SIBO Treamtment Round 3 FAIL-WHAT WENT WRONG? 

Antibiotics failed but they were the wrong kind. I just had a battery of tests and hopefully some solution is forthcoming. My understanding of IBO is the usual rifx/ neomycin has limited efficacy. The breath test was damaged or exposed to heat and was unreadable. Do you know of any other tests that can provide a more reliable diagnosis? Either way I will share with you the outcome and what if anything worked.

@@richardworker9280 Hi Richard, the breath test is the most accessible test. The gold standard test is aspiration and biopsy of material from the small intestine during endoscopy, so not very fun or accessible. And even then, the samples are only from the closer end of the small intestine. SIBO can be anywhere throughout the small intestine. I would suggest repeating the test collection if you can. I know it's a pain, but it's a very helpful diagnostic. Good luck!

You're welcome! THanks for watching, Eveline :)

I have heard of using GSE for candida/yeast, but not for SIBO. Thanks for your thoughts!

I’m not an expert but a fellow sufferer. I do know it can cause malabsorption. For me it caused B12 deficiency ( all b vitamins really but b 12 mostly). Same thing with the fat soluble vitamins. Vitamin shots seemed to help but I had to avoid my digestive tract.

Update: I just got the results back!! My days of never ending darkness are numbered, I officially am likely to have sibo, all tho it is not methane like I thought its still a marker from where Im going to start. I have a comprehensive stool test im sending in later this week which is just an added bonus to see if anything else pops up. Hydrogen levels at 80 min and 120 mins were 25 and 48. Combined were 31 and 56 and a peak at 160 min at 65 hydrogen and 75 combined.

THat's interesting about the vitamin B1, I am not aware of that...keep me posted on your progress with that. And your increased heartbeat with sunfiber and bloating may be signaling a histamine problem...I have several videos about that.

@@ConfluenceNutrition Will do. It was not an increase in heart rate, just a pounding heart rate like I could feel and aware of it more, and just restless in general from the sunfiber. It would be time well spent if you went down the youtube rabbit hole about B1 to see what you find. Tests are expensive ,but to test it out and spend like 14$ on vitamins and see if there is any improvement is just cheap. One of the main things I've noticed, is that I have poor recovery from activity and I'll just a have a high heart rate like 95 bpm 3 hours after and beyond the activity. After a couple of days my heart rate doing the sames stuff is in the mid 70's and resting hr is low 60's now. For me, It's been a game changer.

@@ConfluenceNutrition ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-Pi0O_fzczYA.html Edit: Thiamine Deficiency Disease, Dysautonomia, and High Calorie Malnutrition 1st Edition www.amazon.com/dp/0128103876/?coliid=I1ZWNOKCUS90V6&colid=3HUWD1591JP3H&psc=1&ref_=lv_ov_lig_dp_it

Hi Wanida, my practice is currently full until the end of August or the beginnign of September. if you need help right away, I would highly recommend Dr. Ruscio's clinic in Austin, TX. He does telemedicine, so your location shouldn't be an issue. Their website is austinfm.com. I also have a few good tips for managing reflux and GERD in this video: ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-80JudNO2V4A.html Thanks for watching and connecting. You can also follow me on INstagram or Facebook to hear when I open up services.

I'm not sure what black salt is, so I don't have an answer for your there. Can undigested food create toxins for the liver? Indirectly, and most especially if you have a leaky gut barrier. If the liver gets backed up, or overburdened, itchy skin or rashes are a common symptom, as well as acne (though that can have other causes). In the gut, we would see nausea, especially with constipation, as well as sensitivity to odors. Thanks for the questions, does that help?

Are you asking about how much time is needed to get appetite back AFTER SIBO treatment?

Hi Tina, thanks for sharing your story! Us ladies with a history of endo have the cards stacked against us with SIBO...what is your biggest help for constipation?

