I'm sorry to post again, but I'm feeling a little indecisive on where to proceed next with my gut. My original stool test from Oct showed a strep overgrowth, with a severe undergrowth of lacto and bifido species. Subsequent to that, I did a 2-week of of Flagyl and Ampicillin prescribed by a gastro with an interest in dysbiosis/FMT (hence, my belief he knew what he was doing). However, a CFS doctor I saw last week claims the Flagyl most likely nuked my gut and has a) invalidated the old test results, b) probably worsened my dysbiosis. He wants me to redo the test but I can't afford to at the moment. I have been on a general downward slide anyway, so it's hard to know what has hurt or helped. The most distressing symptom for me is 'adrenal fatigue', whereby I just feel extremely weak and like my body is pumping out adrenaline to compensate (which is rather unpleasant); I feel weak, confused, have to eat every hour or so, waking up frequently etc. What gave me hope was the fact that I tried a herb recently, as recommended by Ken from CFSremission, called Haritaki. It supposedly kills dysbiotic overgrowths. However, I felt a drastic reduction in inflammatory symptoms, had more energy, stress tone improved etc. It did worsen some symptoms -- such as 'blank mind' and parasthesia -- and supposedly can kill (good) E. Coli, so I wonder if that may be why. It's a pity, because otherwise I would try to remain on it indefinitely. Since stopping it 2 days ago (after a 4 week course) I'm back to feeling near-death again, with adrenaline attacks etc. Here's what I've tried to date, which had some beneficial effects (though outweighed by negative): 1. Miyarisan and S. Boulardii -- both improved sleep a lot, improved anxiety, almost immediately calmed down adrenaline .. however, both also make me profoundly apathetic (to the point of worsening depression). 2. Symbioflor 2 -- robust improvement in physical/'adrenal' health, but did a total number on my mood: I had crying fits, spaciness/derealization, cognitive impairment etc. that didn't abate after 2 weeks on it. The other probiotics I've tried had no beneficial effects. So here are my options at the moment: 1. Try another herb like Neem (one of Ken's recommendations) .. and hope for a physical improvement, as per the Haritaki. If there are any other herbs worth looking into, let me know. 2. Try Mutaflor, based on my partially-positive reaction to Symbioflor 2. 3. Start one of the three probiotics I currently have at home: Align, Culturelle and Reuteri Pearls, though I wasn't sure which might be the best to begin with. Sorry for the long post, and thanks!