Well…in parallel to whatever treatment, you could slowly work on those. They really help in recovery. Inflammation can make joints more painful. For sleep, what I did was, slowly change attitude to whatever causes the stress, take magnesium bisglycinate before bed, not eat a few hours before bed, use some relaxing music and meditation, go for walks outside. I always ate healthy, so that it easy for me, but you can start making small changes incremental. Bad sleep makes you crave junk food. For microbiome, I started making my own kefir and kimchi. I also followed some protocols from Dr Wiliam Davis book: Super Gut. That is how I cured my SIBO. Recently, I introduced more iodine, and that helped me even more with the sleep.