SIBO Step-by-Step

For the person who has researched, tested, treated ... and still has questions.

OR if you're just getting started on your journey.

You know more about SIBO than you ever wanted to.

You know more about SIBO than you ever wanted to.

So why is it still so hard to know
what to do next?

The SIBO Step-by-Step Membership is an education and navigation membership with guidance from Dr. Allison Siebecker and Shivan Sarna, designed to help you understand where you are, what matters now, and what to do next.

Understand what's happening.
What your results and symptoms mean now

Know what comes next.
What to do next, step by step

Know where you are.
Which stage you're actually at

live Q&A session screen capture with Dr. Allison Siebecker and Shivan Sarna

“SIBO” is an umbrella term for three patterns.

Type

Main gas

Key organisms

Typical effect

Hydrogen SIBO (Small Intestinal Bacterial Overgrowth)

MAIN GAS

Hydrogen (H₂)

KEY ORGANISMS

E. coli and Klebsiella pneumoniae

TYPICAL EFFECT*

Diarrhea and other SIBO symptoms

IMO (Intestinal Methanogen Overgrowth)

MAIN GAS

Methane (CH₄)

KEY ORGANISMS

Mainly Methanobrevibacter smithii

TYPICAL EFFECT*

Constipation and other SIBO symptoms

ISO (Intestinal Sulfide Overproduction)

MAIN GAS

Hydrogen sulfide (H₂S)

KEY ORGANISMS

Proteus mirabilis (small intestine)
Desulfovibrio, Fusobacterium varium (large intestine)

TYPICAL EFFECT*

Diarrhea or constipation and other SIBO symptoms

* Symptoms can overlap and aren’t diagnostic by themselves.

Maybe you've already done everything you're “supposed” to do.

Maybe you've already done everything you're “supposed” to do.

You've tested.

Treated.

Changed your diet.

Tried lots of supplements.

Seen many practitioners.

Listened to podcasts and interviews.

Asked Google and AI.

And somehow, after all of that...You're still wondering: "What do I do next?"

Or maybe you're brand new to SIBO, you don't know what to do yet, and you already feel overwhelmed or confused.

Apple, onion, garlic
  • What matters now?

  • Does this apply to me at this stage?

  • Am I doing things in the right order?

  • Am I missing something?

  • What should I be asking my practitioner?

Knowing the SIBO steps isn't the same as knowing what to do next.

With SIBO, what matters depends on where you are.

You Can Have the Right Pieces
and Still Be Lost.

You Can Have the Right Pieces
and Still Be Lost.

A practitioner recommends one thing.

A podcast introduces another.

Your breath test raises three new questions.

Google says one thing. AI says another.

Some of that information may be excellent. The problem isn't necessarily the information. It's knowing how the pieces fit together for where you are right now.

A piece can be right, but still be mistimed, misunderstood, incomplete, used in the wrong sequence, or applied at the wrong stage. And sometimes one small piece of missing context can change the question you need to ask next.

SIBO maze solved

This Is the “White Space.”

The obvious SIBO steps are only part of the process. 

The harder part is often what happens between those steps:

The timing.

The sequencing.

The interpretation.

The exceptions.

The course corrections.

The question you didn't realize you needed to ask.

The detail that suddenly makes you say:

“Ohhh... now that makes sense.”

Information can tell you what can happen. An algorithm can show you the decision points. But deeper education and guidance from an expert like Dr. Siebecker can help illuminate the white space around those decisions, and show you what to do next.

Maybe You Don't Need Another SIBO Answer.

Maybe You Don't Need Another SIBO Answer.

Maybe you just need to know which answers matter now.

Research → Try Something → Question It → Research Again → Buy Something → Change Direction → Test Again → Search Again

Because the search for answers can become an exhausting cycle:

Another supplement may not be the answer.
Another practitioner may not be the answer.
Another AI response may not be the answer.

This isn't about trying harder. It's about getting oriented.

