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What if you've been told you have IBS, tried probiotics, changed your diet, had expensive stool testing, and nobody has actually looked for SIBO?
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This is something I see far too often, particularly when bloating, constipation, and food reactions begin after a bout of food poisoning.
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In today's episode, I'm walking you through a real patient case where the clues were there from the beginning.
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Significant bloating, nausea, reflux, constipation, brain fog, and even histamine-type reactions.
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We'll look at how I recognized the pattern, why I prioritized SIBO testing, what her results showed, and the simple changes that had already improved many of her symptoms by the time I saw her again.
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Welcome to the Histamine Well Podcast, designed for practitioners and patients alike.
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This is your trusted source for insights on histamine intolerance, methylation, gut health, women's hormones, and much more.
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I'm Joanne Kennedy, your host, naturopath, author, and educator, passionate about breaking down complex science into clear, accessible knowledge.
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Whether you're a health professional or navigating your personal wellness journey, the Histamine Well Podcast bridges the gap between cutting-edge research and practical understanding to empower you with the tools to thrive.
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Hi, everyone.
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Welcome back to The Histamine Well.
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Today, I'm gonna walk you through a case of a lovely girl that came to see me recently with gut issues.
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And I wanted to talk about this case for a few reasons, and the first one is that SIBO, small intestinal bacterial overgrowth, which she has, and I'll walk you through how I detected that, is the main cause of irritable bowel syndrome.
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So IBS, meaning you've got a bad gut, don't really know the cause.
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The doctors might do a stool test.
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They often don't find anything and just give you some fiber or something.
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So this lovely girl came to see me.
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She got food poisoning in a third-world country.
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She had significant bloating, waves of nausea, sweating, abdominal cramps.
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Probiotics made bloating worse.
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That's a classic sign of SIBO.
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She had reflux and heartburn.
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She had a lot of belching.
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She was also constipated, going every second day with incomplete emptying.
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She also had headaches.
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She was very tired.
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She had a lot of brain fog.
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And she developed this sort of chronic cough and actually had an asthma attack after eating leftover lunch.
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So anyone who knows about histamine, would be like,"Oh, dear.
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That was a histamine reaction." Now, before this girl came to see me, she had seen several naturopaths and was told just to do a complete microbiome test, a stool test.
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Now, it's not that I'm against those tests, but she wasn't flagged for SIBO, right?
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And I see this time and time again.
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The majority of gut issues, especially when there's a histamine component and there's been food poisoning, are SIBO.
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80% of IBS globally is SIBO.
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So we need to be looking at SIBO first These tests are expensive.
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Like, the stool test is, like,$480.
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A SIBO test is, like,$220 or something like that.
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So the priority is SIBO because she has all the symptoms of it, and she has all the risk factors for it.
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And Yes, so basically I was pretty adamant she had SIBO, so I told her to get a refund for the stool test that she did, and I'll walk you through my thinking about that.
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As I said, she had the signs and symptoms of SIBO, and she had lots of histamine symptoms.
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So I put her on the SIBO low histamine diet.
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That gets your histamine bucket down really quickly.
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I have that diet available for sale via my e-bundle on my website if you're interested.
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And I also got her to start some digestive enzymes, hydrochloric acid and pancreatic enzymes.
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Now, my instruction to her with regards to the heartburn, because when you take hydrochloric acid it can make heartburn worse and really burn you-- was to go on that SIBO low histamine diet there for at least a week until the heartburn went away.
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And she did that, and she took it and was fine.
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I also gave her some partially hydrolyzed guar gum.
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That's good for fiber when you're on a low FODMAP diet'cause she needed help with her bowels.
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She was already taking magnesium, so she stayed on that.
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And I got her to do the SIBO test.
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When I looked at her diet, she was also having bone broth every day to try and help heal her gut.
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So a big histamine load there.
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So I just sent her off for SIBO testing, and it came back positive for methane SIBO.
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And when I saw her at her follow-up, her bloating was 80% gone.
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No nausea, no sweating, no abdominal cramps, no reflux, no heartburn.
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She was tolerating the hydrochloric acid, no belching.
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Her bowels were improved, but she can still struggle a little bit.
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She feels like there's just sort of incomplete emptying, a bit of straining.
