It has been a while since I have shared an update on my healing journey. I am pleased to announce that it has been 5 months since I have taken antimicrobials and over a year since I have taken antibiotics. Previously, I had been reliant on antimicrobials, prokinetics, and a strict low FODMAP, limited fruit, low sulfur (low thiol, specifically) diet for managing my SIBO. I could sometimes go two weeks without antimicrobials, but my symptoms would slowly return bringing about a sense of hopelessness.
My decision to abandon antimicrobials was inspired by the results of my Genova Comprehensive Stool Analysis. The test showed non-existent lactobacillus and bifido bacteria as well as very low microbial diversity. I attributed this to a variety of factors: heredity, a low FODMAP diet and antimicrobials for an extended period of time, and antibiotic use throughout my lifetime (especially IV Vancomycin to treat Toxic Shock Syndrome at age 17).
Since discontinuing antimicrobials, I have had ups and downs in regard to my symptoms, but the overall trajectory has been positive- I have greatly expanded my diet and have continued to have healthy daily bowel movements (some days are better than others). I figured it might be helpful to share my current routine with you all to give you a launching pad for ideas to discuss with your physician.