![]() ![]() Probiotic: Lactobacillus reuteri, Lactobacillus acidophilus, Lactobacillus casei, Lactobacillus paracasei, Lactobacillus salivarius, Lactobacillus brevis, Lactobacillus plantarum, Streptococcus tigurinus, Bifidobacterium bifidum, Bifidobacterium longum, Bifidobacterium bifidum Probiotic: Lactobacillus acidophilus (CUL-60 and CUL-21), Bifidobacterium bifidum (CUL-20), Bifidobacterium animalis subsp. L-Glutamine, N-acetyl glucosamine, citrus pectin, Glycyrrhiza glabra, Aloe barbadensis, Ulmus pumila, mucin, Althea officinalis, Matricaria chamomilla, Abelmoschus esculentus, Uncaria tomentosa, methylsulfonylmethane, quercetin, prune powder, zinc Rosmarinus officinalis, Curcuma longa, Zingiber officinale, Ocimum sanctum, Camellia sasanqua, Polygonum californicum, Coptis chinensis, Berberis vulgaris, Origanum vulgare, Scutellaria baicalensisīoswellia serrata, Bromelain, C longa, quercetin Improve gut function and reduce inflammation She had begun taking a self-prescribed dietary supplement-broccoli seed extract (OncoPLEX ES from Xymogen, Orlando, FL, USA). Patient medications at her initial visit included azithromycin for CRS and vitamin D 3 supplementation. She had previously been diagnosed with ovarian cancer with surgery in 2007 and chemotherapy in 2008, which exacerbated her CRS and IBS symptoms. ![]() The patient was retired, lived at home with her dog, and had 2 adult children she reported no known toxic exposures at home. Despite osteoarthritis in both knees, she walked 3.5 miles (5.6 km) daily and regularly played tennis. Her diet consisted of freshly prepared foods with some sensitivity to cheese and yogurt (which she avoided). ![]() She also experienced frequent fatigue, disturbed sleep, headaches, sore throats, runny nose, and chronic cough, and she had a history of recurrent vaginal and intestinal symptoms consistent with overgrowth of Candida albicans several times per year. Ten years earlier, in 20, she had sinus surgery that did not relieve her symptoms. A 69-year-old female patient with a 50-year history of gastrointestinal (GI) and sinus symptoms (worse in the winter) was self-referred to the George Washington Center for Integrative Medicine in February 2011. ![]()
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