Sluggish digestion and constipation have greatly diminished the quality of my life over two years. Green juice like spinach and kale help very much, but I would like to get to the bottom of this finally. Doctor says it's dysbiosis and prescribes antibiotics that I will take only if I find no other solution. Probiotics? Fasting? Herbs? (Diet = high protein/fat, zero carb, medium fiber, and nutrient-dense)
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Have you heard of the GAPs diet? I would highly recommend it.
As others said, to fix your gut you will need home-made bone broth and a lot of fermented foods: sauerkraut, kimchi, and home-made goat kefir (ferment it for 30 hours). Also add offal, sea veggies, more shellfish, and more raw veggies/fruits.
Have you tried small to moderate servings of fermented foods like raw sauerkraut on a daily basis?
How long have you been doing your high protein/high fat diet? I know it can take a long time to see success in some, but I would also second the use of fermented foods. I eat kimchi about once or twice a week. Prior to starting the Paleo lifestyle, I was taking heartburn pills like they were candy and doing cycles of immodium and maalox. It was awful. I had been on the standard high fiber diet they recommend for IBS. I still eat a good amount of veggies, but I make sure to include those that have good gut flora. It turned out for me, though, I was majorly grain sensitive. I would also skip the antibiotics. If it IS dysbiosis, it can be exacerbated by further antibiotic use, especially depending on the type of antibiotics used.
Dr Ohhiras works for me pretty well. Also 2x a year I take powerful oregano and clove oil for a few weeks to "clean out". Fermented foods are good too, but not very powerful.
Gaps/ SCD or Robb Wolf's autoimmune protocol plus anerobically fermented foods (Caldwells delivers and makes a good product and in the East coast you can get a brand called "Real Pickles") then there's BioKult and PrescriptAssist that work great. I also personally think the soil based organisms in Primal Defense Ultra by Garden of Life are pretty good too. T
Lots of people recommend VLS#3. I've tried that and also some that my doctor recommended, and haven't noticed an improvement. They all contain mostly the lactic acid bacteria, bacteroidetes.
The brand I take, because it's the only one I've tried where I feel a difference, is Prescript Assist. It contains a lot of soil bacteria.