Often times how we feel with SIBO/SIFO
Welcome Comrade,
The below page will help shed light on the functional medicine lab interpretation, philosophies, strategies and supplement approach that the Doctors in this arena recommend for the treatment, prevention and mastery of the digestion/lymphatic systems.
While you can't separate any one system out, this page is dedicated to understanding the digestive process along with the GALT or lymphatic system and its role in symptom manifestation.
SIBO/SIFO and intestinal permeability pathologies/conditions are often times very complex in nature. In addition there are usually co-factor infections, thus the need for more detailed labs in treatment-resistant cases. I have restored 75% of my health and digestive issues via many methods and the below info has helped me immensely at different times over the last 3 years since taking on my gut condition. I will be updating and expanding this page as time moves forward!
The below page will help shed light on the functional medicine lab interpretation, philosophies, strategies and supplement approach that the Doctors in this arena recommend for the treatment, prevention and mastery of the digestion/lymphatic systems.
While you can't separate any one system out, this page is dedicated to understanding the digestive process along with the GALT or lymphatic system and its role in symptom manifestation.
SIBO/SIFO and intestinal permeability pathologies/conditions are often times very complex in nature. In addition there are usually co-factor infections, thus the need for more detailed labs in treatment-resistant cases. I have restored 75% of my health and digestive issues via many methods and the below info has helped me immensely at different times over the last 3 years since taking on my gut condition. I will be updating and expanding this page as time moves forward!
Two Simple Videos On How To Chew Your Food
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How to reduce bloating regardless of if you have SIBO/SIFO, etc. This is one simple general rule of thumb. A minimum of about 50 mastications per mouthful if you're healthy. The next step up would be 100 mastications if you're chronically ill then if you're severely sick it's 200 times. This is based on some old Japanese clinical findings and I can personally attest that even just chewing food 50-70 times will significantly reduce bloating, etc. even with a SIBO/SIFO infection. In fact it may even allow you to eat some carbohydrate-based foods that you may have struggled to consume. However it is unnatural feeling to chew this many times at first. You'll consume less food and assimilate more all the while reducing the odds of food poisoning due to enzyme-release from salivary glands.
- Influence of chewing rate on salivary stress hormone levels. PMID: 19037143
- Does prolonged chewing reduce food intake? Fletcherism revisited. PMID: 21316411
- Increasing the number of chews before swallowing reduces meal size in normal-weight, overweight, and obese adults. PMID: 24215801
- Increased number of chews during a fixed-amount meal suppresses postprandial appetite and modulates glycemic response in older males. PMID: 24857719
- Increasing the number of masticatory cycles is associated with reduced appetite and altered postprandial plasma concentrations of gut hormones, insulin and glucose. PMID: 23181989
"Loss of oral tolerance is the underlying mechanism behind food sensitivities."
Dr. Joseph Smith, DC, DACNB, FACFN
Pay particular attention to both the ileocecal valve and hiatal hernia components (as Dr. Rostenberg clearly illustrates in the video just below and to the right) which can mask many other conditions. Especially fatigue, cardiac dysfunction and anxiety/panic. These mechanical distortions can be both a cause as well as complicating variable as a result of fermenting bacteria/fungal infections which impairs the migrating motor complex, etc.
Regardless of which came first, mechanically addressing both will lend to a MUCH higher probability to recovering from any and nearly all digestive issues related to SIBO/SIFO/Dysbiosis. This is something Dr. Rostenberg really helped me with as I have personally seen him and while my own experiments seem to be taking me past my current plateaus, he has been of tremendous help to me early on and I recommend him highly to those experiencing great difficulty.
Keep in mind that daily breathwork and hydration practices will always be of great importance. I have discovered that a minimum of 100 oz of water (with a pinch of pink sea salt) reduced symptom severity and encouraged bowel movements, albeit when I first increased water amount I felt a little uncomfortable. Gradually it diluted endotoxin-load and thereby helped with my already compromised detoxification pathways. Breathwork equally helped train my chest-breathing to switch to belly-breathing or horizontal breathing which was like getting a visceral massage with every breath. This is another thing I wish I would have done sooner.
