The Alphabet Soup of Your Gut Health: IBS, SIBO, and IMO & Their Root Causes with Dr Mark Pimentel

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Get coaching from a SIBO Specialist, Dr. Allison Siebecker (and Shivan Sarna).
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In this session, Dr. Pimentel will share insights from his extensive research, including the reclassification of SIBO and the separation of IMO as a distinct condition. He will discuss the role of the microbiome in these gut disorders and the importance of precise diagnostic techniques. Attendees will also learn about the latest treatment options, including the use of the antibiotic Rifaximin and dietary approaches like the low-fermentation diet, low-FODMAP diet, and elemental diet.
A well-known gastroenterology expert and research pioneer. Dr. Mark Pimentel has been at the forefront of groundbreaking research in understanding and treating Irritable Bowel Syndrome (IBS), Small Intestinal Bacterial Overgrowth (SIBO), and Intestinal Methane Overgrowth (IMO). His work includes the development of innovative diagnostic tools like the IBS Smart blood test and Trio Smart breath test, which have transformed the way these conditions are identified and managed.
🎓 Need more SIBO support?
Patients: SIBO/IMO Essentials Course sibosos.com/yt...
Patients expanded course: SIBO Recovery Roadmap® Course sibosos.com/yt...
Patients: Small Group Coaching with Dr. Allison Siebecker and Shivan Sarna sibosos.com/yt...
Practitioners - Expanded Course with CME sibosos.com/yt...
Practitioners - Mini Course sibosos.com/yt...
🔗 Other Resources
👉 Save double digits on over 20,000 pro grade supplements: sibosos.com/yt...
👉 Shivan’s website: SIBOSOS.com
👉 SIBO SOS Community Facebook Group 30,000 strong: / sibosossummit
👉 Download the FREE SIBO SOS Cookbook here: sibosos.com/yt...
👉 Get exclusive deals and discounts at the SIBO SOS Shop here: sibosos.com/yt...
👉 Get Instant Access to Dr. Mark Pimentel's SIBO SOS Training Library here: sibosos.com/yt... (plus, get notified of upcoming LIVE sessions with Dr. Mark Pimentel, MD)
Shivan Sarna, SIBO SOS® Founder, Author of Healing SIBO
After a lifetime of digestive problems, I was diagnosed with SIBO (Small Intestine Bacterial Overgrowth) in 2015. I was so (weirdly) excited to finally have a name for the symptoms that made me miserable - but I was quickly very frustrated by how hard it was to get access to reliable SIBO information, or even an appointment with a doctor who had experience treating SIBO. I set out to get answers about SIBO for myself - but along the way, I met hundreds (and then thousands) of other people like you who had the same problems: What to do to treat it and prevent relapse? What to eat to avoid symptoms? How do we find experts who really understand SIBO? What do we do if we can’t travel to see one of these experts? Will we have to suffer forever?
Dr. Allison Siebecker is an Instructor of Advanced Gastroenterology at NUNM, an award-winning author, and the 2021 Lifetime Achievement Award recipient from the Gastroenterology Association of Naturopathic Physicians. She was the former medical director and co-founder of the SIBO Center for Digestive Health at NUNM. Dr. Siebecker has specialized exclusively in SIBO since 2011, serving as a second and third-opinion referral doctor for patients who have failed previous treatments and is the creator of many staple SIBO treatments. Dr. Siebecker is passionate about education, she has been teaching physicians, medical students, and patients internationally since 2010, with many going on to become SIBO specialists and teachers, sharing alongside her at conferences and in their own courses, websites, and books.
FTC: Some links included in this description might be affiliate links, meaning I may receive a commission at no additional cost to you.
DISCLAIMER: This video is not intended to provide diagnosis, treatment, or medical advice. Content is for informational purposes only. Please consult with a healthcare professional regarding any medical or health-related diagnosis or treatment options. Information in this video should not be considered as a substitute for advice from a healthcare professional. References to and statements made about specific products in this video are not to diagnose, treat, cure, or prevent disease.

[@lucyceresi8797]

God give Dr. Pimentel and other scientists the answers they are searching for.

[@SIBOSOS]

We share your hope that Dr. Pimentel and other scientists continue to make breakthroughs in their research. Their dedication and efforts are invaluable in advancing our understanding of gut health.

[@MC41288]

Doxycycline is what caused all my GI issues leading up to h.pylori. I will never touch an antibiotic again in my life unless absolutely necessary. My life was ruined for 2 years and I'm still battling some symptoms. I sought out a functional medicine doctor who has really helped me over the last few months.

[@k.z8527]

The Same with me. Took it for acne four years ago and I wish if they’d prescribed me probiotics and digestive enzymes instead

[@MC41288]

@@k.z8527 Agreed! I had a little face rash and was prescribed the antibiotics for several months! I wish I knew then what I know now! And of course, the dermatologist didn't say anything about probiotics while taking the Doxycycline 🤦‍♀️

[@k.z8527]

I hope we get out this hell soon. I’m on day eight taking rifaximin + 400 billion cfu probiotics + biofilm disruptor(digestive enzymes), still no sign of improvement for my symptoms but gosh my acne is clearing up like crazy.

[@SIBOSOS]

@MC41288 We understand that everyone's journey with antibiotics can be unique, and we're sorry to hear about the challenges you faced. It's great to hear that you found a functional medicine doctor who has been able to help you in your recovery.

[@karenzimmer7607]

Pmg.. my GI prescribed doxycycline for my methane Sibo. I refused because I don't want antibiotics either

[@Bimod2929]

Dr. Pimentel is an amazing top scientist and doctor. Thanks for sharing all your knowledge!

