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Why do gut symptoms seem so unpredictable? And what do conditions like IBS, SIBO, IMO, and ISO actually mean for your symptoms and treatment? In this myth-busting session, Dr. Mark Pimentel, Executive Director of the MAST Program at Cedars-Sinai, breaks down the most common misunderstandings around gut symptoms and shares new insights from recent research, including how breath testing, biomarkers, motility, microbial gases, and post-infectious mechanisms fit together. Using real patient patterns and published data, Dr. Pimentel explains: ► What’s really behind gut symptoms ► Why methane-producing organisms (IMO) cause constipation ► How hydrogen sulfide (ISO) relates to diarrhea, urgency, and fluctuating symptoms ► Why three-gas testing matters and how each gas predicts different symptom patterns ► How hydrogen, methane, and hydrogen sulfide levels guide treatment choices ► When to use rifaximin, rifaximin + neomycin, or rifaximin + bismuth ► When an elemental diet may be appropriate ► The role of prokinetics and how motility medications prevent relapse ► How GLP-1 medications (Ozempic®, Wegovy®, etc.) can lead to SIBO by slowing motility ► Updates on new therapies Plus, during the LIVE Q&A, Dr. Pimentel answered questions about diet, brain fog, adhesions, B12 issues, relapse patterns, antidepressants and motility, mold exposure, meal spacing, and more. SIBO, IMO, ISO: Testing, Diagnosis & Resources 🔍 Explore the Trio-Smart 3-Gas Breath Test https://www.triosmartbreath.com/ 🧠 Take the SIBO Quiz https://www.triosmartbreath.com/sibo-... 💡 Learn More About SIBO, IMO & ISO https://www.triosmartbreath.com/sibo IBS: Post-Infectious IBS, Biomarkers & Testing 🔍 Learn About the IBS-Smart At-Home Antibody Test https://www.ibssmart.com/ 🧠 Take the IBS Quiz https://www.ibssmart.com/ibs-quiz 💡 Read About Post-Infectious IBS https://www.ibssmart.com/post-infecti... More Gut Health Webinars & Insights 📰 Sign Up for The Bottom Line Newsletter https://www.triosmartbreath.com/newsl... About Mark Pimentel, MD 🔬 Dr. Mark Pimentel is a gastroenterologist, microbiome researcher, and Executive Director of the MAST Program at Cedars-Sinai. He has published 150+ scientific papers and led groundbreaking research connecting food poisoning to IBS, identifying biomarkers of post-infectious IBS, and advancing diagnostic tools like Trio-Smart and IBS-Smart. His work continues to redefine how IBS, SIBO, IMO, and ISO are understood and treated. Disclaimer This video is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional before making changes to your treatment plan.