Choosing Between Inulin versus Rifaximinn• If under 8 years of age, I use inulin to balance intestine bacterian• If between 8-14 years old, I may start with either inulin or rifaximinn• If 15 years of age or older, I recommend starting with rifaximinnI recommend starting with inulin in young children because it is often effective, safe, inexpensive, and does not require a prescription to obtain. Inulin is widely available from several manufacturers. Inulin is also appealing as a natural fiber that many parents prefer who are understandably fearful of using any more antibiotics.

No. The addition of inulin between rounds will not prevent relapses. I only utilize inulin in conjunction with Rifaximin in a small percent of cases where further inflammation reduction is required.

If a child’s protocol shifts from inulin to rifaximin because the inulin no longer helped control bacterial overgrowth, then shifting back to inulin is generally not be helpful. But if the change to rifaximin was done incorrectly and there still may be a chance the inulin will be effective, then yes, you can shift back to inulin.

Stop the treatment, wait for the symptom to clear, and restart the treatment to see if the same symptoms return. A surprising number of times it does not.

Inulin is a safe over-the-counter (OTC) prebiotic fiber that comes from a variety of natural plant sources and produces enough bacterial rebalancing, propionic acid reduction, and inflammation reduction to allow a child to become more alert and restart the process of neuronal pruning and development. Inulin derived from blue agave, chicory root, and Jerusalem artichoke are all acceptable forms of inulin. Members of the Nemechek Navigator can purchase Nemechek Blue inulin here at a 10% discount.