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blog51

Home Cookin’

By Natural Health TipsNo Comments

One of the upsides of sheltering in place is that we are all cooking more. Home-cooked food is associated with better diet quality, but you probably don’t need a research study to convince you of that! It is also great for the budget. This 2017 study found frequent home cooking was linked with reduced per capita food expenditures overall ($330/month among low vs $273/month among high cooking group, p<0.001) (Am J Prev Med 2017, PMID 28256283). I love cooking, and I’m enjoying having some time to get back into it. I find it to be one of my favorite mindfulness practices…observing the aromas and tastes of the individual ingredients, turning the spice rack and pondering what combination will enhance the main ingredients. I also love to get creative with ways to modify recipes to make them a little healthier. A easy place to start is with reducing the sweeteners; you can almost always get away with 1/3 to 1/2 less sweetener in a baking recipe without compromising the texture or the flavor. I also love to find ways to incorporate additional veggies into unexpected places. For example, this beet chocolate muffin recipe! Here’s one that I tried this morning – I think you’ll love it too! https://www.occasionallyeggs.com/chocolate-beet-muffins/

 

(Note, this is already pretty minimal on the sweetener, and it uses coconut sugar which has the lowest glycemic load of any sugar, so I made it as is! Regular flour, or a gluten-free blend substitute just fine too.)

 

Send a picture of your latest creation to manager@drericaoberg.com and we will post it on social media! Or go ahead and post on my facebook page @DrEricaOberg or Instagram @dr.ericasoffice. Bon Appetite!

blog50

Making Progress on Parkinson’s Disease

By Natural Health TipsNo Comments

One area of medicine that has always fascinated me is research. I practice using science based outcomes to minimize the use of unproven or nebulous treatments. The amount of information flooding the healthcare news these days is staggering. I want to be a trusted source of information for you so you can easily find out what works, what has promise and what is simply not worth your energy or attention.

 

Neurodegenerative diseases are challenging for individuals and families alike. Their causes, treatments and outcomes are the source for both good and bad science. I am fortunate to have a friend on the frontline of one of these diseases-Parkinson’s.

 

My friend and favorite naturopathic neurologist, Dr. Laurie Mischley posted some of her latest research on what works to prevent and mitigate neurodegenerative conditions like Parkinson’s. Going forward, I’m excited to be partnering with her in research, as we investigate the impact of exosomes on neurodegenerative conditions. Want to be a participant? Get in touch!

 

Dr. Mischely has partnered with some amazing research institutions, including the Michael J. Fox Foundation. Her research has led to several conclusions on detecting and slowing Parkinson’s Disease. More information about Dr. Mischley and her work can be found at www.livinghealthywithparkinsons.com

 

In the coming weeks, we will explore more together the exciting promise of exosomes in regenerating and slowing many aspects of aging and disease. Stay tuned. Until then, Stay healthy. I am available via TeleHealth for any healthcare or wellness needs you may have.

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When One Hand Giveth and the other Taketh Away.

By Natural Health TipsNo Comments

While most of my clients prefer to avoid pharmaceutical medications, sometimes they are necessary. When I do prescribe medications, I always chose the lowest effective dose and make sure to mitigate the risk of nutrient depletions or other unwanted side-effects that could cause new issues even as the medication works to control the disease or symptom. There are rare situations that work in reverse too – some nutrients can block or increase the effectiveness of medications. This type of interaction can be used beneficially, for example if we are using a low dose of statin plus a cholesterol lowering dietary supplement like red yeast rice, or it can be detrimental, for example taking some mineral supplements at the same time can block the absorption, and effectiveness, of antibiotics.

