Back Clinic Gastro Intestinal Health Functional Medicine Team. The gastrointestinal or (GI) tract does more than digest food. It contributes to various body systems and functions. Dr. Jimenez takes a look at procedures that have been created to help support the GI tract’s health and function, as well as promote microbial balance. Research shows that 1 in 4 people in the U.S. have stomach or intestinal problems that are so severe that it interferes with their daily activities and lifestyle.
Intestinal or digestion problems are referred to as Gastrointestinal (or GI) Disorders. The goal is to achieve digestive wellness. When an optimally working digestive system is on track, an individual is said to be in good health. The GI tract protects the body by detoxifying various toxins and participating in the immunological processes or when the body’s immune system interacts with antibodies and antigens. This combined with supporting the digestion and absorption of nutrients from an individual’s diet.
Our digestive health depends on the composition of our healthy gut microbiome or the bacteria in our gastrointestinal (GI) tract. This probiotic profile plays a fundamental role in our immune system and these can ultimately affect our inflammatory response. Also, the foods we eat, hormones, neurotransmitters, and even our adrenal and mitochondrial status can influence our digestive health. Abnormal or excess bacteria can cause many digestive health issues. Researchers and healthcare professionals have found that “fasting” can help promote a healthy gut microbiome and support overall digestive health. �
Several studies have shown that consuming enough fiber and foods that increase the amount of bacteria in the gastrointestinal (GI) tract is associated with improved insulin sensitivity as well as reduced immune reactions and inflammation, among many other health benefits. These same studies also demonstrated that fasting can have these same health benefits. Different types of fasting can be used as a treatment approach for a variety of digestive health issues. As a matter of fact, other studies have shown that fasting can help improve digestive health issues like SIBO, IBS, and leaky gut. �
An Experiment on Fasting and Digestive Health
Mike Hoaglin, former clinical director for the Dr. Oz show and current clinical lead for uBiome, a biotechnology company that helps healthcare professionals and patients understand how the gut microbiome affects overall health and wellness, demonstrated the importance of the bacteria in our gastrointestinal (GI) tract by sharing the outcome measures of an experiment he tried on himself. Biotechnology companies like uBiome can determine a patient’s probiotic profile, including “healthy” and pathogenic microorganisms which may be associated with digestive health issues like Crohn’s disease and ulcerative colitis. �
After learning how fasting can help improve your immune system, activate stem cells, and reduce your risk of developing many types of cancers, Mike became motivated to do his own five-day water fast to see how this strategic way of eating would affect his gut microbiome. He was also inspired to know how fasting could affect his energy levels as well as his mental acuity and brain fog. By submitting a stool sample, he determined the spectrum of bacteria in his gastrointestinal (GI) tract before starting the fasting process. Mike Hoaglin was under the supervision of his functional medicine practitioner. �
Understanding the Effects of Fasting
According to his uBiome probiotic profile test results, Mike had dysbiosis, an imbalance in the composition of his gut microbiome associated with decreased biodiversity of “healthy” bacteria and increased “harmful” bacteria known for causing inflammation. Mike Hoaglin scheduled five days in his schedule to start the fasting process after he talked to his functional medicine practitioner. As many people have described during the first several days of fasting, Mike had a very difficult time going without eating any food. He described feeling cranky and hungry, however, he was still able to sleep. �
Mike’s hunger had thankfully subsided by day three of the fasting process and, although he still had several days left of the treatment approach, the understood that the rest of the fasting process wasn’t going to be as challenging as it had been for the first two days, despite his blood glucose, or sugar, being low. Mike Hoaglin felt an increase in his energy levels by day four of the fasting process. He felt more mental clarity as his digestive system started using fat as energy instead of using sugar, or glucose. He immediately recognized that his stem cells had activated during day four of the fasting process. �
Mike ended the fasting process on day five at 5:00 pm by consuming a cup of bone broth. Bone broth is one of the most recommended type of foods to help people transition from fasting because it has essential amino acids, such as glutamine and glycine, that provide nutrition to the gastrointestinal (GI) tract as soon as it starts digesting food once again. Moreover, adding some Himalayan salt to your bone broth can also provide your cells with added minerals. Mike continued to transition from fasting by eating fiber-rich plant foods, healthy fats, and small amounts of lean protein, in easily digestible variations. �
Mike Hoaglin tested his gut microbiome following his fasting process and he was pleasantly surprised with the outcome measures of his probiotic profile. According to the uBiome test, fasting had practically “reset” Mike’s gut microbiome, or the bacteria in the gastrointestinal (GI) tract. The results demonstrated a balanced composition of his gut microbiome and he had increased the biodiversity of “healthy” bacteria and decreased “harmful” bacteria. After completing his experiment, Mike Hoaglin became more aware of how the type of foods we eat can ultimately affect our digestive health. �
Fasting is a well-known, strategical way of eating which can have a variety of digestive health benefits for many people. Many people can tremendously benefit from fasting. Fasting can activate autophagy, or the natural cellular detoxification process, to help sweep excess bacteria and undigested food debris away for elimination as waste, also activating anti-inflammatory processes to reduce inflammation and oxidative stress. During an experiment, fasting was shown to have tremendous benefits on overall digestive health. However, it’s important to keep in mind that fasting may not be for everyone. Make sure to talk to a qualified and experienced doctor before attempting any fasting approaches. – Dr. Alex Jimenez D.C., C.C.S.T. Insight
The following Neurotransmitter Assessment Form can be filled out and presented to Dr. Alex Jimenez. The following symptoms listed on this form are not intended to be utilized as a diagnosis of any type of disease, condition, or any other type of health issue. �
Our digestive health depends on the composition of our healthy gut microbiome or the bacteria in our gastrointestinal (GI) tract. This probiotic profile plays a fundamental role in our immune system and these can ultimately affect our inflammatory response. Also, the foods we eat, hormones, neurotransmitters, and even our adrenal and mitochondrial status can influence our digestive health. Abnormal or excess bacteria can cause many digestive health issues. Researchers and healthcare professionals have found that “fasting” can help promote a healthy gut microbiome and support overall digestive health. � Several studies have shown that consuming enough fiber and foods that increase the amount of bacteria in the gastrointestinal (GI) tract is associated with improved insulin sensitivity as well as reduced immune reactions and inflammation, among many other health benefits. These same studies also demonstrated that fasting can have these same health benefits. Different types of fasting can be used as a treatment approach for a variety of digestive health issues. As a matter of fact, other studies have shown that fasting can help improve digestive health issues like SIBO, IBS, and leaky gut. �
The scope of our information is limited to chiropractic, musculoskeletal, and nervous health issues or functional medicine articles, topics, and discussions. We use functional health protocols to treat injuries or disorders of the musculoskeletal system. Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. To further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900.�
Curated by Dr. Alex Jimenez �
References:
�The Impact of Fasting on Your Microbiome.� Naomi Whittel, 12 Mar. 2019, www.naomiwhittel.com/the-impact-of-fasting-on-your-microbiome/.
