Prokinetics for SIBO... After Treatment? Or During?

Most of the time, SIBO experts and SIBO doctors tell you to take a prokinetic after your SIBO treatment (antimicrobials or antibiotics). The idea is that this will prevent a SIBO relapse by stimulating your MMC. But, is this the best way to use this tool? Or might it be better to use a prokinetic DURING your SIBO treatment?
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Dr. Nicole DiNezza, DC, NTP
Holly Springs, NC

[@justynakutrzepa8686]

Are prokinetics supposed to be taken during meals or in between on an empty stomach? Thank you

[@alejandrabuchelli]

Same question!

[@xSunnyDaysx]

I saw a few video where they said to take it on an empty stomach. Because it will reach the large intestine and small intestine quicker and will help move whatever is left there. If the stomach is still full than it wil either take longer or the affect will be less. So take it on the morning and at night before bed (because you should have then had dinner like 3-4 hours ago)

[@xSunnyDaysx]

@@alejandrabuchelli I saw a few video where they said to take it on an empty stomach. Because it will reach the large intestine and small intestine quicker and will help move whatever is left there. If the stomach is still full than it wil either take longer or the affect will be less. So take it on the morning and at night before bed (because you should have then had dinner like 3-4 hours ago)

[@healthychelsea7919]

I drink ginger tea homemade all day everyday. I went a month without it and SIBO flared up. looks like im married to it for life.

[@unknownmr5718]

Whats it called ? The tea company?

[@mpolitely5887]

@@unknownmr5718homemade is not a company…

[@carlosbryanperedamontes9078]

One of the bests gut channels. Freaking love your content!

[@jeremy_yela]

Dr DiNezza your videos have done more for the digestive community than all of my doctors combined. Love you videos and really appreciate your explanation. Great job!!!

[@happysnappess]

Thank you. Do you have experience and good results with Vegetarians who don't eat eggs getting rid of Sibo ongoing? I was told today that it's very hard to get rid of SIBO as a vegetarian, that I should strongly limit carbs-grains & legumes & vegetable fiber. Not much left :) What is your experience with your course participants? I love your enthusiasm & confidence :)

[@healthychelsea7919]

yes, you need meat.

[@annaleontieva6991]

Thank you for this video and all your work - it's very beneficial. I just finished the course of antibiotics 2 days and I was looking for information on whether I should take prokinetics now or after the treatment. I wish I had this video 2 weeks ago :( . Now I am looking for info as to how better to introduce probiotics. I am planning to try all 3 kinds of probiotics and I am looking for the protocol of a better way to introduce them.

[@AH-io3sb]

Hi Dr DiNezza, I have a condition called Achalashia. Little to no mobility in esophagus. I have SIBO which led me to your videos and I’m floored with your shared info. In stage 4 of the disease had multiple surgeries and desperate to slow this disease from killing me. I’m hopeful that I’m on the right track with your videos. 🙏🏼

[@Skitguy1]

Can tou drink decaffeinated coffee if you have Hydrogen SIBO?

[@automaton111]

What is the best time of day to take prokinetics? I see some saying with food, others saying as far away from food as possible 🤦‍♂️

[@Ruktiet]

Prokinetics for migrating motor complex wave stimulation (e.g. prucalopride, domperidone, low dose erythromycin, and more): around the time you go to sleep, at least 4 hours after your last meal, and then fast for 12 hours, which is quite easy because you sleep for a lot of those hours. Info. comes from Mark Pimentel’s research on MMC wave stimulation.

[@automaton111]

@@RuktietOnly once per day? The ones I’ve seen recommend 3x per day. So much conflicting info

[@Ruktiet]

@@automaton111 I specified a prokinetic for migrating motor complex activity. This is completely different from other motility. If you just wanna speed up transit of food, you can take prokinetics for each meal you eat. But it won’t help with SIBO because that’s an MMC cleaning wave problem in most cases. And yes, there is immense conflicting info out there. Check your sources. Don’t just accept anything.

[@jenniethatcher2663]

Great video. I think there's a lot of us that would love if you offered the speed dating with the prokinetics (and probiotics? Did you mention you do that in another video?) as a separate service. I missed the deadline for fodmap freedom in August. Offering this would enable helping more people than you have room for in your group. Just something to consider haha. Thanks for all your videos! I'm excited to see which prokinetics is the updated winner.

[@Skitguy1]

Is decaf Coffee a prokinetic? Can i drink it with hydrogen sibo??

[@donaldanderson6578]

It's not.

[@grigoriybutko2957]

Hello. What kind of fiber can you eat with sibo? to avoid constipation. I tried psyllium, but it causes severe bloating. I have a confirmed sibo.

[@sebastianjakobsen548]

When do you take Prokinetics? and do you take it with food or not?

