Back Clinic Integrative medicine Team. It is the practice of medicine that focuses on the whole person and utilizes all appropriate therapeutic approaches, healthcare practitioners, and disciplines to achieve optimal healing and health. It combines state-of-the-art and conventional medical treatments and other carefully selected therapies because they are effective and safe.
The goal is to unite the best of conventional medicine and other healing systems/therapies brought from cultures and ideas. This type of medicine is based on a model of health and wellness compared to a disease model. Integrative medicine is geared to the use of low-tech, low-cost interventions.
This model recognizes the critical role of how the practitioner-patient relationship plays in a patient’s healthcare experience. Its purpose is to care for the whole person by considering all of the interrelated physical and nonphysical factors that affect health, wellness, and disease. These include psychosocial and spiritual factors in people’s lives.
In the following podcast video article, Dr. Alex Jimenez, a chiropractor in El Paso, TX, and Dr. Mario Ruja, another chiropractor in El Paso, TX, discuss chiropractic care and why it works. Chiropractic care is a safe and effective, alternative treatment option that focuses on the diagnosis, treatment, and prevention, of injuries and underlying conditions associated with the musculoskeletal and nervous system. Chiropractic care is a healthcare profession that has existed for many years throughout many civilizations and it focuses on the use of spinal adjustments and manual manipulations to carefully restore the original alignment of the spine and the human body as a whole. Dr. Alex Jimenez and Dr. Mario Ruja describe how they were first interested in becoming chiropractors, or doctors of chiropractic, as they also describe how they feel when they are able to provide pain relief to their patients. Dr. Jimenez and Dr. Ruja will focus on discussing why chiropractic care works and how it is different from other healthcare professions in the way it helps treat a variety of health issues associated with the spine, from neck pain to low back pain and sciatica. Chiropractic care can help promote overall health and wellness. � Podcast Insight
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Dr. Alex Jimenez RN, DC, MSACP, CCST
Today, there can be a lot of confusion when it comes to diet. The information received can be contradicting, confusing, and leave individuals feeling lost. This can often result in giving up on the diet and being left with joint pain, inflammation, discomfort, headaches and more.
The reason why there is more than one diet out there is because the research is always advancing. We have come to realize that everyone’s body reacts to different food sources and diets differently.
Genetic Code
As more and more research is being done, the more we are realizing how the genetic factor of individual cells directly correlate to a patient’s weight, diet, and changes as they age. For years, as one would get older and start gaining weight, we would attribute it to age. Although age is a factor, what we are finding now is that the genes are actually changing as we age and that is what creates this weight gain.
Sure enough, there are also genes that will tell us if you are susceptible to snacking. These genes can detect if you have a predisposition for heightened snacking or satiety. Satiety is the feeling of fullness after a meal. If you have reduced satiety, you tend to snack more because you do not feel as full after the meals you eat.
Getting your genes tested will allow the treatment plans created to be more personal and more geared to see results! Believe it or not, your genes can tell us if you are genetically prone to obesity,� if you have weight loss resistance when it comes to carbohydrates, and how your body responds to exercise! Using the genes, we can see how many hours per week you will need for weight loss or to maintain your current weight.
Proven Methods
The best option is to know your genes so the diet plan can be geared more towards you directly. However, if that is not a possibility right away, there has been one diet that has been proven time and time again to work for almost everyone. This diet is referred to as the Ketogenic Diet.
In simple terms, the ketogenic diet is a low carb, high-fat diet. This diet works by sending the body into a state of ketosis which burns fat as fuel.
Research shows that those using a ketogenic diet demonstrated a higher percentage of weight loss and kept the weight off longer when compared to those who did a low-fat diet.
Available Resources
Considering the fact that there is misinformation about diets out there, proper education is going to be the key. As someone who has gone through dietary changes myself and figuring out what works best with my body with type 1 diabetes for optimal health, the right team is what made me successful.
Surround yourself with those who are continuously educating themselves and have a system in place. For example, we make sure our patients get one on one time with the doctor and a health coach. From here, the health coach and patient become connected through a virtual database allowing the patient’s food, weight, supplements, hydration, BMI, BIA, and activity to be tracked by the health coach. The health coach can then instant message or video chat the patient throughout the week to ensure they are staying on track, staying motivated, and answer any questions they may have!
Do not be left confused over diets anymore! Remember that your genetic code holds the key to the right diet for you.
