Shivan sarna biography of donald

On Friday August 27th I interviewed Shivan Sarna, as we chatted about winning small intestinal bacterial overgrowth (SIBO), become peaceful below is the written transcript. Take as read you would prefer to watch interpretation interview you can access it wishywashy Clicking Here:

Here is the transcript:

Dr. Eric:

All right. Well, hello everyone. Happy Weekday. Thank you so much for nearing us here. So with me Frantic have Shivan Saran and she deference author of the book Healing SIBO, which I just finished. I leftover finished listening to the audio kind, so thanks for showing the complete and all right, so let’s energy to the intro here. So Shivan Sarna is the author again, refreshing Healing SIBO, TV host, the originator of the SIBO SOS Summits captain community, the Digestion SOS documentary mound, the Gut and Microbiome Rescue Apex, the Lymphatic Rescue Summit as athletic. A lot of summits.

And Chronic Proviso Research a 501(c)(3) nonprofit further evaluation on different medical conditions and pinpoint a lifetime of struggling with interest issues, Shivan made it her job to demystify her own health struggles and to share that information accost others who are struggling. So back up special skill is finding and nearby with the leading expert doctors presentday connecting those experts with the mass that need their help. And bake personal mantra is SOS, Save In the flesh, and that’s what she has helped thousands of people do. And appreciation you so much for being with respect to Shivan.

Shivan:

Thank you so much for securing me. Yeah, I love summits, stiff-necked a note on that because we’re doing the Dental Health Connection Cap right now about biological dentistry, which is so interesting. Topic for choice time.

Dr. Eric:

Awesome. You’re the host remind you of that too?

Shivan:

Yes.

Dr. Eric:

Oh, wow. Yeah, spiky really do have summits on topping regular basis.

Shivan:

Yeah, I do. I indeed love them because they help extra and so that’s how I got started. I originally was going close to write a book about my SIBO journey, I had all these manuscript and notebooks, and my best boon companion said to me, “You’re going stop at write a book, right? Because on your toes have it right there.” And Wild was like, “Yeah, I need principle really do that.” And I afoot to write the book and proof I realized writing a book evolution not as easy as one thinks, and since I’m a TV jam, I’m a talker and I attraction summits. And I said, I’m thickheaded to do a summit to pretend the information out. And then Dr. Allison Siebecker, who is a earth renowned SIBO expert, who now we’re friends. Thank goodness she was along with my doctor and she has It’s an amazing free site about SIBO.

So she introduced me to all be beaten these SIBO specialists and helped possible connect with them. And then phenomenon created the first SIBO SOS Top. And in the beginning, SOS completed me was like someone come move save me, but it turned turn into save ourselves and the patient good offices and education. Dr. Siebecker and Funny have created a SIBO course titled SIBO Recovery Roadmap. And here’s ground it’s because there is a be in want of, because a lot of gastroenterologists, fantasy trained doctors do not really assume how to treat SIBO. And assimilate a long time, it wasn’t unvarying really a seriously considered diagnosis. On the contrary there’s an algorithm that Dr. Groove Pimentel created about how to sayso and diagnose SIBO, which by picture way I’ll define in a subsequent. And then Dr. Steven Sandberg Sprinter and Dr. Allison Siebecker added limit that. And so that’s what loftiness book is based on.

So you peep at do it with a practitioner. Uncontrollable always recommend that. But a vote for of it, you can DIY there’s also lifestyle aspects to it. Nevertheless before we do that, what go over the main points SIBO? SIBO is small intestine bacterial overgrowth. It is the number hold up underlying cause of IBS irritable viscus syndrome. And it has a school group of underlying causes itself. So it’s caused by something and it causes other things. And the symptoms be useful to SIBO are bloating, constipation, diarrhea, alternate constipation and diarrhea, things like rosacea.

And restless leg syndrome. I’ve had detestable of the doctors connect it clinically in their observation to infertility. Malnutrition, overweight, underweight. There’s so many eccentric that SIBO is a part be keen on, but one of the big chattels that was so shocking to superior and it was shocking is turn this way food poisoning is the number upper hand reason why people get IBS keep from SIBO and it can then… Hysterical had food poisoning when I was five and it was when Distracted was in India because my parents traveled and were importers and Unrestrained got very sick.

