D-Mannose against cystitis: does it work or not? Yes it works!

D-Mannose does not work!

D-Mannose no longer works!“.

I also read some other comments (in a well-known public forum) about the failure of D-Mannose as prevention.

But hey, D-Mannose it does not work like that, it’s not like the lottery where “you win” or “you lose”.

It is a true active ingredient that has an excellent quality: it does not act chemically, but mechanically.

And this small thing changes everything.

In fact, mechanical action means:

– without side effects (for example, mycosis and other disorders associated to cystitis)

– no addiction or resistance => we have already talked about this here

So we can use it as long as we want (pathogenic bacteria will not invent some other way to fool us!). We can also stop taking it and start again as often as we want without mitigating its effect.

– since it is the “soldier” that defends our bladder, we will have to use a sufficient amount to fight against pathogenic bacteria (it means that the fight has to be carried out under equal conditions).

So, what is the subject of this article?

I would like to explain why, even when we take D-Mannose scrupulously,  for a long time, even when we do not have cystitis for weeks or even months, even when we have not “changed anything” in our habits (is that true?), even when we do everything right… it is still possible to have an acute episode and why we should NOT see this as a failure.

D-Mannose works, however say goodbye to cystitis is not so easy.

“Against chronic infections, we can win battles, but never wars. If we focus on that, we make a mistake.” Dr de Angelis

Oh, well, thanks a lot Dr. de Angelis! You are always there to cheer us up, huh?

This phrase is far from being optimistic, but it has the virtue of being more than realistic.

If we have cystitis, the first thing to do is to identify the predisposing and precipitating factors (to act on them during the prevention phase), establishing the following objectives – that I will present from the most modest to the most ambitious one:

– do not aggravate the situation by protecting our delicate flora (or what is left of it)

– help our body to “repair” itself and to be able to be reactive enough to defend itself

– extend the period of time between frequency and severity of cystitis attacks trying to make them completely disappear

If we think about this list, we will understand that, before reaching the sacrosanct “healing”, a lot of things have to happen (Rome was not built in a day!).

Above all, it must be taken into account that, as long as the predisposing factors exist, the risk of an acute episode remains at the inflection point.

Good habits and all the natural preventive measures put in place to prevent cystitis can be effective for months, but it is not an exact science: fatigue, a stronger bacterial attack (different bacteria type or higher bacterial load), the inability to urinate or to intake D-Mannose, season change, trips, a new love, etc… the smallest things (something insignificant for us, but so appropriate for pathogenic bacteria) can take over and cystitis comes back!

This does NOT mean that all the previous work has to be thrown away!

My coworker answered back to a woman who suffers from postcoital cystitis (she has been in remission for several months thanks to Ausilium, just had a new episode and questioned the effectiveness of D-Mannose:

“The –protocol- that you has followed so far has been enough to deal with germs with the correct dose of D-Mannose. However this balance of power can slightly benefit bacteria (with a consequent acute episode) which should not however, question the effectiveness of your approach”.

In contrast, acute episodes during a D-Mannose intake are opportunities to:

– analyze the problem in depth (to know it and understand the mechanisms to be better prepared to fight it in the future)

– implement additional measures s of protection: D-Mannose intakes, sexuality adaptation, diet improvement, wardrobe renewal (underwear in particular), sports change, etc.

Do not jump on the easiest solution at the first opportunity

Well, I think we all agree on this: when you feel cystitis coming, there is nothing worse than anxiety!

Anxiety has the extraordinary power to pressure you to do what you promised you would never do again: to take an antibiotic at random without doing an urine test before.

If we are victims of bacterial contamination, we should prefer avoiding the vicious circle of recurrency. without using antibiotics for several weeks or months (we shouldn’t “bomb” our physiological flora that we are trying to rebalance with D-Mannose). Better to eliminate more bacteria naturally (increasing the intake of Ausilium) to take the time to think before we act.

For the warriors that chose to fight against cystitis for good – as thousands of women did (and no less men) -, the biggest “failure”, it is not the return of cystitis, but the antibiotic intake (single dose and especially at random)!

The antibiotic will calm us down (rather than alleviate) but, as an additional benefit, it will cause damage and establish new mechanisms of recurrence (super resistant bacteria, dysbiosis, vaginitis, diarrhea, immunological weakening, etc.).

This is often the biggest problem, the management of the first acute episode while using D-Mannose is crucial to:

– not annihilate all the efforts we made

– maintain confidence in ourselves and in D-Mannose and persevere in the direction of a real improvement (and not towards an artificial treatment, very little lasting and with very heavy negative long-term consequences)

I am talking to all those people who feel that D-Mannose “does not work” so they can draw the necessary conclusions:

=> Do I know all my predisposing and precipitating factors?

=> Did I implement, step by step, all the preventive measures adapted to each of these factors?

=> Did I have an improvement (acute episodes reduced frequency or intensity)?

To get rid of cystitis is a full-time job (at least at the beginning), but it’s worth it, I can assure you!

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