After 226 episodes, Amy and Nikki finally tackle parasites, noting the “ick” factor and fecal–oral transmission taboo, and explaining why they’ve avoided a messy topic polarized between holistic claims (everyone has parasites and needs cleanses) and conventional under-testing. They argue stool-test findings can be incidental, advise treating a suspected parasite once or twice but reassessing if symptoms don’t improve, and criticize expensive, extreme protocols and test over-interpretation (including skepticism about GI-MAP accuracy). 

They discuss post-infectious IBS research suggesting higher rates after parasitic infections than bacterial gastroenteritis, proposing mechanisms like dysbiosis, leaky gut, and unresolved inflammation rather than chronic infection. They cover Blastocystis hominis as controversial (17 subtypes; sometimes linked to diversity; symptoms and treatment effects vary; one study favored Saccharomyces boulardii over metronidazole), then review Giardia and Cryptosporidium transmission patterns and risks, ending with a tease for a worms-and-testing follow-up episode.

Love this episode?
Be sure to LIKE it and SUBSCRIBE :)

Nikki's Info:
- Youtube Channel: https://www.youtube.com/c/TriangleHolisticGutHealth
- Instagram: @Gut.Microbiome.Queen
- FODMAP Freedom in 90 Days: https://www.fodmapfreedom.com/enroll
- Private Appts: https://infinityholistichealth.com/

Amy's Info:
- Practice: https://sibodiaries.com/
- Instagram: @Amy_Hollenkamp_RD