The link above doesn’t go to elemental heal, it goes to probiotic instead. Do you have more info about the 2-4 day elemental reset you recommend and how to do it?
JMO I’m just a person with SIBO not a doctor! The elemental is packages powder you mix. It is very expensive. A few years ago it was $750 & tastes horrible but can be tolerated if your not hypoglycemic. Rifaxamin at the time was $2,200 a bottle Bit SIBO is major and can cause so many health issues you don’t want to mess around with it I cannot tolerate a lot of things and I e had reaffirming SIBO for 4 years. My underlying cause was Lyme disease but I still have that also. I believe doctors should check for anything abstracting the digestive system. Heading back to the doctor today as I’m bed ridden again and really sick! One thing he didn’t mention is the lack of absorption of nutrients and this has been critical for me and last hospital stay was 8 days. Be diligent and get a good doctor who actually cares as this has not been a fun road
I have been doing some form of lowfodmap/low fermentation diet for over 3 years. My gut is still killing me. Can I just start with a prebiotic now. I need help.
I suffered from IBS, ulcers from h pylori, gallbladder attacks, black tarry stools, so many stomach issues. I tried everything known to man. Nothing helped and most suggestions and meditation made me 100% worse. Antibiotics, probiotics, omeprazole, fermented foods, all wrecked my guts terribly. I was begging to die because the pain was so severe and nothing was helping. Then, I decided to try mastic gum after reading a lot about it helping others. I took 1000mg every morning on an empty stomach. Then I switched to a 100% animal based diet. Zero sugar, zero carbs. When I ate my meals I took papaya enzymes. 1 before, 1 during and 1 after. I tried not to eat past 5pm. Usually it was 3pm and I fasted until about 11am. In 3 months not only did my ulcer heal, I stopped having gallbladder attacks. After a year on carnivore, I decided to splurge on my birthday. Then I fell off the wagon. Gained all my weight back that I had lost, but my stomach is still healed. I just started back on carnivore because I felt so much better on that way of eating. God bless to all suffering. It’s no joke having terrible stomach issues.
Something that is often overlooked is fixing the underlying problem that lead to SIBO. As an example, is if someone isn’t producing enough hydrochloric acid (HCL), the SIBO will continuously come back. Loose stools with positive SIBO often can be a cause of low bile flow. Hard stools/constipation + SIBO diagnosis can be a sign of poor HCL production. Taking TUDCA or Green Beet leaf powder can thin the bile to allow it to flow more freely. Just my two cents.
How do I know that I have low HCL ? I have sibo and ibs symptoms but along with hyperacidity, acid reflux,gerd symptoms also so I pretty confused 😔 i don't know why not heal sibo or ibs
@@joy-lv2xh you can do the baking soda test to find out if you have low HCL. Google it. Also, I suggest checking out “fixitnaturally” on RUclips. This channel explains everything in detail on how to heal your gut from SIBO
@@joy-lv2xhusually with sibo, we have low acid because we can't tolerate it, is my guess. You can fix your hcl issue by fixing the main cause of sibo, which is a slow working migrating motor complex. If you take ginger and artichoke supplements, you can take care of both hcl, and migrating motor complex, and it's the most inexpensive way to fix it.
@@joy-lv2xh I guess it would depend on where you have your ulcer. Ginger can increase your hcl levels, and are good for ulcers in small quantities. If you have sibo, it's good to fix your mmc, so taking artichoke with your ginger can help this to get your stomach working properly again.
I was on fodmap diet for two months. I also did the herbs berberine, Allison, and oregano oil for each meal. After three months, I was still not healed. Still suffer bloating stomach pain, constipation. I decided to try carnivore. I am so much better after a month. No longer do I have bloating or stomach pain. those who are reading this need to check out carnivore and its benefits to your gut and your microbial
My experience is kinda similar. Been on a zero-fiber diet (essentially white rice, beef and butter) for the last 6 weeks. After 20+ years with IBS finally my symptoms are way less.
You were likely still eating food that caused you inflammation. A food sensitivity test helps or an all meat diet. But one can be sensitive to beef for instance. So a test is helpful or just trial and error. Body cannot heal if inflammation continues And the food we eat is causing inflammation
I feel the same and i feel like im gonna go crazy soon... I really want to cry carnivore, but im too afraid of constipation because i also struggle alot with that..
Your analysis of "expert opinions" was spot on. It reminds me of a time not too long ago in this country in which we were not allowed to "do our own research" and were "required" to listen to experts, some who CLEARLY didn't know what they were talking about and/or had financial incentives to say certain things.
Iv just watched your video and hace had long history of eczema . Its recently gotten worse and sibo has been diagnosed. Your videos very clear than for puting the effort into making this
What an amazing video! I have suffered terribly over the last 8 years with SIBO and other gut infections. It definitely takes time and patience to get well. Ive learned this the hard way. Again, fantasic video
Thank you so much. I'm so sorry to hear how much you've suffered. I hope you're on the road to recovery now. Resilient people like you really inspire me and the whole team - that's what drives our research. Thanks for being part of our community.
The best video I’ve watched about management of SIBO! And so very well spoken; made the points across so effectively in the most simple way! Thank you so much!
I have also been a carnivore for almost 2 years and it has completely changed my life, already after 2 weeks I no longer had any bloating problems, look on RUclips there is a lot of info about it
The carnivore diet is fairly new and a bit of a fad. Now I am starting to see people who have been on carnivore diet for a number of years having all kinds of health issues. Be careful with this. Of course people feel better initially as they are cutting out ALL GARBAGE that they ate previously.
I did carnivore for three years, but the had diarrhea almost the entire time and lost so much weight that my hair all fell out. I know it works for some people, but it doesn't work for me. I basically can only have rice and beans and eggs
@@curiouscat544 since you were activ here only a few days ago. Did you watch the clip`? i dont know if the reason is language problems - no native speaker - of it it was not clear. Did I get it right that first for 4-6 weeks fodmap food and probiotics and only 4-5 weeks afterwards natural or convential antibiotics? But that they are maybe not needed anyway because the diet and the probiotis do the trick alone? Did I get this right? Would be super helpful, If you could answer. Many thanks!!
Great information. I will say though each person needs to listen to their body. Probiotics made my symptoms much much worse and I became very sick. I lost more weight and became severely malnourished.
I think this happened to me too, are you doing okay now? Would you mind saying which probiotic you took specifically, and how long you took it for? The one I took was a Lacto-Biffido-blend, like he mentioned, but I only took them for one month. I wonder if that had an effect.
@@achaelrays I am alright. I started to get a bit better, but now I have slipped backwards again. Not sure why. I took Megaspore Probiotic and a Bifido Probiotic. I think if you have severe gut issues probiotics will cause die off and can trigger sensitivities too.
Great advice here, I especially appreciate and agree with your advice on each person needing to assess their own status regarding diet, exercise, sleep, stress, emotions etc. all of these things need to be looked at and altered accordingly. It seems a lot of people want a magic supplement, antibiotic etc. to fix their issues, but there's usually much more that needs to be addressed in order to improve, including addressing one's emotional health.
I took five rounds of antibiotics in a 12 month period over two years ago. I am still trying to recover. This video was amazing. I was only taking the first set of probiotics which drastically decreased my fibromyalgia, but my gut still wasn’t healing this answers many questions.
I suffer from symptoms related to SIBO, a hiatal hernia and leaky gut. I have tried natural protocols through a root cause clinic (which cost me about $7,000) xifaxan and elimination/low fodmap diet …without much success. The bloating/inflammation and symptoms are so overwhelming that I decided to take a leave from my job to minimize stress and anxiety. I feel like if my stomach/gut is going to exploit. I continue in my journey to seek healing. The doctor here is very professional in sharing the research that evidences the level of effectiveness of treatments. I consider myself to be in the percentage that doesn’t respond easily to treatment, but I’m willing to try again and to hardly work with controlling my anxiety.
Thank you for your kind words and for sharing your story. I'm so sorry you're going through this. For whatever it's worth, you're not alone. Diseases of the gut are often poorly understood and difficult to treat, and it's hard for people who aren't going through them to understand the toll it takes. But please never give up on healing. I hope you start feeling better soon.
I had every stomach issue under the sun. Nothing prescribed worked. It made me much worse. I’m finally 100% healed from ulcers, h pylori, gallbladder attacks! I took mastic gum for 3 months 1000mg every morning on an empty stomach. In addition, I went full carnivore. No sugars, no carbs. When I ate my two meals a day, I took them with papaya enzymes. 1 before, during and after my meals. After 3 months I was healed from everything. God bless you. I know the pain, anxiety and total frustration you’re feeling. Take good care. ❤
You cannot use just any strain of Saccharomyces boulardii. Most of the Saccharomyces boulardii strains sold are the CNCM-I-3799 or CNCM I-1079. The strain of Saccharomyces boulardii used in the trial was CNCM I-745 and the only brand that contains this strain is Florastor. If anyone knows of another brand that has this strain, please let us know. Thanks to Dr. Ruscio for his great videos with vital information.
