Hello, Wally:
I think that for diet to "work," it should be rather draconian. If You notice the ESR chart in Ebringer's "Etiopathogenesis..." paper, after nine months 94+% improved, but whether they would
subjectively feel any better is another story: When ESR drops from 66 to 46 the differences might be imperceptible but from 32 to 15 the differences could be miraculous! This was after nine months; most people give up after just a couple and with their physicians offering NO HELP by telling them "diet has NO EFFECT or is 'junk science,' they are happy to return to their old comfort foods. As a vegetarian I nearly "wanted" the diet to fail, but I knew too much when I heard of the LSD and the cause of AS.
And by now, I am thoroughly convinced that everyone with AS should be treated with antibiotics, and Flagyl as a minimum with greatest justification as giardiasis is not uncommon.
I look at Your case as my own experiences when I was in India and the first time avoided 'Delhi belly' but had increased AS symptoms only relieved when I got full and terrible colitis and finally treated with antibiotics.
When I began Professor Ebringer's LSD, the initial results were very spotty, and it was very disheartening to still experience flares when avoiding even his 'four major poisons.' (bread, cake, pasta, and potatoes). So I decided to add more of a challenge to his (then-) hypothesis that
K. pneumoniae was the cause: I began various courses of antibiotics.
Within four days, I knew absolutely that I was on the right track, learning later that the half-life of our
agent provocateur--IgA-Kp--is about 100 hours, explaining some major cycles observed in AS.
I believe the diet should begin with the most restrictive regimen, plus some kind of
antibiotic protocol and I believe that bactericidal agents will take down long-established colonies to enough of an extent that the normal level of AS activity will be lowered. Sometimes it requires
fasting for patients to prove to themselves the diet connection, but certainly this helps reduce the level of
C. albicans, and may be the factor that helped me avoid some unintended consequences of taking the antibiotics.
As to Your question, I believe that there is only one cause of AS: Molecular Mimicry to the germ
K. pneumoniae. People who are not HLA B27 in fact respond to the diet, if given the chance for them to
make the diet work for themselves.
When we were still "Brian's AS Web," we had a story about Gary Kilhorn who successfully treated his AS and even resumed his tennis playing after taking antibiotics (Cipro, I believe), but no attention was paid to diet. In just over a year, his AS "
returned with a vengeance," and I believe that he had developed resistive colonies within that time. When we study this germ, it is very easy to see why.
In nearly a decade and a half, I have not had a relapse and believe that I have avoided such and outcome, perhaps by combining diet and antibiotics, but also doing this in cycles and switching agents, just to keep the [*bleep*] guessing.
HEALTH,
John