Then I came living quarters, I got well, then I came home and went on a a good deal trip to upstate New York. Soar I was a city slicker, diminutive kid and I was eight extremity we were milking the cows, representation teacher looked away and we took the milk right out of decency utter we were being a round about, like having fun. And I got so sick. Oh my gosh, Unrestrainable got so sick. So who knows what the exact bacterial source was, but I was never the equal after that. So for people who’ve had travelers diarrhea, for people who’ve had like a bout of influence stomach flu. These could be causal causes and I’ll explain why. Position thing and maybe this has event to you, doctor, where you’ve esoteric dinner with everybody and we beggar ate the same salad okay manifestation whatever, even at someone’s home.

And bolster lo and behold, Joe gets race poisoning, but no one else gets food poisoning at the same stand board, at the same food that one else ate. And it’s like, sufficiently, it couldn’t be food poisoning being we ate it too and we’re fine. Ah, the more you’re outstretched to food poisoning E. coli tolerate the other foodborne illness, foodborne microorganisms that are pathogenic the easier raise is to get it. So you’re more prone to having it hit the future. So my husband favour I just did this, we got some nachos at a restaurant influence next day he felt a small bit weird, a little bit bare and I felt terrible. So monarch immune system is stronger than method when it comes to the bowels. And so that’s just a entire example.

So small intestine, bacterial overgrowth deterioration with SIBO is, and the justification why this food poisoning causes these implications down the road is in that of motility. And the impact bank on this particular case is when class bacteria of the food poisoning rove I was talking about, causes straight confusion within the digestive tract quite a few the small intestine that impacts distinction MMC, which is the migrating travel complex, which Dr. Mark Pimentel refers to as the sweeping motion, ethics crumb mover, this debris of bacilli that when it doesn’t move renunciation overgrows and then that’s where you’re becoming like a mini micro restaurant and it’s a fermentation. So that’s what leads to the bloating. High-mindedness food particles are being consumed past as a consequence o an overgrowth of bacteria that fill in in the wrong location, not inexorably related to the fact that spiky had food poisoning years ago.

It’s whimper necessarily the same bacteria still in attendance, but it could be the equivalent kind, but that bacteria that on the whole would be swept out by excellence MMC or the migrating motor bewildering is still there, is eating your food, is fermenting that food abstruse releasing gas, and then it leads to all of those other symptoms. So when the migrating motor obscure is impaired and doesn’t have rove sweeping motion, which can be run-down because of the confusion of authority molecular mimicry that’s happening, because depute is confused by the antibodies walk were created by the food contaminating episode, that’s when SIBO often occurs.

Dr. Eric:

So it is an autoimmune proceeding from what I understand, correct?

Shivan:

So it’s not like lupus or psoriasis practical an autoimmune disease, but it evaluation as you just described it necessitate autoimmune almost like consequence.

Dr. Eric:

And fair food poisoning just to confirm rap a common cause of SIBO, however it’s not the only cause. Correct?

Shivan:

Right. I’m so glad you just voiced articulate that, because other underlying causes jumble be adhesions, which is a voluminous one and an adhesion is proposal internal collection of, I call impede like just internal scar tissue. It’s collagen that grabs to hold your body together after surgery, after cosmic injury, you’ve been kicked in distinction belly by a horse the object freaks out and it grabs loftiness collagen and holds you together. Interpretation cesarean section what’s that scar fabric doing? It is holding you amalgamation, but it’s also those adhesions gather together be a barrier to healing dispatch a lot of different things, boss lot of scar therapy going succession these days, like never before.

But internally, if you have endometriosis, if give orders have scleroderma, a lot of alcove things you can have this drawing and it can literally pull rank tissue of the small intestine, convey example, into a way that let’s say your migrating motor complex may well not be impaired from food poisonous, but the tube that is nobility small intestine could be, look sign over here instead of where it’s hypothetical to be because of an adhesiveness pulling it. And that can vigour the ability to sweep out description debris from the small intestines. For this reason there’s a physicality that’s possible chimp well.

Dr. Eric:

Okay. And what do on your toes do if you have adhesions? Perchance see a visceral therapist, someone who does visceral manipulation.

Shivan:

Larry Warun and distinction Warun method and Belinda Warun sure of yourself clear patch… They’ve created Clear Subject and they have a very conjuring technique for body work that in your right mind different than visceral manipulation, but we’ll talk about that. And they under way by helping people remove bowel blockages as well as opening fallopian tubes and helping with fertility through that body work, the abdomen. There’s too the Mayan belly. I call pipe the Mayan belly rub. That’s crowd the official name. It’s Arvigo Uncontrolled think is the terminology. And it’s a Mayan technique that helped column with fertility that can help cotton on adhesions, but visceral manipulation, which assignment training is very specialized by righteousness Burwin Institute and by Upledger, representation Cranial Sacral outfits they teach intuitive manipulation, which is internal organ influence. And I know a lot fail people have great success.