Take a look into making your own saccharomyces boulardii. All you need is apple cider and one capsule of Florastor. If you make your own, you get a much higher count. Most of the yeast in the capsules is affected by the heat since most companies store it hot warehouses. By created your own, you'll get a high amount of SB which is great to help with Candida and parasites. Google Dr. William Davis & apple cider & Florastor. He has a RUclips video on this I believe. Best to you. PS, I am making a batch right now.
Sometimes I wish I was never born. I have suffered for 24 years after food poisoning and bad bacteria. I even did a fecal matter transplant. Nothing helps. I also tried HCL in the past, but that didn't help. I am going to try Rifaximin and certain probiotics and enzymes, not that I think they'll work. And tired of low FODMAP diets. Been there, done that. It doesn't work.
I'm finishing my fourth week of Low FODmap. This is the most regular and consistent BM I've ever had in my memory. I still get my sweet tooth met also. Monash has all the recipes.
I’m so glad to find helpful info, I have recently developed bloating, pain, some diarrhea and possibly ulcers/ discomfort! Gas and very uncomfortable. Iits new to me to have these type of issues, I recently stopped being alcoholic though so I’m wondering if it messed up my digestive system😢. I want to see my doctor but I’m afraid they won’t actually be helpful because they’re so often wrong and don’t help a lot of people with these issues. I just found out I probably have an oral latex allergy. I’m praying that I feel better soon right now I’m feeling miserable and scared. I can’t deal with these gross and embarrassing symptoms on top of my anxiety.
I was diagnosed with sibo. and took the food sensitivity test, and was told by my natural physician to go on the low fobmap diet plus with a whole bunch of natural supplements for 90 days. and nothing changed except my wallet, Then i went on the carnivore diet and felt massive improvement after 1 week, and all symptoms gone after 2 weeks.
Doc - this was INCREDIBLE. So much hope and so much tactical advice. I ate a steak last night and felt great, ate vegan the week before and was wasted. I feel like now I have a roadmap (and yes I am working with a DC and an integrative doc on this)
@@lindapelle8738 hi Linda no quite the opposite at first, I used l-glutamine and butyrate to help repair the stomach lining (make sure u take glutamine away from protien foods for maximum absorption) Then I used MCT oil to help fuel all cells (mct oil is unique because it goes straight to the liver then straight to the cells so no need for typical fat digestion. and bile is not needed to digest this particular fat, Then I used high doge probiotics around 100billion a day for a few weeks to help re populate the gut I've been dealing with problems for years but this particular duel of supplements has finally cured my problems, P.s u will have some detox systems mostly a lot of toilet trips but just know its ur body purging out the toxic waste in ur body for me it was backed up bile that was blocking everything, milk thistle is helpful at opening the bile ducts so everything can run smoothly, for once In a long time I feel like I'm actually aborbing my food like I should be 🙏
Thank you SO MUCH!!! My doctors are oblivious to all of this & I just needed confirmation & products! I thought I was doing carnivore the last 3 months, but I was having whipping cream in my coffee & I just discovered the Alpha Brain I was taking contains maltodextrin! Going to start over as soon as I get your products. Thanks again❣
Just wanted to tell you: your meal replacement powder/probiotics helped my hair to grow (but didn't move the needle too much on stomach pain upon eating) What did was doubling up on Swanson's L. Reuterii (day 1 felt feverish and quite a bit better, day two much much better but not back in black all the way) I think I would like to keep your meal replacement in any case (as it didn't hurt me & so) nice to know at least daily nutrients are met with it. Going to try a three day water fast next.
SIBO and histamine intolerance seem to co-exists. I use to take probiotics but felt much worse. Soil base is fine but there seems to be high histamine in probiotics.
Yes I foolishly had a couple tablespoons of kefir this week and had to take a day off work as I felt as though I had been poisoned. Took two days to clear the histamine. Two days of migraine and a bunch of other symptoms. I need to do the protocol but then stick to only the histamine-reducing strains.
@@natasha09179 wow that sounds like me. Sometimes the histamine overload can get so bad I get vertigo and nausea. It takes a few days to clear. The SIBO issue needs to come under control but I am watching what I eat and take supplements for it, but it’s not easy.
@@natasha09179I advise you not to use probiotic kefir or yogurt because it contains a strain that is not mentioned, and when I took yogurt the methane increased, so do not take yogurt or kefir.
@natasha09179 Histamine reducing probiotics might help first, and then you can add Dr. Ruscio's probiotics. A combination of bifidus longun, lactis, and bifidum. Along with lactobacillus gasseri, salvarious and rhamnosus.
Very good information overall however I want to point out that it highly depends on the severity of the SIBO. Probiotics and Diet alone will not clear a severe case of SIBO, and people should definitely test to figure out where they are at on the spectrum (and which type they have). My numbers on the LBT were > 400 so clearly not a 1-round treatment type of situation. Good advice for mild SIBO nonetheless.
Exactly, this info given is way to simplified! The Dr (if educated enough) needs to know if it is only hydrogen that is elevated, and/or methane *and/or hydrogen sulfide which only the 'trio smart' can test for. Based on this, as to antibiotics, one might need only Rifaximin - or that combined with either neomycin or metronidazole - or bismuth in addition as well if it is hydrogen sulfide that is elevated. One must do some self-educating through the premier SIBO researcher in the world, Dr. Mark Pimental. See his most recent youtube webinars. Also, there is now a diagnostic blood test for IBS: 'IBS Smart Test' that can actually diagnose IBS and distinguish an IBS diagnosis from IBD. Again, see Dr. Pimental's intense research although he explains it in ways normal humans can understand.
Isn't motility key to the whole thing? If MMC has gotten reduced function, from mold, food poisoning, or any number of other reasons. The bacteria begin migrating from the colon up to the small intestine. Which in turn leads to an overgrowth. I'd assume that getting this piece back would make everything else easier, and possibly reduce the need for a kill phase for many. Unless there is severe overgrowth or biofilms from SIFO as well. Curious about your thoughts on this 😊🙏🏻 be well!
I also believe intestinal motility is fundamental, when I take a medicine for intestinal motility and I immediately see improvements, now I would like to understand how to restore intestinal motility in a natural way however...
Hello. I am new to your channel and I am very impressed so far. I have been taking a probiotic for over a year now. Should I get off the probiotic and start the Low Fodmap diet? I also have hypothyroidism/Hasimoto Disease so I need to cut out some other foods that are allowed on the Low Fodmap diet. Thank you.
Thank you! ❤ i’ve just delved into this matter for my daughter who’s got symptoms after testing positive with H Pylori six months ago, which is now negative, but she’s having gut issue with constipation and bloating.
Thanks for this, I appreciate your evidence based approach. I agree with your comment about a certain SIBO expert who doesn't recommend probiotics - he obviously doesn't have SIBO! (or IMO, as is the case with me). I do appreciate what he has done for getting SIBO / IMO out there, but as is often the case, the focus is too much on IBS-D, and the diet he proposes doesn't work, at least not for me and my IMO. Low FODMAP is the only one that actually works for my gut issues (I ate some high fodmap fruit the other day, and boy, did I pay for it with the gut pain and bloating that went on and on for so long). I have found soil based probiotics to be good for both IMO and MCAS / MCS, but I will also try the other ones you suggest. Thanks again 🙏
Just remove everything and anything that can cause inflammation and feed any kind of microbes or bacteria or candida. Get a food sensitivity test if you can afford it if not try eating just meat for six weeks and see if you begin to heal. Meat tends to cause the least amount of inflamation in the gut. And the only way the guts going to heal is in the absence of reoccurring inflammation. And the only way a gut infection like Candida is going to die off is if you remove all the food eats. As far as I know there’s no microbe or candida or whatever that eats meat. It’ll take about four months typically. When you start feeling a lot better that would be a safe time to add probiotics. Though you can explore using them before that. Consuming healing supplements for the gut is good like glutamine. Use Meat as medicine. It’s only temporary. When all else fails this is a great protocol.
I'm glad you're speaking temporarily, and not trying to sell people on the magical whimsical properties of the carnivore diet. A great many people seem confused, and don't understand what an elimination diet is.
Salmonella does. Leeave your steak in the fridge for a month and see them in action xD Carnivores are exctremely vulnerable against salmonella so better dont eat raw eggs or sashimi if you want to reduce risk^^
I suffer from constipation and even tho carnivor doesnt make me go the toilet more often, it does form my stool better and leaves nothing behind@@nene5857
this is an amazing video. You are so well spoken too. When in your opinion is best to take probiotics, after food, at night and do we take them all together at once??
Great video! super pleasant rythm, very well explained, and thorough information. I will follow your advice. One question, related to the topic of not being worth it sometimes to follow the "root cause", is there any research or personal evidence about possible hipocloridia as a cause and improvements Betaine HCL supplementation?
