01
Test request form
A short request form for the laboratory. It goes into the box together with the stool sample: without it the laboratory will not accept the sample.
Patient path
How the treatment works
Treatment is not a single-day event but an unhurried course: preparation, about a week of the transplant itself and one or two months of maintenance — the exact length depends on the package. The microbiota intake days take place in China, and the rest of the time is spent at home, in familiar surroundings and in contact with the clinic's specialists.
Microbiota consists of live bacteria and cannot be taken out of China. That is why every intake day happens in China, and only the probiotic and dietary fibre travel home — the clinic issues a supporting document for them.
Course timeline
What the course consists of
A full course of the extended package is one transplant plus two months of maintenance after it; in the basic package maintenance lasts a month. The count starts from the transplant, so the course is easier to measure in weeks than in calendar months.
- 1
Preparation
Before the transplant
How long this stage takes depends on how quickly the analysis report arrives.
- Communication and questionnaires: the programme is agreed
- Stool sample collection and shipping to the clinic's laboratory in Hangzhou
- The analysis report — about 10 working days, not counting sample delivery
- Report review, decision, informed consent, payment
- After payment the clinic prepares the product to order and ships it in a cold chain
- Bowel cleansing — 2–3 days before the transplant; it starts only once all products are at hand
- 2
Transplant
About a week
The intake days take place in China: live bacteria cannot be taken out.
- Microbiota — one vial a day, six vials in the course
- Together with it, the probiotic and dietary fibre every day
- Nutrition follows the gentlest stage of the diet
- Stool and meals are photographed to the clinic's chat group every day
- 3
Maintenance
One month or two
The count starts from the transplant: one month in the basic package, two in the extended one.
- The basis is the probiotic, dietary fibre and a gentle diet; daily microbiota drops are usually no longer given
- The clinic draws up the plan and doses for the second month after the first stage, looking at stool, emotions and overall changes
- Sometimes during the first month the clinic schedules a repeat transplant — at its own discretion, to consolidate the result
- Most of this time the child spends at home, in contact with the clinic's specialists
Payment comes before product preparation
The clinic starts preparing the product only once a package has been chosen and paid for.
A repeat transplant is scheduled by the clinic
The clinic writes: 「移植以月为单位，二次移植在一个月内更佳」 — if a repeat transplant is needed, it is better carried out within a month. The decision is made by the clinic based on the first stage.
Several courses are usually recommended
Three courses is the reference point. This is discussed with the doctor and depends on how the body responds.
Map of the path
Twelve steps from the first form to the second month
Every step is covered in detail below.
- 01
Documents and forms before the start
Test request form, health questionnaire, symptom questionnaire, short medical record.
Go to the section - 02
Collecting and sending the sample
The stool sample is collected at home and sent to the clinic's laboratory in Hangzhou.
Go to the section - 03
The analysis report
The report is translated and explained; if needed, the clinic's doctor goes through it online.
Go to the section - 04
Decision, consent and payment
Informed consent is signed, a package is chosen and payment is made.
Go to the section - 05
Parcel and storage
The product arrives with dry ice and goes straight into the freezer.
Go to the section - 06
Diet
Gentle nutrition begins the moment the transplant is decided and runs through the whole course in three stages.
Go to the section - 07
Bowel cleansing
Two or three days before the transplant the bowel is gently emptied.
Go to the section - 08
Taking the products
Six days: microbiota in the morning on an empty stomach, probiotic after lunch, fibre before dinner.
Go to the section - 09
Incompatible medicines
Antibiotics and heartburn medicines are stopped for the course, in agreement with the doctor.
Go to the section - 10
Side reactions and adaptation
During the first one or two weeks a rebalancing is possible: changes in stool and mood.
Go to the section - 11
Daily monitoring
Photos of stool and meals go to the clinic's chat group every day.
Go to the section - 12
The second month of maintenance
Daily microbiota is no longer given — the probiotic, fibre and diet remain.
Go to the section
Step one
What is filled in before the start
These forms let the clinic understand the child's condition and choose a programme. All of them are translated and handed over to the clinic.
02
Health questionnaire
A detailed questionnaire in three languages: basic data, complaints and goals, allergies and medical history, lifestyle and nutrition, digestion and stool.
03
Symptom questionnaire
A table of symptoms over the last 14 days, each scored from 0 to 4. It is a snapshot of the condition before treatment — a baseline for judging what has changed.
04
Health record
A short medical card for the doctor: height, weight, body mass index, diagnoses, current medicines and doses, stool frequency.
05
Treatment plan and assessment table
Filled in before the transplant, sometimes merged with the health questionnaire.
