2017 SIBO Update Webinar – General Registration Now Open

Are you a health professional who is compelled to uncover the root cause of digestive and systemic disease processes for your patients?

Join Dr Nirala Jacobi for the latest updates from the world of SIBO.

A summary of cutting edge SIBO research and information.

Register now for the SIBO Update Webinar 2017

Join us LIVE on the 11th of May 2017 (7pm – 8:30pm AEST – UTC +11) as Dr Jacobi presents the latest from the world of SIBO.

Link will be sent before the Webinar.
A recording will be sent afterwards to all who register.

Key learning objectives:

  • Current SIBO research review
  • Associated conditions
  • New herbal treatment considerations
  • Update on SIBO breath testing and interpretation

Join Dr Jacobi and expand your patient care with this powerful information.

Integrative SIBO Conference

The 2017 Integrative SIBO Conference is just around the corner.

It is set to be held in Lombard, Illinois on the 25th and 26th of March.

Dr Nirala Jacobi is amongst the line-up of high calibre international speakers set to attend this event.

The comprehensive spectrum of SIBO topics to be presented include rheumatology, MTHFR, restless leg syndrome, dermatology, diabetes and psychology, as well as current literature on herbal treatment, pharmacological protocols and PPI meta-analyses.

You area able to register to attend this event in person, or via webinar.

The SIBO Doctor Podcast – Episode 1 – Professional Questions Answered

In this episode, Dr Nirala Jacobi is in conversation with Carly Woods, recent Naturopathic graduate. Here, Dr Jacobi addresses common SIBO questions and invites listeners to join the discussion.

Topics covered include:

– Dr Jacobi’s motivation behind starting the podcast, The SIBO Doctor.
– The gut and its role in the health of the body as a whole.
– SIBO and how it can cause leaky gut.
– Explaining zonulin and its role in maintaining gastrointestinal integrity.
– The autoimmune aspect of SIBO.
– Cytolethal distending toxin B and how it is implicated in vinculin destruction, compromising the migrating motor complex.
– Adhesions and the role of visceral manipulation in SIBO treatment.
– Dr Jacobi’s Bi-Phasic Diet and how to integrate methodical SIBO treatment.
– Herbs and nutrients that Dr Jacobi’s recommends for gut healing and SIBO treatment.
– A look into the different types of bacteria that are involved in SIBO development.
-Conventional SIBO treatment and Rifaximin use.
Nutrients, herbs, and conventional medicines used to encourage the Migrating Motor Complex, and when to use them.
– The effects of modern civilisation on gut microbiome health and systemic well-being and ways to diversify flora.

We love connecting with practitioners and collaboratively navigating the complexities of SIBO.

If you’d like your question to be featured on the show, we invite you to email your question to Carly.

Thanks for listening, and don’t miss our second episode – an interview with the “SIBO Queen” – Dr Allison Siebecker.

The SIBO Doctor podcast crew


Travelling Tips for SIBO patients

By Dr. Nirala Jacobi, BHSc, ND (USA)

As most SIBO patients know, the dietary restrictions are an important part of the success of the treatment.  Travelling or eating out can be daunting occasions which can easily throw off the diet. In addition, patients with post-infectious SIBO (SIBO which occurred after a case of food poisoning) are 5 x more likely to contract another case of food poisoning! Prevention of food poisoning is therefore extremely important to prevent further damage.

What to eat

We recommend patients follow the SIBO Bi-Phasic diet whilst being treated for SIBO (a more stricter version of low FODMAP diet). Please consult with your practitioner as to which phase of the Bi-phasic diet you are to follow.   If this proves too hard, download the Monash FODMAP app which gives green lights on foods with low fermentable fibres.  This is not a specific diet for SIBO, but it will do in a pinch.


