Saturday, November 9, 2013

How To Cure SIBO, Small Intestinal Bowel Overgrowth: Dr. BG's 7-Steps Paleo* Gastro IQ SIBO Protocol

Credit: Shaping the (auto)immune response in the gut: the role of intestinal immune
regulation in the prevention of type 1 diabetes
[RS fiber + NSP fiber + SBO probiotic] versus [SAD + antibiotics + parasites/pathogen enteric infections]


Dr. BG's 7-Steps Paleo* Gastro IQ SIBO Protocol

HOW TO CURE SIBO, SMALL BOWEL INTESTINAL OVERGROWTH
(with major contributions from Tim/Richard/Marie/Gab/FTA)


1. Fermented veggies made the ancient way with organic dirt-covered vegetables, ex. kraut, kvass, kim chee, kefir, etc. Read Sandor Katz. [read post]

2. Ancient heirloom potatoes, tubers, roots that are low glycemic index (or high if good insulin sensitivity) and ancient heirloom grains, legumes, lentils/dal that are low glycemic index (or high if good insulin sensitivity), prepared the ancient way (soaked, fermented, etc)  [read post]

3. Soil-based probiotic 1-2 daily if not severely immune compromised (Bacillus licheniformis, Clostridium butyricum, etc)  [read post]

4. Two versions of 'bionic fiber' (resistant starch + non-starch fiber) to heal the gut  [read post]
VERSION A: Green banana flour 1-3 Tbs + Raw Potato Starch 1 Tbs + high ORAC green powder in 2 cups water
VERSION B: Raw PS (potato starch) 1-3 Tbs + Psyllium (if not allergic) 1 Tbs + high ORAC green powder (I like Amazing Grass, LOL) in 2 cups of plenty water

5. Exercise low-moderate intensity one hour daily continuously (10,000 steps) to move the gut/peristalsis and overcome broken myenteric musculo-neuro junctions  [read post]

6. Avoid allergenic foods (corn, soy, gluten/wheat, dairy, nuts, egg whites, etc). Avoid GMO products and livestock/poultry fed GMO crops (corn, soy, etc).  [read post]

7. Heal hormones and immunity -- take adrenal support, liver support, antioxidants etc (I use biocurcumin and berberine to combine with anti-microbials/anti-parasitics). Adrenal care is particularly imperative for those with reactive hypoglycemia and BG crashes when they go longer than 3-4 hours between meals.  [read post]

Optional
8. If the above fail, then you have more fastidious overgrowths and require 2-3 rounds of anti-parasitics/anti-microbials/anti-fungals.  See what worked for my family and I HERE.  If the above still does not fix SIBO, then consider mercury toxicity. Mercury saturates and kills microvilli in the small intestines and also disables enzymes including digestive enzymes.

(*hominids ate SGG small grass grains in the Paleo times fyi ~see Middle to Late Paleolithic: Neanderthals Consumed Grains and Legumes)

86 comments:

Anonymous said...

Hey Doc,

Are you aware that MM is no longer using DNA probe in GI FX?
Also can you tell where one could read more about "overcome broken myenteric musculo-neuro junctions" .. that sounds very interesting.
Tanks for your insights,

Robert

Dr. B G said...

Robert,

Thx for your comment.

o the GI fx is EXPANDED, not deleting the DNA probes. Per Bralley below...

http://www.gdx.net/core/sample-reports/2200-GI-Effects-Compehensive-SR.pdf

http://blog.gdx.net/post/2013/10/30/Gastrointestinal-testing%E2%80%94combined-technologies-enhance-clinical-utility-and-patient-results.aspx

Methodology: DNA Analysis, GC/MS, Microscopic, Colorimetric, Automated Chemistry, EIA

"Combining Genova’s expertise in gold-standard stool-testing techniques with the cutting-edge DNA methods advanced by Metametrix for identifying hard-to-culture gut bacteria produces the perfect marriage of technologies....The GI Effects 2200 profile eliminates the issue of unidentifiable taxonomy by replacing PCR parasitology with Ova & Parasites (O & P) technology, which helps to increase diagnostic certainty in identifying the patients who require clinical intervention for parasites."


For the broken MMC (migrating motor complex) see slide 8:
http://www.slideshare.net/ancestralhealth/allison-siebecker


Some people have VERY BROKEN digestive nervous systems (low thyroid, high cortisol/adrenal dysregulation, T2DM, T1DM, autoimmune disorders, CMV or other viral infestation of the myenteric plexus, sclerodermal disease, etc). There are Rx ways to stimulate the MMC but many have cons. The benefits have to outweight the adverse drug effects.
http://www.siboinfo.com/prevention.html


From 30 yrs ago...
Krishnamurthy S., Kelly M., Rohrmann C., Schuffler M. (1983) Jejunal diverticulosis. A heterogenous disorder caused by a variety of abnormalities of smooth muscle or myenteric plexus. Gastroenterology 85: 538–547. [PubMed: 6409704]

Other refs:
http://www.jci.org/articles/view/108740/files/pdf
articles/zaidelarticle.pdf

Does that help?

Grace

phd-er said...

Hi Dr. BG,

Tatertot recommended I come here (from the Jaminets' PHD site. I hope you can advise me on my digestive problems!

The story is spun out at length over there, starting here

http://perfecthealthdiet.com/2010/10/everything-you-might-want-to-know-about-the-potato/comment-page-4/#comment-277817

but in a nutshell, here's the deal:

I have been struggling most of my adult life with bloating, constipation, sometimes-painful gas, belching/inability to belch, and attendant quality-of-life degradation. A few years back I adopted a paleo diet hoping it would help. At first it did help with the bloating in particular, I now think because I went low carb at first. But then the beneficial effects seemed to wear off. And low carb gave me additional problems: high LDL and an underactive thyroid!

In disgust I abandoned low carb and shifted to the Perfect Health Diet. So far I have seen no improvements in thyroid / LDL, but I think this may have something to do with the fact that when I first increased my carbs, they were all vegetables. So it wasn't really PHD and I saw no thryroid / cholesterol benefits. Very recently I have started to include rice and potatoes. But ...

More carbs make my digestive issues much worse! I now have NO "good days." That oh-so-attractive pregnant-looking belly has become my "new normal," and my constipation is worse. When I tried introducing RS a couple of weeks ago, my bloating went to extreme levels. My bowels are still stopped up.

My new idea is to eliminate as much fiber as I can, while eating rice (Japanese rice) for carbs. Boy this is HARD. I love my veggies! I am also thinking about adding a probiotic, either kefir or one of the soil-based ones you recommend. (Previously probiotics have done no good. Money down the drain!)

Here are some weird things about my symptoms:

Bloating is worst of all after a bowel movement. Evacuate bowels, swell up like a balloon. Every time.

Often want to belch but can't. Pressure of gas on lungs makes me feel anxious and like I can't get a deep breath. So I yawn constantly.

Rx fiber supplements "for IBS" did not work at all.

Fatty meals are the least likely to trigger symptoms. But now I cannot do fatty meals anymore because of high LDL! (HDL and trigs are normal.)

One doc told me my peristalsis is slow.

I get a lot of exercise. Seems to help some but not much.

I *look* lean and healthy (BMI 19, skin clear) ... except for my protruding stomach!

I have no metal fillings.

Soooo ... Dr. B.G., does this sound like SIBO do you? Any advice / insight? Needless to say it would be deeply appreciated. I'm at the "will try" anything stage.


phd-er said...

Oh, I forgot to say I eat a LOT of fermented foods. Kimchi, natto, homemade yogurt, nukazuke, sauerkraut. None of it seems to do any good. Wrong bacteria??

Tim said...

Hey, phd'er! Hopefully Dr BG has some good advice for you...you are way beyond my expertise. Glad you stopped by here!
Tim

Dr. B G said...

Hello PHD-er,

Thanks for your comments and bringing great thoughts into the SIBO discussions.

My tendency is to ignore cholesterol panels. LDL is meaningless without the whole picture. It will definitely go up while you are hypothyroid and low adrenal.

When GI symptoms get WORSE with fiber, inulin or potato starch, these are clear indications for SIBO and overgrowth of even 'good' flora in the small intestines, where they don't belong in massive numbers. I think you would come out positive for the IBS H2 breath testing...
https://ndnr.com/wp-content/uploads/2013/01/Sandburg-Lewis_Jan_2013_chart.pdf

(sounds like you are doing the diet but it's failing you)

Have you considered any herbal antimicrobials/antiparasitis? Have you considered a soil based probiotic? Have you considered use of Edible Clay or charcoal to lower the overgrowth burden in the small intestines?

