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For a Hashimoto’s client who was tested at Genova with no growth of Lactobacillus, no growth of E. coli, 4+ Bifido, 4+ ?-hemolytic streptococcus, 1+ Citrobacter freundii, 4+ streptococcus, 4+ gamma-hemolytic streptococcus, 3+ Klebsiella pneumoniae, 4+ Yersinia enterocolitica, and Yersinia in the bacterial section. So, she’s got a lot going on there in the dysbiosis section. She’s had reflux for the last three years, using medication to manage her symptoms. Do you suggest a protocol for Yersinia or just addressing the dysbiosis?

For a Hashimoto’s client who was tested at Genova with no growth of Lactobacillus, no growth of E. coli, 4+ Bifido, 4+ ?-hemolytic streptococcus, 1+ Citrobacter freundii, 4+ streptococcus, 4+ gamma-hemolytic streptococcus, 3+ Klebsiella pneumoniae, 4+ Yersinia enterocolitica, and Yersinia in the bacterial section. So, she’s got a lot going on there in the dysbiosis section. She’s had reflux for the last three years, using medication to manage her symptoms. Do you suggest a protocol for Yersinia or just addressing the dysbiosis?

Chris Kresser: So here, because there is so much dysbiotic and commensal bacteria present, I would do 30 days of the general antimicrobial botanical protocol that I mentioned during the gut treatment section, and that should work well. Obviously, you would retest at the end of that 30 days and see if her symptoms have improved and if her lab markers have improved. If you’ve reduced the numbers of pathogenic bacteria, you may need to do some rebuilding of the beneficial bacteria.

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