And then SIBO patients sort of found me because there's such a close relationship between sulfur and the gut. You'll also get a sample meal plan, case study, and Q&A! report. Sometimes they say yes, not always. ... brainfog other symptoms and instant weight gain (then back to normalish after 24-48 hrs) after potato, rice, quinoa, chick peas -anything carbs, candida. There's exactly one study, and I'm so glad it was done, where they had a group of healthy people and a doctor measured their blood magnesium and their blood sulfate levels, and had them do an Epsom salt bath every night. Hi, I just wanted to let you know there actually is a test for hydrogen sulfide sibo available at Cedars Sinai Hospital in LA. So I've been doing really pretty hefty doses of zinc. Yeah, so dietary sulfur comes in and is, partly through bacteria or through enzymatic action gets liberated and then it has to go through a series of oxidation steps. Am I supposed to say company names on this thing? To add insult to injury, SIBO can turn dietary sulfur or sulfate into hydrogen sulfide … Do you have any other sort of little red flags that you use to determine whether or not this person is sulfur sensitive? Water weight gain/edema of approximately 10-15 lbs; the weight may be quickly shed when sulfur-containing foods are removed (if the edema is indeed caused by dietary sulfur sensitivity) … I mean, I do some but not much. Yeah. What else? And then once we identify the reaction, and it is typically a very obvious reaction we don't have to guess, and the patient knows right away. I mean, I'm thinking of a particular patient with high methane. They're just sitting in front of you and you just see that their cheeks are kind of red, and they just have that red look to them. Become a Hydrogen Sulfide SIBO Diet Pro! Because I really do think that there's a really close tie between disrupted sulfur metabolism and SIBO. Excellent. This is a very new type of SIBO. Some people love to test, I am one of those people. If you have hydrogen sulfide SIBO, I recommend that you try a low-sulfur food plan, and notice a reduction in symptoms within a couple of weeks. Therefore to handle this overgrowth and to resolve your symptoms, we have to bring the healthy balance back to your small intestine, your whole gut, and body. I can help you to address the underlying causes of your hydrogen sulfide and other types of SIBO, as well as other gut health issues using a system-oriented approach and engaging both patient and practitioner in a therapeutic partnership. If you’ve ever been diagnosed with or suspected IBS, then this is an area to look into. Researchers recently discovered a new type of SIBO, Hydrogen Sulfide Dominant SIBO, and are still studying it. As some of you may know, the 2018 Digestive Disease Week Conference just wrapped up. What I think is happening... And I say, I think. Potentially, that would be my thought. Now, not in the same, like stuffing kale in your smoothie every day, not like that. I mean, I've read on the internet, there's all kinds of stuff about sulfur and thiols and their importance. If you experience SIBO symptoms yet receive a “normal” result from this test, this may indicate an overgrowth of hydrogen sulfide producing bacteria or another cause of the IBS. The breath samples that are collected get tested for levels of methane (constipation-predominant) and hydrogen sulfide (diarrhea- predominant). High levels of hydrogen indicate bacterial overgrowth. But in kind of more sensible low level ways they can bring it back into their diet and they do fine. ... Before Oct 11th my weight was 210 lbs on a 6′ 5″ … American Association of Naturopathic Physicians, Oncology Association of Naturopathic Physicians. You increase sulfate. So she had a bottle of Mo-Zyme in her office and just as the patient was talking, she just took one out and told the patient to just chew this up while you're talking. During my first year as a student at the National College of Naturopathic Medicine (NCNM) I made it a habit to regularly meet with Dr Jared Zeff over lunch. Because we just have people get these foods out for two weeks and then they start a reintroduction process, the isolated reintroduction thing. Yeah, sensory deprivation, that's right. It's so interesting. It's like when it's over there in phase two, in the liver, you want sulfur to be binding to all kinds of things. It is normally diagnosed through a breath test identifying hydrogen or methane produced by the overgrown bacteria. Yeah, that's a good idea. Researchers are still learning about how to test for and treat this type of SIBO. ... this can be an indicator of SIBO but you really need to do a 3 hour breath test to find out if you have methane or hydrogen SIBO… It's not an organism that has individually been linked to the amount of damage that we can see with hydrogen sulfide production on the colonocytes and stuff. However, it doesn’t take hydrogen sulfide SIBO into account. Suddenly my head is cleared up. I think Epsom salt baths are