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  5. What could be causing chronic, intermittent flatulence in a physically active, healthy 40-year-old female who maintains a mindful diet but has not responded to treatment with pantoprazole, digestive enzymes, or probiotics?

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What could be causing chronic, intermittent flatulence in a physically active, healthy 40-year-old female who maintains a mindful diet but has not responded to treatment with pantoprazole, digestive enzymes, or probiotics?

Asked by Female, 40 · 13 days ago

Since pantoprazole, digestive enzymes, and probiotics haven't provided relief, the issue might stem from how your system processes certain healthy carbohydrates, known as FODMAPs. Sometimes, even nutritious foods ferment easily in the gut. Other possibilities include Small Intestinal Bacterial Overgrowth (SIBO) or swallowing air during active workouts. I recommend keeping a detailed food and symptom diary. Please consult your healthcare provider to discuss a breath test or a guided low-FODMAP diet to help you find comfort.
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What could be causing chronic, intermittent flatulence in a physically active, healthy 40-year-old female who maintains a mindful diet but has not responded to treatment with pantoprazole, digestive enzymes, or probiotics?

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