2018 SIBO Dispensary Guide
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1 Dr Nirala Jacobi ND 2018 SIBO Dispensary Guide Version June 2018 Copyright 2018 The SIBO Doctor Pty Ltd. All rights reserved.
2 Dr Nirala Jacobi ND 2018 SIBO Dispensary Guide The natural treatment of SIBO is an evolving field. Botanical medicine has a time-honored, proven track record when it comes to the treatment of gastrointestinal conditions. The herbs and nutrients listed are the most current treatment strategies but it is also a work in progress. I have treated hundreds of patients with SIBO in Australia, USA, and Europe, and have found these products to be most effective in the eradication of SIBO. Other products certainly exist, but I cannot vouch for their efficacy as I may not have used them or only used them in a limited context. I do not have any financial interests in these products. For more information, or to consider further training please visit my education portal The treatments outlined in this guide focus on: Antimicrobial Treatment Herbal and conventional Prokinetics medicines or herbs/nutrients to promote the migrating motor complex and motility in general Digestive Aids Biofilm treatment DISCLAIMER: This guide is not intended as medical advice. If you are a patient, please ask your medical
3 Herbal Antimicrobials Adjust dose when combining products. BID= twice daily, TID= three times daily Hydrogen (note: some products listed are also used as antifungals and anti methanogens) Metagenics Bactrex - tid Thorne Berberine tid Mediherb BactoCand GI - tid Xymogen Berbermycin - tid Nutrition Care Pomegranate Metagenics Candibactin BR Metagenics Candibactin AR - tid tid Mediherb Gut Flora Complex - tid Biotics Research Dysbiocide - tid Biotics Research FC-Cidal - tid Biotics Research A.D.P 1- Biocidin Dosage individualised contact manufacturer Ayush Neem Plus 1bid - tid Herbal Antimicrobials Methane Biomedica Allimax 3 bid Allimax Allimed Ultra - tid Mediherb BactoCand GI Ayush Neem Plus 1bid- tid Atrantil Priority 1 SIBOtic Biotics Research A.D.P - tid
4 Herbal Antifungals Kolorex Advanced Candida Care MediHerb Bacto Cand 1 tid Metagenics Candibactin AR 1- -tid Thorne Research Formula SF722 Enzymedica Candida Control -tid Biotics Research A.D.P -tid Priority 1 SIBOtic Kolorex Advanced Candida Care Tanalbit 1 tid 1- -tid Conventional Antibiotics Typical SIBO prescriptions Rifaximin: Rifaximin 550 mg TID (1650 mg per day) x 14 days. (Pimentel) Rifaximin + Neomycin: Rifaximin 1600 mg per day + Neomycin 500mg BID x 10 days Metronidazole 250mg TID
5 Digestive Support and Repair (Mostly taken before or with meals) Digestive support includes improving hydrochloric acid, enzymes and bile production and flow, an important defense mechanism for the upper gut. Gut Repair is often indicated as SIBO can cause leaky gut/intestinal permeability. Listed are the products that do not contain ingredients that are problematic for SIBO patients, such as: Some Fibers (eg psyllium husk) Prebiotics (eg inulin, FOS) - a trained practitioner may use specific prebiotics in their treatment at certain stages Sugar or excessive fructose Pure Innovations HCl Caps 1- -tid Thorne Research Betaine HCl 1--tid Dr Jacobi s Herbal Bitters 3 drops tid Priority One SIBO-zyme 1--tid Biomedica Biomatrix 1 scoop bid Thorne Research Dipan-9 1- Nutrition Care Gut Relief 1 scoop bid Thorne Research Dipan-9 1- Pure Innovations Green Tea Extract DAO Labs Umbrellux DAO 1 tid Metagenics Glutagenics 1 scoop bid Pure Encapsulations Digestion GB 1 tid Bioceuticals Intestamine Thorne Research L-Glutamine Prokinetics Iberogast 60 drops at bedtime Pure Encapsulations Motilpro 3 qd - bid Dr Jacobi s Bitters 3 dropperfuls 3xdaily Priority One SIBO MMC (notenew product, no extensive experience yet) 3 caps BID Melatonin 1-3mg at bedtime
6 Conventional Prokinetics LDE- low dose Erythromycin 50mg at bed time LDN low dose naltrexone: 2.5mg for SIBO-D, 5mg for SIBO-C at bedtime Prucalopride (Resolor/Resotrans) 0.5-1mg at bed time (not available in the US) - available in Canada and Australia Probiotics These are strain specific probiotic recommendations for specific symptoms or for specific effects. Please consider the SIBO Bi-Phasic treatment protocol course! See for specific guidelines BioGaia protectis 10 drops at bedtime Klaire Labs Lactoprime Plus Metagenics UltraFlora Intensive Care -tid Jarrow Formula Ideal Bowel Support 299v Bioceuticals SB Floractiv Jarrow Formula Baby s Jarro- Dophilus Drops Bb12 10 drops Metagenics Probex Metagenics Ultra Flora Acute Care Orthoplex Ultra Pure GGExtract Klaire Labs Saccharomyces Boulardii 2bid Orthoplex Multigen Biotic Protocol for Life Bifido Digest Spectrumceuticals Pro4-50 BioGaia protectis 10 drops at bedtime Mutaflor - tid Xymogen Probiomax DF
7 Prebiotics Actilax Lactulose ml daily Healthy Fibre Partially Hydrolysed Guar Gum - 1 scoop daily Bimuno Galacto Oligosaccharides - 1 sachet daily Biofilm Biofilms are a protective mucus secreted by the overgrown bacteria and/or fungi For successful bacterial eradication, adjunctive biofilm treatment can be very effective. There are several biofilm products on the market. NOTE: Sometimes adding in a biofilm product early in the treatment along with antimicrobial therapy can lead to heavy die-off. Consider adding it into your treatment protocol after 2-3 weeks Biofilm Buster (Compounded) 2 mid morning Priority One Biofilm Phase 2 Advanced 2 mid morning Biomedica N-Acetyl Cysteine 1 scoop daily Nutrimedix Serrapeptase Bioceuticals SB Floractiv Jarrow Formula Baby s Jarro- Dophilus Drops Bb12 2 caps between meals twice daily Argentyn 23 15ml bid
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