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How to Beat the Bloat: Small Intestinal Bacterial Overgrowth

Dr. Allison Siebecker, NDNaturopathic Doctor

  1. How misplaced bacteria leave you bloated and gassy.
  2. The BEST tests for detecting SIBO, and how to interpret your results.
  3. Natural foods and supplements for reducing bacterial overgrowth.
  4. SCD, FODMAP, and GAPS: Which diet is right for you?

comments so far - add yours!

More Comments

  1. Can someone with SIBO-C, who has an IgG reaction to garlic, take the Allimed?

    • Selfsimilar says:

      Any food intolerance test based on IgG is not recognized as accurate or reliable for determining food intolerances or allergies

      Both of these organizations – The American Academy of Allergy Asthma and Immunology (AAAAI) and by the European Academy of Allergy and Clinical Immunology (EAACI) warn

      “the inappropriate measurement of food-specific IgG or IgG4 to suggest the presence or potential of adverse reactions to food. Recent guidelines emphasize that such testing plays no role in the diagnosis of food allergy or intolerance ”

      http://www.aacijournal.com/content/8/1/12

  2. Lara says:

    If someone has a methane of 2 (just below diagnosis) and has constipation and other symptoms is treatment recommended? Also, in your practice do you see a lot of patients with histamine intolerance caused by SIBO? Thank you for such an informative talk!

  3. Lara says:

    Can methanogens develop resistance to allicin? My GI Effects stool test revealed my bacteria are resistant to alliin found in garlic. Are there any alternatives in this case or are bacteria in the small intestine different?

  4. Kathy says:

    This is amazing stuff. Thanks Sean for getting such knowledgable folks to share their expertise. You rock and so do your guests.

  5. DINA says:

    GREAT INFO, I WAS TREATED FOR SIBO 20 DAYS RIFAXIN WITH NEOMYACIN IN JAN 2014 GOT WAY BETTER BUT NEVER 100% WAS TESTED FEB 2014 AND LEVELS FOR METHANE WERE 2 AND 3 WAS TOLD NEGATIVE STILL HAVING SYMPTOMS WAS TESTED SEPT 2014 LEVELS WERE 3 AND 5 WAS TOLD NEGATIVE AGAIN BUT ACCORDING TO WHAT I AM HEARING I WAS STILL POSITIVE. MY DOCTOR STARTED ME ON 2 MG NALTREXONE NIGHTLY AND I HAVE BEEN FOLLOWING SCD LOWFOOD MAPS COMBO. I HAVE PHONE APPT WITH DR SEIBECKER 12/1/14 BUT WOULD LOVE RELIEF SOONER. SHOULD I START THE HERBAL TREATMENT AND IF SO SHOULD I KEEP TAKING NALTRXONE WITH IT ? THANK YOU FOR ALL OF YOUR HARD WORK AND FOR SEEMING SO APPROACHABLE MY DOCTOR IS A LITTLE SCARY AND SOMETIMES I FEEL AFRAID TO CHALENGE HIM . I EVEN WENT TO MAYO CLINIC THIS PAST APRIL FOR HELP BECAUSE I THOUGHT THE SIBO WAS GONE AND I STILL HAD SYMPTOMS . I TOLD THEM I STILL FELT LIKE I HAS SIBO THEY ACTUALLY TOLD ME QUIT FOCUSING ON THE SIBO AND THEY DONT EVEN KNOW IF SIBO IS REAL IT IS JUST ONE DOCTOR AND ONE PERSONS RESEARCH ( DR PIMENTEL ) AND SAID IT WAS JUST IBS AND GAVE ME ANTIDEPRESSANTS AND TOLD ME TO GET HELP FOR ANXIETY. I HAVE NEVER HAD ISSUES WITH DEPRESSION AND HAVE TRIED TO STAY POSITIVE THROUGH ALL THIS AND AM DETERMINED TO GET BETTER AND FELT REALLY INVALIDATED. THANK YOU SO MUCH DR SEIBECKER CANT WAIT TO SPEAK WITH YOU ON DEC 1ST AND I HOPE I GET AN ANSWER BEFORE THAT πŸ™‚ THANK YOU SO MUCH AGAIN I AM SO THANKFUL FOR PEOLPE LIKE YOU AND DR PIMENTEL WHO REALLY HELP US SIBO SUFFERERS ETERNALLY GRATEFUL
    DINA

    • Shonda says:

      Dina, just keep going at it with a positive attitude. I know it’s difficult. We have all had doctors tell us that it’s all in our head. Yeah…it’s causing brain fog for me too. But you know if you are depressed or not…don’t listen to them. Just listen to your body and eat the foods you know don’t cause flare ups until you can meet with Dr. Siebecker. I wish you the best. I’m still going through it like you. One thing I know for sure is that when I handle my stress, take time to breathe or sit down a minute I feel better and I can digest my food best. Don’t eat on the run or when nervous or anxious. Keep at it. Many blessings to you.

