u/theupsettummy

I have methane dominant SIBO (nothing crazy, 13ppm at max) and have been prescribed Rifaximin + Metronidazole for 2 weeks.

I have not started yet because I am absolutely terrified of taking Metronidazole, and it wrecking my microbiome even more.

Context: I’m pretty sure I got SIBO from 2 repeated infections (Shigella and E. Coli) and followed heavy antibiotic use. My stool tests show a dysbiosis (Klebsiella and Enterobacter overgrowth) and high ph..

I want to get rid of IMO/SIBO for good but I don’t want to wreck my gut and suffer long term damage.

Any advice???

PS: Neomycin is not available, so not an option.