SIBO and Detoxification with Dr Chris Shade

In this episode, Dr Nirala Jacobi is in conversation with Dr Christopher Shade.

Listen to the entire episode now.

Dr Shade is the CEO and founder of Quicksilver Scientific, a lab that specialises in the environmental, biological, and analytical chemistry of mercury and all of its forms, and its interaction with sulphur compounds, particularly glutathione, and its enzyme systems.

Dr Jacobi met Dr Shade at the Bioceuticals Research Symposium in Sydney, 2017, and was riveted by his presentation on detoxification.

Topics discussed in this episode include:

  • The liver, gallbladder, and GI connection, and how to align them so as to clear gastrointestinal issues.
  • How failure to move bile is at the heart of detox reactions
    • Bile as a detergent in the small intestine and how bile can be a core issue in SIBO.
  • Bile acid destruction and fat malabsorption in SIBO.
  • Emunctories and what this means.

And more…

Listen to the entire conversation at The SIBO Doctor Podcast Episode 17.

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.

 

Resources

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

23&Me

 

Microbiome PCR testing

Ubiome

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

 

 

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

Probiotics

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.

Resources

 

  • 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

The SIBO Doctor Podcast – Dr Bradley Bush – Neurotransmitters and SIBO Part 2

In this episode Dr Nirala Jacobi continues the conversation with Dr Bradley Bush, with a focus on case presentations around chronic SIBO cases and inflammatory concepts.

Dr Bush received his Naturopathic Doctorate degree from the National College of Naturopathic Medicine.  He is co-owner and clinic director of Natural Medicine of Stillwater and its online consumer direct website for practitioners, neurovanna.com.

The Bush practice focuses on fatigue, insomnia, GI disorders, mood disorders, and lyme disease. Dr Bush has over 16 years of industry experience. He is the owner of Natural Health Insights, providing consulting services to the naturopathic products and laboratory testing industry.

Dr Bush speaks nationally and regularly publishes on the topics of neuroimmunology, brain-gut connections, neuroendocrinology, and lyme disease.  Dr Bush sits on two non profit boards, The Naturopathic Education and Research Consortium, and Compass Centre for Health.

The format of this episode is slightly different. In it Dr Bush discusses three different SIBO cases, diving into the variability and complexity of each presentation.

 

Case 1 – SIBO with associated fibromyalgia and chronic fatigue – 65 y/o female.

  • Incremental approaches with complex cases.
  • The gut being the epicentre of health, without which SIBO associated presentations will not rectify.
  • Polypharmacy approach and the compounding effect of this on the patient.
  • Analysis of basic chemistry.
  • Myeloperoxidase (MPO), the enzyme secreted by neutrophils, and the indications for testing and tracking this in treatments. (MPO elevation has associations with lipopolysaccharides (LPS), chronic infections, irritable bowel disease (IBD), and immune induced leaky gut)
  • The neurotransmitter imbalances that can be sustained by chronic inflammation (hint – upregulated indoleamine dioxygenase enzyme, precipitating downregulated synthesis of serotonin, among others)
  • Yeast association with SIBO.
  • Weaning off polypharmacy.
  • Metronidazol for rifaximin resistant SIBO, and C. diff.
  • An indication on how many rounds of rifaximin are required to attend to chronic versus acute SIBO.
  • Eating disorders prompted by therapeutic diets taken on for too long.
  • Botanicals vs conventional medicine for SIBO treatment, or a combination use approach?
  • Probiotic use as immunological modulators rather than massive impactors for floral diversity in the GI microbiome.
  • Botanicals that Dr Bush uses in SIBO treatment.
  • Mediherb gut flora complex – immune regulating capability, IBD modulation, mucosal affinity.
  • Dr Nirala Jacobi’s therapeutic recommendation – Mediherb Bacto-Cand GI.

 

Case 2 – SIBO with associated constipation, acne, halitosis – 20y/o male

  • Traumatic brain injury due to sporting event.
  • Tricyclic antidepressant therapy introduced in his recovery plan and his subsequent experience of anxiety and spacey feelings.
  • Naturopathic neurotransmitter production therapy alongside conventional antidepressant use.
  • Serotonin syndrome and the potential for it to be induced by dual therapy use.
  • Methane Protocol – rifaximin and neomycin combination for methane dominant SIBO treatment.
  • Anxiety caused by SIBO, key indications being:
    • Treatment resistant anxiety
    • Treatment resistant insomnia
  • Anxiety as a manifestation resultant of SIBO chemicals interrupting neurotransmitter signalling.