  6. DINA says:

    YOU SAID BONE BROTH IS NOT OK WITH SIBO, IS GELATIN OK

    • Dan says:

      Dina, bone broth made with cartilage bones such as knuckle bones are rated high on the FODMAP and therefore, suggested to be avoided. However, marrow bones and meaty bones are perfectly ok.

  7. Gabriella says:

    This is an excellent information filled interview that introduces me to new information I had not heard before, so thank you both so much.
    I just wish to warn people of possible side effects from taking Flagyl. It was prescribed to me to treat a parasite in my gut, but within four days of starting it I experienced tingling and numbness in my feet, the sides of my legs and in my hands. My doctor told me I had to finish the ten day course, but after two more days I went into the surgery. I saw a different doctor, who, after looking it up on the Internet and spending a long time reading an article, advised me to stop taking it immediately. It had caused nerve damage which took a very long time to subside, although now, three years later, there is some remaining nerve damage which is permanent. So if you must take it, please watch out for any such signs. It is a rare side effect, but I was not warned of it, and the insert gave it very scant mention.

  8. Renee says:

    I’m also interested in knowing if grass-fed gelatin is ok. Why is bone broth bad if you have SIBO? My daughter has SIBO and does not tolerate homemade bone broth. It gives her immediate tummy pain.

  9. a says:

    I am very interested to know what the natural prokinetic mobility agents are other than low dose naltrexone? Thank you very much!

    • Dan says:

      Here are a couple of suggestions for prokinetics to stimulate the mmc; Triphala, enteric coated peppermint oil, peppermint tea, ginger root juice or tea, Yoga (Ashtanga is my preference)-or exercise that focuses on proper core function and respiratory function (conscious breathwork). Lastly, anything that can reduce sympathetic nervous system activity or increase parasympathetic nervous system activity. Near or far infrared saunas, sun bathing, laughter, meditation, hot baths, etc…I hope this helps

      • Shelly says:

        EXCELLENT presentation! I have learned so much…currently I am at the end of my 30days reset diet and still have all the symptoms above (burping even after water and constipation) ,will continue with eliminating avocado and onions. Is Miso (high quality) and Natto are ok? How about pregnancy, can I use the ally med while pregnant? What is the dosages?
        Thank you so much…you blew my mind!

  10. Kayla says:

    Can the removal of sugar and carbohydrates be enough of a treatment as long as your consistently removing them as toxins?

  11. Brandy says:

    Why are bone broths bad?

  12. Carrie says:

    With regards to the SCD, GAPS, and FODMAP diets — if SIBO is treated will someone have to remain on those diets indefinetly? I followed a low FODMAP diet and noticed improvement in my symptoms, but also cut out a lot of foods that contained beneficial compounds that have been shown to prevent other types of diseases. (Cruciferious veggies, onion, garlic, avocado)

  13. Ann says:

    Another wonderful presentation. Dr. Siebecker is great!

  14. Carlie says:

    This is great information, but not practical, if you cannot list these products and where to obtain them. You speak so fast that I cannot even pick up on the words that you are using. If, we live in an area where we can’t even find a good functional Dr., we are still lost. I am in Central Florida and no one here has a clue about Functional Medicine or Methylation issues. Please give more direction for how to access more information.

    • Petra says:

      Look at Dr. Siebeckers web site:
      siboinfo.com/resources/handouts
      Hope this helps.

    • Beth says:

      Carlie, are you able to listen to the link that includes the slideshow presentation? The slides had all the info listed that was referenced. I hope that helps.

