Small Intestine Bacterial Overgrowth | How To Reverse SIBO

Small Intestine Bacterial Overgrowth | How To Reverse SIBO

In this video you will learn how to address
a bacterial overgrowth issue in the small intestines. Hi, ladies and gentlemen. I’m Dr. Zyrowski and welcome back to
the channel. If you’re new to the channel then it is
a pleasure to have you here. Be sure to subscribe, hit that bell notification,
and join our notification community so I can help you excel in your health and your life. In this video we are talking about Small Intestine
Bacterial Overgrowth, also known as SIBO. Now, this is a problem for a lot of people. I’ve worked with many people who have had
this issue. But I have also had this issue myself, so
I can give you some real clear advice as to how I went about reversing it. This problem can be very difficult to reverse
in many cases, but let’s go ahead and talk about some of the different symptoms that
arise with SIBO. Let’s go ahead and talk about the things
that really cause SIBO. And then what you need to do in order to reverse
this issue. Now, when we look at the small intestine let’s
do a quick little run through. Basically the small intestine is responsible
for taking food and absorbing the nutrients for your body. So it is broken down, it goes into the small
intestine, that’s where it is absorbing the nutrients. Then, after it goes into the small intestine
it goes to the large intestine. And in the large intestine the food is going
to be broken down into waste so it can then exit the body. Now, the small intestine should have very
little bacteria in it whereas the large intestine should have a lot. What happens in people who have Small Intestine
Bacterial Overgrowth is essentially that they get a lot of bacteria that goes into that
small intestine and it causes a lot of symptoms. Let’s go ahead and discuss them. The first one is bloating and distention. This is a very common symptom. People wake up in the morning and their stomach
feels huge. They eat a meal and their stomach feels huge. It causes a lot of discomfort. The reason for this and what is happening
is that these different fibers and starches and sugars are going into the small intestine
and they are fermenting which causes a lot of gas. So we have to make sure that we are watching
fibers, starches, and sugars and also supplementation. That’s another place where many people go
wrong is with supplementation. They find out that they have some small intestine
bacteria issues and they jump into supplementation that actually is having a negative effect
on them. So we’ve got to be careful with that. We’ll talk more about that in a minute. The next is constipation and diarrhea. Someone can have constipation or diarrhea
or actually alter between both. So that’s important to know as well. Next is nutrient deficiencies or nutrient
deficits. When we look at this issue what essentially
happens is that all that bacteria in the small intestine is going and taking those nutrients
and keeping them from you. So though you may be consuming some different
vitamins and you may be consuming a healthy diet, the bacteria is getting those nutrients
and your body is not. So your body can really be starving in this
case. The next one is antacids. When people make chronic use of antacids – let’s
say they get heartburn all the time and they are taking these antacids on a regular basis
– I mean, I’ve heard of people taking them after every single meal. What you do is you alter the pH in the intestines
and in the stomach, and as a result of that you create a very bad bacterial environment. Now, the pH in the stomach is responsible
for keeping certain bacteria at bay and keeping it out of certain places. If you alter that, then essentially what will
happen is you can have the Small Intestine Bacterial Overgrowth issue. So antacids are a big problem there. Then, also an existing gut condition. If you’re someone who has leaky gut, if
you have Celiac, if you have Crohn’s, if you have any of these existing gut conditions
it can really be a way of opening the door for this bacterial overgrowth issue. So when we look at these different symptoms
here, these are good signs that you are someone who has Small Intestine Bacterial Overgrowth. Now, some of the ways that you can also determine
if you have it is you can do a stool analysis and then you can also do a breath test that
will go and give some good data as to whether or not you have some of these issues going
on. But to kind of give yourself a good starting
point this is a really good way to go, just looking at some of these different symptoms
and seeing if you have them, because if you can look at all of these and go, “Yep, that’s
me, that’s me, that’s me,” then there is probably a good chance that you have this
SIBO issue. Now, Step Two is looking at why it happens. So there are a couple of things we have to
consider. First of all, a depressed immune system. So your immune system is just not functioning
well. The next is chronic stress. Essentially, if you have chronic stress it
is going to change and alter the way that your intestine is functioning. So chronic stress is never a good thing. That’s why people who have chronic stress
get ulcers and all kinds of other issues. It can alter the pH. Here we have someone who has depressed gastric
acid. It alters the pH and essentially you are opening
the door for this bacteria to be in places it shouldn’t be. So that is something that we relate to the
antacids and so on and so forth. The other thing is irregular peristalsis. Someone who is eating a lot and then is sitting
at a desk chair all day, someone who is eating a lot before bed. Essentially what is going to happen is this
causes an irregular peristalsis. So movement of the body is very important