The right diet has the ability to make individuals see the results they have been waiting for. It all comes down to the genes. As mentioned, genes change over time but they hold the code. If you are someone who has struggled with diets, feeling good, or are stuck at a certain weight, I highly recommend getting tested! The information you gain from this is so beneficial! I have seen the results first hand, and they are eye-opening. They let you know if you have the genetics that will hold onto fat. This knowledge can help us prevent health issues such as metabolic syndrome! – Kenna Vaughn, Senior Health Coach�
Dr. Alex Jimenez�s Blog Post DisclaimerThe 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
Bueno, Nassib Bezerra, et al. �Very-Low-Carbohydrate Ketogenic Diet v. Low-Fat Diet for Long-Term Weight Loss: a Meta-Analysis of Randomised Controlled Trials.� British Journal of Nutrition, vol. 110, no. 7, 2013, pp. 1178�1187., doi:10.1017/s0007114513000548.
Gut health is more important than most realize. The gut has been connected to multiple symptoms including but not limited to; joint pain, inflammation, headaches, digestive problems, and even brain fog.
Due to the American Diet, gut health has been lacking. We are seeing an increase in starches consumed rather than fermented foods and dark leafy greens. There are certain foods that many people refer to as “Super Foods”. Within this group, there are Super Foods for your gut! These foods will help to optimize gut health and can even help in gut repair.
Fermented Foods
Fermented foods are great as they support a healthy microbiome. The microbiome is made up of trillions of microorganisms. The microbiome consists of good and bad bacteria, including the organisms that make up probiotics.
Some of the best fermented foods that help support these bacterias are Kefir, yogurt, and sauerkraut. Kefir has about 27.7 billion colony forming units per one cup. These foods help to collect bacteria, yeast, and viruses that not only live in your gut but also on your skin!
Healthy Fats
Healthy fats are important to have in the diet. They ensure the body is getting Omega-3s which are polyunsaturated fats. These fats help the brain and nervous system function properly. They also reduce inflammation in the body caused by a leaky gut and can help lower cholesterol.� Two great examples of healthy fats that fall into the superfood category are avocados and salmon.
Dark Leafy Greens
Dark leafy greens provide an immense amount of nutrients to the body and the gut. Not only are these low in calories and carbohydrates, but they contain essential minerals and vitamins. These foods contain fiber, folate, vitamins K and C, and minerals like iron and calcium. These foods will help to heal and seal the gut. Some great superfoods that fall under this category are kale and seaweed.
It can be hard to get enough dark leafy greens into your diet. A great way to do this is to mix them into a smoothie in the morning! It can add a refreshing taste as well as provide your body with another serving of nutrients!
There are so many foods one can eat to help boost their gut health. The Gut is often overlooked as many people are not fully aware of how much control it has over the body. By increasing or adding some of these foods into your diet daily, the healthy bacteria in your gut will become more nourished.
Increasing fiber, healthy fats, dark leafy greens, and fermented foods will not only provide your gut with healthy bacteria, but it will also keep the bacteria in the gut “full” and not die off from lack of nutrition. Another word for this is prebiotics. Essentially, the food that feeds the probiotics. In addition to these foods, a probiotic supplement will also aid in optimal gut health. Gut health is so important and should never be overlooked. It’s never too late to start paying attention to your gut! – Kenna Vaughn, Senior Health Coach
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:
Hill, Ansley. �16 Superfoods That Are Worthy of the Title.� Healthline, 9 July 2018, www.healthline.com/nutrition/true-superfoods.
Lee, Linda. �5 Foods to Improve Your Digestion.� Johns Hopkins Medicine, 2019, www.hopkinsmedicine.org/health/wellness-and-prevention/5-foods-to-improve-your-digestion.
Link, Rachael. �8 Fermented Foods to Boost Digestion and Health.� Healthline, 18 Oct. 2017, www.healthline.com/nutrition/8-fermented-foods.
Do you have difficulty digesting protein-rich foods? Do you have difficulty digesting starch-rich foods? Do you have difficulty digesting fatty or greasy foods? Do you experience abdominal distention after meals? Do you have abdominal pain and inflammation? If so, you may be having SIBO symptoms. �
Small intestinal bacterial overgrowth (SIBO) is a gastrointestinal (GI) tract health issue that can become a persistent problem if it’s not managed accordingly, especially if it’s ultimately left untreated. For many people suffering from chronic gas, bloating, constipation, and/or diarrhea, they may have also already had a diagnosis of irritable bowel syndrome (IBS). However, research studies have shown that one of the main causes of IBS may be SIBO. �
SIBO is a digestive health issue where there are too many bacteria in the small intestine. Bacterial overgrowth can also cause IBS. Although there are many treatment options for SIBO, one of the most important treatments for SIBO is doing everything we can to help keep SIBO from coming back. The purpose of the following article is to discuss how understanding the migrating motor complex (MMC) can help treat small intestinal bacterial overgrowth (SIBO). �
What is the Migrating Motor Complex?
