Can You REALLY Treat SIBO With Your Diet?

Embarking on a "SIBO diet" is one of the most common ways people try to treat the condition. And while there are many to choose from (low FODMAP, SCD, bi-phasic, low fermentation, elemental, and recently carnivore), there is hardly any research/evidence that these diets legitimately treat or cure SIBO. Rather, they are most likely providing a bandaid-like effect. In this video, I discuss two recent papers that explore the question: can we really treat SIBO with diet/nutrition alone?
Article 1 (IBS diets for SIBO):
pubmed.ncbi.nl...
Article 2 (SIBO and Carnivore Diet):
assets.researc...
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Dr. Nicole DiNezza, DC, NTP
Holly Springs, NC

[@Retrofire-47]

Just wanted to say thank you (!) for making all this knowledge publicly available, especially in this age of emergent and misunderstood sickness You are a legend, to many :)

[@gutmicrobiomequeen]

Ooooooooooh, I don't think I've been called a legend before! Thank you for the fun comment 🥰

[@violentgreen7196]

Just weighing in. Truly brilliant work. So appreciated🙏🏼. Top shelf. You are the Gut detective🔥💪🏼🤎

[@diveshs295]

I've struggled with sibo for years until I realized the root cause was my low stomach acid which was throwing everything off. Soon as I added some betaine HCL and got my acid back up, sibo cleared.

[@anaolaya9276]

Hey how did u know u had low stomach acid

[@debbiec6216]

how long did it take you, to get well ?

[@diveshs295]

@@debbiec6216 the SIBO cleared in about 2 months. The acid can take some time after that to keep building to normal.

[@bobsondugnutt7526]

what mg of betaine hcl?

[@diveshs295]

@@bobsondugnutt7526 you have to test your tolerance. You take as many as u need before a meal until u feel a slight warm burning sensation then your number is 1 less. So for example if u take 10 capsules and u feel the warm sensation, your number is 9. Take 9 before each meal until u start feeling a warm sensation again then reduce it to 8 and so on until u no longer need it anymore and ur stomach is doing the job on its own.

[@lauraharding3101]

Where is the SIBO video that tells us how to actually solve the problem?

[@eastcoastsnow]

For real this is such a crap video

[@darkarpit]

😂

[@tuningtunetuningtuningfunny]

Only theory I have is stress regulation practices, awareness techniques, eating as clean and non-fermented as possible, believing in the process and keeping the mental attitude forward-facing. I really do believe mind and body is very connected in terms of this and stress surely does not help.

[@user-mj8zg3ef2q]

Finally someone who wraps up the current science around SIBO, and does not wanna sell me anything!

[@user08157]

what I've learned from the diet rollercoaster that bacteria is great at adapting. every intervention started with a honeymoon phase and then I arrived where I started off. not to mention being worse than before because every time I tolerated less foods than before.

[@matthewmiller7376]

Thannnnk you! My sibo got much worse (and turned into sulfur!) when I went low fodmap/ high meat/high fat, the more I cut out the worse it got! Sulfur sibo got better interesting when I started NAC and Glutathione! I think all that extra fat and protein increased LPS + ammonia from undigested protein and that took its tool on my body's detox pathways. Still working on it, if only I HAD found you when I first started this 2 years ago rather than 6 months ago. Still I have hope though, this isn't as tough to treat as everyone makes out its just badly treated with restrictive diets and kill protocols! You're totally right its about the foundations + wholistic care. Can't believe how quick your releasing videos after your surgery!

[@gutmicrobiomequeen]

Yay!!! I'm so glad you're starting to turn around (and with the addition of Sulfur, too!) 🥰 Also, this video and the next few were pre-recorded! I'm on the couch looking like a civil war hero in footie pajamas as I type this 😂

[@Pozvizdac]

Dear Dr. Nicole DiNezza, thank you so so much for sharing all this super useful and cool knowledge with us. You're now already my favourite person "I've never met" in the world

[@LifeByRaych]

I was diagnosed with SIBO in 2014. In addition to my SIBO results, I was also diagnosed with mono and a lengthy list of food sensitivities (gluten, eggs, dairy, corn, pineapple, and yeast). At first, my doctor had me follow a low carbohydrate diet for a few months while also eliminating my food sensitivities. I felt better, and I had a bit more energy. Shortly after, I adopted a whole foods plant-based diet for health reasons and ate salmon weekly for 6 months (while still eliminating my food sensitivities in my diet). I felt even better, my bowel movements became regular and my energy levels increased dramatically. Following the 6 months, I was convinced that I was better off not consuming any animal products and for ethical reasons I decided to stop eating salmon too. For the last 7.5 years, I have enjoyed a consistently healthy life and I felt like I healed from SIBO by following a whole food plant-based diet. Recently, I have entered a new chapter in my life and my stress levels have increased. Before I was aware of my increased stress I felt a shift in my health. I have since been able to acknowledge my newly increased levels of stress and have been prioritizing sleep and exercise which has helped a ton. After a lot of internal turmoil I am now open to shifting my diet. I look forward to future studies that are grounded in science to help me truly heal from SIBO once and for all. Best of luck to everyone on their healing journey.

[@Userxyz-z2d]

Well I fixed my gut by eating raw garlic & taking oil of oregano, both are natures antibiotics. Got rid of gas, SIBO, mold, yeast or anything else BAD that was in there. 2 days, lost 10 lbs. i drank water only during the 2 days, using LMNT electrolytes & ginger in case i had die off symptoms. 2 days. Now Im feeling great, have NO more food sensitivities & have a normal gut again. I suffered for 7 YEARS!!

[@jamieb5679]

@@Userxyz-z2d What kind of Sibo did you have? I'm taking allicin garlic pills 450 mg a day. How many oil of oregano did you take a day ? just got some have never taken it before

[@TimeWaveOfficial]

@@Userxyz-z2d hey can i eat also flakes of oregano? i made a tea out of ginger, oregano...now wanted to add squached garlic and some salt, so maybe ginger tea with oregano, pressed garlic and salt will help? btw i take some artichoqe pills

[@harshithknaik7684]

@@Userxyz-z2d i read somewhere we shouldn't consume garlic, onion if we have sibo, it's high fodmap. What's your thoughts?

