The Shivan Show with Shivan Sarna

SIBO Treatment Explained: Antibiotics, Herbals & Relapse Prevention | Dr. Allison Siebecker, Part 2

The Shivan Show with Shivan Sarna

Show Notes

Successful SIBO treatment requires more than just antibiotics. In this in-depth conversation with Dr. Allison Siebecker, one of the world’s leading SIBO experts, we explore how to match treatment to your SIBO gas type, reduce relapse risk, and support long-term gut health and microbiome recovery.

If you haven’t watched Part 1 yet (links below), start there for a complete understanding of SIBO causes, symptoms, diagnosis, and the first of the 3 major treatment approaches: the Elemental Diet.

In Part 2, Dr. Siebecker explains evidence-based strategies for treating SIBO with rifaximin, antibiotics, herbal antimicrobials, elemental diet therapy, prokinetics, diet, retesting, and relapse prevention.

Key Insights: ✅ Why Rifaximin Isn’t the Whole SIBO Plan ✅ Your SIBO Gas Type Changes Everything ✅ Herbal Antibiotics Are Not One-Size-Fits-All ✅ Retesting Can Prevent the Wrong Next Step ✅ Prokinetics May Be the Missing Relapse Tool ✅ Diet Helps Symptoms — But It Won’t Cure SIBO Alone

Chapters: 00:00 Why Antibiotics Can Work for SIBO 04:13 What Makes Rifaximin So Different? 05:22 Does Rifaximin Damage or Restore the Microbiome? 08:45 Do Herbal Antibiotics Really Work for SIBO? 10:56 When One SIBO Treatment Isn’t Enough 12:00 Fullscript Dispensary (Sponsor) 12:48 What Your Breath Test Really Means 13:41 Why One Round of SIBO Treatment May Not Be Enough 16:37 The 3-Part SIBO Solution Strategy 17:59 The Biggest SIBO Myths That Cause Confusion 19:44 Why SIBO Comes Back — And How Diet Fits In 25:10 The Missing Step in SIBO Relapse Prevention 29:37 Why SIBO Treatment Doesn’t Have to Feel Scary

(Part 1) SIBO Explained: Why IBS, Bloating & Constipation Won’t Go Away Apple: https://tinyurl.com/mwdu78mm Spotify: https://tinyurl.com/3e36wwpm YouTube: https://youtu.be/t_hop9SjC3c

🦠 SIBO SOS Looking for answers to bloating, IBS, constipation, diarrhea, or SIBO? Explore free resources, expert interviews, educational courses, coaching programs, and trusted recommendations to support your gut health journey.🔗 Learn more about SIBO SOS : https://sibosos.com/podcast-sibosos

💊 Dr. Allison Siebecker's Fullscript Dispensary Shop over 15,000 practitioner-grade supplements, explore Dr. Siebecker's curated wellness plans, and enjoy exclusive pricing. 🔗 Access Dr. Siebecker's Fullscript Dispensary: https://sibosos.com/podcast-fullscript

👤 Guest Info: Healing SIBO Book: https://sibosos.com/healing-sibo-book/

Dr. Allison Siebecker’s YouTube: https://www.youtube.com/@allisonsiebecker4595

SIBO SOS Membership: https://sibosos.com/membership

SIBO Pro Course: https://sibosos.com/pro

ibsSmart & TrioSmart Breath Test: https://www.gemellibiotech.com/products (Use code Gut25 to save $25)

mBiota Elemental Diet: https://mbiota.com/joint87 (Use code SAVE25 to save $25)

👇 All the Good Stuff 👇

Shownotes & Resources: https://shivansarna.com/

Microbiome Labs home of MegaSporeBiotic™ Use code NOBLOAT15 to save: https://sibosos.com/podcast-microbiomelabs

PureO3 - Ozone at home and ozone beauty products. Use code 10SS to save: https://sibosos.com/podcast-promolife

The Women’s Health Rescue Summit: https://sibosos.com/podcast-whrs

Lymphatic SOS & Rescue Summit: https://sibosos.com/podcast-lymphsummit

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Oct 1, 2026

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Sep 24, 2026

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