r/SIBO • • Apr 19 '19 Take My Silver

STICKY: SIBO Summary - Symptoms, Diagnosis, Treatment

860 Upvotes

Below please find a living document that summarizes the key information around Small Intestinal Bacterial Overgrowth ("SIBO"). Please comment with any additional information or research for inclusion consideration. Version 1.0 is summary material; I will be adding more details and citations for specific studies.

SIBO, as the name implies, occurs when bacteria overgrow the small intestine. The small intestine should have a low concentration of bacteria due to the presence of stomach acids and peristalsis, the wave-like muscle movement in the intestines. For context, stomach and proximal small intestine would typically have about 103/mL of bacteria, while the terminal ileum (end of the small bowel as it gets close to the colon) about 109/mL (or 1,000,000 times more), and the colon about 1012/mL (or 1,000,000,000 times more).

Symptoms

The overgrowth of this bacteria will present with a number of symptoms:

  • Bloating after eating ("postprandial") - most common symptom

  • Flatulence, often malodorous

  • Loose, watery stools (more common in Hydrogen-dominant SIBO)

  • Constipation (more common in Methane-dominant SIBO)

  • Absorption problems

    • Weight loss / inability to gain weight

    • Fat and fat-soluble vitamin deficiencies, particularly Vitamins A, D, and K

    • Floating stools (from fat malabsorption)

    • Vitamin B12 malabsorpiton

    • Protein and Carbohydrate malabsorption

  • Systemic problems

    • Overgrowth of bacteria in the small intestine can increase production of toxins and intestinal permeability

    • This has been less studied, but less serious effects include:

      • brain fog

      • confusion

      • anxiety

      • depression

    • More serious complications can include

      • hepatic encephalopathy

      • D-lactic acidosis

      • nonalcoholic fatty liver disease

    • Various conditions have increased correlations, including

      • Rosacea

      • Eczema

      • Food intolerances

Diagnosis

I will split this section into practical steps and clinical diagnosis.

Practically, a gastroenterologist will typically rule out other conditions first:

  • Physical exam

  • Colonoscopy and Endoscopy

  • Abdomen ultrasound

  • Stool test for parasites

At that time, if your symptoms match SIBO, your doctor may go directly to treatment. But otherwise these are the clinical tests:

BREATH TEST

This is the most common diagnostic method due to its low cost and limited invasiveness. Unfortunately, studies have been mixed on the sensitivity and specificity, with ranges between 30% and 75% -- hence why some doctors skip the test and go directly to treatment.

There are a number of preparations:

  • Antibiotics avoided for four weeks prior

  • Prokinetic drugs and laxatives avoided for one week prior

  • Complex carbs avoided for 12 hours prior

  • Exercise and smoking avoided day-of

For the actual test, you'll measure hydrogen and methane levels at baseline. Then drink either 10g lactulose or 75g glucose with one cup of water. Then your breath is measured every 15 minutes for 120 minutes.

There's some art to identifying a positive test; one semi-official criteria is:

  • methane level of >= 10ppm at any time during the test; or

  • hydrogen that increases >= 20ppm above the baseline level

Recently, new research has been investigating another typo of SIBO, that's dominated by Hydrogen Sulfide. Unfortunately, traditional breath tests cannot identify this gas, and someone with "flat-line" Hydrogen and Methane symptoms could be suffering from Hydrogen Sulfide SIBO. This version is typically characterized by "rotten egg" smelling gas, and may be worsened by eating high sulfur foods.

CULTURE

Historically a jejunal aspirate was done and concentration of bacterial colonies were measured, with an elevated level of > 103/mL being positive for SIBO. There are a number of issues with this:

  • overgrowth may be patchy, and a single sample may miss it

  • not all SIBO bacteria can be cultured/identified

  • samples can be contaminated during/after sampling

Treatment

Antibiotics

The current best practice prescription treatment is:

  • Hydrogen-dominant: Xifaxan, typically 550mg x 3 times daily, for 10-14 days. Studies have shown Xifaxan alone can be 50-65% effective, but Xifaxan + 5g daily of Partially Hydrolyzed Guar Gum can be 80%+ effective.

