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Insane but not uncommon. This lady spent years, and who knows how much, trying to solve her SIBO. She was told she didn’t have any thyoid issues and kept on the pharma/alt health merrygoround. This included: nutritionists acupuncturists 15+ naturopaths "gut health coaches" multiple gastroenterologists various functional medicine doctors Elemental diet (done it twice) $800 on SIBO breath tests alone Low FODMAP became my personality “The most frustrating part was for years, my thyroid labs were "normal." TSH bounced between 2.0-2.5, free T4 right in the middle of the range. Every doctor looked at those numbers and moved on to prescribe another round of gut-focused treatment. Meanwhile, I had Hashimoto's antibodies through the roof, but they kept saying my thyroid function was "fine." Eventually, someone tested her thyroid hormone levels (T3).It was in the gutter. She started T3. “Within 3 weeks, my morning "hangover" feeling was gone. I was actually having bowel movements without coffee. Bloating reduced by maybe 50%. Brain fog starting to lift. I had energy to actually do things with my partner again. The bloating took longer, probably 6-8 weeks to really improve. Still have bad days, especially around my cycle. At week 8, I retested for SIBO. Hydrogen was 12 ppm. First negative result since my thirties. Had to retest it because I didn't believe it. The restrictive diets I'd been following were actually making my thyroid worse. Carbohydrates are essential for T4 to T3 conversion. Every time I went low-carb or did another elimination diet, I was sabotaging my thyroid function and perpetuating the cycle.” She had a genetic thyroid hormone conversion issue, among other things, but there are many other thyroid hormone (not thyroid gland) issues that are missed by standard testing. SIBO is a well known symptom of hypothyroidism. "A very hypothyroid person sometimes has bacteria and yeast living in the stomach." — Ray Peat Hypothyroid people are 11x more likely to have SIBO. “The history of overt hypothyroidism is associated with bacterial overgrowth development.” Hypothyroidism: ➥ Slows gut transit time ➥ Swells the gut lining ➥ Reduces stomach acid PMID: 17698907

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