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Other Contributing Factors Chronic stress (affects motility and secretions) Pancreatic enzyme insufficiency Diets high in fermentable carbohydrates (FODMAPs) Frequent antibiotic use (disrupts microbiome balance) How Is SIBO Diagnosed
Rare disease database: Lambert-Eaton myasthenic syndrome

Supplementing with Betaine with Pepsin can help improve ones digestion, and you can read more about that here