Best Herbal Prokinetic for IBS and SIBO 2024 Research Update
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- Опубліковано 19 чер 2024
- Prokinetics (things that regulate motility and the MMC) are incredibly helpful for people with IBS and SIBO. In fact, they're borderline miraculous for bloating, abdominal distention, and post-meal fullness. But, there are a gazillion herbal prokinetics out there... How the heck are you supposed to choose one?! Well, it's a good thing for you that I'm such a nerd- I share my research in this video so you can make an informed decision!
FODMAP Freedom awaits you:
www.fodmapfreedom.com/wait
Creating a Fullscript account:
us.fullscript.com/welcome/inf...
Products mentioned and their ordering links:
- Motility Activator by Integrative Therapeutics
- us.fullscript.com/catalog/pro...
- Acetyl CH Active by Apex Energetics
- us.fullscript.com/catalog/pro...
- SIBO MMC by Priority One Formulas
- us.fullscript.com/catalog/pro...
- GI Motility Complex by Enzyme Science
- us.fullscript.com/catalog/pro...
- Mega Guard by Microbiome Labs
- us.fullscript.com/catalog/pro...
- MotilPro by Pure Encapsulations
- us.fullscript.com/catalog/pro...
- Prokine by VitaAid
- us.fullscript.com/catalog/pro...
- MMC Restore by Gaia Herbs
- us.fullscript.com/catalog/pro...
- Lion's Mane by Real Mushrooms
- shop.realmushrooms.com/produc...
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Dr. Nicole DiNezza, DC, NTP
Holly Springs, NC
I hope this video introduces more folks to the wonderful world of prokinetics :) My editor forgot to include all the product URLs when she uploaded the video, so I thought I'd post them here, too.
FODMAP Freedom:
www.fodmapfreedom.com/wait
Creating a Fullscript account:
us.fullscript.com/welcome/infinity
Products mentioned and their ordering links:
- Motility Activator by Integrative Therapeutics
- us.fullscript.com/catalog/products/motility-activator/U3ByZWU6OlZhcmlhbnQtMTAyODE5
- Acetyl CH Active by Apex Energetics
- us.fullscript.com/catalog/products/acetyl-ch-active/U3ByZWU6OlZhcmlhbnQtMTA5NTQy
- SIBO MMC by Priority One Formulas
- us.fullscript.com/catalog/products/sibo-mmc/U3ByZWU6OlZhcmlhbnQtMTAyODIx
- GI Motility Complex by Enzyme Science
- us.fullscript.com/catalog/products/gi-motility-complex-60c/U3ByZWU6OlZhcmlhbnQtMTA5MTc2
- Mega Guard by Microbiome Labs
- us.fullscript.com/catalog/products/megaguard/U3ByZWU6OlZhcmlhbnQtMTA5Mzky
- MotilPro by Pure Encapsulations
- us.fullscript.com/catalog/products/motilpro/U3ByZWU6OlZhcmlhbnQtNzE2OTg=
- Prokine by VitaAid
- us.fullscript.com/catalog/products/prokine-126c/U3ByZWU6OlZhcmlhbnQtMTA4MjU0
- MMC Restore by Gaia Herbs
- us.fullscript.com/catalog/products/mmc-restore
- Lion's Mane by Real Mushrooms
- shop.realmushrooms.com/products/organic-lions-mane-extract-capsules
How long do I give it before it “works”?
I’m so glad you mentioned being careful of what’s on Amazon. If you check the FAQ or (if you’re a practitioner) your agreement with the company, most of them forbid selling on reseller sites like Amazon-Biotics, Standard Process, Apex, etc. What’s on Amazon is not from the companies, so you have no idea of their storage type (how hot or cold), or how close to expiration they are, or even if it’s the right product.
Yes, I totally agree. I bought what I _thought_ was Bind (activated charcoal with natural synergistic herbs), and it had one very subtle difference in the ingredients. I reached out to the company that makes Bind and they said they do NOT sell on Amazon. Um...$50 down the drain for not doing my due diligence beforehand, but I learned my lesson.
