In this episode of the Functional Medicine Research podcast, I interview Dr. Nirala Jacobi in a discussion about the Bi-Phasic SIBO Diet. I have successfully used the Bi-Phasic SIBO Diet with many of my patients so I was excited to cover this topic with Dr. Jacobi. We discussed the specifics of the diet including the various phases, oxalates, salicylates, FODMAPs, vegetarian options, candida, histamine, fermented foods, MCAS (Mast Cell Activation Syndrome), SIFO (Small Intestinal Fungal Overgrowth), DAO, hydrogen sulfide, hypnotherapy, DNRS and much more. If you have SIBO or are a practitioner working with SIBO patients, this is one interview you don’t want to miss.
Is there a connection among Hashimoto’s disease, hypothyroidism, and small intestinal bacterial overgrowth also known as SIBO? Does Hashimoto’s disease cause SIBO or does SIBO cause Hashimoto’s? I’ll answer these questions in my latest research review below.
There isn’t a lot of research, only two papers actually, on the specific connection between Hashimoto’s disease and SIBO which I’ll cover in this article. There are more papers on the connection between hypothyroidism and SIBO without mention of Hashimoto’s and the basic conclusion of those papers is that hypothyroidism is connected to SIBO because gastric motility is decreased in hypothyroidism. Decreased gastric motility basically means the food you eat is moving through the bowels to slowly so bacteria can build-up in the small intestine.
In this episode of The Dr. Hedberg Show, I interview Dr. Michael Ruscio and we discuss non-celiac gluten sensitivity, prebiotics, probiotics, the microbiome, SIBO, FODMAPs and much more. You can read the transcript below.
Michael Ruscio is a doctor, clinical researcher and best-selling author whose practical ideas on healing chronic illness have made him an influential voice in functional and alternative medicine. His work has been published in peer-reviewed medical journals and he speaks at integrative medical conferences across the globe. Dr. Ruscio also runs an influential website and podcast at DrRuscio.com, in addition to his clinical practice located in northern California.
In this episode of The Dr. Hedberg Show, I interview Gary Stapleton of Aerodiagnostics Laboratory answering the question, “What is the best SIBO test?” We covered a lot of ground about the ins and outs of SIBO breath testing including the best methodology, glucose vs. lactulose, how to properly perform the test, proper test interpretation, hydrogen sulfide, when to retest and much more.
What are FODMAPs and how do I follow a low FODMAP diet?
FODMAPs or Fermentable Oligo-Di-Monosaccharides and Polyols are a specific type of carbohydrate found in certain foods that you must avoid if you are following a low FODMAP diet. The family of FODMAPs include:
Lactose from dairy products.
Fructans: garlic, onions, wheat etc.
Galactans: legumes such as lentils, beans, soybeans etc.
Fructose: honey, certain fruits, high fructose corn syrup etc.
Polyols: stone fruits such as avocados, peaches, plums, cherries, apricots, nectarines etc. and sweeteners such as xylitol, sorbitol, mannitol.