Archive for the ‘diet and nutrition’ Category

Fibromyalgia Diet: What to Eat, What to Avoid

https://www.holtorfmed.com/fibromyalgia-the-diet-connection/?

Fibromyalgia Diet: What to Eat, What to Avoid

Fibromyalgia Diet: What to Eat, What to Avoid
Fibromyalgia is a complex pain disorder characterized by muscle pain, joint stiffness, and fatigue. It affects over ten million Americans, (4% of the population), primarily women. Although there is no known treatment that works for everyone, following a healthy diet by eliminating processed foods, caffeine, aspartame (artificial sweetener), food additives and nightshades may reduce the symptoms.

Fibromyalgia (FM) is a very real condition that affects millions of Americans and its symptoms include chronic widespread pain, fatigue, sleep disorders, joint pain, problems with cognitive functioning, migraines, IBS (irritable bowel syndrome), anxiety, depression, and environmental sensitivity – learn more about fibromyalgia symptoms here.

Unfortunately, FM is a condition rather than a specific illness and presents itself as an array of complex symptoms; believed to be caused by biological, psychological, and environmental factors and there is no specific universal treatment for the condition.

Sufferers of FM may be able to find some relief by following a healthy diet, which includes eliminating some foods while adding or increasing others. Kent Holtorf, M.D., Medical Director of the Holtorf Medical Group says,

“We’re at the point now where we know diet plays a role in this disease – it’s just the same diet for everybody. And not everybody is helped in the same way.”

However, there are a number of secondary health conditions such as gluten intolerance, gout (a form of arthritis), and restless leg syndrome that coexist with fibromyalgia causing an overlapping of symptoms or exacerbating the FM symptoms. Treating secondary conditions through dietary control may also bring some relief to the pain and fatigue brought on by fibromyalgia.

Foods to Avoid When You Have Fibromyalgia

Due to the nature of fibromyalgia that it is non-specific condition, these dietary guidelines may not be right for all FM sufferers but appear to make a difference for a significant number of those suffering.

1. Aspartame (NutraSweet)

Aspartame is classified as an excitotoxin, which stimulates NMDA pain receptors, which are already overly active with fibromyalgia.

2. Food additives including MSG (monosodium glutamine) and nitrates

MSG is an additive or flavor enhancer and nitrates are preservatives. Both are found in many processed foods and are also classified as an excitotoxin. Nitrates and MSG can often difficult to tolerate in people without fibromyalgia and are extremely difficult to tolerate in those who do.

3. Sugar, fructose, and simple carbohydrates

There is not clear evidence that cutting out simple carbohydrates will have an impact on fibromyalgia but it will reduce symptoms of chronic yeast infection, which may be a secondary condition contributing to the pain of fibromyalgia.

High fructose corn syrup, which is found in carbonated beverages, is prone to cause a metabolic reaction resulting in much more sugar pouring into the blood at a quicker rate. The quick rise is followed by a fast fall with can exacerbate the fatigue element of fibromyalgia.

4. Caffeine – including coffee, tea, colas, and chocolate

Caffeine does create a boost in energy; however, it is followed by a longer and deeper sedative effect. People with fibromyalgia already suffer from fatigue therefore amplifying the downside.

5. Yeast and gluten

Yeast and gluten are frequently found together, particularly in baked goods. Cutting both out can have equal benefit. Cutting yeast out of a diet may yield yeast fungus overgrowth, which may cause or exacerbate joint and muscle pain. Cutting gluten can improve digestive problems, stomach ailments, and fatigue associated with fibromyalgia.

6. Dairy

Dairy has been known to aggravate symptoms in some fibromyalgia sufferers but not all. If avoiding diary does not seem to relieve symptoms, then drinking skim milk provides calcium to build bones and protein to build muscle.

7. Nightshade Plants

Common nightshade plants include tomatoes, chili, bell peppers, potatoes, and eggplant. However, there are over 2,000 other varieties of “nightshades.” Edible nightshades can trigger flares on various types of arthritis and symptoms associated with fibromyalgia. If by eliminating nightshades there is no noticeable relief from symptoms of FM, then bring them back into your diet because these are some of the most nutritious vegetables.

