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🗓️ 4 January 2024
⏱️ 15 minutes
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There’s a common misconception that you shouldn’t take probiotics for SIBO.
Where this comes from is the thought that adding bacteria to a bacterial overgrowth must be a bad idea.
But this overlooks how probiotics actually work AND the plethora of data we have on probiotics for SIBO.
So let’s dive in to see what all the data actually means.
The Ultimate 3-Step SIBO Treatment Guide: https://drruscio.com/sibo-treatments/
Your Guide to Choosing the Right SIBO Diet: https://drruscio.com/sibo-diet/
SIBO, Probiotics & Your Gut: A Long-Term Strategy: https://drruscio.com/sibo-probiotics/
Prophylactic Saccharomyces boulardii versus nystatin for the prevention of fungal colonization and invasive fungal infection in premature infants: https://pubmed.ncbi.nlm.nih.gov/23703468/
Saccharomyces boulardii and infection due to Giardia lamblia: https://pubmed.ncbi.nlm.nih.gov/16798698/
Probiotic Saccharomyces boulardii in the Treatment of Small Intestinal Bacterial Overgrowth in Decompensated Cirrhosis: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9194055/
Impact of Saccharomyces boulardii CNCM I-745 on Bacterial Overgrowth and Composition of Intestinal Microbiota in Diarrhea-Predominant Irritable Bowel Syndrome Patients: Results of a Randomized Pilot Study: https://pubmed.ncbi.nlm.nih.gov/36630947/
Effect of a Preparation of Four Probiotics on Symptoms of Patients with Irritable Bowel Syndrome: Association with Intestinal Bacterial Overgrowth: https://pubmed.ncbi.nlm.nih.gov/29508268/
Short-term probiotic therapy alleviates small intestinal bacterial overgrowth, but does not improve intestinal permeability in chronic liver disease: https://pubmed.ncbi.nlm.nih.gov/25244414/
[Comparative clinical efficacy of a probiotic vs. an antibiotic in the treatment of patients with intestinal bacterial overgrowth and chronic abdominal functional distension: a pilot study]: https://pubmed.ncbi.nlm.nih.gov/21381407/
Bacillus clausii as a treatment of small intestinal bacterial overgrowth: https://pubmed.ncbi.nlm.nih.gov/19352343/
Probiotics for Preventing and Treating Small Intestinal Bacterial Overgrowth: A Meta-Analysis and Systematic Review of Current Evidence: https://pubmed.ncbi.nlm.nih.gov/28267052/
00:00 Intro
00:46 How probiotics actually work in the body
02:33 Probiotic type 1: S. boulardii
04:08 Probiotic type 2: Lacto-Bifido
07:13 Probiotic Type 3: Soil-based
09:12 The protocol
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DISCLAIMER: The information on this site is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified healthcare provider before starting any new treatment or discontinuing an existing treatment.
Music featured in this video: "Modern Technology" by Andrew G, https://audiojungle.net/user/andrew_g
*Full transcript available on YouTube by clicking the “Show transcript” button on the bottom right of the video.
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0:00.0 | Welcome to Dr. Rucho Radio, providing practical and science-based solutions to feeling your best. |
0:16.9 | To stay up to date on the latest topics, as well as all of our prior episodes, make sure to subscribe in your podcast player. |
0:24.4 | For weekly updates, visit Dr.ruisho.com. |
0:27.6 | That's d r-R-R-U-S-C-I-O.com. |
0:32.2 | The following discussion is for educational purposes only and is not intended to diagnose or treat any disease. Please do not |
0:39.7 | apply any of this information without first speaking with your doctor. Now, let's head to the show. |
0:45.8 | Hey everyone, let's discuss probiotics for SIBO. Thankfully, this is an area where there's robust science |
0:52.3 | to help us understand if or how probiotics can help |
0:55.9 | CBO and the answer here is they can. So let's run through the science and then also distill the |
1:01.7 | science down to a protocol you can use at home so as to improve your CBO. Some context here, I see a lot |
1:09.8 | of this and it is something that I've published on and myself and our team continues to research, and we currently have actually a paper in peer review on the treatment of SIBO. |
1:18.9 | So I think I'm fairly qualified to comment. |
1:21.6 | Now, why this conversation matters is because probiotics have very broad benefits for people. They can help with |
1:32.6 | CBO and will detail this data in a moment. It's important to clarify that probiotics are quite |
1:39.9 | powerful antimicrobials. They've been shown to combat CBO. Again, details here to follow. |
1:47.6 | They've been shown to be antifungal and antiparacitic. So even though we sometimes might think, |
1:53.8 | well, it's a bacteria, how is that something that can function like an antibiotic? It's because |
1:59.4 | probiotics actually release antimicrobial |
2:02.7 | peptides that exert this antibacterial, antipyacertic, and antifungal action. Not only that, |
2:10.5 | probiotics tune your immune system. There are certain receptors in the lining of the gut, |
2:16.8 | PRRs or pattern recognition receptors, |
2:20.4 | TLRs, toll-like receptors, and we've discussed on the show in the past, one in particular, |
... |
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