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SIBO-friendly Low-FODMAP cake

Whether it’s a birthday, a wedding, or just a day when you want to enjoy a sweet treat… can you have your cake and have SIBO too?

With this amazing cake recipe, you can!!

SIBO expert (and patient, too!) Dr. Allison Siebecker shared this recipe with me from her personal files.

I’ve even had the pleasure of eating this cake, prepared by Dr. Siebecker.. And let me tell you, it doesn’t disappoint!

I hope you enjoy this cake recipe as much as I have for your upcoming special occasions. 

Information and Substitutions

This recipe uses coconut flour. I know what you’re thinking… “But coconut flour is HIGH FODMAP!”

Remember that the serving size is the most important factor when it comes to what foods are and aren’t tolerated on a SIBO diet.

According to Dr. Siebecker’s SIBO-specific food guide, a ¼ cup serving of coconut flour is low-FODMAP and a “green food.”

This recipe calls for a total of ½ cup coconut flour… which means as long as you don’t eat the entire cake in one sitting, it will be low-FODMAP. 

For most people with SIBO, coconut flour is tolerated in servings of ¼ cup or less at a time. 

Because it is highly absorbent, you can’t easily substitute other flours – like almond or gluten-free flour blends – for the coconut flour in this recipe. If you don’t tolerate coconut flour, this recipe might not be right for you. 

One last thing… flax eggs or other egg substitutions haven’t been tested. If you try out an egg substitute, let us know how your cake turns out in the comments!

SIBO-Friendly Vanilla Cake (Low-FODMAP, Gluten Free)

Shared by Dr. Allison Siebecker, adapted from Elana’s Pantry


½ cup coconut flour, sifted 

½ teaspoon celtic sea salt 

¼ teaspoon baking soda 

6 large eggs 

½ cup grapeseed oil 

½ cup clover honey or maple syrup 

1 tablespoon vanilla extract 


In a medium bowl, combine coconut flour, salt and baking soda.

In a small bowl, blend together eggs, grapeseed oil, honey or maple syrup, and vanilla.

Mix wet ingredients into dry and blend with a mixer or hand blender until smooth.

Pour batter into lined or well-oiled muffin pan or 8-inch cake pan.

Bake at 350°F for 20 minutes or until a toothpick inserted comes out clean.

Cool completely before topping with chocolate frosting (recipe to follow).

SIBO-Friendly Rich and Creamy Chocolate Frosting

Shared by Dr. Allison Siebecker


  • 1 oz Baker’s unsweetened chocolate (previously 1 square, now 4 squares) 
  • ½ cup butter 
  • ½ cup clover honey 
  • ½ cup unsweetened cocoa powder (such as Ghirardelli or Droste) 
  • 1 tablespoon vanilla 


Melt unsweetened chocolate square and butter in a double boiler or in the microwave on low 

Allow to cool for 15 minutes, then transfer to a mixing bowl. Add the honey, cocoa and vanilla and beat until fluffy (using an electric beater or mixer). 

Notes: cooling chocolate and butter before proceeding prevents honey from dropping to bottom. 


I know how frustrating it can be to feel like all “fun foods” are off the table because of SIBO. I hope this recipe helps bring some joy to your day.

For more of my favorite SIBO-friendly recipes, be sure to download my free cookbook HERE.

Plus, be sure to register HERE for our next upcoming FREE event: The Gut & Microbiome Rescue Summit.


Shivan Sarna Elemental Diet Michael Ruscio

As the days pass, I’ve been thinking more and more about how to make the most of the situation we are in. 

For the first time in YEARS, I have no plans on the calendar for the next month.

No dinners, no weddings, no work functions. It’s just me, my husband, and the cats for the foreseeable future. 

Which means I have NO excuse to not start the Elemental Diet. 

What does that mean? Why would I be trying a diet right now? (It isn’t about weight loss)… and why do I think it might be the perfect time for you, too? Let me explain…

What Is An Elemental Diet?

