bacteriotherapy - The Power of Poop
Transcription
bacteriotherapy - The Power of Poop
bacteriotherapy the process of restoring the bacteria commonly found in the digestive tract Clinic for Digestive Health 1 Bacteriotherapy is the very cutting edge of a new understanding of the action and function of the bacteria that inhabit the human digestive system. BACTERIOTHERAPY Faecal Microbiota Transplant Program The Taymount Clinic 1st Floor, 16a High Street Hitchin, Herts. SG5 1AT © The Taymount Clinic, 2012 01462 712 500 • www.taymount.com 1 INTRODUCTION What is Bacteriotherapy or Faecal Microbiota Transplant (FMT)? This procedure is also referred to as Human Probiotic Infusion (HPI) , Faecal Microbiome Infusion (FMI). The human bowel contains an extremely complex population of intercommunicating bacteria and micro-organisms containing several hundred different species. Because bacteria have a complex communication “language” between single species, the whole community and between the community and the host, the Microbiome has been described as a virtual organ. The colon itself is densely populated with around 40,000 species and subspecies of bacteria and 40 species make up 99% of the Gut Flora. These organisms and the chemicals they produce affect the body and these effects can have both positive and negative impacts on health. Some groups (Bacteroides) possess anti-microbial properties antagonistic to pathogenic or ‘bad’ bacteria; however, if a bad bacterium manages to implant itself into the population of normal, healthy ‘good’ bacteria it can gain a good foothold and can have a debilitating and sometimes toxic effect . Due to the evolutionary success of the bacteria which are very durable, it is difficult to remove the infection, which can remain for many years, even a lifetime. The human bacterial flora protects us from both pathogenic or ‘bad’ bacteria; however, if a bad bacterium does implant itself into the population of normal, healthy ‘good’ bacteria, it can have a debilitating and sometimes toxic effect on our health The use of healthy human flora appears to be the most complete probiotic treatment available today. It acts as a broad-spectrum antibiotic capable of eradicating ‘bad’ bacteria and spores, and supplies the ‘good’ bacteria for re-colonisation. This therapy involves the infusion of the bacteria from healthy human faeces via enema into the bowel. This infusion process is repeated for 10 days. This is defined by Prof. T J Borody of the Centre of Digestive Diseases, as being the most effective for long-term uptake and recolonisation. The treatment is for types of Irritable Bowel Syndrome and Inflammatory Bowel Diseases. The treatment cannot be guaranteed; however, it has demonstrated success in treating some of the most difficult cases of IBS and IBDs [please see the research papers included at the end of this pack for more information]. The Taymount Clinic 1st Floor, 16a High Street Hitchin, Herts. SG5 1AT © The Taymount Clinic, 2012 01462 712 500 • www.taymount.com 2 As the pioneer of this treatment, Professor TJ Borody has said, this is not a ‘Golden Bullet’ magic treatment, and this is not an answer to every illness. Firstly, Borody found that by doubling the treatments from 5 days to 10 days, the implant success rate rose dramatically. In some persistant cases, secondary treatments were necessary at a later stage. In the case of secondary treatments the success rate in this group rose to 90%. So we need to bring to the patient’s attention that this treatment cannot give a guaranteed successful outcome in every case, and secondary treatments may be necessary. Donor Material – The best results are obtained when using optimum quality fecal implants. Professor Borody’s earlier suggested use of family members and co-habitees could result in transplanting the same dysbiotic imbalance, especially where the same dietary habits are shared. Analytical evidence has shown that relatives and partners can share the same microflora, which often includes the same pathogens, which may not be ideal Here at the Taymount Clinic, we have carefully selected and coached professional healthy donors who eat a very high organic diet, rich in vegetables and fruits and organic produce and who are on a specialied probiotic regimen. They are also screened regularly by blood and stool tests for serious and contagious diseases: Donor Lab Tests* BLOOD REQUIRED: Abbreviation Description HIV Human Immuno Virus HEP A IgM Hepatitis A, Immuno-globulin M HEP B & C Hepatitis B & C RPR (Syph.) Rapid Plasma Reagin - Syphilis TOXO Toxoplasmosis RhF Rheumatoid Factor ANA Antinuclear Antibodies HLA-B27 Human Leucocyte Test (White Blood Cells) CMV Cytomegalovirus EBV Epstein-Barr Virus (Herpes) FBC Full Blood Chemistry ESR Erythrocyte Sedimentation Rate TSH Thyroid Stimulating Hormone U&E Urea & Electrolytes LFT Liver Function Test CRP C-Reactive Protein Coeliac Profile Antigliadin Antibodies and Endomysial Antibodies B12 and Folic Acid Anaemia Profile H. pylori Helicobacter pylori Antibodies The Taymount Clinic 1st Floor, 16a High Street Hitchin, Herts. SG5 1AT © The Taymount Clinic, 2012 01462 712 500 • www.taymount.com 3 STOOL REQUIRED: Abbreviation Description C. diff Clostridium difficile culture Yersinia Parasite Aeromonas Parasite Klebsiella oxytoca Parasite Stool Campylobacter jejuni Parasite of Small Intesine Staph aureus Staphyloccocus aureus E. histolytica Entamoeba hystolytica *Remember that these tests have already been done for the Clinic Donor Bank and Donors are certified every three months or less. The diagnostic laboratories used are: The Doctors Laboratory, 60 Whitfield Street, London W1T 4EU If using a patientsupplied donor, the sample must be provided each day at least an hour and a half before the treatment to allow for preparation time of the sample And Genova Diagnostics, Parkgate House, 356 West Barnes Lane, New Malden, Surrey KT3 6NB The Taymount Clinic keeps a bank of optimised donor material. The Taymount Clinic strongly advises that you check with your General Practitioner or Physician before embarking upon this program. The Taymount Clinic 1st Floor, 16a High Street Hitchin, Herts. SG5 1AT © The Taymount Clinic, 2012 01462 712 500 • www.taymount.com 4 PROGRAM The Procedure: The patient will undergo a 28-day preparation period with dietary adjustments and recommendations in order to prepare the bowel and gut for optimum receptivity (see Patient Preparation Information Section 2 following). Then: Pre-Treatment: Before the treatment starts the patient will start a stool softening program utilising a non-laxative bowel hydrator called OxyKlenz (Magnesium Peroxide) which will prompt a regular bowel