Totally agree with what you’re saying about better treatment for HIV

I would also add there is better treatment for AIDS as well.

For example. One of the complications of AIDS can be PJP. Basically a weird organism that we generally never see causing a pneumonia elsewhere. If you were in the 80s and came in for a pneumonia. You would probably get something like cefotaxime plus clarithromycin. This wouldn’t treat PJP. Normally we treat PJP with high dose sulfamethoxazole and trimethoprim.

My point here is that even if someone doesn’t get treatment for HIV that when their immune system eventually becomes ravaged we know better what we are treating and how to treat it. At the start of the HIV/AIDS epidemic, we didn’t know what the virus was or what complications it caused. Now we know the pathway of aids and how better to treat it

You aren’t actually going to flush out the bacteria by flushing out fecal matter. Obviously you will lose some. But you’re still going to have lots and lots adhered to your gut walls. Your gut wall has lots of folds in it to increase surface area. Bacteria are going to hide in these books and crannies. And well as are adapted to adhering or sticking to your gut wall.

Generally bacteria biomes in the gut change when you kill them off with antibiotics. Or they slowly change over time with a chronic disease like diabetes.

But flushing your system clear with a laxative should have a much smaller effect