Looking for information or guidance about FMT clinics in Singapore

[DanAbrams]

Hi All,

Found this clinic online called Aquilla

https://aquilamedicalcenter.com/microbiome-restoration-therapy/

They mainly do cosmetic procedures but they also do FMT (or MRT as they refer to it).

I’m setting up an appointment to discuss an FMT with my private donor who will come with me.

Does anyone have any knowledge or insight into this clinic or anything about the FMT scene in Singapore generally?

Thanks,

DA

 

[Michael Harrop]

I’m setting up an appointment to discuss an FMT with my private donor who will come with me

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What do you need the clinic for if you already have a donor?

 

[DanAbrams]

We were hoping to do it in a clinic for safe preparation of the material and to have it done under professional clinical administration via gastroscopy (duodenal and cecal in the same session). They have top tier anaerobic preparation etc that we don't have at home and we aren't yet confident enough to set up a home lab.

Also I think my donor is squeamish about doing DIY as they are worried about my safety more than anything else. MY view is a little more bridled, I would prefer home administration because I'm confident it can be performed safely based on your wiki (and others like as per this resource https://www.microbiomeinmind.com.au/making-fmt) but it's hard to convince someone who's got no experience in chronic GI issues that it's safe because I "read it on a forum / watched youtube".

Having said all that, I'm not against doing scopes as they do seem to provide quite durable engraftment. I just want to make sure the clinic is vetted and reputable and actually know what they're doing.

So expensive plane tickets incoming...

 

[Michael Harrop]

for safe preparation of the material and to have it done under professional clinical administration via gastroscopy (duodenal and cecal in the same session). They have top tier anaerobic preparation etc that we don't have at home and we aren't yet confident enough to set up a home lab.

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Those statements don't reflect that you have reviewed the wiki, because those are poorly informed notions. You don't need a home lab or professional equipment to prepare FMT in a safe and anaerobic manner. Clinical procedures come with risks and should be avoided if possible.

(and others like as per this resource https://www.microbiomeinmind.com.au/making-fmt)

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Jane Dudley's microbiomeinmind.com.au website is not a reputable source.

but it's hard to convince someone who's got no experience in chronic GI issues that it's safe because I "read it on a forum / watched youtube"

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Then don't link them to poor sources. Link them to the wiki, which is full of high-quality, primary citations.

I just want to make sure the clinic is vetted and reputable and actually know what they're doing

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I would argue that such an FMT clinic does not exist.

 

[SFBayFMT5]

Then don't link them to poor sources. Link them to the wiki, which is full of high-quality, primary citations.

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No primary citations will reference preparation in a home lab, unfortunately. In the clinical science world, lab space is plentiful but regulations for human experimentation are strict--thus nobody would propose a study that doesn't have the material prepared by medical doctors or PhDs in a professional setting. Thus it's effectively circular--the only people who are testing whether it's safe prepared otherwise are not the ones publishing the articles. It will likely take years of it being a mainstream procedure in regular doctors' offices (not research studies) for non-C. diff indications before anyone from the scientific/medical community would go on the record saying that people could prepare this at home.