I underestimated its benefit simply because it didn't produce a pronounced result my first few days but after a month it was a night and day difference. Read Breathe by Author Dr. Belisa Vranich to begin the implementation of a breathing practice. Another advantage of this is it tones the vagus nerve, which will help restore resilience back into your nervous system thereby affecting your 2nd brain which is your enteric brain (gut). I am currently exploring Wim Hof Method and will report back in 3 months if it takes me past my current plateaus.
I created this page to help assist you with a more comprehensive perspective on digestive disease especially SIBO/SIFO/Leaky Gut Syndrome. I almost died from this issue and am about 75% recovered. I will get to 100% and this website is partly a documentation of that process. I wish you luck and if you would like my council please visit this page to learn more ^_^. Also visit this page to learn more about Functional Medicine.
Cheers,
Brandon A. Trean BCTMB, HHP, NC
P.S. Do yourself a favor and get a Squatty Potty -_^.
P.S.S. A great strategy is daily stomach pulling (see this for hiatal hernia) you can do at home for free as Dr. John Douillard demonstrates. Also see this article to learn more on the fascial connection and IBS/SIBO.
P.S.S.S. Are you wondering if you should take probiotics during antibiotic treatment or after you finish your course? In this video Dr. Jason Hawrelak illustrates why you absolutely should take probiotics with antibiotics to reduce the risk of antibiotic associated side effects as well as reducing damage to the microbiota as a whole. Just take them 3 hours apart from one another.
P.S.S.S.S. One of the main things is clinical findings that chewing each bite of food 50 times minimum but for those chronically sick 100 times and those severely ill 200 times before swallowing and sipping our drinks as opposed to gulping so our saliva can mix with the fluids and foods to breakdown and coat the foods/liquids to be more easily absorbed. This is based on Macrobiotic principals.
Update: 03/02/2017 This video on SIBO Prokinetics: Choosing Between Motipro and Iberogast using Chinese Medicine Theory may be worth your time to watch as it presents an interesting perspective on how to choose a proper prokinetic for those with SIBO.
Update: 03/13/2017 This video on Food Sensitivities- Joseph Smith (January 2017) may be worth your time to watch as it presents an interesting perspective on food sensitivities and why we are having such issues with all of these food proteins especially lectins, and how to address this and reverse an overactive immune response to heal leaky gut syndrome, etc. He speaks of oral tolerance and why it's critical to address if we do not wish to remain on limited diets for the rest of our life and how to slowly correct course.
Update: 06/06/2017 This study on Crohn's Disease (IBD) has some incredible insights such as gut mucosal healing compared to conventional treatment using corticosteroids. While there was no significant difference between standard treatment to control inflammation and elemental/polymeric feeding, the mucosal lining healing difference between the two was corticosteroids (33%) compared to polymeric diet (74%). These findings are significant for those considering giving their GI tracts a rest from fiber-rich or higher residue foods. I am currently underway with my own homemade version of this and will report back what results I will regain over the next month.
Update: 05/02/2019 This podcast with Dr. Ruscio and Dr. Peter Whorwell goes into detail regarding distenders (people who get gut distention after meals/liquid) tendency towards constipation. If you think when you're swallowing a chunk of food or liquid, and the reason people with a normal response don't get distention, is because of a phenomena called the accommodation reflex. This means that when you swallow the volume, the diaphragm goes up, and therefore your belly doesn't get bigger. But people with IBS/IBD and other related gut issues the diaphragm goes down (thereby reversing the accommodation reflex), so it causes the gut to expand/distend. And if you're constipated your colon will get distended with stool, and this sends messages to your brain to kick in the accommodation reflex. Listen to the full podcast here.