06
Informed consent
Signed once the transplant has been decided: how the method works, who it is not suitable for, what side effects occur and the fact that there is no guarantee of a complete cure.
Contraindications are checked before signing
The clinic confirms that none of the listed conditions apply — severe immunodeficiency, active infections and others. In case of doubt it may request fresh blood tests.
Data is refreshed before the transplant
Things may have changed since the analysis, so the health questionnaire, symptom questionnaire and medical record are filled in again with current height, weight and medicines.
Payment comes before product preparation
Payment follows the choice of package: only after it does the clinic start preparing the product for the patient.
Step two
Collecting and sending the sample
The sample is collected at home. A mistake here distorts the whole analysis, so it is worth reading the steps in advance.
What the kit must contain
- Collection container
- Disposable gloves
- Tube with preservative liquid
- Instructions
- Transport bag
- Shipping box
- Alcohol wipe
If anything is missing, request it before collecting.
Do not let urine, blood or toilet water reach the sample — the analysis will be inaccurate. And do not give laxatives before collection: they change the composition of the stool and distort the result.
- 1
Prepare a clean surface
A disposable plate, cling film, a clean bag or a potty. Stand the tube on a level surface and do not spill the preservative.
- 2
Open the tube after the bowel movement
Not before: the liquid inside should not stand open.
- 3
Take stool from the middle
Using the small spoon on the cap, take fresh stool from the middle, about the size of a little fingernail.
- 4
Stir until dissolved
Lower it into the liquid, stir and tighten the cap firmly.
- 5
Invert for about 10 seconds
Up and down until the mixture is uniform.
- 6
Check the result
The liquid has evenly taken on the colour of the stool — the sample was taken correctly.
Irregular stool
Open the tube only after the child has been, then collect straight away.
Hard stool
Break it with the spoon and take a piece from the inside.
Loose stool
Collect with the spoon as usual, watching that the amount is sufficient.
Watery stool
Collect into a clean container, pour out about a third of the liquid from the tube and top it up with stool to two thirds — a sterile syringe may help.
Sending it to the laboratory
1
Fill in the request form and place it in the box together with the transport bag — without it the laboratory will not accept the sample.
2
Place the tube in the shipping box.
3
Ship with a cold pack so the sample does not spoil on the way.
4
The laboratory is in Hangzhou. Inside China a courier service carries the sample; delivery from outside China is arranged separately.
How long it takes
The analysis report takes about 10 working days, not counting delivery of the sample to the laboratory.
Step three
What the analysis shows
16S rRNA sequencing of the stool sample. This is an assessment of a condition rather than a diagnosis of a disease — a map of the gut showing what needs correcting.
Microbiota health
An overall conclusion and a score from 0 to 100.
Microflora balance
Whether there is an imbalance; the degree is often given as first, second or third.
Mucosal barrier
The state of the gut's protective wall.
Diversity
How many different bacterial species live in the gut. "Reduced" is a bad sign.
Beneficial and harmful bacteria
Whether beneficial bacteria are sufficient and harmful ones stay within limits. A shortage of the first together with an excess of the second is a warning sign.
Gut immunity and nutrient metabolism
How the gut defends itself and how it absorbs nutrients.
The report is large — around a hundred pages. There is no need to work through all of it: the essentials are gathered on the summary page. A clear explanation is prepared by the coordinator, while the clinic's doctor interprets it — online if necessary.
The disease risk section is a probability estimate based on flora composition, not a diagnosis. The final recommendation about a transplant remains a recommendation. Nobody will rush the decision.
Step four
The parcel and storage
After payment the clinic prepares the product for the patient and ships a parcel with dry ice. The product is alive and fears heat, so it matters to receive the parcel and freeze it immediately.
- 1
Open the parcel immediately
Do not postpone it: the cold inside the box does not last forever.
- 2
Open it in a ventilated room and wearing gloves
Dry ice causes frostbite, so it is never handled with bare hands.
- 3
Put the product box into the freezer
Take it out and place it in the freezer compartment right away.
- 4
Leave the dry ice in a ventilated place
It will evaporate on its own. The product is not opened unless needed.
Dry ice — what not to do
Dry ice is frozen carbon dioxide at about minus 78 °C.
- Do not touch it with bare hands — only with gloves.
- Do not put it in a fridge, a toilet or sealed containers: the gas builds up pressure.
- Do not let it come into contact with water.
- Keep children and pets away.
- If it touches skin, rinse immediately with warm water.
- If breathing becomes difficult, leave the room and seek help: the gas displaces air.
