Category: health care

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Individual Nutrition assessment – an example chart note

What is health care? What is included in an individualized health care appointment?

The answer varies with the type of specialist you are seeing – and what they are allowed to do within their facilities’, or the individual’s insurance plans protocols.

My nutrition counseling experience was in prenatal/early childhood, and residential (nursing home) facilities.

Chart notes would be written for high risk clients when working in either role. Occasionally the nutrition assessment and recommendations note would be sent to the physician directly if very high risk.

As a preventive health focused prenatal/early childhood counselor, or for residential facility chart review (nutrition assessments of all nursing home residents considered high risk nutritionally, occasionally would include an in person visit with the resident to visually observe and ask further questions about their health and diet symptoms.

Patients typically do not see a chart note. They might be given the ‘Problem’ and ‘Assessment’ sections as an action list of recommendations on a simpler handout. The medical chart has a Care Plan section where recommendations for a daily change in care might be added – such as adding a high protein snack in the evening.

I would typically spend a half hour to an hour per client and writing a good note might take an additional 15 minutes. Current insurance standards have been set which limit physicians to 15 minutes per patient appointment – and only scheduling/discussing one symptom per appointment. That would make a differential diagnosis fairly impossible.

  • The entirety of a person’s symptoms – and what makes the problems worse, and what seems to improve things – is what provides clues to the underlying issues that may have led to the increased inflammation and/or decreased function.
  • Health is a balance of not too much inflammatory response -> autoimmune or allergies – or too little -> rampant infection and catching every cold.
  • Health is also a balance of enough nutrients and not too many toxins to cope with, whether from air, water, food, or touch, or from internal production of stress chemicals caused by emotional or physical stress.

Autoimmune issues are particularly challenging because many odd symptoms can occur, and more than one type of autoimmune antibody may be involved – not just one ‘autoimmune disease’ – several. Low vitamin D makes autoimmune issues more likely to occur, and low magnesium can make low vitamin D more likely – even with supplements of vitamin D.

Low magnesium also increases inflammation symptoms, pain, and anxiety, depression or anger and irritability.

A physician might look at my example note (below) and think: ‘but this is not my field‘ — exactly — please refer to the specialist – a registered dietitian or clinically trained nutritionist. Caution, there are many ‘nutrition certification’ programs online which are not equivalent to a college education, internship, and the equivalent of a lawyer’s Board Exam.

The client gave permission to share the write-up for educational purposes or maybe to help someone. Patients know that pain hurts, and that health is better. Too often I hear from physicians something like ~ ‘we don’t know what is causing this, … so the patient will probably die‘ – but it is regarding symptoms that likely involve nutrient deficiency.

Even sick patients need to eat or be fed and their nutrient needs are likely increased, or decreased, due to the illness, for a few specific nutrients affecting or being used in excess by the underlying issue. Telling a patient there is no hope is providing a nocebo – a negative expectation. Saying “I don’t know,” – when that is the true situation – would at least not be setting up a roadblock for the patient to seek further information or a second opinion.

If in reading my example chart note*, as a physician, you think, ‘but this is not my field‘ — exactly — you are correct – but it is the patient’s whole health that matters, not just symptoms that may be temporarily controllable by medications.

SOAPE note

The SOAPE chart note* below, is an extended version compared to what would be likely to be written in a patient chart. SOAPE note: Subjective, what the client said; Objective, what the clinician observed; Assessment; what the clinician believes may be underlying issues; Problem/Plan, recommendations being made by the clinician; Evaluation – an opinion statement about the likelihood of positive change, based on the overall attitude or motivation the client is presenting and social factors that may impact the client positively or negatively.

I included extra information that might be in a report to the client, with the education they might need to understand the reasoning for the recommendation, or how to proceed. Complex strategies can take several weeks of a class like setting possibly with cooking and tasting demonstrations. My web pages and posts try to provide self care guidance so a motivated learner could just try things and see if they help.

I added some additional info links for the version in this post, to pages or posts that provide some next step guidance, Gluten Free diet? what is that? The products on the market are not ideal suppliers of nutrients in my personal and professional opinion and learning how to bake gluten free can be healthier and less expensive for the nutrient value. My websites are my file cabinet of patient handouts, some of it.

While working as a public health nutrition counselor I did occasionally write a very thorough note for someone with a complicated case, and send it to the client’s physician on their or their child’s behalf.

Nutrient deficiencies can lead to death (niacin/pellagra example) – and can turn around dramatically very shortly after the nutrients and any cofactors are provided (nutrients are a team – refeed gradually and in balance).

Sometimes nutrition care is a life or death situation. Continue the nutrient deficiencies and deterioration can be rapid, and death can be the result. Niacin deficiency, pellagra, has a nickname for symptoms – the four D’s: “Pellagra defines systemic disease as resulting from a marked cellular deficiency of niacin. It is characterized by 4 “D’s”: diarrhea, dermatitis, dementia, and death.” (1) If there is severe lower leg rash and edema – suspect a B vitamin deficiency.

Nutrition assessment

Subjective:

  1. CoV like symptoms, mild, ~ early outbreak mid 2020, left a new problem, 2. swollen throat, reflux like pain/not quite reflux though, flair up of CoV symptoms again later when family had it 2021, again not too bad. 
  2. Swollen throat symptoms – has had labs showing autoimmune thyroid condition.
  3. Thyroid symptoms had improved a year or so earlier after stopping use of wheat/gluten and dairy. Recently started using ginger tea for the throat problem and it sooths. Hasn’t used long term, recent addition. 
  4. Reading about eosinophilic esophagitis did not sound like the problem. 
  5. Reading about histamine/MCAS symptoms did sound like it might be a problem. Tomato/salsa particularly, chicken causes congestion. Likes to drink orange juice.

