The cold open: a tertiary workup finds nothing and Gabe's doctor delivers the hard truth. · about 8 minutes
I want to open with the visit that broke me a little. I'd just gone through a 100-page workup at University of Michigan, a tertiary care center, my last real shot at an answer. They found nothing. My own primary doctor had already warned me what that meant: if they can't help you, you'll be in this pain for the rest of your life.
I'm going to sit with that for a minute in this lesson, because I want you to feel exactly where I was before I tell you where I ended up.
Then I'm going to close the loop early, on purpose. I haven't had a true flare since 2020. I haven't been back in the ICU for my stomach since. I'm telling you that now, before you've watched anything else, so you can judge everything that follows by what it actually did for me.
script · 1242 words · what Gabe says on camera
By the end of this lesson you'll know why I built this course instead of just living with the pain.
One thing before I get into it. A lot of what you're about to hear is my story, and it keeps unfolding through the whole course. Bear with me on that. My trigger foods are specific to me. Yours might be similar, or they might be completely different. That doesn't matter. The way I found mine is the same way you'll find yours. That's the core of this, and it's the same for everybody.
I want to start with the worst day. Not the beginning. The worst day first.
I'd already been through years of testing by the time I got sent to a tertiary care center at the University of Michigan. My primary doctor sent them a hundred-page report. Everything that had been done to me up to that point, all in one file.
Before I even went, he told me something. He said if the doctors up there can't find an answer, I'd be in this pain for the rest of my life. Just said it plain, like a weather report.
I remember exactly where I was standing when he said that. I'm not going to describe the room to you, because that's not the point. The point is I carried that sentence around with me into that appointment.
ON SCREEN: talking head, no props.
So I go. Weeks of waiting for that appointment. Hundred-page file. Every test I'd already had, laid out for a new set of specialists to look at.
And they found nothing.
No diagnosis. No plan. Nothing beyond what I already knew, which was not much. I walked out of that building with the same pain I walked in with. Now I also had an expert opinion that they didn't know either.
That wasn't even the first time a doctor handed me an empty answer. Years before that, a gastroenterologist told me to just stop smoking marijuana and my problems would go away. I did it. Nothing changed. The flare ups kept coming on the same schedule they always had. So by the time I got to that tertiary care center with the hundred-page file, I already had practice hearing "we don't know" dressed up in different clothes. That's a pattern worth naming, because you may have heard your own version of it. A doctor telling you to change one small thing, like it's the whole answer, when your gut is telling you it's bigger than that.
That's the moment I want you to know about. This whole course exists because of what happened next in my head. I had a choice. I could accept that sentence, the one my own doctor gave me before I even went in, and just live inside it. Or I could stop waiting for someone else to hand me the answer.
I'm not a doctor. I want to say that now, in lesson one, because you're going to hear me say it again and again in this course. Nothing here replaces your doctor. If something in your gut is telling you this is serious, you call them, not me.
But nobody was going to hand me an answer. Twenty years of tests, hospitalizations, a hundred-page report, and a room full of specialists came back with nothing. So I stopped waiting.
Now I want to be honest about the common mistake I made early on, because you might be tempted to make the same one. When I first started trying to fix this myself, I thought the answer was to eat healthier in the way everybody says is healthier. Raw food. Whole fruit, skins and all. Big raw salads. I even went full raw vegan for a stretch, juicing green apples and eating handfuls of raw oatmeal. It felt like the responsible thing to do. It put me in some of the worst pain of my life. Raw and rough is not the same thing as healthy. Not for a gut like mine. That's the mistake. Assuming more fiber and more raw food is automatically better. Sometimes the opposite is true, and you won't know until you test it on yourself, carefully, one food at a time.
So here's roughly what that looked like once I got serious about it, step by step, because I've only summarized it so far. I started by cutting the things I already suspected were rough on me. Skins, seeds, nuts, raw vegetables. I gave that a real stretch of time, not a day or two. When I felt steadier, I brought one food back at a time and paid attention to what happened hours later, not just right away. If it caused trouble, it went back on the cut list. If it didn't, it stayed. Alongside that I built a daily rule I could actually stick to on a work day. Cooked soft, nothing raw. I saved any testing for days off, when a flare wouldn't cost me my job. And I added things that helped the body handle the load. Walking every day being the biggest one, more than any pill I ever took.
Now, if you're watching this and you're nervous, let me answer the question I think you're asking. What if your tests come back with nothing too? What if nobody ever gives you a name for what's wrong? I want you to hear this clearly. You do not need a diagnosis to start building a method that works for your own body. I never got a clean one. Crohn's, colitis, diverticulitis, my gallbladder. All of it got floated over the years, and none of it ever stuck as the final word. I built this without a name for what I had. You can build yours the same way.
Everything in this course, every lesson after this one, is what I built once I made that decision. It's not a textbook method. Nobody taught it to me in a classroom. I built it out of twenty years of getting it wrong, one flare at a time, until I found what actually worked for me.
I'm not telling you this will work the same way for you. I can't promise that. What I can tell you is this: it's real, it's tested on my own body for two decades, and it's the thing I wish someone had handed me back when I was standing in that hallway hearing I'd be in pain forever.
So that's why we're here. Not because I have a medical degree. Because I refused to let that sentence be the last word.
And before you spend another minute on this, I want you to know what came of it, so you can decide whether it's worth your time. I figured this out in 2020. Since that year I have not had one true flare. Not one. I have not been back in the ICU for my stomach a single time since, and before that I'd been going for twenty years. I still get days of discomfort. I always know what caused them. That's the whole result. Not cured, and I'm never going to use that word. Just done being blindsided.
Before the next lesson, just sit with that for a second. Think about whether you've been handed a version of that same sentence. Somebody telling you this is just how it is now. That's the sentence we're working against.