bacterial overgrowth

Are your 6 detox pathways open?

Opening your detox pathways is crucial for your health, and in any clearing protocol

I see many people in the SIBO (Small Intestinal Bacterial Overgrowth) or even anti-Candida, parasite world ready to quickly jump on an antimicrobial/antibiotics or antifungal route and bombard their body with heavy herbs or medication to get rid of the problem as soon as possible.

I understand that we live in a fast-paced world and constantly search for instant solutions, but everything has a specific sequence. Ignoring our body’s function can cause more harm than good. One of these functions is the detoxification process.

Harmful components can get into our body from outside (exogenous sources) via radiation, heavy metals, mycotoxins, pesticides, herbicides, medications/drugs, plastics, and the list is almost endless nowadays. But the toxins can be produced inside our body (endogenous sources); they can be the byproducts of intestinal microorganisms, excess hormones, intermediary metabolites, free radicals, etc.

Over long periods, these daily contaminants may have a cumulative effect and burden our detoxification process that may eventually lead to impaired function or disease. (1)

Supporting the detox pathways (lungs, kidneys, skin, colon, liver/ gallbladder, lymphatic system) are crucial to eliminate harmful compounds and reduce any possible (die-off) symptoms. We can release toxins through respiration, sweat, urine, and stool.

detox pathways sibo candida parasite cleanse

Let's check some of these detox pathways:

THE COLON

One of the most crucial pathways in the colon or large intestine. If you are constipated, then toxins can get stuck in your body. Doing any clearing phase without opening this elimination channel is a huge mistake! You need to poop every day (better to do so at least twice a day) before doing any treatment! (2)

You can help move your bowels and flush the toxins by:

  • drinking enough fluid a day, preferably filtered water to hydrate your body (3)
  • eating fiber-rich fruits and vegetables, which can add bulk to the stool (4)
  • moving your body regularly (5)
  • using herbal remedies to stimulate the intestines such as ginger root or aloe vera leaf (6)(7)
  • doing colonics, enemas

THE LIVER & BILE FLOW

The other vital organ is your liver. The liver is the primary detox organ that filters toxins, metabolizes nutrients, breaks down fat, manages carbohydrate metabolism, produces bile, and does many more functions. (8)

Bile also has many essential roles: it helps fat digestion, controls thyroid hormones, cholesterol, motility, and moves toxins out of the liver. In addition, it has a crucial antimicrobial effect that can control the overgrowth of bacteria in the small intestine. (9)  Slow or blocked bile flow can be problematic as toxins cannot be transported out, leading to more die-off reactions. Several symptoms may indicate that your bile flow is diminished: reflux symptoms, gallstones, pale-colored & greasy stool, pain under the ribs on the right side, headaches, fatigue.

Various factors can contribute to poor bile flow. For example, women with hypothyroidism (an underactive thyroid gland) may also have decreased bile flow. This is because bile breaks down the fat necessary to generate thyroid hormone. (10)  Other factors can be infections (parasites, virus, bacteria) (11), (12), certain medications, excess estrogen (13).

Promoting liver health and bile production can support the detox routes. The followings can support this elimination channel:

  • Milk thistle (Silymarin) has been used for centuries to protect the liver cells from damage (14)
  • Dandelion leaf and lemon balm have a positive effect on the liver due to their antioxidant and anti-inflammatory properties (15)
  • Coffee enemas are used for detox for a long time by helping the body release bile (16)

detox pathways toxin removal

 

THE LYMPHATIC SYSTEM

The lymphatic system may also need attention, especially that it requires an extra pump to move it in contrast to the cardiovascular system. The lymphatic system keeps the balance of fluid between the blood and tissues and plays a key role in the immune system, reacting to any bacteria, toxins, or viruses. (17)

Signs that you might have lymph issues: swelling, edema ( especially: face, belly (bloating), hands, ankles), cellulite, hard nodules along neck, underarm, groin; swollen breast tissues, constipation, etc.

