Backstory

Backstory – 48 male. Very healthy and fit 

Covid infection last year.  Little to no symptoms. Some stomach issues but nothing big. Then got vaccinated. Then got Covid again, January of this year and has been off since. Burping. Pressure. IBS. Gerd. Pain. 

I am sure I have SIBO due to lots of PPI’s and ibuprofen during Covid. Also did a round of antibiotics a few months ago also. Looking for guidance to correct.

Greatest Concern: Is it Long Covid?

Comment on Concern

A May 2023 article states “1 in 10 People Get Long COVID After Omicron“. Since Long COVID often results in an inability to work or do fun things — most well read people that I know (including myself) continues to wear masks (in my case, a 3M P100, 99% better than a N95). This is much better than earlier versions: “Earlier this month, he reported in the British Journal of Haematology that his patients’ risk of Long Covid symptoms 3 months after infection had dropped from 46% with the original coronavirus strain and another called Alpha, to 35% with the Delta variant, to 14% with Omicron.” The strains are getting milder — but still a 10% risk with its severe financial (and fun) impact should be respected.

Analysis

The initial good news is that we do not have the typical pattern for Long COVID and/or ME/CFS. Those conditions typically have over representation of 0-9%ile count. We have under representation. There is always the chance that it could cascade in that direction, but taking action now will likely decrease those odds.

Percentile	Genus	Species
0 – 9	4	6
10 – 19	17	26
20 – 29	20	26
30 – 39	20	24
40 – 49	24	46
50 – 59	29	48
60 – 69	31	27
70 – 79	21	35
80 – 89	25	36
90 – 99	21	40

There was no matches to patterns from the US National Library of Medicine nor to our own citizen science patterns.

Going over to Dr. Jason Hawrelak recommended levels, we have the following of greatest concern. FYI: Lactobacillus was at desired ranges.

Taxonomy	Rank	Low	High	Your Value	Status
Bacteroidia	class	0	35	58.608	Not Ideal
Bifidobacterium	genus	2.5	5	0.024	Not Ideal
Blautia	genus	5	10	1.57	Not Ideal
Roseburia	genus	5	10	0.079	Not Ideal
Proteobacteria	phylum	0	4	4.558	Not Ideal
Escherichia coli	species	0	0.01	0.031	Not Ideal

Looking at Proteobacteria, we have the high count coming from the species Aestuariispira insulae (95%ile) with just two likely candidates to decrease it: berberine and azithromycin,(antibiotic)s.

Going Forward

Going over to “Just give Me Suggestions”, the canned simple suggestions include

• low carbohydrate diet
• Barley (different gluten type)
• Turmeric,  Curcumin
• Tea Tree oil
• Fennel, Garlic, Glycyrrhizin/Pure Licorice, Olive leaf extract, Rosemary, Thyme
• bacillus coagulans, clostridium butyricum,  enterococcus faecium
• bifidobacterium bifidum, lactobacillus reuteri
• Magnesium
• Vitamin B12 Cyanocobalamin, Vitamin B3 Niacin

There is a faint echo of suggestions seen with Long COVID and ME/CFS.

Going over to technical details, we find that berberine (from looking at one bacteria only) is not a recommended from the consensus. The top priorities are (skipping prescription items) are (in decreasing priority):

• mastic gum (prebiotic)
• Curcumin
• olea europaea (olive leaf)
• foeniculum vulgare (Fennel)
• whole-grain barley, barley, whole grain diet

My usual suggestion is having barley porridge for breakfast each day. For probiotics (in decreasing priority):

• lactobacillus kefiri (Available only in Italy)
• clostridium butyricum (probiotics),Miya,Miyarisan
• bifidobacterium (probiotics) – General.
  • Suggest Custom Probiotic: B. Bifidum Probiotic Powder – Strain BB-06

Keep to it for 6 weeks and then retest.

Postscript – and Reminder

I am not a licensed medical professional and there are strict laws where I live about “appearing to practice medicine”.  I am safe when it is “academic models” and I keep to the language of science, especially statistics. I am not safe when the explanations have possible overtones of advising a patient instead of presenting data to be evaluated by a medical professional before implementing.

I cannot tell people what they should take or not take. I can inform people items that have better odds of improving their microbiome as a results on numeric calculations. I am a trained experienced statistician with appropriate degrees and professional memberships. All suggestions should be reviewed by your medical professional before starting.

The answers above describe my logic and thinking and is not intended to give advice to this person or any one. Always review with your knowledgeable medical professional.

Addendum

You can see below how much he failed to match studies from the US National Library of Medicine.

