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SIBO

First test results were high positive 120 peak for methane, and then after three weeks of rifaximin, neomycin, and then 10 weeks of herbal protocol, retest showed great improvement, but both methane and hydrogen present with combined peak of 30. As there had been an improvement, would you continue herbal protocol for another month and retest or now switch to two weeks of elemental diet? Do you often find that it takes longer than three months for high test levels to reduce?

Chris Kresser: Great question and, yes, 120 is very very high, so you would expect a longer treatment protocol to...

What are your views on fermented foods for someone on a SIBO protocol and also once they’ve finished and had a clear test? Is it best to avoid for some time, or as probiotics are in the program, they’re okay as long as they’re tolerated.

Chris Kresser: Yes, it’s the latter actually. They’re okay as long as they’re tolerated, and that’s going to be determined...

What is the best treatment for Barrett’s esophagitis?

Amy Nett: I think if someone is diagnosed with esophagitis, you want to do a full array of gut testing...

Do you have any information on Meridian Valley Lab? What does Chris look for in a lab to ensure high-quality testing? And who do you prefer for hair mineral toxic element analysis?

Amy Nett: Okay, so breaking these down a little bit. In terms of Meridian Valley Lab, they offer a few...

You said you’ve become more conservative with your own SIBO diagnosis criteria, and you don’t follow the NUNM or Commonwealth guidelines. Can you explain in a bit more detail what your criteria are?

Chris Kresser: A few ways to answer that. Number one, in the presentation as you know, the criteria that I...
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