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The Root Cause Medicine Podcast

SIBO 2026 Treatment Updates: Nutrition & Adjunctive Care

The Root Cause Medicine Podcast

Kate Kresge

Health & Fitness, Alternative Health, 810564, Medicine

4.8581 Ratings

🗓️ 22 January 2026

⏱️ 37 minutes

🧾️ Download transcript

Summary

In part two of our SIBO series, we’re joined again by Dr. Allison Siebecker to focus on what often determines whether patients stabilize or relapse: nutritional management and supportive care during and after SIBO treatment. We explore how to use prokinetics to support migrating motor complex function, when digestive aids like bile acids and enzymes may be appropriate, and how to apply SIBO dietary frameworks as personalized, flexible tools—not rigid rules. We also cover practical approaches to suspected yeast/dysbiosis overlap, how to support gut barrier integrity without worsening fermentation, and the key myths that can derail outcomes. This episode helps clinicians move from “eradication mode” to sustainable, integrative SIBO care.

Transcript

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0:00.0

Welcome back to the root cause medicine podcast. I'm your host for today, Dr. Kresge, joined again by Dr. Allison Seabeker for part two of our series on SIBO.

0:09.2

In part one, we laid the groundwork for truly understanding SIBO as a complex, relapsing, and often mismanaged condition.

0:15.2

We walked through the updated definitions and subtypes, explored the path of physiology of gas handling and production,

0:24.7

and clarified how motility issues, especially impaired migrating motor complex function,

0:29.3

are central to both onset and recurrence of SIBO. We also cover diagnostic best practices,

0:34.6

how to match treatment modalities to gas type and severity, and emerging insights around co-infections like CFO, as well as treatment sequencing. Today in part two, we're

0:37.9

turning our attention to what might be the most clinically challenging and often overlooked

0:42.6

piece of the Cibbo puzzle, nutritional management, and supportive care during and after treatment.

0:48.3

In this episode, Dr. Seabucker walks us through the most common nutritional mistakes in Cbo care

0:52.4

and how to avoid them. The role of prokynetics in maintaining treatment gains and reducing relapse risk.

0:57.0

When to bring in digestive support like bioacids, enzymes, and antifungal considerations.

1:02.0

We also dive deep into dietary frameworks for sebo, how to personalize them, expand them,

1:07.0

and navigate the transition back to a more expanded diet without reigniting symptoms.

1:11.4

Plus, we explore emerging research gaps, debunking persistent SIBO myths, and here Dr. Seabucker's

1:17.0

final clinical pearls for treating even the most difficult cases.

1:19.9

If part one was about clearing the fog, part two is about building the map.

1:24.2

Before we get started, though, I've got a special question for the practitioners in the audience. Practitioners, what if your supplement dispensing, patient education, and treatment

1:32.0

planning all lived in one powerful platform built for whole person care? And what if that platform

1:38.1

was free for both you and your patients while saving you hours each week on treatment planning

1:42.7

and follow up? Well, meet FullScript,

1:45.5

the comprehensive care delivery platform designed to reduce administrative burden and enhance

1:49.5

clinical impact. From automated refills and lab ordering with interpretation to evidence-based

...

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