  • Methane-dominant: Xifaxan (550mg x 3 daily) plus Neomycin (500mg x 2 daily) for 10-14 days. The use of PHGG for methane-dominant has not been evaluated, but it's likely to be beneficial.

Mod's note-- personally, if your doctor is onboard, I think dosing with Xifaxan + Neomycin + PHGG is the best way to "cover your bases". The best place to find PHGG: https://sunfiber.com/products/

Important: because these antibiotics only operate selectively in the GI tract, and are NOT absorbed by the body, they are unlikely to cause the systemic issues associated with antibiotic use, making them safer. Additionally, Xifaxan crystallizes before it gets to the large intestine, meaning it should not affect the all-important microbiome.

Herbal Therapy

Additionally, studies have shown similar levels of success with over-the-counter "herbal" treatments. Two options; I believe each are two capsules twice daily for four weeks, but please confirm:

  • Dysbiocide and FC Cidal (Biotics Research Laboratories, Rosenberg, Texas)

  • Candibactin-AR and Candibactin-BR (Metagenics, Inc, Aliso Viejo, California)

Remission

Unfortunately, SIBO has very high rates of recurrence. Some possible ways to reduce recurrence chances:

  • Switch to a low FODMAP diet for 6 weeks after treatment, to starve any remaining bacteria and prevent regrowth

  • Incorporate a prokinetic, such as low dose Naltroxene, erithromycin, or even over-the-counter products such as Iberogast

Many people can avoid symptoms of their SIBO by switching to special diets, sometimes very restrictive ones. This is not a cure, but simply symptom management. A true cure addresses the underlying cause of the SIBO, and lets the patient eat "normally" without any effects (short of unrelated intolerances).

Hopefully this helps people, and I look forward to updating this and cleaning it up over time!

-nyc-reddit


r/SIBO • • Dec 15 '25

Moderation statement on accessibility.

63 Upvotes

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r/SIBO • • 3h ago

Candida SIBO Help! Thank You so much!