@@ConfluenceNutrition so far, I've used smooth move tea (senna) and magnesium. I'm hoping my ileocecal valve nightly massages are helping, too! I need to avoid red meats, I noticed they have a significant constipating effect. I had my gallbladder removed at age 26, and I'm sure it's a huge factor in the amount of bile availability, so I've been taking Ox Bile. I just switched to a multi enzyme supplement. Ugh, it's a trial and error game! I've been lacking in the food journaling area. I was hoping the rifaxamin was going to return me to normal,. 😂

@@tinalemay3418 Well, it sounds like you are doing many of the right things, keep up the good work :)

Nice combo, sounds soothing and nourishing for the gut :)

In general, antioxidants help the liver do it's work, but some, like vitamin A, for example, are fat soluable vitamins and can cause toxicity if used too heavily. Milk thistle capsules are a suitable alternative to tinctures. And i'm not sure about turmeric's effect on the liver.

@@ConfluenceNutrition as milk thistle is a bitter and bitters works by taste receptors can we take in caps? Detox bitters contains alcohol can it harm liver?

@@forceawakens9386 well, I suppose the effect of the milk thistle in caps would be less due to the lack of taste receptors. If you're concerned about alcohol in tinctures, you can put them in hot water to let the alcohol mostly evaporate, but I'm not concerned about the very small quantity in a tincture.

Hi Healing Vibes, I'm sorry to hear of your troubles, it sounds uncomfortable. Your acne and bad breath could definitely be connected, as well as your hypothyroidism. There can be a lot of root causes for each of these issues, and figuring out what to address takes a methodical approach. This means developing ideas about what might be involved, and then testing your theories. For example, does shifting your diet away from carbs help? Do probiotics improve things? I'll be running a training program starting at the end of september to teach how to do this... let me know if you'd like to learn more about that.

Thank you for your reply..yes, I would like to attend this training program..please let me know the details..So this training starts by the end of September, any suggestions / dietary modifications to start trying now..please help.

Hi John, do the organ meat supplements feel like they're helping?

@@ConfluenceNutrition Amanda...I just started both Ancestral organ supplements this week so not sure yet?...I do believe the Standard Process Adrenal Dessicated I also took last month and the drenamin I take now help my systemic inflammation/stress...I am 72 and also have spinal related neuro-degenerative issues from old injuries so most of my organs are stressed...I encourage you to email BRIAN... the OWNER of Ancestral Supplements who offers amazing personal support along with his background in Biochemistry...

@@johnswain1672 THank you for the recommendation, John :)

@@ConfluenceNutrition I was reading a review about a successful SIBO treatment protocol that also involves systemic organ duct cleansing/detox as follows... ...use of several probiotics... Hyperbiotics Pro15 & Perfect Pass ...Pancreatic enzymes & Cholacol (bile salts) ...FC Cidal & Dysbiocide ( repeated treatment as required to kill Sibo ...Also use Stone Free for duct blockages to intestines,,, ...Enzymedica Digest Spectrum (liquid enzymes with meals) ....and last...Enzymedica extra strength enzyme defense 2x daily on an empty stomach for systemic cleansing I would need a health coach to try this as the above person....What do you think about this product/approach?...no antibiotics...products on Amazon... Thanks...John

I've done several, and I did one after this third round of treatment. MEthane was finally 0, and there was some hydrogen below the lab reference range, so SIBO negative. 👍

They might have in this situation, though I was having too many bowel movements! And I was away from home and didn't have my kit. I did eventually use one towards the end, which did help me a little bit.

@@ConfluenceNutrition I have a fear of overusing anti biotics and try to avoid them. I found pro biotics, baking soda enemas, fiber drinks and juicing help me a great deal

@@richardworker9280 who are you? Do you know answer?🇵🇰

Hi there, they don't, the simply supplement. It's like a crutch. Encouraging the body to create it's own acid is via relaxed eating, good chewing, making sure you have sufficient vitamin B12 and zinc, clearing any infections that might be present as they can disrupt acid production, or handling any autoimmunity that might be present. Thanks for your question, and thanks for watching!

