Can you please discuss in more detail what removing the triggers means for most people? Also, what’s the best alternative to Cyrex labs? You have indicated that the cheapest and easiest solution for any gut testing is advising elimination diet using 14Four 30-day reset. Is this what you referred to as well when you indicate that patients should first remove the triggers and then test for intolerances, SIBO test, and permeability, etc.?

Yes it is. Not everyone has access to testing, so a good old 30-day reset can solve a lot of problems for a lot of people. That’s a really good starting place and, in some cases, might take care of it altogether. In other cases, you might need to go on and do some additional restrictions like the low-FODMAP diet, although I do not think that is a good idea to do for very long term. We talk about why AIP is another possibility, so there is still a ton you can do even if you do not have access to the Cyrex lab. As I said before, we do not use the Cyrex lab all that much, especially not array 10. If the patient’s already not eating gluten, there’s no reason to order Cyrex Array 3. We tend to focus on the other tests like SIBO and stool testing to try to really identify the underlying cause of the problem because if we address those some of those, other intolerances might go away.