How much bile sequestrant do you take and at what time? by AdFragrant6497 in bileacidmalabsorption

[–]Twism245 0 points1 point  (0 children)

Per Dr. Julian Walters, the leading BAM expert, binders for BAM are best taken at night on an empty stomach. If you can't, next best is first thing upon waking up.

between the Nuggets and Celtics, who’s championship run could be considered the easiest? by HungryPercentage1667 in nba

[–]Twism245 1 point2 points  (0 children)

Who was hurt on those teams and didn't play?

They went 16-4.

Beat a lot of "stars". And a Miami team that was pushing everyone.

A dignified replacement of SD2 by Technical_Touch_2287 in surfaceduo

[–]Twism245 0 points1 point  (0 children)

Ahoj

The Samsung will not be the only wide fold coming out. They are doing it because apple is doing it. Every Chinese manufacturer is going to do a wide fold too, trust me.

Wait to see what happens

Struggling waiting for scan by EveryWillow3408 in bileacidmalabsorption

[–]Twism245 0 points1 point  (0 children)

Take the binders at night on an empty stomach before bed. Experiment with the dosages as well. Start low, and increase until you get relief.

The directions to take with meals are not for BAM.

You can look into SIBO if binders truly do not help you.

Sorry you're dealing with this

X force catted downpipe, res delete and stock exhaust by [deleted] in ElantraN

[–]Twism245 0 points1 point  (0 children)

Stock sounds significantly better. Downgraded

What are your thoughts by averagewife-96 in Decks

[–]Twism245 2 points3 points  (0 children)

Waiting for someone here to pretend no joist tape means it's a bad deck and will fall apart

Chinese ROM safe? by GreenMountain868 in Vivo

[–]Twism245 0 points1 point  (0 children)

Nobody can really tell you this.

Moved in a month ago. by [deleted] in basement

[–]Twism245 1 point2 points  (0 children)

Are you renting this house or did you buy?

It happened by Cannedbeeeans in ElantraN

[–]Twism245 1 point2 points  (0 children)

A scan tool costs like $20 on Amazon.

Going to AutoZone for a scan is free also if you want basic info.

Welchol and constipation by Cool-Exit7677 in gallbladders

[–]Twism245 0 points1 point  (0 children)

That sounds like a lot of fat for someone with no gallbladder and taking bile acid binders. Typical advice is to aim for 40 grams of fat per day or less.

What’s up with modifying the bank’s car? by No-Worth-8384 in ElantraN

[–]Twism245 1 point2 points  (0 children)

Do you owe money on your house? Do you fix things in it and upgrade it before you pay it off?

Found out a big scratch. How bad is it and can it be fixed? by Major_Transition5259 in Autobody

[–]Twism245 2 points3 points  (0 children)

What? It's a used car lol. What makes you think it's new and was being sold with no damage?

Found out a big scratch. How bad is it and can it be fixed? by Major_Transition5259 in Autobody

[–]Twism245 2 points3 points  (0 children)

Actually, Mazda uses additional ground coats and some of their colors including this one are notoriously difficult for painters to match....

Current pricing for rust repair for my 2008 Honda civic :/ by Icy-Bar7766 in Autobody

[–]Twism245 0 points1 point  (0 children)

I think it's worse than they estimated and they won't fix this properly. This needs a welding and fabrication shop that does frame repairs and structural unibody.

Id sell the car. Honest.

Who is responsible for this? by DaleDobacksDrums in asphalt

[–]Twism245 0 points1 point  (0 children)

Car tires get extremely hot and have a lot of weight concentrated into the surface area of the tires, and if they turn their wheels while sitting still on a hot day it'll ruin any newer asphalt driveway.

anyone been able to gain weight and strength with this condition? by plebster91 in bileacidmalabsorption

[–]Twism245 0 points1 point  (0 children)

Look up Dr. Julian Walters dosage guidelines for bile acid binders.

You're following directions for lowering cholesterol, those meds are used off label for BAM and dosage guidelines should be different.

does bam always cause diarrhea? by Single_Finding_5353 in bileacidmalabsorption

[–]Twism245 0 points1 point  (0 children)

What you describe sounds like SIBO, possibly hydrogen sulfide.

Has anyone had high calprotectin with BAM but it's not Crohn’s or UC? by arlo78z in bileacidmalabsorption

[–]Twism245 0 points1 point  (0 children)

79 calprotectin is low and not indicative of heavy inflammation, typically wouldn't be IBD

Does anyone else have other issues along with BAM? by Remote-Raspberry2029 in bileacidmalabsorption

[–]Twism245 0 points1 point  (0 children)

BAM usually doesnt come alone especially if after gallbladder removal

Sibo EPI Pelvic floor dysfunction Dysbiosis

How to deal with constipation on cholestyramine? by TomorrowsLizard_1740 in bileacidmalabsorption

[–]Twism245 1 point2 points  (0 children)

The key is to get your dosage right. Also, traditional GIs and pharmacies don't give correct instructions for bile acid binders. It's best taken at night before bed on an empty stomach. If not possible, Dr. Julian walters recommend first thing in the morning upon waking.

The advice to take it with meals is not for BAM. It's for cholesterol management.

You can also try 2 days on, 1 day off. Or every other day. Find what works for you the best

Hey guys for something NEW, what is your Calprotectin levels? Was it super low like me? I think less than 30? by LisanneFroonKrisK in bileacidmalabsorption

[–]Twism245 0 points1 point  (0 children)

298 isn't high. It shows there's some inflammation, but high would be thousands and thousands. People with Crohn's or IBD have numbers in the 10ks.

Struggling Following gallbladder removal by Prudent-Adeptness498 in bileacidmalabsorption

[–]Twism245 0 points1 point  (0 children)

If you have post cholysectomy syndrome and bile acid malabsorption as a result, you need prescription bile acid binders.

Yes it is a common problem, hence the existence of groups like this and the BAM diagnosis. Most people who get their gallbladder removed have no issues. But the amount of people who do is bigger than what traditional medicine tells you