You can achieve better lymph flow by doing:

  • Movement: Rebounding, Yoga
  • Deep belly breathing
  • Hot & Cold showers
  • Sauna
  • Dry brushing
  • Massages

THE KIDNEYS

The kidneys filter your blood and eliminate toxins from your body through urine. Proper hydration is vital to guarantee that everything is running smoothly. Low water intake may lead to low urine volume, contributing to crystallization and eventually kidney stones in some individuals.

The Institute of Medicine recommends an average daily fluid consumption of 3.7 liters for males and 2.7 liters for women. But, of course, individual needs and habits may influence the required daily amount.

Other things such as brown seaweed extract (18), lemon juice, dandelion (19), parsley, pomegranate, and stinging nettle (20) may assist the kidneys in producing more urine, and that in turn may help get rid of waste.

 

THE LUNGS

Air pollution is real and affects all of us. According to the WHO: “ Air pollution kills an estimated seven million people worldwide every year.” We inhale toxins, dust, smoke, dirt, pollen, and many kinds of pollutants. A steady stream of pollutants in the air over time may harm the respiratory system and make it difficult to breathe.

There are several ways to clean the paths to the lungs and help them get rid of toxins:

  • Getting an air purifier to improve the quality of air around you
  • Remove artificial scents such as air fresheners, scented candles – use essential oils instead
  • Exercise can help you get more oxygen to the cells, especially useful is to do some deep breathing exercise
  • Spend time regularly at the beach or visit a salt cave to inhale salty air (halotherapy) to improve lung function (21)

THE SKIN

The skin is the largest organ in the body that can mirror our internal health. Therefore, any inflammation in the body can affect the skin, causing breakouts, acne, eczema, or even more severe skin issues.  Nowadays, you can find many products designed for “skin detox” and skin issues, but they will rarely solve the root cause that might stem from the inside.

But your skin also can eliminate toxic substances via sweating. Sauna is a great way to mobilize toxins from the fat, which can be released in sweat or sent to the liver for detoxification. (22) This way, the body can eliminate chemical solvents, heavy metals, pesticides, etc. (23) You can also induce the detox process by doing facial streams. That way, you can open the pores, release toxins and dirt.

The best prevention you can do is check your current skincare products and routine and get rid of the toiletries, cosmetics that contain harmful chemicals such as parabens, BHT, phthalates, Formaldehyde, etc.

The bottom line

Your body has its detoxification and biotransformation process to get rid of toxins. There are several elimination channels, but you need to ensure that these detox pathways are open and working correctly, so nothing gets stuck in the system. This can be especially crucial if you are undergoing any clearing phase to avoid die-off symptoms.

Some herbs, techniques can help increase the effectiveness of the detoxification process, but nothing can beat a good foundation for optimal health & wellness. Hydration, a healthy diet, regular exercise, good quality sleep are the basis for a well-functioning body.

 

 

*This post is only for informational purposes; and not meant to diagnose or treat any disease. I advise consulting with your healthcare practitioner regarding any treatment options or dietary changes.

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Consider SIBO testing if you suffer from constant bloating

SIBO testing

What is SIBO & SIBO testing?

First of all, what is SIBO? SIBO stands for Small Intestinal Bacterial Overgrowth. It is defined as the presence of excessive bacteria in the small intestine. The problem is that there are too much bacteria and/or the wrong type of bacteria present in the wrong place.

Symptoms can be excess/trapped gas, bloating, diarrhea and/or constipation, abdominal pain or cramping, food sensitivities, chronic fatigue, brain fog, and the list goes on. (1)(2)

Before getting tested

Before getting to SIBO testing, many people try different methods to relieve their symptoms. These approaches may include lifestyle changes (e.g., reducing sugar/junk and processed food consumption; stress; getting more sleep) or eating more fiber, prebiotic foods, and herbs. However, if these changes don’t bring the expected results or make the current symptoms worsen, then it might be time to visit the GI doctor to have some tests.

Although having the symptoms mentioned above doesn’t mean that you have 100% SIBO. It is crucial to rule out other diseases (like endometriosis, Crohn’s/ Colitis) and get a proper diagnosis by your healthcare practitioner. There can be many different diseases, which could cause the same symptoms.

