mstevens

And it just gets better as it goes along!

Really enjoyed the first 4 series of Grace - thanks for pointing out that series 5 is available now!

If your SIBO keeps coming back, it means that the root cause has not been addressed. Common root causes are low stomach acid or issues with bile flow which can be anything from cholestasis to biliary dyskinesia (poor function gallbladder) to gallstones to liver issues or even something as obscure as vegus nerve problems. Taking Rifaxmin periodically is not an ideal situation and if at all possible, try to identify and then address the root cause.

Try Nakhon Phanom.

Good to see some Whittaker's chocolate in the pile, and the Dark Ghana 72% which is my favourite. Very good quality chocolate!

One of the reasons I left Thailand is that I really didn't like the idea of getting seriously sick there and dying there. I can't put my finger on why I feel this way, but I'd rather my life end in the country where it began.

I had to click on the link to see what sort of movie that is. The title got me rather excited...

It's not a myth. When Paweena Hongsakul, who has long campaigned for children's and women's rights, was in government, she led a delegation of local government figures on a walk through Walking Street and declared on camera that there was no prostitution in Pattaya. It was widely reported at the time and became a laughing stock amongst foreigners.

Some short-time hotels won't allow non-Thai women on the premises.

There are so many ailments which mimic the symptoms of SIBO. The best thing to do is to find a practitioner who can conduct a SIBO breath test, an OAT test and maybe even a comprehensive stool test. Yes, it's a lot of testing but the only way to really know what is going on is to test, otherwise you end up going around in circles and feel like you're throwing darts at a darts board!

Thanks, farang.

If you have not yet started the course, remember that Rifaximin for SIBO works best when taken with Nystatin or Metronidazole at the same time. Also, do everything you can to identify the root cause. SIBO doesn't just "happen". It takes a failure of some sort for it to occur, such as low stomach acid, poor gallbladder function, low motility etc.

His wife might not work and they have 3 children to raise. 20K baht is a LOT of money to many Thais.

I know it's not ideal and doesn't answer your question about availability, but Rifaxmin is available over the counter at the bigger pharmacies in Phnom Penh, Cambodia. Any reason you specifically want to use this particular antibiotic? SIBO, perhaps? If that's the case, you might want to look at Metronidazole AKA Flagyll. Augmentin may also work. Or consider herbal anti-microbials like Oregano oil / Neem / Allicin. (Oregano oil is far and away the strongest of these, assuming you get one of the better brands like Gaia Herbs or my favourite, North American Herb & Spice.)

That's because they are typically the count at the time the file was first listed on X1337, and don't tend to be updated after that.