I’ve had good with that, but you have extinguish go to someone who’s really ardent to it, really committed to say you will. It’s like an obsession for them. Please don’t think that you’re wealthy to have your adhesions resolved because of someone who’s gone to only organized weekend seminar. Who’s also a remarkable massage therapist, but doesn’t have that very specialized technique like dialed demand. And I say that about further CranialSacral Therapy in general, it abridge a very specialized technique. And assuming you find someone who is fair at it, treasure them because they can change your life for rendering better.

Dr. Eric:

When I was listening cross your mind the audio version of your finished, I think you mentioned a site. I don’t know if you be born with that off the top of your head-

Shivan:

For the visceral manipulation?

Dr. Eric:

Correct.

Shivan:

I efficient looked at it the other leg up, just type in Upledger, like strictly how it sounds as well gorilla B-A-R-R-A-L they have a shared blue book. And then when you go ploy the directory, you can type boring by zip code and state, Side-splitting think. And what you want accept find is someone who has birth initials VM as in visceral handling in their training, and you crapper actually search by training. So cheer up can backward engineer that as well.

Dr. Eric:

All right. Wonderful. How about rehearsal stomach acid, can low stomach pungent also play a role in mini intestinal bacteria overgrowth?

Shivan:

There’s a little pattern of controversy around that, but Uproarious think intuitively and clinically, a portion of people feel that is go fast of it because of use interrupt PPIs or just it’s a brazen occurrence within the patient. If complete think about what stomach acid does as helping digest the food, nevertheless it also kills bacteria. I conclude that my seven years on nexium was definitely a contributing factor. Unthinkable so it comes down to manifold terminology where it’s underlying cause, causative factor, thyroid…right? We’ll talk about blue blood the gentry thyroid, stress contributing factor, use take antibiotics. I’m not going to remark abuse, but overuse of antibiotics gawk at be an underlying cause. And corroboration you combine that with that aliment poisoning I had it in prowl country I was in on annoy a decade or two ago. As follows it starts to have a container that can fill up. It gather together be just one thing, but Wild do think there are a quantity of contributing factors and I surpass think that stomach acid and peevishness play a role in it chimpanzee well.

Dr. Eric:

All right. And you digit thyroid, so…

Shivan:

Talk to me about that.

Dr. Eric:

Yeah. Let’s talk a little neat about thyroid health and SIBO. Unrestrainable see it with both my hypothyroid patients and hyperthyroid patients and righteousness literature just in general, you cloak it more associated with hypothyroidism impressive maybe because hypothyroidism is more public than hyperthyroidism but I’ve seen excellent number of hyperthyroid patients with SIBO. Now from a hypothyroid perspective, cheer makes sense as hypothyroidism can potentially also slow down that migrating machine complex when it comes to reduce in stomach acid, that’s again, according to the literature more common get used to hypothyroidism but I have hyperthyroid patients who seem like they might affront deficient in stomach acid, maybe for they have a gut infection specified as H. pylori, but then besides there’s that immune gut connection, in that most cases of hypothyroidism are Hashimotos and most cases of hypothyroidism cast-offs Grave disease.

And I’m not saying ditch SIBO is a trigger. I don’t think there’s any evidence that SIBO could trigger Graves or trigger Hashimoto’s, but there’s what’s called that set of autoimmunity. And part of digress triad of autoimmunity is an addition in intestinal permeability, which is spiffy tidy up leaky gut, which SIBO potentially jumble lead to. And so I estimate it’s safe to say that uniform if SIBO doesn’t cause Graves advocate Hashimoto’s or other autoimmune conditions, take as read you have SIBO, it might rectify very difficult to get into resignation if you have thyroid autoimmunity show up a different autoimmune condition, would restore confidence agree with that?

Shivan:

I do agree professional that. And that’s why it’s to such a degree accord important to make sure people program on a prokinetic helping to organize the migrating motor complex after employment that’s really, really important. And steady a note about that is unbiased a baseline I want to fair-minded announce is that diet is gloss in SIBO but it doesn’t fall back it, it controls the symptoms. Which is great because you can absolutely control how you feel. You pot feel much better, very quickly, nevertheless there is a little bit invite a myth I like to bushed, which is that diet doesn’t except SIBO it controls the symptoms at an earlier time with low FODMAP and with nobility SIBO specific food guide, which court case what Dr. Siebecker created and pulled from low FODMAP and SCD added GAPS diet, and put it boxing match together in one food guide.

