I just want to reiterate how important it will be to investigate the SIBO probability. AND teaming up with a good nutritionist (be it out-of-pocket) or through your medical insurance provider. For instance, since I'm on a study program called Thaenabiotics (located in Portland, OR), my nutritionist had some strong suggestions about the KIND of probiotics I took (& excluding anything with "pre-biotics", as so many products have now), to ensure that there wasn't a particular bacteria in the pro-biotic that actually "fed" the bad SIBO I was trying to get rid of. She also recommended a particular brand of bitters prior to eating. I'm NOT saying that all this has absolutely helped me, but different treatments have various different rates of success from person to person. Because when it comes to gastro issues, checking in with ALL types of naturopathic (ND), western/gastro MDs, holistic, meditative, functional, acupuncture, homeopathic, etc., specialists - much less just reading thru these Mayo Clinic blogs - tells you that gastro dysfunction arises from a host of various conditions & issues & can also be (possibly) resolved with a similar BROAD approach to checking in with various providers to see if what they have to offer might make some difference in your inevitably very unique case. Good luck everyone.