Here are some of the most common drug-nutrient depletions – if you are taking these medications, make sure you are getting enough of these nutrients either in your supplements or with extra servings of nutrient rich foods. If you have questions about medications not on this list, you can schedule a Telehealth review of your medications, supplements, and diet. I call it the “Medicine-Chest Makeover” and it’s a great way to the the straight scoop on Supplements and Prescription medications…

Click for Nutritional Deple

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Happiness Leads to Healthfulness

By UncategorizedNo Comments

Many of the people who come to see me at my clinic are what I consider excellent “do-ers.” They follow the latest diet rigorously, they take complex regimens of supplements (which I often pare back), and are excellent at applying discipline and restraint in pursuit of wellness. There are, however, other domains of wellness that are equally important and the way we pursue them is both pleasurable and flexible.

This diagram illustrates some of the other domains of well-being beyond physical health, which in turn, have meaningful effects on well-being and physical health. For example, a gratitude practice can make your brain more flexible and resilient. A 2016 study measured brain response and neural activity by fMRI. Subjects were taught to keep a gratitude journal, and then 3 months later, asked to engage in a “pay it forward” activity while in the fMRI. Those that practiced gratitude regularly had greater levels of positive brain activity, especially in the prefrontal cortex – an area involved in higher level thinking.

Another important “non-physical” domain of wellness is community and connection. These are especially relevant this year, as we navigate the new world order of minimizing our in-person social interactions. However, there can be silver linings – fewer friendships provide opportunity for quality over quantity and deeper, more meaningful connections. Science supports the value of connection (not surprisingly). A recent meta-analysis found that social connections protect against chronic stress and increase resilience to the endocrine imbalances that come from stress.

The diagram comes from a colleague’s project, in beta mode currently, that seeks to leverage happiness to boost healthfulness. Nola.com seeks to leverage artificial intelligence to learn what makes you happy, and then provide reminders to keep those things in your life, thus resulting in measurable health benefits such as lower blood pressure and less depression and anxiety.

So, balance out the “do-ing” of your wellness plan with a little more pleasure. Share a delicious meal with someone you care about. Laugh more. Practice gratitude. Volunteer. Do something for someone else. Whatever makes you happy (within reason!) – do it and enjoy knowing you are doing good for your health!

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How Functional Lab Testing Can Get To The Root Cause

By UncategorizedNo Comments

Every successful journey needs a good map, so your road to good health needs the data to ensure you will reach your destination.Think of it this way: If you don’t know the root cause of a problem, you don’t know the best starting point and route to follow. A thorough evaluation of your overall health is essential to plot your road to success.

 

Conventional medicine typically focuses on just one aspect of that journey. Testing is narrow in scope and focuses on a specific symptom, so any treatment plan lacks the complete data necessary for a holistic approach to healing.

 

In contrast, functional lab testing has the ability to look at the entire body. That’s because our health isn’t a collection of siloed processes, but rather a complex network. Examining your overall health allows your healthcare provider – and yourself – to take a step back and look at the big picture. A treatment plan is therefore comprehensive instead of merely focusing on getting rid of one symptom.

What Is Functional Lab Testing?

 

Just as the name implies, functional lab testing aims to determine how your body is functioning as a unit. Most common tests could involve:

  • Blood tests

  • Saliva tests

  • Stool samples

  • Urine samples

The data gathered through these tests helps determine the impact of nutrition, stress, environment, hormones, genetics and more on your body. It can also assess the state of your microbiome – the bacteria in your gut. As a result, you have more information to determine the underlying causes of any health issue.

Key Functional Tests

 

An integrative healthcare practitioner will determine the best tests for you, since there’s no set formula for testing. Some of the most common and informative tests include:

Hormone panel

The impact of your hormone levels on your overall health – both physical and mental – is far-reaching and often underestimated. Unbalanced levels of cortisol, DHEA, progesterone, testosterone, estrogen, androgens, insulin and thyroid hormones can all impact your wellbeing in ways that can be difficult to diagnose through standard tests. Debilitating symptoms like weight problems, mood issues, and fatigue can continue unnecessarily without targeted hormone testing.