 

Case 3 – Lyme and SIBO – 25y/o female

  • Chronic fatigue, constipation, bloating, neuralgia, catatonic staring episodes.
  • Lyme testing.
  • The effectiveness of the paleo diet for symptomatic control, noting that the issue still exists, even though the bugs are simply not being fed and therefore symptoms abating.
  • SIBO as a concomitant condition with Lyme, and/or as a condition that can mimic the various presentations of Lyme.
  • The Lyme/SIBO overlap as discussed by Dr Farshid Rahbar at the 2017 SIBO Integrative Conference, and the methane association.
  • The clinically noted neuralgia and methane dominance link.
    • Methane endotoxins produced by SIBO bacteria theorised to contribute to neuralgia.
  • Constipation and methane dominance perpetuating each other.
  • Methane dominant SIBO moving from constipation to diarrhoea during treatment and why this can occur.

 

Resources

The SIBO Doctor Podcast – Dr Bradley Bush – The Gut-Brain Axis: Neurotransmitters and SIBO

In this episode Dr Nirala Jacobi speaks with Dr Bradley Bush about the fascinating and complex world of neurotransmitters.

Dr Bush received his Naturopathic Doctorate degree from the National College of Naturopathic Medicine.  He is co-owner and clinic director of Natural Medicine of Stillwater and its online consumer direct website for practitioners, neurovanna.com.

The Bush practice focuses on fatigue, insomnia, GI disorders, mood disorders, and lyme disease. Dr Bush has over 16 years of industry experience. He is the owner of Natural Health Insights, providing consulting services to the naturopathic products and laboratory testing industry.

Dr Bush speaks nationally and regularly publishes on the topics of neuroimmunology, brain-gut connections, neuroendocrinology, and lyme disease.  Dr Bush sits on two non profit boards, The Naturopathic Education and Research Consortium, and Compass Centre for Health.

In this episode topics discussed include:

– Who are the major players in the enteric nervous system for neurotransmitter regulation?
– Does low serotonin in the gut mean low serotonin in the brain?
– The sympathetic-parasympathetic rhythm, and how important this is in calibrating the smooth muscle movement in the gastrointestinal tract.
– Underlying factors to sympathetic dominance in a person, such as chronic infection, dysbiosis, and/or inflammation.
– The complex presentations of sympathetic overdrive, ranging from anxiety and insomnia, to exhaustion, and why this is.
– Why increased norepinephrine in conjunction with normal or low epinephrine is a worse situation than just high epinephrine, due to the lack of counter balance for inflammation and an upregulated innate immunity.
– Repercussions of high epinephrine in conjunction with low norepinephrine.
– The multiple actions of cortisol, epinephrine, and norepinephrine in the body and their roles in acute and chronic conditions.
– Urinary transmitter analysis, stability, and recommended labs.
– Nutrients used to support synthesis of the various neurotransmitters.
– L-dopa v.s. tyrosine use, and the various benefits of each.
– Clinical indications for L-dopa use.
– How depleted catecholamines can be related to low secretory IgA.
– Genetic mutations (MTHFR) and how this relates to neurotransmitter dysfunction.
– Does serum C-reactive protein (CRP) directly correlate to SIBO activity?
– Myeloperoxidase measurement as a marker of neutrophil activity, and how it can be a useful monitoring tool for irritable bowel syndrome (IBS) and irritable bowel disease (IBD) patients.
– How does inflammation turn down the synthesis of serotonin and catecholamines?
– How the indoleamine 2,3-dioxygenase enzyme (IDO) conducts “The Tryptophan Steal” as an outcome of chronic inflammation, and the implications of this.
– What solutions are there to address the tryptophan steal?
– The benefit of using supplemental 5-HTP over tryptophan in light of chronic inflammation and impacted adrenal health.
– Doses, dose timing, and length of time to use 5-HTP.
– SIBO as a common underlying factor for the inflammatory state that can drive neurotransmitter dysfunction.
– What is the role of glutamate?
– Glutamate versus glutamine, and how is this relevant to supplementation.
– How is glutamate measured, what do high levels indicate, and how does it impact the nervous system?
– Glutathione as the biggest byproduct of L-glutamine metabolism.
– Powder V.S. tablet for L-glutamine use, and the dose recommended.
– What is urinary neurotransmitter testing reflecting?
– The blood-brain barrier, and how the brain is not a closed system.
– MTHFR and COMT genetic testing as indicated by low monoamine neurotransmitters and high catecholamines on urinary neurotransmitter panels.
– What to do with patients on medications being used to conventionally regulate neurotransmitters?
– Tactics of improving neurotransmitter markers prior to SIBO treatment in order to offset the flaring of the symptoms during die off.

