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The original was posted on /r/autoimmuneprotocol by /u/CursiveWasAWaste on 2023-09-07 01:30:30.

Hey fellow AIP warriors,

I’ve been triumphantly battling both ankylosing spondylitis and ITP with the help of AIP for nearly 4 years, and the journey’s been nothing short of transformative. Unlike the usual AIP regimen, my AS dictates a strict “zero starch” policy. So, staples like cassava flour, sweet potatoes, or even inulin-rich foods like onions are off-limits for me.

However, I’ve hit a snag. Since January, I’ve been wrestling with Walking Pneumonia. Despite my doctor and I exploring numerous alternatives, he strongly recommends Azithromycin - a decision neither of us is thrilled about. My main concern? The aftermath on my gut flora and potential dysbiosis.

For those who’ve braved antibiotics post-AIP, I have a few pressing questions:

1. What was the impact and subsequent recovery of your gut like?
2. In the aftermath, did you go back to a basic AIP diet? How did you navigate your meals?
3. Did you notice any changes in energy levels or general well-being?

For those who may have other insights

1. Any hacks or suggestions to cushion the blow to the microbiome?
2. Is there another way to go about this?

Your insights could be a lifeline. Thanks in advance!