movement that will be gentle and easy to expel. The Treatment: Day 1: The patient will receive colon cleansing treatments prior to the program to cleanse the bowel of fecal impaction and to ensure that all of the loose bacterial and fungal flora and the materia that they occupy are removed. Tests include blood and stool samples and will check for conditions such as Hepatitis, Epstein-Barr virus, HIV, Herpes, Cytomegalovirus, Toxoplasmosis, Liver function test, STDs; also Full Blood Count, Thyroid Hormones, etc. After the colon cleansing, the first of the prepared donor samples will be implanted via enema. The patient will stay relaxed and prone for at least ½ hour following implant to allow the sample to populate the bowel. If using a patient-supplied donor, (Option A), the sample must be provided each day at least an hour and a half before the treatment to allow for preparation time of the sample. Days 2-10: The patient will receive an implant of prepared donor material and will stay prone for ½ hour following implant. Total treatment times: Day 1: Allow 4 hours in the clinic which will include consultations and colon preparation. Days 2-10: 2-3 hours needed; in the clinic. Note: we close the clinic to all other patients whilst the program is in process so there is complete privacy and an unhurried clinical environment. The Taymount Clinic 1st Floor, 16a High Street Hitchin, Herts. SG5 1AT © The Taymount Clinic, 2012 01462 712 500 • www.taymount.com 5 The Clinic Donors are screened by the full panel of required laboratory tests every one to three months. Donors will remain anonymous to the patient, although evidence of successful test results are available upon request. The Clinic Donors are obliged to observe a high-nutrient, high-raw, probiotic and prebiotic-rich diet for at least 28 days prior to donating the samples and through the whole period of donation. Donor Bank samples are always ready at the right time, each day. Begin Preparation Period Fill in the consent form and the application form at the back of this pack and send them in to the clinic. Upon receipt of the forms, the Clinic will assess your application and arrange a Preparation Start Date and Program Date. Or email: [email protected] for help with arranging your program. You will need to book a consultation appointment, this is to assess your suitability for the program and to ascertain which implant program would be suitable for you. The Clinic Donors are screened by the full panel of required laboratory tests every one to three months; donors will remain anonymous to the patient, although evidence of successful test results are available. At this consultation, you can discuss your personal medical history, the consultations run for up to 2 hours. Once the start date has been agreed with the Clinic, see the Patient Preparation Information to see how to get ready to get the most out of your program. Remember to purchase the Oxyklenz capsules to commence bowel preparation in advance of bowel cleansing (see www.taymount.com/shop for suppliers) The Taymount Clinic 1st Floor, 16a High Street Hitchin, Herts. SG5 1AT © The Taymount Clinic, 2012 01462 712 500 • www.taymount.com 6 PRICING SCHEDULE Preliminary consultation (up to 2 hours) £150.00 FMT is not a one-size-fits-all procedure, it is tailored to each individual’s particular needs. However, there are broad structures to the approach and a list follows of the basic programs we offer. There may be changes to this protocol and this is agreed during the consultation process prior to booking. Prices shown are inclusive of all materials and disposables required during treatment but do not include supplements and remedies which may be recommended during discussions over the treatment period. Patients are given a complimentary “Super Yogurt” probiotic drink following their treatments, in most cases and on most days, where appropriate. Fill in the consent form and the application form at the back of this pack and send them in to the Clinic. Upon receipt, the Clinic will assess your application and arrange a Preparation Start Date Prices as listed below, are payable in two instalments, 50% upon booking and the balance payable at the arrival in the clinic on Day 1 of the implant treatment program. Debit and Credit card facilities are offered. For IBD, Crohn’s and Gastro-Neurological linked conditions (ME, MS, Autism etc) 10 implants over 10-12 days £4,000 payable in two instalments. (see note in box above) For IBS-A, C and D and associated conditions 5 implants over 5 days £3,000 payable in two instalments. (see note in box above) For Recurrent C.diff Infections (RCDI) 3 implants over 3 days £2,000 payable in two instalments. (see note in box above) Additional materials/products strongly recommended prior to commencement of treatment: Oxyklenz Bowel Hydrator – 100 capsules (available from several suppliers through our online shop: www.taymount.com/shop) Please take this Bowel Prep (even for diarrhoea conditions) at least one week prior to commencement of treatment. Dosage instructions: Start with 2 at night, then increase by one more each night until very soft/diarrhoeal motions are experienced the next day, then drop back to the previous dosage which did not product diarrhoea, and stay on that dosage level for the rest of the week. For diarrhoea sufferers, take 2 per night for the week. The Taymount Clinic 1st Floor, 16a High Street Hitchin, Herts. SG5 1AT © The Taymount Clinic, 2012 01462 712 500 • www.taymount.com 7 This is a pioneering procedure that is under constant development. The whole aim of which is to improve the outcome for patients. The few practitioners around the world that are engaged in this therapy are continually making small changes, refinements and amendments to the treatment protocols to try to effect improvements. The community of practitioners naturally communicate amongst themselves, sharing best practice, ideas and developments. Therefore, what is written today changes tomorrow – this is the very essence of pioneering technology. So do not be surprised if supplementary notes appear at a later date. If protocols change halfway through a procedure, if ‘up’ becomes ‘down’ and ‘left’ becomes ‘right’, it is probably that someone, somewhere, has found something that improves outcomes, and we are now sharing it and using it to the ongoing benefit of our patients. Remember that all these tests have already been done on the Clinic Donor in the Taymount Clinic Donor Bank and certificated every three months or less. The Taymount Clinic 1st Floor, 16a High Street Hitchin, Herts. SG5 1AT © The Taymount Clinic, 2012 01462 712 500 • www.taymount.com 8 TRAVEL AND LOCAL AMENITIES