Dr. Amy Nett: This is a great question. I was a little bit uncertain on this one because I would be inclined to wait for the results of the CSAP, but I like to see test results! So I did run it by Chris, and he would agree to wait. Wait and see, and on the CSAP, if strep doesn’t come back in that red column, you might be able to just use a more intense prebiotics/probiotics push. I don’t know if you actually need to go after a full dysbiosis protocol because, you know, again, it’s going to be more about the balance. That said, you didn’t give me too much in the way of symptoms. If you’re having a lot of GI symptoms, maybe it is worth starting with a dysbiosis protocol. But if it’s more general fatigue, malaise, and feels more like an ENT infection, then you might just wait and see what those CSAP results show. Generally they come back within a couple of weeks, so I think it might be worth just pushing through, as you mentioned, with increased prebiotics, increased probiotics, and see if that might be enough unless it really comes back out of range. Hopefully you guys start feeling better soon.
- Home
- Knowledge Base
- General Functional Medicine
- CSAP is pending both for you and your two older children, ages seven and nine. Last September you got strep, strep A for you, strep A and B for your kids. Strep B is a nightmare to treat botanically, but you treated both A and B botanically with success. Husband was treated with antibiotics and also experienced the same success. Six months later, husband does not have a flare-up, but the kids and I do. This time, milder. Strep is not specifically mentioned in the case studies, but it is annotated as a commensal imbalance. Is it safe to say I need to initiate a dysbiosis protocol empirically now while swabs are still positive and not wait for the CSAP to tell me what I already know? It appears to be chronic at this point. For a background, all three of us have a high intake of fermented foods, prebiotics, unwashed organic produce grown on our farm for the soil-based organisms, but did stop taking daily probiotics a few years ago.” I think that’s fine, Ashley. I think that’s absolutely OK. You’re getting so many other sources, and you mention you take them only at illness onset. No other symptoms of flora imbalance besides symptomatic expression of strep that seems to come out of nowhere.
CSAP is pending both for you and your two older children, ages seven and nine. Last September you got strep, strep A for you, strep A and B for your kids. Strep B is a nightmare to treat botanically, but you treated both A and B botanically with success. Husband was treated with antibiotics and also experienced the same success. Six months later, husband does not have a flare-up, but the kids and I do. This time, milder. Strep is not specifically mentioned in the case studies, but it is annotated as a commensal imbalance. Is it safe to say I need to initiate a dysbiosis protocol empirically now while swabs are still positive and not wait for the CSAP to tell me what I already know? It appears to be chronic at this point. For a background, all three of us have a high intake of fermented foods, prebiotics, unwashed organic produce grown on our farm for the soil-based organisms, but did stop taking daily probiotics a few years ago.” I think that’s fine, Ashley. I think that’s absolutely OK. You’re getting so many other sources, and you mention you take them only at illness onset. No other symptoms of flora imbalance besides symptomatic expression of strep that seems to come out of nowhere.
Related Articles
- This is a case, “[There’s] a 60-year-old with chronic urticaria, dermatographia, receiving periodic steroids, [with] acute severe itching and scratching on [their] legs and arms. [They] had Viome testing, [which was] normal for the most part. How does this test compare with [the] Doctor’s Data test?”
- Do you test for hypochlorhydria and pancreatic enzyme insufficiency? Is stool testing of pancreatic elastase a reliable method?
- I see the course content was updated to reflect Seed replacing Prescript-Assist. Does TerraFlora then replace MegaSpore Biotic? (generally)
- In the event of a parasite such as blastocystis, do you treat to remove the parasite uniquely if the patient has an autoimmune disease? I suggest herbals, goldenseal, [and] artemisia.
- Do you get patients who present with issues like pain or sexual dysfunction, hearing loss, etc.? And, if so, do you still run gut-related labs, or no?
- What tests are you using to test for heavy metals?