Dr H's New Book 'Ending Chronic Illness' Is Available For Preorder!

References

The following list of scientific references were used in the writing of Ending Chronic Illness by Dr Richard Horowitz. The extensive number of peer-reviewed articles made it impossible to put these in the hardcover edition (without adding another 100 pages to the book!), so we are listing them here. These scientific references will provide, chapter by chapter, the scientific basis for the diagnostic and therapeutic recommendations in Ending Chronic Illness. They include both classical and natural/integrative/functional medicine approaches to Dr H's cutting edge paradigm shift found in Ending Chronic Illness with regards to how to best diagnose and treat resistant chronic symptoms/illness.

Horowitz, R.I.; Fallon, J.; Freeman, P.R. Combining Double-Dose and High-Dose Pulsed Dapsone Combination Therapy for Chronic Lyme Disease/Post-Treatment Lyme Disease Syndrome and Co-Infections, Including Bartonella: A Report of 3 Cases and a Literature Review. Microorganisms 2024, 12, 909. https://doi.org/10.3390/microorganisms12050909

Horowitz, R.I.; Fallon, J.; Freeman, P.R. Comparison of the Efficacy of Longer versus Shorter Pulsed High Dose Dapsone Combination Therapy in the Treatment of Chronic Lyme Disease/Post Treatment Lyme Disease Syndrome with Bartonellosis and Associated Coinfections. Microorganisms 2023, 11, 2301. https://doi.org/10.3390/microorganisms11092301

Horowitz, RI. How “long covid” is shedding light on postviral syndromes

BMJ 2022; 378 doi: https://doi.org/10.1136/bmj.o2188 (Published 21 September 2022)Cite this as: BMJ 2022;378:o2188

Horowitz RI, Freeman PR. Efficacy of Short-Term High Dose Pulsed Dapsone Combination Therapy in the Treatment of Chronic Lyme Disease/Post-Treatment Lyme Disease Syndrome (PTLDS) and Associated Co-Infections: A Report of Three Cases and Literature Review. Antibiotics. 2022; 11(7):912. https://doi.org/10.3390/antibiotics11070912

Horowitz, R.I.; Freeman, P.R. Efficacy of Short-Term High Dose Pulsed Dapsone Combination Therapy in the Treatment of Chronic Lyme Disease/Post-Treatment Lyme Disease Syndrome (PTLDS) and Associated Co-infections: A Report of Three Cases and Literature Review. Preprints 2022, 2022040296 (doi: 10.20944/preprints202204.0296.v1).

Horowitz, R.I.; Freeman, P.R. Efficacy of Double-Dose Dapsone Combination Therapy in the Treatment of Chronic Lyme Disease/Post-Treatment Lyme Disease Syndrome (PTLDS) and Associated Co-infections: A Report of Three Cases and Retrospective Chart Review. Antibiotics 2020, 9, 725. https://doi.org/10.3390/antibiotics9110725

Horowitz, R.I., Murali, K., Gaur, G. et al. Effect of dapsone alone and in combination with intracellular antibiotics against the biofilm form of B. burgdorferi. BMC Res Notes 13, 455 (2020). https://doi.org/10.1186/s13104-020-05298-6

https://bmcresnotes.biomedcentral.com/articles/10.1186/s13104-020-05298-6?fbclid=IwAR0qt8lyjHfOYlC_Z5k_a4DGxa49sYned_6xC8mRz66m2Wirekb0MX0vBRA#citeas

Shah, J.S.; Mark, O.; Caoili, E.; Poruri, A.; Horowitz, R.I.; Ashbaugh, A.D.; Ramasamy, R. A Fluorescence in Situ Hybridization (FISH) Test for Diagnosing Babesiosis. Diagnostics 2020, 10, 377. https://www.mdpi.com/2075-4418/10/6/377

Abstract: https://www.mdpi.com/2075-4418/10/6/377

HTML Version: https://www.mdpi.com/2075-4418/10/6/377/htm

PDF Version: https://www.mdpi.com/2075-4418/10/6/377/pdf

R.I. Horowitz, P.R. Freeman, Three Novel Prevention, Diagnostic and Treatment Options for COVID-19 Urgently Necessitating Controlled Randomized Trials, Medical Hypotheses (2020)

https://www.sciencedirect.com/science/article/pii/S0306987720308276?via%3Dihub

Horowitz, R.I.,  Freeman P, Bruzzese, J. Efficacy of glutathione therapy in relieving dyspnea associated with COVID-19 pneumonia: A report of 2 cases. Respiratory Medicine Case Reports, April 21, 2020. Article Number: 101063

https://doi.org/10.1016/j.rmcr.2020.101063

Horowitz R, Freeman PR. Healthy Fetal Outcomes using a Novel Treatment for Maternal Lyme Disease and Babesiosis During Consecutive Pregnancies: A Case Study and Literature Review. Arch Med Case Rep. 2020; 2(1): 1-19.

https://www.scientificarchives.com/admin/assets/articles/pdf/healthy-fetal-outcomes-using-a-novel-treatment-for-maternal-lyme-disease-and-babesiosis-during-consecutive-pregnancies-a-case-study-and-literature-review-20200205050242.pdf

Horowitz, R.I., The Global Rise of Chronic Diseases: Why Broaden the Paradigm to Include Tick-borne Illness and Environmental Toxin Exposure? Arch Med Case Rep. 2019, Volume 1, Issue 1. https://www.scientificarchives.com/admin/assets/articles/pdf/the-global-rise-of-chronic-diseases-why-broaden-the-paradigm-to-include-tick-borne-illness-and-environmental-toxin-exposure-20191222051232.pdf

Horowitz, R.I.; Freeman, P.R. Precision Medicine: retrospective chart review and data analysis of 200 patients on dapsone combination therapy for chronic Lyme disease/post-treatment Lyme disease syndrome: part 1. International Journal of General Medicine 2019:12 101–119

https://www.dovepress.com/precision-medicine-retrospective-chart-review-and-data-analysis-of-200-peer-reviewed-article-IJGM

https://www.ncbi.nlm.nih.gov/pubmed/30863136

https://www.ncbi.nlm.nih.gov/pubmed/30863136?fbclid=IwAR11hYFa6D-ufSwXztzUEdI9a36vh_90K4Lhu5HN6N-MPMHKzNWt1ldoDyI

Horowitz, R.I.; Freeman, P.R. Precision Medicine: The Role of the MSIDS Model in Defining, Diagnosing, and Treating Chronic Lyme Disease/Post Treatment Lyme Disease Syndrome and Other Chronic Illness: Part 2. Healthcare 2018, 6, 129.

https://www.ncbi.nlm.nih.gov/pubmed/30400667

Abstract: http://www.mdpi.com/2227-9032/6/4/129/
PDF Version: http://www.mdpi.com/2227-9032/6/4/129/pdf


Improvement of common variable immunodeficiency using embryonic stem cell therapy in a patient with lyme disease: a clinical case report. Richard Horowitz, Phyllis R. Freeman. Clinical Case Report, Open Access, Wiley and sons. doi: 10.1002/ccr3.1556. https://onlinelibrary.wiley.com/doi/abs/10.1002/ccr3.1556

Horowitz R, Lacout A, Marcy PY, Perronne C, To test or not to test? Laboratory support for the diagnosis of Lyme borreliosis. Clin Microbiol Infect. 2017 Oct 10. pii: S1198-743X(17)30528-1. doi: 10.1016/j.cmi.2017.09.015. [Epub ahead of print]

https://www.ncbi.nlm.nih.gov/pubmed/29030171/

http://www.clinicalmicrobiologyandinfection.com/article/S1198-743X(17)30528-1/fulltext

Empirical Validation of the Horowitz Multiple Systemic Infectious Disease Syndrome Questionnaire for Suspected Lyme Disease. Maryalice Citera*, Ph.D., Phyllis R. Freeman2, Ph.D., Richard I. Horowitz2, M.D., International Journal of General Medicine 2017:10 249–273

https://www.dovepress.com/empirical-validation-of-the-horowitz-multiple-systemic-infectious-dise-peer-reviewed-fulltext-article-IJGM

http://www.ncbi.nlm.nih.gov/pubmed/28919803

Horowitz RI, Freeman PR (2016) Are Mycobacterium Drugs Effective for Treatment Resistant Lyme Disease, Tick-Borne Co-Infections, and Autoimmune Disease?. JSM Arthritis 1(2): 1008.

