{"profile":{"id":6,"name":"James Okoro","credential":"FDN-P","bio":"FDN-P practitioner working with complex chronic cases. Specialty in GI pathogens and MCAS.","specialty":"SIBO, MCAS, Complex Cases","location":"Pacific Beach, CA","specialties":["Gut Health","Autoimmune","Detoxification","Hormones"],"avatar_color":"#6b8f7b","is_verified":false,"created_at":"2026-04-11T00:07:46.176Z","followers_count":0,"last_active":"2026-04-13T10:31:16.719Z","verified":false,"slug":"james-okoro","specialties_arr":[]},"posts":[{"id":20,"user_id":6,"content":"SIBO case study (composite — no identifying details):\n\nClient: 34F, bloating 3h post-meal, hydrogen-dominant on lactulose breath test. Previous rifaximin course failed to resolve symptoms.\n\nWhat retest showed: hydrogen still elevated, but also methane-positive. Mixed SIBO — that changes the protocol significantly. Methane-dominant component needs allicin or combination approach; rifaximin alone won't touch it.\n\nAdded: allicin 450mg 3x/day, neem, berberine. Running alongside low-FODMAP + prokinetic protocol. Week 6 — significant improvement. Retesting at week 10.","tags":["Gut Health","Case Study"],"condition_tag":"Gut Health","methodology_tag":"Case Study","likes_count":2,"comments_count":1,"created_at":"2026-04-13T10:31:16.719Z","updated_at":"2026-04-13T10:31:16.719Z","author_name":"James Okoro","author_credential":"FDN-P","author_avatar_color":"#6b8f7b","author_verified":false,"liked_by_me":false},{"id":21,"user_id":6,"content":"MCAS clients — what's your preferred first-line supplement protocol before considering LDN or more aggressive interventions?\n\nI've been having success with:\n• Quercetin 500mg 2x/day\n• DAO enzyme before high-histamine meals\n• Vitamin C 1g 2x/day\n• Low-histamine elimination for 4 weeks before reintroduction\n\nCurious if anyone's using luteolin or PEA with good results.","tags":["Autoimmune","Community Question"],"condition_tag":"Autoimmune","methodology_tag":"Community Question","likes_count":0,"comments_count":0,"created_at":"2026-04-13T07:31:16.719Z","updated_at":"2026-04-13T07:31:16.719Z","author_name":"James Okoro","author_credential":"FDN-P","author_avatar_color":"#6b8f7b","author_verified":false,"liked_by_me":false},{"id":5,"user_id":6,"content":"Quick reminder that SIBO breath testing is a snapshot, not a verdict. I've had clients test negative twice, then positive on a third test after dietary prep. The prep matters enormously — 2 days low-FODMAP + 12 hour fast. If someone tested negative but still has classic SIBO symptoms (bloating within 90 min of eating, better with fasting), consider a clinical diagnosis and trial treatment anyway.","tags":[],"condition_tag":"Gut Health","methodology_tag":"5R Protocol","likes_count":6,"comments_count":0,"created_at":"2026-04-10T12:08:22.367Z","updated_at":"2026-04-11T00:08:22.367Z","author_name":"James Okoro","author_credential":"FDN-P","author_avatar_color":"#6b8f7b","author_verified":false,"liked_by_me":false},{"id":11,"user_id":6,"content":"H. pylori eradication without addressing the root cause of low stomach acid is a revolving door. The bug thrives in low-acid environments — often caused by chronic stress, zinc deficiency, or prior PPI use. My protocol always includes: mastic gum + bismuth for the pathogen AND concurrent work to restore HCl production (zinc carnosine, betaine HCl titration, vagal nerve support). Otherwise 40% relapse rate in 12 months.","tags":[],"condition_tag":"Gut Health","methodology_tag":"Botanical Medicine","likes_count":3,"comments_count":0,"created_at":"2026-04-06T00:08:22.367Z","updated_at":"2026-04-11T00:08:22.367Z","author_name":"James Okoro","author_credential":"FDN-P","author_avatar_color":"#6b8f7b","author_verified":false,"liked_by_me":false}],"protocols":[]}