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Gut Health

So I know we’ve spoken about enzymes in the past. A SIBO patient is tolerating foods much better with three caps of HCl but still notices fruit intolerance. Would a more diverse enzyme be helpful here? Or is it a fructose intolerance?

Dr. Amy Nett: So you could certainly try Digestzymes or something like that, or even like Now Brand or Jarrow...

At what age would you look at Doctor’s Data stool test for children? Literature suggests gut microbiomes not formed until two to three years of age. So we would wait until then.

Chris Kresser: Yes, great question and that’s true. I probably wouldn’t run a stool panel on a kid until they...

In a client who has Helicobacter pylori and dysbiosis, it was being treated with a botanical protocol plus the H. pylori add-ons, which, as you guys all remember, that’s Broccomax, Saccharomyces boulardii, GastroMend, and then we also often recommend unsweetened cranberry juice if the patients tolerate. So the patient had to build up the particle really slowly in order to control her symptoms. After about eight weeks in total of taking the supplements around three weeks would the almost complete protocol. So she stopped the treatment, she got much better. So what would we recommend that she does next?

Dr. Amy Nett: Okay, so she did about, let’s see, three weeks of full dose with five weeks building up....

Much of the course content notes if high inflammatory markers for IBD, then refer out, but there’s not a large mention of how to support someone with active IBD. Nineteen-year-old male with very high IBD markers astronomically high, actually white blood cell count high, high sIgA, low lymphs. Family physician and I have hooked arms to help him. So far we have him on one pharm, which is LDN. Began this week at two milligrams working his way up to four. Beyond that he’s on a lot of anti-inflammatory nutraceuticals and botanicals, namely curcumin, resveratrol, boswellia, butyrate, aromatic plants. Improving steadily but with inflammatory markers like his, I’m curious if he needs more conventional intervention. Also his C. diff clarification is pending.

Chris Kresser: Yeah, so it depends on the patient. In some cases we’ve been able to reset really severe IBD...

I did a Cyrex Array 4, I’m only finding a case of morphine antibodies in the equivocal range. I’m on week three of the protocol to get rid of many Blastocystis hominis parasites, I’m doing the reset diet with it. After I heal and seal my gut, could I provocate with dairy again, do the test over, and see if I’m still producing antibodies? Or is it recommended that I go off dairy like I had with gluten for the rest of my life? Designs for Health also has a product called Digestzymes that claims it can help break down casomorphin. So could that be added later if I do eat dairy? And if there are circumstances in my life that can create leaky gut, would it be suggested that I stay away from dairy on those days because of the potential of my immune system being sparked up again?

Chris Kresser: Yeah, good question. We talked about this a little bit in the Cyrex testing weeks and my answer...

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