New York hospitals treating coronavirus patients with vitamin C

New York hospitals treating coronavirus patients with vitamin C
By Lorena Mongelli and Bruce GoldingMarch 24, 2020 | 5:04pm | Updated

Seriously sick coronavirus patients in New York state’s largest hospital system are being given massive doses of vitamin C — based on promising reports that it’s helped people in hard-hit China, The Post has learned.

Dr. Andrew G. Weber, a pulmonologist and critical-care specialist affiliated with two Northwell Health facilities on Long Island, said his intensive-care patients with the coronavirus immediately receive 1,500 milligrams of intravenous vitamin C.

Identical amounts of the powerful antioxidant are then readministered three or four times a day, he said.

Each dose is more than 16 times the National Institutes of Health’s daily recommended dietary allowance of vitamin C, which is just 90 milligrams for adult men and 75 milligrams for adult women.

The regimen is based on experimental treatments administered to people with the coronavirus in Shanghai, China, Weber said.

“The patients who received vitamin C did significantly better than those who did not get vitamin C,” he said.

“It helps a tremendous amount, but it is not highlighted because it’s not a sexy drug.”

A spokesman for Northwell — which operates 23 hospitals, including Lenox Hill Hospital on Manhattan’s Upper East Side — said vitamin C was being “widely used” as a coronavirus treatment throughout the system, but noted that medication protocols varied from patient to patient.

“As the clinician decides,” spokesman Jason Molinet said.

About 700 patients are being treated for coronavirus across the hospital network, Molinet said, but it’s unclear how many are getting the vitamin C treatment.

The vitamin C is administered in addition to such medicines as the anti-malaria drug hydroxychloroquine, the antibiotic azithromycin, various biologics and blood thinners, Weber said.

As of Tuesday, New York hospitals have federal permission to give a cocktail of hydroxychloroquine and azithromycin to desperately ill patients on a “compassionate care” basis.

President Trump has tweeted that the unproven combination therapy has “a real chance to be one of the biggest game changers in the history of medicine.”

Weber, 34, said vitamin C levels in coronavirus patients drop dramatically when they suffer sepsis, an inflammatory response that occurs when their bodies overreact to the infection.

“It makes all the sense in the world to try and maintain this level of vitamin C,” he said.

A clinical trial on the effectiveness of intravenous vitamin C on coronavirus patients began Feb. 14 at Zhongnan Hospital in Wuhan, China, the epicenter of the pandemic.

https://nypost.com/2020/03/24/new-york-hospitals-treating-coronavirus-patients-with-vitamin-c/

Hydroxychloroquine: MedlinePlus Drug Information

Hydroxychloroquine
pronounced as (hye drox ee klor’ oh kwin)

Why is this medication prescribed?
Hydroxychloroquine is in a class of drugs called antimalarials. It is used to prevent and treat
acute attacks of malaria. It is also used to treat discoid or systemic lupus erythematosus and
rheumatoid arthritis in patients whose symptoms have not improved with other treatments.
This medication is sometimes prescribed for other uses; ask your doctor or pharmacist for more
information.

Hydroxychloroquine can be taken with a glass of milk or a meal to decrease nausea. Follow the
directions on your prescription label carefully.

What should I do if I forget a dose?
Take the missed dose as soon as you remember it. However, if it is almost time for the next
dose, skip the missed dose and continue your regular dosing schedule. Do not take a double
dose to make up for a missed one.

What side effects can this medication cause?
Hydroxychloroquine may cause side effects. Tell your doctor if any of these
symptoms are severe or do not go away:
headache
dizziness
loss of appetite
nausea
diarrhea
stomach pain
vomiting
skin rash

If you experience any of the following symptoms, call your doctor immediately:
reading or seeing difficulties (words, letters, or parts of objects missing)
sensitivity to light
blurred distance vision
seeing light flashes or streaks
difficulty hearing
ringing in ears
muscle weakness
bleeding or bruising of the skin
bleaching or loss of hair
mood or mental changes
irregular heartbeat
drowsiness
convulsions

What should I know about storage and disposal of this medication?
Keep this medication in the container it came in, tightly closed, and out of reach of children.
Store it at room temperature and away from excess heat and moisture (not in the bathroom).
Unneeded medications should be disposed of in special ways to ensure that pets, children, and
other people cannot consume them. However, you should not flush this medication down the
toilet. Instead, the best way to dispose of your medication is through a medicine take-back
program. Talk to your pharmacist or contact your local garbage/recycling department to learn
about take-back programs in your community. See the FDA’s Safe Disposal of Medicines website
for more information if you do not have access to a take-back program.

