So heres what I gathered. Is Berberine the main natural antimicrobial used for hydrogen sulfide sibo? Allison, will you remind people of your website, in case people wanted to hear more from you? In the colon, there are numerous bacterial species that grow on poorly digested foods such as starches and sugars (carbohydrates).2As the bacteria within the colon ferment these foods, hydrogen and carbon dioxide gases are released during the process. But Allison, lets go through some of these. Antibiotics are used to treat both types of the disease, but along with antibiotics, methane-dominant SIBO may require you to take fiber. Small intestine aspirate and fluid culture. Most people with hydrogen sulfide issues find that garlic, eggs, kale and other brassica vegetables like broccoli and brussel sprouts are the most problematic foods that promote their symptoms. (3) Amazon and the Amazon logo are trademarks of Amazon.com, Inc, or its affiliates. Your thoughts on IBS Smart blood test? Im not even going to share any more about that. And most importantly, they treat, and guess what? Its on the lab. And then second, if youre negative or you have this flat line pattern and you have some of those hydrogen sulfide symptoms, consider adding in the hydrogen-sulfide-nuanced treatments to the gut treatment protocol youre going to use. Dr. Michael Ruscio, DC. The hyperlinked study conducted in 1939 (ya, its been a while) on sulfur content present in foods further describes the specific amount of sulfur in given food products:The Sulfur Content in Food. But we dont want to confuse these patients. Second, verify the test was performed correctly: did you drink the solution, lab prep, etc. It manufactured and distributed the pink liquid. Dr. Ruscio is your leading functional and integrative doctor specializing ingut related disorders such as SIBO, leaky gut, Celiac, IBSand inthyroid disorders such as hypothyroid and hyperthyroid. Its going to say, any time I feed itdoesnt matter if its morning, afternoon, evening, it doesnt matter what type of foodgenerally speaking, its going to ferment. Both can cause deficiency in molybdenum, a cofactor for the enzyme sulfite oxidase, which produces sulfate. And Dr. Ruscio, if I could jump in on a few things. Generally speaking, if you eat, youre feeling these symptoms. Sulfur is critically important in the body. My guess is the allicin didnt work for me. buff.ly/3JsH0FZ. But the problem is its so brand new, hasnt even hit the market yet commercially. gas. So is it a I have a positive SIBO, Im just going to check on the hydrogen sulfide symptoms, the tingling of the hands and feet, the photophobia and intolerance, all the things that youve already reviewed? Epsom salt bathsallow your body to soak up sulfate in the form of magnesium sulfate. We might get a 20% gain from one and then another 20% gain from another. It takes 30 minutes to an hour for Pepto-Bismol (bismuth subsalicylate) to start working and help relieve diarrhea, upset stomach, and nausea. So moving on in the symptoms, Ive seen bladder irritation or interstitial cystitis. Weve got to see how this pans out, right? In any case. But if we dont have enough of it, one theory is that the body encourages overgrowth of H2S producing bacteria to compensate. They could have your standard SIBO symptoms. Thats when we start to really see the notable level of improvement, where now someone is 70, 80, 90 percent improved. Its exciting, and hopefully therell be more useful here to come. GS: Absolutely. And yes, there is some newer information, possibly some newer devices that we could augment to improve it even further. They offer accounts for clinicians and direct-to-consumer testing. I just started molybdenum by itself and plan to do the Epsom salts. Theyre seeing the sickest of the sick. Bismuth has also been shown to reduce hydrogen sulfide gas in afew studies. So many of the chronic cases, sadly, appear to be chronic because the provider hasnt had the requisite knowledge in how to really get in there and use the available tools appropriately. And the reason why is because were not yet testing for hydrogen sulfide. DrMR: Awesome. Hydrogen Sulfide gas is the third major gas in SIBO cases. But my point with this is, flat is flat, and I would not disagree whatsoever with Dr. Siebecker that its highlighted in lactulose tests. Thanks. In summary, testing a low sulfur diet combined with daily Epsom salt baths for 7 days is a great place to start. So yes, there are things that may be more active against hydrogen sulfide. These amino acids, of course, are also building blocks for protein, so sulfur is necessary for building proteins in general. In your interview with Greg Nigh you mention you were able to get past your hydrogen sulfide issues. Symptoms seem to be similar and my doctor did have me on Bebbermine with no success. But Im unclear and wary as to whether we need to really make our SIBO treatment that much more complicated. And in the meantime, while were waiting, there are the points that youve all been making and that Ive been making too. And if thats really helpful, then we can continue forward with that. Dosing is 10 drops up to several times daily. 