Practitioner Question of the Month
Should I Test Zonulin in My Patients?
Of course, a common question among GI-minded providers is ‘should I test zonulin in my patients’. Please see the research section of this issue for my answer to this question.
Helminth Therapy – Is It Effective?
I’ve had a chance to monitor a handful of patients who were performing self-directed helminth therapy. Long enough has passed for a thorough assessment window in these patients. What have I seen? Overall, nothing impressive. That said there are a few important distinctions I should draw, all of which are likely decreasing the potential of observing benefit:
- I am reserving helminths for somewhat non-responsive patients, meaning
- I am using in patients who have already undergone many treatments
- I am not performing any formal pre/post assessment, rather this is my ‘sense’ of the benefit acheived
I suspect that helminths can help, however, I also suspect that for most patients’ helminths may not be appreciably more effective than other tools I use in my GI-algorithm; various diet, probiotics, Habx, gut repair nutrients, immunoglobulins, immunomodulators, elemental diets, etc… I remain open and hope there is something substantial to offer patients here in the near future.
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I’d like to hear your thoughts or questions regarding any of the above information. Please leave comments or questions below – it might become our next practitioner question of the month.