I think it mostly means that your aerobic species are down in population. The positive down from heavy to moderate, and the negative down from heavy to absent.
This could indicate dysbiosis, but someone more informed than me as to what a healthy balance look like would have to interpret. I am not in a position to say if it sounds like bad dysbiosis.
Also, there is some evidence from FMT studies that the anaerobic are the most important for IBS/IBD, and these types of stool tests grow cultures in the presence of oxygen, so they do not speak to anaerobic at all.
I hope you get more info after talking with you doc, but I also would not put too much worry on one test of aerobic species.
Post Edited (DBwithUC) : 12/9/2019 12:45:46 PM (GMT-7)