My SIBO Treatment With Rifaximin + Neomycin

My SIBO Treatment with Rifaximin + Neomycin// In this video, I share my recent experience with SIBO treatment using rifaximin for SIBO. Rifaxamin and neomycin is a standard methane sibo treatment. This video covers my SIBO constipation, my SIBO test, Rifaximin side effects, and tells my SIBO story. I consider what happened a SIBO success story!
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[@ConfluenceNutrition]

Have you ever done SIBO treatment with antibiotics? What was your experience? Thanks for watching!

[@ambuler0025]

I’m on day two of xifaxan. I’ve struggled for four months of diarrhea, nausea, vomiting, boating, and GERD.. It’s helping lots -

[@ConfluenceNutrition]

@@ambuler0025 Hi Amber, I'm so glad to hear that. Let's hope it continues to help you feel better! Thanks for watching!

[@gryma1313]

@@ambuler0025 Hello, I am on day three of Xifaxan as well but my diarrhea, bloating and gas got worse (especially bloating and gas). Have you experienced a gradual improvement on your symptoms for each day you took the meds?

[@camilanogueira2721]

Hello :) what was the antibiotic dosage you took during the treatment? Thank you ❤️

[@gryma1313]

Hey! I took 1200 mg rifaximin for 14 days but make sure to use a prokinetic such as artichoke+ginger supplement (1 capsule 2-3 times a day) when you start the treatment. Even though I had diarrhea dominant symptoms, I got severely constipated when I started rifaximin. That prevented the medicine moving fast enough in my small intestines, that's why you need a herbal prokinetic.

[@angie2129]

Liked this style of blog. Hope your next round helps!

[@ConfluenceNutrition]

Thanks, Angie, I think it will. And thanks so much for watching!

[@qardho25]

Thank you for sharing your expertise and knowledge about SIBO natural treatment

[@ConfluenceNutrition]

You're welcome, thank you for watching! Is there anything in particular I can help you with?

[@sophieoshry4604]

This was really useful. I was diagnose with SIBO last March after 10+ years of pain, bloating, gas, and chronic constipation. I had 1 round of Rifaximin, following by a second round of a similar medication in September. After 4 months of following an unsuccessful Low Fodmap diet, I am now awaiting another SIBO test with a suspected relapse. I am going to bring up the possibility of Prucalopride to my doctor.

[@ConfluenceNutrition]

I'm glad the info was helpful, that prokinetic is SO helpful post-treatment to help prevent a SIBO relapse.

[@GabrielleStuart]

About to start both because I developed brain fog last month and I’m nervous but excited at the same time

[@ConfluenceNutrition]

It's natural to be nervous, but let's hope it makes a huge difference with your brain fog! Thanks for watching :)

[@GabrielleStuart]

@@ConfluenceNutrition thank you so much!

[@ConfluenceNutrition]

@@GabrielleStuart You're welcome :)

[@johnarmstrong7209]

Had a small problem with my gut, it went crazy for about 3 days, this used to happen all the time, but I got over it then this happened so I just watched what I ate then today I felt great again. hopefully for quite awhile, hope your feeling much better, spring is coming we need to feel good get out and enjoy the beautiful weather, good health to everyone.

[@ConfluenceNutrition]

Do you know what triggered the initial 3 day crazy phase?

[@kiki-oh7hi]

Thanks for this! So I did the same course of treatment and actually had no noticeable effects, positive or negative. I am VERY interested in learning how the prokinetic works for you. Please keep us posted!!

[@ConfluenceNutrition]

Hey Kiki, I've been on it now for 5 days or so. IT seems to be helping, but the effect is nowhere near as strong as what happened while I was on the antibiotics. I have been taking a half tablet, so maybe I need to increase the dose. Then again, that particular mechanism may not be what's slowing down my gut...I'll keep you posted!

[@kiki-oh7hi]

@@ConfluenceNutrition yes please do! It's so individual what works v doesn't but my GI didn't recommend a prokinetic follow up when I asked. Not sure why!

[@shaimaya1117]

@@ConfluenceNutrition did u take partially hydrolysed guar gum i read it helps with gut motility which is a problem mostly the methane positive sibo patients face or if you know about it

[@ConfluenceNutrition]

@@shaimaya1117 I did take it during my second treatment protocol, During my third round, it made me more bloated, and I was flaring, so I stopped. Thanks for watching!

[@shaimaya1117]

@@ConfluenceNutrition I c thanks for ur reply

[@thomasc1270]

A known side effect of Neomycin is malabsorption in the gut (on top of whatever you might've had from SIBO.) Of particular note are the electrolytes not being properly absorbed (sodium, potassium, magnesium) which could easily lead to exacerbation of joint/muscle pain.

[@ConfluenceNutrition]

It's true that neomycin may have this side effect. However sometimes I see people forego the big picture benefits of a medication due to a short term possible side effect. The course of neomycin is short. A life without SIBO symptoms is long and enjoyable. There's no one right answer for all, but I encourage my clients to consider the negatives against the possible positives and make a decision for themselves about whether or not to proceed. Thanks for your comment.

[@thomasc1270]

@@ConfluenceNutrition Oh no I'm definitely not trying to turn anyone off of Neomycin! It's a great drug with unique properties and is really the only thing that deals with Archaea (Methanogen producers) while not being innately systemic. Though the side effects can be a potential concern for most SIBO sufferers due to potentially increased absorption from inflammation in the gut or from ulcers/other damaged tissue. I was just trying to point out why you may have had worse joint pains while on the drug. But if this was part of the issue it would be a fairly easy fix by incorporating a bit more of the necessary electrolytes into the diet (easy to do since the drugs let you eat pretty freely for two weeks) to counteract any muscle tightness/pains. Another option is an electrolyte drink taken middle of the day (as the Neomycin tends to be early morning and late evening,) for maximum absorption.

[@ConfluenceNutrition]

@@thomasc1270 Interesting tips, thanks for sharing! Oddly, joint pain was one of my symptoms before treatment as well, but it did get worse during this one particular course. I think that for me, the joint pain was coming from candida, and once I used antifungals post antibiotics, it was better. But electrolytes could definitely be a mediator. Thanks~

[@brothercaleb]

@@ConfluenceNutrition which antifungal did you use post SIBO treatment?

[@ConfluenceNutrition]

@@brothercaleb Hi there, I first used fluconazole, which according to my ND focuses it's action more on the GI tract. Later, I used nystatin, which is supposed to work more on the whole body, but didn't tolerate it very well, so used minimal dosing for a while then stopped.

[@Kim-ut7qx]

Hi Amanda, Thank you for sharing your video. I am currently taking rifaximin without any additional medicine such as neomycin. Do you think it is OK?

[@ConfluenceNutrition]

Hi Kim, do you have only hydrogen SIBO? Or both hydrogen and methane? If you have both, the researched protocol is to pair it with a second antibiotic. If you only have hydrogen, then rifaximin alone is the recommendation. I hope that helps. Thanks for watching!

[@michaelboyd8693]

Your videos on IMO has been very helpful and inspiring to me….I really appreciated your updates leading to success. Can you tell me what the name of the generic form of Rifaximin is, cost, whether a prescription is required and ordering information?…Thanks so much

[@ConfluenceNutrition]

Hi, rifaxamin is the generic (brand name Xifaxin). I was able to order a 21 day supply from canshipmeds.com (with a prescription from my ND) for about $125 cash. They had brand name rifaxamin for about $500. A prescription was definitely required. To my knowledge, there is not a way to access it without a prescription, unless you are in certain countries with different pharmacy requirements.

[@tavintesinclair]

I recently got tested with methane sibo and I just got prescribed with the same antibiotics and I’m kinda nevrous about it because i read that antibiotics particularly the neomycin can kill off not only bad bacteria (which is resistant to anyways) but the good ones as well and in essence messes up your gut micro biome

[@ConfluenceNutrition]

Hi Tavinte, a lot of people are concerned about this, and there may be some truth in it, but the larger data and research about SIBO treatment shows that it generally succeeds in treating SIBO and leaves people better off. There are always some that don't respond as well, but with conscientious management, I think the SIBO treatment is usually a net gain of function and quality of life for patients. Thanks for watching!

[@micheleganga1701]

Ugh I was on Flagyl for two weeks!!! I still feel awful. My doctor keeps saying it's acid reflux. But I don't think it is. He put me on major amounts of ppi, I got sicker. Then I tested positive for SIBO. I told the doctor I had diahrrea my whole life. He dismissed it.

[@ConfluenceNutrition]

I'm sorry you've had that experience...it's not uncommon...thanks for watching!

[@BriBunny14]

So I just got diagnosed with IMO. & they prescribed those medications. I have gastroparesis so i can't wait to see if these antibiotics will help

[@ConfluenceNutrition]

Hi Bri, I hope and pray for you that it does help, keep me posted, please!

