The MOST Effective SIBO Treatments

If you use the right therapies at the right time, there’s an 85% resolution rate for SIBO.
I’ll share which SIBO treatments are effective and, most importantly, how and when to do them to get the best results.
Watch/Read Next…
What is SIBO? • What is SIBO? Signs & ...
Low FODMAP guides: drruscio.com/getlowfodmapguide/
Monash low FODMAP app: www.monashfodmap.com/ibs-cent...
Biota Clear 1A: store.drruscio.com/products/b...
Elemental Heal: bit.ly/48Y2vuk
My articles: drruscio.com/blog/
My book: drruscio.com/getgutbook/
Courses, free guides, and more: drruscio.com/resources?...
Featured Studies
The Structure and Function of the Human Small Intestinal Microbiota: Current Understanding and Future Directions: pubmed.ncbi.nlm.nih.gov/31344...
Epidemiology of small intestinal bacterial overgrowth: pubmed.ncbi.nlm.nih.gov/37389...
Prevalence and predictors of small intestinal bacterial overgrowth in irritable bowel syndrome: a systematic review and meta-analysis: pubmed.ncbi.nlm.nih.gov/29761...
Brain fogginess, gas and bloating: a link between SIBO, probiotics and metabolic acidosis: pubmed.ncbi.nlm.nih.gov/29915...
Low-FODMAP Diet for the Management of Irritable Bowel Syndrome in Remission of IBD: pubmed.ncbi.nlm.nih.gov/36364...
Efficacy of a low FODMAP diet in irritable bowel syndrome: systematic review and network meta-analysis: pubmed.ncbi.nlm.nih.gov/34376...
Impact of Saccharomyces boulardii CNCM I-745 on Bacterial Overgrowth and Composition of Intestinal Microbiota in Diarrhea-Predominant Irritable Bowel Syndrome Patients: Results of a Randomized Pilot Study: pubmed.ncbi.nlm.nih.gov/36630...
Effect of a Preparation of Four Probiotics on Symptoms of Patients with Irritable Bowel Syndrome: Association with Intestinal Bacterial Overgrowth: pubmed.ncbi.nlm.nih.gov/29508...
Probiotics for Preventing and Treating Small Intestinal Bacterial Overgrowth: A Meta-Analysis and Systematic Review of Current Evidence: pubmed.ncbi.nlm.nih.gov/28267...
Meta-analysis: antibiotic therapy for small intestinal bacterial overgrowth: pubmed.ncbi.nlm.nih.gov/24004...
Herbal therapy is equivalent to rifaximin for the treatment of small intestinal bacterial overgrowth: pubmed.ncbi.nlm.nih.gov/24891...
A 14-day elemental diet is highly effective in normalizing the lactulose breath test: pubmed.ncbi.nlm.nih.gov/14992...
Risk of small intestinal bacterial overgrowth in patients receiving proton pump inhibitors versus proton pump inhibitors plus prokinetics: pubmed.ncbi.nlm.nih.gov/30483...
Efficacies of prokinetics and rifaximin on the positivity of a glucose breath test in patients with functional dyspepsia: a randomized trial: pubmed.ncbi.nlm.nih.gov/35748...
Timestamps
00:00 Intro
01:13 What is SIBO?
03:01 Labs and symptoms don’t always match
03:41 The diet to start with
07:55 Probiotics
11:56 Antibiotics
12:28 Herbal therapies
14:06 The elemental diet
17:26 Prokenetics
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DISCLAIMER: The information on this site is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified healthcare provider before starting any new treatment or discontinuing an existing treatment.
Music featured in this video: "Modern Technology" by Andrew G, audiojungle.net/user/andrew_g
*Full transcript available on KZbin by clicking the “Show transcript” button on the bottom right of the video.

[@DrRuscioDC]

To get started with some of these simple treatments for SIBO, check out my probiotics bit.ly/3PSptue and Elemental Heal bit.ly/48Y2vuk

[@JulijaMlakar]

Doctor , may you make new video about Atopic Dermatitis?

[@user-tk4eu9yy7v]

The link above doesn’t go to elemental heal, it goes to probiotic instead. Do you have more info about the 2-4 day elemental reset you recommend and how to do it?