The Elemental Diet is the only diet that can actually resolve SIBO completely, and it’s one of the most effective treatments we have available. Elemental diets starve bacterial and fungal overgrowths. They’re easy to digest, giving your gut a chance to rest and repair. And they reduce exposure to irritants.⠀

The Elemental diet is an all-liquid diet that can help repair the gut, kill bacterial overgrowth, and reduce inflammation. On the Elemental diet, you’ll drink a specially formulated blend of nutrients to get your daily calorie needs met. 

This isn’t a regular protein powder, though: the proteins in the Elemental diet are broken down into the most elemental form – amino acids. The carbohydrates in the Elemental diet are fully digested, and so it essentially contains no fiber which can be very helpful for sensitive guts.

I think of it as eating all your nutrients “pre-digested” to both completely eradicate bacteria (which feast on undigested carbs) and give your gut a much-needed break. 

3 Ways To Use The Elemental Diet 

There are 3 ways to use the Elemental Diet:

#1 Gut Friendly Meal Replacement

You can use the Elemental Diet to replace any meal with highly digestible nutrients and give the gut a break. If you’ve been looking for SIBO-friendly protein powder or meal replacement shake, this is it! 

Use as a gut-healing meal replacement shake. Elemental Heal can be safely used long term to replace 1-2 meals per day. It’s a complete meal replacement but also predigested, giving your gut a chance to rest and heal.

#2 Gut Reset: 2-4 Days 

This is an easy way to stop a flare of gut symptoms and give your gut a rest. Suggested use is to replace all meals and snacks with Elemental Diet for 2-4 days. 

#3 SIBO Healing: 1-3 Weeks

When used for 1-3 weeks, the Elemental Diet can resolve even stubborn SIBO cases. Suggested use is 1-3 weeks of replacing all meals and snacks with Elemental Diet. 

Why Now Is A Great Time For The Elemental Diet

If you decide to use the Elemental Diet as a SIBO treatment, the hardest thing about following it for  most people is fitting it into a busy schedule. 

Right now, many of us have clear schedules… which can make 1-3 weeks on the Elemental Diet perhaps feasible for the first time ever.

Even if you don’t want to commit to a full Elemental Diet, having it on hand right now makes sense. It’s a simple meal replacement that won’t flare up symptoms and make you feel worse. 

I’ve seen several people posting in the facebook group about struggling to find SIBO-friendly foods right now… having the Elemental Diet on hand means you always have something SIBO safe ready to eat.

Choosing The Right Formula For You 

Until recently, there were two options for the Elemental Diet:

  • Prescription mixes (require a doctor’s order and many taste disgusting)
  • Homemade recipes (require specific ingredients and a lot of prep work)

Luckily, SIBO expert Dr. Michael Ruscio has now developed a third option for all of us: Elemental Heal.

Elemental Heal is by far the best tasting and easiest elemental diet option… it’s a powder (in chocolate or vanilla) that you mix with a small amount of oil and water.

It’s available without a prescription, so you can keep it on hand for meal replacements and “gut resets.”

And no matter your needs, there’s an option for you:

  • Traditional, which comes in Chocolate and Vanilla
  • Whey-free, for those who don’t tolerate whey protein
  • Low-Carb, which has just 20 grams of carbohydrates per serving

These new formulations have been in the works for months, and are finally ready to ship. I’ve been looking forward to sharing this new resource with you, and the timing couldn’t be better. 

How To Learn More & Get 15% Off

Elemental Heal Ruscio coupon

I’m taking this time to focus on my health, and there has never been a better time for the Elemental Diet than right now.

If you’re interested in joining me on the Elemental Diet, I asked Dr. Ruscio for an exclusive discount for you.  Right now, the SIBO SOS® Community can get 15% OFF all Elemental Heal (including low-carb and whey free!).

→ Check out all your options here & Use code SIBOSOS-ELEMENTALHEAL for 15% OFF

Want to learn more? Watch this Q&A with Dr. Ruscio

Low-FODMAP Expert Opinions

If you have Small Intestine Bacterial Overgrowth (SIBO) or IBS (Irritable Bowel Syndrome) you may have heard of the Low-FODMAP diet.

It’s a controversial diet plan, and for every practitioner who recommends it, there’s another who doesn’t.

Today, my goal is to share some of these opinions with you so you can make your own decision.

