Dr. Ruscio Radio, DC: Health, Nutrition and Functional Healthcare 1000 - The Top IBS & SIBO Treatment Mistakes You Must Avoid
Jan 5, 2026
Exploring gut health, the discussion reveals why prebiotics often fail to alleviate IBS symptoms despite increasing beneficial bacteria. Probiotics, however, show promise in reducing inflammation and improving gut permeability. The health risks of food additives in ultra-processed foods are highlighted, alongside the advantages of whole foods. Additionally, common misconceptions about lactulose breath tests are debunked, emphasizing a symptom-based approach to treatment over reliance on tests.
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Prebiotics Raise Bugs But Not Symptoms
- High-dose prebiotic supplements increase bifidobacteria but do not improve IBS symptoms or leaky gut in RCTs.
- Probiotic supplementation, however, has RCT evidence showing improvements in leaky gut and inflammatory markers.
Follow Evidence-Based Probiotic Dosing
- Use probiotic formulas with studied strains: lactobacillus/bifidobacterium blends, Saccharomyces boulardii, or soil-based probiotics.
- Aim for the suggested CFU ranges and use them for at least two to three months to see benefit.
Cut Ultra-Processed Foods
- Avoid ultra-processed foods high in emulsifiers, sweeteners, colors, and nanoparticles that harm the microbiome.
- Reduce processed meats and packaged carbohydrates and choose whole, minimally processed alternatives.