Thank you Kate! While visiting family for the Holidays, I read a Readers Digest article. It was talking about LOWFODMAP and how they interviewed you for tips/etc. I told family that this described my symptoms and diet to a tee! Also, how grateful I am that you do a blog and answer many of my questions! I carted my “special” food along for our stay. It was difficult, but worth no symptoms and able to visit family and celebrate Christmas! Thanks for all you do for IBS/SIBO patients! Blessings on your 2014!

Hi Marcy, I hope you are feeling better. SIBO is NO fun….and I don’t blame you for trying to avoid its return! I will say, it’s not uncommon to require more than one round of antibiotics. I do think that many with SIBO will respond to the low FODMAP diet –but I think it is a good idea to undergo the challenge phase of the diet and assess which foods trigger your symptoms so you are not avoiding foods that your body can tolerate and digest. Unfortunately in a blog setting I can’t provide individual guidelines as I don’t have access to your medical info so I can only provide some general thoughts– I would be sure you are getting some fiber — such as chia seeds to help with constipation and moving things along. Meal spacing is a good idea –but I do tell my clients if they are very hungry –that an occasional snack during those times is okay. Personally, when I start to develop any symptoms, I go back to a strict low FODMAP diet for a couple days and that has seem to keep my SIBO at bay. I have also found (for me) and this is likely individual that the Culturelle probiotic (Health & Wellness Formula- Without inulin) helps calm my symptoms when they start….I only take the probiotic when I am symptomatic. THIS is not a research-based protocol but one I find works well for me!
You may want to check out this conference which is available via webinar about SIBO–featuring top SIBO experts! http://www.ncnm.edu/alumni-ce/continuing-education/sibo-conference.php

Thank you, that helps! Is it also misinformation that fruit should be eaten separately, I see this alot also. Would make getting some fruit in very hard!

Terry– Adjusting fat and fiber in the meal may be necessary to avoid rapid dumping of foods from the stomach into the intestine and/or too slow emptying depending on the person and their gastric emptying history. I tend to balance: carb w/ fiber, protein, produce and healthy fats with each meal–titrating it depending on my clients needs. There is much MISINFORMATION online–not sure why protein and starch combining would be an issue.

So very yummy….and my pleasure!

D’anah…it is super good. Hope you can make it and enjoy it too! 🙂