Objective:

  1. Pale complection, may suggest magnesium deficiency/low vitamin D, low level anemia of chronic inflammation possibly.
  2. Throat visibly enlarged in pattern of enlarged thyroid gland 

Assessment: 

  1. CoV, even with mild symptoms, may have increased autoimmune antibodies, or created new types. Pale complection may suggest magnesium deficiency/low vitamin D, low level anemia of chronic inflammation possibly.
  2. Enlarged thyroid gland would be likely to cause difficulty swallowing at times, particularly if a food flair of the underlying autoimmune antibody sensitivity. (The thyroid gland presses inwards also and can narrow the throat significantly – *personal experience from also being an autoimmune thyroid patient, swallowing a large supplement can be very painful, and may feel stuck even.)
    1. Eosinophilic esophagitis might also be adding to swallowing symptoms if early stages, wouldn’t be causing as severe reflux symptoms as a more advanced case which is more likely to be what is described in articles about the problem. Food sensitivities are the most frequent cause and include gluten, dairy, eggs, and other common food sensitivity foods.
  3. Autoimmune thyroiditis can be a gluten molecular mimicry problem – the thyroid hormone chemically is similar to the gluten molecule. 
  4. Autoimmune antibodies to other food chemicals might also flair up an underlying autoimmune overactive eosinophile problem, white blood cells. Ginger contains a chemical similar to albumin and an egg sensitivity might be triggered by a sudden increase in use of ginger – or chicken – or eggs, or any animal product containing albumin. *also learned from personal experience – this can be a significant problem – I developed sensitivity to eggs and gradually realized I needed to exclude all sources of albumin or my symptoms would flair up again (non healing rash, not quite eczema – more wounds, lack of skin regrowth).
    1. An apparent ‘wheat/gluten’ sensitivity might be an albumin sensitivity, see one of my early posts with the information about plant albumin in wheat and ginger: Wheat is rich in albumin – so are ginger and egg whites.
  5. Histamine sensitivity seems a problem worth working on by decreasing trigger foods. Orange juice could be an additive problem food. The total load is part of the problem but even small amounts can set off the allergy cells that increase inflammatory cytokines and pain/inflammation signals – swollen, itchy, sore throat, dry eyes, but it can also effect mood when a more severe problem – extreme anxiety and fear, or out of control, hyper-excitable.

Problem:

  1. Elevated iron and symptoms of anemia of chronic inflammation may be a lingering CoV effect or of autoimmune conditions – it can be common to have several types of autoimmune antibodies also, and there has been cases of LongCovid where autoimmune antibodies were found. The spike lodges in a receptor and antibodies are made against the receptor, instead of against spike.. 
    1. Iron chelators may help mitigate chronic inflammation damage, restore energy level if that is a problem. The quercetin is one, continue regularly, opposite the niacin protocol if following that., or eat more of the good plant sources of a few, EGCG, pomegranate peel, green tea, oregano, olive leaf extract, there are many see the Iron chelator section of this Resources & Iron Chelators list. 
    2. Epsom salt soaks for a topical source of magnesium, help immune function, energy level, fluid balance. Continue if already using or start 1-3 times a week.
    3. Sunshine or Full spectrum light 20-30 minutes per day and or a moderate dose vitamin D3 ~ 600-1000 IU. 
    4. Avoid glyphosate residue. Consider supplementing with DMG, dimethylglycine, bulk powder, 1/2 spoonful once or twice a day in water or with a little juice and water. (too much juice is not really good for us).
  2. Thyroid problems in the modern world are likely related to excess fluoride and bromide and too little iodine. Cautiously increasing iodine and 200 mcg selenium may be helpful. Higher dose for one month can help the body to dump fluoride, bromide and chloride. When there is a lack of iodine the body will build molecules with the other halides, but then the thyroid hormone or other chemical won’t work right. Lab tests may show ‘normal’ levels of thyroid hormone but symptoms of hypothyroidism may still be present.
    1. In autoimmune conditions, when possible, it is essential to identify the trigger foods and strictly avoid them. It can take 6 months for antibodies to fade away, at which point symptoms should improve, but memory B cells still exist so even little tastes of the problem foods can set off a new 6 month batch of autoimmune antibodies that will attack the thyroid gland, or esophagus, or wherever else the problem point is located. 
    2. In this case eggs/chicken/ animal products/ ginger/ albumin /*hemp kernels too then/, may be part of the problem foods – 
    3. Elimination type diets that start with the least risky foods and gradually reintroduce things one at a time can be the best way to individualize what is the problem for you the individual. 
  3. Gluten was definitely identified as a part of the thyroid problem by removing, it already had helped to stop that. Dairy has a variety of allergens, and also would have albumin. Removing food triggers strictly, can help a swollen thyroid gland reduce in size – versus get more swollen when trigger foods are eaten.
    1. Gluten free baking recipes and tips for converting recipes: effectivecare.info – G8. Cookies & Bean Soup. -> and it mentions that increasing corn or corn flour instead, is not ideal either. Corn or gluten can increase zonulin which also increases leaky membranes in the gut or blood brain barrier, and more open membranes can increase risk of allergens entering undigested from the diet. See: What is Zonulin? (2)
    2. A quick mix recipe that can be used for pancakes or muffins, a post: Pancakes in a Jiffy – Quick Bread Mix.
  4. Eosinophilic esophagitis may be related to food sensitivities, so as food elimination is attempted it would also be helpful to pay attention to the swallowing symptoms to see if change occurs other than the swollen pressure feeling of the enlarged thyroid gland.
    1. “Research shows a strong connection between food allergies and eosinophilic esophagitis (EOE). These six foods are most commonly associated with this allergic response: dairy, wheat, soy, eggs, nuts, and seafood/shellfish. Unfortunately, there is no accurate test to identify food allergies* connected with EOE.” (3) 
    2. *The food sensitivity is not the same type as tested for people who get hives to peanut butter or eggs or are allergic to bee stings. It is food sensitivity that activates white blood cells though, called eosinophils. 
    3. During normal function eosinophils fight parasites for us. So …. Maybe they are doing something in ‘autoimmune disease’ that involves their normal function too fighting an unidentified parasite – or they are responding to chemicals of the six foods listed above in an allergy-like way. 
    4. Asthma and allergies involve increased eosinophil activity, which can lead to inflammation symptoms and tissue damage: “Eosinophils can consume foreign substances. For example, they fight substances related to parasitic infection that have been flagged for destruction by your immune system. Regulating inflammation. Eosinophils help promote inflammation, which plays a beneficial role in isolating and controlling a disease site.” […] “…eosinophils play a key role in the symptoms of asthma and allergies, such as hay fever. Other immune system disorders also can contribute to ongoing (chronic) inflammation.” (4) 
  5. Eliminating common histamine problem foods may help anxiety and inflammatory symptoms. Orange juice, tomatoes, fermented foods, or older leftovers, cranberries, others, it is a lengthy list but can make a huge difference *personal issue for me also.
    1. More info on page MCAS/Histamine, jenniferdepew.com: MCAS/HIstamine.
    2. Summary of foods to avoid, or a few helpful in an over-reaction: Histamine Food Lists. it is a document (6)

Evaluation:

Client seems motivated and capable of making positive changes for improving health, cheerful and confident amid a complex set of problems, and has support of family.

So does my disclaimer make more sense now?

  • Disclaimer: This information is provided for educational purposes within the guidelines of fair use. While I am a Registered Dietitian this information is not intended to provide individual health guidance. Please see a health professional for individual health care purposes.

