The SIBO specific diet alone can starve the bacteria slowly, compared to “quick” options such as antibiotics and the Elemental Diet - BUT THE PERSON CAN FEEL SOOOOO MUCH BETTER IMMEDIATELY JUST WITH DIET. When diet alone is used to treat SIBO, this approach may take 1 ½ to 3 years (or longer). Antibiotic and Herbal anti-biotics can significantly reduce this time. However since the small intestine's wall itself is significantly damaged after a bout of SIBO, 3-6 months on the SIBO specific diet is recommended to restore the gut before adding non SIBO specific foods. The Cedar-Sinai diet and the Low FODMAPS diet can be used for prevention of recurrence after SIBO is irradicated. Every person has different triggers. If you know your triggers, don’t do it!