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Gut microbiome imbalance, also known as dysbiosis, occurs when the natural balance of microorganisms in the digestive tract is disrupted. This can result from factors like poor diet, stress, antibiotics, and environmental toxins. Dysbiosis can lead to various health issues, including digestive problems, immune dysfunction, and chronic inflammation. Symptoms may include bloating, gas, diarrhea, constipation, and food intolerances.

A bowl of healthy food that is good for your microbiome in NYC.


  • Bloating and gas
  • Diarrhea or constipation
  • Abdominal pain or discomfort
  • Food intolerances and sensitivities
  • Unexplained fatigue
  • Skin issues like eczema or acne
  • Frequent infections or weakened immune response
  • Mood swings, anxiety, or depression
  • Cravings for sugar or refined carbohydrates
  • Difficulty maintaining a healthy weight

Possible Causes:

  • Poor diet, high in processed foods and sugars
  • Overuse of antibiotics and other medications
  • Chronic stress
  • Lack of sleep
  • Environmental toxins and pollutants
  • Excessive alcohol consumption
  • Sedentary lifestyle
  • Infections or illnesses
  • Insufficient fiber intake
  • Overuse of antibacterial products

Potential complications:

  • Chronic digestive disorders like IBS and IBD
  • Increased risk of infections
  • Autoimmune diseases
  • Nutrient deficiencies
  • Weight gain or obesity
  • Mental health issues such as anxiety and depression

Contact Dr. Ivanina to learn how to improve your gut microbiome in NYC.

  • Skin conditions like eczema and acne
  • Chronic fatigue syndrome
  • Metabolic disorders, including diabetes
  • Increased inflammation and related diseases
A woman drinking green juice to heal her gut microbiome in NYC.


Diagnosing dysbiosis involves a thorough evaluation of symptoms and medical history, along with laboratory tests. Common diagnostic methods include stool analysis to identify imbalances in gut bacteria, breath tests for small intestinal bacterial overgrowth (SIBO), and blood tests to check for inflammation markers and nutrient deficiencies. Accurate diagnosis is essential for developing an effective treatment plan to restore gut health and alleviate related symptoms.


  • Eat a diverse, fiber-rich diet
  • Include fermented foods like yogurt, kefir, and sauerkraut
  • Take probiotics and prebiotics
  • Reduce intake of processed foods and sugars
  • Stay hydrated
  • Limit the use of antibiotics and medications
  • Manage stress through mindfulness and relaxation techniques
  • Exercise regularly
  • Get adequate sleep
  • Avoid smoking and excessive alcohol consumption
Dr. Ivanina, an expert in repairing gut microbiome in NYC.

Dr. Elena Ivanina

Dr. Elena Ivanina is a quadruple board-certified integrative gastroenterologist and functional medicine practitioner dedicated to enhancing gut health. With extensive training from institutions like Tulane University and Columbia University, she offers holistic and personalized treatments to restore your gut microbiome in NYC to optimal conditions. As the former Director of Neurogastroenterology & Motility at Lenox Hill Hospital and the current Director of the Center for Integrative Gut Health, Dr. Ivanina combines traditional and functional medicine to address the root causes of gut issues.

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