[@wisecritic7197]

Madam,I am using Rifaximine and Vitazyme for the gas trouble ! Meditation is the best remedy for the stomach troubles ! 💗

[@ConfluenceNutrition]

Indeed, meditation is so so important.

[@jlsundvall]

Hi Amanda, Thank you for your videos, they are super helpful. I have IMO and am taking the rifmaxin/neomycin combo as we speak. I"ve noticed that it has made me more constipated and I have more bloating and terrible gas noises from my gut. I"m hoping these are just die off symptoms, but I'm unsure. I am also taking Sunfiber to help with the constipation. Do I continue or discontinue taking my Pre/Probiotic while on this treatment protocol? My gastro really didn't offer much help. I really wanted to do a breath test to see where my numbers were before doing this antibiotic combo ( was diagnosed three years ago) but insurance would not pay for it so it was suggested to just treat it based off of my numbers from three years ago. I'm nauseous every day and find it difficult to eat much. Plus my belly feels super bloated and gross. ANY suggestions would be greatly appreciated

[@ConfluenceNutrition]

Hi JL, I can't give direct advice, but this video may answer some of your questions...kzbin.info/www/bejne/fXOnnINmpr6NopY @ 8:37, I discuss probiotics during SIBO treatment, and this video, which gives an overview of SIBO treatment in general, and may answer your questions. Sorry you're feeling so icky....reach out if you're ready to work with a practitioner (me!) who is really attentive and makes sure you have all the information and support you need to travel this road with confidence. You can book a time with me at www.ibsandsibosystem.com/call-org .

[@fR_eN]

Great video! did you need a prescription for the meds in india? What web site did you go to, to get them? and what was the doseage you were taking 3 times a day? thanks your videos are helping!!

[@ConfluenceNutrition]

Hi PF! I'm glad you're finding them helpful! I bought through Marks Marine Pharmacy in Vancouver Canada, but had a prescription from my US ND. Dosage as prescribed was 550 mg rifaximin 3x per day, and 550 mg neomycin 2x per day. I know firsthand how confusing all of this stuff can be! So if you're struggling with unpredictable gut symptoms and are in need of a solid plan to feel better, I'm currently enrolling students in my brand new 8 week online program to help...if you'd like to see if you qualify for a seat in the program, you can schedule a time to meet with me here: confluencenutritionappointments.as.me/?appointmentType=22887800 THanks so much for watching and take care!

[@julianfalciola5237]

Thanks so much for sharing your experiences with Rifaxamin and Neomycin. Did you do another Breath Test Report to see if the antibiotics actually did improve your SIBO results via the breath tests? Also did you do a check C Diff just incase the antibiotics went to far in a negative direction?

[@ConfluenceNutrition]

Hi Julian, yes, I followed up with testing and future treatment, here are the follow up videos: SIBO Treatment Round 2: kzbin.info/www/bejne/kKDGfn1vmr-dnas SIBO Test Results post treatment: kzbin.info/www/bejne/bqfYZHx8mbGmnpo SIBO Treatment Round 3: kzbin.info/www/bejne/bpSWh36Qj5Jsd6M Final SIBO Test Results: kzbin.info/www/bejne/fJytfX18etCNp9E Final Update, 1 year later: kzbin.info/www/bejne/ZoWofGOwl72Ees0 I didn't test for C diff because I don't have diarrhea. THat's usually a pretty clear symptom. Hope all that helps!

[@yvindrikheimkofstad8579]

Thanks for a good video. I think the basic reason, which u should also deal with, in order to have SIBO symptoms get away for ever; is the background radiation ; from cell towers, phones, wifi etc. All this will stress the intestine; it will work much slower, and food will stay longer. A process of rottening starts. Bacteria’s will grow up in huge numbers = sibo. I ve just moved out of the capital where I live (Oslo) . Now I expect way better effect of rifaximin, since I have got rid of what i believe is the nr One Reason of increasing Sibo conditions at people

[@yvindrikheimkofstad8579]

actually : getting away from radiation would Improve all conditions! Like ulcerative colitis...crohns...lymphoma...inflammation in organs as thyroid gland, gynecological organs, etc . Check out the corona effect regarding this - I recommend videos w Sacha stone and Robert o young

[@ConfluenceNutrition]

Thanks for your comment...some people do seem to be sensitive to EMFs, while others are not...I hope you keep feeling better!

[@MM-es9dc]

Hi Amanda, thanks a lot for your video it is very helpful. I have a few answers and would be great full if you could answer them. I am from holland we don’t really have tests here to test the kind of sibo that one could have (methane, sulfide, hydrogen) I heard the combination of this antibiotics are recommend when you have methane. Would you also recommend this combination of Rifaximin and neomycin of you have hydrogen ? Can you let me know from which company you ordered the antibiotics? Do you always need more than one treatment to kill the bacteria? I am also on a low FODMAP diet I really hope to hear from you. Thanks a lot Greetings

[@ConfluenceNutrition]

Hi HH, specific guidelines for SIBO protocols are available at siboinfo.com. I believe the double antibiotics are not recommended for hydrogen SIBO, just the rifaximin. I ordered mine from Mark's Marine Pharmacy in British Columbia, Canada. HOpe this helps!

[@elaahmady4026]

Thank you for sharing your experience! 👌🏻 I am at day three, treating my Sibo with the same antibiotics, I feel extreme nausea and uncomfort in my stomach although I tried eating small breakfast before taking the pills! Or are you a verify any medication that we can take along with those pills to reduce the nausea and symptoms? Thanks again

[@ConfluenceNutrition]

WHen clients experience this, I'll often suggest they temporarily back off of the doses for a day or two, OR to add in a "binder" supplement, like GI Detox. It's used in between or before all meals of the day. Usually, this clears up soon. I hope so for you!

[@82AHoss]

I started the treatment 3 days ago! The Neomycin is the one I can't tolerate 😔 I'm having terrible nausea, stomach pain, dull pain in my kidneys, and I'm dizzy for about an hour and a half after taking the tables. I hate this medicine, and I wish I could stop it right away, but I'm trying to hang in there because I really want to get rid of the root cause of my problems!!

[@ConfluenceNutrition]

Sorry you experienced that...were you able to continue?

[@82AHoss]

@ConfluenceNutrition Thank you! I did it! I finished the antibiotics. And now I'm trying to do the low fodmap sibo specific diet! I gotta say, it's crazy how everyone has different ideas about what's ok and not ok to eat. Very confusing 😕 And It's super hard for me not to eat veggies or rice. It's my favorite food, it's also the bacterias favorite food.

[@ConfluenceNutrition]

@@82AHoss Good job! Do you feel any better after finishing?

[@JessicaSmith-qt1bi]

Hi Amanda, Thank you for sharing your journey! I'm speaking with a gastroenterologist next week to see if I have SIBO. My question to you is, did you have to change anything in your diet when taking the antibiotics?

[@ConfluenceNutrition]

Hi Jessica, a great question I know many people have questions about. I did not change anything as I have for a very long time been on my body's best diet. I'm totally clear about my trigger foods and avoid them. My triggers are some FODMAP foods, some histamine foods, and some oxalate foods. If I hadn't already changed my diet, I would suggest a paleo diet if you haven't done any diet work yet, a low FODMAP template if bloating and gas is your primary concern, or a low histamine diet if diarrhea and allergic symptoms are more prevalent. See my latest video for a more thorough discussion of this topic: kzbin.info/www/bejne/ZmK2oXRpfJ6kq5I

[@toneman8478]

If anything.. Stay away from a high fat high protein diet.. And good luck with a Gastro Dr.. I've seen 2 and besides getting a Endoscopy they are absolutely useless Doctors.. I've found that a high fiber diet helps.. The whole FODMAP, Histamine diet is BS.. That's just a band-aid.. Trust me I've been through all of that.. I'm still on the journey but compared to a year ago I'm getting there..It takes time it's not a quick fix.. Patience is key..

[@ConfluenceNutrition]

@@toneman8478 Hi T, it sounds like your trust was damaged by your practitioners, and I'm sorry to hear it. And I'm glad that you're clear about which diet practices help your case of SIBO, though this doesn't mean your truth is true for everyone. But your comment illustrates perfectly how what's right for each of us is individualized. We need to understand HOW to use these tools properly to get the most out of them, but that doesn't mean everyone needs the same solutoin. I've seen many people improve on the FODMAP and low histamine diet, but you're right, they're not right for everyone, some people don't. I hope you find your best path to wellness, and the right supportive guide who is willing to work with what's true for YOU :) Thanks so much for watching.

[@danielurdea]

@@toneman8478 Why not high fat high protein diet? That was by next move, if this is not the right I want to find out before I start this new diet plan.

[@mavok5863]

Absolutely terrified of taking antibiotics, I've heard some horrendous horror stories. I have methane and hydrogen SIBO and have ordered Rifaximin and Metronidazole. But now I am considering taking Oregano and Allicin instead. I am surprised you did not have many side effects from your antibiotics.

