SIBO Made Simple

We've covered a lot of ground in season 2 of SIBO Made Simple, and along the way we've received some amazing listener questions, many of which are related to the food piece of the puzzle. In today's episode, we're asking a nutritionist all of our diet-related digestion questions. To answer them, I have Kristy Regan, a Holistic Nutritionist who specializes in gastrointestinal disorders, and also author of the book, The SIBO Diet Plan

If you don't hear your question, don't stress—there's a big possibility I'll be getting to it with a dedicated episode in season 3 when we return in the fall!

• How you determine if someone even needs a SIBO diet • Who is a restrictive diet not good for and what approach you take with these people • Why you may be more food sensitive now than before going low FODMAP • The best way to reintroduce foods • The best long-term changes we can make to prevent relapse • What to eat on days when you're having horrible distension and pain • Top tips for managing sweet cravings and hunger • How fermented foods factor into treatment and recovery • How to not fear food on a SIBO diet • Pointers for vegetarians / vegans who need to take on a SIBO diet • And so much more...

• Kristy Regan's website •Kristy Regan's book, The SIBO Diet Plan • Pumpkin seed protein powder • Episode 6 on probiotics with Jason Hawrelak • Episode 12 ask a doctor - all your season 1 q and a questions! • Dr. Jacobi's Vegetarian Bi-Phasic Diet download • Oxbile supplement for gallbladder fat malabsorption • Leaky gut supplement pack: L-Glutamine, Zinc Carnosine, Melatonin, Curcumin • Episode 23 on the elemental diet with Dr. Michael Ruscio

This episode is brought to you by my new e-book program, The Low FODMAP Summer Reset, a 4-week elimination diet meal planwith mouthwatering SIBO-friendly recipes using the best of the season's produce. All the dishes are not only free of high FODMAP foods, but also gluten, dairy, soy, corn and refined sugar. This will help not only quiet symptoms of bloating and IBS, but identify the food triggers that might be lighting up your immune system and creating a cycle of inflammation in the gut. Plus, there's a step by step guide for reintroducing these ingredients one at a time so you can design your best path forward. As a member of the SIBO Made Simple listener family, you can take $20 off by using the code SIBO20 at checkout. Just click here to learn more.

Disclaimer:The information shared in this podcast is not meant to provide medical advice, professional diagnosis, or treatment. The information discussed is for educational purposes only and is not a substitute for medical or professional care.

The elemental diet is the most impactful data-backed treatment for SIBO. And yet, it's often misused, misunderstood and generally met with last resort trepidation. Today on the podcast, I'm joined by Dr. Michael Ruscio to demystify this approach and talk more about how he uses it for SIBO treatment, IBD, celiac, and other cases involving a highly-damaged gut.

For those who thought you could never last two weeks only drinking your calories (ahem, I get it), Dr. Ruscio provides plenty of flexibility and advice on using the elemental diet as a meal replacement supplement. You guys have been asking for this episode, so I'd love to hear what you think!

• How the elemental diet works to treat SIBO and the healing potential for leaky gut
• What should you look for when picking a formula and what to avoid?
• Risks and side effects to watch out for
• Myth busting the Candida issue
• Die-off versus negative reactions to a treatment – how you can tell the difference between the two
• How to pair the elemental diet with other SIBO treatments
• The best methods for reintegrating food back into your life and how a low FODMAP elimination plan can overlap
• Keeping your blood sugar stable and other troubleshooting while on the diet
• And so much more...

• Dr. Ruscio's website and podcast
• Dr. Ruscio's book, Healthy Gut, Healthy You
• Dr. Ruscio's Elemental Heal formula
• Physician's Elemental
• Three probiotics that Dr. Ruscio rotates: Lacto-bifido blend, Saccharomyces Boulardii, and soil-based probiotic
• The Summer Low FODMAP Reset elimination diet meal plan e-book
• The Wellness Project Book
• Join the SIBO Made Simple Facebook Community Page
• Subscribe to receive a free download of the episode transcript

Today's episode is brought to you by Fody Foods, a whole array of condiments, sauces and spice blends that are low FODMAP and use real ingredients to promote digestive health. Everything is Gluten-Free, Dairy-Free, non-GMO, and most importantly, delicious. You can now purchase Fody Foods products at the regular grocery store! Keep an eye out for their purple logo on the shelves of Whole Foods, Sprouts, Fairway, and other grocers. Or you can head directly to fodyfoods.comto purchase online. SIBO Made Simple listeners in the US and Canada can get 15 percent off their order by using code SIBO15. Click here to learn more.