How to store it
- The product is kept in the freezer.
- Only the daily dose is taken out — one vial; the rest stays frozen.
- Before intake the vial stands for about 15 minutes and thaws on its own. It must not be diluted.
- At room temperature (20–25 °C, away from direct sunlight) the vial may stay out for up to 30 minutes.
The microbiota cannot be taken home — these are live bacteria. Only the probiotic and dietary fibre travel with you, and the clinic issues a supporting document for them.
Step five
Bowel cleansing
Before the transplant the bowel is gently emptied — old residue is cleared to prepare the ground for the new microflora. Cleansing is done at home following the clinic's scheme.
Timing
- Cleansing takes 2–3 days before the transplant.
- It should start only once all subsequent products are already at hand — so that there is no pause between cleansing and the transplant.
- After taking the agent, stool appears no sooner than 3–4 hours later. That is normal and worth waiting for calmly.
At the cleansing stage assisted emptying is normal, not "extra chemistry". The scheme and doses are agreed with the clinic's doctor; stool is photographed daily and sent to the working chat.
Two gentle agents for children
Lactulose
Over 14 years — 30 ml, 1–6 years — 20 ml, under one year — 5 ml
For ages 7–14 the clinic does not name a separate dose — it is set by the doctor.
- In the morning on an empty stomach, drink the whole dose at once without holding it in the mouth.
- Follow immediately with 200–300 ml of warm or mineral water.
- Move around a little or massage the belly.
- If there was no stool during the morning, repeat after lunch with more fluid and activity.
- If cleansing is weak, repeat the next morning; the dose is adjusted by the clinic's doctor.
Macrogol with electrolytes
One sachet per 62.5 ml of water, no more than four sachets a day
- In the morning on an empty stomach — one sachet, taken with 62.5 ml of warm water.
- Move around or massage the belly until stool passes.
- If there is no stool by lunch — one more sachet after lunch, with more fluid and activity.
- No more than two intakes a day.
If stool still does not come
The order is strict: the main agent first, supporting measures only afterwards. The clinic: if there is no effect — one suppository; if it is still poor — two.
- Glycerol suppositories or a micro-enema.
- Sesame oil by mouth — three level ceramic spoons.
- On transplant day the clinic can assist emptying with a syringe.
What to prepare in advance
- The main cleansing agent — lactulose or macrogol.
- Syringes of 10 and 20 ml, about ten of each: they are used to draw the daily dose and give it in small portions if the child resists swallowing.
- Suppositories or a micro-enema in case stool does not come.
Step six
Six days of intake
Three things are given every day: the microbiota itself, the probiotic and dietary fibre. Each has its own timing, its own water temperature and its own method. Hot water kills live bacteria, and unnecessary dilution reduces the effect.
Microbiota
In the morning on an empty stomach
One vial a day, a six-day course. The vial is taken out of the freezer and left for about 15 minutes — it must not be diluted. The whole vial has to be drunk within 15 minutes of starting, otherwise the live bacteria lose activity. It is dropped straight into the mouth or into warm milk or juice and washed down with water no hotter than 40 °C.
Jiguanglan probiotic
30 minutes after lunch
Twelve probiotics and four prebiotics in the composition. Dissolve in water no hotter than 37 °C or swallow the capsule whole.
Dietary fibre
30 minutes before dinner
Dissolve in water at about 60 °C; a meal follows half an hour later. Two sachets may be split between morning and evening — what matters is taking both within the day.
Water temperature — do not mix them up
| Product | Water | Dilution |
|---|---|---|
| Microbiota | Warm, no hotter than 40 °C | Do not dilute |
| Probiotic | No hotter than 37 °C | Dissolve |
| Fibre | About 60 °C | Dissolve |
The probiotic and the fibre must not be mixed in the same hot water.
Probiotic and fibre doses by stage
| Stage | Duration | Probiotic | Fibre |
|---|---|---|---|
| Colonisation | 6 days | 1 capsule a day | 1 sachet a day |
| Maintenance | 27 days | 2 capsules a day | 2 sachets a day |
| Second month | 30 days | 2 capsules a day | 2 sachets a day |
What an intake day looks like
- 1
In the morning on an empty stomach — the microbiota. If there is no stool, emptying is assisted first.
- 2
After intake one must not sit down or lie down straight away: 20–30 minutes of activity or walking.
- 3
A meal 1–2 hours later, soft and easy to digest.
- 4
30 minutes after lunch — the probiotic.
- 5
30 minutes before dinner — the fibre.
