I think I have learned something important for me in running a CDSA, firstly in 2012, followed by the Genova GI Effects in late 2015. Both showed Citrobacter Freundi as a potential pathogen in an amount described as +4. I know
@alicec disagrees that we learn much from these tests but I have learned that these tests quantify what could potentially be causing issues at the time of the test. If one runs these tests over a period of time then one can see a pattern emerge.
In January this year I ran a UBIOME explorer test and there it is again Citrobacter and they say it is found in only 5% of samples.
I have now looked into what a nasty bacteria this can be and is found in immunocompromised people. It's a gram negative enterobacteria resistant to most standard antibiotics. The symptoms it produces are for the most part the ones I suffer with especially during a flare after a period of extra stress - stuff like infections, trauma, excess emotional situations etc. It can cause a wide range of infections in humans, with the urinary tract being the most common one followed by respiratory tract, wounds, bone etc. I have been troubled for several years now with recurrent UTIs and when my GP gets it tested nothing shows up and yet I am suffering with symptoms that can be so severe I cannot sleep because of the pain.
It also can be found in the GI tract and that is another area which causes me trouble on a daily basis.
If I hadn't run these tests I wouldn't have a clue that I have this nasty bacteria in my body as all the tests the NHS runs come back normal (apart from my thyroid).
One point from having a bacteria like Citrobacter is that it will steal the vitamins and minerals that one is eating so no matter how good the diet is one will end up deficient in so many areas which certainly isn't going to help an ME/CFS person because our ATP is disrupted.
Genova always try to update the quality of their tests and all the gut ones now use PCR techniques but the advantage over UBIOME is that they give a quantitive analysis which doesn't happen with the other one.
Genova also indicate what antibiotics the bacteria is susceptible to as well as natural agents.
This week I have started Uva Ursi together with Oregano oil and have had a big improvement in my health in general following a few months of feeling dreadful with several infections following a fall which sprained both my ankles and caused huge pain. Citrobacter is susceptible to these herbs as well as plant tannins and berberine. Unfortunately I cannot take berberine because it interacts with my medications for thyroid and adrenals.
There is some advice from a medical herbalist that says one needs to stay on the Uva Ursi at a low dose for 6 months together with herbs like corn silk and marshmallow in order to heal the damage that is done to the lining of the urinary tract from these bad UTIs.
I am fortunate in that I can run the Genova tests at Practitioner prices because I have a diploma in nutrition and if anyone else from the UK wanted to run one for themselves I am happy to do this at Practitioner prices, just send me a PM.
Pam