Horowitz RI, Freeman PR (2016) The Use of Dapsone as a Novel “Persister” Drug in the Treatment of Chronic Lyme Disease/Post Treatment Lyme Disease Syndrome.  J Clin Exp Dermatol Res 7: 345. doi:10.4172/2155-9554.1000345

Letters: Lyme disease: time to shift the paradigm. Approach to diagnosing Lyme disease misses a large proportion of cases, Dr Richard Horowitz BMJ 2016; 352 doi: http://dx.doi.org/10.1136/bmj.i113 (Published 13 January 2016)

Cite this as: BMJ 2016;352:i113

Clinical Roundup: Selected Treatment Options for Lyme disease: Multiple Causative Factors in    

Chronic Disease. Alt and Compl Therapies. DOI:10. 1089/act.2012.18407. Mary Ann Liebert, Inc.

Vol 18, No.4 Aug 2012.     

http://online.liebertpub.com/doi/abs/10.1089/act.2012.18407?journalCode=act

Human Babesiosis and Ehrlichiosis-Current Status. Shah, J., Horowitz, R., Eur Infect Dis, Vol 6,

Issue 1, Spring 2012

Pain-Management Strategies In the Chronically Ill Lyme Disease Patient, Horowitz, R., P T. 2012 Apr; 37(4): 247–248

Coinfection with Borrelia burgdorferi and Babesia microti: bad or worse? Stricker RB, Burrascano             

JJ, Harris NS, Horowitz R, Johnson L, Smith PV, Phillips SE. J Infect Dis. 2006 Mar 15;193(6):901-                       

2; author reply 902. PMID: 16479529            

Mycoplasma Species in Ticks. Sapi, E, Horowitz, R: Awaiting Publication

Controversy brewing over Lyme Disease testing. Phillips, Burrasano, Horowitz, Savely, Stricker

The Lancet, Vol 6 March 2006

Rash Discussions about STARI and Lyme Disease. Stricker, Horowitz, et. al. Clinical Infectious Disease, January 15, 2006 V42i2 p 306.

Possible role of tick-borne infection in "cat-scratch disease": comment on the article by Giladi et al.

Stricker RB, Brewer JH, Burrascano JJ, Horowitz R, Johnson L, Phillips SE, Savely VR, Sherr VT.

Arthritis Rheum. 2006 Jul;54(7):2347-8.  PMID: 16802385

Lyme Disease: Scratching the Surface.  Phillips, Harris, Horowitz, Johnson, Stricker.  The Lancet.  Vol.  2005 November 19

Evidence-based guidelines for the management of Lyme Disease. Cameron, Horowitz, et al. Expert Review of Anti-Infective Therapy 2(1) 2004

Bartonella Henselae: Limitations of Serological Testing: Evaluation of Elisa and Polymerase Chain Reaction Testing In a

Cohort of Lyme Disease Patients and Implications for Treatment. Horowitz R.I., M.D. et.al. Abstract, 16th International Scientific Conference on Lyme Disease & Other Tick-Borne Disorders. Hartford, Connecticut, June 2003.

Borrelia Burgdorferi & Bartonella Henselae: A Study Comparing Tetracyclines In Combination with Quinolones in Co-Infected Patients. Horowitz R.I.,M.D. et.al. Abstract, 16th International Scientific Conference on Lyme Disease & Other Tick-Borne Disorders. Hartford, Connecticut, June 2003.

Mycoplasma Infections in Chronic Lyme Disease: A Retrospective Analysis of Co-Infection and Persistence Demonstrated by PCR Analysis Despite Long Term Antibiotic Treatment. Horowitz R.I.,M.D. et.al. Abstract, 16th International Scientific Conference on Lyme Disease & Other Tick-Borne Disorders. Hartford, Connecticut, June 2003.

A Prospective Study of Heavy Metal Exposure Among Lyme Disease Patients with Chronic Persistent Symptomatology: Implications for Treatment. Horowitz R.I.,M.D. et.al. Abstract, 16th International Scientific Conference on Lyme Disease & Other Tick-Borne Disorders. Hartford, Connecticut, June 2003.

Lyme Disease and Pregnancy: Implications of Chronic Infection, PCR Testing and Prenatal Treatment. Horowitz R.I. et.al. Abstract, 16th International Scientific Conference on Lyme Disease & Other Tick-Borne Disorders. Hartford, Connecticut, June 2003.

Effects of Shifting the Acid-Base Balance Among Lyme Patients during Jarish Herxheimer Flares: A Small Prospective Study. Horowitz R.I.,M.D. et.al. Abstract, 16th International Scientific Conference on Lyme Disease & Other Tick-Borne Disorders. Hartford, Connecticut, June 2003.

Lyme Disease and Babesiosis: New Therapeutic Options for Chronic Persistent Disease. Horowitz R.I.,M.D.. Abstract, 13th Annual International Scientific Conference on Lyme Disease and other Tick-Borne Disorders. Hartford, Connecticut, March 25-26,2000.

Mefloquinine and Artemesia: A Prospective Trial of Combination Therapy in Chronic Babesiosis Horowitz R.I.,M.D.. Abstract, 13th Annual International Scientific Conference on Lyme Disease and other Tick-Borne Disorders. Hartford, Connecticut, March 25-26,2000.

Chronic Persistent Lyme Borreliosis: PCR Evidence of Chronic Infection Despite Extended Antibiotic Therapy- A Retrospective Review Horowitz R.I.,M.D.. Abstract, 13th Annual International Scientific Conference on Lyme Disease and other Tick-Borne Disorders. Hartford, Connecticut, March 25-26,2000.

Chronic Lyme Disease: A Symptom Complex of Multiple Co-Infections: New Diagnostic & Treatment Protocols. Horowitz, R.I.,M.D. 12th International Conference on Lyme Disease and Other Spirochetal and Tick-BorneDisorders, April 9-10, 1999. New York, New York.

Bicillin Therapy and Lyme Disease: A Retrospective Study of the Safety and Efficacy of High Dose Intramuscular Bicillin in the Treatment of Chronic resistant Lyme Disease. Horowitz, R.I., M.D. 12th International Conference on Lyme Disease and Other Spirochetal and Tick-Borne Disorders, April 9-10, 1999. New York, New York

High Dose Trimethoprim-Sulfamethoxatole Therapy: A Useful Adjunct to Combination Therapy in the Treatment of Resistant Babesiosis. Horowitz, R.I., M.D. 12th International Conference on Lyme Disease and Other Spirochetal and Tick-Borne Disorders, April 9-10, 1999. New York, New York

Metronidazole Therapy in the Treatment of Chronic Lyme Disease. Horowitz, R.I., M.D. 12th International Conference on Lyme Disease and Other Spirochetal and Tick-Borne Disorders, April 9-10, 1999. New York, New York.

Chronic Persistent Babesiosis after Acute Treatment with Cleocin and quinine, and Atovaquone and Azithromycin Horowitz, R.I., M.D. 12th International Conference on Lyme Disease and Other Spirochetal and Tick-Borne Disorders, April 9-10, 1999. New York, New York

Babesiosis in Upstate New York: PCR and RNA Evidence of Co-Infection with Babesia Microti Among IxodidaeTicks in Dutchess County, NY. Horowitz, R.I., M.D. 12th International Conference on Lyme Disease and Other Spirochetal and Tick-Borne Disorders, April 9-10, 1999. New York, New York

Atovaquone and Azithromycin Therapy: A New Treatment Protocol for Babesiosis in Co-Infected Lyme Patients. Horowitz, R.I., M.D. 11th International Conference on Lyme Disease and Other Spirochetal and Tick-Borne Disorders, April 25-26, 1998. New York, New York.

Alternative Therapies, 5 (5), 30-31: Rainbow Healing Arts Center: Integrating the Science of Medicine with the Art of Healing. Horowitz, R.I., M.D., September 1999.

Developmental Genetics, Int. J. Insect Morphol Embryol, 7 (4), 359-375: A mutation that affects female and male germ cells differently in Drosophila Melanogaster Meign. King, Bahns, Horowitz, Larramendi. Pergamon Press, 1978

Validation of the Horowitz Multiple Systemic Infectious Disease Syndrome Questionnaire for Suspected Lyme Disease. Maryalice Citera*, Ph.D., Phyllis R. Freeman2, Ph.D., Richard I. Horowitz2, M.D., International Journal of General Medicine 2017:10 249–273.

