Can the lack of digestive enzymes trigger bacterial overgrowth of the small intestine (SIBO)?

There is no evidence to suggest low digestive enzymes could trigger SIBO.

What if the child is having painful cramping or blood or mucous in stool?

If the child is experiencing abdominal cramping or blood or mucous in stool, I recommend the parents stop the use of any probiotics, digestive enzymes, or supplements. If these additional supplements are not being used, I recommend stopping the inulin and oils for a week and then try restarting if the symptoms stop. If the symptoms still do not stop or are also accompanied with blood, I recommend evaluation by a pediatrician.

My child has been on the protocol for a while with great gains but diarrhea has not improved. Does that mean that SIBO is not resolved?

If the diarrhea started with the protocol, it may be from the fish and olive oils. Try splitting up the oils so he gets it in smaller doses throughout the day. If the diarrhea was present before starting the protocol and it does not improve with either inulin or rifaximin and you are seeing gains, I suggest having your child evaluated by a pediatrician.

I am still experiencing diarrhea after using Rifaximin. What do you recommend?

Chronic diarrhea that does not greatly improve or resolve with rifaximin needs to be evaluated by your physician.

How long after starting rifaximin should I see my son’s diarrhea clear up?

Pre-existing diarrhea often improves within a few days to weeks after starting inulin or rifaximin. nIf diarrhea does not improve, I suggest having your child evaluated by a pediatrician.

My sons has chronic diarrhea and he’s been on inulin for 3 months. HIs diarrhea is improved from 5 times a day, to now 1 or 2 times a day but it’s still loose. Why is this?

Sometimes the amount of fish oil or olive oil in the protocol can contribute to loose stool. I recommend my patients stop the oils for a week or so to see if the remaining diarrhea resolves. If so, I restart the oils but split the dosing into 2 portions. If the diarrhea does not stop, then I recommend discussing the situation with the child’s pediatrician.

Why did my child develop loose motions (diarrhea) after 1/8th teaspoon of inulin?

Sometimes diarrhea can occur when starting the protocol. The diarrhea is often due to the intestinal track not tolerating the oils when overgrowth is present. In this case, stop everything, wait for the diarrhea to stop, and then add back only the inulin. After 1-2 weeks, slowly add back the fish oil followed by the olive oil.

What diagnosis should we ask for when getting our doctor to prescribe Rifaximin?

Rifaximin is used for bacterial overgrowth and has different clinical names. In liver disease, it’s called hepatic encephalopathy, in gastroenterology, it’s called IBS with diarrhea, in the hospital, it’s called Clostridium difficle enterocolitis. Rifaximin can successfully treat all these different forms of bacterial overgrowth. You should make an appeal to your doctor by saying more recent evidence suggests bacterial overgrowth is also responsible for the development of autism, and since it is not absorbed into the bloodstream, it would be very safe to try.

Can The Nemechek Protocol help with type I or type II diabetes mellitus?

Both types of diabetes mellitus involve abnormal inflammation. Type I is an autoimmune disorder that damages the pancreas’ ability to produce insulin. In contrast, Type II results from a gene that, once activated by inflammation, results in a progressive decline of cells to regulate circulating blood sugar properly.nnThe Nemechek Protocol is specifically designed to help lower abnormal levels of inflammation and improve the body’s natural ability to regulate inflammation. nnThat being said, the protocol is NOT a substitute for the medications prescribed by physicians to control blood sugar in a person with diabetes. Uncontrolled blood sugar elevations can be quite dangerous and even fatal if not properly managed.

Why do adults only need DHA?

There are three types of omega-3: DHA, EPA, and ALA. All three types of omega-3 are important but The Nemechek Protocol® focuses on the DHA component in particular for its ability to aid in the repair of brain damage from inflammation and injury. I recommend against using the new DHA-only fish oils because they contain little to no EPA. Although little EPA enters the central nervous system, its presence in more common fish oil blends I is important for the proper function of cells outside of the central nervous system.