[SIFO and SIBO] I spoke with a biochemist and now I have a question.

Male, 19 years old. 1.81m, 87kg. Post-acne treatment with minocycline + omeprazole (6 months) and isotretinoin (6 months). The antibiotic treatment was two or three years ago, and I was never told to look after my gut microbiome. I'm in a really bad state now—years of neglect. Latin America.

A very bad, acidic odor and a smell of rotten eggs—present when exhaling through the nose and mouth, and also when sweating. It can be smelled throughout the entire room.

I spoke with a biochemist. He told me that using antibiotics or antifungals is counterproductive in the long run because it leads to resistance. The recommended option is the more laborious one: changing my diet and repopulating/multiplying beneficial bacteria; in a year, I’ll be fine.

Honestly, I’m exhausted from dealing with the bad odor I give off; I smell like a skunk. I’m thinking about taking the antibiotics and antifungals, and then repopulating and carefully nurturing my microbiome. In my country, medical care is either expensive or inefficient when it comes to this issue.

Gastroenterologists don't have much experience with these conditions. I was prescribed medication without undergoing the important tests—partly because I don't have access to them, and also because I'm facing significant social difficulties.