It’s often important to have a complete panel, instead of focusing on one, since you want to see the balance of different hormones, like estrogen and progesterone. Hormone testing can be done by blood tests or saliva tests.

 

Gut health assessments

This is another frequently overlooked function with broad implications on your health. In fact, science is only now starting to recognize that your gut health greatly impacts a broad range of common health issues, including depression, obesity, and diabetes. Even your cardiovascular health is impacted by the microbiome. Modern lifestyles and diets harm your gut by disturbing the delicate balance of bacteria, leading to inflammation and malabsorption of essential nutrients. Tests to gage your gut health include:

  • Stool analysis: These tests can uncover issues with malabsorption, which could be caused by damage to the intestine, or conditions like celiac, Crohn’s disease, or autoimmune disorders.

  • SIBO breath test: SIBO stands for small intestinal bacterial overgrowth. By measuring the amount of hydrogen in your breath after consuming sugar, it can gage the amount of bacteria in your small intestine, and your ability to digest certain sugars, such as lactose.

  • Zonulin antibody testing: Zonulin is a protein that helps maintain the correct degree of permeability in your gut. Testing for zonulin antibodies can help diagnose leaky gut syndrome. Testing for antibodies generally gives more accurate results than testing zonulin levels.

Food sensitivity assessments

Sensitivities to certain foods can have a profound impact on your overall health, but they’re notoriously difficult to diagnose on your own, in part because there is a wide range of possible reactions. It’s best to work with a healthcare practitioner. Tests that can hone in on possible sensitivities include elimination diets with careful records and blood tests evaluating factors such as immunoglobulin G (IgG) antibodies.

Tests for inflammation markers

Inflammation is often a sign that something is amiss in your body, but most standard checkups don’t evaluate for signs of inflammation. Markets to test include:

  • C-reactive protein

  • Homocysteine

  • Ferritin

Elevated inflammation markers don’t necessarily tell you what’s causing problems, but they are definitely a sign to do more testing – and that information can be invaluable. One study found that people with elevated levels of c-reactive protein have an increased risk of heart attack, by as much as three times.

 

Detox testing

Exposure to toxic substances such as heavy metals, molds or pesticides is another impact to our health, particularly with regards to autoimmune disorders and digestive issues. But, despite the risks, testing for exposure is often overlooked. Methylation is the complex process that removes toxins from your body, and some people have a genetic variation that impacts this process, putting them at greater risk for high levels of toxins. MTHFR genetic testing is one test that can indicate if your body’s detox processes are working as they should.

 

In addition, heavy metal testing examines the levels of possibly toxic substances like mercury, lead, and cadmium.

Mold has also been a hidden cause of many “mystery illnesses” but is rarely checked in conventional medicine. Symptoms of mold exposure are not always the obvious ones like sneezing or itchy and watery eyes, they can include cognitive impairment, depression, sleep disturbance, brain fog, digestive complaints and more!

Nutrient levels

Deficiencies in essential nutrients can lead to many health issues. Common symptoms include unexplained fatigue, brain fog, mood disorders, and more. It’s important to check your levels regularly, since they can change easily depending on what else is going on in your life – even if your diet remains the same, stress can affect levels of many nutrients, including magnesium and iron. It’s important to review your results with a qualified practitioner, as many holistic practitioners use different standards than conventional medicine does.

Metabolic testing

No matter how good your diet is, a problem with how you metabolize nutrients can lead to health issues.

  • HgA1c

  • Fasting glucose

  • Insulin

  • Lipid panel

One important factor in these tests is that they can spot potential issues before they become problems. For example, monitoring HgA1c and glucose levels can help diagnose insulin sensitivity before you develop prediabetes or diabetes. A holistic practice will watch for trends in order to suggest changes before a problem develops.

