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  4. I remember the importance of SIBO retesting in the modules, but I don’t recall the modules mentioning retesting for stool testing. I’m assuming we would, and if so, how long after the treatment? Two weeks, like SIBO? Just the Doctor’s Data versus BioHealth?

I remember the importance of SIBO retesting in the modules, but I don’t recall the modules mentioning retesting for stool testing. I’m assuming we would, and if so, how long after the treatment? Two weeks, like SIBO? Just the Doctor’s Data versus BioHealth?

Chris Kresser: Yes, it’s definitely important. I apologize if I didn’t make that clear, but we retest based on the length of the protocol. Oftentimes you’re tailoring the length of the protocol. We talked about that … or wait. Have we talked about that yet? I don’t think we have. We’re going to be doing a whole week or two weeks where we bring all of the stuff that we’ve been talking about in the gut section together and we do full gut case studies. I go through actual patient cases. We’ll look at the SIBO breath test, we’ll look at the stool tests, we’ll look at the organic acids test, we’ll look at the Cyrex tests for one patient, and then I’ll show you exactly what I did for that patient in terms of the treatment protocol and sometimes even show you some of the retesting. I think that will answer your question, but really you tailor the length of the protocol based on the overall picture. If they have severe SIBO and they have parasites and significant dysbiosis and their organic acids test is really elevated and they have lots of other stuff going on, then, yeah, they’re going to require 60 to 90 days of treatment, and you wouldn’t do the retesting until after that’s complete.

 

It just occurred to me that I think you’re asking if you wait for two weeks after the treatment. Yeah, now I’m seeing that you did clearly write that. Yes. Sorry about that. You do wait two weeks after stopping the antimicrobials, just like you do with SIBO.

 

Then in terms of Doctor’s Data versus BioHealth, you would retest whatever was abnormal. If the Doctor’s Data test was abnormal initially and the BioHealth was totally normal, there’s no sense in retesting the BioHealth. You would just retest the Doctor’s Data.

 

Furthermore, let’s say you had a patient with Doctor’s Data where all of the digestion and absorption and inflammation markers—the second, third, and fourth pages of the test—were normal, and the only thing that was abnormal was that they had insufficiency dysbiosis or they had 4+ of Klebsiella and 4+ of Proteus mirabilis or something like that. Then you can order a different test from Doctor’s Data called the Doctor’s Data Microbiology Profile, and that looks at basically the first page of the results from the Comprehensive Profile. It’s much cheaper, and there’s really no need to do the Comprehensive with three samples again if the patient didn’t have any abnormal markers from that in the first place.

 

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