Regardless of which came first, mechanically addressing both will lend to a MUCH higher probability to recovering from any and nearly all digestive issues related to SIBO/SIFO/Dysbiosis. This is something Dr. Rostenberg really helped me with as I have personally seen him and while my own experiments seem to be taking me past my current plateaus, he has been of tremendous help to me early on and I recommend him highly to those experiencing great difficulty.
Keep in mind that daily breathwork and hydration practices will always be of great importance. I have discovered that a minimum of 100 oz of water (with a pinch of pink sea salt) reduced symptom severity and encouraged bowel movements, albeit when I first increased water amount I felt a little uncomfortable. Gradually it diluted endotoxin-load and thereby helped with my already compromised detoxification pathways. Breathwork equally helped train my chest-breathing to switch to belly-breathing or horizontal breathing which was like getting a visceral massage with every breath. This is another thing I wish I would have done sooner.
I underestimated its benefit simply because it didn't produce a pronounced result my first few days but after a month it was a night and day difference. Read Breathe by Author Dr. Belisa Vranich to begin the implementation of a breathing practice. Another advantage of this is it tones the vagus nerve, which will help restore resilience back into your nervous system thereby affecting your 2nd brain which is your enteric brain (gut). I am currently exploring Wim Hof Method and will report back in 3 months if it takes me past my current plateaus.
I created this page to help assist you with a more comprehensive perspective on digestive disease especially SIBO/SIFO/Leaky Gut Syndrome. I almost died from this issue and am about 75% recovered. I will get to 100% and this website is partly a documentation of that process. I wish you luck and if you would like my council please visit this page to learn more ^_^. Also visit this page to learn more about Functional Medicine.
Cheers,
Brandon A. Trean BCTMB, HHP, NC
P.S. Do yourself a favor and get a Squatty Potty -_^.
P.S.S. A great strategy is daily stomach pulling (see this for hiatal hernia) you can do at home for free as Dr. John Douillard demonstrates. Also see this article to learn more on the fascial connection and IBS/SIBO.
P.S.S.S. Are you wondering if you should take probiotics during antibiotic treatment or after you finish your course? In this video Dr. Jason Hawrelak illustrates why you absolutely should take probiotics with antibiotics to reduce the risk of antibiotic associated side effects as well as reducing damage to the microbiota as a whole. Just take them 3 hours apart from one another.
P.S.S.S.S. One of the main things is clinical findings that chewing each bite of food 50 times minimum but for those chronically sick 100 times and those severely ill 200 times before swallowing and sipping our drinks as opposed to gulping so our saliva can mix with the fluids and foods to breakdown and coat the foods/liquids to be more easily absorbed. This is based on Macrobiotic principals.
Update: 03/02/2017 This video on SIBO Prokinetics: Choosing Between Motipro and Iberogast using Chinese Medicine Theory may be worth your time to watch as it presents an interesting perspective on how to choose a proper prokinetic for those with SIBO.
Update: 03/13/2017 This video on Food Sensitivities- Joseph Smith (January 2017) may be worth your time to watch as it presents an interesting perspective on food sensitivities and why we are having such issues with all of these food proteins especially lectins, and how to address this and reverse an overactive immune response to heal leaky gut syndrome, etc. He speaks of oral tolerance and why it's critical to address if we do not wish to remain on limited diets for the rest of our life and how to slowly correct course.
Update: 06/06/2017 This study on Crohn's Disease (IBD) has some incredible insights such as gut mucosal healing compared to conventional treatment using corticosteroids. While there was no significant difference between standard treatment to control inflammation and elemental/polymeric feeding, the mucosal lining healing difference between the two was corticosteroids (33%) compared to polymeric diet (74%). These findings are significant for those considering giving their GI tracts a rest from fiber-rich or higher residue foods. I am currently underway with my own homemade version of this and will report back what results I will regain over the next month.
