This EndoLife

Today I want to talk to you about an alternative SIBO protocol I have been using with clients since last year - and that’s probiotics. 
I know, controversial, so let’s get started and you’ll learn why I have begun using them.

References:
https://journals.lww.com/ajg/fulltext/2020/02000/acg_clinical_guideline__small_intestinal_bacterial.9.aspx

https://pubmed.ncbi.nlm.nih.gov/28267052/

https://pubmed.ncbi.nlm.nih.gov/29228433/

https://pubmed.ncbi.nlm.nih.gov/36630947/

https://drruscio.com/sibo-probiotics/
https://drruscio.com/sibo-symptoms-causes-treatment/

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3080482, https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/31310070, https://pubmed.ncbi.nlm.nih.gov/21153437

https://www.europeanreview.org/wp/wp-content/uploads/1702-1708-L.-reuteri-in-methane-producer-constipated-patients.pdf

https://pubmed.ncbi.nlm.nih.gov/34201542/, https://pubmed.ncbi.nlm.nih.gov/25531996/

https://pubmed.ncbi.nlm.nih.gov/34201542/

https://pubmed.ncbi.nlm.nih.gov/34201542/

https://pubmed.ncbi.nlm.nih.gov/38337613/

Bacterial contamination hypothesis: a new concept in endometriosis - PMC, Significant increased isolation of Escherichia coli in Iranian women with endometriosis: a case control – study - PMC, The bidirectional relationship between endometriosis and microbiome - PMC

https://pubmed.ncbi.nlm.nih.gov/36630947/

https://pubmed.ncbi.nlm.nih.gov/31549334/

https://pmc.ncbi.nlm.nih.gov/articles/PMC4311312/

https://docs.google.com/document/d/1Wnv6s48luRBgziJBylETVdUSG57FqfNx5cGsEC3GZFw/edit?tab=t.0

https://pubmed.ncbi.nlm.nih.gov/29397491/

https://journals.lww.com/ajg/fulltext/2018/10001/recent_probiotic_use_is_independently_associated.1151.aspx

SIBO Episodes (there are more, this is just a selection)
https://www.theendobellycoach.com/podcast/low-fodmap-diet-endometriosis-sibo?rq=SIBO

https://endometriosisnews.com/2020/12/17/elemental-diet-sibo-treatment/

https://endometriosisnews.com/2020/11/05/antimicrobial-herbs-treat-sibo-right-for-me/

https://endometriosisnews.com/2020/10/08/antibiotics-treat-sibo-guide/

https://endometriosisnews.com/2020/09/24/sibo-treatment-what-to-know/

https://www.theendobellycoach.com/this-endolife-podcast-episodes/how-to-treat-sibo-with-dr-allison-siebecker

https://www.theendobellycoach.com/podcast/latest-research-on-elemental-diet-for-sibo-with-mbiota-ceo-nicola-wodlinger?rq=SIBO

Affiliate Partnerships
mBIOTA - mBIOTA Elemental is the next generation of the elemental diet and is developed with leading gastroenterologists and food scientists. It’s both clinically effective and easy to drink. And for eligible United States customers, mBIOTA Elemental can be purchased with Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA) funds. You can learn more about the formula at mbiota.com and get 20% off with code ENDOLIFE (all caps). Code is valid for the two-week protocol and until June 14th.
Mira - Mira is an at-home hormone testing device for every day use. Use this link and code 2DUFFJESS20 to get 20% off the device and any future wand orders.
Tempdrop- Track fertility effortlessly with Tempdrop’s Wearable Sensor. Get 15% off with code: ENDOLIFE

Need more help or want to learn how to work with me?
Ways to work with me:
⁠One to one coaching info and application⁠‍ ‍
Live and Thrive with Endo 2.0 DIY online course
Endo Sessions: Single and mini-package one to one endo coaching
SIBO Sessions: Single and mini-package one to one SIBO coaching
⁠Masterclasses in endo nutrition, surgery prep and recovery and pain relief⁠
⁠This EndoLife, It Starts with Breakfast digital cookbook⁠

Free resources:
This podcast! 
⁠Endometriosis Net Column⁠
⁠Endometriosis News Column⁠
⁠Substack ⁠
⁠Instagram⁠