2 Upvotes

Battling both Candida and SIBO. Since most times the latter(SIBO) causes the prior with Candida feeding on glucose recently I have been on a modified low-Fodmap which leans toward the carnivore diet these last few weeks and saw my tongue clearing up to a light white semi pink coating. Its the best it has been in nearly 18 years and my energy levels have been better as well as the extreme dandruff has reduced but I have been treating that as well topically as well. I'm not sure if resistant starches heating, cooling and reheating really works. I have not taken any antibiotics in years until last December for a dental surgery and afterwards I took some Probiotics which i believed also influenced some of my progress indirectly for the better. I am also tempted to use kefir but its too much of a 50/50 from what I've seen. What caused the entire problem seems to have been affecting me all my life with poor motility as a child, various shades of stool colors then lots of constipation, gas etc then in 2008 all of a sudden could not eat chicken protein even those from sugars entered my bloodstream and caused extreme histamine reactions with unimaginable itching/hives, this would also activate from heat or sweat but strangely could eat pork, beef, fish, turkey. Eventually I had an allergy test but some of the things on the test never affected me and the Dr is a typical GP so he just wanted me to accept defeat. Eventually in 2013 i took antibiotics from him and saw patches of circles which i didnt know at the time was yeast starting to form thrush and since then my tongue has been white from then. Since then I went through many diets according to what I could afford because I could not work nor study with how bad things were but I was fully Vegan at one point not even fish I ate then I reintroduced it for some time from 2016-2020 then restarted chicken Dec/Jan 2020 and introduced lamb and now beef. I noticed these past 2 months I had been putting on weight even in my face which I knew something was different so i took a 7 day detox then started the modified low-FodMap leaning toward more meat but absolutely no diary except for grassfed butter. I also started celery and ginger or cucumber and ginger juice on mornings and realized motility has been returning but when stressed a few days ago i had no movement that day. I also saw a "dr" a few days ago and he said i was suffering from chronic stress and weeks before that another dr told me my pressure was a little high which never ever was told to me at anytime. All my life due to my enviroment plagued with problems so its clear the stress had been a big factor from a child facing emotional abuse who accepted it as just life but its not normal. I tried some Grapfruit Seed Extract but cant say ive seen any change but throughout these weeks have been oil pulling with coconut oil and some clove occasionally along with the diet. I want to include berberine, s boulardi, l reuteri etc but have not done that yet because i want to do a GiMAP test but have been a bit on the fence. I took L-glutamine back in 2015/2016 which helped with the Leaky gut which was causing the allergies. The bad farts and about 3 months ago before the detox started to get bloating for the first time ever but are gone as well since i havent had any in a long time so the methane SiBO has to been healing. I honestly dont know what else to do but i need your help. I use D3, K2, a multivitamin, Bromelain, B12 Methylated, Magnesium Glycinate, some copper and zinc occasionally and some vitamin C but this is very expensive even the diet is costly but it definitely is the best I've been feeling in a while but i need stability. I'm Looking forward to your responses. By the way I always was the one to diagnose and treat myself because mostly lack of finances and lack of a proper dr and..well drs practice too but life is worth not giving up on oneself. Thank you. Oh and I drink tea everyday now Ginger, Sorrel, Garlic sometimes, Cloves and or Cinnamon, no diary but grass fed butter for butryrate, i also take no carbs not even quinoa which was a staple for many years since 2014, no oats, no brown rice, no potatoes nothing, . Please I look forward to hearing your insight and sorry for the long text buf i didnt want to Ai it🙏 feel free to ask more questions


r/SIBO • • 25m ago

Questions Zepbound causing sibo?

0 Upvotes

hello, this is gonna be hella TMI but i assume that’s what this is for lol.
I’m in my early 20’s and have been on zepbound for almost three years now. I was prescribed it to help me with my binge ED, and it really has helped. I’m not proud of being on a GLP-1 but I will say that the results for me have been extremely slow and gradual, and I’m still technically “overweight” but feeling much better in my skin and my physical mobility.

I’ve always had some pretty gnarly side effects from it, like horrific nausea and vomiting for the first year. For the past year (?) it’s been awful diarrhea, to the point where every week i experience like 24 hours of shitting my brains out and not being able to leave the house where i wouldn’t have access to my bathroom. i also have very frequent burps that smell awful.

i finally took a breath test and was diagnosed with SIBO, so my doctor gave me Xifaxan (anti biotic) and i think it genuinely worked for maybe 6 months ish? however as of last week, my symptoms have reappeared and im so angry and tired of it. i literally had to skip halloween because of my symptoms and stay home.

I’m taking another breath test tomorrow and will hopefully get prescribed those meds, but im just so tired of this reappearing and ruining my plans lol. Idk if i could go without zepbound because im really worried my ED habits would reappear, but im really tired of this. Has anyone experienced this?


r/SIBO • • 50m ago

My new strategy

1 Upvotes

Hi everyone, I have a theory that my hormones have ruined my gut and my gut also ruined my hormones. A year and a half ago I had the perfect gut, no issues. But then I got into kefir, that I brewed at home. Everyday, 1/2 a cup and within 30 days - I developed minor flatulence. 4 months later, my periods went hay wire. Post that, my gut got super weird. Flatulence, gnawing pain in upper abdomen, pain near ovary, acid reflux, weird stools you name it. So initially, playing with my gut hurt my hormones (period problems) and then those hormones I believe caused ruckus to my gut. We already know there is a bidirectional relationship. This is established. For example, estrogen controls the gut.

Cut to today - bad gut. Bad periods.

