Bile can serve as a reservoir for funghi, making them harder to treat

[yerrag]

@Ecstatic_Hamster said in Bile can serve as a reservoir for funghi, making them harder to treat:

The late and great Travis believed that boron is antifungal and that's why borax often works against arthritis. I wonder if reasonable qualities of borax could help kill fungi in the body. Travis believed so

Good idea. My knees are sore and there are many reasons to make if sore. But it is as context specific just as it is for high blood pressure.

I need to add borax to my daily supplements to see if this works.

[yerrag]

@ecstatic_hamster

How much borax is a daily dose you woukd recommend?

[CrumblingCookie]

@Mauritio said in Boron supplements:

What symptoms did you see improvement with ?

I had been taking:
Amphotericin B (per os), 100mg, four times daily
Nystatin 1 mn IU, three times daily
Borax 5g/L in drinking water for 7 days,
Itraconazole 200mg pd for 8 days, followed by
Fluconazole 200mg pd (400mg initially) for 12 days
Berberine 500mg, three times daily
Propolis extract, c. 1200mg, twice daily
1 bulb of squeezed fresh garlic pd
Simeticone 250mg once to twice daily to ease the garlic-induced flatulence,
Trans-resveratrol 500mg, twice daily
Bidifobacteria & lactobacilli blend, 1 bn, twice daily
Clostridium butyricum myairi, 600 mn three times daily

Effects of the added AmB, Nys, Itr / Flu were:
+ Halving of daily BMs (and no more liquid diarrhea), - but all associated issues remaining
+ Significant decrease of long-standing (years!) chronic pains in lymph nodes
+ Notable but unstable, fluctuating improvements of swollen sinuses (chronic sinusitis)
+ Improvements of elevated resting heart rate and blood pressure readings.

Notable improvement wrt fat maldigestion/malabsorption only set in three days after introducing the following:
Increasing Flu from 200mg to 300mg pd
Oregano essential oil, c. 4-5 drops in total pd (in food or oil)
Colloidal silica 2.8%, 15ml pd in a cup of water
Borax 0.5g/L in drinking water

The propolis extract seemed of little systemic use and was removed from the regimen.
Nystatin has slowly been removed as well after c. 2.5 weeks because of the overlapping with oral AmB.

Adverse effects of the Itr /Flu:
- Profound headaches (only in part relieved by psyllium with clinoptilolite)
- Enhanced depression, sadness, mental exhaustion. Especially initially, raising suspicions of cerebral fungal afflictions.
- Very dry skin and scalp. Very dry, dark-red, painful, peeling lips.
-> This is a known side effect of azoles. Especially fluconazole. MoA is unknown; something to do with renewal of skin cells. When this sides effect shows on the exterior skin I suspect GI cell renewal is affected, too.

I'm no fan of the oregano essential oil. However, it appears to be one of the most powerful adjuvants. Obviously very bad for already damaged lips and the bottle always dispenses more drops per serving than I intend (should really use an eyedropper for it).
Intuitively I'd say the oregano EO and garlic are the two most powerful adjuvants.
I'm really underwhelmed by internal use of borax. If Travis was right and there's indeed substantial antifungal effect from it for an extensive part of the population I must suspect either a predominantly prophylactic effect (rather than therapeutic) and/or a highly varying susceptibility of fungal strains to boron.
I suspect the borax to dry out skin, too, and possibly making riboflavin profoundly unavailable (Boron forms very hydrophilic (easily washed out) complexes with B2).

Currently:
Have stopped the 300mg Flu pd after 8 days and letting it fade out of the system over at least four days because it is said to negatively interact with the action of flucytosine.
Two days later: Strong joint pains, feeling very cold and insatiable which may all be immunological rebound effects by the Cyp27B1 inhibition (25-OH-D3 to 1,25-OH-D3) of Itr + Flu.
Three days later: Notable recession of the digestion improvements which had come with the 300mg pd. Return of chronic abdominal pains.

Flucytosine is essentially 5-Fluorouracile, the bread-and-butter chemotherapy cytotoxin. It converts to 5-FU in susceptible yeast cells, yet to an unknown and varying degree also in the microbiome which is the mainly assumed cause of its adverse systemic effects.
It has a very short half-time and must be taken 4 times daily at regular intervals and peak serum concentrations ought to be measured three days into treatment. Empirically, the majority of treated patients exhibit peak and through serum concentrations out of range; either too high (toxicity!) or too low (treatment failure).

