10

votes

SIBO: Share your successful strategies!

Commented on March 02, 2015
Created July 13, 2012 at 6:39 AM

Hello everyone :)

Obviouslly alot of people go paleo with some kind of health malady, and especially digestive issues.

(My personal SIBO story follows at the end)

Anyway, Id really like to hear from others: what has worked for you?!!!

What supplements? Has anyone found a decent cure, or treatment for gut rawness due to reduced mucosa? What about this DGL stuff? Slippery elm? Or has anyone found that some amino, like glutamine, at some dose speeds up recovery?

Anti-biotics? Herbal, or (shock horror) synthetic (I did have a two week course - I really needed to)

Pro-or pre-biotics?

(I personally had one dose of probiotic make be significantly sick for about 24 hours, and i have read that it may be a bad idea too, according to some for SIBO, so I am reluctant to think of this as a good approach. There is no doubt my motility is damaged, so without good cleaning waves, adding more bacteria to my small intestine orally, seems not to make logical sense. Still if it works for you, tell us know, and which probiotic too!)

Foods? Is there any great food combination/menu you found?

Anything else ive missed? Or any suggestions from those who dont have SIBO, based on something theyve read/science/logic?

Cheers!

.... ....

My story so far:

My personal experimentation with my SIBO, is that bloating, burping are totally reduced when I avoid high starch foods (scd/maps), and high fructose intakes or fodmaps (fodmaps).

I try and get some carb in just via a bit of glucose as sweetner, and a small bowl of berries with breakfast and dinner. Also occasional unsweetened cranberry juice. Basically all quick carbs, but as I understand it, I beleive glucose can be stored for latter use. Slow carbs are a no go, because slow glucose, means slowly digested.

I am finding I totally need to watch my electrolytes and hydration with even quite moderate ketosis (I think I am about 60-70 grams of carb a day maybe, fairly inactive ATM). I now make sure I eat and ingest plenty of electrolyte foods, very regularly too avoid this.

I have started using homemade jelly (gelatin) for coating my gut, because even though my bloating and burping, reflux, unwellness feeling went down completely, I still experience some fairly difficult discomfort/rawness in my intestines. Gelatin seems to help quite alot, just not 100% yet, sadly. So ive been eating very regular homemade jelly.

Ive been using a digestive enzymes to further starve bacteria. That seems like a solid idea, even if the only difference it makes is in the stomach, before the enzyme proteins are digested.

And also glutamine, which I stopped for a while, when I now beleive I was having electrolyte issues, but having learnt there is something like 5 grams of glutamine in a chicken breast, I may return to taking 500mgs a day, soon.

(Then again, if theres that much in meat, and I am eating plenty of meat, would it make much difference unless it was a very high dose? Being brain blood barrier penetrable, I worry that excess glutamate will all turn into glutamine and GABA and mess with my brain function/CNS)

Im try to also wait 3-5 hours between meals, both to clear any fructose for the rate limiting factor of fructose, and allow for important intestinal cleansing waves.

Cee016cca7abae7d57027ae7c1824cd1

on March 02, 2015
at 02:58 PM

Especially for folks who say Flagyl does NOT seem to improve things, please consider that the root cause may not be bacteria but yeast, specifically Candida.  While the diet recommendations are very similar, antibiotics can actually make Candidiasis worse. The yellow tongue that several people have commented on is also typical Candida - it's actually a yeast breakout in your mouth called oral thrush. Low sugar, and especially no alcohol, plus probiotics has been the best thing for me. 

47cbd166d262925037bc6f9a9265eb20

(55)

on March 04, 2014
at 03:04 PM

I guess this is still the same you used:

http://www.pureformulas.com/adp-60-tablets-by-biotics-research.html

Can these essential oils be used instead of ADP alone or in a combination ?

- Oregano oil

- Peppermint oil

- Rosemary oil

Thanks in advance

77877f762c40637911396daa19b53094

(78467)

on March 29, 2013
at 06:23 AM

vegetables are good for SIBO, they help to flush it out of our systems.

E12ead3bf63c94b5b619b03722ef554f

on February 17, 2013
at 03:56 PM

Thanks RK! :) It's so good to hear.

32652cb696b75182cb121009ee4edea3

(5802)

on February 10, 2013
at 01:17 PM

LOVE LOVE Aglaee's SIBO plan. I post it on here all the time. I do not have confirmed SIBO, but every time I start feeling bloated, I go back to it for a few weeks, and it clears me right up. And Aglaee, THANK YOU for keeping that info free on your website. :)

34997c76c8ce232f28942f233e180f18

(608)

on August 12, 2012
at 08:57 PM

Long run definitely not, but it's the only thing you can do when dealing with SIBO at least in the beginning. Fruit would still wreak havoc on me. I started VLC almost 0 carb in the beginning on a SCD/Paleo diet and I progressively try to eat more veggies each day to see how I do with increasing carbs. I'm around 50-100g of carbs from veggies each day and I don't seem to have too many problems, not sure if this is considered low carb in Paleo, definitely low carb as far as SAD goes.

