19 Comments
User's avatar
Moro Balakrishnan's avatar

Continuing my views on LC:

8. So, LC should largely be the legacy of 2020 and 2021 infections. The mild Omicron, present since early 2022, does not carry the auto immune phase. So should be free from LC. However, it should still be treated with early URT medications to prevent viral load build up, onto resident viral loads and onto LC. If countries like the USA have continued to carry LC loads through 2022 and into 2023, this is the reason. Failure to use medications in the early infection (of individuals). It is possible that LCs from the Omicron era are mild, not prolonged and easily treatable with anti histamines, since they mostly colonise upper airways and the incidence of their migration to other places in the body can be low. By way of research, it is necessary to follow LC cohorts by the year of their origin.

9. While prescribing treatments related to the affected organ in LC, it is necessary to add anti virals to eliminate resident viral loads. This elimination may not happen by normal body mechanisms. It must include courses of anti histamines - which can also be anti virals by virtue of their predominant structural class as CADs ( Cationic Amphiphilic Drugs). This can be a powerful mechanism for anti viral performance. People have reported benefits from symptoms like brain fog in LC from short courses of Loratidine. Personally, I feel anti convulsants like Pregabalin or Gabapentin might also help in LC. There is a strong view in favour of covid disease itself being an allergy and thus LC too can be regarded as a pestering allergy condition. Whatever the angle, anti histamines become a central component of treatment.

10. Long covid is also like shingles in how it occurs in some. Dormant viruses becoming active after a time elapse. We have to watch this trend over several years. It is interesting the shingles (herpes) has been one of the major manifestation of LC.

11. Finally, vaccines, particularly the mRNA ones, are a red herring in the story of LC. Like natural virus, the SP segments from the vaccines need not be totally eliminated in time. They can take refuge, out of detection range, only to appear as LC later in some people. One way or the other, the linkage needs to be established.

These are my main points as I wrote them in August 2022. Since then vaccine remnants have emerged as a major causative in LC. Not inappropriately, references like long vax have emerged. In fact much of Omicron derived LC or 2022 cases could be of vaccine origin. Repeated vaccinations have afforded an extended residency of synthetic SP segments in populations. So, LC (or long vax) too lives on in those places.

Expand full comment
Moro Balakrishnan's avatar

Since I am not a medical practitioner, my views should not be taken as unequivocal. I go by what I have seen around. The use of these drugs as initial treatments became extensive and widespread in India during the serious delta wave in mid 2021. Serious illness, hospitalisations and even deaths began dropping precipitously. With the same protocol, a huge Omicron wave in early 2022 was also contained quickly. Through all these and upto now, LC has hardly been talked about here. I was an Omicron patient in Jan 22 and I knew of 12-15 in the family. No one had LC. On the contrary, LC has not abated in the USA, including frequent reporting/comments in the press. Against these backdrop, it is my conviction that this early protocol doesn’t allow formation of virus reservoirs. The scope of LC is shut. I am only extending this premise to suggest that these medicines can flush out residual viral loads, a pre requirement for early recovery from LC. A more conventional detox. I would request you to seek a more informed opinion on this premise with your contacts. Here is something that looks very promising but I have my doubts if USA would put it through its paces.

Expand full comment
Stephanie Schaible, MT (ASCP)'s avatar

Thank you for stopping by to share your opinion. It has been known for a very long time that viruses cause autoimmune conditions. I hope that this pandemic will help bring new treatment options and maybe even better prevention options. To be honest with you, it seems it would be necessary for humans to be taking something to prevent every kind of viral illness every single day of their lives to improve their odds of not getting an autoimmune condition that was caused by a virus. My suggestion is for people to take the best possible care of themselves that they can. I’ve already been living with the after affects of viral illness for 20 years now, and many of my own family members have been living with autoimmune conditions for many years now. To be honest with you, what you have presented seems a bit simplistic to me, but there is always hope, and I pray that everyone who has been affected by this particular virus will find the healing and peace that they are looking for. I believe that can only truly come through faith in Jesus Christ. There is a line from a movie called The Miracle Club about being given the strength to go on even when there is no miracle. This, I believe, is given to those who put their faith in Jesus Christ, his grace sustains those who suffer in this life. God bless you my friend. Thank you for your insight. I will give what you have shared much thought and consideration.