Today’s episode is with Dr Alexis Cutchins and we’re talking all about pelvic congestion syndrome (or pelvic venous disease as it’s also known as) and its connection to endometriosis, POTS, MCAS and Hypermobility Spectrum Disorders.
Dr Cutchins is a board certified cardiologist with a passion for caring for patients with Postural Orthostatic Tachycardia Syndrome, Mast Cell Activation Syndrome and Hypermobility Spectrum Disorders. After 13 years as Assistant Professor of Medicine in the division of Cardiology at Emory University she became founder and CEO of Cutchins Cardiovascular Medicine in New York City.
She has been recognized globally for her clinical excellence in the care and management of patients with complex chronic illness, specifically, POTS, Dysautonomia and Long COVID. She is also known for her research contributions in this area specifically related to POTS and its comorbid conditions highlighting the role of Pelvic Venous Disease in Orthostatic Intolerance. She serves as a board member for the International Society for Mast Cell Activation Syndromes (ISMCAS), Standing Up To POTS, and SAFIRE (Spencer’s Association For Interventional Research & Education) a nonprofit organisation advocating for care and research for underdiagnosed syndromes such as POTS, Pelvic Venous Disease and others.
Pelvic congestion syndrome can manifest as symptoms very similar to endo, so it’s often not investigated in our demographic, despite it being very common in our community. So today Dr Cutchins is being our advocate and sharing the symptoms, how to get diagnosed and what tests to ask for, and the treatment options available to us.
If you have daily chronic pelvic pain, or leg pain, or you suspect or know you have POTS, HSD or hEDS or MCAS, this is worth a listen.

Affiliate Partnerships
mBIOTA- mBIOTA Elemental is the next generation of the elemental diet and is developed with leading gastroenterologists and food scientists. It’s both clinically effective and easy to drink. And for eligible United States customers, mBIOTA Elemental can be purchased with Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA) funds. You can learn more about the formula at mbiota.com and get 20% off with code ENDOLIFE (all caps). Code is valid for the two-week protocol and until June 14th.
Mira - Mira is an at-home hormone testing device for every day use. Use this link and code 2DUFFJESS20 to get 20% off the device and any future wand orders.
Tempdrop- Track fertility effortlessly with Tempdrop’s Wearable Sensor. Get 15% off with code: ENDOLIFE

Need more help or want to learn how to work with me?
Ways to work with me:
⁠One to one coaching info and application⁠‍ ‍
Live and Thrive with Endo 2.0 DIY online course
Endo Sessions: Single and mini-package one to one endo coaching
SIBO Sessions: Single and mini-package one to one SIBO coaching
⁠Masterclasses in endo nutrition, surgery prep and recovery and pain relief⁠
⁠This EndoLife, It Starts with Breakfast digital cookbook⁠

Free resources:
This podcast! 
⁠Endometriosis Net Column⁠
⁠Endometriosis News Column⁠
⁠Substack ⁠
⁠Instagram⁠

Today’s episode is with Dr Lizzie Alexander (PhD), an Integrative Nutrition Health Coach (who is also currently training as a Naturopath & Nutritionist) specialising in endometriosis and fertility.
After 25 years of undiagnosed endo, chronic pain, and her own fertility struggles, Lizzie found healing through working with a naturopath in New Zealand and embracing functional nutrition. She became a mother at 39 and is currently navigating secondary infertility and IVF herself.
What’s so special about Lizzie’s work is that she is not only an expert through training, but also through lived experience. She uses this incredible wealth of knowledge to help women with endometriosis reclaim their health and build the families they dream of through evidence-based nutrition, personalised protocols, and compassionate guidance.
In today’s episode we’re discussing the stats behind endo and fertility, the challenges people with endo can come up against with fertility and the core foundations for supporting both natural and assisted fertility journeys.