[@user-rg9nw7tm1m]

JMO I’m just a person with SIBO not a doctor! The elemental is packages powder you mix. It is very expensive. A few years ago it was $750 & tastes horrible but can be tolerated if your not hypoglycemic. Rifaxamin at the time was $2,200 a bottle Bit SIBO is major and can cause so many health issues you don’t want to mess around with it I cannot tolerate a lot of things and I e had reaffirming SIBO for 4 years. My underlying cause was Lyme disease but I still have that also. I believe doctors should check for anything abstracting the digestive system. Heading back to the doctor today as I’m bed ridden again and really sick! One thing he didn’t mention is the lack of absorption of nutrients and this has been critical for me and last hospital stay was 8 days. Be diligent and get a good doctor who actually cares as this has not been a fun road

[@raquelt5342]

Hello! Dows your probiotic that’s linked cover all three you mentioned in the video? Lacto, sacro, and soil based?

[@judimagner3685]

I have been doing some form of lowfodmap/low fermentation diet for over 3 years. My gut is still killing me. Can I just start with a prebiotic now. I need help.

[@cougercruiser]

Something that is often overlooked is fixing the underlying problem that lead to SIBO. As an example, is if someone isn’t producing enough hydrochloric acid (HCL), the SIBO will continuously come back. Loose stools with positive SIBO often can be a cause of low bile flow. Hard stools/constipation + SIBO diagnosis can be a sign of poor HCL production. Taking TUDCA or Green Beet leaf powder can thin the bile to allow it to flow more freely. Just my two cents.

[@joy-lv2xh]

How do I know that I have low HCL ? I have sibo and ibs symptoms but along with hyperacidity, acid reflux,gerd symptoms also so I pretty confused 😔 i don't know why not heal sibo or ibs

[@cougercruiser]

@@joy-lv2xh you can do the baking soda test to find out if you have low HCL. Google it. Also, I suggest checking out “fixitnaturally” on KZbin. This channel explains everything in detail on how to heal your gut from SIBO

[@lucreziavilante5993]

​@@joy-lv2xhusually with sibo, we have low acid because we can't tolerate it, is my guess. You can fix your hcl issue by fixing the main cause of sibo, which is a slow working migrating motor complex. If you take ginger and artichoke supplements, you can take care of both hcl, and migrating motor complex, and it's the most inexpensive way to fix it.

[@joy-lv2xh]

@@lucreziavilante5993 i have stomach ulcer so is it ok take HCl for restoration stomach acid?

[@lucreziavilante5993]

@@joy-lv2xh I guess it would depend on where you have your ulcer. Ginger can increase your hcl levels, and are good for ulcers in small quantities. If you have sibo, it's good to fix your mmc, so taking artichoke with your ginger can help this to get your stomach working properly again.

[@eddie195777]

You cannot use just any strain of Saccharomyces boulardii. Most of the Saccharomyces boulardii strains sold are the CNCM-I-3799 or CNCM I-1079. The strain of Saccharomyces boulardii used in the trial was CNCM I-745 and the only brand that contains this strain is Florastor. If anyone knows of another brand that has this strain, please let us know. Thanks to Dr. Ruscio for his great videos with vital information.

[@Denise0752]

O good!! I been doing something right :-) been taking Florastor.

[@eddie195777]

Take a look into making your own saccharomyces boulardii. All you need is apple cider and one capsule of Florastor. If you make your own, you get a much higher count. Most of the yeast in the capsules is affected by the heat since most companies store it hot warehouses. By created your own, you'll get a high amount of SB which is great to help with Candida and parasites. Google Dr. William Davis & apple cider & Florastor. He has a KZbin video on this I believe. Best to you. PS, I am making a batch right now.

[@eoghanhennessy443]

Iv just watched your video and hace had long history of eczema . Its recently gotten worse and sibo has been diagnosed. Your videos very clear than for puting the effort into making this

[@dollydon8547]

The best video I’ve watched about management of SIBO! And so very well spoken; made the points across so effectively in the most simple way! Thank you so much!

[@RiikkaMatilainen-js1ic]

I just wanna say: Thank you! Your content is amazing!

[@DrRuscioDC]

Thank YOU! This is exactly why I work to put out quality information.

[@annemariefisher1559]

I was on fodmap diet for two months. I also did the herbs berberine, Allison, and oregano oil for each meal. After three months, I was still not healed. Still suffer bloating stomach pain, constipation. I decided to try carnivore. I am so much better after a month. No longer do I have bloating or stomach pain. those who are reading this need to check out carnivore and its benefits to your gut and your microbial

[@skripnigor]

My experience is kinda similar. Been on a zero-fiber diet (essentially white rice, beef and butter) for the last 6 weeks. After 20+ years with IBS finally my symptoms are way less.

[@Sherry1092]

You were likely still eating food that caused you inflammation. A food sensitivity test helps or an all meat diet. But one can be sensitive to beef for instance. So a test is helpful or just trial and error. Body cannot heal if inflammation continues And the food we eat is causing inflammation

[@justkeepswimming6549]

But then do you have to eat like this the rest of your life?