It is important to keep all medication out of sight and reach of children as many containers (such
as weekly pill minders and those for eye drops, creams, patches, and inhalers) are not child-
resistant and young children can open them easily. To protect young children from poisoning,
always lock safety caps and immediately place the medication in a safe location – one that is up
and away and out of their sight and reach.

In case of emergency/overdose:
In case of overdose, call the poison control helpline at 1-800-222-1222. Information is also
available online at https://www.poisonhelp.org/help [https://www.poisonhelp.org/help] . If the
victim has collapsed, had a seizure, has trouble breathing, or can’t be awakened, immediately
call emergency services at 911.

What other information should I know?
Children can be especially sensitive to an overdose, so keep the medication out of the reach of
children. Children should not take hydroxychloroquine for long-term therapy.
Keep all appointments with your doctor and the laboratory. Your doctor may order certain lab
tests to check your response to hydroxychloroquine.

If you are taking hydroxychloroquine for a long period of time, your doctor will recommend
frequent eye exams. It is very important that you keep these appointments. Hydroxychloroquine
can cause serious vision problems. If you experience any changes in vision, stop taking
hydroxychloroquine and call your doctor immediately.

Do not let anyone else take your medication. Ask your pharmacist any questions you have about
refilling your prescription.

It is important for you to keep a written list of all of the prescription and nonprescription (over-
the-counter) medicines you are taking, as well as any products such as vitamins, minerals, or other dietary supplements. You should bring this list with you each time you visit a doctor or if
you are admitted to a hospital. It is also important information to carry with you in case of
emergencies.

French study finds anti-malarial and antibiotic combo could reduce COVID-19 duration

French study finds anti-malarial and antibiotic combo could reduce COVID-19 duration

Medical staff shows on February 26, 2020 at the IHU Mediterranee Infection Institute in Marseille, packets of a Nivaquine, tablets containing chloroquine and Plaqueril, tablets containing hydroxychloroquine, drugs that has shown signs of effectiveness against coronavirus. – The Mediterranee infection Institute in Marseille based in La Timone Hospital is at the forefront of the prevention against coronavirus in France. (Photo by GERARD JULIEN / AFP) (Photo by GERARD JULIEN/AFP via Getty Images)


A new study whose results were published in the International Journal of Antimicrobial Agents has found early evidence that the combination of hydroxychloroquine, a popular anti-malaria drug known under the trade name Plaqenuil, and antibiotic azithromycin (aka Zithromax or Azithrocin) could be especially effective in treating the COVID-19 coronavirus and reducing the duration of the virus in patients.
The researchers performed a study on 30 confirmed COVID-19 patients, treating each with either hydroxychloroquine on its own, a combination of the medicine with the antibiotic, as well as a control group that received neither. The study was conducted after reports from treatment of Chinese patients indicated that this particular combo had efficacy in shortening the duration of infection in patients.
The patient mix included in the study included six who showed no symptoms whatsoever, as well as 22 who had symptoms in their upper respiratory tract (things like sneezing, headaches and sore throats, and eight who showed lower respiratory tract symptoms (mostly coughing). 20 of the 30 participants in the study received treatment, and the results showed that while hydroxycholoroquine was effective on its own as a treatment, when combined with azithromycin it was even more effective, and by a significant margin.

