Ask the RD

In this episode we cover:

• 04:26 The problems with current treatments
• 08:03 The underlying issues with IBS-C
• 11:12 The connection between SIBO and rosacea
• 12:25 The drawbacks to Xifaxan/rifaximin
• 15:48 How Atrantil works
• 21:08 Studies published on Atrantil
• 25:36 Clinical pearls for treating with Atrantil

[smart_track_player url="http://traffic.libsyn.com/thehealthyskeptic/RHR_-_New_Treatment_for_SIBO_and_IBS-Cwith_Dr._Kenneth_Brown.mp3" title="RHR: New Treatment for SIBO and IBS-C with Dr. Kenneth Brown" artist="Chris Kresser" social="true" social_twitter="true" social_facebook="true" social_gplus="true" ] Chris Kresser: Hey, everybody, it’s Chris Kresser. Welcome to another episode of Revolution Health Radio. This week, I'm going to be talking with Dr. Kenneth Brown. He received his medical degree from the University of Nebraska Medical School and completed his fellowship in gastroenterology in San Antonio, Texas. He’s a board-certified gastroenterologist and has been in practice for the past 15 years with the clinical focus on inflammatory bowel disease and irritable bowel syndrome, or IBS. For the past 10 years, he’s been doing clinical research for various pharmacologic companies. It was during these years that he saw the unmet need for something natural that could help his IBS patients. He had been working on a development of Atrantil for the past six years and officially launched Atrantil one year ago. He developed this product with the intent of helping those suffering from the symptoms of IBS, which we now know are caused by bacterial overgrowth. So, I reached out to Dr. Brown because we started to use Atrantil in our practice, at California Center for Functional Medicine, and had some good results with it, and there definitely is a lack of treatments that are effective and safe to use over the long term for SIBO in general, but particularly for methane-predominant SIBO and also for constipation-predominant IBS. And when I learned about Atrantil and Dr. Brown’s work here and the research he has done on it so far, I wanted have him on the show to talk about it further. So without further ado, let’s dive in. Chris Kresser: Dr. Brown, thanks so much for joining us. It’s a pleasure to have you here. Dr. Kenneth Brown: Oh, Chris, thank you so much for having me on your show.

Join Kelsey Marksteiner, MS, RD and Laura Schoenfeld, MPH, RD, staff nutritionists at ChrisKresser.com, as they answer your questions about ancestral and Paleo nutrition. A must-listen for anyone new to the Paleo diet or looking to improve their current Paleo diet based on their personal needs and health goals.  The content on this show reflects the opinion of Kelsey and Laura and does not represent the opinions of Chris Kresser, who has not reviewed the content of this podcast. Have a question for our nutritionists? Submit it here. We have another Q&A episode this week! Thank you to everyone who has submitted questions so far, and we hope you're enjoying the podcast. Here are the questions that Laura and Kelsey address in this episode:

1. I would like to know more about cravings. I cook all my meals from scratch at home using the best ingredients I can find and following paleo/WAPF/PHD type foods. My husband however gets cravings for sweet things after meals (i.e. not when he is hungry) and buys himself processed foods: cakes, chocolate, biscuits etc... and ends up eating more than one portion at a time when he has them at home. Why does he get these cravings after meals? He's already eating full fat nutritious meals with carbs.
2. I have heard from other paleo gurus that eating more than a quarter pound of organ meat per week can actually cause a person to take in too many vitamins/minerals. Is this 'overdose' of offal a real problem if you eat more than a quarter pound per week?

[powerpress] Links Discussed:

• Chris explains how to monitor your blood sugar
• Diane Sanfilippo's 21-Day Sugar Detox
• Chris explains vitamin A toxicity
• Chris Masterjohn discusses the synergy between vitamin A and vitamin D

About Laura: Laura is a Registered Dietitian with a Master's degree in Public Health from UNC Chapel Hill. She has been a content manager for ChrisKresser.com since 2011, and she is passionate about making traditional diets healthful and accessible for all her clients. You can learn more about Laura by checking out her blog or visiting her on 

Join Kelsey Marksteiner, MS, RD and Laura Schoenfeld, MPH, RD, staff nutritionists at ChrisKresser.com, as they answer your questions about ancestral and Paleo nutrition. A must-listen for anyone new to the Paleo diet or looking to improve their current Paleo diet based on their personal needs and health goals.  The content on this show reflects the opinion of Kelsey and Laura and does not represent the opinions of Chris Kresser, who has not reviewed the content of this podcast. Have a question for our nutritionists? Submit it here. We have another Q&A episode this week! Thank you to everyone who has submitted questions so far, and we hope you're enjoying the podcast. Here are the questions that Laura and Kelsey address in this episode:

1. I have read a lot lately about the benefits of eating an ancestral diet. How can you do that if you have a very broad mix? For example, my mother is Scandinavian/aboriginal and my father is East Indian/Italian. All of these cultures have very little in common.
2. How do I get enough calcium on a Paleo diet?

