Let's talk about drugs, kids.
I'm surprised how many people come to me for SIBO treatment (after treatment with another clinic or doctor failed) whilst still taking drugs known to cause SIBO or gut distress.
Proton Pump Inhibitors (PPIs) like Omeprazole, Prilosec, or Prevacid are known to increase the chances of SIBO (Main ref, Ref 2). I'm not going to spend much time on this one because I think the mounting evidence against them speaks for itself. I think (from clinical experience) that other drugs will be shown to increase SIBO risk, either directly or indirectly. For example: A woman came to me with SIBO that was unresponsive to three rounds of antibiotics. When going through her health history, I found that she developed acid reflux (that eventually led her to starting a PPI) after going on a statin (like Lipitor, used to lower cholesterol). The statin might not have directly caused her SIBO, but it was certainly the first domino that led her down that path.
The key in all of this is that (just like reintroducing FODMAPs) you can't just go off of drugs willy nilly. You need to have a plan that is tailored to you, a coach to consult if things don't go according to plan, and goals. I regularly communicate with my patients' prescribers and help them develop a plan to wean off of these drugs, but I never advise people to go it alone. Importantly, PPIs often cause rebound reflux that is worse than the original (pre-PPI) symptoms, so you need to know how to curtail that tendancy. This is one of the many reasons why it is so important to work with an experienced doctor who has navigated the SIBO maze before.
Enjoy the new video,
SIBO Mistake #4: Drugs
The good news is that it IS possible to treat SIBO, and oftentimes that can be done naturally. No, it's not a quick fix, but it can be done. Through a combination of dietary modifications (not low FODMAPs), exercises, and supplements, I have seen great progress be made with this notoriously hard to treat condition.
If you are ready to work with me on your SIBO, please download my e-book "Why conventional Medicine CAN'T Cure IBS" below. The application process to become a patient is discussed in the last pages of that book.
Best of health,