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I’d like your opinion on this test. Doctor’s Data positive for H. pylori. Beneficial flora: 2+ Bacteroides fragilis, 1+ Bifido, 3+ E. coli, 1+ Lacto, no growth Enterococcus, 3+ Clostridium. Commensal: 4+ alpha-hemolytic, 2+ beta-strep group B.. No yeast. Everything else in range except occult blood that’s positive. Patient treated SIBO last year and retested last April and came back negative. Treated H. pylori two years ago. Breath test was positive and treated following doctor’s recommendation. Symptoms are bloating with gas. Following guidance with diet. Patient regained 16 pounds of weight,” so I guess they were underweight, “but still needs to gain a few more pounds to be back to normal weight. Vertigo and dizziness, headaches, brain fog, and more. Paleo for two years, but was on a long-time very-low-carb diet, trying to manage symptoms, but it made her worse and had a huge overall improvement in health since working.

I’d like your opinion on this test. Doctor’s Data positive for H. pylori. Beneficial flora: 2+ Bacteroides fragilis, 1+ Bifido, 3+ E. coli, 1+ Lacto, no growth Enterococcus, 3+ Clostridium. Commensal: 4+ alpha-hemolytic, 2+ beta-strep group B.. No yeast. Everything else in range except occult blood that’s positive. Patient treated SIBO last year and retested last April and came back negative. Treated H. pylori two years ago. Breath test was positive and treated following doctor’s recommendation. Symptoms are bloating with gas. Following guidance with diet. Patient regained 16 pounds of weight,” so I guess they were underweight, “but still needs to gain a few more pounds to be back to normal weight. Vertigo and dizziness, headaches, brain fog, and more. Paleo for two years, but was on a long-time very-low-carb diet, trying to manage symptoms, but it made her worse and had a huge overall improvement in health since working.

Chris Kresser: I think the H. pylori is the big question mark here because there was a history of that and now it seems to be back, and symptoms certainly match with what’s going on. So I would probably try the H. pylori-specific protocol that I mentioned, which is the full antimicrobial protocol plus the additions for H. pylori, and I would do that for at least 60 days, if not 90 days, and I would see how that goes. My guess is that that’s what’s contributing to these ongoing symptoms and the ongoing dysbiosis.

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