The chapter delves into the limitations of current testing methods for Small Intestinal Bacterial Overgrowth (SIBO), advocating for a non-invasive breath test that measures hydrogen production. It explores factors affecting test results, ranging from antibiotic use to gut motility, emphasizing the complexities of diagnosing SIBO accurately. The discussion extends to the underlying causes of SIBO, linking abnormal bowel motility and low stomach acid to bacterial overgrowth in the gut.

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