CFS/ME Protocol - order of introduction of interventions

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One of the most common questions I am asked about my CFS/ME Protocol is whether there is a preferred order in which to introduce the various interventions.

The answer is a resounding YES!

Linked with this question is the importance of getting the 'Basic Package' in place before introducing any of my 'Bolt On' packages. Craig Robinson has written about the importance of this in his article on Chaos Theory and CFS/ME recovery paths and there is much more in our book "Diagnosis and Treatment of Chronic Fatigue Syndrome and Myalgic Encephalitis" about the detail of the Basic Package and the various Bolt On packages.

The Order in which you should introduce the interventions

Maimonides (13th Century Sephardic Jewish philosopher) knew about the importance of the order of things when he wrote:

Consequently he who wishes to attain to human perfection, must therefore first study Logic, next the various branches of Mathematics in their proper order, then Physics, and lastly Metaphysics.
Order What Why Reference in "Diagnosis and Treatment of Chronic Fatigue Syndrome and Myalgic Encephalitis"
1 MUST start with the PK diet

Ensure you are in ketosis using a ketone breath meter.

If you are eating carbohydrates. you will have a fermenting gut.

Taking supplements will feed the fermenting gut!

Chapter 6 and 17.

See also My book - Paleo-Ketogenic: The Why and The How

2 Then take vitamin C, at least 5 grams daily, probably more, little and often through the day. Build up slowly to 3 drops of Lugol's iodine at night This helps kill upper gut fermenters, facilitates the absorption of minerals, protects you from infection, helps detox and improves anti-oxidant status Page 235 (in reprint Sept 2020)
3 Then take the Basic Package of supplements Now you will absorb these well Chapter 18
4 Then take the mitochondrial package of supplements Now you will absorb these well Chapter 4
5 If you suspect a toxicity problem Put in place detox regimes Chapter 20
6 Then balance up the adrenal gear box and thyroid accelerator pedals These glands work by kicking mitochondria into action. You need mitochondria in a fit state to respond Chapter 5
7 If you suspect an immunological hole in the energy bucket Consider tests to identify what? Chapters 9, 10, 11, 12 and 13.

See also Our book "The Infection Game - life is an arms race"

8 If you suspect an emotional hole in the energy bucket Chapter 21
REMEMBER – you must pace throughout so you do not suffer post-exertional malaise Chronic production of lactic acid inhibits mitochondria and slows recovery
EXPECT - to have a bumpy ride All the above may cause short term worsening because of diet, detox and die off reactions. See Diet, Detox and Die-off Reactions - expect to get worse.
BE SATISFIED with gentle progress in the right direction It takes six months for the body to heal and repair and this demands energy too
IF YOU GET STUCK join a workshop See Workshops for Ecological Medicine

and Sales Website Workshops Page
and Workshops Facebook Group

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Postscript - Groundhog Regimes

Overlaying all this, I have developed general strategies for good health, and for dealing with both acute and chronic infections. Please see:

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