Transcribed

Can SIBO be the root cause of my Hashimoto's?

May 8, 2023 · 40m 39s
Can SIBO be the root cause of my Hashimoto's?
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On today's episode I talk all about SIBO and how it could be the root cause of my autoimmune disease and the root cause of a lot of other conditions...

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On today's episode I talk all about SIBO and how it could be the root cause of my autoimmune disease and the root cause of a lot of other conditions out there.

By listening to this podcast, you agree not to use anything said during the show or written in the show notes as medical advice to treat any medical condition in either yourself or others. Consult your own physician for any medical issues that you may be having. Some products mentioned in this podcast or show notes are affiliate products. If you click on a link and make a purchase, I may receive a small commission but your price will not change. I don’t support products or companies that I personally don’t use or love. If you loved the show make sure to leave a review. Reviews, purchases using affiliate links and donations all help keep this podcast alive. Thank you for listening 🙂

Show Notes/ Links


Super Gut : A 4 week plan to reprogram your microbiome, restore health and lose weight. By William Davis, MD


Curcumin:
https://amzn.to/3NNBIc7

AIRE 2 Device

Inulin (prebiotic for yogurt)

L. reuteri

Bacillus Coagulans

Lactobacillus gasseri

The yogurt maker I bought.

SIBO is an invasion of your small intestine: unhealthy fecal bacterial species proliferate in the colon, outmuscle beneficial probiotic species, then ascend to take up residence where they don’t belong, in the small intestine. These unwanted interlopers degrade the thin single layer of intestinal mucus that lines and protects the upper GI tract. The weakened mucus lining then paves the way for toxic microbial breakdown products to gain entry into the bloodstream for export to other organs


Uncorrected SIBO can permit an autoimmune condition like rheumatoid arthritis or lupus to emerge, increase risk for coronary artery disease, allow insulin resistance to persist or worsen, increase blood sugar, raise blood pressure, contribute to fatty liver, or lead to diverticular disease and even colon cancer. Uncorrected SIBO may even expose you to increased risk for neurodegenerative diseases.


Symptoms


Food intolerances—Food intolerance presents in a variety of forms: food allergies, intolerance to prebiotic fibers, intolerance to FODMAPs (fermentable oligo-, di-, monosaccharides and polyols, essentially all sugars and prebiotic fibers—see the box that discusses this further), intolerance to onions, garlic, and nightshades (eggplant, tomatoes, potatoes, peppers) or histamine-provoking foods (shellfish, aged cheeses, nuts, beans, and many others), intolerance to fructose, sorbitol, eggs, soy, and other foods.


It is not uncommon for people to identify long lists of foods they must avoid. The most common experience is to consume any food that contains prebiotic fiber, such as legumes, root vegetables, or inulin-containing foods such as onions, that is followed by excessive gas, bloating, diarrhea, or emotional effects such as anxiety, dark thoughts or depression, or anger within ninety minutes of consumption.


These reactions signal the presence of bacteria high up in the GI tract, places that foods can reach within the first ninety minutes of the digestive process, which is not enough time to reach the colon twenty-four feet farther down. Likewise, these sorts of reactions to any sugar strongly suggest SIBO (as well as SIFO). Children can also be plagued by such intolerances, which restrict them to a short list of foods they can tolerate.


Avoiding offending food(s) is not a solution, although it can serve to reduce symptoms in the near term; addressing the microbial disaster that created the food intolerances in the first place is more likely to yield meaningful long-term solutions. The majority of food intolerances represent SIBO with increased intestinal permeability that leads to entry of microbial and food by-products into the bloodstream that provoke immune responses, which are mistakenly interpreted as food intolerances.


Persistent or recurrent skin rashes—You may have consulted a dermatologist for eczema, rosacea, or psoriasis Specific health conditions with high likelihood of SIBO—Being overweight or obese or having prediabetes or type 2 diabetes, any autoimmune condition, fatty liver, fibromyalgia, irritable bowel syndrome, restless leg syndrome, chronic constipation, rosacea, psoriasis, or presence of a neurodegenerative condition such as Parkinsonism or Alzheimer’s dementia signals a high likelihood—as much as 50 percent or more—that SIBO is a prominent player in causing, or at least worsening, the condition.


