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The microbiome is very much alive and always changing and adapting to its environment. It is influenced for example by bile since bile influences the pH in the gut. The microbiome is influenced by the immune system, stress, motility and what you eat. Especially foods can change the microbiome quickly, which is a good thing since the microbiome tries to adapt to what you feed it.
Even small amounts of opportunistic bacteria have their place in the microbiome. They help for example prime the immune system and when everything works well, the immune system helps keeps the balance so these species don’t overgrow.
Having enough nutrients in the diet to support the immune system (like vitamin D, vitamin A, zinc, folate and vitamin B12) is therefore important to help balance the immune system.
Having an optimal bile flow helps the environment of the gut to keep the balance in the microbiome as well. Here nutrients like taurine, glycine and vitamin B6 play an essential role since they are necessary to produce bile salts. Drinking enough water (such basic advice, but the majority of people struggle with this!) is essential for this as well.
Bile is produced in the liver and stored in the gallbladder and the health of these organs plays an important role as well.
Depending on what kind of blood values you measured we could help you to see if your liver doesn’t struggle and your immune system is functioning optimally. If you feel like sharing them, please do!
H. Pylori
Although H. pylori have a bad reputation, it is also a bacteria an endemic species that live in small amounts in our GI tract (particularly in the stomach). Finding small amounts on a test can therefore occur. H. Pylori can grow once the stomach is lesser acid. To get an indication about if you have low stomach acid you could for example do the baking soda test or a hydrochloric dosing challenge test (just click the link – and if it doesn’t work, I have uploaded the handout below).
Things that reduce stomach acid often can be stress or simply bad eating hygiene. These lifestyle factors are equally important to address. If you like to reduce H. Pylori overgrowth, supplements like mastic gum, zinc carnosine, Matula tea and DGL Licorice can help. A supplement that contains a nice blend of some of these ingredients is a product from Designs for Health called gastromend.
The B Better library has a video on this topic right here.
Klebsiella spp & citrobacter fundii
High levels of Klebsiella are indeed associated with inflammatory disease states. Klebsiella is also known to produce histamine, which is a balanced gut that is simply broken down by the DAO enzyme produced by the lining of the gut. When the lining of the gut is damaged (leaky gut), the DAO enzyme production might go down and some gut healing needs to take place as well. If you experience symptoms that are related to elevations in histamine, I would recommend temporarily avoiding high-histamine foods (This handout can help you!). Supplementing with the DAO enzyme can help you as well until the gut has healed. Things that help the gut heal are for example
• Aloe Vera
• Bone Broth
• Zinc carnosine
• L-Glutamine
• Cabbage juice
There are more options of course. But reducing the number of klebsiella spp and citrobacter fundii should be the first priority.
Supplements with antimicrobials can help reduce the amount. A broad spectrum supplement that I personally advise often is Candibactin AR + BR. Another antimicrobial I often recommend is Biocidin.
Some foods that have antimicrobial properties could help you here as well, like:
• Caprylic acid found in coconut oil or in MCT oil
• Extra Virgin Olive Oil – Especially oil that leaves a peppery or bitter taste on your tongue is good since this means it contains a lot of polyphenols
• Garlic
Adding a probiotic could help you as well. Strains that help are for example: Lactobacillus acidophilus‚ Bifidobacterium bifidum‚ Bifidobacterium longum‚ Lactobacillus rhamnosus‚ Bifidobacterium breve‚ Lactobacillus casei‚
A broad spectrum probiotic I often recommend to my clients is Ther-Biotic complete from Klaire Labs
If yeast isn’t a problem for you, you could also use Saccharomyces boulardii.
I hope you have some answers to your questions. If I missed something, let me know! Posting your labs will help us to provide you with more targeted advice.
I hope this helps!
[Hydrochloric acid supplement recommended dosage challenge.pdf]