Disclaimer:The information shared in this podcast is not meant to provide medical advice, professional diagnosis, or treatment. The information discussed is for educational purposes only and is not a substitute for medical or professional care.

Back by popular demand is another powerful SIBO survivor story. In today's episode, Shivan Sarna is sharing her experience of uncovering her root causes, from Lyme disease to mold exposure, and how she became the patient expert she is today.

Shivan is the founder of SIBO SOS, where she hosts monthly master classes to support others on their journey to understand, treat, and manage IBS, SIBO, and other digestive issues. Relying on her past as a yoga teacher and 20 years of experience hosting live TV, Shivan's superpower is asking the questions SIBO patients have and then making that information easily understood and actionable.

For those of you who have been asking for a patients' perspective, more information on underlying causes, how to vet practitioners to build your SIBO medical team, and navigate a SIBO diet as a vegetarian, this episode is for you.

• Mold and Lyme exposure and what that looks like as a root cause for SIBO
• What it's like to be a "canary" constantly reacting to everything in your environment
• We talk about Shivan's SIBO misdiagnosis and whether or not to believe your breath test results
• The importance of uncovering underlying causes
• The biggest mistakes people make when trying to eradicate SIBO
• What products are essentials for your medicine cabinet and pantry for dealing with SIBO symptoms
• How to navigate a SIBO diet as a vegetarian
• And so much more...

• Shivan Sarna's website, SIBO SOS
• Aerodiagnostics breath testing lab
• In Shivan's medicine cabinet: Candibactin AR/BR, Allicin, charcoal, Megaspore probiotic.
• Yogourmet starter and MV Power yogurt maker
• 24 hour yogurt recipe
• Episode 21 on Acupuncture with Dr. Heidi Lovie

Today's episode is brought to you by Fody Foods, a whole array of condiments, sauces and spice blends that are low FODMAP and use real ingredients to promote digestive health. Everything is Gluten-Free, Dairy-Free, non-GMO, and most importantly, delicious. You can now purchase Fody Foods products at the regular grocery store! Keep an eye out for their purple logo on the shelves of Whole Foods, Sprouts, Fairway, and other grocers. Or you can head directly to fodyfoods.com to purchase online. SIBO Made Simple listeners in the US and Canada can get 15 percent off their order by using code SIBO15. Click here to learn more.

Disclaimer:The information shared in this podcast is not meant to provide medical advice, professional diagnosis, or treatment. The information discussed is for educational purposes only and is not a substitute for medical or professional care.

A lot of integrative medicine these days blends practices from Western science and ancient cultures. But rarely do we get to fully understand the principles of the Eastern approach and how we can apply them to our healing journey.

In today's episode, I have one of my personal practitioners, Dr. Heidi Lovie, discussing the tenets of Chinese Medicine, including modalities like acupuncture, herbs, moxabustion and gua sha, and what they teach us about thyroid and gut disorders. Heidi is a member of the HashiPosse herself, so we go deep on how acupuncture, manual therapy and dietary changes can make up the secret sauce for Hashimoto's healing.

If you've be wanting to try acupuncture, or are curious why it works so well for chronic conditions like Hashimoto's and SIBO, this episode includes so much wisdom.

• How Chinese Medicine teaches us to live in harmony with nature and what this means in our modern world
• What changes our bodies have undergone between 2019 BC and 2019 today
• Why gua sha and manual work is so essential for thyroid therapy – all you need is a ceramic soup spoon!
• The best diet for Hashimoto's and why keto + a low carb approach isn't the best fit
• SIBO, parasites, and opportunistic viruses – the category they all fit into and how to treat them
• When to use herbs and when to use acupuncture to treat a gut issue
• How to detox properly according to Chinese Medicine and what the seasons mean for our diet
• And so much more...

