Q&A Call Library
Oct 28th 2022
Answers in order: Natalia (probiotic protocol), Rachael (elemental diet transition), Kalvyn-Joy (gluten free and sugar free baking, sourdough)
Chat here.
Oct 11th 2022
Answers in order: Natalia (botox), Lindsey (MCAS, quercetin, sea moss), Lucy (supplement from VM therapist)
Chat here.
Sept 30th 2022
Answers in order: Lucy, Kalvyn, Lisa (Natalia - still trying to get info on your botox)
Chat here.
July 28th 2022
Answers in order: Lucy, Natalia, Lisa, Lindsey
Chat here.
Lindsey extra notes: Obviously look to managing PMDD and pain with lifestyle and nutrition (especially blood sugar for PMDD) other than just supplements! I know you know this and I talk about this, but realised it sounded supplement heavy).
6th April 2022
Answers in order: Aamina, Natalia
17th March 2022
Answers in order (after a little chat!): Natalia, Aamina, Kalvyn
March 8th 2022
Answers in order: Aamina, Natalia
Feb 10th 2022
Answers in order: Natalia, Aamina
Jan 24th 2022
Answers in order: Natalia, Aamina
Jan 10th 2022
Answers in order: Sam, Aamina, Natalia.
Dec 16th 2021
Answers in order: Aamina, Kalvyn-Joy, Sam
Nov 29th 2021
Answers in order: Aamina, Julie
Nov 12th 2021
Answers in order: Kalvyn-Joy, Aamina, Lindsey, Julie
Oct 25th 2021
Answers in order: Aamina general question, Sophie.
October 9th 2021
Answers in order: Aamina general catch up, Sam (prokientic and anxiety link), Sophie, coversation about omega 3 supplements.
If anyone is interested, here is the vagus nerve class I mentioned: https://www.jessicamaguire.com/the-vagus-nerve-masterclass
Sept 23rd 2021
Answers in order: Jessica, Mary, Sam
Jessica resources:
https://www.pelvicsanity.com/post/what-is-interstitial-cystitis
https://www.youtube.com/watch?v=lJNcMZJoS-k
https://www.pelvicsanity.com/icroadmap
Jessica I did some more digging so I could provide you with references for the interpretation.
This is from the North American Consensus: A rise in hydrogen of ≥20 p.p.m. by 90 min during glucose or lactulose BT for SIBO was considered positive. Methane levels ≥10 p.p.m. was considered methane-positive. You can see they’ve not stated a rise for methane.
HOWEVER, Dr Siebecker wrote this article, where she states this criteria for positive methane: A rise over lowest preceding value in methane production of 12 ppm or greater within 120 minutes after ingesting lactulose. But she does not state a need for a rise in our course, just to be above 10ppm or 3-9ppm with constipation, so maybe this article is outdated (in fact, it must be because her criteria is now 10ppm and dates back to 2014). She does go on to say: We have found that an absolute level of gases at or above the positive ppm levels provided by QuinTron, without a rise over baseline or lowest preceding value, correlates well with clinical SIBO. This is especially true for methane gas, which can have a pattern of an elevated baseline (> 12 ppm) that remains elevated for the duration of the test (Figure 1). In cases such as these, methane may only rise 5 ppm, but the ppm level is consistently above the positive cutoff. Interpretation of elevated hydrogen or methane on the baseline specimen (pre-lactulose ingestion) is controversial, but we prefer to consider a high baseline value to be a positive test9, 10 (Figure 2) unless gas levels fall after baseline and continue to diminish or remain low during the first 2 hours, indicating improper prep diet (Figures 3 and 3.5).
You can also have a listen to her interview on my podcast, where she explains how to interpret test results.
So from all of that, my feeling is had your levels not continued to fall from the baseline, this would be a positive but they have fallen throughout the test, indicating perhaps a improper prep diet. I’ll be interested to hear what Jacobi thinks!
Mary resources:
https://m.facebook.com/groups/1106628919367497?group_view_referrer=search
https://www.endosalfoundation.org/general-6
https://www.pathologyoutlines.com/topic/ovarynontumorendosalpingiosis.html
Sept 7th 2021
Answers in order: Julie, Lindsey, Sam, Aamina
Aug 23rd 2021
Answers in order (from about 15 minutes in): Julie, Sam
Aug 12th 2021
Order of answers: Jessica, Julie, Lindsey, Sam
Aug 5th 2021
Natalia answers at the beginning. Julie - to be clear, if you have constipation then your levels of methane by 120 minutes would be a positive, if not, you do have methane but it’s not technically called methane SIBO because it’s in the large intestine (which is after 120 mins onwards) - it would be called Methanogen Overgrowth, but regardless, treatment is exactly the same. That’s why we look at the whole three hours, if it’s there, we treat!
July 12th 2021
Sam and Julie’s answers at the start.
June 24th 2021
Sam’s answer.
June 24th 2021
Aamina’s and Natalia’s answers.
June 15th 2021
Sam your question is answered in the last 10-15 minutes of the recording.