He said 1) We already attempted to treat SIBO with Rifaxmin, the symptoms didn't go away. Tests for SIBO are not that great, and they don't know if my symptoms are even related to SIBO, therefore it's best to not retreat and retest. 2) The best thing now is try to Zelnorm for a month, and see how it is. I can also up my dose of Miralax. 3) I can change my probiotic, but try Align not VSL since there is more data on Aligh and it is cheaper. 4) Non western approaches can help, but there is not much data.