Whoo thats alot to digest but I have alot going too! Yes I have thought about the blocked bile flow. What would you do for that? I have wondered about the acid reflux because it doesn't always burn when i regurgitate my food. But It does sometimes and then its really bad and I get a awful taste in my mouth almost greasy! Yuk! I get funny feeling like the air gets trapped and I'm choking, Can be scary at times. When I get the air out and food I feel somewhat better.I went to doctor after doctor and all they would say is IBS. Which nothing they told me to do helped anyways. So I quit them years ago. I was tired of spending all my money for nothing and getting no better.You are probably right, It probably is dysbiosis. I wouldn't doubt it at all. These doctors around here never take anything serious. They just give you some pill and send you home in 5 minutes after you've been waiting for a hour to see them.