@@allhimwithme5115 Nothing like profiting off of human suffering...smh 🙄
Dr Dinezza truly seems to care about the wellbeing of people.
I cannot afford to see a Dr like her personally but her videos have been a huge blessing!
Thank you for sharing your knowledge with us!
Thank you for all you do.
Amazing content! My one suggestion would be to stand so we can read the board. I had to toggle throughout your video to find a moment when I could read the board. It feels a little pointless to even write it down when it can't be read most of the video. Thank you for all you do!
Thank you!! 🙏
Thank you! I'll give it a whirl!
This is a very helpful video.
Very compelling-I was discovered to have POTS and I wonder if it’s the underlying reason for GI dysfunction (but I’ve also had bowel endometriosis so may not be just that). I had wondered if an earlier stage of endometriosis was messing up my vagus nerve, then later after the POTS diagnosis doing research I discovered there is a connection to acetylcholine receptors. hmmmm. Definitely coming info here as always!
You should check your b vitamins. I have toxic levels from supplements and caused all these issues.
Thank you so much for this very informative video!
Question: are these supplements recommended for regular use? Would ongoing use of prokinetic supplements affect the body's GI system to learn how to eventually move along on its own? Or are these different than, say, Senna, which is more hardcore? Okay so this was more than one question:)
Thanks! Perfect timing.
Btw, got any recommendations for those who also have MCAS?
Hi dr. DiNezza.
Thank you for your videos.
Do you have any about zeolite?
Hi, I was taking Artichoke for my gut motility. It was working good. I wanted to try Lions Mane after watching your videos. Guess what it had the most impact on my IBS. Recently, I caught Covid, I was having trouble with some neurological problems and left side weakness. Lions Mane is helping with it too, I am 90% free from neurological and left side weakness issues after using it for only 1 and half months. I also had mild gastritis and reflux. They are completely gone now. My sleep has been improved too. I'm planning to use it for a long time. Thank you for your recommendation! Keep up your good work!
Great to read this. What brand of Lions Mane do you use? Thank you.
Great to read this. What brand do you use? Thank you.
@@elizabethmcleod246 Real Mushroom
Thanks for sharing this.
Gaia Pro MMC Restore instructions say to take with meals. Does that make sense to you or would it be better to take at bedtime (and maybe between meals)?
It's a capsule so I can't taste much, but the general taste vibe is fragrant/yummy to me, not bitter.
I would like to ask a question about FODMAP⚡ Freedom. What would be the best way to do this?
Hi, I know it’s off topic but I think you are the best person to ask, so I’ve been taking Neem and decided to introduce berberine , it seemed to help, but it feels like it’s also really irritating my stomach, and hcl in the berberine seems to have the same effect as betaine HCL for me, and some berberine products have HCL, and I was thinking if I should switch to berberine complex integrative since it doesn’t contain HCL. I read some people did this and fixed it, Do you know anything about this, would really appreciate it !
Hi. Came looking for the full script link; I’m hoping to get the Acetyal ch active. You got me with vagus nerve action.
Whoops! My editor forgot to include the links when she uploaded the description! Here's the link to Acetyl CH Active: us.fullscript.com/catalog/products/acetyl-ch-active/U3ByZWU6OlZhcmlhbnQtMTA5NTQy
Hi, I’ve been trying to find a reliable source to when to take Dysbiocide and fc cidal , and I just wanted to ask when I should take it, meaning with food or in between meals or?
Thank you!
Do you know bloat relief by life extensions ? I recently bought this because the things you recommend are hard to get in Germany .
I have started the Artichoke supplement. Waiting on my Artichoke/Ginger supplement. Artichoke alone has already helped some . In my case getting the descending colon moving is the issue .
Did ginger/artichoke help?
@@harshitthakar5377 Not as much as Artichoke and Milk thistle. My issue is mostly inflammation of digestive system including gallbladder. So I’m now taking Zinc with L-Camosine to help eliminate the inflammation.
Gut Motility worked for me tremendously for methane sibo with brain fog, bloating and abdominal pain.
I appreciate you sharing your experience. Do you have experience with using pro kinetics in pregnant women?
