your inability to absorb points to digestive and liver problems... without the proper amount of bile, food and nutrients cannot be properly digested or absorbed... check out the Liver Flushing protocals on this site, as well as the different methods to increase digestive strength. As you know, supplements are an exspensive waste if you can't absorb them. if you fix your digestion you won't really need the supplements anyway.

John g

Hi, Todd.

Sorry, but I don't have any special knowledge regarding how malabsorption might affect musculoskeletal issues. A comprehensive blood panel will show serum calcium and magnesium levels, and is a good idea to undertake anyway a few times over one's life since such tests can provide indicators of diseases and numerous bodily functions. A malabsorption article at www.gastroresource.com mentions "softening of bone, bone tenderness, bone ache, and joint pain" as possible malabsorption-related conditions when vitamin D, calcium, and/or phosphorus are low. You MIGHT boost your vitamin/mineral intake, plus cal/mag/vit D supplements, over the usual doses if malabsorption is present, although "fat soluble" supplements may be necessary if you have fat malabsorption. I'd first confirm all this with your doctor.

Since you clearly have malabsorption issues, you should automatically start taking digestive enzymes, betaine HCl for stomach acid, and possibly Ox Bile Extract (many of the enzyme supplements also contain OBE). This is for four reasons: 1) To help address such deficiencies on a short term basis, irregardless of permanent or longer term cures; 2) To assist healing of stressed gastrointestinal organs by reducing the load on them; 3) To "train" organs to improve their function (supposedly taking betaine HCL for a while can "train" the stomach to produce more acid, for example); and 4) To help your system kill off any atypical pathogens present in the gut.

If there are issues with specific organs, such as stomach acid/pepsin output, liver function, or pancreatic enzyme output, there's various tests that can shed light on such issues. And some folks recommend liver flushes.

From link #1 below, "High levels of uncommon or atypical Enterobacteriaceae or of Klebsiella, Proteus or Pseudomonas, may reflect small bowel overgrowth of these organisms." I don't know if this applies to your results, but it might if +3 or +4 numbers were present.

Further articles on how to interpret stool analyses are below. One doctor who appears especially knowledgeable about dysbiotic guts is Dr. Leo Galland in New York City, phone 212-861-9000. You might check if he can do a postal mail review/consultation of your lab results, although you might do well to work with locals doc's first.

http://www.emedicine.com/PED/topic1356.htm
http://www.merck.com/mrkshared/mmanual/section3/chapter30/30a.jsp
http://gastroresource.com/GITextbook/en/chapter7/7-9-pr.htm
http://www.healthatoz.com/healthatoz/Atoz/ency/malabsorption_syndrome.jsp

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Hi, Todd.

Sorry, but I don't have any special knowledge regarding how malabsorption might affect musculoskeletal issues. A comprehensive blood panel will show serum calcium and magnesium levels, and is a good idea to undertake anyway a few times over one's life since such tests can provide indicators of diseases and numerous bodily functions. A malabsorption article at www.gastroresource.com mentions "softening of bone, bone tenderness, bone ache, and joint pain" as possible malabsorption-related conditions when vitamin D, calcium, and/or phosphorus are low. You MIGHT boost your vitamin/mineral intake, plus cal/mag/vit D supplements, over the usual doses if malabsorption is present, although "fat soluble" supplements may be necessary if you have fat malabsorption. I'd first confirm all this with your doctor.

Since you clearly have malabsorption issues, you should automatically start taking digestive enzymes, betaine HCl for stomach acid, and possibly Ox Bile Extract (many of the enzyme supplements also contain OBE). This is for four reasons: 1) To help address such deficiencies on a short term basis, irregardless of permanent or longer term cures; 2) To assist healing of stressed gastrointestinal organs by reducing the load on them; 3) To "train" organs to improve their function (supposedly taking betaine HCL for a while can "train" the stomach to produce more acid, for example); and 4) To help your system kill off any atypical pathogens present in the gut.

If there are issues with specific organs, such as stomach acid/pepsin output, liver function, or pancreatic enzyme output, there's various tests that can shed light on such issues. And some folks recommend liver flushes. For anyone to automatically blame your condition on a given organ, such as the liver, without diagnosis is not good medicine. In fact, EMedicine.com states that "By far, the most common cause of acute villi (intestinal lining) damage is viral infection." Viral infection and liver disfunction are two different issues.

From link #1 below, "High levels of uncommon or atypical Enterobacteriaceae or of Klebsiella, Proteus or Pseudomonas, may reflect small bowel overgrowth of these organisms." I don't know if this applies to your results, but it might if +3 or +4 numbers were present.

Further articles on how to interpret stool analyses are below. One doctor who appears especially knowledgeable about dysbiotic guts is Dr. Leo Galland in New York City, phone 212-861-9000. You might check if he can do a postal mail review/consultation of your lab results, although you might do well to work with locals doc's first.

http://www.emedicine.com/PED/topic1356.htm
http://www.merck.com/mrkshared/mmanual/section3/chapter30/30a.jsp
http://gastroresource.com/GITextbook/en/chapter7/7-9-pr.htm
http://www.healthatoz.com/healthatoz/Atoz/ency/malabsorption_syndrome.jsp

http://www.healthy.net/asp/templates/Article.asp?PageType=Article&I...
http://www.regence.com/trgmedpol/lab/lab35.html
http://66.102.7.104/search?q=cache:_EWjfaJtxsAJ:www.arlaus.com.au/thepath/issue2-6.pdf+understanding+the+cdsa+simon+jam