  • Consult with your airline for any travel with meal service. Though none currently have a low FODMAP diet, all airlines cater to certain diets and these can differ. For starters,  request no dairy and  gluten and see how amenable they are for specific food requests.
  • Take ample snacks in case you can’t eat much of what they serve: boiled eggs, nuts, almond meal pikelets, and rice cakes with almond butter, cut vegetables are all good travelling foods. (Note:  many countries have strict custom laws which prohibit bringing fresh food into the country, so you may have to throw out your left overs upon arrival)

On the ground

  • Drink bottled water vs tap water
  • Avoid raw salads (unless cleanliness of restaurant is assured)
  • Wash fruit well
  • Avoid lemon or lime wedges from the bar
  • Eat well cooked meat, chicken, fish
  • Avoid foods from street vendors or “finger foods”
  • Wash your hands often (do not rely on hand sanitisers)


One of the best ways to prevent food poisoning is to enhance the natural antimicrobial activity of stomach acid (HCL), bile, and enzymes which are produced to help us digest foods and kill food borne bacteria.  The following suggestions are good adjuncts to your relapse prevention plan whilst travelling.  Note: it is not necessary to take all of them, pick one from each category

Digestive Aids

  • Herbal Bitters – very effective to improve these digestive juices. If you cannot find a good one, you may be able to have one made up at a health food store with a herbal dispensary. Dr Jacobi’s formula is equal parts of Oregon Grape/Gentian/Baical Skullcap/Dandelion root. Take 3 whole droppers in water 15 minutes before meals
  • Betaine HCL – supplemental HCL to increase the acidity of the stomach. Not recommended for those with known history of gastritis.


  • Berberine containing antimicrobial products: Berberine-500 and Bactrex are good examples.  Take 1-2 capsules of either formula daily for prevention, increase to 2 caps 3x daily for acute illness (ideally berberine content of around 2-4 grams)
  • Rifaximin 200-500mg daily – this is prescription medication specific for SIBO. Dr Mark Pimentel (SIBO researcher and gastroenterologist) suggests this dose daily whilst travelling to prevent food poisoning.  Can be increased to 550mg 3x daily for active flare.

Additional support

  • Saccharomyces boulardii – a beneficial yeast with many digestive benefits. It is a great aid in the prevention of travelers diarrhoea.  It increases the gut’s immune response. Though also helpful for candida, it is not recommended for those with allergy to yeasts.  SB Floractiv is a good product in Australia – take about 500mg daily preventatively
  • Melatonin (by prescription in Australia) – great for prevention of jet lag but also considered a prokinetic (keeps the small intestines moving) – take 2-5mg nightly.


SIBO Summit 2016 at your fingertips

We’ve captured the brilliant sessions at SIBO Summit 2016 on video.

Dr Hawrelak SIBO Summit 2016

Do you want access?

They’re now available! Featured speakers include Dr Allison Siebecker, Dr Jason Hawrelak, Dr Nirala Jacobi, Alyssa Tait, Dr Iggy Soosay and Rebecca Coomes.

Head to the SIBO Summit page to get your copy.


The basics of SIBO


Normally, bacteria are found in the trillions in the LARGE INTESTINE, where they perform various symbiotic functions for the human body.

SIBO is a condition where bacterial overgrowth occurs in the absorptive area of the body the SMALL INTESTINE.

Watch our short, informative video

SIBO Webinar Update with International Expert


Are you a health professional who is compelled to uncover the root cause of digestive and systemic disease processes for your patients?

Join Dr Nirala Jacobi for the latest updates from the Portland SIBO symposium.

Topics covered include:

  • What causes SIBO?
  • The role of SIBO as an underlying causative factor in common digestive issues, such as IBS, leaky gut, coeliac disease, and more.
  • The connection between SIBO and other conditions such as fibromyalgia, gallstones, acne rosacea, and malabsorption syndromes, to name a few.
  • SIBO: a possible link with Lyme disease?
  • Biofilms and their role in SIBO Environmental toxicity.
  • Natural treatment protocols and maintenance strategies.
  • Dr Jacobi’s personalised and updated Biphasic Diet Approach to SIBO treatment.
  • SIBO When Berberine fails: new herbal considerations
  • A summary of cutting edge SIBO research and information.

Register now for the SIBO Update Webinar 2016

Investment: $50 AUD

Presenter: Dr Nirala Jacobi BHSc ND.
Date: 14 July 2016 7pm AEST
Go2Webinar Link will be sent before the Webinar.
A recording will be sent afterwards to all who register.

BONUS gift

Visit our registration page and you will also receive free access to Dr Jacobi’s 2015 SIBO Webinar.

Key learning objectives:

  • Updated SIBO assessment and treatment
  • New information on the autoimmune link to SIBO
  • Key herbal and conventional strategies
  • Adhesions and restrictions; often a key element in the development of SIBO.

Join Dr Jacobi and expand your patient care with this powerful information.