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Some of the current hypotheses about possible causes include: SIBO, dysbiosis, or gut disorders Methylation issues, perhaps related to aging Issues in the metabolism of sulfur amino acids Polymorphisms or genetic disorders Small Intestinal Bowel Overgrowth (SIBO) and Dysbiosis Certain bacteria convert sulfur into hydrogen sulfide gas, which is what causes gas to smell like rotten eggs

Sherry E, Kitchener P, Smart R