Re: Mpdela..starting tmau treatment...

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