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TREAT DIGESTION NATURALLY! To find out more see our bookings page here: https://www.byronherbalist.com.au/app... My name is Todd Mansfield and I’m a clinical herbalist dedicated to digestive health. Every week I treat Australian and New Zealand patients with IBS, IBD, SIBO, reflux, indigestion, bloating, loose bowel movements and constipation. Follow my work here: / byron.herbalist For everyone else, I’m passionate about supporting you so follow along with this free content to support your digestion without drugs! ---------------------------------------------------------------------------------------------------------------------- Links to products mentioned in the video (some are affiliate links which means you don't pay anything more but I will make a small percentage of the sale. Thanks for supporting my work! Enzymes I commonly use and recommend in the Byron Herbalist clinic Advanced Digestive Enzymes - Thorne https://au.iherb.com/pr/thorne-advanc... Super Enzymes - NOW https://amzn.to/48CuQWO Pancreatic Enzyme Formula - Pure Encapsulations https://www.pureencapsulationspro.com... The complex relationship between Small Intestinal Bacterial Overgrowth (SIBO) and the pancreas has intrigued me since seeing a repeat pattern in some patients with SIBO showing low enzyme production from the pancreas on testing. I have questioned about whether every SIBO patient requires potent digestive enzymes and whether a deficiency in digestive enzymes is a causative factor for SIBO. Let's delve into this interesting connection To assess a patients digestive health we can use a lab that measures how effective your pancreas is at producing digestive enzymes. This lab test called Elastase-1 is used to diagnose a condition called exocrine pancreatic insufficiency (EPI). This condition indicates that the pancreas isn't adequately producing and delivering digestive enzymes to the small bowel. If the elastase-1 level falls below 200 micrograms per gram of stool, it raises suspicions of EPI. EPI is a serious condition associated with various pancreatic and gut-related disorders, including pancreatitis, cystic fibrosis, and inflammatory bowel diseases (IBD). When a patient presents with low elastase-1 levels, it is crucial to consult a physician to explore potential underlying causes. However, in clinical practice, we often encounter cases of low elastase-1 without apparent pancreatic damage. This functional deficiency may not be linked to organic diseases such as pancreatitis or pancreatic cancer, which are typically associated with severe EPI. Instead, the link between SIBO and low enzyme production from the pancreas appears to be bidirectional. On one hand, low pancreatic enzyme secretion can lead to bacterial overgrowth in the small intestine because pancreatic enzymes have antimicrobial properties. Research conducted on dogs, though not entirely translatable to humans, demonstrated that supplementing with pancreatic enzymes could reverse SIBO in cases of low enzyme production and EPI. Conversely, SIBO can contribute to reduced enzyme production from the pancreas. Conditions like celiac disease and inflammatory bowel disease, which often involve damage to the gut lining, show a strong association with exocrine pancreatic insufficiency. Damage to the gut lining in the small bowel appears to be a common denominator, affecting both enzyme production and SIBO. When dealing with patients who have positive SIBO breath tests and low elastase-1 levels, intervention becomes crucial. It typically involves supplementing with digestive enzymes. In severe cases, a physician may prescribe enzyme replacement therapy, which is more potent and cost-effective. Simultaneously, addressing SIBO directly through herbs, prebiotics, and probiotics is vital. Once symptoms improve, the focus should shift to healing and sealing the gut lining, as this plays a pivotal role in restoring proper enzyme production from the pancreas. The relationship between SIBO and the pancreas is intricate and multifaceted. Understanding this connection can guide healthcare professionals in effectively managing patients with gastrointestinal issues. If you have experiences or insights on this topic, please share them in the comments below.