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Ravenous Appetite

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I tend to get extremely hungry in the afternoon, especially for sweets (cookies

and the like). Starting after lunch, I experience intense cravings. (And the

more I indulge them, the worse they become. I can eat a whole cake.) In my case,

the cravings are caused by small intestine bacterial overgrowth (SIBO).

When the bacteria from the large intestine migrate into the small intestine, an

abnormal fermentation process takes place. (Dr. Crook attributed this to yeast

overgrowth.) The result is dyspepsia, malaise, bloating, gas, constipation, IBS,

diarrhea, rosacea, bladder problems, insomnia, depression, and anxiety.

Eventually SIBO produces deficiencies of B vitamins, zinc and magnesium - all of

which are common deficiencies in CFIDS patients.

My SIBO was caused by a long course of antibiotics, but according to Dr. Cheney,

nearly every patient with CFIDS has SIBO. (Dr. De Meirleir agrees.) The test for

SIBO is the lactulose breath test. The treatment is Xifaxan (a non-systemic

antibiotic that works only in the intestines), and probiotics.

There is a lot of material about SIBO online.

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