COVID-19 treatment is constantly being researched, studied, and updated by researchers, physicians, and scientists. “The National Institutes of Health (NIH) at this time does not recommend early outpatient treatment outside of the hospital, except for monoclonal antibodies for those at high risk of clinical progression (>65, obesity, pregnancy, chronic kidney disease, diabetes mellitus, immunosuppressed, heart disease).”From “A Guide to Home-Based COVID Treatment: Step-By-Step Doctors’ Plan That Could Save Your Life”, An educational resource from The Association of American Physicians and Surgeons (AAPS)
The Frontline Covid Critical Care Alliance (FLCCC) is a non-profit 501c(3). This group of specialists have developed protocols that are updated periodically to stay abreast of this dynamic environment of Covid-19 and its mutant variants. The recent evidence supports that there are many therapeutic agents used for both prevention and treatment of the disease (Ivermectin, Vitamin D, Quercetin, Melatonin, fluvoxamine, spironolactone, corticosteroids, curcumin/turmeric, Nigella Sativa, anti-androgen therapy). There is no magic bullet for treatment, and it is not a one-size-fits-all recommendation. The important message is SARS-CoV-2 is an infection with specific phases and therefore time-sensitive for EARLY TREATMENT!
PHASES OF SARS-COV-2
Phase 1 (Days 1-5) VIRAL REPLICATION
Symptoms: Sore throat, nasal stuffiness, fatigue, headaches, body aches, loss of taste/smell, loss of appetite, nausea, diarrhea fever.
Treatment must be started quickly to stop the virus from entering the cell and multiplying.
Phase 2 (Days 3-14) INFLAMMATORY RESPONSE, CYTOKINE STORM
Symptoms: worsening cough, difficulty breathing, chest heaviness/tightness or chest pain.
Treatment aimed at reducing inflammation to lungs and other vital organs with ANTI-INFLAMMATORY MEDICATIONS BOTH ORAL AND NEBULIZED (INHALED).
Phase 3 (Day 7 and beyond) blood clotting response
Symptoms: Difficulty breathing becomes extreme, oxygen levels drop sharply, risk of heart attack and stroke increases.
***At this stage people are very ill and will need to be evaluated at the nearest emergency department.***
Long Haul Covid Syndrome (LHCS)
“The post-COVID syndrome or “long-haul syndrome” has emerged as a common and disabling disorder, and its pathophysiology is poorly understood. There is a protocol to help treat this disabling disorder recommended by FLCCC in their website. Recently, post-vaccination syndrome has emerged as a problematic entity; and the I-RECOVER protocol has utility in treating this syndrome as well.” (FLCCC Alliance, January 20, 2022)
The Long Haul Covid Syndrome (LHCS) can cause:
- Prolonged Malaise
- General Fatigue
- Sleep difficulties
- Hair loss
- Smell disorder, phantom smells
- Decreased appetite
- Painful joints
- Chest pain
- Cognitive dysfunction: brain fog, inability to focus/concentrate
- Depression, panic attacks
This disorder has been seen in many recovered individuals after a covid infection; and is now being observed in some people who have received the vaccine. It is thought that delayed treatment (with Ivermectin, etc.) in the early phase of the infection can result in a high viral load and this increases the risk and severity of developing LHCS.
This syndrome can persist for months after the acute infection reducing the quality of life.
Treatment is individualized according to the cluster of symptoms. There are focused treatment recommendations with the i-RECOVER protocol (FLCCC-Protocols).
The I-MASK+ Covid-19 Management Protocol (from Front Line Covid-19 Critical Care Alliance – FLCCC)
Core components of I-Mask Prevention:
Ivermectin (antiviral and anti-inflammatory) dose is based on weight. (not recommended in pregnancy)
Hydroxychloroquine 200 mg twice a day for 5-7 days (safe in pregnancy)
Melatonin (slow release) – anti-inflammatory antioxidant
Oropharyngeal hygiene with twice daily antiviral mouthwash/gargle
Famotidine 20-40 mg/day – may reduce the disease severity and mortality
- Curcumin (Tumeric) – antiviral activity against a number of viruses including SARS-CoV2. Also has anti-inflammatory, antioxidant, and immune modulating properties.
- Nigella Sativa (Black Cumin) and honey – Both honey and Nigella Sativa have anti-viral, antimicrobial, and anti-inflammatory properties
- Vitamin D3 1000-3000 IU/day. An alternative is 40,000 IU weekly. Note: the Recommended Daily Allowance (RDA) is 800-1000 IU/day. The safer upper dose limit is likely 4000 IU daily. Vitamin D deficiency has been associated with an increased risk of acquiring COVID-19 and dying from the disease.
- Probiotics. There is a relationship between the body’s microbiome (especially Bifidobacterium) and COVID-19. Low levels of Bifidobacterium may increase your risk of contracting COVID-19 and increasing its severity. Kefir (a fermented milk drink) is high in Bifidobacterium and other probiotics that has demonstrated health benefits. Take together with Prebiotics to restore or normalize the body’s microbiome and reduce the risk and/or severity of COVID-19.
- Vitamin C 500-1000 mg twice daily and Quercetin 250 mg daily (do not take with Ivermectin – take one in the morning and the other at night). Vitamin C – anti-inflammatory and immune enhancing, increase synthesis of type 1 interferons. Quercetin has direct virucidal properties against a range of viruses, including SARS CoV-2 and is a potent anti-oxidant and anti-inflammatory. Quercetin helps to get the zinc into the cells. (It can interfere with thyroid hormone synthesis, so caution advised in people with hypothyroidism).
- Zinc 30-40 mg daily (elemental zinc) essential for innate and adaptive immunity. (high dose zinc > 50 mg/day should be avoided as it is associated with copper deficiency).
- B Complex Vitamins
Prevention Protocol in Children and Adolescents
Multivitamin with age-appropriate dosages of Vitamin C, D and B complex
Oropharyngeal sanitization with mouth gargle twice daily (VERY IMPORTANT)
Nigella Sativa and honey
Kefir, probiotic yogurt and/or Bifidobacterium probiotics (like Daily Body Restore) together with Prebiotics (like XOS Prebiotics, Bio Nutrition Pre-biotics)
Children’s Zinc Lozenges/chewable 3-5 mg/day
FLCCC Alliance: flccc.net