Methane Dominant SIBO with Dr Allison Siebecker | Ep 84

Dr Allison Siebecker joins Rebecca Coomes for episode 84 of The Healthy Gut Podcast to talk about Methane Dominant SIBO. To see the full show notes or to sign up to get the transcription from this episode, head to: www.thehealthygut.com/podcast...

[@Ed-ci2vc]

This was so informative! Thank you!

[@marybethmohney4101]

Thank you thank you! So so informative! I just got diagnosed with methane dominate. It’s so confusing. This helped so much.

[@aksahairawan]

Extremely informative, I wish i had seen it two years ago.

[@jefflee-ds5ix]

Great video!

[@rosanaofner6433]

what a wonderful information

[@PropheticSoakingwithSarahJER]

Hydrogen sulfide : I had a flare up last week after eating yoghurt 2 days running. I was in no doubt the gas rising up. I was producing it like an efficient factory. Thankfully that pointed me toward treatment preference. I’m on histamine biphasic with an antimicrobial tincture and activated charcoal for die off symptoms.

[@gardnercook1591]

Awesome info

[@merima333]

Slippery elm bark works for consipation, 1 little sp. in hot cup of water, morning and evening on empty stomach

[@EmmaP678]

Incredible episode. Thank you so much. This information empowers me as I am healing my IMB/SIBO ❤

[@ayubhassan6521]

How can I contact this drs?

[@Chahlie]

Everybody needs to know about the ileocecal valve. It's rarely talked about, and can be the root cause. My ileocecal started being inflamed 2 years before the digestive symptoms got really bad.

[@debrasalinas2831]

Thank you 🙏🏼 great information

[@aliciaali8299]

Good info .

[@alismith6978]

Currently following Dr. Siebecker's "homemade elemental diet." Day 2 of 14. I've been suffering from Methane SIBO for TEN YEARS and I am willing to do anything. I've done ALL the other treatments. Feeling incredibly grateful that I found Dr. Siebecker!

[@bertbrowm4488]

Likewise, I'm on day 4 of my 14 day herbal treatment.

[@harshitthakar5377]

How are you feeling now?

[@prashant8264]

Aap bhi struggle kar rhe ho​@@harshitthakar5377

[@pamhenry2197]

Thank you for the informative information. I'm suffering with sibo/Methane from a hysterectomy surgery that caused gut issues due to endometriosis removal. In addition, I have achalasia and take prilosec daily which makes it even more challenging to eradicate it from my body. So I keep working at it. It's been since July of last year and no diagnosis until January of this year. Geesh! And just finished 3rd round of antibiotics.

[@TheEdzy25]

Look into b1 ttfd version. There are you tube videos of ppl getting better with high doses b1.

[@fstop8785]

Posting to this a year late but I thank you so much for this content. I’ve been dealing with recurrent hydrogen and methane SIBO for 6 years. Most of my clinicians don’t have much info on methane SIBO so, up until recently it’s been a struggle to get it clinically treated properly. I have never had diarrhea. Always chronic constipation which has led to a lot of issues “downstream”, requiring surgery. Not sure if anyone else has this symptom but I have substancial swelling of my entire torso after making a bad food decision, which causes a lot of fluid buildup. My weight fluctuates 10-15lbs in a given week depending on what I’ve eaten. It’s hard to get an accurate measurement of what my real body mass is, unless I do very long fasts and eat a strict ketogenic diet. It was initially hard to get in for testing because even though I have most of the classical SIBO symptoms I also have weight gain or dramatic weight fluctuation. This video was very informative.

[@TheHealthyGuts]

I’m sorry it’s been so hard to get the right care. Have you considered working remotely with one of the SIBO docs? Another thing to note is that archaea (methanogen producers) love fat, so a high fat ketogenic diet might not be the best. A prokinetic also becomes important as it helps stimulate the migrating motor complex, which is often impaired, especially with methane as that gas slows motility. You may really benefit from my forthcoming 5 Week Challenge which starts next week. We delve into treatment options for so types of SIBO, we spend an entire week on SIBO nutrition, plus much more. You can read about it here: thehealthygut.com/live-well-with-sibo-5-week-challenge/

[@grey_blue2513]

@@TheHealthyGuts I will check it out too. Thanks alot for the content you are providing. It helps alot of people ❤

[@karinaithier1511]

This has been the most informative episode for me. I have methane dominant and it literally feels like a blockage is stuck in me and can’t go out. I’m trying to go to integrative medicine because my regular doctor isn’t really helping and basically said constipation is my cause. Trust the patients first! I know it is the other way around like she said in the episode.

[@falayyou]

I have the same! did you ever fix it?

[@affordableaquariumservices1663]

If the leading doctor has it and she can’t care of her own we’re all screwed

[@falayyou]

@@affordableaquariumservices1663 I don't think i had SIBO methane - just constipation which I fixed with Heather's Tummy Fiber and Agiolax granules. Most gastros don't really think much into SIBO for some reason. I was planning on self treating with Rifaximin + Antrantil for 10-14 days at a high dose (6 Atrantil capsules 2 by 3 with meals and Rifaximin at the doseage suggested on A. Siebecker's website which I believe was between 1200mg to 1500mg per day), but I didn't end up needing to because I don't think mine was SIBO. Good luck.

[@affordableaquariumservices1663]

@@falayyou great info. Thank you!

[@AA-hj8er]

How are you now? did anything work?

