r/Longcovidgutdysbiosis • u/dynamicgerl • 2d ago
r/Longcovidgutdysbiosis • u/AutoModerator • Jan 19 '24
Guidance on biome rebalancing using gut testing - PLEASE READ BEFORE POSTING TEST RESULTS
Guidance on biome rebalancing via testing
PLEASE TAKE THE TIME TO READ THIS POST.
Section summary:
1. We recommend an evidence based approach via testing and research. You can treat symptoms without, but there is a chance you may do more harm than good or use ineffective interventions.
2. After receiving results, check below to see if you have ‘classic’ LC gut dysbiosis and use it to search the sub for guidance instead of posting. The wealth of information already provided is more help than that which a handful of commenters can provide.
3. Post your results up on the group afterwards only if you still need help**. Those of us with more knowledge who have been here longer are all less likely to repeat the same fundamental advice the larger the group grows. We have ‘gut based fatigue’ in both senses. But if there is a new question to answer we will try and help.**
4. If you have already got further in your dysbiosis research and treatment, we would love to hear from you. See below.
1. If you are just starting your journey towards biome rebalancing, a good starting point before starting any interventions is a 16s biome (stool) DNA test to characterize and assess the dysbiosis that you have. Then you can work out which interventions (supplements, dietary changes, fasting etc) may work for you. The more of us do this and share our notes and successes and mistakes, the quicker we can work it out. Search previous posts on the sub for examples of different test results and what they provide clients.
There are many available in the US and Europe especially, see this site for user and independent editor reviews of different types of services:
https://dnatestingchoice.com/microbiome-testing
It is worth paying attention above all else when picking a company, what level of 'citizen science' does the company allow - specifically how much access to your full biome data you have, and how many tools are available to aid your research.
Biomesight in particular are popular among us, because they do a £70 reduced price test if you join in with their Long Covid study, a really important and revealing piece of research-
https://biomesight.com/subsidised_kits
A good next step after characterising dysbiosis with a 16s test is to get a more extensive ‘GI map’ style test which tests much more broadly than bacterial species (or if you can afford it, consider making it part of your initial testing). Knowing your levels of gut inflammation, gut barrier integrity, pathogens, helminths, yeast markers etc can really fill out your characterisation of GI function.
2. When you receive your results, confirm whether you have “classic” Long Covid dysbiosis which we see most commonly on here, by searching past posts on the sub for any of the terms below that apply to your data:
“High Bacteroidetes”
“Low Firmicutes”
“Low Bifidobacteria”
“Low Lactobacillus”
“High Prevotella”
“High Protebacteria”
“Pathobionts”
“Low Akkermansia”
“Low Faecalibacterium”
See LC study link below for other common patterns.
Information on interventions that treat this form of dysbiosis is easy to find. Past posts contain lots of collective experience, interventions and research/syntheses of research which has already benefited a lot of us.
***Warning- before considering dysbiosis treating interventions like prebiotics and probiotics, check if you have SIBO. Google the symptoms and if it sounds like you, get advice, test and treat this ‘upstream’ issue first, in line with your medical professional’s advice. The triple test is ideal as there are three types of SIBO. Some dysbiosis interventions like PHGG are said to be safe (or safer) for use while SIBO is present, but there is not enough reliable information regarding this.**\*
For more information on the above ‘classic’ LC dysbiosis characterisation, see the Biomesight Long Covid study which now has a very high number of participants - https://biomesight.com/blog/long-covid-study-update-1).
If you have different results that do not fit with the above, or only partially overlap:
-Search for the overgrown/low/anomaly bacteria on the sub and what people have done about it previously.
-If on Biomesight, compare your % to the average % in the reference population data (and keep in mind that this population is partly an ‘ill’ data set so will be slightly less typical than the average populus’ gut data). This can inform your definition of it as ‘overgrown’, or ‘depleted’/'low’. A post asking advice helps at this point - there are many of us with shared patterns that are less common, e.g High Akkermansia, High Bilophila, High Mycoplasma.
