u/Initial_Penalty_4332

Any advice? I’ve had recurrent hydrogen SIBO for a few years now. I’ve done rounds of rifaximin which temporarily treated the SIBO, but worsened my motility (gastroparesis and constipation) significantly and caused systemic issues. I’ve figured out my body can’t rid the LPS the gram negative bacteria release when the rifaximin kill them. I tried the elemental diet and it didn’t work either. My gut has gotten substantially worse after every rifaximin trial. My MCAS is unmanageable, major leaky gut, oxalate, salicylate, sulphur issues now. I have a lot going on. I’m down to a couple of foods. I can’t tolerate carbs because it gives me unbearable reflux / LPR, brain fog, bloating, etc. just at a loss what to do. Clearly I have more going on than SIBO and I’ve been working on it all. The SIBO all raises my liver enzymes too and the only thing that stops that is the rifaximin but I can’t take that anymore.