[powerpress] Links Discussed:

• Traditional Aboriginal Diet
• Nordic Cuisine
• East Indian Cuisine
• Indian Diabetes Rate
• Traditional Italian/Mediterranean Diet

About Laura: Laura is a Registered Dietitian with a Master's degree in Public Health from UNC Chapel Hill. She has been a content manager for ChrisKresser.com since 2011. She is passionate about making traditional diets healthful and accessible for all her clients. You can learn more about Laura by checking out her blog or visiting her on Facebook. About Kelsey: Kelsey is a Registered Dietitian with a Master's degree in Human Nutrition and Functional Medicine. She works in private practice and recommends individualized dietary therapy focusing on biologically appropriate diet principles to aid her clients in losing weight, gaining energy, and pursuing continued health.

Join Kelsey Marksteiner, MS, RD and Laura Schoenfeld, MPH, RD, staff nutritionists at ChrisKresser.com, as they answer your questions about ancestral and Paleo nutrition. A must-listen for anyone new to the Paleo diet or looking to improve their current Paleo diet based on their personal needs and health goals. The content on this show reflects the opinion of Kelsey and Laura and does not represent the opinions of Chris Kresser, who has not reviewed the content of this podcast. Have a question for our nutritionists? Submit it here. Thank you to everyone who has submitted questions so far, and we hope you're enjoying the podcast. Laura is also very happy to announce that she has finally earned her RD degree and will now be taking private clients. Now we have two RDs in our "Ask the RD" podcast! Here are the questions that Laura and Kelsey address in this episode:

1. I would like to ask whether chia, flax, sunflower and pumpkin seeds fall within the paleo diet. Can I harm my health by eating a few tablespoons of these seeds on a daily basis? I usually put them into a breakfast smoothie.
2. There's a lot of talk in regard to exercise about 'minimum effective dose' or how to achieve the best results with limited time. I would be really interested to hear you discuss the 'minimum effective dose' of animal products. I think this would open up the paleo diet to a broader audience, including those that don't want to eat a lot of meat for various personal reasons, whether that be ethics, spirituality, environmental values, or simply personal preferences. If you were to design a diet that is mostly vegetarian (so includes dairy products and eggs), but adds just a few key animal products that fill in the gaps normally left by a vegetarian diet. What would be the, say, five key animal products that you would add that would give the most bang for the buck and also be palatable for someone with more vegetarian sensibilities?

[powerpress] Links Discussed:

• Chris Masterjohn: Understanding Essential Fatty Acids
• Chris Kresser: Why fish stomps flax as a source of omega-3
• Chris Kresser: Essential fatty acids: not so essential after all
• Go Raw Sprouted Pumpkin Seeds

Join Kelsey Marksteiner, MS, RD and Laura Schoenfeld, MPH, RD, staff nutritionists at ChrisKresser.com, as they answer your questions about ancestral and Paleo nutrition. A must-listen for anyone new to the Paleo diet or looking to improve their current Paleo diet based on their personal needs and health goals. The content on this show reflects the opinion of Kelsey and Laura and does not represent the opinions of Chris Kresser, who has not reviewed the content of this podcast. Have a question for our nutritionists? Submit it here. We have another Q&A episode this week! Thank you to everyone who has submitted questions so far, and we hope you're enjoying the podcast. Here are the questions that Laura and Kelsey address in this episode:

1. My question is regarding Paleo Weight Gain. I have been Paleo for few years but don't do any of the Paleo dessert cheating with nutbreads, muffins, sugar substitutes etc. No grains or sugar including honey or other substitutes. No fruit or nuts as these make me gain weight. I do include bone broth, cheese and butter and other good fats. In fact I have increased the fats in my diet significantly - coconut oil, coconut milk, avocado, olive oil, butter. Lots of vegetables and meat - everything is organic and/or grass fed as this is easy to get in Australia. I do have a couple of coffees every day with coconut oil/MTC blended. I eat 3 meals a day with no snacking as I don't feel hungry between meals with the increased fats. I walk at a moderate pace for 1 hour a day, and I do yoga about 3 times a week. No intense cardio. 

