You finished the antibiotics and the UTI came back, and Ruth Kriz, a nurse practitioner who specializes in chronic UTI and interstitial cystitis, is increasingly convinced ammonia is a huge player in recurrent UTIs. She has 35 years in the interstitial cystitis community, including a funded national study presented at an NIH technical conference. In Part 2 she explains how ammonia that concentrates in your bladder overnight may raise urine pH, damage the bladder lining and help biofilms hold on, and what a first morning urine pH above 6.0 may be telling you. I also ask her why cranberry juice can stop helping and why she thinks BV is a misnomer. Part 1 links are below the chapters. Key Insights: ✅ High Ammonia May Raise Urine pH ✅ Ammonia May Help Biofilms Stay Stable ✅ Mold Toxins May Disrupt Nighttime Urination ✅ Cranberry Juice Can Stop Helping Over Time ✅ BV May Involve More Than Gardnerella ✅ Men's UTIs May Start in the Prostate Chapters: 00:00 Could Ammonia Be Feeding Your Recurrent UTIs? 03:36 How Ammonia May Damage Your Bladder Wall 05:43 Why Chronic UTI Treatment Needs a Personal Plan 08:26 What Should Your Morning Urine pH Be? 10:42 Fullscript (Sponsor) 11:27 Is Specialized UTI Testing Worth the Cost? 14:38 What Does an At-Home UTI Test Check? 17:37 Why BV May Be a Misnomer 21:05 Is Your Vagina Really Self-Cleaning? 25:02 How to Make Bladder Instillations Easier at Home 27:52 Can Old Antibiotics Work Again After Biofilms? 30:09 Why Some UTI Antibiotics Work Better 33:48 Should You Take Probiotics With Antibiotics? Missed Part 1? Watch or listen here: Apple: https://tinyurl.com/3d97tva8 Spotify: https://tinyurl.com/5x2cyp9y YouTube: https://tinyurl.com/4rcc2df4 👤 More From Ruth Kriz Website: https://ruthkriz.com/ 👇 More From Shivan Sarna 👇 🎓 Free SIBO Webinar with Shivan Sarna and Dr. Allison Siebecker Join the current free live webinar on understanding where you are with SIBO and how to think about what comes next. 🔗 Register for the free webinar: https://sibosos.com/podcast-next 🧭 SIBO Navigator A four-month SIBO education and navigation program with Dr. Allison Siebecker and Shivan Sarna. Includes the SIBO Recovery Roadmap® course, the SIBO Algorithm, a masterclass library, AI search tools, and eight live Q&A sessions over four months. 🔗 Learn more about SIBO Navigator: https://sibosos.com/podcast-sibonavigator 💊 Dr. Allison Siebecker’s Fullscript Dispensary Shop over 15,000 practitioner-grade supplements, explore Dr. Siebecker's curated wellness plans, and enjoy exclusive pricing. 🔗 Access Dr. Siebecker’s Fullscript Dispensary: https://sibosos.com/podcast-fullscript 🦠 SIBO SOS Looking for answers to bloating, IBS, constipation, diarrhea, or SIBO? Explore free resources, expert interviews, educational courses, coaching programs, and trusted recommendations to support your gut health journey. 🔗 Learn more about SIBO SOS: https://sibosos.com/podcast-sibosos Microbiome Labs, home of MegaSporeBiotic™ Use code NOBLOAT15 to save: https://sibosos.com/podcast-microbiomelabs PureO3 - Ozone at home and ozone beauty products Use code 7SS to save: https://sibosos.com/podcast-promolife The Women’s Health Rescue Summit: https://sibosos.com/podcast-whrs The New Science & Wisdom of Menopause Summit: https://sibosos.com/podcast-menopause-summit Lymphatic SOS & Rescue Summit: https://sibosos.com/podcast-lymphsummit Whole Body Dental Rescue Summit: https://sibosos.com/podcast-whole-dental The Gut Rescue Summit: https://sibosos.com/podcast-gut-rescue Visit Shivan’s Website: https://shivansarna.com/ Follow Shivan on Instagram: https://www.instagram.com/shivansarnaofficial/ This episode is for general information only and is not medical advice. Nothing here is intended to diagnose, treat, cure or prevent any condition. Talk to your doctor before making changes to your care. #recurrentuti #chronicuti #bacterialvaginosis #theshivanshow #shivansarna #ruthkriz

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