If the child resists, the product is given with a syringe in small portions of 2–3 ml towards the throat; it must never be directed into the nose because of the risk of choking. On the first day the coordinator or interpreter comes over and helps set up the first intake.
Throughout the course
Nutrition is part of the treatment
A gentle diet begins the moment the transplant is decided. The menu widens in stages: the first days are the strictest, then the list of allowed foods grows.
General rules for the whole period
- Light, easily digestible food with minimal irritation of the gut.
- Avoid cold, fatty, spicy and fried food.
- Less gluten — wheat, barley, rye, oats, bran: it feeds pathogenic bacteria.
- Limit dairy: casein and lactose are poorly absorbed.
- Limit sugar and starch — they feed yeast fungi.
- Avoid processed food with trans fats.
- Drink at least 1.5 litres a day, up to 2 in hot weather, in small portions and often.
Three stages of the menu
1
Transplant period
Days 0–7
The gentlest stage: soft, warm, low-residue food.
- White rice congee, well-cooked noodles, white rice, millet porridge — with minimal oil
- Steamed egg custard, soft tofu, fish or chicken breast purée, low-fat yoghurt without sugar
- Well-cooked vegetables, preferably puréed: pumpkin, carrot, potato, spinach
- Apple purée, ripe banana
- Warm water, light rice broth, lactose-free milk
- Strictly avoid raw and cold food, fatty, spicy, coarse fibre and gas-forming products
2
Medium-term care
Weeks 1–4
The menu widens gradually.
- A little grain porridge — oats, brown rice; a little wholegrain bread
- Eggs, fish, skinless poultry, lean beef, soy products
- Lightly stir-fried or steamed vegetables: broccoli, cauliflower, courgette, lettuce
- Prebiotics: yam, lotus root, Jerusalem artichoke, a little onion and asparagus
- Probiotics: unsweetened yoghurt, kefir, fermented milk
- Fruit: apple, pear, papaya, a few blueberries
3
Long-term care
After the first month
The stabilisation stage.
- Emphasis on fibre: whole grains, legumes, root vegetables and tubers, a variety of vegetables
- Regular fermented foods: yoghurt, lightly salted vegetables, natto
- Good fats: olive and flaxseed oil, fish oil
- Nuts and seeds in moderation: pumpkin seeds, ground chia seeds
What is not allowed
- Sugar and sweets: candy, cakes, fizzy drinks, chocolate, milk tea
- Gluten: wheat, barley, rye, oats, ordinary bread, biscuits — especially in the early stages
- Dairy: cow's milk and dairy products, except lactose-free and fermented ones by stage
- Fatty and fried food: chips, grilled chicken, crisps
- Spicy and irritating food: chilli, curry, garlic, onion
- Raw and cold food: iced water, ice cream, raw vegetables, cold salads
- Coarse fibre in the early stages: brown rice, corn, wholegrain bread
What to add for constipation
- Prunes, dragon fruit, ripe kiwi, pear
- Pumpkin, sweet potato, juicy vegetables such as cucumber
- Enough fluid
- Clockwise belly massage around the navel for 5–10 minutes, 2–3 times a day
Allergens
Milk, eggs, soy, nuts and seafood are given only when an allergy is definitely absent; in case of doubt they are excluded. The clinic recommends a food intolerance test before the transplant, and if that is impossible, a careful review of past reactions. When there is no allergy, the clinic recommends shrimp as a protein source: finely chopped and cooked until soft.
The lists of allowed and forbidden foods for each stage are handed over before intake begins. The clinic checks nutrition from photos in the chat group and answers questions about substitutions there.
Throughout the course
Incompatible medicines
Microbiota consists of live bacteria. Some medicines kill them or stop them settling in, so for the course they are stopped or spaced out in time. Any decision about medicines is made by the doctor.
When to stop intake
With fever, pronounced diarrhoea, blood in the stool or severe bloating — stop intake immediately and contact the clinic's doctor.
What is stopped for the transplant period
- Antibiotics — penicillins, cephalosporins, fluoroquinolones, gentamicin, as well as antifungal and anti-tuberculosis drugs: they kill the transplanted bacteria too.
- Heartburn and stomach medicines — proton pump inhibitors: omeprazole, lansoprazole, rabeprazole, pantoprazole, esomeprazole and similar.
What must not be given on your own
- "Warming" traditional Chinese medicine remedies
- Antibiotics
- Laxatives — they distort the result and interfere with the course
- Other supplements without agreement from the doctor
If everyday medicines are needed
- Consultation first: before any medicine, supplement or vitamin — speak to the clinic's doctor.
