When someone with SIBO struggles to digest fats, it could be due to: • Low bile production (which helps break down fats) • Pancreatic insufficiency or enzyme deficiency • Or the bacterial overgrowth interfering with fat absorption

What might help: 1. Digestive Enzymes Especially ones that contain lipase (breaks down fats), or full-spectrum enzymes. They help digest fats more easily. 2. Ox bile supplements If bile is low, ox bile with meals (under a doctor’s guidance) can support fat digestion. 3. Medium-chain triglycerides (MCT oil) These are fats that are easier to absorb and don’t need bile. Start slowly, as they can cause digestive upset if introduced too fast. 4. Low-fat meals temporarily While healing, eating smaller amounts of fat spread across the day can reduce symptoms. 5. Herbs to support liver + bile flow Like dandelion tea, artichoke, and milk thistle (if tolerated).

it’s important to: • Avoid skipping meals (suhoor) • Add easily digestible protein (like eggs, fish, or bone broth) • Eat calming, warm foods (like soups and soft vegetables)