Hitchin is an ancient market town situated on the A600 close to the A1(M) motorway. London Luton Airport is 10 minutes’ drive away, London Heathrow is 45 minutes drive away. There is a main line rail station with fast rail links to London Kings Cross and routes to York, Darlington and Edinburgh, and Peterborough, Cambridge and Kings Lynn. Hitchin is particularly well served for eating places, coffee houses and bistros and is something of a day-time café society and comes to life at night with lots of night clubs and restaurants making it a lively and interesting place to go for the evening. The town square is ancient cobbles and is host to many small and individual shops with character and history. Ample churches and places to just sit and think or feed the ducks along the river Hiz - or visit the markets on Tuesdays, Fridays and Saturdays - there is always something to do! HITCHIN Stansted ✈ A41 Luton Aylesbury A ylesbury A10 ✈ Hitchin is particularly well-served for eating places, coffee houses and bistros and is something of a daytime café society and comes to life at night with lots of night clubs and restaurants, making it a lively and interesting place to go for the evening A1(M) M1 W elwyn Welwyn M11 Chelmsford Chelmsfo ord M25 M40 M25 Reading M4 London Heathr ow Heathrow ✈ A2 Sandhurst M3 M20 Maidstone A31 Guildf ford Guildford Gatwick M23 ✈ Local Accommodation: We have found the Sun Hotel in Sun Street, Hitchin and La Bella Vita restaurant and boutique hotel also in Sun Street, Hitchin, to be welcoming, comfortable and good value. Both are within 3 minutes walking distance of the clinic and the town centre. LOCAL HOTELS INCLUDE: Hitchin Priory: 5-star country house hotel and conference centre. Hitchin Priory is a large converted country house with a very high level of comfort and service with beautiful riverside grounds and wildfowl and again, a short walk to the clinic. www.chartridge.co.uk The Sun Hotel: 3-star pub and an Historic Inn. www.sunhotel-hitchin.com La Bella Vita: a quaint and beautiful boutique hotel with four poster beds, gorgeous décor and a warm welcome from Georgio, the owner and master chef. La Bella Vita is a superb Italian Restaurant. www.bellavitahotel.com Offley Place: We have an arrangement with Offley Place (on A505 between Luton Airport and Hitchin) www.Offleyplace.com They will offer rooms for £89 per person deluxe room or £98 for the superior rooms - just mention Taymount Clinic when you book to get these preferential rates. All types of diet and food intolerances catered for where possible. It's a 4* country house hotel with superb grounds and restful atmosphere. Offley Place is like staying in Downton Abbey! © The Taymount Clinic, 2012 The Taymount Clinic 1st Floor, 16a High Street Hitchin, Herts. SG5 1AT 01462 712 500 • www.taymount.com 9 2 This is the protocol you need to follow from day 1 of the 28-day preparation period PATIENT PREPARATION INFORMATION After agreeing the program commencement date with the clinic, this is the protocol you need to follow from day 1 of the 28-day preparation period. The Taymount Clinic 1st Floor, 16a High Street Hitchin, Herts. SG5 1AT © The Taymount Clinic, 2012 01462 712 500 • www.taymount.com 10 Take Oxyklenz# every evening from start of Prep period. Start with 2 capsules at night, increase by one more each evening until a softly formed and bulky stool is easily eliminated the following morning. This might mean going up to as many as 8-10 capsules initially. If diarrhoea is experienced drop back to the previous “comfortably formed” dose (the last dose before diarrhoea occurred). This way, you find your individual ideal dose and stick with that for the rest of the 28 days. If you are a diarrhoea-sufferer already, please take 1-2 each night in the preparation period. There is often a back-up of solidified matter residing in the folds and creases of the bowel, even when frequent diarrhoea is experienced even on a daily basis. Oxyklenz (Magnesium Peroxide), is safe, nonhabit-forming, non-irritating and gently brings water back into the bowel to soften and move waste matter DAY 26: increase your dose by 1 more this evening DAY 27: increase your dose by another 1 more again this evening DAY 28: increase your dose by another 1 this evening. This will make your stool very loose and will clear your bowel prior to commencement of the treatment. Don’t panic, you won’t get gripes and urgency as in laxative use, this should be gentle but fluid releases. # Oxyklenz is Magnesium Peroxide (MgO2) and is available throught the Taymount Clinic Website: www.taymount.com/shop and at the health food shop on our ground floor: www.health-emporium.co.uk. They are in pots of 100 and prices vary greatly between suppliers, so look in our shop for the best value among our featured suppliers. We try to find the best value for our patients. Health Emporium will also do mail order. Prices range from £13 to £24 for 100 capsules. The Taymount Clinic 1st Floor, 16a High Street Hitchin, Herts. SG5 1AT © The Taymount Clinic, 2012 01462 712 500 • www.taymount.com 11 Low Protein Diet Proteins and residues from animal products will feed pathogenic bacterial flora, so we need to starve them out and make the stool loose and easy to wash out when you come for your initial colonic at the start of the implant procedures. Try to get the “Eat less of:” list completely eliminated by the last week, or sooner if possible. Eat lots of: Wholegrain (wheat-free) cereals Wholegrain rye bread Wheat-free breads and cereals Gluten-free products in moderation Raw vegetables, salads: (marrow, courgettes, carrots, potatoes, green leaves, lettuce, cucumber, spinach, kale, cabbage, tomatoes, peppers, broccoli, cauliflower, etc) Proteins and residues from animal products will feed pathogenic bacterial flora, so we need to starve them out and make the stool loose and easy to wash out when you come for your initial colonic at the start of the implant procedures. Fruits: (peaches, apples, berries, cherries, plums, pears, melon, oranges, lemons, lime, ginger) Nuts (and nut milks especially) Oils, butter Try soy milk, almond milk or oat milk instead of cows milk Brown rice Vegetable pasta (corn, millet, rice pasta) Buckwheat noodles (wholegrain) Eggs in moderation (served with vegetables or wholegrain cereal breads) Try to incorporate coconut oil into all your foods where practical. Melt the oil and use it in salad dressings, smoothies, stir into porridge, etc. Try to use at least 2-4 tablespoons per day. This is extremely good for the gut motility and for metabolic health also, so it is not fattening. The Taymount Clinic 1st Floor, 16a High Street Hitchin, Herts. SG5 1AT © The Taymount Clinic, 