Practitioner Education

  • Latest updates from the Portland SIBO Symposium  
  • Introducing Dr Jacobi's revised SIBO Biphasic diet approach
  • Special offer at the conclusion of the Webinar


What You Need to Know About SIBO 

 Presenter: Dr Nirala Jacobi BHSc ND (USA) 

*VIDEO ON DEMAND *   Date of presentation: Thursday 14 July 2016 


The 2016 SIBO Update Webinar  delivers cutting-edge information on SIBO, the common cause of many chronic issues such as leaky gut, IBS, celiac and more.

Dr Jacobi  discusses the current development in SIBO patient management, including her updated cutting-edge natural treatment protocols and maintenance strategies.

Dr Jacobi  recently presented her SIBO Bi-Phasic diet approach at the 3rd SIBO Symposium at the SIBO Center in Portland OR, and in this Webinar is summarising the latest information and research into SIBO.

Besides digestive symptoms, SIBO has been found to have far-reaching influences in an ever-increasing number of conditions such as fibromyalgia, gallstones, interstitial cystitis, acne rosacea, and malabsorption syndromes, to name just a few.

Join Australia's SIBO expert as she presents an overview of the latest SIBO research, pharmacology, dietary interventions and other treatment options for managing small intestine bacterial overgrowth.

 Information presented in the Webinar will give you a  sample of what to expect at the SIBO Master Class.


Designed for health care professionals, the 2016 SIBOTest Webinar Update learning objectives: 

  • Understanding the underlying causes of SIBO
  • SIBO: possible link with Lyme disease?
  • SIBO treatments during pregnancy and lactation
  • SIBO When Berberine fails: new herbal considerations
  • Dr Jacobi's updated SIBO Biphasic diet


Background viewing 

This content is for informational purposes only and not-for-profit educational use.
For more information about Dr Nirala Jacobi ND's SIBO biphasic diet, natural treatment protocol and SIBO test services available worldwide, please review this website.  Please feel free to email us at [email protected] with any questions.


Dr Nirala Jacobi BHSc ND (USA)

Dr. Nirala Jacobi, BHSc, ND (USA) graduated from Bastyr University in 1998 with a doctorate in naturopathic medicine. She practiced as a primary care physician in Montana for 7 years before arriving in Australia and is still a licensed physician in the US.  Dr Jacobi is  an international speaker on  SIBO breath testing and considered one of Australia’s leading experts in the natural treatment of small intestine bacterial overgrowth (SIBO), the most common cause of  IBS.

Dr Jacobi's annual SIBO update webinars as well as SIBO Master Classes are popular and well attended.  

In June 2016, she presented her biphasic diet and herbal approach for the treatment of SIBO at the annual SIBO Symposium in Portland, USA.

Dr Jacobi is the medical director of SIBOtest, an online testing service, and also has a busy practice in northern New South Wales.


Video On Demand


Questions and Answers from the Webinar.
QUESTION: How often is a fructose or lactose breath test useful?

ANSWER - This is purely on a case by case basis.  If the patient has severe symptoms, it is recommended to also run a fructose malabsorption test as this will help with guiding the patient through the SIBO diet as well as maintenance post treatment

QUESTION: How often is a glucose test also needed?

ANSWER: It is recommended to follow up with a glucose test if the patient has classic SIBO symptoms yet a negative Lactulose breath test.  We often identify positive SIBO patients this way which fail the lactulose test.  If the patient is very sensitive and has classic symptoms, you may want to order the Lactulose/glucose combination test from the start as this will save the patient from having to go through the prep period again

QUESTION: What is the effect of using a prokinetic agent from the onset when someone is constipated?  This is a "chicken and egg" question in that constipation will presumably increase levels of dysbiosis.

ANSWER: Using a prokinetic agent for the SIBO-C patient from the beginning is often advisable.  Methane dominant cases will frequently see an improvement in the constipation when methane levels fall into the dingle digits but those who have been constipated for years often need a "retraining" period with other laxative agents, prokinetics,  and exercises.

QUESTION: One question regarding methanogens. I've read a few studies to say they're less associated with obesity, I think you said more. 

ANSWER: Please forward any research you have stating that methanogens aren't classified as obesogens. My research say they are which makes sense considering they are very effective in extracting calories from food thus providing more caloric content to the host.  I do think that there is more research into methanogens as they are such curious organisms, not fitting into the classic bacterial category. Stay tuned and I will update this info as it becomes available.