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  • Bloating
  • Abdominal pain or discomfort
  • Gas and flatulence
  • Diarrhea or loose stools
  • Fatigue and lethargy
  • Nausea or vomiting
  • Acid reflux or heartburn
  • Intestinal permeability (“leaky gut”) symptoms such as brain fog, fatigue
  • Fungal infections in other parts of the body, such as fungal skin infections (acne)

Possible root Causes:

  • Weak immune system
  • Prolonged or frequent use of antibiotics
  • Immunosuppressive medications
  • Disruption of the gut microbiota balance
  • Impaired gut motility or dysmotility disorders
  • GI conditions like inflammatory bowel disease (IBD)
  • Use of proton pump inhibitors (PPIs) or other medications that alter stomach acid production
  • Excessive consumption of refined carbohydrates and sugars, metabolic dysfunction
  • Stress and lifestyle factors that affect immune function and gut health
Dr. Elena Ivanina SIBO specialist in NYC

Meet Dr. Ivanina

Meet Dr. Elena Ivanina, a quadruple board-certified integrative gastroenterologist and leading SIFO specialist based in NYC. Trained extensively at Tulane University and the New York College of Osteopathic Medicine, Dr. Ivanina is committed to transforming gut health through holistic approaches. Her career spans pioneering research in cancer prevention and the achievement of an MPH from Columbia University. Previously the Director of Neurogastroenterology & Motility at Lenox Hill Hospital and now the Director of the Center for Integrative Gut Health, Dr. Ivanina integrates conventional and functional medicine to help her patients make dietary and lifestyle changes for optimal health.

Can diet affect SIFO?

Yes, diet plays a crucial role in managing SIFO. Consuming a diet high in refined carbohydrates, dairy, alcohol, and sugars can promote fungal growth in the gut, exacerbating SIFO symptoms. Therefore, adopting a low-carbohydrate, anti-fungal diet that limits sugar intake can help starve the fungi and reduce SIFO symptoms. Additionally, incorporating probiotic-rich foods and fiber can support gut health and balance the microbiome.

Can SIFO be prevented?

While it may not be entirely preventable, certain lifestyle modifications can help reduce the risk of developing SIFO. These include avoiding unnecessary or prolonged use of antibiotics, managing stress levels, avoiding excessive alcohol use, maintaining a healthy diet rich in fiber and nutrients, and addressing any underlying gastrointestinal issues promptly.

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