I have found your videos immensely helpful, and I'm grateful for this one. Like many people struggling with gut issues, having undergone several tests and seen several doctors and other practitioners, what remains of the money I can allocate to this has to be directed towards the ongoing expense of natural medicines, supplements, and (where necessary) pharmaceuticals. Consequently I rely heavily on the output of trustworthy and experienced doctors/practitioners who make information available without cost. It would be impossible to overstate how valuable this has been for me. Thank you so much.
Thank you, Penelope. I’m so touched by your comment. I’m incredibly grateful to be able to help this wonderful community of people. You’re the reason we do this!
I really appreciate your videos! I specifically appreciate how you cite specific studies and take a science-based approach(and adaptable approach as the science changes). I, like many others here, have been suffering with SIBO-C that had been confirmed through, what now seems to be an inaccurate SIBO lactulose test on the basis of hydrogen. I've tried many things; low fodmap diet, "leaky gut" diet, herbal antimicrobials, an elemental diet, antibiotics(which transiently help), probiotics(triple therapy) - and the conundrum that I always seem to find myself in, is that symptoms don't seem to improve which makes it challenging to use them as a guide for what works.
Had GERD for 4 yrs - finally have over come it by - completely cutting out fruits in short term, ni sugar, no wheat (replaced with Amaranth flour or soughum), unienzyme.. eat every 3 hrs.. have simple pulses (daals), cooked vegetables, butter milk everyday. Sugarcane juice is also good.
i have watched several of your videos about SIBO and leaky gut (all VERY well done) . I think i understand your science based recommendations, however there are still a few gaps in my understanding that i would greatly appreciate if you could clarify for me 1) the “bad” bacteria are often referred to as “gram negative” bacteria, so does that mean that the “good” bacteria are “gram positive”? 2) Ive always thought that probiotic supplements provide little (if any) benefit, unless they also include FOS (fructooligosaccharides), which feed the probiotics. Is FOS considered a FODMAP? FOS and/or FODMAPs are none selective as to which bacteria they feed? 3) a healthy biome is often described as having a proper balance of good and bad bacteria, but if bad bacteria are bad . . .why not strive to get rid of all of them? Is that what Rifaximin does? 4) considering the high rate of false positives with the SIBO breath tests, and the invasive nature of the intestinal sample-culture, I’m more inclined to opt for a blood test to test for leaky gut. Are serum zonulin and or LPS the best blood test for that? Is there any reason to also test for some of the inflammatory cytokine mediators such as IL6, TNFalpha, IL8 and IL1beta? 5) Ive read that post-biotics (such as butyric acid), which are produced by the good bacteria. support immune homeostasis. Is there any benefit to supplementing with it? 6) what do you think about treating leaky gut with LDN (low dose naltrexone)?
Dr. Ruscio, I had the aspirate procedure via an endoscopy on May 1st and the result was negative. Is this test accurate and is it is safe to say I don't have sibo. The reason for having the endoscopy was to monitor my stomach lining due to focal atrophic gastritis with intestinal metaplasia. I also have pernaecious anaemia.
It could be that 30% of the control group, did have SIBO, because, looking back, when I thought my digestive system was fine, I actually had a lot of SIBO symptoms that I was used to, but didn't think about it till it got real bad.
Thank you for that info I'm so sold on brain N gut connection. Pro bionic I have tried N of course diet change it took me to turn senior to figure what the heck is going on My brain can not take in stress like I did for soooo long 💗love your channels
I have completed three lactlulose breath tests, all three were positive for SIBO, then completed two rounds of rifaximin, one round of antimicrobials - I have always had/have IBS symptoms, but NEVER SIBO symptoms. I have thought for a long time that the SIBO breath tests are bogus.
How many weeks are you treating with antimicrobials without testing? If I know the amount of my PPM, I can estimate it better. And sometimes the symptoms persist for a while after sibo is negative. So you don't recognise it straight away In my case, the symptoms actually always matched the test result; when they were very bad, the values were also very high
My thoughts regarding the testing is that the window during which the breath samples are taken = a faulty timeline. I only have my own experience with the testing & the many helpful videos on utube, my gastroenterologist was nothing short of dismissive and only contributed to anxiety that can seemingly explode when one is growing gas in their gut!!! At 66 years ive lost the ability to even have a conversation with a doctor as unfortunately the ones ive seen in "real life" don't seem to have a grasp on the fact as to how dire & individual this malady is. They've been throwing meds at people's symptoms for so long, peoples digestive symptoms are in big big trouble. The aisles in the drug stores containing remedy's for digestional ailments are growing at an alarming rate. Im not even certain a dr that hasn't experienced this themself can begin to grasp the enormity of the problem - not being able to consume & digest Real food is a very real problem Thank you for your honest assessment Dr.
