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GI Health · SIBO Treatment

Still bloated, gassy, or in pain — even after seeing a GI specialist?

I’m Dr. Joe Mather. I’ve spent over a decade treating SIBO (Small Intestinal Bacterial Overgrowth) using tools from both conventional and natural medicine. Although SIBO is one of the most common causes of chronic GI symptoms and affects millions of patients, most GI specialists are still stuck in the past — handing out acid-reducing medicines and repeating colonoscopy after colonoscopy, all while you still feel terrible.

"Treated properly, SIBO is one of the most fixable conditions I see."

If you’ve already tried an antibiotic, a supplement protocol, or a restrictive diet and your symptoms crept back, you’re not out of options. You just haven’t been treated properly yet.

Dr. Joe Mather MD, New Orleans Functional Medicine

Joseph Mather MD, MPH

Board-Certified Family Medicine
  • ✓Over a decade treating SIBO with conventional & natural medicine
  • ✓World class medicine — works with patients across the globe
  • ✓Creator of SIBOnola.com, a patient & provider SIBO resource
  • ✓Educator and mentor offering CME education for physicians

Functional Medicine Expert — Treats the Cause of Disease

Board-Certified American Board of Family Medicine

Tulane School of Medicine & Tulane University School of Public Health

Watch: Vicki's Journey — How She Overcame SIBO

Vicki struggled with SIBO for years before finding lasting relief. In this video, she shares her story — what her symptoms were like, what she’d tried before, and what treatment with Dr. Joe looked like.

Does this sound like you?

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Bloating that gets worse as the day goes on, and is worse after meals

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Diarrhea, constipation, or swinging between the two

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Abdominal pain, cramping, or excessive gas

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Brain fog and fatigue that seem tied to your gut symptoms

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Joint pain or skin issues like rosacea or acne that flare with your gut

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You’ve been told your labs are "normal," or you’ve been treated once and it came right back
What is SIBO?

What is SIBO?

Small Intestinal Bacterial Overgrowth (SIBO) is a condition where bacteria grow near the beginning of your digestive tract — in the small intestine — rather than the large intestine, where large numbers of bacteria are supposed to be. When bacteria start to grow where they aren’t supposed to be, they cause a variety of GI symptoms: bloating after meals, diarrhea, constipation, and abdominal pain.

Going one step farther, the small intestine is protected by dense collections of immune tissue. Bacterial imbalances there can trigger these immune tissues, which can lead to problems in other parts of the body. This is why so many patients with SIBO struggle with brain fog, fatigue, joint pain, and skin conditions like rosacea or acne.

How my medical office is different

Three ways I’ve built this practice differently than a typical doctor’s office — or a typical functional medicine office.

01

Time to listen, think, and research

I run an independent private practice, free of hospital and insurance demands, so that I have the time to listen, think, and research your case properly.

I take a lot of pride in the fact that I am one of the few doctors who has been able to build my knowledge and skills day after day to make sure you get the best care possible.

My goal is for you to leave my office thinking:

“That was the best doctor’s visit I ever had.”

02

Treating the cause — without overdoing it

I treat the cause of your symptoms with natural and conventional medicine. But unlike other functional medicine offices, I don’t require thousands of dollars of labs or ask you to take hundreds of pills to get better. My goal is to get you well as quickly as possible — with the fewest supplements, the broadest diet that keeps you healthy, and a treatment plan that’s practical and down to earth.

03

Functional medicine you can afford

Paying out of pocket for medical care can be daunting. Because I want to help as many patients as possible, I’ve done all that I can to make care affordable:

  • ✓I charge less than other experts in the field, despite getting better outcomes for my patients
  • ✓I never profit from any testing I recommend
  • ✓30% off supplements from Moss Nutrition
  • ✓Discounted wholesale cash lab pricing through Clinical Pathology Labs for New Orleans patients
  • ✓No subscriptions or memberships — ever

My three-step approach to treating SIBO

This is the same framework I teach other physicians and publish for patients at SIBOnola.com. Most cases resolve by working through it in order — not all at once.
1

Lifestyle & root causes

We look at what’s driving bacterial overgrowth — diet, sleep, stress, PPI or antibiotic use, and structural issues like a hiatal hernia. Modern lifestyle and medication overuse cause most cases of SIBO, and skipping this step is the single most common reason treatment fails long-term.
2

