Topic: v3.54U (preview) Read 4581 times

« **on:** April 09, 2022, 08:43:52 PM »

General Mitochondrial and Wellness Protocol
Author: Joshua Leisk, https://bornfree.life (V3.54U - 23-March-2023)
Based on: https://bornfree.life/understanding-the-model/6/updated-disease-model-wip/45/

[Download a PDF version]

This is an experimental protocol which may be helpful for supporting the unique nutritional and wellness / lifestyle requirements of people with:

Myalgic Encephalomyelitis / Chronic Fatigue Syndrome (ME/CFS).
Long COVID / Long Haulers, Viral / Post-Viral Chronic Fatigue.
Migraines. Breathlessness, Hypoxia, Acidosis, Alkalosis / pH Dysregulation.
Dysregulated Cortisol, Dyslipidemia, Alopecia.
Small Fibre Peripheral Neuropathy (SFPN).
Mast Cell Activation Syndrome (MCAS).
Diamine Oxidase (DAO) Deficiency and Elevated Histamine.
Brain Fog. Sleep disorders. Major and other types of Depression. Anxiety.
Postural Orthostatic Tachycardia Syndrome (POTS).
Chronic Inflammatory Response Syndrome (CIRS), Fibromyalgia.
Dysautonomia. Frequent Urination. GI Disorders. Small Intestinal Bowel Overgrowth (SIBO).
B6 Toxicity. Candidiasis. Aspergillosis. Ehlers Danlos Syndrome (EDS), Joint Pain, Connective Tissue Disorders, Tinnitus. Polycystic Ovary Syndrome (PCOS). Erectile Dysfunction.
Elevated Cholesterols / Fasting Glucose / D-Dimer.

NB. While all efforts are continuing to be made in eliminating them, some temporary paradoxical effects may be observed during protocol commencement. As certain deficiencies are corrected and neurotransmitter homeostasis is reset, paradoxical effects may include: temporary adrenaline and heart rate increases. Resolving a severe copper deficiency may induce temporary kidney pain and nausea in some cases.

Herxheimer effects from microbial die-off can also be experienced. Existing "burning" sensations and headaches may also “flare”. Temporary alterations to libido may be expected. Improvements to adaptive immune function are expected to occur during this protocol, which may result in some short periods of productive, yet otherwise unpleasant tissue inflammation and/or fever, flu-like symptoms, nausea, fatigue, etc. Our Discord hosts a support group.

Monitoring Lactate Dehydrogenase (LDH) - target 100-150 mmol/L, D-dimer, cholesterols and fasting glucose via blood tests would be suggested.

Disclaimer: This protocol contains educational / general information ONLY. Always consult with your doctor to make sure this information is appropriate for you, especially if taking medications, eg. SNRI /SSRI, beta blockers, MAO inhibitors, drugs metabolised by CYP2D6, etc.

From v3.52 onwards, this protocol now includes a significant shift upstream in the cascade, targeting the pathogenic landscape and immune dysregulation.

INTRODUCTION

The human body contains a large number of elements. Many of these elements have been well-documented as having important biological activity in humans.

Our ongoing research has identified an IFN-α:IGN-γ immune dysregulation and persistent / cyclic inflammatory cascade that causes a functional insufficiency of at least 9 important elements that use a common pair of transporters - Divalent Metal Transporter 1 and Ferroportin. Further systemic deficiencies are observed in the metabolic cascade being described.

However, some variability exists in the pattern of insufficiencies. This can be due to alterations in renal function and general homeostasis by complex relationships between elements and some seemingly unrelated heavy metals. These complex relationships require further research.

The metabolic cascade appears in a surprising number of infections and chronic diseases. The model describes severe mitochondrial dysfunction, hypoxia, neurological alterations, collagen synthesis issues and immune deficiency. This is not an exhaustive list. The pattern of elemental deficiencies are also predictive of various disease features, when mapped to impairment of related enzymatic reactions. A preview of the disease model and biochemistry pathways being described in our upcoming paper have been made available on the website and Discord server.

Separate to the functional insufficiencies from inflammation, other testing methodology has shown a pattern of systemic mineral deficiencies which impair immune functions. Measuring, let alone correcting these nutritional deficiencies via diet and/or supplements can be extremely difficult due to the cyclic nature of the disease model and impaired absorption. Ongoing improvements to solving these problems are reflected in protocol updates.

LYMPHATIC MAINTENANCE REGIMEN
(A short note on the general importance of maintaining a functioning lymphatic system.)

The lymphatic system is a network which spans the majority of the human body. Quite surprisingly, until very recently we were not aware that this also included the brain -
https://www.nih.gov/news-events/nih-research-matters/lymphatic-vessels-discovered-central-nervous-system

The lymphatic system has a number of important roles in immunity and circulation.

Lymphoid organs are the source of B and T lymphocytes. The system transports dietary fats and collects extracellular fluid and metabolites from tissues, returning them via lymphatic vessels to the bloodstream, preventing lymphoedema or catastrophic fluid buildup, pressure / pain and metabolic backlog.

