A Deep Dive on Hydrogen Sulfide SIBO: Symptoms, Testing and Treatment

[@maggiesobless7855]

I have both hydrogen sulfide and methane SIBO, and I’m considering treating it with antibiotics-Rifaximin plus Metronidazole and Bismuth. Would it be beneficial to also take a probiotic to help balance everything out? If I choose a natural approach instead, what should I take?

[@highdeserthealth]

Hi Maggie, I don't really give out recommendations for this sort of thing other than generally on a podcast for non-clients (what to take for a full protocol). But for probiotics, for constipation Biogaia Gastrus works well: www.iherb.com/pr/biogaia-gastrus-for-optimal-gut-health-mandarin-30-tablets/80974?rcode=PAR0010 and L Rhamnosus GG is good for H2S SIBO: us.fullscript.com/product_cards/92169/redirect?store_slug=35098 - and S Boulardii is generally good while on antibiotics. Lucy Mailing recommends 2, 3x/day while on antibiotics but you may want less if constipated. You can find that on Fullscript as well - Jarrow has 180 pill bottles. The other probiotics are 1/day.

[@Filthycoffin]

What if you have candida and Sifo can you still use the elemental diet? I am pretty much sure I cannot eat any food now.

[@highdeserthealth]

You'd definitely want to get a low-carb elemental diet (Dr. Ruscio has some offerings like that), but did you mean you have SIFO in addition to SIBO? If only SIFO, then elemental diet isn't the best choice.

[@nitasiaroland6117]

I’ve been making Dr. Davis’s Sibo yogurt, but I noticed you mentioned if you have hydrogen sulfide Sibo not to take l reuteri, so should I stop taking that yogurt?

[@highdeserthealth]

L reuteri BR11 is the strain specifically contraindicated. The L Reuteri's in the yogurt are normally Biogaia Gastrus (L Reuteri DSM 19738 and ATCC PTA 6475). I don't have any info on those so if you feel good eating it, proceed. But L rhamnosus GG is specifically shown to be helpful so you might consider making yogurt with that or taking a different probiotic.

[@nitasiaroland6117]

@@highdeserthealth Thank you, I will document that in my notes

[@HugoFTW]

I did 4 weeks on the elemental diet. I was bloated the whole time, but afterward, I seemed to tolerate saturated fats better. However, after a few months, all the benefits were gone. Maybe I should have added some antimicrobials.

[@highdeserthealth]

If you didn't do well on the elemental diet and remained bloated, it may mean you have a yeast or candida issue in your gut, as the sugars in the diet may have fed your yeast.

[@HugoFTW]

@@highdeserthealth I took caprylic acid and undecylenic acid in high doses every day while on the elemental diet, along with borax, to prevent a possible Candida infection, as I read there's a high chance of it occurring. Just in case, I tested for Candida afterward and was negative. The elemental diet didn't starve all the bacteria because I guess there's too much sulfur in it, but the ones that thrive on bile and saturated fats seemed reduced for a few months. I had better digestion and much more energy, but unfortunately, it didn't last long.

[@highdeserthealth]

@@HugoFTW Ah, well I haven't ever used elemental diet with a client with H2S so I'm not sure about its efficacy. To me it's kind of a different beast that hydrogen or methane SIBO/IMO. What test did you use to test candida?

[@HugoFTW]

@@highdeserthealth I did an oats test, which showed negative according to the labo expert.

[@highdeserthealth]

@@HugoFTW Yeah, that's how I'd look for candida.

[@nitasiaroland6117]

One of your commenters mentioned that the physicians elemental diet is bad for hydrogen sulfide sibo

[@highdeserthealth]

added sugar won't be good so definitely choosing the lowest sugar option in elemental diets would be best, but I don't tend to go to Elemental Diets for H2S SIBO at all as I think of it as a different beast than normal SIBO.

[@nitasiaroland6117]

@@highdeserthealth I know, and unfortunately that different beast doesn't yet have a protocol to follow, unless I haven't found it yet....

[@highdeserthealth]

@@nitasiaroland6117 I have a protocol for it and have been successful with several clients using it.

[@lookup7055]

Wait, I can drink kefir while treating my hydrogen SIBO?

[@highdeserthealth]

It appears the research supports it.

[@Diogenes-II]

I really hate seeing my comments being hidden! You can hide this one though. I know your pride won't let you, but I'll still offer one final chance. People are suffering, and they need our help!

[@highdeserthealth]

Unfortunately, this seems to be a new thing KZbin is doing. I have nothing to do with it. My guest in the last podcast also noted his comments were being hidden. But it's not me hiding them.

[@Diogenes-II]

No worries...I will share with you wonders...you had never heard of before 📜🙏🏿

[@KORTOKtheSTRONG]

neat