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Dr. Margo Roman has been practicing integrative veterinary medicine since 1978. She started her own hospital in 1983, was the first woman to complete the IVAS acupuncture course, and has spent the last 30 years raising seven generations of antibiotic-free donor dogs on seven organic acres in Massachusetts. She did not call it FMT. She called it Microbiome Restorative Therapy, and the distinction matters.
In this episode, Dr. Lily Chen sits down with Dr. Roman to talk about why terrain preparation changes everything, how medical ozone works alongside microbiome restoration to break down biofilm and oxygenate the gut before a transplant, and what happens when you stop just throwing poop at a problem and actually rebuild the environment it needs to survive in. They also talk about a parvo case that turned around in an hour and a half, a human story that will stop you in your tracks, and what 48 years of refusing to give up on a patient actually looks like in practice.
KEY INSIGHTS
- Dr. Roman coined the term Microbiome Restorative Therapy because FMT alone misses the point. If the gut terrain is not prepared to receive and sustain the transplant, it will not take.
- Medical ozone administered rectally before a transplant breaks down biofilm, hyperoxygenates the colon, and stimulates mitochondria in the columnar stem cells of the gut wall, giving the new microbial community a cleaner surface to colonize.
- The reason human FMT protocols historically used vancomycin and metronidazole before transplant was to clear the gut. Ozone achieves a similar result without destroying the beneficial bacteria that take the longest to come back.
- A nine-month-old husky puppy arrived unconscious, white as a sheet, with blood pouring from its rear end from parvo. After rectal ozone, FMT, nutraceuticals, and subQ saline, it was sitting up and wanting to eat within an hour and a half. The only dog in that outbreak that died did not receive ozone or FMT.
- Dr. Roman's donor dogs have never received antibiotics across 30 years and seven generations. They are rated among the highest in microbial diversity in the country. Her MBRT-7G capsule blends material from four generations of donors in a single dose.
- Fresh donor material consistently outperforms frozen in clinical results. Metabolites, bile acids, and live anaerobes that do not survive freeze-drying appear to play a meaningful role in engraftment success.
- Antimicrobial resistance is now responsible for 1.2 million human deaths per year globally. Veterinarians are part of that conversation whether they choose to be or not, and terrain-based medicine is one of the most direct answers available.
RESOURCES
MASH Veterinary Clinic: https://www.mashvet.com
MBRT Life: https://www.mbrt.life
The Miracle of the Microbiome by Dr. Margo Roman: https://atouchoflifembrt.square.site/
AHVMA (American Holistic Veterinary Medical Association) https://www.ahvma.org
CIVT (College of Integrative Veterinary Therapies) https://www.civtedu.org
Chi University https://chiu.edu
IVAS (International Veterinary Acupuncture Society)
CONNECT WITH DR. MARGO ROMAN
Facebook: Margo Roman
Instagram: @Drmargoroman
CONNECT WITH DR. LILY CHEN
Instagram: @dr.lilychen @the.unicorn.vet
Threads: @the.unicorn.vet
LinkedIn: Lily Checn DVM
INTEGRATIVE PET WELLNESS CENTER: https://integrativepet.com
UNICORN ACADEMY: https://theunicorn.academy
LinkedIn: The Unicorn Vet
JOIN OUR NEWSLETTER: https://theunicornvet.kit.com/vetsignup
Real science. Real cases. And a little magic.
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