Ready for this post I’m about to share about how I healed SIBO long term?

Of course you are.

You’ve been ready since I wrote out my Master List of SIBO Healing Tools.

Every single person is different, so just because this is what worked for me, doesn’t mean it will for you. This is because healing SIBO is dependent upon healing the root cause of it in the first place.

But here is why I think you’ll be able to extract a lot of goods from what I’m about to share with you — I’m feeling 100%, had a perfect bloodwork + count come back right after, and I have never gone a day feeling miserable since I got well.

Alright, after battling SIBO for over 4 years, I am 98% confident that the root to my SIBO evils was:

  1. Years of chronic dieting that lead to
  2. Low stomach acid and enzyme levels and then
  3. Deeply rooted stress and anxiety that I never admitted to having

The threesome got me sick and then kept me sick.

How I Healed SIBO Long Term

Click HERE to save how I healed SIBO long term for later.

How I healed SIBO long term #SIBO

Today I’m ready to share how I healed SIBO long term and how I am thriving, how I got well – I believe, for good.

I’m just going to go right in order; giving it straight to you, starting from the SIBO medications. 

Bacterial Overgrowth

The overgrowth (SIBO; small intestinal bacterial overgrowth) is present, here with a vengeance, at the beginning of this timeframe.

June 1 – 28, 2018

4 weeks of Rifaximin and 2 weeks of Neomycin.

You can read everything in detail for those 28 days HERE.

July, 2018

I had a Colonoscopy and Endoscopy.

It was all clear and normal. At first I thought that I perhaps was misdiagnosed with Colitis in 2008, but others have suggested to me that it could have healed so much that it no longer shows up.

I don’t care which it is. The report was lovely. Immediately after the SIBO antibiotics I did do super low carb and low FODMAP (this time it was sane Low FODMAP!), but not for long.

In fact, at the end of July I ate all the things while in Italy.

Other things as noted HERE:

  • no hard workouts
  • lower back focus
  • massages
  • chilling the f@#$ out!

Even by July, the inflammation weight started to shed. I also kept the supplements fairly minimal: daily L-Glutamine, digestive enzymes, and HCl.

Here and there for all other supplements (as needed).

August, 2018

By August, I was definitely eating all the things; no restrictions (except I’ll always be nearly gluten free and mostly dairy free).

I also started intermittent fasting and meal spacing sometime around this timeframe as well. 

September, 2018

Nothing changed, but I started to become very aware of the fact that if I didn’t get years of stress and anxiety under control, I would have a SIBO relapse.

October, 2018

I saw a doctor for this anxiety for the first time in my entire life.

She listened to me, and was able to catch onto things most had missed over the years.

That day, I did two things:

  1. Got on anxiety medication, and
  2. Set up an appointment with a therapist

November, 2018 – February, 2019

Nothing changed from a diet or supplement standpoint, except that I started eating far less meat.

However, I worked on everything internal: forgiving (others and myself), leaving stressful situations, and attaching to only the things that bring me pure joy.

Also, for all of fall through the end of the year, I did no-to-light workouts only. There was nothing intense or hard core, and making this decision was one of my best yet (from a healing standpoint).

March – present, 2024

{This post was updated in 2024. I’m doing as good as I was when it published in 2019.}

Everything same as before, except that in March (2019) I began using the Just Thrive Probiotic.

I really didn’t use a probiotic for several months, and the only way I would have changed that is had I found Just Thrive earlier. 

SIBO Probiotics

Please make note from number 7 just stated, “I really didn’t use a probiotic for several months.”

It’s true. Everyone wants to know, “What probiotic should I take with SIBO?”

Three things on that:

  1. When I was symptomatic, I didn’t take ANY probiotic.
  2. Long-term, a probiotic has been great for me personally!
  3. I have a post on SIBO plus probiotics HERE.

This post was updated [in 2024!]

Current status is that I am still thriving and have never had a single setback. 

SO, in early 2024, I decided to finally share my exact process from taking yourself from bloated and miserable to healthy and well; healing and healed.

Because of my staunch position on diagnosis, diet, and lifestyle, I created multiple resources that act as your ultimate gut bloat detox for banishing the bloat and achieving optimal bowel movements.

