SIBO Treatments

Effective SIBO treatments are a challenge.

SIBO or Small Intestine Bacteria Overgrowth, has become a condition that many people are struggling with today.

SIBO is often a reaction to something that happened.

It can be low HCL, with too alkaline of a pH that results in abnormal pathogens passing through the stomach and accumulating in the intestines.

Sometimes it can be SIFO – small intestinal fungal overgrowth.

Other possibilities are

-acute gastroenteritis from food poisoning, -traveler’s diarrhea, or
-hospital acquired infection.

You see your digestive system eliminates waste through a process known as the migrating motor complex i.e. MMC.

Excessive methane/hydrogen gasses that are produced by overgrowth of bacteria in the small intestine has been linked to decreased MMC function.

It’s these kinds of conditions that cause damage to the migrating motor complex – MMC, allowing the accumulation of fermentable fibers in the small intestine.

Surgery with morphine can cause the migrating motor complex MMC to slow down, stop briefly or sometimes slow down for a longer time. Other reasons are trauma, injury, or even endometriosis that results in adhesions or partial obstruction in the small intestine. SIBO is considered a sequella of something else.

A recent SIBO webinar organised by Dr. Allison Siebecker lined up many practitioners nation wide with lots of good advice about how to deal with SIBO. She has a wealth of information on her website siboinfo.com

Generally, there are 3 options for treating SIBO:

1 Antibiotics

Rifaximin (Xifaxan) is the antibiotic of choice. It fights bacterial infection in the intestines only.

Rifaximin works differently from other antibiotics as it passes through your stomach and into your intestines without being absorbed into your blood stream and only treats the intestinal tract.

2 Natural herbal therapy

Allicin from Garlic (the highest potency formula I know of is Allimed)
Oregano
Berberine
Neem
Cinnamon

1-3 of these herbs,  4 weeks per course, at highest levels suggested on product labels.

or Metagenics Candibactin-AR with Metagenics Candibactin-BR

(we can special order these for you)

3 Elemental Diet

This approach starves the bacteria, but feeds the person, by replacing meals with an Elemental Formula for 2 weeks. Elemental formulas are powdered nutrients in pre-digested, easily absorbed form.

The diet has a 80% success rate.

We can special order Integrative Therapeutics Elemental Diet for you.

Other alternatives are:

  • Home Made combination.
  • Nestle Elemental Diet

Mona Morstein  recommends using PHGG Prebiotics, enzymes that contain bile and Klaire Labs Interfase.
Other prebiotics like FOS and Inulin are not recommended.

She says that sometimes it is necessary to be treating Candida as well with an antifungal.

Donna Gates recommends Time Restricted Feeding. She also says to stay away from fermented foods and kombucha. Wine with no yeast is acceptable.

Be aware of foods that are high in oxalates, like nuts and seeds, soy, beets, carrots, sweet potato, even curly kale and almond milk.  Oxalates are naturally-occurring substances found in a wide variety of foods and they play a supportive role in the metabolism of many plants and animals and in our human metabolism as well.   Oxalates are neither rare nor undesirable. Oxalates can become problematic if they over-accumulate inside your body. Coconut milk is acceptable.

Gary Weiner told us that sometimes the development of biofilm, which is a membrane that forms over the bacteria, may obstruct the ability to heal – Klaire Interfase is recommended.

He suggests that if you opt for doing the Elemental Diet, to go slowly when you reintroduce foods, starting with cooked foods.

Pea protein, fish oils, minerals and spirulina are recommended.

Retesting for SIBO is recommended 15 days after treatment.