I like the vegetables and fermented foods that you are eating. Do they cause symptoms? If not I see no indication to discontinue. For PS or other triggers, it is a good idea to stop or go low dose and go slow until the gut ecology improves and the toxic burden loads are lower to prevent that bloating in the small intestines.

Here are my favorite soil based probiotics which are good to take with a little fiber like PS (1-2 tsp) to feed them and sustain their populations:

http://www.gomegaspore.com/faqs/

http://www.iherb.com/Advanced-Orthomolecular-Research-AOR-Advanced-Series-Probiotic-3-Natural-Probiotic-Formula-90-Veggie-Caps/43463

http://www.magneticclay.com/store/prescript-assist-probiotic.aspx

What triggers did you have that started all of the SIBO? Thats great you have no amalgams! How many vaccines have you had (mercury or aluminum containing)? Did you play with thermometers growing up (liquid mercury)? Any broken thermometers at your house? Any sautering in the garage?

grace

phd-er said...

Thank you for responding, Dr. Grace! (Hi, Tim!) It is incredibly gracious of you (no pun intended) to offer support to total strangers. I appreciate it.

I can only think my SIBO results from the *terrible* diet I ate as a young adult--junk-food vegetarian. There are a lot of them out there and I was one. That's when I first noticed bloating after meals.

I was raised by hippie parents so no vaccines, no thermometers, no garage. I consider myself lucky in that respect! However I live in Japan and strongly suspect Fukushima radiation has made it all worse. But nothing we can do about that.

I have now resolved to try the Prescript Assist you recommend. SBOs are one thing I haven't tried yet. I also had not considered edible clay / charcoal. Any brands you would recommend?

Do you think the low-fiber approach (a la Fast Track Diet) has any merit to it? I plan to keep eating fermented veggies, anyway, but I also enjoy cooked veggies and it is painful to give them up.

Thank you again for your wisdom!

Jeff D said...

Wuld flatulence very soon after eating fermentable starches / FODMAPS be a good indication of SIBO? I start to get it about thirty minutes or so after eating, and I've always understood that transit time into the colon would take longer than that.

Tim Steele said...

Jeff D - Hard to say. Normally a gassy SIBO reaction is heartburn and GERD because gas build-up in the small intestine can't get out the back-door, it usually tries to go back the way it came in, resulting in pressure on the stomach.

Some of the FODMAPS have a ridiculously short transit time, nearly flying through like 'shit from a goose' as they used to say on the farm.

Try this. On an empty stomach, drink some water mixed with 2-3TBS of potato starch. Time the interval to the first farts.

For me, it is was an almost clock-like precise 4 hours. If yo don't fart at all, try the same thing with a really green banana or a bowl of beans. If none of those make you toot, you probably have a pretty good profile of gut bacteria.

One thing that absolutely kills me is sugar alcohols, like maltitol in sugar-free chocolates...farts within 20 minutes every time.

Anonymous said...

Hey, Dr. G. I can see why you like that ORAC Green Powder! That stuff is terrific and tasty! I'm mixing it with the Primal Defense probiotic in Almond Milk twice a day! Thanks, and will report back as my symptoms improve. Waiting for my Probiotic 3 to arrive from iHerb.

Namby

Sarah said...

Wow, this is such a great resource! Thanks for putting it together. I have a couple of questions:

1) Do you think this protocol will also work to help heal a leaky gut and dysbiosis? I'm not sure that I have SIBO (and am too broke to have any labs done) but I do get painful upper abdominal bloating with certain foods like bananas, avocados, and sweet potatoes.

2) Would it be harmful to implement any sort of herbal anit-micorbials/anti-parasitics without proper diagnosis through the GI fx lab test? How about just using something like clay?

3) I'm interested in learning more about the anatomy and physiology of the gut so I can better understand everything I am reading and further geek out. Do you have any suggestions for where to start?

Any responses you, or any other readers/commenter can give would be greatly appreciated!

Thanks!

Dr. B G said...

PHD-er,

I appreciate your comments! One of the best clays that I've tried is Edible Earth by the same company that makes Prescript Assist. It is stored in class which I love because draws up and binds toxins. Try to avoid plastic if possible.
http://www.magneticclay.com/store/edible-earth-clay-supplement-12.aspx

"Do you think the low-fiber approach (a la Fast Track Diet) has any merit to it? I plan to keep eating fermented veggies, anyway, but I also enjoy cooked veggies and it is painful to give them up."

I don't think it entirely does not have merit, but for the longterm it is not viable. Many of these diets are harmful for our gut microbes for the long run because the food for the beneficial microflora are absent. They will simply starve and go extinct eventually. I had that too and got really sick despite a similar 'fast tract' diet.
--antiFODMAP
--low net carb VLC
--paleo (strict)

With that said, it has merit for the first 1-2 wks of healing because FODMAPS, fibers, complex carbs, gluten, dairy, allergenic foods are all difficult to digest until the right players are in place.

SBOs helped me because they play unique roles in our gut to FAST TRACT OUR DIGESTION. Everything our gut does, they help to supplemnt. Our gut actually outsources partically to SBOs for the below vital digestive roles
--digest gluten
--digest casein
--digest many plant fibers
--digest protein, carbs
--digest RS
--digest NSP (non starch polysaccharides)
--lower pH for improved digestion
--seal up the tight junctions (prevent gut leakiness)
--release antifungals
--release antibiotics
--release antiparasite, antiprotozoa, antiviral, etc compounds that protect the integrity of the microbial community (I call them the gut SWAT TEAM LOL)

Hope that clarifies.

Later as your gut profile switches, fermented vegetables, fibers and more complex carbohydrates will be better tolerated if you don't currently tolerate well. If you notice no improvement then it's necessary to dig deeper -- mercury, heavy metals, parasites, protozoa, etc are common and shouldn't be overlooked.

Dr. B G said...

Namby,

I KNOW! YUM! Actually the psyllium husks used to catch in my throat (to the point of coughing sometimes) and PS helped. I really liked adding the silky, smooth potato starch to psyllium because it binds and seems to make the psyllium go down way better.


Sarah

Thanks for your excitement and comments. Tim and I love to talk about the gut. Blast away.

(1) YES. it works. Both Tim and I healed the same way. Me -- i've healed twice. I gave myself SIBO after a (horrid) batch of spoiled rotten radishes.

(2) YES. Clay is simple and easy to start. Effective also in binding the toxins from fungal, microbial and parasitic overgrowths as well. When I was sick, clay made me 'feel better' within 10-15 minutes. The toxins are can be particularly debilitating in Chronic Fatigue Syndrome. In countries like South American where parasites and protozoa/microbial proliferation is common in the gut, these treatments are OTC. Here in China where kids were all treated in school for worms/parasites, albendazole (worm) treatment is OTC as well.

(3) Gosh! Good question!! I don't know. Let me know which ones you find that are good. Does Khan Academy have any? For Ecosystem topics, I love the 'HOME: A stunning portrayal of earth.' We are all interlinked, no? Our gut ecosystems are no different.

http://meigakuglobalchallenges.wordpress.com/2012/02/19/home-a-stunning-visual-portrayal-of-the-earth-transcript-part-i/

http://meigakuglobalchallenges.wordpress.com/2012/02/23/home-a-stunning-visual-portrayal-of-earth-transcript-part-ii/

http://meigakuglobalchallenges.wordpress.com/2012/02/25/home-a-stunning-visual-portrayal-of-earth-transcript-part-iii/

If you don't mind let me share my favorite quotes from M. Yann Arthus-Bertrand are
--"Our Earth relies on a balance in which every being has a role to play and exists only through the existence of another being – a subtle, fragile harmony that is easily shattered."
--"Soils are the factory of biodiversity. They are a world of incessant activity where microorganisms feed, dig, aerate, and transform. They make humus, the fertile layer to which all life on land is linked."
--"In the great adventure of life on Earth, every species has a role to play, every species has its place. None is futile or harmful. They all balance out.And that’s where you – Homo Sapiens, “wise human” – enter the story. You benefit from a fabulous four-billion-year-old legacy bequeathed by the Earth.

You’re only two hundred thousand years old, but you have changed the face of the world. Despite your vulnerability, you have taken possession of every habitat and conquered swaths of territory like no other species before you."

g

BethM said...

