Josh Finkelstein's Proposed Treatment Protocol for Long COVID
There are no currently approved treatments for Long Covid.Β However, some research is underway, and many of the systemic effects and symptoms of Long Covid can be improved by medical, supplemental, and/or mental health interventions.Β Any treatment, including supplements, should be discussed with a health professional before attempting.
This treatment protocol is a specific proposal by Josh Finkelstein and might not be backed by widely accepted scientific evidence. Individuals should consult with their primary care physician or a specialist before considering or starting any treatment regimen. Always prioritize evidence-based and peer-reviewed medical advice.
Introduction
Josh Finkelstein presents a unique perspective on the treatment of Long COVID, hypothesizing a cyclic issue where the virus causes Vagus nerve impairment, which leads to various gastrointestinal and systemic problems. This protocol focuses on breaking this cycle primarily through dietary modifications and specific therapeutic interventions.
Dietary Modifications for Microbiome Equilibrium
- Purpose: Restore healthy gut flora and address Dysbiosis of Microbiome.
- Diet Changes:
- Increase intake of fiber or resistant starch.
- Limit processed carbohydrates, sugar, and alcohol.
- Remove wheat and most sugars from the diet.
- Theory: A diet focused not just on chemical composition but also on the physical structure of food can mechanically deform the gut lining, promoting healing and preventing Leaky Gut Syndrome.
- Research Support: Refer to the study on mechanical deformation and gut health at PNAS.
Fasting and Its Neurological Benefits
- Purpose: Reduce inflammation along the GI tract to allow nerve recovery.
- Protocol:
- Undertake a 48-hour fast, with expectations of reduced head pressure after 36 hours.
- Post-fast, introduce simple proteins such as salmon, and avoid any carbs or high salt intake on the first day before resuming regular diet
- Perform fasting twice a month to gauge symptom improvement.
- Considerations: Fasting responses vary; consult a healthcare professional before starting.
Mucosal Protection and GI Healing
- Purpose: Enhance mucosal protection and provide GI lubrication during healing.
- Recommendations:
- Consume Cayenne (capsaicin), or chili pepper with resistant starch before bed.
- Incorporate Psyllium husk and Probiotics (Saccharomyces Boulardii) into the diet for several months.
Vagus Nerve and Peristalsis Recovery
- Purpose: Stimulate the Vagus nerve to support GI motility.
- Steps:
- After GI issues stabilize, begin experimenting with Nicotine, so don't need to smoke, you can start with a 3.5 mg nicotine patch, increasing to 7 mg after 3 days (if tolerated).
- Regular exercise to promote physical gut movement.
Parkinson's Disease and Long COVID Connection
- Hypothesis: Investigate Long COVID as a potential Synucleinopathy, similar to early-stage Parkinson's disease, based on shared risk factors and symptoms.
- Support: Finkelstein's detailed explanation can be found on this Twitter thread and further discussed on Reddit.
Modifiable Risk Factors Parallel
- Purpose: Apply the understanding of Parkinsonβs Disease risk factors to Long COVID management.
- Factors:
Conclusion
This protocol is designed to address the specific cyclical issues caused by Long COVID through dietary and lifestyle changes. It borrows from research on Parkinson's disease and gastrointestinal health to create a holistic approach to symptom management. As with any medical protocol, especially one involving fasting and supplementation, it is crucial to consult with a healthcare provider to tailor the approach to individual health needs and conditions.
Engagement and Support
For further information and updates on this protocol, follow Josh Finkelstein:
Remember, this protocol represents a specific hypothesis and should be pursued under the guidance of a healthcare professional.