Physician-Directed Medical Care in California

Purety Clinic provides fecal microbiota transplantation (FMT) as a medical service for patients with recurrent or refractory Clostridioides difficile (C. diff) infection who have not responded to standard antibiotic therapy.

All FMT services are ordered, supervised, and overseen by licensed physicians and are provided in a clinical setting following a comprehensive medical evaluation.

Medical Indication

FMT at Purety Clinic is offered exclusively for the treatment of:

• Recurrent Clostridioides difficile infection

• Persistent or refractory disease following appropriate antibiotic treatment

• Patients determined by a licensed physician to be appropriate candidates

FMT is not provided for non–C. diff conditions, general digestive complaints, or wellness purposes.

Physician Oversight and Clinical Responsibility

FMT services at Purety Clinic are conducted under the authority of a licensed physician.

Medical Director / Supervising Physician

• Alister A. George, MD
  Gastroenterology
  Licensed in the State of California

The supervising physician is responsible for:

• Patient evaluation and eligibility determination

• Review of medical history and prior treatments

• Ordering FMT when medically appropriate

• Oversight of treatment delivery and follow-up care

Physician licensure is verifiable through the California Medical Board.

Care Team

Patient care may involve a multidisciplinary clinical team.
All clinical services related to FMT are provided under physician supervision.
Jonathan Birch, NMD will be involved in patient support and care.

Non-physician clinicians, when involved, do not independently determine eligibility for or provide FMT.

Treatment Methods

The method of FMT administration is determined by the supervising physician based on clinical appropriateness and patient-specific factors. Available delivery methods may include:

• Oral capsules

• Enema

• Colonoscopy

• Liquid ampules

Not all methods are appropriate for every patient.

Patient Evaluation Process

FMT is provided only after a structured medical evaluation, which includes:

• Consultation with a licensed physician

• Review of relevant medical records

• Discussion of risks, benefits, and alternative treatment options

• Informed consent prior to treatment

FMT is offered only when medically appropriate and in accordance with current clinical standards.

Donor Screening and Safety

Donor material used for FMT is subject to established safety and screening protocols.

Screening procedures include:

• Donor medical history review

• Infectious disease testing

• Exclusion criteria designed to reduce potential risks

Patient safety and infection prevention are central to all aspects of care. See our donor screening and considerations document here.

Regulatory Information

Fecal microbiota transplantation is regulated by the U.S. Food and Drug Administration (FDA).

FMT for recurrent Clostridioides difficile infection that has not responded to standard therapies is commonly provided under FDA enforcement discretion, with informed patient consent.

Purety Clinic follows applicable FDA guidance and current clinical best practices.

Risks and Considerations

FMT is a medical procedure and may involve risks, including gastrointestinal symptoms, infection, or other complications.

Patients are informed of known risks and alternatives and are encouraged to discuss questions with their supervising physician prior to treatment.

Clinic Information

Purety Clinic
2323 Oak Park Lane Suite 102
Santa Barbara, CA 93105
Phone: (805)500-8300
Email: puretyclinicfmt@gmail.com

All patient information is handled in accordance with HIPAA privacy regulations.

Important Notice

The information provided on this page is for educational purposes only and does not replace professional medical advice. Treatment decisions are made between patients and their licensed healthcare providers.