Beyond SIBO
Approach

A pathway in four phases. Built modularly.

You don't have to grasp or buy the whole pathway upfront. You only pay for the next step you need. No predetermined package.

Phase 1

Testing & interpretation

Before any next step, we map out what's going on. A validated breath test, careful interpretation in context of your history, and a plan that fits your situation.

  1. 1

    Breath test

    Lactulose breath test with at-home sampling. Measurement of hydrogen and methane in a certified lab.

  2. 2

    Result interpretation

    A separate product. We read your gas curves in context: type of pattern (hydrogen, methane, mixed), severity and possible directions. Findings are always interpreted alongside symptoms and history — a positive breath test is not in itself a medical diagnosis.

  3. 3

    Guidance consultation

    We combine your history, symptoms, severity, nutrition, medication and underlying factors into a personal plan. Where medical treatment is needed, this is coordinated with your physician.

Phase 2

Preparation

Before the intervention itself, the gut environment is calmed and prepared. This makes the intervention more effective and better tolerated.

  1. 1

    Strict diet

    A temporary, targeted diet (often low-FODMAP or SIBO-specific) to reduce fermentation, bring symptoms down and create a stable baseline before the intervention.

  2. 2

    Supplementation

    Targeted supplements to calm inflammation, support digestion (e.g. bile, enzymes, bitters) and prepare the gut environment for the next phase.

Phase 3

Intervention

The active eradication phase. Depending on your situation and the route chosen with your physician, several tools are combined.

  1. 1

    Supplementation

    Herbal antimicrobials and targeted nutritional protocols, dosed and sequenced according to the type of SIBO (hydrogen, methane/IMO, ISO) identified in phase 1.

  2. 2

    Medication (with your physician)

    Where a pharmacological route is appropriate, this is prescribed and followed up by your physician. We don't prescribe medication — we help you navigate the journey alongside it.

  3. 3

    Elemental diet

    When indicated, a fully pre-digested liquid diet for a short period. Highly effective for stubborn or severe cases, and often used as a complement to the other tools above.

Phase 4

Recovery & relapse prevention

After the intervention, gut repair and relapse prevention run in parallel. Microbiome recovery follows once the gut lining and motility are stable enough.

  1. 1

    Gut repair & relapse prevention (in parallel)

    Gut repair focuses on the mucosa, gut lining, inflammation and dietary rebuild — supported with L-glutamine, zinc and targeted supplements. Alongside it we already work on relapse prevention: motility (MMC, stools, transit), stress (HPA axis, sleep), sustainable nutrition and underlying factors such as hypothyroidism, adhesions, medication or hormonal issues — in collaboration with your physician where relevant.

  2. 2

    Microbiome recovery (later)

    Once the gut lining and motility are stable enough, we start phased reintroduction. Rebuilding dietary diversity, tolerance and a healthy gut ecosystem.

Why no ready-made package?

Many companies sell large pathways of €1,500 or more. The threshold is high, patients drop out, and the upfront financial commitment feels unsafe. By splitting the pathway you stay in control — and only pay for what truly proves necessary after each phase.