Hi jvizme,

I remember you now, CONGRATS ON YOUR TWINS!  I'm so happy for you.  You must definitely have your hands full :)  IT'S YOUR TURN TO GET NURTURED NOW :)) 

I'll be happy to email you and anyone else interested in a low choline/low protein diet a list of foods and their choline content that I hope will be helpful to you.  Just email me your request at mpdela1@gmail.com and I'll send them to you as attachments.  Many people have told me that they find it helpful.  I believe that all those fruits you are referring to are very good.  You can expand your diet significantly, and these articles that I can send you as attachments will help you create your own diet according to your taste preferences.

Remember that you still need to consume some choline in your diet for your own nervous system and to prevent hair loss.  I can also email you an article that addresses this need.  You can make yourself a good size egg-WHITE omlettes for a good source of protein, for example, especially if you are working out and need extra energy as well.

Yes, my son still takes his Vitamin B2 and a multiple vitamin complex.  Just read the content noted on the bottle because some of the Vit B complex include choline (usually Vit B50)

Let me know how you're coming along in this effort.  All my love to you and your babies.

María

Hi kidsroc,

I've been told that feminine washes are very good because they are low in pH, and I don't mean the vaginal douches necessarily. 

Since my sons and I have very oily skins, we use Olay daily purifying with sea salts and microbeads, which I dont always find in stores, so I buy it online.  Actually, living in Miami and soaking in the ocean water, I have proven that sea salt are great for removing odor from skin and sinuses, so i would guess that any sea salt bath or wash would be very good. 

About the NIH recommended regimen, remember that it first addresses the need to cleans the gut, kill the bad bacterial overgrowth with antibiotics and then to replace them with probiotics.  This is what NIH recommends and the dosage my son's doctor told him to use:

1. LAXATIVES, such as LACTULOSE (2 TB once to cleans the gut within 24 to 48 hours. Repeat if total cleansing has not occured)
http://www.nlm.nih.gov/medlineplus/druginfo/medmaster/a682338.html ,
as needed: decrease intestinal transit time may reduce the amount of trimethylamine produced in the gut. Be careful because you don't want to have accidents in the wrong places. Don't overdo it or you may become dehydrated with diarrhea. A simple intestinal cleansing every once in a while helps get rid of the bad bacteria overgrowth.

Lactulose comes in liquid form to take by mouth. It usually is taken once a day for treatment of constipation and three or four times a day for liver disease. Your prescriiption label tells you how much medicine to take at each dose. Follow the directions on your prescriiption label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take lactulose exactly as directed. Do not take more or less of it or take it more often than prescribed by your doctor. To improve the taste of lactulose, mix your dose with one-half glass of water, milk, or fruit juice

You can also use other laxatives, such as rubbing Castor Oil (an over the counter laxative) on your lower abdomen to produce intestinal cleansing. Be careful because you might produce a strong reaction, so make sure you’re near a bathroom. Castor Oil can also be used as a rub-on treatment for muscle tension and sprain. My father-in-law said that in his childhood days, it was used to soften the very tough leather on their baseball catcher’s glove – so it is very potent on the intestines just by rubbing it on the skin.

2. Suppression of intestinal production of trimethylamine: A short course of antibiotics to modulate or reduce the activity of gut microflora, and thus suppress the production of trimethylamine. Such treatment may be useful when dietary restriction needs to be relaxed (e.g., for important social occasions), or when trimethylamine production appears to increase (e.g., during infection, emotional upset, stress, or exercise) Antibiotics recommended for trimethylaminuria to suppress production of trimethylamine by reducing bacteria in the gut:
•neomycin – (500mg tabs 1 tablet every 8 hours for 7 days) appears to be the most effective in preventing formation for trimethylamine from choline. This kills off most of the remaining microflora after the gut cleansing with lactulose. Another sufferer said that her doctor prescribed it for 30 days. NOTE, that you would need to be replacing your gut microflora with probiotics (the good microflora) to re-populate the gut with the proper healthy microecology.
• metronidazole - alternate antibiotic
• amoxicillin - alternate antibiotic

3. PROBIOTICS, to replace the gut microflora with “friendly bacteria.” Acidophilus, is found in some milk products, yogurt, and even in pill form. HOWEVER, MAKE SURE IT HAS BEEN KEEP IN A COLD STORAGE, because the bacteria dies in warm room temperature. If you buy it from the pharmacy shelf, the room temperature made it worthless. Usually, the pharmacist keeps it refrigerated. See label 'probiotics' in this blog for more information on probiotics.

Regarding the odor not being gone after 5 days, please be patient, as it takes a couple of months for all the smelly toxins to leave your body. Just think how long it took to build them up in your blood and tissue, possibly years? Rest assured that your body will try to eliminate them, especially when it detects that you are no longer giving it more and more of the same compounds it cannot metabolize. In fact, as your body attempts to secrete these volatile compounds through your sweat, breath, urine, vaginal discharge, and feces, you may be even smellier at first, and then eventually, you will find that it begins to diminish slowly but surely.

Just keep in mind that the whole NIH regimen needs to be well orchestrated with everything being done correctly for it to work fastest.  If not, it will just take longer, until eventually you modify it to correct it.

María

Also, regarding the bad breath, I highly recommend a tongue scraper that you can get at any drug store in the section where they sell oral hygene stuff like dental floss, etc.  Then, after scraping your tongue, you can brush your tongue after brushing your teeth with the same toothpaste.  Then use Orajel antibacterial mouthwash for bleeding gums.  Do this tongue scraping twice a day indefinitely, and yoI've see a marked improvement. 

Here's some info on a very good online article from the Journal of Cntemporary Dental Practice.  It presents presents three studies carried out from 1992 through 1997 on the source of volatile sulphur compound (VSC) production and tongue coating. It highly supports the practice of tongue scraping for the longer lasting reductions in VSC levels. It identified several malodourous bacteria, such as Bacteroides, Fusobacteria spp., Peptococcus., and Peptostreptococcus, amongst the prominent cultivable microbiata.

Recent studies implicate the dorsum of the tongue as the primary source of VSC production both in periodontally healthy and diseased populations. These studies demonstrate (1) that removal of the tongue coating reduces VSC production and (2) when comparisons are performed in samples of mouth air following tongue scraping, tooth brushing, and rinsing with water in subjects with malodour, the longer lasting reductions in VSC levels are followed after tongue scraping.(1)