Additional Topic Discussion: Chronic Pain
Sudden pain is a natural response of the nervous system which helps to demonstrate possible injury. By way of instance, pain signals travel from an injured region through the nerves and spinal cord to the brain. Pain is generally less severe as the injury heals, however, chronic pain is different than the average type of pain. With chronic pain, the human body will continue sending pain signals to the brain, regardless if the injury has healed. Chronic pain can last for several weeks to even several years. Chronic pain can tremendously affect a patient’s mobility and it can reduce flexibility, strength, and endurance. �
Neural Zoomer Plus for Neurological Disease
Dr. Alex Jimenez utilizes a series of tests to help evaluate neurological diseases. The Neural ZoomerTM Plus is an array of neurological autoantibodies which offers specific antibody-to-antigen recognition. The Vibrant Neural ZoomerTM Plus is designed to assess an individual�s reactivity to 48 neurological antigens with connections to a variety of neurologically related diseases. The Vibrant Neural ZoomerTM Plus aims to reduce neurological conditions by empowering patients and physicians with a vital resource for early risk detection and an enhanced focus on personalized primary prevention. �
Food Sensitivity for the IgG & IgA Immune Response
Dr. Alex Jimenez utilizes a series of tests to help evaluate health issues associated with food sensitivities. The Food Sensitivity ZoomerTM is an array of 180 commonly consumed food antigens that offers very specific antibody-to-antigen recognition. This panel measures an individual�s IgG and IgA sensitivity to food antigens. Being able to test IgA antibodies provides additional information to foods that may be causing mucosal damage. Additionally, this test is ideal for patients who might be suffering from delayed reactions to certain foods. Utilizing an antibody-based food sensitivity test can help prioritize the necessary foods to eliminate and create a customized diet plan around the patient�s specific needs. �
Gut Zoomer for Small Intestinal Bacterial Overgrowth (SIBO)
�
Dr. Alex Jimenez utilizes a series of tests to help evaluate gut health associated with small intestinal bacterial overgrowth (SIBO). The Vibrant Gut ZoomerTM offers a report that includes dietary recommendations and other natural supplementation like prebiotics, probiotics, and polyphenols. The gut microbiome is mainly found in the large intestine and it has more than 1000 species of bacteria that play a fundamental role in the human body, from shaping the immune system and affecting the metabolism of nutrients to strengthening the intestinal mucosal barrier (gut-barrier). It is essential to understand how the number of bacteria that symbiotically live in the human gastrointestinal (GI) tract influences gut health because imbalances in the gut microbiome may ultimately lead to gastrointestinal (GI) tract symptoms, skin conditions, autoimmune disorders, immune system imbalances, and multiple inflammatory disorders. �
Formulas for Methylation Support
XYMOGEN�s Exclusive Professional Formulas are available through select licensed health care professionals. The internet sale and discounting of XYMOGEN formulas are strictly prohibited.
Proudly,�Dr. Alexander Jimenez makes XYMOGEN formulas available only to patients under our care.
Please call our office in order for us to assign a doctor consultation for immediate access.
If you are a patient of Injury Medical & Chiropractic�Clinic, you may inquire about XYMOGEN by calling 915-850-0900.
�
For your convenience and review of the XYMOGEN products please review the following link. *XYMOGEN-Catalog-Download �
* All of the above XYMOGEN policies remain strictly in force. �
Scientists and healthcare professionals are starting to shine a light on the importance of the composition of our gut microbiome, or the population of “healthy” bacteria in our gastrointestinal (GI) tract. According to research studies, abnormal or excess amounts of gut bacteria can be one of the most common causes of a variety of digestive health issues, including SIBO and IBS. Our ancestors have included fermented foods like yogurt, kimchi, and sauerkraut as an important part of their traditional diet to regulate and manage the composition of their “healthy” bacteria: the gut microbiome. �
Finding ways to naturally improve our digestive health by maintaining a “healthy” probiotic profile has been a popular topic for many generations. As a result, eating fermented foods like those previously listed above, including other food groups with additional probiotics, and taking probiotic supplements has tremendously increased in popularity in recent years. Another way to naturally improve digestive health that has recently become more popular is fasting, strategic abstinence or reduction from several or all foods for a certain period of time. Fasting can ultimately help improve overall digestive health. �
Fasting can help support the healthy composition of our gut microbiome and it can be used as a treatment approach for a variety of conditions and diseases, such as headaches, migraines, eczema, metabolic syndrome, and obesity. Scientists and healthcare professionals have determined that fasting can stress the human body in a beneficial way. This stress benefits the healthy bacteria in the gastrointestinal (GI) tract because it helps activate autophagy or the natural cellular detoxification process. In the following article, we will discuss how fasting and autophagy can promote digestive health. �
Fasting and Autophagy Overview
Our gastrointestinal (GI) tract can often have a difficult job trying to repair our cells while sweeping undigested debris away to eliminate as waste because many people are constantly eating throughout the entire day. Many people are completely against the idea of fasting, or willingly skipping one or two meals per day, despite its benefits towards our digestive health. Because there are a variety of different methods and techniques for fasting, many people can follow this strategic way of eating and still take advantage of all its digestive health benefits. Fasting, however, may ultimately not be for everyone. �
Historically, many religious and spiritual practices used fasting as an important element in their culture to promote overall digestive health. There are currently a wide variety of fasting methods and techniques that are used to support natural well-being. Moreover, the treatment benefits of fasting are now being readily recognized in numerous research studies. The different types of fasting can ultimately vary from eating very little or nothing for a certain amount of time to drinking only water for a specific period of time, occasionally for up to five days, as a way to naturally improve digestive health. �
Intermittent fasting, a strategic way of eating that follows switching between unrestricted eating and restricted eating for a certain period of time, is one of the most common and practical fasting approaches for everyone. Scientists consider intermittent fasting to be safe and effective because you only go without eating any food for short periods of time. Research studies have demonstrated that using intermittent fasting for a total of 16 hours every day is enough to create the caloric restriction necessary to experience the benefits of fasting as well as to activate autophagy to help restore digestive health. �
The 5:2 diet is the strategic way of eating where a person consumes an average diet for five days and then greatly reduces their consumption of food to one-quarter of that of their normal diet for the other two days of the week. Every fasting approach is different but the purpose of abstinence or reduction from foods is to give our gut microbiome a break from digestion so they can focus on repairing our cells while sweeping undigested debris and excess bacteria away to eliminate as waste. Research studies suggest that the 16:8 diet may be the simplest fasting method or technique for people to follow. �
How Fasting and Autophagy Support Digestive Health
Our pancreas commonly triggers the release of glucagon when we have low blood glucose while the release of insulin is triggered to help reduce high blood glucose levels. Insulin decreases and glucagon increases during fasting which has been demonstrated to help promote improved metabolism as well as provide energy, mood changes, and weight loss. Fasting also helps promote the “healthy” composition of our gut microbiome or the population of “healthy” bacteria in our gastrointestinal (GI) tract. Scientists have associated fasting with the activation of the gene that supports overall digestive health. �
Optimal digestive health and “healthy” gut bacteria are important to help protect us from abnormal or excess bacteria, toxins, and other compounds that can trigger the immune system. Finally, fasting can help restore the integrity of the intestinal lining by managing inflammation that can ultimately help protect the human body against the variety of conditions and diseases associated with inflammation. The main benefit of fasting is that it can increase autophagy or the natural cellular detoxification process. With fasting, your gut health improves and you reduce your risk for a variety of digestive health issues. �
Fasting is a well-known, strategical way of eating which can have a variety of digestive health benefits for many people. Many people can tremendously benefit from fasting. Fasting can activate autophagy, or the natural cellular detoxification process, to help sweep excess bacteria and undigested food debris away for elimination as waste, also activating anti-inflammatory processes to reduce inflammation and oxidative stress. However, it’s important to keep in mind that fasting may not be for everyone. Make sure to talk to a qualified and experienced doctor before attempting any fasting approaches. – Dr. Alex Jimenez D.C., C.C.S.T. Insight
The following Neurotransmitter Assessment Form can be filled out and presented to Dr. Alex Jimenez. The following symptoms listed on this form are not intended to be utilized as a diagnosis of any type of disease, condition, or any other type of health issue. �
The scope of our information is limited to chiropractic, musculoskeletal, and nervous health issues or functional medicine articles, topics, and discussions. We use functional health protocols to treat injuries or disorders of the musculoskeletal system. Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. To further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900.�
Curated by Dr. Alex Jimenez �
References:
�The Impact of Fasting on Your Microbiome.� Naomi Whittel, 12 Mar. 2019, www.naomiwhittel.com/the-impact-of-fasting-on-your-microbiome/.
