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SIBO tends to recur without addressing the underlying driver whether thats low stomach acid, impaired migrating motor complex (MMC), structural issues, food choices, or stress

For example, in critically ill subjects or subjects with protein-energy malnutrition from catabolic disease (with increased energy expenditure), N -acetylcysteine supplementation may simply restore sulfur amino acid availability from decreased sulfur amino acid intake

Nevertheless, this therapy may not be suitable for everyone