Thank you so much. Here's our advice and guidance on HCL: drruscio.com/betaine-hcl/. Our article cites some current research on hypochlorhydria as a potential cause and risk factor, but it's a difficult condition to accurately identify (lab tests are limited in more ways than one). Taking HCL and monitoring your response is one potential way to assess if low stomach acid is fueling your SIBO.
I did elementary diet for 2 weeks. My stomach burned for an hour after each drink. Then 10 days after coming back to food, all of my symptoms came back😢
Wonderful information, thank you very much! I have started the low fodmap and about to add probiotics. On the antibiotics, however, you mentioned they should go AFTER probiotics, is that right? In my mind, I figured that first getting rid of the excess with antibiotics and then "repopulating" with probiotics would make sense... or not?
We’ve seen positive results for those who take probiotics for SIBO, but each person has unique needs. To learn more about probiotics for SIBO and where to get started read: drruscio.com/sibo-probiotics/
Skip the probiotics and antibiotics and use natural mastic gum for 3 months along with a carnivore based diet and all your gut issues will be healed. I promise.
Hi! Burning but embarassing question: can SIBO cause chronic strong body odor despite good hygiene? I know it can cause bb but could gut dysbiosis cause persistent Bo? Love your insights btw!🌟🌟🙏
Try, Carnivore, I have Sibo, and after a few months BO either completely goes away for most people, or it will just be very mild. Also EO Nutrition has videos on Sibo, he recommends B1 ,B5, CDP Choline to treat sibo, so far it's really helping me, my lower tummy puffyness is almost completely gone, something even a year of Carnivore couldn't do, even 4 months lion diet couldn't do it, so it's really working, and I recommend you try, after watching the videos you're self.
sadly i have motility issues and i do incorporate red meat & meats in general but they give me colon spasms/constipation so considering I can't eat it too frequently, going carnivore might kill my gut instead aha. thank you tho!@@connorjoe6700
i can only tolerate plain meats with some veg and have to take ox bile digestive enzymes and betaine hcl.. i feel completely exercise intolerant and have to inject b1 and b12 to try get some energy etc my practitioner has gave me protocol for berberine, oregano oil, do you think that would help? really struggling
@@juanitahyde1265 i done one and there is some bad bacteria but that was a test long ago, i dont get bloating anymore :/ need to try find a good naturopath or something
Great video, thank you!! One question though: Why do you suggest taking the antibiotic last? Does this not kill off the good bacteria that were brought in by the probiotics in the previous weeks and therefore bring me back to the starting point? Very curious, will definitely follow your protocol :)
I don't see the point with the fodmap diet. Starch and glucose are not fodmaps but just as bad. Easier to skip the carbs entirely or as much as you can. Don't eat any vegetables, sugar and grains for a while. Only meat and fat.
I have been taking lacto-bifido blend, saccharomyces boulardii and soil-based probiotics for 3 months along with diet. I feel alot better. Do I continue all three probiotics or do I change them?
I like the video and it explains a lot. I think I can manage this pretty well. However, Once you got to the rifaxmin antibiotics. I know antibiotics can help, especially while taking probiotics. However, what if you cannot get a prescription from a doctor because test results show you do not have SIBO. Doctors will not give you the medication. What do we do?
So I have all the symptoms of SIBO but also have an active h.pylori infection. The GI MAP said that the h.pylori was some non-virile strain but seems like all my symtpoms could be being caused by h.pylori. Would the protocol you outline here still make sense/possibly resolve my symptoms? Thank you!!
Just my personal experience, having had both simultaneously: Eliminating H. Pylori also freed me from my SIBO symptoms for a while (of course, antibiotics). SIBO came back, but I never had any stomach issues again.
My best friend has the same 2 issues. I healed my stomach issues a year ago by taking mastic gum every morning on an empty stomach and going 100% carnivore. After 90;days no more ulcers, h pylori, black tarry stools and no more gallbladder attacks. My friend is one week in and already feeling better. It’s important to finish 90 days! Best of luck.
Thanks for reaching out. So sorry to hear about the issues you’re dealing with. Please know that due to legal restraints, I cannot address personal medical issues outside of the practice. If you’re interested in becoming a patient, please contact the clinic: drruscio.com/virtual-clinic/ We’d love to have you
❤❤❤Doctor, I almost eat nothing for 3 months with severe diarrhea how to start now with meat etc And the probiotics increase my pains.Doctors couldn't help me. Very unpleasant state, lost 30 kgs, no bacteria found
3 months after GI symptoms and migraines. Doctor: "You have SIBO, go on fodmap eat small meals often." Me: Goes on Fodmap, days later migraines become daily and severe. Reduces diet to almost nothing. Migraines daily but less severe. Doctor: "Keep going on Fodmap, take probiotic" Me: Migraines persist, bloating increases over time. Doctor: "Take stronger probiotic" Me: "Bloating worsens, diet becomes even stricter. Cant eat 4 meals a day, daily migraines lessen and become less frequent. Doctor: "Stronger Probiotic" Me: Collapse, bloating max. Doctor: "Colonoscopy time. Looks fine, you must have IBS. We'll call you for a follow up." Me: But I've never had pain. Doctor: "Must have IBS, try meditation." Never calls for follow up, nor do they return my primaries calls. Do note, all the research papers on SIBO can say anything you want it to at this point, that literature is a hot mess since SIBO can come about from so many diverse and potentially mysterious root causes. At least in my experience the ones that fit my personal observations is slow motility will lead to reoccuring SIBO no matter what I do to treat it. Probiotics can be great or they can just be the vehicle for more bacteria in your small intestine and further imbalance in GI systems that are severly weakened. Listen to your symptoms and pray your doctor cares enough to respond and knows enough to reapond correctly.
Food journal what to eat and stay away from. Doing this plus more for 25 years. Carovoir has helped most. Stay away from sugar, anything white or wheat. Research yourself. Don't rely on Dr's. That is why they call it a practice.
For the record, pain isn't a required symptom for IBS. I have IBS and very rarely have pain. For me it's just intense intense discomfort and bloating and indigestion. Which lead to many other issues (such as SIBO and difficulty breathing due to Reflux).
@@fathelos Yeah I'm learning that the Rome classification just doesn't apply to everyone, it does make me wonder how well we have a grasp on this disease. Seems ill defined. Apparently 10% of the population has this and yet I've never met someone going through the things I do. I was a product tester two years ago, eating things constantly. Now I can barely eat three times a day. It's like my body has to recover from the previous meal before I can even think about eating again. Appetite is a memory. I have migraines and episodes of nausea in ways I've never had before that like up with small my Migrating Motor Complex, enough to cause permanent damage to my vestibular system. Am I really on the same IBS path as everyone else? Should I be expecting ginger and peppermint to do something? Feels more like we have a large gap in knowledge on how the mechanisms of motion work in the gut, and the repercussions that occur due to the neurological tomfoolery. It could be many things that are wrong but it will all be under the GI disorder umbrella of IBS until we can untangle the mess and put some real names on it.
@@christophermolitor4554 Sounds quite bad. You might wanna lookup Tyramine and other similar (naturally-occuring) substances in food. Since my IBS/SIBO prevent my body from properly digesting food, this might be resulting in excess amounts of not properly digested Tyramine/Caffeine/Theobromine in my body as I've noticed symptoms that align with excess amounts of those substances. Migraines in particular are a common occurance of high Tyramine + high Caffeine/Theobromine. Nausea too I think.
@@fathelos They are, I'm more on the Histamine suspicion myself. I've isolated out a very limited diet to try to avoid amines in general. Before that it was migraines every day that would end at night in what I thought was a circadian rhythm cycle but only until I realized it was just the further away from a meal I got the better I felt. I settled on the Histamine I tolerance focus due to what I felt was the origin of the incident and also my previous history with dairy. I had no problems up until the point I drank a Green Tea Extract that I was not supposed to while working at a beverage plant. It had not yet been diluted by the 100x it was supposed to. Due to the negative relationship of green tea and the enzyme that processes Histamine I assume I threw that whole mechanism off to the point of collapse given that I couldn't eat the next day and I've never been the same since. That was deemed coincidence and I was pointed down the IBS route. Then with my gastroenterologists all pointing me towards fodmap diets and probiotics that led me to a lot of fish which seemed to cause a secondary crisis very quickly. Basically all the wrong things to do with Histamine intolerance and it skyrocketed SIBO into the picture as I was bloated like I was pregnant for even the smallest meals. Two years and a half dozen rounds of Xifaxan later and I finally feel that I got a handle on the SIBO part. I don't bloat often, however I'm still on a low Histamine diet that I can't shake for the life of me, I still get migraines and vestibular problems all the time, and I still have to go in to doctors and talk to them about stress and meditation. What I want I want research and experimentation. This happened during one of my least stressful times in my life and my GI doesn't care how I'm feeling or what I'm doing. I want to stop being handed pills to try and having to hear the insurance company approved "here's how to make a sick tummy better" pamphlet from my GI doctors and start actually finding out why and when my body starts faltering from a mechanistic standpoint. Can't do that when we assemble poorly defined conditions into classifications with only specific approved treatments that we've boxed everyone into. Then we put pressure on the doctors by forcing right answers because wrong answers equals patient bankruptcy and it all must be done in 30 minute intervals and be solved in 3 pills or less.
