{"version":"1.0","type":"rich","provider_name":"Acast","provider_url":"https://acast.com","height":250,"width":700,"html":"<iframe src=\"https://embed.acast.com/$/d7fa78e2-6ae6-43b1-85e6-73acad54c8ff/b447dae5-4fd8-400a-9c2a-512992878bb4?\" frameBorder=\"0\" width=\"700\" height=\"250\"></iframe>","title":"Hydrogen Sulphide SIBO with Dr Mark Pimentel | Ep. 64","thumbnail_width":200,"thumbnail_height":200,"thumbnail_url":"https://open-images.acast.com/shows/610d0dd57dad1595eb0842b4/610d0e09daec990013883f48.jpg?height=200","description":"<p>Mark Pimentel, M.D., is Professor of Medicine, Geffen School of Medicine and Associate Professor at Cedars-Sinai Medical Center in Los Angeles, California. Rebecca joined him live at Cedars-Sinai in Los Angeles to speak to him about his research into Hydrogen Sulphide SIBO.</p><p><br></p><ul><li>The difference between IBS &amp; SIBO, and what comes first?&nbsp;IBS or SIBO?</li><li>What is Hydrogen Sulphide SIBO and how is it different from Hydrogen and Methane SIBO?</li><li>How do you test for Hydrogen Sulphide SIBO? When will it be available and where?</li><li>Why a traditional SIBO breath test would show a flatline result if a patient has Hydrogen Sulphide SIBO?</li><li>Why Hydrogen can look falsely negative when Hydrogen Sulphide or Methane is present?</li><li>Why Hydrogen takes 60 minutes to be produced and longer for Methane</li><li>Why Hydrogen is not a reliable gas on SIBO breath tests</li><li>Should patients be asking for Hydrogen and Methane breath tests?</li><li>Why some people have a high baseline reading – how does this happen?</li><li>What the methanogens are (ie. M. Smithi)?&nbsp;And what produces Hydrogen and Hydrogen Sulphide?</li><li>Why and how methane slows intestinal transit time?</li><li>If methane SIBO is more likely to cause weight gain, does that mean Hydrogen SIBO is more likely to cause weight loss?&nbsp;What does it mean for Hydrogen Sulphide SIBO regarding weight?</li><li>How do you clinically handle the SIBO patient who has lost significant amounts of weight and can’t regain it? What’s your advice for SIBO patients who are gaining unwanted weight?</li><li>Can you have 1, 2 or 3 of the gases present at the same time?&nbsp;If so, what’s the correlation between the gasses?</li><li>What are the symptoms of Hydrogen Sulphide SIBO in comparison to the other types of SIBO?&nbsp;And how do the symptoms change depending on the presence of the other gases?</li><li>What are the treatments for Hydrogen Sulphide SIBO?&nbsp;Are there any treatments/supplements Hydrogen Sulphide SIBO patients should avoid?</li><li>Does the diet need to be modified any differently for Hydrogen Sulphide SIBO than the commonly used SIBO diets?</li><li>Should we be staying on a low FODMAP/SIBO diet long term?&nbsp;What are the risks if we do?&nbsp;</li><li>What do you see clinically works for your patients who don’t respond to traditional SIBO treatments (potentially multiple rounds of all currently available treatment options)?</li><li>How important is it for us to identify the underlying cause(s) of SIBO?&nbsp;What should a patient do if they can’t identify an underlying cause?</li><li>How can we test our MMC and transit time?&nbsp;How important is it to know this?</li></ul><p><br></p><p>Watch the video recording of the interview here: <a href=\"https://zoom.us/recording/play/mIOWPAiaRiQjVshBf-vs-4EPo7blkFwSIaw8v9HjBEyuvuuaPszjq8b1NzXMEJ6l\" target=\"_blank\">https://zoom.us/recording/play/mIOWPAiaRiQjVshBf-vs-4EPo7blkFwSIaw8v9HjBEyuvuuaPszjq8b1NzXMEJ6l</a></p> <p>Support this show <a target=\"_blank\" rel=\"payment\" href=\"http://supporter.acast.com/thehealthygut\">http://supporter.acast.com/thehealthygut</a>.</p> ","author_name":"Rebecca Coomes"}