Here are some of the pearls I’ve gathered from deep-dive sessions with SIBO experts over the past 12 months.

Dr.Sheila Dean, DSc, RDN: This Is The Low-FODMAP Diet

Dr. Sheila Dean: “First, let me say that there’s a lot of different approaches to gut health. The FODMAP approach, or the low FODMAP diet approach is a very popular approach just because there’s so much empirical data. There’s so many testimonials to the fact that it works. There’s just so many people that testify to the fact that they do well with fairly limited research.

FODMAP is an acronym. It’s not food map, it is really FODMAP. An acronym that stands for—get ready—fermentable O for oligosaccharides, D for disaccharides…

Disaccharides are basically two sugars—the word di-, the prefix di-, and then the saccharide refers to sugar. When you stick two sugars together, we call that a disaccharides. You might see that in things like milk sugar. Milk sugar is a disaccharide like lactose.

We’ve got, let’s see, fermentable oligasaccharides, disaccharides, M for monosaccharide (which is just “one sugar”), and then P for polyols.

Polyols will be things like sorbitol or manitol (which more people might be a little bit familiar with—you know, you see these things in like sugar-free gum or sugar-free mints and even in some medications where they’re trying to avoid the use of regular sugar or even corn syrup).

When you put that together, F-O-D-M-A-P, FODMAP, that’s how you get the acronym.

A low FODMAP is a 2 to 6 weeks elimination diet, the goal is to remove foods that are considered high FODMAP to assess whether these foods are actually problematic for the person with this altered gut problem like IBS.”

Angela Pifer, Nutritionist: Eating FODMAPs Doesn’t Make SIBO Worse

Angela Pifer: “I think the problem is that, anytime people eat FODMAPs and see a reaction, especially with SIBO, they think SIBO is getting worse. “

Shivan Sarna:  “It’s a reasonable assumption.”

Angela Pifer: “It is… but the symptoms are affected, SIBO is not getting worse.  On the studies that we look at, three weeks or four weeks, six weeks on a high FODMAP diet, methane does not get worse and hydrogen doesn’t go up. So it’s just the symptoms [that get worse].

The fear is that SIBO is getting worse. They’re going to keep restricting and restricting.

At the SIBO Symposium this year, they had a lovely nutrition track . Half that track was around anxiety around food, fear around food, and eating disorders. I’m not saying that everyone that’s on a FODMAP diet has an eating disorder by any means. When you put somebody on that restrictive of a diet, and they get on that for a long period of time, there’s going to be food fear.   It’s going to be disordered eating to a degree because of all of the anxiety being bred.”       

Dr. Mark Pimentel, MD: “The Low-FODMAP Diet is Unhealthy”

Dr. Mark Pimentel: “The low FODMAP diet is unhealthy. Now, some of your viewers may not like me saying that. But even those who purport the low FODMAP diet or discover the low FODMAP diet recognize that you have to have a reintroduction phase because it’s going to hurt people over time potentially.

This was presented at the American College of Gastroenterology about a month and a half ago where they showed the people who were sustained on a low FODMAP diet for more than three months started to have measurable nutritional deficiencies.

You can’t stay on low FODMAP forever, period.”

Dr. Michael Ruscio, DC: Don’t Be Scared of Low-FODMAP

Dr. Michael Ruscio: “We learn about how gut bacteria are important, how important it is to feed your gut bacteria and have high levels of diversity.

While all that is true, sometimes, what ends up happening is people hear about the low FODMAP diet and how the low FODMAP diet can starve bacteria, and then they get scared that I shouldn’t go on a low FODMAP diet because it’s going to starve my gut bacteria or cause me to lose gut bacteria and they’re supposed to be so healthy. People are very confused about what to do.

To say it very simply, I would not be concerned at all—no, I shouldn’t say “at all.” I would not be very concerned about a low FODMAP diet impact on your gut microbiota. Let me outline a few reasons why that is.

One, there’s been a few studies [that] essentially found that a low FODMAP diet has the ability to help the serotonin cell density—so the number of serotonin cells that you have in the gut—become more like that of healthy controls.

