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Her condition worsened, despite taking a cocktail of six different daily medications. They added a second stool donor to try to get more bacterial diversity into her gut.Doctors gave them two options: Start a powerful biologic drug, or have surgery to remove the colon, an option that might leave her 10-year-old with a colostomy bag for the rest of her life. They even did the transplants more often, but the symptoms returned.“If you’ve ever made a milkshake, you can do it,” says Michael Silverman, MD, chair of the infectious diseases division at the Schulich School of Medicine at Western University in Toronto.About 10 years ago, Silverman helped a handful of gravely ill people do fecal transplants at home.The recipient typically also pays for any laboratory tests, if they choose to do them, to screen their donor.People are going the do-it-yourself route to relieve everything from a child’s autism to male pattern baldness to bad breath, according to Catherine Duff, executive director of The Fecal Transplant Foundation, a nonprofit that is advocating for safer, more widespread access to the treatment. “It’s crazy,” says Duff, who years ago did an at-home fecal transplant herself after doctors told her she was dying of an intestinal infection.All those patients had been afflicted with repeated bouts of an infection called C.diff, which causes severe, sometimes deadly, diarrhea. difficile, has become resistant to nearly all the antibiotics doctors have to treat it.
And even people who appear to be in robust health can silently carry germs they can pass to others.My quality of life is dramatically improved,” she says.In another apparent, if temporary, success, a woman named Kathy Lammens has posted a popular video on You Tube that walks people through the process of an at-home fecal transplant.And many, especially those who might need repeated treatments, say that option simply isn’t available to them.They say they can’t afford to wait for either science or the FDA to catch up. About 10 years ago, she returned from a trip to Europe with a lung infection.
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Fecal transplants, in which stool is obtained from a healthy friend or relative and injected into the colon during a colonoscopy procedure, have been shown to cure C. It’s a cure rate that Silverman and other experts call “utterly remarkable.” Fecal transplants have become standard care for people who have repeated bouts of C. It’s much easier to get them in a medical setting than it was even 2 years ago.