I have tried all three probiotics separately and feel worse each time (used each 7-10 days at low dose). I have found I feel a bit better just with kefir (which is a lacto-bifido blend). Should I try that for 2-3 months instead?
Thanks for reaching out. So sorry to hear about the issues you’re dealing with. Please know that due to legal restraints, I cannot address personal medical issues outside of the practice. If you’re interested in becoming a patient, please contact the clinic: drruscio.com/virtual-clinic/ We’d love to help you figure this out and why some may be making you feel worse.
Thanks for the info in detail. So, when you say we can start with prebiotic and then add antibiotics gradually and see the results in a few months. My question is, is this solution temporary, or is it a permanent solution?
My SIBO was on brilliant control after rifampicine and on first stage of low FODMAP diet. But when I started 2nd stage - testing disaster happened. It's 6th day now since I tried testing mannitol. I'm still bloated, still in pain. I've never felt so unwell
I spoke directly with Dr. Siebcker a few months ago on the probiotic research because it sounds incredible! However, she said she (and many of her colleagues) are not seeing SIBO resolution with probiotics clinically.
Probiotics are helping me. I watched a video here a dr saying that yogurt was not a good a source and instead try Kefir. It's making a tremendous difference. I have tried supplements before but my body doesn't tolerate supplements. Better the natural stuff.
I have SIBO off and on and recently my Hydrogem test was positive. I tried probiotics from kefir and my symptoms got worse. I was told to stay away from probiotics. I’m confused. Can you help? I have tried Xifaxan and after a year or so it comes back. How can you help, please?
Hi I really enjoyed your video and your approach to sibo. I have alot of stuff going on. I had the test for sibo which was positive and tried no carbs but that didnt work. I tried rifaxamin but that didnt work but havnt tried the pro biotics. Ive been tested for gastroparesis and get the results next week. I have gastritis and a very sensitive stomach, could you give any advice if the pro biotic would be ok for me please. Also no one has been able to answer this question but when ever I have the tiniest bit of flatulence it burns my stomach and goes upto my sternum like heartburn. I think I dont empty my bowels properly which causes flatulence. Sorry for longquestion lol. Thanks Susan P.s. Also startedwith overactive thyroid recently sure its all linked
Please try mastic gum for 3 months on an empty stomach. Switch ton100% carnivore diet for those 90 days. When you eat your meals take papaya enzymes. Take 3 of them. 1 before, during, and after your meal. I had every stomach issue and modern medicine made me want to die. I was so sick. My stomach has completely healed and it’s been a year now. I’m in the process of helping my friend with SIBO and h pylori. She’s a week in and already feeling so much better. ❤🤗
Can anyone tell me the timeframe for each of these steps? When should we introduce probiotics? When should we introduce antimicrobials? And should they overlap?
I’ve heard a lot of folks talk about eating FODMAPS while on antibiotics to keep the bacteria from going dormant. What are your thoughts on that? Also biofilm disruptors?
Can you clarify the sequencing. It sounds like you are recommending doing all three at once, probiotics with the diet and also an anti-fungal at the same time.
Why do you recommend the 1-10 Billion / 10-15 Billion / 2-6 Billion ratio but then the powder comes in a 50 billion / 6 billion / 6 billion ratio? are you planning on changing this soon? or is the photo on the product page not updated?
I tried the Elemental diet for 1 day and nearly fainted, believing my blood sugar and blood pressure got too low. Then started a modified Elemental (using the one version with whey) and replacing one meal with it. Then going about 5 days while reordering the diet and using Fodmaps+ no dairy. I felt a little better no still having many food reactions. I noticed once I used the Elemental diet again with in a few minutes i was having a reaction most likely the whey. I was disappointed that was an ingredient! Now after experimenting with foods think have High histamine reaction as MANY foods are causing reaction. I wonder if it would have different had I chose the Elemental diet with no whey. That one is more expensive but didnt realize the whey would give me a reaction.
Why would I start exhibiting all those symptoms, AFTER I stopped drinking alcohol?? I mean EXTREME GAS, loose, irregular, sometimes explosive bowel movements ( because of the gas). Any suggestions/explanations??
Try Swanson "SBO" soil based and L. Reuteri Plus. Take the spore in am and L. Reuteri at bed. Helped me. Second or third month do the spore and S. Boulardii. Consider prebiotics before each meal, will greatly help. Research Artichoke, Mastic Gum. Consider a tea daily of Throat Coat with Slippery Elm (many ingredients promote gut health). I do all of this on and off.
Have you seen any correlation between SIBO and rosacea? I have had to take multiple rounds of ABX in the past for recurrent UTIs. I now take Hiprex. My rosacea is the worst its ever been with postules now. I believe I have the methane type of SIBO but have never been tested. Any thoughts would be most appreciated. Thank you so much!
To get started with some of these simple treatments for SIBO, check out my probiotics bit.ly/3PSptue and Elemental Heal bit.ly/48Y2vuk
Doctor , may you make new video about Atopic Dermatitis?
The link above doesn’t go to elemental heal, it goes to probiotic instead. Do you have more info about the 2-4 day elemental reset you recommend and how to do it?
JMO I’m just a person with SIBO not a doctor!
The elemental is packages powder you mix. It is very expensive. A few years ago it was $750 & tastes horrible but can be tolerated if your not hypoglycemic.
Rifaxamin at the time was $2,200 a bottle
Bit SIBO is major and can cause so many health issues you don’t want to mess around with it
I cannot tolerate a lot of things and I e had reaffirming SIBO for 4 years. My underlying cause was Lyme disease but I still have that also. I believe doctors should check for anything abstracting the digestive system.
Heading back to the doctor today as I’m bed ridden again and really sick!
One thing he didn’t mention is the lack of absorption of nutrients and this has been critical for me and last hospital stay was 8 days.
Be diligent and get a good doctor who actually cares as this has not been a fun road
Hello! Dows your probiotic that’s linked cover all three you mentioned in the video?
Lacto, sacro, and soil based?
I have been doing some form of lowfodmap/low fermentation diet for over 3 years. My gut is still killing me. Can I just start with a prebiotic now. I need help.
I suffered from IBS, ulcers from h pylori, gallbladder attacks, black tarry stools, so many stomach issues. I tried everything known to man. Nothing helped and most suggestions and meditation made me 100% worse. Antibiotics, probiotics, omeprazole, fermented foods, all wrecked my guts terribly. I was begging to die because the pain was so severe and nothing was helping. Then, I decided to try mastic gum after reading a lot about it helping others. I took 1000mg every morning on an empty stomach. Then I switched to a 100% animal based diet. Zero sugar, zero carbs. When I ate my meals I took papaya enzymes. 1 before, 1 during and 1 after. I tried not to eat past 5pm. Usually it was 3pm and I fasted until about 11am. In 3 months not only did my ulcer heal, I stopped having gallbladder attacks.
After a year on carnivore, I decided to splurge on my birthday. Then I fell off the wagon. Gained all my weight back that I had lost, but my stomach is still healed. I just started back on carnivore because I felt so much better on that way of eating. God bless to all suffering. It’s no joke having terrible stomach issues.
This is admirable! Stay healthy xx
crazy i'm on the same path as you lol
Do you just chew mastic gum? Or do you swallow it?
Something that is often overlooked is fixing the underlying problem that lead to SIBO. As an example, is if someone isn’t producing enough hydrochloric acid (HCL), the SIBO will continuously come back. Loose stools with positive SIBO often can be a cause of low bile flow. Hard stools/constipation + SIBO diagnosis can be a sign of poor HCL production. Taking TUDCA or Green Beet leaf powder can thin the bile to allow it to flow more freely. Just my two cents.
How do I know that I have low HCL ? I have sibo and ibs symptoms but along with hyperacidity, acid reflux,gerd symptoms also so I pretty confused 😔 i don't know why not heal sibo or ibs
@@joy-lv2xh you can do the baking soda test to find out if you have low HCL. Google it. Also, I suggest checking out “fixitnaturally” on RUclips. This channel explains everything in detail on how to heal your gut from SIBO
@@joy-lv2xhusually with sibo, we have low acid because we can't tolerate it, is my guess. You can fix your hcl issue by fixing the main cause of sibo, which is a slow working migrating motor complex. If you take ginger and artichoke supplements, you can take care of both hcl, and migrating motor complex, and it's the most inexpensive way to fix it.
@@lucreziavilante5993 i have stomach ulcer so is it ok take HCl for restoration stomach acid?