• Dr. Heidi Lovie's website
• How to use gua sha for your thyroid - VIDEO!
• Phoebe's book The Wellness Project
• The Low FODMAP Summer Reset Elimination Diet Plan– use code SIBO20
• Join the SIBO Made Simple Facebook Community Page
• Subscribe to receive a free download of the episode transcript

This episode is brought to you by my new e-book program, The Low FODMAP Summer Reset, a 4-week elimination diet meal planwith mouthwatering SIBO-friendly recipes using the best of the season's produce. All the dishes are not only free of high FODMAP foods, but also gluten, dairy, soy, corn and refined sugar. This will help not only quiet symptoms of bloating and IBS, but identify the food triggers that might be lighting up your immune system and creating a cycle of inflammation in the gut. Plus, there's a step by step guide for reintroducing these ingredients one at a time so you can design your best path forward. As a member of the SIBO Made Simple listener family, you can take $20 off by using the code SIBO20 at checkout. Just click hereto learn more.

Disclaimer:The information shared in this podcast is not meant to provide medical advice, professional diagnosis, or treatment. The information discussed is for educational purposes only and is not a substitute for medical or professional care.

CBD has become a big buzz word in the wellness world, as a salve for everything from anxiety to gut issues to period pain. But what is it and how does it actually work? In today's episode, I'm joined by Chloe Weber, a trained herbalist, acupuncturist and founder of Radical Roots, which combines the power of Chinese herbs with full spectrum hemp.

Chloe got into the world of hemp because of her son Remy, who has been using various CBD formulas to ease a neurological condition. She's a wealth of knowledge about how the endocannabinoid system works, what deliveries best serve digestive disorders, and how to use both hemp and cannabis as part of your SIBO plant medicine cabinet.

If you've been wondering whether hemp-based extracts are worth all the anti-inflammatory hype, this episode has so many incredible takeaways!

• The difference between CBD and THC
• How to use CBD and THC to treat anxiety, insomnia, SIBO, neurological issues and epilepsy
• The best formulas and delivery methods for gut health
• Why smoking hemp or cannabis might be a better choice in certain situations than taking an oil or edible
• Product terminology to beware of and what you want to see on a package to ensure its therapeutic grade and not snake oil
• And so much more...

• Where to find Chloe Weber and her full spectrum hemp line, Radical Roots
• SIBO Made Simple listeners can take 20 percent off her productswith code SIBO20
• Charlotte's Web TED talk
• Haleigh's Hope- CBD for epilepsy
• Palmetto Harmony- CBD suppositories
• The Wellness Project Book
• Join the SIBO Made Simple Facebook Community Page
• Subscribe to receive a free download of the episode transcript

This episode is brought to you by Epicured, a low FODMAP meal delivery service that understands that food is medicine. Each menu is created by Michelin star chefs and honed by doctors and dieticians at mount sinaii to restore digestive health for those with IBS, SIBO, Celiac and IBD. Everything they serve is 100 percent low FODMAP and gluten-free, with no cooking required! My favorite part about their dishes is the healthy spin on takeout gems like shrimp laksa and PAD THAI! Their version had a great balance of fresh veggies mixed in with the noodles that left me feeling both satisfied and completely free of my usual carb coma. Listeners to this podcast can get 20% off their order by using code SIBOMADESIMPLE. Just click here to learn more.

Disclaimer:The information shared in this podcast is not meant to provide medical advice, professional diagnosis, or treatment. The information discussed is for educational purposes only and is not a substitute for medical or professional care.

Is it possible that the most potent medicine in your bathroom is what's getting flushed down the toilet every day? Fecal Microbiota Transplantation (FMT) – taking stool from a healthy person and using it to recolonize the colon of someone with a dysbiotic microbiome – has been one of the most exciting areas of medical research in the last five years.

The simple power of poop has been found to be 92 percent effective in treating the opportunistic and antibiotic resistant bacteria C. difficile, with patients reporting dramatic recoveries within 12 hours.

Though these "ick factor" therapies remain experimental, having not yet received full FDA backing, hundreds of trials are underway across the country to determine their future in treating IBD, SIBO autism, obesity and other inflammatory conditions. And plenty more people have taken matters into their own hands to try their luck with fecal transplants at home.

Today on the podcast, we talk about all things stool transplants: how they work, who might benefit most, and what we still don't understand about their efficacy within the whole microbial ecosystem in all its complexity. Joining me is Dr. Andrea McBeth of Flora Medicine, who is one of the leading experts in the field.