Interpreting Results

 

Numbers can tell a story, but they need to be interpreted properly. Just looking at the numbers from testing and only reacting if they fall out of “normal” range can lead to missing the point of the story. After all, the goal for testing should be to determine all of the factors influencing your health, and to determine if you can improve any aspect for optimum health. Aiming for so-called normal ranges will detect the presence of disease, but may not prevent disease from developing. Looking at optimal levels, and using functional tests, can help ensure optimal wellbeing and help prevent disease..

Functional testing helps determine the underlying cause of health problems, and will help you develop a roadmap to a healthier you. Contact us to get started!

Sources

 

Blottière HM, Doré J. Impact des nouveaux outils de métagénomique sur notre connaissance du microbiote intestinal et de son rôle en santé humaine – Enjeux diagnostiques et thérapeutiques [Impact of newly developed metagenomic tools on our knowledge of the gut microbiota and its role in human health: diagnostic and therapeutic issues]. Med Sci (Paris). 2016 Nov;32(11):944-951. French. doi: 10.1051/medsci/20163211009. Epub 2016 Dec 23. PMID: 28008834.

 

Aron-Wisnewsky J, Clément K. The gut microbiome, diet, and links to cardiometabolic and chronic disorders. Nat Rev Nephrol. 2016 Mar;12(3):169-81. doi: 10.1038/nrneph.2015.191. Epub 2015 Nov 30. PMID: 26616538.

Vojdani A, Vojdani E, Kharrazian D. Fluctuation of zonulin levels in blood vs stability of antibodies. World J Gastroenterol. 2017;23(31):5669-5679. doi:10.3748/wjg.v23.i31.5669

Ridker PM. Cardiology Patient Page. C-reactive protein: a simple test to help predict risk of heart attack and stroke. Circulation. 2003 Sep 23;108(12):e81-5. doi: 10.1161/01.CIR.0000093381.57779.67. PMID: 14504253.

Lopresti AL. The Effects of Psychological and Environmental Stress on Micronutrient Concentrations in the Body: A Review of the Evidence. Adv Nutr. 2020;11(1):103-112. doi:10.1093/advances/nmz082

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Heavy Metals In the Body: What You Need to Know

By Natural Health TipsNo Comments

Heavy metals are naturally occurring elements that can be found throughout the environment. Given their prevalence in the foods that we eat and even the air we breathe, we are exposed to high levels of heavy metals every day.

 

Certain metals– including zinc, copper, and iron—are beneficial for your health in small doses. However, overexposure to other heavy metals poses serious health risks. Cadmium, arsenic, chromium, lead, and mercury are some of the most toxic. Heavy metal poisoning has become a growing health concern as human activity has increased their presence in our environment.

 

Risks and Symptoms of Heavy Metals In The Body

 

A doctor can test your level of exposure to harmful heavy metals in your blood, urine, and hair. If toxicity is high, you may be experiencing symptoms such as:

  • Headaches

  • Abdominal pain

  • Nausea

  • Vomiting

  • Diarrhea

  • Fatigue

  • Chills

  • General feeling of weakness

In more severe and chronic cases of heavy metal poisoning, symptoms may include:

  • Burning and tingling sensations

  • Brain fog

  • Insomnia

  • Paralysis

  • Chronic infections

The toxicity of heavy metals can have serious effects on the brain, liver, and lungs. Long term exposure is even associated with cancer.

 

Who is most at risk?

Although heavy metal exposure poses a risk to everyone, it is a special concern for pregnant and breastfeeding women. This is due to the fact that toxins can be passed to the child through the placenta and breast milk.

 

How To Reduce Your Exposure to Heavy Metals

 

While they can hardly be escaped in everyday life, there are certain sources of heavy metals you can deliberately avoid and cut back on to prevent overexposure.

