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Frequent UTI/
Hey B,
This individual is having frequent UTI’s (since Covid) and I have attached the last two results, one in April and one in March. She has been on antibiotics constantly for months because of this and just wondering if you have any advise on preventing UTI occurring and also a treatment plan after the constant antibiotics.
She currently takes probiotics, and natural progesterone 100mg (myohyperplasia of the uterus). She use to be on birth control pills for a long time as well due to heavy periods.
Any advise on helping her feel a little better or are the recommendations below enough? x
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14 Replies
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@Lana Zambarakji if someone is struggling with chronic infections post-viral infection, this should give you a clue about their immune status. It’s likely weak and unable to keep microbes under control. And given that the immune system predominantly resides in our gut and is regulated by our gut microbiome, the frequent antibiotic use (while effective at wiping out bacterial infections) is actually contributing to the problem over time by decimating the microbial diversity of the microbiome.
So first things first, ask her to test her immune nutrients vitamin D, vitamin A, and RBC zinc. Please insist on them getting a RBC zinc because we want to know the sufficiency of zinc in the cells, not what’s floating around in the blood/serum. If any of these are suboptimal, ask why that would be (ex. lack of sun exposure, gallbladder issue, vegan diet, etc), and then help them correct the insufficiency.
Next, work on repopulating her gut microbiome. The probiotic supplements are a good start, but have to be continued for several months. That’s why incorporating a variety of fermented every few days is a more sustainable solution. Food also offers a bigger variety and colony count if someone is not histamine intolerant. We have a protocol for before/after antibiotic support HERE, which includes links to fermented food recipes.
Given the frequent antibiotic use, it’s important to support the integrity of her gut lining to prevent intestinal permeability and downstream consequences. You can find food and supplement support for that HERE from the Gut Health Masterclass course.
In the event she feels another UTI brewing, we have a natural protocol she may want to try. You can find that HERE. It contains guidelines for active infection and for prevention.
Finally, is she still having heavy periods or is that sorted? Keep in mind that oral birth control pills deplete B vitamins, specifically vitamin B6 which plays a critical role in bile production, neurotransmitter production (mood and sleep), and detoxification. So if she has any other symptoms, this is something else to explore and consider.
Hope this helps give you some direction.
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Hi B – Thank you for your detailed response. I will go through the attached videos and will get back to you if I have any questions. Is it worth checking her B vitamins too considering she was on birth control for a while.
The UTI protocol is so useful! I hope she tries this route instead of another antibiotics course. Considering she has so many infections is it worth recommending the D mannose supplement as a prevention? Is there a specific timeline to take it or its safe to take?
Her periods have been better yes – a little history though, she was on birth control pills for a while without any breaks because her periods use to be so heavy she would become anemic. Later on she was told that her ovaries are premenopausal and was told to stop taking them. When she stopped, she would bleed not as heavily but would keep spotting for two weeks almost so she was recommended progesterone to manage that. So she cant tell if the progesterone helped regulate her periods or they self-regulated after being on the pill for so long. She was told she has an enlarged uterus and that there is bleeding inside.
Thanks!
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@Lana Zambarakji As for checking B vitamins, they commonly check serum B12, but ideally it should be RBC B12. You can ask the same for RBC B6, although she’ll likely have to pay out of pocket because it’s not commonly ordered.
For B’s, they typically are measured with an organic acids like the OAT urine test, but it’s costly so have to weigh in that factor and see if it’s worth it.
Yes, D-mannose can be taken preventatively. In the protocol, I share dosing suggestions for acute infection and prevention.
You mentioned she’s perimenopausal – if so, the progesterone is likely a good addition since we naturally lose our progesterone first as we enter into menopause. Just make sure it’s a bio-identical progesterone and not synthetic.
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Hey B,
She would like to get on S Boulardii but because she suffers from yeast infections (candida), is it best to avoid it?
Thanks
Lana
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@Lana Zambarakji unless she has a sensitivity to yeast (like a delayed IgG immune reaction), then it’s actually beneficial to be taking S Boulardii when there’s an overgrowth since it’s a beneficial yeast that can help maintain a better balance. Think of it as the high school teacher coming in to discipline the unruly children in the class. Makes sense?
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Thanks B. Yes sure it does, and she has been on two rounds of antibiotics already so hopefully this will support her. It says 1 capsule on the bottle but from a supplement mentor, it was suggested to take two. Was is the tolerable limit for this?
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@Lana Zambarakji in adults, S. boulardii has most often been taken by mouth in doses of 500-1000 mg (about 10-20 billion colony-forming units) daily for at least 4 weeks.
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