Dr. Todd LePine

And it's rifaximin plus either neomycin, which is what the double-blind study covered, or rifaximin and metronidazole. And then the third category is hydrogen sulfide. And we give rifaximin, but we give it with bismuth because bismuth is an anti, it blocks some of the synthetic functions of hydrogen sulfide in the sulfate-reducing bacteria.

And it's rifaximin plus either neomycin, which is what the double-blind study covered, or rifaximin and metronidazole. And then the third category is hydrogen sulfide. And we give rifaximin, but we give it with bismuth because bismuth is an anti, it blocks some of the synthetic functions of hydrogen sulfide in the sulfate-reducing bacteria.

And it's rifaximin plus either neomycin, which is what the double-blind study covered, or rifaximin and metronidazole. And then the third category is hydrogen sulfide. And we give rifaximin, but we give it with bismuth because bismuth is an anti, it blocks some of the synthetic functions of hydrogen sulfide in the sulfate-reducing bacteria.

Point is, the hydrogen sulfide goes down, the bacteria are reduced, and therefore the patient's normal bacteria take over and things get better more permanently in that group, it looks like.

Point is, the hydrogen sulfide goes down, the bacteria are reduced, and therefore the patient's normal bacteria take over and things get better more permanently in that group, it looks like.

Point is, the hydrogen sulfide goes down, the bacteria are reduced, and therefore the patient's normal bacteria take over and things get better more permanently in that group, it looks like.

Yeah.

Yeah.

Yeah.

We haven't sorted out or had time to sort out the different diet approaches, but I envision smarter people in diet will come up with a way. What we do now is what we call low fermentation eating. So we don't use low FODMAP in our practice because we're

We haven't sorted out or had time to sort out the different diet approaches, but I envision smarter people in diet will come up with a way. What we do now is what we call low fermentation eating. So we don't use low FODMAP in our practice because we're

We haven't sorted out or had time to sort out the different diet approaches, but I envision smarter people in diet will come up with a way. What we do now is what we call low fermentation eating. So we don't use low FODMAP in our practice because we're

you can't do it indefinitely, but low FODMAP will reduce the amount of calories you're providing to bacteria and therefore they'll ferment less and that might help. But long-term low FODMAP, hurts your microbiome and can cause nutritional deficiencies. So you can't stay on the full low FODMAP indefinitely.

you can't do it indefinitely, but low FODMAP will reduce the amount of calories you're providing to bacteria and therefore they'll ferment less and that might help. But long-term low FODMAP, hurts your microbiome and can cause nutritional deficiencies. So you can't stay on the full low FODMAP indefinitely.

you can't do it indefinitely, but low FODMAP will reduce the amount of calories you're providing to bacteria and therefore they'll ferment less and that might help. But long-term low FODMAP, hurts your microbiome and can cause nutritional deficiencies. So you can't stay on the full low FODMAP indefinitely.

Yeah, fermentable oligosaccharides, monosaccharides, et cetera. And basically it's too restrictive. But you've probably, most people have probably read about low FODMAP diet. It's very popular in the last few years. But we use what's called low fermentation eating, not as restrictive.

Yeah, fermentable oligosaccharides, monosaccharides, et cetera. And basically it's too restrictive. But you've probably, most people have probably read about low FODMAP diet. It's very popular in the last few years. But we use what's called low fermentation eating, not as restrictive.

Yeah, fermentable oligosaccharides, monosaccharides, et cetera. And basically it's too restrictive. But you've probably, most people have probably read about low FODMAP diet. It's very popular in the last few years. But we use what's called low fermentation eating, not as restrictive.

And the philosophy of that was with a low fermentation diet, you can go to any restaurant in the country and you'd find a meal. So it's, you know, you don't want to be the person at the table just because you have IBS. That spends 10 minutes with the, you know, trying to explain your dietary restrictions on a low FODMAP diet. So, you know, that's part of the reason.

And the philosophy of that was with a low fermentation diet, you can go to any restaurant in the country and you'd find a meal. So it's, you know, you don't want to be the person at the table just because you have IBS. That spends 10 minutes with the, you know, trying to explain your dietary restrictions on a low FODMAP diet. So, you know, that's part of the reason.