SIBO diet

Posted by drpepper @drpepper, Jan 30, 2019

Wondering if anyone familiar with SIBO diet knows if the diet is the same for sibo patients with ileocecal valve intact and for those without ileocecal valve....thanks

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Profile picture for Twocoastsm @marlenec

I am about (pending insurance coverage for Xifaxin) to begin two weeks of Xifaxin and Neomycin prescribed my my GI due to SIBO test results. After a month on the low FODMAP diet I was feeling moderately better and had started gentle reintroduction but figured I should suspend that whilst on antibiotics. However, a dietician with whom I’ve consulted suggested “eating normally” whilst on the meds “so that the problematic pathogens are more active and more susceptible to elimination.” Thought I’d try to get some feedback from those of you with experience with SIBO treatment whilst waiting for (fingers crossed) insurance approval. My plan lists it as a Tier 2 drug but apparently the doc has to further justify its use. Been down this rabbit hole before with other situations and am cautiously pessimistic.

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I've been on the antibiotics for 5 weeks now. Would like to discontinue, as I am also taking herbs supplements. I am trying to decide on the best course of probiotics-prebiotics. Thanks

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Profile picture for patricia1234 @patricia1234

I am having a severe case of SIBO - much worse than other times. I have started on XIFAXIN and on a FODMAP diet . I, too, am noticing some NO foods are not NO foods on another FIDMAP diet. So confusing.

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HI. I realize that Stevia is causing bloating. So does anything with MGO.

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Profile picture for Twocoastsm @marlenec

I am about (pending insurance coverage for Xifaxin) to begin two weeks of Xifaxin and Neomycin prescribed my my GI due to SIBO test results. After a month on the low FODMAP diet I was feeling moderately better and had started gentle reintroduction but figured I should suspend that whilst on antibiotics. However, a dietician with whom I’ve consulted suggested “eating normally” whilst on the meds “so that the problematic pathogens are more active and more susceptible to elimination.” Thought I’d try to get some feedback from those of you with experience with SIBO treatment whilst waiting for (fingers crossed) insurance approval. My plan lists it as a Tier 2 drug but apparently the doc has to further justify its use. Been down this rabbit hole before with other situations and am cautiously pessimistic.

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Many SIBO-related diet approaches and theories have been floated, and Dr. Mark Pimental of Cedars-Sinai hospital apparently has cleared up much of it. For anyone who has SIBO or IBS, Dr. Pimental appears to be the authoritative source: apparently the most prominent clinical researcher on the topic during the past few years. Here’s a link to the website: https://www.cedars-sinai.org/newsroom/time-the-mysteries-and-underdiagnosis-of-sibo/
He has been interviewed a numer of times (search YouTube), and has created a paper, Low Fermentation Diet/SIOBO DIET, that is helpful and differs from the FODMAP diet.
I have had SIBO twice during the past four years, the TrioSmart breath test (at home) and two rounds of Xifaxan in late 2023 and early 2024. Dr. Pimental suggests that beans are among the worst dietary culprits.

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Profile picture for ch47 @ch47

Just thinking about this miserable issue…I think it’s one of the hardest things to cure, can only get advice, not really meds for it, and its all up to you to fix! We are so used to docs, meds, hospitals, chiropractors, etc fixing our issues, but this-no instant cure/fix and we are the only ones responsible for the healing…oh well, chin up and forks down! 😘

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I hear you - I've been dealing with SIBO for 8 years! Initially I worked with a Naturopath and a couple years later, a Dietition for a bit. Since then I've been self-managing. However, it occurred to me that, in addition to how difficult SIBO is to heal (especially SIBO-C/Methane) perhaps my constant recurrance is because I'm not following a strict protocol in the right order - this is key. I'm about to engage a Functional Nutritionist who specialize in Gut Issues - specifically SIBO. These professionals are trained to deal with SIBO and can offer protocols and coaching along the way.

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Profile picture for cofli01 @cofli01

I hear you - I've been dealing with SIBO for 8 years! Initially I worked with a Naturopath and a couple years later, a Dietition for a bit. Since then I've been self-managing. However, it occurred to me that, in addition to how difficult SIBO is to heal (especially SIBO-C/Methane) perhaps my constant recurrance is because I'm not following a strict protocol in the right order - this is key. I'm about to engage a Functional Nutritionist who specialize in Gut Issues - specifically SIBO. These professionals are trained to deal with SIBO and can offer protocols and coaching along the way.

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Good luck!!! I have been self managing for a bit now, and last time I had it was about 1 1/2 years ago, too much fresh daily summer water melon 😏
as I attribute it to. I think too much sugar in any form is my big SIBO weakness. Last time I was able to recognize it early as I knew what it was. Took one antibiotic series. I was able to stop the diet after just a couple months and was good. Gets easier to do.
I pretty much eat everything no, but seriously eat minimal wheat, sugar, beans and have been ok.
Please keep in touch as to how you are doing and your professionals recommendations.
Happy new year to all!!!

