Hello again!
Regarding your Rifaximen treatment, you may have taken Neomycin - that's the standard treatment but the potential side effects concerned me, so I tried Metraonidazole instead.

I took the Biomesight Microbiome Test and ordered it myself online: https://biomesight.com/index. The results/report is rather comprehensive with very detailed analysis and recommendations for each finding (diet, probiotics, prebiotics, supplements). However, some of their suggestions are not quite aligned with SIBO research and protocols. There are only a handful of practitioners that have a certification for it; I almost worked with one but, among other issues, found her SIBO knowledge to be inadequate. The thing is...

Although it's true SIBO is a form of microbiome dysbiosis and other areas/types of microbiome can contribute to/worsen, and may even be the cause of SIBO and other gastrointestinal issues, if one has SIBO, that needs to be addressed - and rather specifically (based on the relevant, most current research, Pimental et al. and others).

So I'm trying to find someone who is experienced, well-trained, and current on SIBO but also includes consideration of the microbiome generally and has some kind of protocol to address it. I figure they can utilize my Biomesight results to further inform their treatment recommendations.

I'm in New York - the state where getting some holistic/functional tests is not allowed legally. For sure, your State, Washington and Oregon are where the wealth of knowledge and research comes from; and as well Australia (Jacobi, Hawrelak, Lindemann). https://www.probioticadvisor.com/about-us/dr-jason-hawrelak/

Hawrelak has a clinic with practitioners that do Telehealth - even to the US, however, for me the time difference is an issue - I'm not a night owl and I found their hours to be prohibitive. Same reason I haven't tried Lindemann.

In any case....glad to confer with a "fellow traveller" 🙂