Stage 2

Stage Two: Determine surviving pathogens

Tests:

Entry Test: Vitamin D level at 108 nmol/l (43 ng/ml)

Exit Tests:

CFIDS PCR Panel for Pathogens. This test will be used no more than once a year
- Expected Results: one or more pathogens found
- Laboratories for testing:
  - Medical Diagnostic Laboratories, L.L.C. http://www.mdlab.com (they have a CFIDS panel)
  - Immunosciences Lab., Inc http://www.immuno-sci-lab.com/2003_cat_toc3.htm
- Test should include PCR tests for as many APS Infections as possible.
  - In some cases, there may be a need to identify the exact species of an infection to pick the right antipathogen.
  - If you had an acute case of any APS pathogen in the past, please make sure that you tested for it - it may have become chronic.
MOCHA/ISAC Panel for Coagulation These tests wil be used for ongoing monitoring
- Two or more items outside of the normal range
- Laboratories for testing:
  - Hemex:
    - MOCHA: http://www.hemex.com/testmenus/mocha.htm
    - ISAC: http://www.hemex.com/testmenus/coag_panels.html
  - Any lab that specializes in coagulation testing can run equivalent panels.
Hereditary Coagulation Factors: This test only needs to be done once.
- One or more Hereditary factor
- Laboratories for testing:
  - Hemex: Hereditary Thrombosis Risk Panel (HTRP) http://www.hemex.com/testmenus/coag_panels.html
    - Protein C Activity
    - Protein S Activity
    - Antithrombin Activity
    - APC Resistance
    - Factor II Activity
    - Lipoprotein(a)
    - PAI-1 Activity
    - Homocysteine
  - Any lab that specializes in coagulation testing can run equivalent panels.

Once you have reached the optimal vitamin D level and appear to have stopped herxing, we proceed to expose the surviving pathogen by removing fibrin and other coagulation deposits which may be shielding it. We do this by introducing fibrin dissolving enzymes. The following assumes the use of bromelain (the cheapest and also one of the most effective). Bromelain is measured in GDU, the goal is to slowly increase bromelain until you get to at least 18000 GDU or more. At this time, you may wish to also add for 1-2 weeks, some of the following:

Serrapeptase (less effective than bromelain)

Nattokinase

Lumbrokinase (discouraged until after ISAC panel)

You may find that you may herx because pathogens are being exposed to the immune system so you want to start with a low dosage and slowly increase the enzymes.

We want to give the body's own immune system every reasonable opportunity to eliminate infections that it can handle before we detect what is left over. The pathogens that remain may need antibiotics or antiviral to eliminate.

Where are we?

At this point of time you should know what infections you are needing to eliminate and where your body is failing to eliminate the coagulation being triggered by those infections. You may find that there are non-prescription supplements that are effective against those infections - for example:

Similarly, there are non-prescription supplements effective against some types of coagulation. For example:

You may wish to try these prior to going on prescription medications if they are appropriate for what the laboratory tests reported.