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 Products | Suggested Dosage | USA Products | Suggested Dosage | European Products | Suggested Dosage | Canadian Products | Dosage |
|---|---|---|---|---|---|---|---|
| Metagenics Bactrex | 2 capsules 2-3 x daily | Thorne Berberine 500 | 2 capsules 2-3 x daily | Biocidin | Dosage individualised | Metagenics Candibactin BR | 2 tablets 2-3 x daily |
| Mediherb BactoCand GI | 2 capsules 2-3 x daily | Xymogen Berbermycin | 2 capsules 2-3 x daily | Designs for Health Berberine Synergy | 2 capsules 2 x daily | Metagenics Candibactin AR | 1-2 capsules 2-3 x daily |
| Nutrtition Care Pomegranate | 2 tablets 2 x daily | Metagenics Candibactin BR | 2 tablets 2-3 x daily | Vital Nutrients Berberine 500mg | 2 capsules 2 x daily | BioClinic Naturals Berberine HCL | 2 capsules 2 x daily |
| Metagenics Candibactin AR | 1-2 capsules 2-3 x daily | Moss Nutrition Berberine 500mg | 2 capsules 2 x daily | Metagenics Berberine GT | 2 x capsules 2 x daily |
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| Integrative Therapeutics Berberine Complex | 2 capsules 2-3 x daily | Priority One SIBOtic | 2 capsules 3 x daily | Ayush Neem Plus | 1 capsule 2-3 x daily |
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| Mediherb Gut Flora Complex | 2 capsules 2-3 x daily | ||||||
| Biotics Research Dysbiocide | 2 capsules 2-3 x daily | ||||||
| Biotics Research FC-Cidal | 2 capsules 2-3 x daily | ||||||
| Biotics Research A.D.P | 1-2 tablets 2 x daily | ||||||
| Biocidin | Dosage individualised – contact manufacturer | ||||||
| Ayush Neem Plus | 1 capsule 2-3 x daily | ||||||
Herbal Antimicrobials – Methane
| Australian Products | Suggested Dosage | USA Products | Suggested Dosage | European Products | Suggested Dosage | Canadian Products | Dosage |
|---|---|---|---|---|---|---|---|
| Biomedica Allimax | 3 capsules 2 x daily | Allimax Allimed Ultra | 1 capsule 2-3 x daily | Biomedica Allimax | 3 capsules 2 x daily | Allimax 180mg | 3 capsules 2 x daily |
| Mediherb BactoCand GI | 2 capsules 2 x daily | Ayush Neem Plus | 1 capsule 2-3 x daily | Allicin Max | 3 capsules 2 x daily | Allimax AlliUltra 360mg | 1-2 capsules 2 x daily |
| Atrantil | 2 capsules 3 x daily | Allimed 450mg | 1 capsule 2 x daily | Ayush Neem Plus | 1 capsule 2-3 x daily |
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| Priority One SIBOtic | 2 capsules 3 x daily | Biotics Research A.D.P oregano | 2 capsules 2 x daily | ||||
| Biotics Research A.D.P. | 1-2 tablets 2-3 x daily | Priority One SIBOtic | 2 capsules 3 x daily |
Herbal Antimicrobials: Hydrogen sulfide
| Australian Products | Suggested Dosage | USA Products | Suggested Dosage | European Products | Suggested Dosage | Canadian Products | Dosage |
|---|---|---|---|---|---|---|---|
| Bioclinic Oregano Oil | 2 capsules 2 x daily 1x month then reassess | Bioclinic Oregano Oil | 2 capsule 2-3 x daily 1x month then reassess | Biotics Research A.D.P oregano | 2 capsules 2 x daily | Designs for Health Oil of Oregano | 3 capsules 2 x daily |
| Biotics Research ADP | 5 caps 3x daily x 1 month | Priority One SIBOtic | 2 capsules 3 x daily | Candibactin AR | 1-2 capsules 2-3 x daily |
Herbal Antifungals
| Australian Products | Suggested Dosage | USA Products | Suggested Dosage | European Products | Suggested Dosage | Canadian Products | Dosage |
|---|---|---|---|---|---|---|---|
| Kolorex Vaginal care herbal supplement | 1 capsule 2 x daily | Metagenics Candibactin AR | 1-2 capsules 2-3 x daily | Biotics Research A.D.P oregano | 2 capsules 2 x daily | Metagenics Candibactin AR | 1-2 capsules 2-3 x daily |
| Mediherb BactoCand GI | 2 capsules 2 x daily | Thorne Research Formula SF722 | 2 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 capsules | 2 capsules 2 x daily | Enzymedica Candida Control | 2 capsules 2-3 x daily | Thorne SF722 | 5 capsules 2 x daily | Thorne SF722 | 5 capsules 2 x daily |
