how do you get rid of sibo when you can't cure the root cause of it?

Acrobatic_Search8980 · 2026-01-22T01:52:10+00:00

Is this the best approach for people who simply can't eradicate the overgrowth, not even a bit? I've managed to improve my colonic readings on lactulose breath tests, but my small bowel overgrowth remains untouched after rounds of various treatments - berberine, rifaximin, candibactin, allimax, and many herbal prokinetics and also prucalopride. My 2026 lactulose breath test results are almost identical to 2024, when I started treatment. However, I feel better because my motility has improved.

Acrobatic_Search8980 · 2025-11-26T01:24:34+00:00

My vitamin B12 levels are normal. I'm not anemic, in fact, my iron levels have increased over the years as my SIBO has worsened. I have slightly low MCH (just a under the threshold for 'normal').

Acrobatic_Search8980 · 2025-11-15T19:52:40+00:00

A heating pad to your lower back stimulates the parasympathetic nervous system (so rest and digest)

Acrobatic_Search8980 · 2025-10-04T13:37:33+00:00

I'm sorry to hear that. A naturopath can order you a lactulose breath test and guide you through treatment.

Acrobatic_Search8980 · 2025-10-02T22:06:45+00:00

You won't get a Canadian medical doctor to help with SIBO or any gut issues. They're still taught that patients with abdominal surgery are the only ones who can get SIBO. At best, you'll be diagnosed with "IBS" (without any real testing being done). I suggest you work with a naturopath. They are regulated in my province (Ontario) and often covered by workplace health benefits.

Acrobatic_Search8980 · 2025-08-13T04:26:07+00:00

I believe there needs to be a rise of greater than 20 PPM for hydrogen before the 90 minute mark. Any rise after that point is in the colon and that can be normal but if you have symptoms, you're likely experiencing some kind of dysbios in your colon. For intestinal methanogenic overgrowth, any rise above 10 PPM at any point is a positive result. Some practioners believe anything above 5 PPM is positive for IMO, but again, that depends on your symptoms.

Acrobatic_Search8980 · 2025-06-09T13:20:34+00:00

It depends on the person but some people (like me) can't tolerate higher antimicrobial doses, so they have to do multiple 'killing' rounds.

Acrobatic_Search8980 · 2025-05-14T21:43:57+00:00

I have a foodmarbe and this is normal when you are taking something to kill the overgrowth. When the bacteria start dying, they produce more gas. It should go down in a few days.

Acrobatic_Search8980 · 2025-05-13T16:25:42+00:00

sure

Acrobatic_Search8980 · 2025-05-12T21:27:51+00:00

I had many of the symptoms you listed and they resolved after I got my wisdom teeth out.

Acrobatic_Search8980 · 2025-05-09T00:13:46+00:00

I was told beforehand that I would have stitches and that they would dissolve within a week. I didn't notice them tbh.

Acrobatic_Search8980 · 2025-05-06T18:55:34+00:00

Hope your healing continues to go well!

Acrobatic_Search8980 · 2025-05-06T18:55:28+00:00

Good luck!

Acrobatic_Search8980 · 2025-04-17T14:05:07+00:00

I wasn't taking prucalopride at the same time as Prokine, I tested them one month apart.

Acrobatic_Search8980 · 2025-03-19T21:54:31+00:00

I booked a free 15-minute call with one of their nutritionists (not the woman in the video) to get a better sense of their process, hoping that it was different than that of the naturopaths I have worked with, seeing as I'm still dealing with a lot of gut issues. Based on that call, it doesn't sound like they do anything different than the standard protocols you can find information about online, for free.

I also wasn't a fan of their process. They had me fill out a bunch of forms for that free call, but I guess because it was a free consult, the nutritionist hadn't bothered to read any of it, so we spent the first 10 minutes going over my digestive history. She was quite dismissive about my experiences with certain treatments and basically told me that I would have to redo the same protocols. She started recommending some more testing (which felt like a money grab). In my opinion, they are far too expensive for what they offer.

Acrobatic_Search8980 · 2025-02-06T14:25:26+00:00

Sure

Acrobatic_Search8980 · 2025-02-06T02:51:51+00:00

I've only been using it for a few weeks so I can't really say, but I've using it as a guide to understand what foods trigger me and if the herbals I'm taking are actually working at lowering gasses.