 

1- Be mindful of your seafood consumption

 

Certain types of fish tend to contain high levels of the heavy metal mercury, which can be harmful in large amounts. The FDA has guidelines for avoiding mercury when eating fish– those with the highest levels are typically larger fish including:

  • Swordfish

  • Shark

  • Tilefish

  • King mackerel

  • Orange roughly

  • Tuna

  • Marlin

Fish (and seafood) with the least amount of mercury include wild caught salmon, trout, herring, haddock, sole, shrimp and shellfish such as oysters, scallops and mussels.

 

2 – Quit smoking

 

Cigarettes and e-cigarettes both contain high levels of cadmium, a heavy metal linked with increased cancer risk, among many other harmful ingredients. Avoid smoking to avoid this toxic element, among others.

 

3 – Opt for organic

 

You’ve heard it before – organic is best. But some foods even more so to avoid heavy metals. Rice tends to contain high levels of the heavy metal arsenic. This is due to its absorbent property—rice absorbs arsenic from pesticide-ridden soil, irrigation water, and even the water that you cook it in.

Buying organic rice can prevent overexposure to the heavy metal. Be sure to always rinse your rice well (until the water runs clear) before cooking it.

 

Bone broth is a popular health food for lowering inflammation and promoting gastrointestinal health. However, when animals are exposed to heavy metals, they can store it within their bone materials. Choose organic bone broth from grass fed cows and pasture raised chickens.

 

4 – Clean cosmetics and body care

 

There are numerous heavy metals—including lead, cadmium, and aluminum—which are often present in makeup and skin products. Many deodorants and antiperspirants also contain aluminum salts, which clog the pores and can enter the body through injured skin (after shaving). Exposure to aluminum can contribute to serious diseases such as breast cancer.

Find an aluminum-free deodorant to reduce this risk and seek out organic cosmetics.

 

5 – Invest in clean water and safe cookware

 

Due to environmental contamination, heavy metals tend to build up in groundwater and then enter the human body in large amounts. Water pipes also are frequently made with lead or copper, two metals which can be harmful to health. Investing in a water filtration system can help reduce absorption of these heavy metals into your body.

Heat can increase the chance of toxins leaching into food, making cookware an important place to start when trying to limit heavy metal and toxin exposure. Research shows the safest cookware is that made of ceramic, glass, cast iron, or stainless steel, especially higher qualities without contaminated glazing.

 

6 – Sweat it out

 

Far infrared saunas have become an increasingly mainstream addition to any heavy metal detox protocol. Research shows that sweat produced by an infrared sauna is only 80 to 85% water, with the remainder made up of harmful substances like cholesterol, sulfuric acid, ammonia, and heavy metals. Infrared saunas produce a heat that penetrates more deeply into tissue than a traditional sauna, helping to mobilize and excrete the mercury and other toxins stored in fat.

 

Further Treatment

 

If you find upon medical testing that your exposure to heavy metals has reached harmful levels, there are medical treatments available. It can take time to safely detox heavy metals from the body, but it is possible.

Medications can be delivered intravenously to remove toxins. These medications bind to the metal, a process called chelation. Note that chelation therapy should only be used in serious cases of heavy metal toxin build up, and under the close supervision of a medical professional.

There are, however, alternative and more gradual ways to detox heavy metals from the body. One way is consuming certain foods which electrically attract metal and will help move it out. These foods include:

  • Cilantro

  • Garlic

  • Lemon water

  • Green tea

  • Spirulina

  • Chlorella

  • Dietary fiber

Another option is taking supplements. For instance, selenium helps detox mercury, and Alpha-lipoic acid can renew antioxidants and detox metals.

 

Furthermore, vitamin B, B-6, and C deficiencies can lead to poor tolerance of heavy metals and easier toxicity, so it may be worth supplementing with these vitamins if you find that you are deficient. As always, take care to consult with a healthcare professional before adding any supplements or detoxification substances to your diet.

 
 

Exposure to high levels of heavy metals can cause serious health concerns. And while human activity has increased their prevalence in our environment, there are certain steps you can take to avoid overexposure to these harmful substances.

