COVID-19 Orthomolecular Protocol for Prevention and Treatment


(Revised 9/20/2021)

By Michael J Gonzalez, DSc, NMD, PhD, FACN; Miguel J Berdiel, MD; Luis Martinez, MD; Jorge R Miranda Massari, PharmD; Maria Carrascal, MD; Sylvia Nunez, MD; Jose W. Rodriguez, PhD; Jerry Leon, MD; Ramphis Diaz, ND

Prevention for COVID-19

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In addition to the precautions given by the medical and government authorities as to washing our hands, the use of masks, alcohol and sanitizers… what else can we do? Prepare your immune system!

Prepare the immune system to work fast and effective!

Food:

  1. Diet low in sugar and in simple and refined carbohydrates
  2. Limit processed meals
  3. Eat more vegetables, fruits, and nuts
  4. Hydrate well with water! (Your weight in lb, divided by 16, gives you the 8 oz cups of daily intake)


Lifestyle:

  1. Exercise at least 3x/ week
  2. Sleep 8 hours
  3. Meditate, hear music, read a book

Recommended Supplementation:

  1. Multivitamin and Mineral Formula qd
  2. Vitamin C, 1,000 mg tid
  3. Vitamin D3, 10,000 IU qd
  4. Zinc Gluconate, 30 mg qd
  5. Magnesium Citrate, 500 mg qd
  6. Selenium Methionine, 200 mcg qd
  7. Probiotics, >30 billion CFU qd
  8. Melatonin, 10 mg qd
  9. Quercetin, 500 mg qd
  10. Iodine spray AQUARA Oral & Nasal, 50 mcg per spray, 5 sprays tid



Other Suggested Supplements:

  1. NAC, 500 mg qd
  2. Lipoic Acid, 300 mg qd
  3. Glutathione (reduced or liposomal), >250 mg qd
  4. Vitamin A, 10,000 IU qd
  5. CoQ10, 100 mg qd
  6. Vitamin E (mixed tocopherols with tocotrienols), 200 IU bid
  7. Echinacea, 400 mg qd
  8. Astragalus, 500 mg qd
  9. Rhodiola, 250 mg qd
  10. Maitake, 500 mg qd
  11. Shitake, 500 mg qd
  12. Ginger, 500 mg qd
  13. Garlic, 600 mg qd
  14. Elderberry, 450 mg qd
  15. Astaxanthin, 10 mg bid


Suspected of Contagion Pending COVID-19 Test Results

Follow the precautions by the medical and government authorities as to wash our hands, use masks, alcohol and sanitizers. Boost the immune system to work fast and effective!

Food:

  1. Diet without sugar or refined carbohydrates
  2. Avoid processed meals
  3. Eat more vegetables, fruits and nuts.
  4. Lots of water (Your weight in lb divided by 16 equals 8 oz cups daily intake)
  5. Pine needle tea (1/3 cup chopped pine needles in 2 cups boiled filtered water)
  6. Star anise tea (1g in 6 oz of boiled filtered water) 2 cups

Lifestyle:

  1. Sleep 8 hours
  2. Meditate, hear music, read a book

Recommended Supplementation:

  1. Multivitamin and Mineral Formula qd
  2. Vitamin C, 1,000 mg every hour while awake
  3. Vitamin D3, 25,000 IU qd
  4. Zinc Gluconate, 50 mg qd
  5. Magnesium Citrate, 500 mg bid
  6. Selenium Methionine, 200 mcg bid
  7. Probiotics, >30 billion CFU qd
  8. Melatonin, 10 mg qd
  9. Quercetin, 500 mg bid
  10. Vitamin A, 10,000 IU qd
  11. Vitamin E (mixed tocopherols with tocotrienols), 200 IU bid
  12. Glutathione (reduced or liposomal), >250 mg qd
  13. Arginine, 500 mg qd
  14. Iodine spray AQUARA Oral & Nasal, 50 mcg per spray, 5 sprays tid


It is highly recommended that physicians managing patients also prescribe the following: IV vitamin C, 25 g for at least 3 days; Thymosin Alpha 1, 1.6 mg SQ 2x/week


Other Suggested Supplements:

