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10 signs of SIBO

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10 signs SIBO & difference between IBS and SIBO. The FODMAP diet and why it’s not for everybody. Most digestive problems like IBS are formed by lifestyle; our nutrition & our daily stress. Digestive complaints — constipation, diarrhoea, heartburn and bloating are very common.

The IBS diet

Most digestive problems like IBS and SIBO are formed by lifestyle; our nutrition and our daily stress. Digestive complaints — constipation, diarrhoea, heartburn and bloating are very common. SIBO can leave us feeling tired all the time. SIBO or IBS? (read on)…

We shouldn’t have to live with them though.

SIBO or IBS?

SIBO is Small Intestinal Bacterial Overgrowth. It’s often confused with IBS (Irritable Bowl Syndrome).
Dysbiosis is a microbial imbalance on or inside the body. 10 Signs of SIBO — read on…

FODMAP, GAPS paleolithic diet, pegan diet, sirtfoods, sugar free. What’s our take on these?

London Nutrition expert Susannah at The Bulgari Hotel, Knightsbridge and The Chelsea Private Clinic uses a functional approach. This can help identify between SIBO and IBS.

Digestive issues affect gut healthLondon naturopath and osteopath Susannah looks at total body wellness. Her gut health assessment links dysfunction to skin issues, stubborn belly fat, tiredness, low immunity, musculoskeletal pain, etc…
— How can you actually use this? —

SIBO test

SIBO test

10 signs of SIBO

1. Gas 2. Bloating 3. Diarrhoea 4. Abdominal pain or abdominal cramping 5. Constipation (much less common than diarrhoea) 6. Diagnosis of IBS or IBD irritable bowel syndrome or inflammatory bowel disease
7. Food intolerances such as
gluten
casein
lactose
fructose
and more
Can we get rid of food intolerance for good? Drop us a line. How can we help answer your food intolerance questions?
8. Chronic illnesses such as: fibromyalgia : chronic fatigue syndrome : diabetes : neuromuscular disorders
autoimmune disorders
9.  Nutrient deficiencies and their associated symptoms: Vitamin B12, A, D, E, iron, other B vitamins, fat, protein and carbohydrate malabsorption.
Carbohydrate intolerance-symptoms se.g. bloating or pain or gas or fatigue after eating.
Fat malabsorption.
10. Joint pain

SIBO test

SIBO Breath Test This is the gold standard. However, it’s quite cumbersome. Individuals must fast for 12 hours, breathe into a small balloon, ingest a precise amount of sugar and repeat breath samples every 15 minutes for 3 or more hours. Abnormal breath tests also can signify pancreatic insufficiency and celiac disease.

Organix Dysbiosis Test or Urine Organic Acid Test This functional medicine lab test the urine for by-products of yeast or bacteria in the small intestine. If your small intestine is housing a yeast or bacterial overgrowth, byproducts will appear in your urine, indicating their presence. This test is much easier for patients and only requires one single urine specimen. This is the test I use most often in my clinic.

Comprehensive Stool Test This is also a functional medicine lab test looking at the flora of the large intestines.

History By listening to our patient’s history and symptoms oftentimes, this can reveal far more than any test. The question is, can we make a diagnosis of SIBO in order to effectively treat it?


SIBO diet

The goals of treatment for SIBO and IBS are In The Four Phases.

PHASE 1) correct underlying cause PHASE 2) provide the 2 PHASE plan: nutrition support to target the cause 3) Nutritional support to treat side-effects of malabsorption 4) treat bacterial overgrowth


The standard treatment for SIBO is an antibiotic called Xifaxan or Rifaximin. You may be prescribed this by a prescribing physician as part of our clinic team. Because Xifaxan isn’t well absorbed throughout the body, it mostly stays in the gut. So, it’s effective against SIBO. The antibiotic – probiotic combination is carefully considered @ Susannah Makram Clinics. The right amount of probiotic is incorporated into your FOUR PHASE treatment.

Nutrient supplementation is only effective to target your primary health concern when administered in this supervised manner.

SIBO Diet

SIBO Diet

Sibo Treatment

So now you know the 10 signs of SIBO. Generally, it’s advised to adopt a long-term diet low in carbohydrates. Specifically, refined carbohydrates. HOWEVER, Candida overgrowth is more common in those susceptible to SIBO. So we may set ourselves up for more issues with low carbohydrate diets thus.