[@ConfluenceNutrition]

All antibiotics are not created equal, and the decision to use them is very personal. Rifaximin has been designed to primarily affect ONLY the small intestine, so is less likely to cause some of the bad side effects we expect from other antibiotics. Neomycin is different and I was lucky. To be clear, I DID experience some unpleasant side effects, but the overall benefits FAR outweighed the downsides. I had had SIBO for probably well over 10 years, and I made massive progress for the first time with the antibiotics. I had much worse side effects from the herbs which is how I found the bravery to try the antibiotics. We all have to find our personal best path to walk. You can do this!

[@rosebuddloved]

@@ConfluenceNutrition What about diet during this treatment did you do. I’m about to do my first treatment of both antibiotics.

[@jilllovesbeegees70]

My 3rd round of rifaximn about to start when I receive the order from planetdrug which comes from india. Costco here in the US. The rifaximin was 800+ dollars and our local pharmacies it was over 2000 so my doctor called it into planet drugs in Canada and it will take 2 to 4 weeks. So I was hoping to have it before I went on a Rhine cruise with my sister and get my gut straightened out, but it is what it is. I too have probably had this forever. This is my third course, but the first time that I will be taking Neomycin with it. My University of Michigan, Gastro doctor is the first doctor to recommend the Neomycin along with the rifaximin and I’ve had this Diagnosed since 2016 but it always comes back. I’m anxious to see what I can do to try to curtail that I take 1500/3 tabs of the rifaximin for 2 weeks in only one neomycin a day once I start. So glad it sounds like you are on the up side.

[@ConfluenceNutrition]

Yes, I wish you all the best!

[@cheloumiss3089]

Hi Amanda your videos are so helpful , thank you for sharing, I have a question about histamine reaction, every time I eat something I'm intolerant to, my right eye becomes red and my under eye a little bit swollen, why that is happening? And how to reduce this kind of reaction it cause me so much discomfort.

[@ConfluenceNutrition]

Hi Chelou, well, the short answer would be to avoid eating the things you're intolerant to! It sounds like those foods are triggering a histamine reaction inside your sinuses, near to your eyes. You can also work to support your body's histamine tolerance with a few particular supplements. Here's a video I did to discuss more about histamine intolerance: kzbin.info/www/bejne/fXe1hquCf6lkibc

[@mirgenkoci279]

Hello! I tried metronodazole and rifaximine last summer but no effect in constipation or bloating. Do you think neomycin is more effective than metronodazole against methane sibo?

[@shannonnelson7764]

Hi Amanda! When your hydrogen levels increased after your methane decreased, what did you do to decrease your hydrogen? Would taking Xifaxan alone be effective? I'm on my 2nd 21 day round of Xifaxan & Metro to treat Methane sibo. And I'm curious as what to do after my methane is under control. Thanks!

[@ConfluenceNutrition]

If SIBO is hydrogen only, then typically, rifaxamin alone is the next step, and this is what I did.

[@lindareif584]

Amanda, Have you ever heard of taking Protease along with xifazan for SIBO? A nutritionist I know recommended it. Thank you🙏🏽🙏🏽

[@ConfluenceNutrition]

Protease is simply a digestive enzyme to help digest and absorb proteins, and can be a helpful addition to any program, as long as you tolerate it well. :)

[@lindareif584]

Confluence Nutrition Thanks Amanda🙏🏽 Is it generally hard to tolerate?

[@ConfluenceNutrition]

@@lindareif584 In general no, your body produces it! But some people do have some irritation or stomach burning side effects.

[@shalgal25]

I'm about to take a two week course of Rifaximin and Neomycin and was wondering if you took them at the same time or staggered them. I'm taking three Rifaximin and two Neomycin per day. Your video helped take some of the fear out of doing this. Thank you!

[@chewbacca90210]

Today is my last day taking them. I took Rifaxamin 15 minutes after food and the neomycin about 20 minutes after Rifaxamin. I experienced nausea daily with neomycin but it became better during the second week.

[@mussa1117]

How are you now?

[@puga420]

@@chewbacca90210second week of neomycin? They dont advise to take neomycin for more than 5 days. I believe taking either antibiotics for sibo should be limited to 1wk and let your own flora take care of itself

[@gerardini1789]

I’ve suffered from IBS but also Sibo. I’m currently taking xifaxan and flagyl on day 10. Today I thought I was getting better but my stomach is making loud noises and had 3 bowel movements. I am on this elimination diet and no sugar gluten or lactose. This is very frustrating.

[@ConfluenceNutrition]

Hi Gerardini, it's common during treatment to experience effects like these. After all, your gut microbiome is changing, and this may temporarily cause new symptoms. Don't give up! You might want to check out this video to make sure you follow up correctly after your treatmnet: kzbin.info/www/bejne/j56rh6WDrs90a5I

[@jia2096]

I want to confirm that at what point u actually used probiotics, right after one antibiotic course OR after couple of courses when SIBO was controlled? And I really appreciate you support and time Amanda.

[@ConfluenceNutrition]

I had tried to use probiotics many times prior to SIBO treatment, but was only tolerating the Sacc B. During and after, I haven't been able to tolerate them, so I don't use them at all! Occasionally, I will eat fermented foods or drink fermented beverages, like kyvita kefir water, but too much bloats me. But what worked for me may not be right for you. The most important thing to keep in mind is to listen to what your body is saying about the things you're testing out, like probiotics. Generally, probiotics will often flare SIBO patients and shouldn't be used during treatment, and only after if your gut doesn't react badly to them.

[@agnieszka4925]

I’m happy it worked for you. But don’t you need to be on a strict diet for 4-12 weeks afterwards to starve remaining bacteria?

[@ConfluenceNutrition]

Everyone's treatment path is different, so not necessarily. My ND did recommend I do the bi-phasic SIBO diet, which is basically a low fodmap-low histamine template in between, but it's basically how I already eat, so not much different!

[@juanpablovelasco1474]

Thank you very much for this video. Can you please tell us the exact dose of the Rifaximin and the Neomycin that you used? Also, how are you feeling right now? (it's been like a month since you published the video). I wish you the best!

[@ConfluenceNutrition]

Hi Juan Pablo, I used 500 mg rifaximin 3x per day, and 500 mg neomycin 2x per day. I'm actually almost through my second round of treatment, and I'm working on a new video to document my process, so stay tuned!

[@juanpablovelasco1474]

@@ConfluenceNutrition thanx for your answer. Let me ask one more. I have SIBO and I'm histamine Intolerant (as I understand you are too), I also suffer from constipation. I'm finding very hard to find foods that fill the Low fodmap diet + low histamine diet filter + dont worsen constipation. What are you eating? Do you have like an Everyday Base Diet? (maybe mentioning 6 foods...?) thanks again!

[@ConfluenceNutrition]

@@juanpablovelasco1474 this is a very real problem! But it can be done! One thing to know is that even with a FODMAP and/or histamine intolerance is that you likely aren't totally sensitive to ALL the foods on those lists. Doing the elimination AND the reintroduction properly helps you know which foods you really react to, and which you may be able to tolerate sometimes. So though my personal diet is relatively low FODMAP and low histamine, I know which foods are my worst triggers. For example, broccoli constipates me, but cabbage and cauliflower are fine, even though they're high FODMAP foods. My diet centers around white rice, potatoes, and winter squash for starches/carbs, chicken, buffalo, and limited fish for protein, and zucchini, red bell pepper, carrots, lettuce, kale, cabbage, cauliflower, bok choi, tomatoes, cucumber, and avocado for veggies, plus light onion and garlic.

[@juanpablovelasco1474]

@@ConfluenceNutrition thank you.

[@maheshtanay]

@@juanpablovelasco1474 i had same problem. I just eat some raw ginger and honey at night half an hour before bed. It cures my constipation and gut mobility. This may help.

[@Stevie-oy8zj]

Do you think it was worth using the antibiotics? I’m just nervous because of all the scary side effects and reactions that “ could possibly happen”. Never taken any really serious drugs like this before. But my SIBO is severe so I’m needing to try antibiotic.

[@ConfluenceNutrition]

Hey there, thanks for your question. If you knew me in my normal life, you would know that I am generally very anti-prescription medication. I haven't taken antibiotics in more than 20 years. Due to the duration of my symptoms and the lack of success using herbals, antibiotics were one of the things I hadn't tried yet, partly because I was worried, and partly because the rifaximin is difficult to access without insurance. But i decided that to not use an available treatment out of fear or dogma was kind of silly. We often get scared out of trying a pharma solution, but what if it actually helps? The rifaximin in particular only affects the small intestine, and the neomycin has been long used. I haven't regretted it, so far, it has helped me feel better. What will be the long term effect? I'm not sure. I'm on round 2 right now and will be making another video on it soon. My advice to you is to weigh the risks against the possible rewards. What do you have to gain by trying something new? And what do you risk? Only you can answer those questions, but I wish you well in your process.

