A three step protocol from Dr. Amy Myers, MD
You look six months pregnant. And you only ate a salad.
Bloating, an IBS diagnosis that never resolved, rosacea, reactions to healthy food, a thyroid that will not behave. There is one overgrowth sitting underneath all of it, and I'm going to show you exactly how to clear it.
Does this sound like you?
There is no one symptom of SIBO. It is a cluster.
These are the symptoms I looked for in every patient who walked into my clinic. You do not need all of them.
If I had to pick four
These are the strongest signals that point me to SIBO before anything else.
Most people think of SIBO as diarrhea. What they do not realize is that chronic constipation can have SIBO underneath it too. I have had SIBO twice, and both times it showed up for me as constipation.
The mechanism
Too much of a good thing, living in the wrong place.
SIBO is small intestinal bacterial overgrowth. It is too many bacteria, very often your own good bacteria, living somewhere they were never meant to be. Roughly 100 trillion bacteria belong in your large intestine. Your small intestine is supposed to have very few.
These bacteria are not the enemy. They are simply in the wrong place. That is why, when we get to treatment, I talk about pruning them back rather than killing them off.
Once they are there, they feed on your carbohydrates and ferment them, producing hydrogen, methane and hydrogen sulfide gas as inflammatory byproducts. That fermentation is also where your histamine problem comes from, because histamine is a byproduct of it.
Stomach acid
At a pH of roughly 1.5 to 3.0, acidic enough to kill bacteria, viruses and parasites as your food arrives.
Bile
Your gallbladder releases bile salts, which help keep the small intestine relatively sterile.
The sweep
A wave of contractions clears your small intestine every 90 minutes. Like a janitor with a broom, it only runs when you are not eating.
Chronic stress, hypothyroidism, certain medications, nerve damage, diabetes and even a single episode of food poisoning can all suppress that sweep. That is when the conditions for SIBO are set.
Everything included
What you get when you enroll
10 video modules
Taught by me, start to finish. Follow along in order or move at your own pace.
The complete 3 step framework
Starve, disrupt and prune back, restore and balance. With the detail you need to actually run it, including why all three happen at once.
The Protocol Workbook, 11 pages
A printable companion: symptom inventory, the three gas types compared, a root cause checklist, all three steps, testing side by side, die off support and a progress tracker.
Hydrogen, methane and sulfide
Which gas your bacteria produce changes how your SIBO shows up, and it explains why yours may look nothing like someone else's.
The complete testing guide
Lactulose and glucose breath testing, organic acids urine testing and nutrient panels compared. Plus why a stool test is looking in the wrong place.
The Hashimoto's connection
A full module on why SIBO and thyroid disease feed each other, and the research showing more than double the risk.
Die off support
How to build up slowly, what to have on hand before you start, and why you do not need to feel terrible to get better.
Treating SIBO with Candida
The two most often travel together. The exact order to add things in, and the one thing you must hold back.
Live Q&A recording
Real questions answered on supplements to avoid, running protocols back to back, gallbladder removal and preparing for a test.
The curriculum
Ten modules, start to finish
Tap any module to see what's covered.
01What Is SIBO & How It Develops
What SIBO actually is, why these bacteria are not the enemy, and the three defenses meant to keep your small intestine clean: stomach acid, bile, and the migrating motor complex that only runs when you are not eating.
02The 3 Types of SIBO
Hydrogen dominant, methane dominant and hydrogen sulfide. Which gas your bacteria produce changes how your SIBO presents, and why chronic constipation is so often missed.
03Signs & Symptoms of SIBO
The full symptom picture across digestion, energy, mood, nutrients, skin and joints. Plus the four signals that point me to SIBO before anything else.
04Causes & Risk Factors
Food poisoning you thought you got over, acid blocking medication, abdominal surgery, grazing, antibiotics and chronic stress. What actually sets an overgrowth up.
05SIBO, Hashimoto's, Histamine & Autoimmunity
Why thyroid disease and SIBO feed each other, the research showing more than double the risk, and where your histamine intolerance is really coming from.
