Patient story

Hydrogen SIBO at 69ppm: berberine, NAC, Biocidin, Creon, TUDCA, HCl — what I’ve tried so far

@gutpattern-84d64377BronzeContributorShared July 2026

Current status

Still struggling
  1. Still struggling
  2. Somewhat resolved
  3. Mostly resolved
  4. Fully resolved
In their words

The story

Symptoms - Immediate gas within a few minutes of eating, colon preasure like something is pushing, gastrc reflux, - Stuck gas or preasured gas shorty after - Greasy / oily stools - Not aborbing dietary fats, such as chicken fat, or fat in general - Mainly lunch I have a huge gastric reflux and a lot of oily stool comes out previously this was loose now formed but either oily or oily at the end of the stool – like the colon is disfunctional and forces movement - I would say gas a lot more frequent when I’ve had an oily stool - Base line weight at 72kg pre sibo now 61.5 - Right side underneath rib cage I have tenderness / dull ache– not all of the time but I can feel it from day to day - Gas that gets stuck and takes ages to come down / travel down and come out. - Sometimes the gas are like tiny bubble farts sometimes they are massive spikes like one long one. - Spikes of gas - Frequent urination at night time and I believe this is from abdonmial preasure from gas that’s building or bulit up that wont come out – 4/5 times at night. - Cramping after lunch sometimes then followed by lots of stool, sometimes formed, sometimes its liquid or both. - Tiny farts that are like little pops that struggle to come out and have to squeeze etc

Test Results - Gi360 Test from 2 years ago – 2024 o Dysbsious confirmed, overgrowth and lack of specic beneficial strains such as butyrate producers, alk etc.

  • Confirmed Hyrdo Sibo at 69ppm – 105m o Research has led me to understand where most of the bactria is located is the the distil small intentine, lower end, linking to the colon
  • Blood tests o All markers looked ok apart from ALT being elevated o B12 and Folate test – both massively elevated and over range o – my understanding that this could be or would be inflated due to sibo producing folate and aborsbing both of these, also the theory of b12 being analogoges so not functional b12 and instead dead b12 and deficinit
  • Q fit Test o -4

Stool Fecal Elesate test – Updated - 323 I was on pancrastic enezymes at this point doctor was unsure if this would inflate the reading but research suggests it doesn’t.

Meals Breakfast - 250ml of almond milk - 80g of gluten free oats - 7.5g of chia seeds - 1.5 banana - 80g of blueberries - Now mixed with 1x spoon of Glyc - 15ml of MCT oil -

Lunch – cooked via a wok - 175g of cooked chicken breast – mixed with herbs, parsley, turmeric, salt, black better, oragno etc. - 100g of cooked carrots - 60g of spinach - 200g of white rice - 15ml of MCT oil Dinner – cooked via a wok - 175g of cooked chicken breast - mixed with herbs, parsley, turmeric, salt, black better, oragno etc. - 50g of green beans - 80g of courgets - 255 of air fried potatoes - 15ml of MCT oil

Supplements: Sibo protocol - 450mg berberine 3x a day - Olive leaf 2x a day o 4 weeks

  • Increased berberine to 1650 total every for 4th week – now finished. - NAC 600MG 3x a day - from now running candex sibo 1x olive leaf, and candex sibo, breakfast and dinner - lunch 1x candex - 3x drops biocidin morning pre breakfast - 3x drops biocidin lunch pre lunch extension period into week 5. - 2x Candex sibo per meal = 6 total - Nac 600mg 3x a day - Finishing biocidin prob 1-2day remaining

Enzymes - 1x Creon 25,000 - 2x Betaine HCI – Lunch and Dinner only

Bile Protocol - Bodybio Tudca – 500mg – 4x a day - CDG 500mg – 3x day - Bodybio PC Complex – 3.75ml 3x a day - Taurine 1500mg split across 3x meals – may increase - Glyc – 1 scoop = 6000mg - Aritchoke 1000mg – not used yet - Body Sodium Buttyrate 2x caps 1.2g

Vitamins - Super B complex 2x per day crushed and mixed with water - Link: - Designs for healh – ADK Evail – 1x at dinner - Link:

Prebiotic - Bio.ME Prebio PHGG – 5ml at dinner mixed with water - Link:

Mucasal repair and relapse prevention - 3x Motilpro before bed - 1x 75mg Zinc C – before bed - 1x scoop of 5g of L glutamine before bed

Probiotics - Symprove – stopped - VSL 3 – stopped - MegaSpore Bitoic – following completion of sibo erridcation protocol

Sibo effects so many different organs and mechanisms so we going to breakdown the parts – each section catrgory, the mechnisim behind it that drives the other, the unexplored areas the exolored areas, the methods

  • Stomach Acidity - Bile and Bile Comp - Pancrastic Function – Lipase - Microbiome - Liver - Gall Bladder - Ilium / ASBPT / Resorb - Small Intestine - Large Intestine - B Complex Profile - ADEK Profile

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What they were dealing with

Symptoms

moderateBowel movement changesmoderatemoderatemoderateGreasy / oily stoolsmoderateMalabsorptionmoderatemoderateUrinary symptomsmoderateWeight lossmoderateright upper quadrant painmild
What the workup showed

Tests & diagnoses

GI360 TestDysbiosis confirmed, overgrowth, and lack of specific beneficial strains such as butyrate producers.69 ppm at 105 minutes.Blood testsALT elevated.B12 and Folate testBoth massively elevated and over range.Q FIT Test-4Stool Fecal Elastase test323; contributor notes doctor was unsure if pancreatic enzymes would inflate the reading.
Every treatment, and what happened

Treatments

Each treatment this contributor tried, in the order that mattered, with their own reported result. The ones marked with a trophy are the treatments they credit as decisive.

Made worseNo changePartially helpedHelped
Artichoke extract
No change

Listed in bile protocol but not used yet.

B vitamins
No change

2x per day, crushed and mixed with water.

No change

Used in SIBO protocol; later increased to 1650 total in 4th week and finished.

No change

2x with lunch and dinner only.

Biocidin
No change

3 drops morning pre-breakfast and 3 drops pre-lunch; nearly finished during extension period.

No change

NAC used during SIBO protocol and extension period.

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Important

This is one person's reported experience aggregated by GutPattern, not clinical advice, a treatment protocol, or a diagnosis. What helped one contributor can do nothing — or harm — for someone with a different underlying cause. Sudden, severe, bloody, feverish, or worsening symptoms belong with medical care. Always discuss care decisions with a qualified clinician.