@dr.zac.spiritosDr. Zac Spiritos

Neurogastroenterologist optimizing gut & whole-body health holistically.

card updated Oct 11, 2026 · 10 clips parsed · following 46 · 726,000 likes total

Engagement3.74%normal range

Account summary

@dr.zac.spiritos has 33,700 followers and 373 videos. Across the 10 parsed clips the average is 38,625 views and 1,312 likes. Engagement to views is 3.74%, which is normal range for TikTok. On the newer half of the feed the response is falling (−1.59 pp). Posts roughly 5.9 times a week. An average clip reaches 115% of the follower count.

Followers

33.7K

+2.1K in period

Engagement

3.74%

−1.59 pp newer half

Average views

38.6K

median 17.2K

Likes per clip

1.3K

56 comments avg

Shares / saves

76 / 231

0.6% of viewers save

Posting rate

5.9 / wk

reach 115% of followers

Latest clips

10 collected

Ask someone with hypermobile Ehlers-Danlos syndrome and MCAS, “What do — @dr.zac.spiritos

65.3K0:07Ask someone with hypermobile Ehlers-Danlos syndrome and MCAS, “What does your headache feel like?” — and buckle up for a3.8K117181567

* Low Fermentable Oligosaccharides, Disaccharides, Monosaccharides, an — @dr.zac.spiritos

7851:38* Low Fermentable Oligosaccharides, Disaccharides, Monosaccharides, and Polyols Diet Improves Colonic Barrier Function a691216

One of the more frustrating things I see in MCAS is how difficult it c — @dr.zac.spiritos

4.3K0:10One of the more frustrating things I see in MCAS is how difficult it can be to actually correct nutrient deficiencies. S15317438

Some people I see in clinic describe a very specific type of “bloating — @dr.zac.spiritos

156.4K0:09Some people I see in clinic describe a very specific type of “bloating”: they eat, and within minutes their lower abdome2K3741275

One of the stranger phenomena I’ve seen with MCAS is reactive hypoglyc — @dr.zac.spiritos

55.7K0:11One of the stranger phenomena I’ve seen with MCAS is reactive hypoglycemia. Normally, when we think about blood sugar dr2.5K159309705

Once you diagnose MCAS, that can actually be the easy part. The harder — @dr.zac.spiritos

7.4K0:11Once you diagnose MCAS, that can actually be the easy part. The harder part is often figuring out how to treat it. We ha396161544

One thing that is almost part and parcel of MCAS is an incredible reac — @dr.zac.spiritos

21K0:10One thing that is almost part and parcel of MCAS is an incredible reactivity to medications. A “normal” starting dose ma7298334126

Yes, people with hEDS can have joints that bend, pop, sublux, and disl — @dr.zac.spiritos

59.2K0:07Yes, people with hEDS can have joints that bend, pop, sublux, and dislocate…but hypermobility exists on a spectrum, and 2.8K93127394

When someone is in an MCAS flare, one of the first questions I ask is: — @dr.zac.spiritos

13.5K0:09When someone is in an MCAS flare, one of the first questions I ask is: what changed? Sometimes the answer is surprisingl512322774

Histamine Receptor H1-Mediated Sensitization of TRPV1 Mediates Viscera — @dr.zac.spiritos

2.7K1:35Histamine Receptor H1-Mediated Sensitization of TRPV1 Mediates Visceral Hypersensitivity and Symptoms in Patients With I21821675

Engagement per clip

10 parsed clips · newest on the right · click a bar to open the clip peak: 9.2% ER

Sep 10Sep 15Sep 21

Date	Views	Likes	Comments	Shares	Saves	ER
Sep 21, 2026	65,300	3,828	117	181	567	6.32%
Sep 19, 2026	785	69	1	2	16	9.17%
Sep 18, 2026	4,346	153	17	4	38	4.00%
Sep 17, 2026	156,400	1,968	37	41	275	1.31%
Sep 15, 2026	55,700	2,463	159	309	705	5.26%
Sep 14, 2026	7,362	396	16	15	44	5.80%
Sep 13, 2026	21,000	729	83	34	126	4.03%
Sep 12, 2026	59,200	2,779	93	127	394	5.07%
Sep 11, 2026	13,500	512	32	27	74	4.23%
Sep 10, 2026	2,659	218	2	16	75	8.88%