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Managing Colds And Flu

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Flu season starts as early as October and can last through April. For this reason, we recommend that you get vaccinated against the flu if you haven’t done so already. We recommend that you wait a minimum of 2 weeks before getting any other vaccine. Or if you have just received another vaccine, wait 2 weeks before getting the flu shot.

Many may get a cold during the winter months, and for the majority of cold-sufferers, rest, fluids, and over-the-counter medications are enough to help them recover. But winter sickness can mean something more serious for the 3-11% of US residents that come down with the flu each season, with approximately 200,000 hospitalizations attributed annually to flu-related complications.

Basic Flu Prevention Recommendations

In addition to getting a flu shot, there are other precautions that you can take to lower your risk of contracting the flu or to shorten the duration of any respiratory illness.

Dr. Kaplan offers the following basic flu-prevention steps:

  1. Get a preservative-free flu shot. (We recommend that you wait a minimum of 2 weeks before getting any other vaccine. Or if you have just received another vaccine, wait 2 weeks before getting the flu shot.)
  2. Wash your hands often and thoroughly.
  3. Keep unwashed hands away from your mouth and eyes.
  4. Use a friendly cleaner to wipe down doorknobs, phones, your mouse, and keyboards.
  5. Get plenty of sleep (7-9 hours is optimal for most).
  6. Drink plenty of fluids – water is needed for your body to clear toxins and helps to thin secretions.
  7. Make wise nutritional choices, including limiting your consumption of alcohol, refined carbohydrates, and sugar, all of which lower immune system functioning.
  8. Exercise regularly, preferably outdoors. Exercise is great for an immune system boost.
  9. Take some deep breaths and meditate, it can boost your immune system significantly.
  10. Talk to your provider about whether periodic vitamin IV’s would be right for you.

Homeopathic Remedies and Supplements

Homeopathic remedies and supplements can be very effective in preventing flu infection, & they can be used in combination with other remedies. We have found the following products to be particularly useful in helping to prevent colds & flu. Please check with your provider to see which ones may be right for you.

  • Take 5000 IU’s of Vitamin D3 daily. Have your Vitamin D-25-Hydroxy level checked every 3 months and aim for a level between 50 – 80.
  • Oscillococcinum – ½ a tube a week through the flu season (October – April).
  • Monolaurin – 2 pills twice a day through the flu season.
  • Probiotics– Increase the intake of probiotics. 70-80% of your immune system cells are found in the gut. Certain probiotic strains have been shown to reduce the risk of acquiring common cold infections so take a high-quality probiotic or better yet, include fermented foods in your diet. Ask your provider how to start to include these in your diet or supplement regimen.
  • Take a high-quality multivitamin.

Many of the supplements above are available to buy from our online store. We offer the highest quality supplements from manufacturers that have been vetted. Consumers should always buy supplements from a trusted source as they are not regulated by the FDA. 

Treatment Strategies If You Do Get Sick

At the first sign of winter respiratory problems, there are several products you can take on your own to minimize the seriousness of an infection, including influenza. We’ve listed several below with general instructions.

Please note: if you are sure you have the flu, we usually recommend taking Tamiflu, a prescribed, antiviral medication that the Centers for Disease Control has determined is effective in treating flu. This medication must be started within the first 48 hours of experiencing flu-like symptoms. For personal guidance as to whether this would be helpful in treating your symptoms, please call our office. In any event, if you get sick with a fever of 100.5 degrees or more, please call the office at 703-532-4892, so we can give you our immediate personal assistance.

If you are already taking medication for another medical condition, you should check with your provider before taking any of the remedies described below. We also do not recommend that anyone take all of these products simultaneously, so ask your provider which combination of products would benefit you most.

Herbal Remedies:

Dispel Invasion – Take at the first sign of infection (sore throat, sneezing, fever, chills, or joint pain). Recommended dose: Take 6-8 drops in warm water every 4-6 hours for the first 1-2 days. If taking pill form, take 2 pills 3x/day for 5 days. Patients with Lupus, MS, rheumatoid arthritis, or other autoimmune diseases should not take this herbal product.

Sambucol – This product boosts the immune system and supports the respiratory tract. In addition to tablets, Sambucol is available as a cough syrup. Dosage: Take as directed by product packaging.

Monolaurin – This supplement can be taken both as a preventative and treatment method because of its ability to strengthen the immune system and fight infections. Dosage: As a treatment method, take 3 pills, 3x/day or as directed by your provider.

Homeopathic Remedies:

Oscillococcinum – Take at the first signs of flu to alleviate symptoms and shorten the duration of your illness. It will not make you drowsy, and it has no known drug interactions. Recommended dosage for acute illness: Take 1/2 tube 3 times/day for the first 3-5 days of the flu.

