Baseline bloodwork CBC, CRP, ferritin, IL-6, cortisol AM, metabolic panel, thyroid function Cardiovascular assessment heart rate variability, orthostatic vitals if POTS is suspected Gut health markers stool testing, zonulin, calprotectin if GI symptoms are prominent Mitochondrial function proxies lactate, organic acids panel if PEM is a primary complaint From there, a typical protocol might be structured as: Phase 1 (Weeks 16): Immune and gut foundation Thymosin Alpha-1: 1.6 mg subcutaneous, twice weekly BPC-157: 250500 mcg daily, route determined by predominant symptom (oral for gut, injectable for systemic) Phase 2 (Weeks 412): Tissue repair and cardiovascular recovery TB-500: 2.02.5 mg subcutaneous, twice weekly Continue BPC-157 as indicated Phase 3 (Weeks 816): Maintenance and metabolic support Taper or pulse doses based on clinical response Add mitochondrial support if fatigue persists (see: Mitochondrial Peptides and Insulin Resistance) These are illustrative dosing ranges based on clinical research and published protocols
Strategies to combat metabolic mediators of neurodegenerative processes and cognitive impairments were borrowed from the experience of treating diabetes and other insulin-resistant conditions
Takemoto M, Yamaga M, Furuichi Y, Yokote K (2015) Astaxanthin improves nonalcoholic fatty liver disease in Werner syndrome with diabetes mellitus
Manage Environmental Load You can "save" your glutathione by reducing the amount of work it has to do
Eat slowly and chew thoroughly Eating slowly and chewing food well can reduce swallowing excess air and help prevent the stomach pressure which sometimes causes heartburn
Using other tools to cope with your emotions turns the vicious cycle into a virtuous one