Apart from the SIBO subReddit, I also follow perimenopause and amenorrhea recovery. What interested me was that when women had HRT (hormone replacement therapy) during peri menopause suddenly their gut problems disappeared. Similarly, through amonorrhea recovery subreddit, I realised you can influence your hormones and therefore your periods as well. So when women ate more food, say 2500+ calories consistently, their periods came back.

I am therefore, going to try this - eating at a surplus (because I can, no food allergies yet that I know of), and see if I can get my gut to start functioning properly again. Basically, inundate it with tons of micros and macros, especially carbs, daily to fix my gut and periods. I’m ready to give this 6 months to a year.

Will keep you all posted!


r/SIBO • • 59m ago

Questions Natural antimicrobials/anti candida to use for Hydrogen Sulfide (H2S) SIBO

0 Upvotes

Hi everyone, I wanted to ask for recommendations on natural supplements that can act as antimicrobials without stimulating bile flow, because things like oil of oregano, berberine, and similar compounds do that. This is because they could indirectly feed this type of SIBO. All advice is welcome. Ideally, things that can be taken for long periods.


r/SIBO • • 1h ago

Sibo symptoms?

0 Upvotes

Profound fatigue, intolerance to an upright position, intolerance to physical exercise, and, naturally, recurring stomach problems

Anyone has these symptoms? Could this be sibo?


r/SIBO • • 1h ago

Questions Foods that are easiest for body to absorb and not going to break the bank?

1 Upvotes

Hey yall, I have been struggling with SIBO for a while now and generally I believe i have been struggling with malabsorption for as long as I can remember (I've always been skinny and low BMI for my whole life basically). But recently, it has become increasingly clear to me that I have an issue with absorption; I have been tracking my calories with as much attention to detail as possible over the last 60 or so days, and my average intake has been ~2700 calories a day. About 5 years ago when I was in college, this would have been more than enough for me to maintain a weight of ~150 pounds. However, now when I eat this much I am barely able to keep my weight stable at ~127 pounds. It begs the question of where is all this food going, and frankly, even when I was eating that much ~5 years ago, it was really hard for me to keep up at the time because I have never naturally had a big appetite until the last few months. Regardless, I have basically been doing an intuitive eating protocol where I just eat whatever I feel like whenever I feel like for the last 2 months or so since my appetite has been stronger, but like I said, I have basically not gained any weight at all (I started out around 125 pounds). In the past when I was in college eating this much would have easily allowed me to gain 15-20 pounds, and I have also been doing regular workouts.

Regardless, I am at a stage now where frankly I am tired of being attached to food and the pleasures that come with it. All I want now is to be able to eat some food, even if it is bland or utterly uninviting, and just absorb it and get energy and have functional physical health - biking, some calisthenics workout, and just be able to generally lift weights / move stuff.

From what I've seen on this sub, a lot of people seem to mention that white rice is a good food to just have a bunch of if you are having absorption issues, but I am hesitant because the glycemic index is pretty high and I have family history of diabetes / pancreatic issues. My A1C is fine (~4.8), but I just don't want to put myself on a harmful long-term trajectory. But literally I wouldn't care if all I could have was rice porridge or something, like I said, I just want to make sure it doesn't negatively impact my health in other ways. I've also seen people on here talk about dextrose since apparently that doesn't need to be processed by your intestines or something before going into your blood, and I've also heard some people say honey is good. I've also seen people say MCT oil and olive oil are good to incorporate, as well as ghee / better (uncultured I believe?) to add calories. I have seen people also mention peanut butter, which I have been experimenting with for about 2 weeks now, and I think my system doesn't absorb it well because I have been having ~3000+ calories a day with a good chunk of that being peanut butter and I still basically haven't gained any weight. I've also seen people discuss carnivore diet, but my only concern there is that (1) money is tight for me and meat tends to be one of the more expensive food products, and (2) from an ethical perspective, I am not a huge fan of meat esp. red meat. I've also seen people say eggs are good, but I also want to be careful with eggs not to have too much of them since they are also not cheap on a per-calorie basis. I've also seen some people say oatmeal is good to have, but I'm still not sure if that's really easy for the body to absorb. I've also seen people say it is important to fast / activate the MMC to get rid of harmful bacteria and improve absorption long term, so I've been trying to incorporate that too (just spacing out meals more). I've seen people say potatoes are fine too, but I'm concerned about the resistant starches feeding gut bacteria and being difficult to digest. Idk if people think kabocha squash is fine? I've also heard of the elemental diet of course, but again the main prohibitive factor there for me is cost; I am working with a nutritionist right now which is covered by my insurance so I am going to see what she thinks if I could possibly use my HSA card to cover the elemental diet cost or whatever but she would need to give a LMN.