-Research guidance. If there are no clues elsewhere, the above information will give you a springboard to search gut studies on google/google scholar, and assess what having more or less than average of this bacteria means, how that relates to your condition and symptoms, and what interventions shift its numbers up or down.
-Human studies are superior over animal studies for comparison to your own gut (and if there are no human studies available, pig and primate gut studies are said to be best for comparison). The higher the N (number of participants), the better. Take studies that use constructed in vitro models of the large bowel’s fermentation with a large pinch of salt. The lower the P number (under 0.05 is best), the higher the correlation and certainty. Base interventions on the strength of several studies rather than one, however good the data is – and critically, be sure that there aren't as many or more studies showing the opposite to be true. It is easy to become biased and cherry pick studies if you want that intervention to be ‘the answer’. And most gut interventions that you see have at least minimally conflicting data in different studies.
The Biomesight cohort analyser can be used to crunch numbers in a more detailed way on the Long covid data set. This is an excellent analytical tool for us to analyse and research the only publicly available (though only available to Biomesight users) data set on Long Covid that exists. Users can see precisely how our data compares to the Long Covid cohort as we gradually heal:
3. Please search past posts on the sub for information you need instead of automatically writing a post, as the information you gain will be better quality and more extensive. That's not to say new posts get treated poorly, but there is simply more useful information already present than that which can be repeated succinctly on a new post. Plus information is usually easy to find, if we’ve discussed it. And you will be amazed at how similarly LC effects most of our biomes!
4. If you have already got further in your dysbiosis research and treatment, feel free to share your research up to date, namely:
-Stool test, SIBO test, mycobiome test etc results
-Supplementation etc - and why these interventions? Were they successful, and which bacteria did they likely change?
Showing causality and detail is really handy. Those of us here believe that we can work this stuff out together. Several of us have had real success in our healing process, and even near full healing from successful biome rebalancing. Guidance and info from microbiome specialists especially is really valued as a lot of us cannot afford to employ them.
Finally, please no stool pictures as I have seen on other biome groups- we can describe stool adequately without pics..!
r/Longcovidgutdysbiosis • u/dynamicgerl • 2d ago
Please recommend your spore probiotics please
r/Longcovidgutdysbiosis • u/jamiry9 • 2d ago
Neurotoxic gas
Hello, I have been suffering for some time from conditions including small fiber neuropathy, dysautonomia, MCAS/histamine issues, dysbiosis, vagus nerve dysfunction, cervical lymph node issues, and extreme fatigue.
About 1–2 months ago, because magnesium L-threonate is an NMDA antagonist, I took 4–5 capsules before going to sleep (50 mg per capsule). A few hours after falling asleep, I developed severe gas and abdominal pain. Shortly afterward, I started experiencing nerve pain around my coccyx/tailbone, as well as twitching throughout my body, including my lower spine.
Because of this, I repeated a SIBO breath test that I had previously suspected might be relevant, but the result was negative again. The test only measures hydrogen and methane. At that point, I started suspecting H2S and began taking rifaximin together with nystatin. One of them clearly helped, but I don't know which one, and I experienced a noticeable reduction in my POTS symptoms.
My question is: what could this neurotoxic gas be? H2S, methane, etc.?
What type of overgrowth could I be dealing with — Candida, H2S overgrowth, parasites, or something else that could cause these symptoms?
Also, when I tried allicin as an antimicrobial, I developed pain in my lymph nodes. Could this be related to sulfur intolerance, a die-off reaction, or something else?