Affiliate Partnerships
mBIOTA- mBIOTA Elemental is the next generation of the elemental diet and is developed with leading gastroenterologists and food scientists. It’s both clinically effective and easy to drink. And for eligible United States customers, mBIOTA Elemental can be purchased with Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA) funds. You can learn more about the formula at mbiota.com and get 20% off with code ENDOLIFE (all caps). Code is valid for the two-week protocol and until June 14th.
DITTO - DITTO is a clinically studied PMS and PMDD supplement with 10 ingredients that target both the mental and physical challenges that come along with the menstrual cycle, developed by a PhD Nutrition Scientist. You can use the code: ENDOBELLY (all caps) for 20% off any and all orders, now and in the future.
Mira - Mira is an at-home hormone testing device for every day use. Use this link and code 2DJESS20 to get 20% off the device and any future wand orders.
Tempdrop- Track fertility effortlessly with Tempdrop’s Wearable Sensor. Get 15% off with code: ENDOLIFE

Need more help or want to learn how to work with me?
Ways to work with me:
⁠One to one coaching info and application⁠‍ ‍
Live and Thrive with Endo 2.0 DIY online course
Endo Sessions: Single and mini-package one to one endo coaching
SIBO Sessions: Single and mini-package one to one SIBO coaching
⁠Masterclasses in endo nutrition, surgery prep and recovery and pain relief⁠
⁠This EndoLife, It Starts with Breakfast digital cookbook⁠

Free resources:
This podcast! 
⁠Endometriosis Net Column⁠
⁠Endometriosis News Column⁠
⁠Substack ⁠
⁠Instagram⁠

Today I am continuing with my series on the trifecta of POTS, MCAS and h-EDS/hypermobile spectrum disorders and how they are connected to endo, and today we are basically doing a little MCAS 101.

Affiliate Partnerships
mBIOTA - mBIOTA Elemental is the next generation of the elemental diet and is developed with leading gastroenterologists and food scientists. It’s both clinically effective and easy to drink. And for eligible United States customers, mBIOTA Elemental can be purchased with Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA) funds. You can learn more about the formula at mbiota.com and get 20% off with code ENDOLIFE (all caps). Code is valid for the two-week protocol and until June 14th.
DITTO - You can use the code: ENDOBELLY (all caps) for 20% off any and all orders, now and in the future.

Need more help or want to learn how to work with me?
Ways to work with me:
⁠One to one coaching info and application⁠‍ ‍
Live and Thrive with Endo 2.0 DIY online course
Endo Sessions: Single and mini-package one to one endo coaching
SIBO Sessions: Single and mini-package one to one SIBO coaching
⁠Masterclasses in endo nutrition, surgery prep and recovery and pain relief⁠
⁠This EndoLife, It Starts with Breakfast digital cookbook⁠

Free resources:
This podcast! 
⁠Endometriosis Net Column⁠
⁠Endometriosis News Column⁠
⁠Substack ⁠
⁠Instagram⁠

