Moderate-HighGBS: 78 (Moderate-High Risk)gut

Elemental Diet

Developer: Vivonex/Physicians' Elemental Diet

14-21 days typical for SIBO, up to 6 weeks for IBD

Protocol Overview

Pre-digested liquid formula containing amino acids, simple carbohydrates, and fats that are absorbed in the upper GI tract, starving bacteria in the small intestine. Used as sole nutrition source to treat SIBO or provide gut rest.

Conditions Treated

SIBO

IBD flare

severe malabsorption

gut rest protocol

Protocol Steps

Choose formula: Physicians' Elemental Diet (hypoallergenic), Vivonex Plus, or homemade version

Calculate needs: Typically 3-5 shakes per day to meet 1200-2000 calorie needs

Mix powder with water according to instructions, chill for better palatability

Consume ONLY elemental formula - no other food or beverages except water

Sip slowly throughout the day rather than drinking quickly

Continue for 2-3 weeks for SIBO treatment, longer for IBD flare

Day 15: May do SIBO breath test to assess bacterial reduction

Reintroduction: Gradually add low-FODMAP foods over 3-7 days

Many follow with herbal antimicrobials or rifaximin to complete SIBO treatment

Some use as cyclical treatment (2 weeks on, 2 weeks off)

Key Resources

Integrative Therapeutics Physicians' Elemental Diet, research by Dr. Mark Pimentel, Vivonex products

Contraindications & Risks

Very expensive ($300-600+ per treatment), taste issues, ketogenic effect, not sustainable long-term

Important Notes

Gold standard for SIBO when patients can't tolerate or don't respond to antibiotics/antimicrobials. Boring and expensive but effective. Clinical studies support use. Pimentel's research at Cedars-Sinai.

Critical Safety Warning

This protocol is documented for educational purposes only. The Gabriel Bullshit Score (GBS) of 78 reflects significant institutional response and controversy. Some alternative health protocols have resulted in serious harm or death.

Always consult with qualified healthcare professionals before beginning any treatment. Do not delay or forego proven medical care.

Quick Overview

Evidence LevelModerate-High

GBS Score78 / 100

Categorygut

DeveloperVivonex/Physicians' Elemental Diet

Duration14-21 days typical for SIBO, up to 6 weeks for IBD

About GBS Score

The Gabriel Bullshit Score reflects the magnitude of institutional response, controversy, and documented concerns. Higher scores indicate greater institutional pushback, not necessarily inefficacy. This is a research tool, not medical advice.