Can we give antibiotics for colds or infections at the same time as rifaximin?

Yes, it is OK to continue treating with rifaximin while taking a second antibiotic. As a general rule, you should always inform the prescribing health care provider about all other medications and supplements your child is presently taking.

How to determine the type of aggression in a 23 year old? Has been a long term issue.

Dr. Nemechek hosted a live Q&A event in August 2023 in which he reviews the the four possible causes of anxiety and aggression:n1) Norepinephrinen2) Low Blood Pressuren3) Road Ragen4) DiscomfortnAs well as tips on identifying which is the root cause of your child’s issues, and even more importantly, he shared the best ways to improve things for your child. We recommend that you review the video which can be found in the Parent Chat feature of the Nemechek Navigator under the Live Q&A Events forum. nn

Why does my child seem constantly anxious?

Constant inappropriate anxiety in a child is often from either bacterial overgrowth of the small intestine, dysfunction of the autonomic nervous system leading to low blood pressure into the brain, or a combination of both. Severe past emotional traumas may also fuel some constant anxiety as well.

Will apple cider vinegar interfere with your protocol?

Occasional use of AVC should not cause any problems.

Does Dr Nemechek recommend ABA therapy?

While I believe ABA, occupational, physical, and speech therapies can have a positive impact on a child’s ability to function, I have seen many cases when I have advised a particular therapy be discontinued. Examples when I might suggest discontinuation are with therapies that are applied without clear goals, are used excessively almost as a babysitting service, continued when they are clearly not proving beneficial, or are causing distress for the child.

Can I use ACC (Andrew Cutler Chelation) alongside The Nemechek Protocol?

The Nemechek Protocol and ACC are not compatible and the agents commonly used for detoxing can prevent recovery. I understand Dr. Cutler’s proposal, but I caution against doing too much at one time. It confuses the picture as to what really helped. I don’t worry about heavy metals because I don’t trust many of the labs performing the testing. Secondly, when I treat autism and other developmental issues, I don’t need to address the heavy metal issues, and they still recover. n

Does The Nemechek Protocol improve acne?

Yes. Bacterial overgrowth can result in issues with skin such as acne and eczema. Over time these should improve.

We have been on the protocol for a while and my child’s recovery is doing really well but they still have bad acne. Does that mean that gut bacteria is not under control?

We understand that in some cases, the imbalance of or damage to intestinal bacteria influences acne, especially cystic acne. Acne might result from the absence of certain bacteria or excessive growth of other bacteria and may not have anything to do with overgrowth (SIBO) per see. We can reverse SIBO, but we do not know how to reverse other forms of dysbiosis.nnIf a child is recovering well on the protocol, I would assume the intestinal bacterial balance is well-controlled and would look for acne treatment with your dermatologist.

Can rifaximin help clear up my daughter’s acne?

There is an association between cystic acne and bacterial overgrowth of the small intestine (SIBO), and I have seen rifaximin help dramatically improve this at times. But there have been other instances where rifaximin has had little effect, and different dermatological approaches were required.

Does the Protocol work for a child with an acquired brain injury?

Yes. Through its effect on reducing inflammation, the Protocol allows the very potent repair and rejuvenation mechanisms of the nervous system to activate. This can lead to neurological improvements from prior brain injuries from trauma, stroke, infection, and even cerebral palsy.