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So I listened to Dr. Siebecker's presentation at the Paleo Summit this past week and became curious about SIBO. Upon further research, I saw that a variety of diets are recommended to combat SIBO and many of these diets include non-paleo foods. So I set out to fashion a paleo version of the GAPS/SCD/FODMAP diets that would specifically address paleo eaters and SIBO sympthoms. It looks like what I came up with was a very anti-inflammatory diet. Not sure how long one would have to follow this in order to heal their gut but take a look and let me know if you've ever tried to reconcile all these diets in order to restore health as well as be paleo-compliant:

(note: I'm a chef, so I instinctually made a sample meal plan for this diet)

OK FOOD for SIBO (a combination of SCD, FODMAP, Paleo, and GAPS)

Vegetables Artichoke, bamboo shoots, bok choy, carrot, celery, endive, ginger, lettuce, olives, pumpkin, red pepper, spinach, summer squash, tomato, turnip, zucchini, beets, cucumbers, Greens, parsley, peppers, winter squash, watercress, capers, pickles

Fruit Berries, ripe bananas, coconut, dates, grapefruit, grapes, kiwi, lemons, limes, melons, oranges, papaya, pineapple, tangerines

Protien Grass-fed beef, lamb, bison, duck, pork, chicken, turkey, eggs, fish, shellfish

Fat Olive Oil, Coconut Oil, rendered fat, nuts (raw)

REMeMBER NO: Avocado, Brussels, cabbage, onions (all), garlic, eggplant, fennel, sweet potato, parsnip, apples, pears, plums, mango, watermelon, blackberry, apricot, mushrooms, cauliflower, broccoli, chocolate, cocoa, okra, balsamic, asparagus, honey.

Sample Day SIBO diet: Breakfast: Egg omlette with bacon fat, red pepper, spinach and Kalamata olives. Lunch: Steamed greens with chicken, tomato, cucumber, parsley, raw tahini and lemon. Dinner: Ginger Salmon with roasted squash and steamed bok choy

SNACKS: Almond butter with banana/ Fresh coconut/ Hard boiled eggs/ Tuna salad with celery, shredded carrot, scallion/ Endive leaves with pumpkin dipping sauce/ Berries/ Raw turnip ravioli

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Nice work! Should be helpful to someone trying to figure this out. – Nance Mar 5 2012 at 16:11
+10 This is awesome... – Eric Mar 6 2012 at 7:43
This may look good in theory, but reality can look very different. – Dean Mar 6 2012 at 14:24

4 Answers

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When I had SIBO-like symptoms, there weren't any vegetables at all that I could tolerate. A diet that was basically zero-carb/VLC very high and fat was the only thing that stopped the constant diarrhea and gas. I followed this for about a month. Then I was able to gradually add in some foods and the list of things I could eat became longer as my gut healed.

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Whew! I'm glad you were able to get out of THAT spot! That had to really suck. – Nance Mar 5 2012 at 16:51
Did you drink a lot of bone broth, Melissa? – Korion Mar 5 2012 at 17:19
Yeah, I did bone broths from beef bones and fish bones. – Bread-Eating Beelzebub Mar 5 2012 at 17:24
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Awesome! Peppers and dates might be an issue.

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I'm really not sure about tomatoes, cucumbers and peppers. Personally, I find I'm far better off without them. I guess salycilate and nightshades are different issues altogether.

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A thought with SIBO you were supposed to avoid ALL starches/sugars/non-vegetable carbs. So wouldn't that mean no nuts or fruit?

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