She said she would put the links to full script for these products below the video, but I do not see them in the description or in the comment section. Does anybody else see the links? 🤔
Sorry, my editor forgot to include the links when she uploaded the description! I added the links and I put them in the pinned comment, too.
Appreciate you sharing your knowledge greatly! I can't swallow pills, long story. I wonder if any of these options could be opened or if there are other ones for those
of us with this concern.
I can't swallow pills either, and I'm wondering the same thing
Dr. DiNezza, I saw one of your UA-cam videos dealing with people with SIBO and Celiac disease not having to continue taking enzymes. My gastroenterologist diagnosed me with EPI/ Exocrine Pancreatic Insufficiency approximately 2 years ago. He was able to control the stomach pains and help me evacuate after meals With the Pharmaceutical enzymes he prescribed; however, inflammation, diarrhea (sometimes), and constipation (sometimes) persist. I must mention that before the enzymes I had to always be near a restroom because I had no idea of when I was going to have a bowel movement and now I have somewhat better control of that situation. Your UA-cam video interested me more than others because I would not like to depend on these pharmaceutical enzymes (Zenpep), not only because they derive from lab pigs but also because it is a real drag having to take them with every meal.. Should I change to natural enzymes like you mentioned in your Video? Do you still do Zoom meetings? P.S. I would like to mention that my doctor mentioned that I did not have Celiac disease and am almost 90% sure I do not have Sibo.
You can't be 90% sure of anything without a test. There are many people with SIBO that have varying degrees of symptoms. Some have constipation, others have diarrhea, bloating, dehydration, back pain etc. Take the Triosmart breath test to ACTUALLY know you don't have sibo. You don't even need a doctors prescription to order the test.
Do you have any recommendations to improve motility of the large intestine that isn't a laxative? Any thoughts on what the root causes could be for this and supplements that could help address the root causes?
Thank you for the info! Can you post this list please?
Whoops! My editor forgot to include the links when she uploaded the description. They're all there (and in the pinned comment) now, so you should be all set.
The company told me it was due to the artichoke, but the other products don’t have that disclaimer on their artichoke ingredients.
Interesting! I watched the previous video and tried Motility Activator and Prokine and liked the Prokine much more! It's surprising to me that it's so low on your list...
Hey, to that 2.5% Prokine is still legitimately wonderful :) I'm just glad you found one that works for you!
Another great motility hack is just waiting inbetween meals to allow the body to sweep out the baddies. If your body is constantly full of food, then this can impair the MMCs.
Do lion mane help with the vagus nerve to substitute for Acetyl Ch Active?
The bottle of Mot Activator says do not use if you have allergy to Ragweed (most common hay fever allergen), which I think is due to the artichoke. Have you and your patients taken this into consideration Dr. Dinezza?
It must not be a biggie, since most people I work with do fine on these products. I'd estimate that less than 0.5% of folks have a reaction to or strongly dislike the artichoke formulas.
Also used it and caused eye aches and strange vision issues. I could look out for these potential items with this product. Ginger is great, so that could be something to consider.
5:14 min mark for #1 at 29%
7:00 min mark for #2 at 21%
9:33 min mark #3 at 14%
And not sure what happened but at 11:30 min mark #3 again 🤦🏽♀️💁🏻♀️ .. I’m just going with it
11:46 min mark #4 at 7.5%
12:42 min mark #5 at 6%
15:05 min mark #6 at 5%
Links for products are in video description.
What do you think about supplementing choline directly versus the supplement that you recommended that supports acetylcholine? Is is better to use a supplement designed to support acetylcholine rather than just supplementing with choline?
What's your opinion on Motility pro?
Anything on Atrantil? I ordered and took one dose, and experienced frequent GMs and loose stools, on one dose, despite having methane predominant SIBO and no warnings by the company.
I registered for the waitlist. Does this start in April by any chance?
If an herbal prokinetic is typically just ginger and artichoke, why do these supps cost so much? Are these your picks bc they can be ordered from fullscripts? How about HB Guard from the makers of IB Guard? It is ginger, artichoke, licorice, marshmallow root, and slippery elm.
