Because your gut controls 80% of your immune system and can regulate your mood and genetic expression, we're just beginning to see the far reaching associations between SIBO and autoimmune conditions like autoimmune thyroiditis (Hashimoto's), skin conditions like rosacea, chronic conditions like diabetes and seemingly unrelated conditions like fibromyalgia.
Seven-Step Plan To Reverse SIBO:
1. Compile a complete health history.
NSAID use and SIBO appear to be associated, though the relationship is not totally clear; past food poisonings, chronic gut infections and prior intestinal surgeries can also disturb the gut and could be of interest to a medical professional. Getting a complete health history can help rule determine whether SIBO may be a factor.
2. Seek out comprehensive diagnostic testing.
Functional medicine is concerned with the underlying mechanisms of the health condition. The lab I run on my patients is a fasting lactulose breath test which measures the gases (methane and hydrogen) released by the bacterial overgrowth.
3. Fast intermittently.
Sometimes I will design a specific intermittent fasting protocol, where the patient limits food intake for a short period of time to starve out the bacterial overgrowth. There is no one-size-fits all approach, and this doesn't work for everyone.
4. Avoid high-FODMAP foods.
FODMAP stands for Fermentable Oligo-, Di-, Monosaccharides And Polyols. Some foods that are high in FODMAPS are onions, cabbage, beans, apples and rye. These foods can aggravate SIBO. Monash University, a leader in research on this topic, has a great app to help you stick to low FODMAPs. Again, a customized approach is very helpful.
5. Avoid snacking.
Allowing time between meals is a small modification that can allow the migrating motor complex to work more efficiently.
6. Try herbal antibiotics.
I recommend a wide spectrum blend of herbal antibiotics that includes extracts from oregano, goldenseal, uva ursi and garlic, among others. This is an anecdotal gut overgrowth bomb that is a piece of the SIBO puzzle.
7. Take probiotics.
A combination of Bifidobacteria, Enterococcus and Lactobacillus has been shown to have a positive effect on irritable bowel syndrome. Avoid probiotics that contain prebiotics, which can feed the bacterial overgrowth.
As always, seek help from a medical professional to treat any symptoms you experience.