What Do You Suggest For Recurrent Urinary Tract Infections?

Everyone knows about cranberry juice for Urinary tracy infections (UTI’s), but I have always had a problem with recommending it because the juice has too much sugar. Now the active ingredient in cranberries, mannose, comes as a supplement. It is still relatively unknown as a supplement, (especially in the conventional medical community), and I have found it to be extremely effective for many UTI’s. It is called D Mannose and there have been many research reports over the years demonstrating it’s safety and effectiveness against E. coli, the commonest bacteria causing UTI’s. It is 10-50 times stronger than cranberry juice and works usually within 24-48 hours. Unfortunately the large drug companies have no incentive to spend the millions of dollars it would take to do the large-scale controlled study which would be required for FDA approval, because it cannot be patented.

D-mannose does not kill the E Coli, rather it prevents it from sticking to the bladder wall and it dislodges bacteria that are already attached. The bacteria attach to the D-mannose molecules, and are flushed out with the normal urine flow.

Recommended dosage for infection:

The recommended dosage for an ongoing infection is one teaspoon of D-mannose dissolved in liquid every few hours, continued for three days. Most women with E Coli infections respond within 24 hours. If no change is noticed within 72 hours, you should consult your Physician. (as it may be that the infection is caused by a bacteria other than E. coli).

For those women who suffer from “honeymoon cystitis” (bladder infections linked to sexual intercourse), one teaspoon of D-mannose an hour before intercourse, and another immediately after, can help prevent infection.

And for those who suffer from recurring infections. The maintenance dose varies per person, but a good starting point is one teaspoon per day mixed with liquid.

Safe for diabetics, pregnant women and young children.:

As opposed to antibiotics, D-Mannose does not kill the good bacteria in your gut or, so it won’t make you more prone to a yeast infection. Even though it is a natural sugar, it does not affect sugar regulation as it is not metabolized and goes to the kidneys and then bladder, where it works. It is safe for diabetics, pregnant women and young children.


For Dr. Frank Lipman, health is more than just the absence of disease: it is a total state of physical, mental, emotional, spiritual and social wellbeing. Dr. Lipman is a widely recognized trailblazer and leader in functional and integrative medicine, and he is a New York Times best-selling author of five books, How To Be Well, The New Health Rules, 10 Reasons You Feel Old and Get Fat, Revive and Total Renewal.

After his initial medical training in his native South Africa, Dr. Lipman spent 18 months working at clinics in the bush. He became familiar with the local traditional healers, called sangomas, which kindled his interest in non-Western healing modalities.

In 1984, Dr. Lipman immigrated to the United States, where he became the chief medical resident at Lincoln Hospital in Bronx, NY. While there, he became fascinated by the hospital’s addiction clinic, which used acupuncture and Chinese medicine to treat people suffering from heroin and crack addiction. Seeing the way these patients responded so positively to acupuncture made him even more aware of the potential of implementing non- Western medicine to promote holistic wellbeing. As a medical student, he was taught to focus on the disease rather than the patient, and now as a doctor he found himself treating symptoms rather than the root causes of illness. Frustrated by the constraints of his training, and the limitations in helping his patients regain true health, he began a journey of discovery to search for the path to meaningful long-term health and wellness.

He began studying nutrition, acupuncture, Chinese medicine, herbal medicine, functional medicine, biofeedback, meditation, and yoga. Dr. Lipman founded the Eleven Eleven Wellness Center in 1992, where he combines the best of Western medicine and cutting edge nutritional science with age-old healing techniques from the East. As his patient chef Seamus Mullen told The New York Times, "If antibiotics are right, he'll try it. If it's an anti-inflammatory diet, he’ll do that. He’s looking at the body as a system rather than looking at isolated things."

In addition to his practice, Dr. Lipman is the creator of Be Well, an expanding lifestyle wellness brand he founded in 2010 to help people create, sustain and lead healthier lives.