Need some help.
I have a 41 yo male that came to me with extreme fatigue, depression due to lack of energy. Diagnosed with Lyme in 2017 and took antibiotics for it, initial improved, then had covid 2020 and has not been well ever since. Has reflux, that improved with an elimination diet we did. He is hopeless at this point as he has done lots of different therapies at this point. He is a thin male, owns a real estate brokerage. Goal is to be able to play with his children again.
I have done elimination diet with BPc/kpv and larazotide orally for gut healing.
Coq10 injections
Worked on methylation- homocysteine from 11 to 8.2 now.
Also have added the below stuff.
- mitochondrial support:
- Methylene blue (start 10mg daily, titrate to 25mg twice daily)
- SS31 peptide injections for 1 month- see below, then will likely transition MOTs-C(want to add this but hard to find)
- Continue CoQ10, will switch to oral.
- Continue NAC 600mg BID
- Start DHEA supplementation- this would be sent to the compounding pharmacy
- Continue current supplements:
- Continue Probiotic with Saccharomyces
- Aloe- Colon X 1-2 at bedtime
- Magnesium
- Follow up in 4-5 weeks to reassess and consider:— have not started any of these below.
- Antifungal therapy
- Ivermectin
- Additional testing including potential mycotoxin evaluation
Labs:
Slow COMT and slow MAOA
Covid spike protein 167
candida serum IgG and IgA positive
Lyme 3 lines positive
Testosterone 358 Free79—- He doesn’t want to take testosterone
Dhea 222- on 50 mg daily
Hemoglobin a1c 5.5
Insulin-10
Omega-check is low— I have him on high dose omegas
I have a lot more labs as well.
He is coming for follow-up this week and I want to prepared if still struggling.
Can you offer some insight into where to proceed next if still having significant fatigue?
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