Voyage to Vanderbilt

Someone canceled, Ken and I accepted. We drove 12 hours straight with records in hand off to see the wizard!  Dr. Shriram that is.  The office itself was somewhat small with the usual doctors office stuff. Our nurse did the usual vitals, vision and weight. blah,blah, blah.  I was at a loss for reaction which is unusual for me. I can usually find something humorous to take the focus off of me. I call this my "going to the vet" feeling. One of the nurses had mentioned that a patient earlier in the week came from ALASKA!!!  This prompted her to read more about this amazing doctor that she knew so little about.

    He came into the room as we both bowed our heads in praise knowing this was why we came.  He wanted to just get to know me and what treatments have failed.  Being in my usual fog of clarity,I stumbled over my thoughts. He was extremely patient.  Ken and I couldn't help but notice his frustration in what this disease has done to so many. He explained that he has yet to figure out why the protocol cannot work equally for everyone. Why some have come back and out of a wheelchair while others have not.   Thus came the disclaimer part.  This is were my gloves came off and I started to feel like myself again.  I told him (as if he hadn't known this yet!) what he has done for SO MANY of us.  HOPE. It may not be finished in his lifetime but he knows this is just the beginning. He is a very humble man.

He finished our visit by giving us the prescriptions we so desperately needed. This is a rather accelerated protocol for which he has been doing a current trial. He felt I should tolerate this as I am already up to speed with my vites.   

1)   Rifampin   daily 2 wks

2)   Azithromycin  3x pr week added after 2 wks.

3)   Metronidazole (generic for Flagyl) 15 on 15 off after 4 weeks.

4)   Sodium Pyruvate added after 8 wks.

This is a 6 month supply. I should call him if I develope a rash in which prednisone would be prescribed.   

I told him I will be back because he needs to witness the smile he put back on my face from the inside out!  Smile 

My heart swells with pride knowing you are ALL with me on this journey of unknowns.  Happy New Year to all of our friends! K & K

16 yrs RRMSi - 2yrs SPMS. Copaxone, Avonex, Novantrone, Provigil, 5 gm NAC, 5 gm VitC, 5000 IU VitD3, 2295 mg Curcumin, and other supplementsi. EDSS 5.5 good days, 6.5 bad days.  Can't wait to lose brain fog and wear girl shoes.

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RRMSi since 3/84; SPMS since 2/05. Rifampin, Azithromycin, Tindamax Flagyli Copaxone, Avonex, Novantrone, Provigil, 5gm NACi, 5gm VitC, 5000IU VitD3 & more. EDSS 5.5 to 6.5.  Can't wa

CONGRATULATIONS!!!!   What

CONGRATULATIONS!!!!  

What about NACi or Doxycylcline? and what is sodium pyrovate.? did he say or mention that (while he was talking about some protocol working better on some than others) if he treated MSi and CFSi with same basic protocol.

Mphs, TN. CFS, hypoT (Hashimotos), weak adrenals, 37 w/hormones of 80 yo. right arm neuropathy. 6/26/07- CPNi Titer 1:256 (normal 1:16); on NAC 2400mg, doxy 100-2xday, azith 250 m/w/f, and pulsing w/flagyli, estriol, progesterone, synthroid

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Mphs, TN. CFSi, hypoT (Hashi), adrenal fatigue-almost resolved, severe hormonal inbalance-resolved, right arm neuropathy-getting better. cpni, myco, EBVi, CMV. Capi began in 6/07. NACi 3000mg, minoi 100mg bidi, biaxin 500mg bidi. cytomel, tinii pulses

Kim (and Ken) - Yours is

Kim (and Ken) - Yours is the first good news I've had in this New Year! Wonderful, simply wonderful, all 'round.

The difference between what we do and what we are capable of doing would suffice to solve most of the world’s problems.  Mohandas Gandhi

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The difference between what we do and what we are capable of doing would suffice to solve most of the world’s problems. Mohandas Gandhi

Kim - Congratulations on

Kim - Congratulations on this huge step!  I am cheering for you to have the easiest time with treatment  and much success AND improvement!