06SIBO Testing Options
Lactulose and glucose breath testing, organic acids urine testing, and comprehensive nutrient panels. Plus why a stool test cannot settle this question.
07The 3-Step SIBO Solution Protocol
Starve, disrupt and prune back, restore and balance. The full protocol, including why fermented foods come out and which probiotic is the wrong one here.
08Treating SIBO and Candida Together
The two that most often come together. The exact order to add things in, and the one thing you have to hold back until your symptoms have resolved.
09Managing Die-Off Symptoms
The parasite protocol, plus how to get through die off. Why I am not a fan of feeling worse to feel better, and exactly how to go slower.
10Live Q&A
Real questions answered: supplements to avoid with SIBO, running protocols back to back, gallbladder removal, test preparation, and healing when trauma is part of the picture.
Your instructor
Dr. Amy Myers, MD
I received my Doctorate of Medicine from Louisiana State University Health Science Center, trained in Emergency Medicine at the University of Maryland Medical Center, and practiced as an emergency physician in Austin. But the reason I do this work is personal.
During my second year of medical school I was diagnosed with Graves' disease, an autoimmune thyroid condition. Every concern I raised was ignored or dismissed until someone finally got the diagnosis right, and then conventional medicine offered me exactly two options, both of which meant destroying my thyroid.
In 2010 I opened my own clinic, Austin UltraHealth, and became a certified functional medicine physician in 2012. Almost everyone who walked through my door had SIBO or Candida or both. I developed this protocol because the conventional treatment was costing my patients thousands of dollars, and that was not sustainable for anybody.
- Doctorate of Medicine, LSU Health Science Center
- Emergency Medicine, University of Maryland Medical Center
- Certified, The Institute for Functional Medicine
- Founder & Medical Director, Austin UltraHealth, 2010 to 2018
- Two New York Times bestselling books
- Seven appearances on The Dr. Oz Show
- My own PBS special
Enroll
Start clearing your SIBO today
The SIBO Solution™ Protocol
- 10 video modules covering the full protocol
- The complete 3 step framework, step by step
- The 11 page printable Protocol Workbook
- The complete testing guide, all options compared
- A full module on the Hashimoto's connection
- Die off troubleshooting and the SIBO with Candida sequence
- Full live Q&A recording
- Lifetime access, so you can run the protocol again whenever you need it
Questions
Before you enroll
I was told I have IBS. Is this course still for me?
It may be exactly for you. The hydrogen dominant form of SIBO is the one usually found in IBS. If you have had an IBS diagnosis for years and nothing has resolved it, nobody may have looked in your small intestine yet.
Do I need a breath test before I start?
No. You can start with the quiz. The breath test is the gold standard and it is wonderful to have real data, but not everybody is in a position to test. I teach you both paths.
Do the three steps happen in order?
No, and this is the thing people most often get wrong. All three happen at the same time. You are starving the bacteria during the same 30 days you are pruning them back and restoring your microbiome.
Why do I have to give up fermented foods? I thought they were healthy.
This is where I differ from nearly everyone else. Think about what SIBO does: it ferments things and it creates histamine. Fermented food is food for your microbiome, and if you have an overgrowth it will feed on it. I am a fan of sauerkraut and kefir, but after the protocol, not during it.
Can I just take a probiotic?
Please do not, at least not the usual kind. If you have SIBO you want to avoid probiotics containing lactobacillus, which is most of them. SIBO is a case of too much of a good thing, and adding more feeds the problem. I explain which probiotic to use instead.
I have Candida too. Do I need both courses?
This course includes a full module on treating SIBO and Candida together, because they are the two that most often come together and the protocols overlap almost entirely. You will know the exact order to add things in and the one thing to hold back.
How long do I have access?
Lifetime. Once you enroll, the course is yours to keep and you can come back to it whenever you want.
Do you offer refunds?
No. You get immediate and permanent access to the entire course the moment you enroll, so all sales are final. I would rather tell you that plainly up front than surprise you later. If you are not certain this is right for you, read through the curriculum and the symptom list above before you buy.
You are not stuck with this.
Thirty days from now you could know which type you have, what set it up, and exactly what to do about it. Let's get to it.
Enroll now