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	Comments on: IBS, Probiotics, Gut Microbiome	</title>
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	<link>https://blog.katescarlata.com/2014/10/27/probiotics/</link>
	<description>Kate Scarlata RD</description>
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		<title>
		By: Karen		</title>
		<link>https://blog.katescarlata.com/2014/10/27/probiotics/#comment-1557110</link>

		<dc:creator><![CDATA[Karen]]></dc:creator>
		<pubDate>Fri, 02 Jan 2015 19:59:39 +0000</pubDate>
		<guid isPermaLink="false">https://blog.katescarlata.com/?p=7174#comment-1557110</guid>

					<description><![CDATA[Do you know of any that are both Fodmap free and vegan?Thanks!]]></description>
			<content:encoded><![CDATA[<p>Do you know of any that are both Fodmap free and vegan?Thanks!</p>
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		<title>
		By: Wren		</title>
		<link>https://blog.katescarlata.com/2014/10/27/probiotics/#comment-1556864</link>

		<dc:creator><![CDATA[Wren]]></dc:creator>
		<pubDate>Tue, 11 Nov 2014 01:51:57 +0000</pubDate>
		<guid isPermaLink="false">https://blog.katescarlata.com/?p=7174#comment-1556864</guid>

					<description><![CDATA[What about Saccharomyces boulardii?]]></description>
			<content:encoded><![CDATA[<p>What about Saccharomyces boulardii?</p>
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		<title>
		By: katescarlata		</title>
		<link>https://blog.katescarlata.com/2014/10/27/probiotics/#comment-1556838</link>

		<dc:creator><![CDATA[katescarlata]]></dc:creator>
		<pubDate>Fri, 07 Nov 2014 22:36:25 +0000</pubDate>
		<guid isPermaLink="false">https://blog.katescarlata.com/?p=7174#comment-1556838</guid>

					<description><![CDATA[In reply to &lt;a href=&quot;https://blog.katescarlata.com/2014/10/27/probiotics/#comment-1556837&quot;&gt;suzanne&lt;/a&gt;.

Hi Suzanne,  Typically my clients tend to wait a bit longer--maybe 6-8 weeks or sometimes ONLY if symptoms do not feel fully back to baseline.]]></description>
			<content:encoded><![CDATA[<p>In reply to <a href="https://blog.katescarlata.com/2014/10/27/probiotics/#comment-1556837">suzanne</a>.</p>
<p>Hi Suzanne,  Typically my clients tend to wait a bit longer&#8211;maybe 6-8 weeks or sometimes ONLY if symptoms do not feel fully back to baseline.</p>
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		<title>
		By: suzanne		</title>
		<link>https://blog.katescarlata.com/2014/10/27/probiotics/#comment-1556837</link>

		<dc:creator><![CDATA[suzanne]]></dc:creator>
		<pubDate>Fri, 07 Nov 2014 21:53:01 +0000</pubDate>
		<guid isPermaLink="false">https://blog.katescarlata.com/?p=7174#comment-1556837</guid>

					<description><![CDATA[Hi Kate After taking Rifaxamin is it ok to re test for SIBO after two weeks, this is what my holistic doctor has recommended . Many Thanks Suzanne.]]></description>
			<content:encoded><![CDATA[<p>Hi Kate After taking Rifaxamin is it ok to re test for SIBO after two weeks, this is what my holistic doctor has recommended . Many Thanks Suzanne.</p>
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		<title>
		By: katescarlata		</title>
		<link>https://blog.katescarlata.com/2014/10/27/probiotics/#comment-1512037</link>

		<dc:creator><![CDATA[katescarlata]]></dc:creator>
		<pubDate>Sat, 01 Nov 2014 20:14:54 +0000</pubDate>
		<guid isPermaLink="false">https://blog.katescarlata.com/?p=7174#comment-1512037</guid>

					<description><![CDATA[In reply to &lt;a href=&quot;https://blog.katescarlata.com/2014/10/27/probiotics/#comment-1478497&quot;&gt;tomasz&lt;/a&gt;.