[@SIBOSOS]

We're glad to hear that you appreciate Dr. Pimentel's expertise and find the knowledge shared in the video valuable.

[@DCinPGH]

HUGE thank you to Shivan and Dr. Siebecker for their part in making this happen! HUGE thank you to Dr Pimentel for patiently and publicly answering so many questions! A new elemental diet for IMO sounds very promising!!

[@SIBOSOS]

Glad you found a handful of golden nuggets!!!

[@melanierxdoc]

Thank you Shivan for bringing Dr. Pimentel on and giving us the latest and the greatest on SIBO and IMO

[@SIBOSOS]

My pleasure

[@mikemike181]

Hi Shivan! When will the treatments be available on the market? How well are they working on the patients that have tried them?

[@SIBOSOS]

When it comes to SIBO treatments, it's essential for patients to work closely with a practitioner for personalized guidance. Currently, there are three main treatment options: pharmaceutical antibiotics, herbal antibiotics, and the elemental diet.

[@SIBOSOS]

As for the effectiveness of these treatments, outcomes can vary depending on individual circumstances. To gain insights into real-world experiences, we recommend joining our SIBO SOS Facebook Group sibosos.com/facebook Remember to do your research and consult professionals. Your health matters!

[@mikemike181]

@@SIBOSOS thanks for the answer but I meant those new treatments dr Pimentel was talking about.

[@Iamshivansarna]

He is working on them!

[@karenzimmer7607]

I'm eating the l reuteri yogurt by Dr Davis... wish he had known about it and spoke about it. 😞

[@SIBOSOS]

Thank you for sharing! Dr. Davis' L. reuteri yogurt sounds interesting. We'll definitely keep it in mind for future discussions. 😊

[@amarvoice6471]

Can i take Rifaxin for Sibo with Prucalopride? I am bloated,bad smell gase produce???????

[@SIBOSOS]

While Rifaximin and Prucalopride can be used to treat SIBO and IBS, respectively, it's crucial to discuss your specific situation with a doctor to ensure safe and effective treatment. Wishing you relief from your bloating and gas! 💙

[@barbaranichols7024]

Has cholestyramine been found to be useful in treating IMO especially for those who are at increased risk for developing C Diff?

[@SIBOSOS]

Cholestyramine is sometimes used to help manage symptoms of IMO, particularly for its ability to bind bile acids. However, its effectiveness can vary, and it's important to consider potential risks like C. difficile, especially if you’re at increased risk. It’s best to discuss this with your healthcare provider to determine the most suitable treatment for your situation.

[@valerievogel6213]

CSM is binding. Most people with IMO present with constipation. I would think this would be contraindicated.

[@Carefreesammiller]

Can IBS-D lead to weight loss

[@SIBOSOS]

IBS-D can sometimes lead to weight loss. This often happens due to increased bowel movements and difficulty absorbing nutrients. It's important to consult a healthcare provider if you're experiencing unexplained weight loss.

[@martashea159]

I have cirrhosis, from Hep C due to a blood transfusion when my twins were born 38 years ago. Recently, after treatment for hep c, I've been experiencing symptoms that seem like SIBO. The nurse put me on FODMAP diet, but I'm taking Lactulose for lowering ammonia. Is the Lactulose the problem? I've been on it for a long time, and all of a sudden I have this problem. Am I in a catch 22?

[@SIBOSOS]

Lactulose can interact with the FODMAP diet in some cases. It's important to discuss this with your doctor to see if there might be adjustments needed for your specific situation. We wish you well in finding relief!

[@sairaharoon3094]

Just diagnosed of SIBO in my breath test Have been suffering from acid reflux which results in throat clearing Don’t know if it’s because of low or high acid Throat clearing is the only symptom but extremely disturbing Now SIBO because of 3/4 days no bowel movement Both these symptoms are from ages I am 61 and if I can recall it’s since I was in my early twenties When I was in my late 50s I had optic neuritis and doctors couldn’t make out the cause except that my blood markers showed I have autoimmune disease called Sjorgens Could this all be related Now how to go about Your video was highly knowledgeable but then confusing too Doctors here look at your face here in uae if you try to tell them all this What’s the solution?

[@SIBOSOS]

@sairaharoon3094 it's unfortunate that you can't get access to proper SIBO care in the UAE... we're a big fan of telemedicine! A lot of our guest experts do that too so you can get specialized care. Here's a copy of our SIBO SOS Speakers List if that's something you want to explore in the near future: join.sibosos.com/speaker-list

[@karenzimmer7607]

The throat clearing is a symptom of LPR, silent reflux

[@sairaharoon3094]

How to diagnose if it’s LPR? When I questioned my gastroenterologist “Do I have LPR issue? “ He looked at me and said “What issue what’s that ?”

[@karenzimmer7607]

@sairaharoon3094 I had a barium swallow and no hernia or reflux occurred. I know throat clearing, post nasal drip, globus feeling in throat are signs. They can do an endoscopy to see if there are signs of acid in throat etc. I use to spray alkaline water in throat but don't drink it. It can reduce stomach acid

[@sairaharoon3094]

I have my endoscopy scheduled soon by my gastroenterologist so let’s see what are his diagnosis after that

[@karenzimmer7607]

I have methane and way to thin.... losing weight

[@SIBOSOS]

Thank you for sharing your experience. We're sorry to hear about the challenges you're facing. We recommend consulting with a healthcare professional who can provide personalized advice for your situation. Wishing you the best on your journey to better health.