#003: SIBO with Dr Nirala Jacobi


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I am joined today by Dr Nirala Jacobi, ND to discuss SIBO. Small Intestinal Bacterial Overgrowth (SIBO) has become a hot-button topic and is a relatively new label in the medical field. It has been implicated in IBS, IBD, leaky gut syndrome, autoimmune disease, skin issues and a host of other common illnesses.

On the show we discuss functional lab testing and how best to interpret them; why stool testing can’t test for SIBO and how SIBO differs from bowel dysbiosis. We talk about the different types of pathogens involved, the array of symptoms they produce and how to spot the difference. We dive into the most common causes and treatments. The involvement of the migrating motor complex (MMC),autoimmunity and how it becomes dysfunctional; and why prokinetics can be a lifesaver for many patients. Can surgery be a trigger for SIBO?

Hope you’re ready to deep-dive from a world expert on the subject…

Dr Jacobi’s Bio:

Dr. Nirala Jacobi, BHSc, ND (USA) graduated from Bastyr University in 1998 with a doctorate in naturopathic medicine. She practiced as a primary care physician in Montana for 7 years before arriving in Australia

Nirala is considered one of Australia’s leading expert in the treatment of small intestine bacterial overgrowth (SIBO), a common cause of IBS.

She organized the first Australian SIBO Summit held in Melbourne and Sydney in October 2016.

Nirala is the medical director for SIBOtest, an online testing and educational service for practitioners.  She is passionate about educating practitioners and lectures nationally and internationally about the assessment and treatment of SIBO.

She is the medical director and senior naturopathic physician at The Biome Clinic, centre for functional digestive disorders in Mullumbimby, New South Wales.

When she is not actively researching, seeing patients or lecturing, Dr Jacobi can be found enjoying the beauty of nature

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