28Dr. BG, this information is fascinating! I've been researching SIBO for the better part of a year, was convinced I had it, then had a negative breath test, but eventually tested positive via MM's Organic Acids lab. I initially went the antibiotics route, which didn't work. I tried the herbal antibiotics route, and that didn't work either. I even tried an elemental diet, and that failed as well! My most recent attempt to get my life back? Fecal transplant. That's had the most success so far, and I'm going back for a "booster" at the end of this week.
I kind of botched things the first time around, but now my gut is telling me that I need to feed the good guys that I'm introducing to get them to repopulate my gut. I've been supplementing with 1 tsp. potato starch morning and night w/ no issues. Then I came across Tatertot's recent awesome guest post on Richard's blog and got all excited and added in dehydrated plantain chips and cooled and reheated rice and have gained weight and bloat. Obviously too much, too soon!

I'm taking a product called GI Fortify by Pure Encapsulations which has good stuff in it for Leaky Gut (which I have) as well as some psyllium, so I'm not adding extra psyllium right now. I just added in the Amazing Greens ORAC powder and haven't experienced any issues there. And I've been taking Prescript Assist for a few months, which unfortunately hasn't had any benefits on its own.

My MM results showed that the main bacteria in my SI are D-lactate producing ones, so I've been advised to avoid probiotics that contain them. This has also caused me to avoid fermented foods, as I can have no way of knowing what strains of bacteria are in them. So I will flat out admit that I'm scared to start eating/drinking anything fermented at this point. What are you thoughts?

Do you recommend to start slowly with the potato starch? I tried to bump up too quickly and that was the beginning of weight gain and more bloat. Although I know that feeding the good guys is important, so far it seems like my body is telling me that it doesn't like how I'm going about it. I'm afraid that I'm feeding the SIBO.

Another piece of background info. - My first MM test was the GI Stool FX, and it showed very low amounts of beneficial bacteria and butyrate. So I'm tempted to think that my real issue isn't so much SIBO as dysbiosis, specifically the low amounts of the good guys. So it's incredibly frustrating that my SIBO symptoms are getting worse when all I'm trying to do is feed the good bacteria. Do I hang in there and hope it normalizes? It feels like I'm undoing the benefits that I gained from my first round of FMT.

Thanks in advance for any insight you can provide!

Dr. B G said...

BethM,

Thank you so much for your comments and sharing your clinical history.

What triggered your SIBO/leaky gut?
Stress?
Toxins?

Yes you can advance any fiber very slowly and low dose until tolerance improves.

What parasites, worms, protozoa or pathogenic overgrowths was seen on the MM GI fx stool test?

What antibiotic were you on? Rifaximin?

You likely have yeasts and fungi.

Every client and family member I test (and me) have parasites, overgrwoth and YEASTS. 100% (except two of Brent Pottenger's perfect poo)

Read the yeast comments by the beautiful and gorgeous Mr. Keith Hill. I have a couple of posts on fungus too.

http://drbganimalpharm.blogspot.jp/search/label/Fungus-Yeast-Mold


The GI fortify is fine -- it's gut support with Psyllium. Youre getting a tiny bit of psyllium with each scoop. I like botanicals because they help lower the fungal overgrowths as well as parasites and other pathogenic overgrowth in the small intestines. This below is one of my favorite products.

http://www.rockwellnutrition.com/GI-Microb-X-Caps-by-Designs-For-Health-DFH_p_1392.html

Look forward to talking more with you Beth!
g

Dr. B G said...

Remember also all the benefits from RS will occur once the template and architecture of the gut is slightly less contaminated/SIBO'd. I'm sorry you're kinda GI-f*kcerd. I've been there!! Several times! and cured several times! If the improvements still are not seen, then consider with your doc a high suspicion of mercury, arsenic, plastics and other environmental toxins.

RS has many benefits but only if there's a bit of pruning, weeding and seeding also in tougher cases.

List of RS benefits at end

http://drbganimalpharm.blogspot.jp/2013/10/giq-and-distal-gut-microbiome-as-driver.html

BethM said...

Dr. BG, thanks so much for your feedback.

I had to connect all of the dots years after the fact, but here’s how I think it went down. The leaky gut was triggered after a heavy round of Accutane almost 10 years ago. It was made worse by almost daily alcohol intake. I’m pretty sure that’s when it started because that’s when I started developing melasma. I’ve been supplementing with pretty hefty amounts of glutamine and colostrum, but started seeing some major improvement when I added in zinc carnosine (Metagenics Zinlori 75, specifically) about 3 months ago. Supposedly it’s great for GI issues and leaky gut, and I my melasma is actually breaking up now, so I know it’s working.

The SIBO was triggered by a round of antibiotics for a UTI about 2 ½ years ago. I was taking them while I was at Burning Man, camping in the desert, under physical stress from partying a lot, eating crappy food and hardly sleeping. My main symptoms are bloating (we’re talking looking 6 months pregnant!) and weight gain. The mental symptoms come and go – fatigue, brain fog, depression, lack of motivation, inability to focus, etc. Those have all been much better since the FMT. Joint pain in both knees began about 2 months after Burning Man, to the point that I got surgery on one of them, but it still bugs me.
Mercury was definitely an issue at one point. A month after Burning Man, I got the rest of my mercury fillings removed without any precautions being taken, and one of them was a huge molar filling. The next few months were hell. I had such horrible anxiety, had no will to live, dark thoughts, depression. It was really bad. It took me awhile to realize that I was suffering from mercury poisoning. No wonder, considering I’d just wiped out all of my good bacteria w/ the antibiotics for the UTI, so I didn’t have any protection from the mercury. I eventually did some chelation (cilantro and chlorella) and used products like Metal Free and ACZ Nano Zeolite spray. I’m not sure if mercury is still an issue, but all of the symptoms are long gone.

BethM said...

Believe it or not, the MM GI FX didn’t show any parasites or yeast! And I know I had candida overgrowth, because I was getting constant yeast infections every month after Burning Man. I also developed dandruff. I discovered Saccharomyces Boulardii last year and haven’t had any infections since.

I did some more stool testing about 6 months ago (BioHealth 401, which is a 5 day collection), and the only thing that showed was a few protozoan forms of Blastocystis hominis. I read the symptoms for it, and I don’t have any of them. In any case, apparently Flagyl is the antiobiotic that kills it, and I took that along with Rifaximin after I was diagnosed with SIBO.

The Organic Acids profile was the ONLY test that showed a yeast overgrowth. I did that one at the same time as the BioHealth stool test. I’ve done LOTS of antifungals. High dose iodine, grapefruit seed extract, Lauricidin, caprylic acid, as well as a course of ParaGONE, which contains all of the normal anti fungals and anti parasitics. When I was on the antibiotics for SIBO and when I was doing the herbal parasite cleanse, I was also taking biofilm disruptors – Klaire Labs Interfase Plus, Nattokinase, Bromelain, Serrapeptase. And I didn’t have any symptoms of die off at all. Every time I read about people w/serious yeast issues or parasites, they all get serious die off symptoms when they incorporate anti fungals/parasitics. I’ve been eating paleo for 2 years, so it’s not like I’m eating junk that would feed candida. I’ve done the hardcore anti-candida diets, and it hasn’t made any difference.


I’ll check out the links you provided on yeast and RS benefits, thanks for those. The GI Microb-X caps look like a great product, I will definitely keep it in mind. Right now, I’m focused on the FMT and feeding the good guys. I’m hoping that populating my gut with beneficial bacteria will help everything else, candida, SIBO, dysbiosis, the whole nine. It’s the only thing I’ve done that’s actually shown benefits so far, and I think I’m on the right track with it. I will continue slowly with the potato starch. Thank you so much for taking the time to get back to me! :)

Dr. B G said...

Beth~

I'll post more later. Thanks for the complete history. It was helpful. I'm sorry the FMT is not the cure (yet).

Lactate utilizers include
--Clostridium butyricum
--Crossfeeding by other species that were seen in the centenarians on the Gut IQ post Eubacterium limosum and Bifido

Eventually the PS will help but you apparently have got some recalcitrant stuff (probably candida and the non-lactate utilizers) stuck there in the small bowel/SIBO. It is heartening to know that the initial start with FMT worked for you! Were you on PS at the time? NSP/psyllium aren't sufficient to maintain good colonies for sick people. Been there. I know this! The synergy of NSP + RS is necessary (bionic fiber/food for the microcritters).

You might like this article which says 'Cross-feeding of lactate has also been demonstrated in vitro between Bifidobacterium longum and Eubacterium limosum, resulting mainly in acetate formation, but with some butyrate also being formed (31).

This type of cross-feeding could be significant in vivo. There is substantial evidence to indicate that resistant starch promotes butyrate formation by the human colonic microbial community (9, 14, 50, 58). The two major groups that have been considered to be active starch degraders, bifidobacteria and bacteroides (36, 45, 55), however, do not produce butyrate.'

