Key takeaway: Small intestinal bacterial overgrowth (SIBO) symptoms, like bloating, abdominal pain, and constipation, can get in the way of everyday life and the things you love to do. We’re here to help. At Oshi Health, we do things differently, with an evidence-based, whole-person approach to diagnosing, treating, and managing SIBO.
If you’re dealing with unpredictable bloating, abdominal discomfort, and other gastrointestinal (GI) symptoms, it can feel overwhelming—especially with so much confusing advice online.
Many popular “fixes” for small intestinal bacterial overgrowth (SIBO) aren’t supported by science, and some tests may give you more questions than answers.
At Oshi, our team of GI providers, registered dietitians, and gut-brain specialists is here to help you cut through the noise. We listen and work with you to build a care plan that fits your life—and that follows clinical guidelines.
Read on to learn more about how Oshi can help you manage small intestinal bacterial overgrowth (SIBO).
How we diagnose small intestinal bacterial overgrowth (SIBO)
Whether you’ve been living with unexplained digestive symptoms for years, or you’re newly diagnosed with SIBO, you deserve comprehensive care that sees you as a whole person—not just a collection of symptoms.
We take the time to listen to your symptoms and medical history and understand your preferences and lifestyle before creating a personalized treatment plan.
During your first appointment, your GI provider will ask about things like:
- When your symptoms started
- What makes them better or worse (like certain foods or situations)
- Your daily habits and stress levels
- Any treatments or supplements you’ve tried in the past, and how they worked
Your provider will also review any previous test results (it’s okay if you don’t have any!). If needed, they may recommend clinically backed testing—like blood tests to check your B12 and folate levels—to rule out other causes and guide next steps.
And you won’t have to wait for results to start feeling better. Your provider will offer simple, practical steps you can take immediately to ease your symptoms.
Together, you’ll decide on what’s next. For patients with SIBO symptoms, that often means meeting with a registered dietitian and/or a gut-brain specialist.
Our expert take on SIBO testing
SIBO testing is pretty trendy right now, but the truth is that current tests aren’t always reliable and can leave you with more questions than answers. Our team doesn’t typically recommend breath testing, since the science behind it isn’t strong enough to justify the cost or hassle for you. And having an underlying gut-brain disorder, like irritable bowel syndrome (IBS), can skew the results.
Because antibiotics are the gold standard treatment for SIBO, getting the right diagnosis matters. Using antibiotics when you don’t need them can make them less effective for everyone. Over time, bacteria can become more resistant, evolving into “superbugs” that are harder to treat. That’s why it’s so important for your care team to be thorough before prescribing antibiotics.
SIBO care with you at the center
There’s no one-size-fits-all treatment for SIBO, so your team will build a care plan that’s tailored to you, backed by a proven, integrated approach.
Because SIBO is a complex condition, the most effective approach targets symptoms from all angles and addresses potential underlying conditions. That’s why your care will likely involve visits with all types of Oshi specialists, including a registered dietitian and gut-brain specialist.
Medical care for SIBO
If you’re coming to Oshi without a diagnosis, treatment will initially focus on managing symptoms such as constipation, diarrhea, and bloating while we work to rule out other GI conditions.
Your GI provider may also recommend:
- Prescription medications
- Specific supplements
- Adjusting or stopping certain medications or supplements (like antacids or probiotics that can aggravate symptoms)
When SIBO is confirmed, a course of antibiotics is often the first-line treatment.
Your provider may also refer you to an Oshi registered dietitian, since certain foods can make SIBO symptoms worse, and chronic SIBO can make it harder for your body to absorb nutrients like vitamin B12.
Dietary care for SIBO
Food should fuel you, not hold you back. Many people with SIBO find real relief with a low FODMAP diet, which can ease bloating, abdominal pain, and unpredictable bathroom trips.
Your Oshi registered dietitian will help you find your personal triggers while ensuring you stay nourished. The goal? A gut-friendly way of eating that’s actually sustainable.
Your RD might also suggest strategies like:
- Spacing meals 5–6 hours apart
- Eating mindfully to tune into your body’s signals
- Trying supplements like soluble fiber or the probiotic S. boulardii CNCM 1-745, which research shows may improve SIBO symptoms and restore gut health
Gut-brain care for SIBO
Stress and gut health are deeply connected. When you’re under pressure, your digestive system often feels it too. This connection is especially important if you’re living with SIBO or other gut health issues.
You might have heard about gut-brain disorders before (aka disorders of the gut-brain interaction, or DGBIs). These conditions happen when the signals between your gut and brain get mixed up or disrupted. While SIBO isn’t technically a DGBI, there’s a close link between the two—and stress can make both harder to manage.
That’s why many Oshi patients with SIBO benefit from having a gut-brain specialist on their care team. They can help you understand the connection between mind and gut and teach you proven techniques to support your digestive health and emotional well-being.
Gut-brain therapy may be especially helpful if you’re also dealing with anxiety, depression, or body image concerns related to your condition.
Finding joy again
Living with SIBO, a fear of triggering symptoms constantly shaped Ava’s* meals, and eventually her diet consisted of just a few “safe” foods. After trying countless treatments that left her feeling worse, Ava turned to Oshi. At first, she wasn’t sure whole-person care would make a difference. But with support from her GI provider, registered dietitian, and gut-brain specialist, Ava began to expand her diet and ease her symptoms. Within just two weeks, she started to feel more in control and hopeful about life again.
Takeaway
Your SIBO treatment with Oshi is as unique as you. Your Oshi care team works closely together to create a tailored treatment plan that fits your lifestyle and goals—whether you’re seeking a diagnosis, newly diagnosed, or have been living with off-and-on symptoms for years.
Our proven approach targets diet, lifestyle, and the gut-brain connection, so you can get lasting relief from SIBO symptoms and live life to the fullest.
Achieve lasting SIBO symptom relief with Oshi Health: Schedule your first appointment in 3 minutes or less!
Frequently asked questions
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Your first visit will be with a GI provider. You’ll decide together whether next steps might involve referring you to an Oshi gut-brain specialist or a registered dietitian. Most of our SIBO patients benefit from whole-person care that includes dietary and gut-brain support.
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You can schedule a visit with any member of your care team whenever you need support, including evenings and weekends.
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Oshi Health is in-network with most major health plans—and our network is regularly expanding. As an in-network provider with most major insurers, our GI care services are billed through insurance, and any copay or deductible will depend on the plan’s specifics. To get a tailored cost estimate or determine eligibility based on your plan details, click here to provide your member info.
*Names have been changed to maintain confidentiality
Find lasting relief from SIBO symptoms
Living with small intestinal bacterial overgrowth (SIBO) symptoms can feel frustrating and unpredictable—especially when everyday foods or routines suddenly trigger bloating and discomfort.
If you’re tired of feeling like your gut is runnig the show, it’s time for a new approach.
Oshi Health GI providers, gut-brain specialists, and registered dietitians work together to create a care plan built around your unique needs and lifestyle. We look beyond quick fixes to help you manage your symptoms and find consistent relief.
With Oshi Health, you’ll get:
✔ A personalized care plan tailored to you
✔ Nutrition guidance rooted in science—not trends
✔ Proven techniques to calm your gut and ease discomfort
✔ Compassionate, whole-person care
✔ And so much more!
Ready to take control of your SIBO symptoms?