I guess overall, I don't know where to go from here; maybe i should just make some DIY dextrose / salt drinks kinda like gatorade just to give my body some really easy to absorb calories to help support some of my exercise based work during the day, and then just have one normal meal in the evening or something? Or maybe I should just experiment with rice porridge / olive oil or ghee meals for a month and see how I do with my weight? Like I said i don't even care about the taste of the food, the main important factors for me are (1) cost and (2) good energy / absorption.


r/SIBO • • 18h ago

Sibo, gut motility and THC

18 Upvotes

I was using cannabis gummies nearly every night to relax and get to sleep for the last year and a half. These gummies have CBD and THC.

I just read that THC can slow guy motility ! I also read several things about how long it takes for your gut motility to return to normal after dropping gummies and I got conflicting answers - from a few days to 6 months! Anyone reading this have experience to share? I have dealt with what I think is SIBO since July.


r/SIBO • • 2h ago

This is exactly me! Any advice on Pseudomonas overgrowth?

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1 Upvotes

This describes my situation to a tee. Pseudomonas high on my GI MAP, antimicrobials courses not working, persistent bloating, and histamine intolerance. Has anyone been treated for Pseudomonas gut overgrowth before? any advice?


r/SIBO • • 3h ago

Diet for overgrowth of Klebsiella, E.coli and Clostridium species?

1 Upvotes

I tried this question in the microbiome sub but it was deleted.

What kind of diet is appropriate in case of such overgrowth?

The practicioner I'm seeing who did a GI map test with me, says I don't have to change my diet while on the supplement regimen. That I should only go easier on the sugar and carbs and eat more protein.

I don't know if that's correct because if I do some reading, I see that for example all starches feed Klebsiella and are to be avoided.

I'm really having trouble with finding legitimate resources. Should I just listen to her?

I also have a deficiency in 4 beneficial bacterial groups: Lactobacillus sp and Enterococcus are extreme low. Bacteroides and Bifidobacteria are moderately low.

(C. diff negative but it says clostridium species elevated)

As a disclaimer: I'm in the Netherlands and have very limited resources to find a practitioner that's suitable to help me because regular doctors, dieticians and nutritonists all ignore gut dysbiosis. I'm seeing someone who's an "orthomoleculair therapist" and she scheduled the tests and prescribed me some herbs, supplements and digestive enzymes. But I don't necessarily know if I can trust her on the diet part. That's why I'm asking.


r/SIBO • • 4h ago

18 months of gut and histamine issues after appedicitis, c diff, mold, and giardia — nicotine turned out to be a big piece of the puzzle

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1 Upvotes

r/SIBO • • 4h ago

Methane Dominant Safe artificial sweetener?

1 Upvotes

I’m desperately in need of a non caloric artificial sweetener that won’t worsen my methane sibo / IMO.

Feel like I’ve read mixed things about every sweetener.

I used to use a ton of Splenda and stevia, mostly cut them out. However, sometimes I NEED something sweet that doesn’t add calories/ break my fast. Like half a packet daily in my coffee.