2012 01462 712 500 • www.taymount.com 12 Eat less of: (or none by day 21) Refined cereal products White bread, pastry, biscuits, snacks Chocolate & sweets Wheat and wheat-based products Meat & fish Dairy products Sugary foods and processed foods The organic soil contains vital soilbased probiotic organisms which we are all lacking in today. Honey Jam Pasta White Rice The Taymount Clinic 1st Floor, 16a High Street Hitchin, Herts. SG5 1AT © The Taymount Clinic, 2012 01462 712 500 • www.taymount.com 13 RECIPES: All fruits, vegetables and salads should be ORGANIC where possible and only wiped clean – do not wash or scrub your organic produce and leave peels and skins in place where possible. The organic soil contains vital soil-based probiotic organisms which we are all lacking in today. Green Smoothie (or Smooth Greenie?): Ingredients: a large bunch of spinach whole peeled mango ice cubes 1 large heaped tablespoonful of FOS – PRE-BIOTIC powder about 100 mls filtered or mineral water All veggies and fruits should be ORGANIC and only wiped clean, not scrubbed (this is very important) Place all ingredients in blender and blend until smooth, dilute as necessary with more water. This works best with a high-speed blender like Vitamix, Blendtec or Thermomix; if using a slower domestic blender, you will need to blend for as long as it takes to make a nice smooth, drinkable liquid and add as much water as you need to make it drinkable. Shrek Juice We have found that children love the colour and taste of this juice and imagine themselves turning into Shrek by drinking it! We playfully call this one Shrek Juice to go along with it – we have known it also referred to as Swamp Juice – but it is still lovely to drink! Makes 1 litre: All veggies and fruits should be ORGANIC and only wiped clean, not scrubbed (this is very important). Ingredients: ½ cucumber 1 stick celery 2 apples Large slice of pineapple Huge handful of spinach, greens, kale or other green leaf or a mixture ½ lime or lemon 1 x sachet of VSL#3 Optional: sprig of parsley ice cubes Open the sachet of VSL#3 and pour into the juicer jug. Add a small amount of water to make a thin paste and then return the jug to the juicer and let the juice fall into the mixture. Don’t peel anything, just chop into pieces small enough to pop through your juicer chute and juice over ice cubes. Stir and serve immediately; unused juice will store in the fridge in a closed container for up to 24 hours. The Taymount Clinic 1st Floor, 16a High Street Hitchin, Herts. SG5 1AT © The Taymount Clinic, 2012 01462 712 500 • www.taymount.com 14 3 Bacteriotherapy is the replacement of badly balanced bacterial flora with the wellproportioned flora from a coached and optimal donor APPLICATION FORM for Bacteriotherapy The Taymount Clinic 1st Floor, 16a High Street Hitchin, Herts. SG5 1AT © The Taymount Clinic, 2012 01462 712 500 • www.taymount.com 15 APPLICATION FORM for Bacteriotherapy A deposit of 50% of the full program fee must be paid before the preparation period or laboratory testing can begin Name: DOB: Address: Email: Telephone: Mobile: Terms and Conditions: The Taymount Clinic (hereinafter referred to as ‘The Clinic’), undertakes to provide the facilities for Bacteriotherapy, otherwise known as Faecal Microbial Transplant (FMT) over a period of 10 days as described in the information pack accompanying this application form. The Clinic reserves the right to refuse any application on any grounds it considers relevant in clinical consideration. No explanation need be given for refusal. Where patients choose to use their own donor, full laboratory testing must be done as necessary (blood, urine and stool testing) and The Clinic reserves the right to refuse to use any donor on grounds that it does not have to disclose to the patient or the donor. The Clinic’s reserves the right to use the appropriate donor to ensure optimal outcome for the patient. A deposit of 50% of the full program fee must be paid upon booking. Cancellation and Refund Policy If the booking is cancelled up to 7 days before the booking date, The Clinic will reserve half of this deposit (25% of the program fee) to cover admin and testing costs and will refund the other half (25% of the program fee). If the booking is cancelled less than 7 days before the booking day, the deposit is not refundable. © The Taymount Clinic, 2012 The Taymount Clinic 1st Floor, 16a High Street Hitchin, Herts. SG5 1AT 01462 712 500 • www.taymount.com 16 The Clinic will not be responsible for transmission of any conditions not indicated by the panel of laboratory tests. Whilst every effort will be made to provide a safe procedure, the Clinic cannot be held responsible for unforseen circumstances, and patients understand that they enter into this program entirely at their own risk. Taymount Clinic strongly advises that patients seek the advice of their General Practitioner or Physician before embarking upon this program. This is a pioneering procedure and there is insufficient clinical evidence to show that it is effective in every case. The Clinic cannot be held responsible if the procedure fails to provide the desired results. I hereby apply to be considered for the Bacteriotherapy/FMT Program, subject to clinic assessment and I accept the Terms and Conditions as described above and understand that I take part in this program entirely at my own risk. The Clinic reserves the right to refuse any application on any grounds it considers relevant in clinical consideration. No explanation need be given for refusal Name: Signature: Date: The Taymount Clinic 1st Floor, 16a High Street Hitchin, Herts. SG5 1AT © The Taymount Clinic, 2012 01462 712 500 • www.taymount.com 17 CREDIT CARD PAYMENT CARD TYPE: VISA VISADEBIT MASTERCARD OTHER: (we do not accept American Express) AMOUNT: A deposit of £2,000 (50 % of the programme fee) is payable with application* CARD NUMBER: Expiry Date: / (MM/YY) CSC No. CARD NAME: CARD HOLDER’S ADDRESS: *In the event that the patient cancels their booking, 50% of the deposit will be retained to cover expenses and the remaining 50% will be returned provided the cancellation is given with at least one week's notice. Any cancellation within one week of the appointment start date will lead to forfeit of the entire deposit sum. SIGNATURE: OR BY ELECTRONIC TRANSFER (BACS): Bank Sort Code: Account Number: Account Name: 20-41-12 10591165 Taymount Clinic SWIFTBIC: IBAN: BARCGB22 GB58 BARC 2041 1210 591165 The Taymount Clinic 1st Floor, 16a High Street Hitchin, Herts. SG5 1AT © The Taymount Clinic, 2012 01462 712 500 • www.taymount.com 18 4 To have and to hold…. From this day forward….. Your new life-partners! BaCTerioTherapY program (Faecal microbiome Transplant) post-procedure aftercare The Taymount Clinic 1st Floor, 16a High Street Hitchin, Herts. SG5 1AT © The Taymount Clinic, 2012 01462 712 500 • www.taymount.com 19 ‘going home’ protocols for patients The reason why you needed Bacteriotherapy was because your microbiome was compromised, which is called dysbiosis. Your previous lifestyle had not improved this condition and could quite possibly have caused it or made it worse. if you continue to lead the lifestyle and diet that you did before, there is a strong chance that dysbiosis may recur. To avoid this happening, we need to change your lifestyle with regard to your food intake on a daily and repeated basis. if you continue to do what you’ve always done, then you’ll continue to get what you’ve always got it’s the old adage that “…if you continue to do what you’ve always done, then you’ll continue to get what you’ve always got.” Now is the time to change your habits to make long-lasting and permanent changes for the better to your health. You have now received 10 implants of donor microbiome. if you used the Clinic Donor Bank, you can be assured that the stool was prepared from a donor using a specialised diet to promote a high quality biome. in preparation for donation, the donor ate close on 100% or very-high-raw foods, fresh organic produce and observed all the protocols listed in the donor preparation instructions. in fact, our donors live this way as a lifestyle and enjoy great health not just restricted to their digestive systems. if you used your own donor, then the 28 days own-donor preparation was a snapshot view of how you should be eating and feeding yourself every day. it makes sense then, to keep up this good work and enjoy continuing good health, not just resolving your present symptoms or chronic problems. The suggestions on the following pages will keep your gut in top condition and help you to enjoy greater health and wellbeing throughout your whole body. having undergone this remarkable cutting-edge treatment, it makes perfect sense to stay on the right side of healthy and look after your new micro-organism team-mates and make for a great symbiotic healthy organism. The Taymount Clinic 1st Floor, 16a High Street Hitchin, Herts. SG5 1AT © The Taymount Clinic, 2012 01462 712 500 • www.taymount.com 20 The choice is of course, yours to make. here is the outline for continuing to live in harmony with your ‘good guys’ and optimise your new bacterial flora community.This is how to feed and look after your new pets (poo is a Zoo!)! Daily: Choose from the following for your breakfast: 1. make a green juice (we call it Shrek Juice!) or green Smoothie and drink at least 1⁄2 litre daily (more if possible). 2. make a YoCo Thickie (recipe following) 3. make a Super-Yogurt (recipe following) TrY To maKe SUre YoU haVe aT LeaST 4 or 5 SUper YogUrTS or SmooTh ThiCKieS per WeeK To Keep YoUr proBioTiCS maiNTaiNeD aT opTimUm LeVeLS. Daily: have a large fresh, raw salad sourced locally with as many different raw salad and vegetable ingredients as possible. Chopped spinach, chopped kale, rocket and green leaf must form the basis of this salad. grated carrots, grated butternut squash, chopped tomatoes, spring onions, olives, cucumber, home-sprouted seeds or alfalfa sprouts or other commercially sprouted seeds (in large quantities). having undergone this remarkable cuttingedge treatment, it makes perfect sense to stay on the right side of healthy and look after your new microorganism team-mates and make for a great symbiotic healthy organism The choice is of course, yours to make proBioTiCS: instead of taking supplements, we now recommend that you make yogurts at home using VSL#3® and mutaflor® and make these a part of your daily diet, as in the smoothies mentioned above. The details of how to make these yogurts follows in the recipe section. This is the basis of the Super Yogurt you would have received during your treatment program and it is what we recommend going forwards to maintain bowel health. We also give the recipe for an excellent all-round health boosting breakfast smoothie which we have called the YoCo Thickie as this is even one more step beyond the Super Yogurt! DaiLY maiNTeNaNCe ThroUgh FermeNTeD FooDS: each day, try to include some foodstuffs made using fermentation and lactic acid bacteria such as: Kefir – drinking yogurt, cheeses Kombucha – ancient Chinese fermented tea Sauerkraut – made the traditional way using kefir whey or Kombucha KimChi – a Japanese pickled cabbage and carrot salad information sheets, recipes and kefir grains are available – please discuss with the clinic on your final consultation. The Taymount Clinic 1st Floor, 16a High Street Hitchin, Herts. SG5 1AT © The Taymount Clinic, 2012 01462 712 500 • www.taymount.com 21 reCipeS: all fruits, vegetables and salads should be orgaNiC where possible and only wiped clean – do not wash or scrub your organic produce and leave peels and skins in place where possible. The organic soil contains vital soil-based probiotic organisms which we are all lacking in today. Yogurt, Kefir and probiotics Kefir – Nature’s Little miracle There is a much more detailed eBook available called: Kefir – Nature’s Little miracle by Dr. enid Taylor available for £4.95 – see Taymount website – ok, let’s start with the obvious question, what is Kefir? Kefir is put into milk (usually, although there are options, see Kefir eBook for more details), and it cultures and ferments the milk into a sort of sparkling or lightly fizzy drinking yogurt, or a thick, creamy and mild drinking yogurt, depending on the method and length of culturing/fermentation used. Kefir resembles lumps of cauliflower or cottage cheese, to look at. it can be crumbs, tiny crumbs or it can grow in strings and lumps which can stretch up to 6 inches across. once there are enough little microscopic creatures clumped together they become visible to the naked eye as tiny white crumbs. Kefir is put into milk (usually, although there are options, see Kefir eBook for more details), and it cultures and ferments the milk into a sort of sparkling or lightly fizzy drinking yogurt, or a thick, creamy and mild drinking yogurt, depending on the method and length of culturing/fermentation used. Kefir grains The Taymount Clinic 1st Floor, 16a High Street Hitchin, Herts. SG5 1AT © The Taymount Clinic, 2012 01462 712 500 • www.taymount.com 22 Super Yogurt - recipe instead of buying little yogurty-pot things from the supermarkets, this ‘Super-Yogurt’ is Billions of times more effective than anything you can buy: Stage 1: each day, we strain off our lovely creamy and mild Kefir (my particular favourite method is to not culture it