Clarity Promotes Safety and Health
Foundational Nutrition, Facts about Masks and Post Covid Syndrome
from Dr. Dale Migliaccio, D.C.
Greetings!
This is my 10th Newsletter on Coronavirus. I have included some new key pieces on Foundational Nutrition and Post Covid Syndrome. Please do me a favor and forward this article to as many people as you can. There is very important and updated information below. By sharing this you can help others reduce their risk and at the same time, reduce their fear, and hopefully keep Santa Barbara open for business. Please see more specific information below regarding the situation in Santa Barbara. The good news is that I continue to be very proud of my patients. With their great efforts of taking care of themselves, I have seen no significant infections in my existing patients since early January!

Thanks to my caring patients that referred friends or loved ones, I have been fortunate enough to assist six Covid-19 patients who have responded to our nutritional support in extremely rapid fashion. Even I have been surprised how quickly their recoveries have been. If you know someone who is sick and wants immune help, please have them call the office ASAP. The sooner they get proper support the better off they will be.

Please see our article below on Covid-19 and Santa Barbara for the update on SB.
Foundational Nutrition that is also Critical for Covid Risk Reduction
Preventing and/or minimizing a strong COVID-19 infection is the key amidst this pandemic. The good news is that from what I have seen in my patient base, and with key reports from around the world, there are key Foundational Nutrition products that are critical in this effort. What I mean by "foundational", in this instance, are products that are important for our overall health, which also provide significant protection against COVID-19 or some of the more severe side affects.

Foundational Nutrition provides key nutrients that are essential for all individuals. Generally speaking, these provide levels of nutrients that are critical for reducing our risk of many diseases and early death. However, it is a very, very rare individual that eats in a way that they are likely to get these levels from diet alone.

Vit. D3 5000 or Vit. K2/D3 5000. Numerous observations from around the world have recognized greater risks of contracting Covid and also severity of symptoms due to low vitamin D levels. Additionally, the opposite has been observed where those with higher vitamin D levels have shown lower risk. This is not surprising given the multiple immune benefits of Vit. D3 at proper levels.

Every adult should be on 5000 IU' of Vit. D and if over age 40 I recommend K2/D3 for the additional Cardiovascular and Bone Building benefits.

Omega 3's rich in EPA and DHA are the single product that is likely to have the greatest affect on reducing early mortality, as well as providing protection against Sudden Cardiac Death, reducing inflammation and nourishing and protecting our brain. Additionally, when our levels of Omega 3's are optimal, all other other nutrients can more readily cross the cell membranes, maximizing cellular health.

There has been a lot written about blood clotting problems with COVID-19. Omega 3 fatty acids provide excellent protection against this phenomena while also providing key heart protection.

Our highest quality encapsulated Fish Oil rich in EPA/DHA is MonoPure 1300 and our best mild lemon tasting liquid form is our EPA/DHA 2400.

For more information on Omega 3's and testing Omega 3 levels to see if you are in an optimal brain state read this article.

B-Active or MaxB ND. Unless one is eating raw organ meats, as our Paleolithic ancestors did, it is very difficult without supplementation to get optimal B vitamin levels. B-vitamins are used in every cell of our body and are critical for overall organ protection and function, including our immune organs, our organs of detoxification, our brain, neurological system and heart, all of which are at high risk if one gets a severe COVID-19 infection. Additionally, the quality and specific form of the B-fractions is critical.

Vitamin C with Bio-Flavonoids. We have all heard of the benefits of Vit. C relative to immune function and health. Early on researchers from Europe who studied the SARS and MERS Coronavirus infections noticed that Vitamin C was a critical component in fighting those infections. I am a big proponent of always having a strong dose of Bio-Flavanoids with Vit. C, as they are always found together in nature and Bio-Flavonoids have an additional key component of protecting the strength and quality of our blood vessels.

Our key Vitamin C with Bio-Flavonoid products are Stellar C, Bio-C 1:1 and for active infections when we want high doses of Vit. C we use C + BioFizz.

Melatonin. Generally speaking Melatonin is not an essential nutrient, in fact it is a hormone that we make in our brain. However, for those over 40, it may become essential as our internal production of melatonin decreases as we age. I am including it here for anyone over 40, as the same group of researchers of SARS and MERS found it to be critical and consider it a key reason why younger individuals have far fewer problems with Covid-19 than older individuals. The older we get, the less we make. Young kids make up to 10x's more melatonin than the elderly.

I read a lot of articles by Traditional and Alternative doctors that focus on the horrors of Covid-19. I feel fortunate that within my patient population I have seen none of these horror stories in spite of many of my patients falling into the age groups that are most susceptible. I am sure that is because they are smart enough to protect themselves properly, lead healthy lifestyles overall, and are excellent at supporting themselves with my recommended products.

