mixture. Since itās designed to be heat resistant it actually works well in hot dishes like pasta sauces, soups and when baking for an extra boost of invisible fiber! (no grit, no odour, no taste or texture - ideally cooking material!).
P.P.S If youāre ordering from the USA feel free to use the code WAITLIST25 and if youāre ordering the quarterly bundle as an international customer use the code SHIP25⦠enjoy!
Endometriosis And Bloatingā¦.

There are thousands of videos online of women who say the same thing and usually sounds like this:
āI get bloated every day and by the evening, I look 6 months pregnant. Iāve been told itās just IBS.ā
If youāve ever been told that or a version of the above, I want to say this clearly:
Bloating is not always a gut problem.
Sometimes, the gut is simply where the problem shows up.
Many chronic gynaecological conditions, especially endometriosis, adenomyosis and sometimes PCOS⦠can drive gut symptoms.
Itās not a case of⦠the gut is ābrokenā but its simply due to the fact the gut and reproductive system are physically, neurologically and immunologically connected.
Gut + hormones + pain signalling
Endometriosis isnāt ājust reproductive tissue in the wrong place.ā
Itās a condition that involves:
the immune system
the nervous system
inflammation
hormone signalling
And the gut is tightly linked to all of those.
This is why:
Bloating can feel cyclical
Abdominal pain can feel like pelvic pain
Certain foods suddenly trigger symptoms you never had before
Your gut is responding to whatās happening elsewhere.
This is also one reason women with endometriosis are so frequently misdiagnosed with IBS first.
The symptoms overlap but the underlying drivers are different.
A new study just confirmed this
A 2024 controlled feeding trial (which is one of the highest standards in nutrition research) looked at women with endometriosis who also had gut symptoms⦠things like bloating, cramping, unpredictable bowel habits.
Researchers had each participant try two diets, each for 4 weeks:
One diet reduced rapidly-fermenting carbohydrates (a low-FODMAP approach)
The other diet contained more fermentable carbohydrates, but was still balanced and nutritious
A washout period separated the two phases, so each woman acted as her own comparison, making the data stronger.
What happened?
About 60% of women felt noticeably better during the low-FODMAP phase, compared to around 25% in the control phase.
āBetterā meant:
Less bloating
Less abdominal discomfort
More predictable bowel habits
Improved day-to-day quality of life
The diet did not treat endometriosis itself but it reduced the intensity of gut symptoms associated with it.
Why would reducing FODMAPs help?
Hereās the simplest way to explain it: some carbohydrates ferment quickly in the gut.
That fermentation produces gas and gas increases pressure inside the intestines.
If your nervous system is already sensitized (which happens in chronic inflammatory conditions like endometriosis), that pressure feels painful or distressing.
Reducing these fast-fermenting carbohydrates doesnāt cure anything but it just reduces the pressure on an already-sensitive system.
Practical, gentle ways for you to experiment
(These are options, not prescriptions.)
Swap apples, pears, mango for kiwi, blueberries, strawberries
Replace raw onion + garlic with garlic or onion-infused olive oil
Build meals around: oats, quinoa, rice, tofu, eggs, carrots, courgette, spinach
Keep meals simple for a couple weeks then reintroduce slowly
And this is keyā¦donāt cut out fibre, donāt starve the gut microbiome and donāt live in restriction forever.
We want to reduce the intensity of fermentation, not eliminate it entirely.
Women are so often treated as if symptoms exist in separate boxes:
Gut symptoms = āthatās gastroā
Pelvic pain = āthatās gynaeā
Fatigue = āthatās lifestyleā
But the body does not operate in silos⦠your symptoms are connected because you are one connected system.
P.S If you want to learn more about endometriosis and other conditions we donāt have enough research for and society doesnāt talk about enough from the gut to womenās health, mental health and beyondā¦I go deeper into these in my upcoming book āThis Is Vital Informationā
As a thank you for being part of this community and reading these long emails every week (donāt worry Iāve shortened them now!) I want to give you a pre-order bonusā¦
If you pre-order the hardcover, I want to give you a free ticket to an exclusive private online event where we can get together and chat!
To get the bonuses, simply pre-order This Is Vital Information and upload your receipt to this link:
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Reminder: This newsletter is free, always will be and I send it out every Sunday to give you in-depth insights into the health topics!
Things I Wish I Knew Before My 30sā¦

Thereās a particular kind of tiredness that sleep doesnāt fix.
You can sleep eight hours, eat well, exercise, and still wake up feeling drained⦠like your brain is buffering in the background. I used to think this was just ālife being busyā..the adult world being harder than we were told⦠the slow collapse into responsibility etc
But the truth is far simplerā¦
We are not exhausted because we do too much. We are exhausted because of the things we havenāt done.
The text weāre avoiding or the conversation weāre postponing or maybe itās the apology we know we owe but canāt quite bring ourselves to say⦠even less emotional but the paperwork sitting in the drawer.
The decision we know we need to make but keep delaying.
These are called open loops⦠unfinished cognitive tasks that stay active in the brain even when weāre not consciously thinking about them.
The brain doesnāt like incompleteness. It tries to solve unfinished business in the background, constantly. Like an app running in the background draining battery life.
And thatās what so many of us misinterpret as fatigue.
The neuroscience of āwhy am I so tired?ā
Your brain has limited working memory and attentional bandwidth.
Every unresolved task⦠even something as small as āreply to that messageā... leaves a trace in the prefrontal cortex, the part of the brain responsible for planning and decision-making.
When something stays unresolved, your brain continues to re-check, re-surface, and re-activate that thought, looking for a moment to complete it.
This is called the Zeigarnik Effect: the psychological tendency for incomplete tasks to stick in our minds more than completed ones.
Your brain is trying to close the loop.
The weight of avoidance
Avoidance feels like protection in the moment but avoidance has a cost.
The cost is persistent, low-grade mental strain⦠itās a pressure you canāt quite name because nothing is technically wrong, and yet nothing feels right either.
This is why mental clutter is often more exhausting than physical effort.
You can spend a whole day moving furniture and feel tired but satisfied but equally you can spend a whole day doing nothing but thinking and feel shattered.
The mind is not designed to hold open loops indefinitely.
Close your loops
Make the call or send the message/apology⦠make the appointment.
Not solving a problem is a form of stress and closing a loop is a form of relief.
A 5-minute loop closing ritual
Once a week, take five minutes and write down:
One message youāve been avoiding
One decision youāve been delaying
One task youāve been putting off
Pick one and do it⦠only one. Momentum is built molecule by molecule.
Youāre not trying to fix your life in one afternoon.
Before my 30s, I thought maturity was about doing more but Iāve realised itās about carrying less⦠not emotionally or spiritually but practically⦠fewer open loops running in the background draining my biological iphone battery.
š Who are you again? Iām Karan Rajan - a doctor and curious explorer of all things health and wellness. I host the Dr Karan Explores Podcast and have written two books "This Book May Save Your Life" and "This Is Vital Information" (you can pre-order it now!) and have just founded a microbiome company, LOAM Science to create the best fiber product in the world!
Every Sunday, I share 3 interesting things about health, life and science to make your life easier, healthier and happier. (Disclaimer: Iām more your friend with health benefits. None of this is medical advice.)
And oh, you if also feel strongly about some health things or just want to say hi? Hit reply... Iād love to hear it and hear from you! (yes I read every reply!!!)
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