Tomasz, I understand your frustration! The science in the area of IBS and the gut microbiome is relatively new--and it&#039;s not a one size fits all approach.  There are many factors that play a role in each person&#039;s IBS disorder.  SO...the reality is...WE don&#039;t have all the answers yet! The science hasn&#039;t caught up to where we all would like it to be but we are on our way....  Typically when I see an IBS client--I am looking for the many factors that play a role in their symptoms. Most of my clients have multiple issues occurring simultaneously. Gut micro biome alterations--a colonic dysbiosis and/ or SIBO, pelvic floor dysfunction, bile acid diarrhea, fat malabsorption, digestive enzyme deficiencies, motility problem, insufficient acid production, overlapping autoimmune disorder....each patient has their own set of issues. Some of these presenting problems can be addressed and managed with diet and/or medications or physical therapy/biofeedback.... EVERYONE is a bit different---and therefore, needs an individual approach.  A certain probiotic may work better for symptoms related to IBS-D but not all patients w/ IBS-D will benefit from it--because not everyone w/ IBS-D has the same cause and the same set of problems. It&#039;s complicated. Working with a doctor that enjoys the work of being a detective and help figure out the cascade of reasons for your symptoms---and understanding how to treat them--is key.  And of course, working with a dietitian that understands digestion is equally important.]]></description>
			<content:encoded><![CDATA[<p>In reply to <a href="https://blog.katescarlata.com/2014/10/27/probiotics/#comment-1478497">tomasz</a>.</p>
<p>Tomasz, I understand your frustration! The science in the area of IBS and the gut microbiome is relatively new&#8211;and it&#8217;s not a one size fits all approach.  There are many factors that play a role in each person&#8217;s IBS disorder.  SO&#8230;the reality is&#8230;WE don&#8217;t have all the answers yet! The science hasn&#8217;t caught up to where we all would like it to be but we are on our way&#8230;.  Typically when I see an IBS client&#8211;I am looking for the many factors that play a role in their symptoms. Most of my clients have multiple issues occurring simultaneously. Gut micro biome alterations&#8211;a colonic dysbiosis and/ or SIBO, pelvic floor dysfunction, bile acid diarrhea, fat malabsorption, digestive enzyme deficiencies, motility problem, insufficient acid production, overlapping autoimmune disorder&#8230;.each patient has their own set of issues. Some of these presenting problems can be addressed and managed with diet and/or medications or physical therapy/biofeedback&#8230;. EVERYONE is a bit different&#8212;and therefore, needs an individual approach.  A certain probiotic may work better for symptoms related to IBS-D but not all patients w/ IBS-D will benefit from it&#8211;because not everyone w/ IBS-D has the same cause and the same set of problems. It&#8217;s complicated. Working with a doctor that enjoys the work of being a detective and help figure out the cascade of reasons for your symptoms&#8212;and understanding how to treat them&#8211;is key.  And of course, working with a dietitian that understands digestion is equally important.</p>
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		<title>
		By: dkaj		</title>
		<link>https://blog.katescarlata.com/2014/10/27/probiotics/#comment-1510734</link>

		<dc:creator><![CDATA[dkaj]]></dc:creator>
		<pubDate>Sat, 01 Nov 2014 17:54:21 +0000</pubDate>
		<guid isPermaLink="false">https://blog.katescarlata.com/?p=7174#comment-1510734</guid>

					<description><![CDATA[Kate, I think it would be interesting if they opened up their research to not only dairy farmers but all farm families.   I grew up on a farm, and did not have any environmental allergies that I remember.   Same with my Dad.  As soon as he retired from farming, and moved to the city, he developed environmental allergies at age 65.  And, we were outside all the time between planting season and harvest time.      If a person looks at the countryside of rural farming communities, each farm will have tree lines around their farm houses to provide a wind barrier, but then you have miles and miles of open country side.   In the city, their are multiple trees in almost every single person&#039;s lot.  Where we live, river birch trees are very very popular, which is one of the trees people tend to have cross contamination issues with also when it comes to fruits.    I only remember one of my friends having environmental allergy issues when I was growing up, now in the city, it seems like almost everyone I know is having enviromental allergy issues, and many kids have inhalers due to allergy induced asthma.]]></description>
			<content:encoded><![CDATA[<p>Kate, I think it would be interesting if they opened up their research to not only dairy farmers but all farm families.   I grew up on a farm, and did not have any environmental allergies that I remember.   Same with my Dad.  As soon as he retired from farming, and moved to the city, he developed environmental allergies at age 65.  And, we were outside all the time between planting season and harvest time.      If a person looks at the countryside of rural farming communities, each farm will have tree lines around their farm houses to provide a wind barrier, but then you have miles and miles of open country side.   In the city, their are multiple trees in almost every single person&#8217;s lot.  Where we live, river birch trees are very very popular, which is one of the trees people tend to have cross contamination issues with also when it comes to fruits.    I only remember one of my friends having environmental allergy issues when I was growing up, now in the city, it seems like almost everyone I know is having enviromental allergy issues, and many kids have inhalers due to allergy induced asthma.</p>
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		<title>
		By: Marissa		</title>
		<link>https://blog.katescarlata.com/2014/10/27/probiotics/#comment-1488020</link>

