Is it OK to use other sources of inulin than those recommend in your book?

There is a large amount of fraud within the nutritional supplement industry. We recommend brands known to be genuine and have a proven record of effectiveness.

I am switching my child from inulin to Rifaximin. How do I know if they will need monthly or continuous?

When switching from inulin to rifaximin, I recommend my patients start with monthly 10-day courses of rifaximin and assess the effectiveness over the next few months. If there is no evidence of neurological recovery after 3-4 months, the child is relapsing before the monthly cycle is even complete, and recommend that they move on to continuous.

What is the minimum dose of inulin?

I recommend everyone starts at 1/8th tsp of inulin. Purchase discounted Nemechek-Approved Inulin here.

What is the maximum dose of inulin and is there such a thing as too much?

I recommend giving my patients 1/8 to 1/2 teaspoon of inulin powder, once daily. Beyond the dose of 1/2 teaspoons a day, it is rare to see any added improvement in symptoms and the higher dose has the potential to increase hyperactivity, hunger, thirst, anxiety, or aggression and may cause discomfort from excessive gas, cramping, or bloating. Members of the Nemechek Navigator can purchase Nemechek Blue inulin here at a 10% discount.

Is inulin safe to use long term?

The long-term use of daily inulin in children is very safe, inexpensive, and controls SIBO as long as it remains effective. Eventually, as the child ages, the inulin will likely fail, and bacterial overgrowth will return. At this point, the child will need to be transitioned to intermittent courses of rifaximin to control any symptoms that occur from bacterial overgrowth.

Can I have my son on Inulin forever?

Yes, inulin can be used indefinitely if it seems to be able to control bacterial overgrowth

How long does my child need to stay on inulin as well as the rest of The Nemechek Protocol?

Propionic acid control and brain recovery are long-term processes, and each aspect of the protocol (intestinal balance, olive oil, and fish oil) have different timelines. Since we still can not completely prevent bacterial overgrowth, there will be an ongoing need to maintain the intestinal balance using either inulin or rifaximin. The deficiency of omega-3 fatty acids and excess omega-6 fatty acids are due to the unhealthy food supply. Until there are widespread improvements, regular supplementation with omega-3 fatty acids from fish oil (at present) and olive oil are most likely a long-term health requirement.

What do you recommend if inulin stops working?

If inulin fiber loses its effectiveness over time, or the side effects (hyperactivity, anxiety, aggression) are intolerable, I recommend the use of rifaximin (brand name of Xifaxan® in the U.S.) 550 mg two times daily for 10 days to reduce the excessive colonic bacteria from the small intestine in my patients.

What is the difference between inulin failure & Inulin intolerance?

‘- Inulin failure occurs when a child had successfully been using inulin for recovery and then it suddenly stops working and is no longer effective. This may be evidence as either a plateau (where recovery has stalled) or by a relapse that does not resolve in a few weeks as expected.n- Inulin intolerance is when a child cannot tolerate even micro doses of inulin without experiencing extreme anxiety or aggression. In the event of inulin intolerance, the child should be switched over to Rifaximin.

At what age does inulin stop being effective?

As children age, inulin is less and less effective at controlling the balance of intestinal bacteria. By the age of twenty, I have never witnessed the inulin being effective enough to assist in brain recovery.