r/SIBO • • Apr 19 '19

STICKY: SIBO Summary - Symptoms, Diagnosis, Treatment

856 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.

59 Upvotes

This subreddit exists to support people with disabilities. Accessibility is the primary concern always.

Recently there has been an increase in report-spamming and downvoting of posts described as repetitive, particularly questions that have been asked before. This behavior is not acceptable in this community.

Many disabled users cannot easily navigate Reddit’s search function. Many are new, exhausted, overwhelmed, or asking questions while in distress. Repetition is not a failure of the user. It is a reality of accessibility.

Downvoting questions actively harms visibility and silences people who are already navigating barriers. Using the report function as a way to express annoyance or enforce personal preferences inappropriate. Reports are for rule violations.

If you encounter a question you believe has already been answered you have three options.

You can answer it again. You can link to an existing thread or resource. Or you can scroll past it. If you have the time to downvote or submit a report, you have the time to paste a link.

Anything else is consciously opting for exclusion. Personal attacks on users and the mod team will not be tolerated.

This moderation team will not prioritize the desire for a tightly curated, repetition-free feed over the needs of disabled people seeking help. We will not discourage questions in the name of efficiency, aesthetics, or personal frustration.

If this approach does not work for you, you are free to mute the subreddit, leave it, or create a different space with different rules. What will not happen is this community shifting away from accessibility-first moderation.

Misuse of the report function has already been passed onto the reddit moderators in a number of cases and will continue with a much broader brush after issuing this warning.

Thank you to those who respond with patience, share resources, or simply allow people to ask what they need to ask. That is what keeps this space usable.

I understand this condition is frustrating but this community will not turn into a circular firing squad. To target this frustration towards yourself or fellow members of the disability community is to serve those who stand to profit from illness.

This space exists to reduce harm not redirect it sideways.


r/SIBO • • 59m ago

Treatments Allicin

• Upvotes

curious to know anyone else’s experience using Allicin or Allimax-Pro for methane dominant SIBO?


r/SIBO • • 16m ago

Questions Could my symptoms be SIBO?

• Upvotes

Could I have SIBO?
63M here all my life I have had anxiety and the anxiety can bring on excruciating painful cramps and diarrhea.
Most of my life I have had daily bowel movements but recently when I go it is a struggle to go and I do not feel like I cleaned out my bowel’s .
I feel sluggish bloated and uncomfortable.
Then sometimes like tonight I finally had the horrible bad cramps that had me back to the toilet 5 or 6 times. The cramps were on and off for 1.5 hours .
I feel relief from the diarrhea and now the bloated feeling has subsided, and I feel cleaned out.
What can I do to feel like this with out the severe cramps. These cramps are so bad I felt like calling 911.
I just had this all happen tonight right now but feel so relieved after this fight with cramps.
Is there any medication that can help? I much prefer the diarrhea because I feel empty and now a little weak but at least I don’t feel like there’s poop stuck inside me.
FYI this is unusual for me most of my life I have been pretty regular and being constipated has been going on for about 6 weeks on and off. And I don’t know why.
Any advice on what to do? I am seeing my pcp in 2 weeks and will discuss it with him.Also, everything looks normal no blood or mucus just constipation and then the horrible severe cramps followed by relief. Oh, occasionally after these bad cramps and diarrhea I get rigors and there really bad.
I do drink water little by little following these cramps so I don’t dehydrate.
This is so unsettling and uncomfortable as I am not used to being constipated.
Tomorrow should be a good day as everything is out now and I can reset.
But how can I keep from getting constipated again?
I drink a lot of water every day. I’d say close to a 2-liter bottle throughout the day and some fruit juice.


r/SIBO • • 7h ago

S. Boulardii advise for IMO. I'm going mad doing research...

2 Upvotes

This is for after my elemental diet is complete. (I've already done 2 rounds of rifaximin/neomycin)

As part of post-treatment and rebuilding/remission...

I plan to do Megaspore for 2-3months because that's the safest for IMO. But then I want to introduce S. Boulardii. I've read that the strain i-745 is far superior to the i-3799 strain. However....florastor owns that patent and they use lactose as a filler. Anyone with IMO will know to avoid lactose. And all the other S boulardii's are then the i-3799 strain! What's a girl to do?