for digestion and peristalsis. So when we look at this issue it also can
cause a Small Intestine Bacterial Overgrowth. So these are some of the different reasons
it can happen, some of the different reasons behind it. But also we can look at poor diet and a few
other things as well. Now the next step is going to be how do you
actually go in and solve this issue? So this is an interesting one because there
is a lot of different content out there, blogs and so on and so forth, that talk about this
issue. And like I said, from my personal experience,
myself having it and my working with people and reversing it with them, there is just
no way that most of this information that you’re going to find online will even come
close to fixing this issue. What we need to look at first of all is food. You need to avoid certain foods – starches,
sugars, legumes. Many foods that actually are very good for
you, you need to avoid during this time. Simply because you need to really avoid foods
that are going to feed that bacteria. On the other hand, you need to make sure that
you are eating certain foods. The reason for this is simply that what our
goal is here is to actually starve down that bacteria but also make sure that we’re feeding
the body. Because once again, people who have this Small
Intestine Bacterial Overgrowth issue – essentially what happens is that you’re going in and
you’re feeding this bacteria but you’re not feeding yourself. You’re not feeding your body. So we need to make sure that you are getting
the proper nutrients but we are actually taking away the nutrients that the bacteria needs
to thrive. What I’m going to do is in the description
below I will post a link to a chart that has the foods that you need to avoid and the foods
that you can consume. There are a lot of them. I will put them down below so that we don’t
spend 20 minutes going over them right now. So that will be in the description. The next thing is the power of doing some
intermittent fasting. Actually abstaining from food for a period
of time can really help to kind of reset that gut and can help kill down some of that bacteria
as well. Then last is supplementation. Now a lot of people will talk about using
fasting alone or using diet alone. I can tell you that I have never seen anybody
do it. As a matter of fact it can be very, very hard
to complete with just some of these different strategies that we just talked about. So supplementation is important, and there
are a couple of things specifically that you need to really focus on doing. First of all, healing the gut lining. Working on that gut lining which is probably
inflamed and having a lot going on it. A lot of times leaky gut is associated. So anyway, healing that gut lining is very
important. The next thing when it comes to supplementation
is making sure that you are actually clearing out some of those different gut bacteria. We want to make sure we are clearing out that
bacteria so we can remove it from our small intestine and have everything start functioning
right. It’s not just about putting good bacteria
in but a lot of times it’s about taking that bacteria out. We will actually use a microbial cleanse to
just cleanse that bacteria out of the gastrointestinal tract with a natural remedy that does it safely. Then, when we look at supplementation such
as probiotic this is important, too. Because most people will tell you to stay
away from probiotic. What they are failing to understand is that
when it comes to the probiotic, the reason that most people have a negative reaction
to a probiotic when they have SIBO is simply because of this. Because most probiotics contain a prebiotic. What that means is that not only are you getting
a probiotic but you are getting food for that probiotic, which in normal cases is very good. However, if you have SIBO it’s not good
because that prebiotic is not only going to feed that bacteria that you’re taking but
it’s also going to feed all the bacteria in the gut and it’s going to cause you to
become bloated and have a lot of issues from it. So we need to make sure that we have the good
strains of bacteria in there, but we need to make sure that we’re not feeding the
bad stuff. So it’s important to take a probiotic, but
one that does not contain a prebiotic. The other thing is that it is very important
to make sure you are getting good nutrients. We already talked about nutrient deficits
being a very common problem as a result of people who are suffering from SIBO, especially
the fat soluble nutrients – the A, D, E, and K are also very important during this time. Making sure you are taking proper enzymes
is important too. Essentially when we look at this, what we’re
doing is we’re looking to reset that whole environment in the gastrointestinal tract. We’re looking to reset some of that acidity
with apple cider vinegar capsules as well. So we’re looking to just cause a whole reset
in there, clean out some of that bacteria, and create an environment that is actually
sustainable for your gut. Because people who have Small Intestinal Bacterial
Overgrowth over time start to develop a lot more issues. So it’s very important that you actually
go in and solve this problem. So all the resources for this video, the foods
and the supplementation that I use, it will all be in the description below. Once again, this problem can be very difficult
to reverse. Even if you’re doing everything right it
can take several months to reverse. So take that all into consideration, give
this video a thumbs up, share it with your friends who may be suffering from the same
issue. If you have any questions, put it in comments
section below. Subscribe to my channel and check out my other
videos on fasting and ketosis and all the other really great topics that are going to
help you improve your health. I’ll see you in the next video.

