5 SIBO Treatment Mistakes to Avoid

[@ConfluenceNutrition]

Thanks for watching! Have you ever made any of these mistakes? Tell me more about it below! And don't forget, if you're needing help creating your personalized plan for IBS and SIBO resolution, book a free discovery call to learn more about working with me inside my Calm Digestion Method online program at confluencenutrition.com/contact.

[@funday4744]

Thanks a lot for reply 😍 I have a doubt of Candida because I have thrush in tongue and itchy vagina and too much white discharge I want to take a test for Candida overgrowth I do know how to take

[@ConfluenceNutrition]

@@funday4744 candida is tricky to test for, the test I most recommend for this is the GI MAP, because it uses PCR-DNA testing. It's a stool test. Here's a video where I discuss this test and when to use it. kzbin.info/www/bejne/jpOyaqtqm9iEgcU Thanks for watching!

[@neachtarrsainn3216]

I did Xifaxan for two weeks and it did nothing. Two months later, I did round of Xifaxan and metronidazole which completely destroyed my gut. I have looked into antimicrobials, but the problem is you can talk to 10 people and get 10 different answers on what to take, how much to take and how long to take it. It’s so frustrating to try to get help with IMO these days as most doctors don’t even have a clue what it is. they all go by the same playbook, oh, you have Sibo take this antibiotic. Oh the antibiotics didn’t work, take more antibiotics. Oh it completely destroyed your gut, try another round of antibiotics. The state of gastroenterology in this country is ridiculous! they just want your money and could care less if they actually help you.

[@kris1987ful]

Look up carnivore diet for sibo

[@kevinjoseph517]

amoxicillin gave me a rash from the first pill...n i still have ibs.

[@prestiplex]

I feel your pain, im in the same spot rn. If this can help, there is , probably, 3 main reasons for sibo. Stomach acidity, pancreatic enzyme or gut motility. I ordered from FoodMarble the Air2. Its not a magical unit but I think it can greatly help finding the root cause because it allow you to breath test multiple time a day. You can then self medicate yourself a bit better knowing if something helped you or not. Also know that im not a doctor but just someone like you that suffer from sibo. I have been following a herbal protocol for 2 weeks now with origan oil, berberine and allicillin combine with betaine/pepsin. I did see a real improvement being able to even eat at fast food without any side effect(still dont recommanded tho).

[@petegodfrey5735]

I can relate. Ive been on a roller coaster for 6 months or more, with my digestive system...my M.D., the gasroenterologist, dieticians...no help. Ne explanation. No answers. One thing that may help, is to try fasting a meal or 2. That may help your system to "reset". I'll keep you in my prayers...

[@Valeriavictri]

Hello everyone, I woke up one morning 2 years ago with diarrhea and abdominal pain as a result of my malnutrition. There was almost no doctor I didn't visit, and every doctor and hospital I went to caused incredible harm to me. Finally, after 4 months, I found a very good doctor in my country and my sibo treatment is going well. Let me tell you about the treatment, I hope it will be useful to you. At first, you need to follow a low FODMAP diet that is limited in fiber and sugar for about 2 weeks. At the end of this 2 or 3-week diet, you eat a high-FODMAP diet rich in fiber and sugar for 1 day, then you increase the amount of fiber a little and use antibiotics for whatever your complaint is. This lasts for 2 weeks, and then you use herbal antibiotics for 3-4 months for whatever your complaint is. Please ask if you have any questions.

[@iwillstom]

My functional medicine practitioner immediately put me on a regimen of probably close to a dozen supplements for various issues, including ones after I tested positive for SIBO. I kept it up for a short time but eventually became overwhelmed with having to take so many pills a day and I gave up. I also have spina bifida which I’m pretty sure affects motility and I don’t think that was ever factored into a treatment plan.

[@mollypensiero1663]

My mistake is the trying too many things at once. Got Dr. Davis's book the Super Gut and have been trying his yogurt which MAY be too much for me. I have a long frustrating history and have had SAD advice and treatment form western trained gastroenterologists. But at my OWN insistentce and perseverance got a SIBO breath test that confirmed my Hydrogen based SIBO. Just finished my 14 days of Rifaxin and feel like I am slowly sliding backwards again! On no! But I am determined to figure this out. Will definitely be following you.

