Saul,
Apologies for the late reply. Email system wasn’t notifying me of posts.
This case you are referring too was a new patient to me. The initial OAT was high normal for clostridia, but the child had negative behavior to Culturelle every time he took it. The mom also felt like he had Lyme (not diagnosed by me) so she would periodically use various botanicals. I still suspected clostridia, and some of it was there with a high normal value, so I think what was happening was a shift was occurring in this child’s digestive system to eventually manifest with high levels. Unfortunately, we don’t have the luxury of performing OAT tests on kids every week to watch these numbers go up and down.
Does this help?
Dr. Woeller