Master Gut Healing Resources in one bundle

Get all the resources today and get started on your own, forever healing path.

My Personalized SIBO Diet, Medication, Supplements, Lifestyle

Okay, now if you want it listed out, item-by-item from the master list, here are all the things I’ve done since June, 2018.

  1. No “diet,” and what I mean by that is there isn’t a name for the way in which I eat. i.e. Paleo, GAPS, Vegan, etc.
  2. Meat meets vegetables – I just eat it all, but I will tell you that I eat far more vegetables and beans than ever before
  3. Usually no gluten (but sometimes now by way of my homemade sourdough bread)
  4. Rarely dairy
  5. LDN
  6. Anxiety medication (not for SIBO, but to help address underlying reasons for repeated prior relapses)
  7. HCl
  8. Enzymes
  9. Probiotic
  10. Multivitamin (super critical to re-coop all those missed/lost nutrients)
  11. Dysbiocide (on and off)
  12. Some other minimal supplements here and there
  13. Therapy (verbal, 1 – 2 times per month)
  14. Intermittent Fasting
  15. Meal Spacing
  16. Meditation (20 minutes; am and pm)
  17. Massage (once per month)

If you’re not interested in following a templated diet, but instead want to learn to create your own based on your unique situation, then you’ll love my book, A Gutsy Girl’s Bible: a 21-day approach to healing the gut.

In it, you’ll find 100+ Creations. Grab your copy on Amazon HERE.

Or, have this book at your fingertips instantly by downloading the PDF now.

How I healed SIBO long term #SIBO

Would you rather watch me talk about all of these things in detail? I put together a huge video detailing them all out.

Other (Healing) Things People Ask About

Here are some other things people ask about:

  • Alcohol. I went years without alcohol, and for the first few years after I healed, I was drinking (because I can, and no I don’t think it’s “good for” us). But then, I pretty much cut all alcohol cold turkey. Because of THIS.
  • And I also drink coffee; it looks like this. That said, these days I’m drinking even less coffee than ever before. Instead, I choose my UN-latte, which includes no coffee and only gut-healing ingredients: Elmhurst 1925 (unsweetened cashew is probably my favorite) + 1 scoop Re-Build + 1 scoop Gut Support + 1 scoop Tummy Soothe + 1/4 – 1/2 packet LMNT chocolate. I use a frother to whip it all together, and it’s incredible. No coffee needed.
  • My workouts are slim-to-none compared to what they used to be, and I’ve made peace with that. On the days I’ve had at least 8-9 hours of sleep, I’ll workout fairly hard for a super short duration. Then, I eat a ton afterwards and rest and recover until my body says, “Okay, we are good to go again.” Guess what? Sometimes that means several days to a week. (If you want more on this, read “What I think About Workouts and Gut Healing.”)
  • When I say, “no diet,” I also mean, “Variety.” These days, I’m working on eating as many different things in a day as possible. Less of more vs. more of less. <—- This is also a concept I’ve been researching and studying for helping the microbiome thrive. When I was scared of food or healing my gut incorrectly, I ate probably ten things or less and a lot of them. My approach is the opposite these days.
  • Finally, I journal, read the Bible, and say mantras as often as possible, “I am healed, and I no longer have SIBO.” 

Healed Forever from SIBO?

Wouldn’t I love to tell you that I’m healed forever?

But I can’t predict the future. What I can tell you is that I am 100% confident the way I went about healing this past time was my secret key.

That secret key barely had anything to do with diet, and instead had everything to do with the combination of un-diet, supplements, medication, and lifestyle. 

I had to take my head out of it with all the “this is how I should heal” thoughts, and for once just listen to what I NEEDED.

Today I am grateful for all the research I do to help you identify the right tools for your own toolkit, but I’m also grateful that I figured out the right ones for my personal journey.

This concept can be found via the Circle of Healing. Check it out HERE.

Apply This to Your Own Journey

If there is one thing I want you to take from what I learned, it would be this: If you’re already doing all the “right” things from a diet and supplement standpoint, maybe you haven’t dug deep enough. Ask yourself,

How is this working for me?