They took IBS patients, put them on a low FODMAP diet, compared them to patients who were healthy, and they found that patients with IBS had lower levels of serotonin cells in the gut compared to healthy controls. The low FODMAP diet allow those numbers of serotonin cells to become more normal over time. And this is found not only in the large intestine, but also in the small intestine.

Repair Your Intestines with a Low-FODMAP Diet

You may be able to, in part, repair your intestines with a low FODMAP diet through helping to facilitate serotonin cells in your guts—serotonin cells are important for motility, which I’m sure you’ve talked a lot about in the summit—and also for nociception or for pain reception.

Quickly on motility, one of the mechanisms that may cause SIBO is your motility (or the ability of food to move through the intestines) is slowed down. If you don’t have adequate movement, food kind of sticks around, bacteria can grow (just like bacteria can grow in stagnant water, but doesn’t tend to grow in flowing water. Then, you can have SIBO.

One of the things that we see on the low FODMAP diet is a restoration of serotonin cell density which may be helpful.

Now, we don’t have any studies yet that have studied the motility effects of the low FODMAP diet. We can’t fully say that this is translated all the way through to a clinical endpoint. However, at least the initial mechanism data that we have is promising that there is reparative utility to the low FODMAP diet.     

But not only that, there’s been at least one study that has shown that leaky gut decreases on a low FODMAP diet, and as I mentioned, before another study showing a decrease in histamine on a low FODMAP diet.”

Rebecca Coomes, SIBO Chef: It’s Not Just About The Food

Rebecca Coomes: “The first mistake or challenge that I see people make and experience is thinking it’s all about food—and only about food. So rather than seeing that your diet and your nutrition is one of many components of recovering your gut health, they just focus on food because it’s one thing we can control as a SIBO patient.

What I see commonly is people get fixated on what they’re eating, or what they’re not eating, a lot of fear creeps in, trepidation around reintroduction of foods.      

I myself experienced that. Scared to come off the very restrictive SIBO diet I was on and to start eating other foods. I was terrified of things like bananas. You know, a banana isn’t a bad thing. It’s just perhaps the quantity you ate or the time that you ate it. I didn’t appreciate how what we’re eating and our tolerance to it changes as we go through the SIBO diet. What you can tolerate today doesn’t mean that’s all you will ever, ever tolerate.       

And we know that food can be delicious. It’s our life force. It’s our nourishment. If we’re stuck eating the same 5 to 10 foods for years, how can we expect our microbiome to recover and be healthy and diverse? It’s not all about the food.”

Make The Choice That’s Right For You!

As you can see, the experts don’t all agree about low-FODMAP diets

No two cases of SIBO are the same – which means we all need a customized treatment plan.

There’s no one protocol or diet that works for everyone: healing SIBO is a different path for each of us.

I believe the answer to finding the right path for YOU  lies in getting as much information from the experts as we can. Then, we can lean into our own innate wisdom to find what works for us and what doesn’t.

I created the SIBO SOS® Masterclass Summit Series to help bring you ALL the latest information on SIBO – right to your home.

Start watching, reading and listening now, click here.

Coffee and SIBO

Is there anything better than a hot cup of coffee in the morning?

I’ve always loved coffee, but I’ve often wondered: is coffee making my Small Intestine Bacterial Overgrowth (SIBO) or Irritable Bowel Syndrome (IBS) symptoms worse?

Because this is one of my #1 questions, I’ve made it a habit to ask as many expert doctors and practitioners as possible what their opinion on coffee is.

Today, I’ve rounded up a bunch of opinions on coffee and I’m sharing them with you.

Dr. Mona Morstein, ND

“On my handout it says “weak coffee is okay,” 1 cup a day.  But [do I think it’s good beyond that], no. If people are drinking coffee and they’re getting 10 ounces, 12 ounces, that is gonna work against the gut.

It’s acidic. It’s irritating. And if they have diarrhea SIBO –  coffee, caffeine stimulates peristalsis action. It drains the adrenals. It interferes with good sleep. “Oh, but, doc, I just have one cup before 9:00 in the morning!”  Yeah, well, there’s no law that says it’s detoxed [before the end of the day].