INTRODUCTION

Mora, C., McKenzie, T., Gaw, I.M. et al. Over half of known human pathogenic diseases can be aggravated by climate change. Nat. Clim. Chang. 12, 869–875 (2022). https://doi.org/10.1038/s41558-022-01426-1; https://www.nature.com/articles/s41558-022-01426-1

Tardo AC, McDaniel CE and Embers ME (2023). Superior efficacy of combination antibiotic therapy versus monotherapy in a mouse model of Lyme disease. Front. Microbiol. 14:1293300. doi: 10.3389/fmicb.2023.1293300

https://www.frontiersin.org/articles/10.3389/fmicb.2023.1293300/full

Flora Graham. Daily briefing: At least 65 million people have long COVID. Nature. 17 Jan 2023. https://www.nature.com/articles/d41586-023-00114-0#:~:text=At%20least%2065%20million%20people%20worldwide%20are%20estimated%20to%20have,will%20experience%20long%2Dlasting%20symptoms.

Dong Y, Zhou G, Cao W, et alGlobal seroprevalence and sociodemographic characteristics of Borrelia burgdorferi sensu lato in human populations: a systematic review and meta-analysisBMJ Global Health 2022;7:e007744.

Jeffrey Kluger, Nearly 15% of People Worldwide Have Had Lyme Disease, Study Says. Time. June 14, 2022. https://time.com/6187215/lyme-disease-more-common/

How Many People Get Lyme Disease? Lyme Disease. CDC. https://www.cdc.gov/lyme/stats/humancases.html

Advancing ME/CFS Research. National Institutes of Health. NIH.gov. https://www.nih.gov/mecfs/about-mecfs#:~:text=According%20to%20the%20CDC%20%2C%20836%2C000,pre%2Ddisease%20level%20of%20functioning.

Autoimmune Diseases. National Institute of Environmental Health Sciences. NIH. https://www.niehs.nih.gov/health/topics/conditions/autoimmune/index.cfm#footnote1

Prevalence of MS More Than Doubles Estimate. National Multiple Sclerosis Society. https://www.nationalmssociety.org/About-the-Society/MS-Prevalence#:~:text=A%20study%20funded%20by%20the,than%20twice%20the%20original%20estimate

Maggie. Fox. New estimate says 46 million Americans headed to Alzheimer's. NBC News. Dec 7, 2017. https://www.nbcnews.com/health/health-news/new-estimate-says-46-million-americans-headed-alzheimer-s-n827456

Parkinson's Disease: Challenges, Progress, and Promise. National Institute of Neurological Disorders and Stroke. NIH. https://www.ninds.nih.gov/current-research/focus-disorders/focus-parkinsons-disease-research/parkinsons-disease-challenges-progress-and-promise#:~:text=Approximately%20500%2C000%20Americans%20are%20diagnosed,1%20million%20Americans%20have%20PD.

Key Findings: CDC Releases First Estimates of the Number of Adults Living with Autism Spectrum Disorder in the United States. CDC. https://www.cdc.gov/ncbddd/autism/features/adults-living-with-autism-spectrum-disorder.html

Mental Illness. National Institute of Mental Health. NIH. https://www.nimh.nih.gov/health/statistics/mental-illness#:~:text=Mental%20illnesses%20are%20common%20in,mild%20to%20moderate%20to%20severe

Chronic Pain Among Adults — United States, 2019–2021. CDC. Apr 14, 2023. https://www.cdc.gov/mmwr/volumes/72/wr/mm7215a1.htm#:~:text=health%20status%20characteristics.During%202021%2C%20an%20estimated%2020.9%25%20of%20U.S.%20adults%20(51.6,experienced%20high%2Dimpact%20chronic%20pain.

Jiang, Y., Xu, T., Mao, F. et al. The prevalence and management of chronic pain in the Chinese population: findings from the China Pain Health Index (2020). Popul Health Metrics 20, 20 (2022). https://doi.org/10.1186/s12963-022-00297-0

Singh H, Meyer AN, Thomas EJ. The frequency of diagnostic errors in outpatient care: estimations from three large observational studies involving US adult populations. BMJ Qual Saf. 2014 Sep;23(9):727-31. doi: 10.1136/bmjqs-2013-002627. Epub 2014 Apr 17. PMID: 24742777; PMCID: PMC4145460.

https://qualitysafety.bmj.com/content/23/9/727

Tardo AC, McDaniel CE and Embers ME (2023). Superior efficacy of combination antibiotic therapy versus monotherapy in a mouse model of Lyme disease. Front. Microbiol. 14:1293300. doi:

10.3389/fmicb.2023.1293300

https://www.frontiersin.org/articles/10.3389/fmicb.2023.1293300/full

https://www.cdc.gov/chronic-disease/about/index.html

https://www.cms.gov/data-research/statistics-trends-and-reports/national-health-expenditure-data

https://www.rand.org/pubs/tools/TL221.html

CHAPTER 1 The 16-Point MSIDS Map and Questionnaire

Horowitz, R.I.; Freeman, P.R. Precision Medicine: The Role of the MSIDS Model in Defining, Diagnosing, and Treating Chronic Lyme Disease/Post Treatment Lyme Disease Syndrome and Other Chronic Illness: Part 2. Healthcare 2018, 6, 129. https://doi.org/10.3390/healthcare6040129

Validation of the Horowitz Multiple Systemic Infectious Disease Syndrome Questionnaire for Suspected Lyme Disease. Maryalice Citera*, Ph.D., Phyllis R. Freeman2, Ph.D., Richard I. Horowitz2, M.D., International Journal of General Medicine 2017:10 249–273.

https://cangetbetter.com/wp-content/uploads/2021/02/MSIDS-QUESTIONNAIRE-FINALR.pdf

https://lymeconnection.org/support_and_resources/meet_the_lyme_disease_experts.html/title/dr-richard-horowitz-latest-treatments-in-lyme-disease

https://projectlyme.org/use-of-double-dapsone-to-treat-lyme-disease-w-dr-richard-horowitz/

https://www.audible.com/pd/How-Can-I-Get-Better-Audiobook/B075JSBNBN?ipRedirectOverride=true&overrideBaseCountry=true&bp_o=true&language=en_US&source_code=GPAPP30DTRIAL5480813240005&gclsrc=aw.ds&gad_source=1&gad_campaignid=20983884474&gclid=Cj0KCQjw267GBhCSARIsAOjVJ4HqbwZrxlJ6v02H9TULw5_jqZ6ktlbQiVuDUcnhpc2NL64JCNuaWZcaAhZgEALw_wcB

https://www.amazon.com/dp/B01B1MWLVQ?ref=KC_GS_GB_US

https://us.macmillan.com/books/9781250070548/howcanigetbetter/

CHAPTER 2 The 3 I’: Immunity, Inflammation,and Infections

Note: For more specific references on immunity, see Chapter 12.

Horowitz, R.I.; Freeman, P.R. Precision Medicine: The Role of the MSIDS Model in Defining, Diagnosing, and Treating Chronic Lyme Disease/Post Treatment Lyme Disease Syndrome and Other Chronic Illness: Part 2. Healthcare 2018, 6, 129. https://doi.org/10.3390/healthcare6040129

https://www.who.int/news-room/fact-sheets/detail/the-top-10-causes-of-death

https://www.science.org/doi/10.1126/science.adn5421

https://www.sciencedirect.com/science/article/pii/S0889159124005725?via%3Dihub

Open Neurol J. 2012:6:88-93. doi: 10.2174/1874205X01206010088. Epub 2012 Oct 5.

The psychoimmunology of lyme/tick-borne diseases and its association with neuropsychiatric symptoms

https://www.cdc.gov/sth/about/

https://www.who.int/news-room/fact-sheets/detail/antimicrobial-resistance

https://www.archives.gov/exhibits/influenza-epidemic/

https://www.who.int/news-room/fact-sheets/detail/measles#:~:text=Before%20the%20introduction%20of%20measles,2.6%20million%20deaths%20each%20year.

https://www.who.int/news-room/fact-sheets/detail/measles#:~:text=Before%20the%20introduction%20of%20measles,2.6%20million%20deaths%20each%20year.