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC522113/

The probiotic I love that contains Clostridium butyricum, a nice soil based organism, is the below. I used a similiar chinese version and had great results -- reversed all food intolerances (dairy, gluten), bloating, fixed the adrenals, ditched taking salt everyday and improved body fat composition.

http://www.iherb.com/Advanced-Orthomolecular-Research-AOR-Advanced-Series-Probiotic-3-Natural-Probiotic-Formula-90-Veggie-Caps/43463

Unfortunately I can't find C butyricum alone -- Probiotic-3 also has two strains which produce a little bit of lactate amongst many other byproducts.

Do you have a source of Bifidobacterium longum? Zillions of products out there.

g

Dr. B G said...

More on Eubacterium limosum (from soil and near cows):

http://drbganimalpharm.blogspot.com/2013/10/giq-and-distal-gut-microbiome-as-driver.html


Soil based probiotics like C butyricum can aid in
--fungal overgrowth
--pathogenic microbial overgrowths
--break up recalcitrant biofilms involved with all the above
--feed us! (vitamins and minerals)
--digest for us (gluten, dairy, fiber, RS)
--shift the lactate and other substrates out of balance

BethM said...

Thanks so much for all of the great info., Dr. BG! I wasn't taking PS after the first round of FMT. I'm hoping that it will make the difference this time (along w/ the fiber in the GI Fortify and Amazing Greens).

I've had great luck with taking saccharomyces boulardii for candida, but am hesitant to add them in now. I'm afraid they might somehow compete w/ the bacteria from the FMT.

As for the probiotics, I just got a new bottle of Prescript Assist, so will stick w/that for now. I am also going to be taking frozen FMT capsules for the next 20 days, so that's my other probiotic source! :)

Do you think I should add in more psyllium? The GI Fortify only has 1 gram, and I see that 1 Tbsp. of psyllium powder has 9. I will say that between the potato starch, Amazing Greens and GI Fortify, I'm having perfect, easy BMs! Is the psyllium powder necessary to feed the bacteria along with RS?

Is NSP Nature's Sunshine Psyllium?

Dr. B G said...

BethM!

I'm so glad to hear of those EXCELLENT BRISTOL results on your stools ;) hee hee. we're so weird loving our poo like that, he?

Yes -- If it were my therapeutic program, for me, I'd add the NSP Nature's Sunshine Psyllium if not intolerance and no side effects.

It is psyllium husks and good. It's possible that our ancestors consumed more like 100-200 grams of fiber daily -- researchers don't know EXACTLY WHAT but likely combinations of tons of RS + NSP (soluble + nonsoluble).

Our immune systems is what perhaps determined longevity and mortality for our primitive ancestors. Among earth creatures I think our brains and immunity set us apart and have brought us thus far (until the next Ice Age LOL).

Unfortunately the research is now clear that the microbiota makes up a ginormous portion of our immune system. It's not simple. This includes
--bugs = SBO + fermented food origins
--minerals
--bug food = RS, fiber, mucins
--co-feeder symbiosis
--working circulation (lymph, blood) therefore movement/exercise including oxygenation

Beth I think you're on the right path for a regaining an optimal immune system which is good for the brain, gut and all other aspects of health like your generous and loving heart. lol

If your FMT really works I'll have to think of my own personal sourcing of FMT. Perhaps I'll have to stand in line to lick the butts of Mr Tim "Tatertot" Steele or Brent Pottenger, no? hope that made you chuckle. Well we'd have to screen the GUTS OF STEELE first for parasites, protozoa and fungi first HAAA AHAA. Young hawwwt athletic Brent's is quite squeaky squeaky NICE!

Tim's however does show stellar species like E limosum and is one of the few I've met that exemplifies a very high gut IQ
http://drbganimalpharm.blogspot.com/2013/10/giq-and-distal-gut-microbiome-as-driver.html

S boulardii is a good fungi -- FYI it won't 'compete' with good bacterial flora.

SBOs are also promote good fungi...
g

Anonymous said...

Hi there,

Great blog and very interesting topic. I just have one question;

Is it possible to use a different type of fiber instead of psyllium husk? I found the following product (Prebiogen) on Chris Kesser's blog. It's a prebiotic fiber made from chicory root and oligofructose.

http://store.chriskresser.com/products/prebiogen

Thanks.

Anonymous said...

Dr B.G.
You said "The probiotic I love that contains Clostridium butyricum, a nice soil based organism, is the below. I used a similiar chinese version and had great results -- reversed all food intolerances (dairy, gluten), bloating, fixed the adrenals, ditched taking salt everyday and improved body fat composition. "

How long did you take the Prescript Assist before you felt really good eating those foods again? Gluten I don't give a fig about, but I sure miss cream and cheese, and it's only been in the past year or so that I can't eat dairy. Gives me IBS.

Thanks!

Ann


BJ said...

Hello Dr. BG. First of all thank you so much for this great series on SIBO. You and Tim are knocking it out of the park!

I am a 33 year old males who has had gut troubles for years. I was on antibiotics on and off for years for acne in my 20. Plus I use to binge eat and then fast and ate really low carb for a few years. Still have acne at the age of 33, as well as adrenal problems and a low thyroid. I have never been close to overweight, so lucky in that regard.

I have a few questions regarding the protocol. I am trying to heal my gut as I feel my adrenal, thyroid, and hormone problems as well as acne will all heal. I have tested positive for candida in the past, and went through a year on a strict diet with all sorts of herbs and anti-parasites. I also had horrible athletes foot for 2 years in my late teens, another sign of fungus.

Since eating the RS, fermented veggies, pysillium and Prescript-Assist, I am starting to bloat after eating my meals like I am pregnent. I have never really had this problem before. When I try and suck in my stomach, it hurts.

1. Does this mean this protocol is a no-no for me? If so, how would you go about changing it if you were me?

I am really confused on how to progress. I don't know what is casuing the extreme bloating. I am desperate to fix my gut. I also find that while I am having very vivid dreams, I am waking up wide awake around 2:00 each morning and finding it very difficult to fall back asleep. I have low nighttime cortisol so maybe this is causing my cortisol to drop even further? Any thoughts on this?

I am taking 4 TBS of PS + 1 TBS of Pysillium Husk+ 1 TBS of 40,000 ORAC powder you recommended in 20 oz of water along with 2 pills of Prescript-Assist right before bed at 9:00. I have no problem falling asleep just can't stay asleep.

Also, my bowel movements aren't very regular. It seems as if the food is not moving through my system at all. I have been taking PS for about a month now, but seems like the bloating has gotten really bad since I added the pysillium and/or sauerkraut. I have never eaten fermented foods before and just started eating them this week. I have been eating 1/2 jar of kraut a day the past week. Seems like something is really causing the bloating but can't put a finger on it.

Could you please give me any advice and/or instructions on how to proceed? I am desperate to fix my gut, but don't know how to go about it. Finances are really, really tight right now and don't have health insurance so I can't really do any kind of testing. Just want to try and start the healing. Any advice would be so greatly appreciated Dr. B. Thank you so much from the bottom of my heart!

BJ

BJ said...

Also should have mentioned. I haven't had regular bowel movements in years, and when I do, they are definitely a 1 on the Bristol Stool Chart. Since adding PS they have still been infrequent but I have noticed they are becoming more solid. Also have noticed chunks of kraut in my stool as well...

Dr. B G said...

Ann,

I honestly don't recall but may 1-3 weeks? I don't taking things regularly but even irregular dosages of the SBO probiotics really worked for me. Probiotics and eating kraut are seeding. The complete seeding (with kraut) was 6-8 wks in the summer.

My clearance of SIFO/SIBO also included WEEDING and FEEDING
--charcoal, clay, botanical ANTI-fungal/parasitic/microbials
--lots of Chinese white mountain yams, purple potatoes, yams, WHOLE GRAINS (brown, red, purple rice etc)

Dr. B G said...

BJ,

As you appear smart and not stupid, you know that I don't provide medical advice to anonymous people named BJ (or anything for that matter), no?

If an individual is seeing chunks of kraut in their stools that flunk the Bristol grading system, then it would be prudent for said person to consider outsourcing digestive processes until they all come back online. If that person is only 30-something, there really is no reason to expect all GI function would not (eventually) all return.
--acid (betaine HCL)
--digestive pancreatic enzymes

Did you read Robb Wolf's betain HCl protocol?
http://paleologix.com/hcl/

Personally I don't take much prior to bedtime because these will prevent the MMC from housekeeping and sweeping out the small intestines. How do your supps work at dinner time?

You sound just like me regarding the journey to fry the fuck out of your adrenals. Did you read the final Step #7? Did this hit home? Are you addressing the adrenals which are the foundation of all optimal health and why longterm chronic VLC is rather criminal for both the adrenals and extinction of the 90% of meta-humans (our gut microbiota)???

