Conditions · Gut Health
Bloating, irregularity, reflux, food sensitivities — and often fatigue, skin issues, and brain fog that trace back to the gut. In Fredericksburg, VA, we find what’s driving it and restore gut function. Start with an initial appointment.
Your gut shapes digestion, immunity, mood, and energy. When it’s off — from imbalanced bacteria, inflammation, or food triggers — the symptoms show up far beyond the belly: fatigue, skin flares, brain fog, and more.
At True You, Dr. Hoff takes a functional approach: identify the drivers, remove what’s aggravating them, and rebuild a resilient gut with a physician-guided plan.
Why “it’s just IBS” isn’t enough
The difference is testing for the driver instead of labeling the symptom.
The conventional visit
The True You approach
“Normal” scopes and bloodwork don’t rule out a driver — functional testing looks where a standard workup doesn’t.
Bloating, gas, or pain after meals — most days.
Constipation, loose stools, or swinging between both.
Foods that used to be fine now cause trouble.
Fatigue, skin issues, or fog that track with digestion.
Digestive symptoms rarely have a single cause. An imbalance in gut bacteria, overgrowth in the wrong place, food sensitivities, chronic stress, low-fiber eating, and past courses of antibiotics or other medications can all disrupt how the gut works. Hormones matter too — a slow thyroid can slow digestion, and shifting estrogen and progesterone can change bowel habits.
When the gut lining is irritated and inflamed, the effects reach beyond digestion. That’s why gut problems so often travel with fatigue, skin flares, joint aches, brain fog, and immune issues.
A gut health doctor’s view of common complaints.
Cramping, bloating, and changing bowel habits.
Burning, pressure, and discomfort after meals.
Reactions that come and go with certain foods.
Irregularity that’s become your normal.
Acne, eczema-type rashes, or redness that track with digestion.
Gut symptoms alongside autoimmune or inflammatory conditions.
Learn moreHow we diagnose
The gut and brain are in constant communication, which is why stress can trigger digestive symptoms and gut problems can affect mood, focus, and sleep. The gut also helps regulate the immune system and inflammation, so skin flares and joint aches sometimes calm down once digestion improves. Treating the gut can have effects well beyond your stomach.
How it works
A structured way to calm symptoms and rebuild resilience.
Step 1
A detailed history in person at our Fredericksburg office, plus functional testing chosen for your symptoms.
Step 2
Identify and reduce the foods, habits, and factors aggravating your gut.
Step 3
Nutrition and targeted support to help calm inflammation and support the gut lining.
Step 4
Gradually widen your diet with fiber and variety that feeds healthy bacteria.
Step 5
Follow-up — often virtual — to keep progress and adjust as needed.
Treatment is personal, but a few principles help most people: eat a wide variety of plants for fiber, eat slowly and regularly, limit heavily processed and fried foods, alcohol, and added sugar, stay hydrated, move daily, and protect your sleep. Stress has a direct line to the gut, so managing it is part of the plan too.
If a food reliably makes you worse, that’s worth noting — but cutting out long lists of foods without guidance can leave you with fewer nutrients and more anxiety around eating. We help you figure out what actually matters for you.
Some symptoms need prompt evaluation by your primary care physician or a gastroenterologist: blood in the stool, black stools, unexplained weight loss, trouble swallowing, persistent vomiting, or severe or worsening abdominal pain. If you have any of these, please don’t wait. Our functional approach works best alongside that care, not in place of it.
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Book an appointment with Dr. Hoff’s team in Fredericksburg, VA.
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Read articlePatient reviews
Rated 4.7 from 46 Google reviews
“The people at True You helped save my life . They have been so supportive from the very first call. Dr. Hoff found the underlying issue that was affecting my health. I had bounced from one primary care office to another and from specialist to specialist, wasting money on copays along the way! I walked into their office with genuine concern about where my health was headed and what the rest of my life would look like. I now feel better than I have in over 20 years! I take any health concern to Dr. Hoff first. My biggest concern used to be whether I would be able to live well enough to remain an active part of my family. Now, my only concern is whether they can keep up with me! Thank you, Dr. Hoff and Tina Hoff! Not only will I get to enjoy watching my grandkids grow up, but I'll also be able to get around and chase them down, too! God bless you both!”
“Dr Hoff goes above and beyond to listen to you and respond with a program that can truly change your life. He’s very down to earth, easy to talk to, a wealth of knowledge, and genuinely cares about improving your life experience. I wish I would’ve found him and his staff sooner. I would give six stars if it were possible, thank you!”
“Dr. Hoff has truly changed my life in less than six months. I went from waking up every morning feeling miserable and constantly bloated to now feeling healthy, energized, and excited to take on each new day and experience life again. More importantly, I genuinely believe he is helping save my life in the long run by focusing not only on treating symptoms, but on improving my overall health and quality of life. Dr. Hoff is exceptionally knowledgeable and highly skilled in his field, but what truly sets him apart is the genuine care and compassion he shows his patients — something that has become far too rare in healthcare today. I’m also incredibly grateful for the entire staff and everyone there for creating an environment where patients feel heard, supported, cared for, and truly valued.”
Reviews shown as published on our Google Business Profile.
