Here at SIBOTest, we’ve been hard at work to make your practitioner experience easier and more streamlined. You already know about our very helpful and friendly customer support and all the great resources available to you in the practitioner resource section. Now you can log in and get all of your patients results in one convenient location. Just click on 'Order Status' in the top menu bar. You'll see your Patient's Names, Order Count, Last Logon and a link to download their test results in PDF format. This will make it much easier for you to track a patient’s results over time. as well as improving confidentiality and convenience.
How does SIBOTest compare to to other leading breath testing services? The results may surprise you!
Read the findings here!
Order 3 or more test kits and we will create your very own practitioner page for the SIBO practitioner data base.
This is currently the number one Google ranking page for
SIBO Practitioners in Australia.
Complete the SIBO Masterclass and you’ll stand out even more.
We will make a special mention on your page upon your Masterclass completion.
Email [email protected] for more information.
Registrations are now open for the SIBO Master Class with Dr Nirala Jacobi ND, Director and CMO of SIBOTest.
Join Dr Nirala Jacobi, ND for a lively discussion, case review and to deepen your knowledge about SIBO.
Held fortnightly for 3 sessions, these 2 hour long classes are held via GoToMeeting and have been very popular.
Each participant is encouraged to bring 1-2 cases for review.
Next classes are scheduled for February 4 from 6-8pm AEDT (Sydney time)
There has been a massive increase in online interest: Blogs, summits, podcasts, support groups. The SIBO FB support group in Victoria has over 1300 members
Your IBS patients are actively researching SIBO!
The SIBO Master Class enables Practitioners:
To provide the highest quality Breath Testing
To educate patients and aid speaking with other practitioners
To optimise their use of the SIBOTest Practitioner resource section
Customized SIBO Handouts: diet, protocols, referral brochures
Create a “Find a SIBO treating practitioner” Individual Practitioner page
Position yourself as a natural SIBO treating expert!
Price: $150 INC GST for Australian Residents.
Registrations are now open.
Is thyroid disease a risk factor for small intestinal bacterial overgrowth (SIBO)? A prospective study demonstrates that patients with hypothyroid disease are more likely
than controls to have SIBO, but eradication of SIBO does not affect thyroid hormone levels.
Reference Lauritano EC, Bilotta AL, Gabrielli M, et al. Association between hypothyroidism and small intestinal bacterial overgrowth. J Clin Endocrinol Metab. 2007;92(11):4180-4184.
Is gallstone disease associated with small intestinal bacterial overgrowth (SIBO)? A prospective study demonstrates that patients with gallstone disease are more likely than controls to have SIBO and prolonged orocecal transit time (OCTT).
Reference Kaur J, Rana SV, Gupta R, Gupta V, Sharma SK, Dhawan DK. Prolonged orocecal transit time enhances serum bile acids through bacterial overgrowth, contributing factor to gallstone disease. J Clin Gastroenterol. 2014;48(4):365-369.
Our new patient brochures "What is SIBO" are now available -- these are good to hand to patients as it not only provides good information about SIBO, but also handy ordering instructions. Please email us if you would like us to send you some.
The importance of testing-- and retesting
by Dr Nirala Jacobi, BHSc, ND (USA)
CMO, SIBOTest
Like you, I see many clients who complain of digestive symptoms. Besides stool tests for large bowel conditions and blood spots for food sensitivities, I frequently recommend testing for SIBO with a lactulose breath test.
In most cases, these clients have already tried several protocols or have been to other practitioners who have not done functional diagnostic tests and are interested to find the cause of their symptoms once and for all.
I always explain the benefit of testing rather than just treating for SIBO.
1. The breath test helps us identify if the problem is in the small intestine vs the large intestine.
2. The test helps us to know if the patient produces Methane gas or Hydrogen gas or both. This is important so the practitioner can select the right antimicrobial.
3. The test helps us determine how high these gasses are so we can have a relative accurate prediction of how long the treatment might be. Prediction of length of treatment tends to be quite accurate with Methane elevation, and less accurate for elevated Hydrogen. Each course of recommended Herbal antimicrobials (as described in the treatment protocol) reduces methane by 30-50ppm. If you have a patient whose methane levels reached 100ppm you will need to consider prescribing 3 rounds of a 6 week herbal protocol to drop methane to acceptable levels.
Retesting
Because relapse of SIBO is so common, retesting is important after the patient has completed the 6 week herbal antimicrobial protocol.
This is recommended by SIBO experts like Dr Mark Pimentel (gastroenterologist, SIBO researcher) and Dr Allison Siebecker, ND of the SIBO clinic in Portland USA.
1. Retesting ensures the complete eradication of bacteria so the patient can commence the maintenance program.
2. If eradication has not occurred - the practitioner needs to know how much the gas levels have dropped to assess effectiveness of herbal antimicrobial.
3. Once bacteria are truly eradicated, you can place patents on the maintenance diet and prokinetic products.
This approach is an almost fool-proof recipe for successful SIBO treatment.
In this first of its kind study through Johns Hopkins Hospital, researchers found herbal antimicrobials to be on par with Rifaximin (Xifaxan) for the treatment of SIBO. The authors concluded that " Herbal therapies are at least as effective as rifaximin for resolution of SIBO by LBT (lactulose breath test). Herbals also appear to be as effective as triple antibiotic therapy for SIBO rescue therapy for rifaximin non-responders".
Herbal therapy is equivalent to rifaximin for the treatment of small intestinal bacterial overgrowth.
Glob Adv Health Med 2014 May;3(3):16-24
Victor Chedid, Sameer Dhalla, John O Clarke, Bani Chander Roland, Kerry B Dunbar, Joyce Koh,Edmundo Justino, Eric Tomakin, Gerard E Mullin
SIBO article by Dr Allison Siebecker ND and Dr Steven Sandberg Lewis ND (NDNR, 9 January 2013)
Fructose malabsorption article by Dr Christine Doherty (NDNR, 7 January 2013)
Conventional approach to SIBO treatment: The New IBS solution, Mark Pimentel MD
Dr Allison Siebecker’s website on SIBO: www.siboinfo.com
Grazing makes you more susceptible to SIBO?
Definitive Tests for Irritable Bowel Developed [Science Daily, 14 May 2015]