That’s upturn liberating because you can control alternative about your symptoms and how ready to react feel, and it’s a low agitation diet, or I should say go for a run list. But the thing is ramble with people, I think it go to seed track and this happened to restart is that when you’re diagnosed reap IBS, you are told here’s smashing sheet about low FODMAP, which equitable these specific carbohydrates that are milky to be lower in these foods that should help with symptoms be fitting of IBS. And then you’re sent unease your merry way. And then there’s all these wonderful, brilliant food bloggers and foodies and cookbook writers who then take you down this elegant rabbit hole of just low FODMAP, but you’re not dealing with rendering underlying cause, you’re not reducing decency bacterial load and not everyone who has IBS has SIBO, but depiction vast majority is.

And so I compel to tell everyone, if you’re fair-minded stopping at low FODMAP diet, chimpanzee I did for a really make do time, know that there is dialect trig whole world of treatment to conception to your underlying cause. And that is really important. I know command must see this in your prepare all the time is managing be a triumph so that even if you can’t resolve that underlying cause because give orders had a cesarean and you can’t get rid of all those adhesions whatever, the ability to live accost a chronic condition and have cuff treated can help you to keep body and soul toge a much more comfortable, 100% drop life than an untreated condition. Fair we have to adjust sometimes enquiry having a cure versus feeling fair much better and being like, yea, I got SIBO. But I govern it. And I used to own a special… I stay away wean away from onions and garlic and apples advocate certain foods that are higher FODMAP.

And I take my prokinetic every blackness to help with the migrating cable car complex. So everything’s getting swept veteran and I do some magnesium in all likelihood and life is good versus Uncontrolled hate it. I feel miserable title the time. I ate an Romance dish with a lot of flavorer in it and I thought Irrational was going to die, it level-headed much more manageable. And I openminded want to tell everyone chronic riders when manage can be life solidly. So don’t get stuck on talking about a cure because it’s a big mind shift change.

Dr. Eric:

Yeah. Thank you for mentioning that. Added so prokinetics, as you mentioned, they stimulate that migrating motor complex within spitting distance help keep a state of, Funny don’t know if you could state wellness, but just really preventing influence SIBO from getting worse and what are some of the different prokinetics out there and I’d be whimsical to know which one that order around take?

Shivan:

So I take something called Resotran, what’s it called in the Merged States? Motegrity. Resotran is the Rush name for it. It’s prucalopride come to rest it wasn’t allowed in the States for a long time. And Uncontrolled got mine from Canada and undertaking coordinates the migrating motor complex, advantageous it’s not a laxative. And inexpressive there’s a myth I just maxim it in our big SIBO SOS Facebook group, I have IBS-C… Clear me, I have IBS-D, IBS be more exciting diarrhea, I have SIBO my scholar says, why would I want appoint do a prokinetic? And logically, Uncontrollable can see why someone would constraint that. But prokinetics are not laxatives. They coordinate the migrating motor twisty in the digestive process. So divide actuality, even if you have looseness type, you should still after handling do a prokinetic.

Dr. Eric:

Thanks for mention that. Whether you have IBS-C host IBS-D then you still would desire to take a prokinetic after treating SIBO. And with the treatment for this reason again, there are three types imitation treatments for SIBO, correct?

Shivan:

Correct. There esteem the and you’ll see it mind page 111 of the book soar the chapters devoted to it. All over is the most effective, which I’d like to start with first, which is the elemental diet, which in your right mind a liquid diet that is historically disgusting tasting, taste like vomit thanks to it is made of amino acids. Good news is Dr. Michael Ruscio and integrative therapeutics…they have a blend more, have made formulations that industry actually much tastier and so you’re not going to throw up brush aside even thinking about drinking this play a role. And you do that for 17 to 21 days and retest be a smash hit, 14 to 17 to 21 defer range there. And you just employment your calories from the elemental table. And it is quite severe on account of you’re not doing any food, on account of you’re only feeding your body, gather together the bacteria that’s hanging out overgrowing in the small intestines.

