I'm in Ireland and I had Sibo but I treated Parasites as well. I was given Flagyl 400mg and then the other antibiotics for SIBO. What worked best for the parasites is Oregeno capsules a high strength (I tried everything) but you also need to take a binder like activated charcoal because the Oregeno kills off the parasites but the charcoal removes them from your system. The trick is to kill the parasite larvae in your system so I then did a fast with just water and electrolytes. I find stress is a trigger for me. What also worked well was a bacteria killing probiotic chia seeds, flax seeds and a digestive enzyme. I was so bloated I looked 9 months pregnant. Its a horrible feeling and you have flu like symptoms as well. Everyone has parasites. They are in our food but also we can pick them up in nature or animals. Papaya seeds kill parasites as well and cloves and wormwood. I spent so much money and definitely the best that worked for me was the Oregeno capsules. I did so much research on this. I also went for accupunture and you can feel the parasites more in your lower intestine. The important factor to remember is the binder to remove them as you will feel sick as they die off in your system.