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Ulcerative colits

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I have a 32 year old woman who has been dealing with UC for 5 years (diagnosed).

Dad had it as well and she recalls having belly px as a kid. I have been

treating her for about a year, using BTGs, acupuncture, vitamin D and for the

last several months she has been gluten-free. She had not had any flare ups for

a year and a half. She sees a gastro and is on Imuran and has hx of prednisone

at high doses as well as Remicaid. She started a gentle cleanse with

me--anti-inflammatory diet, off coffee and alcohol and including greens, castor

oil packs and Pure encapsulations' GI/Liver Detox, 2 at night. Was feeling good

and had her first " normal " BM in years and then the next day (4 days in) had a

severe episode of diarrhea 20x day, severe cramping, bleeding, nausea and

exhaustion. She is now on 60 mg of prednisone per her GI doc and is doing

better (except for the med side effects).

My questions: could the " cleanse " be a trigger (yes is my guess)? Now, how to

treat? It is challenging because she is hesitant to try therapies due to fear.

I have presented UNDAs as a therapy now and she is open. I appreciate any and

all feedback.

PS--follow up: my kid with the neck swelling has a lymphangioma (benign) that

will be removed in Portland in a few weeks.

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