Hip
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Summary: the basic idea of this thread is that ME/CFS patients might consider experimenting with homemade shellac-coated capsules, which act as enteric capsules that do not open in the stomach, and instead deliver their supplement contents to the colon.
ME/CFS patients may have issues in their colon (like leaky gut, dysbiosis, viral infections, IBS, etc), so directly delivering supplements to the colon by means of shellac-coated capsules may offer opportunities to improve health.
I've had some interesting results with placing supplements that are beneficial for bowel health in colon-targeted capsules. It's easy to make your own colon-targeted capsules at home, just by coating regular capsules with shellac.
The shellac coating stops the capsule opening in the stomach (as shellac is resistant to stomach acids), and the capsule will only open and release its contents when further down the intestinal tract. You can buy food grade shellac online (often called confectionary glaze), and make your own colon-targeted capsules at home in the way described in this post.
Most supplements that you take are absorbed in the stomach or the small intestine, so do not make it to the large intestine (colon). Thus any benefits these supplements may have for the gut and the gut lining may not be conferred to the colon. But by coating your capsules with shellac, the capsules will only release their contents further along the digestive tract, so the contents may then be able to reach the colon.
I've been trying out supplements known to be good for the health of the intestines and for leaky gut, and placing these supplements in shellac-coated capsules, in the hope they will benefit the colon.
I've tried supplements like glutamine, N-acetyl glucosamine, zinc, vitamin A and probiotics in shellac-coated capsules. These are all supplements I have generally found well-tolerated and beneficial.
But strangely, when I take these supplements in colon-targeted capsules, they appear to cause major adverse effects for me, in terms of a temporary exacerbation mental health symptoms. This symptom exacerbation I imagine might be caused by the supplements transiently worsening inflammation in the colon.
When I take these same supplements in regular capsules, I have no problems at all with them. The adverse effects only appear when they are delivered to the colon. So you definitely get different effects when you deliver a supplement into the colon.
For example, taking 5 grams of glutamine powder normally gives me a very slight increase in energy; but every time I took just 1 gram of glutamine in a shellac-coated capsule, it triggered some anxiety and other mental health symptoms.
N-acetyl glucosamine was far worse: I find NAG has good anti-anxiety effects when taken normally; but when placed in a shellac capsule, it caused some really horrible mental health side effects for 24 hours or so.
The only supplement that I did not get adverse effects from when coated with shellac was probiotic capsules.
My interpretation of these results is that there may be something amiss in my colon, perhaps in terms of a dysbiosis or leaky gut, and so when these supplements reach the colon, conceivably they may temporarily worsen the situation, thereby increasing gut inflammation and triggering mental symptoms. For example, glutamine is known to boost the gut immune system, so when it reaches the colon, it may ramp up the immune attack on dysbiotic bad bacteria, temporarily causing some Herx effects.
But the very fact that I get these adverse effects suggests that there might be something amiss in the colon. If the colon were healthy, I would not expect to get such strong adverse effects.
So if whatever the issue I have in the colon can be fixed, it may improve health.
Note that I doubt if other ME/CFS patients would get these mental health side effects from trying colon-targeted supplements. I am very susceptible to mental health adverse effects from drugs and supplements, and get similar side effects from the intestine-targeted antibiotic rifaximin, even in tiny doses. So I think these mental health side effects are just idiosyncratic; nevertheless, their appearance in some susceptible to like may be an indicator that something is amiss in the colon in ME/CFS.
Several researchers believe that ME/CFS may arise from dysbiosis in the colon; and if this is the case, then colon-targeted supplements could be effective for ME/CFS.
We know that bacteria overgrowth in the small intestine (SIBO) causes ME/CFS-like symptoms such as substantial fatigue; and antibacterial herbs which target the small intestine can often be beneficial for SIBO, and reduce fatigue. So it is also possible that bacteria overgrowth in the large intestine (dysbiosis) may be causing symptoms such as fatigue.
Shellac coating gives us the tools to target any issues in the colon that might be underpinning ME/CFS.
There are many supplement that one could try in shellac-coated capsules. For example:
Sodium bicarbonate in a shellac capsule — when this reaches the colon, its potent antifungal effects might be beneficial for any Candida overgrowth.
Iodine in a shellac capsule — iodine has anti-microbial effects.
Oregano oil (and other antibacterial herbs) in a shellac capsule — has anti-microbial effects.
Glutamine in a shellac capsule — glutamine is considered one of the best leaky gut healing supplements.
Colostrum / IgG supplements — known to be effective for leaky gut. Only 3 to 20% of IgG survives the passage through the GI tract. Ref: 1
Other good leaky gut supplements listed in this post.
N-acetyl cysteine in a shellac capsule — NAC is a potent biofilm disrupter.
Probiotics in a shellac capsule — this should increase the potency of any probiotic capsule, as normally a substantial percentage of the bacteria in the capsule is destroyed by stomach acids.
Antivirals — if ME/CFS patients have an enterovirus or cytomegalovirus ongoing infection in their colon, antivirals which are delivered directly to the colon might have a strong effect against these infections.
As an alternative to making your own shellac-coated capsules, you can also buy ready-made enteric coated capsules called DRcaps (delayed release capsules).
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