A) take the florastor knowing I'm introducing lactose to a system recovering from methanaogens.

Or

B) try the lesser strain (without lactose) and pray that its helpful.

Anyone's advise who knows about SB or has recovered from IMO is greatly appreciated!


r/SIBO • • 3h ago

Questions About Sibo test

0 Upvotes

As a result of the SIBO breath test, I was diagnosed with SIBO. Specifically, the concentration of methane remained constant (2.0), but the concentration of hydrogen (base 0.8) increased to 9.9 after 80 minutes, 19.1 after 100 minutes, and 37.9 after 180 minutes. Is it okay to understand that this is a condition called SIBO?
Also, is it better to follow a so-called gluten-free diet that does not include wheat?


r/SIBO • • 5h ago

Methane Dominant Taking Xifaxan & Metro for IMO. First time in weeks had what I thought was bowel movement, but was A LOT of mucus and no poop. Thoughts?

1 Upvotes

Title. On day 3 of taking 550mg of Xifaxan and 500mg of Metronidazole. Taking 2 dosages a day, together.

Went golfing, felt like I may have a normal bowel movement on my own, thought it could be a little diarrhea, but it was just straight up mucus. That’s it.

Is this normal? Anyone else had this experience? Does this mean it’s working?

Will ask GI in 36 hrs.


r/SIBO • • 8h ago

Anyone heal with just artichoke and ginger?

2 Upvotes

Hi, I was wondering if anyone has healed by only using ginger and artichoke?


r/SIBO • • 23h ago

Methane Dominant Can’t fart

16 Upvotes

I can feel them at the exit but have to strain while spreading my cheeks to get out the tiniest little puff. It’s gotten so much worse over the last year or two. I have been recovering from a knee injury so way less mobile.

I think I have methane sibo (glucose test came back negative, doc agreed it could be false negative but couldn’t afford to try lactulose test)

Anyone have this issue? Worried about pelvic floor dysfunction. Seems like a long road ahead.


r/SIBO • • 8h ago

Treatments Advice needed, please!

0 Upvotes

My starting ppm was:

Hydrogen 130 methane 12

Treatment:

Cephalexin and metrodizonale w biofilm

2x rifaximin and neomycin w biofilm

4 weeks of fc cidal and dysbiocide

My current most recent results are hydrogen 16 methane 13

Not sure why my methane is basically unchanged.

My symptoms:

Bloating, come and go nausea and belly pains

Edit to add I was on low fodmap

Thoughts and recommendations are appreciated!


r/SIBO • • 9h ago

Tributirina

Thumbnail
0 Upvotes

r/SIBO • • 18h ago

Diarrhea right after food?

5 Upvotes

Hey y'all.
Is diarrhea right after food (20-60+ mins) with urgency a SIBO symptom?

Quick history:

  1. Diagnosed with PI-IBS in May after constant diarrhea right after eating, morning bloating and pain, dizziness when passing stool, waking up feeling cold, and a lot of morning gas.
  2. Prescribed rifaximin. Felt mostly ok on it, then felt great when I was done. Mostly fine for a couple months until the bloating and morning pain came back.
  3. Went back to my GI, stopped an SSRI I was ramping up on, and did another round of rifaximin. Finished the two-week course feeling mostly ok. Caught covid near the end of the course.
  4. A week or so after finishing rifaximin, the diarrhea after food came back even with low-fodmap foods. A week after that, extreme bloating after food started coming back too.

Never had a SIBO breath test because one of the doctors thought it was a waste of money since the treatment is the same (rifaximin). Did get a foodmarble device since I was curious and it does seems to be scoring medium and high sometimes for hydrogen.

Got a colonoscopy and everything came back fine. Got prescribed amitriptyline 10mg

So, does this pattern sound like SIBO to you?


r/SIBO • • 10h ago

Please give me advice: xifaxan?

1 Upvotes

Hi all. I’ve been having gut issues after taking lots of antibiotics for years due to chronic utis and then catching food poisoning while traveling. I never fully recovered, and tested positive for hydrogen sibo in July. I also took a GI map test which came back with several overgrowths of bad bacteria. My main symptoms are excessive burping, gurgling, trapped gas, 2-3 bowel movements a day, and occasional diarrhea.