Cheslock MA, Embers ME. Human Bartonellosis: An Underappreciated Public Health Problem? Trop Med Infect Dis. 2019 Apr 19;4(2):69. doi: 10.3390/tropicalmed4020069. PMID: 31010191; PMCID: PMC6630881.

Yirima, Raz. The inflammatory underpinning of depression: An historical perspective.

https://www.sciencedirect.com/science/article/pii/S0889159124005725?via%3Dihub

Cameron DJ, McWhinney SR. Consequences of Contracting COVID-19 or Taking the COVID-19 Vaccine for Individuals with a History of Lyme Disease. Antibiotics (Basel). 2023 Mar 1;12(3):493. doi: 10.3390/antibiotics12030493. PMID: 36978360; PMCID: PMC10044022.

https://pubmed.ncbi.nlm.nih.gov/36978360/

https://www.cdc.gov/vaccine-safety/about/thimerosal.html

https://www.fda.gov/vaccines-blood-biologics/safety-availability-biologics/common-ingredients-fda-approved-vaccines

Facciolà A, Visalli G, Laganà A, Di Pietro A. An Overview of Vaccine Adjuvants: Current Evidence and Future Perspectives. Vaccines (Basel). 2022 May 22;10(5):819. doi: 10.3390/vaccines10050819. PMID: 35632575; PMCID: PMC9147349.

https://pmc.ncbi.nlm.nih.gov/articles/PMC9147349/

Daley MF, Reifler LM, Glanz JM, Hambidge SJ, Getahun D, Irving SA, Nordin JD, McClure DL, Klein NP, Jackson ML, Kamidani S, Duffy J, DeStefano F. Association Between Aluminum Exposure From Vaccines Before Age 24 Months and Persistent Asthma at Age 24 to 59 Months. Acad Pediatr. 2023 Jan-Feb;23(1):37-46. doi: 10.1016/j.acap.2022.08.006. Epub 2022 Sep 28. PMID: 36180331; PMCID: PMC10109516.

Gherardi RK, Crépeaux G, Authier FJ. Myalgia and chronic fatigue syndrome following immunization: macrophagic myofasciitis and animal studies support linkage to aluminum adjuvant persistency and diffusion in the immune system. Autoimmun Rev. 2019 Jul;18(7):691-705. doi: 10.1016/j.autrev.2019.05.006. Epub 2019 May 4. PMID: 31059838.

https://pubmed.ncbi.nlm.nih.gov/31059838/

Dórea JG. Exposure to mercury and aluminum in early life: developmental vulnerability as a modifying factor in neurologic and immunologic effects. Int J Environ Res Public Health. 2015 Jan 23;12(2):1295-313. doi: 10.3390/ijerph120201295. PMID: 25625408; PMCID: PMC4344667.

https://pmc.ncbi.nlm.nih.gov/articles/PMC4344667/

https://www.chop.edu/vaccine-education-center/vaccine-safety/vaccine-ingredients/thimerosal

László G. Boros et al. Long-lasting, biochemically modified mRNA, and its frameshifted recombinant spike proteins in human tissues and circulation after COVID-19 vaccination. Pharmacology Research and Prospectives. 12 June 2024

https://doi.org/10.1002/prp2.1218

Horowitz, R.I.; Fallon, J.; Freeman, P.R. Combining Double-Dose and High-Dose Pulsed Dapsone Combination Therapy for Chronic Lyme Disease/Post-Treatment Lyme Disease Syndrome and Co-Infections, Including Bartonella: A Report of 3 Cases and a Literature Review. Microorganisms 2024, 12, 909. https://doi.org/10.3390/microorganisms12050909

Lives saved by COVID‐19 vaccines. J Paediatr Child Health. 2022 Sep 20:10.1111/jpc.16213. doi: 10.1111/jpc.16213. PMCID: PMC9537923.

https://pmc.ncbi.nlm.nih.gov/articles/PMC9537923/

Aldén M, Olofsson Falla F, Yang D, Barghouth M, Luan C, Rasmussen M, De Marinis Y. Intracellular Reverse Transcription of Pfizer BioNTech COVID-19 mRNA Vaccine BNT162b2 In Vitro in Human Liver Cell Line. Curr Issues Mol Biol. 2022 Feb 25;44(3):1115-1126. doi: 10.3390/cimb44030073. PMID: 35723296; PMCID: PMC8946961.

https://ir.novavax.com/press-releases/2024-08-30-Novavax-2024-2025-Formula-COVID-19-Vaccine-Now-Authorized-and-Recommended-for-Use-in-the-U-S#:~:text=When%20added%20to%20vaccines%2C%20Novavax's%20patented%20saponin%2Dbased,system%20response%2C%20making%2

Ho NI, Huis in 't Veld LGM, van Eck van der Sluijs J, et al. Saponin-based adjuvants enhance antigen cross-presentation in human CD11c+ CD1c+ CD5− CD163+ conventional type 2 dendritic cells

Journal for ImmunoTherapy of Cancer 2023;11:e007082. doi: 10.1136/jitc-2023-007082

https://jitc.bmj.com/content/11/8/e007082.citation-tools

Taquet, M., Dercon, Q., Todd, J.A. et al. The recombinant shingles vaccine is associated with lower risk of dementia. Nat Med 30, 2777–2781 (2024). https://doi.org/10.1038/s41591-024-03201-5

https://www.slma.cc/the-science-of-stress/#:~:text=According%20to%20the%20Center%20for,result%20of%20work%2Drelated%20stress.

https://www.hhs.gov/surgeongeneral/priorities/parents/index.html?utm_source=substack&utm_medium=email

https://www.hhs.gov/surgeongeneral/priorities/youth-mental-health/social-media/index.html?utm_source=osg+partner+email&utm_medium=osg+email&utm_campaign=osg+eng+partners

This odd couple could be the next gut health breakthrough. By MDLinx staff

Published August 25, 2025.

https://www.mdlinx.com/article/this-odd-couple-could-be-the-next-gut-health-breakthrough/6ZrkcloPR3xXkgWZFPts4O?show_order=1&utm_campaign=reg_daily-alert_250904_daily-nl-am-v4_registered-users-a180_all&utm_source=iterable&utm_medium=email

https://www.science.org/doi/10.1126/science.adn5421

https://www.sciencedirect.com/science/article/pii/S0889159124005725?via%3Dihub

Open Neurol J. 2012:6:88-93. doi: 10.2174/1874205X01206010088. Epub 2012 Oct 5.

The psychoimmunology of lyme/tick-borne diseases and its association with neuropsychiatric symptoms. Robert C. Brandsfield. PMCID: PMC3474947

DOI: 10.2174/1874205X01206010088

https://www.cdc.gov/sth/about/

https://www.who.int/news-room/fact-sheets/detail/measles#:~:text=Before%20the%20introduction%20of%20measles,2.6%20million%20deaths%20each%20year.

https://www.fda.gov/vaccines-blood-biologics/safety-availability-biologics/common-ingredients-fda-approved-vaccines

https://www.cdc.gov/vaccine-safety/about/thimerosal.html

https://www.chop.edu/vaccine-education-center/vaccine-safety/vaccine-ingredients/thimerosal

https://ir.novavax.com/press-releases/2024-08-30-Novavax-2024-2025-Formula-COVID-19-Vaccine-Now-Authorized-and-Recommended-for-Use-in-the-U-S#:~:text=When%20added%20to%20vaccines%2C%20Novavax's%20patented%20saponin%2Dbased,system%20response%2C%20making%2

Azzarone B, Landolina N, Mariotti FR, Moretta L, Maggi E. Soluble SARS-CoV-2 Spike glycoprotein: considering some potential pathogenic effects. Front Immunol. 2025 Jun 4;16:1616106. doi: 10.3389/fimmu.2025.1616106. PMID: 40534870; PMCID: PMC12174082.

Covian, C.; Fernandez-Fierro, A.; Retamal-Diaz, A.; Diaz, F.E.; Vasquez, A.E.; Lay, M.K.; Riedel, C.A.; Gonzalez, P.A.; Bueno, S.M.; Kalergis, A.M. BCG-Induced Cross-Protection and Development of Trained Immunity: Implication for Vaccine Design. Front. Immunol. 2019, 10, 2806.

Lynch SV, Boushey HA. The microbiome and development of allergic disease. Curr Opin Allergy Clin Immunol. 2016 Apr;16(2):165-71. doi: 10.1097/ACI.0000000000000255. PMID: 26885707; PMCID: PMC5378446.