  15. Asa says:

    An answer to Coco Reibeck in Montana: Yes I think so. I had the experience of taking a lot of probiotics resulting in huge bloating and binding up, and ending up in the hospital for three days,
    very narrowly avoiding surgery. Dx: SIBO

  16. Informative interview, I learnt just how important Prokinetics really are and that clover honey is ok! but i don’t understand why bone broth is not ok on the FODMAP diet, if you make the broth with just meat bones and add nothing else( garlic or onion) surely it should be fine? it is such a great healer for leaky gut.

  17. Dan says:

    Thank you to Sean and Allison.

  18. K Winter says:

    Thank you for a fabulous presentation. I also would like to know if there is a correlation between SIBO and histamine intolerance?

  19. Cynthia says:

    I was dissappointed about the bone broth being a possible problem for SIBO. But when I cut out all the water and boil down to just the oil and the geletin, I was hoping that that would be the answer. Are you saying that it could still be a problem? Why, since it is not a carbohydrate? Would it just be a problem because of the bile deconjugation? How would I be able to get an answer to my problem?

  20. lara says:

    Hi Allison

    I loved your presentation. I was surprised to hear you say that with your combined SCD and FODMAP diet you could not do broth. I have been doing a low FODMAP diet and cant find anything that says you cant have broth. Could you please explain this one. Also you made a comment that fermented vegis isn’t good on a FODMAP diet. What is it is a vegi that is low FODMAP?

    thanks so much

    • Connie says:

      There is an excellent app for your phone that is called the MONASH University low FODMAP diet. It gives you info, a list of what you can and cannot eat broken down by category. It’s great for quick reference in the grocery store or restaurant.

  21. Renee S says:

    Oops… forgot link in my previous comment. This is under “handouts” on Dr. Siebecker’s website. http://www.siboinfo.com/uploads/5/4/8/4/5484269/sibo_specific_diet_food_guide_sept_2014.pdf

  22. Carrie says:

    I am exploring the possibility of SIBO, h. pylori, or some other opportunistic bacterial overgrowth and this is the first I’ve heard of allicin/Allimed. Methane is more of an issue for me than hydrogen according to a recent breath test. Can you explain why a supplement made from garlic can be so beneficial when garlic itself is a high FODMAP food? I’m sure there’s a simple answer but I don’t understand. Thanks!

    • Renee S says:

      Allicin is not the part of garlic that is a FODMAP. The fructans in garlic are the FODMAP. No fructans in allicin. My daughter has Fructose Malabsorption and SIBO and takes Allimed with no FM symptoms/problems.

  23. Shonda says:

    What about candida overgrowth? Is that possibly one of the bacteria that is causing problems. I’ve been diagnosed with candida overgrowth through a blood test. It has ruined my life for over 11 years! I am so thankful that now I’m getting a better understanding of all of this. I was afraid to eat and afraid of what I was feeding my children. I’m sure this all has affected them in somewhat of a bad way regarding food. I have to keep carb intake low and in small amounts throughout the day. I will also take Dr. Siebecker’s suggestions regarding the FODMAPS. I have noticed increased symptoms when I eat them. I’ve been on raw, gluten free, GAPS, SCD, Paleo and now I’m integrating the Blood Type Diet with my current vegan diet. Doctors have told me that I have low stomach acid – so digestion of meat proteins are difficult for me. Yes, I’ve used HCL/Pepsin, etc…not much improvement. Thanks for listening.

  24. Candice says:

    Hi Sean and viewers…
    I hope I’m not overlooking answers here, but I got very into this interview with Dr. Allison Siebecker,..
    I am very interested also in taking the breath test.
    However, nowhere can I find any info on how to get a test done with a physician nor an in home test that can be sent out here in Canada.. Is there any chance any of you may have access to knowledge on where I can go to find out how to get my hands on how to get it done?!
    I would be forever in debt to you my friends!
    Thank you so much!!

    Candice.

    • katie says:

      hi Candice
      Google quintron or commonwealth hydrogen breath test
      sometimes they will also have practioner referral lists
      or look for GAPS practioners in your area and see if they have any experience and referrals to Docs they work with
      the Lactulose test, which is the preferred test ,can only be ordered by a physician but the glucose can be ordered by lay people.
      the testing people are very helpful
      good luck

      • Renee S says:

        The glucose test is easier to get, but it gives a lot of false negatives. Many GI’s will tell you different, and swear by it, but lactulose is better. Glucose is absorbed high up in the small intestine before it can get to the distal part of the small intestine. SIBO is most often/common in the distal part, so the glucose is absorbed before it even gets to where SIBO is at. Lactulose is not absorbed at all, so you will get a more accurate reading for the distal end of the small intestine.

