About a two months ago I started having some symptoms that reminded me of when I first started getting SIBO back in 2013 – a dull full feeling under my right rib-cage, bloating, burping, etc…  After a few weeks of it I decided to just start treating it in hopes of knocking it out quickly so did a month of AlliMed/Neem/Berberine.  I had my ups and downs over the month and settled into a strict Paleo diet and felt better thinking that maybe I had licked it.  I decide to test and see where I was actually at and was stunned at the results:

Worst test result I’ve had to date, high of 62 when my previous high had been in the 49 and that took nearly two years to clear out.    My baseline was off the charts high so it makes me think my system is simply full of m.smithii again.

Frustrating and depressing to say the least especially on top of this whole hormone mess I’m dealing with at the moment and I’m sure the two are somewhat related.  I’m not sure what direction to go with this.  I can:

• Hit it hard with 2-3 months of herbal antibiotics again, maybe even increasing the dosage
• Hit it with prokinetics at the same time
• Try Atrantil
• See if I can get into the SYN-010 clinical trial at Cedars

I’ll sync up with my ND in a week or so, summer vacations,  and try to come up with a plan of attack to see if I can get these numbers back down and not feel like crap again.   Until then I know I’m sticking to a lower FODMAP Paleo diet since I definitely feel better eating that way than the expanded gluten-free diet I had been on.