Make sure to listen to the end of the episode as she also addresses the recent controversy over the FDA halting several trials using fecal transplants and what the future might hold for Big Pharma and every day sufferers.

• How FMT works and the best mechanisms for delivery for various gut issues
• Why all the other matter in your poop is equally if not more important than the bacteria when recolonizing your microbiome
• SIBO, IBD, autism, obesity and other inflammatory conditions that are being explored right now with FMT treatment
• Methods for doing a DIY fecal transplant or fecal therapy
• How to choose and properly screen a donor
• The difference between a therapeutic dose for shifting an ecosystem and what you might need to eradicate a pathogen
• Risk factors and why we still need more safety precautions
• Why FMT could help certain SIBO cases
• What lifestyle and diet strategies you need in order for the FMT to work long-term
• And so much more...

• The Low FODMAP Summer Reset Meal Plan
• Where you can find Dr. Andrea McBeth
• NY Times article on the future of FMT, FDA and Big Pharma
• NY Times article on halted FMT trials
• FDA response to the above controversy
• The Wellness Project Book
• Episode 18 on Getting Dirty with Dr. Maya Shetreat
• Join the SIBO Made Simple Facebook Community Page
• Subscribe to receive a free download of the episode transcript

This episode is brought to you by Epicured, a low FODMAP meal delivery service that understands that food is medicine. Each menu is created by Michelin star chefs and honed by doctors and dieticians at mount sinaii to restore digestive health for those with IBS, SIBO, Celiac and IBD. Everything they serve is 100 percent low FODMAP and gluten-free, with no cooking required! My favorite part about their dishes is the healthy spin on takeout gems like shrimp laksa and PAD THAI! Their version had a great balance of fresh veggies mixed in with the noodles that left me feeling both satisfied and completely free of my usual carb coma. Listeners to this podcast can get 20% off their order by using code SIBOMADESIMPLE. Just click hereto learn more.

Disclaimer:The information shared in this podcast is not meant to provide medical advice, professional diagnosis, or treatment. The information discussed is for educational purposes only and is not a substitute for medical or professional care.

Research shows that so much of what sets us up for good gut health later in life happens during early childhood. And yet, it's often when we take our biggest missteps. In today's episode, we go beyond SIBO to talk about the rules of greater gut health, why our detachment from the earth is making sick, and how by simply getting dirtier we can correct some of the microbiome mistakes from our youth.

I'm joined by Dr. Maya Shetreat, who is a pediatric neurologist, herbalist, urban farmer, and bestselling author of The Dirt Cure: Healthy Food, Healthy Gut, Happy Child. In our chat, we discuss what's happening in a developing gut and how some of the popular ills of childhood – like ear infections, fever, rashes, colic, hyperactivity – relate to food sensitivities and a damaged microbiome. More importantly, Dr. Maya gives us some concrete advice on natural alternatives to conventional over-the-counter drugs that might be damaging your kid's microbiome further.

If you're someone who is still putting together all the pieces of your health puzzle (or a child's) this conversation will bring a lot of aha moments, and offer plenty of suggestions for moving forward.

• How the genetic vulnerabilities we're born with play out via our lifestyle and environmental triggers
• What being out in nature does for our nervous system and biodiversity
• How the microbiome interacts with the microvirome – our body's ecosystem of viruses
• Why childhood fevers are so important for immune development
• How gut health impacts the nervous system and why certain children present with neurological issues like ADHD or Autism, and others will get an ear infection
• Why early childhood emotional or physical trauma can affect gut health later in life
• Cranial-Sacral Therapy, reiki, chiropractic adjustments and how you can expand your child's wellness toolkit
• How to approach an elimination diet for children
• Natural tools for your medicine cabinet to fight common childhood ailments like fever, rashes, etc.
• What dietary culprits could be behind chronic ear infections in children
• How we can apply the rules of greater gut health in adult life, even after imperfect childhoods

• Where you can find Dr. Maya Shetreat
• Maya's bestselling book, The Dirt Cure
• Episode 13 with Aviva Romm: advice on how to rebound from a C section
• Episode 7 with Jason Wysockion bodywork and SIBO
• Fever breaking kit: peppermint oilcompresses + yarrowor elderflower for sweat
• Join the SIBO Made Simple Facebook Community Page
• Subscribe to receive a free download of the episode transcript

