Recurrent SIBO

[DrWoeller]

Tina,
I would suggest adding in Atrantil – https://atrantil.com/. This should take care of the Methane, perhaps by itself or in association with Rifaxamin and Neomycin. From an antibiotic standpoint the additional of Neomycin is important to also get rid of The Methane.

Sincerely,
Dr. Woeller

[Tina Vu]

Thank you. Patient’s gastro refuses to add in neomycin because of black box warning. I was wondering if doing Xifaxan + atrantil + allimax pro should be considered? If so, would they be taken all at once?

[DrWoeller]

Tina,
These would be a great combination. However, in our experience it is not a requirement that all of them be taken at the same time together but at least taken daily even if spread out. However, they can be taken together if tolerated by the patient.

Sincerely,
Dr. Woeller

[Tina Vu]

Would she continue with atrantil and allimax even after xifaxan treatment is complete? If so, for how long? And then when it comes time to retest, how long to wait after this type of treatment (when herbals are combined with antibiotics)?
Many thanks!

[DrWoeller]

Yes. I would be advisable to continue with the Atrantil and Allimax after the Xifaxan is completed for at least 4 weeks. Retesting is done 4 weeks after completing antimicrobial botanicals and/or antibiotics. I am assuming this person has high Methane which is prompting the use of Atrantil and Allimax?

Dr. Woeller

[Author]

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