for too long or too warm and it stays lovely and thick and mild; we use organic whole milk, and we add it to the most incredible home-brewed yogurts (more below). if you want to buy some Kefir grains, just pop into the Taymount online shop: www.taymount.com/shop and place your order there. Stage 2: We make a yogurt using mutaflor® probiotic as a yogurt starter - which is the brand name of a strain of escherichia Coli (e.Coli) subtype Nissle 1917 (ecN). We have found that in tests for gut profile analysis for many people suffering from iBD, iBS and other gut disturbances, there is alarming co-variance with low or undetectable levels of the beneficial members of the e.Coli family. So we add that into the mix as a great preventative. instead of buying little yogurty-pot things from the supermarkets, this ‘Super-Yogurt’ is Billions of times more effective than anything you can buy:. We buy our mutaflor® from Berlinde apoteke in germany (mail order: www.BerlindaVersandapoteke.de) and we brew up our own yogurts using UhT organic whole milk, fruit sugar and FoS and pop it in the dehydrator at 38ºC in 100 ml pots that we buy from a seller on eBay. Works quite well after about 20 hours incubating. Stage 3: We make another type of yogurt from the clinical-grade superprobiotic called VSL3®. one single-dose sachet contains 450 BiLLioN live organisms so we take one sachet and cultivate it with a whole litre of milk so it makes one packet go a very long way (good economy here) and this activates the freeze-dried microbes right up front, so they get to work as soon as you swallow them, helping the mouth and oesophageal membranes (yes, we need helpful bacteria on all our mucus membranes) and hopefully enough survive the stomach conditions to spread their goodness into the lower regions of the digestive tract where they are so very needed. This yogurt seems to set up quite quickly but we try and culture for at least 8 hours or until we sense that it may be trying to curdle. it is an imprecise science but even curdled it is still just as good for you so don’t worry. Stage 4: The miX: So our daily yogurt super-blend is one or two 100 ml pots of home-brewed mutaflor® yogurt, 1 or 2 x 100 ml pot of homebrewed VSL3® yogurt, mixed into about 600 mls of freshly-strained, creamy Kefir. Then the combination is enhanced (fed) with an extra spoonful or two of FoS - Fructo-oligo-saccharides, which feed the probiotic yeasts and bacteria further; i like my yogurts nice and mild and sweet - and so we also add a little commercial drinking yogurt like activia or Supermarkets' own drinking yogurt JUST To maKe iT TaSTe eVeN NiCer! Being healthy doesn't have to mean being miserable and so we add a little bit of what we fancy just to make sure that we want to The Taymount Clinic 1st Floor, 16a High Street Hitchin, Herts. SG5 1AT © The Taymount Clinic, 2012 01462 712 500 • www.taymount.com 23 come back tomorrow and have some more. You could also use a fruit smoothie to add a little flavour and sweetness if you didn't want to use commercial drinking yogurts. But, it is really oK without this extra commercial element, this is the part where you can individualise your particular blend. This is what i call SUper-YogUrT. it tastes superb, nice and cool and mild and creamy and i know it is so chock full of the biggest range of probiotics i can get into a single glassful. Be warned: as soon as you mix this formula, you may get secondary fermentation from the fruit sugars in the commercial yogurt or the smoothie and the FoS, so mix and drink fairly promptly, or make sure the cap is strong, you will get a little exhalation of Co2 if you leave it for any length of time after mixing. They do sit for the best part of the day in the fridge without incident, but you might get that little sparkle on the tongue if it does a secondary fermentation (and personally, i don't like that sparkle in yogurts, but i love it in Kefir D'Uva which is Kefir made in red grape juice, and it is like red champagne!). This human The is whatbacterial i call flora SUper-YogUrT. protects us from it both tastespathogenic superb, nice orand ‘bad’ cool and bacteria; mild and however, ifcreamy a bad bacterium and i knowdoes it is implant so chockitself full of into thethe population biggest range of of normal, healthy probiotics ‘good’ i canbacteria, get it into cana have singlea glassful. debilitating and sometimes toxic effect on our health. if you would like more information about Kefir or anything mentioned on this page, you could buy the Kefir Book downloadable from the new Taymount website. NOTE: Always sterilise any and all objects that come into contact with any culturing for yogurts - the exception to this is the wonderful Kefir, which is selfregulating and annihilates any foreign microbes that stray into the Kefir colony, but the others are incubated in warm (38-40ºC) conditions so if you are not sterlising everything, you could be culturing some harmful microbes. I use Milton steriliser tablets for baby feeding bottles and do EVERYTHING that might come into contact with the milk and yogurt starter solution. Just to be sure. © The Taymount Clinic, 2012 The Taymount Clinic 1st Floor, 16a High Street Hitchin, Herts. SG5 1AT 01462 712 500 • www.taymount.com 24 green Smoothie (or Smooth greenie?) ingredients: a large bunch of spinach, whole peeled mango, ice cubes 1 large heaped tablespoonful of FoS – pre-BioTiC powder 1 x VSL#3® if needed place all ingredients in blender and blend until smooth, dilute as necessary with cold water. This works best with a high-speed blender like Vitamix, Blendtec or Thermomix; if using a slower domestic blender, you will need to blend for as long as it takes to make a nice smooth, drinkable liquid and add as much water as you need to make it drinkable. Shrek Juice We have found that children love the colour and taste of this juice and imagine themselves turning into Shrek by drinking it! We playfully call this one Shrek Juice to go along with it – we have known it also referred to as Swamp Juice as a bit of fun – but it is still lovely to drink! makes approx. 