SIBO Yogurt Protocol

Antibiotic treatment for SIBO is considered suboptimal because antibiotics are themselves a primary cause of the dysbiosis being treated. The SIBO yogurt protocol uses prolonged fermentation to produce preparations with hundreds of billions of colony-forming units per serving, unlike brief commercial yogurt fermentation. Lactobacillus reuteri and Lactobacillus gasseri can be co-fermented, while Bacillus subtilis must be fermented separately due to different temperature requirements and faster reproduction. Fermenting each probiotic species individually is preferred because co-fermentation across successive batches causes unpredictable shifts in species proportions.