 

Heavy metal exposure can feel frightening, but there are plenty of steps to minimize its impact. A healthy lifestyle, including regular exercise and plenty of sleep can help. If you have any questions about heavy metal exposure, reach out to me.

 
 

Sources

Tchounwou, P.B., Yedjou, C.G., Patlolla, A.K., Sutton, D.J. (2012). Heavy Metal Toxicity and the Environment. In: Luch, A. (eds) Molecular, Clinical and Environmental Toxicology. Experientia Supplementum, vol 101. Springer, Basel. https://doi.org/10.1007/978-3-7643-8340-4_6

 

Zhai Q, Narbad A, Chen W. Dietary strategies for the treatment of cadmium and lead toxicity. Nutrients. 2015 Jan 14;7(1):552-71. doi: 10.3390/nu7010552. PMID: 25594439; PMCID: PMC4303853.

 

Monro JA, Leon R, Puri BK. The risk of lead contamination in bone broth diets. Med Hypotheses. 2013 Apr;80(4):389-90. doi: 10.1016/j.mehy.2012.12.026. Epub 2013 Jan 31. PMID: 23375414.

 

TatahMentan M, Nyachoti S, Scott L, Phan N, Okwori FO, Felemban N, Godebo TR. Toxic and Essential Elements in Rice and Other Grains from the United States and Other Countries. Int J Environ Res Public Health. 2020 Nov 3;17(21):8128. doi: 10.3390/ijerph17218128. PMID: 33153201; PMCID: PMC7663342.

 

Sears ME. Chelation: harnessing and enhancing heavy metal detoxification–a review. ScientificWorldJournal. 2013 Apr 18;2013:219840. doi: 10.1155/2013/219840. PMID: 23690738; PMCID: PMC3654245.

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Small Intestinal Bacterial Overgrowth: An Approach That Works

By Natural Health TipsNo Comments

Small intestinal bacterial overgrowth (SIBO) is an undiagnosed condition caused by an excess of bacteria in the small intestine. The results of this bacteria overgrowth can be profound and lead to intestinal damage and nutritional deficiency. However, despite the far-reaching implications, many conventional practitioners miss the signs of SIBO. This is partly because the medical profession’s knowledge of the causes and treatment of SIBO is relatively new.

What Is Small Intestine Bacterial Overgrowth?

Bacteria play an important role in your large intestine, where they break down carbohydrates and help absorb nutrients. These processes produce a lot of gas, but the large intestine is designed to (mostly) accommodate gas production.

However, issues arise when gas-producing bacteria enter the small intestine, leading to bloating, diarrhea, and constipation – and sometimes, all three!

Generally speaking, there are three kinds of SIBO.

SIBO-D happens when bacteria produce hydrogen, leading to bloating and diarrhea.

SIBO-C is triggered by methane gas that slows down the transit time of waste products, leading to constipation.

 

Researchers are learning more about a third kind of SIBO, linked to excess levels of hydrogen sulfide, a gas you might recognize for its “rotten eggs” smell.

Many people experience a mix of the above, including alternating diarrhea and constipation.

 

Other symptoms of SIBO include:

  • Excessive burping

  • Acid reflux after meals

  • Bad-smelling gas

  • Gurgling noises in your stomach

  • Cramping and other discomforts

SIBO can also trigger seemingly unrelated symptoms such as joint pain, mood issues, food sensitivities, memory problems, and weight gain.

The impact of SIBO on your health

The symptoms of SIBO aren’t just annoying and uncomfortable – they can also impact your overall well-being. Bacteria in the small intestine can damage the intestinal walls and interfere with nutrient absorption. People with CIBO-D are at risk of low levels of essential nutrients like vitamin B12 and iron. And CIBO-C is often associated with weight gain.

What Causes SIBO?

Digestion is a complex process, and when something goes wrong, the effects can multiply in unexpected ways. SIBO is often the result of multiple factors and it’s not always possible to pinpoint a specific trigger.