1 litre: all veggies and fruits should be orgaNiC and only wiped clean, not scrubbed (this is very important). ingredients: ½ cucumber 1 stick celery 2 apples Large slice of pineapple (optional) huge handful of spinach, greens, kale or other green leaf or a mixture ½ lime or lemon Sprig of parsley (optional) 1 x sachet of VSL#3® 1 heaped tablespoon of prebiotic powder (eliminex or Bimuno – FoS*) add the prebiotic and VSL#3 (if used) into the juicer jug and pour in a small amount of water to make a thin paste; return the jug to the juicer and then let the juice fall into this mixture as you make it. When your 3 months of probiotic supplementation are over, you can then add VSL#3 just once a week, every week. This tops up your ‘good guys’ regularly. Don’t peel anything, just chop into pieces small enough to pop through your juicer chute. Stir and serve immediately; unused juice will store in the fridge in a closed container for up to 24 hours (48 hours for matstone and 72 hours for angel). having undergone this remarkable cuttingedge treatment, it makes perfect sense to stay on the right side of healthy and look after your new microorganism team-mates and make for a great symbiotic healthy organism The choice is of course, yours to make *NB: FoS stands for Fructo-oligoSaccharides – which are vegetable, fruit and plant sources of complex sugars that our bodies cannot break down and digest - but which our friendly bacteria love and thrive on, so this type of complex sugar feeds our ‘good guys’. it imparts a pleasant and clean sweet flavour but we cannot digest it, therefore it makes an ideal sweetener for cereals, drinks and any other use, without imparting calories. So use freely in your other meals and dishes and know that you are feeding your healthy microorganisms. perfect on cereals, fruit desserts, coffee and tea, drinks, etc. add ice cubes if you like a nice cold juice! The Taymount Clinic 1st Floor, 16a High Street Hitchin, Herts. SG5 1AT © The Taymount Clinic, 2012 01462 712 500 • www.taymount.com 25 YoCo Thickie ingredients: 100 mls mutaflor® Yogurt 100 mls VSL#3® Yogurt 150 mls Freshly strained Kefir 1 cup fresh berries or soft fruit 2 egg yolks (free range, organic) 2 tablespoons melted coconut oil 2 tablespoons maple syrup, Sweet Freedom, Coconut Nectar syrup or Stevia (use your own choice of sweetening but don't use honey as it kills your probiotic bacteria!) optional but highly desirable ingredients: 1/2 teaspoon Dolomite powder (amazon.co.uk) 1 teaspoon eskimo 3 lime or lemon flavoured cod liver oil 1 teaspoon high Vitamin Butter oil (www.seventhwaveuk.com) 1/2 teaspoon bee pollen (freeze dried) 5 drops of BioSil liquid (amazon.co.uk) Blend the egg yolks and fruit together - if using berries blend until the pips are no longer apparent (or strain them out if your blender is not quite fast enough to obliterate the pips). Then add the optional ingredients, sweetening and the yogurts. Blend again. add the coconut oil just before the end of the second blending, if possible through the hole in the blender lid. it is thick, nourishing and satisfying so you may not be able to drink it all in one go. it is thick, nourishing and satisfying so you may not be able to drink it all in one go. BUT - because it is packed full of live probiotics and fruit sugars, this mixture will begin to ferment if allowed to stay at room temperature. Drink what you want for breakfast and then refrigerate and keep cold until you need the rest. BUT - because it is packed full of live probiotics and fruit sugars, this mixture will begin to ferment if allowed to stay at room temperature. Drink what you want for breakfast and then refrigerate and keep cold until you need the rest. if you are weight watching, this is the ideal breakfast and lunch shake. it is packed full of essential fatty acids to keep you feeling satisfied and stave off hunger. it is so densely nutritious that it will feed you on a cellular level as well as an aesthetic one. The beautiful thing about the oil in this shake is that it is coconut oil, which contains lauric acid - this helps to boost the metabolism and research has shown that lauric acid does not get stored as body fat. The Taymount Clinic 1st Floor, 16a High Street Hitchin, Herts. SG5 1AT © The Taymount Clinic, 2012 01462 712 500 • www.taymount.com 26 recommended juicers These are just suggestions for a few of our favourite juicers from well known suppliers; always ‘google’ or internet search the one you want, to find the best deals at the time of purchase as we have no allegiance or arrangements with any particular supplier or manufacturer and cannot offer coupons or best price deals. prices quoted are correct at time of writing but may change at any time. matstone 6 in 1 around £160 http://www.ukjuicers.com/matstone-6-in-1-juicer-burgundy Slow, as you have to chop up the fruits and veggies to fit the small chute opening, but good quality juice and great with greens, will do wheatgrass juice excellently and has many other functions as a food processor. This machine is excellent value and as it will make nut butters, ice cream and lots of other things, as well as juicing the precious green leaf and wheatgrass really well, we just feel it is the best little all-rounder at the price. it is neat and easy to transport and has even been on trips to Centre parcs and in a tiny Ski Chalet with our family. FoS makes an ideal general sweetener as we cannot digest the complex sugars but our friendly bacteria can; they get the calories and we don’t! The BeST Juicer is the one that stays out on the work-top – not at the back of the cupboard! efficiency and economy: 6/10 Speed of Use: 6/10 Clean Up: 8/10 From: www.ukjuicers.com philips alu-juicer around £95 http://www.juicemaster.com/top-10-products/philips-wide-chutealuminium-juicer-hr1861-dvd.html Fast, juice-on-the go for busy people. it takes whole apples and cucumbers for really fast juicing but it does throw green leaf around a little less than efficiently; however, Jason Vale’s technique is to scrunch up the leaves and jam them in between the apples, it helps to reduce wastage and hold the leaves firm for more efficient juicing and less flying about in the juicing basket. great, fast, easy to use but the juice does not keep very long as it has been oxidised a fair bit during the making. efficiency and economy: 4/10 Speed of Use: 10/10 Clean Up: 6/10 From: www.juicemaster.com The Taymount Clinic 1st Floor, 16a High Street Hitchin, Herts. SG5 1AT © The Taymount Clinic, 2012 01462 712 500 • www.taymount.com 27 angel Juicer – 5500 around £760 http://www.energiseyourlife.com/products/angel-Juicer-5500.html in our opinion this is the best juicer on the market. in our tests, this juicer gives around 40% more juice from a carefully weighed quantity of produce, a remarkable increase on all the others.