Gender based Microbiome Shifts for ME/CFS

A question was ask – are there significant gender differences with ME/CFS. A partial answer is possible from our citizen science data (Available here). The number of bacteria identify as statistical drops because we are reducing sample sizes. The table below shows the shifts that are seen in common with P < 0.01.

For Symptom of ME/CFS

SourceTax_nametax_rankMaleFemaleMale_Chi2FeMale_Chi2
thryveThermodesulfobacteriaphylumincreasesincreases234.0375138.4544
biomesightVerrucomicrobiaceaefamilyincreasesincreases8.3333337.262051
biomesightRhodothermaeotaphylumincreasesincreases179.2217.3071
biomesightAkkermansiaceaefamilyincreasesincreases8.7183789.965634
biomesightErysipelothrix murisspeciesincreasesincreases9.53388910.08333
biomesightAkkermansiagenusincreasesincreases8.7183789.965634
biomesightRhodothermalesorderincreasesincreases179.2217.3071
biomesightAkkermansia muciniphilaspeciesincreasesincreases8.7183789.965634
biomesightErysipelothrixgenusincreasesincreases9.6632899.663289
biomesightRhodothermiaclassincreasesincreases179.2217.3071
biomesightThermodesulfobacteriaphylumincreasesincreases281.1738299.9112

ME/CFS With IBS

We find differences here.

SourceTax_nametax_rankTaxonMaleFemaleMale_Chi2FeMale_Chi2
biomesightSutterellagenus40544decreaseincreases8.33333311.25018
biomesightRhodothermalesorder1853224increasesincreases139.9274114.5716
biomesightDoreagenus189330increasesdecrease18.7516.17875
biomesightRhodothermiaclass1853222increasesincreases139.9274114.5716
biomesightThermodesulfobacteriaphylum200940increasesincreases280.3333187.9779
biomesightSutterellaceaefamily995019decreaseincreases8.33333311.25018
biomesightAlcaligenaceaefamily506decreaseincreases8.3333339.120714
biomesightRhodothermaeotaphylum1853220increasesincreases139.9274114.5716

ME/CFS Without IBS

We found no differences yet (given the sample size)

SourceTax_nametax_rankTaxonMaleFemaleMale_Chi2FeMale_Chi2
biomesightBacteroides fluxusspecies626930increasesincreases7.3551617.910588
biomesightThermodesulfobacteriaphylum200940increasesincreases124.4571170.4624

Irritable Bowel Syndrome

Following up from above and noting that there is a gender bias in incidence, we find some differences

thryveThermodesulfobacteriaphylum200940increasesincreases252.823295.10095
biomesightRhodothermalesorder1853224increasesincreases125.1467110.6182
biomesightRhodothermiaclass1853222increasesincreases125.1467110.6182
biomesightThermodesulfobacteriaphylum200940increasesincreases314.4971174.6182
biomesightRhodothermaeotaphylum1853220increasesincreases125.1467110.6182
biomesightSharpea azabuensisspecies322505increasesincreases16.185266.80625
biomesightSharpeagenus519427increasesincreases16.185266.80625
thryveMycoplasmagenus2093increasesdecrease12.8152420.3229
thryveMycoplasmataceaefamily2092increasesdecrease14.8858120.3229
thryvePhocaeicola vulgatusspecies821increasesdecrease7.89349217.06273
thryveMycoplasmatalesorder2085increasesdecrease14.8858126.01485

Depression

Another condition with a gender association

SourceTax_nametax_rankTaxonMaleFemaleMale_Chi2FeMale_Chi2
thryveThermodesulfobacteriaphylum200940increasesincreases227.7557148.4336
thryveParabacteroides distasonisspecies823decreaseincreases9.11835613.46941
thryveEubacterium oxidoreducensspecies1732decreaseincreases12.995076.76
biomesightRhodothermalesorder1853224increasesincreases121.200291.125
biomesightRhodothermiaclass1853222increasesincreases121.200291.125
biomesightThermodesulfobacteriaphylum200940increasesincreases223.4402189.2431
biomesightRhodothermaeotaphylum1853220increasesincreases121.200291.125
thryveLactobacillus rogosaespecies706562decreasedecrease23.8836812.12781

