Hi @Alyssa – if you have constipation, that is definitely a priority to be addressing first – even if you have to use rapid relief measures. The same factors that can lead to constipation (dysfunction in the main digestive players) can also set a person up for SIBO/IBS. So I’d actually encourage you to address constipation first, and then…

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@Alyssa besides prescribing antibiotics, did your doctor try to figure out what caused the methane-dominant SIBO?

I’m asking because I’ve seen many cases where patients are put on antibiotics or even natural antimicrobials WITHOUT addressing the cause, and it becomes this never ending revolving door of “killing” and then it returning, leading to…

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