Have you read any adrenal books? Free online is Dr. Lam MD's adrenal web info which I regardly exceptionally highly.

BJ said...

Haha Grace I love your intro to me!

Could you please describe what MMC means in your response to me? I am unfamiliar with that or at least having a brain freeze.

I am very familiar with adrenal fatigue. I have read every book on it I think in the past 4 years. Healing really has become my obsession. My recent cortisol/dhea saliva test wasn't as bad as expecting. My cortisol was midrange in the morning, high at noon, a little low at night. My cortisol/dhea ratio was 6.3 and I need to get it down a bit. Overall not too bad. I have been taking dhea and preg drops morning and noon as well as licorice in the afternoon and am feeling better already. The doctor I'm working with follows the Kalish Method to help restore adrenals. I have stage 2 adrenal fatigue and my numbers weren't near as bad as I was expecting.

I feel like my gut is the source of all my problems. Was on anti-biotics for acne for years in my 20's. Also, took antibiotics during a horrible case of mono when i was 17. Shortly after, I got the most brutal case of athletes foot that I have ever seen that ended up lasting 18 months. Knowing what I know now it's not hard to figure out how the two are correlated.

Ok, so I need your advice. I have Prescript-Assist, Primal Flora, Natren, and Primal Defense probiotics. How would you recommend I take these throughout the day? Meaning, would you take all of them each day, or rotate which ones I take each day, etc?

Also, I should take each round with potato starch, correct?

And what time would you take the RS+Pysillium+Greens+Probiotic combo if not before bed? I always thought you should take them separate and away from meals? I always eat at 6:00, 12:00, 18:00, so I am unsure of the best time to try and take the combo to make it most effective.

Thanks for your guidance sensei Grace. You and your blog f*ckin rock!

BJ said...

Also, should note that since I switched from a low carb diet with absolutely no starches for years to a regular diet containing lots of starches, I am feeling much better. Hands are becoming warm and feet are actually sweating for the first time in years. I've got a ways to go, but I feel like I am making huge progress for the first time in years.

One other note-my face has been breaking out like crazy lately. I think I've read this is to be expected for some, correct? If it means taking one step back before taking two forward, I'm down. I just hope it doesn't last too long. It sucks ass!

Dr. B G said...

BJ,

I hope your adrenals continue to further perk up and normalize! I agree that if the gut can heal, then the adrenals will quickly follow. It sounds like there were a couple of antecedent events that lowered immunity (and our gut microbiota= IMMUNITY)

--Mono (very tiring)
--Abx for mono
--Acne (sign of dysbiosis)
--Athlete's foot (ditto)
--Abx for acne (annihilation of gut flora and allowing fungi and pathogen proliferation)
--VLC ketotic diets (very draining on adrenals/cortisol which dysregulating immunity)
--VLC ketotic diet (starve and kill commensals in gut, again allowing yeast+pathogens)

VERY SUPER COMMON!!! Don't feel lonely!

Please read this comment by Anonymous and how she took the probiotics and saw HUGE success in negating nearly all the auto-antibodies involved with her conditions in only 3 wks of SBO probiotics (started PS 3-4 mos ago but no SBOs).

http://drbganimalpharm.blogspot.jp/2013/11/how-to-cure-sibo-small-intestinal-bowel_18.html?showComment=1387317470631#c7104879112965817396

Fungus and the gut-skin axis are INTIMATELY TIED once you talk about the modern antibiotic laden food supply and our modern drug-happy healthcare system. I love Kresser but he totally missed the fungal-axis in the gut dysbiosis topic. I've dealt with it and it is completely challenging until ALL the root causes are identified.

Please read also this comment by 'Brenda' on Kresser's post -- does it sound familiar?

"I always understood the importance of movement and exercise, however realized I needed to slow down. I was an athlete and I was used to pushing my body to the limits my whole life. I didn’t understand the value of rest and relaxation. Over-exercise without adequate rest will eventually break down your body. I began walking and doing yoga, versus the hard-core workouts I was accustomed to. I learned of the value of sleep and slept as much and as often as my body would let me. I began seeing holistic doctors and various alternative practitioners. I went through a battery of tests and found out I had multiple food allergies, parasites, fungal infections, heavy metal toxicity, etc. The list goes on. Basically, my immune system was severely compromised."
http://chriskresser.com/the-gut-skin-connection-how-altered-gut-function-affects-the-skin

Dr. B G said...

BJ,

Here is basic info on the MMC -- the heart beat of the small intestines which flushes the contents there when we are relaxed (not stressed) and during sleep...

http://drbganimalpharm.blogspot.jp/2013/11/how-to-cure-sibo-small-intestinal-bowel_27.html

http://www.siboinfo.com/mmc-videos.html

David said...

Doc,

If doing PS 2 tbsp twice a day would you suggest psyllium 1 tbsp both times or a smaller dose?

Dr. B G said...

David,

NSP (psyllium) swells and requires a ton of water, read the label.

What do you think your intake of NSP from diet is? Goal NSP might be ~30-60 grams daily to match ancestral guess-estimates

David said...

I haven't calculated in a while, but probably 20 to 30 grams/day NSP from diet. I was doing 1 tsp psyllium twice a day with 2 tbsp PS and Amazing Grass. Trying to beat down chronic constipation/fatigue and bloating/pain around ileocecal valve/cecum. Not sure if it's SIBO, leaky gut, or yeast but hoping this helps.

Dr. B G said...

David,

Probably (D) ALL THE ABOVE lol

RS is great but you'll blow up the caecum without NSP.

When you add NSP + RS, then you get movement of fermentation to the distal colon (away from the small intestines and caecum). This is what the animal studies show.

Constipation is a sign of methanogen dominance and not enough methane-choompers and imbalance. Probably fungi overgrowth!

I got a tip from Keith Bell that oral (by mouth) magnesium can proliferate fungi, so you may want to consider the transdermal magnesium (magnesium oil, ancient mineral Magnesium flakes/magnetic clay sells). Mag loosens up smooth msucle and most of us are deficient due to:
--poor soil and non-organic produce
--depletion from inflammation, insulin resistance
--depletion from high/dysregulation of adrenals and cortisol
--sweating/working out (supply doesn't meet demand)

Dr. B G said...

For you David:
From first link, the authors say (and I hate wheat bran) “Without wheat bran [NSP], resistant starch was rapidly fermented in the caecum and proximal colon.”

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1727739/
http://ajcn.nutrition.org/content/79/6/1020.full
http://www.ncbi.nlm.nih.gov/pubmed/12738184

Dr. B G said...

Besides Mag for constipation, gluten-free, dairy-free and sugar-free I have found to be key (no yogurt). NOT the VLC ketotic diets that are devoid of fiber/NSP, FODMAPS, complex carbs, and RS but just a prudent whole food diet that one can tolerate without huge discomfort.

BJ said...

Awesome thank you very much for your response Grace! I greatly appreciate it. Been reading all these blogs here and on FTA with great interest. Just trying to tie up some loose-ins.

So how would you recommend I take the probiotics/potato starch/Pysillium to make the protocol most effective and clear up my acne and dozen other digestion problems I have been having?

-would you take all of the probiotics once a day? just some at certain times of the day? take multiple probiotics and take them at multiple time?

-every time I take probiotics, should I always take them along side at least 1 TBS of Potato Starch? What about Pysillium? take some of them on an empty stomach or some with meals and w/o the RS + NSP?

Sorry for all the questions. I know there isn't an exact way to take them I'm sure, I just would like your advice on how you would take them if you were in my situation. I don't care about the cost of probiotics or anything like that so I'm okay with taking tons of them for a period of time if it means quicker or more efficient healing.

I have had horrible gas since starting the PS, but not neccesarily always horrible smelling. Just cartoon farts all day for a few straight days, then nothing, then back on. I have this damn white coat that has been on my tongue for years. I want that GONE! I'm guessing that is a prime sign of some sort of bacterial/yeast/fungus overgrowth.

I also would like to start again on some anti-fungals. Which ones would you recommend?

Thanks for all your help Grace. I am so sick of living this way and feeling like shit all the time. I have been on all sorts of silly strict diets and protocols the past 3 years and am wasting away my life. Just want to kick this shit in the ass and get my life, skin, and libido back! Thanks for all you do!

David said...

Thank you Doc!

How does moving the fermentation distally help with SIBO? Seems like all the papers are in reference to colonic tumors. Is fermentation in the cecum undesirable?

