Hashimoto’s and SIBO

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Sibo small intestinal bacterial overgrowth i assume most of you know that or
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probably wouldn't be clicking on hashimoto's and sibo and it's one of those
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um very important things to know about but again it really needs to be put in context
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and because what occurs with these types of conditions and it's been ever since
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people came out with the 4r program remove replaced the the most people know the no i did delete it
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it's now it's a leaky called the leaky gut program um the leaky gut program was enough
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maybe back in the 70s and 80s but but it's really not enough now sibo is much more involved than leaky gut but
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sibo is one of the can be one of the big causes of leaky gut
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but my point is going to be we have a sibo program we have oral tolerance programs online
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we have we have so many different programs now i now have patients coming in here who
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have done them all and they're still sitting here so uh john coming in here to try to find
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out what's going on a lot of it is about the order in which you attack something and
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and sibo's kind of up there with hashimoto's hashimoto's isn't is for those of you who are
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tuning in here who may not know what hashimoto's is it's an immune attack against your
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thyroid and without getting into it too heavily the battle when you go to a functional
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medicine practitioner is the immune system first in most cases it's the immune system first and so
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where is 70 immune system it's in you know it's it's it's it's in the
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linings uh particularly of your intestines barrier uh linings in your intestines
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some of it's on the inside of your lungs but the biggest part is is in the intestines
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which is why the leaky gut stuff came about because early on people started realizing that
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when their guts got better their hashimoto's symptoms started to clear up uh this went along with the
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gluten issue you know we we thought we were really hot years ago we would go like hey get
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off the gluten oh my god it feels so much better yeah we're bad we know
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and now we know it's a lot more than it's a gluten than just gluten and that and that the
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person who gets off of gluten and feels wonderful is maybe 10 of people walk in here 5
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and that there was more to that sibo is kind of like the new holy grail in in a lot of ways
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uh and there are a lot of programs on online for it and and they're good they're good programs except sibo is
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small intestinal bacterial overgrowth so sibo can be caused
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by a thyroid problem sibo can be caused by stress stress responses paralyze your stomach
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and your intestines because when you're in fight flight the the stress response stops you from
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having to move your bowels or urinate because you're in fight flight and and and
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hypothyroidism which most hashimoto's patients become hypothyroid when before long before the attack takes
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its toll there's the immune system this is the thyroid long before this attack takes
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its toll and damages this this thyroid mechanism um you'll get hypothyroid symptoms
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both of those will slow down your gut both of those are they're like the one and they're
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like the number one and two causes of constipation like stress hypothyroid if you have
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constipation the first thing you want to look for is is those two things okay that
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even over dehydration and all those other types of things so now so now it dampens that and and that that
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movement so you get the constipations it slows down that movement and then
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you get an imbalance in bacteria in in your stomach and then here we go back to these vicious cycles you
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you you start getting an imbalance in bacteria because because things are that are supposed to
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be detoxifying and getting into the toilet or not so that alters your your intestines now
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the next thing you know low thyroid function stress also causes you to not have enough
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hydrochloric acid in your stomach one of the things that your stomach does is it sterilizes your food it's not
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sterilizing your food sibo is bad bacteria and and and and it can and it can cause
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you to alter chemistry that will cause that um those bacteria to fulminate in your
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intestines now a lot of you are going well i read it and sibo is actually intestines that come back through the
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valve and it goes back into the into the into the gut that's true too and that's true too that
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but that is when you're in the stress response it shuts that valve between your large intestines and your
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small intestine because it doesn't want you to poop it wants the poop to stay in your in
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your in your small intestines but it also affects other aspects of your bacterial physiology too and all
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of that comes together to uh to to create a response with sibo and and and so having said all that sibo
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is kind of like when the person comes in sibo's like top of the list it's like
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almost the top of the top of the top of the list that you want to take care of somebody comes in here
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they have small intestines on bacteria overgrowth it's almost like we just we just pull the brakes
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everything stops until we take care of the small intestinal bacteria
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but what i'm having that come in here is people were like well i did that i felt better for a
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while it didn't work so i mean i don't do that again well we're going to do that again but we're going to do
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it in the right order because again if you have
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issues with stress if you have other things that are causing your stomach to not be able to work right
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that are causing your stomach to not be able to sterilize food many of these things will alter the
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valve function between the large intestine the small test and large intestines
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which will then cause the the bacteria to back up into the small intestines and give you small intestinal bacterial
