But it should be detectable with a normal urine culture. Asked a lab doc. He says it’s “nonsense”. Urine had to be frozen within a short period of time and if not bacteria grow rapidly and you surely have a positive test result. But I agree with you! If they would provide more replicable data....
Dr Markov said
in an earlier post that using warm urine increases the sensitivity of the urine culture by 2.5 to 2.7 times. So I guess you could use cold urine, but your chances of detecting the culprit bacteria will be reduced.
Markov requires 3 urine samples taken on three consecutive days in the morning. I believe using 3 samples rather than 1 will again increase the sensitivity, and increase the chances of detecting the bacteria.
Dr Markov also said that if you currently have a regular urinary tract infection, a standard lab urine bacterial culture is fine. See
this post. If you have a regular raging urinary tract infection, I guess there will be much more bacteria in the urine, so the standard lab test for a urine infection will be OK; you would not need warm urine in this case.
When Dr Markov talks of
nephrodysbacteriosis (kidney dysbiosis) in ME/CFS patients, this is not a normal infection of the kidneys, just as dysbiosis of the colon (common in ME/CFS) is not a classical infection of the intestines.
Dysbiosis is defined as the situation where populations of harmful bacteria or fungi outweigh the populations of beneficial bacteria. So dysbiosis is not a raging infection, but an imbalance between good and bad bacteria.
So because in nephrodysbacteriosis there is no raging infection in the kidney, it is harder to detect the infection.
This is my understanding, anyway, of what Dr Markov has said.
Surely Markov's theory would be easily provable with samples from a healthy control group.
Dr Markov did test healthy controls. He found that in 70 healthy control adults, only 7% have this nephrodysbacteriosis (kidney dysbiosis) infection. See
this post.
I am currently working on a new aautovaccines summary thread which I will post on PR shortly, which places all the important information that Dr Markov provided in this thread into one post, for ease of reading and ease of reference.