46-year-old man with chronic fatigue, diarrhea and depression, who feels congested all the time
Relevant history
- Weight gain over the past 5 years
- Stress from work and the pandemic
- Craves sugar and never feels energized
Lifestyle overview
Sleep: Sleeps well but never feels rested.
Water: Does not drink very much water. Likes energy drinks in the afternoon.
Brain: Feels foggy all the time. Can’t focus and feels overwhelmed and depressed.
Exercise: None.
Oral: No major dental history.
Digestion and bowel movements: Bloating and diarrhea.
Nutrition: Eats cereal for breakfast. Eats crackers, cookies and other processed carbs regularly.
Plan
Complete food GI-Map, food sensitivity testing and medical labs
GI-Map findings:
- High levels of Candida
- Elevated opportunistic bacteria
- Low elastase
- Elevated steatocrit (fat in stool)
- Low secretory IgA
Vibrant Food Sensitivity findings:
Sensitive to gluten, dairy, corn, soy, potatoes, rice and pineapple
Medical labs:
- Low vitamin D
- Elevated cholesterol
- Elevated homocysteine
- Elevated liver enzymes
Treatment
- Begin vitamin D 5000 IU/day, methylfolate complex to reduce homocysteine and soluble fiber to reduce cholesterol
- Begin ClearVite-CLA to support liver (if liver enzymes have not reduced in 90 days, see primary care provider for referral for liver ultrasound)
- Treat Candida with Candibactin-AR and Candibactin-BR plus saccharomyces Boulardii
- Broad spectrum probiotic
- Panplex pancreatic enzymes (2 at each meal) and one Bio-6-Plus tablet for fat digestion
- Colostrum to increase secretory IgA (2 per day)
- Remove all food sensitivities
Outcome after 90 days
- Weight loss of 30 pounds
- Energy is consistent all day
- Congestion is down 75%
- Diarrhea resolved
- Depression has subsided
- Liver enzymes, homocysteine and vitamin D are in normal ranges