These results represent a limited study with a small number of patients, but they are promising, especially when combined with earlier reports from patients in China with the same treatment options. Researchers globally are testing a number of potential treatments, including a range of drugs used previously in the efforts to combat Ebola, SARS, HIV and other global outbreaks.
There are no confirmed effective treatments specifically for COVID-19 to date, but regulators and medical researchers everywhere are working hard to get through the process of testing and approvals in search of something that can at least reduce the duration or severity of symptoms in patents. Vaccine development is also underway, but any approved and effective COVID-19 vaccine is at least 12-18 months away, even with resources redirected towards developing one as fast as is safety possible.

COVID-19 UPDATES: The Rothfeld Center

 

Here’s what we know.

 

What We Know About Covid-19

& Steps To Take To Prepare

 

Unless you’ve been living off the grid for the last few months, you have undoubtedly been hearing a lot about the new Coronavirus that originated in Wuhan, China, also known as Covid-19. Now that there are about 80 confirmed cases in the United States, we’ve been receiving many questions from patients about it, what can be done to prevent it and what to do if you do get sick.

 

The constant media coverage can cause a lot of panic, so hopefully we can provide some clarity without the fear-mongering. Some common-sense precautions are important to take, but keep in mind that the flu has killed more people this winter than this new coronavirus, so while we should all be taking measures, just as we would during a bad flu season, there’s no reason to fear an apocalypse.

 

First, the good news
This article from an infectious disease specialist cites the following as 2 reasons for optimism:

 

1.   The disease is mild in most people who get it. “At least 80%, most likely more, won’t have an illness bad enough to warrant hospitalization.”

2.   Children seem particularly protected from severe coronavirus disease.

 

In an article looking at the demographics of those who contract the disease, and those who fall most ill with it, a report from Chinese CDC was cited saying that, of the diagnosed cases at that time (February 11th) only 1.2% of cases were in teens, and only 0.9% were in kids 9 or younger. “As of Feb. 11 there were 549 cases in that age group […] Only one had died.”

 

Finally, Covid-19 seems to be less severe in pregnant women, a usually vulnerable population, which is another cause for relief.

 

 

Those most at risk
·    Covid-19 seems to hit the elderly and those with pre-existing conditions the hardest. The risk of fatality is highest in those 80 and over, likely related to the strength or weakness of the respiratory system, the presence of other pre-existing conditions, and overall health status. The high fatality rate of Covid-19 in already sick people might be due to an exacerbation of the underlying disease, not due to complications from the virus itself.” China CDC’s analysis of 44,672 patients found that the fatality rate in patients who reported no other health conditions was 0.9%. It was 10.5% for those with cardiovascular disease, 7.3% for those with diabetes, 6.3% for people with chronic respiratory diseases such as COPD, 6.0% for people with hypertension, and 5.6% for those with cancer.”

·    Men appear more at risk than women, but this could be more closely tied to lifestyle factors than biology. This article about the Breakdown of coronavirus risk by demographic factors highlighted the difference in fatality rates: 1.7% for women and 2.8% for men, according to China CDC. Another source attributed these numbers to the fact that smoking is much more prevalent in China among men than in women, and increases the risks of respiratory complications. So, though we do not know for sure if it is the cause of the discrepancy of risk based on sex, the evidence suggests it’s yet another reason to quit smoking if you do.

 

Prevention

Optimize your Vitamin D and Zinc levels

 

·    You may be wondering “Can’t I just get vitamin D from the sun?” But, according to this publication out of Harvard University , aside from the summer months, your body makes little if any vitamin D from the sun if you live at latitudes above 37 degrees north (the grey shaded area in the picture), and even in the summer, 80% of your body must be exposed for at least 15 minutes in order to produce vitamin D from sun exposure. Suffice it to say, if you live in Richmond, VA or above, you need a vitamin D supplement.

·    Similarly, zinc is incredibly important for normal immune function, and deficiency is actually quite common. According to the Linus Paling Institute, there are many factors that may put individuals at an increased risk for zinc deficiency: children and adolescents, those who adhere to a vegan/vegetarian diet or who consume a diet high in phytates (grains and legumes), pregnant or lactating women, those with malabsorbtion issues due to celiac disease or short bowel syndrome, those with irritable bowel disease (IBD) such as Crohn’s disease or ulcerative colitis, those who consume large amounts of alcohol, as well as older adults (65+). “Inadequate zinc status in elderly subjects is not uncommon and is thought to exacerbate the age-related decline in immune function”. As the Coronavirus outbreak is proving most dangerous for older adults, we recommend that population in particular supplement with zinc picolinate, but it is important to optimize in all populations.

