Chris Kresser: When there are structural issues, people still do typically respond well, but they may not always respond as well, and the structural issues could include hernia. We would always try first with the protocol, and in a lot of cases, that will work. If it doesn’t work, in some cases, surgery might be required, and surgery for hernia, depending on where it is and depending on the technique that’s used, is getting less invasive and easier to recover from and sometimes can make a big difference. In functional medicine, of course, we’re not opposed to drugs and surgery. We’re just interested in treating the underlying cause of the problem and effecting the best outcome with the least amount of harm, and surgery can meet those criteria in certain cases. So start with the protocol and see where you get, and then evaluate whether surgery is practical or likely to be effective, based on what the particular situation is.