[@AnmaraMusic]

I suspect it’s not an easy fix with a pill kind of thing

[@ConfluenceNutrition]

Hi Molly! I hope that you reached out to your doctor about incorporating a prokinetic post treatment, here is a full video where I discuss that: kzbin.info/www/bejne/gZrMqHeVfs52o68

[@celestemichon1038]

I don’t mind doing the diet however, I’m not doing the test I live in British Columbia Canada on Vancouver Island. To get a doctor here to get an appointment I have to stand in line for hours just to get an appointment. Then I have to come back for that appointment Either that day or the next day and I have to drive 10 km to get to that appointment and stand in line and wait and I’m not doing that. Over the last 20 years I’ve been diagnosed with IBS and I’ve also had stomach ulcers that I got rid of with antibiotics 20 years ago. I’m eating properly now. Cut out every kind of junk food there is quit drinking now I’m working on the diet. If you can help me with the diet I am underway. I have not been taking an enzyme digestive so I will start that. I’ve been taking probiotics. I had a rash all over my body is why I started this.

[@AnmaraMusic]

I think there are self tests now

[@GirishPandit-y7v]

change your cooking oil to something that you can tolerate

[@fzrms7954]

Im so frustrated. Been dealing with sibo and dysbiosis or 5 years and tried everything. I finally went to 2 different functional med drs, one who specializes in sibo and even she only prescribed rifaximin with PHGG, enzymes, and biofilm disrupters. But no dr wants to give me a second antibiotic like Neomyocin to go with the Rifaxamin. I wonder if thats why I havent got better. Im broke from all the herbs and $200 a hour drs visits and testing. 😔😔

[@reggaetony2806]

I dealt with similar scenario I've had it undiagnosed for 4 years now finally getting approved for rifaximin. Well my doctor only gave me one sibo test triosmart test couldn't find it said negative but one test isn't enough I've seen several doctors it's very hard to get heard . Or even get testing my doctor is going to give me the meds regardless I'm sure it will help . My only food advise is yes antimicrobials work I've taken alot but can't fully cure it . Beribine does help. I've only been eating super low fat meat . Double cooked Potatoes eggs collards arugula watercress radishes some brown rice preferably fermented or sprouted. The radishes help out alot there's something in them that I think is catastrophic to bad bacteria. Eating radish sprouts too . Few others alfalfa too. Plantains or plantain chips help pass stools. Only fruit is grapefruits wich help tremendously with digestion lime or lemon juice. Olives romaine that's about all I eat and its been saving me but I feel now that I'm super slowly healing. As long as I don't eat anything else. Rice is some what not tolerable but soaking it for days helps lots of enzymes bromelain enzymes try magnesium chloride too liquid just Lil bit . Colloidal meso silver. I have mms chlorine too but I'm nervous to take it supposed to be one drop per gallon water quick regimen. Tocosh fermented potato flour works too . I've noticed only some bananas are slight tolerable plantains not extremely ripe or try burro bananas but they do aggregate but not extreme. Can't think of anything else Try those temporarily

[@Atemar98]

Neomycin is dangerous, don't use it. Idk what this lady is talking about

[@donnaszczomak5604]

My daughter got both meds from her doctor and after a week she finally feels better after years of being misdiagnosed.

[@magselliot5367]

Hi I’m a 61 year old F. I have had an RnY bypass in 2021. I have had increasing GASTROINTESTINAL issues over the last year. I have yet to be formerly tested for SIBO but have ruled out most other things other than this or IBS. I am currently almost at the end of HP7 treatment. My diet is very good as I’m also a very well controlled diabetic. Any suggestions as my main issues are gas and the disgusting smell, bloating.

[@andreas956]

Please use indexes in the videos so its easy to follow.

[@ConfluenceNutrition]

Thanks for your feedback, I'll consider it!

[@worshipflagsstreamers5566]

Oh God I’ve been suffering for a year now, can’t stop burping. I found a functional medicine doctor, I’m currently in medication but I have not seen any improvement. Not only that but I’ve been having lots of inflammation, all over my body for more than two months now. My bones ache so much. My hand and feet swell up, my neck and back hurt so much. I’m not sure if it has to do with the sibo. All my body is in pain. I want to get better 😢🙏🏼

[@vimrooamen8844]

In my case I would go from loose stool to constipation. After research on dr. internet I decided stomach acid and bile flow needed help. Apple cider vinegar and milk thistle supplements have helped. Reducing carbs and lactose supplements are also helping.

[@emilymaxwell2517]

What is the exact name of the prokinetics you recommend ? Im going to be starting my antibiotic treatment soon :)

[@saluran1733]

Benfothiamine or ttfd 👍

[@karenzimmer7607]

I'm taking a lot of different supps right now.

[@melaniecollins4045]

What about using a biofilm disrupter ? This was huge helping me the second time I treated sibo.

[@ConfluenceNutrition]

Yes, I regularly encourage my clients to use one. I do have a video on my channel about biofilm disruptors.

[@Frida-w2g]

@melaniecollins4045 May I ask which one did you take and when? Before starting treatment?

