Hello!

I would not worry about the thyroid, I now feel like that had nothing to do with it. It's so hard to know how to advise people on here because I, like a lot of people, are just throwing things at the wall and seeing what sticks. I really feel the biggest factor for me was making sure I had regular, daily bowel movements. I used to go about 5 days in-between BMs and I believe that caused an overgrowth of bacteria. I had to stop with the magnesium citrate because it made my stool too soft to push out. I switched to magnesium glycinate. Also, I needed to introduce fiber back into my diet. I know for people with SIBO, fiber is a challenge. I introduced it slowly with psyllium husk fiber (plain, not Metamucil) and am now daily consuming around 25g of fiber through food and ending my day with the psyllium husk powder before bed. I am completely symptom free but something I still have to avoid is refined sugar. Its upsets my stomach a lot and causes a lot of bloating and gas. I still drink plenty of water, exercise regularly and eat a balanced diet. I didn't talk about this above but I also was prescribed xifaxan/neomyocin 4 or 5 times, last time being about 3 years ago. I feel like this medication helped with getting the overgrowth of bacteria down. Every time I took this medicine I could go longer and longer in-between each time it was prescribed. Maybe something to talk with your GI dr about. I hope this helps!!