@@joy-lv2xh I guess it would depend on where you have your ulcer. Ginger can increase your hcl levels, and are good for ulcers in small quantities.
If you have sibo, it's good to fix your mmc, so taking artichoke with your ginger can help this to get your stomach working properly again.
I was on fodmap diet for two months. I also did the herbs berberine, Allison, and oregano oil for each meal. After three months, I was still not healed. Still suffer bloating stomach pain, constipation. I decided to try carnivore. I am so much better after a month. No longer do I have bloating or stomach pain. those who are reading this need to check out carnivore and its benefits to your gut and your microbial
My experience is kinda similar. Been on a zero-fiber diet (essentially white rice, beef and butter) for the last 6 weeks. After 20+ years with IBS finally my symptoms are way less.
You were likely still eating food that caused you inflammation. A food sensitivity test helps or an all meat diet. But one can be sensitive to beef for instance. So a test is helpful or just trial and error. Body cannot heal if inflammation continues And the food we eat is causing inflammation
But then do you have to eat like this the rest of your life?
I feel the same and i feel like im gonna go crazy soon... I really want to cry carnivore, but im too afraid of constipation because i also struggle alot with that..
How days we should follow carnivore diet? Plz reply
Your analysis of "expert opinions" was spot on. It reminds me of a time not too long ago in this country in which we were not allowed to "do our own research" and were "required" to listen to experts, some who CLEARLY didn't know what they were talking about and/or had financial incentives to say certain things.
Iv just watched your video and hace had long history of eczema . Its recently gotten worse and sibo has been diagnosed. Your videos very clear than for puting the effort into making this
What an amazing video! I have suffered terribly over the last 8 years with SIBO and other gut infections. It definitely takes time and patience to get well. Ive learned this the hard way. Again, fantasic video
Thank you so much. I'm so sorry to hear how much you've suffered. I hope you're on the road to recovery now. Resilient people like you really inspire me and the whole team - that's what drives our research. Thanks for being part of our community.
Do carnivore. You will cure SIBO in 2-3 weeks.
How did u fix infection
The best video I’ve watched about management of SIBO! And so very well spoken; made the points across so effectively in the most simple way! Thank you so much!
I just wanna say: Thank you! Your content is amazing!
Thank YOU! This is exactly why I work to put out quality information.
I have also been a carnivore for almost 2 years and it has completely changed my life, already after 2 weeks I no longer had any bloating problems, look on RUclips there is a lot of info about it
It's probably because of the glutamine from wheat I read. Low Fodmap works well for me. Not radical.
The carnivore diet is fairly new and a bit of a fad. Now I am starting to see people who have been on carnivore diet for a number of years having all kinds of health issues. Be careful with this. Of course people feel better initially as they are cutting out ALL GARBAGE that they ate previously.
I did carnivore for three years, but the had diarrhea almost the entire time and lost so much weight that my hair all fell out. I know it works for some people, but it doesn't work for me. I basically can only have rice and beans and eggs
@@curiouscat544 since you were activ here only a few days ago. Did you watch the clip`? i dont know if the reason is language problems - no native speaker - of it it was not clear. Did I get it right that first for 4-6 weeks fodmap food and probiotics and only 4-5 weeks afterwards natural or convential antibiotics? But that they are maybe not needed anyway because the diet and the probiotis do the trick alone? Did I get this right? Would be super helpful, If you could answer. Many thanks!!
@@susannatami1511 Yes, you understood correctly.
Great information. I will say though each person needs to listen to their body. Probiotics made my symptoms much much worse and I became very sick. I lost more weight and became severely malnourished.
I think this happened to me too, are you doing okay now? Would you mind saying which probiotic you took specifically, and how long you took it for? The one I took was a Lacto-Biffido-blend, like he mentioned, but I only took them for one month. I wonder if that had an effect.
@@achaelrays I am alright. I started to get a bit better, but now I have slipped backwards again. Not sure why.
I took Megaspore Probiotic and a Bifido Probiotic.
I think if you have severe gut issues probiotics will cause die off and can trigger sensitivities too.
Great advice here, I especially appreciate and agree with your advice on each person needing to assess their own status regarding diet, exercise, sleep, stress, emotions etc. all of these things need to be looked at and altered accordingly. It seems a lot of people want a magic supplement, antibiotic etc. to fix their issues, but there's usually much more that needs to be addressed in order to improve, including addressing one's emotional health.
Please do more content on Sibo👏🏻
I took five rounds of antibiotics in a 12 month period over two years ago. I am still trying to recover. This video was amazing. I was only taking the first set of probiotics which drastically decreased my fibromyalgia, but my gut still wasn’t healing this answers many questions.
Great video thank you 🙏 been struggling for years and I learned so much in this video
Thank you so much for this video!!! The detail, the quality delivery of evidence - God bless you
I suffer from symptoms related to SIBO, a hiatal hernia and leaky gut. I have tried natural protocols through a root cause clinic (which cost me about $7,000) xifaxan and elimination/low fodmap diet …without much success. The bloating/inflammation and symptoms are so overwhelming that I decided to take a leave from my job to minimize stress and anxiety. I feel like if my stomach/gut is going to exploit. I continue in my journey to seek healing. The doctor here is very professional in sharing the research that evidences the level of effectiveness of treatments. I consider myself to be in the percentage that doesn’t respond easily to treatment, but I’m willing to try again and to hardly work with controlling my anxiety.
Sounds severe. Many blessings to you, hope you heal soon, and for good!
Thank you for your kind words and for sharing your story. I'm so sorry you're going through this. For whatever it's worth, you're not alone. Diseases of the gut are often poorly understood and difficult to treat, and it's hard for people who aren't going through them to understand the toll it takes. But please never give up on healing. I hope you start feeling better soon.
Hi Michelle I too have a hiatal hernia and trying to heal with lpr and trying root cause but not good success
I had every stomach issue under the sun. Nothing prescribed worked. It made me much worse. I’m finally 100% healed from ulcers, h pylori, gallbladder attacks! I took mastic gum for 3 months 1000mg every morning on an empty stomach. In addition, I went full carnivore. No sugars, no carbs. When I ate my two meals a day, I took them with papaya enzymes. 1 before, during and after my meals. After 3 months I was healed from everything. God bless you. I know the pain, anxiety and total frustration you’re feeling. Take good care. ❤
@@johnpinto127I’m thinking of using the root cause… what did they do for you?
You have such a soothing voice.
You cannot use just any strain of Saccharomyces boulardii. Most of the Saccharomyces boulardii strains sold are the CNCM-I-3799 or CNCM I-1079. The strain of Saccharomyces boulardii used in the trial was CNCM I-745 and the only brand that contains this strain is Florastor. If anyone knows of another brand that has this strain, please let us know. Thanks to Dr. Ruscio for his great videos with vital information.
O good!! I been doing something right :-) been taking Florastor.
Take a look into making your own saccharomyces boulardii. All you need is apple cider and one capsule of Florastor. If you make your own, you get a much higher count. Most of the yeast in the capsules is affected by the heat since most companies store it hot warehouses. By created your own, you'll get a high amount of SB which is great to help with Candida and parasites. Google Dr. William Davis & apple cider & Florastor. He has a RUclips video on this I believe. Best to you. PS, I am making a batch right now.
Great - totally different than other SIBO videos. More practical
Sometimes I wish I was never born. I have suffered for 24 years after food poisoning and bad bacteria. I even did a fecal matter transplant. Nothing helps. I also tried HCL in the past, but that didn't help. I am going to try Rifaximin and certain probiotics and enzymes, not that I think they'll work. And tired of low FODMAP diets. Been there, done that. It doesn't work.
Try mastic gum . Take on empty stomach
I'm finishing my fourth week of Low FODmap. This is the most regular and consistent BM I've ever had in my memory. I still get my sweet tooth met also. Monash has all the recipes.
Do you still experience sibo symptoms now?
@@Lymura16 very very minimally but I just started probiotics
Exactly what are you eating pls tell.. exactly
@@tubeverse911yea please 🙏🏼 tell
@@lindasingleton3072which probiotics are you taking my friend?
Best video on SIBO. Thanks Dr❤
thank you so much for the education and your work .. the triple pro biotic is working .. ❤
I’m so glad to find helpful info, I have recently developed bloating, pain, some diarrhea and possibly ulcers/ discomfort! Gas and very uncomfortable.
Iits new to me to have these type of issues, I recently stopped being alcoholic though so I’m wondering if it messed up my digestive system😢.
I want to see my doctor but I’m afraid they won’t actually be helpful because they’re so often wrong and don’t help a lot of people with these issues. I just found out I probably have an oral latex allergy.
I’m praying that I feel better soon right now I’m feeling miserable and scared. I can’t deal with these gross and embarrassing symptoms on top of my anxiety.
Thanks for being real.