[@hannahpeterson7572]

Hi, I just recently got diagnosed and my doctor recommended more natural treatments first before going to antibiotics. I’m really worried I wouldn’t even be able to afford antibiotic treatment if that’s what I truly need to get better. My insurance is horrible state insurance and I know that it’s super hard to get it covered even with good insurance. In your opinion, do you think natural supplements work as well (berberine, garlic, and oregano)? I am super desperate to fix this and will try and cough up the money if absolutely necessary but I’m trying all my other options before going the antibiotic route.

[@taniapimentel1484]

I'm in the same boat, thinking if would be worth to take the oregano, berberine, allicidin and naam.

[@ad03dh]

Lactobacillus returi reduced my symptoms after the first dose

[@brandonmcclendon9327]

is the prokinetic a temporary ting or forever

[@johannabernardy5923]

What’s a pro kinetic?

[@ConfluenceNutrition]

It's a supplement or medication that helps improve and encourage the motility of the small intestine. I discuss further in this video: kzbin.info/www/bejne/gZrMqHeVfs52o68

[@kaijohnson9048]

Great video…thank you! 😇. I have definitely made ALL of the mistakes you speak of 🤦🏽‍♀️. My biggest mistake, out of desperation to get well, is buying a ton of supplements to take at once as opposed to slowly introducing new ones. I’m going to do better but it’s so frustrating! Especially since the doctors are basically clueless these days and just want to over prescribe antibiotics…. which is how I ended up with SIBO in the first place! 😩

[@faisal-ca]

I had a breath and comprehensive stool test. I am border line Methene SIBO. My health practitioner says I am not a candidate for anti biotics. We have started with Berberine and Allicin for next 4 weeks. I also take Artichoke and Ginger in capsule form. Liquid form is too hard on the system.

[@ConfluenceNutrition]

I hope things are going well for you, and you begin feeling better really soon!

[@marcelopetrone5531]

hello, how many times and which part of the day do you take ginger with artichoke?

[@faisal-ca]

@@marcelopetrone5531 I eat two meals a day: a large breakfast and dinner. I take artichoke and ginger extracts with both meals. Six months ago, I could only tolerate capsule form. Now, I am able to consume the liquid extracts, which are more potent.

[@SanFran49MetFan]

@@faisal-ca how are you feeling now? Is the sibo gone? What treatment and things helped? 😊

[@faisal-ca]

@@SanFran49MetFan Huge improvement but I can't tell which option worked since I tried out many things. I eat digestive enzymes with each meal since my enzymes were low in the test. Due to improvements now, I only eat 2 meals a day (Breakfast and Dinner), and I don't feel hungry during the day. I still need to take RestoraLax to avoid getting constipated. Overall its has been an excellent year.

[@paulinawojtaszek5634]

Hi. Thank you for the explanation. I willa start my antibiotics soon. My doctor told me not to take probiotics during the antibiotics treatment but I am a little bit scared what will happend with my guts without them. Do you have aby experiance with that? Sorry for my english. I am from Europe 😊

[@ConfluenceNutrition]

Hi Paulina...it's true that it's not recommended to use probiotics during SIBO treatment. The rifaximin in particular is supposed to only impact the small intestine, and not have many of the traditional side effects we all worry about when taking antibiotics. Will you be using rifaximin PLUS another antibiotic?

[@paulinawojtaszek5634]

@@ConfluenceNutrition thank you for the answer. Yes I have to take xifaxan and neomycin. That is why I am so worried. Neomycin is a strong antibiotics and I am scared that it will damage my guts. I have IMO only. There are so many opinions about the type of probiotics to take for IMO. I am so lost.

[@ConfluenceNutrition]

@@paulinawojtaszek5634 Hi Paulina, many are afraid of this same thing...in these situations, I encourage my clients to consider the risks vs the rewards. How big of an impact is the IBS having on your life? What do you stand to gain from successful treatment? What do you risk with antibiotics? For me, after years of getting nowhere with herbs, the rewards outweighed the risks to try antibiotic treatmnet, and it really allowed me to get my life back in order. So for me, it was worth it...Of course, it's important to have the right follow up plan too!

[@paulinawojtaszek5634]

@@ConfluenceNutrition thank you so much for the answer. You are great. As far as it comes to xifaxan I am calm. I know from many resources that it id safe. This neomycin seems to me to be fearsome. I know that in IMO the treatment protocol is to combine xifaxan and neomycin. But what I am thinking of is to try to use only xifaxan. My symptoms are low just with the diet. My highest imo test were 15 in 90 minute of the test. That is why I am thinking about using just xifaxan. Did you jest about someone who is using just xifaxan in IMO? Did you ever tried just xifaxan or you strated at once adding neomycin with xifaxan? Sorry for all those questions. And once again thank you for your help

[@ConfluenceNutrition]

@@paulinawojtaszek5634 it's a reasonable thing to try, it's just that the studies show a higher success rate with both antibiotics. However, some people in those studies did feel better and see positive results with just rifaximin. Ultimately, this decision is up to you in collaboration with your doctor, but you can advocate for what you feel comfortable with.

