SIBO has been a massive problem for me, and for years I have been convinced that it is very closely linked to my AS symptoms. Every time, after I attacked and beat it, it would flare again. There were times my bloating was so severe that I felt I could hardly breathe or move.

A doctor told me that SIBO can be caused by the ileocaecal valve becoming stuck in the open position, allowing bacteria to migrate into the small intestine. She didn't explain how it became stuck. Over many months I tried to find out more, and eventually found a cause that could be relevant to me - that eating too frequently could be a cause of the valve becoming stuck open. At that point I had been eating twice a day, but was nibbling off and on between those meals. I decided to go back to eating three decent meals a day, and to stop eating completely in between. No snacking. This has been a game changer for me, I would say one of the biggest contributors to the improvement in my health, after the no starch diet.

Spondyloarthropathy with symptoms of AS, Sjögrens and fibro. Previously took Celebrex, Methotrexate, Trepiline, Prednisone which seemed to trigger a flare and my illness became much worse. Symptoms now kept mostly under control with NSD, as well as cutting sugar, dairy and yeast and food intolerances. Mostly pain free now and all symptoms massively improved.