[@kimMartinF2D]

Thanks for a great podcast! A Godsend for a formerly fit,athletic ,never had a serious illness or been to hospital (apart from tonsils as a child) 62 y/o. Then SIBO-went from 74KG to 64 over 2 months. Loads of blood tests-all normal.Went to a naturopath,did breath test a few weeks later Methane at 71PPM.

[@allisonfalin8854]

Same same same. Methane was at 60 and went to 90.

[@arnold5893]

What was your treatment please?

[@wpscz]

Same. Methane at highest was 90 😑

[@lauraitalia277]

I have sulfur in my gut. I get diarrhea. Now, I am in a low sulfur diet, and checking to see if help. I need to talk to Dr Pimentel in LA to see if I can get a consultation, because I am going crazy.

[@sylviaredmond8386]

I had a gastric torsion 28 years ago. I have the best gastroenterologist in the area. He really had no idea what to do with me. I remained hospitalized until they decided to put in a “peg-tube”. I tried numerous medications, specifically the acid blockers. I’ve taken them for almost 30 years until I go so sick and tired of feeling as my food was sitting in my gut undigested. I was prescribed propulsid and I never felt better! It was taken off the market here in the US and I was back on the acid blockers. My gastroenterologist has never mentioned the possibility of SIBO to me. I’m a NP and I’m in a group of NPs. The hive minds suggested that this might be my problem. I reside in a small town and I don’t know if I can get tested for SIBO. I decided to go off the acid blockers and the heartburn has been fierce! I’m using digestive enzymes and so far so good. Sorry for the long post.

[@TheHealthyGuts]

Have you heard of the Fast Tract Diet by Dr Norm Robillard? He developed it after decades of extreme acid reflux and heat burn. Might be something that can also help keep the fire at bay while you wait to get tested.

[@sylviaredmond8386]

@@TheHealthyGuts thank you. I will look this up.

[@samanthasmith8376]

Curious as to what your thoughts are on first, soil based organisms and second, the candida diet. Thanks 🙏

[@gesund_mit_chris_IG]

Great episode!! Greetings from Germany😃

[@ghaith1992]

I love this doctor she know exactly what she’s talking about. How can I contact her?

[@carinaromero8966]

hi i have hidrogene 299 and methane 35 sibo and the doctor gave me Rifaxamin 550 twice a day for 14 days only no neomicine, i still bloat over everything and cant eat and im on day 11 of treatment, i just bought oregano oil and probiotics to help out

[@katiecat5500]

slow motility - is also vagus nerve issue.

[@HealingWithJas]

I have terrible acid reflux to the point of developing respiratory problems. I learned that I also have methane dominant sibo and hearing that there is a backwards motion with methane dominant makes so much sense. So hard to digest foods and it sits in the stomach way too long

[@mikegutierrez6227]

Going through the same thing did u find anything that works?

[@iBonitaGamer]

Me too and I enjoy singing but it’s really affecting my ability to sing :(

[@wackyl5692]

@@iBonitaGamerhow does it affect you I’m curious bcuz I sing too

[@iBonitaGamer]

@@wackyl5692 the mucus is annoying and having to clear your throat a lot, but actually mine is so much better after treatment. I used to get constant indigestion and it made just life really uncomfortable. I don’t get it much anymore though

[@michaels999]

⁠what treatment did you do to fix the problem?

[@lydiabokti3888]

I have been struggling with gut issues since 2020 I went from Dr to Dr i got treated for HP with antibiotics but SIBO is not easy to get rid of and it really made my life miserable, isolated, depressed weight gain, skin issues, hair loss, weak nails, weak teeth, acid reflex, fatigue, brain fog all I think is when this will be over.

[@lauraarroyo4222]

I’m with you! Same here

[@mikegutierrez6227]

Same here did u find a solution

[@iBonitaGamer]

Me too :( currently laying here do bloated and I’m on low fodmap diet 🫣 breathing issues are the hardest to de with

[@verrasimonsimon7876]

What is the treatments

[@shelbeg7228]

Hi. Can you please advise if taking neem capsules should you take it before or after meals or an empty stomach?

[@mariposaoueline8179]

Hello, i have sibo and imo. can i take at the same time allicine, berberine and neem? thank you for your answer

[@katiecat5500]

Can you take red yeast rice while taking medical treatment for SIBO

[@instagramvideos692]

When to start prokinetic 24:39 (after the treatment)

[@Ms.matrixmetaphor]

I don’t know if anyone will see this since video was posted two years ago- I am being treated for breast cancer and have had chronic UTI also so antibiotic several times . Also scan dyes for the cancer . I have developed chronic constipation gas bloating that makes me look 6 months pregnant so even tho not tested for SIBO I believe I have developed in last two years . I have a gluten free diet and use probiotics and prebiotics and have now started using magnesium three times a day along with senna just to have a bowel movements . Unfortunately regular medicine is not equipped to address this and only offers laxatives to address. I don’t eat any junk food and my diet is really clean . I am desperate for treatment and testing as I am only 102 lbs and look like a watermelon with two toothpicks stuck in it. I have also developed hemorrhoids that bleed . I already take Berberine also. I also have a ulcer and I think the ulcer medicine makes it worse but I can’t take peppermint or oregano as my stomach can’t handle it . I need a specialist to address asap . Do you do telehealth and testing ? Please advise . Thank you in advance for your answer . And sorry for so much detailed information.

