u/Maleficent_Pea_799

has anyone on here cleared their imo / methanogene sibo with one round of antimicrobials / antibiotics (regardless of whether it later came back or not)?

from what i heard listening to the experts, one round only kills about 20ppi/ppm. so if you have a high value (i had 70+) you would need 3-4 rounds. but then there seem to be so many people who get rid of it after one round (albeit just initially when root causes arent adressed).

im asking because bloating could be due to some other cause as well, like inflammation? im wondering how many rounds should i attempt before making another test? my doctor put me on an insane and extremely long procotoll and told me to come back when im done and retested, and there are no other doctors in my city even doing this.

just wondering bc im getting confused of how it is even supposed to be possible to do several rounds, have any tests in between, when you shouldnt be waiting too long between rounds but you have to wait very long for tests and have to be antibiotics-free for 4 weeks minimum beforehand. like honestly i dont see how this is supposed to work even in theorie. at least thats the status quo in my country.

is low fodmap really working for y'all? honestly i'd happily spend the rest of my life on the diet and wouldn't find it horribly restrictive if only it worked? talking of symptom relief. i mean there's so many grains (oats, quinoa, millet) allowed, just make me instantly bloat like crazy, and i'm not talking about insane portion sizes here. i've even tried to follow the biphasic diet my doctor prescribed me along with the antimicrobials, even bloated from parsnip. i also have histamin so sometimes bloat from that too. basically anything that has carbs or starch in it makes me bloat. couple of months in and out of this whole thing (rifaximin & neomycin antibiotics didn't work either) i'm starting to wonder if there's something else going on. so please let me know, if you follow low fodmap, is anyone here actually symptoms free? is it just me??

and yes i've been low fodmap for months with small interruptions, but nowhere near symptom free ever lol?

also dr pimentel says that with methane, the gas keeps lingering on for days in the intestines, so the bloating doesnt really refer to what you just ate. yet still, i'm talking about months of low fodmap here.