 Daisy-Caregiver- Balo's Concentric Sclerosis.  CAPi 5/10/07. Doxyi 200 mg, Minoi 100 BIDi 9-1, Azi 375QD  Roxyi 300 BIDi 11-5, Rifampin 600mg QD 10-15, Bactrim DS BID 11-3, Novantrone, Rescue Prednisone

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Daisy - Husband on CAPi 5/07.  "When Going Thru Hell, Just Keep Going", Winston Churchill

Kim and Ken, Great news and

Kim and Ken, Great news and I'll be waiting with baited breath to see how you get on with this new take on the CAPi.   I too am wondering about the doxycyline.   But he knows what he is doing and maybe taking the flagyl in such a sustained way will stop Cpni from building up a resistance.

Michèle (UK) GFAi: Wheldon CAP 1st May 2006. Daily Doxy, Azi MWF, metroi pulse. Zoo keeper for Ella, RRMSi, At worse EDSSi 9, 3 months later 7 now 5.5 Wheldon CAP 16th March 2006

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Michèle (UK) GFAi: Wheldon CAPi 1st May 2006. Daily Doxyi, Azi MWF, metroi pulse.

  Excellent Kim! 

 
Excellent Kim!  As Sriram says, you are already doing all the supplementsi, so I'm sure you will be fine on the accelerated protocol.  Apart from starting on doxyi then moving to rifampicin, I went similarly  full pelt with no problem...........SarahLaughing
  
An Itinerary in Light and Shadow...........Completed Stratton/Wheldon regime for aggressive secondary progressive MSi in June 2007, after four years, three of which intermittent.   Still slowly improving and no exacerbation since starting. EDSSi was 7, now 2, less on a good day.Completed Stratton/Wheldon regime for aggressive secondary progressive MS in June 2007, after four years, three of which intermittent.   Still slowly improving and no exacerbation since starting. EDSS was 7, now 2, less on a good day.

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Completed Stratton/Wheldon regime for aggressive secondary progressive MSi in June 2007, after nearly four years, three of which intermittent.   Still improving and no relapses since starting. EDSSi was 7, but most days I could pass for as good as new.

Kim can you confirm that you

Kim can you confirm that you continue to take the rifampicin after two weeks, at the same time as you introduce Azithromycin, and eventually metronidazolei?   So that after 4 weeks you are taking three antibioticsi on those 15 day pulses.

Michèle (UK) GFAi: Wheldon CAPi 1st May 2006. Daily Doxyi, Azi MWF, metro pulse. Zoo keeper for Ella, RRMSi, At worse EDSSi 9, 3 months later 7 now 5.5 Wheldon CAP 16th March 2006

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Michèle (UK) GFAi: Wheldon CAPi 1st May 2006. Daily Doxyi, Azi MWF, metroi pulse.

 Kim- I'll be really

 Kim- I'll be really interested to see how you do ramping up to this. What a relief to see a doctor who really understands the process, and is working so actively to know more. Bless them all.

I know in conversation with Dr. Stratton that he considers Rifampin/Azith an adequate combo for preventing resistance, even through Rifampin is not a protein synthase inhibitor. I think the rationale included the fact that both act within the RB phase where replication is the issue (Rifampin on the conversion process from EBi to RB, azith on replication in the RB phase). He also considers that there is suggestive evidence that flagyli also has anti RB affect in addition to the anti-cryptic phase affect. It would be interesting to get some updated comment on this. 

CAPi for Cpni 11/04. Dxi: 25yrs CFSi & FMSi. Protocol: 200mg Doxyi, 500mg MWF Azith, Tinii 1000mg/day pulses; Vit D1000 units, Cytotec 100mg, Plaquenil 100mg, Magnascent Iodine 12 drps/day, T4 & T3

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CAPi for Cpni 11/04. Dxi: 25yrs CFSi & FMSi. Currently: 250 aithromycin mwf, doxycycline 100mg BIDi, Tinii 1000mg/day pulses; Vit D2000 units, T4 & T3, 12mg Iodoral

Dear Kim congratulations! I

Dear Kim congratulations! I hope for you to find vast improvements in the new year and onward.  I am guessing that since you state you are already taking all the supplementsi that you are already taking and will continue NACi to kill eb also as a liver protectant.Please keep us up to date we are excited for you! Oh also I think ( maybe just my guess) that msi may tolerate a ramp up more quickly like SARAH and more flagyli sooner than ME/CFSi patients.Barbara