My problem is that I am gaining weight. If these foods don't spike insulin then why am I gaining weight, because all the low carb podcasts seem to agree that its insulin spiking foods that trigger fat storage. My fasting blood sugar averages about 80 mg/dL and goes up to about 90 mg/dL after eating - so its not spiking. I'm really confused and starting to think I have to go back to a more conventional calorie counting method, but this would mean cutting out the fats as they are so high.
2. Is there a supplement I can take when eating gas producing foods? I have trouble with many of my favorite foods such as broccoli, brussels sprouts, and cabbage. I don't want to eliminate them from my diet.

[powerpress] Links Discussed:

• Stephan Guyenet on the Carbohydrate Hypothesis of Obesity
• Calorie Needs Estimator
• Calorie Counting Website...

Join Kelsey Marksteiner, MS, RD and Laura Schoenfeld, MPH, RD, staff nutritionists at ChrisKresser.com, as they answer your questions about ancestral and Paleo nutrition. A must-listen for anyone new to the Paleo diet or looking to improve their current Paleo diet based on their personal needs and health goals. The content on this show reflects the opinion of Kelsey and Laura and does not represent the opinions of Chris Kresser, who has not reviewed the content of this podcast. Have a question for our nutritionists? Submit it here. We have another Q&A episode this week! Sorry about the double intro, but we didn't realize our new and improved introduction would be ready for this episode! (And Laura apologizes for being a bit spacey this week, since she stayed up watching the BCS bowl game the night before recording and was running on a sleep deficit. Just goes to show you the power of a good night's sleep!) Here are the questions that Laura and Kelsey address in this episode:

1. I’ve been doing paleo for 12 years and take magnesium supplements, as well as some others, but I still get some cramps in my legs and feet every so often, even when just walking around the house. I’m wondering if I’m not absorbing the magnesium well? Thanks.
2. I have been suffering from Laryngophosageal [sic] Reflux (LPR) for two years and have tried everything. A friend suggested Paleo and I have been following it for several weeks without any change in my LPR symptoms. Do you think I should continue on with Paleo or do you have any other ideas?

[powerpress] Links Discussed:

• Chris's podcast on nighttime cramps
• Magnesium Malate
• Bone meal powder
• Cramp Bark tea (check with your doctor, don't take if pregnant)
• Epsom salts
• Anti-GERD diet
•  Why Stomach Acid is Good for You (Book Review)

About Laura: Laura is a Registered Dietitian with a Master's degree in Public Health from UNC Chapel Hill.

Join Kelsey Marksteiner, MS, RD and Laura Schoenfeld, MPH, RD, staff nutritionists at ChrisKresser.com, as they answer your questions about ancestral and Paleo nutrition. A must-listen for anyone new to the Paleo diet or looking to improve their current Paleo diet based on their personal needs and health goals. The content on this show reflects the opinion of Kelsey and Laura and does not represent the opinions of Chris Kresser, who has not reviewed the content of this podcast. Have a question for our nutritionists? Submit it here. Happy New Year, everyone! We're back from a short hiatus. Laura and Kelsey will be addressing the following topic in this podcast:

1. How do I make a health-focused New Years Resolution that will stick?

[powerpress] Links Discussed:

• Ideal Body Weight Calculator
• Gold star stickers! :-)
• Order Your Personal Paleo Code (The Paleo Cure in paperback) on Amazon
• YogaGlo
• FitBit Activity Tracker
• Nerd Fitness Academy
• Meal Logger
• Amber Goggles (Laura's Pick!)
• Mindfulness Based Stress Reduction
• Meetup.com

About Laura: Laura is a Registered Dietitian with Master's degree in Public Health from UNC Chapel Hill. She has been a content manager for ChrisKresser.com since 2011. She is passionate about making traditional diets healthful and accessible for all her clients. You can learn more about Laura by checking out her blog or visiting her on Facebook. About Kelsey: Kelsey is a Registered Dietitian with a Master's degree in Human Nutrition and Functional Medicine. She works in private practice and recommends individualized dietary therapy focusing on biologically appropriate diet principles to aid her clients in losing weight, gaining energy,

Join Kelsey Marksteiner, MS, RD and Laura Schoenfeld, MPH, RD, staff nutritionists at ChrisKresser.com, as they answer your questions about ancestral and Paleo nutrition. A must-listen for anyone new to the Paleo diet or looking to improve their current Paleo diet based on their personal needs and health goals. The content on this show reflects the opinion of Kelsey and Laura and does not represent the opinions of Chris Kresser, who has not reviewed the content of this podcast. Have a question for our nutritionists? Submit it here. We encourage all our listeners to continue asking nutrition related questions by clicking the link above. We will be providing the transcripts for these episodes as soon as possible, but we're relying on the help of volunteer transcribers so please be patient as we work to get those published. Laura and Kelsey will be addressing the following topics in this podcast:

1. Are there things I can do nutrition-wise that will help promote better sleep habits?
2. I have started doing the Paleo diet but I need to gain about five pounds so what can I do to gain weight? I've only been on Paleo about 3 weeks and haven't lost anymore weight, but I am underweight so really need to gain about 4-5 pounds.

