77 Comments
Dec 29, 2022Liked by LongCovidPharmD

Are you aware of ConsumerLabs.com, a phenomenal subscription resource for summaries of the literature on every imaginable supplement and evaluations by quality & brand of many products? Whenever a doctor suggests a supplement to me, it’s the first place I go.

If you don’t have access to it, could I gift you a one year subscription, which I think would be helpful in your research?

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I am wondering if there'd be any significant changes to the protocol if one can't access paxlovid (E.g. use nattokinase from day 1?) Paxlovid is out of reach for most of us in Europe unfortunately. Also curious what you think of the claims that curcumin, quercetin resveratrol have 3CLpro-inhibition effects/can they be added when using this protocol?

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* Nattokinase may be useful as a source of vitamin K2, once plentiful in the diet but now rare. K2 is available as a supplement combined with D3. Do not confuse this with K1, which promotes clotting!

* Melatonin is contraindicated in people with depressive disorders, and should not be taken for prolonged time periods lest it suppress the body's natural production. Most OTC formulas are too strong for nonmedicinal use.

* Valerian has a paradoxical effect on some people (I am one), producing insomnia instead of sleep.

* Antihistamines can leave one feeling unpleasantly groggy and stoned the next morning if more than a small dose is taken.

* Since Covid is notorious for causing severe blood clotting, any anticlotting agent (fish oil, aspirin or d-alpha vitamin E, could be of some benefit, *if* the patient is not on any prescription blood-thinner.

* I'm still waiting to find out about the impact of ACE-inhibitor blood pressure meds like Ramipril!

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Thank you so much for this. Any thoughts on taking lactorrin, fish oil and nattokinase as a preventative measure when not positive for Covid?

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Would taking famatodine reduce the effects on stomach acid on lactoferrin therefore increasing efficacy? I see this trial proposed the combination but I can’t find any articles on the outcome.

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Thanks once again for an amazing article. I had tried Lactoferrin previously for LC and thought I would try again after reading this. I split one Jarrow tablet contents into 2 does, had am dose mixed with lecithin and got mild gut issues. Had the other half dose before sleep, and unfortunately it worsened the adrenaline rush I get before sleep to the point I couldn't get to sleep til 3 am.(took at 10.30). Every time I got close to dropping off a surge would wake me up. This happens often but I can usually get past it with breathing exercises. I wonder why this would happen with the Lactoferrin? I also took ferrous sulphate an hour before and 2 Boluoke Lumbrokinase at same time. I also got mild gut pain with this dose too. Is this to be expected? Huge fan of your work and follow all your posts. Thank you so much for taking the time to write them.

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Is it ok to use NAC or mullein leaf when taking this protocol? Sorry, I might've posted already. Brain is foggy.

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Hi! Big fan of your work. I’ve been novid for 3.5 years through the use of religiously using fitted N95 masks whenever indoors and even avoiding crowded outdoor spaces. Unfortunately my luck ran out this week during my anniversary vacation. Fortunately I got onto Paxlovid during the 2nd day of symptoms (including metformin on the 3rd day) but I am mostly concerned about microclots. I noticed your regimen to avoid long covid during acute phase does not include nattokinase while taking Paxlovid. Can you provide insight into why since I haven’t seen any contraindications online (in fact I see long covid sufferers trying the combo these days).

Many thanks!!!

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Salt and sunshine made the difference for me. Saline nasal spray works wonders.

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Just to add a note:

Medications Associated with Lower Mortality in a SARS-CoV-2 Positive Cohort of 26,508 Veterans

https://link.springer.com/article/10.1007/s11606-022-07701-3

Key Results

The 26,508 SARS-CoV-2 positive patients were predominantly male (89%) and White (59%), and 82% were overweight/obese. Medications associated with decreased 30-day mortality risk included the following: metformin (aRR, 0.33; 95% CI, 0.25–0.43), colchicine, angiotensin-converting-enzyme inhibitors (ACEi), angiotensin II receptor blockers, statins, vitamin D, antihistamines, alpha-blockers, anti-androgens, and nonsteroidal anti-inflammatory drugs (aRR, 0.69; 95% CI, 0.61–0.78). The effect of co-prescribed medications on 30-day mortality risk revealed the lowest risk for combined statins and metformin (aRR, 0.21; 95% CI, 0.15–0.31), followed by ACEi and statins (aRR, 0.25; 95% CI, 0.18–0.35), ACEi and metformin (aRR, 0.26; 95% CI, 0.17–0.40), antihistamines and NSAIDs (aRR, 0.41; 95% CI, 0.32–0.52), and in men, combined alpha-blockers and anti-androgens (aRR, 0.51; 95% CI, 0.42–0.64).

Conclusions

In this large national cohort, treatment of SARS-CoV-2 positive patients with individual or co-prescribed metformin and statins, ACEi and statins (or metformin) and other medications was associated with a markedly decreased 30-day mortality and can likely be continued safely. Clinical trials may assess their therapeutic benefit.

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Wanted to know what you think about black seed oil capsules?

https://pubmed.ncbi.nlm.nih.gov/34407441/

this had some good results

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Thanks. so much for this. What is your opinion on using ivermectin with your suggestions? and the FLCCC protocol?

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Thank you for this detailed and extensive post. I would add one caveat. Diphenhydramine is anticholinergic. Its most dramatic potential side effects are more likely in older age groups. People age 65 and above are often advised not to take anticholingeric medications. That includes a great many antihistamines and decongestants. (I don't have your background. I know this only because it's why I had to reluctantly discontinue a daily antihistamine.)

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This is excellent thanks. Any thoughts on extra suggestions below?

- Budesonide (shown to reduce acute covid in RCT)

- Enovid nasal spray (pricey) or nasal flushing (also shown to reduce acute covid in RCT).

Logic -- anything that reduces severity/duration/viral load of acute covid likely to reduce risk of long covid, given viral load and severity correlate with risk long covid.

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Hello. Thank you so much for putting together this protocol. I’ve forwarded to many others and, after three years of novid, used it for myself and family last fall. I’ve since had a full blood work up which came back with everything normal. I truly appreciate the work you did.

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