The migrating motor complex (MMC) refers to the collection of electrical waves that occur in the gut. The MMC helps regulate several important functions of the gut, such as sweeping out the stuff we no longer need in there and moving it down to the colon where it can then be excreted by the human body. �
Phases of the Migrating Motor Complex
The MMC is how the digestive system eliminates waste from the human body. The MMC cycle includes four phases, including:� �
The first phase is a period of calmness that lasts 45 to 60 minutes where rare action potentials and contractions occur.
The second phase is a period of about 30 minutes where peristaltic contractions occur and gradually increase in frequency. Peristalsis starts in the stomach and continues throughout the small intestine.
The third phase lasts 5 to 15 minutes and it’s made-up of rapid, evenly spaced out peristaltic contractions. The pylorus stays open during these peristaltic contractions which allow many indigestible materials to pass into the small intestine.
The fourth and final phase is a period of transition between the contractions from the third phase and the inactivity from the first phase.
Gastric, biliary, and pancreatic secretion increases during the MMC to further with the digestion process as well as to help decrease bacteria in the gastrointestinal (GI) tract. Healthcare professionals believe that motilin, the enteric hormone, regulates the MMC. Because eating food can interrupt the MMC, fasting between meals is important to help complete the four phases. Moreover, the well-known �growling” sounds you generally hear when you are hungry may be the migrating motor complex performing its job functions accordingly, such as cleaning your bowels of waste and excessive bacteria. �
Migrating Motor Complex (MMC) Health Issues
If the migrating motor complex (MMC) isn’t working properly, the foods we consume may ultimately remain in the stomach and small intestine longer than what is generally considered to be healthy, which can make us feel a heaviness after eating or it can make us feel too-full, even if you’ve only had a small meal. Furthermore, a slow MMC can also cause bacteria to stay in the gastrointestinal (GI) tract for too long, which can also lead to SIBO. � Approximately 70 percent of people with SIBO also have MMC health issues. Research studies have shown that reduced MMC function may be associated with excess methane and/or hydrogen gasses produced by the excess bacteria in the gut. SIBO can also increase inflammation and intestinal permeability. �
Other research studies have shown that utilizing acid-reducing medications or an H. pylori infection can affect MMC function. Lack of exercise, grazing, and constipation can also affect MMC. Stress can also affect MMC function. Finally, thyroid problems and adrenal fatigue can also affect MMC function. �
Research studies have shown that people with IBS can frequently have decreased MMC function although researchers still don’t understand how these changes occur. Several researchers believe that food poisoning and other bacterial infections can affect the gut microbiome which then changes how the gut microbiome signals the MMC to start and stop. Eating inflammatory foods or foods that you�re sensitive and/or allergic to can also cause nerve damage in the gut. Subsequently, these damaged nerves then can�t properly signal the MMC to function accordingly, leading to SIBO and other health issues. �
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. In addition, research studies have demonstrated that poor migrating motor complex (MMC) function, or the collection of electrical waves that help regulate several important functions of the gut, can ultimately cause SIBO and other digestive system health issues if left untreated. 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
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 have difficulty digesting protein-rich foods? Do you have difficulty digesting starch-rich foods? Do you have difficulty digesting fatty or greasy foods? Do you experience abdominal distention after meals? Do you have abdominal pain and inflammation? If so, you may be having SIBO symptoms. �
Small intestinal bacterial overgrowth (SIBO) is a gastrointestinal (GI) tract health issue that can become a persistent problem if it’s not managed accordingly, especially if it’s ultimately left untreated. For many people suffering from chronic gas, bloating, constipation, and/or diarrhea, they may have also already had a diagnosis of irritable bowel syndrome (IBS). However, research studies have shown that one of the main causes of IBS may be SIBO. �
SIBO is a digestive health issue where there are too many bacteria in the small intestine. Bacterial overgrowth can also cause IBS. Although there are many treatment options for SIBO, one of the most important treatments for SIBO is doing everything we can to help keep SIBO from coming back. The purpose of the article above was to discuss how understanding the migrating motor complex (MMC) can help treat small intestinal bacterial overgrowth (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:
Albina, Victoria. �SIBO Begone: 5 Easy Ways to Keep Your SIBO From Coming Back.� Victoria Albina, Victoria Albina, 26 Mar. 2019, victoriaalbina.com/sibo/.
Brisson, John. �Migrating Motor Complex (MMC) and Digestive Health.� Fix Your Gut, Fix Your Gut, 13 Dec. 2014, www.fixyourgut.com/mmc-digestive-health/.
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)
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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 most individuals experiencing symptoms,� health care providers will run a few tests. For the most part, these tests come back normal or inconclusive. The patient is usually relieved, but not satisfied as they are still experiencing symptoms. The truth of the matter is, most tests practitioners run on patients are basic.