My professional and personal expectations of individualized health care guidance does not include a 15 minute appointment limited to discussing one symptom. In seeking a health care provider I recommend searching for ‘functional health’ or possibly holistic but that is less precisely used than ‘functional’. The orthomolecular approach is also whole body and restoring function oriented.

*am I taking clients? I am working in that direction but I am still in initial stages of having a system set up.

Change is easiest by just practicing the desired habit and the more often it is remembered, practiced, then the more that brain pathway will be strengthened and the old one is gradually deactivated, becomes harder for the nerve cells to fire instead of being an automatic habit like happens without even thinking consciously – to change that ingrained of a habit takes substituting a new pattern rather than trying to ‘attack’ with ‘will power’. Work with nature and it will work with you. Attack and it tends to have an undesired ripple effect.

Pain hurts, health is better.

We all die, the question is quality of life while living – and enjoying that life while living.

Namaste – the soul in me, sees the soul in you.

We are all children, under the care of Mother Nature and Father Sun.

Where there is light there is life, and there is hope.

Reference List

  1. Hegyi J, Schwartz RA, Hegyi V. Pellagra: dermatitis, dementia, and diarrhea. Int J Dermatol. 2004 Jan;43(1):1-5. doi: 10.1111/j.1365-4632.2004.01959.x. PMID: 14693013. https://pubmed.ncbi.nlm.nih.gov/14693013/
  2. What is Zonulin? https://www.creative-diagnostics.com/blog/index.php/what-is-zonulin/
  3. 6 Food Elimination Eosinophilic Esophagitis, oregonclinic.com, https://www.oregonclinic.com/6-Food-Elimination-Eosinophilic-Esophagitis-EOE 
  4. Eosinophilia, symptoms, mayoclinic.com, https://www.mayoclinic.org/symptoms/eosinophilia/basics/causes/sym-20050752

Documents, Posts & Pages

  1. Wheat is rich in albumin – so are ginger and egg whites, post transcendingsquare.com
  2. Resources & Iron Chelators list, document https://docs.google.com/document/d/1XiwJBPoFUnUTQKcRAW_8NMriQMt8b31zjeTY4zV0wJo/edit?usp=sharing
  3. effectivecare.info – G8. Cookies & Bean Soup, webpage
  4. Pancakes in a Jiffy – Quick Bread Mix. post transcendingsquare.com
  5. MCAS/Histamine. webpage, jenniferdepew.com
  6. Histamine Food Lists. document, https://docs.google.com/document/d/17iz9lsJyGqIUUjF0p-totXp4R2GhgRi2Na4gYueisTM/edit?usp=sharing
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EPIGIRL 2

EpiGirl is a fictional character in the SPARS epidemic scenario that was published in 2017. EpiGirl collates the adverse reaction reports from VAERS and other patient forums and it seems worse. The scenario works through that issue by suggesting it was duplicated records.

2017 SPARS Report –

A database is needed, collecting data is needed – that is basic to experimental design – collect data, all the data. And in this case, all the data includes adverse reactions in the experimental group or in those with passive exposure reactions. That is even stated in the branded experimental design literature. In this case data is not being collected and definitions are being changed so the data that is being collected does not match the redefined label.

A whistleblower nurse shared what is happening with the data regarding who is in the hospitals with Covid currently – the experimental group (vac) or the control group (unvac)? The definition was changed to call anyone within 14 days of an injection unvaccinated, allegedly because their antibodies wouldn’t be expected to be elevated enough to be protective yet. That may be true but it doesn’t change the fact the person was in the experimental group – did receive an injection, or a second injection – they are no longer in the ‘unvaccinated’ control group immediately after getting the first injection.

The adverse reactions tend to occur early also, within the first few days after an injection, or second one, according to the nurse. See the full story here: twitter.com/AxelSavage4/status/1437624425281511429?s=20.

From the replies:

“Benny Nomad@BennySeattle· Replying to @AxelSavage4 : “Have you considered that what you are describing is fraud? They are calling everyone who has had their first shot un-vaxxed, and if they have had the second shot, for the following 14 days they are still considered un-vaxxed. How is that not fraud?

LibertySavage@AxelSavage4· “That’s exactly what it is”

The first injection or exposure can prime an allergy-like over response of the immune system to occur the next time the antigen is present in the body. People who were already sick with CoV may be at more risk of an over-reaction to an injection, because their immune system was primed by the earlier sickness.

Another medical professional shared concerns over underreporting of adverse reactions, to the US VAERS adverse reaction database. Doctors are being threatened to not report cases to the system. See: EXCLUSIVE: COVID Whistleblower Claims the VAERS Reporting Database Tracking Vaccine Complications is WRONG and Undercounting by a Factor of 100! (thegatewaypundit.com/2021/09)

170,000 comments about adverse reactions have been submitted to a news website:
https://twitter.com/LetUsUniteHere/status/1438348203334766598?s=20

News article about the ABC website postings: Unexpected and heartbreaking: Thousands flood ABC affiliate’s Facebook page with vaccination horror stories. (Sept 13, 2021, worldtribune.com) “39,000 responses (as of mid-day Sept. 13)“

We need reliable data that has been double checked for identity, confidentially, in order to prevent duplication of record entries. We need reliable data that is contained in a cybersecure location on a hosting platform that is independent from technology that may be compromised regarding reliability, on Linux systems for example.

  • *Guidance is being provided on Telegram, if you are interested in learning about using Linux instead of Windows type systems. Sign up on Telegram first, and then search for and follow ‘Jeffrey Peterson,’ in his pinned posts look for the discussion Chat room link: @jptchat. People are helping each other get set up and Jeffrey also provides guidance and has tutorials.
  • Invite link: JP’s technology chat: https://t.me/jptchat

EPIGIRL 2 will need funding and a lot of volunteers around the world. These adverse reactions are happening around the world. The injection batches were not claimed to be or required to be, all the same product, so different locations may have been test cases for different experimental batches. Adverse reactions may cluster by batch/location, not just by ethnic/genetic or health differences. Without reliable data at an international level, those patterns will not be revealed. Giving us the need for EPIGIRL 2 – Epidemiologic Patterns in Genetics; Injection Reaction Log – an Extremely Professional, International, Giant, Injection Reaction Log. EPIGIRL squared – two names to represent the two strands of the double helix of a DNA molecule.

