COVID-19 UPDATED

Blair Cuneo, PA-C
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
 
 

 

COVID-19 Vaccination Prep: Supporting Resiliency

By: Blair Cuneo, PA-C

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 2 caps two times a day OR MitoCore: 2 caps two times a day

4. Daily Probiotic

5. Vitamin D3 4000IU daily

6. Zinc Glycinate 15mg 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.

If able, consider receiving the vaccination the day before you have time off work to have a day to rest.

Day of and day after vaccination:

CTW Vitamin C: 2 caps twice a day

After your vaccination, think muscle, immune and lymphatic system support:

Engage your deltoid! This is 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, shoulder presses or modified push ups.

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! After the vaccine, you can begin gentle skin brushing of the vaccinated arm. When able, incorporate whole body lymph support with options like whole body dry skin brushing, gentle rebounding, or deep breathing. 

If you have questions about COVID 19 vaccinations, please contact your provider!

Covid 19 Recommendations

COVID19 Recommendations
Updated March 23, 2020

Your best defense against a viral infection is a healthy immune system which you can support with clean air, clean water and clean food. Focus on eating foods that are organic and rich in antioxidants (fruits and vegetables). Make sure that the water you drink is adequately filtered and do not drink out of plastic bottles. Use good quality HEPA filters in your home, especially your bedroom. Practice good hygiene with frequent hand washing with warm water and soap. Keep stress levels as low as possible and make adequate sleep a priority.
In addition to social distancing, frequent/adequate handwashing and sanitizing guidelines from CDC (https://www.cdc.gov/coronavirus/2019-ncov/index.html), here are Cov19 recommendations. Please keep in mind, information is changing daily. Covid-19, also known as SARS-CoV-2, is too new for us to have a body of literature on how specific nutrients or herbal remedies affect clinical outcomes. We therefore predict the risk/benefit based on understanding mechanisms involved and similarities between this virus and its most closely related viruses. Based on new concerns regarding this specific virus, we have amended our prior recommendations on high dose vitamin A and D.

These supplement regimens are not intended to cure Covid-19 but to help boost your body’s own immune response to the virus. If you suspect symptoms of Covid-19, we recommend that you call your primary care physician’s office or seek evaluation and testing through an Urgent Care center. A list of resources is available at the end of this document.

Adult Prevention Options: (supplements available through your online patient portal)
1. Vitamin C: 500-1000mg daily (CTW Complete Vitamin C)
2. Vitamin D: 2000IU -5000IU per day (CTW Liquid D3 or CTW Vitamin D3)
3. Omega 3 (EPA/DHA): 2500mg daily (CTW Omega 3 or Arctic Cod Liver oil) or (Metagenics SPM) 2 caps twice daily
4. Zinc glycinate: 15-30mg daily (Reacted Zinc or Zinc Drink)
5. N-acetylcysteine: 600mg daily (CTW Liver Support) or (Trizomal glutathione) 5mL once daily
6. (Biocidin LSF) mix 10 pumps with a bottle of over the counter nasal saline spray or Xlear and then spray twice into each nostril upon returning home from outside exposure like your office or the grocery store.
7. PEA: 2 caps daily. Recommend Vitalitus PEA or Metagenics Hemp Advantage Plus {PEA with CBD}.
8. Real Mushrooms 5 Defenders, providing >20% beta-D-glucans: 1 cap daily**
9. Real Mushrooms Reishi 415**: 1 cap daily**
**Mushrooms are highly complex. Certain compounds are immunostimulating. Is this a problem in COVID19, or a benefit? We don’t know the answer. There is also concern using immune stimulants in autoimmune patients**
Herbs such as elderberry, echinacea, astragalus, andrographis and beta glucans can help to boost immune function. However, we do not recommend taking these supplements if you have an existing autoimmune condition as these may flare your condition.