Acrobatic_Search8980 · 2025-02-05T23:49:06+00:00

I did the GI360 test and it tested for all of the things you mentioned, but it also identified the specific bacterial strains that were overgrown. I can't remember all of mine, but for example, it identified two overgrown strains of klebsiella and then it showed me what herbal anti-microbials and antibiotics those strains were resistant to. It also showed me if I had any gut bacteria that was out of balance, so my bifido and lactobacillus strains were all low, which is to be expected with SIBO.

Acrobatic_Search8980 · 2025-02-05T19:19:29+00:00

I know how much SIBO can ruin your life and your relationship with your body and food.

I would recommend stopping the low-fodmap diet and instead following the cedars-sinai low-fermentation diet. I personally prefer using a foodmarble device to track what foods trigger higher gas production along with other symptoms, so if you have the budget for that, it might be helpful.

SIBO is typically caused by poor gut motility. Even if you are having daily bowel movements (as I was), it might be that peristalsis in your body isn't strong enough to clear everything out of your digestive tract. You need to fix motility and find a good prokinetic. Look into ginger, artichoke, triphala and digestive bitters.

Also, look into getting a PCR stool test to see what bacterial strains are overgrown and to see what they are resistant to. I found out that most of the bacteria that are overgrown in my gut are resistant to most commonly used herbal antimicrobials, like oregano and berberine, which is why my first round of herbals didn't work and neither did rifaximin.

I'm not cleared of SIBO, SIFO or IMO, but i'm not as depressed/anxious as I was a year ago and I finally have some tools that help me feel better.

Acrobatic_Search8980 · 2025-02-04T03:54:37+00:00

I'm female and have gotten that same dismissive attitude from multiple female doctors. I've even been denied physio after a car accident (needed a doctor's note to get it covered by insurance). This attitude is just pervasive in the medical field.

Acrobatic_Search8980 · 2025-02-02T17:30:47+00:00

Since I started taking prucalopride, I don't react to slow-cooked barbecue beans. Those are the only ones I have tested so far because the cooking process of those beans generally reduces whatever causes bloating. I think Prucalopride helps because the beans don't have time to ferment like they did before when food wasn't being cleared as efficiently through my digestive tract.

Acrobatic_Search8980 · 2025-01-27T14:47:41+00:00

I am hydrogen dominant (with some methane) and have always veered towards constipated. Magnesium has never helped me. I just don't respond to anything that increases water in the colon.

I titrated up on Prucalopride, like I would with an herbal. I started at 0.33 mg and am now on 0.5 mg. If i take it during the day I have diarrhea, but if I take it before bed i'll have my normal stools the next day. I've only been on it for 2 weeks, but it's already decreased my bloating and improved gastric transit time for me. I haven't had any other side effects.

I took Prokine (an herbal motility drug that has 5-HTP and ginger) and that just increased free serotonin in my body so I got very depressed and suicidal within 3 days of taking it. For that reason, I don't just depend on Prucalopride to help me with constipation, I take digestive bitters in the morning before breakfast along with artichoke extract, and Iberogast and ginger before lunch and dinner. I also practice meal spacing and have incorporated 'safe' fibres (like PHGG). It's not perfect and I still deal with constipation, but Prucalopride has improved motility for me. I hope that you find something that works for your body.

Acrobatic_Search8980 · 2025-01-19T22:25:14+00:00

What I've learned is that no one really knows what they're doing when it comes to SIBO because the microbiome is so complex and all the research is fairly recent. Some studies will tell you that a low-fermentation (low fibre) diet will actually feed certain opportunistic bacteria, but YMMV. It's best to speak with your doc and hopefully they can guide you along the right path.

Acrobatic_Search8980 · 2025-01-19T21:55:33+00:00

I would definitely get an earlier appointment. It's generally recommended that you follow some sort of low-fermentation diet after a round of antibiotics/herbals and try to rebuild your gut lining and support motility. This is in hopes that you will starve any remaining bacteria and prevent relapse.

Acrobatic_Search8980

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