Symptom: Problems remembering things

This is one of the characteristics of ME/CFS, Long Covid, etc

SourceTax_nametax_rankTaxonMaleFemaleMale_Chi2FeMale_Chi2
thryveThermodesulfobacteriaphylum200940increasesincreases316.4446120.0944
biomesightRhodothermalesorder1853224increasesincreases171.7445133.3333
biomesightRhodothermiaclass1853222increasesincreases171.7445133.3333
biomesightThermodesulfobacteriaphylum200940increasesincreases369.0078289.0992
biomesightOdoribacteraceaefamily1853231increasesincreases12.793117.962632
biomesightRhodothermaeotaphylum1853220increasesincreases171.7445133.3333
biomesightAcetivibriogenus35829decreaseincreases9.18086517.49208
biomesightOdoribactergenus283168increasesincreases9.33494912
biomesightAcetivibrio alkalicellulosispecies320502decreaseincreases9.18086519.95636
biomesightHathewaya histolyticaspecies1498decreaseincreases9.1808657.262051
biomesightHathewayagenus1769729decreaseincreases9.1808657.262051
biomesight[Clostridium] thermoalcaliphilumspecies29349increasesincreases7.356.880909
thryveIntestinimonasgenus1392389decreaseincreases168.552727
thryveIntestinimonas butyriciproducensspecies1297617decreaseincreases16.486469.992258
ubiomeBacteroides sp. EBA5-17species447029increasesdecrease9.0555777.314286

Symptom: Worsening of symptoms with stress.

Another common symptom of ME/CFS

SourceTax_nametax_rankTaxonMaleFemaleMale_Chi2FeMale_Chi2
thryveThermodesulfobacteriaphylum200940increasesincreases282.4023185.22
biomesightThermoanaerobacterales Family III. Incertae Sedisfamily543371decreaseincreases22.004548.491649
biomesightSharpeagenus519427increasesincreases17.5562512.38345
biomesightHathewayagenus1769729decreaseincreases16.9861211.70814
biomesightRhodothermalesorder1853224increasesincreases142.9353188.8704
biomesightHathewaya histolyticaspecies1498decreaseincreases16.9861211.70814
biomesightSharpea azabuensisspecies322505increasesincreases17.5562512.97965
biomesightRhodothermiaclass1853222increasesincreases142.9353188.8704
biomesightThermodesulfobacteriaphylum200940increasesincreases352.2616362.7038
biomesightAcetivibrio alkalicellulosispecies320502decreaseincreases12.658188.491649
biomesightRhodothermaeotaphylum1853220increasesincreases142.9353188.8704
biomesightAcetivibriogenus35829decreaseincreases12.658188.491649

Other Symptoms with Significant Gender Differences in patterns

  • Immune Manifestations: Abdominal Pain
  • Sleep: Unrefreshed sleep
  • Comorbid: High Anxiety
  • General: Fatigue
  • Neurological-Audio: hypersensitivity to noise
  • DePaul University Fatigue Questionnaire : Unrefreshing Sleep, that is waking up feeling tired
  • DePaul University Fatigue Questionnaire : Fatigue
  • Neurocognitive: Brain Fog
  • Neurocognitive: Problems remembering things
  • DePaul University Fatigue Questionnaire : Anxiety/tension
  • General: Myalgia (pain)
  • Immune Manifestations: Constipation
  • Post-exertional malaise: Rapid muscular fatigability,
  • Neuroendocrine Manifestations: Poor gut motility
  • Comorbid: Restless Leg
  • Comorbid: Small intestinal bacterial overgrowth (SIBO)
  • DePaul University Fatigue Questionnaire : Difficulty finding the right word
  • DePaul University Fatigue Questionnaire : Mood swings
  • DePaul University Fatigue Questionnaire : Pain in Multiple Joints without Swelling or Redness
  • Sleep: Problems falling asleep
  • Sleep: Problems staying asleep

ME/CFS Books and MDs

In the family dealing with ME/CFS we were very fortunate in working with now retired folks, (links to MEPedia pages on them). It was 25 years ago.