I initially became familiar with many of these because they are "professional grade" products, yes... Although, I don't think that makes them intrinsically superior. I've recently encouraged some folks to try the SilverFern product after they chose Mega Guard. The label is identical, so I think it's the same exact formula, but way cheaper! That being said, all of them have sworn that Mega Guard was way better. I'm still trying to wrap my head around that one!
@@gutmicrobiomequeen thanks for the response! I hope you'll review HB Guard sometime 😊
I am interested in the course but I live in Australia so not sure how it would work.
Why would MegaGuard be 6% while it contains Ginger, Artichoke, and DGL? Motility Activator has ginger and artichoke. Why the results would be different?
Motility Activator advises against using with ragweed allergy, which I have. Is this the same concern with all the artichoke-ginger prokinetics?
I'm wondering this too and haven't been able to find an answer. I can't even figure out what it is in Motility Activator that could be a problem for people with ragweed allergy.
Thank you.. I wish your rates were more affordable
What can I take if I cannot take salicylates or oxalates that your offering? Sals paralyzed my nervous system and make sibo worse.😢
Just food for, if people can’t get their hands on the Apex product. There is a product with the same ingredients called Parasym Plus, however it uses thiamine rather than pantothenic acid.
Can you take motility activator if ginger always comes up on my food sensitivity list?
I am desperate to try Acetyl CH - Active ! I have a Fullscript account, but my doctor doesn't, so I can't get a recommendation, which is heartbreaking. Is there any other supplement you know of that has a similar composition and targets the vagus nerve ? I've tried so many supplements and prescribed drugs to help with my gastroparesis, and the one thing I haven't tried is targeting the vagus nerve.
Hello, I have the same issue going on. How are you doing now and did you find a supplement to help with the Vagus nerve?
What about using alpha lipoid acid as pro kinetic?
I was really surprised that Iberogast didn't make the list (although they have just changed their formula sadly)
I wish I could include it in the line up, but I think it'd be too much of a pain in the butt to bottle and ship a one week supply, since that one's a liquid. For the time being, I'm just sticking with capsules.
@@gutmicrobiomequeen Where would you put Iberogast into your list based on your experiences with clients using it?
It's widely used, but some reporting on liver failure in users put me off it. I'd like to revisit it and try it out. Did you try this?
What is your opinion of prucalopride?
I'm surprised iberogast didn't make the list.
Would love to see videos on histamine intolerance and supplements.
diamine oxidase. bovine kidney worked well when i had histamine intolerance. if diamine oxidase doesnt work for you try a mast cell stabilizer like quercetin. quercetin u take 15 min before meal. dao is more like 5-10 min
@@jawhniehow did you get rid off histamine intolerance?
Iberogast. You mentioned it in the previous video, any stats or thoughts on this product?
I wish I could include it in the line up, but I think it'd be too much of a pain in the butt to bottle and ship a one week supply, since that one's a liquid. That being said, I've had some folks test Iberogast after they "flunk" my speed dating protocol and they ended up liking that one :)
@@gutmicrobiomequeen Thank you for your response.
Interesting that iberogast isn’t even mentioned.
I want to also ask whether it’s normal to be burping all day after starting motility activator (ginger+artichoke leaf)?! How to avoid this?
How did you become?
I need a pro kinetic for diarrhea I’m hoping the third one might work
What’s the other part of if it’s not killing or motility?
This is great but still leaves me confused with how you take these? With food? Empty? In the morning? Before bed??
All of them say that you'd ideally take them away from food- one mid-afternoon dose and one evening dose. That being said, I've had some nurses, hospital workers, and teachers who CAN'T make that happen, and they've all reported that the products still work when you take them with lunch and dinner.
Humble request to share some more raw Fruits for better Gut health issues and huge under weight issues and gain weight
Why does Motility Activator have a warning about ragweed allergy on it?