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growth those issues have to be addressed at the same time that you are addressing
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the small intestinal bacterial overgrowth how do you know if you have small
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intestinal bacteria or gas and bloating i i mean the number one thing is gas and bloating are there are
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things that cause gas and bloating yes but a lot of times they're they're occurring because of the sebum you can
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get gas and bloating because you don't have enough pancreatic enzymes you can get gas and
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blood because your gallbladder is not working properly it's the timing of it but if you have
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gas and bloating almost every time you eat or after you take probiotics or have to
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eat vegetables or starches or sugars that's all i need to know because the sibo test is
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it's not super accurate if it tells you you have it you have it but if it tells you you don't have it
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about fifty percent of the time you still do have it so the best thing is like
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it's gas and bloating it's like the it is like uh it's it a lot of people say it's the
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number one cause of constipation i would say it's not because i think it's being caused by the thyroid and or
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the stress response in the first place and then it's off to the races you can get you can get constipation you can get
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diarrhea second most common cause of irritable bowel syndrome after stress
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so so they're kind of like so they're kind of like together and actually paralyze your enteric nervous
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system those of you have heard about the second brain that's running your gut
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so boom here we go we have constipation it will cause your gallbladder to not work right boom next thing you're not
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you've got floating stools you're not or you're not digesting your fats and you're not digesting your fish oils
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and you're burping them up and you're getting itching because your gallbladder is not working right and
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it can cause depression it could cause weight gain sibo can cause weight gain either
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directly or indirectly by and all of this is affecting your immune response which is affecting your
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hashimoto's so it can cause chronic pain how many of you have chronic pain who have
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hashimoto's like 80 percent of you have chronic pain who have hashimoto's it can cause
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pre-diabetes because these bad bacteria will cause your insulin to not work right and
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you're the vegetarian who's so happy to be a vegetarian and i'm all over it i was vegetarian for 18
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years and i'm probably going to go back to that someday that's a whole nother story but the
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point being that you start eating these vegetables they start giving you gas and bloating you start
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getting the small intestinal bacterial overgrowth that alters your insulin response and
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here is this thin vegetarian who eats better than 99 of the human race
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they go to the doctor and the dog goes you got pre-diabetes and you're like that's impossible no it's not that's
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sibo that's sibo and depression this will cause
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this will cause you to make lipo polysaccharides those are the bad those are the cell
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walls of the bacteria when they break down and then when they break down they get
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through your leaky gut because everybody who has cba is a leaky gut and then that goes out in the system
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causes inflammation causes autoimmunity can cause hashimoto's but it definitely can cause depression
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because these lipopolysaccharides can get into your brain and cause you um uh like brain fog
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oh this sounds like a lot of my hashimoto's it's like right because people always go
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like how can the thyroid cause all that well the thyroid doesn't cause all that the thyroid
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causes all of this which then causes all that it can cause iron deficiency anemia it can cause b12
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well how how can my how come you know i take b12 and and it's and and and every time i go
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get it checked it my doctor says i need a shot or i need iron or and and i'm i'm like
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i'm a meat eater i can and and you know so i'm so it affects the
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physiology of how the meat is is broken down you have sibo you have leaky gut maybe you're not absorbing it i mean
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it's it's it's insane how many things that the small intestinal bacterial growth
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can cause and all of it is in tandem in a vicious cycle with your thyroid thyroid it can promote
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the environment that creates the small intestinal bacterial growth and then all these vicious cycles that i just
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talked about they kind of they gotta fold back on onto your hashimoto's and and it's high
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because because what are you going to what are you going to go after are you going to
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go after sibo you're going to go after leaky gut you're going to have to sebo because it's probably at least the part
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of what's causing your leaky gut are you going to go over that stomach are you are you going to take care of
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that stomach are you going to take care of sibo you're probably going to take care of the seat bar you're going to
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what are you going to so sibo's way up there but you have to do the sibo and know what
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things are going to sabotage you from number one to getting better for any length of time or what's going
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to cause it to come back and believe me it comes back i mean i see it all the time i've seen
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people go i i it's come back four times it's like yeah because you haven't done any
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stuff so sila's a big deal it is a big big big big deal but it's something that again
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like as my colleagues and my my mentor would say
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a mature experienced functional medicine practitioner will not tiptoe into a case like
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hashimoto's until you know the entire picture of that and then you can
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attack that in the proper order sibo's way up there there are only one or two things above
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sibo that i'm going to attack first if uh if if the sibo is there so it's it it really is it deserves
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the attention that it's getting but still it's still part of the big picture and
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you have to know the big picture first if you want to get rid of it and stay rid of it