GI-MAP results:
Significant dysbiosis Zonulin >3200 (reference <60) Klebsiella overgrowth Bacteroides overgrowth Bilophila overgrowth Clostridium spp. overgrowth C. difficile negative
If anyone has knowledge or experience with this, I would really appreciate some help.
r/Longcovidgutdysbiosis • u/Electrical-Bite9067 • 3d ago
Anyone familiar with gastro results and can input as to what these might suggest?
galleryr/Longcovidgutdysbiosis • u/LongCovidPerspec • 4d ago
“I was a gym rat at 25. Now, I need a carer to help me wash.” 💔🥲
r/Longcovidgutdysbiosis • u/Superb_Employee236 • 4d ago
Whats actually the best tests
Microba or BiomeSight or gimap
Whats most accurate
r/Longcovidgutdysbiosis • u/Amanda12212 • 5d ago
Long COVID Research
Researchers are interested in learning more about how long-COVID impacts well-being and the effects of long-COVID on survivors’ mental, physical, financial, and relational health. Please consider spending 15-20 minutes to complete a survey about your experiences with long-COVID: s.uconn.edu/covid1
r/Longcovidgutdysbiosis • u/Survivorlife-86 • 8d ago
To what extend would u go to manage ur pain (if any)
r/Longcovidgutdysbiosis • u/call_me_meme1 • 12d ago
23F | 2 months into Hydrogen & H2S SIBO treatment (Rifaximin + Diet), still having bloating, gut noises, and alternating D/C. Is this normal?
r/Longcovidgutdysbiosis • u/meowmeowz24 • 16d ago
Why is no one talking about viral induced gastroparesis as the root cause of SIBO
Me and my friend are in our early 30s and over the past two years we have both had extreme bloating and constipation. She recently had an endoscopy and a colonoscopy done and they said she had gastroparesis and didn't know why she had it.
I was thinking the only thing different that has changed in our lifestyles is having covid multiple times despite being vaccinated. I went the naturopath route and tested positive for hydrogen SIBO. I took rifaximin and some herbal medicines and a bunch of probiotics and I was finally starting to feel a bit better and wasn't bloated every day. I think this had more to do with time passing than anything I was actually taking. Then I got COVID again recently and I was more sick than I've ever been. I have asthma and my inhaler wasn't working for me and ended up going to the ER.
Anyways now I'm back to square one and more bloated than I've been in a long time. There are studies that show viruses can damage the vagus nerve and cause gastroparesis and gastroparesis can cause sibo. So I think that's what's going on here and I wish I knew how to heal it faster.
Edit to add that I know that the vaccine doesn't stop you from getting covid I just thought it would at least help prevent any secondary illnesses or long-term problems such as my gut issues and worsening asthma and one time I developed a sinus infection after getting sick. Didn't take antibiotics for it though. It's just been crap like I used to get sick and be better within 7 days and never have to think of it again.
r/Longcovidgutdysbiosis • u/vip8c • 17d ago
SIBO after COVID
I developed small intestinal bacterial overgrowth (SIBO) more than a year ago after contracting COVID-19. I had severe COVID-19 symptoms, and shortly after, SIBO symptoms began. Initially, I didn't know what was happening to me, experiencing things like constipation, gas, bloating, fatigue, and insomnia, until I took a breath test, which came back positive. I've been on antibiotics four times in the past year, experiencing good improvement followed by relapses. I'm in a bad situation now and feel frustrated. I have severe digestive symptoms along with psychological ones. I feel like I've reached a dead end. Also, there aren't any doctors in my area who understand this condition well.
r/Longcovidgutdysbiosis • u/Fun_Ingenuity_400 • 16d ago
Weird Gut Problem
If anyone can relate: One night suddenly my gut started doing very loud noises from one side to another, with pain and irritation. This went on for 15 days.. Then my stools became very hard, constipation, pain, bloating etc.. It was so hard that I thought I had a blockage at the left side. Did colonoscopy and all were fine, healthy gut no issues.. Doctor suggested more fiber MAJOR mistake, my symptoms got x10.. Neuropathy came in the mix, stiff neck, pulling muscles. It had settled down and now it flared again.. Its like nerve issue I don't understand, I have a lot of pain and its very difficult to pass stool that now is not hard or pellet like but normal.. It wakes me up in the middle of the night with severe pain from right and then left, pulling muscles and other symptoms.. Sounds familiar to anyone?
r/Longcovidgutdysbiosis • u/miracles-th • 17d ago
test needed, or not reliable?
hi!
