Small Intestinal Bacterial Overgrowth, aka SIBO, is a common cause of digestive symptoms; gas, bloating, constipation/diarrhea, reflux and abdominal pain. It is also a common cause of IBS. This case reviews how you can become symptom free after treating SIBO. Also, and possibly more important, is that we do not always need to reach a “true negative” on the breath test to be symptom free and feeling great.