| Solutions4Health Wild Oregano | 2 capsules 2 x daily | Biotics Research A.D.P | 1 tablet 2-3 x daily | ||||
| MediHerb Phellodendron | 2 Tablets 2 x daily | Priority One SIBOtic | 2 capsules 3 x daily | ||||
| Metagenics Bactrex | 2 capsules 2-3 x daily | Kolorex Advanced Candida Care (Vaginal care) | 1 capsule 3 x daily | ||||
| Xymogen Candicidal | 1-2 capsules Once daily | ||||||
| Gaia Oil of Oregano capsules | 1 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 Products | Suggested Dosage | USA Products | Suggested Dosage | European Products | Suggested Dosage | Canadian Products | Dosage |
|---|---|---|---|---|---|---|---|
| Orthoplex HCl Caps | 1-2 capsules 2-3 x daily | FODMAP Digestion Support Microbiome Labs FODMATE™ | 1 capsule 3 x daily with meals | Vital Nutrients Betaine HCL, pepsin & Gentian | 1 capsule 2-3 x daily | Designs for Health Digestzymes | 1 capsule 2-3 x daily |
| Dr Jacobi’s Herbal Bitters | ½ 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 Biomatrix | 1 scoop 2 x daily | Fat Digestion Support Thorne Research Bio-Gest Digestive Enzymes | 1 capsule 3 x daily with meals | Biomedica Biomatrix | 1 scoop 2 x daily | Enzymedica Digest Gold | 1 capsule 3 x daily |
| Nutrition Care Gut Relief | 1 scoop 2 x daily | Vitanica Bitters formula | ½ tsp 3 x daily | Microbiome Labs Mega Mucosa | 1 scoop 1 x daily |
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| Metagenics Glutagenics | 1 scoop 2 x daily | London Clinic of Nutrition Bitters Formula | 1 ml 2-3 x daily | Metagenics Glutagenics | 1 scoop 2 x daily |
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| Bioceuticals Intestamine | 1 teaspoon 1-2 x daily | Xymogen Glutalomine | 1 scoop 2 x daily |
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| Microbiome Labs Mega Mucosa | 1 scoop daily | Thorne Research L-Glutamine | 1 scoop 2 x daily |
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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 Products | Suggested Dosage | USA Products | Suggested Dosage | European Products | Suggested Dosage | Canadian Products | Dosage |
|---|---|---|---|---|---|---|---|
| Bioclinic ElementALL | Dosage individualised | Bioclinic ElementALL | Dosage individualised | Physicians Elemental | Dosage individualised | BioClinic Naturals ElementAll | Dosage individualised |
| Bioclinic ElementALL | Dosage individualised | Physicians Elemental Diet Powder | Dosage individualised | Physicians Elemental | Dosage individualised | BioClinic 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 Products | Suggested Dosage | USA Products | Suggested Dosage | European Products | Suggested Dosage | Canadian Products | Dosage |
|---|---|---|---|---|---|---|---|
| Iberogast | 60 drops at bedtime | Pure Encapsulations Motilpro | 1 capsule, 3 x a day between meals | Priority One SIBO MMC | 3 capsules 2 x daily | Vita Aid Prokine | 1-2 capsules 3 x daily |
| Dr Jacobi’s Bitters | ½ teaspoon 3 x daily | Priority One SIBO MMC | 3 capsules 2 x daily | London Clinic of Nutrition MMC ease | 1 ml 2-3 x daily | ||
| Integrative Therapeutics Motility Activator | 1 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 Products | Suggested Dosage | USA Products | Suggested Dosage |
|---|---|---|---|
| Magnesium oxide | 1000 mg 2 hours after dinner | Magnesium oxide | 1000 mg 2 hours after dinner |
| Renew Life CleanseMore | 1-2 caps before bed |
Biofilm Support
Choose one supplement from the list below.| Australian Products | Suggested Dosage | USA Products | Suggested Dosage | European Products | Suggested Dosage | Canadian Products | Dosage |
|---|---|---|---|---|---|---|---|
| Biomedica N-Acetyl Cysteine | 1 scoop daily | Priority One Biofilm Phase 2 Advanced | 2 capsules mid-morning | Biomedica N-Acetyl Cysteine | 1 scoop daily | Designs for Health NAC capsules | 1 capsule daily |
| Biomedica Vege NAC | 1 capsule daily | Apex Energetics Biofilm CLR | 2 capsules mid-morning | Biomedica Vege NAC | 1 capsule daily |
Probiotic Strains and Indications
Lactobacillus rhamnosus GG
• Motility and constipation• Abdominal hypersensitivity
• Leaky gut
| Australian Products | Suggested Dosage | USA Products | Suggested Dosage | European Products | Suggested Dosage | Canadian Products | Dosage |
|---|---|---|---|---|---|---|---|
| Metagenics UltraFlora LGG | 1 capsule 2 x daily | Allergy Research Group Essential-Biotic L.rhamnosus GG | 1 capsule 2 x daily | Pure Encapsulations ProFloraGG | 1 capsule 2 x daily | Meta Kids Baby Probiotic | 6 drops 2 x daily |
| Metagenics UltraFlora Immune Control | 1 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 GG | 1 capsule 2 x daily | Solgar Advanced Multi-Billion Dophilus | 1 capsule 2 x daily | ||||
| Spectrumceuticals Pro4-50 | 1 capsule 2 x daily |
Bifidobacterium lactis HN019
• Motility and constipation| Australian Products | Suggested Dosage | USA Products | Suggested Dosage | Canadian Products | Suggested Dosage |
|---|---|---|---|---|---|
| Orthoplex MultiGen Biotic | 1 capsule 2 x daily | Xymogen Probiomax Daily DF | 1 capsule 2 x daily | Metagenics Ultra Flora Acute Care | 1-2 capsule 1-2 x daily |
| Bioceuticals UltraBiotic 500 | 1 sachet daily | Protocol for Life Bifido Digest | 1 capsule 2 x daily | ||
| Metagenics UltraFlora Metacontrol | Metagenics Ultra Flora Acute Care | 1 capsule 2 x daily | |||
| Inner Health Probiotic plus D |
E. coli nissle 1917
• Motility and constipation• Abdominal hypersensitivity
| Australian Products | Suggested Dosage | USA Products | Suggested Dosage | European Products | Suggested Dosage | Canadian Products | Dosage |
|---|---|---|---|---|---|---|---|
| Mutaflor | 2 capsules 2-3 x daily | No products available | No products available | No products available |
Lactobacillus reuteri DSM 17938
• Motility and constipation| Australian Products | Suggested Dosage | USA Products | Suggested Dosage | European Products | Suggested Dosage | Canadian Products | Dosage |
|---|---|---|---|---|---|---|---|
| BioPractica BioGaia Protectis | 1 tablet 1-2 x daily | BioPractica BioGaia Protectis | 1-2 tablet 1-2 x daily | BioPractica BioGaia Protectis | 1-2 tablet 1-2 x daily | BioPractica BioGaia Protectis | 1-2 tablet 1-2 x daily |
| Blackmores Digestive Biobalance | 1 tablet 1-2 x daily |
Lactobacillus plantarum 299V
• Abdominal hypersensitivity| Australian Products | Suggested Dosage | USA Products | Suggested Dosage | European Products | Suggested Dosage | Canadian Products | Dosage |
|---|---|---|---|---|---|---|---|
| Metagenics UltraFlora GI Soothe | 1 capsule 2 x daily | Jarrow Ideal Bowel Support 299V | 1 capsule 2 x daily | Jarrow Ideal Bowel Support | 1-2 capsules 2 x daily | Metagenics Ultra Flora Intensive Care | 1 capsule 2 x daily |
| Metagenics UltraFlora GI Regulate | 1 scoop 1 x daily | Metagenics Ultra Flora Intensive Care | 1 capsule 2 x daily | Activated Probiotics Biome relief | 1-2 capsules 2 x daily |
Saccharomyces boulardii (cerevisiae)
• Leaky gut/intestinal permeability| Australian Products | Suggested Dosage | USA Products | Suggested Dosage | European Products | Suggested Dosage | Canadian Product | Dosage |
|---|---|---|---|---|---|---|---|
| Bioceuticals SB Floractiv | 2 capsules 2 x daily | Metagenics Ultra Flora Acute Care | 1 capsule 2 x daily | BioMedica SB Pro | 1 capsule 1-2 x daily | Metagenics Ultra Flora Acute Care | 1-2 capsule 1-2 x daily |
| Metagenics Ultra Flora SB Dysbiosis | 1 capsule 2 x daily | Klaire Labs Saccharomyces boulardii | 2 capsules 2 x daily | ||||
