Tracey O’Shea: Okay, and then, “Are there specific antimicrobials for different pathogenic bacteria, i.e., Klebsiella? After stool test results show pathogenic, what antimicrobials are used? Maybe Chris has told us, yet [I’m] not sure where to find [the information].”
I think that you’re asking maybe two different questions, like, do you use different antimicrobials for different pathogens or, like, maybe just in general. If a pathogen shows up on the stool test, what antimicrobials are used? This should be in, like, the dysbiosis treatment and the SIBO treatment section of the ADAPT Program. Let me just look and see if I can make sure I’m giving you the right weeks. I know Week 10 is SIBO treatment and then Week 11 is the dysbiosis treatment, so that’s, I think, where you should probably find the majority of this information. We don’t really use specific antimicrobials for specific pathogens, like, in the beginning because it’s kind of the whole benefit of antimicrobials is that they’re a little bit more broad spectrum than [the] one-drug one-bug kind of concept, and that’s why I think other than, also side effects are a little less generally, and then the antimicrobials are a little bit better tolerated for the most part. The other advantage is that we can use a couple of antimicrobials and get a little bit of a larger response, so the main ones that we’re using are, like, GI-Synergy, FC-Cidal, Dysbiocide, [and] sometimes the CandiBactins. Those are usually kind of our phase 2 or phase 3 antimicrobial protocol, meaning if we’ve already done one full antimicrobial protocol, then we got rid of half of the things that we were looking for but there are still some pathogens that are persisting, then usually we do have a second antimicrobial protocol depending on the bandwidth of the patient. Sometimes, they are over it because it’s been three months anyway and a lot of supplements, and it was just a little difficult for them to really manage the supplements version of the antimicrobial protocol, so it really depends on what we do, but the CandiBactins are kind of the second round generally for us, but like I mentioned, GI-Synergy, FC-Cidal, [and] Dysbiocide are some of the ones that we usually use, but GI-Synergy along with the biofilm disruptor like InterFase Plus [and] Lauricidin are usually where we start. We do use specifically for antifungals or if there is Candida on the stool test, then we will throw in Formula SF722. I think the dose for that is five capsules two to three times [per] day or the A-FNG, which is a Byron White Formula. We will use one or the other, and we’ll add that to the antimicrobial protocol if the patient has Candida overgrowth specifically. The other pathogens that sometimes we’ll add a little extra in is parasites, so if they have a pretty high quantity or it’s on all three samples, depending on what test you are using, sometimes we’ll use, like, a ParaGuard or a Mimosa pudica, something that’s a little bit more targeted toward parasites. So we do have a habit of kind of adjusting these protocols and adding one extra little thing if we are specifically trying to target Candida or a parasite, but for the most part, the antimicrobials that we choose are pretty blanketed across the board for, like, all the pathogens that we would find in the stool test.