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9/4/2025

Q&A: SIBO Testing: How to Order and Difference Between Lactose, Lactulose, & Fructose with FoodMarble

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In this video, we delve into the intricacies of testing for Small Intestinal Bacterial Overgrowth (SIBO) using different sugars. Our discussion focuses on the use of fructose and lactulose, highlighting their differences and effectiveness in diagnosing SIBO.
​
Key Discussions:
  1. Understanding Lactulose and Lactose:
    Lactulose is a lab-made sugar, distinct from lactose, which is naturally found in milk. Lactulose is specifically designed for testing purposes as humans lack the enzymes to break it down, making it ideal for detecting bacterial overgrowth through gas production.
​
​      2. Testing Options and Accessibility:
         The video discusses the challenges of accessing lactulose for testing in the US, where a                         prescription is typically required. Alternatives include using tests from Genova via RUPA Labs.

     3.  Fructose as an Alternative:
          Dr. Jason Hawrelak's research is highlighted, showing that fructose can diagnose SIBO more                  accurately than lactulose. This is particularly beneficial for individuals who cannot access                       lactulose.

     4.  Practical Advice:
          Patients are advised on how to obtain testing kits and the importance of consulting with                         healthcare professionals for accurate diagnosis and treatment.


Takeaways:
  • Fructose offers a viable alternative for SIBO testing, potentially providing more accurate results than lactulose.
  • Accessibility to testing substances like lactulose can be challenging, but alternatives and professional guidance are available.
  • Understanding the differences between testing sugars is crucial for effective diagnosis and management of SIBO.
Conclusion:
This discussion provides valuable insights into the testing methods for SIBO, emphasizing the importance of choosing the right substance for accurate diagnosis. Whether using fructose or lactulose, understanding their roles and accessibility can significantly impact the management of SIBO.

Products mentioned:
~ Lactulose Test (Genova): (Rupa)
~ Dr. Jason Hawrelak's Functional Testing
~ FoodMarble SIBO test:  (16% off FoodMarble at checkout)

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This website is not intended to provide diagnosis, treatment or medical advice. Content is for informational purposes only. Always consult with a licensed healthcare professional regarding any medical or health related diagnosis or treatment options. Information on this website should not be considered as a substitute for advice from a licensed healthcare professional that knows your individual information. References to and statements made about specific products on this we website have not been evaluated by the U.S. Food and Drug Administration (FDA) and are not intended to diagnose, treat, cure or prevent any disease.
  • HOME
    • HOME
  • About SIBO
    • WHAT IS SIBO?
    • SIBO Symptoms
    • Associated Diseases
    • What Causes SIBO?
    • SIBO & IBS
  • SIBO TESTS
    • SIBO Tests
  • TREATMENT
    • How To Treat SIBO
    • Symptom Relief
    • What to Avoid
    • Antibiotics
    • Herbal Antibiotics
    • Elemental Diet
    • SIBO Diet
    • Prevention of Relapse
    • Probiotics
  • SIBO COURSES
    • SIBO Courses
  • SIBO SUPPORT
    • SIBO Support
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    • SIBO Studies >
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      • SIBO Studies: 2021
      • SIBO Studies: 2020
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      • SIBO Studies: 2018
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      • SIBO Studies: 2015
      • SIBO Studies: 2014
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