This episode is brought to you by Epicured, a low FODMAP meal delivery service that understands that food is medicine. Each menu is created by Michelin star chefs and honed by doctors and dieticians at mount sinaii to restore digestive health for those with IBS, SIBO, Celiac and IBD. Everything they serve is 100 percent low FODMAP and gluten-free, with no cooking required! My favorite part about their dishes is the healthy spin on takeout gems like shrimp laksa and PAD THAI! Their version had a great balance of fresh veggies mixed in with the noodles that left me feeling both satisfied and completely free of my usual carb coma. Listeners to this podcast can get 20% off their order by using code SIBOMADESIMPLE. Just click hereto learn more.

Disclaimer:The information shared in this podcast is not meant to provide medical advice, professional diagnosis, or treatment. The information discussed is for educational purposes only and is not a substitute for medical or professional care.

SIBO breath testing has been the subject of some pushback in the wider medical community. Today's episode discusses some of the controversy around the effectiveness of breath testing, when it's worth doing, how to make sure your results are accurate, and what other tests might be better at getting to the bottom of your gut issues.

Joining me is Dr. Patrick Fratellone, a functional cardiologist and herbalist who used to practice with the late Dr. Robert C. Atkins. He takes us through how he does his gut detective work as a functional medicine doctor, including what comprehensive tests on genetics, vitamin levels and intestinal permeability can tell you about your bigger gut picture.

If you're someone who's been debating whether or not to get a breath test for SIBO, this episode might help you weigh that decision.

• Whether doing a SIBO breath test is worth your time, money and energy
• What other tests are necessary to determine how your small intestine is functioning
• Why vitamin D levels are great indicators of your gut health
• How Dr. Fratellone goes through his process of elimination (hint: SIBO is not the first condition to rule out)
• MTHFR genes and what they tell you about your health picture, including SIBO
• Genetic origins of IBS and how to test for them
• Candida versus SIBO: how to tell the difference
• Testing for leaky gut / intestinal permeability and why it's important
• How to prepare properly for a SIBO breath test so your results are accurate
• IGG reactivity testing and what it actually tells you

• Where to find Dr. Patrick Fratellone
• Genova Diagnostics Digestive Stool Analysis
• Thorne Onegevity Stool Test
• 3-Hour Lactulose Breath Test for SIBO
• Intestinal permeability test for leaky gut
• Leaky gut treatment: liquid vitamin D + powdered L-glutamine
• Viome microbiome kits
• IgG reactivity testing
• Become a recipe tester for the SIBO Made Simple BOOK!!
• Join the SIBO Made Simple Facebook Community Page
• Subscribe to receive a free download of the episode transcript

This episode is brought to you by Epicured, a low FODMAP meal delivery service that understands that food is medicine. Each menu is created by Michelin star chefs and honed by doctors and dieticians at mount sinaii to restore digestive health for those with IBS, SIBO, Celiac and IBD. Everything they serve is 100 percent low FODMAP and gluten-free, with no cooking required! My favorite part about their dishes is the healthy spin on takeout gems like shrimp laksa and PAD THAI! Their version had a great balance of fresh veggies mixed in with the noodles that left me feeling both satisfied and completely free of my usual carb coma. Listeners to this podcast can get 20% off their order by using code SIBOMADESIMPLE. Just click here to learn more.

We've all experienced some telling signs that our gut is connected to our mood. Think butterflies in your stomach before a big presentation, that last minute urge to pee before going on stage. And if you're someone with SIBO or other digestive issues, you might be dealing with some of the other downwind symptoms that occur when we let our anxiety get out of control.

On today's episode, I'm joined by Dr. Megan Riehl, a GI psychologist (yes, it's a thing) who specializes in tactical approaches to relieving visceral hypersensitivity, food fears, and anxiety related to our gut. We talk about how anxiety around your meals or symptoms can become a self-fulfilling IBS prophecy, and explore a really powerful data-backed approach: hypnosis for anxiety, IBS, and other digestive issues.

If you're someone who's prone to both anxiety and gut issues, this conversation is a must-listen.

Also, I have a BIG announcement about a secret project I've been working on all spring and ways for you to get involved. Don't miss it.

