In this episode, Angela Pifer, the "SIBO Guru", provides a comprehensive look at chronic bloating and why it's often more complex than just small intestinal bacterial overgrowth (SIBO). Some key takeaways:

• Bloating is rarely just SIBO - there are many potential underlying causes, including digestive insufficiencies, motility issues, immune dysregulation, mold exposure, and more.
• The standard SIBO treatment approach of repeated antibiotics often leads to recurrence, as it doesn't address the root causes.
• Assessing and supporting the vagus nerve, mitochondrial function, and overall terrain is crucial for resolving chronic bloating.
• Testing should be personalized based on the individual's health history and presentation, not just automatically checking for SIBO.
• Simple lifestyle interventions like improving sleep, reducing stress, and optimizing digestion can make a big difference.

Angela shares her expertise in functional and integrative approaches to get to the bottom of chronic gut symptoms. This is a must-listen for any clinician struggling with persistent bloating.

Speaker Bio:

Angela Pifer, FMN, CN, LN, has been in clinical practice as a Functional Medicine Nutritionist for two decades. She holds a Master's degree in Nutritional Science, graduating at the top of her class from Bastyr University in 2005. Angela is an authority on everything gut, specializing in functional gut disorders from the beginning of her career. The focus of her practice is to find the root cause of chronic GI symptoms. She is a GI Health Researcher, Functional Medicine Educator, and Licensed Certified Nutritionist, and focuses all her continued education on GI conditions. Angela sits on the Scientific Advisory Board of Physicians’ Choice, which sells the number one ordered probiotic on Amazon. She is known affectionately to her patients as ‘SIBO Guru’ for her focus and success in treating SIBO (small intestinal bowel overgrowth) over the past 12 years. She is also the creator of Simply SIBO (FODMAP recipe site to help people dealing with IBS and SIBO expand their diet), GutRx Gurus Bone Broth, and Functional Medicine Shop founder.

Contact:

· Website - https://siboguru.com/

· Email - angelap@siboguru.com

Additional Information and Resources:

SIBO Resource Center: a collection of articles and research on the topic - https://todayspractitioner.com/sibo-resource-center/

The Missing Piece in SIBO Treatment: Beyond Eradication –

https://todayspractitioner.com/sibo/the-missing-piece-in-sibo-treatment-beyond-eradication/

Thanks for listening in. I hope you found today’s episode interesting and came away with a few insights you can apply to your practice. If you want to go deeper on this topic or anything else, please visit https://todayspractitioner.com and consider registering for our weekly newsletter as well.

Thanks again, and I hope you’ll join us next time.

What if “supporting the immune system” isn’t enough? In this thought-provoking episode, a panel of integrative practitioners explores how to move beyond short-term immune support toward lasting immune resilience-the body’s capacity to adapt, recover, and maintain balance through life’s physical and emotional stressors.

Join us as we unpack the key pillars that influence resilient immunity: emotional balance and nervous system regulation, effective drainage and detoxification pathways, and the foundational role of gut health. Together, these systems determine not just how the body defends itself, but how it restores equilibrium after challenge.

Key Takeaways:

● Discover the difference between immune support and immune resilience, and why it matters for long-term patient outcomes.

● Understand how emotional regulation and stress physiology shape immune adaptability.

● Explore how proper drainage and detoxification help maintain internal balance and optimal immune function.

● Learn how gut integrity and microbial diversity provide the foundation for sustained resilience

Speaker Bios:

Emily Hartsfield, ND

Dr. Hartsfield is a Naturopathic Physician and leads Practitioner Support and Product Quality at Energetix. Dr. Hartsfield earned her Doctor of Naturopathic Medicine degree from Bastyr University in Seattle, WA., received her BSc in Biology with a concentration in Medical Laboratory Science from Auburn University at Montgomery, and holds an associate’s degree in Bioscience Technology.

ehartsfield@energetix.com

Tracy Wakefield Southwick, MBSR-MP, ND, HHP, CNA, AMP

Dr. Southwick has dedicated over 30 years to the natural health field after overcoming a chronic “incurable” illness through natural therapies, a journey that ignited her passion for holistic healing. She founded Heights of Health in Houston, now a leading naturopathic clinic with a team of eight practitioners serving clients locally and globally, and later established the Mind Body Spirit Release® Academy, an accredited school training practitioners in her proprietary techniques. A frequent guest on Fox 26 Houston, podcasts, and wellness summits, Tracy continues to educate and inspire professionals and individuals alike to embrace authentic, mind-body-spirit approaches to health and self-healing.

