Kresser Institute

Tools, Training & Community for Functional Health Professionals

SIBO

Female patient, been on the antifungal protocol for a couple months after high levels of yeast detected on Doctor’s Data panel. During this time she developed severe abdominal pain. I advised her to stop the protocol and see her doctor, who gave her omeprazole PPI blood test for gallbladder issues. Of course it’s hard to know whether the protocol caused these problems, but patient is convinced it did. Have you had similar experiences and if so are they suggestive of particular pathologies?

Chris Kresser: Okay, so this is an interesting question. There was a question on the Facebook group from Laura that...

If he tested positive for SIBO, would you not do the pediatric herbs?

Chris Kresser: I would do the pediatric herbs. And so to some extent you could say why not just do...

About methane-predominant SIBO. I attended the June SIBO conference, and all of the practitioners who use botanicals all use high-dose allicin for methane, apparently based on research. I keep hearing that methane will not respond to other potentials if allicidin is not included, usually in high doses of 450 mg capsules up to six per day. I’m very interested in why this whole group of practitioners has a consensus that this must be used for methane, yet we don’t use it. What do you think about this?

Dr. Amy Nett: That is interesting. Let’s see. I don’t know. I tried to watch some of that conference, but...

I’m having many issues with a patient not tolerating the SIBO protocol, even when he starts slowly, adding the different elements one layer at a time. By the time he gets to the full program, he has really severe symptoms, particularly constipation. Would you know which of the different elements are most likely to cause the constipation? I noticed MegaSporeBiotic does. I’m wondering if Lauricidin, NAC, or other biofilm disruptors are likely to be constipating as well. Any hints in terms of helping with the side effects?

Dr. Amy Nett: Oh, this is a great question, and I get it from my patients all the time. They...

Treating a patient with significant dysbiosis and hydrogen-predominant SIBO. She has metabolic syndrome, high blood pressure, and excess weight. She decided she wanted to do an autoimmune Paleo diet along with it, not at my suggestion, but in support of her brother, who I’m also treating, who has Parkinson’s and is following that dietary approach. So this person went in for routine labs with her HMO doctor, and all the metabolic syndrome markers were better. However, liver enzymes were quite elevated, which has never been the case for her before. Last labs in November 2015, liver enzymes were fine. HMO doctor is really concerned about the supplements, and I haven’t encountered this before, so I wasn’t sure what to think myself. Do you think the treatment could elevate liver enzymes, and if so, is this something to be concerned about? What I did was have her stop treatment in order to retest. It’s been six weeks. I thought she needed more time for treatment, but I’m concerned about her enzymes. I also added liposomal glutathione and milk thistle. Opinions.

Dr. Amy Nett: Great question. I am not sure why the liver enzymes went up. I’m guessing that you mean...

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