Hu W, Lu W, Li L, Zhang H, Lee YK, Chen W, Zhao J. Both living and dead Faecalibacterium prausnitzii alleviate house dust mite-induced allergic asthma through the modulation of gut microbiota and short-chain fatty acid production. J Sci Food Agric. 2021 Oct;101(13):5563-5573. doi: 10.1002/jsfa.11207. Epub 2021

CHAPTER  3 Physical and Emotional Overwhelm

https://www.slma.cc/the-science-of-stress/#:~:text=According%20to%20the%20Center%20for,result%20of%20work%2Drelated%20stress.

https://www.hhs.gov/surgeongeneral/priorities/parents/index.html?utm_source=substack&utm_medium=email

https://www.hhs.gov/surgeongeneral/priorities/youth-mental-health/social-media/index.html?utm_source=osg+partner+email&utm_medium=osg+email&utm_campaign=osg+eng+partners

https://www.who.int/news-room/fact-sheets/detail/the-top-10-causes-of-death

https://www.science.org/doi/10.1126/science.adn5421

https://www.sciencedirect.com/science/article/pii/S0889159124005725?via%3Dihub

https://www.cdc.gov/niosh/docs/99-101/default.html

https://www.nimh.nih.gov/health/statistics/mental-illness

https://www.heart.org/en/health-topics/cardiomyopathy/what-is-cardiomyopathy-in-adults/is-broken-heart-syndrome-real

https://www.nccih.nih.gov/health/meditation-and-mindfulness-effectiveness-and-safety

Having a sense of purpose may protect against dementia

Published August 26, 2025 | Originally published on MedicalXpress Breaking News-

and-Events. https://www.mdlinx.com/news/having-a-sense-of-purpose-may-protect-against-

dementia/1xG6jbVgLoUHTsbEQSA6Ug?show_order=7&utm_campaign=reg_daily-

alert_250904_daily-nl-am-v4_registered-users-

a180_all&utm_source=iterable&utm_medium=email

CHAPTER 4 The Toxicity of Our World

https://www.washingtonpost.com/climate-environment/2024/09/16/more-than-3000-chemicals-food-packaging-have-infiltrated-our-bodies/?utm_campaign=wp_todays_headlines&utm_medium=email&utm_source=newsletter&wpisrc=nl_headlines&carta-url=https%3A%2F%2Fs2.wash

https://medicalxpress.com/news/2024-09-air-pollution-exposure-parkinson-disease.html?utm_source=nwletter&utm_medium=email&utm_campaign=daily-nwletter

https://www.mdlinx.com/news/research-links-wildfire-smoke-exposure-with-increased-dementia-risk/1LYexr6G8WcbQgRI3LDWSB?show_order=7&utm_campaign=reg_daily-alert_241129_daily-nl-am-v4_registered-users-a180&utm_source=iterable&utm_medium=email

Geueke, B., Parkinson, L.V., Groh, K.J. et al. Evidence for widespread human exposure to food contact chemicals. J Expo Sci Environ Epidemiol (2024). https://doi.org/10.1038/s41370-024-00718-2

https://www.nature.com/articles/s41370-024-00718-2#citeas

Potential mammary carcinogens: Implications for policy, enforcement, and prevention, Frontiers in Toxicology (2024). DOI: 10.3389/ftox.2024.1440331

The potential of micro and nanoplastics to exacerbate the health impacts and global burden of non-communicable diseases. Krause, Stefan et al. Cell Reports Medicine, Volume 5, Issue 6, 101581

ReviewVolume 5, Issue 6101581June 18, 2024

Wu D, et al. Pigment microparticles and microplastics found in human thrombi based on Raman spectral evidence. J Adv Res. 2023 Jul:49:141-150. doi: 10.1016/j.jare.2022.09.004. Epub 2022 Sep 15.

Microplastics and Nanoplastics in Atheromas and Cardiovascular Events

Authors: Raffaele Marfella, M.D., Ph.D. https://orcid.org/0000-0003-3960-9270, Francesco Prattichizzo, Ph.D., Celestino Sardu, M.D., Ph.D., Gianluca Fulgenzi, Ph.D., Laura Graciotti, Ph.D., Tatiana Spadoni, Ph.D., Nunzia D’Onofrio, Ph.D., +35, and Giuseppe Paolisso, M.D. Published March 6, 2024 N Engl J Med 2024;390:900-910

DOI: 10.1056/NEJMoa2309822

https://www.medicalnewstoday.com/articles/what-do-we-know-about-microplastics-in-food?slot_pos=article_3&utm_source=Sailthru%20Email&utm_medium=Email&utm_campaign=MNT%20Daily%20News&utm_content=2024-05-23&apid=32244581&rvid=b53776ea4aeefbff046accba854e15 Sophie V. L. Leonard, Catriona R. Liddle, Charlotte A. Atherall, Emma Chapman, Matthew Watkins, Simon D. J. Calaminus, Jeanette M. Rotchell, Microplastics in human blood: Polymer types, concentrations and characterisation using μFTIR, Environment International, Volume 188, 2024,108751,ISSN 0160-4120, https://doi.org/10.1016/j.envint.2024.108751.

https://www.nasa.gov/news-release/nasa-analysis-confirms-2023-as-warmest-year-on-record/

https://www.who.int/news-room/fact-sheets/detail/climate-change-heat-and-health

https://time.com/6303020/chronic-kidney-disease-climate-change/

https://iris.paho.org/handle/10665.2/51826

El-Sayed A, Kamel M. Future threat from the past. Environ Sci Pollut Res Int. 2021 Jan;28(2):1287-1291. doi: 10.1007/s11356-020-11234-9. Epub 2020 Oct 17. PMID: 33068243; PMCID: PMC7567650.

https://wmo.int/publication-series/state-of-global-water-resources-2023

https://www.drought.gov/current-conditions

https://www.fairobserver.com/world-news/india-news/india-now-faces-a-scary-water-crisis/#

Horowitz, R.I.; Freeman, P.R. Precision Medicine: The Role of the MSIDS Model in Defining, Diagnosing, and Treating Chronic Lyme Disease/Post Treatment Lyme Disease Syndrome and Other Chronic Illness: Part 2. Healthcare 2018, 6, 129.

https://www.ncbi.nlm.nih.gov/pubmed/30400667

https://www.theguardian.com/us-news/2024/oct/19/pesticide-neonicotinoids-brain-development

https://defenders.org/blog/2022/07/animals-brink-of-extinction

https://www.science.org/doi/10.1126/science.aaw1313

https://www.cdc.gov/environmental-exposure-report/about/index.html.

A pilot study of pesticides and PCBs in the breast milk of women residing in urban and agricultural communities of California

Rosana Hernandez Weldon,a   Dana Boyd Barr,b   Celina Trujillo,a   Asa Bradman,a   Nina Hollanda  and  Brenda Eskenazi*a 

Journal of Environmental Monitoring, Issue 11, 2011

https://pubs.rsc.org/en/content/articlelanding/2011/em/c1em10469a

  1. Environ. Monit., 2011,13, 3136-3144

https://blog.nationalarchives.gov.uk/the-great-smog-of-1952/#:~:text=The%20type%20of%20fog%2C%20containing,and%20the%20use%20of%20transportation.