@@ConfluenceNutrition i mean how🍎 cider vinegar or Betaine hcl stimulate to increase acid?

@@forceawakens9386 cider vinegar and betaine HCL are themselves acidic, so they replace missing or deficient stomach acid. They do not stimulate or increase productoin of your own acid. To do that, good chewing and relaxation during meals is helpful, along with good amounts of vitamin B12 and zinc. Sometimes, treating underlying infections can repair the body's ability to secrete enough stomach acid as well. Does that answer your question?

Hi Sania, have you retested to see what your SIBO is doing now? IN the meantime, a binder, like GI Detox, or something like it might be helpful. Do check in with your doctor about your symptoms.

@@ConfluenceNutrition Hi beautiful, i have sibo since 2019 and tried 2 time antibiotics ,while xifixin i was normal after that i got my same symptoms back now I have an other appointment with gi let's see what they do but pakistani herbalist can fix it and I can't go there because of vovid

Beside I have combined sibo lots of fart and gas very low energy

@@saniasiddiqui7488 It's very common for SIBO to relapse without attention to your motility. Here in the US, doctors prescribe prokinetic medication after treatment to keep things moving. Prucalopride is one, low dose erythromycin is another, and an herbal product is called MotilPro (active ingredient ginger). Maybe you can access one of those options with your doctor/herbalist?

@@ConfluenceNutrition Thanks for your concern

Hello Vamsi, it's true that SIBO is very closely related to the MMC and intermittent fasting can support the MMC. I do have client who use this method to help. Unfortunately, IF doesn't work for everyone, some people (like myself in fact!) do very poorly with fasting, and this can cause other harm, to hormones, thyroid function, and sleep. If fasting isn't possible, lengthening times between meals, and making sure to stop eating after dinner (no late snacks), is an alternative. Thanks for sharing your experience!

Hi Tony, thanks for brainstorming on my behalf! I have spent years dialing in my diet to the point where I'm pretty clear on my triggers. I can tolerate some raw veggies, and eat them, and not so much others (like onions, no way!) To be fair, I did do some traveling during my treatment round, so had to eat out a little bit, but I try hard to stick to what I know works, and the symptoms started before I left home. Regarding herbals, I have tried using all of them and I don't tolerate them well at all, which is how I ended up using this option, after struggling with SIBO for, let's see, 5-6 years. Thanks so much for watching!

I'm not sure, Richard, but I think it may have killed all the low hanging fruit, so to speak. I'm not worried it didn't work! It's just more information to flesh out my understanding. Thanks so much for watching!

@@ConfluenceNutrition It sounds like you have your head in the right place because this is a frustrating battle at times. Curious to see if you have ever tried Atrantil The clinical trials indicated 80 percent efficacy against SIBO/ IBS- C. You know biology & will quickly understand how it’s supposed to work. Long story short it targets the methanogens and the Hydrogen food supply simultaneously. As to how it actually will work is an open question.

@@richardworker9280 Hi Richard, I used Atrantil years ago during my first ever SIBO treatment protocol. I feel like it did help me reduce bloating. I used it beyond hte treatment protocol, and would use it again, I just generally am trying to keep my supplements to a minimum. Thanks for asking.

@@ConfluenceNutrition Well. If I am able to be cured ( I’ve got the Methane version ). I will let you know what worked. It’s highly unlikely that we have the same underlying cause ( or can IMO be a stand alone condition. Idk). Since you are also treating people or advising them maybe you can use my information to help someone else. I’ve got some ways to go that’s for sure.

@@richardworker9280 Thanks for the ideas, Richard. I'm going to make a new video to share, but I just got my results in from my follow up test: negative! So not really a fail after all, just herxeimer (die off ) reactions! Take care :)

Hi Pry, these particular probiotics aren't necessary to use, you can simply substitute any comparable product. What's more important is that you work to use each of the three types together, not the specific brands. I hope that helps, and thanks for watching!

