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GASTROINTESTINAL SUPPORT PROTOCOL†

[ Developed by Daniel Kalish, D.C. ]††

Protocol Objectives: To provide supplemental recommendations to help support the microbiome, maintain integrity of the intestinal lining, and promote GI function and overall digestive health.†

Select From Clinical Objective† Assessment the Following Dosing Recommendations** 1 or more capsules as needed Betaine Plus® with each meal Pan-Ox-5™ 1 tablet with each meal or Patient presents with occasional gas, bloating, GI Digest 1-2 capsules with each meal Support of Digestion and undigested or loose stool, food intolerances, Small Bowel Integrity† food sensitivities (IgG/IgE response), Multi-Probiotic® 40 Billion 1-2 capsules daily with food skin disruptions, joint discomfort, fatigue S.B.C. 1 capsule daily with food

Intestamine® (Powder) 1-2 scoops daily without food

Ultra MFP Forte 4 capsules twice daily Patient presents with occasional Pan-Ox-5™ 1 tablet with each meal Microbial Support or loose stool, cramping, bloating or in Large Bowel† GI Digest 1-2 capsules with each meal Assess microbial stool test Intestamine® 3-6 capsules or 1 scoop powder (Capsules or Powder) daily without food

Caprylate Plus 2 tablets twice daily with meals

Patient presents with occasional fatigue, Caprylex™ 2 tablets twice daily with meals Microbial Support sugar cravings, gas, bloating, in Small Bowel† Betaine Hydrochloride 1 capsule with each meal Assess microbial stool test

S.B.C. 1 capsule daily with food

Patient presents with minor stomach discomfort, Pylori-Plex 2 capsules, 2-3 times daily occasional , , indigestion, bloating Microbial Support Olive Leaf Extract 1-2 capsules daily (optional) in Stomach† Assess stool antigen test or blood test for stomach Licorice Root V related 1 capsule, 3 times daily (Deglycyrrhizinated)

I.B. Comfort® 2 capsules daily

Patient presents with occasional episodes GI Digest 1-2 capsules with meals Gut/Brain Axis Support of diarrhea and/or , for Bowel Regularity† visceral hypersensitivity, gas, bloating, food Multi-Probiotic® 40 Billion 1-2 capsules with food intolerances, skin disruptions

Optimized Curcumin 1-2 capsules daily

L-Tyrosine 2 capsules, 3 times daily Patient presents with bowel irregularity, small Gut/Brain Axis Support intestine visceral hypersensitivity, headaches, mood 5-HTP 2 capsules daily for Neurotransmitters† fluctuations, feelings of sadness, trouble sleeping See Also: Recommendations for Digestion Support or Bowel Regularity† (above)

MitoTone Plus 3 capsules, 1-2 times daily Patient presents with fatigue, slow fat burning, Mitochondrial Energy brain fog, insulin resistance Support for Healthy Citrus Solu-Q™ 1 capsule, 3 times daily GI Function† Perform organic acids test PQQ Plus 1-2 capsules daily

**Please note that the patient may not require all supplements listed.

††Dr. Kalish has been retained as a consultant in advising Douglas Laboratories.

This protocol is intended for use by healthcare practitioners, is for informational purposes only, and does not establish a doctor-patient relationship. Please be sure to consult your physician before taking this or any other product. Consult your physician for any health problems.

Available for download at www.douglaslabs.com/gisupportprotocol

DOUGLAS L A B O R A T O R I E S PUSHING POTENTIAL. 112 Technology Drive, Pittsburgh, PA 15275

†These statements have not been evaluated by the Food and Drug Administration. These products are not intended to diagnose, treat, cure, or prevent any disease. © 2017 Douglas Laboratories. All rights reserved. DL-GIP-0317