NAC and glutathione push for years Lots of supplementsi (all supplements in protocol)IV vitamins b1-12,C50gm,magDoxy200 10-/14/07, NAC 2400Doxy200mgAzithMWF10/29/07 MS flagyl 1day 500x2 11/23/2007

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NACi and glutathione push for years all supplementsi in protocol)IV vitaminsi b1-12,F10/29/07 roxy300,doxy200,rifampin300aziyh mwfMS flagyli 1day 500x2 11/23/20074th pulse 2.8.081500mg 8days 7/08 finished 10th pulse on 300 rifamp bidi, doxybid 7/2008

Sodium pyruvate is used by

Sodium pyruvate is used by cells as an easily accessible carbohydrate source. Additionally, it is involved with amino acid metabolism and initiates the Kreb's cycle

NACi and glutathione push for years Lots of supplementsi (all supplementsi in protocol)IV vitamins b1-12,C50gm,magDoxy200 10-/14/07, NAC 2400Doxy200mgAzithMWF10/29/07 MSi flagyli 1day 500x2 11/23/2007

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NACi and glutathione push for years all supplementsi in protocol)IV vitaminsi b1-12,F10/29/07 roxy300,doxy200,rifampin300aziyh mwfMS flagyli 1day 500x2 11/23/20074th pulse 2.8.081500mg 8days 7/08 finished 10th pulse on 300 rifamp bidi, doxybid 7/2008

Hi Jak, Yes I found that

Hi Jak, Yes I found that with a bit of googling.  Is is taken by mouth (PO) and is it  technically a supplement such as NACi and D-Ribose and available from the health food store?

I could see how it could be supportive, more expensive but perhaps better than glucose or smarties.  I wonder how it cost compares to D-Ribose with is also an energy supporting supplement for those of us that crash, especially in the early months of treatment?   

Louise 

CFSi/ME. CPni posititve, Bb positive.

Started CAPi 6/24/07 Doxyi & NAC

11/3/07 Rulid by Adventis 150mg BIDi added toDoxy100mgBID,NAC600mgBID 11/22/07 #2 Tinii Full pulse 500mg BID

11/26/07Cholestyramine ttaken at bedtime (HS) for porphoria/Lipo Endotoxini sxs x 1 week after pulses.

01/01/08 #3 pulse in prgress day 3 todaySmile

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6-07WheldonCAP CPnBb FMSi-CFS20+yr, 11-07Cholestyramine HSPRNx7d-porphyrin+endotoxini

3-08Iodoral, 5-08BHRT, 8-08Same+Bs, 10-08D-10,000IU

2-09Intermit-CAPDoxiRoxiClari,Tinii, 2-09LDN-CFS

1-10-IT+Ursodiol300Bid+Lauricidin

Hi Sharon, Take a look at

Hi Sharon, Take a look at her signature and you will find that she is already on it to the max! The Rifampin is covering that Doxyi (second abxi) space for Kim.  I believe that Sarah recently shared that after 6 months of Doxy she went to Rifampin.

This treatment protocol that Kim came back with was for an agressive MSi situation I think.

I am most interested in learning more about the Sodium pyruvate addition.

Even the Flagyli 15days on and 15 days off is still as a pulse allowing for cellular repair and other body clearing process to occur.

Again, Kim is a bit more pressed for time than those of us with the non-neurological presentations of the CPni occupation in our bodies, such as myself and you too I think with CFSi/ME, FMSi and other inflamatory conditions.

Louise

CFS/ME. CPn posititve, Bb positive.

Started CAPi 6/24/07 Doxy & NACi

11/3/07 Roxi 150mgBID added to Doxy100mgBID,NAC600mgBID

11/22/07 #2 Tinii Full pulse 500mg BID

11/26/07Cholestyramine at HS( bedtime) for porphoria/Lipo Endotoxini sxs x 1 week after pulses.

01/01/08 #3 Tinidiazole Pulse begun.

