The short form of the patient history is ” I’m very sick from CFS and MCS and Lyme, I’ve been sick since I was 11 years old, now I’m 34 years old.”

Standard Items

• Bifidobacterium < 0.01
• Lactobacillus 0.07x
• Akkermansia: 0.00x
• Firmicutes to Bacteroidetes: 1:2, Normal is 2.1:1
• Biodiversity: 41%ile — much lower than most.

High Bacteria

• Sutterella: https://cfsremission.com/2017/10/13/decreasing-sutterella-genus/
• Barnesiella: https://cfsremission.com/2017/10/15/decreasing-barnesiella-genus/
• Pseudobutyrivibrio: https://cfsremission.com/2017/10/15/decreasing-pseudobutyrivibrio-genus/
• Odoribacter: https://cfsremission.com/2017/10/19/decreasing-odoribacter-genus/
• Butyricimas: https://cfsremission.com/2017/10/14/decreasing-butyricimonas-genus/
• Kluyvera: https://cfsremission.com/2017/10/31/reducing-kluyvera-genus/
• Bacteroides: https://cfsremission.com/2017/10/20/decreasing-bacteroides-genus/

Rare Bacteria

Bottom Line

Combining all of the lists and tossing out things that appear on both side, we have the following lists. I have skipped rare bacteria because of the number of over growths found. This was a pretty clean merge — often the same item appeared multiple times in one list or the other.

The lists below are done by merging the lists from the deep dives linked above. Some items may encourage one genus and discourage another genus — those are removed (unless it seems that it strongly predominates on one). The impact on Lactobacillus, Bifidobacterium and E.Coli are intentionally ignored [See this post for the logic]. This is all based on applying logic to the results of studies — thus theoretical. This is an addition (not a replacement) to this overview post.

Working off the overgrowth only (I will revisit the rare bacteria when I have more time). It was interesting that some of the probiotics appeared multiple times for different genus as Avoid or Take — which left me a warm feeling. Two of the “fake sugars” are bad (Aspartame (Nutrasweet) and Stevia) and two are good (Sucralose (Splenda) and Xylitol)

Avoid

• BPA bottles
• Aspirin (other NSAID’s are fine)
• Glutten
• Oligofructose
• Inulin (common in many probiotics) 😦
• barley and oat
• Black Tea
• Saccharomyces boulardii
• Allergens
• Bacillus subtilis
• Bifidobacterium pseudocatenulatum
• Bifidobacterium catenulatum
• Lactobacillus acidophilus La-5
• Bifidobacterium animalis subsp. lactis B-12
• Clostridium butyricum (i.e. Miyarisan) probiotics
• Fermented Korean soybean paste
• stress
• animal-based diet
• Aspartame (Nutrasweet)
• Stevia
• Low fat diets
• Tannic acid
• Gallic acid
• Red wine, Grape Seed Extract
• Fructo-oligosaccharides
• Saccharin
• L-citrulline
• Resistant starch (type IV)
• High meat diet
• Broad beans and lupin seeds
• gum arabic
• L-Serine
• L-Proline
• L-Glutamic acid ( monosodium glutamate – MSG)

Take

• E.Coli Probioitics
• Lactobacillus casei strain Shirota (Yakult brand)
• Lactobacillus kefiri
• Lactobacillus paracasei
• Lactobacillus salivarius
• Bifidobacterium Longum probiotics
• Bifidobacterium longum BB536
• Bacillus licheniformis
• High Fat diet
• Bile supplements
• L-glutamine
• Sucralose (Splenda)
• Xylitol
• ^{L-Phenylalanine (Good sources of phenylalanine are eggs, chicken, liver, beef, milk, and soybeans.[5]})
• Pomegranate ellagitannins (Far more takes than avoids)
• Garlic

This is an education post to facilitate discussing this approach with your medical professionals. It is not medical advice for the treatment of CFS. Always consult with your medical professional before doing any changes of diet, supplements or activity. Some items cites may interfere with prescription medicines.