I’m not sure what pfs is but I’ve been insanely constipated since it started and that seems pretty universal.
I read a thread or two on here and another on the pssd subreddit and decided to try flagyl. I took 500mg 3 times a day for 7 days. By day 2 I’d say my bowel movements became much more regular, like they were before. I started getting the urge to go after eating, just like I did pre fin. I’d also have a bowel movement in the morning. Not to be too explicit but the movements themselves weren’t perfect, but much improved.
I also felt a few very weak mild spikes of libido return. Additionally, my joints stopped cracking almost entirely and my skin symptoms also largely got better. I’m not sure what causes pfs, but I think, at least as a downstream effect, alleviating gut issues is pretty huge in improving quality of life. The downside here was that my sleep issues continued to be very rough.
I might revisit this and add some more antibiotics in (someone said they got cured from pssd by getting treated for h pylori- although they were actually diagnosed). I’m not saying we all have that (that seems wildly unlikely) but perhaps many of us have slowed bowels which resulted in dysbiosis.