Update: 05/02/2019 This podcast with Dr. Ruscio and Dr. Peter Whorwell goes into detail regarding distenders (people who get gut distention after meals/liquid) tendency towards constipation. If you think when you're swallowing a chunk of food or liquid, and the reason people with a normal response don't get distention, is because of a phenomena called the accommodation reflex. This means that when you swallow the volume, the diaphragm goes up, and therefore your belly doesn't get bigger. But people with IBS/IBD and other related gut issues the diaphragm goes down (thereby reversing the accommodation reflex), so it causes the gut to expand/distend. And if you're constipated your colon will get distended with stool, and this sends messages to your brain to kick in the accommodation reflex. Listen to the full podcast here.
Latest Podcast Worth Your Time regarding SIBO/SIFO/Candida/Leaky Gut Syndrome
In this episode, we delve into the relationship between Candida Albicans and SIBO. Our host, Dr Nirala Jacobi, is in conversation with Dr Margaret Beeson. Dr Beeson has over 40 years in medical practice, having started as a nurse in the US Navy and then moving to become a Naturopathic physician. She founded the Yellowstone Naturopathic Clinic in Billings, Montana, and is the President and Co-founder of the Naturopathic Education and Research Consortium to increase post graduate training in the USA. Dr Beeson is also the president of the Paul Gardener Veterans Pain Relief Foundation, and is the recipient of 2016 Physician of the Year award from American Association of Naturopathic Physicians. She is a national leader in efforts to advance the quality of naturopathic care.
Topics discussed in this episode above include:
– Small intestinal fungal overgrowth (SIFO) and candidiasis.
– The comorbidity relationship of SIFO to SIBO.
– Endotoxin association with SIFO.
– The metamorphic abilities of candida and its ability to hide in the body
– Candida antibodies versus counter antibodies.
– Candida as a symptom of dysbiosis.
– Biofilm and candida living as a part of diverse bacterial colonies
– Yeasts and their pathogenic potential.
– Microbiome terrain disturbance as a key player in candida infection progression.
– Die off as stronger with fungus than with bacteria.
– Candidal hyphae, the mucosal wall, and the potential for leaky gut.
– Hallmark symptoms of candida.
– The 4 forms of candida, and which is the most invasive and detrimental.
– Testing and symptomatic identification of candidiasis.
– Organic acid testing and candidiasis diagnosis.
– Fibromyalgia, tartaric acid, and the candidiasis connection.
– Saccharomyces boulardii tolerance and/or use during yeast infection.
– Reactions to kombucha and why they might occur.
– Folliculitis as a symptom of yeast and staph cohabitation infection.
– Nystatin (nilstat), how it works, safety, affordability, treatment.
– The role of biofilm disruptors in treatment.
– Candida as a contributor to salicylate sensitivity.
– Dr Jacobi’s SIBO specific treatment herbs and how they address candida.
– Saccharomyces boulardii and its adherence action to encourage friendly flora.
– Specific prebiotics, whole food diets, and their role in repopulating microflora diversity.
– Dr Beeson’s complementary protocols and therapies to consider during candida treatment.
– Is candida albicans a trigger in the onset of coeliac disease?
Partial List of Products used by these two clinicians are as follows (it is recommended you work with a practitioner and not wing-it unless you have a high tolerance for destabilizing events):
In this episode, we delve into the relationship between Candida Albicans and SIBO. Our host, Dr Nirala Jacobi, is in conversation with Dr Margaret Beeson. Dr Beeson has over 40 years in medical practice, having started as a nurse in the US Navy and then moving to become a Naturopathic physician. She founded the Yellowstone Naturopathic Clinic in Billings, Montana, and is the President and Co-founder of the Naturopathic Education and Research Consortium to increase post graduate training in the USA. Dr Beeson is also the president of the Paul Gardener Veterans Pain Relief Foundation, and is the recipient of 2016 Physician of the Year award from American Association of Naturopathic Physicians. She is a national leader in efforts to advance the quality of naturopathic care.
Topics discussed in this episode above include:
– Small intestinal fungal overgrowth (SIFO) and candidiasis.