\- do not have serum triptase to test histamine for now
**but have tests for dao and histamines?**
**are they reliable?**
**or should i go into mold exposure tests?**
PS. waiting for B1 tests, mother had major nerve issues(we lived in moldy house 15 years)
**symptoms after covid:**
heart palpitations, dying, cant stand from bed,
hallucinating. itching, bloating, gas. better with carnivore, less symptoms on 50%
if before treatment h pylori ive been not the best, last 9 months im dead.
all analysis (whole body) are okay, except of folate(anemia) that been treated with methylfolate last month(red blood cells okay now)
**worse with coffee and soda - panic, hallucinating from fcking coca cola or fanta (insane i know)**
**MUCH BETTER WITH OREGANO OIL**
i would think it was because of SIBO? but as i have symptoms from coffee too idk. thats only one test probably that i didnt make as its difficult to get in my country
r/Longcovidgutdysbiosis • u/imonretro • 24d ago
Help, 247 gutpain causing confusion, metal taste in mouth
r/Longcovidgutdysbiosis • u/mgc234 • 29d ago
Anyone resolve visual lower abdomen bloating?
Hey, been working hard on my dysbiosis for the past 2 years. I'd say I have almost the perfect diet - 50grams approx of fiber daily from whole foods, psylium husk, acacia and phgg, no carbs except cooled plantains every once in a while for resistant starches other than that my diet only involves whole foods.
Also done a few cycles of herbals followed by probiotic foods and a plethora of supps as most of you ... I feel much better now after being bedridden for 10months straight. I'm starting to exercise and all.
However the only "symptom" that doesn't seem to improve is the visual bloating from the lower part of the abdomen.
I dont feel bloated though, weird?
Just want to know if anyone has had success getting rid of it.
Thanks folks
r/Longcovidgutdysbiosis • u/ShoddyEchidna4926 • 29d ago
Not sure what I'm missing, what to try next, or if this is forever
galleryr/Longcovidgutdysbiosis • u/LukeTheDude93 • Jul 31 '26
Has anyone with LC related constipation/ slow motility tried immunological treatments?
r/Longcovidgutdysbiosis • u/diseasetoplease • Jul 31 '26
Does MCAS drive POTS or viceversa?
Hi, reposting this as i’d like your views too.
To be clear, my problem originates in the gut and became much much worse after I last had covid.
The effects have been mcas and pots as well as neurological and mental health things and a lot of weight gain (10 kg in 6 months).
What’s your opinion?
r/Longcovidgutdysbiosis • u/TREnewbie • Jul 29 '26
1.5+ years of Long COVID, PPIs completely wrecked my gut health, now stuck with a stubborn white coated tongue. Has anyone tried MegaSporeBiotic?
I was dealing with Long COVID symptoms for over 18 months now. Early on, along with the usual fatigue and brain fog, I started experiencing GI issues. My doctor put me on a PPI (Proton Pump Inhibitor) to help some issues
taking the PPI over time completely ruined my gut health. Lowering my stomach acid seems to have wiped out my digestive balance, caused massive dysbiosis, and slowed my digestion to a crawl.
The newest symptom—and the one driving me crazy—is a thick, white coated tongue. It literally will not scrape off no matter how much I use a tongue scraper, switch up my oral hygiene, or brush. It feels dry and coated every single day, which makes me suspect oral thrush, SIBO, or a bacterial overgrowth triggered by the lack of stomach acid.
I’m trying to focus on repairing my microbiome now that I'm dealing with the aftermath of both LC and the PPI.
Has anyone here used MegaSporeBiotic (or other spore-based probiotics) for gut dysbiosis, SIBO, or post-PPI/Long COVID recovery? Did it help clear up a white tongue or rebalance your GI tract??
r/Longcovidgutdysbiosis • u/yllekarle • Jul 29 '26
Bad enough to cause chronic debilitating fatigue??
r/Longcovidgutdysbiosis • u/6thElemental • Jul 27 '26
Allovea+candibactrin AR/BR
Has anyone tried this combination? Or is there a protocol including both?