The recommendations made by the committee investigating adverse reactions should be included as the basis of EPIGIRL 2 (from the last post, Chimeric Spike, with Prion-like areas). If we are to follow the ‘science’ – that is what the science says:

Immunization Safety Review Committee

  • Surveillance of adverse events related to vaccines is important and should be strengthened in several ways:
  • The committee recommends that standardized case definitions for adverse events be adopted.
  • The committee recommends that formal guidelines or criteria be developed for using VAERS data to study adverse events.
  • The committee recommends the continued use of large-linked databases, active surveillance, and other tools to evaluate potential vaccine-related adverse events.
  • The committee supports the development of Clinical Immunization Safety Assessment (CISA) centers to improve understanding of adverse events at the individual level.
  • One area of complementary research that the committee continues to recommend is surveillance of ASD* as exposure to thimerosal declines. (*Autism Spectrum Disorder)
  • The committee recommends increased efforts to quantify the level of prenatal and postnatal exposure to thimerosal and other forms of mercury in infants, children, and pregnant women. 
  • 2. Excerpt : Immunization Safety Review: Vaccines & Autism, BOX 2, Comm. Conclusions & Rec. Institute of Medicine (US) Immunization Safety Review Committee. Washington (DC): National Academies Press (US); 2004. https://www.ncbi.nlm.nih.gov/books/NBK25349/#a2000af8fddd00068

The SPARS report predicted an EpiGirl – we need her, badly, desperately – truthfully. This is dangerous, and is a genocide because some are more at risk than others.

Methylation: Anyone with methylation gene defects would be more at risk for epigenetic gene changes which can lead to conditions like POTS. See: Epigenetic changes may also be involved in Covid19 or LongCovid, Nov 18, 2020. They would be healthier by not taking standard B supplements which have unmethylated forms of B12 and folate. Instead seek out food sources that aren’t the supplement fortified types, and/or methylated forms of folate and B12 (not folic acid or cyanocobalamin – yes the standard form of B12 used in the US contains cyanide and taking too much of it for too long can lead to cyanide poisoning – does it make sense to use cyanide in a dietary supplement? NO, but that is off-topic.).

BHMT: People with a BHMT gene allele would also be more at risk for inflammatory membrane break-down. There is an ethnic difference in rate – people with Caucasian or African ancestry are more likely to have a defective BHMT gene allele than people of Asian ancestry. See: Cannabinoids are made with the BHMT gene (and others). Feb, 25, 2021.

Glyphosate: Glyphosate residue is also likely a factor in rate of severe reactions in CoV illness or injection reactions. See: Glyphosate and COVID-19, Oct 25, 2020, it has dietary tips for trying to reduce glyphosate intake and improve the negative effects. Glyphosate can increase the risk of misfolded proteins and may be adding to the out of control inflammation. It also likely is increasing the risk of low vitamin D and minerals such as manganese and the amino acid methionine. Manganese is really essential for mitochondria to function normally. Tracking patterns of severity of illness over geographic regions that produce or use more biofuel made with biomass from glyphosate crops is a need. Asking people with adverse reactions, and the control group, those without, to have a urine test for glyphosate residue, is a need. Reliable data requires collecting data in a method that is consistent and has quality control standards to assure the results are reliable. How a sample is taken, stored, and tested, all may affect quality of the results.

Citric Acid Cycle Nutrients & Cofactors: The spike protein is harming mitochondria, which then the debris from the mitochondria, harms our cells. We need to protect our mitochondria as cancer and other chronic degenerative disease is preceded by dysfunction of mitochondria. They switch from using oxygen and the Citric Acid Cycle. For mitochondria to be able to perform the chemical reactions of Citric Acid Cycle they require that we have nineteen different nutrients and cofactors available to them – and in balance and in adequate amounts – not just ‘one’ nutrient. One problem/one cure – is not how the body works or how nutrition works.)

Cytokine storm risk: Ten to fifteen percent of the population are estimated to be at great risk for a severe cytokine storm reaction to ANY severe immune challenge, whether a vaccine or an infection. (5) See: Cytokine Storm, SIDS, autism and Vitamin C, March 29, 2020. Their bodies do not react normally to infection. Genetic screening is needed to identify the genes involved and then screen for those at risk.

In the meantime, high dose intravenous vitamin C (Marik Protocol) therapy does work well to reduce the cytokine storm from escalating and prevent the damage that can be caused by it. See: Bitter taste receptors in the lungs & Hesperidin’s decongestant properties. April 7,2020 < the food and supplement recommendations are still valid.

“You can lead a horse to water, but you can’t make it drink.” Self care – includes the word self, because oneself, is in charge of self care. It is not about spa treatments or getting disabling nail extensions applied with potentially toxic chemicals. That is not self care in any kind of health sense.

The only problem with that plan is that the FDA is preventing use of the treatment for Covid related care. It does not have risky side effects and has a large amount of supportive research for similar cytokine conditions. There is no sensible reason to not approve it for use during an alleged pandemic emergency – if we have an emergency, then we should be providing emergency care to those who need it – NOT WITH-HOLDING IT, or criminalizing the use of it by independent physicians who deem it in their patient’s best interest.

Vitamin C given in advance of a vaccine may also help reduce the risk of an over-reaction of the immune system – even for animals that can make some of their own vitamin C (we can’t make any). From the post: “Giving extra vitamin C before vaccines was found to be protective even in lab animals that genetically can make vitamin C. (4)“

If health is the goal – then why hasn’t everyone been told that taking vitamin C in advance of a vaccine can help prevent an over-reaction of the immune system?

If health is the goal – then why don’t we screen for the 10-15% who will have a very severe reaction, which may result in a neurological condition that lasts the rest of their life, and EXCLUDE them from being given an immune challenge? They likely would never get exposed to tetanus or many of the other rare conditions that many vaccines are designed to protect against.

If health is the goal – then why did 170,000 people reply to a news-site about the death of someone they know that occurred after a CoV injection? If the VAERS system is only collecting 1% of adverse reactions, and currently shows a death count of ~14000 (check this, yes, almost 15,000 now, and over 19,000 people were left permanently disabled after CoV injections).

If health is the goal – then why are the CoV injections seeming to be used as a euthanasia device?

Adverse reaction entry to VAERS, shared by AMM MD on Telegram, invite link if you are on Telegram:

AMM, MD
Covid vaccine AEs and other hidden truths
https://t.me/AMM_MD

“WHY VACCINATE PEOPLE IN THE LAST DAYS OF THEIR LIFE? 🤬” (- AMM MD)
71 yo F “In her end days of lung cancer was not eating and drinking very little for 3d before vaccination was given. She became very ill as she was told she might and was unresponsive and in the hospice 2d later. [Died 6d after vax.]. The adverse effects of this vaccine served no purpose to be administered to an imminent end to this dying woman. The vaccines effects would never have gotten in her body till after she had died and only made her more sick and weak then she needed to be.
Write-up: Suddenly more weak , exhausted, all around much worse then she had been feeling as she was in her last days of lung cancer. Within hours of the vaccine she was worse and in 2d unresponsive and in a hospice. 4d [later] she died.” 1637303″ (quoted from VAERS, the US adverse reaction database).