[@olgas8048]

Why on earth cannot I give you ten likes? Thank you very much, Doctor!

[@Nonessential888]

I’m glad you have recovered from your surgery! Take care.

[@gutmicrobiomequeen]

Thank you! To be clear, this video and the next few were pre-recorded. I'm on the couch looking like a civil war hero in footie pajamas as I type this 🤣

[@Nonessential888]

@@gutmicrobiomequeen oh 👍. Get well soon.

[@interestingamerican3100]

Best info on the net! Thank you. I didn't even know you had another podcast! Going to follow.

[@gutmicrobiomequeen]

Shucks, thanks Interesting American! To be clear though, it's the same pod I've been doing for a few years now with Amy Hollenkamp, RD. It has it's own channel here on KZbin and it is available on audio-only podcast apps 😊

[@interestingamerican3100]

@@gutmicrobiomequeen Please continue sharing your valuable information. I hope you get that 100k all the sooner.

[@what.the.bleep.do.i.eat.]

The bit around 4:13 helps me understand why doing low-fodmap was great for helping me understand which foods trigger the worst symptoms....but once I got frustrated eating that diet and went back on the "eff it" train things have only gotten worse.

[@user-mi6vj8vu7p]

Hey I’ve listened to like 20 of your “IBS freedom” podcasts and you’ve given me so much hope that I can one day feel normal again! I have been experiencing extreme brain fog and fatigue that really affects my ability to most daily tasks, I haven’t seen you talk about this yet but I would LOVE to hear your thoughts ❤

[@963ag]

I was diagnosed with IBS last year, until about a month ago, my symptoms were bothersome, but not severely interupting my life. I am very health conscious and eat nutritiously... I began a low FODMAP diet about 2 weeks ago and the only thing that has changed is that my bloating is slightly better and a strange, sulfurous odor disappeared. I still have bathroom issues and gas. My primary care doctor basically ignored me and I already have an appointment with a gastroenterologist next week! I am 59 and exercise and drink plenty of water... I also strarted getting stomach cramps and indigestion.

[@harshithknaik7684]

Did you have lot of gas & bad breath like before starting low fodmap diet?

[@njctboy]

Any history of gastritis or use of PPi?

[@Dendrotera1]

Try carnivore

[@corteltube]

Here is my experience….I went keto…not carnivore due to no gallbladder. 5 months now and not a single painful episode. No bloating…no nothing but calm…not sure I had SIBO, but this keto diet cured whatever it was. Yay!!!

[@ianash5374]

Such a well done and well balanced video. Thank you for your scientific approach. Excellent information. Improvement: stressing what methodology you think works best

[@pierre-alain6596]

And now the million-dollar question: can you REALLY treat SIBO with the high FODMAP diet AND without antibiotics/antimicrobial herbs ? (Provided, of course, that we treat the cause of the SIBO, restore motility and repair the vagus nerve, manage stress, etc.) Thank you, my Queen - you're definitely the best source of information on this disease! Greetings from France

[@gutmicrobiomequeen]

Yep, I've seen it happy many times 😘 I'm at the point now where I use antimicrobials with only a small minority of SIBO patients!

[@pierre-alain6596]

@@gutmicrobiomequeen I knew that, but I wanted a clear answer 🤓 Your approach is so simple, sensible and respectful of the patient, that it makes you a revolutionary voice in the SIBO space. Thank you so much for your work, your sharing and your good humor. In this SIBO space so full of lies and fanaticism, you're just a blessing 😘🙏🏻 - You have no idea how much your word saves patients like me for whom the usual 'protocols' have not worked.

[@lorenacarlson7706]

Definitely no. Believe me. It has to be a combination of Low Fodmap, paleo, low lectins, and stress management. A complete mess.

[@briannemorgan1]

​@@gutmicrobiomequeen you recommend a high fodmap diet? Just asking because I'd love to know what you recommend for diet..I'm completely lost with no idea where to start in that regard or others.

[@IndigoNili]

Great video! I've been curious about your take on that carnivore paper so looking forward to that video as well! ❤️

[@mcjackspaz]

I had SIBO and ate keto often over the course of 2 years. While this helped with my IBS-D symptoms, I ultimately developed ulcer-like pain and gastritis symptoms. This is probably from my body being unable to digest the animal protein and this creating a chain reaction. I’m back on veggies and fruits mostly and have half-loose stools, but my rosacea is clearing up as well as the gastric pain is gone.

[@masuttta]

That is true for me as well

[@mcjackspaz]

@JashanDeepsingh3 After healing the ulcer (no more Gerd or stabbing pain after eating) I started adding HCL (testing and ramping up the dose slowly they way Nikki teaches) and prokinetics (motility activator) and I’ve been able to include light animal protein again - mostly fish and plain chicken. Things aren’t perfect but getting better. Just sharing in case this can help with your journey!

[@masuttta]

@@mcjackspaz thank you :)

[@scaramouche8244]

A Great video thank you again. I tried reintroducing cruciferous vegetables and I got raging tinnitus. Would love to see a video on that. 👍👍

[@gutmicrobiomequeen]

I'm not sure how/why that would play out, actually!

[@scaramouche8244]

@@gutmicrobiomequeen histamine? ugh

[@hadassah6085]

Some allergies/intolerances cause ear/inner ear problems to do with inflammation. Could be that. May not be. Just mentioning as a potential reason.

[@winnipegnick]

So wait, how did you connect eating cruciferous veggies to tinnitus? I am suffering with terrible tinnitus for the past 2 years now.

[@scaramouche8244]

@@winnipegnick it was not the vegetables it was the chewing itself. It was my atlas disc. Do stretching to release your atlas disc your tinnitus will disappear. Search youtube for Liebscher & Bracht ✌

[@ricomarcelo5521]

Love your videos! They're extremely helpful and informative. Liked and subscribed! I have also just joined your patreon and discord channel.

