Is there any way to measure inflammation in order to direct treatment?

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The ability to measure inflammation and use these measurements to guide therapy is still in its infancy and is presently not available.  

Why does my child keep waking up at night?

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Insomnia is a highly complex problem. By allowing the nervous system to recover, the protocol helps insomnia in the majority of cases. Occasionally I’ll recommend my patients try either a low dose of melatonin or diphenhydramine to help the child drift off to sleep more easily.

Is insulin the same as inulin?

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No. Insulin is a diabetes medication and inulin is a prebiotic fiber. These are not the same at all and The Nemechek Protocol requires inulin not insulin for recovery.

Can The Nemechek Protocol help with deficiencies in intelligence?

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Yes. The Nemechek Protocol will help many childhood issues because they all have similar origins, an overgrowth of intestinal bacteria and multiple mechanisms that fuel inflammation.

Is there anything else other than probiotics that can interfere with the protocol?

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In addition to probiotics, I tell my patients to eliminate digestive enzymes, unnecessary supplements, and foods that advertise themselves as a source of probiotics/supplements. I also advise my patients to limit their consumption of artificial sugars and omega-6 oils such as soy, corn, safflower, and sunflower oils.n

My child was diagnosed with intermittent lichen planus (white patch) on his tongue after starting rifaximin. Can rifaximin cause lichen planus?

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Although lichen planus is associated with other inflammatory conditions, there is no reported association with the use of rifaximin. I have observed that the reversal of bacterial overgrowth (SIBO) by rifaximin seems to improve immune function. The improved immune function might make lichen planus more visually apparent, but this should not be confused with being the actual cause of lichen planus.nAs you may be aware, lichen planus can sometimes become cancerous, so regular examinations by an oral surgeon are strongly recommended.

I live outside the U.S. and I can’t place an order from NemechekProtocol.com. What do I do?

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For international orders from NemechekProtocol.com, you’ll need to use a freight forwarding agency.  Please refer to the link International Orders in the top menu on NemechekProtocol.com.

How should I deal with an intestinal infection?

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When it comes to infections, I always recommend following the advice of the child’s pediatrician or other medical specialists.

My 6 yr old is in NP for 4 months . Have seen awakening in 1/16 inulin and recommended oils but increased inulin 1/8 per chart . Didnt see my much improvement but a lot hyper activeness . Can I decrease the inulin to 1/16 again?

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If smaller doses are required because of intolerance, any improvement suggests even the smaller dose might be adequate.

Does inulin need to be replaced regularly once opened? I see a lot of people saying that it gets old and needs to be replaced every 3 months. Is that true?

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I am aware that some people choose to replace inulin every three months, but it is not my recommendation. While inulin may lose its potency over time, I doubt it has lost any potency in just three months.