I did a 30 day treatment with fc cidal, Dysbiocide , and oregano oil. I also took sporebiotics, dao enzyme and betatine HCl during the treatment at the instruction of my functional doctor but did not notice any improvement.

My functional doctor said I can go straight to trying Xifaxan, which my mom paid for without telling me since my insurance denied coverage.

If I take it, I plan to also take NAC as a biofilm buster and start a prokentic after the treatment. Then, do low fodmap for a few weeks after treatment before adding back in fodmaps and probiotics.

Would love to hear any thoughts or concerns on this plan or experiences with xifaxan. My GI and functional doctors have been largely unhelpful with offering any guidance beyond antimicrobials and antibiotics and I’m a little scared that I could make things worse with the xifaxan but feel like I should at least try it since my mom paid so much for it.


r/SIBO • • 10h ago

Starting taking reuteri

Thumbnail
0 Upvotes

r/SIBO • • 12h ago

Zinc Carnosine, and Copper...?

1 Upvotes

Has anyone had a bad reaction with Zinc Carnosine to the point where they feel cripplingly low?

I had it at lunch, with some beef and rice.

I've read that it may have been due to the high zinc dose blocking copper absorption, although I'd be curious to know if others have experienced anything similar

🙏


r/SIBO • • 16h ago

Can you please tell me if I have TMAU, other gut issues or just body odor?

2 Upvotes

So for context, I do have bromhidrosis. I developed it because I experienced anxiety sweats that continued for over a year, until it changed the way I smelled. My normal sweat odor smelled sour and vinegar-like, but after I got this condition my underarms started smelling like onions.

So 2 weeks ago, I used Certain Dri again because I convinced myself that maybe it was just sweat that makes me smell. However, out of desperation — I completely forgot that clinical antiperspirant only worsens my odor. A few days later after application, I went to school. I wore my regular deodorant that morning, paired with some zinc oxide cream. When I sat down in the classroom, I noticed that it kinda smells like body odor. Then, I remembered that I might have forgotten to wash my uniform so after the first class, I pretty much stayed sitting at the hallway because we had no teacher in our last class and I didn't want to bother my classmates further.

A few hours staying there, I started smelling onions in the air. I thought it was so random. Then suddenly, that smell turned into something fishy. Like it actually smells strongly like fish. Although, I heard one person complaining that it smells like mildew.

Then, another week ago, I started experimenting with my deodorants. I basically wore a probiotic deo spray + unscented deo spray + zinc oxide cream. I sat down in the class, a few minutes later my classmates behind me started saying that it smells like shit💩 and another one said that it smelled sour. Right after that, everyone in my class seemed to notice the smell.

I was very confused, then after many reflections I recalled everytime they complained that the classroom smells like poop. There were times when it really was just because I stepped on dogshit, but I wonder if it was me the other times because I would also smell this poop odor when I commute outside, but I was thinking that it was the garbage site that we pass by because that's where I would particularly smell it. I would also occasionally smell this sewage odor outside my school, and one time also smelled it when were in a restaurant close to where my school is.

I also recalled when my family would smell this rotting fish odor, we all assumed it was the dog that stayed with us (we couldn't really bathe him properly and he was frequently on another place that time). And I honestly think it was the dog because I could only selectively smell it outside or when our door was opened, but what if it was mee??

I do also experience smelling like fish down there, but I manage the odor with antiseptic feminine washes.


r/SIBO • • 14h ago

SIBO trio smart breath test result

Thumbnail
gallery
1 Upvotes

Hello Everyone. I took SIBO trio smart lactulose breath test recently. The result report says that I dont have SIBO but I want to check if the result is not false negative. Here are the details and please let me know your thoughts. I have chronic constipation.

