Decreasing Rothia Genus

For updated information see Microbiome Prescription

DataPunk.Net Data

ENHANCED BY

PubMed Data

There are 300+ studies on PubMed

Disease

  • “Decreased relative abundance of Lachnospira, Veillonella, Faecalibacterium, and Rothia in early infancy was reported to be associated with increased asthma risk.” [2016] [2015]
  • Rothia spp. are Gram-positive cocco-bacilli that cause a wide range of serious infections, especially in immunocompromised hosts. Risk factors for Rothia mucilaginosa (previously known as Stomatococcus mucilaginosus) bacteremia include prolonged and profound neutropenia, malignancy, and an indwelling vascular foreign body.” [2014]
  • RothiaEnterococcusStreptococcusVeillonella, and three other genera were markedly overrepresented in primary sclerosing cholangitis (PSC) ” [2017]
  • “Summary of published cases on Rothia dentocariosa infectious endocarditis ( inflammation of the inner tissues of the heart)” [2003]

Diet

  • An interesting aspect relevant to celiac disease is the presence of gluten-metabolizing bacterial genera such as Rothia spp. in the oral microbiome [2013]

Prebiotics

Antibiotics

  • “All of the tested isolates were susceptible to vancomycin and most beta-lactams; however, four of six tested isolates were resistant to oxacillin. “[2014]

Bottom Line

Very sparse information — most connected to dental health

Avoid

  • Gluten

Take

Reducing Streptococcus genus

This was an interesting post to draft.  Before I started doing uBiome analysis, the evidence suggested that Staphylococcus aureus was likely a key bacteria. “Maintainer Post -Jan 2016” and “A forgotten treatment post Jan 2016“.  The evidence suggests that it is not for most CFS patients. For a few it is (like one analysis that I am working on — which has the unexpected aspect of having high bifidobacterium).

I suspect that the success fighting Staphylococcus aureus above was because the items also reduced other bacteria genus.

For updated information see Microbiome Prescription

DataPunk.Net Data

INHIBITED BY

ENHANCED BY

PubMed Data

There are 98700+ studies on PubMed for Staphylococcus aureus — this is only a sampling. Of material. It is very antibiotic resistant.

Bottom Line

We have a LOT of items cited above

Avoid

Take

Enhanced analysis of Genova Report

A reader forward me their latest report and it would be good to show how you can work from it.

Standard Items

Classic desert of key bacteria…

gen1

Overgrowths

gev2

So my matching deep-dive pages are (ignoring the lows):

Bottom Line Theoretical Items

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 placed in inconclusive. 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. The last one was only partially done because high levels are often deemed to be good. This is an addition (not a replacement) to this overview post.

Inconclusive:

In general, should try to avoid (helps some, inhibits some — we do not know the balance). These could be tried in isolation to other changes to infer their impact on your own microbiome.

Avoid:

  • Stevia
  • Low fat diets
  • Tannic acid
  • Gallic acid
  • Fructo-oligosaccharides
  • Saccharin
  • L-citrulline
  • High meat diet
  • Broad beans  and lupin seeds
  • gum arabic
  • -Bacillus subtilis
  • Lactobacillus acidophilus
  • Lactobacillus Casei
  • Lactobacillus plantarum
  • Lactobacillus salivarius
  • Lactobacillus gasseri
  • Lactobacillus casei
  • Lactobacillus rhamnosus GG.
  • VSL#3 Probiotics
  • Bifidobacterium adolescentis  Probiotics
  • Bifidobacterium pseudocatenulatum
  • Saccharomyces boulardii
  • Enterococcus probiotics
  • Berbine
  • Bifidobacterium catenulatum
  • Aspirin (other NSAID’s are fine)
  • oligofructose
  • fermented Korean soybean paste
  • animal-based diet
  • Stress
  • Allergens (i.e. mold)
  • Lactobacillus salivarius
  • Lactobacillus gasseri
  • Lactobacillus fermentum
  • Lactobacillus casei
  • Lactobacillus rhamnosus GG.
  • Rosemary
  • Rifaximin
  • High Fiber Diet

Take:

For guidance on how to shift (after medical review) see this post.

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

 

Short note on LDN (low dosage naltrexone) possible mechanism

A reader wrote: “Hi Ken. I take LDN. Latest research shows that it blocks TLR-9 receptor. Would the regular bad bacteria in the microbiome causing over expression of TLR-9?” [2017 study]

I did an earlier post on LDN. The LDN –> TLR9 <– Lactobacillus connections was not known then.

In researching this with the microbiome, I found:

The reader responded “Wow. Lactobacillus is what I am deficient in, so explains why LDN works well for me.”

Bottom Line Updated

Surveys found: Low-Dose Naltrexone: Better 62% Worst 11%;

There is now a connection established with missing lactobacillus bacteria and what LDN impacts. We have a “how it works” model.

  • Definitely a thumbs up now to try.
  • This is an “off-label” mechanism for naltrexone

Post Script:

Every drug, supplement, probiotics etc have multiple effects. We typically simplify it down to just one effect when there are many. Take aspirin — it remedy headaches. It is also a blood thinner. It is also helps with gram-negative bacterial pneumonia, User for primary and secondary prevention of preeclampsia. etc. Aspirin is a single stable chemical. Herbs and spices are complex chemical compositions. Probiotic bacteria are even more complex producing dozens of metabolites — often depending on what is available.

We have 62% being positive and 11% being negative for the impact. The 11% likely have an additional effect coming into play.

 

 

uBiome changes after a year

A reader for over a year did a 2nd uBiome recently. I have included some of their notes over the last year.

