Corona virus, COVID-19, Education and Newsletters, Patty Shipley, RN, Naturopath

Bolstering Immunity: Updated Info on COVID-19

Natural Treatment and Prevention of COVID-19

Updated Nov 24, 2020
While we’re NOT experts in treating this virus, we’ve had many years of experience working with patients to treat a variety of infections, as well as more recently, patients and loved ones who have contracted COVID-19.  We’ve decided to turn this post into a “living blog” that is updated as we continue learning about this novel virus.

ACE2 Receptors Key to Viral Entry

This virus utilizes ACE2 receptors on cells to gain entry. Different substances interact with these receptors, including Vitamins A and D, Zinc, ibuprofen and anti-hypertensive drugs.  Cardiovascular disease, diabetes and hypertension are associated with worse outcomes, as they can increase the number of these receptors/entry points on the cell surface.  Sites for these receptors are especially abundant in the epithelia of the lung, small intestine, kidneys and blood vessels, giving rise to some of the common symptoms associated with COVID-19.
There is now evidence that Vitamin D increases soluble ACE2, which would not increase viral access to cells, but instead act as a decoy, as described in this article from the journal Clinical Science.

A Look at Vitamin D and Other Supplements

Vitamin D

If you’ve been living north of Georgia for the past 6 months, and you’re not taking vitamin D, you’re likely deficient, and should consider taking enough supplemental vitamin D to achieve a sufficient serum level to support overall immunity (60-80 ng/mL, which usually requires 3000-5000 IU daily).  If just starting vitamin D, it may make sense to double the suggested dosing range for 3-4 weeks to achieve sufficiency more quickly.  Some patients do better with higher dosing less often. For instance, taking 50,000 IU every 10-14 days, since vitamin D is fat-soluble and stored in the body.  We offer emulsified liquid and capsules ranging from 1000-50,000 IU per serving to allow for individualized dosing.  We’ve learned that taking 50,000 IU daily for the first few days of infection can effectively bump up immune response, lessening symptoms and shortening duration of illness.
Recent small group studies have shown decreased cases of severe illness, duration of hospital stays and death rates in those with higher levels of vitamin D.  Larger studies are needed, but optimizing your vitamin D levels is inexpensive and has a litany of other health benefits.  Here is a link that summarizes the most recent emerging science on vitamin D.
Vitamin D Supreme 5000 IU, 60caps by Designs for Health: $30
Bio-D-Mulsion Forte 1 fl oz, 2000 IU by Biotics Research: $21

Vitamin A

Vitamin A is important for the health of the respiratory tract and mucus membranes, both of which play a central role in overall immune response However, in practice, we only see vitamin A deficiency in maaaaybe 5% of the nutrient tests we review, and vitamin A has as yet unknown interaction with ACE-2 receptor sites, so aside from what’s in your multivitamin, we don’t recommend taking additional vitamin A unless there is a proven need.
Vitamin A 10000 IU, 100 gels by Carlson: $7.50

Zinc

It appears zinc can benefit in two ways: by lowering the virus’s ability to enter cells through ACE2 receptors and also inhibiting replication once it’s gained access. (Read about these important roles here.)  We recommend 30-50 mg/day, increasing the dose to 100-200mg daily at the first classical signs of illness (shortness of breath, cough, loss of taste and smell).
Zinc Supreme 30mg, 90 caps by Designs for Health: $17
Zinc Lozenge 60 loz, 23mg by Davinci: $11.50
Reacted Zinc 60C 54mg by Ortho Molecular: $18

Probiotics

Our favorites here for coronavirus prevention (Ultra Flora Immune Booster and Ultra Flora BiomePro) include specific strains that benefit the respiratory system, the system that is of utmost concern in severe cases.   Take 1-2 per day, preferably away from food.
Ultra Flora Immune Booster, 1 billion live organisms, 30 caps by Metagenics: $34
Ultra Flora BiomePro, 105 billion CFU, 30 caps by Metagenics: $70