Targeted probiotics

Contrary to what many patients have been told, probiotics help most people with SIBO — they’re the most commonly missed treatment in this condition. I typically use three types together (Lactobacillus + Bifidobacterium, Saccharomyces, and Bacillus species), started low and built up over 1–2 weeks. Many patients feel meaningfully better here and never need step three.
3

Antibiotics, herbal antimicrobials, or an elemental diet

If symptoms remain after steps one and two, we add targeted treatment — prescription antibiotics like rifaximin, herbal antimicrobials, or a short elemental diet. Herbs act more broadly and are often my first choice for patients with high gas or symptoms that don’t fit a single antibiotic’s coverage; antibiotics tend to work fastest for clear bacterial overgrowth. We choose based on your case, not a default protocol.
~75%
of my SIBO / chronic GI patients feel meaningfully better within 4 months
40–50%
of IBS cases are estimated to be SIBO
3
steps, done in order — not all at once
If you haven’t found significant relief after about three months of properly sequenced treatment, something’s been missed — and it’s time to look again, not just add another supplement.
Sibonola logo

Free SIBO Education at Sibonola.com

I built Sibonola.com as a free, step-by-step guide to understanding and treating SIBO — the same three-step approach (diet and lifestyle, then probiotics, then additional treatment if needed) that I use with my own patients, laid out for free.
It covers the causes of SIBO, which diets help and which make things worse, why probiotics are so often mismanaged, and when to add antibiotics, herbal antimicrobials, or an elemental diet — plus a library of SIBO videos on YouTube.

More Patient Stories & Lectures

More case studies, lectures, and success stories from my YouTube channel.
Lecture

The Hidden Root Cause of SIBO You’re Probably Missing

Patient Success, Interviews, Lectures & More

What a visit costs

I run an independent, cash-pay practice — no insurance billing, no pressure to fit your visit into a 10-minute slot. You can request reimbursement from your insurer using a superbill I provide after each visit.

Initial Visit

$700

45 minutes

Focused on your GI history, what’s already been tried, and a plan for step one.

Extended Initial

$950

2 hours

Ideal if you’re traveling to establish care, have a complex history, or want more time to go deep.

Follow-Up

$350

45 minutes

Most patients follow up every 4 weeks as we move through each step of treatment.

Not sure if I'm a fit?

Book a free 15-minute discovery call to ask questions before you commit to a visit.

SIBO questions, answered

Do I need a SIBO breath test before my first visit?

No. I recommend testing case-by-case rather than requiring it upfront — your history and symptoms tell me most of what I need to know to get started, and I'm happy to review breath tests you've already had done.

Not usually. I treat SIBO in sequence — lifestyle and root causes first, then probiotics, then antibiotics, herbal antimicrobials, or an elemental diet if you still need them. Jumping straight to antibiotics is one of the main reasons SIBO treatment relapses.

It depends on your case. Antibiotics like rifaximin tend to work fastest for clear bacterial overgrowth but only target bacteria. Herbal antimicrobials act more broadly — useful if yeast or other organisms may be contributing, or if you have high gas — but generally take a bit longer. We'll decide together.

Most of my SIBO and chronic GI patients feel about 75% better within four months. Many notice improvement within the first few weeks of lifestyle changes and probiotics, before we even add further treatment.

It's much less likely when the underlying cause was fully addressed and your gut was supported with probiotics before — not just during — antibacterial treatment. That sequencing is the whole point of treating this step by step.

I don't bill insurance directly, but I provide a superbill after each visit that you can submit for out-of-network reimbursement. Working this way gives me the time and freedom to treat you as an individual, not a diagnosis code.

Have a broader question about my practice? Visit the full FAQ page, or explore more at SIBOnola.com.

Let’s Get Started

A doctor who cares about science

Working as an independent physician gives me time to study and keep learning new ways to help my patients. I’m proud to have contributed to our understanding of the gut–thyroid axis in a paper published in 2022.

I graduated from Tulane University School of Medicine and School of Public Health in 2011 and completed my Family Practice training in 2014. I treat many conditions, with particular expertise in GI health and mold and heavy-metal toxicity. When I’m not with patients, you’ll find me playing with my three kids, exercising, meditating, or playing the drums.

Dr. Joe Mather MD, New Orleans Functional Medicine