I am not observing any gains despite recommended products and the right doses. What should I do?

There are a number of ways to “bump it up” if what you are currently doing is not getting recovery. Some strategies are moving on from inulin to monthly Rifaximin, increasing from monthly to continuous Rifaximin, and/or adding vagus nerve stimulation. These concepts are all covered in depth in the updated version of book, as well as in some of the videos here in the Navigator, which should give you a sense of what the next steps are based on whatever your current situation is. n