I did have a 4+ yeast reading on a MM GI test last year. It was 0 on retest after a period of Lauricidin and then SF722. Not suprising after many courses of antibiotics including a combo of doxy, azithromycin, and flagyl for a few months in 2011. 7 years of clonazepam too, not sure if that affected microbiome.

Been eating PHD for 2.5 years after a lifetime of eating crap. And GF for a couple of years prior. I don't have much dairy, but sugar could still be an issue.

I do have some transdermal Mg oil I could try, been a long time since I've used it. Tried many many things over the last 6 years to try and figure out the CFS cause. It's remitted a few times, once for a week after supplementing biotin, off and on when taking Super Thisilyn, and off and on when taking digestive enzymes. Not exactly sure what the common mechanism is between those.

Really enjoying all the microbiome discussions going here and FTA. Awesome of you to provide so much time to help others!

Dr. B G said...

David,

That's so curious... never heard of biotin being effective for Candida. I wonder if you have aninborn error of biotin metabolism (either biotinidase deficiency or holocarboxylase synthetase activity) or some toxic metal/microbial by-product is blocking the biotin pathway...
http://www.ncbi.nlm.nih.gov/pubmed/9764646
http://www.ncbi.nlm.nih.gov/pubmed/1764357

Biotin is B7, one of the water soluble B vitamins. Niacin, vitamin B3, also has anti-fungal benefits. You may consider that you might be super low on methylated B vitamins as many people frequently are after depletion from inflammation, subclinical infections and SIFO/SIBO.

I am always suspicious when a 4+ yeast clears. It needs to be followed up if the symptoms don't match. Not sure how clonazepam effects the microbiota but it does affect feedback loops in the brain and ALL MELATONIN SYNTHESIS IS SHUT DOWN. Low melatonin contributes to inflammation and cancer.

SIFO/SIBO is inappropriate growhts in the small intestines, so it is desirable to move and shift these pathogens further down the hollow tube... RS + SBO are the best synergistic way to do so. Also botanical antimicrobials/anti-fungals are beneficial to eradicate and evict excessive fungi, protozoa and bacteria that doing damage to the small intestines because they've taken up inappropriate residence there like hungry homeless people.

David said...

The biotin effect only lasted a week. After that it didn't help regardless of amount taken. I looked at the biotinidase and carboyxlase stuff at the time but never found anything that seemed to be a likely mechanism for me.

I am very suspicious also of the 4+ yeast clearing so easily. Additionally the rest of the MM stool test from the 4+ reading is a little wonky. The repeat test was quite different, and showed very low in all of the Predominant Bacteria section.

Hopefully I'm moving things downstream with the RS + SBO + VSL#3 + Psyllium. And gonna add some Para-Shield today to see if that plays into it.

I have years worth of lab tests since things started going downhill. Do you have time for a consult?

Sally Oh said...

This has been so illuminating -- thank you all for such great info.

I stumbled onto the RS discussion on FTA about a week ago. Now taking 4T of PS every night (my husband and two grown sons as well).

I just ordered psyllium seed husk powder (PSHP?) from Azure Standard and the Amazing Grass green superfood from iherb. I understand that the PSHP carries the RS lower in the system for fermentation. NOT a scientist or doctor here. And the AG is to replenish... ok, I've forgotten what the AG is for.

I have a couple of questions:

1. Is DE comparable to edible clay? We have a ton of DE (lots of chickens, dogs and we have eaten it too). If not, I will get edible clay -- this is for detox, yes?

2. The clay is taken at night, right? Should I take the RS/PSHP/AG an hour or so earlier or in the am? Does it matter what time of day we take the RS mix? I don't want the clay or DE absorbing the RS mix and carrying it out.

3. Can you recommend an SBO? You did somewhere and I will look again.

Thank you!

Sally Oh said...

I found your recommendations:

http://www.gomegaspore.com/faqs/

http://www.iherb.com/Advanced-Orthomolecular-Research-AOR-Advanced-Series-Probiotic-3-Natural-Probiotic-Formula-90-Veggie-Caps/43463

http://www.magneticclay.com/store/prescript-assist-probiotic.aspx

Thank you.

Kira said...

Dr. BG
I have been sending a number of people links to this post because it is so important. Could you add links to the other posts fleshing out the details - either at the end of each step or at the end of the post? Thanks so much!

Anonymous said...

Dr. BG (or Grace),
Do you have any advice when I know it's mercury poisoning and all I want is to sleep like a normal person?

I'm poisoned by my dental amalgams and one Hep B shot which created MS (diagnosed 11 yrs ago). I've done years of chelation and I know I have more to go. I probably had dental amalgams for 20-25 yrs.

I knew candida was connected to mercury toxicity but since I exercise 5-6 days a week, eat a fairly good diet, I've never had obvious symptoms of the fungal form of candida.

But I definitely had it (saw the physical evidence - in my hand - who knew high doses of tryptophan acts like an anti-fungal - something I tried briefly for sleep).

I completed a 17 week anti-candida diet, used a combo of natural anti-fungals and now (this is recent), I'm bloated after eating and I've had constipation issues for a long time.

I'm also obviously low on stomach acids. I've tried taking some HCl and I can go to 10 caps and not get any burning or any feeling at that dose.

Do you think it's been not just candida but also SIBO? What's the best way to naturally increase stomach acids?

I'm sure I have leaky gut because of the candida and that every stool I have undigested food.

Any suggestions or comments you have regarding mercury and gut issues is awesome (smile). Thank you.
-Elizabeth.

Anonymous said...

Thank you very much for all the information! I am wondering what is the magic behind potato starch… I have tried to avoid all fermentable fibre because I have been told it causes problems with SIBO. Do you know why potato starch is different?

Kaisa :)

Tim Steele said...

Elizabeth - Hopefully Grace checks her email soon, I don't know WHAT she does all day.

Kaisa - Maybe I can help. There is nothing special about potato starch. It is just a fermentable fiber like inulin, pectin, gum, and some other well-known prebiotioc fibers. Potato starch is cheaper than most to get in therapeutic doses, so it's handy and it's easy to use. Potato starch isn't the magic behind the 7 steps, it's just a step.


The standard SIBO approach is only treating symptoms and does nothing to actually strengthen the gut, and by starving yourself of fermentable fibers, you are also starving your gut microbes whom you rely on to build your immune system and keep your intestines healthy.

Hope that helps!

Paul said...

Hello,

I am looking to start my first round of SBO, and ran across some cautionary info on SBOs. Have you seen this article? Anything ring true?

http://www.kitchenstewardship.com/2012/06/21/are-your-supplements-turning-into-deadly-pathogens-in-the-gut/

-Paul

Matt said...

Hey Paul,

SBO's can only become harmful if one's immune system is so dreadfully weak, it allows the SBO's to become pathogenic.

I'm no doctor, but my thoughts are that unless you severely sick, have cancer or anything of the like, SBO's are generally safe.

I also heard the argument that you might be taking these SBO's and you happen to get into a car accident, and your body's immune system is put underneath high distress. This would give the SBO's a green light to become pathogenic. I don't know if this claim has any merit though.

I was freaked out too about the threat of SBO's being harmful, until I finally broke down and gave Prescript Assist a try. It helped clear out whatever was causing my Fibromyalgia. Still taking a combination of both PA and Garden of Life to help rebalance my gut.

Paul said...

Thanks Matt. Makes perfect sense!

Anonymous said...

I've recently started making water keifer. I already lacto-ferment lots of veggies and yogurt. I understand that one should keep the lacto-fermented foods separate from the keifir ferments in the fridge. My question is: should I allow a period of time between consuming these different types of ferments. In other words should they be kept separate in the stomach?

Saskia said...

I am on an AIP paleo diet, avoid FODMAPs, am starting Functional Electrical NMstimulation soon, am on Prescript Assist, am avoiding kefir as from today and want to start Bionic RS properly.
I've chosen version A:
VERSION A: Green banana flour 1-3 Tbs + Raw PS (potato starch) + high ORAC green powder in 2 cups water
Will do 1 tbs. green banana powder (homemade) + 1 tbs. BRM raw PS + 1 tbs. tapioca starch and instead of the green powder will add Madre Labs, Eureka! Berries, A SuperBerry & SuperFruit Blend, 6.35 oz (180 g)
http://www.iherb.com/Madre-Labs-Eureka-Berries-A-SuperBerry-SuperFruit-Blend-6-35-oz-180-g/15890
I will start the probiotic-3 soon as well.
What doe you think of my plans?

My therapist advised me to ferment carrots+ginger with an SBO-capsule content. Does anyone here have experience with that?

Best wishes from the Netherlands!

Saskia said...

Oh and have secondary progressive MS and am in a wheelchair!

(and Im happy :-D)

Tim Steele said...