Additional Topic Discussion: Chronic Pain
Sudden pain is a natural response of the nervous system which helps to demonstrate possible injury. By way of instance, pain signals travel from an injured region through the nerves and spinal cord to the brain. Pain is generally less severe as the injury heals, however, chronic pain is different than the average type of pain. With chronic pain, the human body will continue sending pain signals to the brain, regardless if the injury has healed. Chronic pain can last for several weeks to even several years. Chronic pain can tremendously affect a patient’s mobility and it can reduce flexibility, strength, and endurance. �
Neural Zoomer Plus for Neurological Disease
�
Dr. Alex Jimenez utilizes a series of tests to help evaluate neurological diseases. The Neural ZoomerTM Plus is an array of neurological autoantibodies which offers specific antibody-to-antigen recognition. The Vibrant Neural ZoomerTM Plus is designed to assess an individual�s reactivity to 48 neurological antigens with connections to a variety of neurologically related diseases. The Vibrant Neural ZoomerTM Plus aims to reduce neurological conditions by empowering patients and physicians with a vital resource for early risk detection and an enhanced focus on personalized primary prevention. �
Food Sensitivity for the IgG & IgA Immune Response
�
Dr. Alex Jimenez utilizes a series of tests to help evaluate health issues associated with food sensitivities. The Food Sensitivity ZoomerTM is an array of 180 commonly consumed food antigens that offers very specific antibody-to-antigen recognition. This panel measures an individual�s IgG and IgA sensitivity to food antigens. Being able to test IgA antibodies provides additional information to foods that may be causing mucosal damage. Additionally, this test is ideal for patients who might be suffering from delayed reactions to certain foods. Utilizing an antibody-based food sensitivity test can help prioritize the necessary foods to eliminate and create a customized diet plan around the patient�s specific needs. �
Gut Zoomer for Small Intestinal Bacterial Overgrowth (SIBO)
Dr. Alex Jimenez utilizes a series of tests to help evaluate gut health associated with small intestinal bacterial overgrowth (SIBO). The Vibrant Gut ZoomerTM offers a report that includes dietary recommendations and other natural supplementation like prebiotics, probiotics, and polyphenols. The gut microbiome is mainly found in the large intestine and it has more than 1000 species of bacteria that play a fundamental role in the human body, from shaping the immune system and affecting the metabolism of nutrients to strengthening the intestinal mucosal barrier (gut-barrier). It is essential to understand how the number of bacteria that symbiotically live in the human gastrointestinal (GI) tract influences gut health because imbalances in the gut microbiome may ultimately lead to gastrointestinal (GI) tract symptoms, skin conditions, autoimmune disorders, immune system imbalances, and multiple inflammatory disorders. �
Formulas for Methylation Support
�
XYMOGEN�s Exclusive Professional Formulas are available through select licensed health care professionals. The internet sale and discounting of XYMOGEN formulas are strictly prohibited.
Proudly,�Dr. Alexander Jimenez makes XYMOGEN formulas available only to patients under our care.
Please call our office in order for us to assign a doctor consultation for immediate access.
If you are a patient of Injury Medical & Chiropractic�Clinic, you may inquire about XYMOGEN by calling 915-850-0900.
�
For your convenience and review of the XYMOGEN products please review the following link. *XYMOGEN-Catalog-Download �
* All of the above XYMOGEN policies remain strictly in force. �
For many people, fasting, or the concept of willingly skipping meals for a specific period of time, may not seem like a very appealing way to improve digestive health. Because most people also eat about 3 meals a day, skipping one or two meals a day can ultimately cause them to feel moody, tired, and fatigued. However, for people with digestive health issues, such as SIBO, IBS, or leaky gut, they may already be feeling these symptoms, even after eating their 3 meals a day. In this article, we will discuss how fasting can be beneficial for some patients and how it can help improve their digestive health. �
Understanding the Digestive System
The digestive system starts the process of breaking down food from the moment we eat in order to absorb nutrients, such as vitamins and minerals. The digestive system will use approximately 25 percent of the calories we consume to even start the process of digestion. Digesting food requires tremendous effort from the human body because it alters many of its main functions and pulls many resources away from other structures to simply perform it. The immune system also activates every time we eat food in order to protect the gastrointestinal, or GI, tract from anything and everything that passes through. �
When fasting, however, the digestive system can start to heal and restore the human body. During a fast, the human body will utilize fat instead of sugar as the main source of energy fuel. An average person only has about 2,500 Kcal of glycogen to use as glucose for energy while the average person has about 100,000 Kcal of fat for energy. Moreover, it may take time for the human body to become adjusted to utilizing fat instead of sugar as the main source of energy fuel, which is why many people may not feel well until several days after they’ve started fasting. Fasting can also ultimately have other benefits. �
Inflammation
Inflammation is one of the main causes of a variety of chronic conditions and diseases, including digestive health issues. According to researchers and healthcare professionals, inflammation is the common cause of SIBO, small intestinal bacterial overgrowth, IBS, inflammatory bowel syndrome, and leaky gut. Environmental factors, such as toxins, processed foods, drugs and/or medications, alcohol, and food sensitivities or intolerances can all cause inflammation. Furthermore, stress can also cause inflammation and it can tremendously affect the process of digestion and overall digestive health. �
No food will ultimately pass through the gastrointestinal, or GI, tract during a fast. With the exception of water, fasting reduces the consumption of inflammatory compounds, further reducing inflammation in the human body. Anti-inflammatory cytokines become activated while pro-inflammatory cytokines become less active when fasting. The digestive system knows when we aren’t eating and it’ll ultimately trigger these structural and functional changes. Inflammation is also closely associated with oxidative stress. Oxidative stress and inflammation can affect our overall digestive health. �
Oxidative Stress
Fasting can help reduce inflammation and oxidative stress through our genes. Oxidative stress refers to the damage that happens to the cells and tissues of the human body when exposed to a variety of environmental factors, such as toxins. Proteins, lipids, and even the DNA of our cells can be affected by inflammation and oxidative stress, altering the structure and function of the cells. Eating antioxidants can help reduce inflammation and oxidative stress. It’s essential you make sure you consume enough antioxidants when you’re not fasting in order to prevent cell damage from inflammation and oxidative stress.
Fasting and the MMC for Digestive Health
Researchers and healthcare professionals have suggested that the development of several digestive health issues, including SIBO, IBS, and leaky gut, is associated with increased levels of oxidative enzymes as well as decreased amounts of antioxidant enzymes. However, the main source of these digestive health issues ultimately involves the gut microbiome or the bacteria in the gut. Small intestinal bacterial overgrowth, or SIBO, is a digestive health issue caused by the excess growth of the bacteria in the small intestine, eventually leading to leaky gut or intestinal permeability, among other problems. �
According to research studies and clinical trials, fasting can help change the population of the gut microbiome, encouraging the regulation of “healthy” bacteria. This digestive process is ultimately controlled by the migrating motor complex or the MMC. The MMC is a digestive process which regulates and maintains gastrointestinal, or GI, tract contractions throughout a period of time. The migrating motor complex helps sweep bacteria and undigested debris out for elimination as waste. Neurohormonal signals, such as somatostatin, serotonin, motilin, and ghrelin, control the MMC when eating and fasting. �
MMC activity triggers when we are fasting or in between meals. Once we consume food, however, nutrients like vitamins and minerals can affect the activation of the migrating motor complex, ultimately decreasing when MMC activity triggers, and essentially starting the digestive process once again. If we allow the MMC to complete its work during fasting, it can become much more difficult for food, undigested debris, and excess bacteria to stay in the gastrointestinal, or GI, tract. This is why fasting has been recommended as a treatment for SIBO. However, fasting may not be suitable for everyone. Although fasting can have a variety of digestive health benefits, make sure to contact a doctor before starting any fasting treatment plan or program. �
Fasting is a well-known, strategical way of eating which can have a variety of digestive health benefits for many people. Several digestive health issues, such as SIBO, IBS, and leaky gut, may tremendously benefit from fasting. Small intestinal bacterial overgrowth, or SIBO, is a severe health issue that causes excess bacteria to grow in the small intestine. Fasting can promote the migrating motor complex, or the MMC, to activate, sweeping excess bacteria and undigested debris away for elimination as waste, also triggering anti-inflammatory processes to reduce inflammation and oxidative stress. However, fasting may not be for everyone. Make sure to talk to a qualified and experienced healthcare professional before fasting. – Dr. Alex Jimenez D.C., C.C.S.T. Insight
Neurotransmitter Assessment Form
The following Neurotransmitter Assessment Form can be filled out and presented to Dr. Alex Jimenez. The following symptoms listed on this form are not intended to be utilized as a diagnosis of any type of disease, condition, or any other type of health issue. �
For many people, fasting, or the concept of willingly skipping meals for a specific period of time, may not seem like a very appealing way to improve digestive health. Because most people also eat about 3 meals a day, skipping one or two meals a day can ultimately cause them to feel moody, tired, and fatigued. However, for people with digestive health issues, such as SIBO, IBS, or leaky gut, they may already be feeling these symptoms, even after eating their 3 meals a day. In this article, we discussed how fasting can be beneficial for some patients and how it can help improve their digestive health. �
The scope of our information is limited to chiropractic, musculoskeletal, and nervous health issues or functional medicine articles, topics, and discussions. We use functional health protocols to treat injuries or disorders of the musculoskeletal system. Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. To further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900.�
Curated by Dr. Alex Jimenez �
References:
Rory. �How To Heal Your Gut With Fasting.� Chewsomegood, MSc Personalised Nutrition, 9 Aug. 2018, www.chewsomegood.com/fasting-ibs/.