Important Dietary Changes for Fibromyalgia Patients

Nutritionist, Samantha Heller, MS, RD, says, “When you body is healthier overall, you may be better able to cope with any disease, and better able to respond to even small changes you make.” A vegetarian diet consisting mostly of raw whole foods has shown to reduce symptoms caused by fibromyalgia. It also produces improvement of mitochondria dysfunction, which according to Holtorf, “This is the area of the cell where energy is made. Consequently, it’s necessary to have high levels of nutrients to get the mitochondria to work and for energy to by produced.”

Included in a healthy diet should be a high-quality vitamin supplement as well as supplements containing omega 3 fatty acids – we recommend HoltraCeuticals’ Ultra Omega – and eating “good fat” foods such as foods rich in fish oil, flax seed, walnuts, some fortified cereals and eggs. All of which have been show to have an impact on inflammation.

At Holtorf Medical Group, our physicians are trained to utilize cutting-edge testing and innovative treatments to uncover and address the underlying cause of fibromyalgia. Additionally, our Health and Nutrition Coach can work with you and your Holtorf physician to create a diet specifically for you! If you are experiencing symptoms of fibromyalgia, but aren’t getting the treatment you need, call us at 877-508-1177 to see how we can help you!

Resources

1. Kent Holtorf, MD. “A Confounding Condition.” https://www.holtorfmed.com/download/chronic-fatigue-syndrome-and-fibromyalgia/A_Confounding_Condition.pdf
2. Kent Holtorf, MD. “Chronic Fatigue Syndrome and Fibromyalgia; Now Treatable Diseases.”https://www.holtorfmed.com/download/chronic-fatigue-syndrome-and-fibromyalgia/Chronic_Fatigue_syndrome_and_Fibromyalgia_now_treatable_diseases.pdf
3. Kent Holtorf, MD. “Fibromyalgia: The Diet Connection.” https://www.holtorfmed.com/download/chronic-fatigue-syndrome-and-fibromyalgia/Fibromyalgia__The_Diet_Connection.pdf

__________________

For more:  https://madisonarealymesupportgroup.com/2019/01/08/wahls-protocol-impact-of-diet-nutrition-in-ms-other-neurological-diseases/

https://madisonarealymesupportgroup.com/2018/08/15/whats-the-best-diet-for-lyme-disease-dr-rawls/

https://madisonarealymesupportgroup.com/2018/05/15/overview-of-anti-inflammatory-diets/

https://madisonarealymesupportgroup.com/2018/04/18/comparative-diets-to-address-chronic-inflammation/

https://madisonarealymesupportgroup.com/2018/02/03/do-these-popular-diets-make-you-nutrient-deficient/

https://madisonarealymesupportgroup.com/2018/01/03/the-invisible-universe-of-the-human-microbiome-msm/

 

What To Do When You Hit a Plateau In Treatment

https://globallymealliance.org/hit-plateau-treatment/?

By Kerry Heckman

My numbers won’t budge. Every month I go in for a blood test and every month I get an email from my doctor stating that my inflammatory markers are the same. The numbers are not so high to cause a panic, but they’re not low enough to signal any real improvement either. I’ve tried everything from meditation to medication, but nothing seems to work. Each month I pray the numbers will drop and I’m devastated when month after month they stay the same.

I’ve put in all the work; there’s been no stinting. I’ve been in treatment for three years. I’ve changed my lifestyle, my diet, and most difficult of all, my mindset. But I keep coming up short. There’s no doubt I’m better. My bedridden days are mostly in the past, and the pain that keeps me up at night (painsomnia, I call it) happens once or twice week instead of every day. Another marker of my improvement is after treatment my herxheimer reactions are greatly diminished. These are positive trends, but still I am not where I want to be. I want clinical proof that my recovery is real. I want to know unequivocally that I’m heading toward remission. I’ve  been at this dreaded plateau for months waiting to break free. I anxiously await the day when my inflammatory markers take a dramatic drop.

Your plateau may be different than mine. Maybe you, too, made big improvements in the beginning and now it’s tapering off, or maybe you’re stuck waiting for any minuscule improvement at all. Either way the lack of progress may be the hardest thing to bear.

All this was weighing heavily on me. Then one day I started thinking about actual plateaus in nature. Consider for a moment you are climbing up a mountain and reach a plateau. You’ve done the grueling work of going up the mountain and now you are walking on level ground. You are still moving forward, that hasn’t changed, but you’re not increasing your elevation. Maybe that’s what plateaus are in treatment—a leveling off that doesn’t feel like progress, because you aren’t climbing anymore. But you have achieved an incremental improvement in your recovery.

