![]() Substances with antimicrobial properties can suppress the bacteria, leading to temporary relief of symptoms. I’ll discuss this in further detail in a minute.)Īlso, if you’ve found that using antibiotics or antimicrobial herbs, even when used for unrelated reasons, makes you feel better, this could also indicate the presence of SIBO. (For this reason, most probiotics, with the exception of one, are not recommended for those with SIBO. That is because these foods feed the bacteria in your intestines and cause them to multiply, contributing to the overgrowth. ![]() ![]() If you’ve noticed that fibrous foods, fermented foods, histamine-containing foods, prebiotics, cruciferous veggies, and/or the use of probiotics seem to cause a flare-up in your digestive symptoms, there’s a good chance you have an overgrowth of bacteria in your small intestines. SIBO can also cause a depletion of vitamin B12 and iron, as well as lessen levels of digestive enzymes like lactase (digests lactose in dairy) and amylase (digests starch), making it more difficult to digest many foods. (4) SIBO often presents with bloating after eating, and is associated with the annoying “I woke up with a flat stomach and now I look pregnant syndrome.” (This is caused by bacteria in the small intestine creating too much gas.)Ĭonditions like irritable bowel syndrome (IBS), hypothyroidism, fibromyalgia, and restless leg syndrome have all been tied to SIBO. Once you have SIBO, it can lead to intestinal permeability and contribute to a long list of digestive symptoms, including acid reflux, belching, bloating, and irritable bowel syndrome (diarrhea, constipation, or mixed type). The key is to keep the bacteria in the large intestine, where it belongs, and out of the small intestine. (3) Too much of any bacteria, good or bad, can lead to SIBO. In some cases, bacteria from the large intestine may make their way up and overgrow into the small intestine. Our small intestine is meant to be relatively clear of bacteria, while the large intestine houses most of our bacterial friends and foes. “SIBO” is an acronym for small intestinal bacterial overgrowth. Determining which SIBO treatment option is right for you.In fact, a 2007 study found that about 50 percent of people with hypothyroidism have SIBO, while a 2017 study found that levothyroxine use can contribute to the development of SIBO! (1,2) While this is not technically an infection, SIBO does have a bacterial component and can be a trigger or exacerbating factor for Hashimoto’s! Many people with hypothyroidism may have SIBO, or small intestinal bacterial overgrowth. When symptoms don’t subside in response to what might be considered the standard approach in functional medicine - removing, replenishing, and repairing - there is a good chance that you have an unaddressed infection. ![]() Searching for the solution that will work for you can sometimes feel like trying to find a needle in a haystack, but the right combination of protocols for you is out there. In fact, in some cases, my attempts to produce healing led to the development of additional, different symptoms altogether. It took more than the implementation of the strategies above for me to resolve all my symptoms related to Hashimoto’s. But what if those steps alone don’t work? You’ll have to dig a bit deeper. Many people with Hashimoto’s feel significantly better when they remove reactive foods, replenish nutrient depletions with restorative foods and supplements, and support the gut with probiotics.
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