Supplement Schedule — During the SIBO Protocol

Your full stack while the IMO plan runs, with buy links. Green rows are the additions — everything else is your normal baseline, unchanged. Updated 7 August 2026.

← Baseline (normal days) ● During the SIBO protocol The IMO Action Plan

What changes vs your baseline

Nothing is removed. Nothing moves. Zero new windows. The protocol only adds items into the two windows you already keep, plus the ~2-hrs-after-dinner micro-slot that already exists for the Motility Activator.

Phase key: P0start now P1week 3 if P0 is partial P2one 4-week round, then stop P3after the round.

⏱ How long the herbs run — the one hard time limit on this plan.

Allicin and berberine: 4 weeks maximum, then stop. Both of them. Neither has long-term safety data, and neither has a controlled trial showing it eradicates IMO at all — a bounded single round is the whole point.
Do not roll straight into a second round on your own. If 4 weeks changes nothing, that is information: the answer is a clinician and a test, not another bottle.
Berberine may end sooner. If stools harden in the first 2 weeks, drop it there and finish the round on allicin alone.
Everything else on this page — MiraLAX, psyllium, Florastor, magnesium, the prokinetic — has no 4-week limit and keeps running.

Window	Added	Phase	Buy
Breakfast	MiraLAX (PEG 3350) 17 g	P0 — now	Local pharmacies first · Amazon ~US$25
	Psyllium (usual amount)	P0 — now	Solaray, Kellmart
	Florastor 2 caps (500 mg)	P1 — wk 3 if needed	Amazon 100-ct (4 caps/day — skip the 50-ct)
	Allicin + Berberine 500 mg — 4 weeks max, then stop	P2 — 4-week round	Allimax 180 / Pro 450 · Berberine HCl
Dinner	Florastor 2 caps (500 mg)	P1	(same bottle)
	Allicin + Berberine 500 mg	P2	(same bottles)
	BioGaia Gastrus	P3 — after the round	Amazon (capsule form if chewable polyols stir gas)
After-dinner micro-slot	Magnesium OXIDE 400–500 mg (rides the existing slot)	P1	Local pharmacies · Amazon

Already owned, nothing to buy: the Phase 3 prokinetic is your existing Motility Activator.
Two behaviour changes ride along: the pre-surgery pause list gains allicin, and the off-limits list below applies for the duration.

Off-limits while the protocol runs

⛔ While the SIBO items are running — do not take these alongside them:

Align, or any probiotic listing B. infantis/longum 35624 — raised breath methane in testing. Wrong strain for your type, at any phase.
Plain Lactobacillus/Bifidobacterium probiotics in the same swallow as the herbs — berberine/allicin kill them. Wasted, not dangerous: space 2+ hours, or hold them until Phase 3.
Fermentable-fiber add-ins — inulin, FOS/chicory, resistant starch, PHGG/Sunfiber, 2'-FL HMO. Feeding the thing being treated, and the trigger class.
Peppermint products (Atrantil, Iberogast) and concentrated oregano/thyme oils — reflux. Applies the whole way through.
Charcoal or any "binder" — blocks absorption of everything else on this page.
Extra magnesium beyond this sheet — no citrate or extra oxide on top; the oxide + glycinate pairing already sits at the ceiling.
Berberine + hardening stools = stop the berberine (keep allicin).
Surgery/dental within a week → pause omega-3, curcumin and allicin first.
Breath test ever booked → all probiotics off, per that lab's washout sheet.
Famotidine and alginates are fine — just keep MgO and psyllium ~2 hours away from famotidine when easy.

☀ Breakfast ~07:00 · green rows = protocol additions

Item	Dose	How	Buy
ThiActive B	1 cap	≥1 hr from coffee	Solaray Methyl B, Kellmart
Thiamax (TTFD)	100 mg	No coffee 1 hr before → 2 hr after	Objective Nutrients
L-Theanine	200 mg	With/after coffee	Solaray, Kellmart
Saffron (affron®)	28 mg	Or PS 100 mg — ONE	affron · Sharp-PS
Centrum Silver Men 50+	1 tab	With food	pharmacies · Amazon
Vitamin D3	1,000 IU	Fattiest meal (2,000 total)	pharmacies · Amazon
K2 MK-7 (opt.)	50–100 mcg	With the D3	Amazon
Omega-3	~1 g	Other half at dinner	Wiley's Finest, Kellmart
Hydroxytyrosol	20 mg	With omega-3	Amazon
Polypodium (if using)	240 mg	—	Heliocare
L-Citrulline	3 g	Shake	Evlution, Kellmart
Creatine	5 g	Shake	Legion, Kellmart
CoQ10 Ubiquinol	100 mg	With food	Solaray, Kellmart
Curcumin Meriva	per label	With food	Thorne Meriva
P0MiraLAX (PEG 3350)	17 g	Full glass of water	local first · Amazon
P0Psyllium	usual	Ample water; 2 hrs from famotidine	Solaray, Kellmart
P1Florastor	2 caps	Trial dose in active weeks	Amazon 100-ct
P2Allicin (Allimax)	per label	With food. 4 weeks max, then stop	Allimax 180 / Pro 450
P2Berberine HCl	500 mg	With food. 4 weeks max — and drop sooner if stools harden	Amazon

