Please watch Dr. Rajsree’s video above which explains each phase in detail. Each phase is added on to the prior phase. For example, when you are on phase 3, you should continue everything from Phase 1 and 2 as well.

Yes! Fasting helps the small intestine to better clear out the bacteria. When fasting, you will not take the herbal antimicrobials. For example, if you only eat 2 meals a day, you will only take the herbal antimicrobials after the 2 meals.

You may still see improvement in your symptoms and gas levels because of the supplements and herbal antimicrobials, however the duration of treatment may need to be longer. For example, you may need to treat for 3 months, instead of 6 weeks.

However, meal spacing (4-5 hours between meals) is incredibly important to the success of the protocol. Snacking can cause treatment failure. Remember, it is between meals that your body cleans out your small intestine!

The 4 Phase approach helps to reduce side effects because we are preparing your body with each phase before starting the herbal antimicrobials. However, some people may still experience slight nausea, headache, fatigue, or loose stools when starting the herbal antimicrobials. This is called “die-off” symptoms as your body adjusts to the herbs killing the bacteria. Reducing the dose of the herbal antimicrobials can sometimes help with these symptoms.

Weight loss of 5-10 lbs is common during SIBO treatment due to the dietary restrictions. Most people who desire to do so, can easily gain back the weight after completing the treatment.

Yes! Sip on a glass of water that has 2 drops of essential food grade peppermint oil.

You can sip on a glass of water with 2 drops of essential food grade peppermint oil to help freshen your breath. You can also use various essential oils for your body as well. If needed, you can reduce the dose of Allicidin to what you feel is tolerable (once or twice a day instead of three times a day if needed).

Be sure to adjust the Essential Magnesium dose from 2 to 4 capsules at bedtime if you are having constipation. Motility Activator can be taken at a dose of 1-2 capsules at bedtime and 1 capsule first thing in the AM. If needed, add Aloe Pro 1 capsule at bedtime.

Full evacuation of your bowels daily is very important for the success of the SIBO protocol.

Magnesium can loosen the bowels, so you may need to reduce the Magnesium dose, or stop it altogether if you are having diarrhea.

Reducing the dose of the herbal antimicrobials can also help (take it once or twice a day instead of three times a day).

It’s best to see your doctor for an examination to make sure there is no serious cause of pain.

If your bloating has resolved and bowels are more regular and formed, that is a good sign! A repeat SIBO test can also be helpful to objectively assess your progress and determine if additional weeks on the herbal antimicrobials is needed to clear any residual SIBO.

Foods can be added back gradually. I recommend 1 new food every 2-3 days to see your response. Start with vegetables and fruits, garlic, and onion. Foods that can be problematic for people and should be tried last include beans (legumes), dairy products, and bread. Based on your response, you can decide what youwant to keep or exclude from your diet.

No! Restricting prebiotic fiber long term is not good for the gut microbiome. This diet is just for the duration of SIBO treatment.

Continue meal spacing! Keep 4-5 hours between meals to help properly clean out your small intestine.

Continue Digestive Enzyme Pro, Betaine and Pepsin with your meals if you find them helpful.

Continue Essential Magnesium and Motility Activator at bedtime.

Many people benefit from taking Probiotic 100 Billion which is a more broad-spectrum probiotic to help restore the gut microbiome. You could also try S. Boulardii, a probiotic yeast, shown to be helpful with IBS symptoms.

SIBO is often a root cause of Leaky Gut. By treating SIBO, we often see resolution of Leaky Gut.

The Spore Probiotic IgG also has IgG antibodies that help with healing leaky gut.

If you find L Glutamine powder helpful, you are also welcome to add that to the SIBO protocol. L Glutamine alsospecifically targets Leaky Gut. It’s a powder you mix with water and take in the morning on an empty stomach along with your probiotic.

If you saw good success with this protocol, you can repeat it anytime in the future if your symptoms return.

The SIBO diet and the herbal antimicrobials are anti-inflammatory. People generally lose a few pounds, feel better, and see improvement in their metabolic parameters, energy, and skin! Brain fog often improves as well.

Methyl B Complex is recommended to help support your energy and mood during SIBO treatment.

You can supplement your calories with a liquid elemental diet. This is a powder that give you nutrition but has no fiber to feed the SIBO bacteria. I recommend the Physicians Elemental Diet Dextrose Free by Integrative Therapeutics. You can mix this water, or blend with macadamia nuts, and sip slowly to give you energy and more calories.