Over and above the recommended key foundational products, see my Immune Protocol Update article below for additional, specific immune support.
Post Covid/Viral Syndrome - Critical Information
If you are following Coronavirus news stories you have probably come across what some are calling Post COVID-19 Syndrome or Post Coronavirus Syndrome or Post Viral Syndrome. These are a group of symptoms that can be common for months. With COVID-19, the research has clarified the high percentage of patients who have this syndrome, with Fatigue and Difficulty Breathing being by far the most prominent.

I have treated many patients over the years with Post Viral Syndrome, again the most common symptom by far being fatigue. This fatigue is often a deep fatigue where the individual awakens after a full night's sleep and feels like they need to stay in bed and sleep longer. This pattern goes on and on, I have seen some new patients who had this for over a year.

The really good news is that these patients respond quickly and dramatically when put on the right nutritional program. Time after time, I can predict they will notice, often within days a distinct change and within a week and will know they are on the road to recovery.

If you know of anyone suffering from Post Covid or Post Viral symptoms, please have them call my office for an appointment right away so we can get them fully recovered.

The complete list out of Italy included the following

  • Fatigue
  • Difficulty breathing
  • Reduced lung capacity
  • Chest Pain
  • Heart palpitations
  • Joint and/or Muscle pain
  • Cognitive challenges
  • Recurring fevers
  • Continued loss of taste or smell
  • Headaches
  • Loss of Appetite
  • Sore throat
  • Vertigo and Diarrhea

Here are some more specifics. In Italy 60 days after the onset of their first symptoms, only 12.6% were completely free of any COVID-19–related symptom, while 32% had 1 or 2 symptoms and 55% had 3 or more. Worsened quality of life was observed among 44.1% of patients. A high proportion of individuals still reported fatigue (53.1%), difficulty breathing (43.4%), joint pain, (27.3%) and chest pain (21.7%), cough 18%.
The Facts about Masks
There is a lot of confusion about the Coronavirus in general, and one of the key areas of stress, discontent and confusion is all about masks. "To Wear or Not to Wear", that is the question.

To be honest, I hate wearing a mask. However, due to the evidence, I have been wearing them more and more often. And as soon as I know that I don't need to wear a mask, I take it off.

Here are the keys:
  • Wearing a mask can significantly reduce the likelihood of you exposing someone else if you are infected, and as we know you can be infected and asymptomatic, therefore exposing others. Additionally, those people who get Covid19 usually are infected and expelling the virus for 2-3 days before they first express symptoms and up to 14 days for some.
  • The quantity of droplets that get through the mask are greatly reduced during normal breathing, and a significant percentage with sneezing, coughing or yelling.

  • Wearing a mask is a barrier to the virus entering your mouth or nose if someone around you is expelling the virus at a high rate. The protection of yourself is not as high as protecting others, however it is significant and especially so relative to the potential degree of infection if you are exposed when wearing a mask.

Key Point: Research clearly shows that the fewer viral particles get into you, the less severe your infection is apt to be. This is very critical information.

Two key situations showed that factories where large outbreaks occurred ended up with 95% asymptomatic infections. This high ratio of mild cases is attributed to everyone had been wearing masks, and thus, less of the viral particles got into each person. Additionally, eighty-one per cent of the infected passengers and staff on a cruise ship—all of whom had been issued masks—remained asymptomatic.

So, please wear your mask when spending time with others, especially so if it is more than 10 minutes and within less than 6 feet, and especially if it is indoors. And of course be extra cautious around anyone who is at high risk.

It is clear not everyone understands viral exposure as I see people driving in their cars alone, riding a bike, walking on the sidewalk not near anyone, and they have a mask on. It is not necessary in these situations, you are not getting as much oxygen and you are getting more CO2. Additionally, you are concentrating more bacteria (or virus if you are infected) within your mask the longer you have it on. Let's be smart and logical, wear it when you need to and please don't wear it when it is not helping anyone.

When not to wear masks!

  1. you are driving in your car alone, or with someone you have regularly been exposed to (like your spouse).
  2. you are exercising, or going for a walk "outdoors".
  3. you are working in your yard alone or with a family member you are living with.
  4. you are in your house, alone or with those you are regularly in close contact with.
  5. you are parked on the side of the road looking at a beautiful sunset and no one is near you.
  6. you are outdoors eating or having a glass of wine with friends and you are properly distancing.

