Most GI practices know how many hydrogen and methane breath tests they ran last quarter. Some track returned kits and result time. Few answer the question your gastroenterologists actually ask. Did the result change our care plan? The completion-to-care action rate — the Action Rate — answers it. For each completed breath test, you ask…
Beyond the Gut ARTICLE 03 · PEDIATRICS & NEURODEVELOPMENT See the full series → This article is for you as a pediatric or adolescent GI. ADHD is common in your clinic. Parents arrive with questions about gut–brain connections and whether SIBO or microbiome problems are part of the ADHD story. The data is early, but…
Most GI groups don’t have a breath-testing problem. They have a breath-testing program problem. Kits get ordered. Curves come back, some of the time. Turnaround is “fine.” But ask a harder question — what is breath testing actually doing for our patients, providers, and practice? — and the answers get fuzzy. If that sounds familiar,…
Beyond the Gut ARTICLE 02 · RHEUMATOLOGY See the full series → For many of your systemic sclerosis patients, the gut is the most active disease site. Up to 90% develop gastrointestinal involvement (Levin D et al., 2021), and SIBO is one of the most common and most treatable problems. This article is for you…
Interpreting your score A directional view of where your program stands today 0 – 34 High opportunity Structural change likely required 35 – 54 Mixed performance Focus on the weakest domain first 55 – 70 Strong foundation Tighten remaining gaps and benchmark Score bands from the Breath Testing Done Right playbook. From there, useful next…
Beyond the Gut ARTICLE 01 · ENDOCRINOLOGY See the full series → Small intestinal bacterial overgrowth (SIBO) is still labeled a “GI diagnosis,” but your SIBO patients live in endocrine, allergy, rheumatology, and primary care clinics as well as yours. This first article in the Beyond the Gut series is written for you as a…
Sample stability is a crucial factor directly impacting the accuracy and reliability of hydrogen and methane breath testing results. Ensuring that samples remain stable through collection, storage, and transport is essential to the integrity of a test used to detect Small Intestinal Bacterial Overgrowth (SIBO), Intestinal Methanogen Overgrowth (IMO), and carbohydrate malabsorption disorders. In an…
When you look at a hydrogen and methane breath test report, it is easy to focus on the gas values and the shape of the curve. But a question sits underneath every interpretation and rarely appears anywhere on the page: how sure are we that this is a true breath sample? CO₂ correction is how…
A recent study and editorial in The American Journal of Gastroenterology (AJG) revisit a question that sits at the heart of modern functional GI care: When patients with disorders of gut–brain interaction (DGBI) say they’re “intolerant” to certain carbohydrates, how often is that backed by objective malabsorption—and does it matter clinically? The answer from this work: carbohydrate malabsorption…
Hydrogen and methane breath testing plays a critical role in diagnosing functional gastrointestinal disorders such as SIBO, IMO, and carbohydrate malabsorption. A breath test is ordered to answer a specific clinical question and guide next steps in patient care. When a test is never completed or returned, that diagnostic pathway stops short. Unreturned or unregistered…
