20 February 2018

4 Mistakes People Make On A Low FODMAP DIET| SIBO Diet

www.DrHagmeyer.com Download my free Guide on SIBO https://drhagmeyer.com/conditions/small-intestinal-bacterial-overgrowth-sibo/ Diet is an incredible ...

hi I'm dr. Hagemeyer and I want to

welcome you to this video series titled everything you want to know about Zeebo today we're gonna touch on some of the the mistakes made on a low fodmap diet and if you've been following a low fodmap diet for any amount of time you know that it can be very challenging it can be very restrictive and because it's restrictive many mistakes are often made along the way you know diet is an incredibly complex piece of the big picture and without a doubt you'll want to work with someone who understands the complexities of this diet but even if you don't have someone that you're working with right now these 4 mistakes may be the little things that you can do and fine-tune in order to get your health to the next level and begin to feel better so this is gonna be a super quick video if you have a more advanced case of IBS and SIBO make sure you check out the other videos in this series and so with that being said let's jump into the four most common mistakes that people make when it comes to diet now reason number one is you're eating a low fodmap diet at the wrong time of your SIBO treatment and what I mean by this eating low-fat diets

at the wrong time of treatment is that if you've been eating a low fodmap diet when you're trying to kill the bacteria or the fungus fungal overgrowth it might be counterproductive not always but in some cases the rationale behind this is that you want the bacteria to be active and you want them to be present and so the purpose of that is while they're active and while they're present the anti microbial only antifungal the anti yeast protocol will work its magic okay I know it might seem counterproductive and counterintuitive but if these foods are feeding the bacteria the concept of that is that they're gonna come out and they're gonna play and it's like throwing a party for them so that at that point in time you can then introduce those antimicrobials and antifungals and biofilm disruptors etc and be the most effective with them alright some people without a doubt can they can start out restricting low fat diets right or what right away they can implement these anti microbials and biofilm disruptors and they can see drastic changes right there gas comes down bloating improves diarrhea gets

better constipation gets better acid reflux gets better their skin clears up all of these things improve hydrogen and methane levels and tration of these levels they come down they improve some people especially if they've been on a severely restricted diet for a long period of time and what I mean by a long period of time usually 12 months or longer these are people that have done rounds and rounds of antibiotics their guts have been just through the wringer I find that these people do best if in the initial stages they focus on correcting many of the different dietary deficiencies that have occurred as a result of being on this restrictive diet I tend to find that they if we focus more on healing the gut in those first four to six months and not worrying so much about following a little fodmap diet these people do better all right so reason number one depends on really what a person is done before they come in and see me right I've worked with many many patients who have made themselves way worse because the only thing they've ever been doing is you know making fermented foods and making

homemade kombucha and you know more or less you know drinking bone broth day in and day out all right this is not the way to fix your gut sometimes patients make themselves worse and sometimes unfortunately patients are just in a bad way because of the medications that have been on for years or are currently taking in some cases I've done another video in the past where I talked about the medications that cause SIBO all right so if that's something you haven't seen that might be something you want to watch as well mistake number two about the diet is that you're low fodmap diet needs to be fine-tuned and it needs to be tweaked based on your individual food sensitivities right this is where you need to do testing this there's no way around this this is something that you really just can't guess about this is not something you can base on how you feel I can't begin to even tell you how many patients that I've worked with that are surprised when food sensitivity tests come back and they say geez dr. kemar I had no idea that I had you know reactions to or I was having an immune reaction to all these foods so again something to be aware of when it comes

to food we we've all heard this saying that one man's food is another man's poison and that just goes to to point out that we all have a unique blueprint we're all biologically different right and so that becomes something that's very very important and here's why we can react to foods from an immune reaction standpoint and then we can be reacting to foods because we have poor functioning in the mechanics of digestion right most people who go on a low fodmap diet or eliminating foods because the bacteria in the large intestines have found themselves and migrated up into the small intestines and now those bacteria are fermenting those foods in the wrong part of the digestive system right and that's causing the bloating and the gas the diarrhea the constipation the pain etc and this is very different than having food sensitivities or food allergies a person who has a food sensitivity or food allergy is now having an immune reaction to the foods that we're testing and we can look for reactions to those foods we can really looking at IgE reactions or IgA reactions or IgG reactions all right so

the point here is that the symptoms of a food reaction can often overlap with those symptoms of SIBO and unless you really test for these things you really don't know which one is causing the symptoms the bloating the belching to gas the diarrhea the IBS so think about it like this in the real world people don't just have SIBO right most patients have SIBO there but they're also reacting to various foods okay that show up on the allowable food list or that green list uh so to speak right and this is a huge huge mistake you could be that perfect patient following a low fodmap diet to the T but again you're reacting to these low fiber foods from an immune system standpoint alright this is why food sensitivity and even food allergy testing and even sometimes a stool test is clinically indicated alright this is something I wish more and more doctors and patients understood because it could potentially save you 12 months 24 months 36 months I can't begin to tell you how long people have been on some of these diets with no improvement and only getting worse and they were great patients I mean they were extremely compliant so again don't

