Protocols for inflammaging, longevity, long covid, mecfs/post infection care-Physician, Engineer. Chief Med Officer @RenegadeRes. Book appt https://xitter.cf/t.co/8NuF9bgVQD

Annapolis, MD/Chautauqua,NY
Joined February 2011
Thread attached about how the “confused” immune system drives covid / long covid and some things that can be done now to help reverse it. #LongCovid #Treatment #Science
Replying to @doc4care
1/n - Easier way to see TLR4 impact from viruses (TLR4 generally reacts to LPS and causes inflammation in sepsis. Some viruses - 4 shown in this paper “turn o TLR4 too”. (The confusion talked about in immune response in Covid?) k
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John Haughton MD, MS 🌻 retweeted
We’re proud to introduce the multidisciplinary team behind MAESTRO Health Innovators, selected as a Phase 1 winner of the HHS/NIH TOPx Tech Sprint for AI and Invisible Illness and advancing to Phase 2. @HHSGov Bringing together experts in clinical research, vascular biology, and artificial intelligence, the team is working to better understand how biological differences across patients with complex chronic disorders may inform more targeted approaches to testing and treatment. Meet the team: - Dr. Michal Tal, PhD @ImmunoFever - Paige Hansen Colburn @MIT_TRG - Amy Rochlin @amyrochlin - Tyler Myers, PhD - @tylerdmyers - Nasa Sinnott-Armstrong, PhD @technopolymath - Mady Hornig, MA, MD @Madyhor - Tomer Tal, PhD @TomerTalVH This collaboration reflects CODA’s commitment to bringing together expertise across disciplines to accelerate research toward better answers and treatments for patients. Visit the link in our bio to watch a video and learn more about MAESTRO Health Innovators’ research for the TOPx HHS Tech Sprint. youtube.com/watch?v=53zp-OtN…
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John Haughton MD, MS 🌻 retweeted
Reactive Hyperaemia Part II. Supine with a ring on each hand. Change in finger blood volume/oxygen (Fig.1), pulse wave amplitude (Fig.2), Stefanovska bands (Fig.3), before/during/after cuff applied 5 min at 230 mmHg. @ImmunoFever
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John Haughton MD, MS 🌻 retweeted
The first round for the Truvaga vagus nerve simulator closed yesterday, but the Vielight photobiomodulation device has not opened it's eligibility survey yet (it will soon). You can sign up for the email list to be notified when it opens. The same list will notify you when the next Truvaga round opens and when future devices are added. renegade-research.org/signal
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John Haughton MD, MS 🌻 retweeted
I cried at my desk today. I was reviewing applications for one of our @RenegadeRes projects, SIGNAL, which will lend therapeutic devices to people with ME/CFS and Long COVID. I was working in a spreadsheet and it hit me that each row is a real person with the columns giving me hints of how much their lives have been affected. Many are in their 80s. Some are just starting their adult lives and are bedbound. One got sick when they were 6 years old … in 1955! So many are “very severe”, dependent on care. Triggered by infections, car accidents, environmental toxins, and more. All over the US. I imagined my own story there: 42 years old • ME/CFS • multiple triggers • symptoms since 2006 I scrolled down… 100 rows… 200 rows… so many people… and there are tens of millions more out there. Ugh. This work is heavy. But then I felt a hint of hope. In a month I might be hearing from people in this spreadsheet telling me that the device is helping them. 🤞 I know that the devices won’t work for everyone and won’t be a cure, but even if it just works for a few in this group, even just one, even just a little, it matters. 🤞
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"The brain is a tricky thing," I tell patients every day. Psychiatric manifestations of various systemic and neuroimmune disorders are numerous and should be acknowledged and managed appropriately. However, in clinical practice, a knee-jerk reaction to prescribe antidepressants and/or psychotherapy is not the way to manage psychiatric manifestations nor systemic and neuroimmune disorder that causes them. sciencedirect.com/science/ar…
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Our poster from the ISLC-PAIS conference: PEM is characteristic of and unique to ME, and is equivalent to PENE as defined by the ICC. Required to be prolonged, disproportionate, systemic, may be delayed, can cause lasting functional decline 🧵 positivenutrition.ie/wp-cont…
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John Haughton MD, MS 🌻 retweeted
Viral remnants causing vascular damage. Long COVID claims surging 2-3 weeks post-ER. AI chatbots duped by political "pink slime." This week's newsletter was so packed I had to split it into 2 parts! Part I (COVID): buff.ly/nSoGZsi Part II (Med): buff.ly/MEx3iKr
🤖 Made with AI
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Post infectious diseases: 🔔converging on overlapping mechanisms - neuroinflammation, autonomic and brainstem dysfunction, immune-driven pathways (And the inflammation blocks micro-vessel flow too). Bloodflow, Metabolism, Immune, Neuro diseases… Target the 4 areas for clinical improvement.
Something exciting is happening in POTS/ME/CFS/Long COVID research right now. Multiple labs and clinicians, working independently, are converging on overlapping mechanisms - neuroinflammation, autonomic and brainstem dysfunction, immune-driven pathways, approached from completely different angles: imaging, immune markers, clinical observation, structural findings. That kind of convergence is usually a marker of a field reaching scientific maturity. Early-stage fields tend to be scattered and contradictory. A field converging from multiple independent directions toward the same underlying biology is a sign there's real signal to chase. This is what it looks like when a research area starts to click into focus after years of being dismissed or fragmented. Patients have waited decades for this kind of momentum. Grateful to see so many people pushing in the same direction.
