Hello  – yes, please do keep us all updated. I can’t wait to hear some positive news! I’m really curious to know if histamine is at play, as well as cortisol (head trauma related?) and I do believe despite his previous liver markers, that liver dysfunction is still part of the picture. Do let me know if you need help getting the DUTCH test and other functional tests I discussed. Other than the few additional blood markers I shared which should be covered by insurance, I wouldn’t waste more money on parasitology stool tests. 

I will announce when the recording is up if you’d like to re-listen to it again… so much was shared from not only myself, but the community as well. Thank you for allowing us to openly discuss your son’s case. I truly hope that him hearing the advice from someone other than his loving parents will help him recommit to the suggested changes. ❤️

 I like how you’re thinking! I had the same thought… think of anything that can tax the liver; 
• alcohol (ruled out)
• smoking (fortunately, he quit recently which will surely help)
• environmental toxins (mold, heavy metals, pesticides, etc – I didn’t suspect any of these but that doesn’t mean they’re ruled out. Was he living in a moldy dorm room when he studied at Uni perhaps?)
• drugs (he wasn’t on any medications according to health history)
• iron overload/hemochromatosis (but his ferritin was low – full iron panel could be rechecked)
• excess copper absorption (I did recommend to test this along with zinc and ceruloplasmin)
• viruses like hepatitis (focus would be on supporting immune health given his existing autoimmune thyroid dynamic)
• hypothyroid function in the liver could be the first stage of fatty liver disease and progression of insulin resistance (addressing the autoimmune thyroid dynamic should be a priority)
• non-alcoholic fatty liver (this is why I requested to test his blood sugar levels and lipid panel – his diet seemed rather high in simple carbs & his sleep pattern was highly stressful on his body.)
• pancreatitis (again, blood sugar can be at play. Worth investigating since his elastase was low on a previous functional stool test)
• nutrient deficiencies: vitamin A, B vitamins, selenium, zinc (I suggested checking these. If pursuing a DUTCH test, vitamins B12, B6, biotin and glutathione are checked as well)

Hope this helps!

 yes, if progressed enough. Viruses and mold/mycotoxins not necessarily – these can go undetected for years because they can be low-grade simmering infectious dynamics in the background taxing the immune system. His WBC has been suboptimally low in all of his tests since 2019, so something is definitely there. It could also be the dysbiosis and microbial overgrowths in his gut which were detected on the many functional stool tests that were done previously. Supporting gut immunity, overall digestion (see below), and then a parasite cleanse would be my approach.

As I discussed with your wife, I would start low and slow with a B complex for a month, then move to a B complex higher in B6 for another month, and then re-test his liver markers to see if in fact his liver is still struggling. The B vitamins will gently support phase 1 liver detoxification and may also start relieving his nausea if that’s where it’s rooted. In addition, I also suggested that stomach acid, pancreatic and liver/gallbladder support be given at the same time. I had suggested Biotics Betaine Plus HP (dosing challenge) and Digestion GB with meals as examples. If he’s not good with pills, then QuickSilver’s BitterX formula can be helpful taken 10mins before meals as it has properties to make bile and help it flow. And definitely continuing with D-limonene (1,000mg) taken 3/4 way through a meal for at least 30-60 days. All of these products are available in B Better’s Fullscript dispensary.

Let me know if you have any other questions.

a little bit of water won’t hurt (250ml)

 I can’t recall if I remembered to mention it on the call (time is really limited), but I know that I did include it in the call notes in the All Call Recordings>Live Case Study Calls

 as I previously suggested, please check his blood sugar levels. In the course, Blood Sugar Regulation, I share the different markers that should be checked for a thorough work-up. And the doctors should also check his pancreas.  

If all of these come back optimal, then I would point the finger at the autoimmune thyroid dynamic again which is likely contributing to hypochlorhydria (low stomach acid). 

If you watched the Gut Health masterclass, you learned that if the chyme coming out of the stomach is not acidic enough, it will not effectively trigger the release of digestive enzymes. So it could be a signaling issue secondary to low stomach acid. Causes of low stomach acid? I share plenty of them in the Gut Health masterclass. I suspect in you son’s case that hypothyroidism, and possibly nutritional deficiencies (zinc? B vitamins?) are possibly at play.

That’s another reason why I suggested testing RBC zinc, serum copper, ceruloplasmin.