[@RaooulD]

A few questions... Why didn't you order Rifaximin from Mexico? I also do not have health insurance. Can you tell us the name of the naturopath that has been treating you? Is the breath test you used available online? I found that most of these Meds are available in Mexico, which is a few hour drive from me. Can you tell us the strength(mgs) of each of the meds you took? Thanks!

[@ConfluenceNutrition]

Hi Raooul, I didn't order from Mexico because you still need an RX, and my ND normally uses the Canadian pharmacy. My ND is Dr. Miriam Peachy, she is one of the doctors at Northcoast Naturopathic Medicine in McKinleyville, CA. If you're not in CA, you likely can't work with them. For specific SIBO antibiotics protocol information, I recommend visiting Dr. Alison Siebecker's page www.siboinfo.com/antibiotics.html Hope that helps!

[@TheCambra]

I was prescribed just neomycin by itself for 14 days for methane sibo

[@ConfluenceNutrition]

How did it work out for you?

[@Mech_Engg_USA]

Hi, thank you for sharing your experience with rifaximin. How did you purchase it from India? I have family in india but none of them are traveling to USA in the near future.

[@ConfluenceNutrition]

My ND called the prescription to a pharmacy in Canada (Mark's Marine Pharmacy, canshipmeds.com) and they are able to order from India.

[@jia2096]

Hi Amanda. I used probiotics starting on day 11th of xifaxan onwards till one month. Then another 100 billion cfu probiotics for one whole month. Means I used probiotics right after only ONE 14 day course of antibiotics. Dr did not order retest until after probiotics stuff. And then, this time same. I got 14 day course of xifaxan and have to start probiotics on 11 day which I really don’t want this time. And dr said to continue for up to 2 month probiotics after that she will retest.

[@ConfluenceNutrition]

Everyone is different, but Dr. Pimentel, the main SIBO expert, recommends against any probiotics, especially for persistent, recurrent SIBO. He very often finds this reflares his patients. I am one example of this, I cannot tolerate probiotics, even the most high quality types. This may be one reason why your treatments are not providing long term relief. However, I was also asking about prokinetics, drugs or supplements that support good motility in your gut to prevent SIBO recurrence, have you used those? There are so many layers to this problem that need to be dealt with properly and in the right order, and doing things differently than recommended can compromise your success.

[@maryabraham9182]

Yes please I have some question, I didn’t get my prescription yet but I want to know what kind of diet I should be start on ?? and what to do please let me know thank you so much and God bless you🙏🏻🙏🏻🌷

[@ConfluenceNutrition]

Hi Mary, what basic symptoms are you experiencing? Bloating? Constipation? Diarrhea? Allergic symptoms?

[@maryabraham9182]

@@ConfluenceNutrition thank you so much for replying to my comment I did sibo breath test and it was positive.. I want to know what kind of diet I should be on?? Thank you so much🙏🏻💕

[@ConfluenceNutrition]

@@maryabraham9182 Hi Mary, thanks for clarifying. For folks with SIBO, I usually suggest they start with the low FODMAP diet, and if they see minimal improvement there, to move into a low histamine diet. I have videos on both on my channel. Let me know if I can clarify anything!

[@tomw7026]

Hi Amanda. My GI has prescribed this same protocol for my methane sibo. It's been about 2 years since this video. I was wondering how your sibo symptoms are now. Bloating? Constipation, Gas? Etc.

[@ConfluenceNutrition]

2 year post-treatment, my gut symptoms are still vastly improved. With a wider diet palette now, sometimes I overdo it on the carbs and can get bloated, but that's on me! I did have to treat 3 times to completely eradicate SIBO, there are two other videos in the series about my treatment, so check those out if you want to hear more about the follow up after my first round of treatment.

[@jia2096]

Thanks for your reply Amanda. Can u plz tell what was the actual difference in weeks between 2 courses of xifaxan? My ferritin also keeps dropping low, GI tested major tests were all normal.

[@ConfluenceNutrition]

Hi Jia, I think I had about a month between my courses of rifaximin, mostly because I had to wait two weeks to test after treatment, and then wait for my rx to ship from India. IT might have been 5-6 weeks. Thanks for watching!

[@_BlackPaladin]

You never mentioned bloating, did bloating decrease with the course of the antibiotics?

[@ConfluenceNutrition]

Yes, it did...my bloating was not my primary bothersome symptom, but once I started the medication, my bloating reduced, and I suddenly realized how persistent and in the background that bloating had been. So yes, the treatment helped relieve my bloating.

[@user-hm7ic3xs8f]

I realize this video is two years old, but weren't you having Herx reactions? Did you use a binder?

[@HectorMartinez-th8ob]

Hey I was just prescribed this medication after testing positive for sibo. Before being diagnosed I have had stomach pain, sorry for the tmi but really weird color bowels and oily and light in color. I thought I had cdiff but tested negative. I was prescribed rifaximin. I am to pick up the medication tomorrow. Do you know if this medication can cause cdiff or any issues. I had a bad experience with antibiotics back in January and I am really concerned about this benefits of this medication. Thank you.

[@ConfluenceNutrition]

All antibiotics carry some risk of opportunistic infections like C. diff, but your question is really most appropriate for your doctor to answer. On another note, oily or light colored stool can indicate that your bile flow from your gall bladder isn't ideal, so you may need some support digesting fats and getting that bile flowing (think daily lemon water, or castor oil packs). Thanks so much for watching!

[@gryma1313]

Hello, thank you so much for sharing your journey! I am having the opposite experience actually, I have hydrogen-dominant SIBO and therefore having lots of bloating, gas and loose stool (mine has never been watery). I am on day 3 of my Rifaximin treatment but on day 2, I had crazy sounds coming from my bowels and had to use bathroom like 5-6 times that day. Today, I am having an alarming bloating but didn't need to use the bathroom at all, the medicine claims to have a side effect called C. difficile overgrowth. I was wondering if you ever heard about that, and should I stop taking Rifaximin as my symptoms are not getting better day by day (I have more bloating than ever before)? Thank you! :)

[@ConfluenceNutrition]

Hi there! If you're at all concerned with the side effects you're experiencing, I strongly urge you to contact your prescribing practitioner to discuss with them! It is possible to have a rebound C diff infection, and it's also possible to have other complications. I can't comment specifically on your situation since I don't know anything about your case. In general, bloating and other symptoms can get worse before they get better, but I often feel like if things are getting worse and worse, the body is giving a signal it's not right. So talk with your doctor/ND/prescriber, and have them help you decide what to do. Thanks for watching.

[@gryma1313]

@@ConfluenceNutrition thank you so much! I am on day 5 and for the last 3 days my diarrhea disappeared, so I assume the bloating is a side effect for me. I am using an app called Reddit and there is a community for the individuals with SIBO, they suggested partially hydrolyzed guar gum + enterogermina supplements. I will buy them and use them. I am considering using anti fungal medicines when my treatment is done as well. Unfortunately I live in Turkey and even most of the doctors here don't know about SIBO treatments, that's why I am buying all these medicines and supplements myself, including the rifaximin. I recommend creating a Reddit account and joining both IBS and SIBO communities, if you promote your channel there you can reach to more people for sure :)

[@ConfluenceNutrition]

@@gryma1313 Thank you for the reddit suggestion, I have to look into that, but it sounds like a reasonable one! Partially hydrolyzed guar gum is a FODMAP friendly fiber which was shown in a SIBO clinical study to increase the chances of treatment success, so that's a good idea. But with anything, start low and slow, and work up to a full dose. I don't know what eneterogermina is. Good luck!

[@thequeenofcydonia]

Hey, that kind of sounds similar to me, i also have to do a lot of research and decisions on my own bc i live in Serbia and it's hard to find a good doctor. I coudn't even afford the sibo test sice it's so expensive here so i decided to try rifaximine anyway. My main symptoms are bloating, excessive burping (which i'm guessing caused acid reflux) and gas. I'm on day four of rifaximine and i'm having a lot of bloating and yellow- ish loose stool. (it was normal before but when i changed my diet to more high fat it became like that so now i'm worried i have low bile) I'm at a complete loss at what to eat and what tests to do. I have no idea if i have alergies or intolerances to certain foods. I'm also scared of C. Difficile....i don't even know where i'm going with all this. i'm pretty certain i have gastritis too. It's so confusing and overwhelming. Do you have any advice?

[@gryma1313]

@@thequeenofcydonia I am on day 7 and taking both enterogermina (probiotics) and partially hydrolyzed guar gum with rifaximine. As far as I heard, c. difficile is something very rare and the diarrhea becomes non-stop for most of the cases, but I assume they are talking about watery diarrhea where you lose so much water and also weight so fast, if this is the case for you then you might wanna get that checked. So far my plan is to stop using probiotics, just go on with PHGG + rifaximin for 7 more days and complete the treatment. After that I will take fluconazole for 21 days for 1 pill per day because I am suspicious of fungal issues on my small intestines. If you wanna talk on the Discord app let me know.

