Why I Want You to Listen to These Two SIBO Podcast Episodes
- Dr. Kate Kresge

- Jan 23
- 3 min read
If you’ve been dealing with SIBO - or you suspect it may be part of your story- you’re not alone. One of the hardest things about SIBO is that it can feel like a guessing game:
Why do my symptoms keep coming back?
Why does one diet help… until it doesn’t?
Why do treatments work for some people and not others?

That’s exactly why I want to personally recommend two recent podcast episodes featuring Dr. Allison Siebecker, one of the most respected educators in the world when it comes to SIBO, gut motility, and relapse prevention. She fills us in on the latest research that's changing the game in SIBO treatment and truly getting people with tough cases better.
These conversations are not about quick fixes. They’re about helping you understand what’s actually happening in your gut—and why sustainable healing often requires a different approach than just “killing bacteria.”
Episode 1: Understanding Your SIBO Type (and Why That Matters)
In the first episode, we walk through something I wish every patient understood earlier in their journey: SIBO is not one single condition.
There are different patterns - hydrogen, methane (also called IMO), hydrogen sulfide (a newer one) -and each behaves differently in the body. These patterns affect:
Whether symptoms lean more toward diarrhea, constipation, or bloating
How your gut moves (or doesn’t)
Which antibiotic regimens are likely to help
Which herbal therapies can be used to reduce bacterial load
Dr. Siebecker explains how breath testing works, why test timing matters, and why a “normal” or confusing test doesn’t mean your symptoms aren’t real. One of the most important takeaways is this:
Symptoms are often driven by impaired gas clearance and motility, not just how much gas is produced.
If you’ve ever thought, “Why do I feel so miserable when my test doesn’t look that bad?”—this episode will help that finally make sense.
In particular, the research on hydrogen-sulfide SIBO (not hydrogen) is compelling and relatively new. It needs to be tested for a specific way, which Dr. Seibecker reviews in detail.
Episode 2: Nutritional and Adjunctive Care for SIBO
The second episode is the one I would recommend for anyone who's ever struggled to figure out what to eat during and after SIBO treatment.
In this episode, we talk about:
Why gut motility—especially something called the migrating motor complex—is central to long-term improvement
Why prokinetics are not “just laxatives,” and how they support normal digestive rhythm
How food plans should be used as tools, not lifelong rules
Why overly restrictive diets can sometimes stall healing instead of supporting it
How to support digestion and the gut lining without worsening fermentation or bloating
One of the most important reframes Dr. Siebecker offers is moving from “eradication mode” to maintenance and resilience. Healing isn’t about winning a war against your gut—it’s about restoring function.
Why This Matters for Your Healing
SIBO is a relatively new diagnosis in medicine, and our understanding of it is constantly evolving. This is why I love learning from experts who are on the leading edge. Dr. Siebecker is one of those experts, and it was really an honor to spend time hearing what the latest and greatest tools in testing and treatment are. Much of what she shared isn't common knowledge and certainly wasn't 5 or 10 years ago. So, if it's been a while since you've taken a new approach to your SIBO, I. highly recommend you check these out.
A Gentle Reminder
These episodes are for education and empowerment—not self-diagnosis or self-treatment. Every gut is different, and what works for one person may not be appropriate for another. Please talk with your healthcare provider before making changes to your care plan.
If you’ve felt confused, frustrated, or worn down by your gut journey, I truly believe these conversations will help you feel more informed and broaden your toolkit as you address SIBO.
Warmly,
Dr. Kate