Expand full comment
Moro Balakrishnan's avatar

I wish to know if you have made further gains in your recovery in these couple of months and close to being normal. Did you add more protocols based on the common medicines we discussed earlier and did you get tested for any residual spike protein segments from your early infection ? These must be completely removed from your system for your return to total normalcy. You should present your own case study as a paper in any leading journal.

Expand full comment
Stephanie Schaible, MT (ASCP)'s avatar

Hi Moro! Yes, I am doing great and have been full of energy and quite busy but hope to have a new post out very soon to share what I've been doing to heal from this last round of Covid through acupuncture and Traditional Chinese Medicine over these past 2 months. Thank You for checking in!

Expand full comment
Moro Balakrishnan's avatar

This is a test message after signing in again.

Expand full comment
Moro Balakrishnan's avatar

While Cetrizine and Famotidine could have prevented your delta infection becoming serious, they were not adequate to prevent viral reservoir build up post infection. You needed at least two more out of these three - Azithromycin, Montelukast and Ivermectin. Surprisingly, the first two were not part of FLCCC ‘s original recommendation and you took long to get your supplies of Ivermectin. That was opportunity enough for the residual viral load to get entrenched. Even now, it could be present and could have triggered dysautonomia. That load needs to be flushed out. Possibly a course of these three. I don’t know if you can consult Dr. McCullough of Texas over this aspect. He has been a strong advocate of early medications. I have conveyed to him many times these premises. Azithromycin is now seen to be an antiviral ( thanks to its amino groups) and in this infection it may not be needed to do its duty as an antibiotic all the time.

Expand full comment
Stephanie Schaible, MT (ASCP)'s avatar

It looks like McCullough is now promoting proteolytic enzymes and nano curcumin to detox spike as well as nasal spray and gargles for prevention. I have been using those as well although I will admit that I have been slack on keeping up with gargle and nasal sprays. Do you think a possible treatment plan might be a combo of Azithromycin, Montelukast and Ivermectin during initial infection followed by proteolytic enzymes and nano curcumin to detox spike?

Expand full comment
Moro Balakrishnan's avatar

I did go through your time line with those fascinating bonus details of your exterior pursuits. Your case fits with the several premises I had made on LC in my earlier posting. You are not vaccinated and thus an original LC candidate. I feel what has lingered on is your 2021 delta infection, rather than the omicron infection of 2022. Is it possible you get your antigens profile checked with a serum analysis ?As a medical professional, even if not a practising physician, are you not entitled to issue prescriptions for yourself (at least) to get medicines outside the OTC range in the USA ? I read that the OTC drugs available in USA are much less compared to even Europe. For example, I could see only 3-4 anti histamines in the OTC shelves - diphenhydramine, cetrizine, fexofenidine and Loratidine and the H2 famotidine. Possibly, two of them in your early viral phase could have contained it from carrying residual loads. Otherwise, it is a very stifling medicinal system there for out patients.

Expand full comment
Stephanie Schaible, MT (ASCP)'s avatar

Thank you for your thoughts. During Delta I was taking certizine, famotidine, acetaminophen , and budesonide as well as the supplements D3, quercetin, zinc, etc as recommended by the FLCCC at that time. Medical professionals like me are not able to issue prescriptions, not even for us. My current priority is to seek treatment for dysautonomia through acupuncture which is scheduled to begin in early September. I have read some hopeful research articles on immune regulation and acupuncture.

