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SIBO is one of the most talked-about and least clearly defined conditions in gut health.

Patients arrive self-diagnosed, restricted by elimination diets that didn't help, and often carrying years of being told it was "just IBS."

For clinicians, the difficulty is real: overlapping presentations, testing that raises more questions than it answers, and the tension between addressing the overgrowth and protecting long-term gut health.

Rebecca Coomes, nutritionist, founder of The Healthy Gut and one of the most recognized SIBO educators in the patient community, has spent years working with SIBO patients on where management succeeds, stalls, and breaks down in practice.

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