  1. NAC, 500 mg qd
  2. Lipoic Acid, 300 mg qd
  3. CoQ10, 100 mg qd
  4. Echinacea, 400 mg qd
  5. Astragalus, 500 mg qd
  6. Rhodiola, 250 mg qd
  7. Maitake, 500 mg qd
  8. Shitake, 500 mg qd
  9. Ginger, 500 mg qd
  10. Garlic, 600 mg qd
  11. Elderberry, 450 mg qd
  12. Astaxanthin, 10 mg bid



Patient Positive to COVID-19 with Mild Symptoms at Home

Follow the precautions by the medical and government authorities as to wash our hands, use masks, alcohol and sanitizers. Boost the immune system to work fast and effective!

Food:

  1. Diet without sugar and without simple or refined carbohydrates
  2. Avoid processed meals
  3. Eat more vegetables, fruits, and nuts
  4. Bone broth, 8 oz
  5. Hydrate well with water! (Your weight in lb divided by 16 equals 8 oz cups daily intake)
  6. Pine needle tea (1/3 cup chopped pine needles in 2 cups boiled filtered water) 2-3 cups
  7. Star anise tea (1 g in 6 oz of boiled filtered water) 2 cups

Lifestyle:

  1. Sleep 8 hours
  2. Meditate, hear music, read a book

Recommended Supplementation:

  1. Multivitamin and Mineral Formula, qd
  2. Vitamin C at Bowel Tolerance dose. Take 3-5 gm every hour until you develop loose stool, then decrease the last dose 5 gm, and continue for 3 days
  3. Vitamin D3, 25,000 IU qd
  4. Zinc Gluconate, 50 -100 mg qd
  5. Magnesium Citrate, 500 mg tid
  6. Selenium Methionine, 200 mcg tid
  7. Probiotics, >30 billion CFU bid
  8. Melatonin, 10 mg qd
  9. Quercetin, 500 mg bid
  10. Vitamin A, 10,000 IU qd
  11. Vitamin E (mixed tocopherols with tocotrienols), 200 IU bid
  12. NAC, 1,000 mg tid
  13. Lipoic acid, 300 mg bid
  14. CoQ10, 100 mg bid
  15. Potassium Chloride, 99 mg bid
  16. Glutathione (reduced or liposomal), >250 mg qd
  17. Omega-3 (molecularly distilled), 1000 mg tid
  18. Nattokinase, 100 mg bid
  19. Arginine, 500 mg bid
  20. Iodine spray AQUARA Oral & Nasal, 50 mcg per spray, 5 sprays tid
  21. 3% hydrogen peroxide atomized inhalation (nebulizer), 15 min tid


It is highly recommended that physicians managing Prevention Protocol also prescribe the following: IV vitamin C (intravenous), 25 g daily for a week; Thymosin Alpha 1, 1.6 mg SQ daily; Ivermectin, 3 mg tid for three days; Aspirin, 100 mg qd

Other Suggested Supplements:

1. Rhodiola, 250 mg qd

2. Glutathione (reduced or liposomal), >250mg qd

3. Ginger, 500 mg qd

4. Echinacea, 400 mg qd

5. Astragalus, 500 mg qd

6. Maitake, 500 mg qd

7. Shitake, 500 mg qd

8. Garlic, 600 mg qd

9. Elderberry, 450 mg qd

10. Astaxanthin, 10 mg bid

11. Turmeric, 500 mg bid

Consider hyperbaric oxygen therapy 2atm, 45min 2x/week


Hospitalized Patient, Positive to COVID-19

Food:

1. Diet without sugar, and without simple or refined carbohydrates

2. Hydrate well with water! (Your weight in lb divided by 16 gives you the 8 oz cups of daily intake)

Medical treatment:

  1. Vitamin C intravenous 15 gm q6h for 7 days or until improvement
  2. Ivermectin, 3 mg tid for three days
  3. Hydroxychloroquine, 200 mg q6h first day, after 200 mg tid for 10 days
  4. Thymosin Alpha 1, during active infection, 1.6 mg SQ, daily. Continue during recovery 2x/week
  5. Potassium Chloride, (150 mg-ml) 2 ml q12h for 10 days
  6. Zinc Chloride (1 mg-ml) 15 ml q12h for 10 days
  7. Azithromycin, 500 mg day 1 then 250 mg for 4 days
  8. Kenalog, 40 mg im daily, for two days
  9. Heparin (Lovenox, Low Molecular Weight), 30 mg sc bid
  10. Solumedrone, 40 mg IV qd
  11. Thiamine, 200 mg IV q12h