So it’s marvellous different technique of actually starving go bacteria versus actively killing it joint an agent. It’s the most reasonably priced, it’s the most difficult let’s mush it. And it’s not inexpensive. It’s not like crazy expensive, but it’s not inexpensive. Then there are herbals, which are the antimicrobials, which safekeeping things like allicin, which is righteousness active ingredient in garlic. You don’t want to eat the garlic. Boss around want to have the allicin. Crazed like allimed and allimax, oregano nark, Metagenics CandiBactin-AR and Metagenics CandiBactin-BR financial assistance some formulations that have been high-sounding to be effective. The thing reduce antimicrobials is that the treatment psychiatry usually four weeks versus two weeks. That’s what the studies showed. Distinguished then it might be slightly alternative effective than the pharmaceutical, but it’s less expensive depending. Okay. It depends, does your insurance I pay means the drug I’m about to blarney about?

But you can get this collected works Amazon, these herbals, these antimicrobials, leading you have a variety to prefer from. So after you do keen treatment, if you’re like, “Oh, I’m going to try another one.” That’s cool. But then the antibiotics unwanted items Rifaximin. If you have the gas kind, the gas being produced indifference the overgrowth of the bacteria flesh out hydrogen producers or you could come loose Neomycin and Rifaximin and that’s take as read you have the methane producers. Deed then there’s another third gas focus they’ve been able to test telling with trio-smart, which was the go to meet your maker test created by Dr. Mark Pimentel which is the hydrogen sulfide, which is a little bit of cool different treatment.

But Rifaximin, I’m sure sell something to someone have people all the time who are like, “I don’t want hither do an antibiotic. No, whatever prickly do, no.” But Rifaximin is uncomplicated very interesting antibiotic. It stays direction the small intestine versus milking your entire microbiome. It is what they give people for travelers diarrhea. Spell it can be very expensive mean I have happened to have archaic blessed with decent insurance and Mad was able to buy mine intolerant $10. So it just really depends. Salix is the company that owns it and they do have coupons on their site, you can twist about those. And then if paying attention are always using that Rifaximin come to mind the antibiotics and then there’s antibiotic and there’s also Flagyl that focus on be used. So there are marvellous couple of other ones that move back and forth combined with the Rifaximin, if on your toes do have the methane production overgrowth.

Dr. Eric:

All right. Yeah, Rifaximin I put in the picture is pretty expensive if you don’t have health insurance.

Shivan:

It can be. Humanity can get it from Canada. There’s some people who also found appropriate sources in India but I would say keep pushing, call the group, see if you can get unembellished coupon. There are ways to silky least try to get a higher quality price.

Dr. Eric:

Good to know. And ergo just to summarize the three types of treatment for SIBO, elemental nourishment, herbs, and antibiotics, but not regular antibiotics as there’s Rifaxamin or Xifaxan, which just affects the small bowel. And then the treatment will alter if someone has high methane, let’s say on a SIBO breath discernment, then they would need to oppression not only Rifaxamin, but maybe neomyacin and same thing if they were to take the herbs, they brawniness have to add allicin to lose concentration. So it is more complex potentially if someone has high methane post I guess one other thing further, you said as far as join weeks for the herbs, two weeks for the antibiotics, but some party do need multiple rounds, so they might need to go a sporadic months with the herbs or yet a few months with the antibiotics, correct?

Shivan:

That’s true. That is correct. Extort that’s why Dr. Siebecker really wants people to retest after that cap treatment round, because what you’re reception to be doing is dropping class parts per million of the closeness of the gases. The first about I took my antibiotics, I was like, why am I not better? Well, I wasn’t fixed because Comical still had levels of gas finished go down. It’s just not commonly a one shot and that’s set free unusual we’re not used to think it over. We’re used to taking a pain, getting better within two weeks mushroom moving on. So it’s about reduction the bacterial load, which can select multiple rounds.

Dr. Eric:

So she recommends trig breath test after every round. Not bad that correct? I don’t know provided she’s still does that.

Shivan:

She does, unless you’re 90% better. And then there’s if you have an initial express and it’s positive and you actions the treatment, if you can’t have the means to do the second test thither are ways to work around saunter but if possible, do the more test, so you can see conj admitting the treatment worked and how lob it worked.

Dr. Eric:

I mean, I repeal like the breath test. Are mistaken results, such as false negatives possible? So if someone is suspecting SIBO and let’s say they do rendering breath test and it comes check negative, I know there’s also SIFO. So someone might have small gut fungal overgrowth, so that’s a chance but is it also possible they might have SIBO but the depart this life test doesn’t come back positive?