Saskia - I think your plan sounds hartstikke leuk!

Do you eat Indonesian food? The rijsttafel fits in perfectly with what you are planning! And plenty of sembal, too!

I think your blend sounds great and don't be shy with the green bananas. You'll find you can probably tolerate way more green banana flour than you can potato starch.

Good luck with all you are doing, love your attitude! Is Keukenhof blooming yet? Plenty of free probiotics on tulip bulbs and fresh tulips.

Veel succes!

Anonymous said...

Is Metamucil brand OK as the psyllium, or do you need to get psyllium husk powder?

Anonymous said...

Hi Dr BG,

Since my gf introduced me to you and the RS and SIBO on your site, I have been following with interest. I did a week of PS and psyllium and my temp DROPPED and I got constipated regardless of the fact I was drinking a ton of water. then I went to my intergrative med doc and got results of my nutreval, which showed deficiency in butyrate and good gut bacteria. ok what a coincidence. mercury non existent. so I redoubled my efforts. started taking banana flour, amazing grass and pro b 3. I have been taking mag for years because if I dont then I dont go. Still taking it but since the addition of this probiotic my stools are very well formed and I am going during the day, which is unusual for me, usually its a few times in the morning and thats it. Im on 20 mcg of t3 only. I take my temp each morning in relation to thyroid and to see how my cycle is doing. I have been on the latter protocol for a week and this morning my temp was 97.1. normally preovulation its in low 98's. I feel fine otherwise, sleep is mostly better, dreaming and good energy, tho I am taking methyl b's etc for hetero a1298c. But Im FREAKED OUT about the temp drop. Has anyone else experienced this because I have read most people see increase in temp. I feel warm mostly. I do have a slight cold this week, I rarely get them, but if I do its not usually something that makes my temp drop so dramatically. Also I have no appetite. someone help!! Please!!!

Dr. B G said...

Saskia,

Please keep us updated! Have you seen Wahls' account of reversing her MS with functional medicine? She is a big speaker for many of our conferences now.
http://terrywahls.blogspot.jp/

"Many with MS have an excessive amount of mercury, lead or other toxins. Eating seaweed daily provides iodine and many trace minerals that are important to brain health and support the liver's ability to excrete toxins. I highly recommend the book SEAWEED. The Seaweed Man has been an excellent source of organic, sustainably farmed seaweed. A link to his web site is provided below. A link to more information about the book is also provided."


Anon,

How is your cold?"I do have a slight cold this week"
Have you considered SBO probiotics because they are an integral part of any gut program, particularly if one's test shows missing beneficial flora.
Looking forward to continue to hear improvements!

Anonymous said...

Thanks Dr BGf, its much better and my temp has rebounded ie mid 98's. I am taking the ARO Probiotic 3 with the banana flour and amazing grass. I eat yogurt and nuts most days. Do I need to lose these? a few raw organic walnuts and some raw almond butter. If I drop yogurt I dont know what to eat instead, eggs dont really agree with me because of the sulfur, tbh I would be happy just having the bf, amazing grass and sbo and fasting till lunch.

Anonymous said...

Hi Dr BG.
I've got my Metametrix results back. They have improved substantially since my first test a few years back. I've been doing the 7 step protocol.
There are still some area that need improving. Can I get you to please have a look and tell me what I need to do further?
That would be great.
Renee

Anonymous said...

Dear Grace,
BIG thanks for your blog and the generous use of your time and expertise! Like many, I gave gone through most of the bad gut treatment options out there; SCD, VLC Paleo , low fodmaps, fast tract digestion, , antibiotics and antifungals ( the latter eton many times out of desperation), and I think what all approaches gave had in common is deplete my gut of its normal flora. I have being more symptomatic (The famous very pregnant look) and also inexplicably heavier.

I'm a little confused by your espousing Paleo in your video presentation, yet your 7step protocol ( which I'm about to start ASAP as it makes total sense to me in light of all I've experienced and read) doesn't sound very Paleo at , what with the whole grains, legumes etc. What am missing?

Grace, I have used probiotics for years ( without any apparent benefit) in my attempts to heal, but lately I don't tolerate them at all -> (significantly increased symptoms). Even a knife's edge of PS or probiotics has this effect.. Am in on the right track in assuming that I should just progress very, very slowly while adding the antimicrobials you suggested?

Thank you so much in advance for any comments.

Yours,
Desperate in Chicago

Debbie said...

Hi Dr. BG,

I'm dealing with must be SIBO. I've tried your protocol, and after drinking the PS/Psy/greens in 2 cups of water become very bloated - super bloated. How long should it take to go down? How long should it take before daily normal bowel movements happen?

I've been eating a PHD type diet with fermented vegetables for awhile - still fairly constipated.

I have the SBO probiotics - the recommended 3 - but am still using Dr. HIGA'S, which I was told is the the absolute best available, and includes SBOs. Do you have an opinion on this?

Any further info would be greatly appreciated. Thanks so much.

Debbie said...

By the way - very little gas from the protocol, just the bloating and upper belly discomfort!

Debbie said...

By the way, I'm having very little if any gas from the protocol - just major bloating and upper belly discomfort!

Freak154l said...

Hi. I've been reading the blog @ SIBO. Nice read. I've had colitis/sibo for about 8 years now. And suffering most from CFS and fat malabsorption or nutrient malabsorption. I have abnormal bowel movements, skin issues, poor skin healing, seb dermatitis, can't gain weight, tired, and fatigue, gas, bloating, and feel like I can't tolerate a thing. Now, I have had the metametrix organix test done back in 2009 and my doctor who ordered didn't know what to do. It came back with only one thing wrong, and I'm thinking no, there has to be more. Anyways, the only thing wrong is under CLOSTRIDIAL SPECIES - 3,4-Dihydroxyphenylproppionate - very high - 1.53. Normal is 0.12 or lower. WOW!!! So it says treat with S.Boulardii. I've tried and I feel worse or it doesn't make a difference, WHY? Is this the most recommended test to have done according to DR.BG? I wanna get retested and see where I stand? I feel like I'm deficient in a lot but this says otherwise, but it is old. I know I'm 31 now and my life sucks because this has made me a hermit. PLEASE GIVE ME INSIGHT. Thank you

Saskia said...

Tim, dr BG,
I completely missed your replies!
I am still looking for a good supplier for my green banana's... And Tim, ib a rijsttafel would be way too much stuff I momentarely rather not eat and nightshades are a no go too.
Dr BG, I am waiting for her book! Am starting e-stim aoon!
Will keep u posted!
Saskia

ballabolla said...

Dr. BG,
I am wondering how you think the non-starchy veggies recommended by dr. Wahls can be combined with potato starch?
Thank you!
Saskia

Heddi Gambale said...

A bit confused as I just found this blog today. I have a question about mercury exposure. In the 5th grade I "made" a barometer for my science experiment. I had mercury floating in an open bowl. a classmate knocked it over and my teacher made me pick it up with my hands. needless to say it took awhile to try and catch the mercury. so what does one do for toxic mercury exposure like that?
I am currently taking SBO probiotics, eating green banana powder, eating fermented foods and water kefir. I am on the AIP by Sara Ballantyne. I just tested positive on a hydrogen breath test and my GI is sending me for a Celiac blood panel.

Dr. B G said...

Renee,

I've been buried -- may you please email me (click 'email' on L)
https://www.blogger.com/profile/15451872961651116061

Thank you -- I've been meaning to contact you! I appreciate you sending this note!!

Dr. B G said...

Desparate in Chicago,

No -- I'm more neo-paleo lol! Paleo actually does include soaked legumes, grains and tubers -- it is just the interpretation was not accurate because data was missing. Now we have starch granules in Neanderthal teeth, 13C density in enamel and other artifacts that have come to light.

I think definitely it's prudent to proceed slowly when you are coming from a ravaged gut like what you and I had, see how additions of new foods are tolerated and hopefully watch the degree of bloating, gas be less and less (or even none eventually).


Debbie, Which one of Higa's are you using? I like the combination of the SBOs for better effectiveness. Are you exercising, stress-free and seeing any improvements in constipation?

Freak1541, Please don't give up. Yes it sounds like significant SIBO/SIFO. Your gut sounds like it needs more than S boulardii! have you tried any of the 7-steps and gentle weeding? Yes when I had severe CFS and SIFO/SIBO, none of the probiotics worked for me. No adverse effects but no effectiveness until I had mercury and titanium completely removed out the body and some oral mercury chelation for 1-2 yrs.


