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Thanks for the link Pam. Yes I did look at this paper a while back. The problem is, so many of us have severe dysbiosis, candida, sibo, leaky gut, and the antibiotic approach is not enough, and does not address the underlying issues: Low motility, dried out mucosal tissues (this is addressed via chinese herbs), candida overgrowth, nutritional imbalances, blood sugar imbalances, etc….) so the conditions that allowed for the sibo overgrowth to begin with are not addressed via antibiotic therapy. And I don’t beleive anyone that tells me that these abx are only acting on select microbes in the SI.