So you can begin moving from:

Information overload

Random searching

Second-guessing

Feeling lost

“What else should I buy?”

Where you are now

  • Clarity

  • Learning

  • Understanding

  • Feeling grounded and confident

  • “I know what to do next.”

With the Membership

Shivan Sarna
Shivan Sarna

This Is Personal for Me.

This Is Personal for Me.

I know what it's like to become the person who knows far more about her digestive system than she ever planned to know.

I also know what it's like to think the next article, practitioner, test or piece of research is finally going to make everything click.

My own SIBO journey included years of symptoms and confusing answers. Eventually, my search led me to Dr. Allison Siebecker.

What changed wasn't that SIBO suddenly became simple.

I finally had someone who understood the road.

There was context. There was a plan. And for the first time in a long time, I felt hope again.

That experience became part of my mission: to help other people avoid having to travel the same long, confusing road without reliable education and orientation.

It's why I wrote Healing SIBO. It's why I created the SIBO SOS® Summits. And it's one of the biggest reasons we created the SIBO Step-by-Step Membership.

— Shivan Sarna

I Kept Seeing the Same Problem.

I Kept Seeing the Same Problem.

For years, I have created multiple SIBO resources. Many have resolved their SIBO. Many have simply become extraordinarily educated about SIBO.

And yet one question kept showing up: “But what do I do next?”

Not because people weren't smart enough. Not because they hadn't worked hard enough. There is a better way to navigate the information.

Then Shivan found me, so we built what had been missing.

The education. The expertise. The resources. The live access. And, most importantly, the navigation and guidance.

— Dr. Allison Siebecker

Dr. Allison Siebecker
Dr. Allison Siebecker
SIBO Navigator logo

SIBO Step-by-Step Membership

SIBO Step-by-Step Membership

A SIBO education and navigation membership with guidance from, SIBO Specialist, Dr. Allison Siebecker and SIBO Author, Shivan Sarna

The SIBO Step-by-Step Membership brings together foundational education (Dr. Siebecker's course for patients), the Smart Search tools to get answers fast (the algorithm, plus two tools that search all of Dr. Siebecker's materials to give you quick answers), 40+ specialized masterclasses, a live seat when Dr. Siebecker teaches a new masterclass, and a live Q&A session with Dr. Siebecker every month for direct guidance - all designed to help you navigate the SIBO process from wherever you are now.

You might be:

New to SIBO and just learning about it.

Considering treatment options with your practitioner.

Trying to understand recurrence.

Trying to understand a breath test.

Coming out of treatment and wondering what happens next.

Years into this journey wondering what you've missed.

You don't need to start at Step One. You need to know where you are and what to do next.

Here's What You Get Inside

Here's What You Get Inside

The SIBO Recovery Roadmap® Course

The SIBO Recovery Roadmap® Course

understand the road ahead

This roadmap course gives you the foundational education to understand the SIBO treatment process, major stages and important considerations.

Instead of constructing your understanding from dozens of disconnected sources, you have an organized foundation to use as your journey evolves.

The roadmap shows you the road. The membership helps you navigate it.

“I already knew a fair amount about SIBO from patching things together, but what I really wanted was an organized approach...”

— Lisa

The SIBO Step-by-Step algorithm

The SIBO algorithm

your sibo Step-by-STEP: the path and the decision points

SIBO isn't simply: Test → Treat → Done. The Algorithm gives you a bird's-eye view of the path: the simplified steps to follow, and the decision points along the way, around testing, results, treatment education, timing, diet, retesting, recurrence and underlying factors.

Then the foundational course and the live guidance with Dr. Siebecker help fill in the white space.

SIBO Smart Search and Delphi

Smart Search and Delphi

smart search tools: answers the moment your question comes up.

Use our two AI search tools to search Dr. Siebecker's exclusive, gated educational materials, course content and years of Q&A education - so when questions arise between live sessions, you can get answers immediately.