[@STEVEH0LT]

Random testimonial about carnivore that's probably useless lol: I've had histamine intolerance virtually my whole life and it wasn't until a couple of years ago that I even knew what it was. I have not been tested for SIBO since seemingly nobody knows an easy solution for this and I don't really want to take antibiotics (my father came down with Steven Johnson syndrome during cancer treatment). One month ago I did carnivore for one week and my health has vastly improved. Before my blood pressure was like 135/90 and I was salt sensitive. Now I'm no longer salt sensitive and my blood pressure is now 125/85. I was able to eat extremely high amine foods like canned sardines, beef sticks, pizza, etc. without getting numerous histamine flareups. It's now a month or so later and some symptoms are coming back like runny nose, but so far, personally, it had a huge impact on my health. Looking back at the last month I've actually been eating a relatively low salicylate diet. I was thinking of trying an aspirin to see if that was really my issue this whole time (which I hear could also be caused by SIBO). I did have bloating, etc. when eating fodmaps and I still get bloating if I eat a ton of them, but the reaction seems to have lessened overall. I definitely still have work to do. Thanks for posting your videos online!

[@michaels999]

Try a non citrus form of quercitin it may help

[@STEVEH0LT]

@@michaels999 TY

[@automaton111]

I am doing a whole food plant-based low FODMAP diet at the moment. I think that is the healthiest way to do it. But the amount of fiber and resistant starch is still fueling the bloating. I think the only diet extreme enough to possibly cure SIBO is the elemental diet or carnivore (unhealthy). But that is pretty extreme and you still need to treat motility and other things. I’m about to tackle other areas. I’m not sure about lactulose vs glucose breath testing. Drinking that much glucose at once isn’t healthy. Lactulose isn’t absorbed. Glucose is quickly absorbed in the intestines, affecting how much is available to the bacteria to create the gasses being tested for. So it seems neither one is perfect. But it seems lactulose is healthier and can work fine as long as you know how to read the test results.

[@TheInnerSession]

carnivore(unhealthy) learn to do research please...

[@francescopagnini4583]

I have severe deficiencies.. It could be anything, so , now my nutritionist has put me on molybdenum and c vitamins, based on what I told her I cannot tolerate and my symptoms, and when they occur. She thinks I cant produce or transport sulphates, due to the lack of this enzyme-starter, caused by prolonged nutrient malabsorption.. So I cannot basically detox since the pathways are constatly stubbord. At this point I can't even produce glutathione. we'll see if it gets better. I suggest everybody to start from these videos but THEN see a nutritionist (biochemist) with expertise on sibo, maybe autoimmunes and most importantly, deficiencies. Because you will have many, for sure. If you are stuck with even 1 severe deficiency on trace minerals, minerals, vitamins, for whichever reason, you'll get stuck forever. For instance I cannot use phenols, flavonoids and many sulphites on the supplements. NAC is pure poison for me. Think that if you're consistently taking one faulty supplement, according to your starting condition, you'll never get better and fix sibo leaky gut autoimmunes etc, no matter what you do. Good luck everybody

[@royfrye333]

My gastroenterologist prescribed rifaximin for 14 days for SIBO after testing positive on the breath test. It worked for a few months but the SIBO returned. Plus, the rifaximin was incredibly expensive even with insurance ($1200 for 42 pills). I had a bowel resection 20 years ago and have had digestive problems ever since.

[@gutmicrobiomequeen]

OOF. Yeah, Rifaximin is priceeeeey. And the double whammy is that it's not even getting to the root cause, so the SIBO comes right back, as you described. I'm sorry you've had to deal with that. I hope you've learned something on this channel or my Podcast that has helped you!

[@davidmaisel8062]

Thank you @Dr.DiNezza! I tested positive for sibo, unfortunately I had an ear infection that developed into pneumonia. I was on amoxicylin for a week in the hospital and I was symptom free. That was a couple of months ago and I'm having the same symptoms again.

[@alexc7857]

Thanks for your valuable information, navigating sibo is quite the cornmaze 🌽

[@gaga8956]

This might be silly question, i'm new to all this. You said we need to look back, not to just bandage, go back to see what gets us to this place. Im curious what are the places to look, i wanna test everything that needs to be tested and im a bit tired to just hear from doctors "it's the stress" cause what if it isn't and they aren't trying with me and i don't know how to try on my own to find the cause. I heard some people have low acid levels, or parasite etc. What are the things that i can test and look into? (Thank you sorry for English)

[@coleyod]

I went low fodmap for a week and I felt worse and then introduced high fodmaps again and felt relief 😅 I'm trying ginger and artichoke extract currently but don't think it's really working. This disease is so complex folks

[@gutmicrobiomequeen]

I'm glad you knew enough to recognize this and reintroduce foods right away! Well done!

[@zorromohammad1999]

Cooked vegetables like stew,lean meat, eggwhites. White rice. They are easily digested. Eat those. Eat berberine, oregano oil, garlic. Start you day with boiled apple with clove without skin. Never eat raw food, no nuts also, no dairy. Eat it till your bloating goes away.

[@lauriebarrueta2091]

Thank you for your thoughtful information. You described my experience of eliminating then reintroducing then getting sick again. I have been diagnosed with lactose intolerance and fructose malabsorption, which already significantly restricts my diet. If you have any suggestions for ingesting a balanced diet with these conditions as well as SIBO, I would be greatly appreciative!!

[@danijeanes5078]

Well it sounds like you all really don't know how to fix this at all. No concrete help.

[@melissak7798]

Keto was giving me horrible issues and my doc suggested carnivore. I got even sicker. I am sure the high saturated fat and lack of starch caused me to have endotoxemia. I am with a new doc and telling everyone I know the dangers of HFLC diets. I lost years of my life not being able to function.

[@rondacompton7206]

I suffered my whole 30's with IBS. I started taking a probiotic and haven't had a problem with IBS ever since ( its been 10 years) but everytime I eat I bloat out so big I l ook pregnant. Its to the point now that my stomach isnt even flat when i wake up in the Morning. Im at my wits end as to what to do. I just came across your video and now I'm wondering if I have sibo.