•  Acne   (17 %ile) 6 of 16
•  ADHD   (4 %ile) 14 of 53
•  Allergic Rhinitis (Hay Fever)   (2 %ile) 4 of 39
•  Allergies   (1 %ile) 6 of 51
•  Alopecia (Hair Loss)   (2 %ile) 1 of 20
•  Alzheimer’s disease   (20 %ile) 44 of 88
•  Amyotrophic lateral sclerosis (ALS) Motor Neuron   (8 %ile) 11 of 41
•  Ankylosing spondylitis   (1 %ile) 10 of 503
•  Anorexia Nervosa   (24 %ile) 8 of 24
•  Antiphospholipid syndrome (APS)   (0 %ile) 0 of 22
•  Asthma   (5 %ile) 12 of 36
•  Atherosclerosis   (7 %ile) 3 of 519
•  Autism   (1 %ile) 39 of 97
•  Autoimmune Disease   (0 %ile) 0 of 2
•  Barrett esophagus cancer   (10 %ile) 2 of 16
•  Bipolar Disorder   (1 %ile) 5 of 50
•  Brain Trauma   (3 %ile) 3 of 23
•  Carcinoma   (1 %ile) 7 of 32
•  Celiac Disease   (1 %ile) 8 of 70
•  Cerebral Palsy   (29 %ile) 5 of 16
•  Chronic Fatigue Syndrome   (2 %ile) 12 of 64
•  Chronic Kidney Disease   (34 %ile) 9 of 35
•  Chronic Lyme   (32 %ile) 1 of 3
•  Chronic Obstructive Pulmonary Disease (COPD)   (27 %ile) 5 of 30
•  Chronic Urticaria (Hives)   (3 %ile) 3 of 23
•  Coagulation / Micro clot triggering bacteria   (30 %ile) 4 of 37
•  Colorectal Cancer   (1 %ile) 4 of 310
•  Constipation   (45 %ile) 2 of 8
•  Coronary artery disease   (41 %ile) 4 of 18
•  COVID-19   (1 %ile) 28 of 118
•  Crohn’s Disease   (1 %ile) 32 of 113
•  cystic fibrosis   (50 %ile) 2 of 16
•  deep vein thrombosis   (57 %ile) 3 of 25
•  Depression   (1 %ile) 38 of 194
•  Dermatomyositis   (19 %ile) 2 of 9
•  Eczema   (4 %ile) 5 of 26
•  Endometriosis   (56 %ile) 9 of 45
•  Eosinophilic Esophagitis   (45 %ile) 5 of 19
•  Epilepsy   (4 %ile) 18 of 51
•  Fibromyalgia   (7 %ile) 13 of 35
•  Functional constipation / chronic idiopathic constipation   (2 %ile) 11 of 37
•  gallstone disease (gsd)   (20 %ile) 6 of 23
•  Gastroesophageal reflux disease (Gerd) including Barrett’s esophagus   (8 %ile) 3 of 23
•  Generalized anxiety disorder   (28 %ile) 2 of 16
•  Gout   (8 %ile) 2 of 21
•  Graves’ disease   (22 %ile) 15 of 41
•  Hashimoto’s thyroiditis   (1 %ile) 2 of 23
•  Hidradenitis Suppurativa   (35 %ile) 3 of 13
•  Histamine Issues From Ubiome   (21 %ile) 1 of 5
•  Histamine Issues,Mast Cell Issue, DAO Insufficiency   (13 %ile) 3 of 43
•  hypercholesterolemia (High Cholesterol)   (5 %ile) 2 of 26
•  Hyperlipidemia (High Blood Fats)   (9 %ile) 4 of 24
•  hypersomnia   (11 %ile) 1 of 12
•  hypertension (High Blood Pressure   (17 %ile) 20 of 78
•  IgA nephropathy (IgAN)   (1 %ile) 2 of 29
•  Inflammatory Bowel Disease   (8 %ile) 17 of 60
•  Insomnia   (30 %ile) 9 of 26
•  Irritable Bowel Syndrome   (3 %ile) 24 of 68
•  Juvenile idiopathic arthritis   (19 %ile) 1 of 85
•  Liver Cirrhosis   (1 %ile) 13 of 638
•  Long COVID   (1 %ile) 41 of 204
•  Lung Cancer   (40 %ile) 6 of 19
•  ME/CFS with IBS   (9 %ile) 4 of 18
•  ME/CFS without IBS   (11 %ile) 5 of 25
•  Menopause   (0 %ile) 0 of 14
•  Metabolic Syndrome   (21 %ile) 54 of 276
•  Mood Disorders   (9 %ile) 57 of 249
•  Multiple Sclerosis   (1 %ile) 20 of 93
•  Multiple system atrophy (MSA)   (30 %ile) 4 of 20
•  Neuropathy (all types)   (16 %ile) 5 of 20
•  neuropsychiatric disorders (PANDAS, PANS)   (37 %ile) 5 of 15
•  Nonalcoholic Fatty Liver Disease (nafld) Nonalcoholic   (1 %ile) 12 of 72
•  NonCeliac Gluten Sensitivity   (0 %ile) 0 of 5
•  Obesity   (1 %ile) 28 of 148
•  obsessive-compulsive disorder   (1 %ile) 10 of 61
•  Osteoarthritis   (18 %ile) 3 of 15
•  Osteoporosis   (4 %ile) 6 of 28
•  Parkinson’s Disease   (28 %ile) 60 of 96
•  Postural orthostatic tachycardia syndrome   (14 %ile) 1 of 6
•  Premenstrual dysphoric disorder   (13 %ile) 1 of 10
•  Psoriasis   (1 %ile) 8 of 47
•  rheumatoid arthritis (RA),Spondyloarthritis (SpA)   (1 %ile) 28 of 125
•  Rosacea   (17 %ile) 4 of 25
•  Schizophrenia   (1 %ile) 13 of 92
•  Sjögren syndrome   (3 %ile) 9 of 35
•  Sleep Apnea   (6 %ile) 3 of 24
•  Small Intestinal Bacterial Overgrowth (SIBO)   (7 %ile) 2 of 21
•  Stress / posttraumatic stress disorder   (1 %ile) 7 of 57
•  Systemic Lupus Erythematosus   (2 %ile) 15 of 71
•  Type 1 Diabetes   (2 %ile) 12 of 51
•  Type 2 Diabetes   (1 %ile) 31 of 227
•  Ulcerative colitis   (1 %ile) 16 of 110
•  Unhealthy Ageing   (1 %ile) 1 of 40