[@Pdk764]

I had many of your symptoms and went on an omad diet (one meal a day) I cut out all sugar and processed carbs/junk food. I still haven’t gotten rid of the methane Sibo as I can’t afford this type of Dr but the omad makes me feel 91% well again when I was at 35% before.

[@sankarganesh1602]

Could u suggest a prokinetic brand?

[@sarahalvarez8058]

Is there an herbal treatment plan for people with methane and hydrogen positive? I have looked at the website and watched both videos. Would we use Neem, Berberine, Antranil together? Thanks for the informative videos!

[@JohnQPublic345]

people, I've been battling this for years...and have a solution (so far its been working). this includes all types of sibo. doesn't matter which type because it's just a bacterial issue in the long run. here's the protocol: -3 to 5 days eat light. even fast. no coffee or caffeine. - take oxy powder 3 to 5 days - after that, take a very very small amount of Neem powder with water .a few sips before bed. you may feel a die off reaction. sip a small amount of aloe vera and water. go to bed. - every morning now, take a capsule of Mimosa Pudica seed. - carry a bottle of water around that has 2 to 3 droppers full of Wormwood, clove, black walnut tincture, and sip throughout day. keep this going for 2 to 3 months. so far, this is working for me. take care

[@natanyacohen1935]

How are you doing now? are you still on the herbs?

[@jamieb5679]

So wait 3-5 days before you start the neem? do it after the oxy powder? how much neem is a small amount?

[@JohnQPublic345]

@@jamieb5679 here's the protocol: Take oxy powder for a few days. Wait a week. Take nothing. Take mimosa pudica daily for 4 to 6 months. Simultaneously take Neem, black walnut hull, clove, wormwood tincture for 3 weeks. Stop tincture, continue mimosa pudica. Increase meat and fat intake. Stop all fibrous food, cereals, grains, nuts, seeds. Within the first month, I guarantee you'll shat out stuff that appears alien. You'll also start to heal the body, and feel better and better. You may experience Herxheimer symptoms for a while

[@Ms.matrixmetaphor]

What is oxy powder?

[@virginiabecker587]

Can you have Histamine Intolerances AND Intestinal Methanogan Overgrowth (IMO)?

[@TheHealthyGuts]

You sure can!

[@florence6701]

Such a wealth of information. Thank you so much for this very informative, precise, clear and helpful podcast on methane SIBO/IMO. Best I heard so far. Could be interesting to go further and develop how we can combine methane SIBO containment and microbiote health that requires lots of fiber, prebiotic and probiotics (that seem to trigger SIBO and digestive symptoms on the other side …). SIBO treatment is weakening healthy bacteria too which are required for global health…how can we deal with both ??

[@PavanMankame]

Does fmt work fot sibo?

[@jenaemcfarland696]

Have you ever tried Cyrex Labs SIB0 panel?

[@everyoneisdirty]

What are your thoughts on a combo of antibiotics and allyson and neem etc?

[@grey_blue2513]

It was explained in the video

[@kays515]

21:20 how to get bowels moving remedies.

[@ericaf461]

Hello. It was mentioned that Rifaxamin and Allicin can be taken together. Would you only do it for two weeks? Do you continue using only Allicin and for how long?

[@jaechung8719]

I read that after 2 weeks of xifaxan has ended, you should continue the allicin for another 2 weeks at the minimum

[@brennenfarrell5406]

No mention of probiotics?

[@forfun9115]

Can you heal leaky gut if you dont get rid of the SIBO completely? If the aim is 80-90% clear then will the gut really be able to heal itself?

[@AA-hj8er]

How are you now? did anything work?

[@j.s.ellington7584]

Are the herbal antimicrobials taken in combination? For example, Atrantil together with Allimax each day for 2 months?

[@TheHealthyGuts]

Yes you can take two herbal antimicrobials together but they do need to be tailored to your specific toe of SIBO (hydrogen, methane or hydrogen sulphide)

[@twistandshouttt]

You said that xifaxin and neomycin need to be swallowed at the same time? I was separating the pills by an hour or so for 2 weeks b/c they made me nauseous, does that matter?

[@jamieb5679]

I sallow mine at the same time.

[@petrons5384]

Magnesium blocks me up for days. I tried to half the dose and take it every other day, same result. Took it before bed too. Still blocks me up causing worse constipation.

[@TheHealthyGuts]

I’m sorry to hear that. It’s a life saver for me! Which type of mag have you tried?

[@petrons5384]

@@TheHealthyGuts I tried Clinicians MultiVitamin & Mineral Boost, and Sanderson Organic Ultra-Absorption Magnesium FX

[@TheHealthyGuts]

@@petrons5384 what type of magnesium is in those brands? As you may not be taking the type which supports bowel movements. Mag citrate and mag oxide are for bowel movements.

[@senorasolitaria7908]

What about the biotics research duo?

[@nutritionbusinesscoach]

This episode was soo good, thank you so much! I was just diagnosed with methane SIBO - I'm wondering if it would be ok to take Rifaximin, Atrantil and Allicin at the same time to try to get rid of the methane SIBO? Thanks!

[@TheHealthyGuts]

You might like to check out my methane treatment masterclass where I share combos and doses. You would pick from Rifaximin and Allicin or Atrantil (not both at the same time). Here’s the masterclass if you’re interested: thehealthygut.com/product/methane-sibo-treatment-masterclass/

[@nutritionbusinesscoach]

@@TheHealthyGuts Thank you! ☺️

[@evonnerice360]

If you can answer, is it safe for Type 1 diabetics to use berberine? Thank you

[@TheHealthyGuts]

It's best to chat to your doctor about this as they'll know your full medical history and what medicines you're currently taking

[@katiecat5500]

Low and slow fiber when reintroduce foods

[@j.s.ellington7584]

I am unsure, when you are talking about herbal antimicrobials, whether you do one course with 2 of the herbs and then a second course with two entirely different herbs?