This bit of visualization changed the way I thought about my lack of headway, though  there were still some questions I needed to ask myself— questions you may need to  ask yourself as well:

Q: Have I really plateaued or is my progress just going slowly?

A: With Lyme disease the improvement can be slow . . . very slow. As they say, any progress is good progress. If you feel comfortable with your treatment protocol, you may need to practice patience and remember you are getting better. However, sometimes the progress is too slow and even if there is incremental improvement you may want talk to your doctor about exploring ways to speed up your treatment plan.

Q: Have you hit a plateau before? What helped jumpstart my healing?

A: If this has happened before, what was it that made the difference? Maybe it’s a new supplement or an increased dose of medication. Maybe your thyroid or adrenals are out of balance and need attention. Try to remember back to what helped you before and try it again. It may help to keep a journal about what you think is and isn’t working for you.

Q: Do I need to change my treatment or ride it out?

A: As I said, with Lyme getting better takes time. Ask yourself if you think your current treatment plan is sufficient to to get you better. This is a good place to use your intuition. If you feel skeptical every time you meet with your doctor that might be your body telling you something.

Q: If I plan to stay the course when will I know it’s time to adjust?

A: Give yourself a timeline—six months, nine months—for when you want to reevaluate. Verbalize your timeline to your doctor, so she or he knows what you’re thinking. Ask if there is a test that can be run at that time to compare where you were before to where you are now.

Q: Am I testing too often?

A: If you’re like me and your numbers aren’t budging, maybe it’s time to put more space between tests. This depends naturally on what is medically advisable. But I I did realize that the constant testing was causing me frequent disappointments, which weren’t good for my healing. I have since decided to go from once a month to once every other month for my bloodwork and focus on other things in the meantime.

Q: Is there something else I could do to move forward?

A: A plateau is the perfect time to reevaluate your habits. Perhaps it’s time to add more nutrients to your diet or increase detox. Have you always wanted to try a complementary therapy? Now may be the time. Or are there other options?

Q: Is this a good time for a healing pause?

A: Have no doubts, recovery from Lyme treatment is a full-time job. It seems like there’s always something else you can try, but is that the best thing for your body? This could be an indication that it’s time to take a break from all the intensity and let your body rest at the top of the mountain.

Take some time and ask yourself these questions. Get quiet and let your intuition speak. There are few doctors, medications, or therapies that can give us as much insight as our own common sense. Remember the image of the mountain and keep walking forward on the level ground of the plateau—the uphill slope may be only a few steps ahead.


kerry heckman

Opinions expressed by contributors are their own.

Kerry J. Heckman is a licensed therapist and author of the healing and wellness blog Words Heal. She was diagnosed with chronic Lyme disease in 2016.

 

 

______________________

**Comment**

Great article to begin meaningful dialogue.

