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Dec 31

Diet – SIBO- Small Intestine Bacterial Overgrowth

Dietary Treatments

All dietary treatments strive to reduce the food sources for the bacteria. They seek to feed the person but starve the bacteria. Our diet has a significant impact on our intestinal bacterial population. Bacteria primarily eat carbohydrates so all the recommended diets decrease carbohydrates to reduce the bacteria by limiting their food supply. The only carbohydrate that bacteria do not eat much of is insoluble fiber. The established SIBO treatment diets are the Specific Carbohydrate Diet (SCD), the Gut and Psychology Syndrome Diet (Gaps Diet), the Low Fodmap Diet (LFD) or a combination of these diets such as SCD + LFD (see below). The established prevention diets include all the above plus the Cedars-Sinai Diet (see below). "Fermentable" refers to what bacteria eat.

Fermentable Carbohydrates/Saccharides:StarchResistant StarchSoluble FiberSugar (in all it's forms)Prebiotics (inulin, FOS, MOS, GOS, arabinogalactan)

Sources of Fermentable Carbohydrates/Saccharides:Starch- grains, beans, starchy vegetablesResistant Starch- whole grains, seeds, legumesSoluble Fiber- grains, beans, nuts/seeds, vegetables, fruitSugar- fruit, sweetenersPrebiotics- agave, beans, vegetables, roots/herbs, supplements

My hope was that practitioners would customize the SIBO Specific Food Guide into more specific diet plans for their patients. Thats just what Dr. Jacobi did with the SIBO Bi-Phasic diet, and countless doctors and patients have benefited from it. The SIBO Bi-Phasic Diet puts the SSFG into phases, which are then combined with other treatment such as antimicrobials.

SIBO Bi-Phasic Diet

The Diet

This diet is famous for explaining and including lactose-free dairy foods, especially the introduction of 24-hour homemade yogurt as well as introducing nut-flour (predominantly almond flour), as a substitution for standard wheat and grain flours in baked goods or breading.

ResourcesBesides the book (BTVC), which contains great recipes (Lois Lang's Bread and Basic Muffins are my favorites), there are a plethora of SCD websites which include free recipes, supplies and mail order foods. I highly recommend getting 1 or more of the SCD Cookbooks.

SCD Legal & Illegal Food Web ListSCD Legal & Illegal Food Handout- 4 pages (2 legal, 2 illegal) from healththroughdiet.comAlso see the Gaps Diet Food List for an easy 1 page version of allowed and not allowed foods.

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Diet - SIBO- Small Intestine Bacterial Overgrowth

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