[@Celine-dr6hw]

I feel the same and i feel like im gonna go crazy soon... I really want to cry carnivore, but im too afraid of constipation because i also struggle alot with that..

[@sagarikasubudhi151]

How days we should follow carnivore diet? Plz reply

[@MsChampion1982]

excellent video, thank you for providing scientific research

[@garvinwalker9093]

What an amazing video! I have suffered terribly over the last 8 years with SIBO and other gut infections. It definitely takes time and patience to get well. Ive learned this the hard way. Again, fantasic video

[@DrRuscioDC]

Thank you so much. I'm so sorry to hear how much you've suffered. I hope you're on the road to recovery now. Resilient people like you really inspire me and the whole team - that's what drives our research. Thanks for being part of our community.

[@kjain6481]

Best video on SIBO. Thanks Dr❤

[@MotivationToSucceedNow]

Your analysis of "expert opinions" was spot on. It reminds me of a time not too long ago in this country in which we were not allowed to "do our own research" and were "required" to listen to experts, some who CLEARLY didn't know what they were talking about and/or had financial incentives to say certain things.

[@chrisihouck8393]

Great information..thank you! 🤞

[@eastcoastsnow]

Please do more content on Sibo👏🏻

[@botanicalbird93]

Great advice here, I especially appreciate and agree with your advice on each person needing to assess their own status regarding diet, exercise, sleep, stress, emotions etc. all of these things need to be looked at and altered accordingly. It seems a lot of people want a magic supplement, antibiotic etc. to fix their issues, but there's usually much more that needs to be addressed in order to improve, including addressing one's emotional health.

[@starbettypink]

thank you so much for the education and your work .. the triple pro biotic is working .. ❤

[@dianecyment1715]

Hello. I am new to your channel and I am very impressed so far. I have been taking a probiotic for over a year now. Should I get off the probiotic and start the Low Fodmap diet? I also have hypothyroidism/Hasimoto Disease so I need to cut out some other foods that are allowed on the Low Fodmap diet. Thank you.

[@danawatts3479]

Great Video Very informative. Th Ankh You

[@DrRuscioDC]

Thanks for watching! You are welcome

[@Mina-pj7qs]

You have such a soothing voice.

[@mercurious6699]

Great video thank you

[@rafatlatif544]

Great - totally different than other SIBO videos. More practical

[@STMYL2525]

Thanks for being real.

[@yixo85]

Great video! super pleasant rythm, very well explained, and thorough information. I will follow your advice. One question, related to the topic of not being worth it sometimes to follow the "root cause", is there any research or personal evidence about possible hipocloridia as a cause and improvements Betaine HCL supplementation?

[@DrRuscioDC]

Thank you so much. Here's our advice and guidance on HCL: drruscio.com/betaine-hcl/. Our article cites some current research on hypochlorhydria as a potential cause and risk factor, but it's a difficult condition to accurately identify (lab tests are limited in more ways than one). Taking HCL and monitoring your response is one potential way to assess if low stomach acid is fueling your SIBO.

[@iamlaurablush]

Great information. I will say though each person needs to listen to their body. Probiotics made my symptoms much much worse and I became very sick. I lost more weight and became severely malnourished.

[@fausto1688]

I have also been a carnivore for almost 2 years and it has completely changed my life, already after 2 weeks I no longer had any bloating problems, look on KZbin there is a lot of info about it

[@curiouscat544]

It's probably because of the glutamine from wheat I read. Low Fodmap works well for me. Not radical.

[@rajinevin7273]

The carnivore diet is fairly new and a bit of a fad. Now I am starting to see people who have been on carnivore diet for a number of years having all kinds of health issues. Be careful with this. Of course people feel better initially as they are cutting out ALL GARBAGE that they ate previously.

[@shannonmurphy-te8qz]

I did carnivore for three years, but the had diarrhea almost the entire time and lost so much weight that my hair all fell out. I know it works for some people, but it doesn't work for me. I basically can only have rice and beans and eggs

[@susannatami1511]

@@curiouscat544 since you were activ here only a few days ago. Did you watch the clip`? i dont know if the reason is language problems - no native speaker - of it it was not clear. Did I get it right that first for 4-6 weeks fodmap food and probiotics and only 4-5 weeks afterwards natural or convential antibiotics? But that they are maybe not needed anyway because the diet and the probiotis do the trick alone? Did I get this right? Would be super helpful, If you could answer. Many thanks!!

[@curiouscat544]

@@susannatami1511 Yes, you understood correctly.

