Kresser Institute

Tools, Training & Community for Functional Health Professionals

SIBO

I’m wondering if you have a specific protocol for SIFO

That’s small intestinal fungal overgrowth. No, we don’t. We use the core antimicrobial protocol and will sometimes add A-FNG to...

At this point, do you ever run the Genova intestinal permeability test? Given all the limitations you mentioned, I’m wondering what IP test will be used instead of or even in addition to Cyrex Array 2. Only reason I can really think of is if someone had an issue with the blood draw.

Chris Kresser: It’s worth pointing out, which I think I did, that most of the research that we have correlating...

A 44-year-old female treated some time ago for dysbiosis unsuccessfully; less experience and knowledge then. She presented to me with severe depression which began after a horrific treatment for intractable acne in her teens, had loads of antibiotics but also Accutane which seemed to be the trigger for her mental health decline. I. Her CSA showed no growth of Lactobacilli, 4+ E. coli, 2+ Bifidobacterium, 4+ alpha hemolytic strep, 2+ coag negative staph it looks like, 4+ pseudomonas. No growth for yeast. No parasites. On the PCR she had—and I’m uncertain how to interpret the significance given the material discussed—she had high Barnesialla, Odoribacter, Pseudoflavonifractor, and E. coli. Lowest butyrate SIgA of 289 and evidence of fat malabsorption. Sensitivities for botanicals showed best for plant tannins and uva ursi, slightly less for oregano. Already gluten-free. Tried all sorts of diets including anti-Candida diet. Organic acids showed every single marker grossly elevated for dysbiosis. Started her micronutrients including B vitamins, probiotics enzymes, and botanical protocol, which is a hybrid of yours, but not using the same products as access to them in the U.K. was tricky. We’d like to repeat her CSA with the Doctor’ Data as the year has elapsed since she has massive bloating with the same issues. Never tested her for SIBO. I also plan to do that if she is game along with the Cyrex panels, then I’ll be following your protocols to the letter. Any insights into the aftermath of Accutane? What are risks of using a course in metronidazole followed by botanical protocol Paleo diet, pre and probiotics, and gut healing nutrients? Do you have any insights on pseudomonas in particular? I’m familiar with its love of biofilm but wonder if there are any other considerations.

Chris Kresser: I’m sure many of you know about the sometimes devastating side effects of Accutane has been associated with...

New 34-year-old female client with history of H. pylori, GERD, bloating, constipation, rashes, white coating on tongue. Previously done Gut Thrive program to help reset her gut and has had food sensitivity testing. Strictly avoids yeast foods and eats only organic whole foods. Started an elemental diet two weeks ago for suspected SIBO and is doing well except for continued rashes and white tongue. Is this a die-off situation, and what should be the next step beyond the elemental diet? Considering SIBO test and then possible antimicrobial protocol if indicated.

Chris Kresser: A lot of people get a really thick white coat on the tongue with an elemental diet. It...

Two quick product questions related to SIBO treatment. In addition to Lauricidin, which is pretty readily available, is there a broad-spectrum herbal antimicrobial you recommend besides GI-Synergy? The reason I ask is GI-Synergy to procure without an account compared to other brands like Designs for Health.

Chris Kresser: Yes, there are other options. I think we talked about them in the unit. I can’t recall for...

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