SIBO in practice: Navigating diagnostic uncertainty and long-term management | Rebecca Coomes from The Healthy Gut podcast

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In this episode of Gut-Brain Therapy, the Nerva podcast, nutritionist, author and host of The Healthy Gut podcast Rebecca Coomes tackles one of the most confusing presentations in clinic: small intestinal bacterial overgrowth (SIBO), where symptoms overlap with IBS and a dozen other conditions, patients arrive having self-restricted their diet for months or years, and relapse is common, leaving clinicians and patients asking the same thing: where to start?

Drawing on her own decade-long journey with SIBO and the latest science (including the Cedars-Sinai REIMAGINE study), Rebecca walks through the three types of SIBO and how to test for them, where diet fits (and why it calms symptoms but doesn't resolve SIBO), how to screen for disordered eating before any restriction, and the three-step framework she returns to again and again: reduce the overgrowth, address the underlying cause, and support the gut-brain axis.

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Disclaimer: Nerva is a self-guided program that may help people self-manage and live well with their diagnosed disorder of the gut-brain interaction. Nerva has not been evaluated by the FDA, TGA, MHRA or equivalent regulatory bodies. Users are directed not to make any changes to their prescribed medication or other type of medical treatment without seeking professional medical advice.