82 thoughts on “Small Intestine Bacterial Overgrowth | How To Reverse SIBO

  1. Do you think that intermittently fasting could actually cause SIBO, specifically eating most of your calories at night? I’m suffering from these symptoms for years and the last few years it’s gotten worse and worse to the point it really affects my life despite a healthy diet and lots of exercise. I’m seeing a naturopath next week but wondering if IF has made things worse.

  2. I remember studying this in my Nursing school Gastrointestinal pathogenesis studies but I forget it . Thank you Dr to remind me

  3. Hey Dr Nick.
    Where can i find the list of foods to eat and avoid that you mentioned in this video and the recommended supplements?
    Thank you

  4. I have every symptom u listed and that has been my biggest concern is getting nutrients. I do intermittent fasting usually 16-18 hrs then I do prolonged 3 day fast. Just water n black coffee and of course I have to take Prilosec every morning for 20 years that don’t help can the coffee be a hinderance

  5. I was diagnosed few day ago with SIBO and the best thing to remove the bacterias and reduce inflammation and all the effects, is doing the LOW FODMAP diet, believe it, 15 days with this kind of food and I feel great, I have 10 days with none of the SIBO effects!!!🤗🙌🏼

  6. With the given diet and supplements, approximately how long will it take before we see positive results and how long should we stay on this diet? Thank you in advance.

  7. How about if I take ENZYMES PROBIOTICS COMPLEX?will it help?or does it need to be only PROBIOTICS?hope you may answer my question,thank you!

  8. Very honestly speaking , it was an excellent video. Good job Doc 👏👏👏 You explained such a difficult issue in a simple manner . Really loved it , very informative. Thank you very much Doc 💕💕

  9. Hello, Dr.! Could you please let me know if you think that a keto diet could help get rid of my costochondritis, which is an inflammation of the sternum? It results in chest heaviness and difficulty in breathing. Or if you could do a video on this, that'd be great! Thank you!

  10. I was treated 3 times for sibo and given antibiotics. While I'm on them for 2 weeks I feel fine but after I finish symptoms comes back. I have another test on next week again. Do I need to take antibiotics longer than two weeks ? I also take pribiotics but I don't see a change at all . I eat salmon, meat, lots of water , potato's , rice . I don't eat candy none sugar so I keep a small diet , I even loss weight . What m I doing wrong or why that sibo still coming back ? It s very depressing. I go on YouTube and there r tons of people advertising their herbs to buy . Some say don try that try mine products so is a headache

  11. To preface, I have Hashimotos. Been doing well with digestive enzymes, ACV, vitamin supplements, and thus normal movements…until 2 meals of burritos which had (canned) black beans in them. Diarrhea ever since (2 weeks). I do not seem to have the symptoms you describe for SIBO. It is like my normal stools have been replaced with diarrhea. Out of whack! What to do to get back to normal?!?!

  12. My doctor says I have gerd. But it's been over a month and acid production in my stomach is not regulated. I feel pain. Lots of gas everywhere in my abdominal. It's been around 2 years I've been feeling constipated and frequently urinate. Sometimes I get diarrhea. also my blood test showed I have very low WBC in my body. Also I'm becoming more lactose intolerant every yearCould it be sibo or IBS?

  13. Dr zyrowski, how can we not lose weight ? On low FODMAP, low sugar Low Starch diet?

    What if small intestinal motility is the issue ? What do u do ?

  14. can you have sibo if your having regular bowl movements. I tested positive for sibo but my only symptoms are heartburn and mainly lpr

  15. Hey Nick.. could excessive methane from dysbiosis be a cause of the occasional spontanious combustion one heres about? Im serious
    Betaine hcl was a game changer for me

  16. I took a probiotic the doctor recommended and felt worse symptoms also if your killing the bacteria and then not having that many bowel movements how can you detoxify

  17. So glad I saw this, I dealt with SIBO in past, had to change my diet and get serious about it. Got pretty sick and I was diagnosed with pancreatitis, I had to do a lot of research on medication and so on, my diet consists of 60-70% fruit/veggie and the rest 30-40% smoothies and shakes. I had the luck to get this book from a friend with lots of recipes for my SIBO affection and helped a lot in my recovery process:
    For these dealing with SIBO, I recommend persistence and constant research

  18. Great vid, very thorough analysis. Question about life on this diet: what kind of carbs (not just simple fruits) can I put in my body to help build protein?