[@saffronsl]

Definitely sounds like sibo to me

[@mostaq9779]

How do we know you are not talking bulls**t. You all seem so truthful leaving people confused. How about giving us how how many patients you treated with their email contacts for references? Or is that too transparent???

[@vincentvega3747]

I personally feel she is. How can you in many cases cause SIBO due to a poor diet but not reverse it by doing the opposite?? This is a KZbin channel that is established. The more traffic, the more ads therefore the more money she makes. Imagine if she just told you to significantly cut carbs and sugar and you can eradicate it because you CAN like that. Her traffic stop cease(no money). Everyone is so full of it I swear. I got rid of mine like that. The gut microbiome is soooo complex that apperantly we have barely scratched the surface on trying to understand how it works. The proof is the results.

[@christinecortes6342]

I have not had relief for a long time. This year I started looking into SIBO . It is soooo hard to get a doctor to test for this or get treatment in my area. I finally just bought, on my dime a SIBO tester and I am very high in methane !! Super bloated and heavy feeling . I just been trying to to relieve this horrible feeling like a swallowed a bowling ball, pain uncomfortable, feeling full, unhappy . Now question, so for some reason if I just stop eating, fasting my methane levels go even higher. Today I'm at 8.4 with a high methane level. The top of my stomach is as hard as a rock. Is there any way to get rid of this ? I have weight gain, constipation etc

[@Giceraider]

Thank you for your work 👏

[@naveedaslam4688]

Excellent video Nikki. I've been literally advised to go carnivore diet. Please can you do a a separate video on this diet and the Lactulose sibo test as I did the sibo breath test using this substrate. I have hydrogen dominant sibo. On a separate note, I am about to start NEO EMOTIONAL RELEASE program. The smart pill test showed I have carbohydrate Malabsorption and slow colon transit meaning carbohydrates are fermenting. Not sure what to do in this case.

[@gutmicrobiomequeen]

You're continuing to play wack-a-mole, my friend. I've already shared (privately) what I believe to be the root cause of your problems. I know the "treatment" of this root cause is difficult and undesirable and probably seems impossible... but I don't see a way forward for you until you address the big, nasty elephant in your home. Currently I don't have plans to cover the carnivor diet in-depth because I don't want to encourage people to try it. I will be covering breath testing (and why it is unreliable) in the spring, though.

[@Userxyz-z2d]

Well, I fixed my gut by eating raw garlic & taking oil of oregano, both are natures antibiotics. Got rid of gas, SIBO, mold, yeast or anything else BAD that was in there. 2 days, lost 10 lbs. i drank water only during the 2 days, using LMNT electrolytes & ginger in case i had die off symptoms. 2 days. Now Im feeling great, have NO more food sensitivities & have a normal gut again. I suffered for 7 YEARS!!

[@gutmicrobiomequeen]

@@Userxyz-z2d that is a completely different ball of wax, though. You took natural antimicrobials! That is very different than what I discuss in this video (the idea that we can "starve" the bacteria).

[@debbiec6216]

check out dr ken berry , he's know about this .

[@briannemorgan1]

​@PROUD GRANDMA you did the protocol only for two days? And what are LMNT electrolytes?

[@marilililafor8131]

Hello, I was diagnosed with sibo last year, gluten and lactose intolerant. Low fodmap diet didn't work for me. I took Rifaximin, felt so good for several months and now my sibo is back but not as strong.

[@mh-mo4bj]

Thank you so much for sharing this video!! I have been so scared of five FODMAPS ever since coming off SIBO that I think the stress of avoiding them is actually making my sibo come back!!!

[@gutmicrobiomequeen]

Makes perfect sense to me! Food fear can produce real physical symptoms!

[@bubaba8938]

My root cause seem to be h pylori and yeast that proliferated cause of high stress in conjunction with process foods. I got rid of h pylori naturally, now i seem to have yeast issues worse than ever and multiple food intolerances. My motility is good as long as i don't eat animal products,otherwise it clogs me up. I probably have an excess of meat and fat loving bacteria cause i wasnt able to digest food to well for years due to h pylori and now yeast. I have a really hard time with yeast, recently ordered undecylenic acid

[@michaels999]

Candex may help without the die off symptoms

[@bubaba8938]

@@michaels999 i'm using it fora few months already..Seems to help but i got sibo too so it overlaps with yeast

[@redrose6584]

Thank you Dr... what do you think is the best diet for leaky gut?

[@hadassah6085]

Thank you. I’m going to watch this a few times. My health was so debilitating that I’m reduced to red meat to be functioning and not totally disabled. But I can see it’s not ideal or something I can maintain long term and reintroducing anything makes me so sick again. I can see the logic in rebuilding diversity. I’m in Australia, do you do phone consults overseas? Thank you

[@gutmicrobiomequeen]

Hmmmm. I don't know if you have this where you are, but is there any chance you've been bitten by a tick? There is a tick-borne illness in the USA (not sure about elsewhere?) called alpha-gal that can cause an allergy to red meat! Might be a long-shot if you're not in the states, but thought it might be worth mentioning/sharing.

[@gutmicrobiomequeen]

And yes, I do work with people in other countries!

[@hadassah6085]

@@gutmicrobiomequeen thanks for mentioning, but red meat is the only thing I can eat (as in only thing I don’t seem to bloat and have extreme fatigue/vertigo with). So the opposite- not allergic, but reacting with everything else.

