I was struggling for a while and had to keep upping the abx dose every couple of months to get the same effect as before, and not deteriorate. I read about some of Pauls tips and started eating high fat low carb, and i felt there was a difference. Also started doing ketogenic fast in the morning. I have a lot less symptoms now than before and i feel like the abx hits harder, especially true during my morning fast. I think high fat low carb is a good idea for the people with this bacteria especially those who struggle with abx resistance.