34997c76c8ce232f28942f233e180f18

(608)

on August 12, 2012
at 08:55 PM

I am the same way with fruit, it simply wreaks havoc on me. I used to binge on it, fortunately I don't even have cravings for it anymore. Personally I would stay away from fruit, I was once Paleo and ate it daily but didn't see symptom relief till I went on a SCD/Paleo diet cutting out starches and fruit as well. I'm trying to fix my SIBO problems and I seem to be doing ok with High fat/protein and low carb(just eating veggies with each meal, not overdoing it). I haven't tried probiotics or antifungals or antibacterials yet, will consider it if my symptoms don't improve.

E12ead3bf63c94b5b619b03722ef554f

on July 13, 2012
at 08:10 AM

oh and click on "my SIBO plan" at the end of my post to learn more about my view of SIBO ---> http://www.eat-real-food-paleodietitian.com/paleo-diet-and-SIBO.html (you can download a PDF table too)

E12ead3bf63c94b5b619b03722ef554f

on July 13, 2012
at 08:09 AM

* cinnamon is anti-microbial. I took it mixed with boiled and pureed carrots and coconut oil. * fermented cod liver oil is a good source of vitamin D, vitamin A, vitamin K, coQ10 and so many other things. Just today you can listen to this free presentation about it here ---> https://at105.infusionsoft.com/go/real/ajacob/ * yes probiotics are complicated. I find that it can be best to wait until symptoms are under control before introducing them and then you need to play with different kinds to find what works for you, keep experimenting

Bb3d1772b28c02da2426e40dfcb533f5

(5381)

on July 13, 2012
at 07:55 AM

Great detail. Thanks! :D A couple of questions, if you dont mind...Whats the cinnamon for, is it anti-biotic? (I love cinnamon, but i havent been eating it yet). Fermented cod liver oil...whats that for? And, as a nutritionist, do you find anyone has trouble with probiotics? I would love do probiotics, especially water or goats milk kefir, but my experience with a single store brought probiotic yogurt as put me off a bit...Cheers!

  • Bb3d1772b28c02da2426e40dfcb533f5

    asked by

    (5381)
  • Views
    37.8K
  • Last Activity
    1235D AGO
Frontpage book

Get FREE instant access to our Paleo For Beginners Guide & 15 FREE Recipes!

11 Answers

10
E12ead3bf63c94b5b619b03722ef554f

on July 13, 2012
at 07:03 AM

Here is what I did when I found out I had SIBO about a year ago:

supplements:

  • ADP oil of oregano, garlic pill + 1-2 tsp cinnamon daily for 6-8 weeks

  • bone broth every day

  • digestive enzymes + betaine HCL the first 6 months

  • L-glutamine on and off (but more consistently at the beginning)

  • started fermented cold liver oil 3 months ago

  • probiotics (started after 1-2 months, but took S. Boulardii while taking herbal antibiotics)

diet (modified GAPS, low-FODMAP, low-carb diet):

  • meat, poultry, fish, eggs

  • fats: ghee, coconut oil, butter, EVOO (couldn't do butter for a while, only ghee, but I now tolerate it)

  • limited amount of vegetables (always thoroughly cooked, pureed and low-FODMAP at the beginning; I can now tolerate 1-2 cups of almost any kind of vegetables per meal)

  • I avoid nuts, fruits, starchy vegetables, coconut flour, dairy and sugar

other:

  • stress management (belly breathing and regular breaks)

I manage to stay symptom-free most of the time if I stick to my SIBO plan!

E12ead3bf63c94b5b619b03722ef554f

on July 13, 2012
at 08:09 AM

* cinnamon is anti-microbial. I took it mixed with boiled and pureed carrots and coconut oil. * fermented cod liver oil is a good source of vitamin D, vitamin A, vitamin K, coQ10 and so many other things. Just today you can listen to this free presentation about it here ---> https://at105.infusionsoft.com/go/real/ajacob/ * yes probiotics are complicated. I find that it can be best to wait until symptoms are under control before introducing them and then you need to play with different kinds to find what works for you, keep experimenting

Bb3d1772b28c02da2426e40dfcb533f5

(5381)

on July 13, 2012
at 07:55 AM

Great detail. Thanks! :D A couple of questions, if you dont mind...Whats the cinnamon for, is it anti-biotic? (I love cinnamon, but i havent been eating it yet). Fermented cod liver oil...whats that for? And, as a nutritionist, do you find anyone has trouble with probiotics? I would love do probiotics, especially water or goats milk kefir, but my experience with a single store brought probiotic yogurt as put me off a bit...Cheers!

