Johannah Ruddy
@johannahruddy.bsky.social
290 followers 590 following 150 posts
GI researcher, author, speaker, patient advocacy director, passionate about IBS and patient care, doctorate in rural health
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johannahruddy.bsky.social
One year after the Helene disaster, our family visited Asheville, Boone, Blowing Rock, NC to support local businesses and honor the region’s resilience. The trip reminded me that recovery—whether personal or communal—is strengthened by connection, care, and shared experiences.
One year after the Helene disaster, our family visited Asheville, Boone, Blowing Rock, NC to support local businesses and honor the region’s resilience. The trip reminded me that recovery—whether personal or communal—is strengthened by connection, care, and shared experiences. One year after the Helene disaster, our family visited Asheville, Boone, Blowing Rock, NC to support local businesses and honor the region’s resilience. The trip reminded me that recovery—whether personal or communal—is strengthened by connection, care, and shared experiences. One year after the Helene disaster, our family visited Asheville, Boone, Blowing Rock, NC to support local businesses and honor the region’s resilience. The trip reminded me that recovery—whether personal or communal—is strengthened by connection, care, and shared experiences. One year after the Helene disaster, our family visited Asheville, Boone, Blowing Rock, NC to support local businesses and honor the region’s resilience. The trip reminded me that recovery—whether personal or communal—is strengthened by connection, care, and shared experiences.
johannahruddy.bsky.social
On #WorldMentalHealthDay and #NationalComingOutDay, we’re reminded: living authentically matters. Embracing your true self can reduce anxiety, depression, and stress, and even improve gut-brain health. Acceptance and safe spaces matter—every step toward authenticity is a step toward well-being.
On #WorldMentalHealthDay and #NationalComingOutDay, we’re reminded: living authentically matters. Embracing your true self can reduce anxiety, depression, and stress, and even improve gut-brain health. Acceptance and safe spaces matter—every step toward authenticity is a step toward well-being.
johannahruddy.bsky.social
4/4 By removing ambiguous or pejorative steps from diagnostic algorithms, we can empower patients, improve trust, and ensure timely, compassionate care. Diagnosis should clarify and guide treatment—not add to the burden patients already carry.
johannahruddy.bsky.social
3/4 Instead, clinicians should rely on established guidelines that allow a positive diagnosis of IBS based on symptoms rather than exclusion or subjective measures.
johannahruddy.bsky.social
2/4 Emotional distress is common in both IBS and IBD, and using it as a diagnostic discriminator is neither evidence-based nor clinically helpful.
johannahruddy.bsky.social
1/4 For example, including “negative emotions” to differentiate IBS from IBD can unintentionally shame patients, delay care, and perpetuate misconceptions that IBS isn’t a real disease.
johannahruddy.bsky.social
IBS is one of the most stigmatized gastrointestinal conditions, yet some diagnostic algorithms risk reinforcing that stigma 🧵:
johannahruddy.bsky.social
New research reveals that creeping fat drives intestinal scarring in Crohn’s disease by sending pro-fibrotic fibroblasts into the bowel wall. Targeting this fat and its YAP/TAZ signaling could slow stricture progression and open new avenues for treatment. Read more below:
Creeping Fat Drives Scarring in Crohn’s Disease
Creeping fat, a type of abnormal adipose tissue, harbors mechanosensitive fibroblasts capable of generating connective tissue contributing to intestinal fibrosis in Crohn’s disease.
www.medscape.com
johannahruddy.bsky.social
Recently, my husband ran a half marathon for the Ovarian Cancer Network in my honor, raising $1,000. His support reminded me that advocacy is about showing up, shining a light, and creating hope—through every step.

Feeling extremely grateful to have him by my side as I continue to recover.
Recently, my husband ran a half marathon for the Ovarian Cancer Network in my honor, raising $1,000. His support reminded me that advocacy is about showing up, shining a light, and creating hope—through every step. 

Feeling extremely grateful to have him by my side as I continue to recover. Recently, my husband ran a half marathon for the Ovarian Cancer Network in my honor, raising $1,000. His support reminded me that advocacy is about showing up, shining a light, and creating hope—through every step. 

