Abstract
Small intestinal bacterial overgrowth (SIBO) is one of the leading causes of irritable bowel syndrome (IBS) and presents with a range of intestinal and extraintestinal symptoms that impair quality of life.1 Prescription standards of care, which include oral antibiotics such as Rifaximin or Metronidazole, have shown variable success and have proven to be economically unfavorable. This case report involves the successful treatment of hydrogen-positive SIBO with a broad-spectrum antimicrobial approach incorporating the use of berberine, oregano, neem,2,3 and a specific carbohydrate low FODMAP diet with marked reduction of gastrointestinal symptoms, improved Bristol stool chart, and improved integumentary symptomatology.
Where are your Clinical Trials?
It has proven to be difficult, if not impossible, to proceed to full-scale randomized controlled trials (RCTs) for most of the natural methods that cannot be patented or otherwise monopolized.










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