[@gutmicrobiomequeen]

Ohhhhhhhhhhhhh gotcha. Sorry, I guess I misread that, then! Amy and I have several full-length episodes over on the IBS Freedom Podcast about how to broaden your diet and reintroduce foods :) Enjoy! youtube.com/@ibsfreedompodcast1245

[@gutmicrobiomequeen]

I see what happened- I read "reintroduced read meat" instead of "reduced to red meat" 🤣

[@MrYorickJenkins]

I fail to understand your claiming not to understand the argument presented in the paper you cite that the carnivore diet can starve SIBO but low FODMAP cannot. That may be true, that may not be true, but on what basis do you claim that the proposal is in itself illogical or contradictory? I am baffled. I can see nothing illogical or contradictory inthe findings of the paper. Whether the finding and conclusion from it is correct or wrong in proposing a carb exclusion diet is another matter entirely. As for your contempt for lactulose breath tests, if you are going to dismiss a test which has become standard, I think you should properly explain why it is inadequate in your eyes and also why so many professionals still recommend it. Most people who take a breath test, be it glucose or lactulose test, are likely to be suffering from SIBO by the very nature of the fact that the majority of them will have a long history of negative diagnoses behind them, negative colitis, negative Chron's, negative cancer negative intolerances etc etc behind them, meaning many possibilities that explain their sickness can be excluded in advance, so that statistically most of them are likely to have SIBO, that is common sense, surely. If a test, one which in your opinion is very unreliable and "throws up a lot of false positives" , confirms them as having SIBO, albeit an unreliable test in your eyes, the likilihood that they have SIBO is somewhat higher is it not, and surely way over 50% even if the test is unreliable. And what are you precisely saying is wrong about the lactulose results anyway? If someone has way over baseline hydrogen or methane or hydrosulphide, what does that signify other than an indication of overgrowth? Where does the excess gas come from if not from fermenting bacteria and/or archea? The main thrust of your critique against lowfodmap and implicitly also anti-biotics like rifaxamin and herbal treatment sounds plausible. However, personally I would prefer it if you were more explicit in yur disagreement instead of just making not very subtle hints. Can one take it from what you are saying, that Dr Pimmentel with his confidence in rifaxamin is proposing something of very costly and only transitory benefit? I think that is what you are saying but if it is, why don't you dot the i's and cross the t's and say so?

[@francescopagnini4583]

low fodmap is still fodmap, few rice is still carbs, leafy greens are still fibers, and so on. That's the deal. It really depends on how severe your condition is and how stubborn you are. Low fodmap can be good for light sibos with no complications (leaky gut, autoimmunes etc.) but why risking? My self , at my worst I couldn't even tolerate 40 gr of lettuce. That means feeling shit for two days, joint aches, brain fog, depression, anxiety, passing out, POTS, weakness etc. Because Sibo byproducts of the eating(their shit), and also part of the LPS, part of the faulty digestion, part of the undigested whole food bolus, got in the blood stream through my leaky gut. And that's not funny at all.. Actually it's the opposite of funny. There you have 1 clear example.

[@mysteerimyyra]

I think most of these diets work because they limit the fibre intake. Once you are healed you should introduce fibre slowly back to diet. So first eat only the foods that are easiest to digest (sugar ang glucose) then after a while introduce fructose and lactose. For some people this means eating only white carbs and sugars until healed (as crazy as it sounds). Some might tolerate fruits and cooked vegetables. Think of baby foods. Meat and dairy might be too difficult to digest at first. Beans, cruciferous vegetables, salads and raw foods are the last thing to introduce back to diet. Fresh ginger in hot water aids digestion.

[@Yoyo-kp8sf]

Do you have Experience and Results or is this Just your Idea of how it could Go?

[@mikewalker2068]

Carnivore diet + 3 tablespoons of coconut oil daily, thiamine, b complex, magnesium, zinc and vitamin d 👌

[@mikewalker2068]

Also no alcohol, no caffeine and obv no carbs...

[@shaunwan2110]

how long did it take you to recover from sibo?

[@simon-e]

How long did you do this for and how did you know when you were fixed?

[@suukinsin6771]

Low stomach acid Poor vagal nerve activity Gut brain axis problem Stress Poor motility All comes to one---vitb1 magnesium deficiency

[@timmcspillywhop1234]

Idk I’ve been supplementing high dose b1 in all forms as well as 6-800mg magnesium a day and here I am.

[@tier1solutions28]

I'm suffering from sibo like symptoms with SEVERE dizziness and exhaustion. My life is ruined over this. I don't know what to do

[@gutmicrobiomequeen]

I'm so sorry to hear that 😢 While I cannot offer medical advice via KZbin, I will suggest this: A "functional neurologist" may be able to help you with the dizziness. Also, the gut symptoms may tie back to your nervous system via your ability to get bloodflow down to your gut. So, functional neuro may be able to help with both. Wishing you the best of luck!

[@tier1solutions28]

@gutmicrobiomequeen thank you for the advice.

[@hadassah6085]

I’m the same. It’s been going on for 10 years. I’ve just found 90-95% relief from only eating red meat, salt and water. I can walk to the bathroom without vertigo/dizziness now, but a red meat diet doesn’t seem sustainable and everything seems to bring back the dizziness straight away.. My exhaustion was so bad, I couldn’t even do grocery shopping.

[@tier1solutions28]

@hadassah6085 unreal. My life is ruined and I've hurt my family with young children because I can't function.

[@mwintersweet3538]

I have been diagnosed with sibo but not with the specific kind of it. I try to eat low fodmat and eat simple stuff to kind of manage it.. The super odd thing about it tho is that whenever i visit my family in another country and i eat their food ( cooked with loads of onions, beans and spoces) I feel almost completely fine. But i have terrible bloating and everything when i cook the same stuff where i live. I really dont get it...

[@CK-bl3tx]

This video blew my mind...I am so disappointed with the functional medicine Dr I have been seeing. How do I find a Dr like you in my area? I've been on low fod for Sibo hydrogen dominant since July 3rd 2023, plus I've taken neomycin, Rifamixmin which I got from India and a ton of herbal supplements that I am supposed to be on for the next 4 months. I am miserable and still bloating and inflamed. I've now gotten a UTI and yeast infection that I've never had in my life. I started the treatment in August. I did the same breath test that you mentioned. How can I find our what is really going on? Please respond, I am so desperate. Thank you so much for being honest and truly caring about people.

[@jeanfolchi3042]

Your story sounds exactly like my daughter. It’s so frustrating!!!

[@missing1person]

I'm dealing with excess flatulence post keto diet. I'm not sure what is the problem with me

[@gutmicrobiomequeen]

When you did keto was it relatively low in fiber? And now your gut is a bit shell-shocked by upping your fiber again?