[@xploit811]

Very interesting. After 8 years of experimenting on numerous diets and otc supplements with no success, I have finally decided to go for Rifaximin. Did you take the Rifaximin with meals or before/after? Thank you.

[@ConfluenceNutrition]

I took mine with meals, as I'm prone to nausea from medications and supplements. Best of luck to you, let's hope it's a game changer!

[@xploit811]

@@ConfluenceNutrition Hi Amanda, I finished my 14 day Rifaximin course and found benefits with Brain Fog and BMs, not so much with bloating. However after the 14 days my tongue appears very white after waking up. Are these yeast/fungal symptoms from antibiotics, is it normal? Thank you.

[@ConfluenceNutrition]

@@xploit811 Hi there, I'm glad to hear you got some relief from brainfog and your BMs...it is quite common after antibiotics to have some fallout with your yeasts. Sometimes, Saccharomyces boulardii probiotics can help, or antifungals are sometimes necessary. I used Rx antifungals after my treatment, and it really helped, but that's not necessary for everyone. IT's also a good idea to retest post treatment, so you know specifically what happened with your SIBO. Sometimes it can take several rounds of treatment/ It's also possible your bloating has another underlying cause besides SIBO. Thanks so much for watching!

[@rashedlaw301]

@@xploit811 how are you doing now?

[@naveedaslam4688]

Hi Amanda, what is the best way to contact you?

[@mariajaramillo6515]

Hello can you tell me if you take rifax and neomicin togheter, or first you take neomicin and when you finish the treatment start rifax?

[@jia2096]

Looks like probiotics are a trouble for me too. By the way when u say, it does not suit you, can u tell me which symptoms u experienced while using probiotics, so that I can compare? I did not know prokinetics much, and I do not know at which time phase during treatment I should use them. During antibiotics or after?

[@ConfluenceNutrition]

The most common side effects from probiotics are bloating, abdominal pain, or a change in stool, so diarrhea or constipation. Some people may also experience nausea, itching, or headaches, so in other words, histamine symptoms. Prokinetics should be started right after your antibiotic treatment ends and continued for at least a few months.

[@angelataylor2049]

Hi Amanda, I’ve just had my Sibo results back and have both hydrogen and methane issues. I have constipation and bile reflux. Do you think the Sibo is causing my GERD issues?

[@ConfluenceNutrition]

Hi Angela, it's definitely possible. I recently read a referenced article that suggested GERD is caused by "intra-abdominal pressure" and not high acid, and that one of the causes of the pressure is bacterial overgrowth. I personally experienced a significant reduction of reflux after SIBO treatment. My best to you!

[@angelataylor2049]

@@ConfluenceNutrition my naturopath is saying just for me to try rifaximin as the neomycin is harsh. I wonder why she says this? I’m struggling to get the rifamixin, I don’t know where to get it.

[@ConfluenceNutrition]

@@angelataylor2049 Hi Angela, neomycin is more of a general spectrum antibiotic, so may have some effect on the microbiome. However, best outcomes in treatment for methane SIBO include both in the literature. Rifaximin can be difficult to acquire with insurance, but you can order from Marks Marine Pharmacy in Canada, if your ND or doctor is willing to call it in. Take care!

[@lori3637]

Were you just using Rifaximin alone? Did it work?

[@AlexandraVentura-ud8df]

Hello! This was really helpful. I have both hydrogen and methane SIBO. I’m in France and it seems to be impossible to get the Rifaximin antibiotic and the same for Neomycin. Do you have the name of each antibiotic? Because I only know the molecules: rifaximin and neomycin. I think I saw Tixtar and Xifaxan for rifaximin but I can’t find the name for neomycin. Thank you so much for your help 🙏

[@puga420]

Mexico u can get neomycin over the counter. Its a medicine u take to stop diarrhea

[@jia2096]

Hi Amanda, thanks for sharing your sibo journey. I’m tested again for sibo. And 4 month ago when I was tested first time and got sibo positive. I took xifaxan 550 three time a day for 14 days. Symptoms got little better but never gone completely. After asking again and again now dr retested and I’m positive. Plz tell me did u take antibiotic xifaxan with probiotics during the course or u used probiotics after completing antibiotic course? Or u did not use probiotics at all. U just repeated xifaxan course again and again until you recovered?

[@ConfluenceNutrition]

Hi Jia, I only used Saccharomyces boulardii probiotics during treatmnet, because for me, those were the only kind I tolerated. Some people don;t tolerate any. I still don't tolerate probiotics, so I don't currently use them. And I repeated rifaximin after repeat testing I was still positive. It took four courses total to clear. Each round was separated by a month or two of time in between for testing and reevaluation.

[@heartsoulholisticservices]

@@ConfluenceNutrition Thank you for sharing your story! My doctor told my Rifaximin will not disrupt my good bacteria and will only target the SIBO but I have bee reading and hearing that it wipes out everything. My concern is it will help the SIBO but will leave me with no good bacteria and prone to getting another overgrowth. I have decided I am not comfortable to rounds of an antibiotic as I believe thats how I get here in the first place so after this round, I plan to use herbals if SIBO is still present. I am currently taking an SBO but was considering getting Dr. Amy Myers 100 billion as many say you need both to rebuild a healthy gut. Thoughts?

[@ConfluenceNutrition]

@@heartsoulholisticservices Hi there, I hear from a lot of people with this same concern, and if you feel more comfortable with alternative options, you can use them. It's important to know, however, that they usually take longer, and I typically see worse side effects in clients who use the herbs vs the antibiotics. Regarding probiotics, everyone is different, but Dr. Pimentel typically advises against them because he sees so many of his patients react badly to them, and THIS often makes overgrowth worse. You'll have to evaluate for yourself whether you're someone who feels better or worse with probiotics. I myself don't tolerate them. Ultimately, it's important to have a strong strategy to approach this problem, and to know how to manage the various options if you run into a dead end. Is this something you're needing help with currently?

[@heartsoulholisticservices]

@@ConfluenceNutrition Thanks for your reply! I have bever reacted poorly to probiotics. I feel nothing or I feel better. I will definitely do the antibiotic like my doctor suggested wit a biofilm disruptor and hope I can kill SIBO with one big knowck out! Thanks so much.

[@violetcountry]

After three years, I finally discovered that I have SIBO. If I wouldn't discover SIBO my Dr would never say that to me. So many doctors don't even know about it. It all started when I was taking PPI (Emozul) causing low stomach acid. After taking that I could not eat, lost weight, and the worst thing developed is HYPOGLYCAMEIA. I have a lot of symptoms like brain fog, heavy head feeling, can't gain weight, joint pain, bloating, constipation, acne. I manage the symptoms by eliminating foods like gluten, sugar, etc. I take some bitters to help with digestion. I will start Rifaximin but I am not sure If I should do the diet strictly during the treatment? It makes more sense that I don't because there will be more bacteria to destroy. What are your thoughts? After the treatment, I plan to use prokinetics and Betaine HCl. Thank you! I enjoyed your informative video.

[@ConfluenceNutrition]

Hi Violeta, I hope your treatment helps you feel better! I usually suggest people stick with whatever diet they are already eating that minimizes symptoms, and that they wait to reintroduce foods to test for tolerance until after they're feeling better. I don't support feeding bacteria and then needing the antibiotics to work harder. Best of luck on your journey!

[@violetcountry]

@@ConfluenceNutrition Yes, it makes sense. I really appreciate your quick response. Thank you!

[@ConfluenceNutrition]

@@violetcountry You're welcome! Your question inspired me to make a video about this question because a lot of people ask it!

[@wanessagoncalves2159]

Hi there, would you please let me know whom did you order your rifaximin from in India ? Also did you need a prescription?

[@ConfluenceNutrition]

Hi there, my Rx was sent by my ND to a Canadian pharmacy (canshipmeds.com) and the pharmacy ordered from India. So yes, I needed a prescription. Thanks for watching!

[@Paola_78]

Thank u so much for your video I m suffering too from SIBO with constipation. I m not from USA, and want to know pls about neomycin if my freind who live there can send it for me without prescription

[@ConfluenceNutrition]

Hi Jihane, neomycin is a prescription medication, so unless your friend is a doctor, they won't be able to send you neomycin.

[@jia2096]

Hi Amanda, I have both hydrogen and methane sibo. Has been treated once with Only 550 xifaxan 3 time a day for 14 days, insurance did not approve neomycin for me. It helped but after one month I again have symptoms. Can I repeat course of xifaxan again for 2 week? I have bad bloating and gas all dAy. Bought atrantil for that to give it a try.

[@ConfluenceNutrition]

It's helpful to retest to understand what you're really dealing with before doing more treatment, but yes, multiple rounds of treatmnet are sometimes necessary to treat SIBO fully. I worked with my local naturopath, who prescribed FOUR separate courses of rifaximin before my SIBO was under control. But if you do have methane as well, you're supposed to have a second antibiotic, either neomycin or metronidazole. I didn't have insurance when I used the neomycin, and with a GoodRx.com coupon it wasn't that much for cash pay, so if insurance declines, you can try to find it for cash at an affordable price. I believe my Rx was around $20-$30 US. Thanks for watching and good luck! And Atrantil may help, as well!