  1.  Not sure what tests she keeps having done but I’ve heard mixed opinions about the CD-57 test which some docs swear by and others like my own say it’s a general, very basic indicator of immunity and unless you have the number before you were sick and then taken at regular intervals throughout treatment, it’s just a number. https://www.tiredoflyme.com/cd57.html
  2. Inflammation is a definite bad-boy.  One thing I discovered to eventually help me was MSM; however, I didn’t notice the help taking it while in treatment, only after treatment did it seem to really crush pain and inflammation:  https://madisonarealymesupportgroup.com/2018/03/02/dmso-msm-for-lyme-msids/.  This article also shows it’s good for the gut:  https://madisonarealymesupportgroup.com/2018/01/03/the-invisible-universe-of-the-human-microbiome-msm/
  3. Another thing that helped this inflammation/pain for me was systemic enzymes: https://madisonarealymesupportgroup.com/2016/04/22/systemic-enzymes/  There are many brands out there.  You might have to try a few to find one that works. I’ve tried different variations of Wobenzym as well as a brand my doctor sells. (I’m not affiliated with any companies)
  4. LDN was also a game changer:  https://madisonarealymesupportgroup.com/2016/12/18/ldn/ I use a compounded form with only olive oil as an additive.
  5. For many, Lyme/MSIDS causes imbalances and deficiencies in the body. Finding out what those are and supplementing can make all the difference.  For instance, most patients struggle with thyroid dysfunction (as well as other hormones) and magnesium deficiency (magnesium can help depression and 1,000 other things):  https://madisonarealymesupportgroup.com/2018/01/16/magnesium-an-invisible-deficiency/ (In the comment section I give the kind my LLMD sells in his office and it’s been particularly successful. Again – no monies are exchanging hands)  https://madisonarealymesupportgroup.com/2018/03/12/the-importance-of-vitamin-d-k-and-magnesium-for-lyme-msids-patients/ Most of us Northerners are deficient in vitamin D.
  6. I’ll never forget the ranger in the documentary, “Under Our Skin,” state that he never could have imagined that his greatest improvement would come AFTER three years of treatment.  This has been my experience and my husband’s as well.  I must add that after 4.5 years of treatment for us, and two relapses requiring 2-3 month stints of treatment, we got better EACH TIME we treated. This very well could be the “cycling” approached discussed by Dr. Burrascano here:  https://madisonarealymesupportgroup.com/2018/12/28/the-history-of-lyme-disease-dr-burrascano/  In brief:  he found that cycling 3-4 times typically worked for most patients. Ironically, the 3rd cycle yielded the worst herx.  Pam Weintraub wrote about this in, “Cure Unknown:  Inside the Lyme Disease Epidemic,” way back in the 90’s, yet few doctors do this. Cycling just means that after you are symptom-free for 2-3 months you quit ALL treatment.  If and when symptoms return, you hit hard with antibiotics until symptoms leave again. You do this 3-4 times.  Burrascano states his symptoms never returned and many of his patients had the same experience.
  7. Sometimes diet has made all the difference for some patients – like cutting out gluten or dairy or both. For some, herbs or treatments for inflammation made all the difference or help with sleep.  I’ve also known patients who got better only after they treated for worms/parasites: https://madisonarealymesupportgroup.com/2017/10/03/removing-parasites-to-fix-lyme-chronic-illnesses-dr-jay-davidson/
  8. When I hit a plateau after years of treatment yet still had symptoms, I called another LLMD I knew and asked if he’d be willing to do a phone consultation with me, not as a treating physician, but as a second ear to hear what I’ve done to give me ideas for any omissions he saw. That phone call was worth every penny as he carefully listened to what I’d done and gave me ideas for things to try.  Very helpful. I then took that knowledge to my LLMD and he was smart enough to implement them at my request based on another experienced practitioner’s wisdom.
  9. Lastly, I’ve found surrounding myself with experienced patients and doctors to be extremely helpful. You learn a lot by sharing your experiences and always come away with something you haven’t tried before.  Don’t let this information bog you down. Only try 1 thing at a time so you can track any changes. Support Group is a great place to do this.  Always run things by your practitioner as there might be drug interactions or things you need to consider or can’t try at all based on your specific issues/drug interactions.
I’ve learned the most from patients who are on the same journey. Don’t isolate yourself.

FREE Showing of ‘Secret Ingredients’ May 15-22

https://freeshowing.secretingredientsmovie.com/?  Go here to see Trailer and sign up

secret_ingredients_logo_straight_500

The extraordinary FREE worldwide showing of Secret Ingredients — a powerful film by Jeffrey Smith and Amy Hart — shares remarkable stories of people who regain their health after discovering the “secret ingredients” in their food and making a bold commitment to avoid them.

Join Us!

MAY 15TH-22ND

 

This is the Difference Between Probiotics and Prebiotics

https://www.huffpost.com/entry/difference-between-probiotic-prebiotic_

This Is The Difference Between Probiotics And Prebiotics

Plus, how to make sure you’re getting enough of each so you’re healthy.
There’s a good chance you’re familiar with probiotics (at least familiar enough where you make sure to stock up on Greek yogurt at the grocery store or pick up pills from your pharmacy).
But when it comes to your gut health, it’s actually the balance of two types of bacteria ― probiotics and prebiotics ― that helps keep everything operating as it should.
“There is a balance between [bacteria] in the gut called homeostasis,” said Ashkan Farhadi, a gastroenterologist at MemorialCare Orange Coast Medical Center and director of MemorialCare Medical Group’s Digestive Disease Project in Fountain Valley, California.
When this homeostasis becomes imbalanced, it’s important to restore it by providing the body with good bacteria that then help gut health, Farhadi said.
Enter probiotics and prebiotics, which you can get through diet and supplements.

