FAQs & Stuff I forgot to say:
NAFLD: If you have liver disease be aware of this relationship. My GP found on ultrasound that I had NAFLD along the way. It was very strange because I had low BMI and no good reason for it. A recent ultrasound shows it is gone now. The relationship with SIBO is known, linked below. Essentially, the SIBO bacteria create toxins that enter the bloodstream, go to the liver and mess it up.
Magnesium Oxide. In retrospect after this video, I realized I should have mentioned this. I took Oxy-Powder for about a week as my first attempt to work on motility. It can be used to clear out your GI (colonoscopy prep sometimes uses magnesium citrate). I moved on because it made me sleepy. I do wonder now if cleaning out my GI with this first could have helped my odds of responding to motility pro. It seems possible, so I want to add this note here.
Fiber: Unfortunately, we cannot rely on fiber for motility aid. This confuses a lot of SIBO patients. Fiber is a chain of non-digestible carbs that the bacteria can eat. They feast on it and it makes us worse. So don't take fiber supplements. Some people try Miralax since it is basically a plastic instead, but at the end of the day consider that no matter the moisture content of your digesting food, it's not going anywhere because the MMC's aren't working. So it's not really a fix.
If you have D Lactic Acidosis be aware that you can modulate your symptoms by limiting sugars and simple carbs. The more readily available food is for the bacteria, the faster they will produce D Lactate and overload your system. You gotta cure the sibo to get rid of it, but this can help you manage your life en route.
The most popular small bowel MMC tools I have seen used in the SIBO community are:
Ortho Molecular Products Motility Pro (What I used)
MotilPro
SIBO-MMC
Iberogast Advanced (Be aware the original Iberogast had liver risks)
For a while I tried Triphala after meals. I don't think it's strong enough to fix things on its own, but it does give me feelings of relief if I ever feel like I ate a meal that's slowing me down. Don't take triphala if pregnant.
Lifestyle tips:
Reducing anxiety is very important. Stress is known to impair MMC.
Foot massages are surprisingly effective at stimulating small bowel MMC.
Beware common anxiety inputs: social media & news. Seriously consider taking a 1 week break from all screens outside of work and see if it meaningfully influences your stress levels / motility.
Cardio exercise is good if possible. Based on my experience swimming is the most effective exercise to help us - it is cardio that gets things moving, the buoyant action makes things move, and it is very stress relieving especially if there's a hot tub afterward.
Don't snack at night. It resets your MMC clock. Give yourself dinner to breakfast as a solid fasting period if possible, that's lots of time for MMC's. Fats delay MMC more than any other form of food.
Gastritis people: I used DGL to speed up the healing of my stomach lining once my MMC was working again. It has worked well for myself and others I personally know for gastritis. It has a lot of drug interactions though, so check on that.
Magnesium and Zinc deficiencies are common in small bowel diseases that limit absorption. Low mag can lead to muscle spasms and stress/anxiety, low zinc can lead to hair loss.
A few months past this video I no longer needed any prokinetics, a MMC-focused lifestyle was enough to keep me functioning well.
Important Links:
MMC
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Great example of someone using this video to figure out what worked for themselves
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Low Fermentation Diet
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SIBO Overview by Dr. Mark Pimentel
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SIBO and D-Lactic Acidosis
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SIBO and NAFLD
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SIBO and IBS
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SIBO subreddit
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Why Bitter Foods can stimulate upper GI motility
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Some Papers on Ginger and Artichoke
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Maybe the reason why ginger, artichoke can be effective for MMC:
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In my opinion one of the best written papers about SIBO / Small bowel impairment:
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