The key regarding airborne exposure, which is by far the greatest cause of getting COVID-19, is to not end up in a room for an extended period of time with someone who "could" be carrying the virus and does not have a mask on. Outdoors is still far safer, but not if people near you are shouting, speaking loudly, singing, coughing or sneezing! Masks are critical in this situation and may not even be enough to protect you, or them from you.

In June a group in Georgia decided to prove once again (unintentionally) that small spaces with lots of people, over an extended period of time was the perfect way to infect lots of people! At this Youth Camp where the Staff members wore mask but the attendees did not the infection ended up with 76% testing positive for Covid-19, even though all were negative with pre-camp testing up tp 12 days prior to starting camp.

From the CDC's website: "The multiple measures adopted by the camp were not sufficient to prevent an outbreak in the context of substantial community transmission. Relatively large cohorts sleeping in the same cabin and engaging in regular singing and cheering likely contributed to transmission (9). Use of clothmasks, which has been shown to reduce the risk for infection (10), was not universal."
Pulse Oximetry and COVID-19
Pulse/Oxygen meters are a great home tool for becoming clear on what your normal O2 level is and if you are trending in the wrong direction. A normal blood oxygen reading should be between 96 and 100 percent.

The Pulse/Ox meter is a small electronic device which clips onto a finger and measures the saturation of oxygen carried in the red blood cells. The gadget works by passing beams of light through the blood in the finger and calculating oxygen saturation based on the light absorption. Most pharmacies and drugstores sell oximeters, ranging in price from about $25 to $60. They are also available online at Amazon.

Many people with COVID-19 can have alarmingly low levels of oxygen in their blood, and they don’t even have a clue that their lives are in danger. They don’t appear to have any major trouble breathing, so they don’t realize how dire their situation may be. These are the people who are most at risk when they do end up at the hospital and usually end up in the ICU.

Most people only begin to notice if they are doing poorly when they are getting down as low as 90%. One of the key benefits of checking your Oxygen levels daily is you will become aware of your normal level, making any downward trends easily detectible. You shouldn't really change much more than a couple of points below your norm at any given time unless you are starting to decline in lung function.

With COVID-19, oxygen depletion may not be apparent immediately because the virus attacks the lungs in such a way that the patient gradually gets less and less oxygen over time. These patients do not feel like they have breathing difficulty because they slowly adjust to the lower oxygen. To compensate, individuals breathe faster and deeper. This change in respiration also increases inflammation in the lungs.

For those who suspect or know they have COVID-19, a pulse oximeter may be a way to catch a drop in blood oxygen before it poses a severe health hazard. This also gives us an earlier starting point for ramping up nutritional and herbal therapy, which so far has allowed us to quickly reverse oxygen levels as low as 87%.

While not a substitute for a visit to the doctor, a pulse oximeter is a simple and effective way to catch a potentially life-threatening complications of COVID-19.
Immune Protocol Updates
We have Humacel in stock and plenty of it. So, if you want to be prepared come and get it! Our only Immune product that is still on backorder is Immune Balancing Complex and we have no concrete date on when it will be back. We are using Herbal Biotic as the replacement, which is an exceptional product that I have used for 19 years.

I have had to use our new product, MuSolve, now in 8 persistent lung infections, 6 being new patients who called needing help fighting the Coronavirus. So far it has been extremely impressive, getting dramatic results within 5 days that were confirmed with measured Oxygen improvements. It is a sophisticated product specifically for someone having significant lung congestion from any infection, or difficulty breathing. In my 36 years of nutritional practice I have never seen any lung product come close to the results of MuSolve. This product is now available for those in need or those with a past history of lung problems.

My Current Prevention Program:
  • Humacel: 2-3 caps upon arising. If Humacel is on Back Order, then CompliVir at the same dosage. 
  • Herbal Biotic: 2-3 caps with breakfast 
  • IG-26: 2-3 caps at breakfast
  • Vit. D5000 or K2D3 5000, 1 per day.
Over Age 50, Add:
  • Melatonin capsule (3mg) at dinner or before bed.
  • Stellar C: 1 lunch and 1 dinner.

If you are someone who gets sick often or more severely, use our powder version of IG-26 and take 2 scoops per day. This is very effective at decreasing infection frequency and severity. 

My Active Viral Infection Protocol
The key here is to be prepared, have these on hand and ramp up as soon as you feel something coming on. 

  • Humacel: 3 caps, 3x’s per day away from food. Upon arising, mid-morning and late in the day. If we are out of Humacel the best back up is CompliVir at the same dosage as Humacel.
  • Herbal Biotic: 4 caps, 3x’s per day with food, for 4 days then 3, 3x’s per day. 
  • IG-26: 3 caps, 3x’s per day

If Covid-19 is even suspected, please call my office immediately. Usually we are adding in QuercisorbSR (2 breakfast, 2 dinner), this product can be very beneficial for fighting Cytokine storms and please contact me right away so I can monitor your progress via text images of your Oxygen levels.