[@missing1person]

@@gutmicrobiomequeen yes I was doing keto with low fiber. I was doing around one cup a day of vegetables. But even now I'm not eating a lot of fiber. I have a mild pain in my right side that is always there, The doctor told me my gallbladder is fine. But I couldn't find a way or food to relief this pain

[@RenzW]

@@missing1person Slow introduce fibre back into the diet I had the same problem be patient

[@reinadelmar11]

I haven't done the lactulose breath test but thinking of buying the Food Marble Aire 2. Do you think that if it's used properly that it will point to or diagnose SIBO or Methane Overgrowth? I have all the upper GI symptoms and sudden food intolerances but garlic and onions seem to help me. Sauerkraut too. The only thing I can tell bugs me is rice so if feel for me it is mostly carbs that are bothering me. I know from the GI MAP and Thryve test that I do have some dysboisis going on. I did a lot of oregano oil at one point and too much iboprofen over the years. So gastritis makes sense. But the CRAZY bloating def. seems connected to some kind of foods, slow transit time?, constipation..

[@POS3278]

Did you buy it? How did it go?

[@SDWits]

Really interesting point about the low fodmap diet and elemental diet! It keeps symptoms at bay, but doesn't address the sibo. I do low(ish) fodmap some of the time bc I fear the painful cramping and urgency from high fodmaps. 😓 What are your thoughts about Biocidin? I feel like i got worse after being on it for 6 weeks. I wonder if i stopped it too soon though.

[@francescopagnini4583]

Low-ish is not enough.. If you want to eradicate sibo for good, you have to see a biochemist and have one diet and the right supplements. Note that if you even have a severe deficiency of 1 trace mineral you get stuck forever. many have adressed b1 deficiency for gut motility basically. many have adressed the b complex for producing enzymes and HCL. I was binge watching these videos for a year, with no result whatsoever, now I got to see a nutritionist that told me that maybe I miss molybdenum, which is involved in enzyme production, and vitamin usage, so basically I thought I was doing good with the supplements when instead I was intoxicating my body with unusable waste, thus worsening the condition. I have an autoimmune and leaky gut, so, If I fuck up once, it's two weeks of hell, minimum. She put me on molybdenum and vit c, I do yet have to start. But that's a complete new level, gives me hope, she's speaking fair, with a much more complex logic. Not reachable by ouselves alone.. She studied and tested this for years with all her different patients. So I suggest you to get one. Follow Dr Ekberg if you're in the US, he's got a clinic, I don't remember where.. Good luck

[@francescopagnini4583]

For me I couldn't make use of phenols and flavonoids, and If you got my condition, you cannot tolerate salycilates, histamine, tyramine etc.. So if you got this condition (which is just one of the many) you getting herbal teas, herbal antibiotics, lemon juice, iodized salt etc, is pure poison. Until you find your deficiency and get your body machine up working again. Sad that, if you don't look it for yourself, you'll never get in touch with those professionals.. Talk about conventional medicine..

[@patrickjuan6057]

Any update? How are you now?

[@francescopagnini4583]

Are you asking me?@@patrickjuan6057

[@SDWits]

@@patrickjuan6057 where to start? My glucose breath test was negative. Dr agreed to still prescribing me xifaxin after I do some stool tests to check for pancreatic insufficiency, c diff, parasites and inflammation. I had to suggest most of those things. My B12, B1, d, ferritin are good. CBC good. I quit Biocidin after a couple weeks MORE of taking it. It was a major cause of cramps and stool issues. I started taking probiotics and it helps. Changed my digestive enzyme to a better one too. And, we got a new fridge about 10 days ago bc ours died. So for a little bit, I thought maybe the food in my fridge was making me sick, bc I did notice when I would eat out or eat at someone's house, Id be okay. So that very well may have been part of the issue bc our fridge didn't seem to be getting as cold as it should for a long while now. But I'm still testing foods and having issues and struggling to figure out which foods are the culprits despite logging food, bowels and symptoms. The issue is, I think I get the cramping sometimes the next day. I'm just not sure though! Interestingly, I am off work from Xmas Eve through new years and today is the first day since I've been off that I've had cramping. I've been eating cookies, eggs, and cheesy potatoes and all kinds of foods that were bothering me before... Now they don't seem to (in moderation) while I'm off work. As I said though, something set me off today finally, and I'm trying to figure out if it was the small serving of French vanilla ice cream and tiny serving of Parmesan cauliflower I had the night before, or the English muffin with jelly I had this morning bc the cramping came soon after eating the English muffin, but it's ice cream and fibrous veg that bothers me.

[@HJ-gm4bh]

Hello Dr. DiNezza, I'm writing you from Germany since I haven't found here a doctor, yet, who could help me. I started to take FC-Cidal and Dysbiocide on the third of January. At the same time, I do a low-fodmap and low-carb diet. It got better and better the first two weeks and since three days it is almost worse than before. Now, I'm afraid of eating anything since everything makes me bloating 😒. I don't know what to do anymore. Thank you in advance for your answer!

[@gutmicrobiomequeen]

I'm so sorry, but I cannot give medical advice via KZbin. That being said, both of the things you did (restrictive dieting and antimicrobials) can make dysbiosis worse by decreasing beneficial bacteria. That is where I would focus my attention if I were you. Best of luck!

[@HJ-gm4bh]

@@gutmicrobiomequeen Thank you 😊

[@jennifermartin787]

Hey ich bin auch aus Deutschland. Wie gehts dir mittlerweile ? Habe auch totale Probleme mit dem bauch und stillen Reflux.

[@HJ-gm4bh]

@@jennifermartin787 Hey, es hatte sich mit den pflanzlichen Antibiotika gebessert. Neulich hatte ich noch mal ne Runde mit Metronidazol probiert. Das hat es leider extrem verschlimmert.

[@patrickreynolds801]

Thank you for this

[@gutmicrobiomequeen]

🥰

[@bartwilloughby2909]

Carnivore diet two years and No Relief from SIBO .