Loving your channel, so informative. Currently being treated for SIBO with Candikill, Probiotics’s and ginger root and artichoke premium extract. RD also has me on a diet of just protein and cooked vegetables for two weeks, adding other foods slowly. Does this seem like a good plan? Also, I switched from a probiotic I’ve used for years to one recommended and it seemed to cause bloating and discomfort, can that happen with a change of probiotic? Thank you for any information you can give me.
Q about glucose test: symptoms clear - have SIBO. Lactulose test was positive for methonogenic SIBO. Doing low fodmap and adding the types of probiotics you recommend for 3+ months to start... when symptoms improve, how do I know when to retest? to know if I should keep going if only improved but not done yet? and more importantly, should I request the glucose test instead? if you say don't bother testing, then how do I know if it it is time or too early to transition off of LOW FODMAP and expensive probiotic recolonizing therapy???
Hi there! We generally recommend low FODMAP for up to 3 months and probiotics for a minimum of 2 months. Have you also used antibiotics/antimicrobials?
@DrRuscioDC my doctor does not wish to Rx any meds. would you recommend the lactulose for retesting since that gives better comparison to the baseline test? or is it better to switch to the glucose test because it is more accurate?
@@alanacreates Of the two, glucose is more accurate, but it’s still worth pursuing treatment even in the absence of a positive breath test result if you have symptoms. If prescription antibiotics aren’t an option and you can’t work with a different provider, you could also try herbal antimicrobials. We talk about that more here: drruscio.com/sibo-treatments/.
@DrRuscioDC yes I am doing diet and probiotics to treat as I already had a positive lactulose test. the question was which test to do after the 3 months... retest with lactulose because that is same as first test? or is it still better to retest with glucose? (p.s. I've really enjoyed your channel to help learn more about my situation!)
@@alanacreates Have you tried any antimicrobials? That’s the third step in our treatment protocol. If you want to retest, it might be more useful to go with glucose for accuracy. So happy to hear you enjoy the channel! Thank you so much for your comments.
Breath tests are usually used to diagnose SIBO. Did you have one of those? There isn’t a scientifically validated stool test, though some stool testing can be useful in identifying problems with the microbiome.
Have you taken it for another condition, like IBS? Or were you considering trying to take it in case you have SIBO? Rifaximin can help treat a broad spectrum of GI symptoms, particularly IBS, so its benefits aren’t just limited to SIBO.
@@DrRuscioDC My primary doctor just let me have it because he can’t figure out what I have going on. I’ve had my gall bladder checked, colonoscopy, upper GI and a stomach emptying test. After watching your videos I started a lacto/bifido probiotic and he let me take the Rifaxamin just to see if it helps. I’m only 3 weeks in on the probiotics and on my 2nd week on Rifaximin. Symptoms started in September of 22’ . Tight stomach, gas and I guess constipation but my stools are thin (loose) and used to be sticky. I’m already doing better but I’m just starting. I think it all started when they had me increase my fiber intake which went well at first then the problems started. I lost 50 lbs in less than a year. I could go on but that’s the short story.
@@DrRuscioDC My Primary Doctor let me take it because we are not sure what condition I have. I started a Laco/Bifido probiotic 3 weeks ago and I am on my 2nd week of the Rifaximin. I am doing better already but my biggest issue is my stools are thin and hard to excrete because there is no mass to it. Even sticky at times. I drink a shake every day of Blueberries, Non dairy yogurt, almond milk , Miralax with some L-Glutamine and Collagen. Hoping the pro-biotics and Rifaximin help get me close to what normal used to be. I also take the probiotic Saccharomyces Boulardii as well. What would you do from here? If it were you? Not sure where to go. I watch your videos because they have been the most helpful to this point. I will say when I drink water too fast it really fills me up and makes me feel worse. That part I do not understand.
Hello. I recently had a positive lactulose and a also had a fructose malabsorption positive test. During the lactulose test I had an attack. Waiting to hear back from gastro. I try to eliminate fodmap foods. can be really frustrating. I also have read that low fodmap long term can be detrimental. Can you comment. I have been doing low fodmap for years. Also you Fodzyme when I eat out which is helpful.
Hi there! Low FODMAP, like all elimination diets, is generally intended for short-term use (we recommend it for 1-3 months at minimum), but some people find the best symptom management making certain dietary modifications long-term.