Ask anything you want to know about SIBO, whenever the question comes up. Your test results just came back and you don't want to wait? Ask. Have a conversation with it, or use it to find the lessons, masterclasses and resources you want to see.

“The course has saved me a lot of time and stress because I have a reliable source that I can go to for the information I need...”

— Sara

A Live Q&A Every Month With Dr. Allison Siebecker & Shivan Sarna

A Live Q&A Every Month With Dr. Allison Siebecker & Shivan Sarna

Expert guidance

A 2-hour live educational Q&A with Dr. Siebecker every month.

Ask your questions during the live session. Dr. Siebecker and Shivan work hard to answer as many questions as possible. Plus, there is another benefit: You learn from questions you didn't even know to ask.

Can't make it live? Pre-submit your questions up to 24 hours before the session. This is new: we're trying it so you have more access to Dr. Siebecker, even when you can't be there.

Whether you can attend live or miss a session, the replay, transcript, and Smart Search are available immediately after each session.

40+ SIBO Masterclass Library

SIBO Masterclass Library

go deeper when it becomes relevant

Access 40+ expert masterclasses on important SIBO and related topics as they become relevant to your journey.

You don't need to consume everything on day one. Use the education when you need it.

40+ SIBO Masterclass Library

Live Masterclasses With Dr. Siebecker

a live seat, plus a Q&A

When Dr. Siebecker teaches a live masterclass, as a member you get a live seat, plus a Q&A that goes with it. These have been a separate purchase until now. In the membership, they're included. Only while you're a member at the time of the live masterclass, you're in.

Now is the perfect time to focus on your SIBO

There may never be a perfect time to focus on your SIBO

There may never be a perfect time to focus on your SIBO

—but there is a cost to continuing to put it off.

How many more dinners, trips, celebrations, mornings, outfits, relationships, and ordinary days do you want impacted by SIBO?

A place to stop chasing answers and give yourself the focused time, guidance, and support to understand where you are and navigate what comes next — because your life deserves more of your attention than SIBO does.

Why a membership? Because your questions don't all happen on Day One.

That's why the SIBO Step-by-Step Membership has a live Q&A with Dr. Siebecker every month, and stays with you month to month, for as long as it's helping.

Your access to all the resources begins when you join, and you join the next monthly live Q&A.

What Could Better Navigation Be Worth?

What Could Better Navigation Be Worth?

The real value isn't simply how many videos are inside the portal. It's what the membership could help you avoid:

  • Another unnecessary purchase.

  • Another test at an unhelpful time.

  • Another practitioner without results.

  • Another appointment without knowing what questions to ask.

  • Another month following an approach without understanding why.

  • Another wrong turn.

Not more information for the sake of information.

Orientation. Understanding. Expert guidance. Better outcome.

“ Having the roadmap and access to knowledge is saving me years and years and dollars and dollars. ” - Ingrid

“ I also know what questions to ask which is a huge time (and money) saver! ” - Laurie

“ The resources allow me to navigate these difficult/confusing waters. It also has allowed me to be an EXCELLENT ADVOCATE for myself.”  - Nic

Everything You Get Inside

SIBO Step-by-Step Membership

Everything You Get Inside

SIBO Step-by-Step Membership

What is included in the SIBO Step-by-Step Membership

Live Q&A Every Month

A live educational Q&A with Dr. Allison Siebecker and Shivan Sarna every month, with the replay, and pre-submitted questions up to 24 hours before

$66 a session ($792 a year)

SIBO Recovery Roadmap® Course

Course, the Algorithm, handouts, guides and presentations

$499 a year

Masterclass Library

40+ deep-dive masterclasses, available as they become relevant to you

$3,960

Live Masterclass Seats

A live seat and Q&A whenever Dr. Siebecker teaches a new masterclass (You must be a member at the time of the live masterclass.)

