Gut Health
Appropriate protocol for a three-year-old with the following results, which I’ll go through. On Doctor’s Data symptoms are stomach aches and crave sweet foods. Although mostly the sweet food she has access to contains only raw honey and/or 70 percent-plus dark chocolate. Sometimes had access to foods containing unrefined sugars like rapadura. I feel a bit lost generally how to help children. Appreciate your guidance.
Chris Kresser: So the Doctor’s Data, she’s pretty good about beneficial bacteria with the exception of the 1+ for Lactobacillus,...
I also did a Doctor’s Data stool test which showed that she had yeast overgrowth. I advised the antifungal protocol and the mother recently sent photos to say that the daughter is doing very well. The mom also asked whether she could or should take maintenance pro- and prebiotics. Do you have any thoughts on this?
Dr. Amy Nett: I’m a little perplexed as to why they did the stool testing if they don’t want to...
It seems like a patient is not tolerating the antimicrobial protocol. What are some of the supplements that you would first consider reducing her stomach pain? So which ones are most likely to be problematic?
Dr. Amy Nett: Well, what I would do is, so often I have patients start each of the supplements one...
On a Doctor’s Data stool test, a patient had moderate yeast and many Blasto in all three samples. Low short-chain fatty acids, fairly good levels of beneficial bacteria. The handout says to treat for 30 to 60 days for mild to severe fungal overgrowth. So I’d like to check whether in this case I should advise treating for 60 days.
Dr. Amy Nett: If there is many Blasto on all three samples, I would do 60 to 90 days because...
I need a little help with a case. So 48-year-old male, no significant past medical history, diarrhea is the chief complaint. SIBO and stool testing. SIBO’s negative, stool test showed Blasto and insufficiency dysbiosis. Everything else looked great. Treated with a modified protocol, specifically using Parastonil. But the components of GI-Synergy that are specifically for parasites. So treated with that antimicrobial Saccharomyces boulardii and Prescript-Assist for 60 days. But now secretory IgA, beta-glucuronidase, and PP bacteria (Citrobacter) are elevated. Any ideas on why this would happen? Is Citrobacter one of the organisms that promote recirculation? I didn’t pick GI-Synergy initially because I wanted to protect his already fragile microbiome, so now I’m unsure what to do
Dr. Amy Nett: Okay, so I’m wondering did you use Genova for both the tests, or did you do Doctor’s...
Follow-up to a patient on an antimicrobial protocol. She’s on an IUD and is spotting significantly throughout the month since she started her Paleo diet and protocol. Unfortunately, underweight, hard time tolerating many carbs. Focused on keeping her calorie intake up with healthy fats. Seen spotting with other patients and weight loss. What mechanisms do you think are going on? Is it detox, fat loss? Do you see this often? Do you think the IUD or other birth controls can prevent healing the gut?
Dr. Amy Nett: So IUD, you mean just an intrauterine device? And I don’t know, too, there’s the Mirena and...
A couple questions regarding results of two Doctor’s Data tests. The first is for a 60-year-old female with many complaints. Mood, neuropathy, back pain, sleep disturbance, dizziness, low blood pressure. She’s been on an anti-inflammatory diet since she started with me although not specifically Paleo mostly. I’ve suspected autoimmune problems but that’s just a hunch and not part of my diagnostic experience. I ran the stool cultures for her because I thought she had a yeast infection, because the look of her tongue and symptoms of burning tongue and vaginal/vulvar burning which responded to small doses of antifungal medicine prescribed by one of her doctors. The results of the Doctor’s Data was 4+ Bacteroides.
Dr. Amy Nett: I think you mean Bacteroides fragilis? Oh 4+ Bacteroides, E. coli and Clostridium. 1+ Lactobacillus and Enterococcus...
85-year-old woman with extreme mood problems of anxiety and hopelessness had two years of recurring bladder infections and lots of antibiotics. Last antibiotic was a shot of antibiotics that brought on diarrhea that lasted for two months with significant weight loss. At the same time she was eating nothing but vegetables, long story which I stopped and put her on to more solid food diet. The diarrhea is improving. Doctor’s Data stool culture was all she felt she could afford. Results are all 4+ except no growth Bifido and 3+ Clostridium. Negative for C. difficile. Commensal flora are all 4+ and Pseudomonas aeruginosa 2+. All other markers in the normal range. Is no growth Bifido enough reason to give it deficiency diagnosis? What about the number and extent of commensals?
Dr. Amy Nett: No. So if all beneficial bacteria are 4+ except Bifidobacterium, no I don’t think that’s enough to...