Additional Topic Discussion: Chronic Pain
Sudden pain is a natural response of the nervous system which helps to demonstrate possible injury. By way of instance, pain signals travel from an injured region through the nerves and spinal cord to the brain. Pain is generally less severe as the injury heals, however, chronic pain is different than the average type of pain. With chronic pain, the human body will continue sending pain signals to the brain, regardless if the injury has healed. Chronic pain can last for several weeks to even several years. Chronic pain can tremendously affect a patient’s mobility and it can reduce flexibility, strength, and endurance. �
Neural Zoomer Plus for Neurological Disease
Dr. Alex Jimenez utilizes a series of tests to help evaluate neurological diseases. The Neural ZoomerTM Plus is an array of neurological autoantibodies which offers specific antibody-to-antigen recognition. The Vibrant Neural ZoomerTM Plus is designed to assess an individual�s reactivity to 48 neurological antigens with connections to a variety of neurologically related diseases. The Vibrant Neural ZoomerTM Plus aims to reduce neurological conditions by empowering patients and physicians with a vital resource for early risk detection and an enhanced focus on personalized primary prevention. �
Food Sensitivity for the IgG & IgA Immune Response
Dr. Alex Jimenez utilizes a series of tests to help evaluate health issues associated with food sensitivities. The Food Sensitivity ZoomerTM is an array of 180 commonly consumed food antigens that offers very specific antibody-to-antigen recognition. This panel measures an individual�s IgG and IgA sensitivity to food antigens. Being able to test IgA antibodies provides additional information to foods that may be causing mucosal damage. Additionally, this test is ideal for patients who might be suffering from delayed reactions to certain foods. Utilizing an antibody-based food sensitivity test can help prioritize the necessary foods to eliminate and create a customized diet plan around the patient�s specific needs. �
Gut Zoomer for Small Intestinal Bacterial Overgrowth (SIBO)
�
Dr. Alex Jimenez utilizes a series of tests to help evaluate gut health associated with small intestinal bacterial overgrowth (SIBO). The Vibrant Gut ZoomerTM offers a report that includes dietary recommendations and other natural supplementation like prebiotics, probiotics, and polyphenols. The gut microbiome is mainly found in the large intestine and it has more than 1000 species of bacteria that play a fundamental role in the human body, from shaping the immune system and affecting the metabolism of nutrients to strengthening the intestinal mucosal barrier (gut-barrier). It is essential to understand how the number of bacteria that symbiotically live in the human gastrointestinal (GI) tract influences gut health because imbalances in the gut microbiome may ultimately lead to gastrointestinal (GI) tract symptoms, skin conditions, autoimmune disorders, immune system imbalances, and multiple inflammatory disorders. �
Formulas for Methylation Support
XYMOGEN�s Exclusive Professional Formulas are available through select licensed health care professionals. The internet sale and discounting of XYMOGEN formulas are strictly prohibited.
Proudly,�Dr. Alexander Jimenez makes XYMOGEN formulas available only to patients under our care.
Please call our office in order for us to assign a doctor consultation for immediate access.
If you are a patient of Injury Medical & Chiropractic�Clinic, you may inquire about XYMOGEN by calling 915-850-0900.
�
For your convenience and review of the XYMOGEN products please review the following link. *XYMOGEN-Catalog-Download �
* All of the above XYMOGEN policies remain strictly in force. �
Do you experience bloating after eating a meal? While many people may not experience this symptom, it’s important to understand that any amount of bloating is generally abnormal and it can be a sign of gut inflammation. If you regularly experience bloating, or you have irritable bowel syndrome (IBS), there�s a chance that you may have small intestinal bacterial overgrowth (SIBO). In the following article, we will discuss the top 10 red flags of SIBO. �
What is Small Intestinal Bacterial Overgrowth (SIBO)?
Small intestinal bacterial overgrowth (SIBO) is a digestive health issue that happens when there is excess bacteria in the small intestine. The bacteria in the gastrointestinal (GI) tract plays a fundamental role in the immune system and overall health and wellness. As a matter of fact, research studies have shown that the gut microbiome has tens of trillions of microorganisms, including more than 1,000 different species of bacteria with over 3 million genes. �
Most of the gut bacteria are found in the large intestine and colon, where they ultimately help break down food, synthesize vitamins or minerals, and eliminate waste. However, if the healthy bacteria commonly found in the large intestine and colon start to grow excessively in the small intestine, SIBO can occur. Small intestinal bacterial overgrowth can also be caused by an excess growth of “healthy” bacteria found in the small intestine itself. �
With SIBO, the excess bacteria may start to consume the undigested food in the small intestine, causing it to ferment and produce hydrogen. Moreover, hydrogen can “feed” single-celled microorganisms commonly found in the small intestine, known as archaea, which may then produce methane. Patients with SIBO have increased levels of hydrogen and/or methane in their digestive system. This formula can cause a variety of digestive health issues. �
Furthermore, patients with SIBO may also develop a variety of symptoms depending on which type of gas is predominantly produced in their gut. Hydrogen-dominant SIBO, by way of instance, generally causes diarrhea while methane-dominant SIBO, by way of instance, generally causes constipation. Small intestinal bacterial overgrowth doesn’t simply cause a variety of digestive health issues, SIBO can also cause a wide array of symptoms, including: �
10 Red Flags You May Have SIBO
Gas, bloating, and/or diarrhea
Abdominal pain, discomfort, and/or cramping
Constipation
Irritable bowel syndrome (IBS) or inflammatory bowel disease (IBD)
Vitamin and mineral deficiencies (vitamins A, B12, D, and E)
Fat malabsorption (pale, bulky, and malodorous stools)
Rosacea and/or skin rashes
Leaky gut or intestinal permeability
Because there are many symptoms that can show that you may have small intestinal bacterial overgrowth, occasionally showing none of the red flags listed above, SIBO may frequently go undiagnosed. Approximately 6 to 15 percent of “healthy”, asymptomatic people, and about 80 percent of people with irritable bowel syndrome (IBS), may actually be suffering from SIBO. If you experience any of the previous symptoms, make sure to see a doctor immediately. �
What Causes Small Intestinal Bacterial Overgrowth (SIBO)?
When enzymes start to break down the food we eat, our gastrointestinal (GI) tract depends on the proper function of nerves, muscles, and neurotransmitters to move the food accordingly throughout our digestive system, from the stomach to the small intestine and to the colon. In a healthy gut, bacteria pass through the gastrointestinal (GI) tract together with the food we eat into the colon. Symptoms and health issues may start when this process is affected. �
Damaged or injured nerves and/or muscles in the gut can ultimately cause leftover bacteria to stay longer in the small intestine, increasing the risk of SIBO. By way of instance, diabetes mellitus and scleroderma are two health issues that can both affect the muscles in the gut, causing SIBO to develop. �
Physical obstructions in the gut, such as scarring from surgeries or Crohn�s disease, can also cause excess bacteria to grow in the small intestine. Diverticuli, tiny pouches that can develop in the wall of the small intestine, can also start to collect bacteria instead of passing it to the colon. �
Drugs and/or medications that can affect or interrupt our healthy gut microbiome. This can include antibiotics, acid-blocking medicine, and steroids. In addition, it’s essential to mention that one of the most common causes of small intestinal bacterial overgrowth (SIBO) is a poor diet that is high in sugar, refined carbohydrates, and alcohol. If you suspect you may have SIBO, make sure you talk to a healthcare professional for diagnosis and treatment. �
Small intestinal bacterial overgrowth (SIBO) is a serious health issue which usually occurs because of an underlying chronic health issue. Several common symptoms may ultimately help determine the presence of SIBO. Several red flags may ultimately suggest the presence of small intestinal bacterial overgrowth but, because some people may not experience any symptoms, it can often go undiagnosed. Proper diagnosis is fundamental. SIBO, or small intestinal bacterial overgrowth is treatable. Patients should contact a healthcare professional immediately if they suspect they have SIBO so that they can begin treatment right away. – Dr. Alex Jimenez D.C., C.C.S.T. Insight
Neurotransmitter Assessment Form
The following Neurotransmitter Assessment Form can be filled out and presented to Dr. Alex Jimenez. The following symptoms listed on this form are not intended to be utilized as a diagnosis of any type of disease, condition, or any other type of health issue. �
Do you experience bloating after eating a meal? While many people may not experience this symptom, it’s important to understand that any amount of bloating is generally abnormal and it can be a sign of gut inflammation. If you regularly experience bloating, or you have irritable bowel syndrome (IBS), there�s a chance that you may have small intestinal bacterial overgrowth (SIBO). In the article above, we discussed the top 10 red flags of SIBO.