Feeling extremely grateful to have him by my side as I continue to recover.
johannahruddy.bsky.social
Eating out with celiac disease or gluten sensitivity can be risky. The new LEO test detects gluten in under 3 minutes with >98% accuracy and creates shareable “food maps,” making dining safer and more confident for patients, clinicians, and food producers alike.
New gluten test detects hidden wheat in food in under three minutes
With over 98% agreement with ELISA, the LEO system offers a fast, reliable method for gluten testing, supporting safer food choices for sensitive individuals.
www.news-medical.net
johannahruddy.bsky.social
New research shows clinicians deeply value patient experience but often feel limited by costs and admin barriers. Even small improvements in communication, paired with smart tools for prescriptions and coverage, can meaningfully transform care and strengthen patient trust.
Clinicians value patient experience, but feel limited in impact, report finds
New report highlights cost, coverage and prior authorization barriers, with technology seen as a potential solution.
www.medicaleconomics.com
johannahruddy.bsky.social
New research shows SGM individuals with IBS face more severe symptoms and higher anxiety than cisgender heterosexual peers. There is a clear need for inclusive, patient-centered care that considers sexual orientation and gender identity to improve outcomes for all living with IBS.
amcollegegastro.bsky.social
Unequal Burdens: Irritable Bowel Syndrome in Sexual and Gender Minority Communities vs Cisgender Heterosexual Individuals
Reyes-Diaz, et al.

➡️ doi.org/10.14309/ctg.0000000000000883
johannahruddy.bsky.social
Being named one of America’s Greatest Companies of 2025 by Newsweek is exciting, but it’s really about the people behind it. Every day, our team collaborates, innovates, and challenges the status quo to advance patient care. This recognition reflects the real impact we’re making together.
Being named one of America’s Greatest Companies of 2025 by Newsweek is exciting, but it’s really about the people behind it. Every day, our team collaborates, innovates, and challenges the status quo to advance patient care. This recognition reflects the real impact we’re making together.
johannahruddy.bsky.social
These guidelines, developed by 39 IBD experts and patient advocates across six continents, provide clear, evidence-based guidance for patients and providers alike. They mark a major step toward reducing fear, improving outcomes, and empowering women with IBD to have healthy pregnancies.
johannahruddy.bsky.social
4. Surprising updates: low-dose aspirin may reduce preterm preeclampsia risk, and infants exposed in utero to biologics may safely receive the rotavirus vaccine.
johannahruddy.bsky.social
3. Pregnancies in women with IBD should be considered high-risk, with preconception counseling and close monitoring.
johannahruddy.bsky.social
2. Active inflammation in the mother—not medications—is the biggest risk to infant outcomes.
johannahruddy.bsky.social
1. Biologics and other low-risk medications can be safely continued through preconception, pregnancy, and lactation.
johannahruddy.bsky.social
For women with IBD, pregnancy has long been defined by uncertainty—fear of flares, medication safety, and outcomes for their babies. That’s why the first-ever global guidelines for pregnancy in IBD are so groundbreaking. Some key takeaways I want to highlight:
New Guidelines for Pregnancy and IBD Aim to Quell Fears
A global consensus overrides fear of harming the fetus and makes some novel recommendations for the use of medication during pregnancy.
www.medscape.com
johannahruddy.bsky.social
Even with advances in biologics and small molecules, about 12% of Crohn’s patients who undergo a second surgery still need a third within five years. To me, this data reinforces the need for proactive, personalized postoperative care to improve long-term outcomes. @medscape.com
Can Advanced Therapies Prevent Repeat Surgeries in Crohn’s?
Despite the increased use of advanced medical therapies in Crohn’s disease, the 5-year rate of a third surgery remains unchanged in patients who have undergone a second surgery.
www.medscape.com
johannahruddy.bsky.social
Today is World Patient Safety Day, a reminder that safety builds trust. Clear communication, team training, smart tools, and patient engagement all reduce errors and improve outcomes. Every action counts in creating care where patients feel truly seen, heard, and safe.
Today is World Patient Safety Day, a reminder that safety builds trust. Clear communication, team training, smart tools, and patient engagement all reduce errors and improve outcomes. Every action counts in creating care where patients feel truly seen, heard, and safe.
johannahruddy.bsky.social
New research shows online ACT therapy for IBD boosts quality of life and lowers Crohn’s activity. While both ACT and CBT-informed programs help with anxiety, stress, and fatigue, ACT offers added benefits, highlighting the value of integrating psychological care into IBD treatment.
amcollegegastro.bsky.social
Acceptance and Commitment Therapy for Adults Living With Inflammatory Bowel Disease and Distress: A Randomized Controlled Trial
Naude, et al.

📕 doi.org/10.14309/ajg.0000000000003032
http://doi.org/10.14309/ajg.0000000000003032
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doi.org