EAT DRINK TAKE MAKE for SIBO and IBS. What it is. Personalised nutrition in the 4) phases. What it’s not: a generic FODMAP Diet or the GAPS Diet – in fact it’s not a diet at all! Functional Nutrition with Susannah is designed to be effective by its practical nature that fits into your lifestyle as well as the specially designed methodical approach it takes to heal your gut.

Glutathione deficiency symptoms

Antioxidant

Glutathione – is this the secret to eternal youth? Well it is the secret #1 antioxidantGlutathione is immune system maestro – glutathione – GLUTATHIONE (pronounced “gloota-thigh-own”). It’s the anti ageing secret we haven’t heard of.

Yet. SKIN –  A 1982 study looked at 61 healthy subjects and 506 patients with various skin disorders. Lowered glutathione levels were observed in patients with psoriasis, eczema / atopic dermatitis, vasculitis, mycosis fungoides and dermatitis herpetiformis. Still asking what’s so important about antioxidants any way?

Glutathione (GSH) is one of the most critical molecules of the entire body. As the most important intracellular antioxidant, GSH regulates all other antioxidants while helping to prevent damage from reactive oxygen species, such as free radicals and peroxides. Read on to find out why…

Glutathione is a very simple molecule. It’s produced naturally all the time in your body. It’s a combination of three simple building blocks of protein or amino acids — cysteine, glycine and glutamine.

Glutathione

Glutathione

Glutathione

The secret of its power lies in the sulfur (SH) chemical groups it contains. Sulfur is a sticky, smelly molecule that acts like fly paper. So all the bad things in the body stick onto it. That includes free radicals and toxins like mercury and other heavy metals. Normally glutathione is recycled in the body — except when the toxic load becomes too great.

Glutathione – Cont’d

The body naturally produces glutathione. Glutathione is the most potent antioxidant, which also regulates all other antioxidants. But environmental and dietary toxins, emotional stressors and various health conditions can deplete glutathione levels. This will impair our immunity. It can also leave our body vulnerable to inflammation or illness. It may reduce natural cellular repair processes altogether.


We can test the genes involved in glutathione metabolism when it’s indicated in delivering the right treatment at Susannah Makram Clinics.  These are the genes involved in producing enzymes that allow the body to create and recycle glutathione in the body. These genes have many names, such as GSTM1, GSTP1 and more.


These genes impaired in some people for a variety of important reasons. It doesn’t help that we evolved before 80,000 toxic industrial chemicals existed in our modern day environment. As Knightsbridge and Harley Street nutrition expert I can’t tell you how much of this I see. It doesn’t help either that we evolved before electromagnetic radiation was everywhere. Before we polluted our skies, lakes, rivers, oceans and teeth with mercury and lead. Almost of half of the population now has a limited capacity to get rid of toxins. These people are missing GSTM1 function.

Gluatathione deficiency symptoms

Glutathione deficiency symptoms

Glutathione deficiency symptoms

Stress and Illness

We become susceptible to unrestrained cell disintegration from oxidative stress, free radicals, infections and cancer. Our liver gets overloaded and damaged, making it unable to do its job of detoxification.

Mental and Physical dysfunction

Research has shown that raised glutathione levels decrease muscle damage. If that wasn’t amazing in itself, raised glutathione levels also reduce recovery time, increase strength and endurance. Raised levels of glutathione also shift metabolism from production of fat to muscle development.

TO SUMMARISE –> Glutathione is critical for immune function and controlling inflammation. It’s the master detoxifier and the body’s main antioxidant. Glutathione protects our cells and making our energy metabolism run well.

ACG Glutathione Extra Strength from Results RNA also contains alpha lipoic acid, milk thistle and more. This is all designed to help naturally support GSH absorption and action.

Vegan recipes

Vegan recipes

Being vegan doesn’t equal eating healthy vegan food. Or that you’re a hipster. Vegan food and vegan recipes CAN be packed with micronutrients and macronutrients. Or simply healthy recipe inspiration.

Raw vegan

Raw vegan and vegan recipes or vegan paleo diet can be limiting. Vegan recipes e.g. plant based diets can be a GREAT WAY to INTRODUCE VEGETABLES and FIBRE into a dairy free menu. Whether you are an ethical vegan or trying to eat dairy free and meat free for health reasons, you can get a diverse variety of nutrients in vegan recipes.

