Q&A: How To Treat High Levels of Methane SIBO (IMO)?

This video addresses patient's concern regarding treatment options for high methane SIBO after initial attempts with Xifaxan (Rifaximin) and Neomycin were unsuccessful.
Key Discussion Points:

• Initial Treatment Assessment:
  • It's noted that rifaximin alone may not be sufficient, as combination therapy is typically required for effective eradication.
  • The patient is understood to have effectively undergone only one round of necessary treatment, and more rounds are likely needed.
• Addressing "Very High" SIBO:
  • Cases with "very high" readings often require a more intensive approach.
  • Typically, four rounds of - two-week antibiotic treatments (like rifaximin and another agent) are recommended, or four weeks of herbal treatment.
• Recommended Next Treatment Options:
  • Antibiotic Combination: The suggestion is to begin a second round of treatment, potentially using rifaximin in combination with metronidazole. This is recommended as the patient previously used rifaximin and neomycin.
  • Herbal Alternatives: An alternative is to transition to herbal treatments. This would involve combining one of the following with Allimed (also known as Allimax Pro) or Atrantil:
    • Berberine
    • Oregano
    • Neem
• Importance of Retesting:
  • Given the likelihood of needing multiple treatment rounds, retesting is crucial to monitor progress and determine the effectiveness of the chosen therapy.
    
  • It is advised to compare test results consistently (e.g., using the same type of breath test, like the lactulose breath test) to accurately track changes, especially if a doctor is not facilitating necessary retests.

Products mentioned:
~ Antibiotics: Rifaximin (Xifaxan), Neomycin, Metronidazole (Flagyl)

~ Berberine: https://us.fullscript.com/plans/asiebecker-herbal-antibiotics-for-sibo (discounted at Fullscript), https://amzn.to/4a6pmEI (Amazon)

~ Oregano "ADP": https://us.fullscript.com/plans/asiebecker-herbal-antibiotics-for-sibo (discounted at Fullscript), https://amzn.to/3T94BSO (Amazon)

~ Neem: https://us.fullscript.com/plans/asiebecker-herbal-antibiotics-for-sibo (discounted at Fullscript), https://amzn.to/3RaPPIH (Amazon)

~ Allicin - Allimed/Allimax Pro: https://us.fullscript.com/plans/asiebecker-herbal-antibiotics-for-sibo (discounted at Fullscript), https://amzn.to/3Tg4bdb (Amazon)

~ Atrantil: https://us.fullscript.com/plans/asiebecker-herbal-antibiotics-for-sibo (discounted at Fullscript), https://amzn.to/3Gwd8Yh (Amazon)

~ FoodMarble SIBO test: https://foodmarble.com/shop?discount_code=SAVE16 (16% off Foodmarble at checkout)