I was diagnosed with sibo. and took the food sensitivity test, and was told by my natural physician to go on the low fobmap diet plus with a whole bunch of natural supplements for 90 days. and nothing changed except my wallet, Then i went on the carnivore diet and felt massive improvement after 1 week, and all symptoms gone after 2 weeks.
I have also been a carnivore for almost 2 years and it has completely changed my life, already after 2 weeks I no longer had any bloating problems !
@@fausto1688do you just eat steak?
@@markpotts4428 yes only beef, but the time that saved me was L. reuteri sibo yogurt, (search video on RUclips for yogurt sibo l, reuteri)
Doc - this was INCREDIBLE. So much hope and so much tactical advice. I ate a steak last night and felt great, ate vegan the week before and was wasted. I feel like now I have a roadmap (and yes I am working with a DC and an integrative doc on this)
Glutamine + butyrate + MCT oil + probiotics, these supplements seemed to have cured my gut problems
Thats awesome!
Did you have any constipation?
@@lindapelle8738 hi Linda no quite the opposite at first,
I used l-glutamine and butyrate to help repair the stomach lining (make sure u take glutamine away from protien foods for maximum absorption)
Then I used MCT oil to help fuel all cells (mct oil is unique because it goes straight to the liver then straight to the cells so no need for typical fat digestion. and bile is not needed to digest this particular fat,
Then I used high doge probiotics around 100billion a day for a few weeks to help re populate the gut
I've been dealing with problems for years but this particular duel of supplements has finally cured my problems,
P.s u will have some detox systems mostly a lot of toilet trips but just know its ur body purging out the toxic waste in ur body for me it was backed up bile that was blocking everything, milk thistle is helpful at opening the bile ducts so everything can run smoothly, for once In a long time I feel like I'm actually aborbing my food like I should be 🙏
Did you have Sibo?
@@jamieb5679you are pro-genocide ? WTFU🤬
excellent video, thank you for providing scientific research
Thank you SO MUCH!!! My doctors are oblivious to all of this & I just needed confirmation & products! I thought I was doing carnivore the last 3 months, but I was having whipping cream in my coffee & I just discovered the Alpha Brain I was taking contains maltodextrin! Going to start over as soon as I get your products. Thanks again❣
Just wanted to tell you: your meal replacement powder/probiotics helped my hair to grow (but didn't move the needle too much on stomach pain upon eating) What did was doubling up on Swanson's L. Reuterii (day 1 felt feverish and quite a bit better, day two much much better but not back in black all the way) I think I would like to keep your meal replacement in any case (as it didn't hurt me & so) nice to know at least daily nutrients are met with it. Going to try a three day water fast next.
Curious to know your take on Covid, Long Haul Covid and small intestine.
Im curious too
SIBO and histamine intolerance seem to co-exists. I use to take probiotics but felt much worse. Soil base is fine but there seems to be high histamine in probiotics.
Yes I foolishly had a couple tablespoons of kefir this week and had to take a day off work as I felt as though I had been poisoned. Took two days to clear the histamine. Two days of migraine and a bunch of other symptoms. I need to do the protocol but then stick to only the histamine-reducing strains.
@@natasha09179 wow that sounds like me. Sometimes the histamine overload can get so bad I get vertigo and nausea. It takes a few days to clear. The SIBO issue needs to come under control but I am watching what I eat and take supplements for it, but it’s not easy.
Antihistamines may cause dehydration when used
@@natasha09179I advise you not to use probiotic kefir or yogurt because it contains a strain that is not mentioned, and when I took yogurt the methane increased, so do not take yogurt or kefir.
@natasha09179 Histamine reducing probiotics might help first, and then you can add Dr. Ruscio's probiotics. A combination of bifidus longun, lactis, and bifidum. Along with lactobacillus gasseri, salvarious and rhamnosus.
Very good information overall however I want to point out that it highly depends on the severity of the SIBO. Probiotics and Diet alone will not clear a severe case of SIBO, and people should definitely test to figure out where they are at on the spectrum (and which type they have). My numbers on the LBT were > 400 so clearly not a 1-round treatment type of situation. Good advice for mild SIBO nonetheless.
Exactly, this info given is way to simplified! The Dr (if educated enough) needs to know if it is only hydrogen that is elevated, and/or methane *and/or hydrogen sulfide which only the 'trio smart' can test for. Based on this, as to antibiotics, one might need only Rifaximin - or that combined with either neomycin or metronidazole - or bismuth in addition as well if it is hydrogen sulfide that is elevated. One must do some self-educating through the premier SIBO researcher in the world, Dr. Mark Pimental. See his most recent youtube webinars.
Also, there is now a diagnostic blood test for IBS: 'IBS Smart Test' that can actually diagnose IBS and distinguish an IBS diagnosis from IBD. Again, see Dr. Pimental's intense research although he explains it in ways normal humans can understand.
I was on a low FODMAP first for 4 months, started with soil based probiotic and I am getting symptoms again. Lots of burping…😢
Isn't motility key to the whole thing? If MMC has gotten reduced function, from mold, food poisoning, or any number of other reasons. The bacteria begin migrating from the colon up to the small intestine. Which in turn leads to an overgrowth. I'd assume that getting this piece back would make everything else easier, and possibly reduce the need for a kill phase for many. Unless there is severe overgrowth or biofilms from SIFO as well.
Curious about your thoughts on this 😊🙏🏻 be well!
I also believe intestinal motility is fundamental, when I take a medicine for intestinal motility and I immediately see improvements, now I would like to understand how to restore intestinal motility in a natural way however...
Does caffeine affect SIBO in any way?
I don't know if it is specifically the caffeine for me, but generally all the other stuff in caffeinated products tend to stir me up
Hello. I am new to your channel and I am very impressed so far. I have been taking a probiotic for over a year now. Should I get off the probiotic and start the Low Fodmap diet? I also have hypothyroidism/Hasimoto Disease so I need to cut out some other foods that are allowed on the Low Fodmap diet. Thank you.
Do a carnivore diet for 90 days. Everything you mentioned above will disappear. ❤🤗
Thank you! ❤ i’ve just delved into this matter for my daughter who’s got symptoms after testing positive with H Pylori six months ago, which is now negative, but she’s having gut issue with constipation and bloating.
Great information..thank you! 🤞
Thanks for this, I appreciate your evidence based approach. I agree with your comment about a certain SIBO expert who doesn't recommend probiotics - he obviously doesn't have SIBO! (or IMO, as is the case with me). I do appreciate what he has done for getting SIBO / IMO out there, but as is often the case, the focus is too much on IBS-D, and the diet he proposes doesn't work, at least not for me and my IMO. Low FODMAP is the only one that actually works for my gut issues (I ate some high fodmap fruit the other day, and boy, did I pay for it with the gut pain and bloating that went on and on for so long).
I have found soil based probiotics to be good for both IMO and MCAS / MCS, but I will also try the other ones you suggest. Thanks again 🙏
Of course. I'm glad this video can be useful in practice for you. Definitely try the ones I suggest and keep me posted.
Neither the low fermentation nor the Low fodmap doet helped me
What probiotics are best for IMO? I also suffer with it daily.
Dr P thinks you should clear Sibo before taking probiotics and says to wait 3 months after it's clear to take them.
@@jamieb5679 I use soil based, MegaSpore to be exact
Thank you so much, such a beneficial video. 😊
Just remove everything and anything that can cause inflammation and feed any kind of microbes or bacteria or candida. Get a food sensitivity test if you can afford it if not try eating just meat for six weeks and see if you begin to heal. Meat tends to cause the least amount of inflamation in the gut. And the only way the guts going to heal is in the absence of reoccurring inflammation. And the only way a gut infection like Candida is going to die off is if you remove all the food eats. As far as I know there’s no microbe or candida or whatever that eats meat. It’ll take about four months typically. When you start feeling a lot better that would be a safe time to add probiotics. Though you can explore using them before that. Consuming healing supplements for the gut is good like glutamine.
Use Meat as medicine. It’s only temporary. When all else fails this is a great protocol.
Ty so much i been looking for this detailed info
I'm glad you're speaking temporarily, and not trying to sell people on the magical whimsical properties of the carnivore diet. A great many people seem confused, and don't understand what an elimination diet is.
Bad advice for those suffering with constipation
Salmonella does. Leeave your steak in the fridge for a month and see them in action xD Carnivores are exctremely vulnerable against salmonella so better dont eat raw eggs or sashimi if you want to reduce risk^^
I suffer from constipation and even tho carnivor doesnt make me go the toilet more often, it does form my stool better and leaves nothing behind@@nene5857
So interesting about adding probiotics at this stage. I am intrigued!
Great Video
Very informative.
Th Ankh You
Thanks for watching! You are welcome
this is an amazing video. You are so well spoken too. When in your opinion is best to take probiotics, after food, at night and do we take them all together at once??
