Supplements are really meant to supplement any lifestyle and dietary changes. As always before you make any lifestyle, diet or supplement changes, always discuss with your treating health-care practitioner. That said, here are some of the more common supplement options that I have successfully used and continue to use with my clients to help them with their symptoms.

Allimed (Allicin) 450mg (herbal antibiotic): 1–2 capsule 3× per day for a total of 14 days; start with 1 cap 3× per day and on day 3 increase to 2 caps 3× per day

Berberine Complex (herbal antibiotic): 2–3 capsules 3× per day for a total of 14 days; start with 2 caps 3× per day and on day 3 increase to 3 caps 3× per day

Neem Plus (herbal antibiotic): 1 capsule 3× per day for a total of 14 days

Interfase plus from Klaire Labs (biofilm disruptor): 2 capsules 3× per day for a total of 14 days

In addition to the supplements above that can help target the overgrowth directly, as you know your small intestine also helps to absorb nutrients in general and this includes various vitamins and minerals as well as trace elements. If the small intestinal bacterial overgrowth is not successfully eradicated, then these micronutrient deficiencies will not be fully addressed.

How you know if you are micronutrient deficient can be determined clinically by performing a physical exam and it also can be determined by reviewing blood work as well as advanced functional medicine tests.

In addition to a high-quality multivitamin we also want to make sure that Vitamin D is adequately absorbed from your gut to achieve healthy levels.

Then as you learned, the migrating motor complex is often compromised in SIBO and this directly can affect bacterial debris and food from being properly propelled forward through the digestive system. This is where we want to use what is referred to as pro-kinetic agents.

With my clients I tend too use Iberogast or Motilpro which both work very effectively.

There are other pro kinetic options such as Resolor or erythromycin and you need and want to discuss with your health- care practitioner which of these is best for you and why.

In addition, it does not simply suffice to remove and kill the bacteria; rather, we also want to make sure that the lining the gut is repaired adequately.

Aloe vera is helpful along with L-Glutamine which both serve the purpose to help repair the gut lining and I have found these to be very effective. In addition, zinc carnosine along with proper levels of essential fatty acid supplementation and levels are very helpful.

In order to know how much to use this is where you discuss with your health-care practitioner as tests can also be performed to make sure the serum levels are optimal.

Bottom line whenever we supplement it is critical that we also track symptoms and supplementation levels. This way people’s symptoms can be reversed both quickly as well as safely in addition to using lifestyle and dietary changes.