A friendly primer on the lymphatic system can be found here - https://www.britannica.com/science/lymphatic-system.

The lymphatic system relies on breathing and muscle contractions to maintain healthy circulation and waste excretion.

In any disease where movement is being restricted, this creates additional difficulties for maintaining immune functions, fat transport and circulation.

Manual therapy may compensate for this.

A regular session with a massage therapist who specialises in lymphatic drainage may help you assess and remediate any recurring lymphatic blockages. These may also be observed as being stiff, sore swollen tissues that can feature enlarged lymph nodes, such as in the neck, groin or armpits. A strong paradoxical effect may be felt the first time a blockage is cleared.

A daily regimen to maintain any problematic areas by hand or vibrating massage gun (used on a glancing angle), may also assist unlocking functional gains and preventing pain in chronic illnesses / infections. Conversely, not maintaining the lymphatic system may create a roadblock.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5954877/

LIVING WITHOUT CHRONIC YEAST, MOULD & FUNGAL INFECTIONS

Yeasts, moulds and fungi are found everywhere in nature and have an important role. They decompose animals, plants and other organisms, recycling their elements and other nutrients, thereby continuing the circle of life.

Usually these decomposing animals are not alive, however when an organism’s immune response is incapable of maintaining a defence against the normal daily background level of fungal challenge, the living organism will become food for yeast, mould and/or fungi. Various lifestyle influences contribute positively and negatively to maintaining this daily defence.

Lack of exposure to sunlight, lack of sufficient activity to maintain a specific immune function and/or lack of a protective microbiome can also contribute to an organism being more susceptible to mould. It has been previously said “we don’t grow old, we mould!”

The barrier function of the skin and mucosal layers play an important part in resilience against pathogens. Unfortunately, the human body has a number of tissues that are opportunistic for yeast / mould / fungal infections to thrive with minimal interference from direct immune activity.

Do you have a history of cracked lips / ears / toes / feet / rectum, flaking skin, dandruff, hair loss, red / inflamed skin patches / rashes, nasal inflammation, sleep breathing disorder, gut pain / issues, white or green/black film on tongue, discharge?

Orifices and tissues such as the nasopharynx, sinuses, throat, Eustachian tubes, ears, GI tract, rectum, vagina, feet, toes are areas which are not regularly exposed to direct sunlight. This list might well include all tissues, where someone is bed-bound or house-bound. These tissues provide “safe spaces” for any fungal spores to seed, colonise, create biofilms and thrive, without appropriate immune surveillance.

(Image source:https://commons.wikimedia.org/w/index.php?curid=30850944,)

(Image source:https://commons.wikimedia.org/w/index.php?curid=30850945)

Subgroupings of ME/CFS patients may have a relationship with the locations of infected tissues. In the case of a GI tract infection, this may also affect dietary absorption efficiency. The nasopharynx (and surrounding areas) may be very important tissues for chronic innate immune activation. A healthy microbiome appears to play a very important role in providing protection against invasive yeast, mould and fungal infections.

Apart from generating gaseous toxins, ethanol and acetaldehydes, yeasts / mould / fungi and bacteria can cause dramatic metabolic alterations. They have an ability to break through our skin / mucosal barrier function from a realtively “safe space” and cause recurring / chronic immune activation during the invasion. This immune activation inhibits specific mitochondrial metabolism and reconfigures a number of other metabolic pathways toward combating these pathogens. However, while ultimately beneficial, these alterations can be quite debilitating, under certain conditions.

Additionally, whenever our immune system is successful in killing these microorganisms, their death can cause the circulation of other toxins which contribute to a well-known “die-off effect” occurring.

This die-off effect is responsible for a number of highly debilitating symptoms, such as headaches, nausea, additional fatigue, dizziness, swollen glands, bloating / gas, constipation or diarrhoea, joint or muscle pain, tachycardia, chills, cold hands / feet, itchiness, rashes, sweating and/or fever.

https://www.thecandidadiet.com/candida-die-off-symptoms/

This can cause an ongoing / recurring cycle of extreme unpleasantness, if these infections and their original “safe spaces” are not fully resolved and the layer of protective microbiome restored.

We have been actively researching a combination of some existing strategies to help kill these microorganisms and minimise the die-off symptoms. Some additional challenges relate to the lifecycle stages and biofilms being created, which provide further protection against our immune activities.

In addition to the supplement schedule included in this protocol, a more rapid clearance of any (somewhat) accessible microorganisms may be achieved by direct or topical interventions for these infected tissues. Commercial preparations are available with various levels of efficacy.

Popular antifungal soaps, shampoos and creams containing zinc pyrithione can be effective at inhibiting fungal overgrowth. However, these products are now banned in Europe due to concerns around causing DNA damage.

However, a successful intervention for these tissues may include first administering a solution to break up any protective biofilms, leaving this solution to incubate for 20-30 minutes before (where possible / appropriate) wiping the area clean and then administering a second solution to selectively inhibit these foreign cells. These 2 solutions can also be applied simultaneously. The process may be repeated daily for 1-2 weeks, or as necessary.