Expand full comment
Moro Balakrishnan's avatar

I came to know about FLCCC only from your post two days ago. I am aghast how I missed knowing about them for more than three years. I am surprised their big list for covid has only 3 direct medicines - Ivermectin, Fluvoxamine and Aspirin. The rest are all adjuvants and supplements. They may have been adequate to keep the viral phase in an infection under control, but not enough to prevent dormant viral loads and onto LC later in some. That could be mostly your case. In India, by mid 2021 in the midst of a huge delta wave, the large community of private physicians and clinicians began to take control of the issue through a compliment of early medications. The most popular combination was Azithromycin, Montelukast and Levocetrizine and often with Ivermectin. The adjuvants were also common like vit c, vit D, Zinc and sometimes Aspirin. These four were powerful antiviral combined, not adequate individually. Their lead roles were also needed to contain the disease very quickly - like anti biotic (secondary), anti inflammatory, immuno modulatory and anti histaminic. The results in time were spectacular in every score - fresh cases, hospitalisations, mortality, even long covid. I am saying this only to highlight how well designed clinically the medicinal therapy was. I have followed lots more prescriptions which also included molecules like chlorophenaramine, diphenhydramine, oxymetazoline ( nasal drops), phenyl ephedrine, Formoterol, Desloratadine, Dextromethorphan, Doxycycline, Cefexime etc, in the usually 4-drug prescriptions. Some food this for thought.

Expand full comment
Moro Balakrishnan's avatar

Now, I keenly await your comments. You would be already aware of all that I have written. Only my emphasis is noteworthy - early classical medications preventing autoimmune phase and viral load build up, in turn preventing dormant viral loads in individuals, in turn preventing LC - in the case of natural infections. Where repeat vaccinations have occurred, infection or not, it is a free pass for residency of viral protein segments in populations. Not studied by formal medical administrations. I wanted to expand on my first comments on a total prescription of medicines. LC, I feel, is 75% pathogenic condition and 25% mitochondrial recovery ( no matter what the mechanisms are). The second one has to be a slow recovery aided by food choices and supplements as you have correctly chosen. Body can eliminate the first one also naturally but it is an even slower process. To that extent, the mitochondrial recovery can also drag on, explaining why LC conditions too drag on. To a large extent, the pathogenic component can be safely, securely and quickly eliminated by a compliment of known drugs. This can free up body to focus hard on the second, slow recovery part. Everything boils down to flushing out the resident viral loads. Their presence can interfere in mitochondrial health also.

Expand full comment
Stephanie Schaible, MT (ASCP)'s avatar

What are your thoughts in regard to why I progressed to long covid ie mast cell activation and mitochondrial dysfunction with the omicrons and not the delta variant?

Yes, you are correct in that the supplements have contributed to improved mitochondrial health for me. My major issue now is dysautonomia. I will be looking into acupuncture to treat that soon.

Yes, I am disheartened that my country did not promote early treatment and made the use of Ivermectin a scandal. I do also follow Dr. Mobeen’s medical lectures and did the best for myself that I could by making use of the FLCCC’s early treatment protocols.

Expand full comment
Moro Balakrishnan's avatar

For commenting further, I need to know when exactly you had covid, the medications in those initial days and when you started feeling about LC and all that. It is quite possible that your dysautonomia now is also a LC fall out, or more likely LV (Long vax) fall out, if you had had 2-3 shots in the past 12 months. I do earnestly wish that your planned acupuncture course will prove useful. I would squarely put your LC origin on the absence of robust initial medications. And with your background health issues, you were highly prone, even with the innocuous omicron. I also you can have a better understanding of your present innate condition by getting tested for residual spike protein loads and their nature. For all the very thoughtful protocols you have been following, it is very likely that you carry some resident spike load (virus or vaccine). The medications you have had over this long phase are not adequate to flush out those resident loads. The LV/LC situation now in the USA looks pathetic. There are no well thought out treatment guidelines. Stories of refused treatments. No one seems to be in charge.

Expand full comment
Stephanie Schaible, MT (ASCP)'s avatar

Feel free to take a look at my timeline, I have outlined it here under the Long Covid Corner subsection. As I said, I followed the FLCCCs guidelines to the best of my abilities and was not able to add Ivermectin in until 3 months after the Omicrons hit me and really made me very sick.

