Coaching practices for How Do I Know If Vancomycin is Working for C Diff

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Does this sound like the set of challenges you might be facing?

  • I just finished a round of antibiotics and my gut feels wrecked, and I want to rebuild it
  • I want to actually try the gut thing instead of just reading about it, but I have no idea what a realistic daily amount even looks like
  • I’ve been faithfully eating the sauerkraut from the shelf at the grocery store and feeling virtuous about it
  • I touch a hard sensation and then immediately rush on to the next thing, so I never know if anything actually shifted
  • I’ve put in weeks of hard work and I genuinely can’t tell if any of it stuck

Practices that may help

  1. Reintroduce fermented foods slowly after gut disruption
    After antibiotics or illness, a gradual return to fermented foods aids microbiome recovery without triggering digestive distress.
    Fermented Foods and Mental Health, Made Practical
  2. Add at least one fermented food serving per day
    A single daily serving of a naturally fermented food is the minimum dose that showed microbiome diversity benefits in the Sonnenburg RCT.
    Fermented Foods and Mental Health, Made Practical
  3. Distinguish live-culture from pasteurized fermented foods
    Only unpasteurized, live-culture products deliver the microorganisms — pasteurization kills them.
    Fermented Foods and Mental Health, Made Practical
  4. Cognitive Defusion (ACT), Made Practical
    Cognitive defusion is an Acceptance and Commitment Therapy (ACT) technique for changing your relationship to thoughts rather than their content. Instead of challenging whether a thought is true or false, defusion creates distance between you and the thought — seeing it as a mental event rather than literal reality. ACT has strong meta-analytic support, and defusion is identified as one of its core mechanisms.
  5. Mindfulness-Based Cognitive Therapy (MBCT), Made Practical
    MBCT is an 8-week group program developed by Segal, Williams, and Teasdale that combines mindfulness meditation with cognitive therapy techniques to prevent depressive relapse. Multiple independent meta-analyses find it significantly reduces relapse risk in people with three or more prior depressive episodes — the evidence base is among the strongest for any mindfulness-based intervention.
  6. Track completion signals after each titrated dose
    After retreating to the resource, watch for signs that the nervous system is completing a small processing cycle.
    Titration in Somatic Practice, Made Practical
  7. Rumination-Focused CBT, Made Practical
    Rumination-Focused CBT (RFCBT), developed by Edward Watkins, targets the extended, abstract, self-critical thinking style that maintains depression — not just negative thoughts. It trains people to shift from abstract "why" rumination to concrete "how" thinking and compassionate, specific engagement with experience. Randomised trials show it reduces depressive rumination and relapse rates.
  8. Test performance at the end of the deload to confirm supercompensation
    A PR attempt at the end of a deload week is the clearest evidence that the prior training block worked.
    Deload Week
  9. Pair fermented foods with prebiotic fiber
    Probiotics from food survive and multiply better when you feed them with prebiotic fiber.
    Fermented Foods and Mental Health, Made Practical
  10. Fermented Foods and Mental Health, Made Practical
    A randomized trial from the Sonnenburg lab found that a high-fermented-food diet increased microbiome diversity and reduced inflammatory markers more effectively than a high-fiber diet over ten weeks. Because gut microbiome composition influences neurotransmitter production, immune signaling, and the vagus nerve, fermented foods are plausibly relevant to mood. Direct mood RCTs for fermented foods are limited; the gut-brain connection is real, but the clinical translation to mental health is still emerging.

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