Dr. Gabrielle Lyon
speaker
18,769 appearances
47 recordings
13 series
first heard Nov 2024
last heard 10 Sep
Dr. Gabrielle Lyon’s voice in public audio — every appearance, attributed to the second.
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recordings per month · last 12 monthsRecordings per month over the last 12 months — 41 in all, peaking in Jul 2026 with 9.
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I don't know what it's like for the residents now, but it's exactly what it sounds like.
It's not just whole fiber foods.
So we're talking about fiber supplements as well.
So uh cilion, wargum.
They have all been reported to cause these pharmacobizers, that big hair ball, which is aka fiber or aka some kind of ball, but just imagine the cat hair ball in patients with older GM motility.
So
So many individuals, or there have been many cases where people develop visores.
Again, I had mentioned there was that case of the 45-year-old woman.
She had no prior GI history.
She ate a ton of pears.
and developed a phytobizore that completely obstructed her, requiring a surgical removal.
She had no risk factors.
Other than the sheer volume of fiber and pears that she ate.
Okay, so there's been a series of most recently, uh I was looking at the data, 87 intestinal bizarre cases due to vegetable fiber.
And of course, many of them did not have a predisposing factor, meaning they didn't have an illness that goes with it.
So imagine that same scenario in a patient whose gastric emptying is already slow because they're on medications.
So the risk calculus changes.
Okay, so what about all fiber maxing?
This, of course, goes back to fiber supplementation during GLP1 therapy.
Well, this may actually help manage the GI side effects, but it makes fiber hard to tolerate.
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