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  4. You mentioned that giardia has a long list of associated complications, which may persist even after eradication. Can you please go into more detail about these complications and what to do about helping support a patient even after they have been successfully treated?

You mentioned that giardia has a long list of associated complications, which may persist even after eradication. Can you please go into more detail about these complications and what to do about helping support a patient even after they have been successfully treated?

Chris Kresser: Yeah, I’ll see if I can dig up that actual study, but basically I think what’s happening is the giardia itself and then the treatment for giardia cause changes to the gut microbiome and to the gut environment in general that then manifest as IBS or other gut syndromes. There’s actually a category of irritable bowel syndrome called post-infectious IBS, and that is just a way of saying this person developed IBS after they had an infection. In terms of what to do about that when you see it, it’s a lot of the same things that we do. You still look for other pathologies. It’s possible the person developed SIBO after an infection, so you’d want to treat that. You want to support their gut microbiome. You want to help regulate and balance their immune system. It’s a lot of the same things, but it’s just good to know that sometimes infections lead to this kind of post-infectious presentation.

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