Coffee tends to wake you up at 3:00 a.m. [That is] the liver clog, the liver time on your Chinese clock. This is the time people wake up because they’re on a drug that their liver has to detox: caffeine. And then you wake up kinda wide awake, right?  

If people handle a cup or two of a weak coffee, all right. That’s fine. I don’t think a lot of it is going to be helping them in all of these different wants that we’re trying to get them to be healthier.”

Dr. Ritamarie Loscalzo, DC

“Coffee is stimulating.  A lot of people are dealing with adrenal fatigue and they drink coffee to keep them up. Yes, there’s the “Bulletproof” that’s supposed to be fungal free but most coffee that you go and get at Starbucks – there’s a lot of fungus on those beans, those funguses, the aflatoxins and other things. Not good for you. It thins the digestive lining. It actually thins out; the caffeine thins out the digestive lining.

The caffeine will stimulate phase one liver detoxification but won’t do anything for phase two.  People start to really like oh, motor up and get phase one stimulated and then phase two just lags behind. And so that’s a problem as well. I’m not a fan of coffee.”

Dr. Gary Weiner, ND

“I don’t like to generalize about that because I think a healthy body can enjoy coffee. I think coffee is a problem for many sick people. Coffee is not a healing agent for sick people.  

Why is that? Many reasons. The methylxanthine, the acids in coffee can be very difficult for a bowel. For people with SIBO, coffee is often used almost as a laxative. It stimulates that. Now that could be good to move the bacteria out if it’s constipation predominant or there’s an interruption motility to the point where the bacteria are kind of stuck in the small intestine. The coffee could be good.  

But in general, I think if consumed to excess it taxes the adrenal glands because it’s so stimulating and that can be a problem. Very reasonable use of coffee is really a great thing. Now there’s the Bulletproof Coffee, which at some protection as it were and some positive attributes to its negative ones. But I do I think it’s overused.”

Dr. Ilana Gurevich, ND

“Coffee is a tricky one. If you had asked me ten years ago I would have said it was bad, bad, bad, but now they’ve done a lot of studies on coffee. Coffee that’s organic and free trade, in moderate amounts, actually seems to be a good antioxidant and anti-inflammatory.

I am not opposed to coffee in moderate amounts. If you want caffeine, I think you’re going to get more health benefits out of green tea than you are out of coffee, but that’s because the Japanese have been researching green tea longer than the Westerns have been researching coffee. I like green tea more but I’m not opposed to coffee.”

Dr. Megan Taylor, ND

“I think [coffee] is person specific.  I think all the research out there is telling us that coffee in moderation, like alcohol, can be healthy.  There’s a lot of rich antioxidants in coffee, amongst other things.

For those reasons, I say, if you can tolerate it great.  I would say most of my SIBO patients are adrenally fatigued and coffee is that thing that keeps their adrenals boosted. They’re just trying to get through.  Our ultimate goal would be to get at what’s underneath that. Help them so that they can get off coffee, because more often than not it’s a false energy and can ultimately burn you out more.  Burn those adrenals out more.

Chemicals are used to decaffeinate coffee typically. French water processing helps to remove the caffeine in a healthful way that’s just not adding more chemicals to your cup. If you’re somebody who still wants that cup of coffee but you’re caffeine sensitivity, the decaf version is great.”

Dr. Nirala Jacobi, ND

“Coffee generally is okay. There’s a few caveats to that. And one of them is I would want that person to have organic coffee and there are some issues about mycotoxins. Mycotoxins are toxins that are released by fungi that can remain in certain foods and one of those mycotoxins is an aflatoxin in peanuts and that’s one reason we avoid peanuts besides the fact that it’s a very inflammatory substance.  

But with coffee, you know, I’m from Seattle.  We tend to line up when we see a green awning, you know. I drink a cup of coffee a day. I don’t think generally there is a problem. The caveats would be the mycotoxin if you’re sensitive to fungi.  

The other thing is if you are a very nervous person and some people that have a very poor what’s called caffeine clearance, that’s a measurement of how well your phase one detoxification works and that’s the first part of your detoxification system. If that’s a bit gummed up by all the other things that are happening, then if you’re somebody who drinks a cup of coffee in the morning and you can’t sleep at night that’s not a good thing for you.

