Dr. Amy Nett: With a mild yeast overgrowth, I probably—let’s see. A little bit of bloating and gas depending on certain foods. I would kind of wonder which foods were causing that, but I probably would be inclined to do a treatment for the mild yeast overgrowth, if she is up for it. If she feels—you know, sometimes patients are like, “No, I really want to try to manage with just diet, prebiotics, probiotics, and not go into antimicrobials,” so I think you could go either way. If she really doesn’t have much other than a little bit of bloating and gas, you could consider is there room to make improvements on her diet, so maybe do a lower sugar. See what the carbohydrates look like, but think about doing lower sugar, tweaking carbohydrates if needed, mostly just if there are any grains in there, refined or processed foods and maybe remove those. If her diet is great, and if she doesn’t have SIBO, that would be the other thing because with bloating and gas I kind of wonder if there is SIBO. If she is up for doing a SIBO breath test before deciding on treatment, that might be the best way to go. If money is an issue, and it’s kind of we have to make a decision based on this test, I would lean towards doing 30 days on an antimicrobial protocol. I would probably use Yeastonil instead of GI Synergy because we’re really just looking a mild yeast overgrowth. We’re not looking at an issue with bacterial dysbiosis or parasites. Or you could do A-FNG in place of GI Synergy, so do A-FNG, Lauricidin, InterFase Plus, and then the probiotics. I might tweak it a little bit. I think 30 days would probably be long enough.
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- One of my patients did a Doctor’s Data stool analysis. In terms of the beneficial flora, the significant finding was no growth of Bifidobacterium, but otherwise, beneficial bacteria looked pretty good. There wasn’t much in the way of commensal organisms or dysbiotic organisms. In terms of yeast, there were a few different types of yeast identified on the culture, and then under the microscopy, there were reports of few—so three samples: few, rare, and few yeast. This patient is having bloating and gas depending on certain foods and is otherwise healthy. Would I treat her with botanicals and for how long?
One of my patients did a Doctor’s Data stool analysis. In terms of the beneficial flora, the significant finding was no growth of Bifidobacterium, but otherwise, beneficial bacteria looked pretty good. There wasn’t much in the way of commensal organisms or dysbiotic organisms. In terms of yeast, there were a few different types of yeast identified on the culture, and then under the microscopy, there were reports of few—so three samples: few, rare, and few yeast. This patient is having bloating and gas depending on certain foods and is otherwise healthy. Would I treat her with botanicals and for how long?
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