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6-07WheldonCAP CPnBb FMSi-CFS20+yr, 11-07Cholestyramine HSPRNx7d-porphyrin+endotoxini

3-08Iodoral, 5-08BHRT, 8-08Same+Bs, 10-08D-10,000IU

2-09Intermit-CAPDoxiRoxiClari,Tinii, 2-09LDN-CFS

1-10-IT+Ursodiol300Bid+Lauricidin

Thanks Jak for all the

Thanks Jak for all the Sodium Pyruvate info. I was surprised to see how many (me included) didn't know much about it. I admit that I learn as I go. I would like to forward your comments to others if ok.  Thanks ! Kim   

16 yrs RRMSi - 2yrs SPMS. Copaxone, Avonex, Novantrone, Provigil, 5 gm NACi, 5 gm VitC, 5000 IU VitD3, 2295 mg Curcumin, and other supplementsi. EDSS 5.5 good days, 6.5 bad days.  Can't wait to lose brain fog and wear

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RRMSi since 3/84; SPMS since 2/05. Rifampin, Azithromycin, Tindamax Flagyli Copaxone, Avonex, Novantrone, Provigil, 5gm NACi, 5gm VitC, 5000IU VitD3 & more. EDSS 5.5 to 6.5.  Can't wa

Hey Louise, How is the pulse

Hey Louise, How is the pulse treating You? I want to knoe EVERYTHING!!!!  Kim  

16 yrs RRMSi - 2yrs SPMS. Copaxone, Avonex, Novantrone, Provigil, 5 gm NACi, 5 gm VitC, 5000 IU VitD3, 2295 mg Curcumin, and other supplementsi. EDSS 5.5 good days, 6.5 bad days.  Can't wait to lose brain fog and wear

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RRMSi since 3/84; SPMS since 2/05. Rifampin, Azithromycin, Tindamax Flagyli Copaxone, Avonex, Novantrone, Provigil, 5gm NACi, 5gm VitC, 5000IU VitD3 & more. EDSS 5.5 to 6.5.  Can't wa

Kim, So far so good, however

Kim, So far so good, however with Tinii it seems that the challenging events take a bit longer to manifest.  I started my pulses late at my 5th month of treatment, that is one difference.

My first pulse was one pill early in November and I had some neck muscle tenderness maybe.

Second pulse was started the evening of Thanksgiving and it was on day 9 that I ran a fever of 102 after a burst of energy that allowed me to attend to business physically that I had not had strength for either mentally or emotionally for all to long.  It lasted that night and was on the way down the next morning and completely gone by the following day.  No other symptoms.  May have had to do with my coexisting Bb.  (Borrelia AKA Lyme)

And then I did start the Cholystyramine on day 5 of that pulse to try and capture any fat soluable porphoria or lipophilic endotoxinsi from my several bacterial pathogens, that was causing fogging etc. And that did improve the clarity of my thoughts and perhaps emotions.

And MS is not my diagnosis so although I am happy to share with you of course, my roadmap may not line up as easily with your's due to that difference.  The good thing for you is that there are more past posts of folks with MS who were regular than those with CFSi etc. so they should be easy to find.  Perhaps some will post and direct you to their wonderfully detailed accounts.  If reading is something that is helpful to you. 

There is a wealth of blogs here of folks with very detailed accounts of their Pulses who do have MS diagnosis. 

The concepts cover all the catigories of diagnosis,yet the challenges and cautions are a bit taylored to the expression of the CPni pathogen in each of our bodies.    One trick is to read people signature and them click on the user name at the top of the post it will take you to their information.  From there you can find their blogs and their posts.  Click around and you will see what I am trying to tell you. 

So once I am at say day 12 or 15 of this pulse I will have a better take on the overview of my current pulse.  Still that neck muscle stuff is back but at a rather low level that is just bothersome at this point.

CFS/ME.CPn positive.Bb positive.

6/14/07WheldonCAPstartedDoxy&NACi.

11/3/07 Roxi150mgBIDadded.

11/22/07#2Pulse Tindamax(Fasigyn)(Tinidazole)500mg BIDx5d.

11/26/07Cholystyramine@HourOfSleepforBrainfog,memory,irriability X7daysPostPulse.

01/01/08#3Pulse

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6-07WheldonCAP CPnBb FMSi-CFS20+yr, 11-07Cholestyramine HSPRNx7d-porphyrin+endotoxini

3-08Iodoral, 5-08BHRT, 8-08Same+Bs, 10-08D-10,000IU

2-09Intermit-CAPDoxiRoxiClari,Tinii, 2-09LDN-CFS

1-10-IT+Ursodiol300Bid+Lauricidin

 The pyruvate is something

 The pyruvate is something a patient of Dr. Stratton found useful as it is an ATP booster. Seems to help, probably like the ribose, in preventing porphyriai from exercise or other kinds of induced ATP depletion.