Umcka – Strengthens the immune system and is pleasant tasting and safe for children. Dosage: Take 6-7 drops in water every 3 hrs, but do not take for more than 5 day in a row. Patients with Lupus, MS, rheumatoid arthritis, or other autoimmune diseases should not take this product. NOTE: Do not take Dispel Invasion & Umcka simultaneously.

Supplements:

Zinc Lozenges – There is strong evidence that zinc in lozenge form reduces the severity of symptoms of the common cold. Recommended dose: Dissolve in mouth, 3-4 times daily.

Vitamin C – A powerful immune system booster that you can take as soon as you suspect you are coming down with a respiratory illness. Dosage: Take 3000 mg./day during symptoms. People who are prone to nausea should look for a buffered Vitamin C as it is more gentle on the gut and will not cause an upset stomach. For others, we recommend liposomal Vitamin C, which is better absorbed by the body.

There’s a lot you can do to minimize your risk of flu or respiratory illness but prevention from infection isn’t guaranteed. Therefore, if you do develop flu-like symptoms this winter, make sure to see your provider right away to discuss the most effective treatment options available.

We are here for you, and we want to help.

Our goal is to return you to optimal health as soon as possible. To schedule an appointment please call: 703-532-4892 x2

Supplements May Be Helpful for COVID-19

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Those of us in the integrative medicine field have long seen the benefits of supplements and herbal medicine in healthcare.

COVID-19 is a novel virus, meaning it has never been seen before in nature. There is a lot that we don’t know about this virus, but there is a lot that we are learning as well. There have been studies done with supplements for other types of coronaviruses like SARS CoV. We also have research about the effects of supplements on the immune system suggesting that they may be helpful for upper respiratory infections in general.

Below is a list of several supplements along with a short discussion on research and clinical experience and references where you can read more on each topic. Please note: None of these have been proven as treatments for COVID-19, and none of the information should be taken as medical advice.

Dietary supplements are generally considered safe, but it’s important to review your medical history and current medications with a practitioner before starting. Please call (703) 532-4892 to make an appointment with your provider, nutritionist, or acupuncturist/herbalist. If you suspect you have any kind of infection, please make a telemedicine/ cloud appointment with your doctor.

Please remember that supplements are not regulated by the FDA and sometimes do not contain ingredients that they claim. At The Kaplan Center, we do extensive research to find the best companies with 3rd party testing to make sure you get the highest quality products. You can order your supplements directly through our online store at: https://store.kaplanclinic.com/

It is important to continue following guidelines from health departments and governments including frequently washing hands for 20 seconds, staying physically distant and socially innovative. When in public places like grocery stores, be sure to wear a mask.

ANTIOXIDANTS

Vitamin C

Vitamin C is long known for helping the immune system prevent colds and flu. It is important for the function of white blood cells to fight infections and the overall immune system.  High dose Vitamin C is being used by IV in several hospitals around the world including in New York. There is a small study that showed critically ill patients with COVID-19 who were given 1-6 g of Vitamin C either intravenous (IV) or oral decreased ventilation time by 25%.  There are other trials in progress to see if high dose Vitamin C can improve outcomes. Doses range in 12-24g administered by IV. At this time there is no evidence that taking Vitamin C orally will prevent or cure COVID-19. As a supplement, it is suggested to take 3g of Vitamin C per day. Talk to your doctor about if IVs would be right for you.

Glutathione/NAC

Glutathione is a powerful antioxidant in the body. It scavenges damaging free radicals and is involved in tissue repair and builds chemicals and proteins that are used for the immune system. N-Acetyl cysteine, or NAC, promotes the production of glutathione and is also used as a supplement. Studies in animal models of other viral infections have shown that NAC reduced the severity and duration of symptoms by increasing cellular defense and repair. NAC is taken in doses of 500-600mg. Glutathione can be taken orally 500mg or by IV 400-2400 mg with a doctor’s order.

Quercetin

Quercetin is a bioflavonoid found in a variety of fruits and vegetables. Laboratory and animal studies have shown that quercetin may inhibit a wide variety of viruses, including a coronavirus SARS CoV which is related to COVID-19. Quercetin supports antioxidant capacity and protects lung tissue. As a supplement is combined with Vitamin C, bromelain or sold as a single supplement. Recommendation is between 500mg-1000mg daily.

Food Sources: Leafy green vegetables, dill, peppers, apples, grapes, fennel leaf, red onion, oregano, chili pepper, green tea, and black tea.

ANTI-VIRAL PROPERTIES

Chinese Medicine

Computer analysis done in February of this year showed which drugs and natural compounds have the potential to inhibit COVID-19. Several Chinese herbs were shown to have the potential to interact with specific targets of SARS-CoV-2. These included Andrographis paniculate and Scutellaria baicalensis, two herbs that are commonly used in formulas for upper respiratory infections. This data is preliminary and does not meet the standards of evidence-based medicine.