RDA for Iron

iron in children

IRON FOR CHILDREN   –  Infants 6-12 months……….11mg RDA FOR IRON Children ages 1-8………….. 7-10mg RDA FOR IRON

Adolescents ages 9-13 years
8mg RDA for Iron

Your IRON NEEDS may be different depending on various health concerns. For example, if you are affected by the following, for your RDA for Iron may be HIGHER. Oesophageal cancer, stomach cancer, colon cancer. GI bleeding from long-term aspirin, ibuprofen, arthritis drug use, peptic ulcers, cirrhosis. If you’re a female menstruating, your iron needs may also be higher.

rda for iron

RDA FOR IRON                                     WOMEN 51+ years………… 8mg RDA for Iron                                                                                                       PREGNANT Females all ages………… 27mg                                                                  RDA for Iron Females ages 14-50 years…………….. 15-18mg RDA for iron

 

rda for iron

RDA FOR IRON Males 14+ years………………….. 8-11mg RDA for Iron

Iron sources vegan

Organic Soybeans (white, cooked) 86mg or 1/2 cup = 4.4mg
Sesame seeds (roasted and toasted) 28mg or 1oz = 4.2mg
Lentils cooked 99g or 1/2cup = 3.3mg          Spinach cooked 90g or 1/2cup = 3.2mg
Chickpeas cooked 82mg or 1/2cup = 2.4mg     Lima beans large cooked 94g or 1/2cup = 2.3mg
Kidney beans cooked 91g or 1/2cup = 2.2mg     Swiss chard cooked 88g 1/2cup = 2.0mg
Quinoa cooked 93mg or 1/2cup = 1.4mg   Dried apricots 40mg or 1/3cup = 1.0mg
Pumpkin seeds 28g or 1oz = 1.0mg             Kale cooked 100g = 0.9mg
Broccoli cooked 100g = 0.7mg                 Fava beans cooked 100g = 1.5mg
Beets 100g = 0.8mg

Vegan recipes

Vegan recipes

RDA for iron

SUBSCRIBE today for INTERVIEWS WITH CELEBRITY PERSONAL CHEFS

Not enough iron means red blood cells are fewer and smaller. So, they’re not transporting sufficient O2 where it needs to go. If you suspect that you may be iron deficient, make an appointment with your doctor. He or she will probably look for signs of anemia or anaemia such as pale skin, irregular heartbeat, rapid breathing, capillary refill. They might also do an exam to check for internal bleeding. However, most commonly, iron deficiency is found by doing a blood test that tests for hemoglobin and hematocrit levels.

Heme iron

CAN WE GET A VEGAN RECIPE with heme iron? Heme iron is found in meats, fish, and poultry. This type of iron is in foods that contain hemoglobin. The body absorbs 7-35% of heme iron.

Non heme iron

This is found in plant foods. The body absorbs 2-20% of non-heme iron. The percentage is lower because non-heme iron is more sensitive to other dietary factors that may limit its absorption. You can be inspired by vegan recipes to eat such iron rich plant foods.
One research study showed that by adding just 63mg of vitamin C (the amount in ½ of a bell pepper or 1 small orange) to a meal, iron absorption from plant foods tripled. Vitamin C is an acid, ascorbic acid and acids increase the bioavailability of the iron.

It is possible to eat lots of iron rich plant foods or animal-based foods and still be anemic or anaemic. Often this is because of a weakened digestive system due to celiac disease, inflammatory bowel disease IBS, or other conditions that cause insufficient stomach acid. In these cases, 25-50 mg of daily iron supplementation may be recommended. Always check with your doctor for specific recommendations.

In fact some studies show that vegans consume as much iron as omnivores and sometimes more.


Although iron needs can be met completely with non heme iron it is important to pay attention to all the factors that may affect absorption.     [tweetthis]Iron needs can be met completely on #vegan diets Know factors affecting absorption[/tweetthis]


This is especially the case if someone is iron deficient. While meat protein nearly doubles the absorption of non-heme iron vitamin C is even more effective in increasing absorption.

Lower iron levels

Tannins found in tea leaves, red grapes, chocolate and coffee block the absorption of iron by about 50% (study here). However, consuming these foods an hour before or an hour after the iron rich meal has no effect on iron absorption. Vegan recipes can be inspiring ways to get more plat based iron rich foods combined with the right amounts of vitamin C.
Phytates are important antioxidants and anti-inflammatory agents found in highest quantities in wheat bran, soybeans, peanuts, pinto beans, kidney beans etc. Phytates bind to non-heme iron and lower its absorption. But soaking, fermenting, sprouting, and cooking all reduce phytate content by 50-75%.
Calcium Supplements & Dairy Foods compete with iron for uptake in your intestinal tract
Zinc and Manganese supplements
Peppermint and Chamomile
Antacids decrease iron absorption because they reduce stomach acid
Whole egg protein

Vegan recipes

OK so now we’re spoiling you. SUBSCRIBE today for our mini nutritional video series!
FOUR ingredients – we’ll be rotating – to our featured vegan recipes. Sound good. Get them now! Fitting for EAT DRINK TAKE MAKE.
IN THE FOUR PHASES.

