Beyond Bugs: What Chronic Bloating Is Really Telling Us episode artwork

EPISODE · Dec 17, 2025 · 51 MIN

Beyond Bugs: What Chronic Bloating Is Really Telling Us

from OneMedicine Podcast · host Rob Lutz

In this episode, Angela Pifer, the "SIBO Guru", provides a comprehensive look at chronic bloating and why it's often more complex than just small intestinal bacterial overgrowth (SIBO). Some key takeaways:Bloating is rarely just SIBO - there are many potential underlying causes, including digestive insufficiencies, motility issues, immune dysregulation, mold exposure, and more.The standard SIBO treatment approach of repeated antibiotics often leads to recurrence, as it doesn't address the root causes.Assessing and supporting the vagus nerve, mitochondrial function, and overall terrain is crucial for resolving chronic bloating.Testing should be personalized based on the individual's health history and presentation, not just automatically checking for SIBO.Simple lifestyle interventions like improving sleep, reducing stress, and optimizing digestion can make a big difference.Angela shares her expertise in functional and integrative approaches to get to the bottom of chronic gut symptoms. This is a must-listen for any clinician struggling with persistent bloating. Speaker Bio:Angela Pifer, FMN, CN, LN, has been in clinical practice as a Functional Medicine Nutritionist for two decades. She holds a Master's degree in Nutritional Science, graduating at the top of her class from Bastyr University in 2005. Angela is an authority on everything gut, specializing in functional gut disorders from the beginning of her career. The focus of her practice is to find the root cause of chronic GI symptoms. She is a GI Health Researcher, Functional Medicine Educator, and Licensed Certified Nutritionist, and focuses all her continued education on GI conditions. Angela sits on the Scientific Advisory Board of Physicians’ Choice, which sells the number one ordered probiotic on Amazon. She is known affectionately to her patients as ‘SIBO Guru’ for her focus and success in treating SIBO (small intestinal bowel overgrowth) over the past 12 years. She is also the creator of Simply SIBO (FODMAP recipe site to help people dealing with IBS and SIBO expand their diet), GutRx Gurus Bone Broth, and Functional Medicine Shop founder.Contact: ·         Website - https://siboguru.com/·         Email - [email protected] Additional Information and Resources:SIBO Resource Center: a collection of articles and research on the topic - https://todayspractitioner.com/sibo-resource-center/ The Missing Piece in SIBO Treatment: Beyond Eradication – https://todayspractitioner.com/sibo/the-missing-piece-in-sibo-treatment-beyond-eradication/Thanks for listening in. I hope you found today’s episode interesting and came away with a few insights you can apply to your practice. If you want to go deeper on this topic or anything else, please visit https://todayspractitioner.com and consider registering for our weekly newsletter as well. Thanks again, and I hope you’ll join us next time.

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Beyond Bugs: What Chronic Bloating Is Really Telling Us

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This episode is 51 minutes long.

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This episode was published on December 17, 2025.

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In this episode, Angela Pifer, the "SIBO Guru", provides a comprehensive look at chronic bloating and why it's often more complex than just small intestinal bacterial overgrowth (SIBO). Some key takeaways:Bloating is rarely just SIBO - there are...

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