SIBO Die-Off Explained: Why You Feel Worse Before You Feel Better (And What To Do About It)

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If you’ve ever started antibiotics, herbals, or an elemental diet, and suddenly felt more bloated, more fatigued, and completely off, this episode will explain exactly why. We’re breaking down one of the most misunderstood parts of SIBO recovery: die-off (Herxheimer reaction).

You’ll learn:

• What endotoxins are and why they trigger symptoms
• Why SIBO die-off affects your whole body (not just your gut)
• The 2 main types of die-off symptoms (digestive vs systemic)
• The typical timeline (why symptoms often start around day 2–5)
• How yeast (SIFO/candida) changes the pattern completely
• Why constipation makes die-off significantly worse
• The truth about “pushing through” (and why it backfires)
• How to properly ramp dosing to avoid overwhelming your system
• The role of binders, hydration, and bile flow in detox support
• When symptoms are not die-off and you need to pivot

Free resources:

1. Tune in to know how to fully address methane SIBO here.
2. Tune in to know how to fully address hydrogen sulfide SIBO here.
3. DM “GUT CHECK” on Alyssa’s Instagram for a personalized quiz and free meal plans & resources tailored to your symptoms.
4. Check out Alyssa’s FREE Masterclass “Why your gut still isn’t better - the real reason you feel stuck here. 
5. Learn more about Nutrition Resolution’s Signature Healthy Gut Restoration Program — a personalized, root-cause approach to addressing bloating, constipation, and underlying digestive imbalances.
6. Find Alyssa on: Instagram, LinkedIn, Facebook, Pinterest  

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If you’re enduring uncomfortable, painful, and embarrassing GI symptoms and feel like you’ve tried everything, Alyssa uses a specialized approach to help people who’ve gone from doctor to doctor finally find relief. Book your 15-minute strategy call for FREE here.

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