Gut microbes rarely live as free-floating cells — they build biofilms, structured communities wrapped in a protective matrix that shields them from antimicrobials and your immune system. Biofilms are a major reason chronic gut infections relapse after 'successful' treatment. Add parasites and broader dysbiosis, and you have an ecosystem problem, not a single-bug problem.
I'm known for biofilm work — I've taught it on podcasts across the integrative GI world. High-quality stool testing, biofilm-disrupting agents sequenced with antimicrobials, and rebuilding a resilient ecosystem afterward so the problem doesn't return.
New patient visits in person in Portland or by telehealth. I've spent 18 years on complex GI cases — including my own.