Jessica,
I prefer Vanco over Flagyl, but its often not covered by insurance so much easier to use Flagyl. Vanco is specific for clostridia, but Flagyl is effective for clostridia too. Flagyl also effective against parasites like Giardia.
The clostridia is a high priority treatment on this test from my experience. I think your approach you outlined seems fine.
High pyroglutamic – Yes, everyone who is high gets glutathione. If they cannot afford it, then at least N-Acetyl-Cysteine (NAC). One dose of NAC is approximately equivalent to glutathione.
I hope this helps.
Dr. Woeller
P.S. My recommendation in the future is to block out the patient’s name and account number on tests you are uploading.