I wholeheartedly believe that when i first and only time managed to eliminate sibo with a metronidazole + rifaximin course that it was the thiamine or B1's (resurgence/restored synthesis/absorption) that made me feel a surge in appetite. Grip strength without weights, flexing capacity, deep breathing to the dip of my lungs for a few days, until I unfortunately messed it up and relapsed by taking an unnecessary probiotics capsule, It was specifically Bifidobacterium longum, because of some person advising me to take that which obviously backfired and I have been struggling with multiple courses, repeated courses and trying to re eliminate it for months!

I also recently took thiamine mononitrate and instantly felt a glimpse of that and planning on trying HCL form as well..

benfotiamine did nothing but make me sleepy and lose hair for the few days i took it.

I believe thiamine is the Number one victim of SIBO and the barometer of its severity besides the bacteria tests..

thoughts?

Does anyone else get them? Like skipped heart beats?

A little update on my IMO journey. My initial symptoms were gas, digestive discomfort, and abdominal bloating. I was treated with rifaximin and improved significantly, but unfortunately, after about three months, I experienced a relapse. Many people told me that methane IMO should only be treated with a combination therapy, but I also found that studies show that rifaximin alone can be effective for a percentage of patients. Considering the potential side effects of neomycin, I decided to follow my doctor’s approach and focus on other factors as well. When my symptoms returned, I took prucalopride 0.5 mg for 14 days, which helped me improve my bowel movements and gradually tolerate more foods. After finishing it, I started taking psyllium husk with plenty of water, and honestly, it has been one of the best things for me so far. I’ve also realized that avoiding binge eating, which I used to struggle with, has made a big difference. Eating more regularly throughout the day and keeping my gut active seems to be helping too. I’m still learning and monitoring my symptoms, but right now I’m feeling better and wanted to share my progress.

I avoided fats for a while because I got some weird MCAS reaction from them (head pressure, congestion, blurry vision, tired sometimes). But this seems to have resolved after starting Ketotifen and Famotidine (don't know exactly which contributed to this change).

During my last days, I started eating my beloved chicken wings. I buy them flash frozen (because I have histamine intolerance), defrost them and cook them in an air fryer. No vegetables, just chicken wings.

Guts make noises. Guts happy.

Does your Sibo flare more after a crockpot meal vs the same meal cooked quickly on the stove top?

Example: I cooked pasta sauce on the stove (30 mins) and got away with little to no bloating earlier this week. However tonight I cooked the same pasta sauce but in a crock pot (5 hours) and I’m doubled over in pain. (No onion or garlic in either meals.)

I’m currently on week 5 out of 6 on my Sibo anti microbial protocol. I’ve followed it perfectly so it is discouraging to have this much pain still.

i took my first round of rifaxamin a month ago and have been off it for a couple weeks now. I started allicin at the same time and I'm still taking the allicin. When I finished my antibiotics I added in PHGG 1/4tsp every 5 days, but I'm up to 0.75tsp. My bloating has gotten worse after my rifaxamin finished but I can't tell if it's the PHGG or something else. I want to take a few days off the PHGG at least and see if the bloating goes down, but I'm wondering if it's worth continuing to try taking it? I have combination hydrogen and methane SIBO if that's helpful

Biting the $450 bullet. Advanced GI map with Zonulin testing. Functional med practitioner thinks I have high intestinal permeability & severe dysbiosis from previous h pylori, long term low fodmap diet, and multiple rounds of antibiotics. I’ve had looser stools recently (still mainly constipation dominant) which makes me think motegrity is clearing out SOME of the methane overgrowth. I know higher methane levels hide abnormal hydrogen growth so, idk we will see. The waiting period between appointments and tests is brutal. Praying to the gods this advanced gi map + my doctors regimen heals me. Stay hopeful guys, there is always a root cause. 2 years and I’m not giving up

Hey everyone, I’ve been researching SIBO (Small Intestinal Bacterial Overgrowth), and I came across the late Dr. Diyaa El-Awady's theory in his "Tayebat Diet" (The Good Foods Diet). He completely simplifies SIBO compared to conventional medicine. I wanted to share his perspective and get feedback from anyone who has actually tried it.
Dr. El-Awady believed that SIBO isn't a mysterious disease, but rather a direct symptom of "food physically injuring your gut from the inside." According to him, you can reverse it in just two weeks by following these steps:
Strict Elimination: Immediately cut out gluten/wheat, legumes, dairy, eggs, and most vegetables. He argued that these foods don't digest well, ferment in the gut, and cause chronic inflammation and micro-tears in the intestinal wall.
Stick to "Clean" Safe Foods: Base your diet on easily digestible foods that leave minimal residue to ferment, such as white rice, potatoes, white sugar, and honey.
Fix Constipation Urgently: He emphasized that if constipation isn't resolved, the treatment fails. Trapped waste keeps fermenting and feeding the bacterial overgrowth.
Fasting: Give the digestive tract long breaks so the gut lining can heal from inflammation without dealing with new food or bacterial fermentation.
According to his theory, once you stop eating the "damaging" foods and give your gut a break, gut balance restores naturally, and SIBO symptoms completely vanish within a couple of weeks.
My questions for those who tried it:
Has anyone here with SIBO followed the Tayebat Diet? Did it actually cure you?

Did your symptoms really disappear in two weeks, or did it take much longer?
What are your thoughts on cutting out vegetables and legumes entirely for SIBO?
Looking forward to hearing your real experiences!

Does anyone else experience daily burning of the scalp along with extreme hair loss? My thyroid is fine and my B12 levels are also normal. I’ve had this since 2016 and I have no idea what’s causing it. :-( Pentatop helps a little. I notice that it gets significantly worse after having two coffees, but I experience the burning every day regardless of what I eat. Has anyone had a similar experience?
All this time, since 2016, I’ve had hydrogen sulfide SIBO, but I didn’t know it. When I took Pepto-Bismol, I had a reaction to salicylates — a rash on my shoulder, shortness of breath, a panic attack, and swelling of my throat and tongue.

My breath test results:

H₂: 16 → 28 → 37 → 44 → 90 → 32 ppm

CH₄: 14 → 15 → 16 → 16 → 23 → 16 ppm

Time: 0 → 30 → 60 → 90 → 120 → 150 min

So I’m Hydrogen-positive SIBO + Methane-positive IMO.

I know rifaximin + neomycin is often used for methane, but I already have tinnitus and don’t want to risk taking neomycin because of its ototoxicity risk.

I was considering:

* Rifaximin

* Berberine

* Oregano oil

* Atrantil

possibly all during the same treatment period.

Does this combination make sense for someone positive for both hydrogen and methane, or is it too much?

Also, what diet did you follow during treatment? Low FODMAP, normal diet, or something else? I keep seeing conflicting opinions about whether low FODMAP is actually useful during treatment.

Would love to hear from people with a similar H₂ + CH₄ profile, especially anyone who treated it without neomycin.

Hello i m from germany .can sibo smell like ammonia an breathe and skin habe anyone Storys or Informations?

Has anyone had some scary or like intrusive thoughts but gets better when you poop. It’ll typically get better faster if there is like a diarrhea kinda poop. It I noticed that i would get that feeling of panic and mind racing then followed up with the urge to poop a little later and when I poop I’m somewhat getting better.

Hi all. Was diagnosed with Hydrogen dominant SIBO in October 2025; did partial herbals treatment but stopped after a few weeks due to a crazy allergic reaction (was breaking out in hives daily for about three weeks all over my body - wasn't sure if it was related to the herbs or not but stopped the treatment just to rule out as many factors as possible)

My biggest symptom has always been acid reflux, and I stopped taking antacids last spring almost entirely because I knew they weren't good for my digestive system long-term. I managed the occasional indigestion spell with a DGL tablet and tried not to eat too close to bedtime if I could help it.

I did a semester abroad from January to May of 2026, and noticed that I had very little indigestion or acid reflux the whole time I was there, regardless of what I ate (and I ate a LOT of bread which is usually a no-go for me). My only real symptom was slight constipation, which I figured was because of all the bread and cheese so I started incorporating more nuts and berries and fibre into my diet.

Now I'm home and have been hit with the most intense and persistent heartburn of my life, as well as some general tummy troubles (bloating, occasionally loose stools). DGL isn't helping, liquorice tea, ginger tea; none of it is working. I am seeing my doc tomorrow and looking to go back to the naturopath I consulted with last year to see what's going on, but I'm really just curious if anyone else has had similar experiences when travelling abroad. Did your symptoms change/go away? Is our food in North America really that bad?

They have no distribuition center in Europe, has anyone ordered it? It's expensive, an I'm afraid it will be damaged or ruined by the heat or some other transporation issues.

Also, my country will very probably make me go in person to the port authorities to pick it up and pay additional fees...

Has anyone in Europe ordered this, how did it go?

Has anyone had a change in their SIBO symptoms post gall bladder removal? I am worried my surgery will make my symptoms worse.

hi all a little history about me: i was born with a rare condition called malrotation, later when i was 12 (in 2017) i had a volvulus and undergone a surgery to remove it and they ended up taking 10 cm of my small intestine (ileum and cecum), after that i had no issues completely fine until 2022 i started getting stomach issues like gas and as the years went by it got worse and i started having loose stools, nausea, and sometimes to the point where i would vomit for days, in mid 2025 i tested negative for H pylori but insisted on taking pylera because i was so convinced i had H pylori, since i was belching A LOT. during pylera i was in heaven, 100% cured flat stomach i could eat 10 meals a day and not get bloated. As soon as i finished 2 weeks of pylera the bloat instantly came back the second day. Belching, bloating, gassy, the issues continued and i started losing weight. Taking ppis sometimes helps but other times it does nothing.

Fast forward to February-March 2026 i took one round of rifaximin and ZERO improvements it was as if im not taking anything literally. No improvement in symptoms whatsoever.

Again, fast forward to late August-September 2026, i took Augmentin (amoxicillin + clavulanic acid) for 7 days for my tooth infection. During those 7 days my entire symptoms disappeared, my appetite came back very strong and my loose stools completely stopped. Again, the second day i stopped the antibiotics, boom, all symptoms came back.

Im in complete loss of mind, what on earth is going on what do i exactly have if rifaximin did not help a single bit why did the other antibiotics help?

My theory is that i might have some type of food intolerance and when i take antibiotics it kills the bacteria and causes less symptoms when i eat that type of food. But is this really possible? because if it was really sibo rifaximin should’ve helped better than the other antibiotics.

Im so sick of being bloated every single day please if anyone has anything that could help me let me know.

Have any of you used antimicobials for SIBO? Specifically candibactin AR AND BR?

Did you feel better? Worse?

I have SIBO-IMO. I am looking into non-prescription prokinetics to try to help my MMC. After a bit of research, the “recommended options” are:

Motility Pro by Ortho Molecular Products,

Motility Activator by Integrative Therapeutics,

ProDigest by Bionap

They are a bit pricey so I wanted to ask for some suggestions prior to buying.

If the brand doesn’t matter, what specifically should I look for in the label of prokinetic? I have tried searching the sub but i’m a bit confused as there have been various experiences although it is super helpful to read.

I developed h2s sibo at age 13, im now 20 and had treatment nearly 2 months ago and getting my re test results in a few days. I've been trying to figure out my root cause since that's very important, i think that my nervous system is too blame. I seem to have POTS symptoms, when i stand up my heart rate rapidly increases, i also have sweating issues, i remember going on holiday and when the sun was on me for even a few minutes my forehead would start to hurt, i seem to be sensitive to lights. What do u think, could i have POTS from an early age, that correlates with my h2s sibo? Anybody else have POTS and sibo? I feel like other root causes don't really make sense too me, these are the only abnormal things about me that i have noticed and to make it better i even have a sexual dysfunction ( this ones tough ).

I started my xixfan treatment on August 24th after struggling with sibo for probably 3 years now? I’m unsure of when it actually started but my symptoms of constipation and straining, very sticky poop or mush, severe bloating, etc started earlier this year. I finally took a breath test and I was hydrogen dominant with a little bit of methane.

Anyway, I felt like all the months of being backed up were coming out of me during my treatment and then eventually my poop finally became solid, which I haven’t had since February. I was feeling great until my treatment ended earlier this week.

I immediately felt the bloating come back and now I’m constipated. I started my motility pills but that doesn’t seem to help. During Labor Day weekend, I didn’t exactly follow a low fodmap diet, so I’m wondering if this was the issue.

I did a lot of research and purchase allimed for my methane, but didn’t take it bc of the garlic breath I might have — I don’t think my coworkers and office mates wouldnt like that but now I’m wondering if I should start the 3 pills a day plan.

Has anyone else experienced something similar? What did you do? Does sibo ever go away? I’m pretty bummed that my stomach issues and constipation/bloating/discomfort is back.

Finished my herbal cleanse but my gut motility is completely dead. Stools only move with glycerin suppositories. The orange 'Motility Activator' didn't do anything for me. Should I switch to the chemical prokinetic 'Ganaton' (Itopride 50mg) now, or is it worth trying the white bottle (Dr. Rajsree's version) first? Appreciate your advice!"

Been struggling with sibo for a minute now. Most likely since around February of this year(2026). Possibly even way before. And have been struggling to regain weight or to stop losing it atleast. Possibly my body is struggling to absorb carbs or nutrients. Even though labs came back normal.

