SIBO SOS Summit is back this October, and we’re thrilled to be a part of it again with our latest presentation aimed especially at SIBO patients.

Methane, Constipation, and The SIBO Biphasic Diet by Dr Nirala Jacobi BHSc ND, Chief Medical Officer, will highlight these research and treatments for small intestinal bacterial overgrowth (SIBO).

Sign up FREE to grab a spot and get access to 30+ of the latest SIBO presentations by top SIBO experts.

Click here to sign up now for free!

Breathing and GI Health with Mim Beim

In this episode of The SIBO Doctor podcast, Dr Nirala Jacobi is in conversation with Mim Beim about the effect of the breath on the digestive tract. Mim has 30 years of naturopathic experience, she has authored books, and is a respected naturopathic voice in the media. Mim has also held lecturing positions at the Australian College of Natural Therapies (ACNT) and has two practices.

Topics discussed include:

  • Mim’s story and how she came to Buteyko breathing.
  • Physiological effects of Buteyko breathing.
  • What actually happens with Buteyko breathing?
  • Overbreathing – chronic hyperventilation (breathing more than we metabolically need) and the effect of losing too much carbon dioxide.
  • What are the effects of increasing carbon dioxide in the body in minuscule amounts?
  • Digestive conditions and the breath.
  • What improvements and symptomatic relief has Mim seen with Buteyko breathing with SIBO and digestive conditions?
    • Nitric oxide improving the functioning of sphincters and how this affects the digestive tract.
  • An example of a Buteyko breathing exercise – a live exercise

Tune in to this fascinating talk over at The SIBO Doctor podcast page

Listen on iTunes

The number one question I get asked is…

…about SIBO Breath Test Interpretation!

Free 1-hour in-depth session
12 October 2017 7 pm (Sydney, Melbourne)

What you will learn in this free session:

  • Confidently interpret the nuances of hydrogen positive SIBO
  • Understand Methane positive SIBO vs IBS-C methane positive
  • When to consider hydrogen sulfide on a breath test result
  • When to retest your patient
  • What do rising hydrogen and falling methane mean on a retest
  • Followed by Live Q+A with SIBO expert, Dr Nirala Jacobi ND!

Can’t make the live event?

A catch-up video will be sent to everyone who registers!

Plus, you’ll also earn valuable rewards points that may be redeemed on the SIBO Education website as a discount on your purchase of any SIBO on demand learning course.

Sign up now

The SIBO Doctor – Dr Lenny Weinstock – SIBO, Restless Leg Syndrome and More

In this episode, Dr Nirala Jacobi is in conversation with world class gastroenterologist Dr Lenny Weinstock about Small Intestinal Bacterial Overgrowth (SIBO) and its connection to different conditions in the body.

Dr Weinstock is board certified in gastroenterology and internal medicine, is the president of Specialists in Gastroenterology and the Advanced Endoscopy Centre, he teaches at Barnes Jewish Hospital and is an associate professor of clinical medicine and surgery at Washington University School of Medicine. Dr Weinstock is also a primary investigator at the Sundance Research Centre and has written more than 80 articles, abstracts, editorials, and book chapters. He is passionate about SIBO and its connection to different conditions, such as Restless Leg Syndrome and Rosacea.

Head on over to our podcast page, The SIBO Doctor to listen in now to this fascinating conversation.


The SIBO Doctor – Dr Jason Hawrelak – Pre and Probiotic Use in SIBO

In this episode, Dr Nirala Jacobi is in conversation with Dr Jason Hawrelak on the topic of all things gut.

Head on over to our podcast page, The SIBO Doctor to listen in to this fascinating conversation.

Dr Hawrelak is a researcher, lecturer, naturopath, and nutritionist with over 16 years of clinical experience.  He also practices at Gould’s Natural Medicine – a 135-year-old natural medicine apothecary and clinic in Hobart, Tasmania, Australia.

Dr Hawrelak completed his PhD examining the capacity of probiotics, prebiotics, and herbal medicines to modify the gastrointestinal tract microbiota.  He is currently the senior lecturer in Complementary and Alternative Medicines at the University of Tasmania’s School of Medicine where he coordinates the evidence based complementary medicines programs.  Dr Hawrelak also teaches the gastrointestinal imbalances unit, within the Masters of Science and Human Nutrition, and Functional Medicine Program at the University of Western States, in Portland, Oregon.

Pre and Probiotic Use in SIBO

Listen to the podcast


The SIBO Doctor – Dr Denise Furness – SIBO, Genomics and Methylation

SIBO, Genomics and Methylation

In this episode, Dr Nirala Jacobi is in conversation with Dr Denise Furness, molecular geneticist, registered nutritionist, and registered exercise professional


Today’s discussion centres around nutrigenomics, methylation, and digestive health.