Summary

“As always I’m enjoying and learning much from your latest posts. I’ve been on some version of your basic cookbook/protocol off and on for a few years now. While I’ve had some symptom relief and a few extended weeks and even a month or two of improvement, I keep having setbacks. I am still disabled to the point of not being able to work more than 5-10 hours a week. …. I’ve had parvo, coxsackie, both confirmed via blood tests, and then influenza-a confirmed via nasal swab. The doctor who diagnosed the influenza immediately put me on Tamiflu, which I took for ten days. I honestly felt better on Tamiflu than I have in years. By day three of the Tamiflu course, after being bedridden and sick with very high fever and some of the worst body pain I’ve ever experienced, I was full of energy and strength. I did things that haven’t been possible for me for years, like take down and pack up the Christmas tree and lift the entire thing and haul it out to the street alone. I traveled across the country alone with my daughter and felt fine the next day, even energetic the same day I got home, unpacking and doing more chores. I even wanted to exercise. This level of physical exertion would normally have me, at best, resting for a few days to recover. More than likely they would result in a full week of pain and exhaustion before finally returning to “normal bad”. I was wondering how Tamiflu might fight in your model? Or, if you think that its effects aren’t microbiome related, that I may see more health gains by pursuing and possibly even rotating antivirals.”

—— a month later ———-

“Here’s some more grist for the CFS Remission mill. I had been much improved by upping my Vitamin D and adding Symbioflor-2. I was even working 20+ hours a week, a huge amount for me over the last five plus years. On top of those two mainstays, I rotate in another probiotic. Since I’m always low in Lactos and Bifidos via many stool tests over the years, three of which are featured on your blog, I aim for your recommendations on those. I’m no longer usually that sensitive to most supplements and probiotics and usually react well to Bifidos, especially for a slight but very elusive change in brain fog. But last Friday night I took ONE of these puppies and have been suffering ever sense. The next day I could barely move and had to resort to pain killers, the histamine reaction is still going strong with blocked sinuses and runny nose and constant sneezing. Here is a link to the Bifido only probiotic I took, which I believe is mentioned on one of your posts. There are several versions of this 25 Billion Bifido only option from Renew Life, but they seem to contain the same ingredients. http://www.renewlife.com/probiotic-supplements/ultimate-flora-daily-immune-probiotic-25-billion.html

————- a month later ————

“As part of my monthly or so rotation of herbs, I added in Black Cumin seed a few days ago. Big mistake. I swore I read about it on your blog, but could actually only find one reference to it on your site and that was on the Bibliography
————-2 months later———
“I had been taking Symbioflor-2 off and on for the last six months. I didn’t think it was doing much and didn’t reorder. What a big mistake! My pain and stiffness has come roaring back. I of course ordered more but it’s a two week wait to get it shipped from Germany. Is there anything else I can do in the meantime? I’m in so no access to Mutaflor either “
———————- this month —-
My symptoms haven’t been getting better overall, though they have been changing over the last year, more towards muscle cramping, rigidity and spasms as well as a continued worsening of my brain fog towards major difficulties in thinking and understanding. I went to see a neurologist because of this and had an MRI with contrast. The results weren’t enough to confirm MS, but there were several white matter lesions and I was told it was a “somewhat worrisome” finding for someone my age (38) and possibly early MS.

uBiome Results

2016 2017
16

Enterobacteriaceae:  0.01X

Biodiversuty 69%ile

17

Enterobacteriaceae: not reported

Biodiversity: 59%ile

Bacteria
Ratio
Thalassospira: 2.30 X
Parasutterella: 2.27 X
Subdoligranulum: 2.14 X
Faecalibacterium:  1.83 X
Anaerostipes: 1.45 X
Hespellia: 1.40 X
Anaerostipes: 3.24 X
Alistipes:  1.95 X
Subdoligranulum: 1.76 X
Thalassospira: 1.71 X
Oscillibacter: 1.48 X
Bacteroides:  1.47 X
Faecalibacterium:  1.45 X
Parasutterella: 1.38 X
Bacteria name Rank % of Samples
Anaerobacter Genus 2.5%
Acidobacteriia Class 3.5%
Acidobacteria Phylum 3.7%
Asteroleplasma Genus 9.0%
Bacteria name Rank % of Samples
Anaerobacter Genus 2.5%
Cloacibacillus Genus 6.3%

I must admit that I was disappointed not to see major change in the uBiome. The reduction of rare bacteria, decrease of several over growths(4 went down, 1 went up), decrease of biodiversity (as measured by uBiome) — I view as an improvement. While significant changes in the uBiome did not happen the impact of the probiotics was significant according to their reports.

Bottom Line Theoretical Items

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 placed in inconclusive. 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.

Inconclusive:

In general, should try to avoid (helps some, inhibits some — we do not know the balance). These could be tried in isolation to other changes to infer their impact on your own uBiome.

Avoid:

Take:

Concerning  Multiple Sclerosis concerns , none (not one) of your high bacteria genus are reported to be high with MS. I was read as early Alzheimer’s disease on my SPECT scan. The bacteria induced changes appear to mimic some other autoimmune diseases (which may be caused by different bacteria shifts).

In my own experience, I ascribed my brain scan clearing to the following:

  • Nattokinease (note the Bacillus subtilis natto cited above)
  • Lumbrokinease
  • Serrapetase
  • Minocycline

See  THE NEUROPROTECTORS: REMEMBER YOUR SUPER HEROES FOR COGNITIVE ISSUES!

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