The scope of our information is limited to chiropractic, musculoskeletal, and nervous health issues or functional medicine articles, topics, and discussions. We use functional health protocols to treat injuries or disorders of the musculoskeletal system. Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. To further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900.�
Curated by Dr. Alex Jimenez �
References:
Myers, Amy. �10 Signs You Have Small Intestinal Bacterial Overgrowth (SIBO).� Amy Myers MD, 12 Nov. 2019, www.amymyersmd.com/2018/04/10-signs-small-intestinal-bacterial-overgrowth-sibo/.
Additional Topic Discussion: Chronic Pain
Sudden pain is a natural response of the nervous system which helps to demonstrate possible injury. By way of instance, pain signals travel from an injured region through the nerves and spinal cord to the brain. Pain is generally less severe as the injury heals, however, chronic pain is different than the average type of pain. With chronic pain, the human body will continue sending pain signals to the brain, regardless if the injury has healed. Chronic pain can last for several weeks to even several years. Chronic pain can tremendously affect a patient’s mobility and it can reduce flexibility, strength, and endurance. �
Neural Zoomer Plus for Neurological Disease
�
Dr. Alex Jimenez utilizes a series of tests to help evaluate neurological diseases. The Neural ZoomerTM Plus is an array of neurological autoantibodies which offers specific antibody-to-antigen recognition. The Vibrant Neural ZoomerTM Plus is designed to assess an individual�s reactivity to 48 neurological antigens with connections to a variety of neurologically related diseases. The Vibrant Neural ZoomerTM Plus aims to reduce neurological conditions by empowering patients and physicians with a vital resource for early risk detection and an enhanced focus on personalized primary prevention. �
Food Sensitivity for the IgG & IgA Immune Response
�
Dr. Alex Jimenez utilizes a series of tests to help evaluate health issues associated with food sensitivities. The Food Sensitivity ZoomerTM is an array of 180 commonly consumed food antigens that offers very specific antibody-to-antigen recognition. This panel measures an individual�s IgG and IgA sensitivity to food antigens. Being able to test IgA antibodies provides additional information to foods that may be causing mucosal damage. Additionally, this test is ideal for patients who might be suffering from delayed reactions to certain foods. Utilizing an antibody-based food sensitivity test can help prioritize the necessary foods to eliminate and create a customized diet plan around the patient�s specific needs. �
Gut Zoomer for Small Intestinal Bacterial Overgrowth (SIBO)
Dr. Alex Jimenez utilizes a series of tests to help evaluate gut health associated with small intestinal bacterial overgrowth (SIBO). The Vibrant Gut ZoomerTM offers a report that includes dietary recommendations and other natural supplementation like prebiotics, probiotics, and polyphenols. The gut microbiome is mainly found in the large intestine and it has more than 1000 species of bacteria that play a fundamental role in the human body, from shaping the immune system and affecting the metabolism of nutrients to strengthening the intestinal mucosal barrier (gut-barrier). It is essential to understand how the number of bacteria that symbiotically live in the human gastrointestinal (GI) tract influences gut health because imbalances in the gut microbiome may ultimately lead to gastrointestinal (GI) tract symptoms, skin conditions, autoimmune disorders, immune system imbalances, and multiple inflammatory disorders. �
Formulas for Methylation Support
� XYMOGEN�s Exclusive Professional Formulas are available through select licensed health care professionals. The internet sale and discounting of XYMOGEN formulas are strictly prohibited.
Proudly,�Dr. Alexander Jimenez makes XYMOGEN formulas available only to patients under our care.
Please call our office in order for us to assign a doctor consultation for immediate access.
If you are a patient of Injury Medical & Chiropractic�Clinic, you may inquire about XYMOGEN by calling 915-850-0900.
�
�
For your convenience and review of the XYMOGEN products please review the following link. *XYMOGEN-Catalog-Download �
* All of the above XYMOGEN policies remain strictly in force. �
Do you frequently eat processed foods that are bagged or boxed? Do you frequently eat fried foods? Do you have difficulty digesting foods? Do you experience constipation or inconsistent bowel movements? Do you have increased bloating or gas? If so, you may be experiencing SIBO symptoms. �
Small intestinal bacterial overgrowth (SIBO) is a serious health issue that happens when bacteria that generally grow in one region of the digestive system, such as the colon, grow in the small intestine, ultimately affecting the gastrointestinal (GI) tract. If left untreated, SIBO can commonly cause pain, discomfort, diarrhea, and malnutrition (because of the loss of nutrients), among other symptoms.�Proper nutrition can help decrease these harmful bacteria. �
Following the SIBO diet together with antibiotics can also help speed up recovery and ultimately help reduce uncomfortable symptoms. The purpose of the article below is to describe the benefits of following the SIBO diet as well as what foods you should and shouldn’t eat to help improve SIBO symptoms. �
Understanding the SIBO Diet
The SIBO diet involves gradually eliminating several types of foods in an attempt to help reduce inflammation in the gastrointestinal (GI) tract and help decrease bacterial overgrowth in the small intestine. In a variety of instances, the gradual elimination of sugars alone can help improve SIBO symptoms. �
Healthcare professionals recommend including a diet that is low in FODMAPs, or carbohydrates that can be difficult to digest and can become fermented by gut bacteria in the colon. When the digestive system is unable to break down carbs, these can sit in the gut and can cause SIBO symptoms, such as bloating and diarrhea. With SIBO, the bacterial overgrowth in the small intestine may ultimately start to ferment carbs too soon, causing a variety of symptoms. �
Foods You Should Eat for SIBO
As we will discuss further below, the list of foods you shouldn’t eat when you have small intestinal bacterial overgrowth (SIBO) can be considered restrictive, however, there are still several foods you can enjoy while following the SIBO diet. The SIBO diet includes foods that are high in fiber and low in sugar. �
Moreover, several foods can have low amounts of FODMAPs in smaller servings but these should still be limited or avoided because larger servings may increase the overall number of FODMAPs. Furthermore, several recommended types of foods for a SIBO, as well as a low FODMAP, diet include:� �
oatmeal
unsweetened cereal (with low FODMAP grains)
gluten-free crackers
rice or gluten-free noodles
quinoa
seeds
peanuts
several types of fruits, such as strawberries, blueberries, grapes, oranges
leafy greens
broccoli (heads only, less than 3/4 cup)
olives
potatoes
carrots
pumpkin
spaghetti squash and summer squashes
eggs
fish
meat
Foods You Shouldn’t Eat with SIBO
According to research studies, the low FODMAP diet has been demonstrated to safely and effectively help treat irritable bowel syndrome (IBS) and its associated symptoms. Patients with IBS also commonly have SIBO. Reducing or eliminating foods that are high in FODMAPs can improve digestive health. �
When reducing or eliminating FODMAPs as a part of the SIBO diet, healthcare professionals suggest focusing on the main categories, including: �
fructose, basic sugars frequently found in fruits and several types of vegetables as well as in honey and agave nectar,
fructans, a sugar substance or chemical found in many gluten products, fruits, several vegetables, and prebiotics,
polyols, sugar alcohol commonly utilized as a sweetener,
galactans, a substance or chemical found in several types of legumes, and
lactose, a sugar molecule frequently found in many dairy products.
