In essence, the bacteria gorge on the Xylitol which they can't digest. Think of them as soldiers who are now too stoned or drunk to defend themselves, and can be defeated by your natural defense factors such as lysozyme. Now, these impaired bacteria can be easily swept away.By delivering Xylitol in the pulsatile irrigator, you significantly lower the bacterial load so that your natural healing takes place to get rid of remaining bacteria.

Xylitol has many advantages. It is inexpensive-about five dollars a pound, it is sold in most health food stores, it has no side effects on the patient, and doesn't change bacterial resistance to antibiotics. Just as you can use Xylitol daily to sweeten your tea, similarly you can use it daily for nasal/sinus irrigation.In my practice I have my patients make a 1% Xylitol/Saline solution.Add 500 cc (about one pint) of bottled or distilled water to the irrigator bowl. Add one teaspoon of salt or one packet of enhanced saline such as Breathe.ease XL. Then add two teaspoons of Xylitol. This makes a 1% solution of Xylitol.

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