Also we had significant interaction with

Many support groups provide lists of local MDs that are sympathetic to ME/CFS patients. Typically, they will attempt to do symptom relief, not remediate the underlying cause or do not test outside of their local standards of practice (i.e. testing for associated viral infection, Lyme or rickettsia infections) – independent of insurance coverage or the patient being will to pay.

For example:

The family was extremely fortunate to be covered by the old Microsoft Medical insurance that covered everything that the MD wanted with no deductibles; and we had a MD that was willing to learn and explore.

My recommendations for books are:

Other books can be found here:

Note that the better books are often difficult or impossible to understand due to brain fog (and sometime lack of sufficient education is specific areas)

Determine a Model and if possible, see if there is evidence that the model works

I went with two models for ME/CFS: A hypercoagulation condition (David Berg) and an “occult rickettsia like infection” (Cecile Jadin); today we could call it “post Infection Fatigue Syndrome”. Both were testable (by lab or by reaction to low risk drugs, i.e. an antibiotic often prescribed for Acne) and actionable.

Today, my thinking is that the simplest model is a persistent microbiome dysfunction. This is very testable with direct retail tests; and actionable (using Microbiome Prescription). Often the antibiotics suggestions from Microbiome Prescription mirrors the Jadin approach. The treatment plan works for her models and my microbiome model!

Going with a hypothesis that is not both testable and actionable is not recommended. Take action today incase it works! Leave speculations to researchers trying to get grant money for their special interests.

For examples using my model: see Analysis Posts on Long COVID and ME/CFS

Symptoms and Bacteria appears to be strongly related

It is typical that Microbiome Prediction correctly predicts 80-100% of a person’s dominant symptoms from their microbiome. This implies that the bacteria shifts are causing the symptoms; thus correcting the bacteria shifts may reduce or eliminate symptoms.

Suggested Questionnaire for Evaluating a MD

What testing would you like to do?

Are you going to just provide symptom relief or are you going to search for the underlying cause to eliminate it?

A follow up ME/CFS Analysis

This is a follow up on the prior post below. The reader’s comments are “I am feeling much better but still very fatigued and lately been quite achey.  The recommendations have changed significantly except for whole grain barley.”

For more analysis see: Analysis Posts on Long COVID and ME/CFS

Comparison of Microbiome Samples

Let us first do the simple numbers. A lot of values are the same (typical) but many of them show improvement. 🙂  indicate significant reduction is out of range values See Technical Note: Lab Quality Versus Bacteria Reported We would expect a 15% drop from lower lab quality, the drops shown are well below that).

CriteriaCurrent SampleOld Sample
Eubiosis Index62.8% 🙂59%
Lab Read Quality4.38.4
Outside Range from JasonH88
Outside Range from Medivere2020
Outside Range from Metagenomics1010
Outside Range from MyBioma88
Outside Range from Nirvana/CosmosId1818
Outside Range from XenoGene4242
Outside Lab Range (+/- 1.96SD)9 🙂16
Outside Box-Plot-Whiskers38 🙂98
Outside Kaltoft-Moldrup56 🙂139
Bacteria Reported By Lab494752
Bacteria Over 90%ile20 🙂82
Bacteria Under 10%ile66 🙂232
Shannon Diversity Index1.4651.701
Simpson Diversity Index0.0350.028
Chao1 Index747417093
Shannon Diversity Percentile28.561.4
Simpson Diversity Percentile30.221.5
Chao1 Percentile28.987.7
Lab: BiomeSight
Pathogens18 🙂39
Condition Est. Over 90%ile44
Kegg Compounds Low969 :-)1242
Kegg Compounds High5 🙂23
Kegg Enzymes Low272284
Kegg Enzymes High17 🙂75
P or P Chi2.9999245.999999999

Health Analysis Comparisons

I have not created an automatic compare yet (on to do list). Many values were similar, some interesting ones with improvements are below. Jason Hawrelak Criteria got worse, but I have deep reservations on using his criteria on Biomesight tests (he based them on a very different test method).

