After 13 years of extreme bloating and digestive misery, this is what finally started helping me.
I want to share this because I spent over a decade trying everything and wish someone had pointed me in this direction sooner.
My digestive issues started in my mid 20s. Constant extreme bloating, food sitting like a rock after every meal, crushing fatigue, brain fog. I looked visibly distended most of the day and my pants would never fit right because of it. I saw multiple doctors and got no real answers. I tried every diet, carnivore, vegan, raw food, low fodmap, elimination diets. I spent thousands on practitioners. Nothing resolved it.
The piece nobody ever mentioned was stomach acid. When your stomach is not producing enough acid, food sits and ferments instead of digesting properly. That fermentation produces the gas and distension that builds through the day. It also means your body is not absorbing nutrients no matter how well you eat, which explains the fatigue and brain fog.
Betaine HCL supplementation was what finally started moving the needle for me after 13 years. The bloating started reducing noticeably within a few weeks. The fatigue after eating started lifting. I also added ox bile recently which has helped significantly with digesting foods that contain more fat.
I am not fully healed but I finally feel like I found the root cause rather than just chasing symptoms.
Has anyone else found low stomach acid or bile to be the missing piece with SIBO?