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Some people are needle-phobic others hate remembering to take pills every day

In addition to the primary underlying disease, additional risk factors for the recurrence of SIBO have been identified, including prolonged use of proton pump inhibitors (PPIs) (OR 3.5), which affects approximately 90% of SSc patients and may partially account for the lack of SIBO resolution in this population [58]

So you can do those kinds of things to either reduce your exposure or you can have to take supplementations