SIBO
I’m wondering if you have a specific protocol for SIFO
That’s small intestinal fungal overgrowth. No, we don’t. We use the core antimicrobial protocol and will sometimes add A-FNG to...
At this point, do you ever run the Genova intestinal permeability test? Given all the limitations you mentioned, I’m wondering what IP test will be used instead of or even in addition to Cyrex Array 2. Only reason I can really think of is if someone had an issue with the blood draw.
Chris Kresser: It’s worth pointing out, which I think I did, that most of the research that we have correlating...
New 34-year-old female client with history of H. pylori, GERD, bloating, constipation, rashes, white coating on tongue. Previously done Gut Thrive program to help reset her gut and has had food sensitivity testing. Strictly avoids yeast foods and eats only organic whole foods. Started an elemental diet two weeks ago for suspected SIBO and is doing well except for continued rashes and white tongue. Is this a die-off situation, and what should be the next step beyond the elemental diet? Considering SIBO test and then possible antimicrobial protocol if indicated.
Chris Kresser: A lot of people get a really thick white coat on the tongue with an elemental diet. It...
Two quick product questions related to SIBO treatment. In addition to Lauricidin, which is pretty readily available, is there a broad-spectrum herbal antimicrobial you recommend besides GI-Synergy? The reason I ask is GI-Synergy to procure without an account compared to other brands like Designs for Health.
Chris Kresser: Yes, there are other options. I think we talked about them in the unit. I can’t recall for...
What are your thoughts on Integrative Therapeutics’ Physician’s Elemental Diet? This seems to be a pure elemental diet and perhaps the best option out there for people looking for a ready-made version.
Chris Kresser: I agree 100 percent. Ingredients are way cleaner than most other elemental options. There is also Absorb Plus,...
I saw a 34-year-old female this week who came in to speak to me about depression related to her miscarriage last year with her first pregnancy. No prior history of depression. Healthy medically except for your ureteral reflux as a child with a history of multiple UTIs and frequent treatment with Septra and other antibiotics growing up. As an adult, still gets recurrent UTIs and often postcoital. Also note from a functional perspective she developed an adult food allergy as shellfish and gets frequent migraines which may be food related. Can you help me connect some dots between the vaginal microbiome issues, UTIs, recurrent antibiotics, migraines, food allergies and depression? Has been prescribed gluten-free Paleo, more exercise, and doing standard labs but haven’t ordered food sensitivity or stool yet. Plan to order probiotics for mood based on stool culture results. Any thoughts on how to avoid future UTIs?
Chris Kresser: Okay. Yes, a lot here. This makes perfect sense to me. It’s a great example of the gut-brain...
Would the treatment for SIFO be the same as the basic SIBO protocol? Can you speak to other combinations of supplements that have been shown to be helpful?
Chris Kresser: Yes, that’s what we do with possible addition of A-FNG and others just mentioned. Just as a general...
I heard you on some SIBO videos talk of some clients who came in with high cholesterol, and when eradicating SIBO, their cholesterol numbers regulated. Can you explain this connection? Am I to assume SIBO is causing systemic inflammation leading to vessel damaging, and cholesterol is produced in excess because of vessel injury? What are other direct or indirect connections?
Chris Kresser: In short, among the mechanisms that we’ll discuss, one is intestinal permeability, and the other is infection. Another...
What nutritional strategies do you recommend for recurrent vaginitis or vaginosis?
Kelsey Kinney: This is actually a pretty easy question for me to answer because, honestly, I would really recommend it...