Dr Furness completed her PhD at CSIRO Human Nutrition and a postdoctoral fellowship at the University of Adelaide’s Research Centre for Reproductive Health.

Her research focused on folate, nutrigenomics, methylation and DNA damage in relation to pregnancy outcomes.  She has published her work in peer-reviewed medical journals and regularly presents at national and international conferences.

In 2012 Dr Furness shifted from an Academic Research position to a consulting role at Your Genes and Nutrition, helping patients understand the role of nutrigenomics and genetic testing in relation to various health outcomes.

Dr Furness is passionate about helping couples achieve optimal health and wellness to improve their chances for natural conception and healthy pregnancy outcomes.  She also holds regular educational seminars and workshops discussing the links between our genes and our environment, and how these impact on our health throughout all stages of the life cycle.

Topics discussed in this episode include:

– Overview of methylation.

– What to look out for with patients with ongoing digestive symptoms, and how can we utilise some of the genomic testing that’s available?

– Methylation as being responsible for switching genes off and on – the epigenetic component, as well as neurotransmitters, detoxification, and many other functions.

– How do we truly test methylation?

– Genetic terminology suggestions.

– How is methylation important in digestive issues?

– How SIBO relates to methylation variations.

– Nutritional cofactors implicated in the wider picture of methylation.

– Dr Furness’s most recent collaboration project with Bioceuticals.

– Clinical services

– Genetic Testing options

– Guidance with further testing

– Which genetic testing service will serve your needs the best?

– FUT2 gene variants and the link to a digestive disorder.

– FUT2 secretors and non-secretors, and the direct influence on the gut bacteria altering levels of Bifidobacterium and B12.

– Detoxification (CYP450) systems and their prevalence in the gut versus the liver.

– CYP polymorphisms, upregulation, and the resulting impacts on the digestive system.

– Glutathione S-transferase (GST) phase 2 deletions and the requirement for detoxification support in light of the body using different, slower pathways.

– Catechol-O-methyltransferase (COMT) as the safe pathway to process catechol oestrogen metabolites.

– Nutrients that support COMT and methylation, such as magnesium and b vitamins, respectively.

– Monoamine oxidase (MAO) enzyme system that helps to clear neurotransmitters.

– Why support COMT and methylation during times of stress and anxiety.

– Why to never just start with folate supplementally – The Folate Trap.

– Why the gut is the first port of call for systemic health.

– Dr Furness’s dosing inclinations.

– B12 deficiency in the presence of oxidative stress (due to gut issues), the recommendation towards hydroxy B12 supplementation over any other forms of B12, and why.

Various testing that Dr Furness recommends.

DUTCH testing

8-Hydroxyguanosine as a marker of DNA damage and oxidative stress

Endotoxicity and lipopolysaccharides (LPS) and how this can affect certain genes

Low homocysteine and what this can mean.

Gut issues and the relationship with oxidative stress.

Where to start with a client who has genetic complexities and oxidative stress issues.

Methylation education necessities for practitioners.

Dr Furness’s plan for upcoming workshops in Melbourne, and online offerings for clinical application.

The transsulfuration pathway and what can go wrong here.

The Cystathionine Beta Synthase (CBS) SNP as the first step in transsulfuration pathway, which pulls homocysteine into the pathway, and the CBS impact in detoxification.

Sensitivities with sulphur and the relationship to CBS.

How one SNP does not provide the whole picture – look at the diet, lifestyle, symptoms, and testing, using an integrative picture to address the issue.

How B6 works to speed up the transsulfuration pathway, pulling homocysteine down into it.



Dr Denise Furness

Consults available at Your Genes & Nutrition, Brighton, Melbourne

Consults available at Your Health, Brighton, Melbourne


Genetic Testing Services

Smart DNA

Fit Genes

DNA Life



Microbiome PCR testing


Dr Furness’s 1000 kit free link


Dr Anderson

DUTCH testing

8-Hydroxyguanosine as an indicator of DNA damage and oxidative stress

Doctor’s Data

8-Hydroxyguanosine as an indicator of DNA damage and oxidative stress



SIBO SOS: Day 4 Here’s what’s on tap:

Have you been able to watch any of the SIBO SOS?

  • Dr Allison Siebecker’s Fundamentals session focuses on how diet directly affects SIBO. (Is it a cure after all?)
  • Leonard Weinstock takes on SIBO, Rosacea, RLS (Restless Leg Syndrome) and LDN (Low Dose Naltrexone) it could be a game changer for you. It was for me.
  • Our own Nirala Jacobi of exposes the mysteries surrounding SIBO including salicylate intolerance and SIBO connections – we are including the Bi-Phasic Diet on the page.
  • Angela Pifer shows you the RIGHT choices to make when starting SIBO treatment with her food ideas and tips.
Then Sylvie McCracken rounds out Day 4 with her inspirational get-up-and-go success story on how she dealt with “2+ weeks of hard” to finally being well with the elemental diet.