      • Candice says:

        Thanks Katie! πŸ™‚

  25. DINA says:

    HOW DO YOU FIGURE OUT WHAT YOUR UNDERLYING CAUSE OF SIBO IS SO YOU CAN PREVENT IT FROM COMING BACK ?

  26. Charity says:

    Great interview! Just curious.., if someone is doing the herbal antibiotics or pharmaceutical antibiotics, should they also follow the recommended diet at the same time, or only afterwards to prevent further reinfection? Basically do we want to starve the bacteria while treating them or not? thanks so much πŸ™‚

  27. Rach says:

    I half thought this would be same old same old info but 2 interviews down and I’ve learnt something new in both.
    You always deliver Sean!
    Thank you

  28. cota says:

    Hi Sean and Allison, today I had a “revelation moment” thanks to this session. I may have found an explanation to my digestive problems. I was always the “onion hater” and stay away from it but I knew there had to be something else, because despite being “onion-free” I still have issues. I’d say that in other recent online health summits I might have read SIBO in a conference title but I had no interest on knowing what that was, or I might have heard a speaker talk about FODMAPs but I didn’t connect the dots. I am happy and excited to learn more about it, and to be able to define it. The bad news for me is that most of my diet is high FODMAPs food because I thought it was healthy. So now I have put more time and energy in learning this new concept.
    I got the idea, however, that it is not something you can heal 100% from.
    Thanks for this new approach on bloating! awesome information. Truly educational.

  29. Nic says:

    any connection between sibo and adrenal fatigue??

  30. Susan says:

    I’m one of the few who is under weight. For years I have seen mucus in my stools but can’t tell now because my stools are watery. I do get bloated and constipated with certain foods (mainly processed) with many other symptoms. My biggest complaints are the feeling of being intoxicated weak and lots of fatigue. Insomnia has been a monkey on my back forever. Just had a basic stool test with nothing showing up but after listening to this maybe SIBO is my root cause. BTW since I became ill I have found out I have scleroderma raynaud’s sjogren’s migraines and celiac disease (self dx gluten). I can’t find a good doctor here in Roseburg, Oregon. I’m getting a referral to the Eugene Gastro center but not sure if they are even on board with SIBO yet.

  31. JED says:

    Wow, at last some new information! Has anyone done research in to the general lifelong health of people with Sibo?
    I was born breach, and almost died. My mother had difficulty breast feeding, so when 3 weeks old, I was given cow’s milk which caused reflux. As it was war-time, the only alternative was cow’s milk with an added digestive agent.
    By the age of 2, I was a ‘picky eater’. Sugar and white flour were staples, as was milk. I hated it, but was forced to drink it or have it in custards.
    The understanding back then was that children MUST drink milk. Sugar syrup was used to preserve everything that could be saved.
    I remember always feeling tired, not wanting to play in all the mandatory sports, and suffering repeated attacks of sore throats and what I called my indigestion, which was simply laughed at. I remember being told “children don’t suffer indigestion!!!!’
    Then came the teen years and obvious signs of auto immunity (which were laughed off by the GP), such as a white patch of hair at temple and very heavy and painful periods.
    Suffering continued thru 30-50’s with mumps/encephalitis, partial paralysis, miscarriages and so on.
    By late 50’s, the large hiatus hernia (apparent since the birth of my first child), had torn thru the diaphragm, making breathing most difficult.
    Before this, those dreaded proton-pump inhibitors had been prescribed for 2 years, with no effect except to swell my ankles and make me irritable. Eventually an operation was suggested, and I was in such a state that I eagerly submitted. And so it was that a Nissan fundo-plication was performed,.(the pushing back of the hernia and the tying up of the top of the stomach). I was told that as a result, I could never vomit again, and that ‘wind’ was often a result of the operation BUT they had no idea why!!!
    Up until this point in my life, I was unaware that ‘conventional’ medicine ‘killed’ people.
    I also had Hashimotos (diagnosed) by this time, and was prescribed carbinizole for 11 years! This added some 15kg. to my weight.
    Finally, after a terrible period of stress and a nasty attack of shingles, and with the help of a home computer, I was able to begin the long journey of self education. I ditched the doctors, went gluten free, dairy free and sugar free and lost the 15 kg. and I ditched the carbinizole.
    So, here we are, pulling ourselves out of the mire of ignorance and with the most grateful thanks to Dr Siebecker and all the wonderful new breed of ‘thinking’ doctors, finally finding some help and guidance and answers to our woes. The most difficult thing by far, however, is finding the right doctor. Sadly, they are still few and far between and have to work under ‘restrictions’ imposed by the powers that be. It still seems to be a matter of ‘patient, heal thyself’.
    This brief outline of my story is given in the hope that more research be done into birthing and early childhood, because I believe all these gut issues go back that far. What of a child delivered by C.section, yanked out by forcepts, not breast fed or breast fed by mothers of ill health who probably have gut problems of their own? Why is breast milk not tested? What happens with a child who is fed only commercial baby foods etc.
    Oh,….I’m 70 now, and am ‘fired up’ to finish my ‘journey’ on a good note!! I have found a wonderful doctor who listens and follows up on all the information I take him.
    To those younger,….never be intimidated by or stay with a doctor who scoffs at you and tells you it is all in your head. We don’t have to tolerate that now.

