Why SIBO Keeps Coming Back and How I Prevent Relapse @ByronHerbalist
Why SIBO Keeps Coming Back and How I Prevent Relapse  @ByronHerbalist
Uploaded March 2026 | Updated September 2026, 2 weeks ago
TREAT DIGESTION NATURALLY! To find out more see our bookings page here: https://www.byronherbalist.com.au/appointments/

My name is Todd Mansfield and I’m a clinical herbalist dedicated to digestive health. Every week I treat Australian and New Zealand patients with IBS, IBD, SIBO, reflux, indigestion, bloating, loose bowel movements and constipation.

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SIBO has a common pattern where you can clear it, feel better for a period of time, and then slowly the same symptoms start creeping back in. Symptoms like bloating, food reactions, changes in bowel movements and the heavy, sluggish feeling after eating.

Most people assume the treatment didn’t work properly or that they need something stronger or more aggressive, but in clinic that’s rarely what’s going on.

What I see far more often is that the underlying drivers that allowed SIBO to develop in the first place haven’t been properly addressed or maintained. Motility might still be slow, stomach acid might still be low, bile flow can be sluggish, enzyme output might be off, or there’s still dysfunction in the large bowel. SIBO itself is just the expression of that deeper pattern, and if that pattern is still there, it tends to come back over time.

This is where most of my focus goes once someone is feeling better, not just clearing the overgrowth, but making sure the system is working well enough to keep it from returning. If you’ve been through treatment and keep finding yourself back in the same place, this is the layer that usually needs attention.
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Why SIBO Keeps Coming Back and How I Prevent Relapse

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