[@TheHealthyGuts]

You can repeat a 2nd course with the same herbs if they have been effective for you the first time around.

[@mohammadfaisalp.a5813]

Very good information. Can you please Prescribe exact medicine for Methane Dominant SIBO?

[@TheHealthyGuts]

MOHAMMAD FAISAL P.A Dr Siebecker has information regarding treatment protocols on her website: www.siboinfo.com

[@lhacker-clark8993]

Yeah for $500 get the course. No thanks, just get Dr. Berg KZbin. Why do people want to constantly make a ton of money off sick people?

[@enlightenedhummingbird4764]

@@lhacker-clark8993 because that's how this planet is set up...

[@loisschwartz1787]

@@lhacker-clark8993 How has Dr Berg helped you?

[@affordableaquariumservices1663]

@@lhacker-clark8993 You’re so right I spent $100,000 and still stuck with Sibo c. They just give you enough information so you’re interested and bombard you with all these herbals that are useless. I mean the doctor herself is giving advice and she can’t get rid of her own

[@blackyurizan]

@17:00 She's talking about a lot of different antibiotic supplements to try. I know she spoke of one of them named "allicin". Does anyone know of the other supplements she is recommending?

[@TheHealthyGuts]

You can get the full written transcription to the show when you sign up as a member of the podcast (membership is free). So that will help with getting so the names of the treatments Dr Siebecker discusses in this podcast. www.thehealthygut.com/podcast

[@affordableaquariumservices1663]

don’t work so what does it matter

[@Ms.matrixmetaphor]

Secondly the pop up for the survey on your website is super annoying . I would like to look around before joining but can’t get past the pop up repeatedly preventing me from looking around even after I have competed the survey ? You might want to reconsider removing and putting at the end of a e-mail or after someone’s actually signed up . Just a suggestion

[@JanZpd]

I'm still hearing to take prokinetics for IMO but nowhere is written what kind. Could you please advise some types and also herbal options? Thank you! :-)

[@TheHealthyGuts]

I’ve got an in-depth live masterclass with Dr Siebecker next week on prokinetic! We’ll be covering exactly what to take and for how long. Iu can learn more about it here: thehealthygut.com/prokinetics-masterclass/

[@jefflee-ds5ix]

where is the treatment ?

[@RealZayComo]

Bro what brands of neem and allicin did you take ? plz help 🙏🙏 🙏

[@ajitprajapati6334]

I am suffering from diarrhea and serve constipation since from 2017 my symptoms morning time, 3to4 time have to go to the toilet after eating no food absorption and metabolism weak more than gas bloating mild stomach cramps and weekness and back neck cramps

[@AA-hj8er]

How are you now? did anything work?

[@erikasolorioo7313]

I can’t even eat I don’t know if I have this or not but it started on Wednesday when I could the life of me could not pass gas. I felt a weird heavy feeling on my right side since Monday but Wednesday I couldn’t even fart. I’m going to just water fast because I don’t even have money to do any treatment but I don’t want to keep using laxatives because they hurt me a lot.

[@richardkalmwater5996]

Rather than money on the Elemental Diet which tastes horrid and very expensive , I'm fasting to starve the bacteria in my small intestine. The Elemental Diet is 85% effective for treating SIBO so I figure if I fast 28 days, I will have starved the problem out of my gut...

[@AA-hj8er]

How are you now? did anything work?

[@konstantinosv9690]

Hello,i take your suggestions and i take berberine and allicin for 6 weeks and i am still bloating what may i do now,thank you!

[@AA-hj8er]

How are you now? did anything work?

[@haytch7934]

Try natural prokinetic ginger and artichoke are you still constipated?

[@Salamaleikum80]

Do you have to stick to an eating protocol when you treat IMO? Or is it just Killphase -> Prokinetics Phase? Is Killphase required? My Doctor doesn't want to give me Rifaximin.

[@wackyl5692]

Omg why?

[@Salamaleikum80]

because in germany its so far only used for travellers diarrhea@@wackyl5692

[@s.sch.3138]

Can bacteria and archeean become resistant to herbal antibiotics (berberine, oregano, allicin, neem)?

[@Pdk764]

I was told yes. A natural path Dr has to keep switching things around for this reason as the bacteria will develop biofilms to protect themselves.

[@cynthiathurman3108]

What probiotics are appropriate with methane sibo?

[@frediphillips]

l reuteri seems to be popular in this area.

[@pammcnary]

What if I’m very high on both methane AND hydrogen?

[@TheHealthyGuts]

That’s considered a mixed case. You would still use a methane protocol for treatment to start with.

[@senorasolitaria7908]

my genova test had high methane and low hydrogen. Symptoms started after a 2 month course of antibiotics given by a dermatologist. Can't start treatment until I'm finished breastfeeding, so here's to the burping, throat burning, farting, food intolerances, red skin, and reflux. yey!

[@TheHealthyGuts]

If you take a look at Dr Siebecker’s website, she’s got info on how to manage SIBO while pregnant and also while breastfeeding. www.siboinfo.com

[@pzark3638]

Just wanted to follow up. It's 8 months later, how are you doing now? Did you ever do the course of antibiotics?