Or if you’re somebody who works their jobs and is flogging a tired horse that’s also not such a great thing to do. Will I take it away because people are like take anything away but don’t take my coffee away.  

I’m like fine, keep the coffee. But you can’t have your milk in it. You can’t have your soy milk in it. And so yeah, you can have coffee but it’s going to be either black or it’s going to be with very boring almond milk or coconut milk.”

Dr. Tom Messinger, ND

“Coffee is a tough one because people are protective of their coffee.  What I have found for a fair amount of my patients is that they’re reacting to coffee as if it were gluten.  I’m not talking about the caffeine in the coffee that’s making them ramped up. I’m talking about the proteins in the coffee bean.

A lot of people that are gluten sensitive will react to coffee. It’s what’s known as a gluten cross reactive food. Cyrex Labs has a gluten cross reactive food panel and dairy is almost 100 percent across the board a gluten cross reactive food.  The people in their database who they know react to gluten, almost 100 percent react to dairy. Second on the list of gluten cross reactive foods is coffee.”

Experts Don’t Always Agree…

I’ve said it before… even on “simple” things, the experts rarely all agree!

What does that tell us?

Small Intestine Bacterial Overgrowth is super complex – and no two cases are the same. There’s no one protocol that works for everyone: healing SIBO is a different path for each of us.

How do we find the right path?

I believe the answer lies in getting as much information from the experts as we can. Then, we can lean into our own innate wisdom to find what works for us and what doesn’t.

I created the SIBO SOS™ Speaker Series to help bring you ALL the latest information on SIBO – right to your home.

For the rest of 2019, we have 10 expert Speaker Series Masterclass and Q&As scheduled. For a super limited time, you can buy the 2019 Speaker Series and get access to all TEN Masterclasses & Q&As for one very low price. Just $19.80 per Masterclass! 

Get the Speaker Series HERE.

Not interested in all 10? You can always buy each Speaker Series Masterclass and Q&A individually for $59.


P.S. Is coffee a friend or foe to you? I’d love to hear YOUR experience. Please leave us a comment!

P.P.S. Wondering if this applies to coffee enemas too? The short answer is no – coffee enemas are totally different than drinking coffee. I’m working on a new blog post all about coffee enemas, so if that topic interests you, keep an eye out for a new blog post very soon!

Gluten - SIBo - Leaky Gut

Should you commit to a gluten-free diet if you have SIBO?

It’s one of the most common questions we hear from the SIBO SOS™ community.  

Some practitioners think only those with Celiac Disease need to be gluten-free.

Others think gluten is evil and should be avoided by everyone – especially those with gut issues like Irritable Bowel Syndrome (IBS) or Small Intestine Bacterial Overgrowth (SIBO).

So what is the truth about gluten and SIBO?

Today, I’m going to explain Celiac Disease, non-Celiac gluten sensitivity, their connection to SIBO, and (hopefully!) empower you to make the right decision for you about gluten. This blog post is based on information I have learned from interviewing Dr. Lisa Shaver, ND. 

What Is Gluten?

Gluten is a protein found in grains like wheat, rye, barley, and spelt. It also is a common contaminant in grains that don’t naturally contain gluten, like oats. Gluten is a large molecule with two sub-molecules: gliadin and glutenin.

Many foods are naturally gluten-free – even some grains like rice, corn, and quinoa. Other foods, like oats, can be gluten-free if they are properly handled. But gluten can’t be removed from gluten-containing grains like wheat or rye. Gluten-containing grains must be avoided 100% by gluten-free people.

What Is Celiac Disease?

Celiac Disease is an autoimmune condition that causes damage to the small intestine. When someone with Celiac Disease eats gluten, their immune system reacts by damaging the small intestine.

About 40% of the population has the genes for Celiac Disease. You can have the genetic test easily with just a cheek swab. But, having the gene for Celiac doesn’t mean you necessarily have the disease. Only about 1% of the population actually has Celiac Disease.

But, about 5% of people who DO have Celiac Disease don’t have the gene for it, either.