– The comorbidity relationship of SIFO to SIBO.
– Endotoxin association with SIFO.
– The metamorphic abilities of candida and its ability to hide in the body
– Candida antibodies versus counter antibodies.
– Candida as a symptom of dysbiosis.
– Biofilm and candida living as a part of diverse bacterial colonies
– Yeasts and their pathogenic potential.
– Microbiome terrain disturbance as a key player in candida infection progression.
– Die off as stronger with fungus than with bacteria.
– Candidal hyphae, the mucosal wall, and the potential for leaky gut.
– Hallmark symptoms of candida.
– The 4 forms of candida, and which is the most invasive and detrimental.
– Testing and symptomatic identification of candidiasis.
– Organic acid testing and candidiasis diagnosis.
– Fibromyalgia, tartaric acid, and the candidiasis connection.
– Saccharomyces boulardii tolerance and/or use during yeast infection.
– Reactions to kombucha and why they might occur.
– Folliculitis as a symptom of yeast and staph cohabitation infection.
– Nystatin (nilstat), how it works, safety, affordability, treatment.
– The role of biofilm disruptors in treatment.
– Candida as a contributor to salicylate sensitivity.
– Dr Jacobi’s SIBO specific treatment herbs and how they address candida.
– Saccharomyces boulardii and its adherence action to encourage friendly flora.
– Specific prebiotics, whole food diets, and their role in repopulating microflora diversity.
– Dr Beeson’s complementary protocols and therapies to consider during candida treatment.
– Is candida albicans a trigger in the onset of coeliac disease?
Partial List of Products used by these two clinicians are as follows (it is recommended you work with a practitioner and not wing-it unless you have a high tolerance for destabilizing events):
- Klaire Labs - Galactomune 120 vcaps (prebiotic use after clients have met a regular pace of stability to grow the beneficial bacteria beyond the status that just probiotics deliver)
- Prebiotic from Partially Hydrolyzed Guar Gum 240 gram powder (another prebiotic they mentioned of benefit for those with sensitive digestive tracts, again timing this is not best when you're lacking stability in most cases)
- Pharmax - HLC High Potency Vegetable Capsules (the number one probiotic one of these clinicians found to be most effective all across the board for digestive distress, I always caution starting by breaking a capsule open into a smaller capsule so you can slowly build your body up to the use of any probiotic to reduce the severity of and adaptation that might take place by their introduction)
- Metagenics Candibactin-AR, 120 Count (she mentioned a berberine complex with essential oil blend, this is one of the finer ones out there but may not be exactly what she uses)
- Kolorex Advanced Candida Care 775 mg (one of the big ones she recommends for candida care in her practice)
- Florastor - 50 count (a good one if you're not sensitive to yeast as it acts as a fertilizer in the soil as it increases the adherence of beneficial bacteria by about 60% or so)
- Nystatin (pharmaceutical antifungal she recommended if she could she would recommend it in many cases)
Videos On Functional Medicine for SIBO, SIFO, IBS, IBD & Leaky Gut Syndrome
~ SIBO testing click this link ~
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The four videos up top are my top recommendations for starting points on the fundamentals regarding SIBO and complex dysbiosis. In general I recommend people emphasize adaptogenic substances, basic vitamin/mineral status checked and addressed before taking on any sort of kill-phase or major detox-phase. Your path towards success will be smoother if you emphasize basic energetics, adaptogenic properties in order to restore basic functioning of the system as a whole. This especially includes neurotransmitter imbalances being addressed and correctly assessed via OATS testing.
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Risk factors for SIBO:
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"The cause of SIBO is usually complex, and likely affects more than one of the protective mechanisms listed above. A number of risk factors for SIBO have been identified, with some of the more common risk factors listed below. For a more complete discussion of associated diseases and risk factors check out this study and this study." Chris Kresser M.S., L.Ac |
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"All disease begins in the gut."
Hippocrates
Hippocrates