Everything you've been told about SIBO is backwards


If you've just been diagnosed with SIBO (or have been Googling your symptoms at midnight and strongly suspect you have it) this email is for you.

Because chances are, Reader, you've already been handed one of these:

A prescription for rifaximin. A list of foods to eliminate. A complicated antimicrobial protocol. Maybe even all three.

And if you've tried any of it before, you probably already know that these things help a little… maybe. But before you know it the constipation creeps back in, the bloat comes back, and you're unbuttoning your pants by 3pm again, wondering what you did wrong.

But you didn't do anything wrong. You were just given the wrong starting point.

The SIBO world is full of "just do this" advice that sounds logical on the surface but falls apart in practice. Here are the ones I hear most often + the truth behind each of them:


"Eliminate the SIBO first and your digestion will fix itself."

My client’s former naturopath told her this and I almost couldn’t control my eye roll.

Killing off the overgrowth matters. But it’s never step one.

Your digestion works like a chain of dominos from the top down. If something is going wrong at the beginning of that chain (like low stomach acid, sluggish bile flow, a nervous system stuck in fight-or-flight, not eating enough to properly fuel digestion, etc.) those dominoes will keep falling the same wrong way, every single time.

The overgrowth isn't the problem. It's the result of the problem. Until you fix what's happening upstream, the SIBO will come back. It always does.


"I just need strong antimicrobials to wipe it out."

Believe it or not, wiping out the overgrowth isn’t the most important part of getting rid of SIBO for good.

One of my clients was waking up in the middle of the night with painful gas and bloating. We identified her root causes — low stomach acid and the fact that she no longer had a gallbladder — and she stopped waking up with that pain before we ever started antimicrobials.


"I just need to find which foods are triggering me and avoid those."

I hear this one constantly, and I understand why it makes sense on the surface. But the truth is that you’re not bloated because you're eating the wrong things. You're bloated because you're not eating enough.

Cutting out gluten, dairy, and going low FODMAP again → not eating enough → your body pulling energy away from digestion → slow motility → food sitting and fermenting in the gut → basically an all-you-can-eat buffet for the bacteria you're trying to get rid of.

One of my clients had been strictly low FODMAP for months. We made a few simple tweaks to her eating habits and her nausea was 95% better in weeks.


The goal isn't to white-knuckle your way through a restrictive diet forever. It's to get to a place where you can get ice cream with your kids and enjoy a glass of wine on date night without an urgent sprint to the bathroom afterward.

I’m excited to share that something new is coming and I want you to be the first to know all the details!

On June 15th, I'm dropping a new offer specifically designed for the woman who is struggling with bloat, unpredictable BMs, and is newly diagnosed with SIBO and wants answers BEFORE their summer vacation, not after.

It's the starting point I wish I'd had when I was first diagnosed.

Reply to the poll below to be added to the waitlist.

If you're sitting on a positive SIBO test and not sure what to do next, you're exactly who I built this for. 😁

Until next time!

xoxo Grace

Before you go…here are a few ways I can support you:

  1. Find true, lasting relief with 1:1 nutrition coaching. Watch your symptoms fade away as you learn to love life, food, and your body again. Learn more and apply here!
  2. Not ready for a full program? Apply for a Total Gut Audit — one deep-dive call to get clarity on what your symptoms mean and the exact steps to start taking today. Learn more and apply here!

Remember: this email is for informational purposes only and may not be the best fit for you and your personal situation. It shall not be construed as medical advice. The information and education provided here is not intended or implied to supplement or replace professional medical treatment, advice, and/or diagnosis. Always check with your own physician or medical professional before trying or implementing any information read here.

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Nutrition with Grace

Helping you break up with bloating, constipation, and SIBO without restriction. My weekly newsletter dishes out simple, science-backed gut fixes so you can eat, travel, and live without your digestion calling the shots.

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