New article from Drs. Siebecker and Sandberg-Lewis
Confused about how to interpret the results of breath tests? Dr. Sandberg-Lewis and I recently published an article with pictures of many test examples and scenarios of interpretation. See it here in the Jan NDNR edition online.
Note: The article was written before Dr. Pimentel presented his new methane level of 3ppm as positive at the SIBO Symposium (see below)
SIBO Symposium highlights
New info from the 2014 SIBO Symposium
For anyone who missed it — the 2014 SIBO Symposium webinar recordings are now available for purchase, either as individual classes or together as the whole. It was a fantastic event packed with info. Between webinar participation and in person, close to 600 people attended the symposium. We’re planning the next Symposium for 2015 (date to be determined).
Dr. Sandberg-Lewis and myself lecturing.
Dr. Pimentel lecturing in front a sold-out audience.
Here are some points of interest from the symposium (from the notes of Dr. Nirala Jacobi and myself):
SIBO is caused by something (obstruction, decreased motility/ICC damage, non-draining pockets…); don’t stop at SIBO treatment — find the cause
Cdt B toxin from bacterial food poisoning, triggers autoimmunity to vinculin on ICC nerve cells, slowing motility — the cause of a majority of SIBO cases is autoimmune nerve damage
Too much protein for dinner during the prep diet (a big steak) is contraindicated as it slows transit
Hard-aged cheese, which is lactose free, is OK on the prep diet
Methane of 3ppm at any place during the lactulose test is positive
Flat lining of both hydrogen and methane on the test is indicative of hydrogen sulfide gas
Rifaximin is bile-soluble but not water-soluble — it can penetrate the small intestine biofilm and then loses effect in the large intestine due to crystallization
Neem potentiates other herbals
.5mg Resolor (prucalopride) is a good starting dose for SIBO prevention in most — previous common starting dose was 1mg
Leaky gut is only present in about half of SIBO patients and heals within one month of eradication — without supplements
Leave 4-5 hours between meals on any SIBO Diet to allow MMCs — no snacking
Clover honey has a 50:50 glucose to fructose ratio- according to breath testing, it absorbs normally in fructose malabsorbers