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Two quick product questions related to SIBO treatment. In addition to Lauricidin, which is pretty readily available, is there a broad-spectrum herbal antimicrobial you recommend besides GI-Synergy? The reason I ask is GI-Synergy to procure without an account compared to other brands like Designs for Health.

Chris Kresser: Yes, there are other options. I think we talked about them in the unit. I can’t recall for...

In the discussion on the core botanical protocol, you mentioned one of the ingredients in GI-Synergy is H-PLR antimicrobial herbs. What does H-PLR stand for, and could you provide a list of the antimicrobial herbs in that product?

Chris Kresser: Yes. GI-Synergy, for those of you that don’t know, is actually a blend of three separate Apex products....

Woman coming in wants to prep herself for getting pregnant—35, birth control since 16. A few months ago, she went off birth control, experienced very bad acne, and so she went back on. Says the acne was the reason she went on when she was 16. This is a very common story of course, and I’m sure many of you have seen this lots of times. Done comprehensive blood. She looks pretty good outside of some functional iron deficiency, lack of protein in her diet, possible HCl, and electrolyte imbalances. Advised Paleo reset and then hormone testing. What tests do you suggest, and should they be done when on birth control or at some point went off the pills? I want to prep well before she goes off BCs so she can have less symptoms and then regulate her conception.

Chris Kresser: Yes. Definitely like a DUTCH test what are you going to be learning about shortly after hormones and...

Is there too long of a duration for GI-Synergy?

Chris Kresser: Yes. Three to six months. I wouldn’t use it for longer than that, especially not continuously. I think...

How do you counsel patients on gut maintenance specifically in regards to probiotic and prebiotic foods and supplements?

Kelsey Kinney: So the way that I think about gut maintenance, and what I assume you mean by that is...

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