$98 per Masterclass ($490 a year)

Smart Search Tools

Smart Search and Delphi, any time of day or night, to find information and explore deeper educational knowledge between sessions

$199 per month ($2388 a year)

Supplement Savings

Save on the supplements you are already purchasing and personal care products, with exclusive pricing at Dr. Siebecker's Fullscript dispensary

Included

TOTAL VALUE

$8129 a year

You Don’t Pay $5,647.

Your Investment in the SIBO Step-by-Step Membership Is:

$49 a month

or

$490 a year, two months free

You Don’t Pay $5,647.

Your Investment in the SIBO Step-by-Step Membership Is:

$49 a month

or

$490 a year, two months free

But Before We Talk About What You Pay...

But Before We Talk About What You Pay...

Ask yourself what just one better decision could be worth.

If all this did was help you avoid one wrong turn, and save you months going in the wrong direction...

By helping you understand what questions to ask, what information matters, and how to better vet the practitioners and resources you consider next.

If that helped you avoid thousands more in unnecessary searching, testing, supplements or practitioner costs...

Would that alone be worth $49 a month?

If all this did was help you understand an underlying factor you had never considered...

Because what may be contributing to your SIBO can influence your treatment and what you consider next.

Would that alone be worth $49 a month?

If all this did was help you spend more purposefully...

On testing, treatment, supplements, practitioners and the other things you may consider along the SIBO road.

Instead of asking: “What else should I buy?”

You can start asking: “What is the best next step?”

Would that alone be worth $49 a month?

If all this did was help you better understand what comes next...

What to consider about treatment options, medications and strategies intended to reduce the risk of recurrence, so you know what step to take next, with confidence and without confusion.

Would that alone be worth $49 a month?

The SIBO Step-by-Step Membership Was Built to Give You All Four:

Fewer costly wrong turns.

More clarity about factors you may not have considered.

More purposeful spending and decision-making.

A better understanding of what to consider next.

You Don't Pay $8,129.

Your Investment in the

SIBO Step-by-Step Membership Is:

Monthly

$99  $49 a month

Month to month. Cancel any time.

Best Value

$490 a year

Save $98, that's two months free

Start the moment you join.

Instant access, and a seat at the next monthly live Q&A - November 16, 2026 at 4pm Eastern Time

Why Dr. Allison Siebecker + Shivan Sarna?

Why Dr. Allison Siebecker + Shivan Sarna?

Dr. Allison Siebecker

Dr. Allison Siebecker

Dr. Allison Siebecker

SIBO Specialist. Educator.
2021 Lifetime Achievement Award Recipient.

Dr. Allison Siebecker is a SIBO specialist who began her focused research and clinical work in SIBO in 2010—many years of dedication to understanding a truly confusing condition to treat. She has lectured around the world and trained practitioners at NUNM and through the SIBO Pro Course. And helped thousands of patients address and resolve their SIBO.

She's known for her ability to take complex SIBO pathophysiology and translate it into practical, actionable frameworks that actually make sense in real life.

What sets her apart isn't just her depth of knowledge or clinical experience; it's the pattern recognition that comes from years of working closely with individual cases, understanding their variations, and knowing which decisions matter at each stage of the healing journey.

Shivan Sarna

Shivan Sarna

Shivan Sarna

Patient. Patient Advocate. Author.

Shivan Sarna is the founder of SIBO SOS® and Chronic Condition Rescue Coalition, and author of Healing SIBO. She came to SIBO not as a clinician, but as a patient who refused to accept that suffering was inevitable. That journey—from years of misdiagnosis to becoming an expert out of necessity—shaped everything she builds.

In the SIBO Step-by-Step Membership, Shivan brings that authenticity and her patient perspective from the other side of the exam table. Her own SIBO journey led her to Dr. Siebecker and shaped this program.

Before you join, we want you to know exactly what this is

Before you join, we want you to know exactly what this is

The SIBO Step-by-Step Membership is designed to help you become a more educated and informed participant in your own care.

It is not individualized diagnosis or medical treatment, a private doctor's appointment, one-on-one health coaching, or a guarantee of a particular medical outcome.

