Sorry, every time I log in to see read this thread I get taken in another direction. I'm not sure when I am going to be able to add any substantial contributions, but I would like to say that I think people should trust their instincts. I find myself getting greedy with the RS. Consider taking a break altogether from the PS, and also consider not using any probiotics or fermented foods, at least not those that principally influence the colon. Get acclimated to the effects of RS alone. These have both the potential to mitigate and exacerbate symptoms; anecdotally, though, I feel like simultaneous administration of RS + B. Bifidum potentiates the effects of the immune stimulation and endotoxin mobilization. I may be accelerating the "purging," but I'm not sure most are going to find the associated symptoms worth what positive contribution, if any. This is going to be too much for many people, and as I have maintained all along, it will gain momentum.
Endotoxin mobilization is not dissimilar to P.E.M. Like P.E.M. and the accompanying cellular damage, once it starts, there is not much you can do. One will largely have to wait for the adverse effects to abate. Unfortunately the RS, I believe principally via enrichment of Clostridial/Bifidobacterial strains, will have a lingering effect one that can continue long after the 36 hours or so, that P.E.M. generally persists. This will be a time to rest, and perhaps try some of those things I recommended. I see @
Sushi reporting some success with her own transdermal electrolyte supplement. In addition to the enhancement of hydrolysis, this can help by alkalizing the cells to acidify the bowel; these are interrelated processes, and I think pretty important for symptom mitigation.
Also, be aware of mood lability; I have used this as a guide, and I have witnessed this with others. If your mood crashes and you become very irritable or worse, this is a sign you are pushing too fast. Lymphatic involvement is a more advanced sign of immunostimulation and endotoxin mobilization (and more severe intestinal permeability), this can create more of a generalized achy sensation, mostly involving the back. Worsening lymph symptoms include localized lymphatic swelling, particularly in the legs, and some will certainly experience the "sore spot" as my kids call it where the messenteric lymphatics enter the circulatory system an inch or so to the left of the spinal column roughly at the level of the tip of the scapula. If you start to experience pain under the right or left rib cages, to include the liver and spleen, then you are really need to slow down. LPS detoxification requires these organs, so if they are aching, you will know why. Some will develop a more severe inflammatory response and that may include a fever for a couple of days, I found that this was precipitated by a localized infection. As Maes discussed, there is translocation of bacteria to other tissues. I found strong support for this in the literature, that, intestinal permeability would result in bacterial infections outside the bowel. The tissues which most closely communicate with the bowel, the urogenitary tract, are those most likely to be involved. I think some of these infections are latent...without apparent symptoms. but for those with more advanced illness or lengthier in duration, don't be surprised if you get localized areas of pain and mild-flu-like symptoms.
In addition to the endotoxin component, which I think can clearly account for many of the adverse symptoms, it does appear as if many are encountering hormonal and neuroendocrine adaptations, which I think is to be expected and should resolve more quickly. I have had trouble sleeping, "turning off" my mind, regulating temperature, etc. It is a bit unnerving. I am also experiencing some intermittent Raynaud's symptoms, which have transiently worsened with alternating improvement. This has steadily improved with my recovery, yet there has some been lots of volatility. This seems to be related to the hormonal changes. I will be interested to see if someone with postural hypotension experiences substantial improvement as I think there is a NO/eNOS component with both.
I also think, a number of symptoms, like headaches, can be attributed to "awakening" of processes that have not been functioning very efficiently in quite some time. Actually, increased energy metabolism is going to have myriad effects, but some of the things I think some in this thread are hinting at include enhanced phosphorylation and hydrolysis.
With regard to phosphorylation, as an example, think of that part which takes place in the intestinal mucosa, vitamin phosphorylation, which should result in greater bioavailability of certain micronutrients, which will impact neurotransmitter synthesis/conversion. The example I saw was B6/P5P. What I would like people to consider is that previous attempts to supplement with this vitamin could have failed because one didn't have the collateral metabolic capacity to handle the effects of what P5P will does...deaminate amino acids, synthesize histamine, synthesize cysteine. These process are inter-related for a reason: extra histamine, cysteine, and the effects of breaking down amino acids would produce harm to you. Same reason for the inhibition of pancreatic enzyme synthesis and HCL production in the stomach, this is another counter-regulatory mechanism because the availability of amines can be particularly harmful. As your capacity to metabolize these compounds improves the collateral processes also become more active.
What I am observing is an apparent decrease in pancreatic enzymes. Why, well because what happened to me was exactly what happened when I started taking them, my small intestines hurt/burned until I adjusted to these. There is a transitional period wherein there is decreased synthesis of these digestive enzymes to meet ones needs. As some of you may have experienced this, digestive enzymes will literally burn the intestinal lining. In my view this suggests a decreased need for hydrolysis. Less demand on the liver, and a lot less stuff in the blood, a consequence of improved intestinal permeability. Less stuff in my blood to break down. Hydrolysis is executed with ATP and involves the hydrolase family of enzymes. A broad category of enzymes that includes lipases, involved in beta oxidation, and the infamous Nagalase, a glycoside hydrolase. Then there is amine oxidase. Bifidobacteria possess many of these same enzymes. Time to start connecting the dots.