SIBO

SIBO patient took Prescript-Assist prior to starting herbal antimicrobial protocol and developed a serious rash. Stopped Prescript-Assist, and a few weeks later started two-month SIBO protocol with MegaSporeBiotic, starting very slowly with it. Rash was still pretty bad weeks into treatment. Stopped MegaSporeBiotic, and weeks later rash persists, actually worse. Patient feels great otherwise. GI symptoms have significantly improved, and patient has no other adverse reactions. Suggestions? Stay the course for one more month? Doctor’s Data showed no growth bifido and few yeast.

Chris Kresser: Yeah, that’s interesting. It seems like there was some reaction to both of the soil-based and transient commensals,...

I know you’re not hot on the Genova SIBO test, but it’s the only one I can order until I create the elusive connection with an MD or a DO that will order them for me. Running the test, among others, on a 12-year-old boy with ODD and some autism spectrum symptoms as well as fecal incontinence, but not diarrhea. I know some practitioners have been using the Genova test and instructing their patients to wait 30 minutes between samples instead of sample instead of 20, but because this is a child with presumably faster transit time, do you think 20 minutes would be OK? In general, how do you feel about tweaking the instructions to wait 30 minutes between samples if Genova is the only SIBO test we can order?

Chris Kresser: I wouldn’t do that because all of the research on SIBO lactulose breath testing uses either 20 or...

With the pathogen protocols, do you find it’s essential to use the two different probiotics, Prescript-Assist and MegaSporeBiotic, or do you think using just one would be sufficient? Or what about pairing one of those with a Lactobacillus or bifidobacteria probiotic tailored to what stool testing shows is particularly low?

Chris Kresser: There’s a second question, but I’ll answer that one first. These protocols are just made up, and I...

Do you find that you have better success with eliminating SIBO by using a biofilm disruptor? I’ve heard some practitioners say they didn’t notice any difference with using or not using a biofilm disruptor with SIBO.

Chris Kresser: To be honest, I’m not sure we’ve done rigorous testing on that, but I certainly found early on,...

There’s a CSA tincture included for the pediatric SIBO protocol. Can you explain further what this does and why it’s only for kids and up to what age, please? Is there an alternative if it proves too difficult to source?

Chris Kresser: As I mentioned earlier [question #5], CSA stands for cryptolepis-sida-alchornea, which are three herbal antibiotics. It’s definitely not...

Prev Next

Kresser Institute

SIBO

Do you find that you have better success with eliminating SIBO by using a biofilm disruptor? I’ve heard some practitioners say they didn’t notice any difference with using or not using a biofilm disruptor with SIBO.

There’s a CSA tincture included for the pediatric SIBO protocol. Can you explain further what this does and why it’s only for kids and up to what age, please? Is there an alternative if it proves too difficult to source?

Knowledge Base Categories

Need Support?