[@senorasolitaria7908]

@@pzark3638 I just started them 2 weeks ago. Taking fc cidal and dysbiocide plus Sunfiber. Added ADP about 3 days ago. My tummy feels fine, but bowel movements are limited and my face is still red. Going to continue taking them and retesting for sibo after I finish 2 months, or earlier if my face redness goes away.

[@senorasolitaria7908]

@@pzark3638 I just started them 2 weeks ago. Taking fc cidal and dysbiocide plus Sunfiber. Added ADP about 3 days ago. My tummy feels fine, but bowel movements are limited and my face is still red. Going to continue taking them and retesting for sibo after I finish 2 months, or earlier if my face redness goes away.

[@sarahdavis416]

I am in Florida. Looking for a Natural Path to help me treat my SIBO-Methane. Any ideas??

[@forced4motorsports]

So am I. I gave up looking and I'm trying to fix it myself. I find the doctors in my area are pretty much useless and there are no functional docs within 100 miles.

[@affordableaquariumservices1663]

We’re screwed. Bad luck

[@AA-hj8er]

How are you now? did anything work?

[@sk0710]

All of my breath and stool test came out normal. And annual blood test is good, too but I’ve been suffering really bad symptoms over the past year. Can I still have SIBO even though all of my testing results came out fine? I’m confused. I followed LowFod map diet and it doesn’t do much to help to be honest. I feel better when I eat less but I’m underweight. 5.6 and 111 so I’m skinny and my tummy looks like 6 months pregnant;(

[@AA-hj8er]

How are you now? did anything work?

[@bettyausten9533]

Hello...how are you now?

[@sk0710]

@@AA-hj8er hi yes. I got much better thank you for asking. I got L-Glutamine supplements as well as Colostrum complex along with estrogen patches.

[@sk0710]

@@bettyausten9533 hi I took some dietary supplements with hormone therapy. I took L-Glutamine and aloe vera extract. I took some prebiotic and probiotic supplements for over a year now. Although the bloating is not completely gone, the symptoms got much much milder.

[@bettyausten9533]

@@sk0710 thanks for reply...what was your diet like pls?

[@amelieku8731]

Very informative, thanks! Maybe out of scope question but do you think a breath test taken on only 120 min suffices to establish the diagnose of SIBO?

[@MrYorickJenkins]

In my opinion if you are going to go through a breath test you might as well do three hours, why stop after two? In my case the methane was already moving up fasr after 2 hours but hit a high within 3!

[@amelieku8731]

I thought so but at the clinic they told me that 2 hours werz sufficient as after that it is normal to have a rise as it enters the large intestine. So i dont know my figures after 120 min 😒 but my methane level was already hight at baseline (36 ppm)

[@chevyss18]

What’s is antrantil? Do I take it with oregano oil or neem? I have methane sibo

[@AA-hj8er]

How are you now? did anything work?

[@chevyss18]

@@AA-hj8er went on a low FODMAP diet, kinda worked , bought Antrantil and idk if it worked or not

[@AA-hj8er]

@@chevyss18 atrantil didn't work for me. neither did the elemental diet.

[@dimdidaman]

18:36 herbal protocol

[@theresamusgraves9593]

Yeah, the only thing good about a migraine is you get that good cleaned out feeling 🤣🤣🤣

[@marycrowley3407]

How do you take magnesium for constipation. Dose etc

[@TheHealthyGuts]

Dr Siebecker has info on her website in her symptomatic relief handout www.siboinfo.com/handouts.html

[@nesehuzmeli260]

If thyme tea and fennel tea make the stomach hurt, should we still use herbal antibiotics or should we prefer classical antibiotics? How many months should digestive enzymes and L glutamine be used before deciding to start antibiotic therapy? Thank you so much

[@AA-hj8er]

How are you now? did anything work?

[@c.w.2234]

Can someone write meds and natural herbs down. Thank you

[@TheHealthyGuts]

You get the full transcription of this episode and all the podcasts when you become a member. It’s free to join! Sign up here: www.thehealthygut.com/podcast/

[@c.w.2234]

@@TheHealthyGuts thank you 🙏🏼

[@AA-hj8er]

How are you now? did anything work?

[@senorasolitaria7908]

if changing the name does not improve treatment, then just leave it as-is and we'll all understand that it's a diff type of sibo, but the treatment and symptoms are similar enough to be called sibo

[@TheHealthyGuts]

SIBO = small intestine. The new classification based on high methane right from the very first breath sample indicates large bowel involvement so it wouldn’t be accurate to only call it SIBO as that means it’s only the small intestine.

[@EvolvedBonobo]

I took several breath tests both recently and many years ago. In all the tests, my hydrogen was 0 and barely increased, but my baseline methane was 20 ppm and never rose more than 7 or 8ppm throughout the test. In your experience, is this result more indicative of IMO, IBS-C, or something else?

[@AA-hj8er]

How are you now? did anything work?

[@EvolvedBonobo]

@@AA-hj8er I never really had any symptoms other than mild gas and bloating. I only knew about my high methane levels from the diagnostic breath tests that I basically took out of curiosity to see if I had SIBO or an intolerance to lactose, fructose, or sucrose. Based on those results (all high baseline methane with 0 hydrogen), I did an herbal self-treatment for SIBO-C (now called IMO) based on dosage recommended in this video, but I never took another breath test to see if it worked (reduced baseline methane) since I dont really have any symptoms and couldnt find anyone to just give me a baseline reading without having to drink the substrate and sit around for hours. I self-treated with Neem, Oregano Oil, and Allicin (AlliMed), along with an L. Reuteri probiotic from BioGaia.

