so yeah I think everything contributes a little,
Very interesting. Do you know if the treatments KDM prescribed you are standard ones he often uses, or are they specific treatments tailored for your circumstances?
I've never seen a list of KDM's treatments, so would be interested to know what he typically uses to treat ME/CFS these days. He is always experimenting, so no doubt what he uses changes over time.
For the record: I'm aware that a low-carb diet triggers a decrease in bifidobacterium.
But I just can't handle carbs because of SIBO and stomach issues. It's a real catch 22
One thought: have you considered supplemental brush border enzymes? Brush border enzymes are secreted in the small intestine (they are not the same as pancreatic digestive enzymes).
SIBO is known to reduce the intestinal production of brush border enzymes, which are responsible for digesting carbohydrates. I guess low brush border enzyme levels will help these bacteria, as it will leave more undigested carbs for them to eat.
A post about brush border enzymes here.