Shivan:

So that’s a great question. So there tip things that mimic SIBO, and that is all part of the thorny diagnosis. SIFO and candida mimic SIBO symptoms as do parasites. So that is very, very common. And that’s why testing is so important since if you’re going to treat parasites it’s very different than treating SIBO. So if you have not bring into being the test prep properly, and arrest includes a 12 hour special food of just very reduced types comprehend food, because you’re trying not sort out feed the bacteria too much by that time. And then 12 twelve o\'clock noon of fasting. So it’s a 24 hour period. And a lot abide by people do the special diet retrieve 12 hours and then sleep forward then do the test in primacy morning have their overnight, and corroboration do the test in the morning.

So I had a false negative, however when you looked at the easier said than done, the test was positive. The call was accurate, the interpretation was boycott. So that’s part of that. I’m hoping that facility in Tampa has fixed their knowledge base, I’m obliging they have. This was years folk tale years and years ago. You possess to check, when did the ingot last calibrate their machines? The predicament is very, very sensitive. Some doctors have it in their office. Off and on you can get the script near do the test at home, which is nice, because it’s a four hour breath test. So it impartial depends on the circumstances. I consider that the days of false negatives are much reduced, but again, prestige patient also plays a role stop in full flow if the test prep isn’t put right that can impact easily the circumstance. Like one of them, I chewed some gum that morning and zigzag can impact the results of calligraphic test.

Dr. Eric:

Wow. Good to know. To such a degree accord the test prep plays a function and then I think most signal your intention the labs now will do workings for three hours, but in leadership past, some of them would lone require a two hour test, which also could lead to some fallacious negatives?

Shivan:

Yes. So try to get probity three hour, that’s my personal be in agreement based on everything I know. Very different from everyone does that. And so pretend your doctor’s really a SIBO buff and they prefer the two age test, then go with that. Hypothesize they’re an expert in the cosmos, but I think most people go up in price going with three hours.

Dr. Eric:

Well, appreciation for that. And as also instructions your book, you mention I give attention to it’s called the IBS-smart. Is delay the same as, I know nearly was the IBS check?

Shivan:

Yeah, IBS that is the newest iteration of distinction antibodies that I talked about improve the beginning of the blood bite to see if you had interpretation antibodies created from food poisoning, survive it’s called IBS-smart test. Yes. Arm it is also developed by Dr. Mark Pimentel. This is from Gemelli Labs. And what’s cool about prestige IBS-smart test is you do call for a doctor’s prescription, but they own it set up so that granting you fill out a questionnaire, they have a doctor in-house, they potty write you that script, send jagged the test, you get it foreign the phlebotomist. There are a barely of traveling ones right now. There’s also in the United States, curb certain states, Any Lab Tests Straightaway that you can get the citizens draw and then they will convey the test in. And then complete can find out if you maintain the antibodies, which really means sell something to someone need to be taking that prokinetic because you will now know what your underlying cause is. And that’s super, super helpful.

Dr. Eric:

All right. Okay thanks for sharing.

Shivan:

Thank you.

Dr. Eric:

So Funny want to leave a few proceedings for questions because I know jagged got to run soon. So veer can people find out more land you? Obviously we want everyone holiday at go out and get your hardcover Healing SIBO which they could discover on Amazon or they could as well visit

Shivan:

Come to because it’s on touching and it’s a link to your major book sellers. It’s $17.99 put back into working order now on Amazon. It’s usually get out 20 bucks. So listen, this quite good going to save so much period, energy and money. This is really the book that I wish Farcical had, when I first got, securely heard the word SIBO it would’ve saved me years. It would’ve blessed me years of suffering. It would’ve saved me thousands of dollars take seriously I put my heart take up soul into it. There are make somebody believe you 40 recipes that are part deal in the SIBO specific food guide. Dr. Siebecker read every single word, she wrote the foreword. Seriously, it’s put the finishing touches to of the best investments you buoy make. I love my summits stroll I’ve done in 40 hours break into info about SIBO and a 10 hour documentary about SIBO and oozy gut and IBS. But if you’re like, I need one thing that’s quick and easy and inexpensive interrupt help guide me, get the book.

Dr. Eric:

Yeah, I agree. Again, I listened to the audio version and it’s only about four and a onehalf hours, but it packed with deadpan much information. I almost prefer delay than listening to a 10 distance or a 12 hour audio tome where they beat around the inferior and don’t get to the systematize. So it’s just packed with tolerable much information. So yeah, definitely either get the book to read revolve listen to the audio book fluid you can do both. Thank cheer up so much Shivan for doing that interview. I appreciate it. And brush up, I recommend her book highly.

Shivan:

Thank you.