Great video! super pleasant rythm, very well explained, and thorough information. I will follow your advice. One question, related to the topic of not being worth it sometimes to follow the "root cause", is there any research or personal evidence about possible hipocloridia as a cause and improvements Betaine HCL supplementation?
Thank you so much. Here's our advice and guidance on HCL: drruscio.com/betaine-hcl/. Our article cites some current research on hypochlorhydria as a potential cause and risk factor, but it's a difficult condition to accurately identify (lab tests are limited in more ways than one). Taking HCL and monitoring your response is one potential way to assess if low stomach acid is fueling your SIBO.
Doctor Ruscio, have you already taken a look at the studies on the lactobacillus reuteri 17938?
And bifidobacterium lactis
I did elementary diet for 2 weeks. My stomach burned for an hour after each drink. Then 10 days after coming back to food, all of my symptoms came back😢
Wonderful information, thank you very much! I have started the low fodmap and about to add probiotics. On the antibiotics, however, you mentioned they should go AFTER probiotics, is that right? In my mind, I figured that first getting rid of the excess with antibiotics and then "repopulating" with probiotics would make sense... or not?
We’ve seen positive results for those who take probiotics for SIBO, but each person has unique needs. To learn more about probiotics for SIBO and where to get started read: drruscio.com/sibo-probiotics/
Auto reply this doesn’t even answer the question
Skip the probiotics and antibiotics and use natural mastic gum for 3 months along with a carnivore based diet and all your gut issues will be healed. I promise.
Hi! Burning but embarassing question: can SIBO cause chronic strong body odor despite good hygiene? I know it can cause bb but could gut dysbiosis cause persistent Bo? Love your insights btw!🌟🌟🙏
SIBO can cause fishy body odor.
Take magnesium supplement. If u are low in it body can smell
Try, Carnivore, I have Sibo, and after a few months BO either completely goes away for most people, or it will just be very mild. Also EO Nutrition has videos on Sibo, he recommends B1 ,B5, CDP Choline to treat sibo, so far it's really helping me, my lower tummy puffyness is almost completely gone, something even a year of Carnivore couldn't do, even 4 months lion diet couldn't do it, so it's really working, and I recommend you try, after watching the videos you're self.
sadly i have motility issues and i do incorporate red meat & meats in general but they give me colon spasms/constipation so considering I can't eat it too frequently, going carnivore might kill my gut instead aha. thank you tho!@@connorjoe6700
WHY did you put MALTODEXTRIN in your Elemental product? Please take it out. Please?
Wheat, corn, rice and/or starches in Maltodextrin-🤷♀️
i can only tolerate plain meats with some veg and have to take ox bile digestive enzymes and betaine hcl.. i feel completely exercise intolerant and have to inject b1 and b12 to try get some energy etc my practitioner has gave me protocol for berberine, oregano oil, do you think that would help? really struggling
Did you find something that worked?
@@juanitahyde1265 nope :/
@@peelyo94 well dang did you get a sibo test? Maybe you could do a GI map as well see what's up in your gut
@@juanitahyde1265 i done one and there is some bad bacteria but that was a test long ago, i dont get bloating anymore :/ need to try find a good naturopath or something
I wish I could get an appointment with a health care appointment.
Great video, thank you!!
One question though: Why do you suggest taking the antibiotic last? Does this not kill off the good bacteria that were brought in by the probiotics in the previous weeks and therefore bring me back to the starting point?
Very curious, will definitely follow your protocol :)
I’d like to know how the antibiotics affect good gut bacteria also!
Exactly!
@@ambers4524perhaps it’s a last resort? Incase the other approaches don’t work
Mastic gum is Mother Natures cure for stomach issues. Along with a carnivore based diet. 90;days your gut issues will be 100% gone.
I don't see the point with the fodmap diet. Starch and glucose are not fodmaps but just as bad. Easier to skip the carbs entirely or as much as you can. Don't eat any vegetables, sugar and grains for a while. Only meat and fat.
I have been taking lacto-bifido blend, saccharomyces boulardii and soil-based probiotics for 3 months along with diet. I feel alot better. Do I continue all three probiotics or do I change them?
I like the video and it explains a lot. I think I can manage this pretty well. However, Once you got to the rifaxmin antibiotics. I know antibiotics can help, especially while taking probiotics. However, what if you cannot get a prescription from a doctor because test results show you do not have SIBO. Doctors will not give you the medication. What do we do?
can we get a how to treat a candida video next thank you.
Check this out. drruscio.com/strongest-candida-killer/
So I have all the symptoms of SIBO but also have an active h.pylori infection. The GI MAP said that the h.pylori was some non-virile strain but seems like all my symtpoms could be being caused by h.pylori. Would the protocol you outline here still make sense/possibly resolve my symptoms? Thank you!!
Just my personal experience, having had both simultaneously: Eliminating H. Pylori also freed me from my SIBO symptoms for a while (of course, antibiotics). SIBO came back, but I never had any stomach issues again.
My best friend has the same 2 issues. I healed my stomach issues a year ago by taking mastic gum every morning on an empty stomach and going 100% carnivore. After 90;days no more ulcers, h pylori, black tarry stools and no more gallbladder attacks. My friend is one week in and already feeling better. It’s important to finish 90 days! Best of luck.
I like u r so concerned with others poison trying to give solution that worked for you. Appreciate it@@Sabbathissaturday
Take me into your trial) for ED. I have very stubborn SIBO case
Thanks for reaching out. So sorry to hear about the issues you’re dealing with. Please know that due to legal restraints, I cannot address personal medical issues outside of the practice. If you’re interested in becoming a patient, please contact the clinic: drruscio.com/virtual-clinic/ We’d love to have you
What about drinking kombucha for the probiotic effect?
Helps. Spore based would compliment well
How can i distinguish whether i have sibo or leaky gut?
could have both usually if you have sibo you prob have leaky gut also fix one at a time start with sibo
Know, the risk for antibiotics. I took Xifaxan and Metronidazole from my methane dominant Sibo, and all I did was completely destroy my gut!🤬
Me too...went natural (Neem, Oregano, Cinnamon, Allicin) and cured combination in two treatments
Dr Pimentel seems to differ quite alot in how to treat SIBO, especially the probiotics! And the Low-fodmap diet too.
Thank you❤
Excellent!
When the elemental diet doesn’t work?
Like you bloat when you drink those meal replacement shakes?
❤❤❤Doctor, I almost eat nothing for 3 months with severe diarrhea how to start now with meat etc And the probiotics increase my pains.Doctors couldn't help me.
Very unpleasant state, lost 30 kgs, no bacteria found
Vancomycin and activia yogurt
Eat meat and add betaine hci and pepsin bills before each meal just to make sure your gut will be able to digest meat easily
3 months after GI symptoms and migraines.
Doctor: "You have SIBO, go on fodmap eat small meals often."
Me: Goes on Fodmap, days later migraines become daily and severe. Reduces diet to almost nothing. Migraines daily but less severe.
Doctor: "Keep going on Fodmap, take probiotic"
Me: Migraines persist, bloating increases over time.
Doctor: "Take stronger probiotic"
Me: "Bloating worsens, diet becomes even stricter. Cant eat 4 meals a day, daily migraines lessen and become less frequent.
Doctor: "Stronger Probiotic"
Me: Collapse, bloating max.
Doctor: "Colonoscopy time. Looks fine, you must have IBS. We'll call you for a follow up."
Me: But I've never had pain.
Doctor: "Must have IBS, try meditation." Never calls for follow up, nor do they return my primaries calls.
Do note, all the research papers on SIBO can say anything you want it to at this point, that literature is a hot mess since SIBO can come about from so many diverse and potentially mysterious root causes. At least in my experience the ones that fit my personal observations is slow motility will lead to reoccuring SIBO no matter what I do to treat it. Probiotics can be great or they can just be the vehicle for more bacteria in your small intestine and further imbalance in GI systems that are severly weakened. Listen to your symptoms and pray your doctor cares enough to respond and knows enough to reapond correctly.
Food journal what to eat and stay away from. Doing this plus more for 25 years. Carovoir has helped most. Stay away from sugar, anything white or wheat. Research yourself. Don't rely on Dr's. That is why they call it a practice.
For the record, pain isn't a required symptom for IBS. I have IBS and very rarely have pain. For me it's just intense intense discomfort and bloating and indigestion. Which lead to many other issues (such as SIBO and difficulty breathing due to Reflux).
@@fathelos Yeah I'm learning that the Rome classification just doesn't apply to everyone, it does make me wonder how well we have a grasp on this disease. Seems ill defined. Apparently 10% of the population has this and yet I've never met someone going through the things I do. I was a product tester two years ago, eating things constantly. Now I can barely eat three times a day. It's like my body has to recover from the previous meal before I can even think about eating again. Appetite is a memory. I have migraines and episodes of nausea in ways I've never had before that like up with small my Migrating Motor Complex, enough to cause permanent damage to my vestibular system.
