160. Testing and Treatment Options for SIBO with Dr. Lauren Steinman

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In this episode, Dr. Danielle interviews Dr. Lauren Steinman, a SIBO expert, about small intestine bacterial overgrowth (SIBO) and its impact on hormonal health and fertility. They discuss the symptoms of SIBO, the different types of SIBO, and the root causes of the condition. They also explore the testing and treatment options for SIBO, including antibiotics and herbal remedies. Dr. Lauren emphasizes the importance of addressing the root causes of SIBO and working with a practitioner who takes a holistic approach. She also provides tips for preventing relapses and recommends abdominal massage for supporting gut motility.

About Dr. Lauren Steinman:
"Having grown up in Germany, I had the great fortune to experience a holistic style of medicine from an early age.
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This inspired me to study at the oldest naturopathic medical school in the US (The National University of Natural Medicine), in Portland Oregon. During my four year doctoral training, I underwent rigorous classroom and clinical training, and spent extra time focusing my clinical education on women's health and digestive health. 
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SIBO is my clinical focus and I am one of a handful of experts treating this condition in Europe. Having suffered from SIBO myself, I know how frustrating it can be. In my 7 years of practice I have treated thousand of SIBO patients. Most of my patients come to me after a long and difficult journey with their gut health and travel to my practice from all over Germany and Europe. I am passionate about treating this complex condition and training healthcare providers in the specifics of SIBO.
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In Germany I am licensed to practice as a Heilpraktiker due to differences in medical licensing. "

Takeaways

SIBO is an acronym for small intestine bacterial overgrowth, a condition where bacteria migrate from the large intestine to the small intestine and cause an overgrowth.
Symptoms of SIBO include bloating, abdominal pain, chronic diarrhea or constipation, reflux, nausea, and systemic symptoms like joint pain and brain fog.
The three types of SIBO are hydrogen-dominant, methane-dominant (also known as EMO), and hydrogen sulfide-dominant.
Testing for SIBO is typically done through a breath test, with lactulose being the preferred test substance.
Treatment options for SIBO include antibiotics (such as rifaximin, neomycin, and metronidazole) and herbal remedies (such as oregano extract, garlic extract, and neem).
It is important to address the root causes of SIBO, such as motility issues, food poisoning, hypothyroidism, and stress.
Relapses of SIBO are common, with a 40-70% relapse rate. It is important to work with a practitioner who takes a holistic approach and focuses on relapse prevention.
The low FODMAP diet can provide symptomatic relief in the short term, but it is not a long-term solution and should not be followed for more than three months.
Additional tests that may be helpful for SIBO include markers of inflammation (such as CRP and calprotectin) and markers of gut permeability (such as zonulin and IFABP).
Finding a practitioner who specializes in SIBO and takes a holistic approach is important for effective treatment and long-term management of the condition.


SIBO Resources:

https://www.laurensteinman.com
IG : @laurensteinman.nd
TrioSmart SIBO Breath Test
8Hearts GI Specialists
SIBO SOS Podcast

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