SIBO Doctor

SIBO Dispensary Guide

The following supplement options are those many practitioners have found to be effective in the treatment and management of SIBO.
Medical disclaimer: This guide is not intended as medical advice. Please ask your medical provider if these products are indicated in your case.

Herbal Antimicrobials – Hydrogen

Australian ProductsSuggested DosageUSA ProductsSuggested DosageEuropean ProductsSuggested DosageCanadian ProductsDosage
Metagenics Bactrex2 capsules 2-3 x daily Thorne Berberine 5002 capsules 2-3 x dailyBiocidinDosage individualised Metagenics Candibactin BR2 tablets
2-3 x daily
Mediherb BactoCand GI2 capsules 2-3 x dailyXymogen Berbermycin2 capsules 2-3 x dailyDesigns for Health Berberine Synergy2 capsules
2 x daily
Metagenics Candibactin AR1-2 capsules 2-3 x daily
Nutrtition Care Pomegranate2 tablets 2 x dailyMetagenics Candibactin BR2 tablets 2-3 x dailyVital Nutrients
Berberine 500mg
2 capsules
2 x daily
BioClinic Naturals
Berberine HCL
2 capsules
2 x daily
Metagenics Candibactin AR1-2 capsules 2-3 x dailyMoss Nutrition
Berberine 500mg
2 capsules
2 x daily
Metagenics
Berberine GT
2 x capsules
2 x daily
Integrative Therapeutics Berberine Complex2 capsules 2-3 x dailyPriority One SIBOtic2 capsules
3 x daily
Ayush Neem Plus1 capsule
2-3 x daily
Mediherb Gut Flora Complex2 capsules 2-3 x daily
Biotics Research Dysbiocide2 capsules 2-3 x daily
Biotics Research FC-Cidal2 capsules 2-3 x daily
Biotics Research A.D.P1-2 tablets 2 x daily
BiocidinDosage individualised – contact manufacturer
Ayush Neem Plus1 capsule 2-3 x daily

Herbal Antimicrobials – Methane

Australian ProductsSuggested DosageUSA ProductsSuggested DosageEuropean ProductsSuggested DosageCanadian ProductsDosage
Biomedica Allimax3 capsules 2 x dailyAllimax Allimed Ultra1 capsule 2-3 x dailyBiomedica Allimax3 capsules
2 x daily
Allimax 180mg3 capsules
2 x daily
Mediherb BactoCand GI2 capsules 2 x dailyAyush Neem Plus1 capsule 2-3 x dailyAllicin Max3 capsules
2 x daily
Allimax AlliUltra 360mg1-2 capsules
2 x daily
Atrantil2 capsules 3 x dailyAllimed 450mg1 capsule
2 x daily
Ayush Neem Plus1 capsule
2-3 x daily
Priority One SIBOtic2 capsules 3 x dailyBiotics Research
A.D.P oregano
2 capsules
2 x daily
Biotics Research A.D.P.1-2 tablets 2-3 x dailyPriority One SIBOtic2 capsules
3 x daily

Herbal Antimicrobials: Hydrogen sulfide

Australian ProductsSuggested DosageUSA ProductsSuggested DosageEuropean ProductsSuggested DosageCanadian ProductsDosage
Bioclinic Oregano Oil2 capsules 2 x daily 1x month then reassessBioclinic Oregano Oil2 capsule 2-3 x daily 1x month then reassessBiotics Research
A.D.P oregano
2 capsules
2 x daily
Designs for Health
Oil of Oregano
3 capsules
2 x daily
Biotics Research ADP5 caps 3x daily x 1 monthPriority One SIBOtic2 capsules
3 x daily
Candibactin AR1-2 capsules 2-3 x daily