[@j6453]

A few questions. Will treating with rifaximin typically cause weight gain (or loss)? I have gained weight since developing gut problems. What about oregano oil and weight gain? Also, I tend to have recurrence whenever I have ANY fermented foods and live in terror or having them accidentally. How will I know when it is safe to add them in in small amounts? Or are these foods no longer safe for me? Also, I think I have some problems with oxalates and there are some specific probiotics that are supposed to help but again, I am nervous about taking probiotics of any sort! If you have any thoughts to share, I would appreciate it!

[@ConfluenceNutrition]

Hi J, I have gained a little weight since treating wtih rifaximin. I don't know that oregano oil directly influences weight gain or loss, but changing the gut microbiome can definitely affect your metabolism. Your sensitivity to fermented foods suggests you don't tolerate histamine, so this is the direction I would go with food. Dealing with oxalates with probiotics is not my preferred path...it's more about dealing with the often associated yeast overgrowth and reducing oxalates temporarily. This is a multi step process that can take some time. I'll be running my 8 week program to help with this process again in the fall. Let me know if you'd like to learn more about that. Thanks for watching!

[@j6453]

​@@ConfluenceNutrition Thank you for responding! I really don't want to gain any more weight, since I have put on a lot of weight since developing SIBO (prior to that I was quite slim but now my weight seems to go easily and readily). However, when we are suffering burping and bloating and food intolerances and the associated misery, you are more willing to try anything--even antibiotics that might have that side effect! Every time I have yogurt I get a recurrence, which is frustrating because it's supposed to be good for your gut health and metabolism. Thanks again, I will certainly consider your program :)

[@ConfluenceNutrition]

@@j6453 Yes, there are those fermented foods again (yogurt). Even the healthiest of foods can cause symptoms. In your case, histamine sounds like it's a trigger. We need to listen closely to what our body is telling us and work there.

[@maryhawker5003]

I know you posted this a year ago but I’m desperate for answers. I took the antibiotic clindamycin and it destroyed my gut flora. I urge everyone to never take it unless it’s life or death. My stool travels through my gut at a normal pace (did the peanut test) but is still very watery and not fully formed. It sinks to the bottom though and looks like thin snakes about a cm wide. I’ve not had issues like this ever, just after taking clindamycin. I’ve tried everything to bulk up my stool and nothing has worked so I’m going to talk to my doctor about it. But you mentioned your stool didn’t sink to the bottom and were so excited and happy when it did, but mine sinks and is still watery and mushy. What gives?!?

[@ConfluenceNutrition]

There can be different reasons for sinking stool...for me, my floating stool was a sign of poor fat digestion and excess gas, for you the sinking may be a positive, but it does sound like the consistency is still not right. If you're ready for some support with this, I'd love to meet with you to see if my coaching program would be a good fit to help, you can book that call here: confluencenutrition.com/contact.

[@HoneyLove77]

Do you need to take both? I have been prescribed Rifiximin. I hope I have bern prescribed the correct treatment as I really am suffering! I also suffer from endometriosis! How can i find out if its attaching to anything else?

[@ConfluenceNutrition]

You would use both if you have both hydrogen and methane SIBO, or only methane SIBO. I hope your doctor got it right too. Regarding endometriosis, unfortunately, there isn't a simple way to visualize/diagnose it. Laparoscopic exploratory surgery is the only way, unless you have large endometriomas on your ovaries, or changes in the walls of your uterus. These two changes are visible on ultrasound if the tech is skilled. However, there is a blood test, often used as a marker of ovarian cancer, which is also often high in endo patients, and that is CA-125. You can request your doctor to order.

[@hassanatta2753]

Hello, How much did it cost you to get the refaximin and is it prescription only? Because where I live you can get it easily without prescription for like 3 dollars for a 10 pack of 550mg of refaximin.

[@ConfluenceNutrition]

Hi Hassan, for me it cost about $100 including shipping for the rifaximin, and another $60 for the neomycin. I don't have health insurance, so paid out of pocket.

[@latebloomerearthchild]

Where can I get this without prescription? Where do you live

[@hassanatta2753]

@@latebloomerearthchild I live in Pakistan.

[@jaynaanderson42]

I am currently taking rifaximin and neomycin for my SIBO. I am on day 4. Not noticing much change except for increased gassiness. How did you go about getting rifaximym from India?

[@ConfluenceNutrition]

Hi Jayna, my naturopathic doctor called the prescription in to Marks Marine Pharmacy in British Columbia, and they can either send you canadian produced rifaximin or Indian produced rifaximin. The price difference is several hundred dollars, so I opted for India! Then they mail them to you from India. It takes about 4-5 weeks to arrive from India to the US. Thanks for watching!

[@nickolewlasichuk8417]

did you eat low fodmap? my np said to eat during and after treatment. but everything i have read and even in sibo groups they say to eat normal so it can catch and kill the bacteria

[@ConfluenceNutrition]

Hi Nickole, I just made a video about this question a few weeks ago, here's the link for a detailed answer: kzbin.info/www/bejne/jp7Zm5mPn9F9r9k Your NP is generally correct, but if FODMAPs aren't the reason for your food intolerances, then Low FODMAP won't help. Me personally, I had created a custom diet with many experiments prior to my SIBO treatment. I did need to avoid some FODMAP foods, as well as some other things that made my symptoms worse. I encourage my clients to work to discover the CAUSE of their food intolerances, rather than apply an "out of the box" diet. I strongly advocate eating whatever diet minimizes your symptoms DURING SIBO treatment, and not feed the bacteria. Check out the video to hear more about why I suggest that.

[@jia2096]

I’m so much stressed. So much bad gas, bad bloating, growling sounds from abdomen and then lot of hair fall. Plz guide me, need to know if someone should take xifaxan without probiotics during and after treatment? Or using probiotics works better? I’m literally crying. Do not know how to get rid of it. Dr gave me same course of xifaxan to repeat for 2 weeks. Want to know how did u use xifaxan with probiotics or without? And anything else which I can do to get rid of this bad issue :(

[@ConfluenceNutrition]

I didn't use probiotics because most of them flare me. It was also not my NDs advice to use them either. I don't recommend changing too many things at once either, so if it was me, I would just do the rifaximin and wait to try probiotics until later. Take a deep breath, you've got this! I hope that helps, and thanks so much for watching. And if you're in need of ongoing support and help, reach out about booking a free discovery call to learn more about my Calm Digestion Method program and how it can help you go from food anxiety, endless questions, and second guessing to a confident plan for calm digestion.

[@piotrharasim6060]

Hi, how did u take Rifaximin? before or after meal? Thank u for your answer in advance. all the best for you

[@ConfluenceNutrition]

I took it just after my meals. I believe it can be taken before or after, whatever works best for you.

[@piotrharasim6060]

Thank you for your answer :) Im just on third day on it, fighting with my SIBO. After how many days of your treatment your bloating went away? if i can ask please :)@@ConfluenceNutrition

[@ConfluenceNutrition]

@@piotrharasim6060 If I remember correctly, it slowly abated during the treatment. Good luck!

[@maheshtanay]

Hi dear, can i take (metronidazole) instead of neomycin? Neomycin is not available here. So combination of rifaximin and metronidazole. Pls advise.

[@ConfluenceNutrition]

Yes, metronidazole is the alternative that is usually recommended by SIBO practitioners.

[@cutwater1965]

Hi, I have a positive test for methane dominant sibo. Constipation and FOUL BREATH!. I was wondering if you or any viewers had that symptom. BTW been through a dentist and ent. No reasons there for the foul breath.

[@ConfluenceNutrition]

Hi Martin, my teenager has this problem, but we haven't tested for SIBO, so i don't know if they are SIBO positive. This can definitely be a sign of some kind of underlying infection or dysbiosis. Thanks for watching, and thanks for your question!

[@nicholasscovel9580]

Yikes a year ago. I did get neomycin that I’m starting tomorrow. I wish i could figure this out. Got positive for SIBO

[@ConfluenceNutrition]

Hi Nicholas, You've got this!

[@nicholasscovel9580]

@@ConfluenceNutrition Well after being paranoid about trying it. i ended up starting 3 days ago. mild to moderate nausea so far & mild to moderate headaches after taking them but headaches have slightly gotten better. decided to take a probiotic 2 hours after each dose. not sure if that helps. so far, so good. the stomach bloating ive felt like i have always had is pretty much gone after i eat too. so far it seems to be doing something for sure. side effects aren't the worst but definitely feeling them even as i write this. thanks for the info in the videos

[@ConfluenceNutrition]

@@nicholasscovel9580 You're welcome...the medication can definitely cause side effects, but for me, it took some time for the worst die off reactions, more often they were around day 7-14, although in one course it was near the end. Good luck, I hope you feel loads better!