But downing a cup of Chobani alone isn’t going to solve the issue. There are specific ways to balance your gut health with probiotics and prebiotics, and multiple ways to get them from what you consume.

Differentiating between probiotics and prebiotics

Here’s an easy way to keep probiotics and prebiotics straight when it comes to their function in the body: “Probiotics are ‘good’ bacteria that are introduced to the gut to grow and thrive,” said Erin Palinski-Wade, a registered dietitian and author of the “2-Day Diabetes Diet.” “Prebiotics are essentially ‘food’ for these good bacteria.” This means they help stimulate and fuel the growth of probiotic bacteria already present in the body, acting like a fertilizer.

“It is essential to have both prebiotics and probiotics to promote gut health,” Palinksi-Wade added.

Probiotics help keep gut bacteria balanced by limiting the growth of bad bacteria, explained Alan Schwartzstein, a family physician practicing in Oregon, Wisconsin.

“Probiotics compete with these ‘bad’ bacteria for prebiotic food and do not allow them to multiply and cause harm to us.”

When there is a balanced amount of probiotics and prebiotics in the body, your digestive health is able to hum along.

This bacteria balance is also beneficial to your overall health, Palinski-Wade said. A good amount of probiotics in the body helps with vaginal health. A healthy gut contributes to a strong immune system, as well as good heart and brain health. What’s more, research published in Medicina has linked healthy bacteria in the gut with healthy body weight, lowering inflammation and stabilizing blood sugar levels.

How to know if your gut is OK ― and how to get it there if it isn’t

There’s a pretty simple sign that indicates if your gut has enough prebiotics and probiotics.

“Those who have a gut imbalance will have symptoms like increased gut sensitivity or changes in bowel habits,” Farhadi said. This means issues like diarrhea, constipation and excess gas.

You don’t have to wait for these unpleasant symptoms to pop up to start taking a probiotic. Whether you do it through diet or supplement, prebiotics and probiotics can be used by anyone to proactively maintain gut health, Farhadi said.

For example, in his own practice Farhadi recommends a patient eat a tablespoon of Greek yogurt (which has probiotics) sprinkled with Metamucil (which contains prebiotics) on top to restore balance in the gut.

Schwartzstein added that most people can get enough probiotics through their daily diet without a supplement. This includes eating foods like yogurt (make sure the label says “live active cultures” or the full name of the bacteria), soy drinks, soft cheeses like Gouda, and miso. There’s one main exception where heavier amounts of the bacteria might be needed.

“There are circumstances that can cause fewer probiotics in our digestive system; the most common is when we take antibiotics,” Schwartzstein said. “These antibiotics kill the healthy bacteria in our gut that serve as probiotics at the same time they kill the harmful bacteria that is causing the infection.” (This is also why most doctors only prescribe antibiotics if they are positive a patient has an infection caused by bacteria as opposed to a virus, like a cold.)

In these instances, you may need to take a probiotic supplement until you finish taking antibiotics. Talk to your doctor to make sure you take the correct strain and be aware that taking a probiotic supplement can come with side effects like gas and bloating, Schwartzstein said.

For prebiotics, Palinski-Wade said that a diet high in plant-based foods and fiber is a good way to make sure you’re consuming enough. Sources of prebiotics include garlic, vegetables, fruits and legumes.

If you don’t think you’re getting enough probiotics or prebiotics through your diet you may be leaning toward taking a supplement. In the case of prebiotics, any psyllium-based product (like Metamucil) can be used, as fiber acts as a prebiotic in the body.

Probiotics are a little trickier, as there are many different strains of probiotic bacteria that may be beneficial for certain conditions.

“Our research is so limited in this field,” Farhadi said. “Currently, the recommendation is based on individual experiences.”

Many times, Farhadi said a doctor may ask a patient to start a probiotic and see if it’s helpful. If not, they can switch between different brands and bacteria strains until they find the right fit. Talk with your physician before trying anything ― they’ll make sure you’re set up on the right path.

__________________

**Comment**

I would caution against using yogurt, kefir, and Metamucil unless they are without sugar.  A good substitute for Metamucil is just plain psyllium husk fiber.  https://fiberfacts.org/consumer_psyllium/  I found two opposing opinions on psyllium being a prebiotic, so discuss this with your practitioner. Both, however, are soluble sources of fiber. If you try this, go slowly so your body can acclimate to it.

