Dr. Amy Nett: It completely depends on what we’re treating. The good thing is that kids seem to heal a little bit faster. Kids are very resilient. You think about your 40-year-old patients who have a good 20- to 30-year history on a Standard American Diet and have felt lousy for 10 years. It’s going to treat longer to treat adults. Generally pediatrics are treated more effectively … or quickly, I should say, so once you get the six-year-old up to the full dose, maybe try 30 days at the full dose, but I generally start counting once I get the patient to the dose I want them to be at.
Yeah, you can go off symptom response, and if you are using symptom response as your guideline, I would probably carry the treatment at least one to two weeks beyond the point where you see symptom resolution. Let’s say you feel like you’ve treated the anxiety and symptoms have resolved. Carry that treatment out for another week or two. Just make sure you haven’t just gotten the yeast overgrowth to bay or the dysbiosis to bay, and then you take away the antimicrobials, and it just all comes flooding back. In adults, I’ll extend … it depends a little bit, but maybe two to four weeks out. For a kid, maybe one to two weeks out. And if you don’t get symptom resolution after 30 days on the full dose, then think about repeating the treatment because maybe it’s not just gut issues alone. Maybe there’s something else that you need to dig into. Maybe there are still food intolerances. With 30 days at full dose and no symptom resolution, consider repeat testing.