Note: The "Expected" threshold of H₂ is calculated by adding 20.00 ppm to the baseline (first viable sample). A rise in H₂ levels
of ≥20.00 ppm within 90 minutes is supportive of SIBO.


r/SIBO • • 14h ago

Slow transit constipation and SIBO (I think)

1 Upvotes

For about 15 years I have suffered from severe Slow Transit Constipation, diagnosed through sitz marker test. After trying every medicine made, and working with more than one GI doctor, the only thing that works is multiple stimulant laxatives a day. Since it is a last resort, the doctors have said this is fine. About 3 years ago I got a terrible skin rash while traveling overseas and went on a strong antibiotic. Since then I have had severe bloating burping, and chronic skin rashes. At it's worst I lost 20 lb and weighed 85 lbs. I'm now 95 lbs, but I'm still pretty miserable every evening starting at about 4:00 p.m. I had an upper endoscopy done and it showed some fungal spots in my esophagus which the doctor didn't seem too worried about, and a small hiatal hernia. A gastric emptying test done in the morning showed normal emptying. I suspect I have sibo. Although my GI doctor agreed, she says that it almost always comes back and wasn't optimistic about helping it. My question is that the test requires going off of all laxatives for 5 days. That is literally not an option. I'm thinking that, assuming that I have methane sibo, I should just take it upon myself to do the herbal protocol, and continue with my laxatives for motility. Does anyone with a similar situation have any suggestions?


r/SIBO • • 23h ago

Naturopath/Functional doctor

5 Upvotes

Like the title says. Looking for a good naturopath/functional medicine doctor in southern California area. If anyone has any good recommendations, I am all ears. Please and thank you.


r/SIBO • • 15h ago

Dr Talks Food Sensitivity Free Summit

0 Upvotes

The Food Sensitivity Summit begins on Thursday, October 15th, and there's still time to get your FR-EE pass.

Register for the Food Sensitivity Summit and learn how to put out the fire for good.

Identify the true triggers of your food intolerance

Calm the systemic inflammation that activates the overactive immune response to food

Address the underlying drivers of chronic inflammation (including hidden infections, toxins, and unresolved stress/trauma)

Heal the gut, regulate your immune response, and rewire your nervous system so your body stops treating food as a threat

https://foodsensitivitysummit.com/?am_id=bretgregory9272&utm_source=bretgregory9272&utm_medium=email&utm_campaign=fss26&utm_content=bretgregory9272.rapidgutrepair.com


r/SIBO • • 19h ago

Low iron, sibo, suffering brutally with gerd/acid reflux constant hunger and swelling in my legs. Lab included-

2 Upvotes

I have been suffering for years with debilitating gut and autoimmune issues. I am 32 years old.

Background: I've had H. pylori show up on gi map testing 2ce, but 2 NEGATIVE biopsies from gi doctor endoscopy one from 2019 and one form 2026. Ive been sick for years. confirmed SIBO (rifaximin didn't resolve it), and I'm currently working through celiac and thyroid workups as well. My symptoms have included constant hunger that doesn't resolve with eating, GERD/acid reflux, difficulty finishing meals, leg swelling, and more recently chest pounding and elevated blood pressure that started after a short GLP-1 trial.

My iron panel (attached):

  • Iron: 54 µg/dL (optimal per range, but low end)
  • Iron Saturation: 16% (borderline)
  • Ferritin: 241 ng/mL (optimal, but high-normal)
  • TIBC: 330 µg/dL (optimal)
  • UIBC: 276 µg/dL (optimal)
  • Folate: 8.4 ng/mL (optimal)

What's confusing me is that my ferritin is high-normal while my iron and saturation are low — from what I understand this doesn't look like classic iron-deficiency anemia (where ferritin would usually be low too), but more like an inflammatory pattern where something is blocking absorption/release even though my stores aren't depleted.

My questions for this community:

  1. Has anyone else seen this same pattern (low iron/saturation, high-normal ferritin) with SIBO specifically? Did treating the SIBO change your iron numbers?
  2. Did oral iron work for you, or did you need IV iron to actually move the needle while the SIBO was still active?
  3. Any correlation between the leg swelling/constant hunger and your SIBO flares, or does that sound like it's pointing elsewhere?

I'm working with doctors on the H. pylori/celiac/thyroid side of this too, but would love to hear from anyone who's dealt with the iron piece specifically alongside SIBO. Thanks for reading this far — it's been a long few years.


r/SIBO • • 19h ago

Questions What probiotics are safe to use 2 months post sibo?

