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10/23/2025

Q&A: Stool Test for Methanogens and Does Zonulin Indicate Leaky Gut and SIBO?

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Key Discussions:
  1. Methane Overgrowth in Stool:
    The video begins with a discussion on the presence of methanogen levels in stool tests and whether this indicates methanogen overgrowth in the large intestine. The hosts express uncertainty about the sufficiency of evidence to classify it as IMO (Intestinal Methanogen Overgrowth) (Methane-SIBO).
  2. Expert Opinion:
    Dr. Allison Siebecker recalls Dr. Ali Rezaie suggesting that the presence of methane in stool could indeed indicate overgrowth.
  3. Zonulin, Leaky Gut and SIBO:
    The conversation shifts to Zonulin, a protein associated with leaky gut syndrome. It is clarified that high levels of Zonulin indicate leaky gut, but are not necessarily caused by SIBO (Small Intestinal Bacterial Overgrowth) or LIBO (Large Intestinal Bacterial Overgrowth). Zonulin and leaky gut do not necessarily indicate SIBO.
Takeaways:
  • Methane SIBO/ IMO: There is ongoing debate about the significance of methane presence in stool as an indicator of IMO (Intestinal Methanogen Overgrowth). Expert opinions vary, highlighting the need for more evidence.
  • Zonulin's Role: Zonulin is a marker for leaky gut but should not be used as a standalone indicator for bacterial overgrowth conditions like SIBO or LIBO.
  • Supplement Discount: Listeners in the US are informed about a discount on supplements, at Fullscript.
Products mentioned:
- Leaky gut supplements

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  • 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
  • RESOURCES
    • Discounts
    • BLOG
    • SIBO Podcasts
    • SIBO Studies >
      • SIBO Studies: 2025
      • SIBO Studies: 2024
      • SIBO Studies: 2023
      • SIBO Studies: 2022
      • SIBO Studies: 2021
      • SIBO Studies: 2020
      • SIBO Studies: 2019
      • SIBO Studies: 2018
      • SIBO Studies: 2017
      • SIBO Studies: 2016
      • SIBO Studies: 2015
      • SIBO Studies: 2014
      • SIBO Studies: 2013
      • SIBO Studies: 2012
      • SIBO Studies: 2011
      • SIBO Studies: 2009
      • SIBO Studies: 1990's
      • SIBO Studies: 1980's
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    • SIBO Recipes & Cookbooks
    • MMC Videos
    • Test Directory
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