My first Gastro rx’d the xifaxin, with no testing and just said SIBO diet, literally that is ALL he said. I did not take neomycin, just xifaxin, and had to fudge symptoms to get that. Insurance would not cover if I complained about my IBS-C…
I did do the diet while taking the Med. Don’t know if right or wrong, I had no guidance…
Switched Gastro after normal colonoscopy and my husband saw his bedside manner, rudeness etc.
Best thing I could have done!!!
Do not have IBS-D. And have had minor tinnitus forever.
As I understand, gut bacteria gets out of order, and travels to the small intestine. ( read the first post in this series, they did a great job explaining what happens. ) SIBO eats the foods that are sugar, or turn into certain sugars once digested. And swell up your upper intestines. And you know the rest…
As to leaky gut, can’t remember exactly how that happens, from swelling? Food? SIBO? You can look that up.
3-4 months on SIBO diet, totally strict, and had just started to introduce the least amount of fodmap foods I was missing, I started eating for leaky gut. Totally different from fodmap. That was interesting…🤣 trying to maintain some fodmap and leaky gut diet at same time.

Fodmap is not forever…

Food and beverage lifestyle changes, probably are forever for me, have helped my health. I will have most everything, but the “really bad” stuff is somewhat limited. It just becomes normal. I found other ways to make tasty food without a whole bulb of garlic 😂 (If someone has a homemade cookie, I’ll eat one and enjoy. If it comes out of a box, forget it. That’s my guide) I don’t want to do this again…

Good luck and great patience!!!

I am having a severe case of SIBO - much worse than other times. I have started on XIFAXIN and on a FODMAP diet . I, too, am noticing some NO foods are not NO foods on another FIDMAP diet. So confusing.