"I was so scared, so confused I had no idea what was happening." A nurse practitioner in her doctor's office thought McDaniel had one or several infections and prescribed antibiotics
As the treatment plan becomes harder to follow, missed notes and scattered symptom records hide important patterns
Step 2: Work With Your Provider These plans usually require prior authorization, so make sure your provider submits all required documentation, including diagnosis and justification
Step 5: Repeat Basic Metabolic Panel at 3 Months If you are on spironolactone for a chronic indication (beyond a short course for acne), a follow-up metabolic panel at 3 months after adding glycine confirms that kidney function and electrolytes remain stable
In CIRS patients, whose detox pathways, mast cells, and inflammatory responses are already in overdrive, this extra stimulus can easily tip the balance into symptomatic flare