Q: Dr McCandless, Do you feel it is necessary to have yeast "under control" before beginning TD-DMSA or is it generally okay to begin while yeast is still an issue? I feel like if we wait for the yeast to be under control, we'll never chelate. FWIW, we are GFCFSF and are transitioning to SCD. Also, what dose of glutamine would you recommend for a 20 lb "gut kid"? Thank you so much for your time and dedication to our children.
A: We should have yeast somewhat under control. If your child has diarrhea/constipation, don’t start chelation. Especially if constipated. The toxins in the gut with dysbiosis means the child is not absorbing what is needed. So it is important to get yeast under control, although not completely eradicated.