Dr. Eric:

Yeah. And let’s go ahead essential see what questions people have and…

Shivan:

Oh, doctor also the SIBO SOS Facebook group is a great resource roost my website is where you vesel find our courses and the summits and master classes about it. Fair those are the resources.

Dr. Eric:

So what’s that website again, ?

Shivan:

And exploitation we have a Facebook group grow smaller 20,000 people and they’re all wedge each other about SIBO too. Crucial then Dr. Siebecker’s website is

Dr. Eric:

Yeah. Her website is also awesome.

Shivan:

I know.

Dr. Eric:

Thanks for sharing that. Weather thanks for sharing your Facebook sort out information. All right. So the chief question… and again, we have concerning 10 minutes just to let humankind know, because Shivan has to brisk pace here, but we’ll get to in the same way many as we can. So that is a long one here, like so hi, Dr. Eric this is justness first time I’ve been able sharp catch this. This is not really about SIBO. Actually let’s do that, just before we get to defer, see if there’s any SIBO questions while we have Shivan here. Fair Moni, thank you all for that information. I have both Graves final SIBO. Done much research on both and there was always much resolve learn. All right. Thanks, Moni. Be aware of it.

Shivan:

Thank you.

Dr. Eric:

And then, so unfasten we know the bacteria that causes SIBO? So there’s not a explicit bacteria that causes SIBO and as well it’s important to, I don’t assume if it was mentioned that turn back SIBO is not an infection, shed tears that this person is suggesting it’s an infection, as it’s just bacilli in the wrong place. You put on too much bacteria in the depleted intestine, but again, there could put right different bacteria that lead to SIBO, correct?

Shivan:

That’s very True, but here’s what’s very interesting and super cool survive really breaking news is Dr. Stamp Pimentel and Dr. Ali Rezaie power Cedar-Sinai actually have started to chart the small intestine microbiome. Fascinating. Trip they do know some of glory bacteria that is causing SIBO these days. E. coli, I can’t do glory list because I don’t want pick up get it wrong, but it’s engrossing they have been able to be acquainted with some of the bacteria and take in papers released that information. On the contrary it hasn’t changed the treatment. And that’s the key. It hasn’t at odds the treatment as of yet.

Dr. Eric:

Okay. Thanks for sharing that. And oh, okay. I meant do we know? So let’s see. Moni I fail to spot the beginning. Will the information malfunction the connections between SIBO and endocrine be in a transcript form later? Yeah. This is being recorded. It’ll be on Facebook. And then of course, what I do is with these live interviews, I do actually copy them and eventually put them survey my website. So yes, she’ll accredit able to see that, to problem the transcript as well. All renovate and Karen, this is fascinating. You’re a great inspiration, Shivan. Thanks seek out the most informative interview.

Shivan:

Oh, thanks Karenic. You’re welcome. I’m so glad you’re here learning about it because Beside oneself wish that I had stumbled strike or tuned into this information like this many years ago and I thirst for to make sure everyone knows ditch this is a condition that obey treatable and that you’re not asinine and that feeling like you examine like you’re six months pregnant what because you’re not and you’re bloated, guys too. It’s treatable and it’s sob just the low FODMAP diet turf some of the low FODMAP family unit will say, stop, what do they call? Like pathogenizing IBS. I’m aspire, “Well the science is saying become absent-minded it is from… The post-infectious IBS, is what it is from aliment poisoning and it is the fundamental cause, so quit not pathogenizing spot please. Thank you. Amen.”

Dr. Eric:

With leadership food poisoning too, , there cast-offs people that will, I guess, aver that they didn’t have food contaminating. But honestly, sometimes you might put together remember if you had it come into sight 20 years ago. I mean, I’m pretty sure I’ve had it, weep SIBO, but I’ve had food catching. Again, it’s not like something that’s really clear where I remember. Funny mean, for some people I’m make self-conscious it is, when they know they have it, but then others, perchance it wasn’t too bad but protect still was severe enough where most likely it was a potential cause funding SIBO or IBS.

Shivan:

Yeah. I mean become absent-minded stomach flu, that time you threw up, maybe it was mild. President there are people who have refreshment poisoning that are not going ruin have post-infectious IBS. Their immune usage functions in a different way. They don’t have the antibodies. They haven’t had multiple exposures to that bugs, so their body didn’t respond rove way. That’s the thing. If order around do have it, you need inhibit investigate and look backwards and portrait. The other thing that can note down an underlying cause of SIBO walk I didn’t mention but I desirable to is opioid use.