Suppose you have already been diagnosed with IBS (Irritable Bowel Syndrome). In that case, it is definitely worth getting SIBO testing because, according to a study, up to 84% of patients with IBS actually have SIBO. (3)

It may also happen that a person thought SIBO was causing the symptoms, but then the culprit turned out to be Celiac disease. (4) If you start using an antimicrobial treatment for assumed SIBO without any proper diagnoses, then it may cause more harm than good. So testing is essential, which can help define the treatment plan.

SIBO testing method #1: SIBO breath test

The three-hour lactulose or glucose breath test is generally used for diagnosing SIBO, which detects the different types of gases that bacteria produce in the small intestine. It checks for hydrogen and methane gas. (5) There is now a new test available in the US: the TrioSmart test that can detect the third type of gas: hydrogen sulfide. (6) I wrote about the different types of SIBO.

The bacteria in our intestines ferment specific carbohydrates, and they produce gases as a byproduct. The breath test involves drinking a sugar solution (lactulose or glucose, a type of carbohydrate) that feeds the bacteria in the gut, and they start making gases. Then these gases are absorbed in the intestines and get into our blood, from where the gases are delivered to our lungs and exhaled in our breath. That is what the breath test intended to capture.

The breath test is done for 3 hours, while breath samples are taken at 20-minute intervals. The first two hours represent the small intestine, and the last hour is usually the large intestine. Measuring the level of those gases is also important to determine how severe the bacterial overgrowth is and what treatment would suit the best.
Be aware that a prep diet is required to be followed before SIBO testing. It involves following a low-fiber diet and fasting for 14 hours. (When you order a test, you should receive instruction on the prep diet). (7)

A hydrogen breath test is also used for testing carbohydrate malabsorption issues when dietary sugars are not absorbed well, such as lactose (sugar in milk), fructose (sugar in fruit), sorbitol, and sucrose. (8)

 

Can you trust the SIBO breath tests?

While the breath test is considered the most practical SIBO testing method, it certainly has its limitations.
A meta-analysis of the breath test accuracy showed that lactulose substrate might provide a higher number of false-positive results than the glucose test. Glucose breath test seems to work better than lactulose breath test for diagnosing SIBO. It seems glucose testing has better sensitivity and specificity. (9) (10) In this case, clinicians may need to evaluate the results more carefully before giving out a diagnosis, and it would be worth doing a test for both types of substrates.

Other problems can be:
• the missing consensus on the interpretation of breath test results
• Individual’s motility can influence the test results – transit time may differ from person to person (11)

Other types of tests

If you have IBS-D or IBS-M/SIBO-D, you experience mainly diarrhea symptoms; then an IBS-SMART test is available to diagnose post-infectious IBS (PI-IBS). It is a blood test that looks for the markers of food poisoning (one of the leading causes of SIBO), which is the result of auto-antibodies forming in a lot of people and starting an auto-immune process. The antibodies measured in the blood are anti-CdtB toxin and anti-vinculin. These antibodies can attack the nerves of the gut and impair the cleaning wave, the Migrating Motor Complex. (12)(13)

What tests are not suitable to diagnose SIBO?

  • Stool tests because the results represent mainly the end of the large intestine, although they might indicate some issues in the small intestine but cannot diagnose SIBO. Overgrowth of bacteria in a stool can show dysbiosis.
  • Organic Acid Tests (OAT) check the urine for byproducts of yeast or bacteria in the small intestine, which can be very useful but cannot tell whether your SIBO is hydrogen/ hydrogen-sulfide or methane-dominant. (14)

Conclusions

Using SIBO testing (a breath test) has its advantages and disadvantages, but it can still be the most practical approach to diagnosing SIBO. Metanalysis showed that a glucose breath test might provide a more accurate diagnosis than a lactulose breath test. Having a SIBO diagnosis can be crucial as it can define the best treatment options (each type of gas requires different strategies).

Bear in mind that diagnosing SIBO might be just the first step because it will not tell you what caused SIBO in the first place. However, finding the underlying cause is crucial to prevent relapsing.

If you have questions regarding SIBO or need help finding out your root cause and support on your healing journey, then feel free to book a free consultation call!

 

 

* This post is only for informational purposes and not meant to diagnose or treat any disease.  I advise consulting with your healthcare practitioner regarding any treatment options or dietary changes.

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