CurrentPrior
General Health Predictors: Flagged Bacteria8 🙂10
Anti inflammatory Bacteria Score14.4%ile 🙂13.3 %ile
Lactate (controls many bad bacteria) 33.1 %ile 🙂20 %ile
L-Lactic Acid (controls many bad bacteria) 47.1 %ile :-)25.2 %ile
NADH (Typically low with ME/CFS) 26.5 %ile :-)13.7 %ile
Hydrogen peroxide (controls many bad bacteria) 17.3 %ile 🙂5.8 %ile
D-Lactic Acid (Associated with brain fog) 6.5 %ile 🙂7.9 %ile
Potential Medical Conditions Detected2 🙂7
Bacteria deemed Unhealthy7 🙂22
Jason Hawrelak Criteria56.4 %ile75.8 %ile

Going Forward

A review of the Health Analysis was done above, with the two items: Mood Disorders and COVID-19 (a proxy for ME/CFS IMHO). A secondary review of all the items on [Changing Microbiome]/[US National Library of Medicine Studies] for high items not flagged. Nothing added.

Doing what is becoming a regular pattern: “Just give me suggestions” and then using given symptoms under Special Studies using these items:

Note: items like age and gender are omitted as well as any other symptoms that we do not have sufficient data.

First the filtered PDF suggestions. The list is much longer than usual:

And the to avoid list is more typical.

Let us go over to viewing the consensus for the latest microbiome sample to get some suggestions.


The highest suggested value/priority was 485 (so 240 for cutoff), lowest value was -574 ( so-287 for cutoff)

So in summary, shift a diet to low sugar, gluten free with moderation in meat (no guidance on chicken or fish). If your MD is willing, I would suggest reviewing Cecile Jadin approach with antibiotics and rotate with those suggested above. IMHO Continuous on a single antibiotic is more likely to complicate the microbiome.

Postscript – and Reminder

I am not a licensed medical professional and there are strict laws where I live about “appearing to practice medicine”.  I am safe when it is “academic models” and I keep to the language of science, especially statistics. I am not safe when the explanations have possible overtones of advising a patient instead of presenting data to be evaluated by a medical professional before implementing.

I cannot tell people what they should take or not take. I can inform people items that have better odds of improving their microbiome as a results on numeric calculations. I am a trained experienced statistician with appropriate degrees and professional memberships. All suggestions should be reviewed by your medical professional before starting.

The answers above describe my logic and thinking and is not intended to give advice to this person or any one. Always review with your knowledgeable medical professional.

Beta-Glucan and ME/CFS: The Microbiome Fixer

A reader that does microbiome analysis of her ME/CFS daughter ‘s microbiome using Microbiome Prescription expert system sent me this note with some literature.

Your wonderful system recommended beta-glucans [also written β-Glucan] for my daughter,  and when I looked further, I found this. I’m trying her on them for a month-, after testing her for reactions for three days- the first week has been hopeful. Will keep you posted if you wish.

Reader

β-Glucan is a nonstarch polysaccharide having documented health benefits and industrial applications. It can be extracted from various sources, including cereals, bacteria, molds, and fungi. The chemical nature of extracted β-glucan from these sources differs slightly. This variation in chemistry defines its industrial uses and health benefits.

Biopolymers for Food Design, 2018

Literature

There is not much literature available for ME/CFS.

  • “The findings showed that the beta-glucan supplementation significantly improved cognitive fatigue (assessed with FIS-40 scores) after the 36-week treatment compared to the baseline (p = 0.0338). Taken together, this study presents the novel finding that yeast-derived beta-glucan may alleviate cognitive fatigue symptoms in ME/CFS.” [2023]
  • β-Glucan Improves Conditions of Chronic Fatigue in Mice by Stimulation of Immunity [2020] Reduces TNF-α (which is connected to mast cell issues)
  • Effects of β-(1,3–1,6)-d-glucan on irritable bowel syndrome-related colonic hypersensitivity [2012]
    “β-Glucan did not affect the pain response in general but specifically affects the visceral pain response.”
  • Serum concentrations of 2′,5′-oligoadenylate synthetase, neopterin, and beta-glucan in patients with chronic fatigue syndrome and in patients with major depression. [1994]
  •  the dosage of supplementation ranged from 2.5 to 1000 mg daily [of beta-glucan] for up to 6.5 months … The primary physiological outcome of the majority of the interventions was immunomodulation, which resulted in (a) strengthened immune defense that reduces the incidence and symptoms of cold, flu and other respiratory infections and (b) improvement of allergic symptoms.” [2021]
  • β-glucan attenuates cognitive impairment via the gut-brain axis in diet-induced obese mice [2020]

Some literature for Autism

Many Sources of Beta Glucan

Often the expert system on Microbiome Prescription comes up with Barley as a strong recommendation for ME/CFS people. Barley is an excellent source. Personally, I have oats or barley porridge a couple of times every week. The impact of the β-Glucan in the Barley may be the mechanism — we just do not have as many studies as we do for Barley.

