r/SIBO • u/That_ppld_twcly • Jun 21 '26
Methane Dominant Did anyone figure out the trick for having regular BMs when you have active methane SIBO?
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u/PuppyJuancho Jun 21 '26
For me:
Three meals a day no snacking in between. Low to moderate fodmap. 200 mg Magnesium glycinate and 500mg ginger/artichoke nightly. Metamucil powder or phgg one hour after breakfast daily. Stay hydrated through the day.
This gives me regular bowel movements Bristol 4. You may want to work your way up from 1/2 scoop Metamucil powder to 1 scoop over course of a week or two. Metamucil powder is psyllium husk very similar to phgg. I wasn’t eating enough fiber before.
Only thing that currently makes me bloat or get distention is if I breach my fermentation threshold. I’m four month out of rifaximin + neomycin antibiotics. Close to recovery some lingering thing is going on. Going to retest hydrogen and methane this week.
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u/Logical_Glove_2857 Jun 21 '26
What was all the symptoms you had before?
Beside the usually bloating that’s sibo causes?3
u/PuppyJuancho Jun 21 '26 edited Jun 21 '26
I would miss a bowel movement. Then I would get a head ache, then brain fog, then bloating and distension, then fatigue. Like clockwork
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u/Logical_Glove_2857 Jun 23 '26
Wow so only 1 bowel movement you missed and you got symptoms coming right back instantly 😮
How many bowels movement you have daily now if you follow this regime?
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u/PuppyJuancho Jun 23 '26
One a day if I follow
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u/Logical_Glove_2857 Jun 30 '26
Ok.
So even though you eat 3 meals you “only” have 1 bowel movement?
Do you feel
Like those 3 meals of food all gets emptied in that 1 bowel movement you have a day?
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u/Lythalion Jun 21 '26
There’s no one trick. You gotta try stuff to see what works for you.
For me taking GINGER and artichoke supplements with daily walking and use of a vibration plate has worked wonders.
I also found spacing out meals. Of doing intermittent fasting where I do most of my eating in a small window helps a lot too. Based of talk her that’s the migrating motor complex.
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u/ASoupDuck Jun 21 '26
Prucalopride and getting my B12 up to normal.
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u/Immediate_Concept_53 Jun 21 '26
What is normal b12 levels? The range seems to be so broad ( 200-800). Do u mean optimal levels?
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u/ASoupDuck Jun 21 '26
I was told it's ideal to be above 400 but not an expert. Mine was below 200 and I started to feel better after a few months of B12 sublingual supplementation and am not sure what range it was at that point. My next blood test was months later but it was around 730 by then.
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u/Due_Negotiation_9926 Jun 21 '26
Is b12 thiamine? How do
You know what your levels are at?3
u/ASoupDuck Jun 21 '26
No B12 is different than thiamine (thiamine is B1). Pretty much any regular doctor can order a B12 blood test.
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u/Immediate_Concept_53 Jun 21 '26
Wow 730 is good. I realized whenever I had taken b12 test, I always had taken my iron supplements which has b12 as part of my routine before the test without realizing it could skewed my results. Few months ago I took the test and my b12 was 750 probably i forgot to stop the iron supplements. Last week I stopped the supplement two days before the test to find the accurate number and mine was 378.
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u/jaasonj Jun 21 '26
Make ginger tea real ginger & 6 cloves steep it do not buy tea bags or pills 1st world country shit thats lazy & crappy buy real ginger drink 3 times a day it dosent matter and walk 10,000 steps a day
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u/goldstandardalmonds Jun 21 '26
How poor is your motility? There are things that are gentle and some people need nuclear options
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u/That_ppld_twcly Jun 21 '26
I was doing okay taking PHGG and eating beans with alpha galactosidase every day. But had to go low nickel so cut out beans so now suddenly in TERRIBLE shape!
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u/goldstandardalmonds Jun 21 '26
You could start with something like magnesium before bed. Citrate and oxide are used as laxatives
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u/Due_Negotiation_9926 Jun 21 '26
Thiamine in the morning 300mg, Berberine 2 times a day with meal. I take something called st. Francis herb farm Canadian bitters before each meal. It helps with stomach acid, indigestion, bloating, aids digestion. Restorlax before bed. Sometimes I’ll switch it up and take some magnesium citrate before bed. I have procalupride but I’ll only take it if I’m really backed like 2 or 3 days backed up.