• Stomach acid–suppressing and anti-inflammatory drugs—Taking stomach acid–suppressing drugs like omeprazole, pantoprazole, or ranitidine substantially increases likelihood of SIBO, and the longer you’ve taken one of these drugs, the more likely that SIBO has developed.16
Likewise, having taken nonsteroidal anti-inflammatory drugs such as ibuprofen, naproxen, or diclofenac, especially for periods of weeks to months, increases the likelihood of SIBO.


• Lack of stomach acid—A history of Helicobacter pylori infection in the stomach or of hypochlorhydria (lack of stomach acid) is a setup for SIBO. Just as with stomach acid–blocking drugs, lack of stomach acid resulting from H. pylori infection or autoimmune gastritis, conditions signaled by prolonged presence of food in the stomach or discomfort upon consuming proteins such as meats, makes bacterial overgrowth much more suspect. SIBO in this situation can be severe, with heavy bacterial infestation of the stomach.18


• History of opioid drug use—Because opioids slow intestinal activity, they are an open invitation to SIBO.19 Incidentally, the opioid peptides that derive from the consumption of the gliadin protein of wheat likewise slow intestinal activity and invite SIBO, an issue that I will discuss further.


• Hypothyroidism—Because lack of thyroid hormones slows intestinal activity, hypothyroidism also allows proliferation of unhealthy bacterial species. SIBO has been found in more than 50 percent of people with a history of hypothyroidism, even if they have taken thyroid hormones (which likely means that SIBO developed before thyroid hormone correction). Preliminary evidence also points to the fact that simply replacing the T4 thyroid hormone using levothyroxine without addressing the T3 hormone can contribute to the development of SIBO.20,21


• History of abdominal surgery—Any surgery involving a change in normal anatomy, such as gastric bypass, gastrectomy, cholecystectomy, or colectomy encourages SIBO. Even gallstones and a history of pancreatitis have high-risk associations with SIBO.22


Other things that contribute:
Consumed something like aspartame, glyphosate in burritos, high intakes of sugar, herbicides and pesticides in food, stomach acid-blocking drugs, polysorbate 80 in ice cream and ranch dressing.


Conditions associated with SIBO include the following:
• Obesity—SIBO has been documented in 23–88.9 percent of obese people. This alone suggests a potentially huge number of people with SIBO considering that 70 million Americans are obese, meaning somewhere between 16 and 62 million people with obesity have SIBO.24 This doesn’t even factor in the additional 60 million Americans who are overweight, but not obese.


• Diabetes—The likelihood of SIBO in type 1 and type 2 diabetes is in the range of 11 percent to 60 percent.25 With 34 million people with type 2 diabetes and 1.3 million people with type 1 diabetes, we can tally up at least several million people with diabetes who also have SIBO.
• Irritable bowel syndrome (IBS)—Estimates vary, but generally 35 percent to 84 percent of people with IBS test positive for SIBO.26 Thirty to 35 million Americans have been diagnosed with IBS, and an equal number are believed to have the condition without a formal diagnosis. Of the total 60 to 70 million people with IBS, this adds another 21 to 50 million Americans with SIBO to the tally.


• Inflammatory bowel disease—Around 22 percent of the 3 million people with ulcerative colitis or Crohn’s disease also have SIBO.27


• Fatty liver—Nonalcoholic fatty liver disease, a condition estimated to now affect nearly half the US population, carries a 40–60 percent likelihood of SIBO.28 This means that around 75 million American adults with fatty liver also have SIBO.


• Autoimmune diseases—Each disease in this disparate collection of conditions, which includes systemic sclerosis, rheumatoid arthritis, psoriatic arthritis, and type 1 diabetes, has a varying association with SIBO. Preliminary studies
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Author Whitney Owen
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