  • “The primary sources of food β-glucan for humans are cereals (especially oats and barley), fungi, algae, and yeast ” [2023] A table from this article is below
  • β-glucans bind to specific receptors on immune cells and initiate immune responses…. In vitro study found that the fermentation of barley and oat β-glucan by human fecal samples show variations in SCFAs production and the bacterial populations of Clostridium histolyticum and the ratio of Bacteroides–Prevotella species. Absorption of these SCFAs by the gut epithelial cells helps in regulating cell differentiation, proliferation, apoptosis, and gene expression (210). Butyrate increases the protein expression of tight junctions such as ZO-1 and claudin-1, resulting in enhanced intestinal barrier function.”
    β-glucan is an essential food ingredient in controlling metabolic dysregulations linked to metabolic syndrome. β-glucans have a very minimal probability of having any unfavorable side effects and are reasonably inexpensive.” [2023]

Bottom Line

Real simple: Barley or Oats porridge for breakfast each day! Since there are some chemical differences between the β-glucans in these two grains– rotate between these (and different brands) at least monthly.

Using the generic suggestions for me/cfs we see both barley and B-glucan are positive (but oats are slightly negative). The more detailed citizen science suggestions are still be worked on, but I expect similar.

Reviewing Clinical Trials, my impression is 1 gram/day of β-glucans which translates to 20 grams of Barley or 40 grams of Oats per day.

“30g uncooked oats or barley will make a fairly small bowl of porridge whilst 70-80g will provide a particularly large serving for one person. Traditional porridge recipes tend to use oatmeal with approximately 200ml of water per 50g oats, and a pinch of salt.”

University of Aberdeen

Some people will advocate just eat mushroom. While correct that it contains beta-glucans, we need to be careful not to slip into homeopathic dosages!

Among those, mushrooms feature a particularly high level, so it’s no exaggeration when we say “for beta glucans, look to mushrooms!” The amounts of beta glucans found per 100 g of raw mushroom include 2.3 g (maitake), 2.0 g (bunapi), 1.9 g (eryngii), 1.8 g (bunashimeji) and 1.5 g (shimofuri hiratake) (Hokuto data).

https://www.hokto-kinoko.co.jp/lang/en/kouka/jiten/jiten06/

When we go to typical US mushrooms (i.e. Button), we drop to .75 g/100 grams [FDA]. So we are talking about 5-6 oz of mushrooms per day. That 3/4 of the typical mushroom package per day per person.

Celiac and Gluten Sensitive Issue

Most beta glucan supplements are produced from Saccharomyces cerevisiae (thus gluten free). For example the item below is about US$17.00 and gives 100 days at 1 gram per day.

I should note that there are different forms of beta glucan, for example above it is the 1,3/1,6 forms. Another product has 1,3/1,4 and is derived from Oats (you will have to write the company to see if it is gluten free or low gluten).

The cost per gram is much lower as bulk powders than with pre-filled “premium” capsules – the same volume of beta glucan can be as high as $250 (12x more) with some products.

Nicotine Patches may work for some…

This is a guest post.

I have occasionally had Nicotine show up in microbiome prescription suggestions. I have tended to skip it because that usually implies smoking -- not a healthy choice.  A person recently share their recovery story (below - as written by them) using Nicotine Patches, not smoking. It is an interesting aspect that I had not considered before.

My Journey to complete remission 

Updated June 2023

#TheNicotineTest

Twitter: NickChambers2

  • ME/CFS 

Diagnosed in 2015 – 8 years ago – Possible Glandular Fever.

  • Vax injury (AZ)  

2021 – 2 years ago – Moved from mild to moderate. Increase in symptoms and severity. Mostly housebound.

  • Long Covid??

Caught Covid twice, but no long Covid diagnosis.