  32. Deirdre says:

    This was such a great interview! So informative. Thank you so much.

  33. Lanie says:

    Thank you so much for this wonderful presentation. I feel hopeful for the first time in a long time. I’m sure this is what’s going on with me and I so dearly appreciate you outlining the steps in detection, diagnosis, and treatment. Thank you Dr. Siebecker and thank you, Sean!

  34. This session was the best I’ve ever watched. I’m currently investigating my remaining symptoms and SIBO makes sense. I’ll get the breath test to be sure. Thanks so much!

  35. Esra says:

    Which parts of the protocol not suitable when nursing? Antibiotics, elemental diet, herbals, naltrexone…..??
    Also, when you get the second breath test with lactulose after 1st course of antibiotic will that not feed and increase the bad bacteria?

  36. Diane says:

    I recently started making kombucha and water kefir to try alleviate gut issues, I suffer from leaky gut, and have found my stomach is very bloated. Could I be taking in the wrong bacteria causing SIBO. Am a bit worried am fueling the fire

  37. Genevieve Ricci says:

    This was a fantastically informative and genuine interview – thank you both so much! I thought it worth mentioning that the approach with Dr Pimentel’s preventative diet briefly described by Dr Siebecker sounded a bit like the diet outlined in a book by Dr Norm Robillard called Fast Tract Digestion IBS (2013). I see that Dr Pimentel also has a book on the subject of IBS (2006). Both of these books seem to be enjoying overwhelmingly positive reviews.

  38. Moji says:

    This was an awesome and very informative interview! Thanks so much for sharing this with us! πŸ™‚
    I’ve been dealing with many health issues (digestion, intense body pain, weight loss, etc) over the past few years and no Dr. has been able to help me yet! So, I’ve started doing my own research for some time now and I’m hoping the information I learn here would help me to finally regain my health!

  39. Kelly says:

    Thanks so much for this! My 15 yo son may finally have some answers and relief from lifelong issues!

  40. Tracy says:

    Thank you so much! Such interesting & informative info. My hunch was I have SIBO, but I’ve always suffered from constipation, so I thought it was unlikely. Also, I suffered from many bouts of food poisoning in my early 20’s (I’m guessing maybe low stomach acid?) Undetected low thyroid to boot. What a combination. Is it common for young children to suffer from SIBO? My daughter barely gains weight, has signs of EFA deficiency, has hypotonia attributed to nutrient deficiency, many food sensitivities and stool analysis showed occult blood & high inflammation markers. She never has bloating, but I suspect SIBO. I’m especially excited about the herbal treatments you offer and your info about diet!!! What do you think a diet with children? We have done GAPS & SCD diet & my kids are used to be restricted – eating most things other kids won’t but still, if the Elemental Diet tastes so bad, I’m not sure how they’ll take it. Thank you so much again – great, great info & love how detailed it is!!!

  41. Rachel says:

    Excellent…very informative. SIBO is not an easy subject at all.

  42. Lesley says:

    I guess I will have to do my own research. I did not know these were going offline!!! I got through 1 video and 11 minutes of this one and thought, THIS might be what I have and it just stopped. : (
    Oh well.