Vitamin C

Because vitamin C is water-soluble, it’s important to divide your dosing up into 2-3 doses minimum per day.  Liposomal vitamin C can be dosed twice daily for round-the-clock vitamin C protection.  Vitamin C helps stimulate production and function of white blood cells, and helps your body produce important proteins that bind invading microbes (antibodies) to neutralize them.  If you experience loose stools or diarrhea when taking vitamin C, you should back the dose down.
Of note: In Wuhan, doctors have been using high dose intravenous vitamin C for those who are sick as well as for those in the hospital. Nearly all patients with symptoms received 50-100 mg/kg/day for mild symptoms and 100-200 mg/kg/day for severe forms.  Many hospitals in the US are now using intravenous vitamin C in the ICU.
Liposomal Vitamin C 1000 mg, 60C by Mercola: $19
Ultra Potent-C 1000 90T by Metagenics: $32
Stellar C 600mg, 90 caps by Designs for Heatlh: $30
Chewable C 250mg  90T by Nature’s Sunshine: $22.50
Power Pak Tangerine 30 packets, 1200mg each by Trace Minerals: $19

Astragalus Max by Douglas Labs

Astragalus stimulates white blood cells to engulf and destroy invading organisms and cellular debris as well as enhance the production of interferon (a key natural compound produced by the body to fight viruses).  We recommend 1 daily for prevention and in cases of infection accompanied by fatigue, shortness of breath or spontaneous sweating, to increase the frequency of dosing to 2-3 times daily.
Astragalus has been shown to have additional benefits of lowering blood sugar with type 2 diabetes, improving blood flow to the kidneys, promoting apoptosis in various types of cancer cells and acting as an adaptogen during times of stress. In China, it’s one of the most frequently used herbs for management of diabetes.
Astragalus Max-V 60 vcaps by Douglas Labs: $27.75

Andrographis Plus by Metagenics

Over the years, we’ve trialed other brands of andrographis without the same success, so this is the only andrographis we typically stock. Patients often report that if they’re able to start taking this immediately at the first sign of infection, after 3-5 hourly doses, symptoms are completely resolved.  This is one I keep in stock at home since it’s most effective in the earliest stages of infection.  When I’m able to start this as soon as I feel the symptoms of an infection, I can knock it out. Every. Time.
Andrographis Plus 30T by Metagenics: $24.75
Essential Defense 30T by Metagenics: $19.75

NAC

Used in hospitals to treat acetaminophen poisoning, NAC is also used as a mucus thinner that targets the lungs, improving respiration.  Dosing is typically 600-3000 mg 1-3 times daily, and in hospitals, if available, it can be administered as an IV or taken orally, as an aerosol spray.
N-ACETYL-CYSTEINE 900mg 120T by Designs for Health: $36.50
NAC 600mg 90C by Pure Encapsulations: $30

Silver

Silver is an earth element that has broad-spectrum effects when targeting infections.  Most brands taste like water, so it’s an easy thing to add, especially with kids. We’re now using 3 brands of ionized nano-particles of silver with good success: Smart Silver from DesBio, Silver Shield from Nature’s Sunshine and Silvercillin from Designs for Health.  We recommend 1 tbsp twice daily at first signs of infection (none of these brands will cause blue skin – this is a condition associated with colloidal forms of silver taken excessively over prolonged periods of time).
There is now data showing that masks with an ionized silver coating can inactivate the virus completely, a wonderful demonstration of the efficacy of silver against viral particles. I’ve done a lot of searching for any trials using ionic silver spray on your own to increase efficacy of masking, and while that is a tantalizing idea, there don’t seem to be any trials yet done to determine if this would cause the mask fibers to break down in non-cloth masks, and no studies done to determine if applying to cloth masks confers any increased protection, so for now, I’m unsure about taking this approach.  I do see that baking your mask at 150-160 for 30 minutes will inactivate any microbes, but washing with soap and water is still your best option for cloth masks because soap dissolves the fatty envelope around the virus, making it inactive.
We DO recommend spritzing the back of the throat and using ionized silver as a nasal wash for added protection against infection, or during active infection. We carry Silvercillin spray and have $3 nasal spray bottles to pair with the spray.
Silver Shield 4 oz by Nature’s Sunshine: $38
Silvercillin Liquid Spray, 4floz by Designs for Health: $21.50
Silvercillin Liquid 16oz, 75mcg by Designs for Health: $58
Smart Silver 32 oz. by Desbio: $112
Amber Nasal Spray Bottle 1oz: $3