Ps…I found that if I start to get a little puffy I really get back on the probiotics and maybe prebiotics as well

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Profile picture for Twocoastsm @marlenec

I am about (pending insurance coverage for Xifaxin) to begin two weeks of Xifaxin and Neomycin prescribed my my GI due to SIBO test results. After a month on the low FODMAP diet I was feeling moderately better and had started gentle reintroduction but figured I should suspend that whilst on antibiotics. However, a dietician with whom I’ve consulted suggested “eating normally” whilst on the meds “so that the problematic pathogens are more active and more susceptible to elimination.” Thought I’d try to get some feedback from those of you with experience with SIBO treatment whilst waiting for (fingers crossed) insurance approval. My plan lists it as a Tier 2 drug but apparently the doc has to further justify its use. Been down this rabbit hole before with other situations and am cautiously pessimistic.

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His does SIBO affect you physically?

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Profile picture for Twocoastsm @marlenec

I am about (pending insurance coverage for Xifaxin) to begin two weeks of Xifaxin and Neomycin prescribed my my GI due to SIBO test results. After a month on the low FODMAP diet I was feeling moderately better and had started gentle reintroduction but figured I should suspend that whilst on antibiotics. However, a dietician with whom I’ve consulted suggested “eating normally” whilst on the meds “so that the problematic pathogens are more active and more susceptible to elimination.” Thought I’d try to get some feedback from those of you with experience with SIBO treatment whilst waiting for (fingers crossed) insurance approval. My plan lists it as a Tier 2 drug but apparently the doc has to further justify its use. Been down this rabbit hole before with other situations and am cautiously pessimistic.

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My stomach is very bloated and hypersensitive to certain foods.

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Profile picture for swischard5 @swischard5

My stomach is very bloated and hypersensitive to certain foods.

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My SIBO test is approaching. I don’t know if what I have is bloating….but I do have a lot of air…sort of like gas, but different. It just seems like air. Maybe, I swallow air when I eat. My stomach doesn’t seem to be distended. Do have funny taste in mouth,

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Profile picture for rbg @rbg

I've been on the antibiotics for 5 weeks now. Would like to discontinue, as I am also taking herbs supplements. I am trying to decide on the best course of probiotics-prebiotics. Thanks

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I do mega spores and pghh. You have to be careful with probiotics. Those with lactobacilus are not good with SIBO, As I understand with my research. Still dealing with SIBO but score is getting better

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Profile picture for gigi4 @gigi4

Rifaximin is expensive. My doctor at the time ordered it for me. While I was on it, I started to feel much better. Once off it in about 2 weeks, my symptoms returned. Again, these meds treat the SYMPTOMS, not the CAUSE. Antibiotics are not good for our digestive tract as they kill both the good and bad bacteria. (Don't misunderstand me - antibiotics have their place when it is in the right application.) You need the good bacteria and need it in the right place in the digestive tract. As it was explained to me, the bacteria feed on sugars. We have different bacteria in the upper digestive tract and lower digestive tract. When the upper digestive tract is weakened as in leaky gut, the lower digestive tract bacteria migrate to the upper digestive tract causing symptoms of gas, bloating, not digesting our food well, loosing weight, etc. The goal is to build the upper digestive tract mucous lining and get the bacteria that don't belong there back down to the lower digestive tract where they belong.
I cannot emphasize enough the need to find the CAUSE of your symptoms and NOT treat the SYMPTOMS or the symptoms return.

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They haven't figured out the cause. Dr mark pimental suggests it is caused by food poisoning. Other experts suggest it could be adhesions from abdominal surgery, a bad diet ... and the list goes on. The cause is irrelevant. I'm going on my third round of xifaxin. I'm afraid of neomycin because of hearing loss. SIBO score went down from 71 to 54 after herbals, atrantil, fodzyme, and sporebiotics. Got scared and did two rounds of xifaxin. Score dropped to 49. Apparently archaea hide and since the small intestine is the size of a badminton court there's room. This time I'm dumping the fodzyme. I'm going to eat everything archaea love including polyols like cabbage, apples, etc. Even going to have some beer. When I'm done with the antibiotics I'm going back on the fodzyme and giving up added sugar along with taking ldn, resolor, and ibergast. I understood I could eat sugar because it isn't a polyol but now I learn that sugar produces hydrogen and archaea eat hydrogen if you starve their food. Plus before, during and after I'm taking anti biofilms so the archaea can stop hiding. I'll update where my score is after another 30 days. It is war archaea!!!!!!

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