My SIBO experience is a recurring nightmare. I have had two positive breath tests and have treated with antibiotics on 4 different occasions. My last breath test was a Trio-Smart test which showed methane overgrowth, which explained why I responded better to a round of two antibiotics at a time vs. just Rifaximin.

I tried Low FODMAP and it didn't do much to help the gut stuff I didn't identify anything particular that caused issues, and it also didn't reduce my symptoms. I did feel that it was leading me into an eating disorder and obsessive label checking.

The Trio Smart test is from Gemelli Biotech and they have webinars with Dr. Pimentel, a doctor doing extensive research on IBS, SIBO and IMO. I have attended several and find them very informative. Also there is a book called the Microbiome Connection by Dr. Mark Pimentel and Dr. Ali Rezaie which I found to be a good resource also. They recommend a low fermentation diet-not as restrictive as the low FODMAP and one in which you can go to a restaurant and still find something you can have.

I still struggle with gut problems and unfortunately a lot of GI providers don't know about or don't believe in SIBO so I've found I do a lot of research and then discuss it with my providers. It's exhausting and frustrating. Good luck on your journey!