| While there are questions and uncertainties in our evolving understanding of COVID-19, its variants and vaccination options, there are many things we have learned. We continue to see reduced severity of COVID-19 illness in patients with less chronic inflammation and with healthy immune support. The CDC website reviewing preventative recommendations for vaccinated and unvaccinated patients is below, including guidelines for mask wearing, social distancing and information on vaccinations. https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/prevention.html In addition to those guidelines, the providers at Carolina Total Wellness recommend the following lifestyle and supplement supports to optimize immune function, decrease viral transmission, reduce viral activity in the body and support the body’s immune response. LIFESTYLE: For adults and children, focus on eating foods that are organic and rich in antioxidants. Try to eat 5 to 7 servings of vegetables and 2 to 3 servings of fruit every day. Drink filtered water, avoiding plastics as much as possible. Improve ventilation, air flow and utilize quality air filters indoors, including home and work. Ensure adequate sleep for healthy immune and detox response. Integrate mindfulness and stress lowering practices each and every day. SUPPLEMENTS: (Bold items are available in online patient portal supplement store) Adult Prevention Supplement Options: 1. Vitamin C: 500-1000mg daily to twice a day (Complete Vitamin C) 2. Vitamin D: 2000IU -5000 IU per day (Liquid D3, Vitamin D3, Ortho Force) 3. Zinc: 15-30mg daily (Zinc glycinate or Zinc Drink) 4. Quercetin 400 mg daily (Allergy Ease, BetaQ Immune, D-Hist Jr) 5. Melatonin 3-6 mg at bedtime (Melatonin CR or Quick Dissolve Melatonin) 6. Biocidin LSF mix 10 pumps into Xlear or a bottle of over the counter nasal saline spray: 2 sprays per nostril after possible exposures to virus. Additional options to discuss with your provider include curcumin, NAC, Andrographis, Vitamin A, Resveratrol and Immune Adaptogenic Mushrooms. Pediatric Prevention Supplement Options: 1. Vitamin C (CTW Complete Vitamin C), Seeking Health Liposomal Vitamin C (liquid):3-5 years: 125-250 mg daily6-12 years: 250-500 mg daily 2. Vitamin D (CTW Liquid D3 or CTW Vitamin D3):3-6 years: 1,000 IU daily7-12 years: 2,000-3,000 IU daily 3. Zinc (Zinc Drink, Zinc Glycinate):3 years: 5-10 mg daily4-12 years 10-25 mg daily 4. Quercetin (CTW Allergy Ease, D-Hist Jr chewables):3-4 years: 50-100 mg daily4-8 years: 100 mg daily8-12 years: 100-200 mg daily 5. Xlear nasal spray: 1-2 sprays per nostril daily and after potential exposures. 6. Elderberry:<7yo: 250mg daily>7yo: 500mg daily Additional options to discuss with your provider include curcumin and glutathione The following therapeutic options are started at first signs of illness, positive exposure, and/or positive testing. Please notify your provider so that we can further personalize support. Adult Therapeutic Supplement Options: Vitamin C: increase to 1000mg four times a day. Reduce dosage to 500mg if loose bowels. (Complete Vitamin C). Vitamin D: 2000-5000IU per day (Liquid D3, Vitamin D3, Ortho Force) Zinc liquid or lozenges: 15-20mg four times a day. Swish liquid before swallowing. If using lozenge, do not chew, instead suck on lozenge until done. (Zinc Drink). Quercetin: 800 mg two times a day (Allergy Ease, BetaQ Immune, D-Hist Jr) Melatonin 3-6 mg at bedtime (Melatonin CR or Quick Dissolve Melatonin) Biocidin LSF mix 10 pumps into Xlear or a bottle of over the counter nasal saline spray: 2 sprays per nostril two times a day. Curcumin 500-1000 mg four times a day (Meriva or Turmero liquid) N-acetylcysteine: 600mg twice a day (CTW Liver Support or Trizomal glutathione) Andrographis: 375 mg twice daily (Viragraphis) Pediatric Therapeutic Supplement Options: 1. Vitamin C (CTW Complete Vitamin C), Seeking Health Liposomal Vitamin C (liquid)3-5 years: 125-250 mg four times a day, reduce dose if loose bowel movements.6-12 years: 250-500 mg four times a day, reduce dose if loose bowel movements. 