Dr. Todd LePine

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.

We want our IBS patients to feel as normal and as socially non-isolated as possible. And that's part of it.

We want our IBS patients to feel as normal and as socially non-isolated as possible. And that's part of it.

We want our IBS patients to feel as normal and as socially non-isolated as possible. And that's part of it.

So it's basically restricting non-digestible carbohydrates. So low fiber, no dairy, and then none of the artificial sweeteners because of course they're easily fermentable. And then spacing your meals. So you don't eat for five hours between meals because the damage of the nerves, we talked about that earlier, the damage to the nerves causes a reduction in cleaning waves of the gut.

So it's basically restricting non-digestible carbohydrates. So low fiber, no dairy, and then none of the artificial sweeteners because of course they're easily fermentable. And then spacing your meals. So you don't eat for five hours between meals because the damage of the nerves, we talked about that earlier, the damage to the nerves causes a reduction in cleaning waves of the gut.

So it's basically restricting non-digestible carbohydrates. So low fiber, no dairy, and then none of the artificial sweeteners because of course they're easily fermentable. And then spacing your meals. So you don't eat for five hours between meals because the damage of the nerves, we talked about that earlier, the damage to the nerves causes a reduction in cleaning waves of the gut.

So the cleaning waves only occur when you're not eating. So your gut is sort of like got two computer programs, eating mode, cleaning mode. If all you do all day is spend time in the break room, taking a bite of a bagel that's in the break room, you never go into cleaning mode. So in addition to the construct of what to eat, we tell you when to eat and to try and space your meals up.

So the cleaning waves only occur when you're not eating. So your gut is sort of like got two computer programs, eating mode, cleaning mode. If all you do all day is spend time in the break room, taking a bite of a bagel that's in the break room, you never go into cleaning mode. So in addition to the construct of what to eat, we tell you when to eat and to try and space your meals up.

So the cleaning waves only occur when you're not eating. So your gut is sort of like got two computer programs, eating mode, cleaning mode. If all you do all day is spend time in the break room, taking a bite of a bagel that's in the break room, you never go into cleaning mode. So in addition to the construct of what to eat, we tell you when to eat and to try and space your meals up.

Well, you know, I may be punished for saying something like this, but Everything has fiber in it now. Even Cheerios, they put fiber in it because it prevents colon cancer and it's colon health and all this stuff for 20 years. How much have we heard about colon health and fiber? A lot. What have we got now? We've got colon cancer happening in the 40s and we're doing screening colonoscopy at 45 now.

Well, you know, I may be punished for saying something like this, but Everything has fiber in it now. Even Cheerios, they put fiber in it because it prevents colon cancer and it's colon health and all this stuff for 20 years. How much have we heard about colon health and fiber? A lot. What have we got now? We've got colon cancer happening in the 40s and we're doing screening colonoscopy at 45 now.

Well, you know, I may be punished for saying something like this, but Everything has fiber in it now. Even Cheerios, they put fiber in it because it prevents colon cancer and it's colon health and all this stuff for 20 years. How much have we heard about colon health and fiber? A lot. What have we got now? We've got colon cancer happening in the 40s and we're doing screening colonoscopy at 45 now.

I'm not saying it's fiber causing that. But all the fiber we've been pounding and the cardboard we've been eating hasn't really done as much as we thought it might. So I'm a little unclear about fiber. But from the point of view of bacteria, you put more fiber, you're gonna have more of the bacteria. If you had bad bacteria to begin with, there's gonna be more of them.

I'm not saying it's fiber causing that. But all the fiber we've been pounding and the cardboard we've been eating hasn't really done as much as we thought it might. So I'm a little unclear about fiber. But from the point of view of bacteria, you put more fiber, you're gonna have more of the bacteria. If you had bad bacteria to begin with, there's gonna be more of them.

I'm not saying it's fiber causing that. But all the fiber we've been pounding and the cardboard we've been eating hasn't really done as much as we thought it might. So I'm a little unclear about fiber. But from the point of view of bacteria, you put more fiber, you're gonna have more of the bacteria. If you had bad bacteria to begin with, there's gonna be more of them.

And for a healthy person whose microbiome's healthy, no problem. But not for these patients with these microbial conditions.

And for a healthy person whose microbiome's healthy, no problem. But not for these patients with these microbial conditions.

And for a healthy person whose microbiome's healthy, no problem. But not for these patients with these microbial conditions.

Well, I can answer that in two or three ways, but I'll try to touch on a little bit of each. We looked at rifaximin before and after treatment, the small bowel. And when you get rid of the bullies in the town, all the inhabitants of the town come back. So it goes opposite of what people think. We're not, you know, being cataclysmic. It's getting rid of the E. coli and the Klebsiella and SIBO.