And if the answer is, “I’m still feeling miserable,” then ask yourself,

What could be something underlying that I don’t want to address?

Start there, go with it; you might be surprised where you end up.

Don’t be afraid of new diet changes (ahem, less restriction), supplements, and a whole new lifestyle. And please if you need medication, whether it’s Rifaximin, LDN, or something for another outstanding problem, do not shame yourself. I’m incredibly serious.

This is your life, and I promise that you’re the only one who knows exactly what you need.

I’m going to keep on healing for now……and with the energy and inspiration, sharing every last thing I can to help you heal, too.

Questions regarding how I healed SIBO long term? Leave them in the comments below.

If you liked this post, you might also enjoy:

  1. Sometimes You Just Need the Damn Medication
  2. Pooping
  3. Quiz: Which gut healing supplement is right for me?

Gut Healing: ELEVATED

If this has been helpful, and if you want to dig in deeper, I’m inviting you to join Gut Healing: ELEVATED.

This is a 30-day PROCESS. It’s the FRAMEWORK and a detailed outline for what to do, day-by-day for 30 days to learn everything you can not only about the gut, but about how you will apply it for YOU and your own journey.

It’s my decade+ – long journey wrapped in one package with everything I learned, how I healed, and the SYSTEM that got me from there to here.

me before bloated, gassy, sick, gut

This was me THEN: bloated, gassy, sick

This is me TODAY: no bloat, healthy, thriving

me today no bloat, healthy, thriving gut healing

My ONE goal with A Gutsy Girl is to make sure YOU, too, heal your gut and heal your life.


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  1. Thank you for your generous time and commitment to help those of us who are still suffering and bewildered by SIBO. Your mental state truly resonates with me. I’m a recovering worrier. I am working on being more positive and grateful. God bless you! Keep up the positive mantras – it’s working!!

  2. Dear Sarah
    Thank you so, so much for this incredible platform you’ve created! I’ve read so many of your articles, and your long and complex story gives me hope that my own journey through gut hell will someday come to an end.
    I’m wondering if I could please ask for your advice.
    I’m in a situation now where I have to decide whether or not to start antibiotics (Rifaximin+Neomycin) for methane dominant Sibo. The results from my breath test were a bit inconclusive, so I’m on the fence about whether I should go for the treatment or not. I’m not 100% sure I have Sibo, or if it’s “just” a severely leaky gut with lots of food intolerances. I’ve tried herbal treatments and aaaall the diets over the past 3 years, and nothing has worked. In fact I’m really in worse shape now than I’ve ever been throughout my 6 year journey with severe gut problems.
    What I worry about is that the antibiotics will kill off all of my good bacteria, leaving me in an even worse condition than I am in now. (It might not even do anything good for me if I don’t actually have Sibo…!). So I’m wondering if you could tell me your experience with rebuilding your gut flora after the antibiotic treatments you’ve been through. Is it in your experience possible to rebuild a healthy and diverse microbiome again after treatment?

    With warm regards,

  3. Hi there – I have methane dominant SIBO and have tried Rifamaxin and now am on Linzess for IBS-C. Did you notice any improvement with the Neomycin combination? I really want to avoid the elemental diet or super low FODMAP diet. I don’t have any symptoms other than EXTREME bloating, and now I feel like I’m gaining weight. It’s crazy to not have seen your stomach “normal” for over a year, at 22, even after working out a ton. I would appreciate any advice, or even words of wisdom!

    1. I also have methane dominant SIBO and would love to hear the answer to Nora’s questions. I have done the elemental diet though… am waiting on my retest results.

  4. hey Sarah, I am relatively new to your blog so i don’t have an intricate knowledge of your healing history-however, from what you said above, you healed from taking the medications? meaning you killed the sibo with that or was there another combination of things you did along with the medications? and you know youre cleared because your colonoscopy was clear and you are eating foods you were previously unable to tolerate? trying to get the picture of what was the trick exactly-i get that you’re anxiety and so forth have played a part-but that is not what got rid of the bacteria in the SI right?
    as for the lifestyle factor that is key!! If you haven’t already, you should research the vagus nerve and impact on digestion and motility. and have you ever done a coffee enema and /or castor oil packs on your abdomen?

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