Symptoms:

PEM, Brain Fog, Light, noise, heat, cold sensitivity, Anger, muscle tightness & soreness, air hunger, body jerks, anxiety, depression, joint soreness, IBS.

Condition:

Mild & Moderate. I need to use the bannister to climb the stairs. I’ve been generally housebound since my Covid vaccine.

I’ve included some links in this document as some people have asked for them. Various alternatives are usually available and often at a lower cost. I’m not endorsing or recommending anything.

My Health Routine:

Most of these are daily and I’ve been doing most of them for 12 months or more.

  • At one stage I was taking 96 tablets a day. I’m now taking 35 tablets a day.
  • Pemf Mat – Curatron XPSE
  • Twice a week HBOT – At local MS centre
  • Red light panel – Biomax 900 https://platinumtherapylights.com
  • 16:8 intermittent fasting 
  • Two minutes on a rebounder / lymphatic drainage
  • Nebulising 0.5% hydrogen peroxide
  • Low dose naltrexone – 1ml
  • Grounding sheet on bed
  • Grounding in garden
  • 100 billion oral probiotics (Symprove & Capsules)
  • Additional prebiotic powders (6 types)
  • Skin brushing
  • Only drinking distilled water
  • Cold showers
  • Coffee Enemas – Join this group for info https://m.facebook.com/groups/coffeebreaksupport/?ref=share
  • Pre & pro-biotic enemas
  • Juicing
  • Sunlight exposure
  • Epsom baths
  • Vagus nerve stimulation (Concha Cymba/tens machine, Neck/Pulsetto, Chest/Amofit S)
  • Infrared sauna blanket – https://www.mihigh.com/products/infrared-sauna-blanket
  • Very little Alcohol, Red meat, Gluten, Wheat, Dairy.
  • At home oxygen concentrator – DEDAKJ 2L – 9L (3 lpm at 75% oxygen) https://amzn.eu/d/hRjAnZ0

EMF’s – I’ve moved our bed and my child’s bed a foot from the wall due to increased EMF’s from the electric wiring. I no longer charge anything in my room. This is the EMF reader I own: https://amzn.eu/d/7yb66g0

Mobile Phone: I try to not have my mobile in my pocket, to reduce any potential radiation exposure.

Also experimented with:

  • Methylene Blue
  • DMSO
  • Diamateous Earth
  • High dose B12
  • Methyl B Vitamins
  • Nebulising glutathione
  • Lymphatic drainage massage
  • Cryotherapy
  • Nattokinase
  • Rectal Ozone Treatment
  • Energy Therapy
  • Iodine (Lugols)
  • Colonics
  • Binaural Beats – Theta Waves
  • Acupuncture
  • Creatine Monohydrate
  • Meditation
  • Activated charcoal
  • Juicing 10cm ginger root a day
  • Anti Depressants 
  • Armpit detox (as aluminium levels were high)
  • Mushrooms (Chaga, lions mane etc)
  • CBD oil (no THC)
  • Melatonin 5mg before bed
  • Herbal remedies
  • Homeopathic remedies
  • Not working 9-5 to reduce stress
  • Yoga, Pilates & Stretching
  • Mindfulness
  • The Lightning Process (brain retraining)
  • Talking therapy
  • Keto diet
  • Goat Kefir
  • Irlen lenses to reduce light sensitivity 
  • Ear plugs/Air pods to reduce noise sensitivity
  • Nutritionist for 12 months to assist with the mine field of supplements

My favourite Tests & Key findings/results:

  • Www.biomesight.com – Helped to create an improved gut microbiome 
  • Oat Test – told me I had high level of aluminium and an e-coli infection – who knew!!
  • DNA Test (www.mydnahealth.co.uk – pro version) I don’t absorb vitamin D from the sun very easily (that explains the SAD Syndrome!) increased my vit D to 10,000 IU a day
  • York Test – Told me I have various food intolerances. Amended accordingly.