524 mg orally every 30 to 60 minutes as needed not to exceed 8 doses in any 24 hour period. Lets not start reading everything on the Internet that we can about hydrogen sulfide SIBO and making every treatment based upon what we eat, and all the supplements that we use totally centered around that. It doesnt matter what were talking about. We have things we can do right now. Unfortunately, there is not as much research on this type of overgrowth and it can be challenging to manage and treat it effectively. a flatline result in the third hour could indicate the presence of hydrogen sulfide gas. SIBO is a common clinical condition characterized . And he said he was finding bismuth to be successful in cases of methane. You see, your digestive tract is designed to house a host of different microbes that make up what is collectively known as your gut microbiome. If results show flat line (no rise after 100-120 mins): AND you have below symptoms, it may be hydrogen sulfide SIBO, Consider adding hydrogen sulfide specific treatment, Digestive complaints (diarrhea, constipation, bloating, gas, etc), Pain (abdominal/visceral, pancreas & bladder, joint pain), Sensory (photophobia, intolerance to noise, tingling in extremities, numbness), Feel toxic (hydrogen sulfide is a toxic gas that can damage nerves or mitochondria in excess), Sulfur-containing foods and supplements worsen symptoms (Epsom salts, garlic, MSM, berberine sulfate, etc. Regarding support, if youre not highly proficient in reading SIBO labs, Gary definitely offers the best clinical support Ive ever come across. Its like hearsay from another person. Leave a comment or connect with me on social media asking any health question you may have and I just might incorporate it into our next listener questions podcast episode just for you! In H2S SIBO, the hydrogen sulfide-producing bacteria compete with the methane-producing bacteria in consuming hydrogen gas. But if the problem is low sulfur, then its likely that the overgrowth will recur unless this is addressed. And Gary, I think you made a good point, which istrying to come back to that process that I outlined earlierfirst, test and if youre not sure if the testing is negative or flat lined, double-check that youve done the test appropriately. Different versions of the test measure your digestion of different sugars. I think it mightve been six or seven years before I even started teaching about hydrogen sulfide in special classes I would do with physicians. We talk with clinicians every day and we call on every single flat line test, whether its a glucose or lactulose, we call on it. But thats going to be years and years. DrAS: It can be. Well, first off, I didnt know what to do all those years ago. So what you could do, as we look at this whole process, is first verify that your test was done correctly. And once we can get all the gases tested we might be able to make sense of this. And why is this important? No product order inquiries. But whats interesting about SIBOand many a gut conditionis were now understanding that imbalances in the gut can also manifest extra-intestinally. Five of those tablets, three times a day for 10 days, and then drop down to three tablets, three times a day for 20 days. Were getting a lot of those calls in the lab. And when we talked to Dr. Pimentel about it, he said what it could be is that methane is present, but its a level that is below detectable by the breath test machine in parts per million. It is typical for people with an excess amount of hydrogen sulfide gas to have their stools turn black when they take bismuth. Theyre drawing folks in for that purpose and thats whos seeking them out. There have been days when Ive been like, Boy, Im getting another call from Gary or an email. And your customer service is sometimes almost hard to keep up with, because you are that thorough. Usually, with antimicrobials, you will know within a week if it is going to help or not. Its