Melatonin

Many researchers now believe one of the reasons younger people are not as affected by this virus is their melatonin status.  Melatonin is a hormone that declines with age, which could explain some of why the risk of death with COVID-19 increases with age.  Melatonin has been used for years as a natural therapy for cancer (dosing is usually 10-30mg) because of its anti-inflammatory and anti-oxidative properties, not to mention that it can help with sleep, the loss of which impacts the immune system.  We recommend using a dose that helps improve sleep, but doesn’t cause drowsiness the following morning, and we offer a variety of doses to allow for this individualization, ranging from 3mg to 20mg.
Melatonin 60T, 3mg by Xymogen: $16.25
Melatonin Time Release 5mg by Bioclinic: $10.25
Melatonin 10 mg, 180T by Bioclinic: $53
Melatonin 20mg 60vcaps byPure Encapsulations : $31.50

Nebulized Hydrogen Peroxide (H2O2)

Having now supported several patients through severe respiratory COVID symptoms, we can say with confidence that nebulizing hydrogen peroxide can help significantly.  While updating this newsletter, I’ve also seen where some doctors are recommending this to prevent the virus from moving into the lungs.

H2O2 should first be diluted in normal saline (which can be purchased or made from 1/2 tsp salt to 1 cup purified or distilled water).  We stock 3% food grade H2O2 (don’t use the brown $1 bottles found at drug stores since they contain stabilizers, that when inhaled, can be harmful to the lungs). Dilute the 3% H2O2 in the normal saline at 1/4 tsp to 7-1/4 tsp of normal saline.  This mixture should be refrigerated to help it maintain stability and potency.

Put 1/4-1/2 tsp in the nebulizer cup and nebulize 3-4 times daily.  The mist can be inhaled into the lungs and/or sinuses.

Innospire Nebulizer System $50
Hydrogen Peroxide 16 fl oz, 3% FOOD GRADE: $10

What can you do for a Fever?

Since fevers are your body’s natural response to infection, most functional medicine healthcare professionals wouldn’t recommend treating a fever unless it rises above 103 degrees, though temps up to 107 degrees are not associated with any lasting damage to the body, according to Medline Plus, a service of the Natural Institutes of Health and U.S. Library of Natural Medicine.  Some natural ways to address a fever are: drinking cool water and putting cold packs under your arms, or sitting in a lukewarm bath.

For those in the early stages of infection, drinking hot chamomile or peppermint tea can promote sweating, which works with the body’s natural immune response.

 

 

Ibuprofen

Some observational studies have demonstrated an increase in ACE2 receptors with ibuprofen use, however, additional recent studies have not shown increased negative outcomes with its use during active infection.

Acetaminophen

Acetaminophen depletes a crucial antioxidant: glutathione.  In fact, we feel acetaminophen should be severely limited for any condition because it has a poor safety profile in general.

 

Aspirin

Researchers at the University of Maryland School of Medicine (UMSOM) found that aspirin takers were less likely to be placed in the intensive care unit (ICU) or hooked up to a mechanical ventilator, and they were more likely to survive the infection compared to hospitalized patients who were not taking aspirin.  Long-term use of aspirin can impact the GI lining, so use with caution beond short-term.