[@MelissaBliss]

Just wanted to tell you: your meal replacement powder/probiotics helped my hair to grow (but didn't move the needle too much on stomach pain upon eating) What did was doubling up on Swanson's L. Reuterii (day 1 felt feverish and quite a bit better, day two much much better but not back in black all the way) I think I would like to keep your meal replacement in any case (as it didn't hurt me & so) nice to know at least daily nutrients are met with it. Going to try a three day water fast next.

[@rodneyrichardson3580]

I wish I could get an appointment with a health care appointment.

[@narei5642]

Thank you SO MUCH!!! My doctors are oblivious to all of this & I just needed confirmation & products! I thought I was doing carnivore the last 3 months, but I was having whipping cream in my coffee & I just discovered the Alpha Brain I was taking contains maltodextrin! Going to start over as soon as I get your products. Thanks again❣

[@kseniyavartazarova931]

Take me into your trial) for ED. I have very stubborn SIBO case

[@DrRuscioDC]

Thanks for reaching out. So sorry to hear about the issues you’re dealing with. Please know that due to legal restraints, I cannot address personal medical issues outside of the practice. If you’re interested in becoming a patient, please contact the clinic: drruscio.com/virtual-clinic/ We’d love to have you

[@annepelkey6174]

Thank you❤

[@susieu7512]

Hi I really enjoyed your video and your approach to sibo. I have alot of stuff going on. I had the test for sibo which was positive and tried no carbs but that didnt work. I tried rifaxamin but that didnt work but havnt tried the pro biotics. Ive been tested for gastroparesis and get the results next week. I have gastritis and a very sensitive stomach, could you give any advice if the pro biotic would be ok for me please. Also no one has been able to answer this question but when ever I have the tiniest bit of flatulence it burns my stomach and goes upto my sternum like heartburn. I think I dont empty my bowels properly which causes flatulence. Sorry for longquestion lol. Thanks Susan P.s. Also startedwith overactive thyroid recently sure its all linked

[@kristinandersen5480]

Thank you for all the great information. Does Low fodmap diet help histamine intolerance?

[@DrRuscioDC]

Thanks for watching. And great question. I'm actually planning on a histamine intolerance video soon, so stay tuned!

[@kristinandersen5480]

Awesome! Thank you.

[@sharonsemtner]

I’ve missed something… histamine intolerance, I’ll have to back track and see if this is an issue.

[@danzigred1761]

I had 4 colonoscopy and 3 timess I've polyps. What herbs and natural remedies should I take to prevent colon polyps and what should I do?

[@lindasingleton3072]

I'm finishing my fourth week of Low FODmap. This is the most regular and consistent BM I've ever had in my memory. I still get my sweet tooth met also. Monash has all the recipes.

[@LymuraGaming]

Do you still experience sibo symptoms now?

[@lindasingleton3072]

@@LymuraGaming very very minimally but I just started probiotics

[@tubeverse911]

Exactly what are you eating pls tell.. exactly

[@keithparris2600]

@@tubeverse911yea please 🙏🏼 tell

[@davidcraiggriffith8844]

@@lindasingleton3072which probiotics are you taking my friend?

[@lindacrockett6344]

What do you recommend for people who have sibo and Crohn’s disease and on injections?

[@c.k.1958]

Dr Micheal can you please do a video on how to treat a biofilm infection? Thank you for all you do! 💯

[@DrRuscioDC]

Noted. In the meantime, I have this article on the topic you should check out. drruscio.com/biofilms-can-cause-infections-with-dr-paul-anderson

[@c.k.1958]

Thank you for the link 💯

[@HiggoSouza]

Doctor Ruscio, have you already taken a look at the studies on the lactobacillus reuteri 17938?

[@ibrahimabdelalim4308]

And bifidobacterium lactis

[@mezzofeldenkrais6131]

Curious to know your take on Covid, Long Haul Covid and small intestine.

[@tnmaxim5109]

Wonderful information, thank you very much! I have started the low fodmap and about to add probiotics. On the antibiotics, however, you mentioned they should go AFTER probiotics, is that right? In my mind, I figured that first getting rid of the excess with antibiotics and then "repopulating" with probiotics would make sense... or not?

[@DrRuscioDC]

We’ve seen positive results for those who take probiotics for SIBO, but each person has unique needs. To learn more about probiotics for SIBO and where to get started read: drruscio.com/sibo-probiotics/

[@scottrose649]

Auto reply this doesn’t even answer the question

[@ThePifStorms]

Dr Pimentel seems to differ quite alot in how to treat SIBO, especially the probiotics! And the Low-fodmap diet too.

[@sherylsessions1153]

I have been taking lacto-bifido blend, saccharomyces boulardii and soil-based probiotics for 3 months along with diet. I feel alot better. Do I continue all three probiotics or do I change them?

