This Christmas I sent a care package of various supplements to a CFS friend that is on SSI and having been having increasing problems. He is interested in my gut-bacteria model of CFS as well as needing neurological improvement.

Before sending the pills, I told him that he must run them past his medical professional before starting. There are always drug interactions etc. that are risks…

Often medical professional have no idea of what sequence to add various pills in. I tend to keep to the “no more than one new item every day (or even three days)” philosophy.  To assist his medical professional, I put together the sequence that seems to make the most sense (and why) below. It may be of interest to other readers’ discussions with their medical professionals. The goal is to have high risk of herx items later in the list and items likely to reduce inflammation (degree of herx) earlier in the list.

I expect him to have a good headache and other signs of herx as he goes through the list (after approval by medical professional). When that happens, it is often best to stop adding more stuff until the herx ebbs.