[@beautysolutioneco3]

Use low food map and gaia oregano oil and probiotics

[@andyhulme2274]

Intermittent fasting oregano oil then apple cider vinegar from there on in stopped bloating and tudca an hour after meals.

[@KittenCasserole]

Great video 👍

[@gutmicrobiomequeen]

🥰

[@dmx1721]

i like your take on this

[@hmikey5680]

Waste of time watching this. She just waffled and there was nothing for someone suffering from SIBO to take away from this video that they already didn’t know..

[@ashleyplaceres]

thank you for sharing!

[@hannahhutchison401]

Question… So what do I do then to heal my gut and take care of the SIBO & IBS? This video was very informative, but left me a little frustrated because I have tried many, if not all the things you mentioned that may not work to take care of the issue. (FODMAP, Elemental, Carnivore… ect.) and my problems keep coming back. So what would be recommended to take care of it then?

[@gutmicrobiomequeen]

I have loads of videos on this channel and the IBS Freedom Pod channel youtube.com/@ibsfreedompodcast that can help you answer that question :) unfortunately, there is no single answer I can offer you, because everyone is so different. That being said, a few solid starting points are: - Trying to understand your root cause(s) and address those things. I have videos on both channels on this topic! - Going back to "basics" in the sense of "what does a human body (with or without tummy troubles) need to be HEALTHY?" This includes things like sleep, stress management, balanced nutrition (fiber, vitamins, minerals, protein, etc), movement, connection (with nature and other humans). Hope that helps!

[@adamdport]

⁠@@gutmicrobiomequeen as of today you have 294 videos, this comment isn't all that helpful. Perhaps you could make some playlists or something? Or link to a couple? Where do I start?

[@darwinmonzingo9738]

if symptoms return when adding back the food restrictions I would looking into leaky gut and what heals and aids in healing an unhealthy gut lining. Dr Gundry has some advice

[@migasujith2023]

Is it possible to heal SIBO and candida without the gallbladder? Please kindly reply. Thank you.

[@1990rable]

can you get SIBO out of the blue? never had any digestive problems in my life. but suddenly i got gut issues and my hyppohondric anxiety mind now thinks ive got sibo ofc :D but i wonder, how do people get SIBO in the first place? i had to take antibiotics 2 times in the last decade is that the cause? its weird since if iam not well psycholoigically ive always got gut issues. so maybe its more in the head instead of SIBO.. can anyone relate?

[@Knigh7z]

What do you recommend instead of a lactulose test? I just did one and the idea was to test for 3 hours which is much longer than 90 minutes which you say is even too long.

[@pachuco1674]

My Naturopathic doctor had me do the Lactulose test Trip Smart for 3 hours. I don't know why she had me do that. But I'll ask her on my upcoming appointment on the reason behind that. I did come positive for methane sibo.

[@CassDiGiovanni]

how do you diagnose SIBO if you don't trust the tests?

[@dmx1721]

is their a way to test for low stomach acid and what is the most accurate sibo breath test im going to the doctors in a week for GI issues that i have no idea whats causing them other than the daily acid reflux witch gave me 2 small uclers that healed but yet the tissue biopsy was negative for h. pylori so im stuck on what to do , i did a lean protien , very low carb ,no sugar other than fruit for a month and it did nothing . 2 other symptoms that came on later were thyroid issues and brain fog

[@ashsharma3169]

No sure what she is getting at. Didn’t learn much

[@jonathanmagic5633]

Problem is a lot of us (I work in the Public Health system in Queensland Australia ) have jobs where our health is of no importance.

[@mh-mo4bj]

What test would be the most accurate for sibo instead of the lactulose test?? I didn’t hear you mentioned that!!

[@meredithhicks2216]

Would you please discuss why the lactulose test is not recommended?

[@Cavellos666]

How do you address low stomach acid with gastritis? I had have SIBO for 1 year, main syptom has been LPR and one sided trapped gas. Now out of the blue I developed gastrtis. HCL was working very well for some time, but one moment it started to burn and I had to stop taking it.

[@suukinsin6771]

take vit b1 high dose 200mg and naturaly your gut with produce hcl via vagus nerve

[@LordZordon1]

Oh, phoey. I think I got the lactulose breath test. 😕

[@gutmicrobiomequeen]

Lactulose is worthless, unfortunately.

[@vitanilange6926]

Got severe hairloss:( been trying a lot other people think im very fanatic with my diet its just.. nothing seems to work.....

[@sabincioflec8413]

Seems like a lot of carnivores go from 10-20% gut diversity to the >90% range , i guess the meat (zinc, carnitine, carnosine, creatine ) and fat and salt, give the body the nutrients to make stomach acid and it rebalances the gut with the help of bile. Some people don't get enough choline so bile is not properly working and they don't get the results they wanted. And cutting out carbs starves candida and other bad bugs that love sugar.

[@Chesilon]

I did not understand what your solution is

[@92JacobG]

What do you think of fructose for detecting SIBO in comparison to lactulose or glucose?

[@gutmicrobiomequeen]

I know Jason Hawrelak has mentioned this before! Truthfully I haven't looked into it much yet, though. I don't think we have a fructose based SIBO test in the states...? Unless we do a regular fructose intolerance test and fenangle the interpretation of the results?

[@92JacobG]

@@gutmicrobiomequeen Yes, Dr H favors fructose these days. Interestingly, fructose has a higher positive test rate than lactulose (if I remember correctly). So I'm quite surprised that you think lactulose has an excessive false positive rate unless of course fructose is much more accurate and precise.

[@92JacobG]

@@gutmicrobiomequeen I have no idea about SIBO fructose tests availability in the US but it should be easy to use commercially bought fructose instead of the supplied lactulose/glucose.

[@gutmicrobiomequeen]

Oh, dang. If fructose has a higher rate of positives than lactulose, it almost surely sucks. I wonder why JH approves, then? I'll have to revisit his stuff where he talks about this... then do my own deep-dive on pubmed. I'll add this to the video line-up for the spring! 😉

[@mahdiyounesi625]

What is the treatment then ?????????

[@nadia5477]

What about a fecal transplant?

[@NatyMarketing]

I have 5 years with low fodmap diet, it is horrible.