References
1) https://med.virginia.edu/ginutrition/wp-content/uploads/sites/199/2020/06/Mast-Cell-Activation-Syndrome-June-2020.pdf, https://pubmed.ncbi.nlm.nih.gov/32324159/
2) https://pmc.ncbi.nlm.nih.gov/articles/PMC12079877/
3) https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2829454, https://jamanetwork.com/journals/jama/article-abstract/2828511
4) https://pubmed.ncbi.nlm.nih.gov/24098785/
5) https://pmc.ncbi.nlm.nih.gov/articles/PMC8459548/, https://www.sciencedirect.com/science/article/pii/S1201971220307323
6) https://pubmed.ncbi.nlm.nih.gov/34166845/, https://pubmed.ncbi.nlm.nih.gov/35623575/, https://pubmed.ncbi.nlm.nih.gov/32324159/ 
7) https://braininflammation.org/mast-cell-activation-syndrome-mcas-dr-lawrence-afrin/
8) https://pmc.ncbi.nlm.nih.gov/articles/PMC1797832/ , https://pmc.ncbi.nlm.nih.gov/articles/PMC2603032/
9) https://pubmed.ncbi.nlm.nih.gov/7588332/
10) https://med.virginia.edu/ginutrition/wp-content/uploads/sites/199/2020/06/Mast-Cell-Activation-Syndrome-June-2020.pdf, https://www.degruyterbrill.com/document/doi/10.1515/dx-2020-0005/html
11) https://pubmed.ncbi.nlm.nih.gov/29074615/,https://pmc.ncbi.nlm.nih.gov/articles/PMC9945179/,https://pubmed.ncbi.nlm.nih.gov/36016927/,https://pubmed.ncbi.nlm.nih.gov/15494048/,https://pubmed.ncbi.nlm.nih.gov/27841046,https://pubmed.ncbi.nlm.nih.gov/26550518/,https://pubmed.ncbi.nlm.nih.gov/17631002/,https://pubmed.ncbi.nlm.nih.gov/40028674,https://pubmed.ncbi.nlm.nih.gov/34630429/,https://pmc.ncbi.nlm.nih.gov/articles/PMC6964357/, https://pubmed.ncbi.nlm.nih.gov/37664916/
12) https://www.frontiersin.org/journals/immunology/articles/10.3389/fimmu.2025.1727183/full
13) https://pubmed.ncbi.nlm.nih.gov/22369407/, https://pubmed.ncbi.nlm.nih.gov/24857310/, https://www.nichd.nih.gov/newsroom/releases/endometriosis, https://www.ejog.org/article/S0301-2115(14)00234-6/abstract
14) https://pubmed.ncbi.nlm.nih.gov/39990556/, https://jchr.org/index.php/JCHR/article/view/5363, https://pmc.ncbi.nlm.nih.gov/articles/PMC3413773/
15) https://pmc.ncbi.nlm.nih.gov/articles/PMC11348541/, https://med.virginia.edu/ginutrition/wp-content/uploads/sites/199/2020/06/Mast-Cell-Activation-Syndrome-June-2020.pdf
16) https://pmc.ncbi.nlm.nih.gov/articles/PMC7282488/
17) https://ard.bmj.com/content/80/Suppl_1/965.1, https://pubmed.ncbi.nlm.nih.gov/35449490/, https://pmc.ncbi.nlm.nih.gov/articles/PMC9022617/
18) https://www.ahajournals.org/doi/10.1161/JAHA.121.021002?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%20%200pubmed
19) https://pmc.ncbi.nlm.nih.gov/articles/PMC11348541/#sec14

Today I am talking to Nicola Wodlinger, CEO of mBIOTA, the founders of the mBIOTA Elemental diet, which is a treatment I use with many of my SIBO clients but is also a treatment for other gastrointestinal conditions such as IBS and Crohn’s. The elemental diet is notoriously bad tasting, so the founders of mBIOTA set out to create an elemental diet that was both clinically effective for treating SIBO whilst also being palatable enough for patients to actually finish the treatment, which has been a challenge historically. They are also investing into research and have found some incredible effects of mBIOTA for SIBO and even candida.
So today, Nicola and I are discussing what the elemental diet is and why it’s used for SIBO treatment, the effectiveness of the elemental diet and what their research has found (which is fascinating, btw), challenges of the elemental diet and how to overcome them, and how to transition off the formula, which is a point of confusion for many SIBO-ers.
So, if you struggle with SIBO, IBS or you have endo belly and you’re wondering what could be behind it, I really recommend tuning into this conversation!
Oh and also, I just had to share this, mBIOTA is an entirely female led and staffed company, which I thought was pretty cool and many of you would appreciate!

Affiliate Partnerships
DITTO - DITTO is a clinically studied PMS and PMDD supplement with 10 ingredients that target both the mental and physical challenges that come along with the menstrual cycle, developed by a PhD Nutrition Scientist. You can use the code: ENDOBELLY (all caps) for 20% off any and all orders, now and in the future.
Mira - Mira is an at-home hormone testing device for every day use. Use this link and code 2DJESS20 to get 20% off the device and any future wand orders.
Tempdrop- Track fertility effortlessly with Tempdrop’s Wearable Sensor. Get 15% off with code: ENDOLIFE

Need more help or want to learn how to work with me?
Ways to work with me:
⁠One to one coaching info and application⁠‍ ‍
Live and Thrive with Endo 2.0 DIY online course
Endo Sessions: Single and mini-package one to one endo coaching
SIBO Sessions: Single and mini-package one to one SIBO coaching
⁠Masterclasses in endo nutrition, surgery prep and recovery and pain relief⁠
⁠This EndoLife, It Starts with Breakfast digital cookbook⁠

Free resources:
This podcast! 
⁠Endometriosis Net Column⁠
⁠Endometriosis News Column⁠
⁠Substack ⁠
⁠Instagram⁠

References
mBIOTA
Research
GoodLFE