September 18, 2018

What supplements and medications to use with FMT?

Hi Michael,

My name is (withheld for privacy) and you spoke with my mom around 3 months ago about using Fecal Transplants as a treatment for UC.

I was diagnosed with UC about 8 years ago (when I was a senior in high school). After my diagnosis, I went into remission for roughly 4 years with Pentasa, but then started having problems again. I have been battling constant, severe flares over the last 2.5 years and have tried many different treatments including: Prednisone (3 long rounds), Remicade (severe allergic reaction), Humira (16 months), Asacol HD (2 years), Lialda (8 months), LDN (4 months), various supplements, Canasa suppositories/enemas, etc.

After reading your book I decided to give the Fecal Transplants a go and started them on December 28, 2013 using my husband as my donor. I have been doing the treatments once a day at various times and seem to be seeing promising results. However, I have several questions about the treatment itself now that I’ve been doing the FMTs for a little over a week. I also have a few questions about the use of other supplements/medications both throughout the treatment process and after completing the FMTs. Would it be possible to send you an email with these questions or speak with you on the phone sometime soon?

Thanks so much for taking the time to speak with my mom and for writing this incredible book that looks like it just might be my saving grace! I truly look forward to hearing back from you and hope that you had a wonderful Holiday Season. Thanks again for all of your help!



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Congratulations on getting yourself on the road to recovery and I’m glad that I can be helpful! Send me an email with your specific questions and then we can follow up with a phone call after that.
In the interim here is some basic supplement advice recapping some highlights from my book:
– Iron supplements are good to combat low red blood cell count or anemia which can happen through blood loss during flares: I like “Comfort Iron” (iron glycinate) from Vitamin Shoppe as being cheap, effective and well-tolerated.
– B vitamins especially B12 also help with energy and red blood cells: While many different kinds of vitamins can be helpful I like B12 lozenges from Vitamin Shoppe or B12 injections from Trim Nutrition.
– Soluble fiber: I often used Benefiber or generic gluten-free wheat or corn starch, however brown sugar banana bread was also helpful to soak up excess water in the colon and add bulk to your stool.
– Valerian root extract capsules or liquid to slow bowel movements and help get to sleep
– I am also convinced that Wellbutrin (Bupropion) was a VERY key factor in my recovery, perhaps as important as the fecal transplants.
– Whey protein shakes are very helpful to help heal the mucosa of the intestines. I used Muscle Milk at the time which is actually more like a high protein meal-replacement shake since it also includes vitamins, minerals, carbohydrates and fats, however other commonly found brands of whey protein shakes found at grocery and drug stores are also good and may allow you to elevate your protein intake even higher if you are already getting enough calories and nutrients from other foods.
As a general rule avoid the protein shake that say they are for women of have “girly” looking labels (with pink or with cursive writing or a cute cartoon on the label.) In my experience from reading labels these types of protein shakes often did not have anywhere near as much protein per serving as the ones aimed towards body builders, nor was it clear what kinds of protein they had in them. As a general rule the best ones usually list the amounts of amino acids on the label as a selling point, especially if it contains L-Glutamine which is believed to promote tissue healing in the colon. So read the labels, but as a general rule if its good enough for a hard core body builder it is good enough to help heal your colon 🙂