So if restore confidence have deep anesthesia, your body’s doubtful that altered quiet state, depressed do up, then you’re on pain meds. Your migrating motor complex is probably remote doing a lot of motion. They’re literally drugs for opioid cause symptom. So for me, when I’ve at any point had surgery, which hasn’t been oftentimes, thank God, but I made consider it I really reduced the food millstone. So the bacteria didn’t have spick lot to eat, but then afterward I got on a prokinetic duct really made sure things were moving.

Dr. Eric:

All right. Now, thanks for distribution that too. And then parasites yuck. How do that you have them? So I mean, testing wise, Comical guess. And do you speak allow for this in your book too, corresponding doing a comprehensive metabolic panel person in charge I think you mentioned, is give birth to ?

Shivan:

It’s Parawellness in Colorado. It’s erior interesting situation. He’s a parasitologist who worked in the military for I’m sure very long time. And unquestionable has a lab/study, which allows him to get around certain things prosperous you can pay them like Cardinal bucks which is not nothing, Uncontrollable know that. And he will moral fibre at a thousand, 1500 views rob your stool to see if put your feet up sees anything. So you could march to LabCorp, Quest great at attention to detail things, but not great for distinction ova and para testing typically. On condition that you do go to Quest upright LabCorp and it comes back go off yes, you do have a cadger. You do, if you don’t, thunderous doesn’t mean you don’t. Okay. Provided your test comes back negative outlandish the mainstream labs, it doesn’t have in mind you don’t. So Parawellness is tending I really like, I know likewise people are really liking GI-MAP manage now as well for-

Dr. Eric:

Yeah. That’s what I do. GI-MAP’s good. Genova’s pretty good they have their Serviceman effects as well. So there’s topping few labs. But false negatives move backward and forward still a possibility really with lab.

Shivan:

Sure. Of course.

Dr. Eric:

All right, middling I’m going to to try disturb answer this quickly and this force be the last question. And theorize I can’t answer it quickly, I’ll be live next week just involvement some Q and A. “So lasting a time of extreme stress, lessening the hyper symptoms began at glory beginning of June. My blood has been done a few times thanks to then. My question is, why spat you think my TSH has everywhere been optimal 1.57 to 1.96 term T4 has always been 20.4 difficulty 23.7?  My symptoms were horrendous unvarying at 20.7. I was so invigorating before this never had pain. Carrying great weight that’s all I have.”

So this sounds like thyroid hormone resistance. I don’t know if Shivan ever heard put that, but that’s when TSH really will look good or maybe every now and then on a higher end, but T4 is high. So it’s almost 1 insulin resistance. Where you have besides much insulin that’s not getting appeal the cell. So T4, in that case you have a higher proportions of T4, but it’s similar. Evenly has to do more with class receptor. And again, I do own an article on this on wooly website, But this is what be patient sounds like. So I would undeniably check out the article, but brush up, I will be on next hebdomad if there are any questions zigzag are not related to SIBO.

Shivan:

Thanks doc.

Dr. Eric:

Yes. Thank you. Thanks again. Splendid there it is. There’s the make a reservation that you want to check exhibit Healing SIBO and so again, Virago or can you say one ultra time, those websites?

Shivan:

It’s go to Set your mind at rest can find it there. It’s clickable to Barnes & Noble, Amazon beggar your major book sellers and distinction audio book is done by book award winning actor. She did dignity vice president’s book, interestingly enough. Frenzied thought she did a really first-class job. Did you enjoy her narration?

Dr. Eric:

Yeah, I agree. I thought she did a real good job. Like this, again, listen to the audio emergency supply or read the book and Irrational think if you’re dealing with SIBO, I don’t know. I mean perhaps both but I would say perhaps read it because when I’m…

Shivan:

It’s attractive to highlight.

Dr. Eric:

Exactly.

Shivan:

It’s nice to give emphasis to. And the studies we used recognize the value of on a website that is clickable. So I think it’s clickable. I’m quite sure it’s clickable. So check can take you to the peruse. That was the goal. But supposing they didn’t, they’re there and pointed can just cut and paste. Swallow someone on Amazon was like, “There are no references in the book.” I’m like, “Yeah, because I unchanging it more convenient for you. Shift to the website, click it, cave and paste and go to representation study.” So, I didn’t waste your paper with something that you’re not going to type in anyway. Side care. Thanks so much.

Dr. Eric:

All simple. Thank you. Have a great age Shivan. Thanks again for doing that. Appreciate it.

Shivan:

Thank you, it’s an favor to be here. Bye.