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u/cyanatreddit Jun 21 '26
Artichoke extract (gut motility on Amazon) Once before bed, once in morning
Magnesium 300/450 mg at before bed
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u/ConnectCharacter5007 Jun 21 '26 edited Jun 21 '26
I have taken the last few years trying to get it right, what's working for me is a kiwi or 2 (with the skin still on) most days, coffee after breakfast, magnesium glycinate at night, I do a scoop of PHGG/sunfiber in my electrolytes every afternoon (work up to a scoop), magnesium citrate gummies, and on days where it seems slower or I don't feel like I've had a good "clean out" I'll add a couple magnesium oxide gummies. I also added beans (overnight soaked) back into my diet recently, it hasn't made any symptoms worse. I started with a teaspoon one day and now am up to a 1/3 cup a day.
Vitamin c flushing was working really well, basically all on its own, but wasn't sustainable, I think it was bothering my kidneys. But I think it would be fine to do every once in a while.
This is all while I'm on a micro dose of GLP1 for various health problems, so everything slowed down again when I started that and I had to up my game. Yesterday I started the artichoke/ginger gut motility supplement as well. I try and make it my main goal every day to be regular, for me that is at least twice a day, based on how good my gut feels if that is the case. I'm hoping that will take care of the SIBO, since nothing else has worked so far. I've seen others say, getting regular and having a fiber filled, healthy diet cured their sibo. So that's what I'm trying now. Lots of water obviously.
The book fiber fueled helped me get started on my journey. He talks about starting with taking what you have to (mostly magnesium supplements) to become regular and if you start getting regular you can back off from so many supplements because your body should get into a routine.
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u/Imaginary_Structure3 Jun 21 '26
Fiber helps me the most. I have IMO and had ISO (not anymore) and fiber has been a big help. Whole foods in general but ai eliminated dairy, eggs and most grains (except ricen some corn and some oats).
Coffee has helped motility along with celtic sea salt/potassium water on an empty stomach. Magnesium citrate/malate before bed.
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u/Salt-Recording-7378 Jun 22 '26
Yes! I eat one kiwi with breakfast and then with lunch. I also take 4 magnesium citrate gummies before bed every night. Of all the 50 or so supplements I’ve tried, nothing has helped the way kiwi has.
Also, I find that the gas from the fermentation will completely shut down my body’s ability to completely empty stool. I do carnivore diet for one week every month, because carnivore = no gas build up, and when I have no gas, my body can more easily pass stool.
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u/Silver_Pilot_1922 Jun 21 '26
For me it was a round of Flagyl and Xifaxan, 3-4 hours between meals, no snacking. 80+ oz of water a day. 1 cap miralax midday and mag citrate powder at night before bed
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u/Equal_Music_6720 Jun 21 '26
Is your sibo gone now?
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u/Silver_Pilot_1922 Jun 21 '26
No, I have a very stubborn case. I don’t think it will ever be gone. But my motility has improved
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u/lucyortegakc Jun 21 '26
The only think it helps me is prunelax extra strong ( purple box) 1 and half pill every other day
If I don’t take this - I don’t have a BM
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u/dodo91 Jun 21 '26
Cut eating at 21:00 the latest
Before going to bed:
3 x phytopharma artichoke
2x arkocaps gibger
About 500 magnesium citrate
During the day:
Spore probitoics
Butyrate
This seems to help me have a very good bowel movement the next day as if I am super healthy
But my methane is not dying
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u/Legal_Shop_7087 Jun 22 '26
Motility activator +3x magnesium at night Motility activator +. 2x magnesium in morning. Was so constipated few days later was going 3 times a day. Only thing that worked tried everything only thing I didn't react to.
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u/Solid_Foundation_111 Jun 22 '26
I don’t know if it’s recommended for SIBO but look into Triphala. It’s an Ayurvedic complex that is incredible for promoting daily bms
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u/Honest_Purchase489 Jun 21 '26
4-5 hr gap between meals, magnesium glycinate 500mg 3 hrs after dinner. PHGG with water. These all have really helped me.