fantastic. And so we just kept trying it with more and more patients who seem to be fairly unresponsive to other things that they should be responding to. We use Mo-Zyme Forte, which is a food based tablet. As an Integrative Medicine Doctor, Elena Klimenko provides patients with well-rounded treatment - fusion of conventional Western and alternative holistic medical practices. And so I just sent her an email and said, wow, those are great papers. Dr Jacobi loved Dr Nigh’s talk on hydrogen sulfide and has invited him on the show to discuss sulfur metabolism and his unique ideas about hydrogen sulfide and sulfur imbalances. And that form of sulfate is the one that the body needs. It's can be just fantastic. And other detox support, I assume, along with your far infrared sauna and... What about colonics and things like that, if we're talking detox? And there will go into. I mean, it's that molybdenum co-factor that links the two. So what is the email or the contact that you want people to contact you on? I mean, I don't know how abundant hydrogen would be already. Like intestinal permeability, and is also linked to colon cancer, ulcerative colitis. Zinc is actually a good binder for hydrogen sulfide. Thallium is not really on my radar as a heavy metal. Well, certainly there is people that have like a lot of bloating or gut issues going on we use, again I mean, most of these are going to be Biotics products, they have something that's called Bio-HPF. I mean, I seriously I could run through just in the past week, the follow up with patients who, it was just crazy to me how much they can transform in a very short period of time. Methane-producing bacteria may be the cause of your particular case of SIBO. Are they're really reactive into individual foods? We got to have sulfate. As sort of a byproduct of a disrupted metabolism that happened prior. When SIBO killer-based protocols fail to work, the body may actually be CHOOSING to have gut dysbiosis. It happens when certain bacteria, normally grown in other areas of your gut, start growing in your small intestine leading to overgrowth. So that's interesting to me. It's crazy. Even if it doesn't necessarily match so well, just like oh, well, they've never tried this let's do that. And it so happened that the nutrition therapist that I work with, Maria [Zoka 00:05:06], she was sitting in the room and could hear half of the conversation as I was talking, just trying to understand the way that sulfur messes things up. When I first started, I looked at the research that showed that high animal fat, especially dairy fat and high animal products actually increased desulfovibrio and bile acids as well. I mean, of course, I forgot to mention the gut stuff. I mean, it's not always. I mean, it couldn't be to a halt, but at least slow it down in a big way. Nuts, including almonds, cashews, and macadamia, Seeds, including pumpkin seeds, sesame seeds. And then once it has SO4, the enzymatic action of PAPASS is this long named enzyme that translates inorganic sulfate into biologically active PAPS. no comments yet. However, when it comes to small intestinal b… Which led me to believe and I actually do believe, and Stephanie's writing a paper on this right now I think. But its impact on sulfate is profound. That’s a great question. And they say no, they don't have any more digestive issues. There's no way. In a SIBO environment, how would you end up with those particular gases being produced? According to Dr. Greg Nigh, ND, a temporary sulfur elimination diet will need to be employed as well as targeted supplementation to assist with underlying issues related to sulfate production. And we have people swear by it. This is when hydrogen sulfide SIBO comes into play. They get a digestive enzyme, we'll give them molybdenum, if they're really like headachy and fatigy, brain foggy, then we do injections with hydroxocobalamin, because that will lower hydrogen sulfide in the blood. First, your doctor will go through your symptoms. Dr Nigh is a prolific reader, researcher, and writer and has also contributed a chapter to the upcoming two-volume Foundations of Naturopathic Medicine textbook. Yeah, but really, anything. Right. I mean, if we're just assuming it's a toxicity thing then we do detox, right? 0 comments. That's the exciting bit of learning more and understanding more and making those connections. She's at MIT, and she's written a lot about sulfur. I mean, of course, if somebody needs adrenal support we would do that, if they need DHEA we'll do that. Like I said, there's hydrogen reducers and producers and all kinds of different things that occur. Be the first to share what you think! Keys To Improving Hydrogen Sulfide SIBO. And these are people who've tried everything. We can't really get it here in Australia but patients can get it if they really want to. As you’ve already learned, breath tests only look for hydrogen and methane, not hydrogen sulfide, and can only diagnose traditional SIBO, not hydrogen sulfide SIBO. And it's not like it fixed