 

What About Cytokine Storms?

When this particular virus gets going in your body, it can create what is called a cytokine storm, which is when your immune system reacts vigorously and releases an enormous amount of chemicals (cytokines) and free radicals to destroy the virus. This is generally a good thing, however, what is concerning is that in some people, COVID19 triggers an extreme cytokine storm, causing (among other things) acute respiratory distress (ARDS) and lung injury.

Until we have firsthand knowledge of what works here, we are leaning on experience from Dr. Nathan Morris, a once-local physician who recently recovered from a severe bout with COVID-19 using Vesisorb hemp, a patented lipid-based delivery system that increases the bioavailability of fat-soluble compounds. Each gel contains 25 mg of full-spectrum CBD, and dosing is 1 gel twice daily while symptoms of inflammation are present.

Hemp extract VESIsorb 30sg by Pure Encapsulations: $80

But what about Quercetin, Vitamin E, Green Tea, Etc?

Many other remedies are worth considering here, but there is no way to make this into an exhaustive list, so we’re including a focused list that prioritizes the remedies we feel are most important.   For The Institute for Functional Medicine’s recommendations that include quercetin, curcumin, PEA, green tea, resveratrol and others covered in this post, click here.

Quercetin 250mg, 120C by Pure Encapsulations: $40

 

 

Wrapping it up

With so many options, many patients have asked me what I do for myself as prevention and how would I address symptoms if they were to appear.  For prevention, I’m currently taking liposomal melatonin since it is essentially time-released, zinc (Reacted Zinc by OrthoMolecular shows superior absorption on micronutrient testing), liposomal vitamin C, vitamin D and UltraFlora BiomePro, a probiotic geared toward respiratory health.
I’ve also begun to nebulize H2O2 once daily since I’m continuing to consult in-office and it’s a bit chilly now for open windows to dilute the air in my office.
Andrographis Plus is the herbal formula that helps me the most and the quickest when I’m fighting infection. At the first sign of infection, I begin taking 1 andrographis hourly, and I pair it with 1 tab of Essential Defense from Metagenics.  For sore throat, and for COVID concerns, I use Silvercillen as well as Herbal Throat Spray (HTS) from Medi-Herb (as often as I think about it when I’m fighting a sore throat or am concerned about COVID, since both are antiseptic and HTS has a lovely numbing effect from the clove oil it contains).  I find vitamin C drinks soothing (I prefer LiquiMins Power Pak over EmergenC because it’s buffered with minerals and electrolytes, tastes great and only contains 1g of sugar, with zero artificial sweeteners and 1200 mg vitamin C).

Treating Severe, Active Infection

Many stories are emerging on natural interventions that may help shorten the duration and severity of COVID19.  We’re including links here to ensure that you’re able to access important information if you or a loved one becomes ill and/or hospitalized with COVID.

The EVMS Medical Group is providing guidance for healthcare providers treating COVID-19 patients. This approach to COVID-19 is based on the best (and most recent) available literature and the Shanghai Management Guideline for COVID. Their continually updated article can be found here.

Jill Carnahan, a well known functional medicine doctor, pulls together information from many sources that illuminate what we are learning about how this virus behaves in the body.  She is also continually updating her blog that can be found here.

Lastly, for now, here is a link to the clinical trials currently underway to determine effective treatments, including MANY natural interventions! It’s exciting to see.

I hope you find this article helpful.  Please feel free to reach out by email, phone, or  below with questions or comments.  And above all, stay safe and well!
Caitlin Pfeil, FMCHC, CPT, NCAA Personal Trainer, Leaves of Life Practitioners, Uncategorized

Meet Caitlin Pfeil, FMCHC, CPT, NCCA Personal Trainer

Hi! My name is Caitlin and I’m so excited to be part of the incredible team here at Leaves of Life. The kind of world I want to live in celebrates holistic health with a focus on balance, where body positivity is the norm, diet culture is not, and where “bad” foods don’t exist. It’s possible with small but powerful steps, accountability, support, and making it fun!

