Is SIBO the same as IBS?

Not exactly. Research suggests SIBO may be a factor for some people diagnosed with IBS, which is why testing can be worth exploring.

Can I do the breath test from home?

Yes. Breath tests are done at home with a kit, and we review the results with you by video.

Do I need to follow a strict diet forever?

No. Diet changes are usually temporary and tailored to you. The goal is a sustainable way of eating.

Do you work with patients outside California and Colorado?

We see patients nationwide via telehealth. Because licensure varies by state, we'll confirm eligibility during your discovery call based on your location and the practitioner you're booking with.

GUT HEALTH

Bloated after every meal? It might be SIBO.

Small intestinal bacterial overgrowth is a common, often-missed driver of ongoing digestive symptoms. We help you find out what's going on, and why.

Book a discovery call Meet our practitioners

1 in 3

people with IBS test positive for SIBO in research studies

10–15%

of US adults live with IBS symptoms

0 min

free discovery call to talk it through

Source: Ford et al., Clinical Gastroenterology and Hepatology, 2009; American College of Gastroenterology.

Symptoms

What it can look like

Bloating that builds through the dayGas, belching or abdominal discomfort after mealsDiarrhea, constipation, or alternating between the twoFood sensitivities that seem to keep growingFatigue, brain fog or nutrient deficiencies alongside gut symptomsAn IBS diagnosis that never came with a clear "why"

The bigger picture

Why it happens

SIBO happens when bacteria that normally live in the large intestine build up in the small intestine. It's rarely the whole story. Slowed gut motility, low stomach acid, past food poisoning, stress, certain medications, and previous surgeries can all set the stage. That's why we look beyond the bacteria to what allowed them to overgrow in the first place.

Our approach

How we approach SIBO

We look beyond the bacteria to what allowed them to overgrow.

Listen first: a full history of your symptoms, diet, stress, medications and what you've already tried.

Test, don't guess: a breath test can help show whether SIBO is likely and what type. When it's useful, we look at broader gut function too.

Build a plan in phases: targeted nutrition, carefully chosen supplements or herbal support, and lifestyle shifts, adjusted as you go.

Support what comes next: we focus on the underlying factors, like motility, digestion and stress, to help lower the chance of symptoms returning.

Testing

Testing we may use

SIBO breath testing (lactulose or glucose), and comprehensive stool analysis when the picture calls for it.

Getting started

4 steps to get started

Book a discovery call

A 15-minute conversation to talk through what's going on and make sure we're the right fit.

Book a discovery call

Your initial consult

A comprehensive review of your symptoms, health history, and goals. Together we identify the root-cause areas worth investigating. We choose the functional labs that fit your picture. Most of the testing is done in the comfort of your own home.

Test Review + Protocols

We go over the results together, in plain language. You receive a clear, actionable plan for diet, lifestyle, and supplements based on your individual test results.

Ongoing Support & Collaboration

Your provider is with you every step of the way. Through regular check-ins, you'll work together to adjust and refine your plan based on how your body responds—so your care can evolve with you.

FAQ

Frequently asked questions

Articles on sibo

Testing

Five hidden gut imbalances that can be causing your IBS

IBS is often just a symptom, not the root problem. Here are five hidden digestive imbalances — and how they feed each other — that could be driving your bloating, gas, and unpredictable digestion.

September 29, 2026 · 7 min read

Our Approach

Why we look at the whole body, not just your symptoms

Ancient Chinese Medicine and modern Functional Medicine share one core idea: the body works as a single connected system. Here is how that shapes the way we practice.

September 15, 2026 · 4 min read

Testing

The tests we use, explained simply

DUTCH tests, stool panels, organic acids, mycotoxins — the names can sound intimidating. Here's what each one actually looks at and why we might order it.

August 10, 2026 · 6 min read

Related care

Explore related concerns

Gut & Digestive Health

Bloating, reflux, and irregular digestion — tested and treated at the root.

Autoimmune & Inflammation

Pain, flares, and inflammation — explored at the level beneath the diagnosis.

Ready to look deeper?

Start with a 15-minute discovery call. We'll talk through what's going on and where root-cause care could take you.

Book a discovery call

More of what we treat

Gut & Digestive Health Autoimmune & Inflammation Fertility, Pregnancy & Postpartum Metabolic Health Unexplained Symptoms Detox & Environmental Exposure

Not sure where to start?

Find your care by concern — pick what's bothering you most and we'll guide you to the right starting point.

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This information is educational and informational only. It is not a medical diagnosis, not medical advice, and not a substitute for professional care. Always consult a qualified healthcare provider before starting, stopping, or changing any treatment.