[@buzzpeters3825]

I was diagnosed with sibo. and took the food sensitivity test, and was told by my natural physician to go on the low fobmap diet plus with a whole bunch of natural supplements for 90 days. and nothing changed except my wallet, Then i went on the carnivore diet and felt massive improvement after 1 week, and all symptoms gone after 2 weeks.

[@fausto1688]

I have also been a carnivore for almost 2 years and it has completely changed my life, already after 2 weeks I no longer had any bloating problems !

[@nadine3355]

Great video, thank you!! One question though: Why do you suggest taking the antibiotic last? Does this not kill off the good bacteria that were brought in by the probiotics in the previous weeks and therefore bring me back to the starting point? Very curious, will definitely follow your protocol :)

[@ambers4524]

I’d like to know how the antibiotics affect good gut bacteria also!

[@vincentvega3747]

Exactly!

[@emosag]

@@ambers4524perhaps it’s a last resort? Incase the other approaches don’t work

[@peelyo94]

i can only tolerate plain meats with some veg and have to take ox bile digestive enzymes and betaine hcl.. i feel completely exercise intolerant and have to inject b1 and b12 to try get some energy etc my practitioner has gave me protocol for berberine, oregano oil, do you think that would help? really struggling

[@dani88light]

For someone with both MCAS and severe motility disorders, which probiotic would you recommend starting with first?

[@rubenchavez1400]

Love the information but have a question: What is the timeframe for each step? i.e. How long should we do the FODMAP diet before introducing probiotics, etc

[@Gpalav1927]

Hi doctor, can sibo make gastrocolic reflex? I thin I have it because after eating I have all the symptoms 😢

[@rmt74358]

I like the video and it explains a lot. I think I can manage this pretty well. However, Once you got to the rifaxmin antibiotics. I know antibiotics can help, especially while taking probiotics. However, what if you cannot get a prescription from a doctor because test results show you do not have SIBO. Doctors will not give you the medication. What do we do?

[@gosalianj]

Thanks for the info in detail. So, when you say we can start with prebiotic and then add antibiotics gradually and see the results in a few months. My question is, is this solution temporary, or is it a permanent solution?

[@loveandpeacejoy]

Thanks so much for the video! It's very informative. Does/Can leaky gut caused by SIBO cause tics in children? My daughter is 8.5 years old. She currently has motor and vocal tics symptoms. We are told by our functional doctor that her tics is due to leaky gut, which is caused by SIBO. But she does not have any of the classic SIBO symptoms you mentioned in this video. Is that possible?

[@confettiknots4304]

I don't think so. Does she eat a lot of candy? See a Nuerologist and look into the keto diet it has been shown to help children with neurological issues.

[@summersalix]

What would be the recommendations for someone without a colon (ileostomy) to treat sibo? Is someone that doesn't have a colon more prone to one type of sibo?

[@reinadelmar11]

So I have all the symptoms of SIBO but also have an active h.pylori infection. The GI MAP said that the h.pylori was some non-virile strain but seems like all my symtpoms could be being caused by h.pylori. Would the protocol you outline here still make sense/possibly resolve my symptoms? Thank you!!

[@StarOnTheWater]

Just my personal experience, having had both simultaneously: Eliminating H. Pylori also freed me from my SIBO symptoms for a while (of course, antibiotics). SIBO came back, but I never had any stomach issues again.

[@confettiknots4304]

Where along the line to use the Elemental Diet? Before, during or after the antibiotic?

[@learnandspeakenglishwithme8953]

I did elementary diet for 2 weeks. My stomach burned for an hour after each drink. Then 10 days after coming back to food, all of my symptoms came back😢

[@user-tr1oj7gy3f]

How can i distinguish whether i have sibo or leaky gut?

[@jessruhl24]

What about drinking kombucha for the probiotic effect?

[@Majalunca]

Do you have some suggestions regarding auto brewer syndrome? I would appreciate it very much.😊

[@IshaDemir]

I’m in low for map diet almost 3 months . And taking all herbal supplements last 16 weeks my Metan was at the beginning 52 after 14 weeks diet ( ristrict ) and supplements now only reduced to 41z ok so tired and , I found out your info and elemental diet. I don’t know what should I do now ? Can you help about what is exactly elemental diet ? What should I do next to rid off this methane . I do not have Sibo my doc said I have imo . Thank you

[@juliebel432]

Very good information overall however I want to point out that it highly depends on the severity of the SIBO. Probiotics and Diet alone will not clear a severe case of SIBO, and people should definitely test to figure out where they are at on the spectrum (and which type they have). My numbers on the LBT were > 400 so clearly not a 1-round treatment type of situation. Good advice for mild SIBO nonetheless.