Several types of foods which you may want to consider completely eliminating from your diet that has higher amounts of FODMAPs include: �
honey
agave nectar
high-fructose corn syrup
soda and other types of soft beverages
dried fruits
apples
asparagus
artichokes
peas
cauliflower
butternut squash
garlic
onions
beans
sweetened cereals
grains
barley
rye
flavored yogurt
ice cream
sausage
Evidence Findings of the SIBO Diet
Healthcare professionals utilize antibiotics as the main treatment approach for small intestinal bacterial overgrowth (SIBO) symptoms. However, research studies have demonstrated that dietary changes, such as limiting sugars and lactose, may also ultimately help reduce SIBO. The SIBO diet can be utilized together with probiotics and antibiotics. A 2010 research study also determined that probiotics can also help reduce SIBO symptoms. According to the research study, drinking more water while on the SIBO diet can also help reduce pain, discomfort, and inflammation. Make sure to talk to your doctor before making any dietary modifications or implementing a new treatment option. In addition, discuss all of the benefits and risks with your doctor or dietitian. �
The SIBO diet is a nutrition plan which temporarily eliminates high FODMAP foods while including a variety of low-FODMAP foods to help decrease bacterial overgrowth in the small intestine. The SIBO diet generally lasts anywhere between 2 to 6 weeks. Although it has been demonstrated to be a safe and effective treatment approach, the SIBO diet treats symptoms while it may not necessarily treat the underlying condition or disease. Conventional treatment options for SIBO shouldn�t be ignored. Talk to a healthcare professional before involving diet changes to any treatment plan. It�s also fundamental to mention that you should ultimately bring FODMAPs back into your normal diet when your SIBO symptoms improve. This can help prevent healthy gut bacteria loss. If your symptoms begin to worsen after implementing the SIBO or low-FODMAP diet, make sure to seek immediate medical attention. �
Small intestinal bacterial overgrowth (SIBO) is a serious health issue which usually occurs because of an underlying chronic health issue. Several common symptoms may ultimately help determine the presence of SIBO. Additionally, if the patient has a chronic condition or disease, such as celiac disease or Crohn’s disease, they should talk to a healthcare professional to develop a treatment plan, such as the SIBO diet. SIBO, or small intestinal bacterial overgrowth is treatable. If left untreated, this gastrointestinal (GI) tract problem can also cause dehydration and malnutrition. Patients should contact a healthcare professional immediately if they suspect they have SIBO so that they can begin treatment right away. – Dr. Alex Jimenez D.C., C.C.S.T. Insight
Neurotransmitter Assessment Form
�
The following Neurotransmitter Assessment Form can be filled out and presented to Dr. Alex Jimenez. The following symptoms listed on this form are not intended to be utilized as a diagnosis of any type of disease, condition, or any other type of health issue. �
Do you frequently eat processed foods that are bagged or boxed? Do you frequently eat fried foods? Do you have difficulty digesting foods? Do you experience constipation or inconsistent bowel movements? Do you have increased bloating or gas? If so, you may be experiencing SIBO symptoms. �
Small intestinal bacterial overgrowth (SIBO) is a serious health issue that happens when bacteria that generally grow in one region of the digestive system, such as the colon, grow in the small intestine, ultimately affecting the gastrointestinal (GI) tract. If left untreated, SIBO can commonly cause pain, discomfort, diarrhea, and malnutrition (because of the loss of nutrients), among other symptoms. Proper nutrition can help decrease these harmful bacteria. �
Following the SIBO diet together with antibiotics can also help speed up recovery and ultimately help reduce uncomfortable symptoms. The purpose of the article above was to describe the benefits of following the SIBO diet as well as what foods you should and shouldn’t eat to help improve SIBO symptoms. �
The scope of our information is limited to chiropractic, musculoskeletal, and nervous health issues or functional medicine articles, topics, and discussions. We use functional health protocols to treat injuries or disorders of the musculoskeletal system. Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. To further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900.�
Curated by Dr. Alex Jimenez �
References:
Anthony, Kiara. �SIBO Diet 101: What You Should and Shouldn’t Eat.� Edited by Natalie Butler, Healthline, Healthline, 16 Aug. 2018, www.healthline.com/health/sibo-diet.
Additional Topic Discussion: Chronic Pain
Sudden pain is a natural response of the nervous system which helps to demonstrate possible injury. By way of instance, pain signals travel from an injured region through the nerves and spinal cord to the brain. Pain is generally less severe as the injury heals, however, chronic pain is different than the average type of pain. With chronic pain, the human body will continue sending pain signals to the brain, regardless if the injury has healed. Chronic pain can last for several weeks to even several years. Chronic pain can tremendously affect a patient’s mobility and it can reduce flexibility, strength, and endurance. �
Neural Zoomer Plus for Neurological Disease
�
Dr. Alex Jimenez utilizes a series of tests to help evaluate neurological diseases. The Neural ZoomerTM Plus is an array of neurological autoantibodies which offers specific antibody-to-antigen recognition. The Vibrant Neural ZoomerTM Plus is designed to assess an individual�s reactivity to 48 neurological antigens with connections to a variety of neurologically related diseases. The Vibrant Neural ZoomerTM Plus aims to reduce neurological conditions by empowering patients and physicians with a vital resource for early risk detection and an enhanced focus on personalized primary prevention. �
Food Sensitivity for the IgG & IgA Immune Response
�
Dr. Alex Jimenez utilizes a series of tests to help evaluate health issues associated with food sensitivities. The Food Sensitivity ZoomerTM is an array of 180 commonly consumed food antigens that offers very specific antibody-to-antigen recognition. This panel measures an individual�s IgG and IgA sensitivity to food antigens. Being able to test IgA antibodies provides additional information to foods that may be causing mucosal damage. Additionally, this test is ideal for patients who might be suffering from delayed reactions to certain foods. Utilizing an antibody-based food sensitivity test can help prioritize the necessary foods to eliminate and create a customized diet plan around the patient�s specific needs. �
Gut Zoomer for Small Intestinal Bacterial Overgrowth (SIBO)
Dr. Alex Jimenez utilizes a series of tests to help evaluate gut health associated with small intestinal bacterial overgrowth (SIBO). The Vibrant Gut ZoomerTM offers a report that includes dietary recommendations and other natural supplementation like prebiotics, probiotics, and polyphenols. The gut microbiome is mainly found in the large intestine and it has more than 1000 species of bacteria that play a fundamental role in the human body, from shaping the immune system and affecting the metabolism of nutrients to strengthening the intestinal mucosal barrier (gut-barrier). It is essential to understand how the number of bacteria that symbiotically live in the human gastrointestinal (GI) tract influences gut health because imbalances in the gut microbiome may ultimately lead to gastrointestinal (GI) tract symptoms, skin conditions, autoimmune disorders, immune system imbalances, and multiple inflammatory disorders. �
Formulas for Methylation Support
� XYMOGEN�s Exclusive Professional Formulas are available through select licensed health care professionals. The internet sale and discounting of XYMOGEN formulas are strictly prohibited.
� Proudly,�Dr. Alexander Jimenez makes XYMOGEN formulas available only to patients under our care.
� Please call our office in order for us to assign a doctor consultation for immediate access.
� If you are a patient of Injury Medical & Chiropractic�Clinic, you may inquire about XYMOGEN by calling 915-850-0900.
�
�
For your convenience and review of the XYMOGEN products please review the following link. *XYMOGEN-Catalog-Download �
* All of the above XYMOGEN policies remain strictly in force. �
Do you feel irritable, nervous, shaky, or light-headed between meals? Do you have difficulty eating large meals in the morning? Do you feel fatigued after meals? Do you have sugar and sweet cravings after meals? Do you have an increased appetite?�If so, you may be experiencing early SIBO symptoms. �
SIBO, or small intestinal bacterial overgrowth, is a severe health issue that ultimately affects the small intestine in the digestive system. This gastrointestinal (GI) tract condition happens when the bacteria that generally grows in several different regions of the gut begin to grow in the small intestine. SIBO can commonly cause pain, discomfort, and diarrhea, among other symptoms. It can also cause malnutrition as bacteria utilize the human body�s nutrients.�
What are the Symptoms of SIBO?
Small intestinal bacterial overgrowth, or SIBO, is a serious condition that includes symptoms which can commonly affect the gut. These can include: �
pain or discomfort in the stomach
gas
bloating
constipation
diarrhea
cramps
indigestion
a general feeling of fullness
weight loss
What are the Causes of SIBO?
