Motility Masterclass
in rhythm
If your SIBO keeps coming back, the bacteria usually aren't the reason. This first half of the Intestinal Motility Masterclass covers what recurrent SIBO actually is, the systems that control the gut's cleaning mechanism, and the daily practices that support it.
You'll come away with a framework for your own situation and the language for better conversations with your doctor.
$97 standalone · Included with Wayfarer membership ($32/mo)
Why SIBO keeps coming back
You finish the antibiotic or the herbal protocol. Things feel better for a few weeks, maybe a couple of months. Then it creeps back. Bloating after meals. The same familiar pattern. Another round of treatment, and the cycle restarts.
The issue is almost never that the bacteria weren't killed. It's that nothing changed about why they were there in the first place. When gut motility is slow, bacteria overgrow. Fix the motility, and the environment stops supporting the overgrowth. This course walks through what controls motility and what to actually do about it.
What you'll walk away with
By the end of Part 1, you will be able to:
- Explain why recurrent SIBO is a motility problem, not a bacteria problem.
- Name the main systems that control gut motility: serotonin receptors, gut hormones, the microbiome, the thyroid, the vagus nerve, and the migrating motor complex.
- Identify which lifestyle levers actually move the needle on motility (and which are a waste of effort).
- Use vagal toning, meal timing, and movement practices in a way that supports the gut's cleaning cycle.
- Have specific questions to bring to your provider about thyroid, stress, and gut hormones if motility is the missing piece.
What's in Part 1
Three modules, self-paced. Each module has a summary, a short quiz, and references.
- 01
Module 1: Why Motility Matters — The Foundation
The SIBO-motility connection. Why treatment alone isn't enough. How motility completes liver detox. The hidden dangers of chronic constipation. Gut motility 101 in plain language.
- 02
Module 2: The Science Behind the Movement
Serotonin and the 5-HT receptor story. Gut hormones that keep you moving. The microbiome-motility axis. The thyroid connection. Stress, cortisol, and the vagus nerve. The Migrating Motor Complex (your gut's cleaning crew).
- 03
Module 3: Lifestyle and Mind-Body Approaches
Stress management for better motility. Vagal toning and breathing techniques. Physical movement, yoga, and abdominal massage. Sleep, circadian rhythm, and digestive timing.
Who's teaching
I'm Dr. Joyce Knieff, a naturopathic physician in Minnesota. My clinical focus is MCAS, motility disorders, hormones, and the places they overlap.
I built this course because gut motility is one of the most consistently under-addressed pieces in SIBO and chronic gut issues. The protocols exist, the research exists, but the patient-facing education that connects them rarely does. This is that education.
Questions people ask
Is this only useful if I have SIBO?
No. Recurrent SIBO is the most common motility presentation, but anyone with chronic constipation, bloating, or a gut that doesn't quite move right will find the same mechanisms at work. If motility is off, the downstream problems look different depending on who you are, but the upstream fix is the same.
Is this Part 1 only? When do Modules 4 to 7 come out?
Part 1 (Modules 1 to 3) is live now. Modules 4 to 7 are planned for May 2026. Part 2 will go deeper into interventions: prokinetics, supplements, herbal approaches, and when to layer them.
Is this medical advice?
No. The course is educational. It gives you a framework and the language to talk with your provider. Dose, timing, and medication decisions stay with your provider.
How long does it take to complete?
About 2 to 3 hours of video and reading across the three modules. Most people finish in a week if they're motivated, or stretch it across a month at one module per week.
Is this included in the Wayfarer membership?
Yes. The Wayfarer membership ($32/mo) includes Motility Masterclass plus everything else in the library. If you only want this course, it is $97 as a standalone.
Understand the cycle. Then interrupt it.
Recurrent SIBO is a pattern, not a verdict. Once you see what drives the pattern, the interventions finally start to hold.
$97 standalone · Included with Wayfarer membership ($32/mo)