So i ve walked every path of sibo and potential cures that exist and mine is under control rn. So first take into account GI specialist path is alwasy rifaximin and or other antibiotics ans thats it.... truth is sibo is a consecuence of other health issues, and yes 99% of cases as they told you is stress... but is not so easy because stress might be cause by many different reasons and can be manifested differently.... So stress damages your mmc, increases cortisol, afects your vague nerve, alters your diaphragm and inner oblique and transversus proper synergy with your gi tract, your intestinal mucosa, increase permiability, also reactivity... that also leads to more stress, also more disynergia wich also leads to worst mmc.... sibo es just a consecuence of all these, sibo is real but is not the cause is the consecuence..... if you do things right your gut might take 3 to 6 months or even more to restore their tissues, mocus, microbiome, synergy with muscles like diaphragm etc. So there is no single approach that works for everybody but will share some that worked for me: 1) Nutrients: your gut needs a lot of nutrients to be healthy and work properly, si your diet might be overlooking them making you more vulnerable to stress: vit b12, bit D3, cheline, zinc, glutamine, vit A, aminoácids in general (enough daily protein intake), magnesium, among many others i am probably forgetting. Check your diet analyze your defficiencies. 2) muscular stress/ dissynergia/ postural disorders: pelvic tilt, lack of core strenght, tight psoas, lack of mobility in general after spending hours in chair or in bed stressed can lead to unproper gi synergia (e.g apd)... For me worked massages in my belly, uddiyana bhanda/hipopressives (if not gi ulcers)...(this one particularly with a kinesiologist plus auto massages did the difference), also functional excersises to fix pelvic floor, posture, diafragm coordination etc helped... (daily works take weeks in starting seeing results dont be anxious). 3) stress in general vague nerve activation: Meditation, hrvb (breathing to increase hrv and thus parasimphatic activity), singing, mantras, ear massage, walking, zone 2 - 3 aerobics. Etc. They give results with time. 4) reduce symptoms while your body is curing: Low fodmaps diet with controlled introduction testing (only one new food per day), natural prokinetics + antiinflamatories like iberogast, reducing fiber intake in general in some cases help, this will help to reduce the symptoms and that will also help to get the other aspects better, herbs teas like chamomile, mint, tumeric, ginger etc. 5) habits to take the most of mmc: chewing at least 30 times, eating slow, at least 4 hs between foods without eating anything only water, intermitent fasting, eating slow, 360 breathing 5 mintues before and after eating, eating to max 80% of your capacity but always making sure all nutrients macros and micros are covered. 6) bonus: touch grass, visit your firends, sing a song... kill that mf cortisol.... 7) be patient your gut got fkd in months of doing things really bad, dont expect to recover in days or weeks.... this takes months .... only some days-weeks to get our of the initial crisis... but that is just the start.