SIBO, small intestinal bacterial overgrowth, is in every single place.
I didn’t used to suppose so. In actual fact, in my Undoctored e-book, I acknowledged that SIBO was unusual. Sure, the vast majority of individuals have some extent of dysbiosis, i.e., disruption of the microbial species inhabiting the colon attributable to antibiotic publicity, herbicides/pesticides, meals components, quite a few pharmaceuticals, and many others. However trillions of unhealthy microbes which have proliferated unchecked, then ascended up the 24-feet of ileum, jejunum, duodenum, and abdomen? Absolutely that’s unusual—not less than, that’s what I assumed till I started speaking concerning the AIRE gadget that measures breath hydrogen (H2) gasoline that “maps” out the place within the human gastrointestinal (GI) tract that microbes reside. Though an analogous H2 breath take a look at has been round for quite a lot of years, carried out in a clinic or lab and ordered by the physician, most training physicians are unaware of the worth of this take a look at and barely, if ever, use it. The AIRE gadget brings the comfort of H2-breath testing into the consolation of your kitchen or front room.
As an increasing number of individuals obtained the gadget and started testing, it grew to become clear that SIBO is in every single place. Sure, the individuals who observe my conversations might accomplish that as a result of they’ve well being considerations and outcomes might subsequently be skewed in direction of irregular values. However individuals who examined adverse have been clearly the exception. So we can not make any agency predictions concerning the prevalence of SIBO, however it’s clear that it’s removed from uncommon. Even higher, individuals testing constructive who then tackled their SIBO skilled well being advantages: weight reduction plateaus damaged, blood sugar and HbA1c dropped, residual stomach signs receded, pores and skin rashes disappeared, and many others.
For those who take a look at constructive, or in the event you don’t take a look at however have what I name “telltale indicators” of SIBO reminiscent of fats malabsorption (fats droplets in the bathroom), meals intolerances (histamine, legumes, fructose, FODMAPs, nightshades, and many others.), or well being circumstances nearly synonymous with SIBO reminiscent of stressed leg syndrome, irritable bowel syndrome, or fibromyalgia, how do you eradicate this situation? You’ve selections that embrace standard antibiotics reminiscent of xifaxin that your physician can prescribe, or natural antibiotics, two of which have some scientific proof for efficacy (Candibactin AR/BR and FC Cidal with Dysbiocide).
What about probiotics? For those who took a industrial probiotic, will it eliminate SIBO? No, it’s unlikely that an off-the-shelf probiotic kills off the out-of-control species of SIBO. This could come as no shock, as industrial probiotics usually are not crafted for this objective. As an alternative, the present crop of business probiotics are, for probably the most half, haphazard concoctions of species assembled with no rhyme or purpose. Quite a few components that ought to (and certain will in future) be included into an efficient probiotic embrace inclusion of keystone species, “consortia” or “guilds” of species that “collaborate,” and itemizing strains, not simply species. For those who took a industrial probiotic, even one which prices some huge cash, it would cut back signs related to SIBO reminiscent of bloating or cut back the variety of diarrheal bowel actions, however you’ll greater than possible be left with 30-feet of unhealthy over-proliferated microbes in your GI tract—SIBO persists. You’ll proceed to check constructive for H2 on breath testing.
So let’s subsequently ask totally different questions. Let’s ask what would occur if, fairly than a haphazard assortment of species, we selected species/strains that:
- Colonize the higher GI tract—that, in any case, is the place SIBO happens.
- Produce bacteriocins—these are pure antibiotics produced by chosen microbes efficient in killing or suppressing the species of SIBO reminiscent of Klebsiella, E. coli, or Streptococcus.
Might a correctly curated assortment of microbes then be fermented to excessive counts by utilizing extended fermentation (as I do with my L reuteri yogurt to acquire round 250-260 billion counts, or CFUs, per 1/2-cup serving), then consumed to eradicate SIBO species? I selected three species:
- Lactobacillus gasseri BNR 17 that colonizes the small gut and produces as much as 7 bacteriocins, a digital bacteriocin powerhouse
- Lactobacillus reuteri DSM 17938 and ATCC PTA 6475 that additionally colonize the small gut and produce as much as 4 bacteriocins, together with the highly effective reuterin. (L reuteri is such an efficient antibacterial {that a} microbiologist with 40 years expertise advised me that they generally clear their bacterial manufacturing vats with this microbe. I used to be skeptical and checked with my pal, Raul Cano, PhD, additionally with 40 years of educational microbiology expertise–yup, he confirmed: L reuteri can clear vats of unhealthy microbes.)
- Bacillus coagulans GBI-30,6086 that produces a bacteriocin. It doesn’t colonize the higher GI tract however has been proven to considerably cut back the signs of irritable bowel syndrome that’s nearly synonymous with SIBO.
We co-ferment for 36 hours, then devour 1/2-cup per day for 4 weeks. I didn’t know what to anticipate at first however, up to now, this combination has carried out method past my expectations. Of round 30 individuals who have tried “SIBO Yogurt,” 90% have normalized breath H2 and obtained reduction from SIBO signs. Provided that the most effective in standard healthcare is rifaximin with a observe document of effectiveness of round 50%, if the 90% with the SIBO Yogurt holds up, that might be spectacular. The expertise is preliminary and anecdotal, however promising.
If the remedy for some situation is invasive or excessive like, say, frontal lobotomy or whole colectomy (colon removing), you need to be damned positive of the prognosis and remedy. However what if the potential remedy is benign, a fermented yogurt-like meals? Effectively, then the bar is way decrease. I’m now suggesting to those who they provide the SIBO Yogurt a attempt earlier than making an attempt anything.
If you want to present the SIBO Yogurt a attempt, you’ll find the complete recipe, the place to supply the microbes, and fermentation particulars within the Tremendous Intestine e-book. And be sure you come again and report what your expertise has been.
Right here is my Defiant Well being podcast dialogue of this matter.