☾ Dinner ~22:00 · green rows = protocol additions

Item	Dose	How	Buy
Borage Oil (GLA)	240 mg	Mid-dinner	Amazon
Zinc Carnosine	75 mg	With/after dinner	PepZin GI
Magnesium Glycinate	200 mg	Stays — not the laxative form	Source Naturals, Kellmart
Glycine	3 × 1000 mg	Capsules	Solaray, Kellmart
L-Glutamine	full dose	Capsules; doubles as recovery-phase item	Evlution, Kellmart
Omega-3	~1 g	Second half	(same bottle)
Silexan (opt.)	80 mg	Not sedating	Lavela WS 1265
P1Florastor	2 caps	Second daily dose	(same bottle)
P2Allicin	per label	Second dose, with food. 4 weeks max	(same bottle)
P2Berberine HCl	500 mg	= 1,000 mg/day. 4 weeks max; 3rd dose only if a clinician says so	(same bottle)
P3BioGaia Gastrus	per label	After the round; one new probiotic per week	Amazon

⏰ ~2 hrs after dinner the one micro-slot (already existed)

Item	Dose	How	Buy
Motility Activator	1–2 caps	Empty stomach, upright 15 min. This IS the P3 prokinetic — already owned; MotilPro unnecessary	restock link
P1Magnesium OXIDE	400–500 mg	Rides the same slot — no new window. Water only	local pharmacies · Amazon

As-needed (not scheduled)

Devrom 1–2 tabs — high-symptom days only. Buy: Devrom
Famotidine / alginates — reflux PRN routine unchanged; keep MgO and psyllium ~2 hrs away from famotidine when practical.

Conflicts found — and how this schedule resolves them

Conflict	Severity	Resolution
Mg oxide stacks on Mg glycinate (~440–500 mg elemental/day combined, above the NIH 350 mg supplemental guide value)	Real, managed	Glycinate stays for sleep/TTFD/D; MgO takes the bedtime micro-slot. The guide value's endpoint IS diarrhea — the intended effect. Stools over-loosen → cut MgO first, never glycinate. Worth raising at the BBD$50 TeleMed consult
Berberine can cause constipation — his exact phenotype	Real	Hard rule: stools harden in first 2 weeks → drop berberine, keep allicin
Bleeding-watch cluster grows: omega-3 + curcumin + now allicin (berberine minor)	Procedural	Pre-surgery/dental: pause all three ~1 week before; mention berberine
Psyllium can slow co-swallowed absorption	Minor / theoretical	Fine at breakfast; only famotidine gets the 2-hr courtesy gap; minerals sit at dinner anyway
Gastrus chewable base (polyols) vs the sugar-alcohol trigger list	Label flag	Tiny amounts, likely fine; capsule form exists
Florastor contains a small amount of lactose	Trivial	Not on the trigger list; noted for completeness
PEG 3350 vs anything	None found	Inert and unabsorbed; no supplement interactions

No conflict by design: Florastor is a yeast — berberine and allicin cannot kill it (Maev 2025 pairing). Existing L-glutamine and zinc carnosine align with the recovery phase.

Rules that are part of the treatment

4–5 hrs between meals, no snacking; ~12 hr overnight fast. The cleaning wave only runs when you are not eating.
Allicin + berberine stop at 4 weeks. One bounded round — no second round without a clinician. Everything else keeps running.
One new item at a time during P1/P2 — or the diary teaches nothing.
Coffee: Thiamax + B-complex at least 1 hr away.
Fat-solubles (D3, K2, omega-3, CoQ10, curcumin, hydroxytyrosol) with the fattiest meal.
Any booked breath test → all probiotics off per that lab's washout sheet.
B6 comes from both Centrum and ThiActive B — keep the combined total modest.