What Does That Mean?
It means that they are checking your levels and ruling out issues based on standard testing, but they are not diving deep into the cause of the symptom itself. Most individuals have a family history of one or more autoimmune diseases. An autoimmune disease is when the body misidentifies its own cells as a foreign body leading them to attack. These diseases can be triggered at any point in one’s life.
So What Do I Do Now?
Due to family history,� an ANA test can be run. Most of the time for patients still experiencing symptoms after the standard tests came back negative, the ANA comes back positive. However, a positive test does not always mean answers. This test can provide useful information but does not include a definitive answer as to what kind of autoimmunity a patient may have.
Using A Functional Approach
In modern/traditional medicine, most practitioners will suggest the patient is fine and that there is nothing to treat until they have been diagnosed. However, by using a more naturopathic and holistic approach, integrative practitioners can take these symptoms and use them to the patient’s advantage to help avoid a full-blown diagnosis.� The main reason this is effective is due to the fact that individuals do not just wake up one day with a new disease, but rather there are steps progressing in the background that eventually build up to a diagnosis if not treated.
Uncovering the underlying issue and using this stage in someone’s life as an opportunity to improve their quality of living is what functional medicine revolves around. By combining symptoms, previous lab results, and the patients declining quality of life, testing that relates to triggers of autoimmunity can be conducted. These tests will provide insightful information allowing the practitioner to not only treat the symptom but more importantly, to treat the cause.
Testing
There are multiple factors, including environmental that cause an autoimmune response to start to express. There are certain markers in the body that will shift before the onset of the autoimmune disease in which the environmental triggers will be shown.
Many labs are equipt to test for these markers and use top of the line technology. Some tests that evaluate these triggers that contribute to the progression of autoimmunity are:
The Gut Zoomerfrom Vibrant Wellness:The Gut Zoomer provides information and patient potential risks for intestinal permeability, IBS & IBD, SIBO, celiac, MS, obesity, diabetes, nutrition, viruses, fungal or yeast species, worm species, bile acids, SCFAs and more
The Food Sensitivity Panel from Vibrant Wellness:This test from Vibrant Wellness recognizes the specific antibody-to-antigen responses in commonly ingested foods. This panel tests for IgG and IgA sensitivity to the food antigens. This test is beneficial so patients do not have to an elimination diet, but rather have the test remove the guesswork and let results tell them what foods cause their body inflammation.
Dietary Antigen Test Plus from Dunwoody Labs:��This specific test from Dunwoody Labs allows the health care provider to see if there is an increased antibody response to food. Often times, the antibodies this screens for attack the body’s tissue leading to more autoimmune symptoms. This test looks at 4 separate antibody types IgE, IgG4, Total IgG, IgA, and complement.
Oxidative Stress Test from Dunwoody Labs:If the body is under large amounts of stress, this will cause an increase in the activity of T-Cells, thus keeping the body out of balance.
GI Microbial Assay Plus (GI-MAP� ) from Diagnostic Solutions: This is a stool test that not only analyzes but also evaluates the DNA of the actual organisms that are living in the gut. This allows the health care providers to see what is impacting health such as, mucus metabolism, methane production, T-Cells, and inflammatory LPS.�
Why Would I Want / Need This?
Preventative medicine provides the ability to keep up with, if not improve a patient’s quality of life while decreasing or avoiding the hard prescription medicine! By treating the underlying cause and not just masking the symptom, it allows individuals to truly feel better.
The number of individuals diagnosed with a disease that could have been prevented should earlier steps have been taken, is on the rise while their quality of life is declining. Feeling good should not be a delicacy, but rather a normal standard. With the use of integrative medicine, many grandparents will be able to play hide and seek and tag with their grandchildren, parents will be able to get through the day without as much fatigue and headaches, and children will be able to play, focus, and learn with fewer belly aches no matter the hour of the day. Integrative medicine not only utilizes tests to guide patients in the right direction but also gives patients tools and further educates them on exercise and nutrition components that will help prevent inflammation and stimulate good bacteria in their bodies to grow. – Kenna Vaughn, Senior Health Coach
*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.
Resources:
�Basic Oxidative Stress.� Dunwoody Labs, 20 July 2018, www.dunwoodylabs.com/index.php/ox-stress/.
Burdette, Cheryl. �Is There Such Thing as Being Pre-Autoimmune.� 3 Dec. 2019.
�588 Dietary Antigen A, G, E, and C.� Dunwoody Labs, 17 Jan. 2019, www.dunwoodylabs.com/index.php/dietary-antigen-and-environmental-allergen-exposure-profiles/.
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. �
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