[@rhondaberkowitz9656]

Exactly, this info given is way to simplified! The Dr (if educated enough) needs to know if it is only hydrogen that is elevated, and/or methane *and/or hydrogen sulfide which only the 'trio smart' can test for. Based on this, as to antibiotics, one might need only Rifaximin - or that combined with either neomycin or metronidazole - or bismuth in addition as well if it is hydrogen sulfide that is elevated. One must do some self-educating through the premier SIBO researcher in the world, Dr. Mark Pimental. See his most recent youtube webinars. Also, there is now a diagnostic blood test for IBS: 'IBS Smart Test' that can actually diagnose IBS and distinguish an IBS diagnosis from IBD. Again, see Dr. Pimental's intense research although he explains it in ways normal humans can understand.

[@AmyWarren09]

If doing the elemental diet, should you be taking the probiotic protocol after the 2-4 days of just liquid diet?

[@MoN-lb1pw]

I have SIBO off and on and recently my Hydrogem test was positive. I tried probiotics from kefir and my symptoms got worse. I was told to stay away from probiotics. I’m confused. Can you help? I have tried Xifaxan and after a year or so it comes back. How can you help, please?

[@ronitcompton8747]

I was on a low FODMAP first for 4 months, started with soil based probiotic and I am getting symptoms again. Lots of burping…😢

[@dalton7726]

Why do you recommend the 1-10 Billion / 10-15 Billion / 2-6 Billion ratio but then the powder comes in a 50 billion / 6 billion / 6 billion ratio? are you planning on changing this soon? or is the photo on the product page not updated?

[@user-kp4zx8iz4q]

Is aleovera juice permitted in low FODMAP??

[@michellequinones1868]

I suffer from symptoms related to SIBO, a hiatal hernia and leaky gut. I have tried natural protocols through a root cause clinic (which cost me about $7,000) xifaxan and elimination/low fodmap diet …without much success. The bloating/inflammation and symptoms are so overwhelming that I decided to take a leave from my job to minimize stress and anxiety. I feel like if my stomach/gut is going to exploit. I continue in my journey to seek healing. The doctor here is very professional in sharing the research that evidences the level of effectiveness of treatments. I consider myself to be in the percentage that doesn’t respond easily to treatment, but I’m willing to try again and to hardly work with controlling my anxiety.

[@diko834]

Sounds severe. Many blessings to you, hope you heal soon, and for good!

[@DrRuscioDC]

Thank you for your kind words and for sharing your story. I'm so sorry you're going through this. For whatever it's worth, you're not alone. Diseases of the gut are often poorly understood and difficult to treat, and it's hard for people who aren't going through them to understand the toll it takes. But please never give up on healing. I hope you start feeling better soon.

[@johnpinto127]

Hi Michelle I too have a hiatal hernia and trying to heal with lpr and trying root cause but not good success

[@jessicawilson9059]

Can mild Mesenteric Panniculitis be in connection with sibo/NAFLD??

[@SyprianOwino]

Hello how can I get

[@zb5797]

Has there been any studies showing correlation of SIBO and Seb Derm? Many people state Seb Derm is autoimmune related and driven but gut issues which manifest on skin.

[@ibrahimabdelalim4308]

Does this apply to hydrogen and methane?

[@Lisa-id4pm]

Hello, so I’m done now with Pro biotics and after that Rifaximin. The H2- hydrogen- Breath test still shows: SIBO, what should I do now? The 3 Probiotics you recommend? Or 1a 1b , 2a, 2b? What after the antibiotics ?

[@BT_life2]

When the elemental diet doesn’t work? Like you bloat when you drink those meal replacement shakes?

[@Connect2YourAngels]

I spoke directly with Dr. Siebcker a few months ago on the probiotic research because it sounds incredible! However, she said she (and many of her colleagues) are not seeing SIBO resolution with probiotics clinically.

[@curiouscat544]

Probiotics are helping me. I watched a video here a dr saying that yogurt was not a good a source and instead try Kefir. It's making a tremendous difference. I have tried supplements before but my body doesn't tolerate supplements. Better the natural stuff.

[@cathrynkoz]

How long to take probiotics before starting antibiotics?

[@rubenchavez1400]

Can anyone tell me the timeframe for each of these steps? When should we introduce probiotics? When should we introduce antimicrobials? And should they overlap?

[@abdulrahman-vz1lu]

can we get a how to treat a candida video next thank you.