I’m a Functional Medicine Certified Health Coach certified through the Functional Medicine Coaching Academy with the Institute of Functional Medicine. I’m also an NCCA Certified Personal Trainer, with a specialization in fitness nutrition. On the Leaves of Life team, I’m a one-on-one Health Coach in partnership with practitioners. Working collaboratively with doctors, nurses, and lifestyle educators offers a clear treatment plan. I also provide laser allergy treatment for patients who need help with environmental and food allergies and other imbalances.

Over eleven years ago, I knew I had to make a change. At my heaviest, I was fifty pounds overweight, tired and moody, with skin issues, environmental allergies, food sensitivities, and frequent headaches. I joined a gym, became certified as a Personal Trainer and my passion for the gym led me to fitness competitions. Most recently I competed in the Arnold Classic. Competing has taught me extreme drive, intrinsic motivation, patience, and discipline, but definitely not balance. Now, I’m an advocate for balancing physical, mental and emotional health, which I’ve seen spill over into and improve all different areas of my own life and in the lives of my family, friends, and clients.

I’ve been working as a part of the holistic health world for about a decade now! I have owned and operated a successful nutrition club and storefront, led many large group fitness classes, taught dozens of nutrition workshops and seminars, managed thousands of supplements as a buyer for a health food store, and I’ve appeared on 10TV Columbus multiple times leading health, fitness and cooking segments. I spend hours every week self-studying to stay up to date in the ever-expanding world of natural health, and I enjoy continuing education conferences and seminars. I look forward to meeting you and working with you to help you achieve your goals and live your best, balanced life!

Corona virus, COVID-19, Dr. Emily Roedersheimer, Education and Newsletters, Karen Bush, NBC-HWC

Bolstering Immunity by Managing Stress

Stress… We use this word so often that we don’t even take it seriously anymore.

Stress occurs when life’s events surpass our ability to handle them. It comes in many forms: rush hour traffic, unexpected bills, your boss yelling at you, your kids fighting, or worst yet, there’s no toilet paper to be found in central Ohio! Add the corona virus to this list and our stress levels are boiling over. During this time in history we need our immune systems to be ready for anything and one of the best ways to help with that is to decrease stress.

Why? Because believe it or not, stress lowers immunity.

Fight or Flight

The immune system is a complex network of cells and proteins that defend the body against infection. Think of it as an army poised and ready to go to war for you if needed to prevent infections of all kinds – viruses, bacteria – and even cancer cells.  This army works best when we’re in a calm, rested state.

You’ve likely heard of the “fight or flight” response that kicks in when we’re under stress. This system is uniquely designed by our bodies to prepare us to flee or fight if we’re attacked. Now with our modern day “attacks” being more ongoing (work, bills, kids, TP, etc) we tend to stay in the fight or flight state. In preparation to fight or flee, our body shuts down the less important functions (ie, immunity) that aren’t needed in what should be a short-term stress response. Who cares about that cold virus or cancer cell if we’re about to be eaten by a tiger?! Unfortunately, with our current pace of life in America, most of us tend to stay in that fight or flight state all the time. So, we tend to get sick much more easily than our non-stressed friends (if you have any of those!)

Responding to stressors

How we handle our stress will determine the impact it will have on our immune system. Some situations cannot be changed – an ailing loved one, paying taxes – but we can change how we respond to these stressors. If we can consider stress reduction to be something we need to work on daily (like healthy eating, sleep and exercise), then we can help to change our body’s response to stress and maintain a healthy immune system. Given the right information, environment and directions, our bodies will choose healing over disease any day!

My health coach, Karen Bush, has offered some of her wisdom on how to handle stress in our lives.