Health doesn’t seem to be the goal to me.

15 Signs That You Might Be an Abusive Government (or Relationship).
– guidance about emotional manipulation- domestic violence often dies not include outright hitting, may just be threats or verbal abuse, or silent treatment to ‘punish’ the victims.

American Frontline Doctors is a group working towards making early treatment available to anyone who wants it. Their site has a proposed Vaccine Bill of Rights: https://americasfrontlinedoctors.org/take-action/the-vaccine-bill-of-rights/

EPIGIRL 2 is needed, with a giant team, for a giant project, because a giant massacre is happening, and being lied about – ask yourself “What would Viktor Fankl do?”

Answer – take notes, really good notes.

More info: Viktor Frankl on the Human Search for Meaning, Maria Popova, (brainpickings.org).

I have begun a Protocol on a supplement dispensing site – people who enroll as clients could order at a discount from the items I’ve prescreened and added dosing details for, or browse the catalog. People who enroll as clients could be later added to an EPIGIRL 2 database. Starting is a place to start.

The Protocol: Health Aids for Special Times – it has a lot of food and general health info also. I maxed out the memory and need to copy it over to a pdf though, and probably break the supplements and protocol into smaller groups. Important point to add – to detox – don’t overeat regularly. The body needs to get a little hungry to have the time and need for white blood cells to go looking around for cellular debris to clear up and reuse for nutrients. When we overeat the body and blood cells are busy coping with storing all the excess nutrients as fat or cholesterol plaque or excreting some of it.

Disclaimer: This information is provided for educational purposes within the guidelines of fair use. While I am a Registered Dietitian this information is not intended to provide individual health guidance. Please see a health professional for individual health care purposes.

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Spike summary spreadsheet; telomerase, Circadian cycle & Nrf2

The spike protein may be rapidly increasing aging by affecting the length of telomerase, a topic discussed in a previous post with potential dietary/phytonutrient aids. EGCG and other nutrients that promote the Nrf2 gene or protein have protective effects growth and repair and immune function. In the process of reorganizing the Spike protein Risks & Aids – Summary List into a spreadsheet,* a pattern emerged in the various phytonutrient and other aids – they promote Nrf2 and inhibit NFkB along with the rest of the circadian cycle promoting lifestyle factors.

  • *Spike protein Risks & Aids – Summary List into a spreadsheet, * To read each box of the table click on the box and a drop down window should appear with all the text whether brief or a long list of references.
  • The vitamins, minerals, and TMG & DMG, have dosing details listed now on a new page of my jenniferdepew.com/nutrients site with dosing ranges and links for food sources and more info if interested.
  • I will add another page for the phytonutrients, antioxidants, and cofactors, or maybe a few pages. goals
  • Various covid19 protocols are listed on this site: https://c19protocols.com/author/c19prot/

*Addition – 8/30/2021 article about the senescence effect of the spike protein: Le SARS-COV2 accélérerait l’âge biologique – SARS-COV2 would accelerate biological age, (FranceSoir), translated from French, written by a group that includes Nobel Prize winning scientist Luc Montagnie, (2008 Nobel Prize in Medicine) and Walter Chesnut whose work is included in earlier posts on this site; Xavier Azalbert, Anne-Typhaine Bouthors, Michel Brack, Dominique Cerdan, Walter Chesnut, Gérard Guillaume, Jean-François Lesgards, Luc Montagnier, Jean-Claude Perez for FranceSoir.

~

Modern life seems to be the underlying theme of what is a risk factor and what might help – return to more ancient darkness for sleep, get full spectrum light with UV for 15-30 minutes per day, in the morning hours of your day may be ideal. Adequate iodine and magnesium is needed to help the body not have a calcified pineal gland and the pineal gland is needed to make melatonin. Melatonin is needed for immune function and has a role in energy production and inflammation removal involving niacin and the Citric Acid Cycle. Melatonin can be taken as a supplement however, then your body may be even less likely to make its own – working on improving pineal health and nighttime darkness (eye mask if need be, but covering the skin is needed too, we can sense light with photosensitive skin receptors).

Metabolic Syndrome involves magnesium deficiency, which increases hypertension and insulin resistance. The Citric Acid Cycle uses glucose to provide ATP for cellular energy or to be released as heat by a special type of adipose tissue called brown fat. People living in cold climates who spend time in the cold tend to have larger amounts of brown fat then people living in warm climates. The niacin receptor is involved in ‘uncoupling’ the Citric Acid Cycle from producing ATP as energy storage units and instead releasing it directly as warmth. The heat and reddening of the skin during a niacin flush is an example of the release of energy as heat.

There are many cofactors necessary for the Citric Acid Cycle, the chemical pathways used by mitochondria for the release of energy from glucose. The cofactors almost all also are promoters of the anti-inflammatory Nrf2 pathways, although the levels of a few minerals are regulated by Nrf2. Excess copper or iron can be inflammatory. So making sure the diet has plenty of the food sources or supplements of all the various cofactors is helping the body remove inflammation directly within mitochondria to be released as a little extra warmth, and also to produce energy for cellular use, and your thinking and daily activity.

It may also be protective during times of infection to have adequate Nrf2 and Citric Acid Cycle capacity, and also adequate uncoupling capacity: adequate niacin and/or butyrate to activate the GP109 receptors that are involved in the mitochondrial energy uncoupling, so the excess energy from oxidative stress chemicals or free iron, can be released as fairly harmless heat instead of transferred to ATP molecules. The heat during a fever is from a different cause than the temporary warmth experienced after taking a high dose of niacin – which gets milder after having been using it for a while, and is milder when there is adequate melatonin present.

About the spreadsheet & reading it – the organization style.

This is the very initial stage of writing, and many of the references are new additions. I am sharing it early because it may help people and: Pain hurts, health is better, and health is worth some effort, even a lot of effort.

The spreadsheet has categories of What? is the problem, symptom, negative effect of the spike protein, in rows. Each category often had more than one and sometimes many aids that might help or be a negative factor, so the spreadsheet is extended into many columns so each aid or lifestyle factor could have its own individual column. The columns have an ‘x‘ for the category if it is an aid and there may be a note if the item is otherwise affected by the category. Some aids may help many types of problems, inflammation and direct anti-viral for example, so there would be an ‘x‘ in the inflammation category and an anti-viral category. Each box in the columns has references about that aid and how it relates to the category. Eventually this will be useful for writing an organized reference list and document or app of some sort.

Yes this is complex, not just one or two supplements to take – breaking news – life is a miracle, it is amazing that any of us function at all. Given that, we do know a lot about what might help prevent illness or chronic degeneration, if we are allowed to put it into individual self care practice. Individualized care means – Pay attention to what seems to help and stick with that, possibly with breaks occasionally or rotating things over days, weeks or months, in season or what seems particularly good at that time.

