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Options include: Prescription antibiotics: Rifaximin (for hydrogen SIBO) Rifaximin + Neomycin (for methane SIBO) Herbal antimicrobials: Oregano oil Berberine Neem Garlic extract (allicin) Candibactin-AR and Candibactin-BR (Xymogen) Elemental diet: A liquid diet of pre-digested nutrients that starves bacteria while nourishing the host Recommended Supplements: Berberine: Antibacterial, antifungal, and improves gut barrier function Digestive Enzymes: Help break down food and reduce fermentation Immuno-30: Immunoglobulin G binds toxins and reduces inflammation Phase 2: Repair the Gut Lining After reducing bacterial load, the focus shifts to repairing damage to the gut lining and restoring the mucosal barrier

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Look for peptides like BPC-157 and TB-500, which promote muscle recovery and growth by increasing protein synthesis and reducing inflammation

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The second case report is one of a 45 year old 60 kg man with a background history of hypertension, multiple previous deep venous thromboses and pulmonary emboli with an inferior vena cava filter in situ, chronic pancreatitis and a weekly alcohol intake of 50-60 units