If you detest the taste of plain yogurt products, you can always add fruit or liquid Stevia which comes in a myriad of flavors, but avoid processed sugar like the plague.

Some examples of food-sources of Prebiotics:

  • bananas
  • cold potatoes
  • milk
  • dandelion greens
  • legumes (beans)
  • chickory root
  • artichokes
  • garlic
  • onions
  • leeks
  • asparagus
  • barley
  • oats
  • apples
  • cocoa
  • burdock root
  • seaweed

All of these contain inulin which is an oligosaccharide or type of sugar molecule that is hard to break down so it can travel into your colon. Once there it becomes food for bacteria (probiotics). https://www.healthline.com/nutrition/probiotics-and-prebiotics#section5

Some examples of food-sources for Probiotics:

  • yogurt
  • kefir (daily & non-dairy)
  • Sauerkraut
  • Kimchi
  • Kombucha tea
  • Some types of pickles (non-pasteurized).
  • Other pickled vegetables (non-pasteurized).

Regarding pro and prebiotic supplements, there are many varieties and types. Get probiotics that are refrigerated as they have live cultures in them. 

Also, look for probiotic supplements that are designed to carry the bacteria all the way to your large intestine for better effects, while others probably won’t survive stomach acid.

And, the Health line article cautions that some should not take a probiotic, or who may feel worse after taking them, such as people with small intestinal bacterial overgrowth (SIBO) or people sensitive to ingredients in the supplement. For these issues, work with a practitioner to find the right strains.

My LLMD has been utilizing both in his treatment for Lyme/MSIDS patients and he reports that he has far fewer patients suffering with gut issues now – even while using antibiotics.

The Importance of Gut Health to Healing From Chronic Illnesses Podcast- Dr. Jill Carnahan

https://livingwithlyme.us/episode-63-the-importance-of-gut-health-to-healing-from-chronic-illnesses/

Episode 63: The Importance of Gut Health to Healing from Chronic Illnesses

Cindy Kennedy, FNP, is joined by Dr. Jill Carnahan, who discusses the importance of gut health in order to heal from chronic illnesses. She offers an insight into candida and its role in “Gut Dysbiosis.”Dr. Carnahan completed her residency at the University of Illinois Program in Family Medicine at Methodist Medical Center. In 2006 she was voted by faculty to receive the Resident Teacher of the Year award and elected to Central Illinois 40 Leaders Under 40. She received her medical degree from Loyola University Stritch School of Medicine in Chicago and her Bachelor of Science degree in Bio-Engineering at the University of Illinois in Champaign-Urbana. She is dually board-certified in Family Medicine and Integrative Holistic Medicine. In 2008, Dr. Carnahan’s vision for health and healing resulted in the creation of Methodist Center for Integrative Medicine in Peoria, Illinois, where she served as the Medical Director for two years. In 2010, she founded Flatiron Functional Medicine in Boulder, Colorado, where she practices functional medicine with medical partner, Dr. Robert Rountree, author and expert speaker.

Dr. Carnahan is also 10-year survivor of breast cancer and Crohn’s disease and passionate about teaching patients how to “live well” and thrive in the midst of complex and chronic illness. She is also committed to teaching other physicians how to address underlying cause of illness rather than just treating symptoms through the principles of functional medicine. She is a prolific writer, speaker, and loves to infuse others with her passion for health & healing!

If you would like to read more about Dr. Carnahan, visit www.drcarnahan.com.

________________

For more:  https://madisonarealymesupportgroup.com/2018/10/24/herbs-habits-to-revive-your-gut/

https://madisonarealymesupportgroup.com/2018/08/15/whats-the-best-diet-for-lyme-disease-dr-rawls/

https://madisonarealymesupportgroup.com/2019/01/12/sibo-clinical-implications-natural-therapeutic-options/

https://madisonarealymesupportgroup.com/2019/02/19/germs-in-your-gut-are-talking-to-your-brain-scientists-want-to-know-what-theyre-saying/

https://madisonarealymesupportgroup.com/2019/03/29/cochrane-review-probiotics-reduce-c-diff-by-70-in-high-risk-patients-taking-antibiotics/

https://madisonarealymesupportgroup.com/2018/09/15/prebiotics-probiotics-do-they-really-work-for-gut-health/