[@cirelo1896]

I was breastfeeding and the pro kinetics were not recommended. So I skipped it.

[@viktorandre8545]

Hi,I wonder if HCL with pepsin in combination with a potent pancreatic enzymes could be considered a prokinetic?? Promoting HCL in the gut should speed up gut motility ...

[@ConfluenceNutrition]

It's true that stomach acid is part of the mechanism that drives gut motility, but there are other factors as well. THe best way to assess for yourself is to test out your theory by trying it and seeing if it makes a difference in your symptoms or not.

[@MM-es9dc]

Hi, thanks a lot for your video. I have just started an antibiotic course. But I am unsure about what to eat while on the antibiotics. I am following a low fodmap diet for a while now. But I have read that while on antibiotics you should eat foods that are high on fodmap so you can keep the bacteria “happy” and then kill them off with the antibiotics. Hope to hear your opinion on that. Thanks a lot

[@ConfluenceNutrition]

Hi M M, I know this is common advice for SIBO patients, but I don't subscribe to it. I'm a firm believer in only changing things one at a time, and also keeping the boat steady during something as potentially disruptive as SIBO treatment. Eating foods off your current plan may flare you. So I usually suggest my clients follow whatever diet they've worked out that controls their symptoms best, and then consider reintroducing previously problematic foods once they've completed their treatment to see if their tolerance has changed. Others may have a different suggestion, but this is what makes sense to me.

[@Shaneka_Kay]

Very helpful video! Thank you for posting. I’m really grateful you spoke about the importance of getting retested after treatment and taking a prokinetic after treatment. Recently been diagnosed with the methane form of sibo and will be starting refixamin/neomycin soon. I’m so grateful to finally get some answers for my gut issues.

[@ConfluenceNutrition]

Hi NaturallyNeka, You're very welcome, I'm glad it was helpful! You might want to check out the video I just released yesterday, Frequently Asked Questions About SIBO: kzbin.info/www/bejne/fXOnnINmpr6NopY

[@asdf-zx6sx]

Hey, how is it going?

[@hilar9910]

Hi in one of your videos you've recomended taking rifaximin for 14 days or even 21 days like you did. I was taking rifaximin for 14 days and it was a horrible mistake for me. It was too much. And I'm sorry I've listened to the doctor on that one. I've Barley survived the first ten days. And than there was such a shift for the worst after taking more than 10 days. I'm 4 weeks after taking the antibiotics. And can't digest at all. Have stomach pains 24/7 and all probiotics give me constipation, headaches, allergies and low blod pressure to a level I can't function at all. I really do not know how to get my gut health back after that antibiotics.

[@sleeper9728]

Any over counter meds??

[@camilleJohnson-ol3fm]

Hi good morning I am new to your channel. I was diagnosed HPylorie had my endoscopy and a stool test recently both said each pill is no longer present, but I have gastritis

[@Deanna-e1f]

I was diagnosed with methane SIBO after a breath test. I have IBS-C. My functional medicine nutritionist said I need to be on FODMAP diet for 3-4 months! Is that typically the length of time recommended? That seems extreme and I’ve already been on an elimination diet for 2 months. Motility got way better when I started elim diet so to stop eating pears/apples and things that help for 3-4 months seems like a step backwards. Your thoughts?

[@goodmorning7807]

Thank you for this information you are more than wonderful my question is what are the ways or means to increase movement and speed is it a supplement or an action or an antibiotic I like you thank you

[@ConfluenceNutrition]

IT is typically either a medication (prucalopride or low dose erythromycin), or supplements (Motil Pro, Iberogast, or magnesium citrate).

[@thinbev]

Hey Amanda, thank you so much for your wonderful info. Should someone still take a prokinetic If they have SIBO without bloating or constipation? It’s just loose stool and weight loss… thank you 😊

[@ConfluenceNutrition]

In general, yes, prokinetics should be used after SIBO treatment, or in between treatment courses, even if bloating isn't a symptom. It helps support the normal and natural cleaning waves of the small intestine, which are usually a primary reason why SIBO is happening, regardless of the outward symptoms. I hope that helps!

[@thinbev]

@@ConfluenceNutrition yes, thank you! I was thinking of using ginger supplements before bed. Have you had good results with that or are prescription meds more effective?

[@ConfluenceNutrition]

@@thinbev Some people do well on the ginger (MotilPro and others), but others don't see much result. My naturopath, who treats a lot of SIBO commented to me that she generally found the supplements don't do the job, and she encouraged me to use an Rx. So I did, but you can always test out the supplements if you like, as long as they're not contraindicated in your unique situation. Hope that helps!