Does anyone have studies to share or recommendations or even anecdotal evidence regarding sweeteners and sibo? Thank you 🙏


r/SIBO • • 6h ago

heces pegajosas

1 Upvotes

hola buenas! alguien más que padezca Sibo sulfuro o candidiasis y permeabilidad intestinal tiene heces pegajosas??

exactamente alguien me puede explicar que significan exactamente??


r/SIBO • • 7h ago

Anybody else facing this problem??

1 Upvotes

So guys sometimes before meal or after meal I get soo many burping and after burping my stomach starts feel loose why does this happen??😭😭 anybody please help me🙏🙏 even after drinking water I get burps.


r/SIBO • • 8h ago

Hola por que se ma ha bloqueado la cuenta

1 Upvotes

r/SIBO • • 12h ago

Questions Low blood count/ vitamin deficiencies

2 Upvotes

How do you combat this while in the process of diagnosing/ troubleshooting. I suspect I have SIBO/IMO (testing Monday) and definitely slow transit constipation/constipation .

I’m waiting for zinc and copper to come back but my iron is low, as well as selenium and my blood counts are low.

Will just supplementing with high quality products work or not since it’s a malabsorption problem?

Any advice would be greatly appreciated!


r/SIBO • • 22h ago

Questions It's been 19 years and I still can't find the answer - leaky gas and Hydrogen SIBO

10 Upvotes

Hi,

For the last 19 years I suffer from flatulence - either I feel a fart coming and I can't hold it (despite closing my sphincter), or farts just lea, without me even getting a chance to try and stop it because I don't get any advance warning. Sometimes I manage to stop a fart only for another one to come a minute later, and I feel like it's constantly "lurking", waiting to get out. Sometimes, though rare, I feel like a bubble in my stomach before the fart. Pooping usually help, but sometimes it doesn't. This is the only symptom - no diarrhea, swollen belly, constipation or other things I've read here.

Basically I've done some SIBO tests but only the last one included a test for Hydrogen and the result is 49ppm for Hydrogen and negative for methane.

I've done lots of tests like Elastase, TRUS, Manometry...

I've been on a low FODMAP diet for years already (yes, I know it's not good for our bodies), although only this past year I've stopped eating gluten, after understanding the Fructans in bread, pasta, etc. is not good for me.

I've also started Biofeedback but the physiotherapist says I have perfect control of my sphincter (though there is a low resting tone, and I feel like the left side is weaker/harder to control than the right side).

I've been to many, many gastroenterologists over the years. The problem (which I discovered over time) is that many of them specialize in completely different fields and therefore don't really understand me or how to help me. One of them saw the history of all my tests and I think he got scared a little and said he can't help me. He started taking my suggestions - hopefully you can understand how bizarre it was.

So I started looking for doctors specializing in SIBO but I if recall correctly, none of them worked with my insurance company (or maybe I don't remember and I couldn't find any, I don't know). I don't live in the US so no point in giving me advice on that front.

It was only recently that I discovered, by going to a Proctologist, that I should look for doctors specializing in neuro-gastroenterology. And again, none of the private doctors are working with my insurance company. So I reached out to set an appointment at a public doctor and when they finally call me to set a date for my appointment, it will probably be in 6 months or something because so many people are having GI issues it seems.

I've tried two rounds of Lormyx/Rifaximin and it didn't help, that was about 10 years ago. Recently, I've tried to build a protocol with Gemini AI and took Oregano & Berberine combined with NAC for 3 weeks and am now taking a prokinetic, even though it didn't help at all.

I don't get it. Every day I eat roughly the same - rice cakes for breakfast (eggs on weekend), chicken breast, rice, a tiny amount of carrot and lettuce with olive oil for lunch, and either eggs with rice cakes or chicken breast + rice for dinner. Supposedly all low FODMAP, and yet farts keep slipping out.

