 That's the doctor show I'm here with Robert and Robert was a really interesting case came in with Pre-diagnosed with SIBO and had a pretty progressed case of it And when you had come in what were some of the the chief symptoms that you were having no weight loss It was one of the big runs, right? I think the major symptom was what I'd call constant stomach discomfort this discomfort, right and belching right yeah, and really Pressure on my stomach was where the major with that kind of yeah, yeah, right and it was Various times was very severe So so yeah that when you came in there It was kind of your your typical presentation of SIBO where the weight loss is getting to a point where he was getting concerned about it and a lot of Upper GI just comfort and SIBO for those of you who don't understand is small intestinal bacterial overgrowth And it's where the bacteria in the colon can overgrown to the intestines and cause Bloating gas, constipation, loose stools, burping Bloating pain things like that and also weight loss if it gets because it can actually damage the intestinal lining And interfere with nutrient absorption So he had come in and you had kind of been through a whole bunch of Endoscopies through through both ends and testing it and he had a good work up And you had had some response, but you weren't really all the way there, right? Yeah, I'm not sure I got to point where I felt like I was in control of it But I was pretty much at wit's end because I think I did every test known to man Some of them twice and a couple of them with so-called experts in the field, right? so I was Diagnosis Creating a lot of excess methane gas sure and that was a primary copper for the discomfort Right methane production was was the element that we came to get a handle on sure sir And then that's usually seebo will present is one of two ways either a hydrogen predominant a methane predominant or a mixed type and so that was you know methane prominence what we saw with Robert and We built upon some of the stuff he had done in the past We went through a course of herbal antibiotics to help beat down the methane seebo a little bit more Also, I think one of the key things for you is using the hydrochloric acid Because I don't think you were making nearly enough hydrochloric acid and he had a lot of burping and a lot of times burping And and gas in the upper half of the Intestinal tract is an issue of not having enough hydrochloric acid and if you don't have enough hydrochloric acid That can actually feed seebo and some of the studies have shown that if you use If you use long-term acid suppressing medication, that's one of the risk factors for seebo So we were kind of looking at that in the in the opposite where we need to get more acid in the stomach That combined with we we did find FC bar buyers was Reactivated as well as another bacteria in conjunction with that so we had you know This one we kind of had to work with it Some some cases are quick, but this week we had to work at it for a little bit and we we had a fairly intensive Middle stage of therapies there. We were using a lot of different antimicrobials and different things, but you put on some weight It was about 10 pounds now. Yeah, I'd lost about 30 pounds and got 10 of it back and I've sort of plateaued it and I still need a little bit more weight, but I Seem to be getting getting back to what I'm right, right and then the GI distress is much less. They're much less I do have to watch what I eat and continually watch what I eat and trying to balance the high acid and very very FODMAP sensitive, which is something that Can be an important part of managing especially kind of a Chronic form of seebo is just trying to limit the FODMAP foods because the FODMAP these high FODMAP foods feed in I think you found that firsthand where you tried to test the waters and it hasn't gone too well You do and then you know you shouldn't right, but sometimes you got to do it before you know You got to bring your hand on the stove Cool, so yeah, I think that's a pretty good synopsis where you know Yeah, we're sort of any in a maintenance mode right now and hopefully We keep tweaking it until we get the right combination So yeah, I think we got you pretty much out of the woods a few little tweaks going forward for Robert, but You know luckily we got some weight back on I got most of the chief symptoms out of there and Couple little things maybe that we can we can get going in the future, but I think overall you've done really well I'm happy to see that we were able to help you right good. Well. Thank you for talking to us, okay?