[@americanduramax]

@@ConfluenceNutrition thank you! Also im only doing neomycin, what am I missing out on with rifaximin?

[@americanduramax]

@@ConfluenceNutrition this is my other account lol. Guess i was signed in on this one this time

[@n3cacid117]

Hi I’m in the us I’ve went to gastrointestinal doctor multiple of time and they are clueless but the thing is I don’t think I can get those meds without it being prescribed what do I do now?

[@ConfluenceNutrition]

Hi FX, my suggestion here would be to find a GI that understands SIBO, or try to find a naturopath to work with who can prescribe. An ND is who helped me with this project. Thanks for watching!

[@chelseaharris325]

I’m on day 4 of Rifaximin and Neomycin and experiencing loose stools non stop…good little cleanse I guess but hoping it won’t continue throughout the whole 14 days

[@ConfluenceNutrition]

Hi CHelsea, I hope so too! Sometimes, the die off reaction can cause this. Sometimes a binder, like activated charcoal or bentonite clay can help, sometimes, you can temporarily back off of the treatment for a day or two to re-regulate. ❤

[@chelseaharris325]

@@ConfluenceNutrition thank you so much for your reply. Perhaps I will try some activated charcoal since I have some!

[@ConfluenceNutrition]

@@chelseaharris325 You're welcome :)

[@sarahh3061]

Neomycin gave me horrendous diarrhoea and bad nausea but it did cure my preexisting nausea.

[@ConfluenceNutrition]

Oof, hard times, but I'm glad you made it through!

[@sarahh3061]

Thanks :) i persevered! Something you really need when it comes to sibo!

[@MonaLisa-ww3ys]

Wait, how did you get the order from india for neomycin?

[@maheshtanay]

Hi dear, can i take metronidazole instead of neomycin? Because neomycin is not available here. So taking both with rifaximin 550mg and metronidazole 200 mg three times a day for sibo (constipation and diarrhea). Any advice?

[@ConfluenceNutrition]

Hi Srab, yes, metronidazole is an accepted alternative, but I believe the dosing is also around 500 mg twice a day. You can see the standard SIBO treatment protocols at Allison Siebecker's website siboinfo.com.

[@juanpablovelasco1474]

How bad would the Neomycin will hurt your gut flora? I understand the Rifaximin does not hurt it that bad because it does not get absorved (plz correct me if I'm wrong), is the Neomycin the same?

[@ConfluenceNutrition]

Hi Juan Pablo, I don't really know how to answer this question, other than I'm not sure that neomyin is quite as targeted as the rifaximin. This is really a question for a doctor. Antibiotics do impact your microbiome, but you can generally protect yourself during and after treatment with probiotics. And I know there are differing opinons about probiotics during SIBO treatment, but there is high level clinical research that suggests people taking probiotics succeed better at SIBO treatment.

[@juanpablovelasco1474]

@@ConfluenceNutrition thank you, again, Amanda.

[@Mandalore.The.Hero7]

@@ConfluenceNutrition do you know any good suggestions of what probiotic medication brands to use with xifaxan? I’m starting my treatment of xifaxan tomorrow cause I been tested for sibo and my gastro doctor said the bacteria level was pretty high. The instructions say take the xifaxan morning, midday and night. So how many times should I take probiotics

[@ConfluenceNutrition]

@@Mandalore.The.Hero7 Hi Obito, my apologies for not replying sooner. You're probably mostly through your SIBO protocol, but generally, I suggest using probitoics 1-2 times per day...I hope you're well in the new year!

[@MinionTomato1]

Most doctors recommend two weeks of treatment. How come you did yours for three?

[@ConfluenceNutrition]

My methane numbers were very high, and in her clinical experience, she'd seen 3 week courses work better than 2 week courses. Even with that, I still had to do 3 treatments to eradicate SIBO.

[@orkneyis123]

My Dr. is prescribed to me the Rifaxmin + Neomycin for my SIBO but the Rifaxmin is very very expensive and just can't afford my medicare program. I have mentioned purchasing this drug from the country Indian. Please shed some light for my live saver !! Thanks !!

[@ConfluenceNutrition]

Hi there, I used Mark's Marine Pharmacy in Canada, your doctor should be able to call the Rx in there. Their website is canshipmeds.com

[@ritae3364]

I just got diagnosed with SIBO and could not complete the elemental diet because of how disgusting it was. I am currently on Berberine and Oregano Pills with a low FODMAP diet. Do you believe this is enough?

[@ConfluenceNutrition]

Hi Rita, I'm curious which elemental diet product you were using? Berberine and oregano are enough for some people but not all to eliminate SIBO, you'll have to see what your retest looks like afterwards to evaluate. Thanks for watching!

[@ritae3364]

@@ConfluenceNutrition It is called elementAll biological diet. I am in Canada.

[@ConfluenceNutrition]

@@ritae3364 Hi Rita, I'm not familiar with that one, but I don't doubt it tasted terrible. There's a great one I recommend in the US, but it's not able to ship to Canada. The Integrative Therapeutics Physician's Elemental isn't gross, though maybe not terribly exciting. I don't know if you can get that in Canada. If you can. I might suggest trying again...good luck!

[@rebeccajohnson629]

I guerentee I have it

[@maheshtanay]

Hi, i started taking rifaximin and metronidazole 3x times a day, today is second day but i feeling nausea and constipation not diarrhea. I want to clean up my bad bacteria overgrowth through diarrhea. Any advice pls.

[@ConfluenceNutrition]

It's normal to have some negative symptoms while treating. With your doctor's approval, you can temporarily decrease the dosage/frequency until you feel better, or you can use what's called "binders", like the GI Detox product (activated charcoal and bentonite clay) to help with the die off by products of treatment. kzbin.info/www/bejne/fp2YZ5KNe96Kma8 Discuss with your treating doctor...If the constipation keeps happening, a simple enema can help relieve things too. kzbin.info/www/bejne/nImphGeun6-Jq80

[@maheshtanay]

Hi dear, can i take betaine hcl with sibo antibiotics? Because food is absorbing properly what im eating i have losed 7 kgs in 2 months. I need advice from u about betaine hcl. Thnk u.

[@ConfluenceNutrition]

Hi Srab, you can try it and see how you feel. The litmus test is always this: do you feel better when using it, or worse? If you feel better, continue, if you notice a negative side effect stop, and retry later.

[@456012]

I just got my SIBO test results back and had no Hydrogen but high methane. Would the neomycin/rifaxamin combo be excessive for me?

[@ConfluenceNutrition]

Neomycin/rifaxamin is the exact combo recommended for high methane. The high methane is likely disguising high hydrogen because the methane bugs consume the hydrogen.

[@456012]

@@ConfluenceNutrition thanks so much for the reply!

[@ConfluenceNutrition]

@@456012 You're welcome.

[@brookeniemiec2852]

I have been having terrible stomach problems with my stomach for 3 years now and they just diagnosed me with SIBO. I am going through with the same treatment you went through. I actually start the treatment in 3 days. I am just scared to start the treatment cuase I have a lot of stomach pain, acid reflux, nausea, dizziness without the medication and I am just scared to try it. Also what foods did you eat while on the treatment, I was diagnosed with IBS, acid reflux, and now SIBO. I am just worried about the different side effects I would encounter during my process. Do you have any advice for me

[@ConfluenceNutrition]

Hi Brooke, sorry for the delayed reply...often times the treatment RELIEVES many of those symptoms. I resisted the antibiotics for years due to fear, but they were the thing that changed my digestion for the better, and almost immediately too. DId you ever start the treatment?

[@doctorvpc]

Please , what do you think should be the interval time between the rounds of rifax/neo ?

[@ConfluenceNutrition]

I suggest waiting 2 weeks to retest, then you'll wait for another week or so to get results, and then need to get another prescription. For me, it ended up being 6-8 weeks.

[@doctorvpc]

@@ConfluenceNutrition Thank you very much ❤

[@ConfluenceNutrition]

@@doctorvpc YOu're very welcome

[@ouwchy]

Have you relapsed? I’ve heard most people only find relief for a few months.

[@claudiavann1120]

I am having very intense bloating on this same medication regimen. Is this normal? How can I combat this?

[@ConfluenceNutrition]

HI Claudia, it's quite common to have side effects from antimicrobial protocols. There are a couple of htings you can do. Check out this video I made for more details: Dysbiosis Treatment Tips: kzbin.info/www/bejne/fp2YZ5KNe96Kma8 I hope that helps, and thanks for watching!

[@Daswiftie]

Rifixamin give me relief but when I was on antibiotics I took diet without gluten ,sugar,fiber,and some other food that aggregate my symptoms but after one week can I take whole grain flour and vegetables?