Key Thyroid Symptoms

Thyroid Symptoms

THYROID PROBLEMS – overactive thyroid symptoms or underactive thyroid can be overlooked or mismanaged.
WHY IS THIS?

TSH IS A HORMONE secreted from the anterior pituitary gland to control THYROID FUNCTION.
Symptoms of thyroid problems are manageable when working with the medical community – at Susannah Makram Clinics .
Optimal THYROID FUNCTION or functional health impacts lifestyle quality.

Hormone Panel

Hormone Panel

The thyroid gland is a vitally important hormonal gland. It plays a major role in:- our metabolism, growth and maturation of our bodies.
WHY DO WE NEED TO KNOW  exactly what’s going on? Because the hormones released affect our body’s overall ability to function. The gland reacts to our environment. Hormones secreted affect how we use the MACRONUTRIENT and MICRONUTRIENTS impacting how we feel, our weight, our energy levels etc.

Thyroid Functional Health

WHY not WHAT.
We might be on a seemingly great diet. We’re taking the right supplements and doing everything to take ownership and feel better. However, we’re still not really making any progress. How frustrating if all it took was making small change.

Hypothyroidism – Disorder

Fatigue is a common symptom of an underactive thyroid but it is also a symptom of many other associated conditions. These include adrenal fatigue, food sensitivities and various nutrient deficiencies.
Underactivity in adults often develops gradually. This is why people might not notice symptoms for a while. Possible symptoms can include the following.

General loss of energy and power; Difficulties concentrating or mental slowness
Slowed metabolism; Tiredness; Being overweight
Constipation
Sensitivity to cold; Slow pulse
Waxy skin thickening and swelling (myxedema)
Dry skin
Deep, hoarse voice
Brittle, dry hair
Loss of sexual desire or potency problems; Sometimes even depression

Hashimoto’s Thyroiditis

A condition called Hashimoto’s thyroiditis is a chronic inflammation of the thyroid. It can also lead to underactivity.
Often people with Hashimoto’s will be started on thyroid hormones but continue to feel tired.

Overactivity of the gland is also called hyperthyroidism. It produces too many hormones. This speeds up energy metabolism. The following symptoms can occur.

Hot flashes; Sweating; Trembling
Weight loss
Diarrhoea
Hair loss
Nervousness, Hyperactivity; Emotional instability and irritability or fatigue
Insomnia and restlessness
Potency problems
Racing heart

Top Thyroid tests

Top Thyroid tests

Top 6 Thyroid Tests

Here is a comprehensive list to take to your doctor.

  1. TSH (Thyroid Stimulating Hormone)
  2. Thyroid peroxidase antibodies (TPO Antibodies) 
  3. Thyroglobulin Antibodies (TG Antibodies)
  4. Thyroid Ultrasound 
  5. Free T3 
  6. Free T41 or Free T4

You can ask for tests for Hashimoto’s and hypothyroidism. Request a copy of your thyroid labs. Then you can see them and ensure they are interpreted correctly.

TSH is a pituitary hormone. TSH responds to low/high amounts of circulating thyroid hormone. This is in advanced cases of Hashimoto’s and primary hypothyroidism. In the case of Graves’ disease the TSH will be low. People with Hashimoto’s and central hypothyroidism may have a normal reading on this test.

Thyroid peroxidase antibodies (TPO Antibodies) and Thyroglobulin Antibodies (TG Antibodies)
Most people with Hashimoto’s will have an elevation of one or both of these antibodies. These antibodies are often elevated for decades before a change in TSH is seen. People with Graves’ disease and thyroid cancer may also have an elevation in thyroid antibodies including TPO & TG, as well as TSH receptor antibodies.

Thyroid Ultrasound-
A small percentage of people may have Hashimoto’s. However, they may not have thyroid antibodies detectible in the blood. Doing a thyroid ultrasound will help your physician determine a diagnosis.

Free T3 & Free T4
These tests measure the levels of active thyroid hormone circulating in the body. When TSH is informal range but free T3 and T4 levels are low, this may lead your doctor might suspect central hypothyroidism (a rare type of hypothyroidism).


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