 

Dr. Rothfeld recommends taking Transfer Factor Multi Immune, as well Monolaurin as a baseline for daily immune support

·    Multiple clinical studies indicate Transfer Factor Multi Immune has a very positive impact on natural killer cell function, which is the front line of the immune system. The overall product (transfer factor, herbs, mushrooms, colostrum, zinc, selenium) promotes a healthy response to viral assaults. Suggested Dosing: 3 caps once daily for general support, 3 caps 3 times a day in acute situations.

·    Studies show that Monolaurin has antibacterial, antifungal, and antiviral effects. “Monolaurin is known to inactivate lipid-coated viruses by binding to the lipid-protein envelope of the virus, thereby preventing it from attaching and entering host cells, making infection and replication impossible.[12] Other studies show that Monolaurin disintegrates the protective viral envelope, killing the virus.[13][14] Suggested Dosing: 1, twice a day

 

Stock your medicine cabinet and pantry with the essentials in case you get sick, or in case there are interruptions due to the virus, such as store closures.

·    If we do face a massive outbreak such as the one in Wuhan, China, health officials are telling people to prepare to have several weeks of supplies on hand, should we be asked to stay home for two or three weeks. Don’t panic, but do prepare. Imagine we were predicted to get hit with a massive blizzard, and start to stock up on supplies accordingly.

 

Wash your hands for at least 20 seconds with soap and water, especially before eating or after going to the bathroom, and avoid touching your eyes, nose or mouth

 

If you get sick
·    Stay home except to get medical care

·    Increase your dosage of Transfer Factor Multi Immune to 3 capsules 3 times per day; and Monolaurin to 1 capsule 3 times per day

·    Add an acute immune support product such as Coryza Forte or Viracid to your routine

·    Come in for a Vitamin C IV or Immune Booster Intramuscular injection at the first sign of symptoms

·    If you follow us on Instagram, you may have seen this article already (linked in our bio) that we posted last week about IV-C and it’s potential efficacy against the Coronavirus. Much like sepsis, it seems some of the most severe symptoms of Coronavirus actually come from an immune overreaction to the virus resulting in something called a “cytokine storm” that tears through lung tissue. Vitamin C seems to be able to interrupt this process.

·    Wear a face mask if you must be around other people

·    Wash your hands regularly

·    Always cover your mouth with your elbow when you cough or sneeze

·    For more of the CDC’s recommendations, click here

 

Stay healthy!

For updates, follow us on social media

 

COVID-19 Supplement Recommendations

 

COVID- 19  SUPPLEMENT RECOMMENDATIONS

 Please note the recommendations below have not been approved by the FDA and their efficacy against COVID-19 has not been studied or evaluated. Before starting any supplements, we recommend consulting with your healthcare provider or contacting our office to understand potential side effects and safety.  The list of products below is updated with latest availability, which is ever-changing.  There may be other, preferred options that are currently out of stock with unknown availability.  Please contact us with any questions at 781-800-4138 or info@myhealth101.org

 

Example of a Basic Regimen for adults:

Ultranutrient:                              2 BID

Ultra Potent C 1000:                  1 BID (take with sufficient fluids)

Zinc 50-60mg                                1 QD (for 3 months, then check levels)

Vitamin D3 5000IUs + K2         1 QD (for 6 weeks, then check levels)

Mykotaki                                       1 QD (for 3months)

OrthoBiotic Probiotic                1 QD

 

