For patients that routinely fast for longer than just overnight or 18 hours, what changes to the botanical SIBO protocols does one make? Is it correct to say that two specific considerations are number one, no digestive enzymes if not taking MBL? Second part of the question. Should the patient, take all other supplements, even though not taking any food, at about five times a day as depicted in the handout or week 10’s antimicrobial protocol PDF sample day slide?

Chris Kresser:  Yes to both parts of your question

The only downside of fasting to the protocols is that in some cases people feel a little bit nauseous when they take some of the supplements without food, and there’s not really a way around that with fasting is someone is really doing water fasting. There’s not much that can be done about that. CBD oil, if it doesn’t interfere with anything else you’re doing, might be one consideration because that can help with nausea, so that’s something you can think about.