If it comes to it, for what it's worth, my second line of treatment will be promacta. My last counts after a week of 5mg prednisone were 180 so I was right in the normal range. I'll be interested to see what those numbers look like on Monday after being off Prednisone. If I go back down below 30 it will be promacta.
I'm with Chad, though. I've always been on a Keto diet but I think I want to start doing Whole 30 which is basically just foods that are not processed, no sugar at all, really. Also I'm doing OMAD - one meal a day. But my OMAD is improvised because I have a multivitamin in the AM with 45g of collagen protein. Another 45 mg of collagen protein at lunch, and then my one meal in the evening which is a protein, and a natural carb like potatoes or quinoa or something.
One thing I plan on doing if my platelets normalize after being off prednisone is a keto diet for about 5 days until I get into ketosis, and then a 3 day water fast (
peterattiamd.com/ama13/), just to sort of reset my system, get into a state of autophagy and then back to the OMAD Whole 30 program on a clean slate.
Also I've been taking prebiotics (fiber, basically) and probiotics as mentioned earlier in this thread.
Like Chad, I don't know what impact any of this will have on ITP but I'd be doing it regardless just because it's a healthy way to live.