Exposure to air pollution during pregnancy increases postpartum depression risk for at least 3 years, study finds. Published September 13, 2024 | Originally published on MedicalXpress Breaking News-and-Events

https://www.mdlinx.com/news/exposure-to-air-pollution-during-pregnancy-increases-postpartum-depression-risk-for-at-least-three/4ismSZPaPQCez1bhkVMFRe?show_order=4&utm_campaign=reg_daily-alert_240914_daily-nl-am-v4_registered-users-a180&utm_source=iterabl

https://truthout.org/articles/its-not-just-biolab-major-chemical-accidents-are-alarmingly-common-in-the-us

https://www.ysi.com/ysi-blog/water-blogged-blog/2024/07/how-toxic-chemicals-are-derailing-our-future#:~:text=History%20of%20Train%20Derailments%20in%20the%20United%20States&text=However%2C%20a%20small%E2%80%94but%20significant,Of%20those%3A&text=136%20le

https://css.umich.edu/publications/factsheets/sustainability-indicators/carbon-footprint-factsheet

https://www.theguardian.com/wellness/2024/oct/08/halloween-costumes-toxic-chemical-bpa-fast-fashion

https://static.ewg.org/pdf/EWG_GlyphosateinFood-Guide_C02.pdf

https://www.env-health.org/campaigns/glyphosate-why-the-eu-needs-to-protect-health-ban-the-popular-weedkiller/#:~:text=Exposure%20to%20glyphosate%2Dbased%20pesticides,passed%20down%20to%20other%20generations

Popular alternative sweetener linked to stroke and heart attack risks. By Lisa Marie Basile  Published August 15, 2024

https://www.mdlinx.com/article/popular-alternative-sweetener-linked-to-stroke-and-heart-attack-risks/1HCmZlwR46w2PATeqqXDVq?show_order=1&utm_campaign=reg_evening-edition_240817_daily-nl-pm-v4_registered-users-a180&utm_source=iterable&utm_medium=email

Witkowski M, Wilcox J, Province V, et al. Ingestion of the non-nutritive sweetener erythritol, but not glucose, enhances platelet reactivity and thrombosis potential in healthy volunteers. ATVB.

https://www.medicalnewstoday.com/articles/artificially-sweetened-diet-drinks-linked-to-atrial-fibrillation-risk?utm_source=Sailthru%20Email&utm_medium=Email&utm_campaign=dedicated&utm_content=2024-03-10&apid=32244581&rvid=b53776ea4aeefbff046accba854e1598

Sweetened Beverages, Genetic Susceptibility, and Incident Atrial Fibrillation: A Prospective Cohort Study

Ying Sun, MD https://orcid.org/0000-0002-8529-3521, Bowei Yu, MD https://orcid.org/0009-0001-7056-400X, Yuefeng Yu, MD https://orcid.org/0000-0001-7439-4231, Bin Wang, PhD https://orcid.org/0000-0002-4869-1352, Xiao Tan, PhD https://orcid.org/0000-0003-3992-5812, Yingli Lu, MD, PhD https://orcid.org/0000-0002-5117-1614, Yu Wang, MD https://orcid.org/0000-0003-0975-8937 wangyushidonghos@163.com, Kun Zhang, MD, PhD https://orcid.org/0009-0001-5137-987X zhangkun1014@126.com, and Ningjian Wang, MD, PhD https://orcid.org/0000-0001-9591-6991 wnj486@126.com

Circulation: Arrhythmia and Electrophysiology

Volume 17, Number 3

https://doi.org/10.1161/CIRCEP.123.012145

https://www.surfrider.org/news/the-surfrider-foundations-2023-clean-water-report?hsCtaTracking=6e74cdb4-4a4a-4e41-b65f-a52c809b8763%7Cd569978d-083a-4aae-85fe-e488a170d411

https://www.who.int/news-room/questions-and-answers/item/radiation-electromagnetic-fields

EHT Submits Comments to the European Commission SCHEER draft on EMF, Health and Environment

Jan 10, 2024

https://ehtrust.org/comments-to-the-european-commission-scientific-committee-on-health-environmental-and-emerging-risks-on-emf-health-and-environment/?emci=d66d874d-81b1-ee11-bea1-0022482237da&emdi=4eaeb005-d3b6-ee11-bea1-0022482237da&ceid=8491679

Study links smartphone use to low sperm count and male infertility

Association between self-reported mobile phone use and the semen quality of young men

Rahban, Rita et al. Fertility and Sterility, Volume 120, Issue 6, 1181 - 1192

https://www.fertstert.org/article/S0015-0282(23)01875-7/fulltext

https://ehtrust.org/statement-by-devra-davis-phd-mph-on-the-u-s-government-national-toxicology-program-ceasing-research-on-cell-phone-radiation/?emci=d66d874d-81b1-ee11-bea1-0022482237da&emdi=4eaeb005-d3b6-ee11-bea1-0022482237da&ceid=8491679

Thomas, C., Cameron, A., Green, R. et al. Extinction risk from climate change. Nature 427, 145–148 (2004). https://doi.org/10.1038/nature02121

Asghari A, Khaki AA, Rajabzadeh A, Khaki A. A review on Electromagnetic fields (EMFs) and the reproductive system. Electron Physician. 2016 Jul 25;8(7):2655-62. doi: 10.19082/2655. PMID: 27648194; PMCID: PMC5014506.

https://pmc.ncbi.nlm.nih.gov/articles/PMC5014506/#:~:text=A%20declassified%201976%20Defense%20Intelligence,current%20FCC%20guidelines%20(24).

Havas Magda. Engineering and Thechnology history. 1976. Biological effects of electromagnetic radiation.

Weeks B. Wi-Fi and neurological diseases. Weeks MD. 2015

https://www.washingtonpost.com/climate-environment/interactive/2024/microplastics-air-human-body-organs-spread/

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7324347/

https://oceanservice.noaa.gov/facts/microplastics.html

https://www.nature.com/articles/s41579-019-0308-0

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9135010/

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11100893/

https://wedocs.unep.org/bitstream/handle/20.500.11822/21754/PlasticinCosmetics2015Factsheet.pdf?sequence=1&isAllowed=y

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10151227/

https://www.statista.com/chart/18299/how-we-eat-drink-and-breathe-microplastics/#:~:text=As%20our%20infographic%20shows%2C%20the,may%20cause%20the%20most%20alarm.

https://www.sciencedirect.com/science/article/abs/pii/S0048969724066750?via%3Dihub

https://www.epa.gov/sites/default/files/2015-06/documents/ace3phthalatesreviewpackage3-02-11.pdf

https://www.cpsc.gov/FAQ/Phthalates

Lewis OT. Climate change, species-area curves and the extinction crisis. Philos Trans R Soc Lond B Biol Sci. 2006 Jan 29;361(1465):163-71. doi: 10.1098/rstb.2005.1712. PMID: 16553315; PMCID: PMC1831839.

Yeoh CSL, Alrazihi LA, Wong ST, Wong SF. Per- and Poly-Fluoroalkyl Substances (PFAS) and Human Health: A Review of Exposure Routes and Potential Toxicities Across the Lifespan. Environ Toxicol Chem. 2025 Jul 8:vgaf172. doi: 10.1093/etojnl/vgaf172. Epub ahead of print. PMID: 40627414.

CHAPTER 5 The Master List of Inflammatory Pathways and Inflammation-Reducing Medications/Supplements

Hu W, Lu W, Li L, Zhang H, Lee YK, Chen W, Zhao J. Both living and dead Faecalibacterium prausnitzii alleviate house dust mite-induced allergic asthma through the modulation of gut microbiota and short-chain fatty acid production. J Sci Food Agric. 2021 Oct;101(13):5563-5573. doi: 10.1002/jsfa.11207. Epub 2021 Apr 30. PMID: 33709404.

Landry, R.L.; Embers, M.E. The Probable Infectious Origin of Multiple Sclerosis. NeuroSci 2023, 4, 211-234. https://doi.org/10.3390/neurosci4030019

Pathogenic Mycoplasma Infections in Chronic Illnesses: General Considerations in Selecting Conventional and Integrative Treatments

Garth L. Nicolson_Department of Molecular Pathology, The Institute for Molecular Medicine, Huntington Beach, California, USA._

International Journal of Clinical Medicine. Vol 10 No. 10, October 2019. Ristori, G.; Buzzi, M.G.; Sabatini, U.; Giugni, E.; Bastianello, S.; Viselli, F.; Buttinelli, C.; Ruggieri, S.; Colonnese, C.; Pozzilli, C.; et al. Use of Bacille Calmette-Guerin (BCG) in multiple sclerosis. Neurology 1999, 53, 1588–1589

Valverde-Molina J, García-Marcos L. Microbiome and Asthma: Microbial Dysbiosis and the Origins, Phenotypes, Persistence, and Severity of Asthma. Nutrients. 2023 Jan 17;15(3):486. doi: 10.3390/nu15030486. PMID: 36771193; PMCID: PMC9921812

Hu W, Lu W, Li L, Zhang H, Lee YK, Chen W, Zhao J. Both living and dead Faecalibacterium prausnitzii alleviate house dust mite-induced allergic asthma through the modulation of gut microbiota and short-chain fatty acid production. J Sci Food Agric. 2021 Oct;101(13):5563-5573. doi: 10.1002/jsfa.11207. Epub 2021 Apr 30. PMID: 33709404.

