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  4. If a patient does have to take the CDD recommendations for Blasto, which have changed over time, up until May of last year or maybe a little later last year, I believe it was iodoquinol, which is Yodoxin; nitazoxanide, which is Alinia; and paromomycin. And then they changed it or maybe changed it back to secnidazole, diloxanide furoate, and Septrin, which is Bactrim here. Do you still support the flora during this time with Saccharomyces boulardii, Prescript-Assist, and MegaSporeBiotic?

If a patient does have to take the CDD recommendations for Blasto, which have changed over time, up until May of last year or maybe a little later last year, I believe it was iodoquinol, which is Yodoxin; nitazoxanide, which is Alinia; and paromomycin. And then they changed it or maybe changed it back to secnidazole, diloxanide furoate, and Septrin, which is Bactrim here. Do you still support the flora during this time with Saccharomyces boulardii, Prescript-Assist, and MegaSporeBiotic?

Chris Kresser:  Absolutely, as much as possible during that treatment because it’s a carpet … I mean, it’s not really a carpet bomb. Particularly the iodoquinol, nitazoxanide, and paromomycin, those are all antiparasitic, so they’re not expected to have a really dramatic effect on the beneficial bacteria, which is why I prefer that protocol. Septrin and Bactrim are broad-spectrum antibiotics that would definitely have an effect on beneficial gut bacteria, so I’m not as crazy about that version. But in the other case, I would definitely support with all of those probiotics.

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