Antibiotics makes.it worse. Need to find out why it is happening in the first.place. Number of cases of sibo never get resolution because Dr are.not.addressing root cause which is weaken.immune system. Why is immune system compromised? Hidden inflammation from genetic expressions triggered by stress..One can not deal with GI.issues till.you address the methylation cycle along with lifestyle, adrenals then balance the gi tract. There is.no.way around it.. you kill it then your immune system is to weak to prevent it.from coming back..one big.viscous cycle ...