Here is a great post by Riley Wimminger entitled Words of Wisdom for SIBO Newbies that I really wish I’d been able to read two years ago when this whole SIBO journey started, it has some great advice on how to hang in there for the long haul.
On the point about restricting your diet only as much as needed, I was talking with Dr. Keller yesterday and this point came up in our conversation. She recommended no one stay on the super restrictive low FODMAP diet longer than six months since it does mess with your microbiome. Of course I was low FODMAP for almost 18 months so it is no wonder that my butyrate, short chain fatty acids and microbial diversity are all a bit out of whack. It is a challenge for those whose SIBO won’t clear within six months though, what to do to keep the microbes happy yet also keep the symptoms down, a balancing act for sure.