* Dry pulp almost like sawdust at times and stable, long lasting juice with amazing nutrient value and enzyme capture. it is relatively slow as you need to cut up your apples (it doesn’t like pineapple though, for that you need to buy the larger-holed soft fruits screen). But green leaf is very successful and we never knew you could get so much juice from a small bunch of parsley! So we make our juice without the pineapple and really enjoy making our expensive organic produce go so much further. it has greatly reduced our organic Veggie Box bill! The other clever thing about this juicer is that the completely stainless steel parts are so easy to clean, there are just Three pieces to wash up and they don’t completely fill up the draining board. it is a pleasure to use and a pleasure to drink the juice from this lovely machine (yes, we are biased, does it show?!!). The human bacterial flora protects us from both pathogenic or ‘bad’ bacteria; however, if a bad bacterium does implant itself into the population of normal, healthy ‘good’ bacteria, it can have a debilitating and sometimes toxic effect on our health. efficiency and economy: 10/10 Speed of Use: 6/10 Clean Up: 9/10 From: www.energiseyourlife.com * measured against omega Vert matstone 6 in 1 and phillips alu-Juicer. The Taymount Clinic 1st Floor, 16a High Street Hitchin, Herts. SG5 1AT © The Taymount Clinic, 2012 01462 712 500 • www.taymount.com 28 5 Bacteriotherapy is a cutting-edge pioneering treatment which will evolve according to the findings and reports from the clinicians using this treatment and the patients receiving it Case sTudy & On-GOinG ReseaRCh for Bacteriotherapy The Taymount Clinic 1st Floor, 16a High Street Hitchin, Herts. SG5 1AT © The Taymount Clinic, 2012 01462 712 500 • www.taymount.com 29 Case study you have taken part in a pioneering treatment. Medical training of doctors and nurses relies upon the established educational reference books that do not yet contain any details of the potential of Bacteriotherapy. There is continual research into the roles and functions that probiotic bacteria and yeasts bring to human health, and treatments like Bacteriotherapy are the result of some of that research. in order that mainstream journals and their readership can see the benefits, and information transmits into textbooks, it is important to provide them with Case studies in the form of submitted research papers. We, like all other Bacteriotherapy clinicians want to see the benefits of the treatment available throughout the world and for it to become a first line of treatment and not the last. you can actually play a part in this, by allowing us to collect all the details of the effects that the treatments has on you and every patient. The more case studies assembled, the more credible the treatment will be seen by the mainstream medical community. if you could keep a journal or diary cataloguing your symptoms and experiences following the treatment program - that information would be very valuable to the physicians and clinicians developing this treatment in all case studies, the identity of each participant is always kept completely confidential and never disclosed unless with the express permission of the patient. We would like to ask if you will allow us to collect the data on your pre-treatment medical conditions, the exact treatments protocols you went through and your post-treatment results and experiences. This will include the prescription drugs that you have been taking, your symptoms and your recovery. Feedback you, the patients, are the people who will feedback results and experiences which will help the clinicians to learn more and more about how effective the treatment is, and various refinements and changes to technique will teach us all about what works best and what works with which condition. Follow-ups We would like to contact you in 3 months, 6 months and 1 year following your treatment program in order to see how you are. Could you please keep a journal or diary cataloguing your symptoms and experiences regarding the presenting problem – and/or any other signs of symptoms that you feel may be relevant – that information would be very valuable to the clinic and to the body of physicians and clinicians developing this treatment. it doesn’t have to be every day, just once in a while when you feel you have something to say or write about, it would be a very valuable piece of progress chronicling. The Taymount Clinic 1st Floor, 16a High Street Hitchin, Herts. SG5 1AT © The Taymount Clinic, 2012 01462 712 500 • www.taymount.com 30 your feedback is of great value and if you feel that there is something significant that you experience, please do contact us at the clinic and let us know. 1st Feedback follow up (3 months) / / 2nd Feedback follow up (6 months) / / 3rd Feedback follow up (1 year) / / (These dates will be filled in when your treatment starts) The clinic will contact you either by telephone or email to collect your feedback; if you need further help or treatment, please book a consultation as the feedback follow-ups are not intended to last more than 10-15 minutes. if you need more time, please book a telephone consultation slot at any time. The feedback followups are not intended to last more than 10-15 minutes; if you feel that you need more time, please feel free to book a face-to-face or telephone consultation slot at any time using the Taymount Clinicalendar online. The Taymount Clinic 1st Floor, 16a High Street Hitchin, Herts. SG5 1AT © The Taymount Clinic, 2012 01462 712 500 • www.taymount.com 31 Bacteriotherapy There is an increasing understanding among gut specialists that DYSBIOSIS* in the digestive tract is at the root of many gastrointestinal conditions that mainstream medicine is currently calling incurable. Specialists are beginning to understand that dysbiosis could be the trigger for: Ulcerative Colitis, Crohn’s disease, IBS, C. diff infections and other conditions. The principle of Bacteriotherapy (aka Faecal Microbiota Transplantation/Human Probiotic Infusion) is similar in principle to organ transplants or blood transfusions, where a healthy organ or blood from a donor is transplanted or transfused into the body of a sick person. In bacteriotherapy, a healthy donor who has been extensively screened for disease and parasites, provides a sample of healthy faeces with the full complement of some 40,000 different species** of probiotic bacteria and yeasts. The micro-organisms are separated out from the undigested food and made up into a solution using sterile saline solution. This is then introduced into the recipient’s colon. The new new colony of bacteria and yeasts then very quickly settle down in their new home proceeding to function in a healthy fashion. * Dysbiosis is the term used to describe an imbalance in the gut flora, with an unhealthy amount of unhelpful microbes, yeasts or bacteria and/or parasites. ** As described by Professor Glenn Gibson, Head of Bacteriology at Reading University. Clinic for Digestive Health The Taymount Clinic 1st Floor, 16a High Street Hitchin, Herts. SG5 1AT 01462 712 500 • www.taymount.com