Many medical conditions create the conditions that lead to bacterial overgrowth in the small intestine, including

  • Irritable bowel syndrome – by some estimates, almost 80% of people with IBS also have SIBO

  • Lyme Disease

  • Diabetes

  • Hypothyroidism

  • Scleroderma

One of the most common triggers for SIBO is bacterial gastroenteritis, more commonly referred to as food poisoning. Your body’s response to food poisoning can slow digestive motility, and in effect the movement of bacteria.

Stress is also a common contributor to SIBO, in part because stress can also affect motility and trigger digestive upset.

Diagnosing SIBO

Despite its complex possible causes, SIBO can be surprisingly easy to diagnose. The preferred diagnostic tool is a breath test that measures the hydrogen and methane gas in your breath. After following a specific diet or fasting for a day or two beforehand, you’ll drink a mix of glucose and water at regular intervals, breathing into tubes that measure gas levels after every drink.

Blood and stool tests to measure nutritional deficiencies and digestive function are sometimes also needed.

Treating SIBO

The best treatment for SIBO follows a three-pronged model designed to get to the root of the bacteria overgrowth and stop further growth. Be wary of any simple solution that merely masks the symptoms. Instead, focus on these steps.

1 – Start healing by reducing the symptoms through diet

 

To ease your symptoms and slow the continuing growth of bacteria, you want to eliminate the foods bacteria feed on: starches, sugars, and soluble fiber. Lean sources of protein and healthy fats can give your digestive tract a break. However, the best diet for SIBO patients can vary widely and depends on other factors such as food sensitivities and caloric needs, so it’s important to work with a healthcare practitioner.

2 – Reduce bacteria content in the small intestine

Again, this can vary a great deal by individual. Herbal antimicrobials can naturally reduce the bacteria without the side effects of antibiotics. Oil of oregano, berberine, and red thyme all have antimicrobial properties, but the exact treatment should be determined in consultation with a healthcare provider.

3 – Restore good bacteria

 

Our bodies require a certain amount of beneficial bacteria, so it’s important to repopulate! For many patients, this can be accomplished with probiotic supplements and a diet with plenty of fermented foods like sauerkraut and yogurt.

 

The symptoms of SIBO can be debilitating, but you don’t have to suffer. Because treatment is typically highly individual, it’s important to work closely with a healthcare practitioner. If you recognize the symptoms of SIBO and want to get started with treating it, don’t hesitate to call.

 
 

Sources:

Ghoshal UC, Shukla R, Ghoshal U. Small Intestinal Bacterial Overgrowth and Irritable Bowel Syndrome: A Bridge between Functional Organic Dichotomy. Gut Liver. 2017 Mar 15;11(2):196-208. doi: 10.5009/gnl16126. PMID: 28274108; PMCID: PMC5347643.

Wang SX, Wu WC. Effects of psychological stress on small intestinal motility and bacteria and mucosa in mice. World J Gastroenterol. 2005 Apr 7;11(13):2016-21. doi: 10.3748/wjg.v11.i13.2016. PMID: 15800998; PMCID: PMC4305729.

Chedid V, Dhalla S, Clarke JO, Roland BC, Dunbar KB, Koh J, Justino E, Tomakin E, Mullin GE. Herbal therapy is equivalent to rifaximin for the treatment of small intestinal bacterial overgrowth. Glob Adv Health Med. 2014 May;3(3):16-24. doi: 10.7453/gahmj.2014.019. PMID: 24891990; PMCID: PMC4030608.

Soifer LO, Peralta D, Dima G, Besasso H. Comparative clinical efficacy of a probiotic vs. an antibiotic in the treatment of patients with intestinal bacterial overgrowth and chronic abdominal functional distension: a pilot study. Acta Gastroenterol Latinoam. 2010 Dec;40(4):323-7. Spanish. PMID: 21381407.