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The mystery of stubborn digestive issues often leads to a single culprit hiding in plain sight: Small Intestinal Bacterial Overgrowth (SIBO). In this illuminating conversation with world-renowned SIBO expert Dr. Allison Siebecker, we unravel the complexities of this common yet frequently misunderstood condition.

Dr. Siebecker explains why SIBO occurs when bacteria normally found in our large intestine inappropriately colonize the small intestine, creating a cascade of symptoms from bloating and pain to irregular bowel movements. Most surprisingly, she reveals that past food poisoning episodes are the leading trigger, causing an autoimmune reaction that damages the gut's critical "housekeeper wave" – the migrating motor complex that normally sweeps bacteria away.

The conversation dives deep into practical clinical wisdom, exploring why testing matters (symptoms don't reliably predict which bacterial gases are present), why treatments often fail (most cases require 2-5 treatment rounds), and why prokinetics are non-negotiable (they can quadruple remission time). Dr. Siebecker shares her preferred protocols for each type of SIBO – hydrogen, methane, and hydrogen sulfide – with specific herbal and pharmaceutical recommendations refined through years of clinical experience.

Perhaps most valuable for long-suffering patients is the discussion of challenging cases. When SIBO seems impossible to resolve, underlying factors like mold illness, parasites, or histamine intolerance may be the missing piece. The episode also clarifies the confusing world of SIBO diets, explaining why the Low FODMAP diet isn't optimal for SIBO despite its popularity, and how the elemental diet can dramatically reduce bacterial levels when other approaches fail.

Whether you're a clinician treating digestive disorders or someone struggling with persistent gut symptoms, this episode provides the roadmap you need to navigate the journey from diagnosis to lasting recovery. Visit siboinfo.com for free educational resources mentioned in the episode.

Episode Links: www.SIBOinfo.com

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