Pam’s Notes:

Can acids contribute to IMO?

My Internist thinks SIBO IMO is controversial!

 PPI does not cause SIBO!

SIBO and GERD.

 IMO and GERD.

Hydrogen Sulfide and GERD.

SIBO and SIFO.

Sjogren’s/Scleroderma and SIBO and anti-vinculin antibodies.

High anti-vinculin.

 Food poisoning and IMO.

Treatment for the antibodies.

Elevated anti-vinculin and no SIBO.

New methane drug timeline.

High hydrogen that doesn’t lower with Rifaximin.

Rifaxmin and NAC Trial.

 Breath testing and GLP-! usage.

mBIOTA Elemental and diarrhea.

 Hypothyroidism and constipation.

Hypothyroidism and SIBO ( not IMO).

 Prokinetics at night.

ISO food triggers.

Thoughts on the vagus nerve.

 Is ISO strictly related to bacteria?

COVID and SIBO and IBS-D.

Hydrogen spikes after 90 minutes on a breath test. What does that mean?

90 minutes is the ideal cut-off.?

 Is taking Rifaxmin 4 times a year OK?

 Candida, he sees a low percentage of time, but if he sees it SIBO is also there.

Daily use of Rifaxmin.

Is LDN a good prokinetic( very modest).

What about colonic inertia?

EDS and SIBO.

Is there resistance to Rifaxmin?

Relapse time of SIBO with anti-vinculin.

Vascular compression.

Why do probiotics make symptoms worse?