NA 39-year-old female originally came to see me for infertility with high FSH, PMS, and irregular cycles. Showed me a few tests done by another practitioner. Basically, FSH went down, still borderline high. PMS became manageable. She had joint pain, gas bloating fatigue, headache, rectal itching, and sugar cravings. Her mind seems to be restless, but she does well with acupuncture treatments. Stool testing from Diagnostic showed Blastocystis. She took Alinia for Blastocystis, but it was persistent on a BioHealth stool test. She started LDN for bilateral knee pain. Urine organic acids testing showed markers for inflammation, some markers of dysbiosis, oxidative stress, and high D-lactate and indican, which can indicate SIBO. Genova stool testing also again showed some dysbiosis including Klebsiella, Blastocystis, and H. pylori. She’s been on a number of supplements but not getting rid of the pathogens. She has not been tested for SIBO. I’ll start the core antimicrobial protocol with H. pylori and SBDF — not sure if that is — some SBDF and some calmer to calm her mind.

Dr. Amy Nett: Okay. Yes, I think during the 60 days, I mean, she has a lot going on in terms of the Klebsiella, the Helicobacter pylori, Blastocystis. I might even consider for her a 90-day course of the herbal antimicrobials. I don’t see any markers on anything to show fungal overgrowth — oh, Saccharomyces boulardii — yes, that’s fine. Maybe a 90-day course of the herbal antimicrobials. LDN is fine, but if she’s having joint pain, also think about Meriva to lower inflammation, maybe boswellia. Fatigue and headache — headache could also do well with the Meriva and boswellia. Wobenzym PS that can be another one that’s helpful with joint pain in particular. Then the other questions, just her basic blood panel, make sure thyroid and all of her nutrients are in line. I would also start to think about things like heavy metal toxicity or what’s getting in the way of treating her gut, and it might just be that the course of Alinia was not long enough. It may not be that anything’s in the way. Maybe it just wasn’t quite the right treatment to deal with the Blastocystis, but the Alinia wouldn’t have necessarily had any effect on the Klebsiella or SIBO. I think the antimicrobial protocol is a good way to go.