[@AA-hj8er]

@@EvolvedBonobo Thanks for your reply! I believe I have IMO since my methane was borderline high and wanted to know if anyone had success with the herbs. If you have time to share the exact dose of the herbs and for how long you took them I'd truly appreciate it. I already have oregano oil just need to find some high quality neem.

[@AA-hj8er]

@@EvolvedBonobo Thanks for your reply. I'll try it out.

[@mariannekristinedasig3166]

@David M. Hello! Do you mind telling the brand of oregano and neem and the doses you took?

[@instagramvideos692]

19:09 4 to 6 weeks herbals

[@sameerhussain444]

Can it cause brain fog without any anxiety!? Super curious, please help.

[@TheHealthyGuts]

Yes brain fog can be a symptom of SIBO

[@sameerhussain444]

@@TheHealthyGuts thank you

[@stephaniew4168]

My 11yo was just diagnosed with methane dominant SIBO. She is on flagyl right now but they did not give the 2 antibiotics together - is this not going to work then? I've got prokinetics ready to for for after treatment and probiotic spores, sibo yogurt etc trying to hit this with everything we've got. She is so exhausted - she has POTS anyway but her level of exhaustion is terrifying at this point as well as nausea, bloating, abdo pain. I was able to get abdo pain and headaches under control with LDN but bloating nausea and fatigue have persisted. It is completely debilitating at this point for her.

[@TheHealthyGuts]

I’m so sorry to hear she’s feeling so unwell and exhausted. Unfortunately a single antibiotic is not effective when methane is present. The dual treatment is required. Eg. Rifaximin plus metronidazole. I’ve got more info on treatment options here: thehealthygut.com/what-you-need-to-know-about-the-best-treatment-for-sibo/

[@stephaniew4168]

@@TheHealthyGuts thank you - yes I've asked the GI doctor AGAIN for Rifaximin so we shall see. If we take flagyl then in 2 wks rifaximin, would that work?

[@stephaniew4168]

@@TheHealthyGuts can SIBO make you this debilitated? An 11 yo lying in bed most days too tired to even go for a little walk? Can't do any school work etc.

[@TheHealthyGuts]

@@stephaniew4168 SIBO can give people some pretty full on symptoms but I would suspect there’s more than ‘just’ SIBO going on to give such intense fatigue. I’m so sorry. It’s tough seeing your little one suffer like that. Do you have a doc who’s knowledgeable in gut health and SIBO caring for your child?

[@TheHealthyGuts]

@@stephaniew4168 the dual antibiotics ideally need to be taken at the same time.

[@Vgallo]

Wow I can’t eat heaps of food cuz I get histamine reactions. Strange that she wouldn’t recommend biphasic diet that limits fermentable carbohydrates that at least cure the bloating.

[@noemachavez5604]

Hi I have sibo Methane dominant , I was in 1 week w/elemental diet and I’m herbal treatment, but also I have an ulcer and gastritis , the herbal treatment is not helping me and my gastritis is worse , what should treat first ,SiBO or gastritis ? Please help me 😭 what should I treat first or how I can treat both ?

[@rachaelmorrow6669]

You may be having a die off reaction. Try to keep calm. Good luck.

[@hamzavora622]

Hey you may be having gastritis because of some other underlying condition like a h. Pylori infection. I had h pylori for years and the drs just said it was gerd due to stress. By the time I was diagnosed and treated for h pylori I had taken so much anti depressants and ppi that I feel this is what led to my sibo... So check out for h pylori first...

[@AA-hj8er]

How are you now? did anything work?

[@noemachavez5604]

@@AA-hj8er no nothing works 😭 I feel that I have neurological problem. It may be my vagus nerve Im going to to see a cervical chiropractor to see if that is my problem

[@marcusa.6723]

@@noemachavez5604 have you tested your stool with the GI-Map?

[@johnsmith1706]

I have been on Rifaxamin and Neomycin twice. While on the medication I feel great. But, alas, the Methane dominant SIBO (IMO) always seems to come back. Would you recommend taking the Rifaxamin, Neomycin, performing the elemental diet for 2 weeks, then getting on Berberine, Oregano, Neem, Allimed after that? I am hoping that this will STARVE those little Archea. Thoughts.

[@TheHealthyGuts]

Are you testing straight after treatment to see if you’ve cleared your SIBO? Are you on a prokinetic?

[@johnsmith1706]

@@TheHealthyGuts I am not testing right after, and that is probably a mistake. I am also not on a pro kinetic. Thoughts on what I should take? Is this protocol seem reasonable? Thanks

[@TheHealthyGuts]

@@johnsmith1706 without testing after treatment, you have no way of knowing if it was successful or cleared your SIBO. If you have a quick relapse, it’s likely you never cleared the SIBO. I go into a lot of detail on how to treat, when to test, how to prevent relapse and ask the different prokinetics in my SIBO Course if you’re interested in that. thehealthygut.com/live-well-with-sibo-5-week-challenge-on-demand/

[@austin426512]

I am in Austin, TX. Where can I get methane breath test done here? I have lot of gas and my body smells like poop. Are these sibo symptoms

[@TheHealthyGuts]

Give Aerodiagnostics a call as they do SIBO testing in the US

[@austin426512]

@@TheHealthyGuts Thank you. I am going to call them. Does excess gas and poop smell can be symptoms of SIBO? I had Rifaximin an year ago but it didn’t help me at all

[@TheHealthyGuts]

@@austin426512 it can be but always best to test to know for sure

[@AA-hj8er]

How are you now? did anything work?