Ongoing testing and literature review has suggested that a solution of NAC and water alone can reliably break up many biofilms and has other beneficial functions. This exposes microbes to immune surveillance and interventions you may explore.

Further research has also suggested that a solution containing diluted tea tree oil, clove oil and coconut oil, when applied with or immediately following NAC yields a tolerable, yet significant inhibitory effect on bacteria, yeasts, moulds and fungi which may rival or exceed existing pharmacological interventions and is appropriate for a range of applications.

Commercial preparations made from tea tree oil and clove oil, are readily available as shampoos, vaginal douches, topical sprays, mouthwashes, creams and suppositories.

DIY Antiseptic Nasopharynx Clean and Flush, Dental Rinse, Topical Spray Recipe:

Part 1:
Mix 500mg of NAC powder (preferably not from a capsule, as these usually have fillers, although these could also be filtered / strained after stirring) and >5 ml of water.

Part 2:
Separately, mix 1 ml tea tree essential oil (20 drops) and
0.1mL clove essential oil (2 drops)
4 ml of MCT oil (80 drops). You can add more MCT oil if you find this too strong.

[Assuming use as a 1-step intervention, mix both parts together to form your final solution. Store in an empty glass bottle with a dropper for convenient dosing. Shake well before use.]

To test this as a nasal rinse - while laying on your back, with your head tilted back and breathing through your mouth, drip about 6 drops of the solution into each nostril.

Let the solution run into the nasopharynx and incubate for a minute or so, while you “suffer” through some shockingly unpleasant “burning” for a few minutes (the first time), assuming you have infected tissue. (See the experiences reported in the Discord server for more information.)

Healthy tissues won’t be irritated, so if it burns - repeat this process daily until clear - it will get progressively much easier.

Rotating your head slowly to each side may allow the solution access to Eustachian tubes, behind the eardrum. Blow / purge your nose as needed, leaving the residue behind.

To test this as a dental rinse - brush / floss as usual, then apply a few drops to your tongue and gums, or more to gargle and spit. NB. Unpleasant flavour. Brushing immediately afterwards may damage tooth enamel, unless the solution is pH balanced with eg. 1:1 sodium bicarbonate:NAC.

To test this as a topical antiseptic - simply clean the area and then spray / apply the solution. A cotton tip could assist application to the ear canal or rectal administration.

NB. As an antiseptic, small amounts reaching your throat isn’t likely to cause toxicity, whereas drinking it intentionally could be harmful.

A more gentle “ramp up”, prior to utilising this recipe, could be to first administer seawater or salty water to various tissues in the same manner as described above, for up to a week beforehand. Your pharmacist can advise if numbing the area with lidocaine may also be appropriate, in some circumstances.

(Links to the various ingredients can be found in the list of products in Step 2.)

Environmental Toxicity, Transference and Reinfection Cycle

When a person is chronically ill and confined to their bed / house, the transfer of pathogenic microbes from their body to their surroundings becomes a significant concern. Pathogenic microbes can transfer easily from the body to the environment and back again, causing an ongoing challenge to an already compromised immune system.

One of the primary concerns is the transfer of pathogenic microbes to the bed, pillows, sheets, and mattress. These surfaces can harbour these pathogens and continue a cycle of infection.

Bed linen - sheets, pillowcases, and blankets, should be changed frequently and washed in hot water, with a hygienic detergent - to kill any pathogens present and arrest the cycle of reinfection.

Mattresses and pillows should also be rotated and disinfected regularly. A waterproof mattress protector can also help prevent the accumulation of moisture and bacteria. These will also need regular cleaning.

Another concern is the transfer of airborne pathogens through air conditioning systems. Air conditioning systems can spread pathogens throughout a room, increasing the risk of infection. It is important to clean / change the air filter frequently, and consider using an air purifier to help remove pathogens from the air.

Carpets, window frames, walls, ceilings, etc should also be inspected and maintained appropriately. Commercial air quality testing and mould remediation services are also available.

If not completely bed-bound and where the room doesn't have plants and/or pets (which can be excluded from the room for an hour), a relatively cheap ozone generator can be used to disinfect entire rooms, very effectively. Sunlight is also helpful in inhibiting certain microorganisms.

Overall, it is essential to maintain good hygiene practices - regularly disinfecting surfaces and fabrics, to prevent ongoing reinfection and unnecessary delays in progress.

THE IMPORTANCE OF “PACING” OR “JUST ENOUGH ACTIVITY”

Anyone who has experience with ME/CFS is likely to have gained a significant appreciation for the symptoms associated with “crashing” and Post Exertional Malaise (PEM).

A daily fear that too much activity will ‘crash’ you and leave you with fatigue / malaise, flu-like symptoms and often tinnitus. A further fear that this may persist for days / weeks / months.

A hypothesis surrounding the mechanisms involved in PEM is being described in the upcoming paper, however the WIP diagrams are available on the website and Discord server.