CAPi for Cpni 11/04. Dxi: 25yrs CFSi & FMSi. Protocol: 200mg Doxyi, 500mg MWF Azith, Tinii 1000mg/day pulses; Vit D1000 units, Cytotec 100mg, Plaquenil 100mg, Magnascent Iodine 12 drps/day, T4 & T3

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CAPi for Cpni 11/04. Dxi: 25yrs CFSi & FMSi. Currently: 250 aithromycin mwf, doxycycline 100mg BIDi, Tinii 1000mg/day pulses; Vit D2000 units, T4 & T3, 12mg Iodoral

Bodybuilders use pyruvate

Bodybuilders use pyruvate (sodium pyruvate or calcium pyruvate) for weight loss.   This place http://www.bodybuilding.com/store/pyruvate.html sells it in strengths ranging from 1,000 mg to 2,000 mg per tablet with label directions saying to take either 1 or 2 tablets per day.  Even so, there are accounts on the internet of people taking 20 or 30 grams (not a typo) per day in order to get the desired weight loss benefit.   

CAPi for M.S. since 8/2007. Currently: 100 mg Dox. (2 x day), 250 mg Zithi (3 x week). Third pulse metronidazolei completed 12/27/2007.

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CAPi for M.S. 8/2007 - 3/2009.  Twentieth pulse metronidazolei + INHi completed 3/12/2009.  Intermittent treatment thereafter until 8/7/2009.  

When Ella first started the

When Ella first started the CAPi, she found it very difficult to tolerate Azithromycin and before we switched to roxythromycin, we tried Calcium pyruvate as an antiporphiric measure, but it did not make any noticeable difference to her ability to tolerate the Azi.

Michèle (UK) GFAi: Wheldon CAP 1st May 2006. Daily Doxyi, Azi MWF, metroi pulse. Zoo keeper for Ella, RRMSi, At worse EDSSi 9, 3 months later 7 now 5.5 Wheldon CAP 16th March 2006

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Michèle (UK) GFAi: Wheldon CAPi 1st May 2006. Daily Doxyi, Azi MWF, metroi pulse.

K&K more great news!  I

K&K

more great news!  I look forward to seeing your results, particularly the flagyli 15 on & off.  I did have a rash, 80% of my body with hot swelling in my face to look like a pumpkin head.  I iced my face for 3 days!

I was afraid to call the doc at the time about it, 1/ I didn't want to go anywhere & 2/ more drugs & 3/ changes to the protocol.  If it happens again, I am going to get in there for prednisone or the like.

Keep in touch when you can!

CFIDSi/ME 25yrs, FMSi, IBSi, EBVi, Cpni, (insomnia - melatonini, GABA, tarazadone, triazolam, novocyclopine, allergy formula, 3 gm tryptophan), Natural HRT peri-M, NACi 1.5 gm, 6-07 Doxy 200 mg day pm, Azith 375 mg M/W/Fday, 12-3-07 4th pulse 1 X 375 mg 3day

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CFIDSi/ME, FMSi, MCS, IBSi, EBVi, CMV, Cpni, H1, chronic insomnia, Lyme, HME, Babesia, Natural HRT-menopause, NAC 2.4 gm,Full CAP 6-2-07, all supplementsi+Sea Kelp,Iodorol, Inositol, Chitosan, L lysine Pulse#25 01-27-10 1gm Flagyli/day-5 days

 Ruthless, just curious

 Ruthless, just curious when you started having side effects from scrips. I suppose pumpkin head will have to make for a heck of a Halloween trick!Surprised

Ok, all kidding aside,Dr Shriram warned me about herx and to notify him right away so please the next time this happens dont suffer any longer than you have too.  I only had a day on the protocol and can't wait to forge ahead!    

