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599. What if it's NOT SIBO, IBS or IBD...cracking YOUR gut issues so you can finally heal!

January 27, 2026·1h 11m

Bloating, gas, constipation, diarrhea, food fear, and the never-ending cycle of “I treated it… so why is it back?” If that sounds familiar, this episode is a must-listen. In this conversation, I sit down with Angela Pifer, widely known as the “SIBO Guru,” to break down what Small Intestinal Bacterial Overgrowth really is, why it’s so commonly missed or misdiagnosed, and why so many people relapse after treatment. We dig into the different types of SIBO (hydrogen, methane, and hydrogen sulfide), why knowing the type matters, and how SIBO is often confused with IBS, food sensitivities, or general gut dysbiosis. Angela explains the biggest mistakes people make when trying to treat SIBO, including overusing probiotics, fiber, or antimicrobials without addressing the real drivers underneath. We also talk about how SIBO impacts hormones, especially thyroid function, estrogen balance, and cortisol… and why motility, bile flow, and nervous system regulation are non-negotiables if you want real, lasting healing. This episode will challenge a lot of common gut health advice, but if you’ve been stuck in the SIBO loop, it may finally explain why nothing has worked long-term. Cracking the SIBO Code Summit This summit brings together 50 top experts in functional and integrative medicine to break down the root causes of chronic gut dysfunction and inflammation.