A short orientation to how the course is structured and what you can expect to get from it. This section lays out the argument the course is making about recurrent SIBO, introduces the framework you will be building across the three modules, and explains how to use the lectures, summaries, and quizzes most effectively.
The first module establishes the core problem. Standard SIBO treatment clears bacteria but does not address the motility dysfunction that allowed them to accumulate, which is why recurrence rates are so high. You will learn what the migrating motor complex is, how it cleans the small intestine between meals, how food poisoning and other common causes damage it, and why chronic constipation is where that damage becomes most visible.
The second module covers the five biological systems that control gut movement: serotonin, gut hormones, the microbiome, thyroid function, and the vagus nerve. Each of these systems feeds into the same cleaning mechanism, and when one is impaired, motility suffers. When several are impaired at once, as is often the case in chronic SIBO, the deficit compounds. This module gives you the framework for identifying which systems are most relevant in your own situation.
The third module translates the science of Module 2 into a daily practice. Stress management, vagal toning, physical movement, and circadian rhythm each target a specific input to the motility system, and the evidence behind them is stronger than most patients have been told. The interventions work through complementary pathways and layer on top of each other, so consistency with a few that fit your life matters more than attempting all of them at once.
A cumulative summary that pulls the three modules together into the full argument the course is making, followed by a thirty-question cumulative exam. The summary is substantive enough to serve as a reference document you can return to later, and the exam is formative rather than evaluative, structured to consolidate your understanding before you continue working with the framework in your own life.