Click here for Day 4 of The SIBO SOS™ Summit!

I simply can’t believe we’re already on Day 4!
So much incredible valuable information has been shared, and we’re getting close to the finish line!

P.S. Remember, there’s still time for you to grab the “event only” special! Unlimited access to the videos, MP3 recordings of all the interviews, and speaker bonuses. Click here

P.P.S. Day 3 Sessions are available for another few hours. These include sessions with Dr Siebecker, Dr Ruscio, Dr Rahbar, Larry Wurn & Katie Caldwell.

Click here to access the Day 3 Sessions.



Fighting SIBO in Silence? No Longer!

I wanted to tell you about this new SIBO event where I’m speaking – the first SIBO SOS ™ Summit – a new free event starting NEXT WEEK!

If you have SIBO your life has been dramatically altered.

Not only do you feel sick and tired, bloated and constipated and all the other symptoms that come with SIBO, you might feel something else entirely…

Lonely, isolated and maybe even anxious and frustrated!

Even though SIBO affects millions of people across the country, it’s one of the least known chronic conditions in today’s modern World.

It can be a rocky road to be diagnosed with something nobody’s ever heard of. It can be super tough to find the right resources to help you truly heal too… until now!

The SIBO SOS Summit is happening online June 24 – June 28 – and it’s going to change the way you look at your condition forever.

SIBO SOS ™ Summit is 5 Full days packed with some of the most brilliant minds researching and treating SIBO today.  You’ll learn about the most cutting edge nutrition, treatment and healing options directly from the mouths of this exciting panel.

Hosting are Shivan Sarna and Dr. Allison Siebecker – and together they’ll show you just how many options you have to get your life back on track and kick SIBO to the curb once and for all!

The best part? It’s absolutely free for you to join and participate!

Early Bird ends 24 June, so you’d best be quick!

Take a minute right now and check out the full expert line-up and get your seat secured today!

Click here to grab the early bird pass


I’ll see you there!

Dr Nirala Jacobi ND

P.S. There are so many people suffering in silence from SIBO and its symptoms, if you think a friend or loved one could be a part of it, feel free to share this link with them and let them get the relief they need too – Get signed up right here!

The SIBO Doctor – Dr Michael Ruscio – Gut-Thyroid & SIBO

In this episode, Dr Nirala Jacobi is in conversation with Dr Michael Ruscio about the gut-thyroid SIBO connection.

Dr Ruscio is a functional medicine practitioner, chiropractor, clinical researcher, and host of the Dr Ruscio Radio Podcast.  Dr Ruscio and Dr Jacobi both recently presented and connected at the Integrative SIBO Conference 2017 in Chicago.

Topics discussed in this episode include:

How Dr Ruscio became interested in SIBO.

What is the gut-thyroid-SIBO connection?

Discussion of 4 main areas:

1. The way the gut affects thyroid autoimmunity
2. The way the gut affects thyroid hormone absorption.
3. The way the gut can cause hypothyroid-like symptoms, even when thyroid hormone levels are normal.
4. Those on thyroid medication and/or have hypothyroidism, are at increased risk of SIBO.

Being hypothyroid, or being on Levothyroxine as presenting an increased risk for SIBO, and why this may be.

The SIBO-H.Pylori relationship and the increased risk of SIBO after conventional H.Pylori treatment.

The relationship between H.Pylori and thyroid autoimmunity.

Does Dr Ruscio treat H.Pylori even if the patient is asymptomatic?

Pylori as an indicator of overall gut health.

Pylori pathogenesis v.s. commensalism with the host.

Recalibrating the gut microbiota in light of H.Pylori, with natural treatments such as:

  • Probiotics
  • Herbal antimicrobials
  • N-acetylcysteine

Testing for hypothyroidism

    • What is true hypothyroid?
    • What is subclinical hypothyroidism?
    • TSH high
    • T4 normal according to the reference ranges.
    • When to treat hypothyroidism, and when not to.

The relationship of gut inflammation to thyroid autoimmunity.

    • Switching focus from treating the lab values, to treating the person and the underlying causes of disease.

What testing does Dr Ruscio use diagnose thyroid issues?

Thyroid antibodies and the response to diet and lifestyle adjustment.

    • TPO antibodies between 100-300 and Dr Ruscio’s interpretation of this and patient care suggestions.
    • TPO antibodies over 500 and the correlation to thyroid autoimmunity.

Intestinal permeability and the link to autoimmunity.

What are the other links between Hashimoto’s and SIBO?

Implicated elements include:

    • Impaired bile production.
    • Impaired phase 3 detoxification.

What are Dr Ruscio’s preferred treatments for Hashimoto’s Thyroiditis?

      • Vitamin D
      • Combined selenium, CoQ10
      • Magnesium

Best therapeutic duration for selenium supplementation discussed.

How exogenous thyroid hormone facilitates thyroid repair.

Dr Ruscio’s thyroid medications and whether to use a T3, T4 combination, or a liquid thyroid medication, and which medication to consider in light of chronic digestive conditions.

The SIBO Doctor – Chris Gebhard – SIBO and Constipation

SIBO and Constipation

Today, Chris Gebhart joins Dr Nirala Jacobi to speak about SIBO and constipation.

Chris works at Resonance Complementary Therapies in Melbourne, Australia, and has been working with SIBO for 3-4 years.  Chris graduated as a Naturopath from the Southern School of Natural Therapies in 1995, has done post graduate studies in Japanese Acupuncture.

Chris works with his partner, Natalie Cruttenden, also a Naturopath and SIBO practitioner.  Chris introduced Dr Jacobi to the use of the herbal medicine, pomegranate, in SIBO treatment, which is also touched on today.

Topics discussed in this episode include:

  • Chris’s journey to becoming a SIBO treating practitioner.
  • Methane dominant SIBO and the constipation relationship.
  • Chronic constipation beyond SIBO treatment – what is Chris seeing in his clinic with constipated patients who remain constipated even though methane levels are dropping?
  • Post SIBO treatment therapies to support healthy digestion throughout the entire digestive tract.
  • Resetting and stimulating peristalsis in the large intestine.
  • The importance of supporting bowel movements during the antimicrobial SIBO treatment phase .
  • The theory that high methane on baseline that remains elevated throughout the test reflects IBS-C and not necessarily SIBO (via SIBO breath testing).

Chris’s clinical pearls for treating constipation, and supplemental supports:


Prescript Assist

  • Partially Hydrolysed Guar Gum (PHGG)
  • Herbal based laxatives
    • Metagenics laxatone
    • Mediherb cascara complex
  • Xymogen Probiomax Plus Sachets
  • Bioceuticals Ultra Biotic 500 in later phases of SIBO treatment.

Dr Jacobi’s supplement supports for peristaltic action

– Bifidobacterium Lactis HN019
– Found in Probiomax, and Orthoplex Multigen Biotic.
– Mutaflor – beneficial E.coli

  • Repair work to consider after Neomycin use.

Dr Jacobi’s bowel retraining techniques:

  • – PHGG use
  • – Flaxseeds, chia seeds, and dietary adjustment to support bowel movements for patients with high methane production in the large intestine.
  • – Anatomical squatting position for best evacuation alignment.
  • SIBOtest’s Resource – Retraining a Sluggish Colon

  • Coffee enemas – Chris and Dr Jacobi’s opinions for therapeutic use.
  • Kinesiological testing for the function of sphincters of the abdomen.
  • Sphincter work and what type of constipation patients may respond better
  • Chris’s seed blend for moving the bowels – chia seeds, linseeds, pumpkin seeds, sunflower seeds, almond.
  • Methanogen specific herbal support
  • Removing Methanobrevibacter smithii by moving the bowels.
  • Testing available for high baseline methane and high methane throughout, and when to use this test – Methane Spot Test.
  • Pomegranate – when to use it, what form to use, how often to use it, and Chris’s results from using it.
  • Other herbs for treating SIBO and Small Intestinal Fungal Overgrowth (SIFO), including Usnea and Horopito.
  • The Biphasic Diet and reintroducing FODMAP foods.
  • The damage to the villi in light of SIBO and repercussions of this.
  • SIBO relapse, and how to integrate a repair phase to lessen the occurrence of this, either post treatment, or pretreatment (as indicated in the The Biphasic Diet)
  • Chris’s treatments for gut repair:
    – Prebiotic rotation.
    – Lactulose
    – Bimuno galacto-oligosaccharide (GOS)

Fibre integration
– Soluble
– Insoluble


Colonic foods (polyphenols)
-Green tea


  • Dr Jacobi’s gut repair program

– Vitamin A
– Zinc – 60mg
– Bimuno GOS

– Stress as a factor in sluggish bowels.
– Supporting serotonin for gut motility.



  • Dr Jacobi’s supplement supports for peristaltic action:

– Bifidobacterium Lactis HN019
– Found in Probiomax, and Orthoplex Multigen Biotic
– Mutaflor – beneficial E.coli
– Squatty Potty
– Easy Stool