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Do you have patients stay on the same probiotic or do you switch them up over time?

Dr. Amy Nett: Yeah, great point. I think over time it is good to rotate probiotics. What we tend to...

Do you have any recommendations for constipation?

Dr. Amy Nett: For constipation, things that you would think about using: Magnesium would be a good option, magnesium glycinate...

How can we help optimize health and digestion for someone who has had their gallbladder removed?

Dr. Amy Nett: Great questions, and I want to just do a very brief review in terms of the gallbladder...

Do you consider L-glutamine supplementation and glycine-rich foods the first intervention to restore gut lining in cases of leaky gut before probiotics? And what’s your opinion about the GAPS protocol—‘low and slow’—in implementing probiotics?

Dr. Amy Nett: In reading about L-glutamine and glycine-rich foods, I think they sound very promising, and for some people,...

Has any connection been established between dysbiosis and hypothalamic-pituitary-adrenal axis dysfunction?

Dr. Amy Nett: There are a number of different ways that dysbiosis potentially contributes to HPA axis dysfunction. One of...

Which stool tests are you using?

Dr. Amy Nett: We’re actually using two different stool tests when patients are able to, and we strongly recommend that...

What do you think of using Prescript-Assist as a microbe replenishment supplement but also as a maintenance supplement?

Dr. Amy Nett: In general, Chris and I tend to be minimalists when it comes to supplements. I love Prescript-Assist...

If someone increases their starchy carbohydrates and develops increased abdominal distention and gas, is that an indication that there’s some underlying pathology?

Dr. Amy Nett: Yes. I would absolutely be concerned. Anytime someone has a sensitivity to food, even if that sensitivity...

If someone reacts to a probiotic supplement is that an indication that there’s some underlying pathology??

Dr. Amy Nett: Absolutely. If someone is not responding well to a probiotic, that’s also telling me that there’s some...

Are you seeing any correlation with particular microbes associated with MS? My patient has had EBV, has shown positive on 4+ on Citrobacter on the GI Effects panel we ran. Also discuss running Doctor’s Data to be current. Wanted your take on the viral microbial possible contribution.

Chris Kresser:  Yeah, so in the literature, it’s well established that both viral infections and bacterial infections are contributors to...
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