[@condor37244]

Hello, Very informative video. As for the SIBO breath test, I did a lot or research and for this test (hydrogen) is only 50-70% accurate. So, basically, it's a flip of a coin. I spoke with the gastroenterologist that I've been dealing with, and he agreed, the accuracy is not the best.

[@ConfluenceNutrition]

You are correct...however, I still find the test to be valuable in practice, and preferable to a small bowel aspiration, which is of course very inconvenient.

[@phwshopping1426]

Thank you for this video! My Sibo came back after a year. I was treated last July with two rounds of Xyfaxin. I am currently taking another round of Xyfaxin. I would like to take a gut motility agent but need an idea of how/when to take it and for how long. Any suggestions?

[@ConfluenceNutrition]

This will really depend on what you are specifically taking. You should generally follow the advice given to you by your doctor, and clear any changes with them. That said, prokinetics are often prescribed to use at bedtime after dinner, so they can enhance the natural cleaning waves of the small intestine during your longest fast of the day (overnight). Sometimes, if they are causing problems with that dosing schedule, your doctor may recommend taking in the morning, or between meals. Thanks for watching!

[@loveconquersall143]

Hi Amanda. Thank you so much for this video. Can you please tell me what YOUR symptoms were with SIBO, please?

[@ConfluenceNutrition]

Hi there, sure! I had daily pressure bloating and pain in my upper abdomen, alternating diarrhea and constipation, food sensitivities, and later developed heartburn.

[@camilleJohnson-ol3fm]

I would love to talk to you. My appetite has not been good. I’m having some issues with bubble movements and some level of anxiety. Don’t know what’s really going on.

[@lesliedowdy7835]

The aha moment for me was #5, making sure to take a prokinetic after treatment. Which prokinetic do you recommend? My doctor recommended I take Atrantil (not sure if that is considered a prokinetic??) for maintenance purposes.

[@ConfluenceNutrition]

Hi Leslie, Atrantil is not a prokinetic, it is more of an anti-bloating herbal remedy that may have some bacteria killing properties. There are several prokinetics, and you would have to discuss with your doctor...two common ones are prucalopride and low dose erythromycin, but there are others that Dr. P mentions in his new book. I hope that helps!

[@bjlong4452]

my GI MD is recommending the Atrantil as the $2000 dollar antibiotic will likely not be covered by my insurance. (We are checking for coverage first). I’m not seeing much on line about people using this Atrantil to rid SIBO so I don’t know what to think. It would be a 4 week 3x per day with meals. I don’t want to waste another month if this isn’t going to help a great deal. My SIBO is pretty high up is what I’ve been told. What other other supplements that drs use to rid SIBO. The elemental diet isn’t an option for me. The MD did say there were other antibiotics that we could use but not sure about those.

[@ConfluenceNutrition]

@@bjlong4452 Some people claim that Atrantil can cure methane SIBO. In my observation, I've found it often helps people's bloating, but that it doesn't cure methane SIBO. If you're having trouble getting insurance coverage, you can see if your doctor is willing to call the Rx to Mark's Marine Pharmacy in canada, and you can order the Rx for about $500 for canadian (US?) produced rifaximin, or about $150 for Indian produced Rifaximin, cash. The Indian product takes 4-5 weeks to arrive to the US. Herbal protocols are also often effective, you can check out Dr. Siebecker's website for more specific info: siboinfo.com. I hope that helps!

[@paulah.9415]

I follow an extremely low carb diet, 20 mg max per meal. Only three meals spaced well apart, no snacks. But I must stay on the full course of Atrantil. Twice I stayed on it a couple of months, quit, and SIBO gradually came back. Each time the Atrantil gave me significant relief in about a week. It's costing about $100 a month, but I have no bloating or pain. Supposedly helps constipation, but I've gotten no relief in that department. Still have to take Milk of Magnesia. The other thing I do is support my digestion with long sessions of relaxation, slow belly breathing, often with a long guided meditation. Must be at least ten minutes for me to start feeling movement in my intestines.

[@bjlong4452]

@@ConfluenceNutrition Thank you very much for the info. I do have methane. The things you mentioned reinforced the direction I was looking at. Thank you for taking the time to comment & help me in this journey. I was going to look into the Canadian options, so thank you for mentioning a specific pharm name as I didn't know where to begin. If I can get the antibiotic I'll give them a try first then do the herbs if 2nd treatment needed. Although I'm also thinking maybe herb 1st if I can get started sooner. Things are dragging out and I just want to get started. Between insurance company and doctors, this has been a tortoise process.