Basically, this means having the gene for Celiac isn’t a sure way to know if you do or don’t have Celiac Disease. Instead, you need to be tested for Celiac Disease specifically using either a blood or stool test.

For a blood test to be accurate, you have to be eating gluten regularly. For the stool test, you don’t have to be currently eating gluten for the results to be accurate.

If you DO have Celiac Disease, you must stop eating gluten. You need to stay on a gluten-free diet for the rest of your life.

Beyond Celiac Disease

If only 1% of the population has Celiac Disease, does that mean only 1% of us need to avoid gluten?

It’s not quite that simple.

Doctors once believed that either you had Celiac and must avoid gluten, or you could tolerate it without any adverse symptoms. What the evidence shows, however, is that someone can have non-celiac gluten sensitivity, and that can cause a whole range of symptoms.

As mentioned earlier, gluten has two sub molecules, gliadin and glutenin. As a molecule itself it’s already very large and hard to digest for a vast majority of people.

While you may not think you have a gluten sensitivity, you really need to test for it to be sure. Cyrex is one laboratory that does offer the non-celiac gluten sensitivity panel along with the celiac panel. It may be an extra cost, but arming yourself with information could definitely be worth it, especially if your results are positive.

The Role of Gluten When It Comes to SIBO

SIBO, celiac disease and non-celiac gluten sensitivity appear to intertwine. While you may eliminate gluten, if you’re still heavily eating carbs, you may still have symptoms.

In many instances, patients who were celiacs, or who had non-celiac gluten sensitivity who eliminated gluten, may have felt great for a long time. But after eating gluten-free foods like cookies, English muffins, tortillas and gluten-free cakes, or even rice, sorghum, millet and nut flours like almond or cashew flour, found that they still had bloating and diarrhea.

If you have SIBO, indulging in a gluten-free carb-heavy diet might be the cause of a whole list of uncomfortable symptoms: burping, reflux, heartburn, abdominal pain, stomach pain, gurgling, distention, bloating, gas, diarrhea, constipation, alternating diarrhea constipation, and painful bowel movements.

This shows that it isn’t just gluten, but processed grains in general that people with SIBO really struggle with in terms of digesting them properly.

Another issue is mis-diagnosing a gluten intolerance or Celiac Disease as SIBO.

Gluten & Leaky Gut

Why doesn’t everyone with the gene for Celiac Disease actually develop the condition?

It’s because for Celiac Disease to develop, leaky gut must also be present. If you have the gene for Celiac Disease but never develop leaky gut, you will not develop Celiac Disease.

Sounds great, right?

The only problem is that leaky gut is incredibly common and can be triggered by everything from medications, to environmental toxins, to diet (yes, eating gluten!), and stress.

Should I Go Gluten Free?

Even with all we know today, there still isn’t a one-size-fits-all answer to this question.

However, there are certain steps you should take BEFORE eliminating gluten. If you eliminate gluten without testing for Celiac first, for example, you will never know if you have just a sensitivity or a potentially life-threatening autoimmune condition.

And even if you decide to go gluten-free, replacing gluten-containing foods with GF replacements may make your SIBO symptoms WORSE!

Do you have questions? Need more information about gluten, SIBO, and leaky gut?

Join Us For An All-New Masterclass with Dr. Lisa Shaver About Gluten

Introducing an all-new SIBO SOS™ Masterclass:

The Tricky Trinity

Demystifying Gluten, SIBO, & Leaky Gut

Taught by Dr. Lisa Shaver, ND

Masterclass On-Demand | Live Q&A Nov 1. At 3 PM Eastern

Dr. Shaver is a naturopathic physician, licensed acupuncturist, and holds a master’s degree in Oriental Medicine. She specializes in Celiac Disease and non-Celiac gluten sensitivity (NCGS). 

In this all-new Masterclass, Dr. Shaver will explain the way gluten impacts the digestive system, the different ways a gluten intolerance can manifest, and how gluten intolerance can interplay with Small Intestine Bacterial Overgrowth and leaky gut. 

And the best part? We’re offering a special price for this Masterclass: just $27. This information is critical to healing (and so misunderstood) so we are lowering the price to make it accessible to as many people as possible. 

Click here for more information.