[@austin426512]

@@AA-hj8er Actually I found a solution although I can’t say I cured it for ever. I got negative of SIBO test but I always had lower abdominal pain. Found I had hemorrhoids and used ProCort cream to be applied into rectum. That has stopped pain and smell magically. Do you have similar symptoms of gas and smell?

[@iBonitaGamer]

I’m on allicin max, baby drops and a prebiotic (guar gum) I’m on week 5 and I’m not really seing any improvement. I did start going to the loo daily after about week 1 but that only lasted about a week ans now I’m back to how I was before and not seing any change, in fact I feel worse because I’m totally exhausted. What can I do?

[@mikegutierrez6227]

what are your symptoms

[@iBonitaGamer]

@@mikegutierrez6227 bloating, mucus, indegestion, breathing issues, constipation. I did start to improve but that didnt last long -.-

[@TheHealthyGuts]

Are you working with a SIBO doctor or practitioner or trying to do the treatment on your own? If working with a practitioner, have you been able to discuss how you are feeling with them?

[@iBonitaGamer]

@@TheHealthyGuts I was recommended this stuff by healthpath. I am not working 1-1 atm. I’m going to make a free consultation with them in a few weeks but after that it’s hundereds and I can’t afford that so I’m trying to get all the information I can get.

[@TheHealthyGuts]

@@iBonitaGamer for what it's worth, MANY of my clients come to me after either trying to do it on their own (unsuccessfully) or they've had a practitioner treat them who doesn't deeply understand the complexities of SIBO. While it can seem 'expensive' to spend money with a SIBO doc or practitioner in the short term, it can cost us a lot more in energy, time, feeling sick and a lot more symptoms when we don't get the correct care early on. A good SIBO doc comes to you with thousands of hours behind them of treating people just like you, so they bring a vast amount of experience. I produce podcasts like this to help provide some basic education on this condition but they should never replace the skill of a good doctor looking after you. If you need help in finding a doc or practitioner in your area, feel free to reach out via [e-mail].

[@lori3637]

I was given Rifaxamin for methane sibo-small overgrowth. Do you think this will work? Is rifaximin successful alone at all?

[@TheHealthyGuts]

If you have methane then you’ll need to combine rifaximin with one of the other antibiotics used for SIBO or a herb like Allicin. Rifaximin on its own is not effective for methane.

[@lori3637]

Is there another herb I can use with rifaximin? Garlic aggravates my ass reflex really bad.

[@TheHealthyGuts]

@@lori3637 you can use Atrantil instead of Allicin, or use a second antibiotic such as metronidazole or erythromycin.

[@lori3637]

I don’t have bloating or constipation though-I showed methane in a stool test. My symptoms are feeling malnourished and constantly having to eat and a little bit of disequilibrium , eczema problems .The levels were 28.5 (overgrowth levels were above 15). Would the Antratil still be beneficial?

[@TheHealthyGuts]

@@lori3637 a stool test doesn’t diagnose SIBO as it is only looking at the large intestine (SIBO is in the small intestine). You would need to do a SIBO breath test to diagnose SIBO. Which country are you in? I also offer complimentary 15 min calls so also happy to have a quick call with you to talk through all of this if you would like?

[@mj-je7el]

Help me..!! 😥🙏🙏💔🙏🙏 Can you have so many bacteria that they makes fumes up in your mouth, nose and brain all the time....???🥺 can feel them and are so ill and dizzy by it 😥😥 there are also fungus... can blow it out my mouth ☠🥺

[@Zoe-mm8hx]

I have a feeling that seems similar that I dont hear talked about often. When I eat something that triggers my gastro issues and feel it in my throat and head almost immediately

[@mj-je7el]

@@Zoe-mm8hx yes eksaktly 😢 and its not hartburn... breath the fumes from down there all the time

[@mj-je7el]

@@Zoe-mm8hx have you found a cure? 🥺

[@PromyseKidLANDTV]

Yes same here my worst symptoms are actually mentally / brain fog and dizziness

[@instagramvideos692]

22:51 food osomotic

[@Th3MagicBullet]

My dr prescribed dual cipro and neomycin 2 weeks. Should this wipe out this crazy methane thing?

[@AA-hj8er]

How are you now? did anything work?

[@Th3MagicBullet]

@@AA-hj8er xifaxan was the best but ultimately Metamucil and Visbiome help the most.

[@michellesunday1880]

How can I find out if I have Methane dominant SIBO?

[@TheHealthyGuts]

By doing a SIBO breath test 😊

[@TheHealthyGuts]

@Cyril it’s very rare to get a false negative

[@jhall9936]

I had breathe test came back negative had a stool test done and come back with high methanobacteriaceae

[@AA-hj8er]

How are you now? did anything work?

[@brendanblock5235]

My doctor never gave me a breath test and prescribed me Xifaxan for IMO. I then went back to him 3 weeks later and he had me do a breath test but prescribed me Neomycin only for 10 days while waiting for the results. He said that because I've already taken the Xifaxan in the past, I am only supposed to be receiving Neomycin this time. Is this methodology correct?

[@TheHealthyGuts]

If methane gas is present, the correct protocol would be to take rifaximin plus neomycin as the double antibiotic therapy is required to treat methane.