Only today have I stumbled across differing treatment recommendations for oral AmB:
Some package slips say 100mg four times daily
yet in other countries the standard dosage is stated as 500mg four times daily. Both refer to exactly identical product compositions! What's up with this?
Maybe there's a profound lack of knowledge wrt dosage and 200-500mg AmB are more appropriate for (lower) GI effectivity in contrast to upper oropharyngeal treatment.
That could potentially render the coated 100mg AmB tablets escpecially daft and misleading because they are A. oropharyngally unavailable and B. the lowest bottom end and possibly insufficient dosage for targeting the lower GI system.
Given the lack of absorption and systemic side effects it'd therefore probably be wise to not slouch about with 100mg but to increase the oral AmB dosage to 200-500mg four times daily.

@mauritio
Had read your old thread on the RPF again on riboflavin activity against Candida. Unfortunately, there are crucial caveats to it: That only applies to C. albicans.
C. glabrata, however, thrives on it. Throwing B2 or B1 or B3 at C. glabrata acts as a strong growth stimulant. C. glabrata (and Aspergillus spp.), in stark contrast to C. albicans, even feeds on bismuth subsalicylate (Pepto Bismol) / subcitrate to grow its biomass!
Unfortunately the C. glabrata is a definitely cultured part of my pathogenic mycobiome and I couldn't get an antimycogram on it.

@Mauritio said:

My current working hypothesis is rotating and combining several anti fungals daily + keeping bile flowing.

If i don't rotate the antifungals they seem to loose effect surprisingly quickly.
But what is obvious from many studies, is that combining certain anti fungals can drastically increase their effectiveness. Nystatin is synergistic with thymoquinone and also thymol IIRC.

I'd say to maintain a multi-pronged approach at all times. Afaik if resistancies develop they can rise within a couple of days. Don't know if any ineffective compound may prove to be effective again at a later time? Do strongly suggest to take biofilm breakers only in intermittent intervals as they can be way too harsh long-term.

@yerrag said:

But this should explain to me why it has become common practice for doctors to administer antifungal drugs after successfully treating a patient with antibiotics. But they cannot explain why

Thanks for sharing. What most wondrous and advanced country do you live in where doctors routinely prescribe antifungals with or following upon ABx treatments? Never happened to me. Never. And I have had incredibly absurd amounts and varieties of ABx. No medical practitioner ever mentioned fungi in over 20 years.

[Mauritio]

@CrumblingCookie Thanks for your answer.
Will be interesting to see if you find long term benefits from this hardcore treatment.

Have you checked your iron and ferritin levels ?
Candida thrives on iron and makes it more virulent.

My bile flow issues could be caused by a fungal infection as well. Found a few studies on that.

@CrumblingCookie said in Bile can serve as a reservoir for funghi, making them harder to treat:

Don't know if any ineffective compound may prove to be effective again at a later time?

I think only partly. And thats kind of creepy. Does the fungus remember for months lol . Probably something like a epigenetic adaption. Not sure.

[sunsunsun]

re: iron chelating effect of doxy assisting antifungal effect of fluconazole study, the user above has concerns with doxy use so aspirin is probably suitable

idk if mentioned but using taurine or tudca directly to thin out the bile (this is actually a thing described in the merck manual for the latter with UDCA) is probably a good idea. im guessing the more watery the bile is the less hospitable it is to fungus

[CrumblingCookie]

@Mauritio Serum iron has been at the top of ref. range since almost forever.
Serum ferritin used to be low between 30-60 but to my probable detriment I had received four i.v. iron treatments four years back due to persistent anemia and ever since ferritin has been above 120 (-240).
Only when I stumbled upon copper Morley's high-tier references did I see that serum ferritin is another essential lie and sort of like serum liver enzymes: In general it shouldn't be floating about freely in any significant amount.

@sunsunsun Such combos are def worth a thought!
All I can report is that TUDCA or taurine without antifungals had been making things significantly worse. Perhaps it did release fungi from a biliary reservoir and could turn out differently when combined with antifungals at the same time.
Similar to how some dietary sugar can be a good complement to antifungals as the thereby enhanced metabolism of yeasts raises their susceptibility to antifungals. Just like we need bacteria to not be in a dormant but replicative state to be harmed by ABx.
I may want to try TUDCA again in this context. Have also been thinking of pinning some i.m. thiamine or taking it orally for the same reasons. Yet only once I'm feeling sufficient confidence wrt the effectivity of the antifungal treatment!