 

16 yrs RRMSi - 2yrs SPMS. Copaxone, Avonex, Novantrone, Provigil, 5 gm NACi, 5 gm VitC, 5000 IU VitD3, 2295 mg Curcumin, and other supplementsi. EDSS 5.5 good days, 6.5 bad days.  Can't wait to lose brain fog and wear

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RRMSi since 3/84; SPMS since 2/05. Rifampin, Azithromycin, Tindamax Flagyli Copaxone, Avonex, Novantrone, Provigil, 5gm NACi, 5gm VitC, 5000IU VitD3 & more. EDSS 5.5 to 6.5.  Can't wa

Louise , I appreciate the

Louise , I appreciate the update as I am learning how to follow everyone and use this site to the fullest. Best of luckSmile   

16 yrs RRMSi - 2yrs SPMS. Copaxone, Avonex, Novantrone, Provigil, 5 gm NACi, 5 gm VitC, 5000 IU VitD3, 2295 mg Curcumin, and other supplementsi. EDSS 5.5 good days, 6.5 bad days.  Can't wait to lose brain fog and wear

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RRMSi since 3/84; SPMS since 2/05. Rifampin, Azithromycin, Tindamax Flagyli Copaxone, Avonex, Novantrone, Provigil, 5gm NACi, 5gm VitC, 5000IU VitD3 & more. EDSS 5.5 to 6.5.  Can't wa

Michele, I will be

Michele, I will be taking all 3 simultaniously then after the pulse, I go back to rif and Azith again. hope that helps answer your question ,sorry so late.  

16 yrs RRMSi - 2yrs SPMS. Copaxone, Avonex, Novantrone, Provigil, 5 gm NACi, 5 gm VitC, 5000 IU VitD3, 2295 mg Curcumin, and other supplementsi. EDSS 5.5 good days, 6.5 bad days.  Can't wait to lose brain fog and wear

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RRMSi since 3/84; SPMS since 2/05. Rifampin, Azithromycin, Tindamax Flagyli Copaxone, Avonex, Novantrone, Provigil, 5gm NACi, 5gm VitC, 5000IU VitD3 & more. EDSS 5.5 to 6.5.  Can't wa

Michele, I will be

Michele, I will be taking all 3 simultaniously then after the pulse, I go back to rif and Azith again. hope that helps answer your question ,sorry so late.  

16 yrs RRMSi - 2yrs SPMS. Copaxone, Avonex, Novantrone, Provigil, 5 gm NACi, 5 gm VitC, 5000 IU VitD3, 2295 mg Curcumin, and other supplementsi. EDSS 5.5 good days, 6.5 bad days.  Can't wait to lose brain fog and wear

girl

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RRMSi since 3/84; SPMS since 2/05. Rifampin, Azithromycin, Tindamax Flagyli Copaxone, Avonex, Novantrone, Provigil, 5gm NACi, 5gm VitC, 5000IU VitD3 & more. EDSS 5.5 to 6.5.  Can't wa

Thanks Kim. I thought that

Thanks Kim. I thought that is what was happening but wanted to be sure, in case others would interpret it differently.  

Michèle (UK) GFAi: Wheldon CAPi 1st May 2006. Daily Doxyi, Azi MWF, metroi pulse. Zoo keeper for Ella, RRMSi, At worse EDSSi 9, 3 months later 7 now 5.5 Wheldon CAP 16th March 2006

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Michèle (UK) GFAi: Wheldon CAPi 1st May 2006. Daily Doxyi, Azi MWF, metroi pulse.

Even though I haven't been

Even though I haven't been diagnosed with MSi; I have had many neurological symptoms come & go over the years, most notably the past 5. 

My central nervous system on 3 occasions has imploded leaving me in horrific writhing pain via every nerve ending in my body.  I have been ambulanced 2 of those times for pain management (I have a high tolerance to pain meds).I think it is probably due to the CPni, but just wanted to point out that patients with CFIDSi can also have neuro symptoms.

Peace

CFIDSi/ME 25yrs, FMSi, IBSi, EBVi, Cpn, (insomnia - melatonini, GABA, tarazadone, triazolam, novocyclopine, allergy formula, 3 gm tryptophan), Natural HRT peri-M, NACi 2.5 gm, 6-07 Doxy 200 mg day pm, Azith 375 mg M/W/Fday, 1-3-08 5th pulse 1 X 375 mg 4day

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CFIDSi/ME, FMSi, MCS, IBSi, EBVi, CMV, Cpni, H1, chronic insomnia, Lyme, HME, Babesia, Natural HRT-menopause, NAC 2.4 gm,Full CAP 6-2-07, all supplementsi+Sea Kelp,Iodorol, Inositol, Chitosan, L lysine Pulse#25 01-27-10 1gm Flagyli/day-5 days

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