Lynch SV, Boushey HA. The microbiome and development of allergic disease. Curr Opin Allergy Clin Immunol. 2016 Apr;16(2):165-71. doi: 10.1097/ACI.0000000000000255. PMID: 26885707; PMCID: PMC5378446.

Singh H, Meyer AN, Thomas EJ. The frequency of diagnostic errors in outpatient care: estimations from three large observational studies involving US adult populations. BMJ Qual Saf. 2014 Sep;23(9):727-31. doi: 10.1136/bmjqs-2013-002627. Epub 2014 Apr 17. PMID: 24742777; PMCID: PMC4145460.

https://qualitysafety.bmj.com/content/23/9/727

Ristori, G.; Buzzi, M.G.; Sabatini, U.; Giugni, E.; Bastianello, S.; Viselli, F.; Buttinelli, C.; Ruggieri, S.; Colonnese, C.; Pozzilli, C.; et al. Use of Bacille Calmette-Guerin (BCG) in multiple sclerosis. Neurology 1999, 53, 1588–1589.

Covian, C.; Fernandez-Fierro, A.; Retamal-Diaz, A.; Diaz, F.E.; Vasquez, A.E.; Lay, M.K.; Riedel, C.A.; Gonzalez, P.A.; Bueno, S.M.; Kalergis, A.M. BCG-Induced Cross-Protection and Development of Trained Immunity: Implication for Vaccine Design. Front. Immunol. 2019, 10, 2806.

Landry, R.L.; Embers, M.E. The Probable Infectious Origin of Multiple Sclerosis. NeuroSci 2023, 4, 211-234. https://doi.org/10.3390/neurosci4030019

Zhang J, Zhang Y, Xia Y, Sun J. Microbiome and intestinal pathophysiology in post-acute sequelae of COVID-19. Genes Dis. 2023 Jun 19;11(3):100978. doi: 10.1016/j.gendis.2023.03.034. Epub ahead of print. PMID: 37362775; PMCID: PMC10278891.

https://www.fda.gov/news-events/rumor-control/facts-about-dietary-supplements

Empirical Validation of the Horowitz Multiple Systemic Infectious Disease Syndrome Questionnaire for Suspected Lyme Disease. Maryalice Citera*, Ph.D., Phyllis R. Freeman2, Ph.D., Richard I. Horowitz2, M.D., International Journal of General Medicine 2017:10 249–273.

Azizi M, Juraschek SP. A Trans-Atlantic Perspective on the 2025 AHA/ACC Guidelines for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults. Circulation. 2025 Aug 14:10.1161/CIRCULATIONAHA.125.075742. doi: 10.1161/CIRCULATIONAHA.125.075742. Epub ahead of print. PMID: 40811494; PMCID: PMC12356496.

Gropper SS. The Role of Nutrition in Chronic Disease. Nutrients. 2023 Jan 28;15(3):664. doi: 10.3390/nu15030664. PMID: 36771368; PMCID: PMC9921002.

Lee JH, Kanwar B, Lee CJ, Sergi C, Coleman MD. Dapsone is an anticatalysis for Alzheimer's disease exacerbation. iScience. 2022 Apr 20;25(5):104274. doi: 10.1016/j.isci.2022.104274. PMID: 35542045; PMCID: PMC9079171.

Demidowich, A.P.; Davis, A.I.; Dedhia, N.; Yanovski, J.A. Colchicine to decrease NLRP3-activated inflammation and improve obesity-related metabolic dysregulation. Med. Hypotheses 2016, 92, 67–73.

Dapsone documentary: https://players.brightcove.net/6314452011001/PAMDt93Yi_default/index.html?videoId=6353288590112

10 Dapsone Articles on The Effective Treatment of Chronic LD & Associated Co-infections Including Bartonella: As of May 11, 2024

Horowitz, R.I.; Fallon, J.; Freeman, P.R. Combining Double-Dose and High-Dose Pulsed Dapsone Combination Therapy for Chronic Lyme Disease/Post-Treatment Lyme Disease Syndrome and Co-Infections, Including Bartonella: A Report of 3 Cases and a Literature Review. Microorganisms 2024, 12, 909. https://doi.org/10.3390/microorganisms12050909

Horowitz, R.I.; Fallon, J.; Freeman, P.R. Comparison of the Efficacy of Longer versus Shorter Pulsed High Dose Dapsone Combination Therapy in the Treatment of Chronic Lyme Disease/Post Treatment Lyme Disease Syndrome with Bartonellosis and Associated Coinfections. Microorganisms 2023, 11, 2301. https://doi.org/10.3390/microorganisms11092301

Horowitz RI, Freeman PR. Efficacy of Short-Term High Dose Pulsed Dapsone Combination Therapy in the Treatment of Chronic Lyme Disease/Post-Treatment Lyme Disease Syndrome (PTLDS) and Associated Co-Infections: A Report of Three Cases and Literature Review. Antibiotics. 2022; 11(7):912. https://doi.org/10.3390/antibiotics11070912

https://www.mdpi.com/2079-6382/11/7/912/htm

Horowitz, R.I.; Freeman, P.R. Efficacy of Double-Dose Dapsone Combination Therapy in the Treatment of Chronic Lyme Disease/Post-Treatment Lyme Disease Syndrome (PTLDS) and Associated Co-infections: A Report of Three Cases and Retrospective Chart Review. Antibiotics 2020, 9, 725. https://doi.org/10.3390/antibiotics9110725

Horowitz, R.I., Murali, K., Gaur, G. et al. Effect of dapsone alone and in combination with intracellular antibiotics against the biofilm form of B. burgdorferi. BMC Res Notes 13, 455 (2020). https://doi.org/10.1186/s13104-020-05298-6

https://bmcresnotes.biomedcentral.com/articles/10.1186/s13104-020-05298-6?fbclid=IwAR0qt8lyjHfOYlC_Z5k_a4DGxa49sYned_6xC8mRz66m2Wirekb0MX0vBRA#citeas

Ganz PA. Current US Cancer Statistics: Alarming Trends in Young Adults? J Natl Cancer Inst. 2019 Dec 1;111(12):1241-1242. doi: 10.1093/jnci/djz107. PMID: 31145460; PMCID: PMC6910157.

Campen M, Nihart A, Garcia M, Liu R, Olewine M, Castillo E, Bleske B, Scott J, Howard T, Gonzalez-Estrella J, Adolphi N, Gallego D, Hayek EE. Bioaccumulation of Microplastics in Decedent Human Brains Assessed by Pyrolysis Gas Chromatography-Mass Spectrometry. Res Sq [Preprint]. 2024 May 6:rs.3.rs-4345687. doi: 10.21203/rs.3.rs-4345687/v1. PMID: 38765967; PMCID: PMC11100893.

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CHAPTER 6 A is for ADD/ADHD, Allergies/Asthma, Autism Spectrum Disorder, Alzheimer’s Disease

State-of-the-Art Review Articles| February 01 2008 Etiologic Classification of Attention-Deficit/Hyperactivity Disorder

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Ferri CP, Prince M, Brayne C, Brodaty H, Fratiglioni L, Ganguli M, et al. Global prevalence of dementia: a Delphi consensus study. Lancet. (2005) 366:2112–7. 10.1016/

Dumurgier J., Sabia S. Life expectancy in dementia subtypes: Exploring a leading cause of mortality. Lancet Healthy Longev. 2021;2:e449–e450. doi: 10.1016/S2666-7568(21)00166-5.

Miklossy J. Chronic inflammation and amyloidogenesis in Alzheimer's disease -- role of Spirochetes. J Alzheimers Dis. 2008 May;13(4):381-91. doi: 10.3233/jad-2008-13404. PMID: 18487847.

Miklossy J. Alzheimer's disease - a neurospirochetosis. Analysis of the evidence following Koch's and Hill's criteria. J Neuroinflammation. 2011 Aug 4;8:90. doi: 10.1186/1742-2094-8-90. PMID: 21816039; PMCID: PMC3171359.

Kristoferitsch W, Aboulenein-Djamshidian F, Jecel J, Rauschka H, Rainer M, Stanek G, Fischer P. Secondary dementia due to Lyme neuroborreliosis. Wien Klin Wochenschr. 2018 Aug;130(15-16):468-478. doi: 10.1007/s00508-018-1361-9. Epub 2018 Jul 25. PMID: 30046879; PMCID: PMC6096534.