Small intestinal bacterial overgrowth (SIBO) is a severe health issue that is unfortunately not yet fully understood by researchers and healthcare professionals. According to research studies and clinical trials, however, this gastrointestinal, or GI, tract condition can ultimately happen when the small intestine is anatomically abnormal, due to pH changes in the small intestine, when the human body’s immune system isn’t functioning accordingly, or due to malfunctions in the muscular activity of the small intestine which can commonly cause food and bacteria to remain and not be removed from the organ. �
SIBO, or small intestinal bacterial overgrowth, is also commonly associated with a variety of health issues. These can involve the following, including: �
a stomach bug, known as viral gastroenteritis
celiac disease
Crohn�s disease
low stomach acid levels, known as hypochlorhydria
IBS or irritable bowel syndrome
gastroparesis
portal hypertension
nerve damage
cirrhosis
several gastric bypass procedures
surgical interventions which cause strictures or adhesions
What are the Risk Factors of SIBO?
Moreover, researchers and healthcare professionals have determined that an underlying chronic health issue and a previous surgery or surgical intervention that affects the gastrointestinal (GI) tract can be several risk factors of SIBO. Other wellness problems which can ultimately cause SIBO include: �
diabetes
scleroderma
hypothyroidism
Parkinson’s disease
HIV
narcotics or drugs/medications which slow down the digestive system
What is the Diagnosis for SIBO?
If you’ve experienced any of the SIBO symptoms mentioned above, see your doctor immediately. The doctor will ask the patient about their symptoms and medical history. The doctor will also perform a physical examination which may include palpating or gently feeling the patient’s abdomen. A qualified and experienced healthcare professional may also order additional blood, fecal, and/or any other tests to diagnose small intestinal bacterial overgrowth. �
A breath test is another common test utilized for the diagnosis of SIBO. Excess bacteria in the small intestine can cause the release of hydrogen and methane, two common gases which can be identified through a breath test. This test is non-invasive and can be performed in a doctor�s office. Before a breath test, the patient will need to fast overnight. During a breath test, the patient will first breathe into a tube. Then, the patient will take a specialized sweet drink provided by the doctor and they will breathe into several other tubes at regular intervals for 2 to 3 hours after taking the specialized sweet drink. �
If common tests for SIBO are inconclusive, the doctor may need to sample the fluid from the patient’s small intestine to see what bacteria is growing there. �
What is the Treatment for SIBO?
Common treatment approaches for SIBO, or small intestinal bacterial growth, can ultimately include a combination of antibiotics and diet modifications. �
Antibiotics
Treatment for SIBO first involves getting the bacteria in the digestive system under control. This is generally achieved by utilizing antibiotics, such as ciprofloxacin (Cipro), metronidazole (Flagyl), or rifaximin (Xifaxan). Further treatment for SIBO may also require intravenous (IV) therapy for nutrition and fluids if the serious gastrointestinal (GI) tract condition has ultimately caused malnutrition or dehydration, among a variety of other symptoms. �
Although antibiotics may help reduce the amount of bacteria in the small intestine, however, these will not always help address the underlying chronic health issues that caused the wellness problem in the first place. If the qualified and experienced healthcare professional determines that the patient’s SIBO is due to an underlying chronic health issue, the patient will also need to begin treatment for that wellness problem. Diet modifications may also help treat SIBO. �
Diet Modifications
Further research studies and clinical trials are still required to demonstrate if diet can cause small intestinal bacterial overgrowth (SIBO) but, many people with SIBO have reported feeling relief from their symptoms after diet modifications. Talk to your doctor before making any modifications to your diet. �
Furthermore, people with SIBO or other chronic health issues may only need to make small diet modifications to treat their symptoms. These can include: �
Eating a balanced and nutritious diet
Consuming minimal meals more often to prevent having too much food sit in the stomach
Avoid eating gluten products, if you have celiac disease or any other similar chronic health issues
The doctor may also recommend the patient to try an elemental diet to help treat SIBO. An elemental diet replaces food and drinks with several liquid formulas throughout an extended period of time. In one small-scale research study and clinical trial, approximately 80 percent of participants with SIBO had a normal breath test result following an elemental diet for 15 days. The researchers ultimately determined that an elemental diet may be a highly effective treatment approach for SIBO. However, further evidence is still needed. Talk to your doctor before starting an elemental diet and follow their instructions. �
Taking probiotics may also help restore the gut bacteria. A 2010 research study and clinical trial demonstrated that probiotic treatment can be more safe and effective for SIBO than taking antibiotics. However, a 2016 review determined that further evidence for the efficiency of probiotics in SIBO treatment was ultimately inconclusive. The best treatment approach for a patient with SIBO is to follow a qualified and experienced healthcare professional’s advice. �
SIBO, or small intestinal bacterial overgrowth, is a well-known and often severe health issue that generally occurs because of an underlying chronic condition or disease. Common symptoms may ultimately determine the presence of SIBO. In addition, if the patient has a chronic health issue, such as celiac disease or Crohn’s disease, they should talk to a doctor to develop a long-term treatment plan. SIBO, or small intestinal bacterial overgrowth is treatable. If left untreated, this gastrointestinal (GI) tract problem can also cause dehydration and malnutrition. Patients should contact a doctor immediately if they suspect they have SIBO so that they can begin treatment right away. – Dr. Alex Jimenez D.C., C.C.S.T. Insight
Neurotransmitter Assessment Form
�
The following Neurotransmitter Assessment Form can be filled out and presented to Dr. Alex Jimenez. The following symptoms listed on this form are not intended to be utilized as a diagnosis of any type of disease, condition, or any other type of health issue. �
The scope of our information is limited to chiropractic, musculoskeletal, and nervous health issues or functional medicine articles, topics, and discussions. We use functional health protocols to treat injuries or disorders of the musculoskeletal system. Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. To further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900.�
Curated by Dr. Alex Jimenez �
References:
Madormo, Carrie. �Everything You Should Know About Small Intestinal Bacterial Overgrowth (SIBO).� Edited by Suzanne Falck, Healthline, Healthline, 14 June 2017, www.healthline.com/health/sibo#symptoms.
Additional Topic Discussion: Chronic Pain
Sudden pain is a natural response of the nervous system which helps to demonstrate possible injury. By way of instance, pain signals travel from an injured region through the nerves and spinal cord to the brain. Pain is generally less severe as the injury heals, however, chronic pain is different than the average type of pain. With chronic pain, the human body will continue sending pain signals to the brain, regardless if the injury has healed. Chronic pain can last for several weeks to even several years. Chronic pain can tremendously affect a patient’s mobility and it can reduce flexibility, strength, and endurance. �
Neural Zoomer Plus for Neurological Disease
Dr. Alex Jimenez utilizes a series of tests to help evaluate neurological diseases. The Neural ZoomerTM Plus is an array of neurological autoantibodies which offers specific antibody-to-antigen recognition. The Vibrant Neural ZoomerTM Plus is designed to assess an individual�s reactivity to 48 neurological antigens with connections to a variety of neurologically related diseases. The Vibrant Neural ZoomerTM Plus aims to reduce neurological conditions by empowering patients and physicians with a vital resource for early risk detection and an enhanced focus on personalized primary prevention. �
Food Sensitivity for the IgG & IgA Immune Response
Dr. Alex Jimenez utilizes a series of tests to help evaluate health issues associated with food sensitivities. The Food Sensitivity ZoomerTM is an array of 180 commonly consumed food antigens that offers very specific antibody-to-antigen recognition. This panel measures an individual�s IgG and IgA sensitivity to food antigens. Being able to test IgA antibodies provides additional information to foods that may be causing mucosal damage. Additionally, this test is ideal for patients who might be suffering from delayed reactions to certain foods. Utilizing an antibody-based food sensitivity test can help prioritize the necessary foods to eliminate and create a customized diet plan around the patient�s specific needs. �
Formulas for Methylation Support
XYMOGEN�s Exclusive Professional Formulas are available through select licensed health care professionals. The internet sale and discounting of XYMOGEN formulas are strictly prohibited.
Proudly,�Dr. Alexander Jimenez makes XYMOGEN formulas available only to patients under our care.
Please call our office in order for us to assign a doctor consultation for immediate access.
If you are a patient of Injury Medical & Chiropractic�Clinic, you may inquire about XYMOGEN by calling 915-850-0900.
�
For your convenience and review of the XYMOGEN products please review the following link. *XYMOGEN-Catalog-Download �
* All of the above XYMOGEN policies remain strictly in force. �
Stomach pain, burning, or aching 1-4 hours after eating?