Saskia/ballabolla, Rob Watkins from Mt Uncle Green Banana farm will be shipping internationally but not until the end of the year. Bummer huh? Please keep us posted with how you're doing! Yes -- PS or any RS should be able to be combined with Wahl's protocol but again it depends on what is in the gut composition. Some strains may proliferate that don't belong in the small intestines, triggering joint aches or rashes (like Klebsiella). For some with Kleb, it's no prob but probably depends on what else is in there like sufficient Lacto and Bifido, etc.

Heddi, Thank you for your comment -- I love that AIP protocol. Hopefully you're tolerating the g banana flour fine. Would love to hear your progress later. Mercury exposures can be assessed by first provoking it to come out, then testing hair, blood or urine. There are many ways to get it out if it is causing gut issues or mental problems. That is quite a dose but we also can safely naturally detox mercury if we have healthy guts, diets, exercise, sweat, etc and not everyone finds an issues. However many of have genetic SNPs (gene variants) that block the heck outta safe elimination or even accumulate more than the non-carriers.

ballabolla said...

Thanks dr. BG!
I started the probiotics-3 and my stool have become relatively normal. It doesn't smell lik rotten eggs or ammonia anymore and the consistwncy is way better than it's ever been. The gas production an extreme gassing also almost dissapeared! The vigorous itch on my head has almost gone an the acne like red skin on my face is calming down. MS-wise the tremor I experience in my voice has reduced somewhat and it appears that I'm calming down emotionally.
For now that's it (in 1 week!) and once a day bionic RS.
I'll keep u posted!
Best,
Saskia
(and Saskia and ballabolla are both me by the way)

Freak154l said...

Beth G - how are you? What protocol are you following for frozen FMT? I'm interested and going to start soon. Just cautious because I don't want to get worse or potentially make sibo worse. Please contact me if you can - cifelli.anthony@yahoo.com



Thank u!

Freak154l said...

Dr. B G,

Thanks for the comment back and all the info. I have some silver in my mouth , but not much. Would that really make that much difference? The cost to remove silver fillings is very expensive to. Is there any info you can provide regarding the fillings? I did show alittle mercury and few other metals on hair analysis but I don't know how to interpret to be honest.

Is there a way I can post my results on test I've done? Or not a good idea? Also, do you recommend organix acid test or different test from MM/GENOVA LABS?

I'm waiting for probiotic 3 to come in mail along with potatoe starch to see how that works. I did also get designs for Health botanicals to weed out. Do I take PS along with the probiotic?

If probitic fails me I'm gonna try frozen FMT. My mother will be my donor. Healty 72 yr old woman. I would have never thought I'd be dealing with this type of issue now for 8 years!

Mistress Distress said...

Dr BG,
I'm new to your blog and am intrigued. I must keep my questions brief as I have occupational Distonia which severely limits my computer use.
I'm wondering how long one should stay on each step of this protocol? Also is this good for IBS and leaky gut, or just sibo? I've a wide range of issues that I haven't been able to work out with paleo, primal, FODMAPS, or SCD. I've adrenal fatigue (stage 3), leaky gut, long list of food intolerances (ALCAT test), insulin resistance (normal FBG tho), crazy carb addiction,blotchy complexion, suspected SIBO, unconfirmed regarding celiac, Ibs and fodmap issues (frequent diarreah), underweight, difficulty building muscle, low vit D but other labs always normal. Recently tried eating only beef, Turkey, zucchini and carrots or spinach (plus lots and lots of bone broth) for diarreah but no help. Just finished antibiotics for sibo and am in the middle of pinworm treatment. I just want to know what to eat and be doing as all my problems exacerbate each other. I also have almost no fingerprint ridges like you describe in step 7!! I'm 36, female and have been like this for so many years, it shouldn't be this way. I'd love to try your protocol (I already know how to ferment veg, I do that and water kefir tho I eat only the extra kefir grains not the sugar water), I just need a little guidance. I'm also on some supplements from a functional medicine doc, and taking VSL#3 a d saccharomyces. Should your steps be paced one at a time? All at once? Any advice is appreciated greatly.

Debbie said...

Hi Dr. BG,

Thanks for responding - I only now just realized you did. I'm using Dr. Higa's Pro Em 1. I have the other three probiotics and thought about adding them in too. I do see an improvement in constipation. I'll go every other day or so - sometimes waiting two days - but no more straining, so that's something. But there is still plenty of bloating - no gas that I'm aware of - BUT

I'm also dealing with menopause related recurrent UTIs - just got off another antibiotic. I've tried every natural method. I understand now that the missing estrogen is causing the vaginal/urethra environment to lack the necessary lactobacillus to fight the ecoli. They are prescribing estrogen cream for this, which I don't want to use. I'm thinking about soaking kefir in a tampon and seeing how that works.

So, I'm really overwhelmed here. Especially since I gained some weight. I lost 80 pounds 26 years ago, and keeping it off requires constant vigilance... it's easy for it to creep back - and I don't eat anywhere near what PHD suggests in terms of amounts.

Thanks so much!

Sincerely,

Debbie

Debbie said...

Oh, I also definitely have GERD issues - it always feels as if there's something in my esophagus the liquid especially has to bypass. I never really connected that to GERD. And I sometimes have gastritis - I'm definitely sensitive to spices.

Overwhelmed but hanging in there! Thanks again.

Debbie said...

Also - I am exercising, walking as always. During the week it's not quite an hour, but on weekends closer to an hour and a half.

Stress - well, I'm supposed to be meditating 20 minutes a day. I have tons of calming things I do every day - but I'm a definitely stressed. My overall mood has changed over the years positively - I handle the day to day pings and pangs much more calmly. So that's good.

One more question: can experimenting with HCL Pepsin tablets do any harm? I'm wondering if that's what I also need.

Thanks again.

Debbie said...

I forgot to say that I had a sonogram to check out that the UTIs weren't something more than chronic e-coli infections, and the technician said she could see I had a lot of gas... so I've got gas - which I assumed, since I'm bloated - but it doesn't seem to get released.

Dr. B G said...

Debbie,
Hang in there. It takes ~4wks to shift the gut microbiota.

UTIs can be fungal too in origin and will recur (obviously) after antibiotics. Please let me know how the probiotic 'cocktail' works for you. Glad to hear it is already improving so fast! Impressive, no? GERD responses very well to probiotics + bionic fiber as well. Hope you experience resolution soon.

For the mucosal environment of the vag/urethra, you are right hormones are important. Bioidentical topical estrogen has minimal adverse effects and little systemic absorption if the dose is small.

Dr. B G said...

Mistress D~
Has your funct doc ordered adrenal testing and support? It is very hard to heal gut problems without simultaneously addressing the adrenals. Get your adrenals fixed FIRST, then all else with follow effortlessly and easy!
YES YES YES to all your questions. The gut is central to all health. WHen it is broken, then all health will be broken whether gut symptoms are 'apparent' or not. Everything is related to the humble gut, so I am glad that your interest is piqued and that you are working with a functional medicine practitioner like me.

VSL#3 and S boulardii are fantastic but they are not the same as the SBO probiotics that I promote in the 7 steps.

Dr. B G said...

Freak1541
The fiber (RS, potato starch, g banana or psyllium) all work together with the probiotics. If you can tolerate, they synergistically rehab the gut.
That is interesting how you'll do the FMT. Where is that? In Florida? Not everyone has mercury issues but it is becoming more of an issue because the great majority of industrial individuals are overburdened by environmental chemicals, water and food pollution, and healthcare exposures (amalgam, vaccines, etc).

Dr. B G said...

Saskia/ballabolla~ WOW. I am so happy for you and love hearing your progress with the 7 steps plan! Keep up the strong work. That's fast, no? Thank you for trying it!

ballabolla said...

I added in a teaspoon of tapioca starch to tackle some loose bowel movements and that works. And the progress does need some detox support otherwise it'll not stay as good. I am considering a clay detox for about 9 weeks to start...

ballabolla said...

Oh and I am almost ready to move on to the Wahls paleo plus!

Diane Jortner said...

I have intestine problems forever, including diverticulites candida, yeast, giardia. Anyway, for several months lately it was getting worse, and nothing seemed to help. i could not eat anything without it flushing straight through and causing pain and fatigue Finally, a friend suggested Benzanite clay (I bought Redman clay) Anyway.. All symptoms gone. I can't believe it.. Going on week 4 now. I would never have tried it if I were not so ill, but wish I had tried it years earlier.

Debbie said...

Thanks, Dr. BG. I'm hanging in there and will report back. I'm happy to have improved my constipation to the point of every other day and no straining! This is big. No pun intended. I think adding sufficient starch in the form of sweet potato and butternut have also helped. Thanks for letting me know the cream isn't so bad. Better than antibiotics. Thanks again!