Fx Medicine Podcast Central

In this podcast, clinical herbalist Todd Mansfield joins naturopath Lisa Costa-Bir to explore the under-recognised role of small intestinal fungal overgrowth (SIFO) in chronic gut dysfunction - especially in cases where SIBO treatment has repeatedly failed. Together, they unpack the clinical presentation of SIFO, from systemic symptoms to stubborn digestive complaints, and discuss how to differentiate fungal overgrowth using tools like organic acids testing (OAT), fatty acid fractions, pancreatic elastase results, and bowel motility assessments. Todd shares his comprehensive herbal strategy - including horopito, galangal, and magnolia bark - as well as probiotic, prebiotic and postbiotic interventions, with detailed commentary on dosing, mechanisms, and synergistic effects. This episode is a must-listen for practitioners managing complex or treatment-resistant gut presentations, offering a new lens to evaluate and address chronic dysbiosis, inflammation, and relapse-prone cases. Covered in this episode: