Well, here's the thing. I actually have H. pylori with ulcers. And yet this requires a whole new set of medications than SIBO. So this time I actually bit the bullet, so to speak, and spent more than two hundred dollars on capsules containing 3 different meds, as well as a separate omeprazole generic. One way Pharma companies make money is creating a "new" combo med by combining older meds. Haha! And yet, not funny. No. I'm just a victim in this. Oh well. The important thing is that someday this, too, will pass. If my body was a product it would be subject to recall. Also, after a few weeks of blessed relief from back pain, it started returning in the last week...just partially returned. I saw the PA at the clinic, and well, she held out hope that maybe it will improve, but if not...? Sounded like they don't have a Plan B if that happens. She gave me a new prescription for pain pills.