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

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 is most often we do use Prescript-Assist and MegaSporeBiotic. There are a few others, depending on what the actual diagnosis is, that we may use for initial treatment, and again, we’re going to go into this in much more detail as the gut unit goes on. Maybe during that six months or initial year of treatment, depending on what the treatment course looks like, we’ll stick with those probiotics, but often once we get patients to more of a maintenance phase, there’s a lot more flexibility in the types of probiotics that they can tolerate, that they can take, and I think it does make a lot of sense to rotate probiotics over time. Again, patients can choose the flexibility. If there are some that work better for them than others, they can include those in the rotation, and if people start eating a lot of fermented foods, whether it’s lacto-fermented vegetables, kefir, or 24-hour fermented yogurt, then they may not need to take supplemental forms of probiotics as consistently.

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