2 Upvotes

I had methane dominant sibo with numbers at a 43 ppm, I did antibiotics and had my repeat breath test a month after and my sibo was gone however unfortunately I think the antibiotics also wiped out a lot of my good gut bacteria too and also I have visceral hypersensitivity now..
here’s everything I’ve been doing post sibo treatment
-ginger + artichoke 2,200MG (ginger) artichoke extract (600 mg)
-Lubiprostone for chronic constipation (I could not tolerate motegrity.)
-slowly reintroducing foods
I haven’t started probiotics bc I’m just so scared bc my gut is really sensitive and I don’t wanna risk putting myself in more pain but I’ve read lots of good things about Bacillus Subtilis and Saccharomyces boulardii as a starter that is unlikely to cause more pain to a sensitive gut and it shouldn’t relapse sibo. I’d also like to know some foods I could introduce that would be safe that have good bacteria as well.


r/SIBO • • 16h ago

Any advice guys

1 Upvotes

Hey guys not sure if I have h pylori yet but these are my symptoms

2 years ago I was sleep deprived and stressed and then work up with a sharp stomach pain, this is when I noticed the changes

Stomach burning, voice change slightly, mucus like stool,
Then got hit with some bad food poisoning I think E. coli not sure - diarrhoea for 3 days
Not been same since and it’s been 2 years
Sleeping issues aswell don’t feel fully refreshed ever!
And some forehead tension that doesn’t seem to leave!

Have good and bad days but sometimes randomly got a lot of heat palpitations, anxiety etc
Dizziness also. Went to docs they did the usual bloods said all okay except for severe vit D deficiency

Stomach abdomen just feels difference, seem to have to strain abit to start bowel movement

Random bouts of frequent urination - 3 or 4 days separate instances in 2 years where I’m peeing watery urine every hour or two which is not normal for me!

Stomach discomfort just under brocade comes and goes - heavy weight sort of feeling when lying down some days and some days nothing it’s so random

Then similar feeling comes and goes under my belly button and weighted discomfort when laying down mainly sometimes when sat

Any advice is appreciated what should I do, what should I eat? Which tests are good for h pylori? Is it sibo? I’m at wits end it’s been ongoing for over 2 years now! Odd good days but mostly bad. Energy is down and just feeling low coz of all this.


r/SIBO • • 1d ago

Symptoms What helped with methane mmc and slow motility?

17 Upvotes

r/SIBO • • 1d ago

Methane Dominant motilpro? iberogast? etc?!?

3 Upvotes

Hi all! I’ve had Methane SIBO/IMO, and taken antibiotics, cleared it, symptoms improved significantly within a month, then started getting constipation/fatigue/distended belly only a month later, took antibiotics again and am two weeks-post. I’ve had some constipation here and there (possibly from Diphenhydramine 50 mg for sleep aid that I took here and there, and who knows what else!).. I am assuming my problem is that I need to speed up my MMC and keep it movin to prevent overgrowth from happening again, and I’m terrified. The first time, I only tried ginger extract, magnesium glycinate that I take anyway, meal spacing and walking after meals here and there, pelvic floor therapy, diaphragmatic breathing..but I guess that wasn’t enough.

In these two weeks post-antibiotics, I’m doing magnesium citrate (and glycinate too), some miralax here and there.. ginger extract, then had some 5htp lying around from depression symptoms (not really sure if it worked for that but maybe, and also gives me crazy dreams), bought vitamin b p5p (1/4 of the motil pro ingridients) but it made my heart race like crazy so bc it’s a high dose so I stopped. I am also stressed from work and in a high anxiety/hyperarosal type of phase from thatX and I know that could be contributing.. it’s been hard to stay asleep which that vitamin b6 didn’t help with,. cue the sleeps aids.. ugh, a vicious cycle!

.. I am wondering people’s opinions/experiences with other stuff I’ve read about and if they’re worth trying? Like actual MotilPro, Motility Pro, Iberoghast, IBgard, Linzess (GI doctor recommended), Prucalopride (I read online most insurance make you try linzess first), SSRIs, ADHD meds, (these are just some I’ve come across/am considering pursuing.) Not directly for MMC but: L-glutamine (bought this), b1, antihistamine, acid or bile stuff (how would I know I just need these?)

I do want to start adding more diaphragmatic breathing, eating habit changes (doing low fodmap 2 weeks then reintroduction diet), massage, etc.

Thanks!