everybody, but a oddly high percent of people who we were doing this with, were getting either somewhat or dramatically improved, often within a span of like two or three days of being on this protocol. Small intestinal bacterial overgrowth (SIBO) is a gut health condition that affects the small intestine. Just trying it out and send me a note and tell me what happened. Here is what … And so we would just put them all on this protocol. But bismuth in particular will reduce hydrogen sulfide production in the gut. And she had published a few papers that I read, and I was just sort of blown away by what she was saying not just about sulfur, but a lot of things. hide. And then it works. [crosstalk 00:32:31]. Small intestinal bacterial overgrowth (SIBO). But one thing you said about the diet that was curious to me is that you said that you took people off of meat and sulfur foods for a week, and then you reintroduced them. You have dysbiosis or SIBO/IMO and might have a strain of bacteria that produce hydrogen sulfide instead of hydrogen or methane gas, a diagnosis of SIFO (Small Intestinal Fungal Overgrowth), or a different underlying condition (very few patients fall under this category). I don't think it's 100% explains all SIBO but I think that there's an enormous overlap between the two, and that unresponsive patients or poorly responding patients may do really well if it's approached as a sulfur issue. Or what are the pathways exactly that usually get challenged or are utilized through this process? Sure. This was through a series of exchanges that she and I had some weeks ago just trying to piece together. Because I can't be the only person who gets results with this. How do you reconcile? So they're actually reacting to these byproducts of this metabolism, is that correct to say? Sulfate levels went up every day, for every member, after every bath for seven days. So just to get back to your diet, though, what about other brassica families, like cauliflower and broccoli? This gas is implicated in the development of SIBO and LIBO, and can be the underlying culprit in treatment resistant IBS, SIBO, and functional digestive disorders. I would say, I will be so psyched if people just start trying. You may also have other symptoms as well, such as rashes and pain. Crystal says: February 11, 2016 at 10:02 pm . And in fact, Maria, in the hub one time she was doing an intake with a patient who was all brain foggy, and sulfury and everything. That's why I love talking to other practitioners because it takes all kinds, right? Sort by. It has bismuth as well as some other demulcent and DGL and some other stuff in there. As a result, you may not eliminate your food intake efficiently. And that leaves our body starved of sulfate. And it occurred to Maria, wait a minute, the GAPS diet is loaded with sulfur, and it's a very high sulfur diet. They're vegetarian for one week and then they can reintroduce red meat. Well, I would think of even to red meat, like when somebody comes to me with a red meat issue, I think of mammalian meat allergy with tick-borne and alpha-gal and all that. In this case, bacteria called sulfate-reducers feed on hydrogen produced by other bacteria and produce hydrogen sulfide. Hydrogen sulfide has been sort of a friend and foe. Since excess bacteria in your small intestine can lead to the release of these gases, this certainly makes sense and helps to identify most forms of SIBO. And in fact, I mean, I personally think that this ricochets out through not just digestive issues. Mitochondria are the power plants of our cells and so if they do not work well, we do not provide energy to our bodies well. I'm sure there's many other explanations of that. I mean, because butyrate is pretty intense in terms of the smell and all that. Dr Nigh has spoken several times at the annual convention of the American Association of Naturopathic Physicians and the National Conference of the Oncology Association of Naturopathic Physicians on cancer cell metabolism. One study has found that people with traditional SIBO also have a higher risk of hydrogen sulfide SIBO. This methane SIBO weight gain is something that I experienced first hand, gaining over 10 kg in the space of two months before testing positive for methane SIBO (and then losing it again post-treatment). Reply. I think that there are a lot of reasons that our sulfate production can be shut down. And so, we end up using it with lots of patients, certainly anybody with kind of an inflammatory bowel. To complicate things even more, there is a third type of SIBO, hydrogen sulfide SIBO. Hydrogen sulfide is a third gas which may be present in SIBO. Once I naively asked, “How do you treat a common cold?” His reply was quick and has stuck with me since: “A cold isn’t the problem; it’s the cure.” Regarding the microbiota, I would not suggest that there is no such thing as dysbiosis. And actually something that I'll just want to speak to right quickly, and that is about thiols. Thank you so much. I will explain why a