Here in the US there were no other options given to most of us other than mask, vax, and antivirals (for some). Period. Our government has control of our health care system.

I did not take any vaccines and I was told it’s a good thing I did not by 2 health care practitioners. Individualized health care in the west is now a thing of the past, see Dr. John Campbell’s YouTube videos on that. Someone(s) are in charge, he can fill you in as I do not wish to go into all of that here.

Yes, too many of us are suffering and paying the long covid price and not getting adequate care from our health care system. I highly encourage them to seek help outside of the government regulated system through natural and functional medicine practitioners who will care for them wholistically and help them keep their body supported. Unfortunately, this care is not covered by health insurance and can be quite expensive.

I appreciate the list of pharmaceuticals you have shared here. Getting a physician here to understand what you have said is one thing that adds to difficulty in getting care, getting them to prescribe them is another difficulty. It’s not happening and I don’t see that changing any time soon.

Expand full comment
Moro Balakrishnan's avatar

Here are some points from the write up I had prepared on Long Covid in August 2022, largely from some extensive reading.

1. LC arises from dormant viral load, after the infection has subsided. This load could be taking shelter in one or two of many organs and parts in the body, including brain, gut, blood vessels etc. The symptoms/disease is related to that place. It could be due to viral activity from that dormant position.

2. The presence of residual viral load is most certainly due to the absence of early treatments in the viral phase of the infection using classical URT infection medications.

3. Following western guidelines, the entire world did not follow any early treatment protocols in 2020 and in the first half 2021. The lucky ones escaped hospitalisations and the unlucky ones got into hospitals is serious conditions. Those who survived this ordeal were most likely to have carried residual viral load and subsequently LC also.

3. Ignoring serious initial treatment has largely remained the norm in the West and they are the ones who are now burdened with LC.

4. Many countries including India changed course in mid 2021 during the serious delta wave, adopted early classical treatments, quickly contained the delta wave and did not have much reports on LC from that time. All their LC load was from 2020 and part 2021 infections.

5. The mechanism is straightforward. Early classical treatments did not allow any large viral load build up. People didn’t have to suffer the autoimmune phase, no scope to carry residual viral loads, no scope for LC. Additionally this prevented spread of infection in the family, cumulatively in the society. Only those countries which did not opt for clinically sound early treatment suffered long periods of spread. Surprisingly, this group was the medically superior West.

6. Geographically all statistics on unending fresh cases and deaths can be directly related the presence or absence of this early treatment protocol. Inter alia, this applies to the occurrence of LC also.

7. It is quite possible that the autoimmune phase of the 2020 and 2021 variants prevented natural elimination of the self limiting viral load and caused its continuing presence in the body.

8. So, LC should largely be a legacy of 2020 and 2021 infections. Omicron, appearing in early 2022, does not carry autoimmune phase. It is unlikely to have generated its own cohort of LC patients.

I will cover the remaining points in another posting. Thanks. Dr. Moro Balakrishnan

Expand full comment
Moro Balakrishnan's avatar

I am sorry to have responded so late, even though this podcast has been weeks old. Firstly, I am from India, male, 78, an old PhD in organic chemistry, retired long ago after a long career in industrial R&D, not worked in medicines. In retirement, I have taken to reading medicinal chemistry as personal interest, have followed this virus, covid, treatments etc as extensively as I could from my limited skills in the internet. So, I am not a medical practitioner either. Now, if I can have your mail id, I want to forward you two things. They can make very interesting reading for you. 1) A pdf I had prepared an year ago on Long Covid out of my readings and a few podcasts I had followed. Shared with many. 2) A podcast from Vejon Health of UK of a conversation between Dr. McMillan ( who runs Vejon) and Dr. Shankara Chetty of South Africa. These two are excellent clinicians, have devoted themselves to covid in these three years and have together made a few wonderful conversations on covid and treatments. The one I want to forward was done in May, “ Long Covid strategies from one of the best physicians”. Dr. Chetty also feels it is an immune dysfunction with protocols based on anti histamines, immuno modulators including steroids. I would like you to go through my pdf on long covid also, it might have some bearings on your case. I wish to make a few more points, formulated by long hard thinking over months, but I would keep them, first to hear from you so that the conversation can be kept up. It will be about your protocol. Basically, Ivermectin is fine, but I feel some more medicines will be needed ( one or two courses) to get rid of your viral reservoir permanently which might help fine tune your supplements also. I will convey my views. Would like to know your professional background. Thanks and regards, Dr. Moro Balakrishnan, balakrishnan.moro@gmail.com, ph : 9886628784