not really. Lets go to some closing thoughts. We need to validate, is this bacteria in the small intestine where it doesnt belong, or is it not? It has nothing to do with flat line. Even if you kill the overgrown bacteria and restore normal sulfur levels, if the reason sulfur dropped in the first place is due to toxicity, then identifying and eliminating the toxin(s) is in order. Which are: does the patient suffer from tingling of the hands and feet, do they have photophobia, intolerance to noise, visceral body pain, do they have the odorous gas, that river bed or rotten egg odor? And then, very cautiously and parsimoniously, consider expanding outward to other therapies. But from what Ive been told it will not be available for a distance test or a mail kit or do-it-at-home kit. That was the reason for the question. Thats what Ive seen work. And then we further validate on the research that Dr. Siebecker did, that Dr. Ruscio is going to supply, and theyll talk about this in a moment. Ive seen them all work and Ive seen them all fail. In fact, it can sometimes look like a flat line on a lactulose or glucose SIBO test. Dr. Gurevich tends to use bismuth and Rifaximin or bismuth and herbs. So very severe, difficult food intolerances. So then as I read some more, I saw that bismuth can also be used. Because youd think an Epsom salt bath would help pain and things like body pain. Youll also learn some treatments that have shown promise. Any suggestions? It can be compounded. Look at this. As a doctor treating SIBO, I feel that we absolutely need all three gases. GS: Well, I think Ive talked quite a bit. And those came from Dr. Jacobis research. H2S plays an important role in our bodys ability to respond to foreign pathogens by regulating inflammation (which is good when we are trying to fight off disease), memory formation, cognition, energy, gut motility, and much more. Unfortunately the treatment for Methane and HS is Rifaximin and Neomycin in combination. Studies show that a large percentage of Irritable Bowel Syndrome (IBS) is actually Small Intestinal Bacterial Overgrowth (SIBO). Although it is normal to produce some amounts of this gas, an excess amount can be an indicator of a certain type of gastrointestinal issue. Ive asked my GI doctor about prescribing resolor (procalopride) without seeing my in an appointment because our insurance isnt the greatest. DrMR: Yep. Excess hydrogen sulfide is a condition that is the result of the overgrowth of hydrogen sulfide-producing organisms. If youre experiencing any issues with sulfur metabolism, the absorption of sulfate through the skin can be a really good therapy to try. I recently had the opportunity to sit down with Dr. Greg Nigh a Naturopathic doctor fromPsoriasiswho was able to clearly explain this process, as well as provide some insight as to why he believes that sulfur metabolism plays a role in H2S SIBO. But I mean it medically. Aerodiagnostics, check them out. I would start it slow, be careful. In the case of hydrogen sulfide dominance however do you think this would be a bad option. Maybe we should start with defining hydrogen sulfide SIBO for people who havent heard of it Im sure most of our audience has. And that seems to me to be really the best way to go about this. Aerodiagnostic offers cash pay and insurance billing options, and they do a terrific job at keeping costs low and billing easy. Sulfate plays an important role in a number of daily processes that occur within our body, such as maintaining the viscosity of the blood and lining our connective tissues. The herb Sparga also helps the body to break down sulphur. And then some of these patients would have worse food intolerances all together. I dont think it would be necessary, if it was a hydrogen-only clear case and youre not concerned about hydrogen sulfide, right? . Uses. This is currently the gold standard test for bacterial overgrowth. Approximately 400 mcg of molybdenum, also 20 min prior to meals. In addition to colon bacteria, people with SIBO can have too much bacteria in the small intestine (where there should only be a small amount) which can ferment carbohydrates and also produce these gases. And I hope it came through that I dont disagree one bit with everyones desire to have lactulose, for the very reason that Dr. Siebecker stated. Different underlying hydrogen sulfide issues (SIBO, LIBO, and sulfur-sensitivity) Different diagnostics (flat line, Trio Smart, or symptoms) Different symptoms (headaches, brain fog, sulfur gas, etc), and . 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