Episode 018: On this week’s episode I interview Kelsey Marksteiner. Kelsey is a registered dietitian specialising in nutrient dense, whole-foods diets for patients with a variety of conditions.
Kelsey graduated from New York University with a Bachelor of Science degree in Nutrition and Dietetics and also has a Master of Science degree in Nutrition and Functional Medicine from the University of Western States.
Kelsey recommends individualised dietary therapy focusing on biologically appropriate diet principles to aid her clients in losing weight, gaining energy, and pursuing continued health. She is a firm believer that everyone is different, and she tailors her plan for each and every individual. Through her work, she aims to meld the dietary wisdom of traditional cultures with the latest science in integrative and functional medicine to create plans for her clients that work in the modern world.
00:05:15
Her experience of working in a hospital as a dietitian
00:10:00
What she learnt from working in a hospital
00:12:35
Why she started specialising in gut health
00:15:00
What is SIBO
00:22:00
Why SIBO tends to reoccur
00:22:45
How is SIBO diagnosed
00:23:45
What are the treatment options
00:26:15
Why antibiotics can be so helpful
00:30:00
What is the right diet approach for SIBO
00:34:15
Can GAPS or SCD solve SIBO without antibiotics or antimicrobials
00:38:55
What’s best to prevent reoccurrence of SIBO once it is dealt with
00:42:00
How she started working with Chris Kresser
00:50:12
How a practitioner can help with confusion
00:51:45
Why she doesn’t like working with weight loss clients anymore
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I am just curious, have you dealt with many clients who have obvious yeast / candida issues (symptoms of overgrowth) and what are your approaches to that? I realize that the standard accepted approach in the nutrition world of starving it out really is not solving the problem, and may potentially make it worse. But would you say that as someone is taking steps to balance the candida in their system, that an approach similar to what Kelsey suggests with SIBO, where you actually feed the mircroorganisms while trying to get them under control, is reasonable? I have no desire to go low carb or cut out carbs and I know there are certain obvious things that don’t help, like alcohol and stress (my triggers, but the stress lead to the alcoho of coursel), but I am just not sure if I should dive into the world of trying probitoics (or sach. B.) in an effort to balance my system out. I am aware of the daily carrot thing too. I don’t have tons of money for testing. Ok. I am really not trying to solicit free advice, just trying to see how your nutrition brain would approach it!
There are a lot of people who based on their own experience say that Rifaxamin failed for them. What would you say about someone who says:
“Antibiotics will wipe out most bacteria in the small intestine. Though Rifaximin is thought to degrade in the small intestine, this requires strong bile acid production and no diarrhea. Most of us don’t have that when we start Rifaximin. So Rifaximin will often kill bad bacteria in the colon as well. Either way this sets up a good environment for an opportunistic infection.”
And supporting info from drugs.com
“Clostridium difficile-Associated Diarrhea
Clostridium difficile-associated diarrhea (CDAD) has been reported with use of nearly all antibacterial agents, including Xifaxan, and may range in severity from mild diarrhea to fatal colitis. Treatment with antibacterial agents alters the normal flora of the colon which may lead to overgrowth of C. difficile.”
https://www.drugs.com/pro/xifaxan.html“