If compromised breathing, or severe cough add in MuSolve (2 upon arising and 2 late afternoon).

Additional support for strong viruses or older and compromised individuals either:
COVID-19 and Santa Barbara: Critical Keys and Facts
My Key Concerns for South County SB is that the daily new case count is continuing to run above 20 since just after July 4th. This wouldn't be concerning to me if our death count had not been so significantly impacted by the increase in new cases. Even with a very low positivity rate, people at high risk are being exposed and, more importantly, not protecting themselves enough to NOT be exposed. Please protect yourself if you are in the high risk category. As you will see in our list below, the number of new deaths in the Santa Barbara area has multiplied significantly in the past month.

Please be really good with your supplements and wear your masks when indicated. Be Smart and Be Safe. Again, I am proud of my patient base as, "knock on wood", no one has reported contracting Covid-19 under my care. This is what you can accomplish with Foundational Nutrition and Smarts!

The numbers for this Edition are based on the 8/14/20 Public Health Dept. report.

  • South County is currently averaging 24.4 new cases per day.
  • North County is averaging 47.1 new cases per day.
  • Test results are coming back positive 7.7% of the time.
  • To Date, 6,254 county residents have tested positive (prison excluded).
  • There are currently 73 patients hospitalized, with 26 in the ICU.
  • Total deaths has increased to 77, with the county averaging it's highest death rate yet at 1.2 deaths per day. Including an increase from 3 deaths to 11 over the past month in Santa Barbara, Montecito, Summerland and Carpinteria.

To better illustrate these trends, please see the graphs below.

On the positive side, the low positivity rate and the frequency of asymptomatic cases is quite likely to be a very good sign. However, it is NOT good if the at risk are exposed. The more individuals that are exposed, yet don't transmit to the at risk, the greater the number of people with likely resistance to future infection and/or resistance to a more symptomatic form of Covid-19.

Additionally, all of the Positive cases I have treated have responded very quickly, with one exception who was limited on the supplements they could take. They still responded just at a slower rate. Literally, this virus with those I have treated has been easier to treat, even with some fairly sick individuals, than the more severe Influenza cases I have to deal with every year. The reason why it looks so bad is that the majority of individuals end up in the hands of traditional M.D.'s who admittedly, if they are being honest, have very POOR tools for fighting most viruses, including this one. They primarily have to try and control symptoms rather than fight the virus itself.

Once again, highlighting the need for preventing exposure or being in a state of health that if you do get exposed you are able to handle this virus readily.
Critical Key #1: This is a Dangerous Virus for a small percentage of our population, those with chronic health challenges. This Virus is minimally dangerous for a large percentage of our population, most of those with no chronic health problems.

Low Risk vs. High Risk: We have 2 very distinct risk groups and this is our key. Those over 65 comprise about 12.5% of the total population, and the group most at risk is only portion of that. However, this age group makes up 80% of the deaths from Covid-19. If we include our 55 and over age group with chronic health problems then we have 92% of U.S. Covid-19 deaths.

The Key to minimizing deaths and re-closure is the Protection of individuals that are most at risk. We know who these individuals are. The are mostly over 65 and in the vast majority of cases have at least one chronic health condition, often two or more. The majority being lung or heart issues, but pretty much any chronic health condition increases an individuals risk, even for the young.

From the beginning, this at risk group should have been where we, as a nation, directed 95% of our focus. My personal opinion since the beginning on this issue is that had our leaders across the board, put the time, attention and resources on this group we would have had far less deaths and we could have avoided shutting down our economy.

It is far easier for everyone to focus on a small group (12.5%) that is at high risk, rather than trying to manage a much larger group, meaning everyone. Especially when most of the much larger group are at very low to zero risk of dying from the Virus.
Product of the Month!
Vitamin K2 with D3 5000, from now until the end of July, buy 2 or more and get a 10% discount! This offer is good until Sept. 18th!
In Closing
I am very hopeful that one outcome of this catastrophe is that our country shifts from a focus of treating disease to Preventing Disease, Creating Health and most importantly Creating Very Strong Hosts.

Additionally, I am very optimistic that this catastrophe will move our federal government to return to the investment of a national pandemic branch of the public health department that the most successful countries had in place when this crisis began.

This could be the beginning of a major positive change for our country that will improve the quality of life for many, save many lives, and save many national resources that can be used for other important causes.

Also, please send me any of your Coronavirus questions or comments at drdale@silcom.com