Retrospective Case Analysis- Theralac® and Gastrointestinal Disorders
Following are five case studies where the patient experienced a variety of GI disorders including:
constipation, diarrhea, IBS, gas, bloating, cramping and abdominal pain among other symptoms.
Positive effects after beginnning Theralac® as part of treatment are listed for each case.
Case # 1
Patient: D.N.
Age: 72 year old female
Patient Medical History and Chief Complaint: History of 10 - 20 bm per day
for 20 years. Has multiple bm with each meal. Will not eat when travelling.
Very thin. Very low energy.
Medications Including Dosages: Lisinopril
Supplements Including Dosages: None.
Theralac® Dosage: 1 per day for 30 days.
Length of Time on Theralac®: After initial 30 days of inoculation, is on 2 per week.
Therapy of Chief Complaint: Aloe gel caps - 1 Cap TID, glutamine 5 grams TID,
ground flax seed 1 tbs BID.
Observations of changes after Theralac® and how long before positive changes:
Within 2 weeks of starting Theralac®, number of bm were down to 5-6 per day. After
two months, down to 2-3 formed stools per day. Pt comment: "You have given my
life back. We love to travel, and have been limited in what we could do because
of needing to be near a bathroom."
Case # 2
Patient: D.H.
Age: 54 year old male
Patient Medical History and Chief Complaint: (CC) 1) Digestive problems: diarrhea,
GERD, gas 2) Atopic Dermatitis 3) Food allergies, seasonal allergies, rhinitis.
Medications Including Dosages: None.
Supplements Including Dosages: DHEA 50 mg in AM
AA detox powder (glutamine 10gm, glycine 1.5gm, NAC 600mg, taurine 1.5gm) qd.
Adrenal Balance 2 caps qd
Adrenal Complex 2 cap qd
Basic B 1 cap BID.
Cod LV oil 1 tsp qd
Florasone topically prn
R lipoic acid SR 300 mg tid
Similase 1-3 tid cc
SLF Forte 1 cap tid
Vitamin D 4000 iu qd, Maxxum 3 (multivitamin)
Pancreatic Enzymes 4 caps cc, Betaine HCL 1 cap cc.
Theralac® Dosage: 1 cap daily.
Length of Time on Theralac®: 2 years.
Therapy of Chief Complaint: (As listed above.)
Observations of changes after Theralac® and how long before positive changes:
Improvement in digestive complaints occurred within 2 months. Overall patient has
had continued improvement over the past two years. Diarrhea has mostly resolved.
Patient continues to have intermittent concerns with all chief complaints depending
on diet and life stress and various changes to supplement regimes.
Case # 3
Patient: R.N.
Age: 42
Patient Medical History and Chief Complaint: Reflux/abd pain x 5+ years. Pain
extreme at times, difficulty sleeping, elevated bed to aid sleeping. Also has had
gas & bloating for most of adult life. Worse stress, ETOH. Better Chiropractic
adjustment.
Medications Including Dosages: 10mg/ d.
Supplements Including Dosages:
First visit: glyconutrients: Ambrotose 1tsp BID, B Complex: 1 cap/ d
Glycentials: 2 Tabs BID (all except B-complex discounted after 3 weeks)
Theralac® Dosage: 1 cap/ day.
Length of Time on Theralac®: 8 months.
Therapy of Chief Complaint: (All Therapies)
DGL chew 1-2 tablets before each meal
GI repair nutrients 2 caps BID
RF Plus PRN 2 caps TID between meals
Chai Hu Long Gu Mu Li Wan: 6 pills TID
Pancreatin & Ox Bile Extract: 1 cap with each meal
Acupuncture
Avoid ETOH
Observations of changes after Theralac® and how long before positive changes:
Reflux improved after first few days of treatment. Resolved after 4 weeks but
intermittent recurence depending on diet and stress.
Case # 4
Patient: K. D.
Age: 48 year old female
Patient Medical History and Chief Complaint: peri-menopause, insomnia,
hypertensive, cystic acne, seven years alternating constipation and diarrhea,
daily nausea and abdominal pain and cramping
Medications Including Dosages: prn Imodium; 5 mg Lisinopril; 5 mg Ambien;
topical Retin A; 500 mg bid erthromycin; (was on minocycline X 4 years for acne)
Supplements Including Dosages: OTC Progesterone crème 20 mg bid;
digestive enzymes 2 tid
Theralac® Dosage: 1 per day for 2 weeks then 2x/week (then back to daily) and
then 2-3/week
Length of Time on Theralac®: 4 years
Therapy of Chief Complaint: Similase digestive enzymes
Observations of changes after Theralac® and how long before positive changes:
When began Theralac® a lot of bad gas and diarrhea improved somewhat. We went
back to daily for a while to help, and then to 2-3 x week, and she is fine as long as she
does this along with diet changes (off gluten and dairy and most sugars).
She was able to go offantibiotics for acne and this has helped her diarrhea and nausea
even further.
Case # 5
Patient: A. H.