NUTRIENTS FOR ADULTS

  1. Robust MultivitaminUltranutrient (Pure Encapsulations) or equivalent
  2. Vitamin C 1000mg twice daily—Ultra Potent C (Metagenics) or equivalent
  3. Zinc 50-60mg daily– Zinc Piccolinate (Douglas Labs) or equivalent
    1. consider starting with loading up your Zinc stores with 50mg BID for 2 weeks, then continue with 50-60mg daily
  4. Vitamin D3 ( Vit D3 10,000 or 5,000 IUs with K)—D3 5,000 with K2 (Metagenics) or equivalent
    1. Most people in Massachusetts are deficient in Vitamin D this time of year unless they take supplements. General recommendations for Vitamin D are 2000-3000IUs daily, but this might not be sufficient. If you know your levels, you can dose accordingly. For anybody who has not taken any Vitamin D over the winter months, start with an equivalent of 10.000IUs +K2 daily for 10 days to bring up your Vitamin D stores and then continue with either 5000IUs +K2 daily or 10.000 +K2 every other day for 30-60 days. Preparations with K2 are preferred.
    2. CAVEAT: While optimal Vitamin D levels will support your immune system, taking too much can be dangerous and lead to overdose symptoms. When in doubt, stop taking Vitamin D.

 

IMMUNE-ENHANCING SUPPLEMENTS FOR ADULTS

  1. Mykotaki (Metagenics) 1 TAB QD for 3 months. (For immune compromised clients, consider taking 1 BID)
    1. In case you get sick, increase to 4 TABs daily for 10 days. Mykotaki should be taken for up to 3 months, then take a one month break. During this break, you can take one of the other immune enhancing herbs like Echinacea or contact us for options.
  2. Andrographis Plus (Metagenics) – can take as directed when developing symptoms
  3. Ultra Vir-X (Biotics) – an herbal mix including Mykotaki, take as directed for prevention and/or when experiencing symptoms.
  4. Probiotics – Ortho Biotic (Ortho Molecular) or Ultra Flora Immune Booster (Metagenics)
    1. COVID-19 can infect your GI tract and can cause Leaky Gut aggravating the illness and contributing to a worse outcome, so guarding your Gut Barrier is very important
  5. Vitamin A 10,000 IU (Pure Encapsulations) or equivalent Vitamin A from Cod Liver Oil
    1. Vitamin A is essential for epithelia to ward of infections. Many people are unknowingly deficient in Vitamin A or have genetic snips preventing them from not making sufficient active Vitamin A from Carotene rendering them move vulnerable to viral and other infections
    2. CAVEAT: Pregnant women must not take Vitamin A more than 10.000 IUs
    3. For all non-pregnant adults, I also recommend bringing up your Vitamin A stores by adding 20.0000IUs daily to the above Multivitamin for 2 weeks, and then continue with 10.000IUs for anther 2 weeks. In case of onset of symptoms, can increase Vitamin A to 50,000 IUs for 1 week.
    4. CAVEAT: While optimal Vitamin A levels will support your immune system, taking too much can be dangerous and lead to overdose symptoms. When in doubt, stop taking
  6. Magnesium Glycinate (Pure Encapsulations) – Make sure you have sufficient magnesium

 

OPTIONS FOR CHILDREN

1)      MetaKids® Baby DHA & D3 

2)      MetaKids™ Baby Probiotic 

3)      MetaKids™ D3 Liquid 

4)      MetaKids™ Multi Soft Chew 

5)      MetaKids™ Nutrition Powder 

6)      MetaKids™ Probiotic

 

 Supplement ordering instructions and our Nutritional Supplement Informed Consent are included below.  Certain supplements may not be available for purchase through Wellevate and Fullscript.  In this case, please try ordering from the manufacturer directly.  Please contact Dr. Goetzel’s assistant, Hannah Giddings, with any questions or difficulty ordering.

 

Please also reach out if you are interested in testing for vitamin and nutrient levels and/or GI and Microbiome function.

 

For additional information or to set up a 10 minute consult with Dr. Goetzel regarding optimizing your immune system please visit us at www.myhealth101.org.

