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SIBO is often treated like the whole problem. Sometimes it’s more like the smoke than the fire. If intestinal motility slows down, bacteria can build up where they shouldn’t. That’s one reason antibiotics or antimicrobials may help for a while, but symptoms often come back. For some people with Hashimoto’s, the bigger issue may be the upstream physiology: inflammation, autonomic disruption, and sluggish motility. If that part never improves, the overgrowth can keep recurring. That doesn’t mean S
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