Agitated, easily upset, nervous?
Lightheaded if meals are missed?
Digestive problems subside with rest and relaxation?
If you are experiencing any of these situations, then you might be experiencing a histamine attack on your immune system.
During an allergic response, the body’s immune system starts to react by releasing various immune compounds to protect itself from foreign substances that identify as harmful. One of these immune compounds, known as histamine, is commonly present in a variety of foods. When histamine is elevated in the body, it is due to a high dietary intake or an inability to break it down, so individuals may experience allergic symptoms from a histamine reaction.
What is Histamine?
Histamine is a compound that is formed through the metabolism of specific amino acids in the immune system. There are a variety of levels of histamine that is found naturally in the foods that people consume. It is also produced by the body where it is in specific immune cells, including mast cells and basophils. During an allergic and other immune response, histamine is released from these cells, and consuming large quantities of histamine that is over 100 mg may result in a mild adverse reaction. Studies have shown that if histamine is consumed in a higher amount that is over 1000 mg, it can lead to histamine intoxication or histamine poisoning.
What is Histamine Intolerance?
Under normal conditions, histamine is released in the body or ingested through food, and it is broken down by two enzymes: HNMT (histamine-N-methyltransferase) and DAO (diamine oxidase). High levels of histamine can occur in individuals that have reduced activity of these enzymes. When histamine levels are increased, or the ability to break down histamine is impaired, individuals may experience histamine intolerance, which will generally present itself as an allergic reaction to the immune system.
What Causes Histamine Intolerance?
Specific individuals may have an increased sensitivity to biogenic amines like histamine. Some factors have been associated with an increased risk of histamine intolerance, including:
Certain health conditions (coronary heart disease, hypertension, respiratory diseases)
Vitamin B12 deficiency
Certain medications that inhibit the activity of histamine-degrading enzymes (acetylcysteine, metamizole, metoclopramide, metronidazole, verapamil)
Mast cell conditions can increase the secretion of histamine. Since mast cells are found throughout the body, they are involved with the innate immune response as well as being the primary source of histamine in the intestines. Studies show that when specific immune receptors detect a foreign substance in the body, the mast cells secrete inflammatory compounds like histamine as a protective response. Mast cell activation is characterized by increasing plasma and urine histamine levels as well as an increased histamine metabolite in the urine. Several conditions are associated with mast cell activation, including:
Allergies that are mediated by IgE (immunoglobulin-E) and other hypersensitivities
Symptoms of rhinoconjunctivitis (nasal congestion, post-nasal drip, sneezing)
Pruritus (itchy skin)
Urticaria (hives)
Histamine-free Diet
With dietary support for histamine intolerance, it may involve a histamine-free diet. Studies have been examining the effects of four-week histamine-free diet intervention on 22 individuals that have CU (chronic urticaria). Chronic urticaria is a common skin condition that is characterized by episodes of red marks and swelling that last longer than six weeks on the body.
A study found that when it is being compared to baseline, plasma histamine levels were significantly reduced when following the diet. Additionally, USS (urticaria severity score) and (UAS), both decreased following the intervention. It means that a histamine-free diet may help improve symptoms that are associated with dietary histamine intake or histamine intolerance like chronic urticaria in the body.
Research also shows that when individuals follow a histamine-reduced diet, it may increase the levels of the DAO enzyme. Research also demonstrated that when individuals followed the histamine-reduced diet for an average of 13 months, the increased levels of DAO were correlated with the degree of compliance to the diet. When high-histamine and histamine-liberated foods are eliminated, the individual�s tolerance levels can be determined by slowly reintroducing foods to test for potential reactions.
Certain foods may increase histamine levels by providing a dietary source or by liberating histamine in the body. Studies have found that it is essential to note that inconsistent levels of histamine are found in various foods and that the levels may fluctuate based on the maturity, storage, and processing of the food.
Here are the high-histamine foods to avoid on a histamine-free diet. They are:
Aged cheese (cheddar, gouda, parmesan)
Alcohol (beer, champagne, wine)
Certain produce (avocado, eggplant, spinach, tomato)
Cured meats (fermented sausage, salami)
Fermented vegetables (sauerkraut)
Fish products (dried anchovies, fish sauce)
Here are the histamine-liberating foods to avoid on a histamine-free diet as well. They are:
Certain fruits (citrus, pineapple, banana, strawberries, papaya)
With methods surrounding food preparations that should be considered, researchers have suggested that people should consume food that is fresh as possible and boiled rather than frying or grilling food may help reduce the intake of biogenic amines like histamine. Studies have shown that spoiled foods have been found to have high levels of histamine, so it is essential to be mindful when consuming leftovers, especially leftover fish. There are some individuals with histamine intolerance that may benefit from taking antihistamine medication or a DAO supplement. There are also certain nutrients, including copper, vitamin B6, and vitamin C that can help support histamine degradation.
Conclusion
When the body is suffering from an allergic response, its’ immune system starts to react by sending out various immune compounds that attack harmful foreign substances. Histamine is one of the immune compounds that is produced and broken down to HNMT and DAO. Histamine can also trigger an asthma attack on individuals, while certain foods can contain high-histamine and histamine-liberating properties that can be harmful in the body. Some products use an advanced formula that helps support the immune system, targets amino acids, and supports antioxidant processes to make sure that the body is functioning correctly.
The scope of our information is limited to chiropractic, musculoskeletal, and nervous health issues or functional medicine articles, topics, and discussions. We use functional health protocols to treat injuries or disorders of the musculoskeletal system. Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. To further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900.
References:
Martin, San Mauro, et al. �Histamine Intolerance and Dietary Management: A Complete Review.� Adrianaduelo, 31 Aug. 2016, www.adrianaduelo.com/wp-content/uploads/2016/09/2016_Histamine-intolerance-and-dietary-management.pdf.
Chung, Bo Young, et al. �Effect of Different Cooking Methods on Histamine Levels in Selected Foods.� Annals of Dermatology, The Korean Dermatological Association; The Korean Society for Investigative Dermatology, Dec. 2017, www.ncbi.nlm.nih.gov/pmc/articles/PMC5705351/.
Dougherty, Joseph M. �Allergy.� StatPearls [Internet]., U.S. National Library of Medicine, 28 July 2019, www.ncbi.nlm.nih.gov/books/NBK545237/.
Fong, Michael. �Histology, Mast Cells.� StatPearls [Internet]., U.S. National Library of Medicine, 20 Sept. 2019, www.ncbi.nlm.nih.gov/books/NBK499904/.
Lackner, Sonja, et al. �Histamine-Reduced Diet and Increase of Serum Diamine Oxidase Correlating to Diet Compliance in Histamine Intolerance.� European Journal of Clinical Nutrition, U.S. National Library of Medicine, Jan. 2019, www.ncbi.nlm.nih.gov/pubmed/30022117.
Maintz, Laura, and Natalija Novak. �Histamine and Histamine Intolerance.� OUP Academic, Oxford University Press, 1 May 2007, academic.oup.com/ajcn/article/85/5/1185/4633007.
Reese, Imke, et al. �German Guideline for the Management of Adverse Reactions to Ingested Histamine: Guideline of the German Society for Allergology and Clinical Immunology (DGAKI), the German Society for Pediatric Allergology and Environmental Medicine (GPA), the German Association of Allergologists (AeDA), and the Swiss Society for Allergology and Immunology (SGAI).� Allergo Journal International, Springer Medizin, 2017, www.ncbi.nlm.nih.gov/pmc/articles/PMC5346110/.
Son, Jee Hee, et al. �A Histamine-Free Diet Is Helpful for Treatment of Adult Patients with Chronic Spontaneous Urticaria.� Annals of Dermatology, The Korean Dermatological Association; The Korean Society for Investigative Dermatology, Apr. 2018, www.ncbi.nlm.nih.gov/pmc/articles/PMC5839887/.
S�nchez-P�rez, S�nia, et al. �Biogenic Amines in Plant-Origin Foods: Are They Frequently Underestimated in Low-Histamine Diets?� Foods (Basel, Switzerland), MDPI, 14 Dec. 2018, www.ncbi.nlm.nih.gov/pmc/articles/PMC6306728/.
Unknown, Unknown. �Histamine Intolerance & Diet: What You Should Know.� Fullscript, 11 Nov. 2019, fullscript.com/blog/histamine-intolerance.
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