The Hidden Driver of SIBO and Chronic Gut Dysfunction: Bile Acid Malabsorption, Dysbiosis, and the Mitochondrial Cascade — A Personal Note on Investigation and Strategy

If you&#8217;re reading this and recognizing yourself or your condition in this mechanistic description&#8212;if you have refractory SIBO, dysbiosis that has persisted despite multiple treatment attempts, or chronic gut dysfunction with evidence of barrier breakdown and dysbiosis&#8212;then you understand that standard protocols often don&#8217;t work. What does work is detailed, personalized mechanistic investigation . Understanding which specific bacteria are absent from your microbiota. Understanding whether your barrier dysfunction is primary or secondary to dysbiosis-driven bile acid malabsorption. Understanding your individual mitochondrial and bioenergetic status. From that understanding comes a treatment strategy tailored to your specific mechanism, rather than a generic protocol applied blindly. Biomelogic Consultation: Mechanistic Case Analysis and Dysbiosis Investigation I work with patients to conduct exactly this type of analysis through Biomelogic , my systems biology consulting practice. Using the Host Capacity Model framework , I help you: Investigate your microbiota at a functional and phylogenetic level Understand the specific enzymatic and bioenergetic deficits driving your dysbiosis Develop a sequenced, targeted intervention strategy designed to restore the mechanisms that are broken&#8212;not just suppress symptoms This work is particularly focused on the s