Rotating favorites can be protective, or herbal supplements too maybe. Sensitivities to foods or substances are more likely to occur with something eaten every single day or very often. On average wheat and corn, eggs and dairy are in foods commonly eaten at every meal.

Other nutrient supplements are needed daily because they are water soluble. Some are found in many common foods and generally are rarely deficient – except during times of severe malnutrition or infection – thiamine, B1, is one of those. Vitamin C needs are also incredibly increased during severe infection or inflammation, in part because our own production of antioxidants is reduced, we normally make far more than we would ever get from a vitamin C food or capsule (equivalent to 300 orange’s worth of vitamin C, approximately per day for normal health, but glutathione and other antioxidants).

The B vitamins and C are water soluble and magnesium is readily lost in sweat and urine so we need that daily similarly to potassium and sodium, like an electrolyte – to help maintain good fluid balance. We also need calcium regularly but the bones are storage account for both magnesium and calcium so an acute or chronic deficiency is less obvious than for sodium and potassium. Very acute magnesium deficiency can occur during strenuous exercise on a hot day, and cause death from a stroke. Ischemic stroke led to death due to any reason more often in hospitalized patients with lower magnesium levels, than for those with higher levels. (ref)

Via @DGrouf Dr Grouf

Early or preventive treatment for viral infection, per Dr. Grouf.

via Dmitry Katz, PhD: Niacin, NA, within a cell, graphic. The green oval is an endolysosome, (hopefully removing spike protein), and it is complex… 🙂

Niacin helps with endolysomes which are like grocery or garbage sacks for engulfing cellular debris or pathogens to be processed into usable nutrients or waste removal. (Reference needed) via https://twitter.com/SantaKlauSchwab/status/1376187499584704513?s=19

Protocol by Dmitry Katz, PhD focuses on melatonin and recommends a high dose of it. There may be a risk that a person starts making less of their own. Focu

Also using blackout curtains at night with no little lights or alarm clock, or using an eyemask during sleep can help us make our own melatonin. Supplements might be useful if there was a lack of sleep night. The melatonin helps the niacin flush reaction be milder. I have found high dose niacin helpful, see an earlier post https://transcendingsquare.com/2021/01/22/niacin-early-treatment-in-general-for-sars-cov-2-is-sensible-reduces-hospitalization-and-mortality-rate/ for more information, and some precautions.

Niatonin Protocol by Dmitry Katz, PhD, *His website: niacincurescovid.com.

How to get started on the niacin part of the protocol and cautions about potential side effects and medications that may increase risk of side effects is available in this post: Niacin, & early treatment in general for SARS-CoV-2 is sensible, reduces hospitalization and mortality rate. Jan 22, 2021.

Disclaimer: Information shared for educational purposes within the guidelines of Fair Use. It is not intended as individual health guidance, please see a health care professional for individualized guidance. ‘Functional medicine’ practitioners work to restore normal function, nutritional adequacy and modify other lifestyle factors that might be part of a health problem.

Reference List

  1. You S, Zhong C, Du H, Zhang Y, Zheng D, Wang X, Qiu C, Zhao H, Cao Y, Liu C, -F: Admission Low Magnesium Level Is Associated with In-Hospital Mortality in Acute Ischemic Stroke Patients. Cerebrovasc Dis 2017;44:35-42. doi: 10.1159/000471858 https://www.karger.com/Article/Abstract/471858
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Short list Dosing details – ranges with selfcare guidance.

Yes, even my short lists are too long – health is complicated. Zero cells of the body are made out of medicine – all of them are made out of nutrients, and may also contain toxins or medications that haven’t been excreted by the body.

“Evidence-based medicine” has been proven to be an unreliable mix of real science, real results, real effort to find truth, and corporate funded “ghostwritten” work that is basically product advertisement written by a company with the name of a scientist who was paid to have their name used. See: Perspectives on the Pandemic | “The Illusion of Evidence Based Medicine” | Episode 13 Remastered, Leemon McHenry, PhD. March 9, 2021, (youtube)

Another video to watch – the Spike protein itself is a toxin and damages mitochondria, (~6:00 minutes), which are the energy producers for cells. Ryan Cole MD (https://americasfrontlinedoctors.org/videos/summit-sessions-the-science-ryan-cole-md-covid-19-vaccines-autopsy/)

Short list – is a list of things to prioritize for self care – which simply means, taking good care of yourself, not a day at a spa to get toxic chemicals applied to your fingernails, that is something else.

Ordering these is a little arbitrary:

  1. Protein – nothing else works in the body without adequate protein with all the needed amino acids. Metabolic differences may interfere with digestion and supplements of specific amino acids may be needed.
  2. Water – we are a watery life form, 60-70%. To work right, we also need all the electrolytes including magnesium, calcium, sodium, potassium, phosphorus, chloride; and we need them in balance with each other. And we need movement, regular rhythmic movement of the whole body, full range of motion, to help move fluid through the capillaries, lymphatic vessels and be detoxified by lymph nodes and the kidneys. And we need good quality sleep, with blackout curtains or eye-mask during sleep, in cool conditions, to help promote optimal brain detoxing. At night our brain activity slows and the tissue literally shrinks in size so there is more fluid movement around the brain within the glymphatic system. The blackout curtain conditions helps promote better melatonin production which has anti-inflammatory and immune benefits.
  3. Stop eating/breathing/drinking toxins – this is a bigger point in modern life than people or corporations care to admit. Even the supplements that you buy thinking they will help, may be made with a capsule or other additive ingredient that is itself a source of inflammation or a potential toxin.
    1. Commercially grown foods or ingredients have agricultural chemical residue in greater amounts than food grown to ‘organic’ standards. Glyphosate may be a significant risk to vitamin D and mineral status and a couple amino acids. It is a mineral chelator and antibiotic by disrupting a pathway that also is involved in amino acid digestion. Glyphosate may be inhibiting enzymes involved in vitamin D metabolism and causing widespread low levels of vitamin D in populations that have plenty of vitamin D in many foods.
    2. Subclinical hypothyroidism seems common. Iodine intake may be too low in comparison to the amount of goitrogens in the diet or medications or water, (potassium bromide as an anti-caking agent in flour, fluoride and bromide is in many medications, and fluoride is in water, perchlorates as an environmental toxin is also a halide risk. Iodine is a larger atom of a similar chemical type, halides, as bromide, chloride, and fluoride. The body may put at atom of one of those three in place of iodine in a larger molecule such as the thyroid hormone, but then the molecule is dysfunctional, though lab tests might indicate ‘normal’ levels.
    3. Smog, air pollution, third-hand smoke – formaldehyde and other lingering toxins from secondhand smoke. Simply poor ventilation also is unhealthy, and if humid, mold may cause significant health problems. Keep air moving, keep air fresh. Some models of air cleaners use a UV light attachment to kill mold and other pathogens.
  4. Eat more healthy foods, that don’t inflame your particular body chemistry – this may be something brand new to people or an immediate, “okay, got it.” If feeling very unwell with mystery symptoms, an elimination diet can help identify whether foods are a factor. Eliminate everything except a list of odd foods that are least allergy prone, and most people don’t eat that often anyway – eat that for about three weeks – give the intestines a chance to heal (takes a week at least), and try to get to a baseline of “I feel better” – then gradually add back one food (or sometimes a group) for a few days and see if the “I feel better” gets worse again, if not, continue with that added food and add another one, wait a few days…if okay add another one, wait… etc – that is slow but it can work in a very individual way that lab tests can’t. Lab tests are about ranges based on group averages. No one person is a group average.
  5. Nutrient and herbal supplements can help too, but nutrient dense food is the priority step. One nutrient can’t do much all on its own. The nutrients to focus on – for the mitochondria to perform the Citric Acid Cycle to burn sugar aerobically, with oxygen – include:
    1. B vitamins: B1 (Thiamin) (3) , B2 (Riboflavin) (4), B3 (Niacin) (8, 10), B5 (Pantothenic acid) (5), B6 (Pyridoxine) (6, 7), B7 (Biotin), B9 (Folate) (9),
    2. Minerals (17): Mg++ (Magnesium) (11, 12, 13), Mn++ (Manganese), K+ (Potassium) (13), Zinc (14, 15), Iron (16), Copper, Sulfate,
    3. Amino acids: Carnitine (derived from lysine), Cysteine,
    4. Antioxidants: CoQ10, Glutathione, Alpha-Lipoic Acid (ALA).
    5. Based on a graphic by Dmitry Katz PhD, see post for image: Niacin may help reduce chronic migraines.
    6. *Some of the reference links are to posts with food and supplement info about the nutrient or cofactor molecule.

Those are nice start, but there are more nutrients that are important too, and the question of dose to take treads dangerously closely to the mindset that “If I take this pill, then I will be better.” – and then that simple idea doesn’t work, of course, and the person gives up on ‘nutrition’.

Are you drinking enough water? Any water? How is your sleep? Stress level on maximal? Do you eat protein foods? vegetables? Daily? — people really don’t eat ‘normally’ far more often than realized. Or ‘normal’ is not that healthy…

Some guidance for dosing details is possible, but ranges are better for open-ended education: What amount is safe? What amount is typically taken for research shown benefits, and it that the amount that is typically available or do I need to look for a bulk supplement and use a spoonful? What is recommended regarding gradual increase, or gradual withdrawal? Herbal supplements and nutrients in high doses can act in medicinal ways – cause a positive and/or negative medical effect within the body that presents as a symptom in some form, mood or physical changes.

Those are the questions that I try to answer in educational guidance that I provide – with the disclaimer to seek individualized health care professionals for individualized guidance.

Food serving guidance is also of value.

  • Nutritional yeast flakes or deactivated baking yeast sold as a supplement powder can provide a day’s goal of many B vitamins, some amino acids, nucleotides, and beta-glucan which is a protective type of fiber/starch — in just two teaspoons.
  • 1/3 cup of mushrooms would provide a similar amount of beta-glucan. Supplements of it may be available as a 500 mg capsule.
  • Meats, shellfish, dairy products also provide nucleotides. Shellfish are a good source of many trace minerals.
  • Omega 3 fatty acids are found in fatty fish, fish oil, krill oil and algae sourced oil. 300 mg DHA/EPA to1500 mg (depression research) may be beneficial. Excess intake may cause too easy bruising or bleeding problems to occur, vitamin E, ginger, and some other herbals may add to a risk of anti-coagulation – bleeding instead of clotting. Lack of vitamin K would increase risk of bleeding, occurring within the brain or intestines most commonly – so a silent problem adding to risk of brain inflammation from microbleeds.
  • Green leafy veggies – provide vitamin K, trace minerals, sulfur phytonutrients, fiber for our microbiome – who we want helping us as symbionts on our team, instead of pathogens adding to an inflammatory condition. *I literally do try to have a salad everyday, or kale in soup, or spoonfuls of dried basil, tarragon, oregano, cilantro if fresh veg isn’t available.

Dosing – how much may vary with how sick or well you are.

With an Elimination diet, the foods that were still a problem during initial healing may become more tolerable again once you have been healthy for a while. The healed intestinal lining is also less likely to allow allergenic particles to enter the body. Rotating questionable foods you eat over a four day cycle, roughly, can reduce risk of a food sensitivity reoccurring. Things we eat every single day, forever…, are more likely to become an allergen or autoimmune risk.

Picky eater test for parents – Does your child [or you…] eat more than 15 different foods regularly? Toast, saltine crackers, Wheaties, pasta, pizza crust, waffle, Cream of Wheat – all equal “1” – wheat. Spaghetti sauce, salsa, tomato slices – all equal “1” – tomatoes. The oregano, basil, onion, garlic, cilantro, lime, would be an additional six foods. Herbs and spices do have similar but also variable phytonutrient content and can add to your daily intake when used generously. Cardamom may have particular health benefits in a few ways and is similar to cinnamon without a same headache risk (cinnamaldehyde triggers TRP channels and can be a migraine trigger).

Autoimmune conditions may improve, however foods that are avoided because of autoimmune molecular mimicry (gluten/thyroid hormone) would have to be continued to be avoided for life. Memory immune cells to the gluten/thyroid hormone exist once the autoimmune condition occurred. Strictly avoiding the food/ingredient for six months can get the active antibodies to go away (naturally occurs), but any little taste or serving again can cause a reactivation of the memory cell and production of a bunch of new antibodies against gluten/thyroid hormone – which you don’t want, trust me on that 😉

This is what I got so far re dosing details – the middle still needs to be completed (8-12-2021), I have been working on the document version, Spike Protein Risks & Aids – Summary List, rather than the blogpost version:

Short list-Dosing and other details:

