The Gut Health Dialogues

When Your SIBO Test Is “Negative,” But Your Symptoms Say Otherwise

May 8, 2026·44 min
Episode Description from the Publisher

Send us Fan Mail In this episode, Alyssa breaks down why SIBO breath tests can miss what’s actually happening, and how to look beyond the “positive vs negative” label to understand what your body is really telling you. You’ll learn how factors like test type, timing, gas patterns, and even transit time can completely change how results should be interpreted. You’ll learn: Why glucose vs lactulose testing can lead to false negativesHow methane overgrowth (IMO) is often missed entirelyThe probl...

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