| Yomogi | 1 capsule 1-2 x daily | Florastor | 1 capsule 1-2 x daily |
Multi Strain Probiotics
| Australian Products | Suggested Dosage | USA Products | Suggested Dosage |
|---|---|---|---|
| Biomedica Femex | 1 capsule daily with meals | Physician’s Exclusive Megaspore Biotic | 1-2 capsules per day with meals |
| Blackmores Women’s Flora Balance | 1 capsule daily with meals | Metagenics Ultra Flora Womens | 1 capsule daily with meals |
| Mediherb Probiotica Clinical | 1 sachet in water daily away from meals | Klaire Labs Target gb-X | 1 sachet in water daily away from meals |
| Spectrumceuticals Pro450 | 1-2 capsules daily with food | ||
| Metagenics Ultra Flora Intensive Care | 1 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 Products | Suggested Dosage | USA Products | Suggested Dosage | European Products | Suggested Dosage | Canadian Products | Dosage |
|---|---|---|---|---|---|---|---|
| Ariya Health PHGG | 1 scoop 1-2 x daily | Healthy Origins Healthy Fiber PHGG | 1 scoop daily | Healthy Origins Healthy Fiber PHGG | 1 scoop daily | AOR Solufibre (PHGG) | 1 scoop daily |
| Biomedica GI Restore | 1.5 tsp daily | Bimuno (UK Company) | 1 sachet daily | Biomedica GI Restore | 1.5 tsp daily | ||
| Actilax Lactulose | 10-15ml daily | Lactulose (prescription only) | 10g daily | Invivo Biome.Me Prebio GOS | 1 scoop daily | ||
| Ariya Lactulose | 10-15ml daily | Tomorrows Nutrition PRO Sunfiber | 1 scoop daily | ||||
| Ariya GOS | 1 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 Products | Suggested Dosage | USA Products | Suggested Dosage |
|---|---|---|---|
| Orthoplex White SAMe | 1-3 tablets daily | Doctors Best SAMe | 1-3 tablets daily |
| MTHFRsupport Starter B | 1 capsule daily with meals | Seeking Health B Minus | 1 capsule daily with meals |
| Jigsaw Magpure Glycinate | 2 capsules twice daily | Thorne Magnesium Bisglycinate | 1 scoop once daily |
| Biomedica Phyta D | 1 spray daily | Vital Nutrients Vitamin D3 | 1 capsule daily |
| Bioceuticals Selenium Drops | 3 drops daily | Vital Nutrients Selenium | 1 capsule 2 x daily |
| RN Labs Pantothenic B5 | 1-4 capsules per day | Thorne Pantethine (Vitamin B5 | 1-4 capsules per day |
| Bioceuticals Clinical Phosphatidylcholine Liposomal | 5ml once daily | Quicksilver Scientific Micellized PC | 5ml once daily |
| NOW Calcium Citrate | 100-200mg with meals | Pure Encapsulations Calcium Citrate | 100-200mg with meals |
| RN Labs Glycine | 1000-1500mg daily | Thorne Glycine | 1000-1500mg daily |
| RN Labs Cal-D-Glucarate | 1500mg daily | Integrative Therapeutics Calcium-D-Glucarate | 1500mg daily |
| Interclinical Labs Molyzinc (Molybdenum) | 1 tablet daily with meals | Biotics Research Mo-zyme (Molybdenum) | 1 tablet twice daily |
Trace Minerals and Alkalisers
| Australian Products | Suggested Dosage | USA Products | Suggested Dosage |
|---|---|---|---|
| Basica Active | 1 scoop at bedtime | Concentrace Trace Mineral Drops | As per label instructions |
| Basica Pure | 1 sachet at bedtime | ||
| Sanum Alkala N Powder | 1 scoop daily | ||
| NPM Volcomin Forte | 1 teaspoon twice daily |
Detox and Binders
| Australian Products | Suggested Dosage | USA Products | Suggested Dosage |
|---|---|---|---|
| Heel Detox Kit | As per label instructions | Heel Detox Kit | As per label instructions |
| Bioceuticals Liposomal Glutathione | 2 pumps once daily | Quicksilver Scientific Liposomal Glutathione | 2 pumps 2 x daily |
| Biomedica NAC | 1000mg per day | Integrative Therapeutics NAC | 1000mg per day |
| Flordis Legalon (Milk Thistle) | 1 capsule 3 x daily | Thorne Siliphos (Milk Thistle) | 1 capsule 3 x daily |
| Toxaprevent | 1-2 capsules 1-3 x daily away from meals | Bio-Botanical G.I. Detox | 1 capsule 3 x daily away from meals |
| Quicksilver Scientific UltraBinder | 1 teaspoon with water away from meals |