Am I really on the same IBS path as everyone else? Should I be expecting ginger and peppermint to do something? Feels more like we have a large gap in knowledge on how the mechanisms of motion work in the gut, and the repercussions that occur due to the neurological tomfoolery. It could be many things that are wrong but it will all be under the GI disorder umbrella of IBS until we can untangle the mess and put some real names on it.
@@christophermolitor4554 Sounds quite bad. You might wanna lookup Tyramine and other similar (naturally-occuring) substances in food. Since my IBS/SIBO prevent my body from properly digesting food, this might be resulting in excess amounts of not properly digested Tyramine/Caffeine/Theobromine in my body as I've noticed symptoms that align with excess amounts of those substances. Migraines in particular are a common occurance of high Tyramine + high Caffeine/Theobromine. Nausea too I think.
@@fathelos They are, I'm more on the Histamine suspicion myself. I've isolated out a very limited diet to try to avoid amines in general. Before that it was migraines every day that would end at night in what I thought was a circadian rhythm cycle but only until I realized it was just the further away from a meal I got the better I felt.
I settled on the Histamine I tolerance focus due to what I felt was the origin of the incident and also my previous history with dairy. I had no problems up until the point I drank a Green Tea Extract that I was not supposed to while working at a beverage plant. It had not yet been diluted by the 100x it was supposed to. Due to the negative relationship of green tea and the enzyme that processes Histamine I assume I threw that whole mechanism off to the point of collapse given that I couldn't eat the next day and I've never been the same since. That was deemed coincidence and I was pointed down the IBS route. Then with my gastroenterologists all pointing me towards fodmap diets and probiotics that led me to a lot of fish which seemed to cause a secondary crisis very quickly. Basically all the wrong things to do with Histamine intolerance and it skyrocketed SIBO into the picture as I was bloated like I was pregnant for even the smallest meals.
Two years and a half dozen rounds of Xifaxan later and I finally feel that I got a handle on the SIBO part. I don't bloat often, however I'm still on a low Histamine diet that I can't shake for the life of me, I still get migraines and vestibular problems all the time, and I still have to go in to doctors and talk to them about stress and meditation. What I want I want research and experimentation. This happened during one of my least stressful times in my life and my GI doesn't care how I'm feeling or what I'm doing. I want to stop being handed pills to try and having to hear the insurance company approved "here's how to make a sick tummy better" pamphlet from my GI doctors and start actually finding out why and when my body starts faltering from a mechanistic standpoint. Can't do that when we assemble poorly defined conditions into classifications with only specific approved treatments that we've boxed everyone into. Then we put pressure on the doctors by forcing right answers because wrong answers equals patient bankruptcy and it all must be done in 30 minute intervals and be solved in 3 pills or less.
What do you recommend for people who have sibo and Crohn’s disease and on injections?
I think fasting along with this protocol would great!
Why probiotics before antimicrobials?
I have tried all three probiotics separately and feel worse each time (used each 7-10 days at low dose). I have found I feel a bit better just with kefir (which is a lacto-bifido blend). Should I try that for 2-3 months instead?
Thanks for reaching out. So sorry to hear about the issues you’re dealing with. Please know that due to legal restraints, I cannot address personal medical issues outside of the practice. If you’re interested in becoming a patient, please contact the clinic: drruscio.com/virtual-clinic/ We’d love to help you figure this out and why some may be making you feel worse.
brilliant approach. ty.
do you have a probiotic you recommend? i usually do Bio K off n on
Thanks for the info in detail. So, when you say we can start with prebiotic and then add antibiotics gradually and see the results in a few months. My question is, is this solution temporary, or is it a permanent solution?
My SIBO was on brilliant control after rifampicine and on first stage of low FODMAP diet. But when I started 2nd stage - testing disaster happened. It's 6th day now since I tried testing mannitol. I'm still bloated, still in pain. I've never felt so unwell
@@weedow-gm3co it gone after taking anti histamine. Thank you
I spoke directly with Dr. Siebcker a few months ago on the probiotic research because it sounds incredible! However, she said she (and many of her colleagues) are not seeing SIBO resolution with probiotics clinically.
Probiotics are helping me. I watched a video here a dr saying that yogurt was not a good a source and instead try Kefir. It's making a tremendous difference. I have tried supplements before but my body doesn't tolerate supplements. Better the natural stuff.
I have SIBO off and on and recently my Hydrogem test was positive. I tried probiotics from kefir and my symptoms got worse. I was told to stay away from probiotics. I’m confused. Can you help? I have tried Xifaxan and after a year or so it comes back. How can you help, please?
If doing the elemental diet, should you be taking the probiotic protocol after the 2-4 days of just liquid diet?
What about ozone?
Hi I really enjoyed your video and your approach to sibo.
I have alot of stuff going on.
I had the test for sibo which was positive and tried no carbs but that didnt work. I tried rifaxamin but that didnt work but havnt tried the pro biotics. Ive been tested for gastroparesis and get the results next week. I have gastritis and a very sensitive stomach, could you give any advice if the pro biotic would be ok for me please.
Also no one has been able to answer this question but when ever I have the tiniest bit of flatulence it burns my stomach and goes upto my sternum like heartburn. I think I dont empty my bowels properly which causes flatulence. Sorry for longquestion lol.
Thanks Susan
P.s. Also startedwith overactive thyroid recently sure its all linked
Please try mastic gum for 3 months on an empty stomach. Switch ton100% carnivore diet for those 90 days. When you eat your meals take papaya enzymes. Take 3 of them. 1 before, during, and after your meal. I had every stomach issue and modern medicine made me want to die. I was so sick. My stomach has completely healed and it’s been a year now. I’m in the process of helping my friend with SIBO and h pylori. She’s a week in and already feeling so much better. ❤🤗
Can anyone tell me the timeframe for each of these steps? When should we introduce probiotics? When should we introduce antimicrobials? And should they overlap?
Every medial ailment has the same set of symptoms
I’ve heard a lot of folks talk about eating FODMAPS while on antibiotics to keep the bacteria from going dormant. What are your thoughts on that? Also biofilm disruptors?
Hi doctor, can sibo make gastrocolic reflex? I thin I have it because after eating I have all the symptoms 😢
Thank you for all the great information. Does Low fodmap diet help histamine intolerance?
Thanks for watching. And great question. I'm actually planning on a histamine intolerance video soon, so stay tuned!
Awesome! Thank you.
I’ve missed something… histamine intolerance, I’ll have to back track and see if this is an issue.
Can you clarify the sequencing. It sounds like you are recommending doing all three at once, probiotics with the diet and also an anti-fungal at the same time.
Why do you recommend the 1-10 Billion / 10-15 Billion / 2-6 Billion ratio but then the powder comes in a 50 billion / 6 billion / 6 billion ratio? are you planning on changing this soon? or is the photo on the product page not updated?
Had sibo antibiotics, got sliding hernia after my linx operation.sibo ive got acid back please help me . Please
Do you have this information available in written form:
Does this apply to hydrogen and methane?
I'm confused. The last video of yours I saw suggested prebiotic fiber and probiotics to cure IMO. This is contradictory.
Doubt it will cure IMO.
I tried the Elemental diet for 1 day and nearly fainted, believing my blood sugar and blood pressure got too low. Then started a modified Elemental (using the one version with whey) and replacing one meal with it. Then going about 5 days while reordering the diet and using Fodmaps+ no dairy. I felt a little better no still having many food reactions. I noticed once I used the Elemental diet again with in a few minutes i was having a reaction most likely the whey. I was disappointed that was an ingredient! Now after experimenting with foods think have High histamine reaction as MANY foods are causing reaction. I wonder if it would have different had I chose the Elemental diet with no whey. That one is more expensive but didnt realize the whey would give me a reaction.
Why would I start exhibiting all those symptoms, AFTER I stopped drinking alcohol?? I mean EXTREME GAS, loose, irregular, sometimes explosive bowel movements ( because of the gas). Any suggestions/explanations??
For someone with both MCAS and severe motility disorders, which probiotic would you recommend starting with first?
Try Swanson "SBO" soil based and L. Reuteri Plus. Take the spore in am and L. Reuteri at bed. Helped me. Second or third month do the spore and S. Boulardii. Consider prebiotics before each meal, will greatly help. Research Artichoke, Mastic Gum. Consider a tea daily of Throat Coat with Slippery Elm (many ingredients promote gut health). I do all of this on and off.
I’m currently doing the elemental heal…can I take your probiotics at the same time?
Have you seen any correlation between SIBO and rosacea? I have had to take multiple rounds of ABX in the past for recurrent UTIs. I now take Hiprex. My rosacea is the worst its ever been with postules now. I believe I have the methane type of SIBO but have never been tested. Any thoughts would be most appreciated. Thank you so much!
for rosacea, ask for an ointment with ivermectin, for me it resolved the rosacea in about 1 month
I found out that I had sibo from several tests. I am now trying the low fodmap diet but still have symptoms and going back on meds
Try carnivore