When SIBO Keeps Coming Back: Why Motility Matters More Than Another Round of Antimicrobials
Recalcitrant SIBO (small intestinal bacterial overgrowth) is one of the most frustrating patterns I see in practice. A patient completes a well-designed antimicrobial protocol—herbal or prescription—breath-test numbers improve, and symptoms ease for a while. Then the microorganisms return, and the same cycle starts again.When this keeps happening, the question is no longer “Which antimicrobial should…