From Karen Bush:

Often, we don’t even realize what symptoms of stress look like. It doesn’t have to be a significant worried or anxious feeling. It can simply be feeling unfocused with tasks, leaving things half done, going on social media too often during the day, reaching for food when you aren’t hungry or not eating enough, moodiness, procrastination and persistent fatigue. Once we see and recognize it, we can start to create change around us.

Let’s start with daily consistent practices and then move into things you can do right in the moment when you’re triggered into stress, anxiety or worry.

Consistent practices that support your health and well-being around stress should be a daily practice, not just something we reach for when we’re stressed or in a stressful situation.

Here are a few places to start:

Create a morning routine

Create a simple morning routine that starts the day out in a calm, contemplative and intentional way. Here are some examples:

    1. Drink 16 oz of water upon rising to replenish hydration after 8 hrs of loss while sleeping.
    2. Take 5 minutes to do some breathing – in for 4 seconds, hold for 4 seconds, out for 4 seconds, hold exhale for 4 seconds and repeat.
    3. Take 5 minutes to follow a guided meditation or journal. Meditations can be found on apps such as Insight Timer, Calm or Headspace.
    4. Do some sort of movement for at least 10-15 minutes to get your day started: Walking outside, doing a short yoga sequence (on YouTube with Adrienne or “Do yoga with me”), or even going up and down the stairs 3-4 times!

Set a schedule

Now that we’re all home more during this time it is more important than ever to set a schedule around what we are doing to feel more grounded. Even if you aren’t functioning at full capacity at work, set up your day with things you want to accomplish and include time for white space or down time.

    • Schedule times to do work
    • Set up times to be with kids, doing schoolwork and/or play time
    • Plan time for stress relief – breathing, exercise, meditation, prayer, alone time, time outside, mindful walks, walking outside on the grass with shoes off (grounding).
    • Really take a look at your day and take an honest assessment of what you’re spending your time focusing on. What could be contributing to stress? What you give attention to is strengthened. With that in mind, some questions to ask yourself:
      • How much time are you spending reading or watching the news?
      • How much time are you in conversation about anxiety-producing things you have no control over?
      • How often does your mind go to negative or worrying thoughts?

Make a shift

Now that you’ve taken a look at what your day looks like and what your habits may be in a day, you can make a few choices to shift to things that are healthier.

Here is a way to shift your mindset and gather some awareness around your thinking.

    • The practice of consistent breath work/meditation/prayer makes you more aware of your thinking.
    • Decide how much time you want to spend paying attention to the news and balance that out with joyful, happy activities.
    • When you catch yourself thinking in a way that produces stress, pause…take a moment to breathe.
    • Take the negative or stressful thought and shift to a thought around gratitude or appreciation.
    • Shift language:
      • Instead of anxious, breathe in CALM
      • Instead of stress, breathe in EASE
      • Instead of Bored, breathe in RESPONSIBILITY
      • Instead of Judgment, breathe in TOLERANCE
      • Instead of Anger, breathe in EASE TO COOL DOWN
      • Instead of Financial worries, breathe in ABUNDANCE/GRATITUDE
      • Instead of Lonely, breathe in CONNECTED and APPRECIATED
      • Instead of self-pity, breathe in DIGNITY

Remember that it takes time to shift behavior, so don’t expect it to happen overnight or even in 21 days! But daily practice leads to overall changes and what better time to start than now!?

To help you along these lines, Karen Bush and I are leading a free online stress support/meditation class this Wednesday, March 25, at 7 pm. Click the link to join us! We hope to see you there!

Education and Newsletters, Uncategorized

Robusting Your Immune Response: Supplement Strategy Basics

Many patients are asking what they can do to boost their immune system.  While none of us have encountered this particular Coronavirus previously, we do know the fundamentals of shoring up immunity.