My Favourites ❤️:

  • Nicotine Patches (Game changer)
  • Coffee enemas
  • Vagus Nerve stimulation 
  • Juicing (lower energy required for digestion)
  • Low dose naltrexone – definitely helped, but struggled to find ideal dose. Currently back down to 1ml a day.
  • Did a www.biomesight.com test and followed recommendations for improved gut health
  • Sauna blanket – Helped to detox and sweat – we don’t sweat when we have fatigue!
  • Red light – no change to pem or brain fog, but it made my hair grow back and fixed my bletheritis!
  • 1g Cinnamon capsules a day for tight hamstrings
  • Cordless tens machine for muscular aches and pains
  • Intermittent Fasting – 16:8 for 6 days a week for probably the last 9 months

My Nicotine Patch Journey

Position: Left shoulder (upper body is best, but not neck or head). Put new patches in different areas of left shoulder to avoid irritation from patches. Reduced effectiveness if placed on fatty areas apparently. May come off in Bath. Use additional tape to hold in place if you need to.

Nicotine Patches I used: https://www.amazon.co.uk/dp/B001E5CDTG?ref=ppx_pop_mob_ap_share

These patches can’t be cut, but if you want to start on a lower dose (3.5mg), place some tape underneath the patch, covering half.

Started Patches: 15th April 2023

Days 1-7 : 7mg Nicotinell patches, worn 247

Side Effects: Nausea, headaches, herxing, flu like symptoms, increased depression and anxiety. Sleep affected. Crazy angry dreams.

Days 8-20: no patches. Feeling better each day, but only 90% recovered.

Days 21&22: 7mg patches. 247. Thought process is that I might need to mop up the last bit of spike protein. Same side effects as before.

Days 23-34: No patches. Feeling 95% better – all symptoms.

Days 35&36: 7mg patches. Just in case right? Hardly any side effects this time. I think it might be out of my system.

Days 36 onwards: I’ve got drunk, I’ve had a cold and cough, I’ve been kayaking, I’ve been on holiday and had to run to the gate as nearly missed the flight, I’ve dug holes and mixed cement. Only lingering symptoms are minor body jerks and air hunger. Still no PEM or brain fog. 

Day 56: Happy, Happy, Happy.

Future: I will try the patches again for two days in a months time. Just to see if I herx etc.

Helpful Links:

#TheNicotineTest Links!

Survey!

bit.ly/3WHY94U

Protocol 2.0

bit.ly/3WJHUnN

Step by Step Dose

bit.ly/42oQRV6

Objectives & Doubts

bit.ly/43hGxzc

Hypothesis 1.0

bit.ly/3WFnsod

https://twitter.com/hashtag/TheNicotineTest?src=hashtag_click

External websites

Nicotine Patch Study:

https://bioelecmed.biomedcentral.com/articles/10.1186/s42234-023-00104-7

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9845100/

Make sure you translate to English in your browser:

Part of @RenzPolster’s comment on a recent Health Rising article:

“in healthy people after exercise: the DMN [default mode network] is being switched off and the central threat response networks are being activated. In ME/CFS, however, parts of the DMN are NOT being turned off after stress exposure but are activated instead.”

https://pubmed.ncbi.nlm.nih.gov/33216167/

Detox:

To help remove the spike protein, I detoxed before, during and after the patches. 

Daily supplements: 

  • Activated Charcoal 500mg, 
  • Vitamin C 5g, 
  • Ashwaghanda 500mg, 
  • Licorice Root 500mg, 
  • Psyllium Husk Powder 3g, 
  • NAC 1.5g. 

I would also take my usual probiotics, prebiotics and vitamins and mineral supplements.

Note: I took the patches off on two nights, as I was struggling to sleep. I just put it back on when I woke up in the morning.

Summary:

I’m now in complete remission. I mean COMPLETE REMISSION (well… I have very mild air hunger and body jolts once a day). I feel the same as I was prior to my CFS diagnosis 8 years ago.

The NICOTINE PATCHES were like a light switch moment. The only thing that physically worked and continued to work for more than a week.

QUESTION: Am I in remission because of all the other things I’ve done/doing, which made it easier for my body to recover once the Nicotine Patches did their thing? Time will tell.

Interesting fact: My son would always want to feel my bicep like 8 year olds do. It has always hurt my bicep to tense it (since CFS) and it was sore when my son would squeeze it – but I manned up and let him do it anyway 😊.

But since the nicotine patches, the soreness has gone and my muscles feel fuller again!