Age: 61 year old female
Patient Medical History and Chief Complaints: Fibromyalgia; Bipolar
(treated by a psychiatrist); Hemorrhoids due to frequent wiping from frequent loose
stool; Fatigue; Hyperlipidemia; Hyperglycemia; Chronic cough and mucous
Medications Including Dosages: Armour Thyroid 120 mg; Lithium 900 mg; Lamictal
Supplements Including Dosages: B12 2000 mcg; Vitamin C 2000mg;
Vitamin D 4000 IU; Calcium/Magnesium 600/300 mg
Theralac® Dosage: 1 per day x 1 week to 2-4 x/week- had to go back to one a
day every so often and add fiber supplement, otherwise loose stool will return
Length of Time on Theralac®: 3 years
Therapy of Chief Complaint: Fish Oil 3000 mg/day; Cholestrol formula (3/day);
Viral herbs; Nasal rinse; Dietary counseling (and hypnotherapy referral); Regular walking
for cholesterol and blood sugar support
Observation of changes after usage of Theralac® and how long before
positive changes occurred:
A difficult case to manage due to bipolar and at times is in and out of psych ward, but
mostly she is compliant on supplements and feels better on them. About a year ago she
did have a bout of constipation (a change from her diarrhea) and getting back on regular
doses of Theralac® and fiber helps regulate her. Often I feel we are managing side effects
of her strong meds and many changes (was on Depacote for a while too).
She will continually need naturopathic support on the supplement and lifestyle coaching
listed above. At our last visit, November 2008 she was overall doing well and fairly stable
on all levels.
Case # 6
Patient: J. S.
Age: 50 year old female
Patient Medical History and Chief Complaints: Dysglycemia; Fungal rashes;
Constipation; Hypothyroidism
Medications Including Dosages: Currently none; had been on Glucophage and Armour
thyroid in past (and Ketoconazole a few times)
Supplements Including Dosages: Topical Oregano & Tea Tree Oils; Caprylic Acid prn
for candida and yeast issue; had used various probiotics on and off in the past
Theralac® Dosage: 1 daily x 1 week, then 3-6 per week
Length of Time on Theralac®: 3 years
Therapy of Chief Complaint: Chromium 500 mg bid; blood sugar herbs
(gymnema, banaba, ginsing bid); reading on thyroid and diet information
Observations of changes after usage of Theralac® and how long before
positive changes occurred: Patient states “It is the only thing that keeps me regular”.
Comments and Assessment: Patient does very well on Theralac® for bowel regularity
and management of yeast symptoms (brain fog, rashes). We have not had updated blood
sugar or thyroid tests but I don’t expect Theralac® would have changed them that much.
Case # 7
Patient: C. C.
Age: 27 year old female
Patient Medical History and Chief Complaints: Fatigue; Acne; Constipation;
Gas and bloating; Mild anxiety and depression (post partum)
Medications Including Dosages: Azelaic Acid topical for acne prn
Supplements Including Dosages: Calcium/Magnesium 600/300 mg; Nanogreens;
GLA 200 mcg; Omega-3s 2000 mg per day; Vitamin D 2000 IU; Liver cleanse on and
off (herbal or mediclear); Vitamin B12 2000 mcg, liquid B 1 tsp bid (B 100 mg)
Theralac® Dosage: 4/week and at times one daily
Length of Time on Theralac®: 1 year
Therapy of Chief Complaint: She was nursing so we were limited on herbs to use
for fatigue- used B vitamins, D and calcium and magnesium. Then we added Theralac®
for a few months later into the treatment plan (she was on Primodophilus on her own).
Observation of changes after usage of Theralac® and how long
before positive changes: Acne continues- mostly hormonal, liver and diet related.
Better when we work on these consistently. When we added Theralac® it helped her
constipation, gas and bloating. Bowel movement one per day now, not every two to
three days as it was before.
Case # 8
Patient: R. C.
Age: 54 year old female
Patient Medical History and Chief Complaint: Constipation and bloating began
4 years ago with the onset of peri-menopause; Sensitivity to supplements; Rosacea;
Canker sores
Medications Including Dosages: None
Supplements Including Dosages: Progesterone cream 20 mg bid; Calcium citrate
600 mg; Liquid calcium/magnesium 600/300 mg, fish oil 500 mg; multivitamin
& mineral tid
Theralac® Dosage: 1 daily for thirty days to 1 every other day ongoing
Length of Time on Theralac®: Began 7-10-08
Therapy of Chief Complaint: Triphala one teaspoon at bedtime switch to Blue
Heron 2 bid (previously on enzymes HCl and magnesium)
Observation of changes after usage of Theralac® and how long
before positive changes: Patient has been seeing a nutritionist and was on
enzymes and HCl but still continued to be bloated and constipated. She was also on
a different probiotic called Fortify.
I added Blue Heron capsules. Not much change until we added Theralac®
(and discontinued the Fortify) – now she is much better. No more bloating, nor
odorous gas, and has bowel movement one per day with little to no straining. I gave
her a sample of TruFiber™ to try in case she needs it. No word yet if she has needed it.
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