[@carinaromero8966]

My doctor thinksihave becomeresistant to Rifaximin so he wants to treatwith Metronidazol and Ciprofloxacine for 5 days every other month or every month depending on symptoms, what is your opinion?

[@ConfluenceNutrition]

These two other antibiotics have been studied for use with SIBO treatment, so there's that...some patients also do require ongoing intermittent treatment like your doctor is suggesting, so it's worth a try to see if this regimen helps you feel better. You can always stop if it's not working. Thanks for watching, and good luck!

[@ConfluenceNutrition]

@@wolf-r8z2x Hi Paul, thank you for sharing all this information. Much of it is correct, but I would caution anyone against taking all of it at face value. In each and every case, we need to be mindful of whether or not it's correct for that person at that time. You are recommending things others recommend, but it always needs to be in context. In any event, thank you for sharing your thoughts and for watching!

[@carinaromero8966]

@@wolf-r8z2x HI Paul, i have taking already rifaximin like 4 rounds and neomicine to one round however i still have sibo and they dont want to give me rifaximin again in case I have become resistant so trying this other too antibiotics. I tried taking flagyl and it made very very ill, i´m taking motility medication and no problem with the stool. However prebiotics feed sibo so they are not recomended while healing, some dont even recomend probiotics. However, I will be taking some probiotics with this round and L glutamine. hope this takes care of it

[@moxusgaming6404]

Just by addressing your diet and stress you can already reverse the effects significantly, if not get rid of of the problem entirely. I did a few days of lowering total carbs to about 50-60gr/day, removing junk-food, ultra-processed stuff, and BINGO - from misery (including severe palpitations after each meal and unwanted weight loss) to almost back to normal again. Yes, you don't need to be very aggressive with SIBO, even small changes make a huge difference.

[@salanderfication]

then you didn’t have sibo

[@moxusgaming6404]

@@salanderfication I do. And it flares up every time I let myself slip. You must have apple cider vinegar in the morning, have fresh garlic every day, oregano oil, berberine, on top of doing keto or even close to full carnivore, and it works. But slip, eat crap, sugar, ice cream, pizza, - and boom it’s back

[@salanderfication]

@@moxusgaming6404 because you still have an overgrowth of bacteria in your stomach. the only reason the carnivore diet appears to ‘cure’ symptoms is because you’re not eating anything that can ferment in the gut or which the body generally finds difficult to digest. the carnivore diet manages symptoms but the individual is not addressing the root cause of their SIBO solely by following it, and that will never be the case regardless of how much people are pushing said diet. if your SIBO was truly under control then you would be able to eat more than a carnivore diet without problem (not including inherently unhealthy foods such as UPF items) except if you have a specific health condition such as an intolerance or allergy.

[@cindilacasa3291]

Awesome video Amanda!!

[@ConfluenceNutrition]

Thanks, Cindi, glad you liked it!

[@marciamintun6378]

I know what digestive enzymes are, but what would stomach acid support be?

[@marjorie5098]

Betain HCL :)

[@attylee]

Is a probiotic similar to prokinetics for simo?

[@mh-mo4bj]

How do you test your stomach acid???🙏

[@ConfluenceNutrition]

Hi MH, there's not definitive test, but a simple back of the napkin option is to drink a 1/2 tsp of baking soda in 8 oz water first thing in the morning. If you burp within 15 minutes or so, this suggests you have ample stomach acid. If you don't burp, this suggests you may be low.

[@mansiyaniz8446]

i am suffering from abdominal pain since 3 months my dr are not sure whats wrong with me but i think i have sibo plz tell me how i will confirm

[@ConfluenceNutrition]

Hi there, I'd be happy to help you with assessing your situation. The first step would be to book a discovery call with me so I can make sure I'm the right person to help. You can book that session here: www.confluencenutrition.com/contact.

[@mh-mo4bj]

Is it 100% necessary to go on a specific diet after antibiotics?? If we eat very clean, Whole Food and balanced meals? Is it required to do low FODMAP?

[@ConfluenceNutrition]

Hi MH, absolutely not required! However, if you've had foods that you're sensitive to, I suggest trialing them one at a time to see if your tolerance has changed, and then create a diet that works for you to keep your gut happy. Check out this video for more of a discussion about this: kzbin.info/www/bejne/h4u3e3agaNiJjJY

[@funday4744]

Pls still I couldn’t take a test for sibo while taking antibiotics can we take probiotics pls I took stool test and in the report calprotectina 0 - 50 do you know any thing about this pls

[@ConfluenceNutrition]

yes, you can use probiotics during sibo testing. Calprotectin is an inflammation marker. If it's out of range it suggests there may be inflammatory bowel disease (IBD) and this warrants a conversation with a doctor. Hope that helps and thanks for watching!