Expand full comment
Stephanie Schaible, MT (ASCP)'s avatar

Thank you for your comment Dr. Balakrishnan. My background is in Medical Laboratory Science, I also have a minor in chemistry. I have always had a love for the life sciences and how things work together in the body, so I enjoyed biochemistry much more than organic chemistry. I worked as a pharmacy technician while I was in school and intended to become a pharmacist, but I did not enjoy that line of work about as much as I did not enjoy my year of organic chemistry classes which is why I changed my course of study to medical laboratory science as it included a lot of immunology and microbiology courses as well as human pathophysiology and the association of abnormal laboratory results and symptoms with disease states which I enjoyed very much. My specialty is Immunohematology which I helped teach by working as an adjunct instructor for several years.

In my case, the coronavirus is not the first virus I have had problems with. I do have allergies and asthma. Courses of prednisone did not help me before when post viral fatigue set in following infection with parvovirus, fifth disease about 20 years ago. Therefore, I did not seek a prescription for it this time around. I also take Zyrtec every night before bed. This did not stop my progression to long covid. Adding Benadryl at night during initial infection does help my symptoms, but did not resolve the chronic fatigue. Focusing on restoring mitochondrial health is what brought me out of the chronic fatigue along with the grace of God who has given me the strength to endure and press on through an illness that makes you feel like giving up. I am a Christian and attribute much of my healing to my faith. Illness is not just a physical condition, and the mind as well as the condition of the soul must be addressed.

I do follow Dr. McMillan here on substack, but will take a look at the podcast you have mentioned.

Because there are others here who might benefit from any information you would like to share, I would like to ask if you would consider summarizing your pdf here in simple language that those without science or medical backgrounds might understand.

Thank You for reaching out,

Stephanie

Expand full comment
Moro Balakrishnan's avatar

Thanks for your kind, prompt, detailed response. It is nice to know about your background. I will summarise my pdf on LC shortly and put it up here. Your long term approach to full recovery is very much appropriate. My point about a whole set of common medicines is based on my understanding of chemical structures. I have seen the structures of 700 common drugs from many many different indications and there could be 1000 plus sharing a simple structural feature, an amine nitrogen. This makes them multi faceted - they could be a bit of anti viral, anti inflammatory, immuno modulatory, anti histaminic and the like, even though they could carry only one primary label. A condition like LC requires a compliment of all these properties which you will not get from a single drug. 3-4 drugs can pool up for a total heft. Respiratory infections are usually treated with two or three or even four drugs. Hope you get my point. The benefit of multiple drug therapy is that each will have its own mechanism of contribution. That is why just Ivermectin or Cetrazine or Diphenhydramine may not give lasting relief. I know Montelukast has been extensively used in combating covid and it has a role in LC also. Removing certain angles of LC quickly and effectively through such time tested drugs will only make the slow paced balance recovery much more sure footed. Hope you can appreciate what I have in mind. That is why I have not been comfortable with the US protocol of just Paxlovid. Like you I am a strong believer in God and his benevolence, even as a Hindu. Even God will help only those who help themselves ( personal efforts, who strive)

is the essence of our scriptures. You are practising precisely that kind of philosophy. You will always be blessed.

Expand full comment