  19. It will be nice if you explain about the foods to avoid rather than click the link since you talked SIBO.

  20. hey dr nick, i have hpylori ulcer. enzymes and hcl irritate my stomach in the morning. what can i do?

  21. You seem very knowledgeable about this disease. I just need to know if taking your probiotics is going to be pouring fuel on the fire. A lot of information I read says to stay away from lacto and bifo strains of probiotics because they make SIBO worse. Is this true? Because that’s in your probiotics. Also wondering about the rice concentrate in the ACV supplement because the diet doesn’t allow rice. Just started the sibo diet you recommended and feel 10x worse. Is this die off? Please answer these questions ASAP. Just ordered your SIBO kit been suffering for 13 years with gut issues with no help from any medical drs or natural paths. Been misdiagnosed with Crohn’s twice! Found out I have a severe case of SIBO from the breath test. Tried more protocols and medications than I can count, nobody has helped. It feels hopeless. If I do have inflammatory bowel disease will the SIBO kit still help with that? Or is it too severe of a condition?

  22. Hi Dr. Z. This is Evan. I spoke to you on the phone last Tuesday @ 12:30 California time. I think I may be experiencing extreme die off. I’m doing the SIBO protocol and diet exactly as directed. I even doubled up on the G.I. Repair and my symptoms just keep getting worse and worse the pain is unbearable. I don’t want to abort the protocol but this is just debilitating. Can someone please call me from your company soon to help me know what to do about what I’m going through!? I keep calling but can’t get ahold of anyone. My symptoms are becoming very challenging to live with. If you can help me know what to do about the die off/hex reaction that would be great. Thanks!

  23. Can SIBO cause Diverticulosis, along with Gastritis, and Histamine Intolerance,which causes me very high blood pressure?

  24. ALL of those symptoms are also for LOW bacteria in the gut, you don’t have enough bacteria. You can’t know exactly what you have.

  25. Tried :
    Antibiotics. Didn't work
    IF. Didn't work
    Probiotics. Didn't work
    Digestive Enzymes Didn't work
    ACV. Didn't work
    Tried Paleo/Keto/FODMAP, Low Carb High Fat diets. Didn't work
    Supplements and Naturopathic remedies. Didn't work.
    The way I see it these people are talking out of their hats. Many are making lots of money selling some form of snake oil and playing with people's minds. Time for these snake oil salesmen to be banned.

  26. Hi there,
    I love this video. Thank u! I however cannot find the link for the foods.
    Plz advise.

  27. What Probiotic do you recommend Dr. Please recommend a good digestive enzyme too. I have had SIBO for 3 years now. I am a 65 year old female. I have Ben trying various Homeopathics, digestive enzymes, and probiotics to heal my small intestine. I have severe trapped gas and bloating everyday. I appreciate your help.

  28. It seems every night I am burping up bile and burning my throat. I do have bloating. Is this a sign of SIBO?

  29. Not Able to pull the Food list to avoid and to eat to help in reversal of the SIBO. Please send me a link. Thanks.

  30. SCAM! I’ve taken all kinds of products for SIBO and Dr Z protocol made me 10x worse even after stopping the protocol I haven’t been able to get back to where I was. $200 phone call and $200 for the protocol was the biggest waste of money I’ve ever spent! The company doesn’t allow refunds either. What a bunch of BS!

  31. This guys diet is the only thing that has been able to mitigate my chronic head pressure for years. Great info and many thanks 🙏🏾

  32. Do you use Ciprofloxacn to treat SIBO in your patients? I have concerns with all the major black box warnings. Please advise your thoughts.

  33. Hi, doctor. Thank you so much for your information. Did cancer has any bacteria or virus and germs. Something bites and moving under my skin.

  34. Fatty liver is causing these bacterial gut issues. Get your Dr to check for fats in your liver. I have this , as we speak. Recently diagnosed. The Liver controls how the body digests foods we eat. Hope you all get well soon.

  35. Wish my doctor told me these things! they just give me antibiotics.. tomorrows my last day on them and I feel no better! Ill try this diet hopefully it works!

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