Optimizing Gut Health Protocols for Better Outcomes

This chapter discusses the strategic approach to treating a patient with digestive issues and an imbalanced gut microbiome. It emphasizes the critical steps of removing harmful bacteria and effectively reintroducing probiotics for optimal gut health.

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Thank you for joining us for our 2nd Cabral HouseCall of the weekend!

I'm looking forward to sharing with you some of our community's questions that have come in over the past few weeks…

Let's get started!

Tiffany: Hi Doctor Cabral, My patient took a genova stool test which came back NG (0) of the good bacteria Lactobacillus spp. and Bifidobacterium. And 4+ HIGH in Escherichia coli, Klebsiella pneumoniae, Citrobacter freundii and Pantoea species. I am new and want to do what is absolutely best for this patient as she has gone through a lot of digestive and skin issues. Do you agree with my protocol below? I am very open to tweaking. 2 Phases: Phase 1 : Paragard 20days with high dose probiotic 14 days (Probi 225) Phase 2: Berberine + moderate dose Probi Also Panplex enzyme with all meals.

Rachel: Hi Dr. Cabral. I love your podcast and am so excited to finally be submitting a question! My question is focused on PCOS, getting off of birth control, and preparing my body to get pregnant. I am planning on stopping my birth control pills at the end of 2018 in order to give my body 6+ months to cleanse itself and rebalance before we start trying to conceive. Diagnosed with PCOS- typical symptoms of facial hair, thinning of hair on head, and very irregular periods. I have been taking an oral birth control pill consistently for the past 5 years. Due to PCOS, I had severe chronic cystic acne and completed a round of Accutane about 3 years ago, which helped dramatically. My acne has actually started to come back over the past few months, but not nearly as bad as before. I have had chronic digestive issues since I was a young child and suffered from chronic constipation my whole life, until about 9 months ago when I started taking a Magnesium supplement regularly. My stool is loose and I suspect I have leaky gut, since I see undigested food/food debris floating in the toilet. Once I get off of my birth control, I want to do a cleanse and heal my body. Would you suggest the 14 or 21 Day Detox, Candida or SIBO protocol, and the Heavy Metal Detox? I want to ensure I am setting myself up for a healthy and successful pregnancy and baby! Thank you for your wisdom, always! -30 years old, 5'5, 135 lbs -HIIT workouts 4-5 times a week at Orange Theory Fitness -I take magnesium, zinc, probiotic, collagen, and some adaptogen herbs on a regular basis -Eat a clean diet mostly, avoiding grains and dairy and too much animal protein. When I do have a cheat meal, it involves pizza and sweets. I focus on consuming majority vegetables and fruits on a daily basis and plenty of water.

Denise: Hi, I recently completed your candid protocol and added some grapefruit seed extract for H.pylori. When I used the grapefruit extract it triggered a RA reaction. I followed it up with your 90 days gut Healing protocol but still have nail ridges and am having inflammatory problems. I was thinking of trying your parasite protocol but I find if I use oregano, grapefruit seed or garlic my stomach and gut hurts. Will this protocol give me a RA reaction? Do you think I am missing a reason why my gut is not healing ? I am on the AIP protocol and have done most functional tests. No major problems where noted except candida and H.pylori. and tried other protocol that didn't seem to work. Can histamine or fodmap be part of my problem? I listen to all your podcasts and really love them. I really appreciate any guidance to healing my gut that you can give me. You are amazing. Thank you Denise

Anna: Hello, I hope you can help me it's in relation to my dad who is 83 he has had itchy eyes and mouth over the last few months.he has developed this behaviour now of rubbing his eyes and mouth constantly. We have brought him to see various doctors and opticians but the problem doesn't seem to be improving. I am nit sure if it is anxiety now that is causing him to do this. I would appreciate your help. Thank you.

Julia: Dear Dr Cabral & Team, I've just finished reading your book and had a look at your online shop. I noticed that shipping to Australia costs min USD59; is there any min order value which would allow you to ship to Australia without any extra shipping cost? Kind regards, Julia

Joey: Hi Dr.Cabral, I have a question regarding vitamin D blood levels. You seem to be a supporter of a 50-70ng for basically everyone. I've been reading about vitamin D, and some brilliant people suggested that such advice might not be ideal, and may in fact be harmful for some people. His reasoning is that the way we truly know whether we are or aren't defficient is to check not only 25OHD, but also PTH and Calcitriol. Apparently, what we want is a suppression of PTH to about 30 (whether through calcium or vitamin D). If PTH is at around that level, the body is basically telling us that we aren't deficient neither in calcium nor in vitamin D (even if vitamin D is only around or slightly below 30ng). We want to test whether PTH will go down through vitamin D or dietary calcium. If it goes down due to calcium, we probably aren't defficient in D even if our levels of vitamin D are only around 30ng. What is your opinion on this? Thank you

Anonymous: Hi - I'm a 33 year old female and have a nagging symptom - I have an itch on the outer lip of my vagina. It's only on the left side and in one area, it's outside, not internal, not where one would notice yeas. I have talked with my OB and given the suggestion of applying coconut oil - this started about 2 summers ago. It's a persistent itch and cannot be ignored when it is "flared"- most intense in the morning and at night - I don't really have the issue during the day.I am sexually active my husband & I have only been with each other with no suspicion of stds. Here's what I've tried:- hydrocortisone - neosporin - coconut oil - essential oils (All help for a few mins to maybe an hour). Also tried/changed (I did not change all at once just over the last two years) I wear looser fitting clothing. Shower immediately after a work out. No undies to bed. Stopped using soap (use a Norwex cloth). Changed to a "0" on the thjnk dirty app for shampoo. No longer use hair products, lotions or perfume. Changed to a low chemical, no scent laundry soap. I also did the CBO protocol and sealer just in case it was an invisible yeast based issue. I did the food sensitivities test and eliminated all of them. I do the nutritional support powder daily with a smoothie and eat dairy, gluten and sugar free. I eliminated grains & lectins in addition to the above for 30 days. I do not shave but carefully trim In case it was an ingrown hair type thing What can I be missing?

Thank you for tuning into this weekend's Cabral HouseCalls and be sure to check back tomorrow for our Mindset & Motivation Monday show to get your week started off right!

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