I've been experiencing fructose and lactose malabsorption for a couple years now. I think using kratom 3-5 times per week (8-12g) for a few years might have caused it. After abstaining from kratom, the malabsorption slowly got better until I could tolerate 500ml milk and 100g sugar over the day.
Recently, they have become worse again. I drank much more alcohol than normal in December which may have caused it. I stopped drinking alcohol, but since January, can only tolerate 20-30g sugar per day. I drink lactose free milk and seem to tolerate it. However, I'm now having issues with many vitamins and supplements: magnesium glycinate (160mg), vitamin D (100ug), vitamin C (500mg), and nicotinamide (500mg) all give me diarrhea.
I've also been experiencing itchy skin since the digestive issues started. Applying cream 3x per day and using a humidifier has been very helpful but hasn't totally banished itchiness.
If I stick to white jasmine rice, fresh meat, and some cooked vegetables (zuchini, mushrooms, Bok Choy) digestion is pretty good, although still having 2-3 BMs per day, compared to 1-2 when my digestion was better.
Is it worth testing for SIBO? Any other potential ways to improve some of these issues?
Recently, they have become worse again. I drank much more alcohol than normal in December which may have caused it. I stopped drinking alcohol, but since January, can only tolerate 20-30g sugar per day. I drink lactose free milk and seem to tolerate it. However, I'm now having issues with many vitamins and supplements: magnesium glycinate (160mg), vitamin D (100ug), vitamin C (500mg), and nicotinamide (500mg) all give me diarrhea.
I've also been experiencing itchy skin since the digestive issues started. Applying cream 3x per day and using a humidifier has been very helpful but hasn't totally banished itchiness.
If I stick to white jasmine rice, fresh meat, and some cooked vegetables (zuchini, mushrooms, Bok Choy) digestion is pretty good, although still having 2-3 BMs per day, compared to 1-2 when my digestion was better.
Is it worth testing for SIBO? Any other potential ways to improve some of these issues?