Pediatric Prevention Options: (supplements available on your online patient portal)
1. Vitamin C: 250mg daily (1/2 capsule of CTW Complete Vitamin C)
2. Vitamin D: 600IU-1000IU per day (CTW Liquid D3)
3. Omega 3: 500-1000mg daily (DHA Junior Liquid or Arctic Cod Liver oil) or (Metagenics SPM) 1 cap twice daily
4. Zinc glycinate: 15mg daily (Zinc Drink)
5. N-acetylcysteine: 300mg daily (CTW Liver Support) or (Trizomal glutathione) 2.5mL once daily
6. (Biocidin LSF) mix 10 pumps with a bottle of over the counter nasal saline spray or Xlear and then spray once into each nostril upon returning home from outside exposure that couldn’t be avoided….stay strong parents! No friend visits!
7. PEA: ages 5-14: 1 cap daily. Recommend Vitalitus PEA or Metagenics Hemp Advantage Plus {PEA with CBD}.
8. Real Mushrooms 5 Defenders, providing >20% beta-D-glucans: 1 cap daily**
9. Real Mushrooms Reishi 415**: 1 cap daily**
**Mushrooms are highly complex. Certain compounds are immunostimulating. Is this a problem in COVID19, or a benefit? We don’t know the answer. There is also concern using immune stimulants in autoimmune patients**
Herbs such as elderberry, echinacea, astragalus, andrographis and beta glucans can help to boost immune function. However, we do not recommend taking these supplements if you have an existing autoimmune condition as these may flare your condition.

See next page for graphic to review signs of illness and therapeutic options:

*** New data, obtained after this chart was generated, indicates that diarrhea occurs in up to half of all patients presenting the Covid-19***

At first sign of illness, adult therapeutic options:
1. Vitamin C: increase to 1 gram per hour x 6 hours per day. Reduce dose slightly if you develop loose bowel movements
2. Zinc liquid or lozenges: Swish liquid or allow lozenge to dissolve slowly, bathing the throat in zinc. Total zinc should be 60mg per day x 1 week. Recommended to divide this up with 1 teaspoon Zinc Drink 4 x day only to avoid copper depletion.
3. Biocidin LSF mix 10 pumps with a bottle of over the counter nasal saline spray or Xlear and then spray twice into each nostril two times a day.
4. Metagenics SPMs: Increase to 2 caps 3 times per day with first symptoms, continue x 6 weeks.
5. N-acetylcysteine: Increase to 600mg twice a day or Trizomal glutathione 5mL twice a day
6. PEA: increase to 2 caps three times per day with first symptoms. Continue for six weeks
7. Real Mushrooms 5 Defenders**: increase to 2 caps twice a day with symptoms
8. Real Mushrooms Reishi 415**: increase to 2 caps once to twice per day with symptoms.
**Mushrooms are highly complex. Certain compounds are immunostimulating. Is this a problem in COVID19, or a benefit? We don’t know the answer. There is also concern using immune stimulants in autoimmune patients**
Herbs such as elderberry, echinacea, astragalus, andrographis and beta glucans can help to boost immune function. However, we do not recommend taking these supplements if you have an existing autoimmune condition as these may flare your condition.

At first sign of illness, pediatric therapeutic options:
1. Vitamin C: increase to 500mg per hour x 6 hours per day. Reduce dose slightly if you develop loose bowel movements
2. Zinc liquid or lozenges: Swish liquid or allow lozenge to dissolve slowly, bathing the throat in zinc. Total zinc should be 60mg per day x 1 week. Recommended to divide this up with 1 teaspoon Zinc Drink 4 x day only to avoid copper depletion.
3. Biocidin LSF mix 10 pumps with a bottle of over the counter nasal saline spray or Xlear and then spray twice into each nostril two times a day.
4. Metagenics SPMs: Increase to 1 cap 3 times per day with first symptoms, continue x 6 weeks.
5. N-acetylcysteine: Increase to 300mg twice a day or Trizomal glutathione 2.5mL twice a day
6. PEA: increase to 1 cap three times per day with first symptoms. Continue for six weeks
7. Real Mushrooms 5 Defenders**: increase to 1 cap twice a day with symptoms
8. Real Mushrooms Reishi 415**: increase to 1 cap once to twice per day with symptoms.
**Mushrooms are highly complex. Certain compounds are immunostimulating. Is this a problem in COVID19, or a benefit? We don’t know the answer. There is also concern using immune stimulants in autoimmune patients**
Herbs such as elderberry, echinacea, astragalus, andrographis and beta glucans can help to boost immune function. However, we do not recommend taking these supplements if you have an existing autoimmune condition as these may flare your condition.

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

Coronavirus (COVID-19): What a Pediatrician Wants You to Know


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

From the NC Health Department:
If you have questions about COVID-19 (coronavirus), dial 2-1-1 or 888-892-1162. Sign up for updates by texting COVIDNC to 898211.
For all other questions, the DHHS Customer Service Center can assist in finding programs and people to help you. Call 1-800-662-7030.

3708 Forestview Rd., #202 office@carolinatotalwellness.com T: 919-999-0831
Raleigh, NC 27612 www.carolinatotalwellness.com F: 888-394-6442