2. Vitamin D (CTW Liquid D3 or CTW Vitamin D3):3-6 years: 1,000 IU daily7-12 years: 2,000-3,000 IU daily 3. Zinc liquid or lozenges (Zinc Drink or Zinc Glycinate)3 years: 5-10 mg four times a day4-12 years: 10-15 mg four times a day 4. Quercetin (CTW Allergy Ease caps or D Hist Jr chewables):3-4 years: 50-100 mg two times a day4-8 years: 100 mg two times a day8-12 years: 100-200 mg two times a day 5. Melatonin (Quick Dissolve Melatonin 3mg) or Source Naturals Melatonin lozenge, 1mg3-5 years: 1mg at bedtime6-12: 3mg at bedtime 6. Biocidin LSF: 5 pumps into Xlear or nasal saline spray: 1-2 sprays per nostril two times a day. 7. Curcumin (Meriva or Turmero liquid)3-4 years: 125 mg three times a day4-8 years: three times a day8-12 years: 325 mg three times a day 8. Glutathione (Trizomal Glutathione):3-5 years: 50mg two times a day6-12 years: 100mg twice a day  ADULT COVID-19 Vaccination prep: supporting resiliency Start 2 weeks BEFORE and continue for 1 week AFTER vaccination: 1. Clean water: 8–10 glasses a day or ½ body weight in ounces 2. CTW Complete Vitamin C: 1 cap (500mg) two times a day 3. CTW Daily Multivitamin or MitoCore 2 caps two times a day 4. Daily Probiotic 5. Vitamin D3 4000IU daily 6. Zinc Glycinate 15mg daily 7. SPM Active 2 caps daily In the days leading up to your vaccination, fuel your immune system with healthy, organic colorful foods that are nutrient dense. Avoid pro-inflammatory junk foods and sugary foods. Rest when you need to rest and aim for quality sleep the two nights before the vaccination. *Day of and day after vaccination, increase vitamin C: CTW Vitamin C: 2 caps (1000mg) twice a day After your vaccination, think muscle, immune and lymphatic system support: Engage your deltoid, the shoulder muscle which received the vaccine. Movement and engagement of the muscle will reduce the tenderness and soreness which can start setting in a few hours later. Example exercises include arm circles, push-ups, resistance shoulder pressing exercises. Go on a walk! Perform some light cardio and exercise after your vaccination to provide a healthy stimulus for your immune system for optimal response and reduce side effects. Stimulate your lymphatic system! Right after the vaccine, begin gentle skin brushing of the vaccinated arm, encouraging lymphatic flow toward center of body. Whole body lymph support options: whole body dry skin brushing, gentle rebounding, deep breathing.  PEDIATRIC COVID-19 Vaccination prep: supporting resiliency for children 12 years and older Start 2 weeks BEFORE and continue for 1 week AFTER vaccination: 1. Clean water: ½ body weight in ounces 2. Vitamin C: 250-500mg two times a day (CTW Complete Vitamin C caps, Seeking Health Liposomal Vitamin C (liquid) 3. Daily Multivitamin (ActivNutrients chewables or CTW Daily Multivitamin caps) 4. Daily Probiotic (Ther-biotic complete chewables or CTW Daily Probiotic) 5. Vitamin D 2,000IU – 4,000IU daily (CTW Liquid D3 or CTW Vitamin D3) 6. Zinc 15mg daily (Zinc Drink liquid, Zinc Glycinate caps) 7. SPM Active 2 caps daily In the days leading up to your vaccination, fuel your child’s immune system with healthy, organic colorful foods that are nutrient dense. Avoid pro-inflammatory junk foods and sugary foods. Stick to sleep schedules/healthy sleep hygiene and aim for quality sleep the two nights before the vaccination. *Day of and day after vaccination, add extra C to above protocol: Vitamin C: 1000mg two times a day After your vaccination, think muscle, immune and lymphatic system support, refer to instructions above. Please contact our office for an appointment to further support and personalize your path to wellness. Your Partner In Health! Blair Cuneo, PA-C References: https://www.drkarafitzgerald.com/2020/03/16/covid19-traditional-chinese-medicine-and-western-options-for-the-non-tcm-trained-clinician/?mc_cid=1cd528a9bd&mc_eid=fb7826b1c3 https://healthykidshappykids.com/2020/02/27/coronavirus-covid-19/ https://www.drkarafitzgerald.com/2020/03/12/covid-19-preserving-your-familys-health-and-sanity-in-the-face-of-a-pandemic/?mc_cid=1cd528a9bd&mc_eid=fb7826b1c3 https://www.sciencedirect.com/science/article/pii/S1550830720301130?fbclid=IwAR0ZjInhMGulFrfnMHVL_uITY5EYuGNccwRII03as8NSVn_EeqRGvi8DgXY https://healthykidshappykids.com/2020/04/04/pediatricians-pandemic-immune-support-plan/ https://info.ifm.org/covid-19?utm_campaign=covid-19&utm_source=website&utm_medium=popup&utm_content=resources_learn_more https://covid19criticalcare.com/covid-19-protocols/i-mask-plus-protocol/ https://www.cdc.gov/coronavirus/2019-ncov/vaccines/your-vaccination.html |
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