@Samyo I tried the whole ray peat style metabolic eating when I had SIBO but it did not help. When the gut microbiome is in dysbiosis you need to address that directly. You have no poops on no fiber diet. This is actually quite normal. Carnivore people only poop 3x a week. No fiber no poop because your body digests and absorbs everything. It’s fiber which is indigestible and must come out the back end.
For a normal protocol I would recommend doing 2-3 weeks of antimicrobials. For example Dysbiocide and FC Cidal with Oregano oil drops. Take twice a day until finished. Google “baking soda stomach acid test” to see if you have low stomach acid. If low then take betain hcl, digestive bitters, or apple cider vinegar before meals. Also take Ox Bile 200-500mg 1.5hrs after meals. Don’t take it with meals because it will alkalize the stomach which you don’t want.
Bile is a laxative as well as antibacterial to wash out any unwanted bacteria in the small intestines (probiotics belong in your colon).
Do a lot of walking or movements throughout the day. This helps the MMC. Very important to keep food moving along the intestines and not being sluggish which feeds the bacteria. Another way is to do stomach massages 2hrs after meals. Simply press down from the solar plexus down to your groin. You’re manually pushing things along the intestines. Also very effective. Some people buy supplements for Motility that have artichoke leaf extract and ginger. They’re expensive. Might as well just do walking or massage. Or you can buy artichoke leaf extract by itself and take some ginger.
After your anti-bacterial protocol and fixing your stomach acid and bile production. Then you start on a selective soluble fiber protocol to feed the good guys. Yes it feeds the bad guys too, but the bad guys like proteins and sugars more so your good guys will benefit more from these fibers and eventually overpower the bad ones. Twice a day take 1 tbsp PGHH, 1 tbsp stabilized rice bran or wheat bran or rye bran or barley bran, 1 heaping teaspoon inulin, 2x Granny Smith apples for the pectin. 1 tbsp unmodified potato starch (don’t take the starch if you have constipation). If you have constipation use 1 tbsp psyllium husk. Add it last and drink quick or it will gel up. You may get bloating for the first 2-3 weeks as your microbiome is adjusting but it will level out.
The first time I had SIBO I followed Dr ruscios protocol with antibacterials and triple probiotics and fasting as well as with leaky gut healing supplements, but this time I’m doing the protocol I mentioned above. Check out Guy Daniels on YouTube. Makes a lot of sense and it’s much cheaper than buying all sorts of supplements like probiotics or leaky gut stuff or antimicrobials for months and months.