[@greeneyes7612]

What kind of antibiotic do I need?

[@suukinsin6771]

Root cause of sibo = gastrointestinal beri beri thiamine deficiency

[@robmontoya42]

Do you take Thiamine?

[@marinamarkovicfijan2642]

Every person has diferent mikrobiom and it is nessery to skrin it and then see what is best for this mikrobs in his gut. All others are just someones mind and ego fight.

[@rachelm9350]

I started doing low fodmap just to control my worst symptoms. I'm not perfect on it 😆. I still am eating animal crackers and some soft cheese. I also have some garlic and an occasional onion. But if I do too much regular food or eat more I feel horrid. I'm trying to treat it and doing this diet while integrating the less restrictive low fermentation version that pimentel suggests. I'm def getting enough protein 😆 maybe too much 😂. For reference my hydrogen was 130 over baseline.. landed me in the hospital.

[@POS3278]

Do a video on the Netflix documentary Hack your Health😂

[@Kitty9363]

On the topic of diets i see others in the wider gut health space proposing that all grains are bad for gut health ie glyphosate and inflammation from them, curious to hear your take on grains & microbiome success?

[@gutmicrobiomequeen]

This is a great question! First, I will say that there is a LOT of fear-based misinformation out there. And, unfortunately, the functional medicine and naturopathic medicine community is the cause of a lot of that fear with their over-use of elimination diets and food sensitivity tests. And, I will share that I used to be "mostly paleo" in the sense of severely limiting grain consumption and believing they were intrinsically "bad" or "inflammatory." Thankfully, I have done a lot of reading since those days 😉 and my opinion has come full-circle. Based on the current state of the literature, excess simple carbs like white bread, sugary treats, and soda are bad for our health, but whole grains are health-promoting. One example: From a microbiome stand-point, whole grains are known to feed/boost beneficial, SCFA-producing bacteria like Faecalibacterium p. There will, of course, be outliers who say that grains flare up their symptoms, and I'm not going to discredit their experience. But those folks are the minority, not the norm. Gluten-containing grains are a bigger problem... but again, the internet and the func med world makes it seem MUCH more common than it actually is. Amy and I just posted a whole episode about the gluten question if you'd like to learn more! kzbin.info/www/bejne/mKWbpp2ti7eZqsk Hope that helps!

[@Kitty9363]

@@gutmicrobiomequeen thank you!!

[@wendyharris2124]

Carnivore for the win for me!

[@rowenalawrence3061]

Realised I need to give up gluten as this is causing the problems

[@pix2reel441]

My situation is complex and no one seems to know how to help me. I would love to talk to you cos you've treated ppl with SIBO before and it seems like ide get comprehensive help not just surface level. Would you be willing to get on a zoom call with me? Meagan.

[@jasonblack6142]

If you tell me a cut my fiber I take Suboxone and they told me I need fiber

[@armandoruiz9514]

Can you please move to Houston? Like tomorrow, thanks! I have most of the issue you treat on your website. 😂😢😢😢 go

[@damnationdaniel4726]

Can you have SIBO without showing inflammatory markers? Supposedly positive for SIBO but have had many blood tests which are completely normal bar for a slight folate deficiency

[@gutmicrobiomequeen]

This is more complicated to answer than you'd think.. On the one hand, I have seen many people diagnosed with SIBO who didn't have elevated inflammatory markers. BUT, as I've researched the accuracy of SIBO BT and proper interpretation of these tests more recently, I've realized something: SIBO is ridiculously over-diagnosed. So, there is a high, HIGH likelihood that MOST people who are told that they have SIBO in fact to NOT have the condition. Of course, I'll be making videos about asap (explaining why I say that and sharing the research), so stay tuned!

[@damnationdaniel4726]

@@gutmicrobiomequeen Does this mean that those who show no inflammation are unlikely to have SIBO?

[@gutmicrobiomequeen]

It depends how you define SIBO. If you use older, more established criteria (before it was over-diagnosed so much) then that logic is correct. If you want to broaden the diagnostic criteria (as has been done in the last ten or so years), then maybe. But then we need to acknowledge that we are labeling something much, much less severe as being "SIBO."

[@damnationdaniel4726]

@@gutmicrobiomequeen Very interesting - I took the breath test for SIBO, but seems in literature this method is very unreliable. Its rather frustrating as I have all the hallmark symptoms (weight loss, inconsistent stool, possible malabsorption) but I've had every test under the sun (mri, blood, stools, you name it) and everything comes back healthy! Wonder if a similar kind of dysbiosis is the cause, but with research so dry it's basically impossible to tell!

[@lynz]

Yea! Maybe it’s dysbiosis but not an overgrowth?

[@77magicbus]

This is all very confusing. Low fodmap?SIBO? What the hell. I have night sweats and was told that that might be due to excess bacteria. Can't you narrow the focus of these videos a little? Too confusing. How about defining some of these acronyms you are constantly throwing around here?

[@juliaarambula3153]

Ok so…. You said elimination diet does not stop SIBO and just makes symptom relief. Then you leave us hanging about how to find why it keeps growing and coming back. This is so frustrating. I have spent money on so many of these offline SIBO doctors that talks I’m circles and no change. We are forced and have no choice than to continue to have SIBO and take antibiotics. People don’t have money just to spend in SIBO coaches. Especially when nothing changes.

[@user-lg4cv1dj6k]

Xifaxan

[@whyamiheredlb]

Thank you , Doctor! I was having a very hard time wrapping my head around the fact that if the antibiotics do not work and that I would have to stay away from my favorite nutritious foods, forever. The first round of antibiotics treated the H.Palori that caused the SIBO, but the doctor will need to prescribe a different antibiotic cocktail for the SIBO. This makes more sense to me… I will continue to eat my favorite foods until my 2nd endoscopy next month and wait for my doctor to provide instructions on a treatment that actually works. I do not have the time to deal with a “diet”.

[@chantalmarieee]

I have absolutely zero problems giving up sugar. I’ve never had a sweet tooth. It’s the gluten and the dairy I have an issue giving up. 🥲