Herbal Antifungals

Australian ProductsSuggested DosageUSA ProductsSuggested DosageEuropean ProductsSuggested DosageCanadian ProductsDosage
Kolorex Vaginal care
herbal supplement
1 capsule
2 x daily
Metagenics Candibactin AR1-2 capsules
2-3 x daily
Biotics Research
A.D.P oregano
2 capsules
2 x daily
Metagenics Candibactin AR1-2 capsules
2-3 x daily
Mediherb BactoCand GI2 capsules
2 x daily
Thorne Research Formula SF7222 capsules
3 x daily
Kolorex Advanced Candida Care
(Vaginal care)
1 capsule
2 x daily
Designs for Health
Oil of Oregano
3 capsules
2 x daily
Bioclinic Naturals Oregano oil capsules2 capsules
2 x daily
Enzymedica Candida Control2 capsules
2-3 x daily
Thorne
SF722
5 capsules
2 x daily
Thorne
SF722
5 capsules
2 x daily
Solutions4Health Wild Oregano2 capsules
2 x daily
Biotics Research A.D.P1 tablet
2-3 x daily
MediHerb
Phellodendron
2 Tablets
2 x daily
Priority One SIBOtic2 capsules
3 x daily
Metagenics Bactrex2 capsules
2-3 x daily
Kolorex Advanced Candida Care
(Vaginal care)
1 capsule
3 x daily
Xymogen Candicidal1-2 capsules
Once daily
Gaia Oil of Oregano capsules1 caps
2 x daily

Conventional Antibiotics

Typical SIBO prescriptions
Rifaximin: Rifaximin 550 mg, three times daily (1650 mg per day) for 14 days. (Pimentel)
Rifaximin + Neomycin: Rifaximin 1600 mg per day + Neomycin 500mg twice daily for 10 days
Metronidazole 250mg three times daily

Digestive Support and Repair

(Mostly taken before or with meals)
Digestive support includes improving hydrochloric acid, enzymes and bile production and flow, an important defence mechanism for the upper gut. Gut Repair is often indicated as SIBO can cause leaky gut/intestinal permeability.
Listed are the products that do not contain ingredients that are problematic for SIBO patients such as:
• Some fibres (eg psyllium husk)
• Prebiotics (eg inulin, FOS). However, some specific prebiotics can be used during treatment at certain stages
• Sugar or excessive fructose

 

Digestive Support & Repair

Choose 1 supplement from the list below. Mostly taken before or with meals.

Digestive support includes improving hydrochloric acid, enzymes and bile production and flow, an important defence mechanism for the upper gut. Gut Repair is often indicated as SIBO can cause leaky gut/intestinal permeability.

Listed are the products that do not contain ingredients that are problematic for SIBO patients such as:
• Some fibres (eg psyllium husk)
• Prebiotics (eg inulin, FOS). However, some specific prebiotics can be used during treatment at certain stages
• Sugar or excessive fructose
Australian ProductsSuggested DosageUSA ProductsSuggested DosageEuropean ProductsSuggested DosageCanadian ProductsDosage
Orthoplex HCl Caps1-2 capsules
2-3 x daily
FODMAP Digestion Support

Microbiome Labs FODMATE™
1 capsule
3 x daily with meals
Vital Nutrients Betaine HCL, pepsin & Gentian1 capsule
2-3 x daily
Designs for Health
Digestzymes
1 capsule
2-3 x daily
Dr Jacobi’s Herbal Bitters½ teaspoon
3 x daily
Protein Digestion Support

Vital Nutrients Pancreatic Enzymes
1 capsule
3 x daily with meals
Pure Encapsulations
Betaine HCL
1 capsule
2-3 x daily
Designs for Health
Betaine HCL & Pepsin
1 capsule
2-3 x daily
Biomedica Biomatrix1 scoop
2 x daily
Fat Digestion Support

Thorne Research Bio-Gest Digestive Enzymes
1 capsule
3 x daily with meals

Biomedica Biomatrix1 scoop
2 x daily
Enzymedica
Digest Gold
1 capsule
3 x daily
Nutrition Care Gut Relief1 scoop
2 x daily

Vitanica
Bitters formula
½ tsp
3 x daily
Microbiome Labs Mega Mucosa1 scoop
1 x daily
Metagenics Glutagenics1 scoop
2 x daily