Hi, when you mentioned the cases of like the thyroid or the malnourishment, does that apply to pcos as well? I have elevated LH (11) and FSH at 6.3
I forgot to mention that my doctor said this EPI condition was very common in people who have had a Bariatric operation just like myself. He did not mention anything about the removal of my gallbladder after my Bariatric surgery and this was something I would like to ask you. In your experience is what my doctor mentioned true??? What is your experience on this subject???
Hi Dr. DiNezza. I was recently tested and treated for IMO (methane SIBO) with Xifaxan and Neomycin for 2 weeks. My gastro said I need to now focus on motility and prescribed me Linzess. Is this considered a prokinetic? It does not seem to be working much at all.
Hi Nicole, how long do you normally wait to see if one is effective?
You can usually judge if it's working within a week! Most typically, people notice a difference in 4-5 days.
@@gutmicrobiomequeen thanks for getting back to me 😊
Also a ghibli fan!
Prucalopride is a prokinetic also, right? I wonder why is not mentioned...?
...of course a prescription by a medical professional is needed for this (also called Motegrity)
Next time, could you stand off to the side when using the whiteboard?
Motility pro is basically the same as motility activator
How should i take motilly activator?
What would the dosage be for the lions Mane?
I usually do 2 capsules per meal
"The number 2 spot"
No iberogast? Magnolia Bark?
Still not 100% sure what a prokinetic is and why I need it. Also, you stand in front of your white board the whole time....who can read?? Show the bottles so we can see please.
What do you think about Prucaloprida and motlium?
Motillium = domperidona. Sorry
Need prescription for Prucalopride=Motegrity
Hi
I took Motility Activator and it caused me massive headaches, the doctor told me ginger too much ginger is the problem.
That’s odd because I have seen studies saying that ginger helps treat migraine headaches. I know that the pure encapsulation motil pro product has tons of ginger extract compared to any other.
Motility activator has a very small amount of ginger compared to other prokinetics so that is interesting
@jan_po waw this is very scary. This could be the artichoke for me also. Please Dr can you explain this?
@jan_po No, I was only taking Motility Activator
Hmm I don't know what to make of that! Someone mentioned in another comment that artichoke could be an issue if you have an allergy to ragweed, but I told her that only
Why the h do we have to watch a zillion UA-cam videos about our health to try to figure this out ourselves? Why don't we have reasonably priced health care professionals who have this knowledge and we can trust them to give us good advice? I don't have to watch a zillion UA-cam videos to learn how to fix my car. I take it to a reasonably priced mechanic who fixes it for me and I can trust that he fixes it.
Our medical care system is a failure.
Right!? I just want an answer to my problem!!
I tried mega guard for months and it didn’t work for me personally
Welcome to the 94%! 🤣
I had weeks of relief taking several grams of choline daily before almost normalizing. I guess from what you just said and my experience with B-vitamins that it works by helping make acetylcholine but other nutrients are necessary too. It seems like B-vitamins and similar can fail to give *sustained* results because the are only part of the necessary metabolic chain and so the weakest link changes when only part of the chain is supplemented.
Please share which brand of choline did you take?
@@mariyamshafique6262 Me and my wife took Now brand which was soy based, and now she prefers sunflower based lecithin, which we still take.
Thanks so much for the video! It would have been ideal if you stepped away from the board so we could screenshot the final results.
I know right, at 18:49 she ducks down and you can screen shot the board LOL
I verbally said the names of the products while I wrote them, though 🤷♀ And now* the names and links are in the description, so it should be pretty easy to follow along. (*My editor forgot to upload the links I provided initially, but they're all there now)
It's interesting to take the defense when people can be visual learners not auditory learners and so seeing the board is very helpful
@@gutmicrobiomequeenI updated my comment a little, I am having a huge post COVID issue and starving because I can't tolerate anything so I could have been more appreciative lol. But I do appreciate your information.
Is Lions Mane okay with SIBO and SIFO?
I expected ginger to be no 1.
Ginger works very well from my experience and it often contained in those products she recommended. I would buy ginger root and make your own 'tea' with it. 🤠
All these seems interesting and all folks just get things moving around daily and that’s it no need to be all that over board too much medication is bs
Do prokinetics help also people with multiple sclerosis caused slowed intestine?