UPDATE: 55 days in, i was on holiday and I caught a cold. A few days later I felt the fatigue, brain fog, anxiety return 🙈. I’d also developed constipation. Putting 2 and 2 together, I realised I wasn’t taking all my pre & probiotics and I wasn’t doing my usual Pemf, oxygen or coffee enemas etc.

I bought some psyllium husk and other prebiotic fibres and within 12 hours, my fatigue, brain fog and anxiety had completely gone! Therefore, this reaffirms to me, that our gut health is so important in our recovery.

My supplement list 

(Taken in the last two years – for different symptoms – Bold are my existing supplements)

  • K2-7+Menaquingold +K1
  • Ubiquinol 
  • Curcumin
  • Omega 3 (DHA/EPA)
  • Multivitamin 
  • Acetyl L Carnitine
  • Creatine 
  • PQQ
  • NAC
  • L Carnitine
  • Alpha Lipoic Acid
  • Glucosamine, Chrondroitin, MSM
  • Vitamin D3 – 5000 IU
  • NADH Sublingual
  • Liposomal Glutathione 
  • Resveratrol 
  • Silymarin Complex
  • Echinacea
  • Black Seed Oil
  • Chitosan & Chromium
  • Choline & Inositol
  • Olive Leaf Extract
  • Calcium Hydroxyapatite 
  • Trans-Resveratrol 
  • Antarctic Krill
  • Trans-Resveratrol
  • Vitamin B12 (Sublingual)
  • Magnesium – Various types
  • Vitamin C Sustained release 3g a day 
  • Vitamin B3 (Niacinamide) prolonged release
  • Aloe Vera Juice
  • Organic Ashwaghanda KSM-66
  • Selenium – 200mg a day
  • Potassium
  • Chelated Manganese
  • Flushing Niacin
  • Starflower Oil (omega 6)
  • Quercetin – 500mg
  • L-Theanine
  • Nattokinase
  • K-2 – 100mg
  • Zinc – 50mg
  • Green Tea / EGCG
  • ADRENergize (Adrenal support)
  • Berberine
  • Astralagas
  • Monolaurin
  • Lions Mane
  • Chlorella
  • Spirulina
  • Lecithin
  • Cinnamon – 500mg (affects good e-coli?)
  • Garlic Oil
  • Melatonin – 5mg
  • Panseng Ginseng
  • L-Lysine
  • Rhodiola 
  • Ginkgo Biloba
  • BCAA
  • L-Arginine & L-Citrulline
  • Iron
  • Activated Charcoal
  • OPC – Grape Seed Extract

PROBIOTICS

  • Sporebiotics 
  • Symprove
  • Bio cultures complex
  • Iherb – California Nutrition 30 billion
  • Probiotic complex
  • Acidophilus 
  • MicroMax – The Healthy Company
  • Optibac – Immune Support
  • Chuckling Goat Kefir

POWDERS 

  • Turmeric
  • Ginger
  • Ashwaghanda 
  • Pine Pollen
  • Rice Bran
  • Wheatgrass
  • Hemp Protein
  • D-Ribose
  • Lucuma Powder
  • Moringa Oleifera
  • Baobab Powder
  • Vitamin C Powder
  • Chlorella
  • L- Glutamine
  • Collagen Protein

PREBIOTICS

  • Inulin (chickory root)
  • Bimuno (GOS)
  • PHGG (Partially Hydrolised Guar Gum)
  • Guar Gum Powder
  • Gum Arabic
  • Psyllium Husk Powder
  • Acacia Powder
  • Pure HMO (Human Milk Oligosaccharides)
  • Organic Potato Starch
  • Bifido Boost (XOS)
  • Lactulose solution

Note: Many prebiotic and dietary adjustments were made after my www.biomesight.co.uk test. I’ve done three altogether over the last 12 months. Results also uploaded to www.microbiomeprescription.com for further insight, analysis and recommendations.

  • 30 grams of ground nuts and seeds a day.
  • Chia, linseed, pecan, almond, hemp, pumpkin, sunflower & Brazil.
  • CBD Oil (20%)
  • Dr Myhills Sunshine Salt

BOOKS

I will continue to update and share this document with new revelations and thought processes.