London Clinic of Nutrition Bitters Formula1 ml
2-3 x daily
Metagenics
Glutagenics
1 scoop
2 x daily
Bioceuticals Intestamine1 teaspoon
1-2 x daily

Xymogen
Glutalomine
1 scoop
2 x daily
Microbiome Labs Mega Mucosa1 scoop dailyThorne Research L-Glutamine1 scoop
2 x daily

Elemental Diet

Choose one product from the list below. Dose depends on the individuals weight (standard dose is approx. 15 scoops divided throughout the day)
Australian ProductsSuggested DosageUSA ProductsSuggested DosageEuropean ProductsSuggested DosageCanadian ProductsDosage
Bioclinic ElementALLDosage individualisedBioclinic ElementALLDosage individualisedPhysicians ElementalDosage individualisedBioClinic Naturals
ElementAll
Dosage individualised
Bioclinic ElementALLDosage individualisedPhysicians Elemental Diet Powder


Physicians Elemental Diet Powder Dextrose Free

Dosage individualisedPhysicians ElementalDosage individualisedBioClinic Naturals
ElementAll
Dosage individualised

Prokinetic Support

Below are supplement suggestions if you live in the USA, Canada, Europe, and Australia. Please consult the Online Dispensary Guide if you live elsewhere.
Australian ProductsSuggested DosageUSA ProductsSuggested DosageEuropean ProductsSuggested DosageCanadian ProductsDosage
Iberogast60 drops at bedtimePure Encapsulations Motilpro1 capsule, 3 x a day between meals
Priority One SIBO MMC3 capsules
2 x daily
Vita Aid Prokine1-2 capsules
3 x daily
Dr Jacobi’s Bitters½ teaspoon 3 x daily
Priority One SIBO MMC3 capsules 2 x dailyLondon Clinic of Nutrition MMC ease1 ml
2-3 x daily
Integrative Therapeutics Motility Activator1 capsule
2 x daily

Conventional Prokinetics

• LDE- low dose Erythromycin 50mg at bed time
• LDN – low dose naltrexone: 2.5mg for SIBO-D, 5mg for SIBO-C at bedtime
• Prucalopride (Resolor/Resotrans) 0.5-1mg at bed time (not available in the US) - available in Canada and Australia

Laxatives

Australian ProductsSuggested DosageUSA ProductsSuggested Dosage
Magnesium oxide1000 mg 2 hours after dinnerMagnesium oxide1000 mg 2 hours after dinner
Renew Life CleanseMore1-2 caps before bed

Biofilm Support

Choose one supplement from the list below.
Australian ProductsSuggested DosageUSA ProductsSuggested DosageEuropean ProductsSuggested DosageCanadian ProductsDosage
Biomedica N-Acetyl Cysteine1 scoop dailyPriority One Biofilm Phase 2 Advanced2 capsules
mid-morning
Biomedica N-Acetyl Cysteine1 scoop dailyDesigns for Health
NAC capsules
1 capsule daily
Biomedica Vege NAC1 capsule dailyApex Energetics Biofilm CLR2 capsules
mid-morning
Biomedica Vege NAC1 capsule daily

Probiotic Strains and Indications

Lactobacillus rhamnosus GG

• Motility and constipation
• Abdominal hypersensitivity
• Leaky gut
Australian ProductsSuggested DosageUSA ProductsSuggested DosageEuropean ProductsSuggested DosageCanadian ProductsDosage
Metagenics UltraFlora LGG1 capsule
2 x daily
Allergy Research Group
Essential-Biotic L.rhamnosus GG
1 capsule
2 x daily
Pure Encapsulations ProFloraGG1 capsule
2 x daily
Meta Kids Baby Probiotic6 drops
2 x daily
Metagenics UltraFlora Immune Control1 capsule
2 x daily
Metagenics
Meta Kids Baby Probiotic
6 drops
Once daily
Activated Probiotics
Biome relief
1-2 capsules
2 x daily
Culturelle Probiotics
Daily Probiotic
1 capsule
2 x daily
Orthoplex Ultra Pure GG1 capsule
2 x daily
Solgar Advanced Multi-Billion Dophilus1 capsule
2 x daily
Spectrumceuticals Pro4-501 capsule
2 x daily