  • Beta-glucan~ supplement as a powder, likely least expensive what to supplement with beta-glucan, example: (134). A teaspoon of a powder is roughly five grams, 5000 milligrams. An eighth teaspoon would be roughly 625 milligrams.; Medical research has used 100-500 mg of beta-glucan for immune support research and 3 grams for cholesterol reduction. (41) In mushroom equivalents? – 0.21 – 0.53 grams per 100 grams of mushrooms (42) 1/3 cup mushrooms would be about 100-150 grams. Medicinal mushrooms may have more benefits than standard mushrooms and tend to be what research uses as the experimental substance, however they all have similar starch content; or 2 teaspoons Nutritional yeast flakes ~ 2 grams beta-glucan and alpha-mannan, also beneficial –
  • Nutritional Yeast Flakes also provide Nucleotides which plus NAG, n-acetylglucosamine may help us make more sialic acid, needed particularly for platelets and the intestinal lining, but also throughout the body. 
    • N-acetylglucosamine (NAG) is a specific form of glucosamine and more standardly available glucosamine supplements would not be the same. Example of a bulk powder available: (135). 
    • “N-Acetylglucosamine (GlcNAc), 2-acetamino-2-deoxy-β-d-glucose or 2-(acetylamino)-2-deoxy-d-glucose, is a monosaccharide derivative of glucose and is widely distributed worldwide.” […] “In plants, GlcNAc has been found in bromelain, ricin agglutinin* [*castor beans, also the source of ricin toxin] and abrus agglutinin** [7,35–37]. In humans, GlcNAc is frequently observed in glycoproteins, such as tissue plasminogen activator [38]. It is also detected in mammalian growth factors and hormones [35], including follicle-stimulating hormone (FSH), luteinizing hormone (LH), human menopausal gonadotropin (hMP), pregnant mare serum gonadotropin, thyroid-stimulation hormone (TSH) and human chorionic gonadotropin (hCG).” (136)  
    • **Abrus agglutinin is from a medicinal plant used in India, and it may be helpful against cancer. (137)
  • Dandelion tea leaf/root; &/or Pine/evergreen needle tea (but not yew) 3 tablespoons of needles per cup, steep in hot but not boiling water (~175’F) for 20 minutes or overnight for a stronger tea. Fennel seed in the tea adds flavor and softens the seeds, and has health benefits, included later. Star Anise may have similar phytonutrient potential as the evergreen needles and a few pieces adds a nice flavor and sweetness.
    • Amount recommended: 2-3 cups per day, of either, having some of both if tolerated may be helpful, or alternate. Diuretic effect may occur, have earlier in the day and drink plenty of water to help it wash through, removing toxins! Diuretics can be helpful if not excessive. 
    • Signs of excessive acidity or tannins along with too little water, dehydration, may be an urge to urinate then only producing a small amount of urine that has a burning sensation. Drink more water, cut back on the diuretics.
  • NAC – glutathione precursor, 500-600 mg may be recommended preventatively, or higher doses may be given intravenously to hospitalized patients (112, 133), Vit. C, zinc, selenium, magnesium sulfate, sulfur rich foods, garlic, cruciferous, and glutathione rich foods: asparagus, okra, avocados, greens; whey protein for cysteine (caution glutamate source), Milk thistle, turmeric; sleep & exercise!
  • Glycine (DMG) (daily needs may be as much as 10 grams per day, I take about five grams, a teaspoon in water daily along with methionine, another amino acid I need due to a gene difference. It may also be helpful in a glyphosate rich world.; possibly heme-oxygenase-1, an anti-inflammatory enzyme that may be negatively affected by glyphosate residue in our food supply, along with tryptophan, manganese and other trace minerals (138); also taurine & serine, both are protective within the brain.
  • Niacin, thiamine, riboflavin, other B vitamins, D and/or sunshine. Trace minerals., boron, manganese, . . . except iron if elevated ferritin.
  • Quercetin, resveratrol, curcumin, artemisinin, Pomegranate peel & Goji berries (catechins/EGCG) – iron chelator and other benefits, lactoferrin – also an iron chelator. If excess ferritin/iron is a concern – which it tends to be with Spike issues, avoid high iron foods.
  • Bromelain – serratiopeptidase – clears mucus, protects blood vessels. I take a 500 mg capsule daily, and an extra one if I feel congested. Raw pineapple, including the core, is a natural source of bromelain. Thin slices of the core are edible, or could be blended into a smoothie mixture.
  • Acetaminophen, loratadine (anti-histamine).
  • Omega 3 fatty acids. 300-1500 mg several times per week or daily. Cut back if bruising tendency increases. Liquid fish, krill or algal oil is the easiest way to get the larger 1000-1500 mg dose.
  • Nicotine – patch lozenge, gum, may have fewer toxins and lung risks than smoking or vaping – the nicotine itself is still addictive but could help protect against spike issues affecting the nicotinic Acetylcholine Receptors (nAChRs). I use a half a patch a day for gradual dosing equal to about a half a pack, (10.5 mg nicotine), plus occ bits of lozenge equalling .5-1 mg nicotine. To reduce addictive behavior risk I avoid using too much at once, nicotine & other drugs associated with addiction cause a dopamine surge that can be ‘fun’, but is like mania, really. Lobelia may be a non-addictive substitute that also protects the nAChRs.
  • If legal, THC products for anti-phospholipid issues.
  • Butyrate, Resistant Starches, Probiotic & Prebiotic foods – 2-5 grams per day butyrate may be the goal, based on what a healthy microbiome and resistant starch rich diet might provide. Short-chain fatty acids (SCFAs): 5-15% of our total calories and the epithelial cells lining our colon need even more – 60-70% or their energy use is from SCFAs. (123) How much resistant starch to eat? More probably, then we are eating on average. I try to have something with resistant starch everyday, sometimes more than once, maybe with every meal would be ideal – our colon cells like to eat all day long! Potato or pasta salad, polenta or chilled amaranth would provide resistant starch, and Bubble tea! More info: Resistant Starch/Butyrate.
    • Fennel seeds – available as a flour or the seeds are eaten like an after dinner mint in some cultures, a pinch or two (½-1 teaspoon) is chewy and flavorful, aids digestion and freshens breath while leaving a few seeds stuck in your teeth to enjoy later!
  • Detox aids: Bentonite clay (spoonful of a premade mix in glass of water – 15 ml hydrated Bentonite – Great Plains Bentonite Detox), and/or Activated Charcoal, (500 mg with meals – Natural Elements Activated Charcoal). – with meals or once or twice per day to help clear toxins in the GI tract. 

*addition “(It is important to note that a TMPRSS2 inhibitor is BROMEXINE).” – @BidoliNicola

Niacin dosing, and gradual increase to a high dose info is in this post, with graphics by Dmitry Katz, Ph.D: Niacin, & early treatment in general for SARS-CoV-2 is sensible, reduces hospitalization and mortality rate.

Disclaimer: Opinions are my own and the information is provided for educational purposes within the guidelines of fair use. While I am a Registered Dietitian this information is not intended to provide individual health guidance. Please see a health professional for individual health care purposes.