Welcome back to the Holistica monthly newsletter!

Today, we’ll be diving into the world of Small Intestinal Bacterial Overgrowth (SIBO) and exploring natural therapeutic options that can help alleviate its symptoms. SIBO is a condition characterized by an abnormal increase in bacteria within the small intestine, leading to various digestive issues, such as excess gas and bloating. SIBO most often occurs secondarily to other digestive issues, such as low stomach acid, chronic constipation, miscommunication of the enteric nervous system after COVID or Lyme, hypothyroidism, structural abnormalities, and GI infections. If a practitioner only treats the SIBO overgrowth but isn’t addressing the underlying causes, the chances of reoccurrence are much higher. While it often requires medical intervention, several natural remedies can complement conventional treatments and promote gut health.

1. The Low FODMAP Diet: A low fermentable oligosaccharides, disaccharides, monosaccharides, and polyols (FODMAP) diet has shown promise in managing SIBO symptoms. By reducing the intake of fermentable carbohydrates, such as lactose, fructose, and certain grains, the diet aims to minimize bacterial overgrowth. Consult with a registered dietitian to properly implement this diet and ensure adequate nutrient intake.

2. Herbal Supplements: Several herbal remedies have antimicrobial properties and can help rebalance the gut microbiota. Here are a few commonly used options:

  • Berberine: Derived from plants like goldenseal and Oregon grape root, berberine exhibits antimicrobial effects against various bacteria, including those implicated in SIBO.
  • Oregano oil: This essential oil has potent antibacterial properties and can help reduce bacterial overgrowth in the small intestine.
  • Garlic extract: Garlic possesses antimicrobial properties and may help inhibit the growth of harmful bacteria associated with SIBO.
  • Remember to consult a healthcare professional before starting any herbal supplements, as they can interact with certain medications or have side effects.

3. Probiotics: Probiotics are beneficial bacteria that can help restore the balance of the gut microbiota. Specific strains, such as Lactobacillus and Bifidobacterium, have shown promise in managing SIBO. However, it’s important to note that not all probiotics are suitable for SIBO treatment, and they need to be introduced at the right time in order to not make things worse. Consult a healthcare professional to determine the most appropriate strains, dosage, and timing for your condition.

4. Digestive Enzymes: Digestive enzyme supplements can aid in the breakdown of carbohydrates, proteins, and fats, reducing the workload on the gut and potentially easing symptoms. Opt for broad-spectrum enzymes that contain proteases, lipases, and amylases to support overall digestion.

5. Gut Motility: Slow transit time and constipation, where the muscles of the digestive tract are not functioning properly, can contribute to SIBO. Natural remedies that promote healthy gut motility include:

  • Ginger: Known for its digestive properties, ginger can help stimulate gut motility and relieve symptoms of bloating and discomfort.
  • Peppermint oil: Peppermint oil has been found to relax the muscles of the gastrointestinal tract, which can improve motility and alleviate symptoms.
  • Prokinetic herbs: Certain herbs like ginger, artichoke, and chamomile can act as natural prokinetics, supporting the health movement and function of the digestive system.
  • Incorporating these remedies alongside other treatment strategies may help improve gut motility and reduce the risk of SIBO recurrence.

Remember, while these natural therapeutic options may provide relief, it’s crucial to work with a healthcare professional or a qualified practitioner experienced in testing for and managing SIBO. Here at Holistica, we are happy to guide you through an individualized treatment plan based on your specific needs. Stay tuned for more informative newsletters focused on improving your overall health and well-being. If you have any specific topics you’d like us to cover, feel free to reach out. Take care of your gut and until next time!

Best regards from Dr. Sulser and the Holistica team.