let that mistake happen to you so to make a long story short if you've tested positive for SIBO the one thing I would really encourage you to do is get a food sensitivity test as well and the icing on the cake cases like this would be even testing like a stool sensitivity panel alright so again those are important parts that I always like to look at when working with a patient that either comes to me they either have SIBO or we've identified SIBO those are those are three critical critical tests all right mistake number three that we see is just plainly this is just a lack of consistency with the low fodmap diet let's just be honest here this is this is a person who's cheating they're not being consistent with the dietary choices that they should be making you go to a friend's house and you know you like what they're eating for dinner and so you give in and you eat what they're eating you go to a birthday party and you know your friends is all a little piece of cake isn't gonna hurt you right or you go to a friend's house and you know you're having a few drinks I think you get the idea here the point is is

you cannot do this if you're serious about your health you have to follow as low fodmap diet with consistency and many times with self-control there's no doubt but this takes self-control you have to divorce yourself from the mindset that food is pleasure right now I know we all like to eat and it's pleasurable it's fun it raises our serotonin levels and dopamine levels but the fact that matter is is you're eating for only one purpose and one purpose only right now and that's fueling your body for cellular repair that's it cellular repair is the key here so you're not going to respond favorably if you are not consistent with your diet right you you have to understand just how serious this is there is absolutely no room for cheating alright if you do this for eight or ten weeks and you're not feeling any better I mean there's no improvement whatsoever you're still struggling then obviously there's much more to this big picture and my recommendations is that you either contact my office or you find someone else who does what I do and will help you identify what these additional pieces are of your big picture all right

now mistake number four this is relying on a low-fat diet or an elemental diet or an SCT diet to correct the problem a low fodmap diet and an elemental diet or any other diet for that matter is only one piece of a SIBO big picture puzzle all right I'm gonna repeat that again it's only one piece of the big picture puzzle it's an adjunct it's a tool but the truth be told is you cannot correct SIBO with diet alone I see too many bloggers out there health bloggers and I see too many people in Facebook group and I see too many articles being written basically just saying you can correct SIBO with diet alone and I promise you that cannot happen okay but I'll also say this is that you can't get rid of SIBO if you think you're just gonna pop some pills or some medications without making those dietary changes I promise you if you do that I hate to say this but I promise you you're gonna relapse in six to eight weeks okay people often think that just because they have SIBO they can follow a low fodmap diet that they download off the internet follow it for a month or two and then feel better and then their problem is fixed okay if you're thinking

like this again I want you to look at this picture here and what you see here as you see and I've used this in past videos the SIBO is really just the tip of the iceberg this is your diagnosis and everything you see below the tip this is your big picture alright this is what your doctor needs to look at also your big picture is going to be different than your Facebook friends big picture even if you both have that diagnosis of SIBO remember diagnosis tells us what you have but it doesn't tell us why you have the problem all right I suggest you watch some of the other videos in my series in this video series again everything you want to know there's a lot of advanced topics in this series that I think you'll find helpful but the point being here is that siebel can be very difficult and can be very challenging to get rid of in some cases remember that a person with SIBO may also have histamine intolerance they may have a gluten sensitivity so that means if you're eating those fermented foods and that kombucha because you read somewhere that these are gut healing foods and you have a histamine intolerance you're only making yourself

worse if you have a gluten sensitivity this is another scenario where there absolutely can be no cheating in all of these conditions whether it's histamine intolerance gluten sensitivity or even if you're reacting to foods that we call gluten bitter that are foods that are similar in structure to gluten we call these gluten cross-reactive foods even if you're eating those foods these foods can still cause all of the same symptoms as SIBO a leaky gut can cause the same symptom Sasebo so consider that if you're following a low fodmap diet just isn't working like you hoped for and you wish for then consider these dietary mistakes that people make on a low-fat diet as possible culprits alright also consider all these other things that I just mentioned because these can be there can be just an absolute tremendous overlap in the symptoms and unless you test the best you're doing is guessing at all this okay so don't be discouraged by this just understand that when it comes to food there are many many possible scenarios that you or your doctor could be missing alright this is where again you should work with a doctor who understands the finer points

of SIBO but also work with a functional nutritionist who can help you with meal planning and recipes and all that other good stuff okay so that's gonna wrap up today's video I'm dr. Hagemeyer and until I see you next time take care