SIBO Telemedicine Doctor Florida

SIBO Doctor Florida

Do you have hypothyroidism or diabetes and have bloating or constipation too? Not sure why you have digestive issues but want to know why? You might want to be tested for SIBO.

Typically, your digestive system passes food through your bowels without problems. However, when unwanted bacteria grow in your small intestine, the resulting Small Intestinal Bacterial Overgrowth (SIBO) can cause symptoms like gas and diarrhea. SIBO has also been connected to conditions like Irritable Bowel Syndrome (IBS).

Dr. Borenstein of Manhattan Integrative Medicine can help address your SIBO. The functional telemedicine doctor has experience with tests and treatments that can help to identify and tackle the gut bacteria, such as a breath test and abstaining from foods respectfully.

Don’t settle for digestive problems. Schedule a Telemedicine Consultation with a SIBO doctor in Florida or New York. Get started – call Dr. Borenstein at ☎ (212) 262-2412 or contact us here.

What is SIBO?

SIBO is an inflammatory gut biome imbalance. Specifically, bacteria that shouldn’t be in your small intestine grows.

SIBO may be caused by an impaired Migrating Motor Complex (MMC), the movement that clears out the intestine, resulting in undigested waste remaining in your small intestine.

SIBO Causes

Beside an impaired MMC, SIBO may be caused by issues that include:

  • scar tissue
  • chronic stress
  • immunodeficiency
  • excess estrogen

Risk factors may include:

  • Crohn’s disease
  • hypothyroidism
  • diabetes
  • gastrointestinal surgery

SIBO Testing

Dr. Borenstein will perform a physical exam on your stomach, as well as possibly a:

  • dysbiosis test – picks up bacteria by-products
  • comprehensive stool test – analyzes bacteria
  • breath test – measures methane and hydrogen gas you exhale after drinking a sugary solution
  • intestinal CT and MRI scan – provides a picture of your intestine’s activity
  • IB smart blood test – identifies irritable bowel syndrome antibodies
  • smartPill – a consumable and then excreted device that measures how quickly food passes through your digestive system

SIBO symptoms to be on the lookout for include:

  • gas
  • bloating
  • cramping
  • constipation
  • diarrhea

If you have SIBO, you may also have other conditions, such as:

  • rosacea
  • abnormal stools caused by fat malabsorption
  • vitamin deficiencies
  • chronic fatigue syndrome
  • leaky gut
  • intolerances to histamine, gluten, or other dietary substances
  • irritable bowel syndrome
  • inflammatory bowel disease

SIBO Treatment

Dr. Borenstein will use the following SIBO treatments to try to (in this order):

  • remove or kill bacteria
  • starve overgrown bacteria
  • restore MMC


Antibiotics like Neomyacin are used to kill bacteria, while prokinetics like Prucalopride are used to remove the remaining bacteria. Dr. Borenstein will explain to you the dosage and duration of these (or other) medications during your appointment.

Dietary Changes

Microb Clear is used to kill bacteria, and is a combination of ingredients that include magnesium caprylate, sweet wormwood, and black walnut.

Abstaining from certain foods may starve bacteria, such as:

  • sugar
  • alcohol
  • legumes
  • cookies
  • whole grains

Foods that contain healthy fats and lean proteins are eaten instead.

You can also engage in a low-fermentation diet to try to restore your MMC and rebalance your gut biome. Supplements you’ll take may include L-glutamine and bovine colostrum, and you might need to avoid medications like NSAIDS and birth control pills.

Dr. Borenstein will explain each of these dietary protocols in further detail.

Request Your SIBO Telemedicine Consultation!

Small Intestinal Bacterial Overgrowth is a condition that shouldn’t be ignored. Make an appointment with Dr. Borenstein in New York today – call (212) 262-2412 or contact us here. You can also send mail to the SIBO specialist – Florida address 7901 4th St N, STE 300, St. Petersburg, FL 33702.

We provide SIBO telemedicine appointments to the entire state of Florida including: Miami, Aventura, Hollywood, Fort Lauderdale, Palm Beach, Boca Raton, Tampa, Gainesville, Tallahassee, Sarasota, and Fort Myers.

We also offer telemedicine appointments for patients in NY, NJ and CT.

Contact Us



308 5th Ave, 5th Floor
New York, NY 10001


(212) 262-2412


(212) 262-2416


Monday - Thursday: 8:00am - 5:00pm
Friday: 9:00am - 5:00pm
Saturday - Sunday: Closed