I will not offer a therapy I have not tried myself so I did, with the help of Dr. Llamas, a fecal enema today. 20ml of filtered material diluted with 20ml of distilled water. This is much less material than the 150ml I see in the scientific papers but it represents 20 capsules which has had a strong effect so I wanted to be on the cautious side. A little anxious at the prospect of the enema but it wasn't bad. Like most things what is imagined is much worse than the actual experience. Here is my notes to Dr. Llamas the following day:

 No problems today. Went for a six mile run this afternoon (4:00PM) and had to go the bathroom after. It was a liquid and definitely donors's material. Took a long nap, which I do when I take two capsules and feel tired. Some gurgling and some tightness in abdomen after meal but that is it.

I am not a big fan of the bottom up route. I consider top down to be a much more natural interaction so unless there are dramatic improvements I will continue with top down. I believe it was good to have the experience so that I can better understand what clients will be feeling but I do not see this as something I will be doing a lot.