OMG I just watched this and it’s the first time I’ve watched something re sibo where I feel like I’m not being BS’d too. Very knowledgeable. If say I did low fodmap that only reduces symptoms not cure the sibo but if eat healthier (I have dysbiosis) then that could help tackle it. Even though not low fodmap? Ie go thru the pain and sort out the dysbiosis ?
Thank you so much for your lovely comment! I’m so glad to hear it. Low FODMAP has been shown to be helpful for a majority of SIBO patients, but it may not be necessary for everyone and there are other elimination diets to try (paleo is another we recommend). If you suspect dysbiosis, I’d also recommend trying probiotic therapy with some high-quality stains from each other the main three species.
@@DrRuscioDC just loved how you refer to evidence it’s fab. I work in health so I see thru ppls BS. With u I can tell u really are one of the few who researches this seriously. I had the ‘Zoe’ test and came back dysbiosis. Eating rather healthy now (always was I just cut out the naughty treats/sugar). Which probiotics do you recommend pls? I suspect I have sibo as had before but as you say maybe those tests inaccurate. I noticed when I took rifaxamin a couple years ago my severe dry eye disappeared. At the moment it’s coming back. Thanks for ur advice/work
@@zobo718 Thank you so much. You’re so kind to say that. As for probiotics, here’s our comprehensive starter guide: drruscio.com/probiotics-starter-guide/. I recommend taking a combination of Lactobacillus & bifidobacterium species predominated blends, Saccharomyces Boulardii, and Soil-Based Probiotics using various Bacillus species. Triple therapy is what we recommend to get the best result, but you can try strains from these categories individually as well.
@@DrRuscioDC thank you that’s super helpful I’ll have a read of that today. And is there a sibo test you’d recommend without that lactulose pls ? Or u think just go with the diet u recommend and probiotics and it will come good
Get practical, science-based insights straight to your inbox: drruscio.com/signup/
I have found your videos immensely helpful, and I'm grateful for this one. Like many people struggling with gut issues, having undergone several tests and seen several doctors and other practitioners, what remains of the money I can allocate to this has to be directed towards the ongoing expense of natural medicines, supplements, and (where necessary) pharmaceuticals. Consequently I rely heavily on the output of trustworthy and experienced doctors/practitioners who make information available without cost. It would be impossible to overstate how valuable this has been for me. Thank you so much.
Thank you, Penelope. I’m so touched by your comment. I’m incredibly grateful to be able to help this wonderful community of people. You’re the reason we do this!
I really appreciate your videos! I specifically appreciate how you cite specific studies and take a science-based approach(and adaptable approach as the science changes). I, like many others here, have been suffering with SIBO-C that had been confirmed through, what now seems to be an inaccurate SIBO lactulose test on the basis of hydrogen. I've tried many things; low fodmap diet, "leaky gut" diet, herbal antimicrobials, an elemental diet, antibiotics(which transiently help), probiotics(triple therapy) - and the conundrum that I always seem to find myself in, is that symptoms don't seem to improve which makes it challenging to use them as a guide for what works.
Thanks for this. Such practical advice.
Happy to hear it!
Had GERD for 4 yrs - finally have over come it by - completely cutting out fruits in short term, ni sugar, no wheat (replaced with Amaranth flour or soughum), unienzyme.. eat every 3 hrs.. have simple pulses (daals), cooked vegetables, butter milk everyday. Sugarcane juice is also good.
Glad to hear you’ve found something that works for you!
Abhilasha did you cut out bananas and apples as well ?
i have watched several of your videos about SIBO and leaky gut (all VERY well done) . I think i understand your science based recommendations, however there are still a few gaps in my understanding that i would greatly appreciate if you could clarify for me
1) the “bad” bacteria are often referred to as “gram negative” bacteria, so does that mean that the “good” bacteria are “gram positive”?
2) Ive always thought that probiotic supplements provide little (if any) benefit, unless they also include FOS (fructooligosaccharides), which feed the probiotics.
Is FOS considered a FODMAP?
FOS and/or FODMAPs are none selective as to which bacteria they feed?
3) a healthy biome is often described as having a proper balance of good and bad bacteria, but if bad bacteria are bad . . .why not strive to get rid of all of them? Is that what Rifaximin does?
4) considering the high rate of false positives with the SIBO breath tests, and the invasive nature of the intestinal sample-culture, I’m more inclined to opt for a blood test to test for leaky gut.
Are serum zonulin and or LPS the best blood test for that?
Is there any reason to also test for some of the inflammatory cytokine mediators such as IL6, TNFalpha, IL8 and IL1beta?
5) Ive read that post-biotics (such as butyric acid), which are produced by the good bacteria. support immune homeostasis. Is there any benefit to supplementing with it?