It offers targeted, organized and interactive resources with guidance from an expert.

Is the SIBO Step-by-Step Membership Right for You?

Is the SIBO Step-by-Step Membership Right for You?

It may be a strong fit if you've been dealing with SIBO for months or years and still wonder what you're missing, or you're newer to SIBO and want an organized framework before spending months piecing everything together.

Especially if you:

  • Feel overwhelmed by contradictory SIBO information

  • Have tried treatment but haven't gotten the results you want

  • Want better questions to bring to your practitioner

  • Want to spend more successfully on tests, practitioners and supplements

  • Want reliable education from an expert without searching the internet every time a question appears

  • Want to become a more knowledgeable advocate for yourself

SIBO Step-by-Step Membership is right for you

Frequently Asked Questions

I've already tried several SIBO treatments. Is this too basic for me?

Not necessarily. If you've tried treatments that haven't been as helpful as you hoped, this is a good place to be. And if you already know a great deal about SIBO but still ask “What am I missing?” or “What do I do next?”, you may be exactly who Step-by-Step was designed for.

I'm new to SIBO. Will this be over my head?

No. The SIBO Recovery Roadmap® gives you the foundational education, while the other SIBO Step-by-Step resources help you understand and navigate the process.

Is Dr. Siebecker my doctor?

No. This does not constitute a doctor patient relationship. Dr. Siebecker is here to help guide you and answer your questions.

How is this different from other SIBO programs?

This is Dr. Siebecker's expert approach, refined over decades of clinical practice. You're not getting generic protocols - you're getting guidance tailored to YOUR specific case.

What if I'm spending too much on supplements and tests already?

That's exactly why this program exists - to save you time and money by avoiding costly mistakes and unnecessary treatments. Dr. Siebecker will help you streamline your approach. When to treat, for how long and how to hold the gains by avoiding relapse. Plus, members get an exclusive discount off supplements at Dr. Siebecker's Fullscript dispensary.

Can I ask Dr. Siebecker questions?

Yes. There's one live educational Q&A EVERY MONTH with Dr. Siebecker and Shivan, and you will pre-submit your questions up to 24 hours before the live sessions. 

What if I can't attend live?

The replay, search and transcript are available immediately after every Q&A. The questions other members ask are very often the same as, or close to, what you would have asked, so the recording often has your answer. You can also pre-submit your questions up to 24 hours before the session.

When can I start?

You start as soon as you join. There's no cohort to wait for. You'll have access to the materials right away and join the next monthly live Q&A.

How long do I need to stay?

As long as it's helping you. The membership is month to month, and you can cancel any time.

Can I send my question in ahead of time?

Yes, for now. Pre-submitting questions up to 24 hours before the live Q&A. We're trying pre-submitting questions so you have access to Dr. Siebecker, even when you can't be there live. Because it's a trial, it may change or end. If it does, members will hear about it ahead of time, and why. Reminder: Access to Smart Search is available anytime day or night - interactive answers to your questions fast.

What's the difference between the SIBO Recovery Roadmap® and the SIBO Step-by-Step Membership?

The SIBO Recovery Roadmap® is a course that shows you the road. The SIBO Step-by-Step Membership is a comprehensive program that helps you navigate it (Includes the SIBO Recovery Roadmap® course as an educational foundation and adds the Smart Search tools (Smart Search and Delphi), 40+ masterclasses, live seats at Dr. Siebecker's new masterclasses, a live educational Q&A every month and supplement savings).

You Don't Pay $5,647.

Your Investment in the

SIBO Step-by-Step Membership Is:

Monthly

$49 a month

Month to month. Cancel any time.

Start the moment you join.

Instant access, and a seat at the next monthly live Q&A.

Click thru to see all the dates & times

Due to the digital nature all digital materials are non-refundable. Click here to read the full policy. Look for Chronic Condition Rescue or SIBO SOS on your bank statement. 

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