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Now, she was only up to taking two teaspoons of partially hydrolyzed guar gum,'cause you do need to increase that slowly just to make sure you don't get extra bloated from it.
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But since her bloating was significantly reduced and she was getting constipated, I got her to then take two tablespoons to build up to two tablespoons.
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Before we go any further, I want to speak directly to the practitioners and students listening.
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If you're intrigued by histamine and methylation and eager to expand your knowledge in this fascinating area, we offer the Histamine and Methylation Online Group Coaching course, the only program of its kind.
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We cover SIBO, hormonal imbalances, oxalates, MTHFR, the four pathways of methylation, including the folate pathway, methionine pathway, tetrahydrobiopterin pathway, and the all-important transsulfuration pathway, and much more.
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The program is delivered by detailed online webinars and handouts for you to keep, and for eight weeks, you'll meet with me for live coaching calls in a private community space with other practitioners from all over the world dealing with histamine and methylation issues in their patients every day.
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Together, we learn so much.
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To learn more and apply, visit joannekennedynaturopathy.com The other thing she told me was that when she eats fats, she feels heavy in the abdomen and feels tired.
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So she needs support with bile.
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She was feeling so good, so she was happy to buy a different digestive enzyme.
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So I got her on the Thorne Advanced Digestive Enzyme, which has hydrochloric acid, pancreatic enzymes, and ox bile.
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And she was just to keep taking the Orthoplex Hydrozyme, that's the hydrochloric acid, and the Orthoplex DEF, that's the pancreatic enzymes, until she got that Thorne product.
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That should help with her bowels, get her bowels moving, stop that nausea that she gets or that heavy feeling in her abdomen that she gets from the fats.
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Now, the other thing is when you get methane bacteria down, it will help with constipation because methane slows motility.
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So the herbs that I love to use for methane SIBO are just oregano and allicin.
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I gave her that.
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And her histamine bucket was down, right?
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So she had no headaches.
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She had no asthma.
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So I was happy with her histamine bucket coming down from getting the histamine foods out of her diet for a while and just getting that SIBO down,'cause SIBO just drives inflammation, it drives up histamine.
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So I was happy to swap her on just to a SIBO diet and I said,"Just watch your headaches, or if your heartburn came back." But I was pretty happy with how she was going, so I just put her on the SIBO diet, increased the partially hydrolyzed guar gum to two tablespoons.
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Got her on the allicin, the oregano, and the Thorne Advanced Digestive Enzymes.
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So guys, it can be really, really as simple as that.
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And I am convinced this girl will get rid of her SIBO.
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She's extremely compliant.
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She's tolerating supplements.
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We've just got this little hurdle at the moment, which is her constipation.
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But if we get the fiber up, if we get the methane-producing bacteria down, bile's also a natural laxative.
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That's also why I put her on that Thorne Advanced Digestive Enzymes with the ox bile support as well.
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The poor thing had been through the ringer, and she had, you know, been to several practitioners who didn't do any testing.
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The last one said do a stool test.
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No one picked up SIBO.
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So if you are having these issues with your gut and you wanna see a practitioner for testing, really push for SIBO testing, or you can buy it online yourself through sibotest.com or in the United States there's lots of labs.
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You can get it through Direct Labs, which is in California.
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They'll post throughout the United States.
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United Arab Emirates, I know you can get it easily.
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The UK.
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You can just order a SIBO test yourself and get it done.
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That's my two bobs worth for this case.
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And I just wanted to talk about it because it's actually a really simple case, and I see simple cases like this just not being managed properly.
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So I just wanted to bring it up because it, it shouldn't be an expensive, timely ordeal.
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Sure, it can take four months for her to clear the SIBO.
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Methane's a bit stubborn.
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But, you know, once she's seen me for a few consults, As long as she's good when I see her next time with her bowels, then she's on her way, and I probably won't see her for another couple of months, and then we'll always retest.
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We always retest SIBO to make sure it's gone, and then we reintroduce the FODMAP foods and if it's gone, then people very, very rarely get symptoms.
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So if you need help with your gut, if you know you've got SIBO, you can easily make an appointment to see us via my website, joannekennedynaturopathy.com.
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Thank you for joining me.
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I hope you found this episode beneficial.
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Until next time, take care and be well.