Public protocols

MSM

30 g/day (2 Tbsp) MSM x 2 months. Can titrate up slowly. Add molybdum as needed for side effects. Then decrease to maintenance dose as needed or discontinue.

Probiotics

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Fiber

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Here are some fiber options for SIBO. Start with a low dose, then increase to label dose over 3-7 days if tolerated. Possible side effects: bloating, intestinal irritation/pain. Cellulose is insoluble fiber. PHGG/"Sunfiber" and Acacia are soluble fiber.

Anti-inflammatories

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Pets

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Blood Sugar, Metabolic Syndrome Support

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Many of these recommendations are based on Dr. Hawrelak's Microbiome and Metabolic Disorders Masterclass (and the studies he shared) and also Dr. Morstein's Diabetes and SIBO Masterclass. Link to Dr. Hawrelak's class: https://sibosos.com/2mc-hawrelak-patrick/?ref=51032-Dr-Allison-Siebecker Link to Dr. Morstein's class: https://join.sibosos.com/cart/214315-Diabetes-and-SIBO-Your-Diet-Lifestyle

Nerve Healing

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Nerve healing supplements to help the migrating motor complex: - Lion's Mane Mushroom 1,000-3,000mg/day in split dosing - Acetyl L-carnitine 2,000-3,000mg/day in split dosing Prescription option: Prucalopride (Motegrity). Studies show intestinal nerve growth/repair and intestinal nerve protection. Also helps mood and cognition/brain fog.

Prokinetic Options for SIBO

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- Here are some prokinetic options for SIBO, which are typically taken before bed to stimulate the MMC in the small intestine, overnight while fasting. - Note that formulas containing "prodigest" (Motility Activator, GI Motility Complex, Motility Pro), have a form of ginger that may be better tolerated if ginger causes burning/acid reflux. - Note that prokinetics are not laxatives and are not meant to stimulate bowel movements.

Magnesium

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