Thank you all BTW for following up and keeping this tread alive. So right now the strategy is two fold:
1. raising the immunity generally to fight off ongoing UTI infections and 2. carefully navigating the systemic lupus.
On the UTI side, she still gets infections and getting effective anti-biotics is becoming more and more problematic. The infections are rarer. Partially we've tackled it procedurally: a. making sure that she drinks a lot and [even manually] vacates her bladder proactively; b. increased vit d3 to 6k daily; c administration of corn silk and hibiscus teas which work on/off (perhaps placibo). She lost too much iron with Lactoferrin (near anemia believe it or not) and Epicor didnt seem to do the trick at all and was too expensive to keep on trying. We mega dosed with both; especially the lactoferrin since it can be anti-biotic synergistic.
The mega doses and variety of antibiotics have wrecked havok on her diatery track. She has intermittent constipation and diarrhea. The MDs have diagnosed a bunch of stuff from IBS to Celiac, to Lupus advancing to much more weirder stuff. Her dietitian thinks its the antibiotics courses. I agree.
The Vit D seems to be the biggest winner thus far. The problem is calcification as mentioned up thread + she takes warfarin so its a double wammy. I'm having her start on a low dose (45microgms) of K2 7. Not sure what the effect will be on the INR, but we will find out. We bought an INR scanner, and boy.. it's expensive and not really as sensitive as we'd like it (about 80% average accurate of blood tests via lab).
Thinking about introducing golden seal and olive leaf extract for the infections as well as a prebiotic (Inulin probably) to complement the probiotics she takes.
I'm also debating with myself to try to convince her to go heavy on the fats to starve the infections, namely less sugar in the track the less there is chance of infection. But if she does in fact have IBS (and if you are immune compromised like her (and at least I'm susceptible to it based on 23andme results.. not sure if she is) then I'm not sure that is wise, since that may make it worse...) they recommend high fiber to combat it.
Any suggestions?
Edited by athrahasis, 08 January 2010 - 06:01 AM.