Unfortunately, due to the trauma surrounding PEM, some people choose to severely limit their activity. This unfortunately has an impact on the capabilities of their immune system to deal with chronic infection.

One of the primary tools the immune system can use against microbial challenges is creating reactive oxygen species (ROS) to oxidise these pathogens. Interferon-gamma inhibits Complex I, which means that NADH generated by the TCA cycle can be diverted toward elevating NADPH, also powering NADPH oxidase and nitric oxide synthase, which then (like xanthine oxidase, which uses NAD+ instead), creates reactive oxygen species to oxidise pathogens. This can also lead to fungal die-off symptoms.

Excess NADPH / low NADP with elevated NADH / low NAD+ can be observed / inferred by elevated cholesterols, impaired glucose metabolism, elevated cortisol / inverted diurnal release profile, low aldosterone, low testosterone, low BH4, impaired methylation and various other compensations.

For optimal immune response and hormones, “pacing” should always be attempted - testing the appropriate upper threshold for activity, each day, unless that threshold has been exceeded already. Over sufficient time, inactivity leads to “rotting”, which is wholly undesirable, as the immune response is expected to be insufficient for maintaining resilience against pathogens.

The combination of supplements here should help improve the exertion threshold and buffer against “crashing”. However, you may have already noticed that fungal “die-off” symptoms share some common features with PEM and crashing. This will add some challenges for identifying your upper limits for exertion.

NB. The upper limit for exertion will be artificially reduced when interferon-gamma is elevated and Complex I is inhibited, during any intense immune response. Increasing temperature elevates interferon-gamma levels potentially 10x. Spirulina modifies this pathway, favourably.

Proceed carefully, however the age-old phrase “no pain, no gain” absolutely applies here.

SLIPPED RIB SYNDROME, COSTOCHONDRITIS AND CHEST PAIN

The lower traps and rhomboids are essential muscles responsible for scapular control and stability. Weakness in these muscles can lead to poor scapular control, which can result in chronically pronated shoulders and thoracic outlet syndrome (TOS).

Pronated shoulders occur when the shoulder blades rotate forward, leading to a hunched posture. This can occur when the lower traps and rhomboids are weak and unable to maintain proper scapular alignment. The resulting forward shoulder position can cause tension and compression in the neck and shoulder region, leading to TOS.

TOS is a condition where the nerves and blood vessels that pass through the thoracic outlet become compressed, leading to pain, numbness, and weakness in the arm and hand. Forward head position will further contribute to the progression of this syndrome.

To prevent TOS and other related conditions, it is essential to maintain proper scapular control and stability. This can be achieved through exercises that strengthen the lower traps and rhomboids, such as scapular retraction and shoulder blade squeezes. Additionally, maintaining good posture and avoiding activities that require prolonged shoulder and arm elevation can help prevent TOS, however when this position occurs during sleep, it can be hard to avoid.

Slipped rib syndrome, costochondritis, and worrying chest pain can all be downstream effects of a poorly seated rib - usually between T6-T8. When a rib is not properly aligned, it can cause thoracic instability, leading to overworked intercostal muscles and inflammation in the surrounding tissues. This is a common issue where hEDS metabolism is present. hEDS metabolism is described in the disease model as a "normal feature" whenever innate immune response pathways are activated and/or specific mineral deficiencies are present.

Slipped rib syndrome occurs when a rib slips out of place and moves too easily, causing pain and discomfort. Costochondritis is inflammation of the cartilage that connects the ribs to the breastbone, which can also cause significant chest pain, which can mimic having a cardiac event.

When a rib is poorly seated, it can create an unstable environment for the intercostal muscles that are responsible for breathing. Overworked muscles can become fatigued and inflamed, leading to scary chest pain and difficulty breathing.

It is wise to seek medical attention if you experience chest pain, as it can be a symptom of more severe conditions such as a heart attack or pulmonary embolism. However, if you have chronic chest pain that is related to slipped rib syndrome or costochondritis, treatment may include correcting the alignment of the rib and regular physical therapy, once any hEDS metabolism is corrected. Like any other resistance training, this tissue rehabilitation process will normally take weeks or months to complete.

STEP 1 - COLLECT YOUR DATA

a) Research suggests that a Hair Toxin Mineral Analysis (HTMA) may provide an approximation of your FUNCTIONAL mineral status, averaged over the period of follicle growth, sampled downstream of the transporter alterations from inflammation - where circulating minerals can be sequestered inside various brain, liver and kidney cells and consequently low in other cells. A list of vendors offering a compatible list of markers and reference ranges is provided here:

Doctors Data and other compatible laboratories:
AU - https://www.toxno.com.au/articles/heavy-metals/hair-tissue-mineral-analysis-hma-or-htma-in-australia/ (can manually add rubidium)
EU / UK - https://regeneruslabs.com/products/hair-toxic-essential-elements-1
EU - https://www.biocoherence.eu/en/shop/htma/ (doesn't include rubidium)
EU - https://www.lifelinediag.eu/en/product/eha-standard-en/#products (doesn't include rubidium)
NZ - https://www.houseofhealth.co.nz/product/hair-toxic-mineral-analysis/
PL - https://analizawlosa.com.pl/produkt/analiza-wlosa/
UK, some EU - https://www.lauristonlabs.co.uk/product/hair-elements-doctors-data/
US - https://www.walkinlab.com/products/view/dd-hair-elements-profile-doctors-data (Not available in NY/ NYC and other areas.)