  

MY HEALTH 101, PC

Phone:(781) 800-4138

Email: TMS@myhealth101.org

 

 

INFORMED CONSENT FOR NUTRITIONAL SUPPLEMENTS

Your provider may recommend vitamins and supplements as part of your treatment plan. You are under no obligation to purchase these supplements. The Food and Drug Administration does not regulate, test, or approve these supplements like they would with a prescription medication. Insurances do not cover supplements. Supplements are not studied like medications and they are not part of customary and current medical treatments or prescriptions. Limited studies exist concerning their efficacy. Supplements are not indicated to cure or treat any specific medical disorder. Supplements are not considered a substitute for medications or current medical therapies. Please share the list of your supplements with all your care providers, doctors and prescribers. Supplements can have powerful effects, side effects and interactions. Please discuss the recommended supplements with all providers. Supplements should not be taken in higher than recommended dosages, frequency and only for a limited period of time.

If you decide to purchase a recommended supplement, you are free to decide where to make that purchase. Most supplements are available for purchase through specialized compounding pharmacies and our MyHealth101 online dispensary. The MyHealth101 online dispensary provides a special service to our clients and it was established to make selected high quality supplements more accessible and easily available to our clients. These are supplements that we have chosen to offer based on our research into their quality and because they have undergone third party testing. MyHealth101 P.C is a company specialized in providing resources for Functional and Integrative Psychiatry. It was founded and is owned by Dr. Erich Goetzel. My Health101 may profit from sales of supplements purchased through online stores.

You can opt to purchase supplements on your own if you wish. When deciding where to buy a supplement, we urge you to consider the following:

  • What are the manufacturer’s standards for purity, potency, and bioavailability?
  • Are you purchasing the product directly from the manufacturer? How do you know?
  • If you are purchasing from a reseller, what do you know about this seller and the authenticity of their products?
  • Has the product undergone third party testing? Are the results available on request?

 

There have been many instances of counterfeit labels and products as being sold on websites such as Amazon.com, as well as expired products being illegally repackaged and sold as viable product. The quality of the products you use during your treatment is very important, and in an unregulated industry, it is important to find brands that undergo third party testing and can supply the results of these tests. Additionally, there are cautions to be aware of when choosing to purchase supplements from drug or retail stores. In 2015, the New York Attorney General sent cease and desist letters to GNC, Walgreens, Target, and Walmart after conducting an investigation into three of the herbal supplements sold on all of their shelves, and finding no trace of what was listed on the label, as well as many undisclosed ingredients including wheat in supposedly gluten-free products. Beyond just being a waste of money, these supplements provide no clinical benefit, and could also be potentially harmful due to the presence of allergens and ingredients such as house plant added as filler. The same was true of over-the-counter and compounded vitamin D3 in an April 2013 report by JAMA Internal Medicine. They found that potency was “highly variable” and ranged from 9% to 146%. In an unregulated industry, it is incredibly important to do your research when selecting supplements.

Though our practitioners will do their best to familiarize themselves with all of each patient’s allergies, it is ultimately the patient’s responsibility to check all supplement labels prior to opening or ingesting any product.

 To review and sign the above consent please go to: Nutritional Supplement Informed Consent

 

Supplement Ordering Instructions for the Wellevate Dispensary

  1. Go to myhealth101.org/supplements
  2. Click on the “Place Order” button to be taken to the Wellevate website
  3. If you already have an account, you may log in with your username and password
  4. If you DO NOT have an account, you may easily register by entering the following information:
    1. Name, Email Address, Address, Password
  5. Once logged in, you will have access to a full dispensary of trusted supplements
  6. Search for and select your recommended supplements for purchase

 

Supplement Ordering Instructions for the Fullscript Dispensary

  1. Go to https://us.fullscript.com/welcome/myhealth101
  2. Complete information for registration
  3. Once registered, you will have access to a full dispensary of trusted supplements
  4. Search for and select your recommended supplements for purchase

 

***

 

Wellevate and Fullscript are online dispensaries where you can access your health care provider’s professional-grade vitamin and supplement recommendations at any time, from any device. You’ll benefit from our safe, secure and innovative platform that makes ordering easy and enjoyable.

 

NOTE:  Certain supplements may not be available for purchase through Wellevate or Fullscript.  Please contact our office for assistance ordering through the manufacturer.

 

 

MY HEALTH 101, PC

Phone:(781) 800-4138

Email: TMS@myhealth101.org