I've been struggling with fatigue and digestion issues for year. By digestion issues I mean bloating, smelly farts/stool, undigested food in stool, sugar cravings etc. Probiotics help a ton, but even still sometimes it seems like they don't "stick" and my symptoms return. I had the Doctor's Data Comprehensive Stool Analysis with Parasitology x3 Test completed a year and a half ago. I didn't have any dysbiotic flora but it showed I had no Bifido growth. I didn't have any dysbiotic yeast either, just a +1 for the "normal" Geotrichum spp yeast. However, it showed that I had "Moderate" levels rather than the expected "None - Rare" indicating a yeast overgrowth. For the parasitology section, it showed I had Blastocystic hominis, and Endolimax nana cysts and trophs. For digestive markers, everything was in range except Elastase was 66 (ref range > 200) and Secretory IgA was 43.1 (ref range 51 - 204). My doctor told me these results indicated it was important for me to take digestive enzymes and HCL with meals. Based on these results I took Nystatin for 3 months for the yeast overgrowth and was also taking anti-parasitic herbs. I did notice great improvement in my symptoms, no longer having sugar cravings, undigested food, bloating etc. However since then things have seemed to get worse again. Things aren't as bad as they were then, but I still do have some similar symptoms and feel like my gut is just not normal. So I decided to take the GI - MAP test which is supposed to be more accurate for parasites/bugs. Here were my out of range results: H. pylori - High Normal bacteria Bacteroides fragilis - Low Enterococcus spp - Low Bacteroidetes - Low Firmicutes - Low Opportunistic/Overgrowth Bacteria Pseudomonas spp/aeruginosa - High Prevotella copri - High Parasites Blastocystis hominis - High Intestinal Health Secretory IgA 95 (ref range 510-2010) I don't have any standard symptoms of H. pylori (like ulcers) but perhaps this is what is causing my continued issues? Same with B. hominis, it looks like that parasite is still in my system. Finally, my secretory IgA was low both times (and extremely low this last time). Any suggestions on how to improve that? Appreciate any suggestions on what to do with these results!