[@DrRuscioDC]

Check this out. drruscio.com/strongest-candida-killer/

[@rwp5931]

Does this info apply to IMO SIBO?

[@JamieR]

Isn't motility key to the whole thing? If MMC has gotten reduced function, from mold, food poisoning, or any number of other reasons. The bacteria begin migrating from the colon up to the small intestine. Which in turn leads to an overgrowth. I'd assume that getting this piece back would make everything else easier, and possibly reduce the need for a kill phase for many. Unless there is severe overgrowth or biofilms from SIFO as well. Curious about your thoughts on this 😊🙏🏻 be well!

[@fausto1688]

I also believe intestinal motility is fundamental, when I take a medicine for intestinal motility and I immediately see improvements, now I would like to understand how to restore intestinal motility in a natural way however...

[@elizabethlelchuk1798]

Have you seen any correlation between SIBO and rosacea? I have had to take multiple rounds of ABX in the past for recurrent UTIs. I now take Hiprex. My rosacea is the worst its ever been with postules now. I believe I have the methane type of SIBO but have never been tested. Any thoughts would be most appreciated. Thank you so much!

[@fausto1688]

for rosacea, ask for an ointment with ivermectin, for me it resolved the rosacea in about 1 month

[@davidscalais]

Something I found out I had 2 beers and got migraines any threw up spoke to a naturopath and she thinks histamine intolerance after more digging I found the two issues sibo and HI go hand in hand because it is to do with the Small intestinal lining have been FODMAP for months but still get nausea however the gas production is way lower but if you look at the triggers for Histamine one is probiotics so I will now try low histamine also with FODMAP I can have steak and tiny amount of pumpkin and potatoes on repeat for now

[@drewup7456]

I cant do low fodmap diet due to my leaky gut and no gallbladder

[@martapawlak9672]

My SIBO was on brilliant control after rifampicine and on first stage of low FODMAP diet. But when I started 2nd stage - testing disaster happened. It's 6th day now since I tried testing mannitol. I'm still bloated, still in pain. I've never felt so unwell

[@martapawlak9672]

@@weedow-gm3co it gone after taking anti histamine. Thank you

[@yinkaade4573]

Can one with fatty liver and gallstone go for carnivore diet?

[@timcepin3386]

What about ozone?

[@peterdolinski2700]

Has anyone heard of the consideration that someone with a short torso could be more susceptible to SIBO and other digestive issues? I have a short torso and it seems to me that having less space for the intestines to expand and contract and move food through would make problems worse.

[@reinadelmar11]

Seems hard to find a probiotic blend that is just lacto/bifido. I found one but it also has Streptococcus Thermopolus. Would that be o.k.? It always makes me think of the bad strep bacteria...

[@ibrahimabdelalim4308]

No it's not good

[@Lisahinson1998]

Does low below normal 0.343 tsh level patients deal with sibo or any digestive problems? Or lack of iron in the body maybe also?? And if theirs presents of sibo don’t u need antibiotics ?

[@user-tk4eu9yy7v]

I have tried all three probiotics separately and feel worse each time (used each 7-10 days at low dose). I have found I feel a bit better just with kefir (which is a lacto-bifido blend). Should I try that for 2-3 months instead?

[@DrRuscioDC]

Thanks for reaching out. So sorry to hear about the issues you’re dealing with. Please know that due to legal restraints, I cannot address personal medical issues outside of the practice. If you’re interested in becoming a patient, please contact the clinic: drruscio.com/virtual-clinic/ We’d love to help you figure this out and why some may be making you feel worse.

[@Plum2535]

Thanks for this, I appreciate your evidence based approach. I agree with your comment about a certain SIBO expert who doesn't recommend probiotics - he obviously doesn't have SIBO! (or IMO, as is the case with me). I do appreciate what he has done for getting SIBO / IMO out there, but as is often the case, the focus is too much on IBS-D, and the diet he proposes doesn't work, at least not for me and my IMO. Low FODMAP is the only one that actually works for my gut issues (I ate some high fodmap fruit the other day, and boy, did I pay for it with the gut pain and bloating that went on and on for so long). I have found soil based probiotics to be good for both IMO and MCAS / MCS, but I will also try the other ones you suggest. Thanks again 🙏

[@DrRuscioDC]

Of course. I'm glad this video can be useful in practice for you. Definitely try the ones I suggest and keep me posted.

[@Chasee445]

Neither the low fermentation nor the Low fodmap doet helped me

[@jamieb5679]

What probiotics are best for IMO? I also suffer with it daily.

[@jamieb5679]

Dr P thinks you should clear Sibo before taking probiotics and says to wait 3 months after it's clear to take them.