6) what do you think about treating leaky gut with LDN (low dose naltrexone)?
Dr. Ruscio, I had the aspirate procedure via an endoscopy on May 1st and the result was negative. Is this test accurate and is it is safe to say I don't have sibo.
The reason for having the endoscopy was to monitor my stomach lining due to focal atrophic gastritis with intestinal metaplasia. I also have pernaecious anaemia.
It could be that 30% of the control group, did have SIBO, because, looking back, when I thought my digestive system was fine, I actually had a lot of SIBO symptoms that I was used to, but didn't think about it till it got real bad.
Hi thx for your work. What do you think about the aire marble? Trustworthy?
Thank you for that info I'm so sold on brain N gut connection. Pro bionic I have tried N of course diet change it took me to turn senior to figure what the heck is going on My brain can not take in stress like I did for soooo long 💗love your channels
Thank you! I’m happy to help!
I have completed three lactlulose breath tests, all three were positive for SIBO, then completed two rounds of rifaximin, one round of antimicrobials - I have always had/have IBS symptoms, but NEVER SIBO symptoms. I have thought for a long time that the SIBO breath tests are bogus.
How many weeks are you treating with antimicrobials without testing?
If I know the amount of my PPM, I can estimate it better. And sometimes the symptoms persist for a while after sibo is negative. So you don't recognise it straight away
In my case, the symptoms actually always matched the test result; when they were very bad, the values were also very high
My thoughts regarding the testing is that the window during which the breath samples are taken = a faulty timeline. I only have my own experience with the testing & the many helpful videos on utube, my gastroenterologist was nothing short of dismissive and only contributed to anxiety that can seemingly explode when one is growing gas in their gut!!! At 66 years ive lost the ability to even have a conversation with a doctor as unfortunately the ones ive seen in "real life" don't seem to have a grasp on the fact as to how dire & individual this malady is. They've been throwing meds at people's symptoms for so long, peoples digestive symptoms are in big big trouble. The aisles in the drug stores containing remedy's for digestional ailments are growing at an alarming rate. Im not even certain a dr that hasn't experienced this themself can begin to grasp the enormity of the problem - not being able to consume & digest Real food is a very real problem
Thank you for your honest assessment Dr.
Loving your channel, so informative. Currently being treated for SIBO with Candikill, Probiotics’s and ginger root and artichoke premium extract. RD also has me on a diet of just protein and cooked vegetables for two weeks, adding other foods slowly. Does this seem like a good plan? Also, I switched from a probiotic I’ve used for years to one recommended and it seemed to cause bloating and discomfort, can that happen with a change of probiotic? Thank you for any information you can give me.
If you have suspected to have sibo you must STOP probiotics on spot , because you don’t need more bacteria in your gut
Am from Pakistan...plzz tell me which foods wo use in sibo and which foods we should avoid.
Try low fod map diet it really helps
On medication 28 days to treat hphylori and now my daughter feels nauseous when she eats has brain fog..anxiety
ask anyone who has recovered from sibo how they managed to do it!. ask him so maybe we will have many answers.
GI Map Test?
Q about glucose test: symptoms clear - have SIBO. Lactulose test was positive for methonogenic SIBO. Doing low fodmap and adding the types of probiotics you recommend for 3+ months to start... when symptoms improve, how do I know when to retest? to know if I should keep going if only improved but not done yet? and more importantly, should I request the glucose test instead? if you say don't bother testing, then how do I know if it it is time or too early to transition off of LOW FODMAP and expensive probiotic recolonizing therapy???
Hi there! We generally recommend low FODMAP for up to 3 months and probiotics for a minimum of 2 months. Have you also used antibiotics/antimicrobials?
@DrRuscioDC my doctor does not wish to Rx any meds. would you recommend the lactulose for retesting since that gives better comparison to the baseline test? or is it better to switch to the glucose test because it is more accurate?
@@alanacreates Of the two, glucose is more accurate, but it’s still worth pursuing treatment even in the absence of a positive breath test result if you have symptoms. If prescription antibiotics aren’t an option and you can’t work with a different provider, you could also try herbal antimicrobials. We talk about that more here: drruscio.com/sibo-treatments/.
@DrRuscioDC yes I am doing diet and probiotics to treat as I already had a positive lactulose test. the question was which test to do after the 3 months... retest with lactulose because that is same as first test? or is it still better to retest with glucose? (p.s. I've really enjoyed your channel to help learn more about my situation!)