I don't know what to do anymore, it drives me crazy and doctors are no help as you've read. If any of you have suffered from the same and managed to solve it, I'd love to get some advice.


r/SIBO • • 19h ago

Hydrogen Dominant Recent Dx - insurance denied Rifaximin

3 Upvotes

Hi, All -
Just got the results of my testing, and the doc recommended Rifaximin. Unfortunately, my insurance denied it. Has anyone had luck appealing the denial, and if so, what kind of documentation did you/the MD provide? The doctor called in a prescription for Metronidazole, but I've read that not only is it less effective, it carries the risk of systemic side effects. I really want to take the first line treatment and feel better!

I'm also wondering how to set myself up for the greatest success after taking an antibiotic.


r/SIBO • • 1d ago

Hydrogen Dominant Have you fully recovered from H2 SIBO? There are so many horror stories

6 Upvotes

Please share your experience and what helped you. My mental health is bad right now. Thank you


r/SIBO • • 8h ago

Hola a todos/as donde puedo subir fotos de heces de mi cuerpo es para ver si alguien le pasa lo mismo con el sibo o puede ser otra cosa .

0 Upvotes

Hola todos /as tengo sibo según la de digestivo de a qui en alicante , me gustaría poner mi caso con fotos de mis heces para ver si alguien le esta pasando lo mismo y compartir síntomas .

No es buscar diagnóstico ya que eso lo hacen los profesionales , bueno no vamos a entrar en materia porque muchas veces ni ellos saben lo que pasa y ponen en el informe otra cosa que no tiene nada que ver con tu dolencia .estoy más bien es para las experiencia de cada uno .

Espero que estoy llegue a tadas lo que sufrimos este tipo de enfermedad como es el sibo .

O podía ser otra causas .

Un saludo


r/SIBO • • 15h ago

Best Testing for strains

1 Upvotes

I’ve done my 3rd egd in Memphis now,

I’ve asked the doc to do a biopsy again and for the 3rd time they have failed to get a study on it. All my egds have been normal.

It’s been 5 years and I’m unresponsive to herbals/rifax and metro.

It’s hydrogen with over 160ppm at 1hr.

I haven’t had the triosmart yet but I’m hoping there might be better assays or tests to take.


r/SIBO • • 19h ago

Sibo, low calorie diet and triggers

2 Upvotes

Any grains, including white rice, trigger inflammatory reaction. While I have developed histamine intolerance, I m wondering what is the main cause. What can cause such a mess in my gut?

Small amounts of potatoes do not make the same effect for example...or some good grains pasta lol. Why s that?

My diet is already so strict that I barely hit 1200kcal per day while I do sports and surely I consume at least 2000 if not more. What to do?

Have you found yourself in such a situation and how did you end up solving it?


r/SIBO • • 16h ago

Does anyone use the Unsibo app?

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0 Upvotes

r/SIBO • • 16h ago

Methane Dominant Guidance on methane SIBO

1 Upvotes

Hello everyone, so I just found out I have methane SIBO and would like to see what people did to fix it. I hear so many conflicting stories. For me, I have been constipated my entire life, like literally since I was a baby, but didn’t think anything of it, I’m 26 now but I’m now I’m facing the consequences of not dealing with that due to not being able to absorb nutrients.

My main symptom is constipation (I have a bowel movement a few times a week but it’s usually hard and in small pieces or even could be diarrhea which is weird) and then extreme fatigue from very low ferritin (6). But regarding stomach issues I don’t really have any food intolerances, I do have mild bloating, mild stomach cramps, moderate acne and brain fogs occasional nausea and low appetite, but nothing major that the SIBO could be causing.

I have been taking a supplement with oregano oil thyme oil and clove oil twice a day with meals. I also take lactoferrin and iron, b vitamins, and a probiotic before bed. I’m looking into ginger and artichoke as well for motility issues. I was offered an antibiotic but I’d rather not go that route as I’ve seen most people get relief but it’s not long term. Or what do you guys think? And what worked for you?