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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.

Gut Bacteria and Weight Loss

Gut microbiota

1. Thin people and obese people tend to have different types of microbes living in their gut. SO WHAT DOES THIS MEAN?  Weight loss and specifically when obese people lose weight, their microbiota change accordingly.


There’s a strong positive relationship between healthy gut bacteria and weight loss

Obesity is highly heritable and it probably involves genes that pass from parent to child. Body weight is clearly impacted by diet. So the environment and personal habits also play a role.

Gut bacteria and weight loss: Several studies have also turned up evidence linking obesity to the microbiome:

Gut bacteria and weight loss

Gut bacteria and weight loss

2.  A diet high in fat, sugar, and simple carbs is bad for the “healthy” gut microbes that keep us thin. It also encourages the growth of “unhealthy” microbes that make us obese. Obese individuals harbor microbes that are better at extracting energy from food, as well as microbes that signal the body to store energy as fat.

3. The microbiome is changeable.

The relationship among genetics, the environment, and the microbiome as it relates to obesity is certainly complex. But while the genome is fixed and habits are hard to change, the microbiome is changeable. That is why PHASE ONE in the FOUR PHASES of weight loss examines the role of gut bacteria and weight loss for every individual. Find out more about the gut microbiome here.


Fast fact! Our gut is as unique as our DNA so no one nutritional plan, lifestyle or diet tips or advice can work as effectively for you as it will for somebody else. Let that sink in…..


4. Our body can be malnourished even though we’re eating enough. Malnutrition is not simply a matter of lacking calories and nutrients. Some people eat enough nutrients but cannot absorb them properly. So the body produces symptoms of malnourishment because of nutrient malabsorption. The role of microbes can be described when looking at identical twins: one twin undernourished and the other one not. The twins have the same genes, and they eat the same food—but they have different gut microbiota.


There’s no point building on a foundation that’s anything but solid.
This is why personalised nutrition IN THE FOUR PHASES  is key. Each phase is the building block to reinforce the next building block. Every small change made impacts hugely, within the right margins created at PHASE 1.

Taking ownership of our health means making choices about what we EAT DRINK TAKE MAKE. These choices we are making are feeding ‘good’ bacteria in our gut or they are feeding ‘bad’ bacteria in our gut that can than lead to SIBO, for example.


Safe, clinical, practical and effective.


Call  020 7060 3181