The further testing for HLA-B27 is only for Klebsiella pneumoniae and would not apply to oxytoca? Do you consider any information given at the bottom of the report for bacterial susceptibilities or just use the standard antimicrobial protocol that we went over?

Chris Kresser: As far as we know, yes. Still, if the patient has joint pain and symptoms that are consistent with what we talked about for HLA-B27, I would still test for HLA-B27, and I would also still consider a low-starch diet because it’s totally conceivable in my mind that oxytoca could cause the same problem as Klebsiella pneumonia.

I’ve never found that to be that helpful or accurate. We just usually do the core protocol, and we make adjustments based on the patient’s symptoms.