Hair collection guide:
1. Please ignore any conflicting vendor-specific instructions.
2. The hair needs to be clean, well-rinsed, dry, untreated and uncoloured. Unwashed hair may provide false (elevated) data for sodium and potassium, from dried sweat. Use gloves.
3. Select suitable areas of sideburn, scalp and/or neck hair. If the hair is longer than 2.5cm / 1", first trim the sample area to this maximum length with clean stainless steel scissors. By using shorter hair, the report data relates to a more recent period of time.
4. Cut the (remaining) hair to be sampled as close to the skin as possible. Do not use clippers or an electric razor - metal contamination from tungsten blades, etc may occur. Collect at least 2 heaped tablespoons worth of hair, or approximately 250 mg. If the amount of hair provided is insufficient, the sample may be rejected.
5. Place the hair sample in the sample kit envelope provided, or in a clean, clearly labelled envelope or sachet. Whilst Trace Elements Inc says not to use ziplock bags as apparently hair “sweats” and the sample may be rejected, Doctors Data supplies ziplock bags in their kit.

The results obtained from the HTMA data may be used to infer averaged intracellular mineral availability, downstream of any chronic inflammation, for the period of time in which the hair follicles grew. This is especially relevant for the 9 elements discussed in the introduction.

b) Research suggests that an Oligoscan report can provide an approximation of your ACTUAL mineral status, as inferred by the mineral content of the skin in your hand. This is an in-clinic test, so a local practitioner will be required. Your blood type apparently affects the calibration or ranges in the report, so this information will be requested when you visit a clinic.

Unfortunately, a comprehensive list of providers is not yet available. An outdated list can be found here: https://annuaire.myoligoscan.com/. If you have a good (or bad) experience with an Oligoscan practitioner, please share details with our community Discord server. You can also manually enquire about local practitioners here: https://www.theoligoscan.com/nearest-provider

The set of elemental markers collected is almost the same as the Doctors Data HTMA, however it also includes silicon, fluorine and unfortunately does not include rubidium or strontium markers. These are not known to be directly affected by inflammation, meaning the HTMA data can be referenced to help supplementation planning. However, the Oligoscan report provides the most actionable set of objective markers to target when choosing mineral supplements.

Your results may look something approximately like this -

While not happy with the level of published evidence currently supporting this emerging technology, our testing showed a clear pattern of deficiencies in ME/CFS, Long Covid and C19 vaccine injured people, with minor variability, which was not observed in controls.

c) A Great Plains Organic Acids Test (OAT) is a comprehensive report on urine metabolites.
It is available through local vendors or potentially, this website - https://gpldirect-international.com/collections/popular-test/products/organic-acids-test-oat

In addition to allowing interpretation of metabolic impairment from the patterns observed in these markers, page 1 of the report shows various markers for microbial interference. The remaining pages show the metabolic impacts for infection and malnutrition. Elevation of yeast, bacterial and fungal metabolites in OAT results have been seen consistently in our collected data, with matching symptoms. A further MycoTOX test may provide further clarity on species, if required. Example interpretations of these reports can be found on the Discord server.

STEP 2 - ORDER YOUR SUPPLEMENTS

While the Oligoscan provides instant results, it will typically take 2-3 weeks to get your HTMA and OAT results.. and a potentially similar timeframe to order / receive supplements from any overseas vendors. Now would be an opportune time to order any/all supplements which do not require personalisation and each of the mineral supplements which are used early in the schedule.

Some products are not available domestically in all regions and will need to be imported from the US. As such, the “master list” is based around US suppliers. However, a list of local vendors / supplements for regions has been provided for some products. It is expected that local lists will expand over time. (PRODUCTS RECENTLY UPDATED are marked in GREEN)

[AU / Australia - alternate / domestic sources for some products]
Standard supplements, regardless of mineral data:

PQQ + CoQ10 - https://return2health.com.au/jarrow-qh-pqq-ubiquinol-pyrroloquinoline-quinone
Vimergy B12 - https://floweroflife.com.au/shop/vimergy-b12/
Psyllium Husk - https://www.woolworths.com.au/shop/productdetails/479953/macro-organic-psyllium-husk
Antifungal Enzymes 2 (Interfase Plus) - https://www.holisticlifestyler.com/new-products/interfase-plus-120-ct
Youtheory Spore - https://vitamingrocer.com.au/products/youtheory-spore-probiotic-171108
LGG Probiotic - https://www.chemistwarehouse.com.au/buy/81560/inner-health-on-the-go-60-capsules
Creatine - https://www.chemistwarehouse.com.au/buy/74336/inc-creatine-500g

