My 4 Phase SIBO Protocol: Break, Kill, Push, Repair
Everyone overcomplicates SIBO. You don’t just take antibiotics and magically fix it. It’s phases.
Phase 1: Break phase
Heavy NAC to break biofilms/mucus, digestive enzymes, allicin, berberine, lots of water, cleaner diet, lower sugar/carbs. Some people add magnesium here too because constipation/stagnation makes everything worse.
Phase 2: Kill phase
Hit it hard. Rifaximin/rifa, herbals, whatever route you take. Methane people sometimes add neomycin. PHGG fiber can help during this phase too. Expect die off, fatigue, bloating shifts, weird stools. Don’t keep feeding it junk while trying to kill it.
Phase 3: Push phase
Most important phase nobody talks about. Your motility/MMC is probably cooked. Ginger + artichoke extract, prucalopride, magnesium, psyllium husk, meal spacing, no constant snacking. If food sits too long bacteria just comes right back.
Phase 4: Repair phase
Now repair the gut after the war. Sac boulardii, zinc carnosine, glutamine, electrolytes, sleep, stress control, slowly rebuild your gut. Don’t instantly go back to alcohol and ultra processed food.
Most people fail because they only focus on “killing bacteria” and ignore motility, biofilms, repair, and fiber intake.