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It seems like a patient is not tolerating the antimicrobial protocol. What are some of the supplements that you would first consider reducing her stomach pain? So which ones are most likely to be problematic?

Dr. Amy Nett: Well, what I would do is, so often I have patients start each of the supplements one at a time and separated by a few days, so that if they do start having problems, I can say, “Okay, when did you start having the problems? What supplement did it seem to be related to?” So if the patient’s having problems, what I would probably do at this point is have them stop everything and then restart each of the supplements one at a time so that the patient can identify which of the supplements is causing the problem because GI-Synergy is probably the most potent, so you could start with that one, but each patient is different, so maybe it’s the GI-Synergy. But I think, I also have patients who reacted very strongly to InterFase Plus, who’ve reacted strongly to Lauricidin, or who’ve reacted strongly to one of the probiotics. So I think, unfortunately, any of them could be problematic because these are most often sort of introducing chronic problems or a problem that is unique to that patient.

So, the most conservative and safest approach is stop all the supplements, get back to a normal baseline, start each supplement back one at a time separated by three to five days so that they can determine which of the supplements is problematic, and then you can take that one out and use a substitute if you need to. So if it’s InterFase Plus that they’re reacting to, then you can use Biofilm Defense. But I really do—even though that approach, you know, it takes a lot of time and patience to do that, to stop them all and reintroduce them patiently one at a time, I honestly think it’s the best approach.

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