		<dc:creator><![CDATA[Marissa]]></dc:creator>
		<pubDate>Thu, 30 Oct 2014 20:59:19 +0000</pubDate>
		<guid isPermaLink="false">https://blog.katescarlata.com/?p=7174#comment-1488020</guid>

					<description><![CDATA[Great summary. Thank you!]]></description>
			<content:encoded><![CDATA[<p>Great summary. Thank you!</p>
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		<title>
		By: tomasz		</title>
		<link>https://blog.katescarlata.com/2014/10/27/probiotics/#comment-1478497</link>

		<dc:creator><![CDATA[tomasz]]></dc:creator>
		<pubDate>Thu, 30 Oct 2014 03:49:41 +0000</pubDate>
		<guid isPermaLink="false">https://blog.katescarlata.com/?p=7174#comment-1478497</guid>

					<description><![CDATA[The articles are great but I agree I have gone to a handful of doctors and they don&#039;t have answers. Unfortunately they give the same responses: probiotics may work for you or cut certain foods out. Perhaps a generic guideline of probiotics for the two main groups would be great. Then we would have something to bring to our doctors as well. Even A nutritionist was giving me useless advice that I already knew. Unfortunate. This blog/site has helped me so much at least if not have answers give me some leads.]]></description>
			<content:encoded><![CDATA[<p>The articles are great but I agree I have gone to a handful of doctors and they don&#8217;t have answers. Unfortunately they give the same responses: probiotics may work for you or cut certain foods out. Perhaps a generic guideline of probiotics for the two main groups would be great. Then we would have something to bring to our doctors as well. Even A nutritionist was giving me useless advice that I already knew. Unfortunate. This blog/site has helped me so much at least if not have answers give me some leads.</p>
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		<title>
		By: suzanne		</title>
		<link>https://blog.katescarlata.com/2014/10/27/probiotics/#comment-1478088</link>

		<dc:creator><![CDATA[suzanne]]></dc:creator>
		<pubDate>Thu, 30 Oct 2014 03:12:52 +0000</pubDate>
		<guid isPermaLink="false">https://blog.katescarlata.com/?p=7174#comment-1478088</guid>

					<description><![CDATA[Kate, Its quite a concern to know that the different strains of probiotics even have sub groups, just when you think you know about something…. you don&#039;t!  I will talk to my Holistic Doctor about this when i have completed my course, Im on day 8 of Rifaxamin today …. pleased to say the side effects eased up nicely after the first 3 days, i presumed i had die off/ Herx reaction as the side effects were pretty bad for a while!  Joyce I am in Australia so cannot help you with  good Holistic Doctor there, only to say keep searching until you find the right one , also, you can have Skype consultations these days.]]></description>
			<content:encoded><![CDATA[<p>Kate, Its quite a concern to know that the different strains of probiotics even have sub groups, just when you think you know about something…. you don&#8217;t!  I will talk to my Holistic Doctor about this when i have completed my course, Im on day 8 of Rifaxamin today …. pleased to say the side effects eased up nicely after the first 3 days, i presumed i had die off/ Herx reaction as the side effects were pretty bad for a while!  Joyce I am in Australia so cannot help you with  good Holistic Doctor there, only to say keep searching until you find the right one , also, you can have Skype consultations these days.</p>
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		<title>
		By: Beth		</title>
		<link>https://blog.katescarlata.com/2014/10/27/probiotics/#comment-1476062</link>

		<dc:creator><![CDATA[Beth]]></dc:creator>
		<pubDate>Wed, 29 Oct 2014 23:49:41 +0000</pubDate>
		<guid isPermaLink="false">https://blog.katescarlata.com/?p=7174#comment-1476062</guid>

					<description><![CDATA[In reply to &lt;a href=&quot;https://blog.katescarlata.com/2014/10/27/probiotics/#comment-1472335&quot;&gt;Lisa&lt;/a&gt;.

Lisa, where did you find the information, exactly, to choose specific probiotics for your specific symptoms? Would love some direction that I am missing. Thanks so much. would be greatly appreciated.]]></description>
			<content:encoded><![CDATA[<p>In reply to <a href="https://blog.katescarlata.com/2014/10/27/probiotics/#comment-1472335">Lisa</a>.</p>
<p>Lisa, where did you find the information, exactly, to choose specific probiotics for your specific symptoms? Would love some direction that I am missing. Thanks so much. would be greatly appreciated.</p>
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