[@brendanblock5235]

@@TheHealthyGuts Thanks for the help!

[@thomascenteni4884]

How does SIBO/IMO cause nausea? Do you have to focus on fixing the constipation? I'm suffering from nausea, how can I deal with it?

[@tokyokid6513]

21:06 constipation timestamp

[@everyoneisdirty]

what about Miralax ? is that a good one for constipation for people w methane dominant sibo?

[@AA-hj8er]

How are you now? did anything work?

[@everyoneisdirty]

@@AA-hj8er I’m on 2 different antibiotics currently and am also taking berberine, allisyn, neem , and atrantyl and miralax . I’m going through it!

[@AA-hj8er]

@@everyoneisdirty Please let me know if it works for you. I've tried xifaxan, the elemental diet and atrantil and nothing worked. I was thinking of neomycin.

[@Pdk764]

Take 5-6 ginger capsules, it helps with severe constipation. Propylene glycol (miralax) just doesn’t seem good for the body to me.

[@kays515]

16:40 for remedy

[@OTElover77]

-So somebody with slow small bowel motility definitely will need a prokinetic ecspecially when treating sibo.

[@lisaolivia8300]

I'm so new to SIBO. do you take a prokinetic? Is it safe to take for the rest of my life?

[@TheHealthyGuts]

Yes, I take one and will be on one long term. Many people need to take them for many months, years or even life.

[@lisaolivia8300]

@@TheHealthyGuts what exactly is a prokinetic? Is it a laxative? Do you get the awful cramping ?

[@TheHealthyGuts]

@@lisaolivia8300 no. A prokinetic stimulates the Migrating Motor Complex in the small intestine. A laxative works on the large intestine to soften the stool. You might find this podcast I did on the MMC and prokinetics helpful to understand them more: www.thehealthygut.com/podcast/mmc/

[@allisonfalin8854]

Tried Xifaxan and Cipro, Xifaxan and Neomycin. Felt great on the meds and BAM right back. Doing the herbal protocol with motility agent on the way. Already on Atrantil and Linzess or I’d never 💩. It has given me a massive ability to help my patients in our GI practice, but this is stupid. Love the Trio Smart test. It has been a game changer.

[@journeytohealthafter60]

Just an FYI I am the one who gained A LOT of weight with the methane SIBO unfortunately.

[@bertbrowm4488]

Dam I can't stop farting and burping, bloating, acid reflux, distension, constipation. I am losing weight. Slow bowel movement. Breath test negative. Have had IBS for 14 years

[@mj-je7el]

Im feeling sooo drunk all the time from the bakteria 😥😥😥😥😥😥 what to do???

[@PornIsHate]

Could be fungal, see auto-brewery.

[@mj-je7el]

@@PornIsHate yes but what to do 😥 have tryid everything

[@borz55]

ray peat recommends a pinch of (200-300mg) flowers of sulfur (not any other type of sulfur) for 3-4 days will clear fungal overgrowth

[@mj-je7el]

@@borz55 dont know it 🥺 im in Denmark.. do you have a link to buy it? Its not candida fungus but deadly Aspergillus mold and parasits 😰💔☠

[@borz55]

@@mj-je7el cant help much with them. but for parasites look into Wormwood herb and Black Walnut hull

[@samhassan82]

It's unfortunately fatal when it got in the blood stream !

[@iamenough6958]

Proconnected?

[@AA-hj8er]

How are you now? did anything work?

[@meganhenry5795]

Prokinetic.

[@affordableaquariumservices1663]

I totally don’t trust these breathtests I’ve taken five breath test in the last year first breath test showed hydrogen and methane Sibo second breath test showed hydrogen and no methane Sibo third test showed no hydrogen no methane Sibo and the latest test showed borderline hydrogen no methane and I just took another one showed no hydrogen but high methane totally unreliable. Keep in mind I did the diet for two days and followed the protocol to the tea and I did it in a laboratory setting. Had it for three years these doctors are clueless on how to treat it. My only symptom is an extended stomach

[@solegmnz6619]

My only symptom is that, too! Bloating, gases and burping. Do you eat plenty of veggies? Are your iron and vitamins A, D and E levels ok?

[@affordableaquariumservices1663]

@@solegmnz6619 Getting blood work done this week yes I do eat vegetables this is a nightmare bloated for four years $100,000 and still no cure

[@affordableaquariumservices1663]

@@solegmnz6619 You definitely have Sibo it’s a nightmare yes I eat vegetables but I make sure I cook them who knows nobody knows anything about this it’s almost impossible to cure all these charlatans on their selling their vitamins in herbals hasn’t done anything if you and take an anabiotic‘s you can’t kill the bacteria you can’t get rid of Sibo

[@AA-hj8er]

How are you now? did anything work?

[@solegmnz6619]

@@affordableaquariumservices1663 I wonder to what extent this is a business. Unless bloating is huge, some bloating is normal. I’m not going to take drugs which will only kill my archaea (that’s it in methane, not bacteria) for a while, and then… how will it not regrow? I never ever in my life took supplements, nor will I, nor do I encourage anyone to do that, unless it’s vitamin D, and not even that. I just asked about your vitamins to see if this supposed condition actually could have any impact on absorption. If it doesn’t, it’s just gas… it’s been there the entire history. Until doctors learn enough about the subject, I’m not taking any drugs. How did your blood lab go? Did they test your liposoluble vitamins (A, D, E and K if they measure it)?