Dr. Todd LePine

And we have a paper coming out showing exactly where they're living and it's pretty universal in a lot of these patients. So hence we call it intestinal methanogen overgrowth and not SIBO methane, because it's not just the small bowel, it's colon also. And when they produce methane, it gives you a lot of constipation, a lot of gas, and you can't pass the gas. And these people are quite miserable.

And we have a paper coming out showing exactly where they're living and it's pretty universal in a lot of these patients. So hence we call it intestinal methanogen overgrowth and not SIBO methane, because it's not just the small bowel, it's colon also. And when they produce methane, it gives you a lot of constipation, a lot of gas, and you can't pass the gas. And these people are quite miserable.

And then the third is the hydrogen sulfide, which is the new kid on the block, which has changed my practice because some of those patients we didn't know. Breath test is normal. Everything looks fine. And then the hydrogen sulfide is positive. We get rid of it. And all of a sudden they feel better than they have in their life. And.

And then the third is the hydrogen sulfide, which is the new kid on the block, which has changed my practice because some of those patients we didn't know. Breath test is normal. Everything looks fine. And then the hydrogen sulfide is positive. We get rid of it. And all of a sudden they feel better than they have in their life. And.

And then the third is the hydrogen sulfide, which is the new kid on the block, which has changed my practice because some of those patients we didn't know. Breath test is normal. Everything looks fine. And then the hydrogen sulfide is positive. We get rid of it. And all of a sudden they feel better than they have in their life. And.

And for some reason, when you get rid of hydrogen sulfide, it doesn't come back so quickly, which, which is beautiful. I have patients who've gone a year, just one treatment and they're done. And so I'm really excited about that. So, I mean, I could talk about the treatments if you like now, or.

And for some reason, when you get rid of hydrogen sulfide, it doesn't come back so quickly, which, which is beautiful. I have patients who've gone a year, just one treatment and they're done. And so I'm really excited about that. So, I mean, I could talk about the treatments if you like now, or.

And for some reason, when you get rid of hydrogen sulfide, it doesn't come back so quickly, which, which is beautiful. I have patients who've gone a year, just one treatment and they're done. And so I'm really excited about that. So, I mean, I could talk about the treatments if you like now, or.

Yeah, so I mean, if I have an IBS patient with diarrhea or a patient with diarrhea and bloating, My practice now, I do the antibodies because I want to be able to say, was it food poisoning or not? And if the antibodies are really high, it makes it harder to treat. But also, you travel, you better take prophylaxis because you could get into further trouble with these antibodies going higher.

Yeah, so I mean, if I have an IBS patient with diarrhea or a patient with diarrhea and bloating, My practice now, I do the antibodies because I want to be able to say, was it food poisoning or not? And if the antibodies are really high, it makes it harder to treat. But also, you travel, you better take prophylaxis because you could get into further trouble with these antibodies going higher.

Yeah, so I mean, if I have an IBS patient with diarrhea or a patient with diarrhea and bloating, My practice now, I do the antibodies because I want to be able to say, was it food poisoning or not? And if the antibodies are really high, it makes it harder to treat. But also, you travel, you better take prophylaxis because you could get into further trouble with these antibodies going higher.

So I universally do that.

So I universally do that.

So I universally do that.

I give Zyfaxan prophylaxis. That's what I do in my practice. And a lot of the GIs now do that. Because if the antibody goes higher, the damage to the nerves of the gut is more intense or the effect on the gut is more intense. And at least that's what we're seeing in our clinic. So we're very careful with those patients who have the antibodies positive.

I give Zyfaxan prophylaxis. That's what I do in my practice. And a lot of the GIs now do that. Because if the antibody goes higher, the damage to the nerves of the gut is more intense or the effect on the gut is more intense. And at least that's what we're seeing in our clinic. So we're very careful with those patients who have the antibodies positive.

I give Zyfaxan prophylaxis. That's what I do in my practice. And a lot of the GIs now do that. Because if the antibody goes higher, the damage to the nerves of the gut is more intense or the effect on the gut is more intense. And at least that's what we're seeing in our clinic. So we're very careful with those patients who have the antibodies positive.

When it comes to, then we do the three gas breath test in all of our patients. And if it's hydrogen and you, we all know Rifaximin got FDA approved for IBS with diarrhea on the basis that IBS was in part of microbiome disease. And now we understand that microbiome condition is SIBO. So I give Rifaximin for that. If it's methane, we have one double blind study that we can lead to.

When it comes to, then we do the three gas breath test in all of our patients. And if it's hydrogen and you, we all know Rifaximin got FDA approved for IBS with diarrhea on the basis that IBS was in part of microbiome disease. And now we understand that microbiome condition is SIBO. So I give Rifaximin for that. If it's methane, we have one double blind study that we can lead to.

When it comes to, then we do the three gas breath test in all of our patients. And if it's hydrogen and you, we all know Rifaximin got FDA approved for IBS with diarrhea on the basis that IBS was in part of microbiome disease. And now we understand that microbiome condition is SIBO. So I give Rifaximin for that. If it's methane, we have one double blind study that we can lead to.