Multiple Gut Pathogens
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Client:
32 yo femaleSX:
anxiety, depression, irritability
abdominal pain in am
burning on bowel movement
3-8 stools daily Bristol Scale 6-8
burping
low energy/fatigue/
chronic vaginal candidaTests:
2013 Adrenal Salivary
stage 2/32013 Genova Effects
+ Campylobacter spp molecular probe
+ 4 yeast
low fecal SigA
Not treated2014 Genova Comp Parasitology –
4+ gamma haemolytic Streptococcus NP
+3 alpha haemolytic Streptococcus NP
+4 Pseudomonas aeruginosa PP
+1 Candida albicans
Chilomastix mesnili: many trophozoites & cysts
NOTE above NOT treated2016 GI Effects see attached
need help interpreting/ clearly poor protein/fat absorption
doesn’t look like dr ordered the pathogenic add-on?
how interpret microbiome info? re supplements?candida – chronic vaginal/ assuming gut as well
was put on difflucan/nystatin for 8 months as soon as she went off , yeast came backNutrient Testing
Quest – 12/15 see attached
ferritin 21 D 40
iodine 42
c.albicans IGG 1.8
c.albicans IGA 1.0
homocysteine 9.3
DHEA 348+ HLA DQ2 – is gluten free
Food Sensitivities – removed gluten,dairy,inflammatory foods
SIBO test 2014 see attached
+ for methane?
NOTE NOT TREATEDPlan
avoid identified inflammatory foods
support digestion: add Betaine HCL with pepsin and digestive enzymes
support nutrient status: MVMM, + nori for iodine
replete iron with ferrochel?
adrenal support with meditation/sleep/yoga
more testing?
treat for candida, SIBO, gut pathogens –
Heal gutI am thinking the candida and the P aeuroginosa is what I need to target. The campylobacter from the 2013 test did not show up again – although it looks like the dr did not include a complete parasitology on the 2016 GI Effects.
Do I need more testing? Have I found the root cause? candida, SIBO, gut pathogens, post infectious IBS (autoimmune nerve impact?)
Could the burning on BM be Bile Acid Diarrhea? which I have seen in SIBO since bile acid re-absorption is blocked by si damage?
do I assume that if those pathogens were there in 2013, 2014 they are still there. Clinical sx would support that.
Do they ever exit on their own. Is there a protocol that would treat all the above?
Would you use biofilm? in the first class you mentioned you don’t always use biofilm buster, please explain.I was considering FCR protocol from Parasitology Lab but have decided against it because Candida morphs and needs a cycling of different herbals?
would you add in nystatin? I am leary of that because I have never seen a case where there wasn’t a very quick relapse. Yet you said it was safe? and perhaps it could be used as a jump start, complemented with herbals? pro motility supplements, etc.? What have you found to actually work?
Treatments seem to be controversial. Relapse rates high. Candida and SIBO particularly challenging.
Can you see why I am taking your course?
Help!
Lorraine -
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Lorraine,
Not sure how this one got missed.1 – blood tests show elevated antibodies to candida (which I know you know). Iodine is low (not sure if that is being addressed)
2 – SIBO test is positive. The combined Hydrogen and Methane is high.
3 – The fecal fat on the stool could be coming from persistent SIBO.
4 – Interesting that the Methanobrevibacter is high on the stool which would point towards high methane production.
5 – inflammation markers on stool are normal though.
6 – Entamoeba coli is positive too, but not likely a major stressor.Treatment – I would approach this case like a SIBO individual, and make sure to have a promotility agent going as well, i.e. Ibergast. Also, because of the imbalance in butyrate the additional Potassium/Sodium Butyrate – 2 capsules twice daily could be useful as well. I think you could accomplish a lot with just botanicals, i.e. Biocidin, GI Micro-X, as well as Allicin along with digestive support (HCL).
Nystatin could be added in, but I would wait until you see how they feel first on the botanicals. As you know relapse rates with SIBO can be high so a treatment approach in this situation may take a few months.
Dr. Woeller
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thank you
I have her on the Biocidin Comprehensive Cleanse – would you still add the allicin to that?
I was holding off on the iberogast until after killing phase – should add in now?
My plan is to rotate every 7-10 days, to use the interfase plus (this is chronic candida), 1 of the rotations is nystatin – although she had no die off with it and no change in symptoms – she is in the second week on the biocidin cleanse
also adding in Immune Booster per Karen Hubert (Biocidin)
thanks
Lorraine -
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