Pancreatic Insufficiency led to SIBO/IMO

Wow, you have had about everything. I’ve had some pretty good success (not yet 100%) but one thing that I found is that the SIBO / IMO is to a large degree, a symptom and real question is what caused the problem? Mine has worked out to be an enzyme issue with Pancreatic Insufficiency being teh biggest problem. Mine is also tied to a couple other enzyme issues.
If you have not addressed it yet, I think that the MMC (Migration Motor Complex) timing is major. When that is off, either fast or slow then there is a problem. I took antimicrobials to fight the intestine bacteria/archaea, gut health supplements to keep the gut healthy, and MMC supplements to get the timing correct. Ginger, Ibergast, Ginger/Artichoke, Sunfiber, magnesium citrate, MCT oil, and Miralax for timing. The digestive cycle is so slow, it is difficult to figure out what is causing the symptoms. Mine was IMO and sounds like your is a bit different but I think good hydration and MCC are key. Suggest 3 meals per day, no snacks and good, low FODMAP food. Not an easy problem, best of luck.