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• Recommended water filters
• New 34-year-old female client with history of H. pylori, GERD, bloating, constipation, rashes, white coating on tongue. Previously done Gut Thrive program to help reset her gut and has had food sensitivity testing. Strictly avoids yeast foods and eats only organic whole foods. Started an elemental diet two weeks ago for suspected SIBO and is doing well except for continued rashes and white tongue. Is this a die-off situation, and what should be the next step beyond the elemental diet? Considering SIBO test and then possible antimicrobial protocol if indicated.
• With the increased consumption of kombucha, do we tell patients to avoid, if they have sensitivity to yeast, ​Saccharomyces cerevisiae,​ or is the SCOBY a different yeast not to be concerned about?
• What would I do about low 5-α reductase activity?
• 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?