eveheart, I'm not a physician and I can't promise anything, but thyroid issues and immune system modulation are a couple things that RS is supposed to help with. Part of the Old Friends Hypothesis is that the good bacteria are well adapted to calm down the immune system (so it won't kill them) because they have been with humans for millions of years, IIRC.
It's true that we do need more data. While some of the early results are concerning, maybe we'll get lucky and it will turn out that VLC is not that much of a risk factor for poor microbiome after all. I'm looking forward to seeing more findings from the American Gut Project and I'm covering my bases and planning on asking my physician if this is something that I can get checked out, given my history of VLCing and antibiotics. I found a local medical practice that does such a test, according to the Lab company, and it was a nice coincidence that it was the practice I was already interested in.
If my microbiome is messed up, the next question will be what to do. If I have some real baddies they'll probably want to give me antibiotics. My guess is that it will be quite suboptimal but not a big amount of any serious pathogens. Maybe I'm just being optimistic, though. I'm hoping that RS will be sufficient and that I will be able to track my progress. Or maybe the result will at least be good enough that I can avoid antibiotics and wait for the fecal bacteria pills that are being developed to become widely available.
If my results are really good, then that will mean my current remaining symptoms are still largely a mystery, unless the docs come up with some other explanation. Luckily, I don't think I have a serious autoimmune issue like some folks are reporting. My improved body temperature, pulse and FBG seem to make that unlikely.