Supplemental Protocols for Common Situations - Part 3
To "Get the Ball Rolling" & Start Patients Down the Path to Good Health
01/01/2019 - Product Newsletter #321
SUPPLEMENTAL PROTOCOLS FOR COMMON CLINICAL SITUATIONS - PART III
This month my series on supplemental protocols for common clinical situations concludes.
Please note, as before, that all supplements are listed in order of priority.
SUPPORT FOR DIARRHEA, DYSBIOSIS, LEAKY GUT AND SMALL INTESTINAL BACTERIAL OVERGROWTH (SIBO)
Unlike all the other protocols discussed so far where each clinical entity warranted a unique set of supplements, a significant body of re - search, for me, has made it clear that the key to resolving most cases of diarrhea, dysbiosis, leaky gut and small intestinal bacterial overgrowth (SIBO) revolves around five basic elements:
· Dietary modifications
· Antimicrobial supplements
· Probiotic supplements
· Anti-inflammatory supplements
· Optimization of the migrating motor complex (MMC) for patients with IBS-C.
Therefore, the following protocol is appropriate for all the above as well as many other intestinal overgrowth situations. Please note, though, that the order of interventions listed below is an ideal situation and individual patient need can dramatically alter how this program is implemented. In turn, please contact us if you need clarification on how this program might be applied with any specific patient.
A low FODMAP diet may be necessary for a minimum
of the first 4-6 weeks of treatment.
Furthermore, some patients may require a low FODMAP diet for a
considerably longer period of time.
Patients with very difficult cases may benefit from an elemental diet.
Parabotanic Select - 3 capsules twice per day with or without food. Some patients may only be able to tolerate 1-2 capsules at a time.
Oil of Oregano - 1-2 softgels twice per day with or without food. For some patients Oil of Oregano will cause GI distress. In such cases, reduce dosage and/or take with food.
Berberine Select - 3 capsules twice per day with or without food. If GI distress occurs, reduce dosage and/or take with food.
Additional support for difficult cases:
Lauric Select - 1 capsule with each meal.
Herbal antimicrobials require 3-6 weeks of supplementation to successfully eradicate most dysbiosis or overgrowth situations. However, some may require 2-3 courses of 3-6 weeks each for full efficacy.
Finally, it should be noted that antibiotics may be required for the most difficult cases.
Probiotic Select - 2-3 capsules with breakfast and 2-3 capsules with dinner. If 6 per day causes bloating, reduce dosage to 4 per day.
Saccharomyces boulardii - 1 capsule twice per day with food
GI Select - 1-2 scoops per day with or without meals.
Permeability Select - 4 capsules twice per day with or without meals.
1 capsule with breakfast and 1 capsule with dinner
Additional support for difficult cases:
Black Cumin Seed Oil - 1 capsule twice per day with meals
L-Glutamine - 3,000 mg per day with or without food
GastroSelect - 1-2 capsules with each meal for excessive stomach acid
Digest Select, Pancreatin Select, or Betaine HCl - 1-2 capsules with each meal
Quercitin - 2 capsules twice per day with or without meals.
Optimization of the migrating motor complex (MMC) - Usually required for IBS - constipation cases
MMC Select - 3 capsules 1-2 times per day between meals
The migrating motor complex (MMC) is usually out of balance, particularly for patients with IBS-constipation. Under these circumstances the patient should be instructed to engage in a 12-hour fasting period per 24-hour period as well as 4-5 hours between meals.
EXCESSIVE STOMACH ACID
GastroSelect - 1-2 capsules with meals.
TESTING FIRST MORNING URINE PH
Using Hydrion pH Paper from Moss Nutrition, measure the first morning urine pH for five days in a row. Discard the high and low measurements and average the middle three readings. Ideal pH is 6.4-7.4. If the patient wakes up multiple times during the night to urinate, measure the urine that occurs when the patient has arisen for the day.
Ideally, the urine collected is based on at least 6 hours of fasting.
If the first morning urine pH is below 6.4, follow the supplementation guidelines listed below:
Take 1 capsule Magnesium Select and 1 capsule K Alkaline before bedtime and measure the first morning pH the next morning. If the pH is 6.4 or higher, have the patient remain on this dose for 4 weeks and then recheck using the above procedure. If the pH is now above 6.4, supplementation can be discontinued. If the pH is now below 6.4, continue for another 4 weeks and repeat measurement.
If the first morning urine pH is below 6.4 after the first dose of Magnesium Select and K Alkaline, increase each supplement by 1 capsule before bedtime until the pH is 6.4 or higher and maintain that dose for 4 weeks and then recheck the pH using the above procedure.
For less difficult cases, K Alkaline + Mg can be used alone for supplementation.
If you would like sheets to give to your patients to learn more about pH Balancing, feel free to use these these forms: