5 Reasons you need multiple SIBO treatment rounds

Maybe you’ve completed a SIBO treatment, saw improvements for a while, but are now experiencing a SIBO relapse. Perhaps you just finished a SIBO treatment that helped while you were on it, but as soon as you finished your symptoms came back. Or maybe you haven’t found a treatment that’s worked yet, and your SIBO seems to be sticking around for good. 

If this sounds like you, you aren’t alone. More than half of SIBO cases require multiple rounds of treatments to truly reset your gut microbiome and restore the health of your small intestine. 

In this article, we’re going to explain why you need another round of treatment- and what you may be doing that’s hindering your progress and keeping you from healing. 

Old Habits

If you completed treatment successfully but soon went back to old habits of constantly snacking, not paying attention to your diet, getting poor sleep, and not exercising, you are priming your body for a recurrence of SIBO. While SIBO can be treated, SIBO is still a condition that requires ongoing management and healthy habits. 

Looking to improve your daily habits as a SIBO patient? Check out our FREE SIBO recipe book here. 

Incorrect SIBO Diagnosis

There are three types of SIBO, named for the gas the bacteria in your small intestine produce:

  • Hydrogen SIBO
  • Methane SIBO
  • Hydrogen Sulfide SIBO

Each of these types of SIBO is treated differently, but hydrogen sulfide SIBO is relatively new to the game. Many breath tests only test for hydrogen and methane- so if you’ve been treated for hydrogen SIBO but the treatments aren’t working, you’ll want to get tested for hydrogen sulfide SIBO as well.

Looking for a test that tests all three? Click here to learn about our favorite test and how to use it. 

Other Conditions

If you’re treatments aren’t working but you’ve been treated multiple times, you may not have SIBO at all- or, your SIBO is better, but there’s something else causing problems too. This could be:

  • SIFO (Small Intestine Fungal Overgrowth)
  • Leaky Gut
  • Candida Overgrowth
  • A parasite
  • Mold disease

Or, an underlying condition that contributed to you getting SIBO in the first place that is still slowly your gut motility, like: 

  • Crohn’s disease
  • Celiac
  • Diabetes

Or something else entirely! It’s important to explore every option when looking at your gut health, especially if your SIBO treatments don’t seem to be working. For an extensive list of problems mistaken for SIBO that impact your gut, look at our SIBO & Beyond Summit, where you’ll find 20+ video lessons on each condition and information about testing and treatment.

Incomplete First Treatment

If you completed a round of antibiotics or herbal microbials for your first SIBO treatment but that’s all you did, you probably didn’t do enough to truly eradicate the bacterial overgrowth. After your first round of antibiotics, it’s important to work with a practitioner to add supplements, probiotics, dietary changes, and even a treatment like the Elemental Diet to your routine to make sure the SIBO is truly healed. 

Food Poisoning and/or Travel Exposure

A SIBO relapse can be triggered by more bad bacteria in your digestive system- which you can get from food poisoning or eating contaminated food traveling. If you have been exposed to pathogenic bacteria and its caused a recurrence of symptoms, you may need to repeat a previous successful treatment to eradicate the new infection. 

If you find yourself embarking on another round of treatment for your SIBO, don’t let it get to you! Again, the majority of SIBO patients have to complete multiple rounds of treatment before feeling completely better– and it’s worth it once they do. 
For more help with SIBO treatments and finding an action-plan, check out our SIBO Recovery Roadmap® Course. It’s the only course that will walk you through the 9-step proven method to treating SIBO used by SIBO specialist Dr. Allison Siebecker and pioneered by Dr. Mark Pimental (the doctor who discovered SIBO in the first place)!



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