@@alanacreates Have you tried any antimicrobials? That’s the third step in our treatment protocol. If you want to retest, it might be more useful to go with glucose for accuracy. So happy to hear you enjoy the channel! Thank you so much for your comments.
What is your opinion on the bird flu infecting cows and humans and now fragments are found in store dairy product ?
Good morning. I had a stool test last year that indicated that I had SIBO. Are there any clinical studies that show the efficacy of this type of test?
Breath tests are usually used to diagnose SIBO. Did you have one of those? There isn’t a scientifically validated stool test, though some stool testing can be useful in identifying problems with the microbiome.
What are the consequences of taking Rifaximin if you do not have SIBO?
Have you taken it for another condition, like IBS? Or were you considering trying to take it in case you have SIBO? Rifaximin can help treat a broad spectrum of GI symptoms, particularly IBS, so its benefits aren’t just limited to SIBO.
@@DrRuscioDC My primary doctor just let me have it because he can’t figure out what I have going on. I’ve had my gall bladder checked, colonoscopy, upper GI and a stomach emptying test. After watching your videos I started a lacto/bifido probiotic and he let me take the Rifaxamin just to see if it helps. I’m only 3 weeks in on the probiotics and on my 2nd week on Rifaximin. Symptoms started in September of 22’ . Tight stomach, gas and I guess constipation but my stools are thin (loose) and used to be sticky. I’m already doing better but I’m just starting. I think it all started when they had me increase my fiber intake which went well at first then the problems started. I lost 50 lbs in less than a year. I could go on but that’s the short story.
@@DrRuscioDC My Primary Doctor let me take it because we are not sure what condition I have. I started a Laco/Bifido probiotic 3 weeks ago and I am on my 2nd week of the Rifaximin. I am doing better already but my biggest issue is my stools are thin and hard to excrete because there is no mass to it. Even sticky at times. I drink a shake every day of Blueberries, Non dairy yogurt, almond milk , Miralax with some L-Glutamine and Collagen. Hoping the pro-biotics and Rifaximin help get me close to what normal used to be. I also take the probiotic Saccharomyces Boulardii as well. What would you do from here? If it were you? Not sure where to go. I watch your videos because they have been the most helpful to this point. I will say when I drink water too fast it really fills me up and makes me feel worse. That part I do not understand.
Hello. I recently had a positive lactulose and a also had a fructose malabsorption positive test. During the lactulose test I had an attack. Waiting to hear back from gastro. I try to eliminate fodmap foods. can be really frustrating. I also have read that low fodmap long term can be detrimental. Can you comment. I have been doing low fodmap for years. Also you Fodzyme when I eat out which is helpful.
Hi there! Low FODMAP, like all elimination diets, is generally intended for short-term use (we recommend it for 1-3 months at minimum), but some people find the best symptom management making certain dietary modifications long-term.
OMG I just watched this and it’s the first time I’ve watched something re sibo where I feel like I’m not being BS’d too. Very knowledgeable.
If say I did low fodmap that only reduces symptoms not cure the sibo but if eat healthier (I have dysbiosis) then that could help tackle it. Even though not low fodmap? Ie go thru the pain and sort out the dysbiosis ?
Thank you so much for your lovely comment! I’m so glad to hear it.
Low FODMAP has been shown to be helpful for a majority of SIBO patients, but it may not be necessary for everyone and there are other elimination diets to try (paleo is another we recommend). If you suspect dysbiosis, I’d also recommend trying probiotic therapy with some high-quality stains from each other the main three species.
@@DrRuscioDC just loved how you refer to evidence it’s fab. I work in health so I see thru ppls BS. With u I can tell u really are one of the few who researches this seriously.
I had the ‘Zoe’ test and came back dysbiosis. Eating rather healthy now (always was I just cut out the naughty treats/sugar). Which probiotics do you recommend pls? I suspect I have sibo as had before but as you say maybe those tests inaccurate. I noticed when I took rifaxamin a couple years ago my severe dry eye disappeared. At the moment it’s coming back. Thanks for ur advice/work
@@zobo718 Thank you so much. You’re so kind to say that.
As for probiotics, here’s our comprehensive starter guide: drruscio.com/probiotics-starter-guide/. I recommend taking a combination of Lactobacillus & bifidobacterium species predominated blends, Saccharomyces Boulardii, and
Soil-Based Probiotics using various Bacillus species. Triple therapy is what we recommend to get the best result, but you can try strains from these categories individually as well.
@@DrRuscioDC thank you that’s super helpful I’ll have a read of that today. And is there a sibo test you’d recommend without that lactulose pls ? Or u think just go with the diet u recommend and probiotics and it will come good
❤️💖🙏❤️💖