E12ead3bf63c94b5b619b03722ef554f

on July 13, 2012
at 08:10 AM

oh and click on "my SIBO plan" at the end of my post to learn more about my view of SIBO ---> http://www.eat-real-food-paleodietitian.com/paleo-diet-and-SIBO.html (you can download a PDF table too)

32652cb696b75182cb121009ee4edea3

(5802)

on February 10, 2013
at 01:17 PM

LOVE LOVE Aglaee's SIBO plan. I post it on here all the time. I do not have confirmed SIBO, but every time I start feeling bloated, I go back to it for a few weeks, and it clears me right up. And Aglaee, THANK YOU for keeping that info free on your website. :)

E12ead3bf63c94b5b619b03722ef554f

on February 17, 2013
at 03:56 PM

Thanks RK! :) It's so good to hear.

47cbd166d262925037bc6f9a9265eb20

(55)

on March 04, 2014
at 03:04 PM

I guess this is still the same you used:

http://www.pureformulas.com/adp-60-tablets-by-biotics-research.html

Can these essential oils be used instead of ADP alone or in a combination ?

- Oregano oil

- Peppermint oil

- Rosemary oil

Thanks in advance

2
743c6f14bdff360777531b6d16a5d4e0

on August 28, 2012
at 01:13 PM

While diet and nutrition are elemental in combating digestive problems, perhaps the most overlooked and under-rated technique is breathing. Belly breathing as it was previously referred to is intrinsic to a healthier digestive system for a multitude of reasons. For example, proper breathing (ie into the stomach and not the chest) has a neutralising affect on the acidity of the foods we eat. It helps us to reach a more alkaline state which is better for organ functioning and in reducing our susceptibility to cancer and autoimmune diseases. In addition it forces us to correct our posture and so also promotes greater structure in our diaphragm and abdomen which in itself helps food to move through the gut more efficiently allowing better nutrient absorption and waste extraction.

Try the breathing techniques suggested by qigong (chi kung). Also stretch your abdominal muscles by pushing your stomach out while breathing into it:) Remember always breath in through the nose and out through the mouth and never breath into the chest this will only compound digestive problems!

Hope this helps it certainly helped me:)

1
1a8c0f599ee26c6068e00aaf644f4618

(10)

on February 10, 2013
at 12:13 AM

Flagyl didn't help my sibo. Low carb & low fodmap is also not helping. I saw some minor relief from propolis 2x/day and turmeric 3x/day for a month. Unfortunately I stopped taking them, and actually didn't have a relapse, I was completely stable, even eating GF waffles and potatoes, no problems whatsoever. Re-introducing probiotics has brought it back, and I am in a terrible flare for the past few weeks.

1
F3d53bdbc218e68cbcb1ca5ec14ca225

on December 01, 2012
at 09:34 PM

I have been battling SIBO for over 10 years. I had it so bad I was in the hospital ywich for dehydration. Flagyl has been the only thing that magically cures me. I tried everything natural with no avail. However, after doing some research, I gave oregano oil a try and I have had amazing results with it. I eat a diet full of nuts, seeds, whole grains, veggies, and lean proteins. I limit fruit to 1 piece a day. I also take Three Lac once every other day. I had to go through a lot of probiotics to find the right one. I may try s boulardi next, but am happy where I am. I hope this can help someone.

1
34997c76c8ce232f28942f233e180f18

on August 12, 2012
at 09:10 PM

Currently battling it now :(. Seems to be the underlying cause of my digestive and acne issues. I am Paleo for a few months now and just recently stopped eating fruit/starchy vegetables; maybe about 1 1/2 months ago.

I first started off eating 0 carb and eating veggies at only one meal during the day, which would cause some gas and bloating. I have been progressively increasing intake of veggies, avoiding starchy ones, as my gas and bloating symptoms subsided. I'm currently around 50-100g of carbs of veggies each day without significant bloating or gas. It's definitely been an improvement on my digestion and I can see it in my skin(which is far from even good :/) which is less inflamed.

I also started taking magnesium and CLO along with my daily D3 and zinc so I'm not sure if that may have increased improvement, but I'll mention that as well.

One thing I noticed is that cheating sets you back unfortunately. I've got a strong enough will to avoid fruits and eating too many carbs but alcohol consumption definitely set me back. My tongue which is normally a white coating that seems to be fading back every day, would breakout into an almost yellow disgusting coating that would fade as the week progressed and I got back on track.

