New SIBO doc: Tests and Treatment Plan

In January I had my first Skype appointment with Dr. Ruscio. I had been following his work and podcasts for the past 6 months or so, after first hearing him as a guest on the Robb Wolf podcast.

Though he is a chiropractor, he specializes in thyroid and gastrointestinal disorders and is an expert in SIBO. It’s clear he stays up to date on the most current literature on GI issues and is implementing the most relevant and researched treatment techniques in his practice.

So after a month or so of wait, I finally had my appointment. Prior to it I had to fill out an extensive health history form and current symptoms questionnaires. It was clear he read through them prior to our first appointment, but I was a bit surprised as to how short the initial consult was. I suppose I thought he was going to ask more questions, but it was only about 30 minutes long (after waiting an extra ten or fifteen minutes as he was running late.)

The next appointment was the following week and he presented his review of findings and testing and treatment plan.

Here’s what went down:

He believes that many of my systemic symptoms are resulting from my GI imbalance, with which I agree. (I do think there’s something else aside from my GI issues contributing as well, but I don’t know exactly what.)

So the first plan of action was to redo the SIBO test and see the results of that. Based on my symptoms I’m pretty sure I still have SIBO, but am very interested to compare it to my prior test.

Next, I had two different stool tests to do, and h.pylori breath test and an extensive panel of blood work.

After I completed all the tests I could start the first part of the treatment plan. It has three parts: Adrenal support, female hormone support and gut support.

For the adrenals: supplemental pregnenalone and DHEA. These are hormones produced by the adrenals that are precursors to many other hormones including estrogen, progesterone and testosterone.

For female hormone support, I’m taking Phytoest and Phytoprogest. These are herbal tinctures that supposedly balance female hormones. I haven’t read enough about these herbs yet to know what science is behind them. (As a side note, they are amazing bitters so they actually help with digestion as well!)

Finally, for gut support he wanted me to start with a modified fast of sipping either bone broth or a master-cleanse type drink for a day or two or whenever my gut symptoms flare up. I tried to do this but my blood sugar crashes so hard by the afternoon I just cannot go without food for a whole day. But even modified-fasting until noon or two and eating mostly fat and protein the rest of the day does help.

After the modified fast, he wanted me to implement any parts of the Specific Carbohydrate Diet I wasn’t already doing. I was already doing most of the SCD recommendations.

Lastly, the gut supplements. A digestive enzyme with betaine HCL and ox bile, Therbiotic probiotic and a Saccharomyces boulardii probiotic.

He wants me to discontinue my other supplements unless I find them to be especially helpful, so I’m continuing to use my YST management enzyme, zinc carnosine, vitamin C, magnesium, and my sleep supplement. As well as a few other products that I use “as-needed”.

I’ve finished all of the testing an am waiting on some of the results. I’ve implemented all of the supplements except the Saccharomyces, but I’m not quite at the recommended doses for everything yet. I like to take a gradual approach when I introduce new things so I don’t overwhelm my system. I should be at the recommended dose for everything by the end of this week.

One thing I have noticed so far is a good deal less bloating and better regularity when I take the Therbiotic at night.

My next appointment with Dr. Ruscio is in 3 weeks, and we’ll go over my test results and how the treatment plan is working so far.  I’ll be sure to keep you posted.

Have any of you tried any of those supplements, or worked with Dr. Ruscio? Let me know in the comments!