[@ConfluenceNutrition]

Have you confirmed that your SIBO is all the way gone? I generally recommend confirming this before doing food reintroductions. You might want to check out this video: kzbin.info/www/bejne/aGrUpIiad7F-os0 and this one: kzbin.info/www/bejne/h4u3e3agaNiJjJY

[@Daswiftie]

@@ConfluenceNutrition thank you ma'am☺️

[@ConfluenceNutrition]

@@Daswiftie You're welcome :)

[@sainath8947]

Hii Thank you for the video iam your new Subscriber, Did you take both the tablets at the same time ? Or should you take it one by one after some time?

[@ConfluenceNutrition]

Hi Sainath, yes, I would take them together at breakfast and dinner, and at lunchtime, only the rifaximin. Thanks for the question, and thanks for asking!

[@sainath8947]

Thank you, Can you please tell me which brand of Neomycin tablet are you using? (I mean manufactured by?) Did u get it from India? Iam from India and Iam finding it difficult to get Neomycin oral tablets, I got Rifaximin very easily

[@ConfluenceNutrition]

@@sainath8947 the manufacturer is Teva Pharm. I was able to buy easily at my pharmacy in the US, but it does require a prescription in the US...it's an antibiotic. I think it's a generic form. I hope that helps!

[@Aish_plays]

@@sainath8947 aap india se ho mei bhi india se hu aapne treatment kiya aapko fraq laga medicine se plzzz help me

[@austin426512]

@@Aish_plays mein india se hun par USA mein rahatha hun. Aapka problem kya hai? Mera bloating aur smell hai. Rifaximin jyada help nahi hua magar phir se karna chahatha

[@anthonyrios1949]

Hi may I ask the name of the pharmacy you got the rifaximin from i really need to buy my insurance wont pay for it please thank you

[@ConfluenceNutrition]

Hi Anthony, it's called Mark's Marine Pharmacy, and their website is canshipmeds.com. You still need your doctor to provide them with the prescription, but if they are willing to do that, the rest is easy, and affordable.

[@brothercaleb]

Which website did you order Rifaximin and Neomycin?

[@ConfluenceNutrition]

I ordered my rifaximin from Mark's Marine Pharmacy, I believe their website is canshipmeds.com, but you must have the prescription from your MD or ND sent there in order to be able to order. I got my neomycin from my local Costco pharmacy, again, called in by my ND.

[@danster4713]

Are you ok now, after three years? I'm starting an elemental diet tomorrow to get rid of IMO.

[@mussa1117]

How are you now? Do you recommend it?

[@jilllovesbeegees70]

So this is my 8 day of rafaximin, and neomycin and tonight out of no where had diarrhea.. i am quizzie. I think its the neomycin. Bad thing is i am travel by air for days leaving in the a m.. im so nervous now..

[@ConfluenceNutrition]

Hi Jill, apologies for my delay in replying. I hope you managed to get through this. It's common for people to have die off symptoms, or temporary worsening of symptoms during treatment. I usually advise my clients to temporarily ease off on treatment for a day or two, and then continue.

[@gonzalezcastillofamily9841]

Were you on both rifaximin and neomycin for 21 days?

[@ConfluenceNutrition]

Yes, both for 21 days. Thanks for watching!

[@Zovie]

how you get the pills from india?

[@ConfluenceNutrition]

Hi there, the pharmacy my ND uses can order them, it's Mark's Marine Pharmacy www.canshipmeds.com I hope that helps.

[@lin2198]

Does anyone have tried penicillin? I took once and my digestive issues went away but only for some weeks, I guess because the antibiotic dose was too low

[@jazjaz3077]

Is this preferably taken with meal/full stomach?

[@ConfluenceNutrition]

Hi Jaz Jaz, it doesn't really matter. It's up to you and how it feels. It's probably best to take on an empty stomach, but I can never tolerate that. Thanks for watching!

[@JessicaLeigh]

were you nervous about hearing issues with the neomycin? this is holding me back.... I'm so scared

[@ConfluenceNutrition]

I was initially a little concerned about this, but on researching it, i've learned that it is only likely at high doses and in certain contexts. I got to the point where the risk of avoiding this well-researched treatment was greater than avoiding it. I think those side effects are very rare and not a reason to avoid it. Thanks for watching!

[@johanamedina491]

Hello, Shouldn’t antibiotic treatment be paired with a probiotic and prebiotic during and after treatment ???

[@ConfluenceNutrition]

Prebiotics are often a trigger for people with SIBO, so they are generally not recommended until after treatment, and only if tolerated. With regard to probiotics, there are 2 schools of thought on this for SIBO. In one, probiotics are helpful to assist in getting rid of SIBO, as shown in a meta-analysis study (compilatoin of several research studies), while the other school suggests that probiotics often make SIBO worse and relapse again, especially for those with chronic cases. Also, rifaximin is only active in the small intestine, and doesn't seem to disrupt the microbiome in the large intestine like other antibiotics. In short, there's no one right answer for everyone, which is why I recommend using theory to identify possible options, but using your body as the measure and guide of what to do. For me personally, I haven't been able to tolerate probiotics for some time, nor prebiotics. I rely on food-based fiber for my prebiotics, and occassionally eat probiotics foods and beverages, and am working back towards tolerance. That was a long answer, but I hope that helps answer your questions!

[@akashk650]

@@ConfluenceNutrition Hi Amanda - great video and info. I am a Sibo - c (or now aka IMO) sufferer for the last 5 to 6 years. With regard to the antibiotics- I get your take on Rifaximin - very targeted and only acts in the SI. But what about Neomycin- that may wipe out everything in the large intestine- so to support that should one take some probiotics? Btw I started my rifaximin/ neomycin 14 day protocol today…..

[@ConfluenceNutrition]

@@akashk650 Hi Akash, presumably, the neomycin may have an effect on the large intestine. I really don't know much about it specifically. Probiotics can be helpful for some people with SIBO, while for others they make everything worse. For those who choose to try using probiotics during SIBO treatment, I usually suggest tryiing them with care, and stopping if they seem to be making things worse. In some cases, it's best to wait until you finish treatment, and are on a prokinetic agent. I hope that helps.

[@hazeltropix1170]

I can’t get my insurance to cover the antibiotic. How did you get it from India? Was it less expensive that way?

[@ConfluenceNutrition]

IT was much less expensive, like around $100, but I was able to get it via a Canadian pharmacy, where my ND had sent my Rx. To my knowledge, you can't just order it directly without an Rx.

[@StoryThyme100]

@@ConfluenceNutrition I'm looking at paying $2400 for a 2 week course.. Tks for posting this reply a day before I found your vid

[@ConfluenceNutrition]

@@StoryThyme100 I hope you can find a way to get a cheaper prescription!

[@ConfluenceNutrition]

@@StoryThyme100 glad I could help!

[@gautam.2317]

Hi, In india rifaximin 400mg cost approx 5$ for 10tab. Frankly talking... did you notice any stool abnormalities during sibo? and what was that ...

[@gautam.2317]

and if your symptoms were stable after treatment course? or anything else was....

[@ConfluenceNutrition]

@@gautam.2317 Hi, yes, I had persistent constipation for years with SIBO, and a mild and slowly increasing bloating. The constipation was improved after treatment, but the bloating returned after a few weeks off the treatment both times. I have to solve for the reasons for this to get better, and I'm working on it!

[@gautam.2317]

I have major problem of fat malabsorption that's why it's hard for me to maintain my weight...im too skiny right now cause of sibo

[@ConfluenceNutrition]

@@gautam.2317 yes, sibo can create inflammation in the small intestine area, which can compromise your ability to digest certain nutrients. Treatment can help relieve this inflammation, and restore your gut function. There can also be a number of other things that need support. I am running a program, starting June 29th to support people with these challenges...would you like to hear more about it?

[@MrYorickJenkins]

I think you are full of common sense and I am a great believer in common sense. Tracking what happens when undergoing a course of medication is common sense but it does not harm stressing these common sense ideas! I should have been interested to know how much exactly rifaximin costs in the USA, apprently so much that it compelled you to order a gneric product from India. Is it really so extremely expensive that you feel you have to order it from India? More importantly, this antibiotic rifaximin is purportedly able to distinguish between targeted bacetria and bacteria which one doesnt want to destroy, the equivalent of an insecticide which kills roaches but doesnt affect butterlfles beetles or bees! And like such an insecticide, it sounds too good to be true. What has been your experience of damage/side effects long term caused by the rifaximin, especially typical antibiotic biom destructiomn side effects, or were there no unwelcome side effects? Thank you for producing videos full of common sense and in which you recount your personal experiences as a fellow sufferer.

[@ConfluenceNutrition]

Rifaximin usually cost between $1500 and $2000 out of pocket in the US. I was able to get it for about $125 from India via a Canadian pharmacy. I haven't noticed any long term effects from my treatment. Instead, I've had long term benefits, and experienced healing, finally!!

[@guchavela4721]

Can you do neomycin alone? The two were a lot for me

[@ConfluenceNutrition]

Hi Gucha, as far as I'm aware, there aren't any studies looking at using neomycin alone for SIBO. The main antibiotic in the protocol is the rifaximin. I'm not sure if neomycin alone would be effective.