• Cognitive Behavioral Therapy and how it helps with anxiety and gut issues
• Breathing exercises to dial down our body tension
• Gut-directed hypnotherapy for IBS, IBD, GERD and other issues
• Why people get visceral hypersensitivity from nerve endings
• Why you should see a GI doctor in addition to a therapist, and vice versa
• Cognitive restructuring around food fear and anxiety
• How to tell the difference between SIBO-induced food fear and disordered eating
• Strategies for approaching a meal when you have food anxiety

• Where to find Dr. Megan Riehl
• North Carolina protocol for hypnotherapy
• Kate Scarlata episode on SIBO diets
• Amy Shah episode on meal spacing
• Become a recipe tester for the SIBO Made Simple BOOK!!
• Join the SIBO Made Simple Facebook Community Page
• Subscribe to receive a free download of the episode transcript

This episode is brought to you by Epicured, a low FODMAP meal delivery service that understands that food is medicine. Each menu is created by Michelin star chefs and honed by doctors and dieticians at mount sinaii to restore digestive health for those with IBS, SIBO, Celiac and IBD. Everything they serve is 100 percent low FODMAP and gluten-free, with no cooking required! My favorite part about their dishes is the healthy spin on takeout gems like shrimp laksa and PAD THAI! Their version had a great balance of fresh veggies mixed in with the noodles that left me feeling both satisfied and completely free of my usual carb coma. Listeners to this podcast can get 20% off their order by using code SIBOMADESIMPLE. Just click here to learn more.

Have you found that fermented foods, bone broth and wine make you feel sick? Do you sometimes feel edgy, anxious or are unable to sleep? Does your nose stay stuffy year-round to boot? You might be dealing with a histamine intolerance.

In today's episode, integrative nutritionist Heidi Turner explains how histamine works to support various systems in the body, and the inflammatory effect on those systems when we have too much of it. Heidi specializes in complex health issues including SIBO, autoimmune conditions, histamine intolerance, mast cell activation and food chemical sensitivities, and has counseled thousands of patients on ways to reduce inflammation through dietary change and manipulation of the microbiome.

This chat took me by surprise: I learned so much about the connection between seasonal allergies, sleep, stress and SIBO. And we discuss a tangible path to reversing histamine dis-regulation in just a week. If you've been suffering from food sensitivities, even on a low FODMAP diet, this episode is a must listen.

• What is histamine and how does it work in the body?
• How over the counter medications work to relieve some histamine symptoms
• Why certain types of excess histamine presents as a runny nose and others affect your gut
• How SIBO can spark the development of histamine intolerance
• Examples of histamine producing foods versus histamine liberating foods
• Testing for histamine intolerance and how to tell if you have it
• The biggest rules of thumb for limiting histamine and how to cook around them
• Long-term approaches to histamine issues and how sleep can be affected
• Supplements you can use for when you have a histamine flare up
• Stress management strategies to help with histamine issues

• Heidi Turner's website
• SIBO SOS Doctor Directory
• My Rolodex for Holistic Doctors in NYC
• Bi-Phasic low Histamine diet
• Episode 9 on the Bi-Phasic Diet with Dr. Jacobi
• Histamine friendly Instapot bone broth
• Zeolite for binding histamines
• Meditation Apps: Headspace, Insight Timer, 10 Percent Happier
• Join the SIBO Made Simple Facebook Community Page
• Subscribe to receive a free download of the episode transcript

This episode is brought to you by Epicured, a low FODMAP meal delivery service that understands that food is medicine. Each menu is created by Michelin star chefs and honed by doctors and dieticians at mount sinaii to restore digestive health for those with IBS, SIBO, Celiac and IBD. Everything they serve is 100 percent low FODMAP and gluten-free, with no cooking required! My favorite part about their dishes is the healthy spin on takeout gems like shrimp laksa and PAD THAI! Their version had a great balance of fresh veggies mixed in with the noodles that left me feeling both satisfied and completely free of my usual carb coma. Listeners to this podcast can get 20% off their order by using code SIBOMADESIMPLE. Just click here to learn more.

Disclaimer: The information in this podcast does not provide medical advice, professional diagnosis, opinion, or treatment. The information discussed is for educational purposes only and is not a substitute for medical or professional care.