- Necessary everyday medicines and supplements are taken 1–2 hours apart from the microbiota so that they do not collide.
Every day
Daily monitoring
From cleansing to the end of maintenance, stool and meals are recorded every day and sent to the clinic's chat group. The doctor follows the dynamics from this data and adjusts the scheme.
What to record
- Stool: consistency on the Bristol scale, colour, how many times
- Method: unassisted or with suppositories and enemas
- Nutrition: photos of meals
- Products: intake of microbiota, probiotic and fibre
- Condition: wellbeing, mood, sleep, activity
Daily care
- Clockwise belly massage around the navel for 5–10 minutes, 2–3 times a day: in the morning, before sleep and an hour after meals
- Around 1.5 litres of fluid a day, up to 2 in hot weather, in small portions
It helps to add a short caption to the photos: the type on the scale, the colour, how many times, unassisted or with help. Sending them at the same time each day makes the dynamics clearer.
The Bristol stool scale
Types three and four are normal.
- Type 1Separate hard lumps, like nutsConstipation
- Type 2Sausage-shaped but lumpy and hardConstipation
- Type 3Sausage-shaped with cracks on the surfaceNormal
- Type 4Sausage-shaped, smooth and soft, banana-likeNormal, ideal
- Type 5Soft blobs with clear-cut edgesTending towards frequency
- Type 6Mushy, fluffy, without shapeDiarrhoea
- Type 7Watery, without solid piecesDiarrhoea
The first weeks
What counts as normal and what is a reason to call
Temporary reactions are possible after the transplant — usually mild and self-limiting. Some of them are not a complication but the body rebalancing around the new microflora.
Usually pass on their own
Common reactions
- Discomfort and bloating, gas
- Diarrhoea or constipation, changes in stool
- Occasionally nausea or vomiting, a brief rise in temperature
- In children with developmental delay, constipation, bloating and diarrhoea are frequent; stool usually settles by the first week
One to two weeks
The gut–brain rebalancing
During the first days and weeks the child may become more excitable. This is not a complication but an expected phase of rebalancing — particularly in autism.
- When many beneficial bacteria arrive, the harmful ones die off and briefly release toxins — hence gas, changes in stool and emotional swings
- At the same time neurotransmitters are re-tuned: the brain receives more signals, which shows up as higher activity and stronger emotions
- This usually lasts one to two weeks and then settles by itself
Immediately
Stop intake and contact the doctor
- Fever, pronounced diarrhoea, blood in the stool or severe bloating
- Behaviour that keeps deteriorating for more than two weeks
- Any other worrying or unusual symptoms
All reactions are reported to the clinic's chat with photos of the stool, and the doctor advises what to do. Mild reactions in the first weeks are no reason to abandon the course, but worrying symptoms should not be endured either. The clinic's consent form separately mentions the risk of the product entering the airways when a syringe is used — which is why body position is watched — and theoretical changes caused by microorganisms science has not yet studied: a standard caveat for any biological transplantation.
The second month
Maintenance
The microbiota is already in place — the task now is to help it settle. Daily drops are usually no longer given: the basis is the probiotic, the fibre and a gentle diet. The clinic draws up the plan and doses after the first stage, looking at stool, emotions and overall changes.
The medicine restrictions are the same: no antibiotics or heartburn medicines without the doctor's agreement, and necessary everyday medicines 1–2 hours apart. The stop signals are unchanged: fever, pronounced diarrhoea, blood in the stool, severe bloating.
What changes
- Fibre is now given 30 minutes before breakfast rather than before dinner. This is a deliberate change of scheme, not a mistake.
- The probiotic stays as before: 30 minutes after lunch, water no hotter than 37 °C.
- Stool is restored naturally: morning suppositories and enemas are no longer used.
- Fibre is increased gradually, with soluble fibre preferred; coarse fibre remains limited for now.
- Photos of stool and meals still go to the clinic's chat group every day.
A repeat transplant
Sometimes during the month the clinic schedules a second transplant to consolidate the result. The decision and the timing are set by the clinic based on the first stage.
What travels home
The microbiota stays in China — these are live bacteria. Only the probiotic and the dietary fibre can be taken home, and the clinic issues a document for them. The handover of the second month's products is arranged in advance, while still in the transplant period.
Additional nutritional support
Functional nutrition is not a form of FMT and does not replace the course. After an assessment, a doctor may discuss additional support separately.
View productsHow much it costs
Two packages — basic and extended. They differ in the form of the product, the length of maintenance and whether the microbiota analysis is included. A separate page shows what each one covers and what the additional tests cost.
See pricing