Page 15 - IMCJ April 2020
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An Ounce of Prevention. – Start with nutritional
            support                                          Risk / benefit Analysis of Plaquenil and Zithromax
               Because  of  how  new  this  virus  is,  it  is  helpful  to   For  perspective,  about  250  Americans  die  each  day
            extrapolate from studies of earlier coronaviruses. Basically,   from Advil related medication.
            research suggests that taking a high potency multivitamin   Although the studies are small, the French study had
            with vitamin C, vitamin A (preferably retinol), vitamin D,   a control group, and an objective outcome measure of the
            B complex and zinc are especially important.  With zinc   viral  test  being  negative  at  day  6  in  75%  of  the  treated
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            being the most important.                        group, vs 0% of the control group. This is quite significant,
                                                             even in a small study. In vitro studies also show Plaquenil
            My recommendations?                              to be highly effective against the Coronavirus.
             1.  I recommend a high potency multinutrient powder   So doing the math for a risk benefit assessment, the
               that contains 15 mg of zinc, 500 mg of vitamin C,   risk/costs are exceedingly low vs the potential benefit. We
               2000 – 5000 units of vitamin A, and 1000 units of   don’t have the luxury of waiting 3-6 months for the results
               vitamin D. All of these can have dramatic immune   of a large RCT.
               benefits. The one that I use in my practice is called    
               the Energy Revitalization System vitamin powder   The treatment group also clinically did much better.
               (by Enzymatic Therapy). I recommend people start   The  pills  retail  for  both  Zithromax  and  Plaquenil
               on this now, and stay on it long term.        totals less than $20. So If everyone over 20 had the option
             2.  In addition, I have people take zinc 50 mg a day for   of  receiving  them,  the  cost  in  the  US  would  be  under
               one month. I suspect that this will turn out to be the   $4 billion. With the contagious period cut from an average
               most  important  nutrient  for  COVID  19.  Zinc  is   of  20  days  to  3-6  days,  the  effect  could  be  powerful  at
               poison  to  the  coronavirus,  and  is  basically  like   cutting the lockdown time and decreasing the spread of
               doing  spay  or  neuter  on  the  virus,  decreasing  its   the virus.
               ability to reproduce. Zinc also kills coronavirus on   Although we do not have this research yet, I suspect
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               contact. So when I am out and about, I keep a zinc   there is a significant probability of slowing viral growth
               lozenge in my mouth.                          and length of infection decreasing the risk to progression
             3.  Although there is some debate about Elderberry, in   to pneumonia and ARDS ( shock lung ) by 25% or more.
               my practice I am recommending both Elderberry   This could easily save 250 000 lives. Used as directed, there
               and  Andrographis  (400  mg  of  a  20%  extract  1-2   would  likely  be  almost  zero  deaths  from  plaquenil  and
               twice  a  day-  still  available  from  EuroMedica)  to   about  47  arrhythmia  deaths  per  million  people  using  it
               those who want to add additional treatment.   from  Zithromax  13  (largely  preventable  by  an  EKG
             4.  Getting  good  sleep  is  also  critical  for  optimizing   looking for prolonged QT interval and assessing risk with
               immune function.                              the Tisdale score). These mostly in those with underlying
             5.  In  treating  thousands  of  people  with  CFS  and   heart disease at the highest risk of dying from Coronavirus.
               fibromyalgia, I find that those with adrenal fatigue   This compares to an estimated 10 000 to 30 000 deaths per
               have much more difficulty with viral infections. So   million people who get the virus. So there only needs to be
               in those who get irritable when hungry, suggestive   an ~0.2% likelihood of this treatment working to make it
               of suboptimal adrenal function, I do give adrenal   worthwhile  .  The  data  suggests  a  far  greater  than
               support using Adrenaplex (EuroMedica).        50% probability.
             6.  It  is  important  to  also  stay  hydrated.  The  IgA
               antibodies  that  are  our  first  line  of  defense  work   From a financial analysis:
               poorly on a dry environment.                      We are currently looking at costs of $2 trillion to blunt
                                                             the initial effects of the lockdown. So a potential 25 000+%
               The  importance  of  social  distancing,  handwashing,   financial return on the investment. Prevention of recession
            and other routine precautions has been discussed at length   has major health benefits as well.
            elsewhere. So I will not go to into that further here.  By the time even 3 months passes waiting for large
            It is also important to caution people not to take   study  results,  and  optimistically  one  month  to  increase
            ibuprofen related medications, as they have been   production of the meds, we will likely have already seen
            implicated in being associated with increased progression   most of the damage. With viral spread being logarithmic,
            to pneumonia and lung failure.                   now is the time to proceed, before the bulk of the damage
                                                             is done. Even if the treatment does not pan out, imho there
            Treatment – Hydroxychloroquine (Plaquenil) and   is  little  relative  cost/risk  vs  the  probability  of  major
            azithromycin (Zithromax)                         benefits.
               You may have heard a lot of arguments about whether
            we should be using Plaquenil (hydroxychloroquine) and
            Zithromax.  Imho,  the  science  and  common  sense  very


            Teitelbaum—COVID 19                                             Integrative Medicine • Vol. 19, No. 2 • April 2020  13
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