  43. dee says:

    This is invaluable Information and should be made available longer than one week to help so many to heal.

  44. tia says:

    Found this to be an extremely informative session…thank you! I would have loved to hear a bit more about the prokinetic generally though. Dr. Siebecker’s website lists only pharmaceutical prokinetics, but one of the comments lists non-pharmaceuticals. How effective are these? Thanks so much!

  45. Val says:

    Thank you so very much for rerunning this session. I didn’t find out about the Digestion Sessions until the second round of videos. I am glad to have had the chance to listen in after hearing so many references back to this speaker.
    Also, I am very thankful for the opportunity to listen in to these amazing sessions. It helped learning to maintain my health in more positive ways, while also breaking up the monotony of searching for employment.

  46. Roseanne says:

    Very grateful for the 4 free downloads. You really understand your diverse audience. Thank you, again.

  47. Liz says:

    I missed the talk on H Pylori, unfortunately, as I have it, with duodenal ulcers. I wonder if having HP means I likely also have SIBO.
    I had a breath test for HP – the nurse said they were looking for ammonia. Is that specific to HP?
    Absolutely brilliant interview. Thank you.

    (PS I can’t put my website in as it keeps saying it is not valid.)

  48. Sing says:

    Outstanding!! So much information, very thorough! Thank You!!!

  49. Self Similar says:

    It has been shown that less than 4% of the IBS population has SIBO when tested using a jejunal aspiration instead of the breath test which has many false positives particularly if lactulose is used as a substrate. And then of those given antibiotic treatment about 70% have symptoms return after a course of antibiotics. Currently the majority of the GI docs worldwide don’t acknowledge SIBO as playing a particularly significant role in functional GI disorder except in unusual circumstances

    Quigley, E. M. M. (2014). “Small intestinal bacterial overgrowth: what it is and what it is not.” Current Opinion in Gastroenterology 30(2): 141-146.

  50. Dotty says:

    I would like to purchase several of these sessions, but do not wish all of them. Is there a possibility of choosing 1-4 of the sessions separately?

  51. typo says:

    does anyone know what Dr. Siebecker’s blood type is?

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  62. Allison says:

    For the sibo/low fodmap stock, is it best to not roast the bones before making the stock? I would imagine it would be best to stick them in the water raw to make the stock. Thoughts?

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  65. Scotty81 says:

    Hi. I did want to get some further clarification on the use of gelatin. If I purchase unflavored gelatin from grass-fed beef, to use in baking, etc. is that safe to take if one has SIBO? I don’t know from what bones the gelatin is made from. Would I have to ask? I assume the company is using the entire cow. The company I am thinking of is at http://www.amazon.com/Great-Lakes-Unflavored-Gelatin-16-Ounce/dp/B001ELLBJS

  66. AVOCADO 1 says:

    One cause of GI issues- including SIBO- is abdominal adhesions, also known as ARD which stands for Adhesion Related Disorders. There can be many causes of adhesions- inflammation, endometriosis (which is very underdiagnosed), radiation treatments, surgery, injuries, auto accidents, burst ovarian cysts, to name some.

    I suspect that a certain % of IBS and SIBO patients actually have ARD but don’t, and may never, know it. Adhesions do not show up on imaging tests. I have heard about a test is Europe, called a Functional Cine MRI, as being ‘possibly’ able to diagnose them, but have never heard of it being used for this purpose in the US, except for imaging the brain.

    In any case, even if you are pretty certain that you are affected by abdominal and/or pelvic adhesions, you are not likely to find any help from them. Drs do not like to talk about adhesions- supposedly, because the only way to definitively diagnose them is via exploratory laparoscopy, which they are reluctant to do, and insurance companies are very stingy about coverage without what they consider adequate justification to do so. Also, surgical removal (adhesiolysis) often causes more adhesions because they haven’t come up with effective adhesion-barrier products yet. I think that part of the reason for the lack of effective treatments for adhesions is partly due to the medical profession’s silence on this topic, as well as lack of patient awareness. Some Drs refuse to believe that adhesions can cause pain or problems.

    There is a very good book about adhesions by Karen Steward called “Drs: Bound By Secrecy? Victims: Bound By Pain!”. The title is very accurate when it comes to the topic of Adhesion Related Disorders. This life-disrupting condition needs to be brought out of the closet!

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