Second Round of Antimicrobials for SIBO

[Vision]

So I started my second round of antimicrobials 2 days ago.

The first round was 6 weeks of Allicin + Berberine.

I took a 2-week break in between to prevent clinical resistance. This time, I am doing Allicin + Oregano Oil Capsules. It seems like Oregano Oil capsules irritate my eczema, but I'm not 100% sure whether it really is - does anyone know if it could do so? Just to experiment, I'm thinking about swapping it with something else. 

What other alternatives do I have? I know about neem, but what should I look for when buying it? What brand? 

Also, what are the advantages and disadvantages of;

• Taking 3 antimicrobials during a round of treatment?
• Taking L-Glutamine and Quercetin during a round of treatment?

Edited September 24, 2021 by Vision
Added questions

[Michael569]

I'd probably start with retesting and comparing results to your first breath tests just to see if round 1 was any successful. If not, you may need to swap around the antimicrobials. I'd even consider speaking to a herbalist to create a powerful antimicrobial blend for you. These things work better in synergy than isolated and you need a master in herbs to really know what to use and when and in what amounts. 

I've had decent results elsewhere with SIBO using a combination of goldenseal, wormwood, oregano oil and psylium + strong probiotics in combination with a strict 100% LF diet and later on some gut-maintenance protocol. 

5 hours ago, Vision said:

I know about neem, but what should I look for when buying it? What brand? 

I wouldn't just throw random stuff at it. Get a strong blend from a good herbalist. Herbs on their own are usually not that expensive. 

5 hours ago, Vision said:

Taking L-Glutamine and Quercetin during a round of treatment?

These are excellent in the second phase once the antimicrobials have been finished. If you suspect a degree of intestinal permeability, then glutamine has by far the best evidence out there. 

[Vision]

On 24/09/2021 at 9:05 PM, Michael569 said:

I'd probably start with retesting and comparing results to your first breath tests just to see if round 1 was any successful. If not, you may need to swap around the antimicrobials. I'd even consider speaking to a herbalist to create a powerful antimicrobial blend for you. These things work better in synergy than isolated and you need a master in herbs to really know what to use and when and in what amounts. 

@Michael569 I don't think it is fully resolved as I still have symptoms. But they have improved, so I think progress was made. 
 

On 24/09/2021 at 9:05 PM, Michael569 said:

I've had decent results elsewhere with SIBO using a combination of goldenseal, wormwood, oregano oil and psylium + strong probiotics in combination with a strict 100% LF diet and later on some gut-maintenance protocol. 

Does LF stand for Low FODMAP? 

Is the psyllium husk supposed to be used alongside the antimicrobials? Or afterward?
 

On 24/09/2021 at 9:05 PM, Michael569 said:

These are excellent in the second phase once the antimicrobials have been finished. If you suspect a degree of intestinal permeability, then glutamine has by far the best evidence out there. 

What if they are used alongside the antimicrobials? Would there be any downsides or advantages?