Resources

The SIBO Doctor Podcast – Heidi Turner – Mast Cell Activation Syndrome

In this episode, Dr Nirala Jacobi speaks with Heidi Turner on the topic of Mast Cell Activation Syndrome.  Heidi is a medical nutrition therapist at the Seattle Arthritis Clinic at Northwest Hospital UW Medicine in Seattle, Washington.  She specialises in food intolerances, SIBO, and other digestive disorders, addressing the digestion in order to balance all body systems.

Topics include:

– Using diet to decrease inflammation in the body and improve pain markers for autoimmune patients.

– Mast cell activation syndrome (MCAS) and the diverse array of signs and symptoms with which it can present.

– SIBO and how it relates to mast cells disorder and MCAS.

– What mast cells are and what responses they create within the immune system.

– Predisposing factors for MCAS

– The physiological relationship of stressors, and/or emotional trauma to the development of MCAS and other conditions in the body.

– Histamine and its diverse roles in the body.

– Intolerance symptoms.

– How intolerance can develop.

– High histamine foods.

– How to best assess patients for histamine intolerance.

– Antihistamine supplements.

– Diamine Oxidase (DAO) and SIBO related histamine dysregulation.

– How to navigate probiotic treatment for highly digestively sensitive patients.

– Various treatment options for stabilising mast cells, and MCAS specific support.

Resources

Dr T C Theoharides  www.mastcellmaster.com

Mast cell cytosis society www.tmsforacure.org

Pubmed

Heidi Turner  www.foodlogic.org  www.eliminationdietrd.com

Submit Your SIBO Questions

Do you have burning questions about SIBO?

As many of you already know, we’ve recently launched the official SIBO Doctor Podcast.  We are now inviting submissions, which will be featured on the SIBO Doctor Podcast.

This will be for an in house session about SIBO testing, with me Carly, in conversation with Dr Nirala Jacobi, the Medical Director of SIBO Test.

We are so passionate about creating a plethora of SIBO resources for you to access, and love to collaborate with practitioners to amplify the sphere of SIBO learning.

Further, we invite you to submit any questions about SIBO that you may have, testing and beyond. We look forward to answering them in future Q & A episodes.

Chat soon!

Carly and the SIBO Test team.

 

 

The SIBO Doctor Podcast – Episode 4 – Salicylate Sensitivity

Dr Nirala Jacobi speaks with Dr Donna Beck ND with over 20 years of clinical experience at her integrative medicine private practice in Portland, Oregon.  She specialises in the customisation of bioidentical hormone therapy, and digestive disorders.  Today Dr Beck talks to us all about salicylate sensitivity – a condition that can be implicated with SIBO.

Topics discussed in this episode include:

-What are salicylates, and what foods are they in?
-What causes the tip of balance in our bodies into salicylate sensitivity?
-The role of stress in the onset of salicylate sensitivity.
-Metabolic acidosis, respiratory alkalosis, immune dysregulation.
-Salicylate sensitivity and how it can be implicated with SIBO.
-What naturopathic medicines contain salicylates?
-The diverse symptoms that can present with salicylate sensitivity.
-Treatment options for salicylate sensitivity.
-The crucial role of minerals in salicylate treatment.
-Symptomatic relief from acute sensitivities.
-Enzyme deficiencies and unique treatment options using single enzyme therapy.
-Digestive flora and the role of species destruction in sensitivity development.
-The relationship of yeast overgrowth to sensitivity development.
-Salicylate sensitivities as a treatable metabolic phenomenon rather than a chronic condition.
-Monitoring strategies to test sensitivity treatment progress.
-Diet resources for salicylate sensitive patients.
-Common foods high and low in salicylates.
-Therapeutic herbs that are high, and low in salicylates.
-Topical considerations for salicylate sensitivities
-How salicylates are metabolised and how to support these pathways with diet.
-Salt as a major driver of acidity.
-Food reintroduction strategies for patients are or have been quite restricted.
-Buteyko breathing before meals.
-Testing options and recommendations.
-Are parasitic infections implicated in salicylate sensitivity?
-Water quality and pH requirements for best digestive health.
-Planetary stress and how this is impacting salicylate production in plants.

Resources for listeners

Dr Donna Beck
Location – Gresham, Oregon
Website: afamilywellnesscenter.com
Email: afwc330@gmail.com

Dr Anne Ruth Swain – Salicylate specialist from Australia

A salicylate content of herbs guide – Dr Donna Beck is collaborating with Glen Nagle and it is in production.

Dr Feingold & the Feingold diet for hyperactive children

Feingold association

Dr Paul Saint Amand

Fibromyalgia treatment centre

Buteyko breathing

 

The SIBO Doctor Podcast – Episode 3 – The SIBO Queen Insights – Part 2

Following on from SIBO Queen Insights Part 1,  Dr Nirala Jacobi continues the conversation with Dr Allison Siebecker about their clinical experiences, research, and SIBO insights.

Topics include:

– How to approach treatment with patients who are severely food restricted and have SIBO.
– Challenges experienced as a practitioner working with chronically ill patients.
– The importance of taking a methodical approach to SIBO treatment.
– Other functional tests recommended alongside SIBO testing and treatment, such as:
– Stool testing
– Blood testing

– Hormonal testing (sex hormones, adrenals, thyroid)
– Yeast overgrowth in SIBO and how to approach this in treatment.
– How hormonal imbalances in the body can affect motility of the small intestine and the testing necessary to get the full SIBO picture.
– UBiome PCR testing on the microbiome to ascertain species diversity in the GIT.
-Comparing modern civilisation microbiota diversity to that of tribal groups and how to use diet to start to diversify species in an environment inclining towards decimation.
– The way to use testing in methodical SIBO treatment.
– What SIBO tests to use, lactulose, glucose, or fructose, or all of them?
– What is on the horizon for hydrogen sulfide dominant SIBO testing?
– Practitioner pearls and protocols.
– Partially hydrolysed guar gum and practitioner feedback using this in SIBO treatment.
– Dietary tips for symptom relief, and treatment of SIBO.
– Prebiotics recommended by Dr Jason Hawrelak.

Resources

www.siboinfo.com – Dr Allison Siebecker’s website

SIBO Summit 2016 – Recordings available of expert speakers

Thanks for listening, and catch you next time!

The SIBO Doctor podcast crew

ABOUT DR ALLISON SIEBECKER

Allison Siebecker, ND, MSOM, LAc, has worked in the nutritional field since 1988 and is a 2005 graduate of The National University of Natural Medicine (NUNM), where she earned her Doctorate in Naturopathic Medicine and her Masters in Oriental Medicine.  She was the co-founder and former medical director of the SIBO Center for Digestive Health at NUNM Clinic and has specialized in the treatment of SIBO since 2010.  Dr. Siebecker is passionate about education- she is Instructor of Advanced Gastroenterology at NUNM, Board of Advisor for the GI Health Foundation, Co-Founder & Curriculum Coordinator of the 2014-2016 SIBO Symposiums, teaches continuing education classes for physicians, and is the author of the free educational website siboinfo.com.  In 2005, 2013 and 2015 she received the Best in Naturopathy award from the Townsend Letter, for her articles: “Traditional Bone Broth in Modern Health and Disease”, “Small Intestine Bacterial Overgrowth: Often Overlooked Cause of IBS” and “SIBO: Dysbiosis Has A New Name”. Dr. Siebecker is currently writing a book synthesizing the SIBO data into one source.