Additional elements, as needed:

Magnesium (transdermal. NB the iHerb product above is superior) - https://www.chemistwarehouse.com.au/buy/84838/bioglan-active-magnesium-cream-100g
Silica - https://www.chemistwarehouse.com.au/buy/112597/bioceuticals-silica-liquid-500ml
Iodine - https://www.chemistwarehouse.com.au/buy/113957/bioceuticals-iodine-drops-50ml

Foods, salts:

Sodium Chloride - https://www.woolworths.com.au/shop/productdetails/320992/mckenzie-s-natural-salt-sea
Potassium Chloride - https://ozdingo.com.au/products/pure-potassium-chloride-powder
Oat Bran - https://www.woolworths.com.au/shop/productdetails/203867/woolworths-oat-bran
Ginger - https://www.woolworths.com.au/shop/productdetails/680510/woolworths-crushed-ginger

DIY Antiseptic Recipe:

Tea Tree Oil - https://www.chemistwarehouse.com.au/buy/86222/thursday-plantation-tea-tree-oil-100ml
Clove Oil - https://www.chemistwarehouse.com.au/buy/85247/thursday-plantation-clove-oil-13ml
MCT Oil - https://www.woolworths.com.au/shop/shopping/937713-9349580000651
NAC Powder - https://www.ebay.com.au/itm/204114762944
Empty Bottles - https://www.amazon.com.au/Magic-Season-Boston-Bottles-Dropper/dp/B09919MRFD/

[Supplements currently in testing for future updates, known benefits]
See #development-pipeline in the Discord server.

STEP 3 - CALCULATE SUPPLEMENTS / DOSES

Except for electrolytes which have set daily targets, adjust / remove / replace mineral supplements using your Oligoscan (and HTMA report) data as an approximate guide.

It is generally expected that ACTUAL deficiencies for magnesium, silicon, iodine, selenium, molybdenum and others may show in your Oligoscan data and that FUNCTIONAL deficiencies for iron, manganese, copper and six others may exist in the HTMA, indicating inflammation severity over time. These may take some months to restore. Recheck your Oligoscan for progress on remineralisation (and HTMA) as desired for progress on removing sources of inflammation. Adjust supplements as needed. At 4-6 weeks, HTMA averaged results will approximate 2-3 weeks progress, assuming linear progress.

If your HTMA and/or Oligoscan profile shows extremely elevated levels of heavy metals (eg. lead, mercury or uranium), taking a final binder (eg. 5g of activated charcoal, micronized zeolite or bentonite clay) could be appropriate before bed and far away from meals. The included silica, spirulina, NAC, R-ALA and psyllium husk already have functions for this.

Elevations of electrolyte excretion in hair can indicate LOW cellular uptake / silicon deficiency. Where a HTMA profile shows low potassium and similarly low rubidium, the rubidium deficiency will need correcting or else potassium levels may be difficult to restore. Similarly calcium with strontium and magnesium with lithium. High zinc can indicate low histidine / insufficient protein.

NB. Consuming higher than recommended daily intakes of minerals where a deficiency is not present could create additional health problems and should be generally avoided. Consuming certain minerals on an empty stomach will quite likely induce nausea.

DIET AND ELECTROLYTES

Foods to generally consume as part of this protocol, per HTMA results:
Brazil and other nuts (silicon, rubidium, strontium, cobalt, warning - high selenium)
Liver, organ meats (very nutrient dense, not every day)
Cucumber (promotes alcohol and acetaldehyde dehydrogenase activity)
Broccoli + radish / mustard seed (additional sulforaphane, trace elements)
Cabbage (zirconium, rubidium), Carrots (Vitamin A), Green beans (silicon),
Eggs (Iron, iodine, choline, lecithin, biotin, etc), Pumpkin seeds/oil (phosphorus),
Beetroot (nitrates for blood volume, nitric oxide and dopamine synthesis),
Ginger 2.5-5g/day (gut microbiome dysbiosis and itaconate / isocitrate lyase inhibition),
Oat bran (40 g+ /day for beta glucans, silicon - inhibits isocitrate lyase, Candida, etc),
Pineapple (100-200 g for silicon, bromelain - fibrin clots). Generally avoid fructose.
High protein diet (essential amino acids, often good phosphate sources) >1.5g/kg/day
Low-GI carbs 1.5-2g/kg/day, unless employing a ketogenic diet. (Glycogen storage is also impaired when epinephrine is elevated.)

Hydration:
2.5-3L of water / day to help prevent dehydration and red blood cell rouleaux formation.

