“My SIBO test is positive—so this is the answer to everything, right?” Not so fast. Small Intestinal Bacterial Overgrowth (SIBO) can absolutely cause a wide range of symptoms—bloating, gas, abdominal discomfort, and unpredictable bowel movements—and I have a low threshold to treat it when the test comes back positive. Many patients do feel better with targeted therapy, and when that happens, it’s incredibly rewarding. But here’s the thing: SIBO testing is far from perfect. We use breath tests wi