QC: SIBO or Just Need to Poop? Is The Low FODMAP Diet Beneficial?

Endo Battery

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Dr. Zachary Spiritos demystifies SIBO treatment for patients with complex conditions like endometriosis and mast cell activation syndrome. He cuts through the noise with a straightforward approach to this commonly misunderstood digestive condition, explaining why it's often simpler to treat than many functional medicine practitioners suggest.
• SIBO treatment basics: antibiotics like rifaximin that shift your microbiome rather than traditional systemic antibiotics
• Preventing recurrence by identifying root causes: antibiotic use, PPI use, chronic narcotic use, or other factors slowing bowel motility
• Pro-motility agents can help the small intestine function properly to prevent bacteria from accumulating where they don't belong
• Low FODMAP diets may help but are used sparingly due to their restrictive nature
• Elemental diets are a last resort for persistent cases
• SIBO is often overdiagnosed when the real issue is constipation or pelvic floor dysfunction
• Virtually all endometriosis patients have some degree of pelvic floor dysfunction
• Pelvic floor dysfunction prevents proper evacuation of both stool and gas, causing significant bloating
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Chapters

1. SIBO diagnosis confusion explained (00:00:00)

2. Dr. Spiritos on treating SIBO effectively (00:01:12)

3. Why low FODMAP isn't always necessary (00:04:18)

4. Bloating myths and pelvic floor truth (00:04:58)

5. Episode wrap-up and contact info (00:05:37)