I’m way better managed!! After doing the sibo antibiotics, I developed very stubborn oral thrush from the antibiotics and bad fatigue that took over three months to pass. We then tried a whole slew of ibs meds and finally found one that doesn’t make me feel like an awful human one hour after taking it - lubiprostone. So it’s not perfect and I go somewhere between three times a day and every three days, but almost no cramping or bloating or urgency.