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Nirala Jacobi, ND, BSc (AUST)

Northern Rivers, New South Wales | Australia

Dr. Nirala Jacobi, ND graduated from Bastyr University in 1998 with a doctorate in naturopathic medicine. She practiced as a primary care physician in Montana for 7 years before migrating to Australia. Dr. Jacobi is considered one of Australia’s leading experts in the natural treatment of small intestine bacterial overgrowth (SIBO), a common cause of IBS.

She is a national and international speaker on this topic and her annual SIBO update webinar as well as SIBO MasterClasses are popular and well attended. Dr Jacobi is the medical director of SIBOtest, an online testing service, and also has a busy practice in northern New South Wales.

"The Many Faces of SIBO: The Diversity of SIBO Presentations and How To Treat Them"

SIBO is actually not a diagnosis.  It is a result of underlying factors bringing about an environment that favors SIBO development. Though the majority of SIBO develops due to motility dysfunction in the small intestine, other factors such as digestive deficits, obstruction, adhesions, etc are also not uncommon.  Many SIBO patients can stump practitioners by not being a “text book SIBO case” and can often present as treatment resistant or as chronic relapsers.  In this presentation, Dr Jacobi will highlight the diversity of underlying factors through a variety of cases and how to manage them.

Learning Objectives:

  • Introduction to the underlying causes of SIBO and how to identify them.

  • The many faces of small intestinal motility dysfunction – understanding autoimmune SIBO, how mold toxicity causes dysmotility, chronic infections, vagal dysfunction and its causes, as well as microbiome contributions to dysmotility.

  • Identifying digestive deficits as an underlying cause of SIBO.

  • Managing adhesions and structural restrictions – often an underlying contributing factor in the development or relapse of SIBO.

Past Conference Participation


2017 Integrative SIBO Conference - Chicago, Illinois

~ Featured Speaker ~

"SIBO, Food Intolerances, and the Bi-phasic Diet Protocol"


"Herbal Considerations to Effectively Treat SIBO and SIFO"

2018 Integrative SIBO Conference - New Orleans, Louisiana

~ Featured Speaker ~

"The Methane Conundrum: SIBO or LIBO?: New insights into breath test interpretation and treatment options for methane dominant SIBO/LIBO"


"The Treatment and Management of Hydrogen Sulfide Production in SIBO and LIBO"

2019 Integrative SIBO Conference - Seattle, Washington

~ Panelist ~

2020 Integrative SIBO Conference - San Diego, California

~ Featured Speaker ~

"The Many Faces of SIBO: The Diversity of SIBO Presentations and How To Treat Them"


2018 Integrative SIBO Conference Teaser

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