tracy@heightsofhealth.com

Jason Albracht, DC

Dr. Albracht is a Texas born and proud third generation chiropractor and has been in practice since 2004. Dr. Albracht's main goal is to help patients uncover the hidden, causative factors that are obstructing the ability to thrive. He uses specific

Adjusting techniques along with Bioenergetic and Nutrition Response Testing© to identify and correct these underlying issues. Dr. Albracht is passionate about learning the very best way to help his patients.

dralbracht@gmail.com

Thanks for listening in. I hope you found today’s episode interesting and came away with a few insights you can apply to your practice. If you want to go deeper on this topic or anything else, please visit https://todayspractitioner.com and consider registering for our weekly newsletter as well.

Thanks again, and I hope you’ll join us next time.

In this episode of the OneMedicine Podcast, Kara Siedman, a registered dietitian, and Dr. Vivek Lal, the founder and CEO of ResBiotic, joined Rob Lutz for an in-depth discussion on the gut-lung axis and how the microbiome can impact respiratory and metabolic health. They covered:

· The importance of the gut microbiome as the "foundation" for overall health and resilience

· How specific probiotic strains and botanical blends can support lung function and reduce inflammation

· The concept of "postbiotics" and how they can naturally support metabolic markers like GLP-1

· The need for rigorous scientific research and clinical validation in the supplement industry

Kara and Vivek emphasized the value of taking a targeted, precision approach to supporting the microbiome, rather than generic, one-size-fits-all supplements. They challenged practitioners to consider the microbiome as a central hub that connects various body systems.

Links:

ResBiotic Nutrition - https://resbiotic.com

Bios:

Dr. C. Vivek Lal, MD, FAAP is a physician scientist and innovator based in Birmingham, AL, USA. Dr. Lal is a double board-certified physician, having completed medical school, residency training and clinical fellowship in neonatal and perinatal medicine. He also completed a research fellowship in pulmonary and vascular biology from UT Southwestern Medical Center, Dallas, TX and executive program in drug and device development from MIT, Boston, MA. On the academic side, Dr. Lal serves as Director of Clinical Innovation at The Marnix Heersink Institute of Biomedical Innovation at the University of Alabama at Birmingham (UAB) and is the Director of Pulmonary Microbiome Lab.

Dr. Lal is a serial entrepreneur, and Founder of Biostack Ventures through which he launched successful companies such as ResBiotic Nutrition which makes consumer probiotics, Alveolus Bio which does FDA approved pulmonary drug development. Dr. Lal also co-founded and serves on the Board for Urgent Care for Children, a Southeast US based urgent care chain. He serves as the CEO of ResBiotic Nutrition.

Dr. Lal serves on the Board of Microbiome Therapeutics Innovation Group, the Washington DC based national advocacy group for FDA approved microbiome therapeutics, and on the Executive Board of BIO Alabama. In addition, Dr. Lal is a member of Society of Pediatric Research, American Thoracic Society and other national and international societies.

Kara Siedman, RDN, CDCES, is a registered dietitian and certified diabetes care and education specialist with over 15 years of clinical experience in inpatient care, outpatient program development, and integrative/functional nutrition. She earned her degree from the University of Massachusetts Amherst and completed her dietetic internship at Cal Poly San Luis Obispo.

Kara’s work in a leading gastroenterology practice sparked her transition into functional nutrition, where she integrated root-cause approaches into GI care and became a mentor and key opinion leader in the field. Her passion for the gut microbiome evolved into a professional specialty, leading her to collaborate with biotech and microbiome-focused companies like Pendulum, Microbiome Labs, and now ResBiotic Nutrition. As Director of Partnerships at ResBiotic, Kara educates healthcare providers on microbiome science and the clinical application of targeted microbiome therapies. Known for her ability to simplify complex research, she brings clarity, credibility, and passion to gut health education.

Kara Siedman - kara@resbiotic.com

Thanks for listening in. I hope you found today’s episode interesting and came away with a few insights you can apply to your practice. If you want to go deeper on this topic or anything else, please visit https://todayspractitioner.com and consider registering for our weekly newsletter as well.

Thanks again, and I hope you’ll join us next time.