Chinese herbal medicine is a complex system of medicine that is based on sequential diagnoses of signs and symptoms that change throughout the illness. It is personalized and a formula should be prescribed by an NCCAOM certified herbalist.

Monolaurin

Generally considered anti-viral, coconut oil contains lauric acid and the derivative monolaurin. It prevents the adherence of viruses to tissues by fluidizing the lipids and phospholipids in the envelope surrounding the virus that leads to the disintegration of viral particles and symptom improvement. Studies have not been conducted in humans on coronaviruses. Unrefined coconut oil contains the most lauric acid. Refined coconut oils and MCT oils contain very little. Supplementation of monolaurin is 1,200 -1,800 mg 2-3 times per day.

Biofilm Disruptors

Biofilm disruptors are enzymes that have the ability to weaken the virus by inactivating or fluidizing its outer layer, then exposing its viral content to the immune system. Biofilm disruptors are extensively studied for the treatment of bacterial infections, as most bacteria protect themselves within biofilms to hide away from antibacterial therapies. They slowly multiply until they form important colonies that then attack the body’s immune defense. An example of a biofilm disruptor is Lumbrokinase found in Buluoke, made from earthworms.

Probiotics

Are friendly bacteria that reside in the intestinal tract, they actively participate in the modulation of the immune system, synthesize vitamins, and aid digestion. Studies have shown that probiotic use can decrease the number of respiratory infections, particularly in children. Food sources include fermented foods like sauerkraut, kefir, yogurt, kombucha, kimchi, natto, and tempeh.  We can’t overstate the importance of gut health and nutrition on the immune system. For that reason, look for an entire article on this subject in a future newsletter.

IMMUNE BOOSTERS

Zinc/Copper

Zinc may improve the chance of avoiding respiratory tract infections in the elderly and those who are zinc deficient and is shown to have strong anti-viral properties.  It is found in beef, crab, lobster, and smaller amounts in chicken, cheese, kidney beans, garbanzo beans, cashews, and almonds. Supplementation can be taken in a pill or lozenge, daily recommendation is between 30-60mg.

Copper is a trace mineral that is needed in small amounts. It also has immune-boosting properties. The problem with supplementation of trace minerals is that they compete for absorption, so it’s necessary to take about 8 mg of copper along with Zinc. Typically a multivitamin supplement contains a small amount of copper for this reason. Be sure to eat food sources like two squares of 80% dark chocolate!

Food Sources of Immune-Boosting Nutrients

Food sources of immune boosting Nutrients

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Vitamin D

Vitamin D is created in the body in response to sunlight. While vitamin D has not been studied for coronavirus, low Vitamin D levels have been linked to a higher risk of upper respiratory infections in general. Most people do not have optimal levels of Vitamin D, especially in the winter. Since it is not found in foods at doses needed, supplementation is recommended at 2,000-5,000 IU per day.

Melatonin

Melatonin is used as a sleep aid that also has antioxidant and anti-inflammatory properties. Melatonin also has been shown to have an inhibitory effect on NLRP3 inflammasomes, which COVID-19 stimulates to create a cytokine storm in the late stage of the disease. This compelling research suggests the potential for melatonin as adjuvant treatment for COVID-19 but more research is needed. Dosage is typically 5-20 mg at bedtime.

 

Sources/ Additional reading:

Vitamin C:
https://jintensivecare.biomedcentral.com/articles/10.1186/s40560-020-0432-y

NAC/Glutathione:
https://www.sciencedirect.com/science/article/pii/S0033062020300372?via%3Dihub

Quercetin:
https://www.tandfonline.com/doi/abs/10.1080/019021490927088?journalCode=ielu20&fbclid=IwAR1ZQN3xo9wHbqsp_53Fq57o4AEO19y0ChJWcph9QND9Fp8F8elkgysp11g&

Chinese herbs:
https://www.sciencedirect.com/science/article/pii/S2211383520302999

Monolaurin:
Seleem, D., Freitas-Blanco, V.S., Noguti, J., Zancope, B.R., Pardi, V., & Murata, R.M. (2018). In Vivo Antifungal Activity of Monolaurin against Candida albicans Biofilms. Biological & pharmaceutical bulletin., 41(8), 1299-1302. doi:10.1248/bpb.b18-00256
https://www.liebertpub.com/doi/abs/10.1089/act.2006.12.310?journalCode=act

Melatonin:
https://www.sciencedirect.com/science/article/pii/S0024320520303313?via%3Dihub
http://www.melatonin-research.net/index.php/MR/article/view/71

We are here for you, and we want to help.

Our goal is to return you to optimal health as soon as possible. To schedule an appointment please call: 703-532-4892 x2