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John Haughton MD, MS 🌻 retweeted
Something exciting is happening in POTS/ME/CFS/Long COVID research right now. Multiple labs and clinicians, working independently, are converging on overlapping mechanisms - neuroinflammation, autonomic and brainstem dysfunction, immune-driven pathways, approached from completely different angles: imaging, immune markers, clinical observation, structural findings. That kind of convergence is usually a marker of a field reaching scientific maturity. Early-stage fields tend to be scattered and contradictory. A field converging from multiple independent directions toward the same underlying biology is a sign there's real signal to chase. This is what it looks like when a research area starts to click into focus after years of being dismissed or fragmented. Patients have waited decades for this kind of momentum. Grateful to see so many people pushing in the same direction.
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John Haughton MD, MS 🌻 retweeted
It’s often said that there’s no biomarker for ME/CFS, Long Covid, Post Vaccine Syndrome, PSSD, Lyme Disease, etc. I strongly disagree. However, it helps to have the right data and tools to visualise it. To help people explore the Born Free disease model and better understand the connections between the minerals deficiencies, metal toxicities and disease model processes, I've added 10 random example pairs of Oligoscan (corrected, skin minerals + toxic metals) + Theriome Aristotle Plus data (296 metabolites) to the Metabolic Pathway Overlay tool. bornfree.life/learn/metaboli… Some common patterns to observe across these patient profiles: 1) Elevated toxic metals, with mineral and electrolyte deficiencies, relating to pathway alterations. 2) A reduced total NADP/NADPH pool size and impaired conversion of NADP to NADPH (low NADPH), with broad effects. The reported exception (#4) is where aluminium is not elevated. 3) Constraints on glycolysis and glycogen synthesis, gluconeogenesis. 4) Altered pyruvate and/or lactate levels, ratio. 5) Constraints on the pentose phosphate pathway and downstream PRPP synthesis. 6) Impairments in purine and pyrimidine metabolism, Cell Danger Response. 7) Oxidative stress. 8) TCA cycle alterations and constraints. 9) Issues with NAD+ synthesis and redox. 10) Reduced carnitine synthesis and associated carnitine-shuttle constraints. 11) Elevated glutamate relative to low GABA, except where severe induced malnutrition constrains glutamate synthesis. 12) Issues with glutathione metabolism. 13) Issues involving magnesium and Mg-ATP. 14) Urea-cycle and nitric oxide synthase impairments, with potential effects on vascular tone. 15) Dysregulated neurotransmitter synthesis and degradation. 16) Impaired conversion of choline to betaine. 17) Impaired methylation and associated SAMe, glycine, and cysteine metabolism. 18) Impaired creatine synthesis. Importantly, you can see coherence between the tests and inferred causality for pathway alterations. When you consider these metabolic alterations in specific cells / tissues - brain, liver, kidneys, thyroid, immune, etc., it becomes much easier to understand how mitochondrial dysfunction creates systemic impacts and a progressive cascade.
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Metformin - Fasting in a pill. Pushes cells to recycle better. Pushes body toward “conserve/repair” mode. Clinically helpful with additional approaches in long covid inflamed state too.
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Low dose makes sense for the anti inflammatory / cell part recycling effect. For mecfs and long covid, many Use 500mg / day. (Education, not treatment advice)
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John Haughton MD, MS 🌻 retweeted
Replying to @doc4care
Let us challenge standpoints, assumptions or hypotheses. Let’s be critical about the real progress in that space over the years. But do not create (verbal) violence and threats. This is applicable for all people involved. Whether you are a patient, a researcher, an advocate or whatever you role is…! Let’s stay calm and solve LongCovid.
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Differences exist. They will and they should when we dont know all the answers. What David and others have dealt with over the past few days is unacceptable. We are all in this together, patient, clinicians, researchers - including some cross over in the 3 groups. 🔔 improv says “yes, and”. It keeps the conversation/dialog moving forward ——— “no but”; “choose this or that” before the answers are known - 🔔weakens the field and slows progress - fighting inside rather than getting resources and information from outside. Choose “yes and”. @PutrinoLab
Replying to @PutrinoLab
the last few days at a conference being quietly shadowed by 4 security guards because the Dutch police, independent of the conference, decided that there were credible threats of harm against me I can say that this hits home for me. I was also devastated to learn that similar 11/
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🔔Full tissue healing needs “fixing” AND “remodeling”. (Same with broken bones and with full thickness skin into tissue wounds.
Replying to @bitonm
We identify collagen XVIII as an important link between persistent ECM remodeling, altered stem-cell behavior, and chronic inflammation. Our findings suggest that recovery may require repairing not only the cells—but also the environment they return to.
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Discussion on”severity”, steps and measurements in mecfs. 🔔Shows - the words “mild moderate and severe” are very CONTEXT SPECIFIC on measurements. (If a study does not have bedbound/housebound measured, its lower number is higher than #RenegadeResearch
#ME advocates, what's ur take on this paper stating Mild ME subjects took >8K, Moderate >5K & Severe just over 2K steps/day? If true I'm biased by hearing about extremely severe cases. I overdid it in June/July & I'm down 50%->2.2K/d avg = homebound/severe per paper. 1/3
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🔔Long Covid continues to affect some people’s ability to work. That said, 🔔it is possible for many, not all, to go through steps of healing and functional gain to get back to some kind of satisfying productivity or work. @RenegadeRes
For people with ME/CFS, 63% are unable to work because of their illness. Among people with POTS, 72% have had to modify their jobs. Long COVID cost the equivalent of 2.3 million full-time jobs in 2023 and $218 billion in lost earnings. More than 400 million people worldwide live with Long COVID alone, which is more than the entire U.S. population of 343 million. Let that sink in.
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Great way to get up to date info on mecfs and related conditions from those working on it Ron Davis’ community symposium on mecfs
Register for the community symposium on Friday, Sept 11 starting at 8am PT. It's free. stanford.zoom.us/webinar/reg…
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