IMO is not your typical gut imbalance. Its caused by methane producing archaea like Methanobrevibacter smithii, not bacteria making it distinct from SIBO., Unlike hydrogen based SIBO, IMO produces Potential proton pump inhibitorrelated adverse effects Perry 2020 Annals of the New York Academy of Sciences Wiley Online Library Diarrhea management: from pathophysiology to microbiota modulation Giovanni Marasco, David Meacci, Giovanni Sarnelli, Cesare Tosetti, Cesare Cremon, Edoardo Vincenzo Savarino, Giovanni Barbara, 2026 TMAO and diabetes: from the gut feeling to the heart of the problem Nutrition & Diabetes INB4 Peptide Papis say: Reta, GLOW, and BPC 157 all have human trials. , I get it. Theyre not all the same. Some compounds have far better evidence than others. Thats exactly the point, My issue
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