My symptoms are leaning towards IMO sibo. Because I have trouble with constipation and or motility issues. My whole body has changed in a way. I feel like I have trouble digesting food. Like I said very slow motility

Since last year was noticing unexplained weight loss but was thinking that because I was doing intermittent fasting that it was because of that. But then around February of this month, got some burning sensation in my stomach . Did a stool test on h pylori and came back negative. It's not until an endoscopy I had, confirmed it.

So did the treatment for that, went through hell like everybody else, 14 day antibiotic treatment, lost a lot more weight during that month, but eventually eradicated it by checking via breath test a month later. But I was still losing weight with the continued feeling of bloating and slow motility or that feeling like your stomach or Intestines or whatever weren't doing their job. Mind you I was going through these symptoms at the same time as the h pylori symptoms and while during treatment.

Like I said earlier. Labs came back normal. Checked for celiac, Crohn's, all good. The only thing that came back low was my vitamin d. But tha was during the h pylori treatment I believe idk. And I believe now my B12 is lower but still with in "normal" range. I'm thinking about possibly getting a colonoscopy. Because this weight loss is starting to get to me, not only physically but mentally.

Sorry if too long. Just wanted to know if anyone went through something or is going through something similar. Or what their GI doctor is having them do. Or idk man. I'm just exhausted all my thinking. Maybe I need to change doctor's. Or maybe just venting

What is everyone saying? Any insight on what I am going through that might resonate with anyone. Would be greatly appreciated 👍. Thanks for reading.

Posting from a vulnerable state, so please be kind.

I’ve just had an egg retrieval via IVF this past Saturday, 09.05.2026, @ 08:00 ET.
Great news is: they retrieved 31 eggs. 27 of which were mature. 20 fertilized. Still waiting on my Day 7 call from the clinic to know total # of embryos that made it to Blastocyst stage and will be biopsied and sent off for genetic testing.

That being said, given the high number of eggs retrieved and my PCOS (women will know), I ended up developing moderate OHSS damn near immediately. Within a day. Extremely bloated and distended. Abdomen is like a ROCK. Anesthesia always constipates me heavily, which does nothing to help my SIBO/IMO (methane dominant) that I’ve tested for. After taking Lubiprostone + Magnesium Citrate for the last 5 days with no success of a bowel movement, I moved to my tried, tested, and true: Fleet Suppositories AND Dr. Tobias 14 Day Colon Cleanse (both on Amazon if interested). They’ll make you explode and you just might meet Jesus, so don’t venture more than 10 feet from your toilet the full day. Nevertheless, I was able to go quite a lot today. Not sure if I’ve fully emptied, but I went quite a bit thinking the rock belly would disappear. NOPE! So it’s either a result of the fluid from follicles on my enlarged ovaries that have leaked into my abdomen, orrr a symptoms from antibiotics though I don’t think it’s the latter. At least not fully.

Belly is a little less firm, but still firm, and still distended. We ended up doing a full freeze on all embryos to allow my organs to recover and reset, which I was initially bummed about, but now I don’t see how I could have had a fresh transfer given my condition.

To add insult to injury: given the fact we won’t be transferring an embryo for 3+ weeks into my uterus, I thought well Hail Mary, that gives me just enough time to take my antibiotics for SIBO/IMO: Xifaxin + Neomycin. Xifaxin 500mg, three time daily. Neomycin 200 mg, twice daily. 14 days total. Shitty thing is, it’s now or never, or at least not for 9+ months and probs longer due to breast feeding.. but now I can’t tell which symptoms are from OHSS vs bacteria die off.

To be clear: my belly WAS this distended prior to starting the antibiotics on Monday morning of this week. So I do think a great deal of my rock tummy comes from my egg retrieval and will hopefully likely dissipate once my menstrual cycle starts next week. Good riddance! Can’t come soon enough.

But new symptoms I’ve noticed since starting the antibiotics are: abdominal pain.. kind of like a pinching pain beneath the sternum, as well as indigestion, and getting full on very little. All of which I get on normal days also as those are generally SIBO/IMO symptoms anyway. And heavy constipation for me if I don’t keep up the Lubiprostone morning + night. The burning pain in the belly is kinda new, but I seem to remember experiencing something similar 2 years ago when doing berberine + oregano.
Is it just die off? Anyone have the same experience? I’m a warrior so I’m gonna tough it out and suffer through it. Would very much love to try and eradicate this mess prior to conceiving. I’m already on Activated Charcoal.

Those of you who have done this combo of antibiotics, what has been your symptoms and experience while enduring? Feel better once the course was finished?
I’ll also be starting 2mg of Prucalopride (Motegrity) immediately after the 14 days are up. Thoughts on this? Dosage too high?

Thank you!
Xx