**Consider Acetazolamide, 250 mg q12h

Oral protocol if possible: Vitamin D, 25000 IU qd; NAC, 1000 mg tid; Melatonin, 10 mg qd;  Magnesium citrate, 500 mg bid


Respiratory Support for Patients with COVID-19

Recommended by Dr. Paul Marik, MD, Chief of Pulmonary and Critical Care Medicine, Eastern Virginia Medical School, Norfolk, Virginia

TRY TO AVOID INTUBATION IF POSSIBLE.

Low-Flow Nasal Cannula: Typically set at 1-6 Liters/Min

High-Flow Nasal Cannula

  • Accept permissive hypoxemia (O2 Saturation > 86%)
  • Titrate FiO2 based on patient’s saturation
  • Accept flow rates of 60 to 80 L/min
  • Trial of inhaled Flolan (epoprostenol)
  • Attempt proning (cooperative proning)

Invasive Mechanical Ventilation

  • Target tidal volumes of ~6 cc/kg
  • Lowest driving pressure and PEEP
  • Sedation to avoid self-extubation
  • Trial of inhaled Flolan

Prone Positioning: Consider in patients with PaO2/FiO2 ratio <150

VV-ECMO

  • Indications remain unclear
  • Early discussion with ECMO center or team may be advisable


Post-Acute Sequelae of SARS-CoV-2 (PASC, Long Haul COVID-19)

Read this issue now!

This protocol is also recommended for post-vaccination.

Food:

  1. Diet without sugar and without simple or refined carbohydrates
  2. Avoid processed meals
  3. Eat more vegetables, fruits, and nuts
  4. Bone broth 8onz
  5. Hydrate well with water! (Your weight in lb divided by 16 equals 8 oz cups daily intake)

Lifestyle:

  1. Sleep 8 hours
  2. Meditate, hear music, read a book
  3. Exercise at least 3x/week (build up slowly)

Recommended Supplementation:

  1. Multivitamin and Mineral Formula, qd
  2. Vitamin C, 1g tid
  3. Vitamin D3, 10,000 IU qd
  4. Zinc Gluconate, 25 mg qd
  5. Magnesium Citrate, 500 mg tid
  6. CoQ10, 100 mg tid
  7. Acetyl L Carnitine, 500 mg bid
  8. Alpha Lipoic Acid, 300 mg bid
  9. Melatonin, 5 mg qd
  10. Quercetin, 500 mg bid
  11. Ribose, 3 g qd
  12. Vitamin E (mixed tocopherols with tocotrienols), 200 IU bid
  13. NAC, 500 mg bid
  14. Glutathione (reduced or liposomal), >250 mg qd
  15. Chlorella, 10 tablets qd
  16. Potassium Chloride, 99 mg bid
  17. Turmeric, 500 mg bid
  18. Omega-3 (molecularly distilled), 1000 mg tid
  19. Nattokinase, 100 mg bid
  20. Arginine, 500 mg bid
  21. Iodine spray AQUARA Oral & Nasal, 50 mcg per spray, 5 sprays tid
  22. Probiotics, >30 billion CFU bid
  23. Pine needle tea (1/3 cup chopped pine needles in 2 cups boiled filtered water) 1 cup

It is highly recommended that physicians managing post-COVID/post-vaccination also prescribe the following: IV Vitamin C (intravenous), 25 g daily for a week; Hyperbaric oxygen therapy, 2atm 45min 2x/week

Other Suggested Supplements:

1. Rhodiola, 250 mg qd

2. Selenium Methionine, 200 mcg tid

3. Turmeric, 500 mg bid

4. Astaxanthin, 10 mg bid

5. PQQ, 20 mg qd

6. Shilajit, 500 mg qd

7. Boswellia, 300 mg bid                   

8. Pycnogenol, 30 mg bid