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Small Intestine Bacterial Overgrowth (SIBO): Update on Diagnosis and Management, by Dr Michael Traub, ND, DHANP, CCH, FABNO

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Competent diagnosis and management of SIBO demands an understanding of the various risk factors that predispose to its development. Addressing the underlying causes is key to effective treatment. SIBO can be a chronic or recurring problem for some patients for whom the causes cannot be completely corrected. Testing for SIBO is not always straight-forward and requires a basic understanding of breath testing, endoscopic procedures, and interpretation of results. Treatment options include prescription drugs, botanicals, elemental diet and therapeutic diets. Other conditions can masquerade as SIBO that may be more ominous, there may be co-morbidities, and a comprehensive differential diagnosis must be considered for all patients.

Learning objectives:

Attendees will understand:

  • The various risk factors predisposing to SIBO
  • The role of a dysfunctional migrating motor complex
  • Appropriate testing protocols and interpretation of test results
  • Treatment options, including prescription drugs, botanicals, elemental diet, and therapeutic diets
  • Dietary ingredients and supplements to avoid
  • Masqueraders of SIBO and possible co-morbidities

CE credits

Canadian residents: Category A-1.0 credit
AANP: Pharmacy-1.0 credit
OANP: Pharmacy-0.75 credit; Pain-0.25 credit

Dr Michael Traub, ND, DHANP, CCH, FABNO

Dr Michael Traub obtained his undergraduate degree in biological sciences from the University of California, Irvine in 1976 where he conducted neurobiology research of learning and memory for Professor James L. McGaugh. He graduated from the National College of Naturopathic Medicine in 1981 and completed a residency there in Family Practice and Homeopathy.

He became board certified in homeopathic medicine by the Homeopathic Academy of Naturopathic Physicians in 1989. Dr Traub was recognized for his many years of service to the American Association of Naturopathic Physicians, including President from 2001-2003, when he was honored with the 2006 Physician of the Year Award. His father was a dermatologist, and this inspired Dr Traub to undertake extra study in this subject. He has taught dermatology at five of the seven accredited naturopathic medical schools in North America and is the author of “Essentials of Dermatologic Diagnosis and Integrative Therapeutics.” He is a recognized authority in the naturopathic profession on dermatology. He serves on the scientific advisory boards of several natural product companies, and has been actively engaged in clinical research for most of his career. Dr Traub has been medical director of Lokahi Health Center in Kailua Kona, Hawaii for the past 37 years. He is also board certified in naturopathic oncology by the American Board of Naturopathic Oncology.