Other electrolytes (potassium, sodium, calcium, magnesium, phosphate, bicarbonate):
Maintaining electrolytes can be challenging, due to expected renal dysfunction. Electrolytes are required for ion channels / transporters and signalling pathways. Where deficient, neurological symptoms, muscle spasms and pain/inflammation may occur. Nutrient absorption may be impaired. Electrolytes should be consumed slowly over the day and typically with carbohydrates / food. Consult your doctor, if suffering from any pre-existing kidney disease.
Total daily (elemental) targets -
Sodium: 2-2.5 g, eg. 5 g (teaspoon) of table salt.
Potassium: >5 g, eg. 900g / 3 large potatoes, or eg.10g of potassium chloride (Nu-Salt).
Magnesium: >750 mg. 1.5-2 g, where deficient.
Calcium: >750 mg. 1.5-2 g, where deficient
Phosphate: 1 g for maintenance, higher where deficient. eg. Meat, dairy, pumpkin seeds / pumpkin seed oil, red lentils, sunflower seeds, potatoes. Supplements which combine phosphate with various electrolytes, eg. calcium phosphate may be available in some regions.

Elemental weights, by compound, for calculating servings of various electrolytes:
Sodium Chloride | 39% sodium, 61 % chloride
eg. 6.4 g = 2.5 g sodium, 3.9 g chloride
Potassium Chloride | 52% potassium, 48% chloride
eg. 9.6 g = 5 g potassium, 4.6 g chloride
Calcium Phosphate | 39% calcium, 20% phosphorus
eg. 3.8 g = 1500 mg calcium, 770 mg phosphorus

STEP 4 - START THE PROTOCOL

It is fully expected that people exploring this protocol are highly sensitive to supplements.
To help reduce expected paradoxical symptoms and herxheimer effects, from any improved immune activity, a starting order has been provided. Deviations from this starting order may induce avoidable and unpleasant symptoms, however you can space out the stages further, as needed. This protocol is intended to stimulate immune activity and should produce a “J-curve” result, making you “feel quite sick” at the beginning of each stage.

BEFORE YOU START

1) First assess, remediate and maintain your lymphatic system as described earlier. Take note of any tissues which have been or continue to be sore / stiff / inflamed - these will be expected to flare during immune activity. These may also be adjacent to other infected tissues.

2) Due to fulvic acid’s potent and desired ability to “liberate” and recirculate metals that are being sequestered during chronic inflammation, it is suggested that you test your response to a single drop of the the Good State Fulvic Ionic Man (multi-mineral) in a glass of water before starting weeks 5-8 of the protocol. If you experience any unpleasant effects, take a few days to titrate up from a smaller dose (eg. place a drop in a bottle of water, mix and then transfer a drop from this first dilution into another glass of water) until you can consume a standard serving without observing these effects.

3) If you have nasal inflammation or notice a bottleneck when breathing in, performing a MARCoNS test through your health practitioner could be appropriate. Candida, Aspergillus, Staphylococcus and Klebsiella species are unwanted microorganisms sometimes found in the nasopharynx. Various supplements may provide additional benefits against these pathogens, by inhibiting their energy availability, breaking down biofilms and other mechanisms.

4) If your intracellular magnesium levels are low, you may experience “B6 toxicity” symptoms which would be enhanced by consuming additional B6 in any form. Gut motility issues are also commonly experienced.

You may help avoid unwanted symptoms by FIRST consuming the food items and electrolytes to reach the suggested total daily intakes for 7 - 10 days.. Liberally applying the magnesium gel 2+ times / day covering armpits to elbows, stomach, etc. can be highly effective. The gel also has eucalyptus and menthol, which has an antiseptic function.

NB. Correcting severe electrolyte deficiencies can create temporary paradoxical effects and increased rates of metabolism, heart rate, etc.

5) Where described below, “x 3” means “3 times per day” and not “3 doses all at once”.

Weeks 1-2+ (STAGE 1)

Perform regular lymphatic maintenance. Performing pacing. This stage can be initially unpleasant due to the microbial ‘die-off’ effect - even though it is being minimised. Slow things down, as needed / use reduced doses and build up.

Start consuming / absorbing the foods and various electrolytes discussed in Step 3 & 4, plus:

Liposomal Riboflavin 100 mg, 2 x 2 small scoops. (This will reduce over time.)
Niacinamide (no-flush) > 500mg x 1-2 (NAD+ biosynthesis, immunity. Can increase as needed)
PQQ 20mg, CoQ10 200 mg x 1-3 (DBH promoter, Electron Transport Chain support)
Acetyl L-Carnitine 1000 mg x 2 (Fatty acid transport, dopamine promoter)
Vitamin D3 5000 IU - 8000 IU x 1 (PNMT modulation, immunity)
Folinic Acid (NOT Folic) 800-1200 mcg x 1 (methylation cycle, BH4)
DHA 300-500 mg x 1 (Lipid membrane maintenance)
R-ALA 100 mg x 1 (AMPK promoter)
Apigenin eg. 50mg x 1 AM (p38 MAPK inhibitor, TGF-b1 modulator and NADase inhibitor, start at ¼ dose and increase. Upper threshold for effective dose may be 400mg/day.)
Vimergy B12 x 1/2 serving (sublingual)
Silica x 2 servings (and/or eat cooked green beans, brazil nuts. Antiviral. Magnesium uptake.)
“Anti-fungal enzymes 1” - Candex (please read product label carefully to set expectations)
Iodine approx 1000mcg in water (if needed) (Thyroid, riboflavin metabolism.)
L-Serine 2000mg (Neuropathy, neurotransmission)
D-Ribose 5g (teaspoon) (NAD+ biosynthesis, mitochondrial metabolism)
Creatine 2.5g x 1-2 (½ teaspoon) (ATP production decrease, SAMe metabolism efficiency)
Youtheory Spore Probiotic 2 capsules (Microbiome, GI tract repair, endotoxemia)
LGG Probiotic x 1-2 (Microbiome, GI tract repair, endotoxemia)