[@Plum2535]

@@jamieb5679 I use soil based, MegaSpore to be exact

[@phabius.]

Excellent content, as ever! Can you please clarify whether to continue step 1(low-fodmap diet) throughout steps 2 and 3? Personally, after only 6 days on the low fodmap diet I had to reintroduce the probiotics I'd been taking before as my symptoms were worse without them. After a month it seemed the low-fodmap diet wasn't helpful. I know there is a school of thought where it's recommended to eat high-fodmap foods during step 3, what's your opinion about that?

[@DrRuscioDC]

Great questions. So I do typically recommend low FODMAP for about a month before reintroduction. But as far as detailing all of the timelines of each step, I suggest you get my book, Healthy Gut, Healthy You. I have a rather comprehensive protocol in there that speaks to all of this. :)

[@laurettapeterson4317]

Is it beneficial to do the probiotics with the antibiotic?

[@DrRuscioDC]

Probiotics are great with antibiotics :) I have a video you can check out here where I talk about this in more detail: kzbin.info/www/bejne/pWbIqnxul7Cjgsk

[@sandycamodeca9251]

I found out that I had sibo from several tests. I am now trying the low fodmap diet but still have symptoms and going back on meds

[@naturallynaturalistics5041]

Try carnivore

[@lylerubright3455]

I had my come back for the thrid time but now im doings conivor diet im starting to feel better that i cut out all sugar that is why am going crabs free because carbs turn to sugar

[@susannatami1511]

Have I understood right, that the antibiotics - natural or traditional - only after a few weeks after fodmap diet and probiotics?? I m not sure if its my not perfect english skills or if it was not clear. could someone let me know ,pls? im a bit irritated because mostly I hear that the antibiotic is to begin with, or natural antibiotic. But he suggests only after a few weeks with the diet and the probiotics, right?

[@nathancoulter5995]

I’m so confused. If you look up studies for SIBO and probiotics isn’t there one study saying it can make sibo worse ? Then basically there are not enough evidence to say probiotics helps sibo ? I have candida and sibo and started a blend of probiotics and honestly not sure if it’s making me worse or better. I feel worse for sure. But could that be die off. My tongue is more white and thrush has increased. Would that happen in die off over 2 weeks ? Or is that a sign the probiotics are making the overgrowth worse. I started probiotics 2-3 weeks ago based on your videos.

[@figtoast4412]

Hi! Burning but embarassing question: can SIBO cause chronic strong body odor despite good hygiene? I know it can cause bb but could gut dysbiosis cause persistent Bo? Love your insights btw!🌟🌟🙏

[@Mina-pj7qs]

SIBO can cause fishy body odor.

[@tanveer5178]

Take magnesium supplement. If u are low in it body can smell

[@connorjoe6700]

Try, Carnivore, I have Sibo, and after a few months BO either completely goes away for most people, or it will just be very mild. Also EO Nutrition has videos on Sibo, he recommends B1 ,B5, CDP Choline to treat sibo, so far it's really helping me, my lower tummy puffyness is almost completely gone, something even a year of Carnivore couldn't do, even 4 months lion diet couldn't do it, so it's really working, and I recommend you try, after watching the videos you're self.

[@figtoast4412]

sadly i have motility issues and i do incorporate red meat & meats in general but they give me colon spasms/constipation so considering I can't eat it too frequently, going carnivore might kill my gut instead aha. thank you tho!@@connorjoe6700

[@VKA53]

❤❤❤Doctor, I almost eat nothing for 3 months with severe diarrhea how to start now with meat etc And the probiotics increase my pains.Doctors couldn't help me. Very unpleasant state, lost 30 kgs, no bacteria found

[@1521pinkprincess]

Vancomycin and activia yogurt

[@misscaramel3807]

Eat meat and add betaine hci and pepsin bills before each meal just to make sure your gut will be able to digest meat easily

[@nickszabo2764]

Hi doctor. Thank you for your content! New subscriber here. Just wanted to ask you. Have you heard of the water based probiotic Symprove? What are your opinions? Thank you.

[@DrRuscioDC]

Hello, welcome to the page! Thank you for subscribing. I cannot speak on other brands since probiotics are all formulated differently. I can however confidently suggest my probiotic formulas. You can find more information on them here. store.drruscio.com/collections/probiotics

[@malami42]

Can you do a video designated to H. Pylori?

[@DrRuscioDC]

Of course. I do have information on H. Pylori you can find here as well store.drruscio.com/search?q=h+pylori

[@Ruzanchka]

Why probiotics before antimicrobials?

[@cristinavindas4514]

Very ueful

[@lornalouw5548]

I started getting symptoms after a Hernia operation...