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