[@leepope3377]

My doctor wants me to take xifaxin without testing for sibo. Makes me wonder…

[@ConfluenceNutrition]

If you have all the signs and symptoms of SIBO, this isn't an unreasonable trial necessarily, but it is quite helpful to know which type of SIBO you have as the treatments are different, depending.

[@johannabernardy5923]

Can I take refaximin on with an elemental diet or is this too many things at one time

[@ConfluenceNutrition]

Some people do, but either one of them is considered a stand-alone SIBO treatment protocol, so not really necessary.

[@lauriejordan2716]

I am 46, I never ate any meat, fish, eggs, or poultry. I’m not going to start now. If I give up starches and carbs, I literally will die of starvation. Are there antibiotics or something? My diet is unable to change.

[@tanmaypal9-a564]

may be lack of hcl

[@waelwael4957]

Neme the medicine for move Intestine please

[@-sismeistere1343]

Surely feel overwhelmed. I have been on the semi elemental diet for 8 weeks and my symptoms definitely improved but I am still not gaining any weight sadly. Can I use ginger as a prokenetic? Thank you for sharing all this information. I truly wish I could find someone to help me here in the Netherlands. So far everyone I visited left me out in the cold. Xo

[@ConfluenceNutrition]

Hi there, the elemental diet isn't intended for 8 weeks of use, so I hope you'll be adding some solid foods back into your diet! You can use ginger as a prokinetic, but it needs to be a rather high dose. The Motil Pro product suggests 3 caps at night, I think. Using regular ginger probably wouldn't be enough to give a therapeutic effect. I do work with clients in the EU, so if you're needing help and support, I'd love to meet and see if my program would be a good fit for you. You can book a free call with me here: confluencenutrition.com/contact. I hope to connect soon!

[@-sismeistere1343]

Hi Amanda, Thank you for your response. I have been only on the semi elemental diet without any foods to give my gut a teal break. Of course I want to add solid foods rather sooner than later. In advance do you have any recommendations on how to start? Today I drank some ginger tea which completely floored me🙈 I have bought a zucchini and a acorn squash to start asding some pureed vegetables. I also saw a tip that said to start with a puréed vegetable concoction of 16 vegetables at once to start with. Would love your recommendation 🤗

[@ConfluenceNutrition]

@@-sismeistere1343 Hi there, yes, starting slow with low fodmap foods would be a place to begin, and I like to suggest soups, broths, and purees, and slowly working toward solid food. Take your time and go slow! And I also was responding to your session request, it looks like your email address was entered incorrectly, can you email me privately at [e-mail] with your proper email address, please? I think I can figure out what it should have been, but just to be sure, please reach out!

[@ConfluenceNutrition]

@@-sismeistere1343 Hi, yes, starting gently with simple foods, soups, broths, purees, made with generally low fodmap foods are good place to start. Go gently and take your time :)

[@jaybook]

I’m guilty of potentially all of these. I didn’t retest after treatment of 2 rounds of antimicrobials that may or may not have been proven to be effective followed by a round of rifaxamin(hydrogen dominant, can’t remember and don’t know if methane was significant enough). But judging based on my symptoms not improving outside of the supplement regimen I’m on, I still have SIBO or it recurred due to not taking a pro kinetic or not taking it at the right time, because my dr did suggest what I believe to be one(herbal supplement) but I think it was before the rifaxamin. Can you speak to the effective herbs or supplements that serve as a prokinetic? I believe mine was artichoke and ginger double dosed once a day(as opposed to manufacture recommendation of single dose twice a day).

[@ConfluenceNutrition]

Hi there, yes, most supplement prokinetics are ginger and artichoke leaf based. There are several options, and some will work better than others for different people, it's hard to predict which one will be right. One thing that is different in some of them, however, is the addition of 5-HTP. For some clients, I've found this increases their bowel movements, and can even lead to diarrhea. If one doesn't work out, you can try a different one until you find that feels like it helps.

[@summersalix]

What would be recommended for someone w sibo whom doesn’t have a colon due to an ileostomy? Would rifaxamin be the preferred treatment and what sort of prokinetic would be beneficial?

[@ConfluenceNutrition]

Hi Summer, I'm not sure if the protocol would be modified due to the ileostomy or not, this would certainly be a question for a qualified Gastroenterologist. Same for the prokinetic. I'm sorry I can't be of more help!

[@ClintFrerich-sd4bt]

Didn’t take probiotics after treatment

[@ConfluenceNutrition]

Well, to be fair, I tried! But my body felt worse when I took them, so I abandoned the effort. Ideologically, I believe I should, but I can't deny what my body tells me about what it needs and what it doesn't, and I don't believe anyone else should ignore this either.

