Current UC/Proctitis Care Plan and Routine
This page tracks what Paul is currently doing and taking from a routine, supplement, and medication standpoint for UC/proctitis. It is a personal tracking page, not medical advice.
Current goals / framing
Source: Dr. Snow email and voicemails, June 2026.
- Dr. Snow does not frame Paul as a clear “non-responder.” His view is that the body may need more raw material / dose support rather than abandoning the approach.
- The current month is framed as a stronger barrier-repair / mucosal-support push.
- Dr. Snow repeatedly framed L-glutamine as the key “cement” material for repair.
- Supportive “cement” / mucosal-support items emphasized: L-glutamine, slippery elm, marshmallow root, and GI Select.
- For powders, Dr. Snow emphasized tablespoon-scale dosing, not relying on the small scoops/cups that come in containers.
- If stool gets too firm/hard, Dr. Snow specifically said to take less S. boulardii.
Current conventional medication routine
Source: Paul email update, 2026-07-03.
- Mesalamine via enema.
- Mesalamine via suppository.
- Current pattern: alternating enema and suppository forms, with a day in between of no medication.
- Track alongside symptoms because Paul’s recent concern is mucus/blood returning even while using medication.
Dr. Snow supplement regimen to track
Source: Dr. Snow forwarded email, 2026-06-14, plus voicemail summary.
Moss Nutrition products / order list
These were the items added to the Moss Nutrition cart for review on 2026-07-03:
- M075 L-Glutamine Powder — quantity 1
- M008 GastroSelect 60 VC — quantity 2
- M095 Probiotic Select 25B 120 VC — quantity 1
- M129 GI Select 237 g — quantity 2
- M134 Slippery Elm Select 166 g — quantity 2
- M123 Colostrum Select 120 VC — quantity 2
- M012 Permeability Select 120 VC — quantity 2
- M135 Marshmallow Select 176 g — quantity 1
Cart subtotal shown at the time: $689.50.
Dosing notes from Dr. Snow email
Transcribed/normalized from the forwarded email:
- Probiotic Select 25B (M095): “2x2” in the email.
- Colostrum Select (M123): “2x2” in the email.
- Permeability Select (M012): “2x2” in the email.
- Gastro Select (M008): “2x2” in the email.
- GI Select Powder: “1.5 x 2 tablespoon.”
- Slippery Elm: “1.5 x 2 tablespoon.”
- Glutamine: “1.5 x 2 tablespoon.”
- Marshmallow Select Powder (M135): “1 x 2 tablespoon.”
- S. boulardii: take less if stool is too hard.
Interpretation caution: preserve Dr. Snow’s wording until clarified. “2x2” and “1.5 x 2” likely need confirmation as exact timing/frequency and total daily dose.
Voicemail notes from Dr. Snow
- L-glutamine is probably the single most important supplement right now.
- He described L-glutamine as “cement” for repair.
- He said the minimum for Paul’s condition would be about 1 tablespoon per day, with dose potentially built up/increased depending on tolerance and response.
- He wants the protocol shifted more toward the “cement” items: L-glutamine, slippery elm, and marshmallow root.
- Marshmallow Select functions similarly to slippery elm in his framing: coating/supporting tissue and helping the body use glutamine/minerals for repair.
- Reduce S. boulardii if stool becomes too firm/hard.
- Reassess after roughly the next month of the higher mucosal-support emphasis.
Current tracking priorities
Track daily or near-daily while following this plan:
- Mesalamine form used that day: enema, suppository, or no-med day.
- L-glutamine amount and timing.
- GI Select amount and timing.
- Slippery elm amount and timing.
- Marshmallow Select amount and timing.
- S. boulardii amount and whether stool is getting too firm/hard.
- Probiotic Select, Colostrum Select, Permeability Select, GastroSelect dosing once clarified.
- Stool frequency.
- Stool form / dryness / constipation.
- Mucus.
- Blood.
- Rectal pain.
- Cecal/right-sided pain if present.
- Straining / incomplete evacuation / tenesmus.
- Sleep quality and stress level.
- Dairy/gluten exposure or accidental exposure.
Open clarifications
- Exact meaning of “2x2” for capsule products.
- Exact meaning of “1.5 x 2 tablespoon” for powders: per dose vs per day, and timing.
- Whether L-glutamine should be ramped from current use or immediately moved to tablespoon dosing.
- Whether S. boulardii should be reduced only when stool hardens or paused during constipation-prone periods.
- How long to run this plan before changing variables.
- Whether objective markers should be checked before/after: fecal calprotectin, CRP, CBC/iron, ALP/liver markers, lipid panel.