[powerpress] Links discussed:

• Mark's Daily Apple: 7 Ways You Might Be Inadvertently Sabotaging a Good Night’s Sleep
• Balanced Bites: Dense Carb Sources on a Paleo Diet (includes PDF chart)
• Effects of food on cortisol and mood in vulnerable subjects under controllable and uncontrollable stress.
• High-glycemic-index carbohydrate meals shorten sleep onset.
• New therapeutic strategy for amino acid medicine: glycine improves the quality of sleep.
• Regular Gelatin and Hydrolyzed Gelatin
• Whole Health Source: Stephan Guyenet's articles on the "Food Reward Hypothesis"

About Laura: Laura is a Registered Dietitian with a Master's degree in Public Health from UNC Chapel Hill. She has been a content manager for ChrisKresser.

Join Kelsey Marksteiner, MS, RD and Laura Schoenfeld, MPH, RD, staff nutritionists at ChrisKresser.com, as they answer your questions about ancestral and Paleo nutrition. A must-listen for anyone new to the Paleo diet or looking to improve their current Paleo diet based on their personal needs and health goals. The content on this show reflects the opinion of Kelsey and Laura and does not represent the opinions of Chris Kresser, who has not reviewed the content of this podcast. Have a question for our nutritionists? Submit it here. This week in our Ask the RD podcast, we're answering not one but two separate questions! We sincerely appreciate everyone submitting their great questions and we encourage you to continue asking nutrition related questions by clicking the link above. Laura and Kelsey will be addressing the following topics in this podcast:

1. Should I take probiotics on an empty stomach or with a meal?
2. What do you think about the "eating for your blood type" diet?

Links discussed:

• The impact of meals on a probiotic during transit through a model of the human upper gastrointestinal tract.
• Blood type diets lack supporting evidence: a systematic review.
• Probiotic chart ($15 for purchase, but lots of free resources too!)
• ABO Genotype, ‘Blood-Type’ Diet and Cardiometabolic Risk Factors (Published in 2014)

[powerpress] About Laura: Laura is a Registered Dietitian with a Master's degree in Public Health from UNC Chapel Hill. She has been a content manager for ChrisKresser.com since 2011. She is passionate about making traditional diets healthful and accessible for all her clients. You can learn more about Laura by checking out her blog or visiting her on Facebook. About Kelsey: Kelsey is a Registered Dietitian with a Master's degree in human nutrition and functional medicine. She works in private practice and recommends individualized dietary therapy focusing on biologically appropriate diet principles to aid her clients in losing weight,

Join Kelsey Marksteiner, MS, RD and Laura Schoenfeld, MPH, RD staff nutritionists at ChrisKresser.com, as they answer your questions about ancestral and Paleo nutrition. A must-listen for anyone new to the Paleo diet or looking to improve their current Paleo diet based on their personal needs and health goals. The content on this show reflects the opinion of Kelsey and Laura and does not represent the opinions of Chris Kresser, who has not reviewed the content of this podcast. Have a question for our nutritionists? Submit it here. This week in our Ask the RD podcast, we're focusing on food combining diets and whether or not there's any science supporting those recommendations. We've received many questions about this topic so we're going to cover the topic completely in today's podcast. Laura and Kelsey will be addressing the following question in this podcast: 1. Is there any science behind the food combining diet? Links Discussed:

• Oil and salad study
• Stephan Guyenet on Food Reward
• Mark Sisson on Food Combining
• Paleologix Adaptagest Supplements

[powerpress] About Laura: Laura is a Registered Dietitian with a Master's degree in Public Health from UNC Chapel Hill. She has been a content manager for ChrisKresser.com since 2011. She is passionate about making traditional diets healthful and accessible for all her clients. You can learn more about Laura by checking out her blog or visiting her on Facebook. About Kelsey: Kelsey is a Registered Dietitian with a Master's degree in Human Nutrition and Functional Medicine. She works in private practice and recommends individualized dietary therapy focusing on biologically appropriate diet principles to aid her clients in losing weight, gaining energy, and pursuing continued health.  You can learn more about Kelsey on her staff bio page, or by visiting her website.