Dr. Amy Nett: Okay. So if it’s just insufficiency dysbiosis, as I mentioned, where you have no growth, and 1+ of, you know, half of the beneficial bacteria, I would probably just try to do a sort of rebuilding of the gut protocol.
So, I would start this patient depending on what their current protocol looks like, you know, meaning, what did they come to you with, I would start probably two or three probiotics, and try to get them eating fermented food. So I would probably start MegoSporeBiotic, Precript-Assist, and Saccharomyces boulardii, and encourage them to eat fermented foods, then big push on prebiotics.
So, food sources, so this is resistant starch, so cooked, cooled white potatoes. Also FODMAPs, broccoli, cauliflower, onions, garlic, and then supplemental forms of prebiotics, so that’s going to be BiotaGen. You know, we’ve talked about a few different ones, PHGG is another good one. If they tend towards constipation, I really like FiberMend. There’s also like galactooligosaccharides, something like that, I’m forgetting, but there are a couple different ones there that you can use. So really, tigernuts, I think we’ve mentioned, I’ve just sort of recently found those. But yeah, like any of these forms of food sources, supplemental forms of prebiotics, that would be my initial approach.
So, I would let the patient know, try two to three months, big push, prebiotics, probiotics.
Try to build up the levels of healthy bacteria.
If the patient comes back in two weeks, four weeks, and says, “Oh my gosh, my symptoms, whatever those may be, are so much worse, I’m having bloating, gas, my stools are terrible, whatever, then I might do one month of the core antimicrobial protocol, but my preference here would be to try just getting rid of symptoms and building up the good levels of bacteria with only prebiotics, probiotics. I would prefer to stay away from antimicrobials, with the profile you’ve given me here.
If there’s yeast overgrowth, so if I had this profile, and then you’re saying, “If it also said, a few yeast,” what I would probably do is instead of the GI Synergy of the core protocol, I would probably use Yeastonil, and then you could do the A-FNG. For just a few yeast, I don’t know if you really need to do the biotin and molybdenum. Maybe if the patient has joint pain, I would think about including the molybdenum. I think, you know, I’ve found that to be helpful there. Activated charcoal, I don’t think you need. So again, if it’s just few yeast, and you’re concerned about a yeast overgrowth, but that’s superimposed on the insufficiency dysbiosis, think about using Yeastonil, which is also from Apex Energetics, instead of GI Synergy, plus or minus A-FNG. Might be a little bit overkill. I don’t think you really really need A-FNG, so Yeastonil, plus or minus A-FNG. If joint pain, maybe biotin and molybdenum, don’t need activated charcoal, 30 days. I would do one month, and then two weeks off, well, I would do one month of treatment, and then just another month of just the prebiotics, probiotics, and then consider repeating the stool test, if they’re having ongoing symptoms.
Look to see if you’ve improved the levels of beneficial bacteria and gotten rid of the yeast overgrowth. So, hopefully we answered the couple different scenarios you presented there.
Take-home point, insufficiency dysbiosis, try to avoid antimicrobials if you can because you’re potentially going to further lower the levels of beneficial bacteria. If they’re having severe GI symptoms, that protocol doesn’t work, do one month, if you can, of the antimicrobials, and if it’s just mild yeast overgrowth, and the setting of insufficiency dysbiosis, consider using Yeastonil and/or A-FNG, instead of GI Synergy, to limit the amount of sort of detriment to the beneficial bacteria. Okay, so hopefully we summarized that.