37 yo M with Bipolar 2 and clostridia
I have a 37-year old Bipolar 2 client whose OAT showed up clostridia metabolites as well as low levels of dopamine, adrenalin/noradrenlin and serotonin as well as elevated quinolinic acid. She is on 50mg lamotrigine twice daily as well as 100mg lithium twice daily. She has been on Sacc Boulardii…