low-sulfur diet is the best solution for hydrogen sulfide SIBO and how to follow a low-sulfur food plan. However, when it occurs in high amounts due to a bacteria overgrowth in your small intestine, it becomes very problematic. So anyway, doing a little homework and lo and behold, thallium is taken up preferentially within kale. So sulfur comes in in its various forms and ultimately the body has to get a large portion of that sulfur into the form of sulfate, SO4. I can't never remember, they have a bunch of letters in their products. During his early years of work, he developed his interest and passion for researching and implementing alternative cancer therapies. We need those things because they can be directly oxidized into sulfate. This means neither you hydrogen nor methane was not elevated after drinking the solution. During his early years of work, he developed his interest and passion for researching and implementing alternative cancer therapies. To the point that, I mean, I always ask patients if you felt like you do right now, would you seek out a doctor? And that's through chelation of minerals that are needed for sulfate production, through interference of very specific amino acids that need to be involved in this whole sulfur cycle. I’ve talked about this at length in various places, but there is a correlation between slow transit time and methane production. The goals of treating SIBO … In particular, you want to reduce your intake of sulfur-containing foods to help your body’s sulfur metabolism and detoxification pathways. Stephanie's written about this a lot. So how do those two fit in? When you eat sulfur-containing food, they go through a process to naturally occurring sulfate in your body. And glyphosate will through just a crazy number of different mechanisms, kind of all these different mechanisms that inhibit sulfate production, ultimately. Absolutely. I mean, of course, I'm not sure with any of these foods, but kale, it could be the sulfur. But, would be totally psyched to hear feedback from anybody who tries this process. I mean, it's just unbelievable how many people are reactive to garlic, and some of them in just a astounding strong way. This is why it is important that you are working with a doctor who is familiar with hydrogen sulfide SIBO and is willing to dig deep to find the root causes of your symptoms and gut health issues. And then what I've come to believe is that, sulfur problems are, in some ways, sort of like the canary in the coal mine of gut toxicity in general, just because of the role that sulfur plays in detoxification. But I don't know the biochemistry that well. I mean, colonics, I don't have a problem with that, but coffee enemas are very accessible. And so we just expanded that, and of course, I've just kept doing my geeky thing and trying to understand what's really happening metabolically here, and what are the things that feed into it, and how does it drain out, and all those things. And we put these people on this protocol, and it was just astounding how their health was transforming, sometimes in a matter of a day or two. So I thought I'd invite him on the show and talk to him about sulfur metabolism. Hydrogen sulfide is produced by a very specific type of bacteria that can overgrow in your small intestine. Functional Medicine Doctor Klimenko is an American board certified doctor licensed in Internal Medicine and Acupuncture. Well, I'm waiting for Stephanie to write that one out. This is the most recently discovered type of SIBO and the research about how to test for and treat this type is still in its relative infancy. But I have had, I mean, out of hundreds of people that have been reactive to sulfur and various dietary sulfur, I mean, one hand could count the people that react in any kind of significant way to meat. Lowering Sulfur Intake to Fight SIBO with H2S. Hydrogen sulfide is the third most common gas in those with SIBO, yet, there is less research on it making diagnosis and treatment more difficult. There's a researcher, Stephanie Seneff, a lot of people might know of her. And also, I don't actually do much testing at all. I mean, there are very few exceptions to this. So you basically float out of there. If you are experiencing the symptoms associated with hydrogen sulfide overgrowth, there are a few things you can consider and do to help your body. Reply. Now chicken, I have seen reactions to chicken much more commonly but I don't think that's a sulfur thing. Anyway I’m confused as to the best action to take, wary of antibiotic use and as I can’t have several herbs, what to I do? The good news is it’s fixable. Then I will prescribe a personalized and effective plan to improve your gut health condition, repair your body, and regain your health and well-being. People can bring those foods that they were highly reactive to, they can bring them back in. And so that was sort of our first eye opening, oh, my gosh, there's something going on with sulfur. 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