Bifidobacterium lactis HN019

• Motility and constipation
Australian ProductsSuggested DosageUSA ProductsSuggested DosageCanadian ProductsSuggested Dosage
Orthoplex MultiGen Biotic1 capsule
2 x daily
Xymogen Probiomax Daily DF1 capsule
2 x daily
Metagenics Ultra Flora Acute Care1-2 capsule
1-2 x daily
Bioceuticals UltraBiotic 5001 sachet dailyProtocol for Life Bifido Digest1 capsule
2 x daily
Metagenics UltraFlora MetacontrolMetagenics Ultra Flora Acute Care1 capsule
2 x daily
Inner Health Probiotic plus D

E. coli nissle 1917

• Motility and constipation
• Abdominal hypersensitivity
Australian ProductsSuggested DosageUSA ProductsSuggested DosageEuropean ProductsSuggested DosageCanadian ProductsDosage
Mutaflor2 capsules 2-3 x dailyNo products availableNo products availableNo products available

Lactobacillus reuteri DSM 17938

• Motility and constipation
Australian ProductsSuggested DosageUSA ProductsSuggested DosageEuropean ProductsSuggested DosageCanadian ProductsDosage
BioPractica BioGaia Protectis1 tablet
1-2 x daily
BioPractica BioGaia Protectis1-2 tablet
1-2 x daily
BioPractica BioGaia Protectis1-2 tablet
1-2 x daily
BioPractica BioGaia Protectis1-2 tablet
1-2 x daily
Blackmores Digestive Biobalance1 tablet
1-2 x daily

Lactobacillus plantarum 299V

• Abdominal hypersensitivity
Australian ProductsSuggested DosageUSA ProductsSuggested DosageEuropean ProductsSuggested DosageCanadian ProductsDosage
Metagenics UltraFlora GI Soothe1 capsule
2 x daily
Jarrow Ideal Bowel Support 299V1 capsule
2 x daily
Jarrow Ideal Bowel Support1-2 capsules
2 x daily
Metagenics Ultra Flora
Intensive Care
1 capsule
2 x daily
Metagenics UltraFlora GI Regulate1 scoop
1 x daily
Metagenics Ultra Flora Intensive Care1 capsule
2 x daily
Activated Probiotics
Biome relief
1-2 capsules
2 x daily

Saccharomyces boulardii (cerevisiae)

• Leaky gut/intestinal permeability
Australian ProductsSuggested DosageUSA ProductsSuggested DosageEuropean ProductsSuggested DosageCanadian ProductDosage
Bioceuticals SB Floractiv2 capsules
2 x daily
Metagenics
Ultra Flora Acute Care
1 capsule
2 x daily
BioMedica SB Pro1 capsule
1-2 x daily
Metagenics
Ultra Flora Acute Care
1-2 capsule
1-2 x daily
Metagenics Ultra Flora SB Dysbiosis1 capsule
2 x daily
Klaire Labs Saccharomyces boulardii2 capsules
2 x daily
Yomogi1 capsule
1-2 x daily
Florastor1 capsule
1-2 x daily

Multi Strain Probiotics

Australian ProductsSuggested DosageUSA ProductsSuggested Dosage
Biomedica Femex1 capsule daily with mealsPhysician’s Exclusive Megaspore Biotic1-2 capsules per day with meals
Blackmores Women’s Flora Balance1 capsule daily with mealsMetagenics Ultra Flora Womens1 capsule daily with meals
Mediherb Probiotica Clinical1 sachet in water daily away from mealsKlaire Labs
Target gb-X
1 sachet in water daily away from meals
Spectrumceuticals Pro4501-2 capsules daily with food
Metagenics Ultra Flora Intensive Care1 capsule twice daily with meals

