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processed foods); (4) fructose (fruit sugar, found in honey and agave syrup, and regu- lar and dried fruit); and (5) sugar alcohols (sorbitol, xylitol, mannitol, and erythritol).


Food Allergies/Intolerances: Food allergies and sensitivities have long been associated with IBS. The biggest culprits include foods rich in carbohydrates and fats, dairy, grains (especially wheat), coffee, alcohol, and hot spices. An IgG blood test, elimination diet, and probiotic supplemen- tation, can generally address IBS symptoms associated with food intolerance.


Sugar: Consuming high amounts of


refi ned sugars can exacerbate both IBS and small intestinal bacterial overgrowth (SIBO). Excessively high levels of blood glucose paralyze the duodenum and jeju- num of the small intestine, thus decreasing motility.


Yeast: Candidiasis is an overgrowth


of the parasitic, yeast-like fungus Candida albicans, which is normally present in the body. Since this condition may be an underlying factor in IBS, an anti-candida program can prove therapeutic. Such a pro- gram focuses on: (1) killing the yeast (with dietary supplements or anti-fungal drug like Nystatin); (2) starving the yeast with a strict low-sugar/carbohydrate diet; and (3) replacing the displaced good gut bacteria with probiotics.


Key Supportive Dietary Supplements With the diet modifi cations noted


above, a number of natural remedies may be viable alternatives to conventional, of-


ten ineffective IBS prescription drugs, such as antispasmodics, antidepressants, and antidiarrheals.


Aloe Vera Juice: Although few stud-


ies have investigated the effi cacy of aloe vera specifi cally in the treatment of IBS, it is generally known to improve bowel regularity. Since aloe soothes and heals the intestines, detoxifi es, and inhibits the growth of yeast in the gut, it may reduce abdominal pain/discomfort and fl atulence in IBS patients suffering primarily from constipation.


Fiber: In most IBS cases, especially


where constipation predominates, non- wheat, moderately fermentable sources of soluble fi ber can ease symptoms. The most supportive sources include vegetables, low-sugar fruits, psyllium seed, and guar gum. Other dietary fi bers can exacerbate IBS symptoms.


Since increasing fi ber intake can initially cause abdominal bloating/disten- sion and change in the bowel habits of IBS patients, supplementation should be started with a maximum increase of no more than 5 g/day.


Grapefruit Seed Extract (GSE): Although human studies are largely lacking, clinical practice and animal/test- tube studies have established GSE as an antifungal, antiviral, and antibacterial. Its ability to combat Candida albicans is a possible explanation for its effectiveness in one preliminary human study of subjects with IBS and eczema. After one month, all subjects given 150 mg of encapsulated GSE


three times per day experienced signifi cant improvements in fl atulence, constipation, abdominal discomfort, and even sleep.


L-Glutamine: Researchers in a recent


small randomized placebo-controlled trial concluded that this amino acid can dra- matically and safely reduce all IBS symp- toms in patients with diarrhea-predominant IBS that develops after intestinal infection. Despite their fi nding that L-glutamine can address intestinal hyperpermeability (leaky gut syndrome), the researchers recom- mended that larger clinical trials be con- ducted to assess more fully its pharmaco- logical mechanisms and ability to improve quality of life.


Peppermint Oil (Enteric Coated): Some studies have shown that this remedy, when 0.2 – 0.4 ml is taken 2-3 times per day between meals, reduces irritation, intestinal cramping and spasm, and gas production. Peppermint oil, especially when combined with clove oil, also com- bats candidiasis.


Perilla Leaf Extract with Saccharo-


myces Cerevisiae (Brewer’s Yeast): This herbal-probiotic combination can reverse or reduce all fi ve of the major factors men- tioned above that can produce the various IBS symptoms. Perilla leaf is antispas- modic, anti-infl ammatory, and prokinetic (promotes normal motility, strengthens the lower esophageal sphincter, and controls acid refl ux). Animal and simulated human studies have demonstrated that a particu- lar strain of S. cerevisiae (CNCM I-3856) reverses dysbiosis by reducing the presence of harmful bacteria such as E. coli.


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