Because 70-80% of immune function is found in the GI tract, any issues there should be prioritized.  This starts with a healthy diet, with a particular focus on lots of veggies, some fruits and avoidance of high glycemic and especially refined carbs.  Healing there can be assisted by probiotics, antimicrobials, colostrum, mucosal barrier support and other specifics based on individual concerns.  An advanced stool test like the one we use here at Leaves of Life is a great way to know exactly what needs addressed to help optimize the largest part of your immune system.

Also important is managing stress, since our immune system can be inactivated during times of high stress.  This is an adaptation carried over from the days when we had natural predators…it’s not important, after all, to fight a cold or flu virus if we’re about to be eaten for lunch.  Managing stress can be easier said than done when infection and death tolls are being discussed on every newscast.  It’s important to remember that this virus is much like other infectious agents…the healthier you are and the stronger your immunity, the less vulnerable you are. This can empower you to calmly take protective measures.

Sufficient sleep is essential for optimal immune function.  If you’re practicing good sleep hygeine and still have trouble sleeping, consider seeking help from a professional.  We get great results here with several different products: Perfect Sleep (DesBio), CBD, Melatonin and Alpha GABA PM.

Stay hydrated.  This includes making sure your environment has a good level of humidity since bugs spread and persist more easily in dry air.  The optimal level of hydration is 40-60% and can be tested and adjusted by purchasing a hygrometer for $10 or less. Hygrometer link here.

Aside from addressing GI concerns, eating healthy, managing stress and optimizing sleep and hydration, there are also natural products that can help enhance your immune response.  Here are some of our favorites: (We’ve included many options because some of these are or will go on backorder as companies try to meet the demand.)

Vitamin D

If you’ve not been taking vitamin D and you live north of Georgia, you’re likely deficient and should start with 10,000 IU daily for the next 3 weeks.  At that time, we would suggest testing your blood level to determine dosing going forward.  Your goal is 60-90 ng/ml.  In my opinion, Vitamin D is one of the most crucial elements of protecting immunity.  Here are a couple of studies from  British Medical Journal and Scientific American that support that advice.

Andrographis Plus AND Essential Defense by Metagenics

Technically, the Essential Defense is meant to be taken when you’re fighting a new infection, and Andrographis Plus for once you’re actually sick, however, we find that they work best when taken together at the first sign of illness, 1 of each every hour.  Often after 3-5 doses, patients are no longer sick.  We suggest continuing to dose until you are symptom-free, though you can take less often as symptoms begin to abate.

Herbal Throat Spray, Propolis Throat Spray or Silver Throat Spray

Begin use at the first symptom of sore or tickly throat.  Spray directly at the back of your throat 2-4 times every 1-2 hours or as needed for symptom relief. This can also be backed down as symptoms resolve.

Silver (we use Smart Silver from DesBio-dosing may vary based on ppm of silver)

1-3 tsp daily for prevention and increase to 1 tbsp 3 times daily if symptoms appear, lowering as symptoms resolve.  You can also add silver to a spray bottle to use as a throat spray, add it to a neti pot for sinus rinsing, or apply it topically to disinfect wounds.

Ultra Flora Immune Booster

Helps with frequency, intensity, duration and onset of upper respiratory illness. Take one per day.

Vitamin C

There are many different kinds of vitamin C to choose from, and you should know that taking too much can create diarrhea.  This will quickly resolve if you lower your dose.  Some doctors recommend dosing to bowel tolerance (just below the dose that would create diarrhea), while others recommend 1-3 grams daily.  Whatever your strategy, know that vitamin C is water-soluble (unless labeled as liposomal) and will wash out within a few hours of ingestion.  Liposomal provides a time-released, constant blood level, or you can simply divide your water-soluble vitamin C into several doses throughout the day.

Zinc

We have several products to choose from – your provider can assist you in making the best selection for you, but be aware that chronic ingestion can cause imbalances in other minerals.

Elderberry, Viracid and Immucore are several more options should any of the options above be out of stock.  

Our providers are available if you have questions or concerns surrounding symptoms or prevention.  Let’s get through this together!

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