@@ConfluenceNutrition thanks for the reply. Could you please let me know if starting taking rhamnosus probiotic alone will make a difference in my treatment? Or would there have to be other mixtures? I have another question… Can natural coconut water elevate histamine?

@@Thepripoi Hi there, its super difficult to predict the outcome of specific strains of probiotics on yoru unique health and gut. Most research suggests a generalized blend of probiotics is sufficient to get the effect you're looking for. And I'm not sure about coconut water and histamine...coconut is considered high histamine, but the water may be lower than eating coconut meat or milk. As with all food sensitivities that relate to quantity, it will depend on the dose and frequency, and your own individual response. Thanks for asking!

Haha! There aren't any, at the recommendation of my ND. She is in the "probiotics can make you relapse with SIBO" camp, while others, like Dr. Ruscio, are in the "probiotics help resolve SIBO" camp. I'm feeling ready to trial adding them back in carefully. Thanks for your question!

@@ConfluenceNutrition absolutely necessary after killing them with the antibiotics to reintroduce the good bacteria if not all the symptoms will come back like mine. I cured my sibo with the help of Gojiman on RU-vid. Probiotics are key but you need to know when to add them.

@@naturalbreed3745 It's true, AND we are all individuals. The research says that probitoics improve your chances against SIBO, and not just one shabby study, but a meta-analysis of I believe 19 clinical studies. On the other hand, the doctors that treat and study SIBO, like Dr. Pimentel, say they cause relapse. I know he is usually treating the sickest and most recalcitrant SIBO patients, but even as a coach, I see a lot of variability in people's ability to tolerate even the highest quality probiotics. I generally teach the triple probiotic therapy protocol that Dr. Ruscio recommends, but not everyone can tolerate all three. I myself can't tolerate all three! I do need to work on reintroducing, low and slow, but I'm not sure how it will go. My root cause of SIBO is a structural issue that slows down my motility, so adding too much probiotic may just allow too much bacteria into my small intestine, just by way of slow gut motility. So in short, it all depends! Even when research and others have succeeded, we do need to trust our personal evidence! Thanks so much for your comment and for watching.

@@ConfluenceNutrition i enjoy seeing your journey and hope you feel well soon. My point is probiotics are necessary no matter what the case what is important is when to introduce them I'm not a doctor but he explained me the type of sibo that are common so i go off a majority which is hydrogen in my case.

@@ConfluenceNutrition hi i have sibo methane When I use natural antibiotics and probiotics together I feel very, very constipated, now I have stopped the probiotics and reduced the fiber and continue to take the natural herbal also I added bile salts and added digestive enzymes and now follow the keto diet and low foodmap diet i eat two meals a day and fast for at least 14 hours, now I'm on the fourth day since I stopped taking probiotics. Constipation stopped and became diarrhea. I think it's a good step. I will continue with this plan for at least 45 days and then start gradually introducing probiotics and prebiotics to rebuild the digestive system. i have some questions, How do I know the appropriate time for the introduction of probiotics to avoid constipation? I take apple cider vinegar after eating and also take capsules before eating to support stomach acid, but I still suffer from acidity, knowing that I am on the fourth day since the protocol started correctly. Is this normal, what is the normal time period for the acidity to disappear? I don't know, can I reintroduce carbohydrates like rice and potatoes after 14 days of starting the protocol? Since I started the protocol 4 days ago, I have had bad breath from the throat, is this normal? The herbal remedies that I used are thyme oil, berberine, and garlic capsules because they contain allicin. I also take ginger tea daily. As for my need of vitamins and minerals, I take my need of supplements and make sure to get them from a supplement with a natural source. As for minerals, I make sure to take multiple minerals of the type chelated