[@RoFKillaBacon]

Thank you for all these videos, I'm on my fourth month of issues after food poisoning and it's been a slow journey, got about 60% better after starting motility activator but I still have some weird issues that I think maybe only time will solve

[@harshitthakar5377]

How are you doing now?

[@RoFKillaBacon]

@@harshitthakar5377 mostly alright , been experimenting with different prokinetics just trying to see if maybe one works better than another, I take my probiotics and eat well and I'm usually pretty okay besides dry eyes and other eye issues and sometimes some brain fog but I use the bathroom everyday and have a pretty fast transit time. It seems like now I get brain fog when I'm hungry rather than eating which I guess is good

[@MrHornet72]

I give u a thumbs up for being straight forward. Great improvement.

[@ep6424]

Can you give us a list of best reported prokinetics? Or, must we buy your mystery baggies of trial prokinetics?

[@נטעשירי]

She mentioned all three of them in a different video

[@carlacc31]

How do we get to buy 1 week of each

[@yaksh994]

So it cure pi-ibs 100 percent?

[@vincentvega3747]

I've tried herbal prokinetics and nothing helped me like a prescription prokinetic like Linzess. Hands down..

[@sailuvijl6621]

Which 1

[@vincentvega3747]

@sailuvijl6621 It's called Linzess. All my adult life I have been constipated. 2 bowels movements per week. Now I go every single and super easy. No joke..

[@friedux2065]

I have IMO and artichoke extract, triphala and ginger extract definitely help my constipation. Still doesnt get rid of the overgrowth though. Seemingly nothing does.

[@sailuvijl6621]

How u tested imo

[@jamieb5679]

Most of us can't even get rid of Sibo. It's hard for me to take supplements for my Methane Sibo since I have bad acid reflux.

[@ibrahimabdelalim4308]

What are supplements?

[@michellemurphy7674]

I have the same problem with acid reflux. Even digestive enzymes are burning my stomach. I can imagine what ginger would do. What are you doing for the reflux with SIBO. I’m desperate and taking Pepcid

[@banon3854]

How did you become?@@michellemurphy7674

[@royrogers495]

Have you tried things like slippery elm and marshmallow extract? Not suitable for everyone, but could help with the reflux and help you tolerate other supplements.

[@jamieb5679]

@@michellemurphy7674 I take a PPi. Mine is so bad I may ahve to ahve some kind of acid reflux surgery,

[@summersalix]

What’s the bet way to treat sibo for someone without a colon due to having an ileostomy? I have ehlers danlos syndrome, which usually produces motility issues and other gut problems. I have bad reflux, bloating, am prone to obstructions, poor digestion despite high dose enzymes, malabsorption, brain fog, and a host of other issues. Would rifaxamin be helpful in a case like mine? I haven’t had luck w supplements and my diet is very strict

[@banon3854]

How did you become?

[@annemariemcpake7882]

Hi I have an ileostoma, how did you get on? Please, thank you xx

[@mezamir327]

Thank you for your chanel and sense of humor. I get SIBO in November 2019 after antibiotic treatment against H. pylori + big stress. 3 years of hell. Now i watch your videos and read a lot of topics on reddit. I ordered a bunch of supplements to take a holistic approach. I can't wait to receive my orders. Just the thought of healing lifted a huge burden from my psyche.

[@harshitthakar5377]

How did you go?

[@mezamir327]

@@harshitthakar5377 better, but far from cured. I want to try weekly fasting, even a strict carnivore for three weeks did not cure me

[@joskevanrijssel5501]

Same story, are better now?

[@yaksh994]

How about telling the names of all herbal prokenetic u use so that people who can't afford ur 8000 dollor fees can buy it themself for aloy less ?

[@GatherYeRosebudsWhileYeMay]

Ginger!!! Ginger *is the gold standard*. The moment I started taking ginger tablets I noticed an almost 20% up tick in my GI tract at my absolute worst. I will never underestimate ginger again, even if you look up the super expensive prokinetics the main ingredient is usually ginger. Good luck

[@mariettaszabo]

Dont be rude please! She has a video about it , the title is: "The BEST prokinetic for sibo and ibs, 2020 research update with Dr DiNezza" ,its from a few years ago. And as I understand Dr DiNezza will make a new video about her statistics on prokinetics in January. Until then you can check out the existing one.

[@BT_life2]

8000 fees? lol where. How about you get onto Google?😂

[@mariyamshafique6262]

​@@GatherYeRosebudsWhileYeMaycan you please share which brand of ginger tablets you used? Thanks

[@gourav9608]

When do you take it before or after food before sleep ​@@GatherYeRosebudsWhileYeMay

[@MrHornet72]

Yes your too long-winded get to the point that's the best.

[@georgeos3844]

Does prokinetics have sense for hiatal hernia?