The one thing I have heard more than anything else is SIBO is very hard to kill and takes a long time to fully get rid of them. Once you've gotten a good handle on exterminating them, then you have to rebuild the good bacteria and heal your gut lining. Actually, it's best if you can heal the gut lining while exterminating the bad guys.
So why are bacteria and parasites so hard to kill? They love to hide and morph into other bacteria and parasites can morph into other pathogens tricking what is coming after them. They will burrow themselves into the lining of the intestinal wall and form a biofilm around them, like a slimy shell. This prevents most antibiotics from getting to them because they can not infiltrate or breakdown the biofilm. If that's not bad enough, the longer you have SIBO the thicker their biofilm becomes. They will come out of hiding to eat and then will burrow themselves back.
You absolutely have to be taking something that can break that biofilm down while also taking something to kill the bacteria. But wait, there's more. Some times you have to rotate through different strains of antibacterial because, you are always dealing with multiple strains of bacteria. Some times you can stay on one medication for a few weeks or even a couple of months. But eventually you may have to switch things up. But you always should be taking something to attack the biofilm.
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