Morning, before any food -
Psyllium Husk “shake” - a teaspoon of powder in a glass of water. (Will assist toxin removal, gut microbiome / GI motility).

Evening, after food -
ANY other major deficiencies indicated by Oligoscan (or via HTMA data - rubidium, strontium, where indicated)

NB. Using “fulvic acid complexed” minerals for these deficiencies will increase any microbial die-off effect, via biofilm disruption. This may be quite unpleasant / intolerable at this stage of the protocol. However, starting with a very low dose and increasing it could be appropriate. Otherwise using “traditional” individual mineral supplements at this stage could be preferred.

Weeks 3-4+ (STAGE 2)

Continue items in all previous weeks and add:

EGCG 100-200 mg x 2-3 (Reduces nitrogen metabolism)
A-GPC Choline >250 mg x 2 (If muscle stiffness or headache occurs, reduce or pause dosing.)

Slowly add 1g (1/5th tsp) - 5g (1 tsp) of Spirulina to the morning psyllium husk shake and take a 2nd serving of spirulina, mid-afternoon.
(Immunomodulation for IFN-g pathway. Inhibits pathogens, histamine. May initially cause nausea, headache, fatigue from fungal die-off symptoms - start low and slow. NB. Drugs metabolised by CYP2D6 may have altered pharmacokinetics - making them more or less potent. Your doctor can best advise on how to manage any tapering or other dose adjustments.)

Weeks 5-8+ (STAGE 3)

Continue items in all previous weeks APART FROM THE IODINE and “Anti-fungal enzymes 1” - Candex, then add (and expect more die-off symptoms, immune response, fatigue, etc):

“Anti-fungal enzymes 2” - Interfase Plus, away from foods / supplements for weeks 5,6,7 then rotate back to “Anti-fungal enzymes 1” - Candex.
R-ALA (AMPK, binder. Increase to 100mg x 3 for weeks 5,6,7 and then reduce to 100 mg x 1.)
NAC (Thrombolytic, biofilm breaker and mineral chelator - weeks 5,6,7 at 1000 mg x 3, then reduce to < 500 mg x 1)
Forskolin 10 mg x 1-2 (cAMP. Temporary adrenergic increase, reduced histamine.)
Artichoke (Luteolin) 25 mg x 1 (cAMP. Temporary adrenergic increase, reduced histamine.)
ACV 2-3 caps x 3 (may cause temporary GI upset, histamine increase.)
Life Extension Reishi Complex* x 2 (Immunomodulation, targets various pathogens)
*A 1-3 day initial headache is possible when starting reishi.
Lions Mane (beta glucans) >250mg x1 AM (NK cells. May increase histamine / insomnia, low dose.)
Thorne Basic B Complex 1 capsule x 1

Morning, after food -
Good State Fulvic Ionic Man Multi Mineral x 2 servings (Start with lower dose.)

Lunchtime, after food -
ALTERNATE EACH DAY, AS INDICATED BY YOUR OLIGOSCAN, EITHER
Good State Fulvic Ionic Copper x eg. 2-4 servings OR
Good State Fulvic Ionic Iron x 2-4 servings

Evening, after food -
Good State Fulvic Ionic Man Multi Mineral x 2 servings (Start with lower dose.)

STEP 5 - OPTIONAL FOLLOW UP

When the element levels reported by your HTMA are optimal, a 3 day “water fast” may provide additional benefits. This is NOT advisable with severe mineral deficiencies.

If this is your first water fast, it is generally advisable to have someone monitoring you during this time. Avoid driving vehicles, stress and excessive exertion.

Fasting protocol requirements (per day):
No food or other supplements.
3L water.
5g (teaspoon) of sodium chloride (table salt = 2.5g sodium elemental)
3g NAC.

(Optional add-ons)
500mg EGCG x 3*
Resveratrol 120mg x 3
Hesperidin 500mg x 2

(*NB. Important safety consideration: To break a water fast “early”, use 2 or more Apple Cider Vinegar doses - without capsules - as a succinate source.
This is only a requirement if EGCG has been dosed in the previous 6 hours.

Failure to observe this safety consideration may result in rapid cyclical blackouts and convulsions until the EGCG is fully metabolised or until someone else administers Apple Cider Vinegar.
This could easily be fatal if eg. operating a motor vehicle. YOU HAVE BEEN WARNED.)