Are primed-microglia permanent?

The use of vagus nerve stimulation, high concentrations of the omega-3 fatty acid DHA, and extra virgin olive oil have been shown in animal models to cause primed M1-microglia to shift their behavior into an anti-inflammatory, tissue-repairing M2-microglia. These will need to be continued long term until other methods of eliminating primed microglia are found.

Can I use Pro Omega from Nordic Naturals?

Yes. Nordic Naturals Pro Omega has the identical amount of omega-3 fatty acids as does Nordic Naturals Ultimate Omega. Approved products for The Nemechek Protocol including the book and other items can be purchased here at a 10% discount.

What is a Probiotic?

Bacterial organisms that are ingested or added to foods with the purpose of improving health.

I always heard that probiotics were beneficial for gut health. Why are you against using them?

I disagree with the many “health experts” who recommend probiotics for children and adults to improve their gut health. While the concept of simply adding in some “good bacteria” is alluring, the formal medical science regarding gut health does not strongly support the use of probiotics. They may dampen some intestinal symptoms but do not resolve the bacterial overgrowth enough to lower inflammation and improve neurological recovery.

Can I use probiotics with inulin or rifaximin?

I strongly advise against using probiotics in combination with inulin or rifaximin. It usually limits recovery and may actually worsen their clinical status.

My child has been taking probiotics for years. We stopped but do we need to wait some time before starting inulin or rifaximin?

There is no need to wait between stopping probiotics and starting inulin or rifaximin.

Are probiotics taken after a round of antibiotics useful?

No. There is no evidence that taking probiotics during or after a course of antibiotics. There is even some evidence that the gut biome might be damaged more when taken in this fashion.nAt present, I do not recommend probiotics under any condition.

What your thoughts on spores are? We switched to megaspore rather than traditional probiotics but are wondering if this is also contraindicated on your protocol.n

I believe any form of probiotic (spore or otherwise) can cause problems when attempting to reverse bacterial overgrowth with inulin or rifaximin.

Will adding in a probiotic cause problems while on the protocol?

The most common way to re-trigger regression is to add a probiotic while using inulin or after treatment with rifaximin. After bacterial overgrowth has been stabilized, I counsel my patients to avoid probiotics indefinitely.

How do I find the Progress Tracker to determine my child’s progress?

The progress Tracker is located in the left column of a desktop computer screen or can be found after clicking on the 3 bars in the upper left of your mobile screen.