Prebiotics

Patients may need to start at a lower dose and slowly build up to the suggested dose as tolerated
Australian ProductsSuggested DosageUSA ProductsSuggested DosageEuropean ProductsSuggested DosageCanadian ProductsDosage
Ariya Health PHGG 1 scoop 1-2 x daily
Healthy Origins Healthy Fiber PHGG1 scoop daily
Healthy Origins
Healthy Fiber PHGG
1 scoop dailyAOR
Solufibre (PHGG)
1 scoop daily
Biomedica GI Restore1.5 tsp daily
Bimuno (UK Company)1 sachet dailyBiomedica GI Restore1.5 tsp daily
Actilax Lactulose10-15ml dailyLactulose (prescription only)10g dailyInvivo
Biome.Me Prebio GOS
1 scoop daily
Ariya Lactulose10-15ml dailyTomorrows Nutrition
PRO Sunfiber
1 scoop daily
Ariya GOS1 scoop 1-2 x daily
Bimuno (UK Company)1 sachet daily
Metagenics
UltraFlora GI Regulate
1 scoop daily
BioCeuticals
Prebiome Fibre
1 scoop daily

Nutrients

Australian ProductsSuggested DosageUSA ProductsSuggested Dosage
Orthoplex White SAMe1-3 tablets dailyDoctors Best SAMe1-3 tablets daily
MTHFRsupport
Starter B
1 capsule daily with mealsSeeking Health B Minus1 capsule daily with meals
Jigsaw Magpure Glycinate2 capsules twice dailyThorne Magnesium Bisglycinate1 scoop once daily
Biomedica Phyta D1 spray dailyVital Nutrients Vitamin D31 capsule daily
Bioceuticals Selenium Drops3 drops dailyVital Nutrients Selenium1 capsule 2 x daily
RN Labs
Pantothenic B5
1-4 capsules per dayThorne Pantethine
(Vitamin B5
1-4 capsules per day
Bioceuticals Clinical Phosphatidylcholine Liposomal5ml once dailyQuicksilver Scientific Micellized PC5ml once daily
NOW Calcium Citrate100-200mg with mealsPure Encapsulations Calcium Citrate100-200mg with meals
RN Labs Glycine1000-1500mg dailyThorne Glycine1000-1500mg daily
RN Labs
Cal-D-Glucarate
1500mg dailyIntegrative Therapeutics Calcium-D-Glucarate1500mg daily
Interclinical Labs Molyzinc (Molybdenum)1 tablet daily with mealsBiotics Research
Mo-zyme
(Molybdenum)
1 tablet twice daily

Trace Minerals and Alkalisers

Australian ProductsSuggested DosageUSA ProductsSuggested Dosage
Basica Active1 scoop at bedtime
Concentrace Trace Mineral DropsAs per label instructions
Basica Pure1 sachet at bedtime
Sanum Alkala N Powder1 scoop daily
NPM Volcomin Forte1 teaspoon twice daily

Detox and Binders

Australian ProductsSuggested DosageUSA ProductsSuggested Dosage
Heel Detox KitAs per label instructionsHeel Detox KitAs per label instructions
Bioceuticals
Liposomal Glutathione
2 pumps once daily
Quicksilver Scientific Liposomal Glutathione2 pumps 2 x daily
Biomedica NAC1000mg per dayIntegrative Therapeutics NAC1000mg per day
Flordis Legalon
(Milk Thistle)
1 capsule 3 x dailyThorne Siliphos
(Milk Thistle)
1 capsule 3 x daily
Toxaprevent1-2 capsules
1-3 x daily away from meals
Bio-Botanical
G.I. Detox
1 capsule 3 x daily away from meals
Quicksilver Scientific UltraBinder1 teaspoon with water away from meals
Other Binder considerations: Activated Charcoal, Chlorella, Bentonite Clay, Acacia Fibre
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