[@TheStrato89]

hi! thanks for the video! One question, for sibo/ibd, you also need to take a prokinetic? like, my bowels move fast enough i feel like... lol. i will take the rifaximin for 14 days 2 times a day ( in my country the box is 28 pills) , but im trying to study what i can do to maximaze before beginning. I read you need to eat "bad" foods during the rifaximin so you can kill the sibo, and after you need a diet like low food maps and the prokinetic, but my doctor gave me neither. is there a natural one u can take that is easy to find and doesnt need a prescription ?... thanks for you time.

[@ConfluenceNutrition]

Hi Gustavo! The prokinetic helps support the motility of the small intestine, and doesn't always impact the overall motility of your gut. In other words, if you have diarrhea, it's not supposed to make it worse! The diet advice you've heard isn't necessarily true. I like to encourage people to eat the diet that minimizes their symptoms, and worry about reintroducing foods once their SIBO is to the point where they're happy with it. There is a natural prokinetic, though it's not as effective as the medications. It's called MotilPro by Pure Encapsulations. You can also a product called Iberogast. Thanks for watching! And if you're ready for support answering questions like these, this is exactly what I help clients with inside The Calm Digestion Method online program I host, you can learn more here: confluencenutrition.com/calm-digestion-method

[@emilysakuma]

I made the mistake of doing a lot of self diagnosis before finding a sibo trained practicioner

[@ConfluenceNutrition]

Hi Emily, that is a common mistake as well…there is a long ways you can go on your own, but it is REALLY helpful to have since outside yourself to guide. Thanks for watching!

[@Valeriavictri]

Hello everyone, I woke up one morning 2 years ago with diarrhea and abdominal pain as a result of my malnutrition. There was almost no doctor I didn't visit, and every doctor and hospital I went to caused incredible harm to me. Finally, after 4 months, I found a very good doctor in my country and my sibo treatment is going well. Let me tell you about the treatment, I hope it will be useful to you. At first, you need to follow a low FODMAP diet that is limited in fiber and sugar for about 2 weeks. At the end of this 2 or 3-week diet, you eat a high-FODMAP diet rich in fiber and sugar for 1 day, then you increase the amount of fiber a little and use antibiotics for whatever your complaint is. This lasts for 2 weeks, and then you use herbal antibiotics for 3-4 months for whatever your complaint is. Please ask if you have any questions.

[@Amber4]

Going carnivore cleared all my symptoms in two days

[@LiliaVlog22]

Hi how did you do carnivore and how long it takes for you to clear sibo. I am on carnivore for 1 months and i have acid reflux and constipation, al taking oregano oil. Did you take in herbs?

[@NicolasNMI]

​@@LiliaVlog22 do you use salt? I give a new try to carnivore but without salt. I get rid of constipation but have severals new symptoms way much bad today... but I avoided coffee for 3 months last year and it seems to help with constipation so you know...

[@vasanthapanikker9523]

what is carnivore diet from Malaysia

[@LiliaVlog22]

Hi i use himalayan salt with food and sometimes sea salt.is there a certain way to use salt?​@@NicolasNMI

[@Midwest..]

​@@vasanthapanikker9523 Only eat meat 🍖 beef, chicken, fish 🐟

[@gem2351]

Y

[@shannonmurphy-te8qz]

"Now don't click away yet, I know you are thinking, 'I have already been there, ' bear with me for just a minute..." * goes on to explain all the basics that you learned years ago or just already know because of common sense. 🤦🏼‍♀️ Might want to change the title of this to "Do you think you might have SIBO." This was so basic it was almost insulting

[@ConfluenceNutrition]

Sorry this video was disappointing for you. Critiscism noted...Have a great day.

[@28FlyingDutchman]

Once you get SIBO, you will always have it. That's what they DON'T tell you. You will never get rid of it. One thing that helped me is significantly restricting my intake. I do IF and eat one meal every 72 hours. I cut out all sugars, fat, and dairy. So I typically eat one cup of plain rice with one grilled chicken tender. The less you eat, the less your body can sh** out.

[@ConfluenceNutrition]

You're right that meal spacing can make a difference. Some people may be able to succeed in eliminating SIBO, others may need ongonig management over a lifetime. I don't know that I would recommend fasting for 72 hours all the time, as the nutrition you're taking is miminal, but if that works for you, that's great! Best of luck.

[@Deanna-e1f]

I was diagnosed with methane SIBO after a breath test. I have IBS-C. My functional medicine nutritionist said I need to be on FODMAP diet for 3-4 months! Is that typically the length of time recommended? That seems extreme and I’ve already been on an elimination diet for 2 months. Motility got way better when I started elim diet so to stop eating pears/apples and things that help for 3-4 months seems like a step backwards. Your thoughts?