The reason I believe this may be SIBO is because there seems to be an underlying condition my almost "perfect diet" has not corrected in the last 4+ years..specifically with bloating/water retention being the issue (symptom).
thank you all!!
asked byezerkenegdo (20)
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on November 13, 2014
at 02:04 PM
Say to no self-diagnosis. Go to a doctor, get legit medical advise. A proper diet cannot fix everything and that's the only think we can recommend.
on November 17, 2014
at 11:33 AM
Ignore Gastronomer, he thinks he knows everything and as usual is very abrasive. I hope he works in the food industry and not the medical, he'd make for a terrible doctor with bedside manners that would freeze a polarbear.... :)
But, Matt is right, you should get it tested because the fix, if it is SIBO, involves antibiotics, which you can only get through a doctor. It is possible you've had an overgrowth of candida or other yeast, or unfriendly gut bacteria due to a very low carb diet.
Make sure that your stomach produces enough HCL, without proper stomach acid, you won't signal pancreatic enzymes and will have issues digesting fats as well, but will also prevent killing off pathogens from food. If you eat a piece of meat, does it feel like it just sits there in your stomach? If so, you've got low stomach acid, and may even have H. Pylorii (also another thing that a doctor can test for via a breath test). If this is the case, you'll need to supplement with Betaine HCL before meals, as well as minerals such as zinc, potassium, iodine, magnesium as these are also needed to make stomach acid and general health.
Slowly reintroducing carbs, especially resistant starch will help -- you might want to delay this until you've got a diagnosis as it could make things worse if there really is SIBO or candida overgrowth. You could take Soil Based Organisms and Sacchraomyces Boulardii, but do not do this until you resolve the SIBO - if it is SIBO or you'll make it much worse. Once you know what it is, check out Dr. Allison Siebecker's work at http://www.siboinfo.com/ or Dr. Grace Liu at http://drbganimalpharm.blogspot.com/
So perhaps, initially start by increasing meat and fat intake to levels proper for your age and ideal lean body mass, but add extra protein so that enough glucose is made via gluconeogenesis. You can use this calculator here: http://www.bmi-calculator.net/bmr-calculator/ to figure out your daily caloric intake. Make sure you multiply the BMR number by your activity level from here: http://www.bmi-calculator.net/bmr-calculator/harris-benedict-equation/ - this will tell you how much food to eat per day.
Next, figure out what your ideal lean body mass should be in pounds, (i.e. if you're 10lbs overweight substract 10lbs from your current weight), multiply this by either 0.8 or 1.0, this will give how many grams of protein to eat per day. Next, multiply this by 3 for chicken or 4 for beef, this will tell you how many grams of meat to eat per day.
A good shortcut is to eat 3 palm sized portions of meat per day, and in your case a little bit extra (maybe half a palm extra) since you can't yet do carbs.
on November 17, 2014
at 05:49 AM
You can get get a confirming diagnosis for SIBO with a non-invasive methane breath test/hydrogen breath test.
Even if you have to pay out of pocket, it is not terribly expensive.
Ask any doctor for a referral to get this done so you will know for sure if SIBO is what you have, then go from there.
on February 19, 2015
at 05:42 AM
SIBO expert here! Qualifications: Nutritionist and former SIBO sufferer. Let me correct some of GASTRONOMER's statements. 1. You most certainly can have a sugar allergy. It is not as uncommon as you may think. 2. A hallmark sign of SIBO is the inability to lose weight despite restricting carbs and calories. One can even be in deep ketosis and not be able to shed any pounds.
This is do to the bacterial flora in the gut, and the inflammation that is created from undigested food which ferments due to a slow migratory motor complex. I would definitly test for SIBO, and I would not at all be surprised if you had methane-producing buggers in your intestines.
It is not true that you need to take antibiotics for this. Herbal treatments have outperformed antibiotics on several studies. I actually prefer to use the elemental diet for weight resistant SIBO. I've found it to be far more successful.
Anyway, I am so sorry you have been going through this and I am so sorry that others doubt your ratios or your food intake!
on November 13, 2014
at 07:58 AM
I am sorry you are having gastric distress. It does not sound like SIBO to me but I am not a professional. I can think of three gastric conditions and one liver condition that would explain your symptoms. Have you consulted either a gastroenterologist or a naturopath who specializes in gastric conditions? I was diagnosed with SIBO three years ago. The test is a combination of breath tests and diet stimuli. It is painless to take. The condition is chronic and usually treated with a rotation of systemic antibiotics. There is a targeted antibiotic, Xifaxin, that only works in the intestine. I am lucky enough to be able to use that one and not risk the side-effects or antibiotic resistance that can result from systemic antibiotics.
My symptoms included crippling pain in the pelvic saddle, rectal incontinence, and high fevers. I do not have a large intestine. Part of my small intestine acts as a large intestine. It is called a j-pouch. There are many discussions about SIBO at j-pouch.org.
I have been in remission since I started an adapted autoimmune Paleo diet.
BTW: your sugar sensitivity could be very important to your diagnosis. Make sure you include it at your appt. If you have negative reactions to alcohol, that would also be important for your doctor to know.
i wish you all the best!
on November 13, 2014
at 01:56 AM
I'm sorry, I thought this was a site where people genuinely tried to help one another in their paleo journey. Not criticize their knowledge, diet, or ability to count. I have been counting calories despite the real significance it holds for 7 years with gram scales etc and I'm pretty damn close in my tracking if science means anything. So yes I do eat low carb and low calorie and have for years. Which probably has a lot to do with why I CANT loose weight. So I'm sorry to tell you that your MATH of the human body is inaccurate. Note that I'm aware of the cycle I am in which is exactly why I am looking for EXPERTISE or experiences with SIBO. No thank you for your time. Now if there is anyone who does understand the human body just a smidge and knows some info on SIBO I would lovingly appreciate it:)
on October 14, 2015
at 04:33 PM
I have the exact same problem and my doctor gave me a SIBO breath test to take. As I'm doing more research, you and I have very similar symptoms. It really sucks so I totally understand! I have tons of food restrictions and am really low in iron. I also consume 1300 calories a day (and healthy ones!) and I workout 5/6 days out of the week including a minimum of 30 mins in cardio. Did you ever get tested for SIBO? I plan to take my test this weekend, and hoping this solves some problems. If so, do you or do you know anyone who experiences weight loss after being diagnosed and medicated for SIBO?
Thanks and Good luck! Hope everything is going well.
on November 12, 2014
at 08:42 PM
You are eating low carb and under 1300 calories per day?? And you can't lose weight? Hmmm...I call BS
By the way there is no such thing as a sugar allergy, if there was, you would not exist. Saying you have a sugar allergy is about as stupid as saying you have a water allergy or an oxygen allergy, come on now, be more honest in your post so we can take your question seriously.
Anyway, if you really are serious about losing weight, just eat less calories or carbs, depending on the approach you choose. If doing low-carb then eat less carbs, if doing low-calorie, then eat less calories. Eventually there is a point at which the human body cannot create energy out of nothing since it requires a minimum number of calories to function, so it will lose weight (which is why low calorie works). However, research shows that low-carb reduces your insulin a lot so you can lose the weight while eating more calories than on a high-carb low-calorie diet.