Wrote this in a hurry so sorry for any mistakes

1
7d609615b875cb3d9ecd2a173df4ff54

on August 12, 2012
at 06:20 PM

I also have some sibo and problems with fructose malabsorption. A lot of people tell you to take probiotics, but that will seriously backfire because it is an excess of healthy bacteria that is upsetting you in the first place. Right now I'm starting to take S. Boulardii. It's a yeast, not a bacteria, that temporarily colonizes your intestines to crowd out the bacteria. I've tried taking natural antifungals and antibacterials like oregano oil and olive leaf extract, but as soon as I eat a piece of fruit, it all goes out the window. Perhaps the S. Boulardii will bring everything back into balance, but in any case, fall is coming and there wont be so much tempting fresh fruit in season at the farmer's market, so that will help too. But, in any case, as irritating as the symptoms can be, it's my understanding that your intestines are not damaged by fructose intake the way they are damaged by things like gluten and lectins. Has anyone heard otherwise? If the health benefits of eating fruit outweigh the symptoms and there is no damage involved, then this could just be normal digestive upset and not some huge medical problem. Right now, diagnosing gastrointestinal difficulties is very fashionable and there is a huge industry behind it, making tons of money off of people trying to convince them that there isn't anything wrong with them. No one likes to be bloated and rumbley, but it doesn't mean there's anything necessarily wrong with you either.

34997c76c8ce232f28942f233e180f18

(608)

on August 12, 2012
at 08:55 PM

I am the same way with fruit, it simply wreaks havoc on me. I used to binge on it, fortunately I don't even have cravings for it anymore. Personally I would stay away from fruit, I was once Paleo and ate it daily but didn't see symptom relief till I went on a SCD/Paleo diet cutting out starches and fruit as well. I'm trying to fix my SIBO problems and I seem to be doing ok with High fat/protein and low carb(just eating veggies with each meal, not overdoing it). I haven't tried probiotics or antifungals or antibacterials yet, will consider it if my symptoms don't improve.

0
Fb884dddf25e76f6778dbb710d716133

on September 10, 2013
at 01:30 AM

I see patients who do very well on a combination of Glutamine, Oil of oregano, Black walnut, Cats Claw, wormwood, Probiotic and DPPIV enzymes. For those who experience problems with the probiotics it could be due to the dairy in the probiotic. Probiotics are essential! if your having a bad response- there are any number of causes. Remember SIBO it not just bacteria it could be yeast. For those who cant tolerate the sugar- its most likely the yeast that your feeding causing a bloom

0
84396cf5cf0aac346f2c788a5acb393a

on July 14, 2013
at 04:14 PM

I just figured out that I have SIBO. From what I've read, it seems cases can vary significantly from person to person depending on which bacteria have colonized the small intestine. Therefore it seems counter-productive to me to try to advise others with blanket statements. However, I think sharing our own experiences is great, both for the things we can learn from each other, and the supported feeling we can get.

Personally, I feel worst when I eat a lot of raw or very fibrous vegetables. I think I also am sensitive to probiotics, but I am testing a new one right now with no prebiotics added. I hope it works because I also have candida, and would like to keep fighting it!

I am also about to start with oregano. I am encouraged by the positive responses it seems like many people have had!

If anyone has snack or meal recommendations for fighting SIBO and Candida at the same time, I'm all ears!

B3cbc9f244b497939cea11527a15cda7

on December 23, 2014
at 07:55 AM

How do you know you have candida what are your symptoms for that since sibo symptoms coralate with candida symptoms

 

0
3eca4c181aec16b2c6add87f19675e4c

on March 28, 2013
at 07:56 PM

For those of you who took out fruits and veggies, what did you eat in the beginning? I'm figuring meat, but anything else? Broth, fats?

77877f762c40637911396daa19b53094

(78467)

on March 29, 2013
at 06:23 AM

vegetables are good for SIBO, they help to flush it out of our systems.

0
Ac9dc77eba517791684ec1d7f871cb7c

on January 31, 2013
at 09:38 PM

What dose/length of time did you use with flagyl?? I was worried nothing other than rifaximin wild work but you can't get it in Canada... I excited to hear flagyl might help!

0
7cf9f5b08a41ecf2a2d2bc0b31ea6fa0

on August 12, 2012
at 06:23 PM

Low carb is not good long run imo

34997c76c8ce232f28942f233e180f18

(608)

on August 12, 2012
at 08:57 PM

Long run definitely not, but it's the only thing you can do when dealing with SIBO at least in the beginning. Fruit would still wreak havoc on me. I started VLC almost 0 carb in the beginning on a SCD/Paleo diet and I progressively try to eat more veggies each day to see how I do with increasing carbs. I'm around 50-100g of carbs from veggies each day and I don't seem to have too many problems, not sure if this is considered low carb in Paleo, definitely low carb as far as SAD goes.

Answer Question


Get FREE instant access to our
Paleo For Beginners Guide & 15 FREE Recipes!