Miklossy J. Chronic or late lyme neuroborreliosis: analysis of evidence compared to chronic or late neurosyphilis. Open Neurol J. 2012;6:146-57. doi: 10.2174/1874205X01206010146. Epub 2012 Dec 28.

Miklossy J, Khalili K, Gern L, et al. Borrelia burgdorferi persists in the brain in chronic lyme neuroborreliosis and may be associated with Alzheimer disease. J Alzheimers Dis. 2004 Dec;6(6):639-49; discussion 673-81. doi: 10.3233/jad-2004-6608. PMID: 15665404.

Senejani AG, Maghsoudlou J, El-Zohiry D, Gaur G, Wawrzeniak K, Caravaglia C, Khatri VA, MacDonald A, Sapi E. Borrelia burgdorferi Co-Localizing with Amyloid Markers in Alzheimer's Disease Brain Tissues. J Alzheimers Dis. 2022;85(2):889-903. doi: 10.3233/JAD-215398. PMID: 34897095; PMCID: PMC8842785.

Al-Obaidi, M.M.J.; Desa, M.N.M. Mechanisms of Blood Brain Barrier Disruption by Different Types of Bacteria, and Bacterial-Host Interactions Facilitate the Bacterial Pathogen Invading the Brain. Cell. Mol. Neurobiol. 2018, 38, 1349–1368

Zhang N, et al. Epstein-Barr Virus and Neurological Diseases. Front Mol Biosci. 2022 Jan 10;8:816098. doi: 10.3389/fmolb.2021.816098. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8784775/

Patterson, B. et al. Immune-Based Prediction of COVID-19 Severity and Chronicity Decoded Using Machine Learning. ORIGINAL RESEARCH article

Front. Immunol., 27 June 2021

Sec. Viral Immunology

Volume 12 - 2021 | https://doi.org/10.3389/fimmu.2021.700782

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9208538/

Alonso, Ruth et al. ‘Fungal Infection in Patients with Alzheimer’s Disease’. 1 Jan. 2014 : 301 – 311.

Alonso R, et al. Infection of Fungi and Bacteria in Brain Tissue From Elderly Persons and Patients With Alzheimer's Disease. Front Aging Neurosci. 2018 May 24;10:159. doi: 10.3389/fnagi.2018.00159.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5976758/

Walton JR. Chronic aluminum intake causes Alzheimer's disease: applying Sir Austin Bradford Hill's causality criteria. J Alzheimers Dis. 2014;40(4):765-838. doi: 10.3233/JAD-132204.)

https://pubmed.ncbi.nlm.nih.gov/24577474/

https://pubmed.ncbi.nlm.nih.gov/33598364/

Posin SL, Kong EL, Sharma S. Mercury Toxicity. [Updated 2023 Aug 8]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from:

https://www.ncbi.nlm.nih.gov/books/NBK499935/

Halmo L, Nappe TM. Lead Toxicity. [Updated 2023 Jul 4]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK541097/

Harach, T.. et al. Reduction of Abeta amyloid pathology in APPPS1 transgenic mice in the absence of gut microbiota. Sci Rep 7, 41802 (2017). https://doi.org/10.1038/srep41802

The Gut Microbiota and Alzheimer’s Disease. Jiang, Chunmeia et al. Journal of Alzheimer's Disease, vol. 58, no. 1, pp. 1-15, 2017

https://content.iospress.com/articles/journal-of-alzheimers-disease/jad161141

Chen C, et al. Gut microbiota regulate Alzheimer's disease pathologies and cognitive disorders via PUFA-associated neuroinflammation. Gut. 2022 Nov;71(11):2233-2252. doi: 10.1136/gutjnl-2021-326269. Epub 2022 Jan 11. PMID: 35017199. https://gut.bmj.com/content/71/11/2233

Wanapaisan P, et al. Association between Gut Microbiota with Mild Cognitive Impairment and Alzheimer's Disease in a Thai Population. Neurodegener Dis. 2022;22(2):43-54. doi: 10.1159/000526947. Epub 2022 Sep 7. PMID: 36070704.

https://pubmed.ncbi.nlm.nih.gov/36070704/

Rundek T et al. Gut permeability and cognitive decline: A pilot investigation in the Northern Manhattan Study. Brain Behav Immun Health. 2021 Mar;12:100214. doi: 10.1016/j.bbih.2021.100214. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8186438/

Bubu OM, et al. Sleep, Cognitive impairment, and Alzheimer's disease: A Systematic Review and Meta-Analysis. Sleep. 2017 Jan 1;40(1). Doi:10.1093/sleep/zsw032.

Ashleigh T, Swerdlow RH, Beal MF. The role of mitochondrial dysfunction in Alzheimer's disease pathogenesis. Alzheimers Dement. 2023 Jan;19(1):333-342. doi: 10.1002/alz.12683.

https://pubmed.ncbi.nlm.nih.gov/35522844/

Taylor A. Strope, Heather M. Wilkins, Amyloid precursor protein and mitochondria, Current Opinion in Neurobiology, 10.1016/j.conb.2022.102651, 78, (102651), (2023).

Nadia V. et al, The role of mitochondrial genome abundance in Alzheimer's disease, Alzheimer's & Dementia, 10.1002/alz.12812, (2022).

Ruonan Gao, Suk Ling Ma, Is Mitochondria DNA Variation a Biomarker for AD?, Genes, 10.3390/genes13101789, 13, 10, (1789), (2022).

Qian Zhang, et al. Nano‐Brake Halts Mitochondrial Dysfunction Cascade to Alleviate Neuropathology and Rescue Alzheimer's Cognitive Deficits, Advanced Science, 10.1002/advs.202204596.

Reiss AB, et al. The role of mitochondrial dysfunction in Alzheimer's disease: A potential pathway to treatment. Exp Gerontol. 2022 Jul;164:111828. doi: 10.1016/j.exger.2022.111828

https://pubmed.ncbi.nlm.nih.gov/35508280/

Yoon JH, Hwang J, Son SU, Choi J, You SW, Park H, Cha SY, Maeng S. How Can Insulin Resistance Cause Alzheimer's Disease? Int J Mol Sci. 2023 Feb 9;24(4):3506. doi: 10.3390/ijms24043506. PMID: 36834911; PMCID: PMC9966425.

https://pmc.ncbi.nlm.nih.gov/articles/PMC9966425/

De la Monte S.M., Wands J.R. Alzheimer’s disease is type 3 diabetes-evidence reviewed. J. Diabetes Sci. Technol. 2008;2:1101–1113. doi: 10.1177/193229680800200619

Laurence Lloyd Parial, et al. 2021. Public knowledge of the influence of modifiable cardiovascular risk factors on dementia: a systematic literature review and meta-analysis, Aging & Mental Health, 25:8, 1395-1409, DOI: 10.1080/13607863.2020.1786801

Stephen M. Day et al, Ethanol exposure alters Alzheimer's-related pathology, behavior, and metabolism in APP/PS1 mice, Neurobiology of Disease (2022). DOI: 10.1016/j.nbd.2022.105967

Reitz C, Luchsinger JA. Relation of Blood Pressure to Cognitive Impairment and Dementia. Curr Hypertens Rev. 2007 Aug 1;3(3):166-176. doi: 10.2174/157340207781386747.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3338151/

Kivipelto M, Helkala EL, Hanninen T, et al. Midlife vascular risk factors and late-life mild cognitive impairment: A population-based study. Neurology. 2001 Jun 26;56(12):1683–1689.

Brain J, Tully PJ, Turnbull D, Tang E, Greene L, Beach S, et al. (2022) Risk factors for dementia in the context of cardiovascular disease: A protocol of an overview of reviews. PLoS ONE 17(7): e0271611. https://doi.org/10.1371/journal.pone.0271611

Schmidt R, et al. Early inflammation and dementia: a 25-year follow-up of the Honolulu-Asia Aging Study. Ann. Neurol. 2002;52:168–174. doi: 10.1002/ana.10265.

Engelhart MJ, et al. Inflammatory proteins in plasma and the risk of dementia: the Rotterdam Study. Arch. Neurol. 2004;61:668–672. doi: 10.1001/archneur.61.5.668.

Tan ZS, et al. Inflammatory markers and the risk of Alzheimer disease: the Framingham Study. Neurology. 2007;68:1902–1908. doi: 10.1212/01.wnl.0000263217.36439.da.

Weaver JD, et al. Interleukin-6 and risk of cognitive decline: MacArthur studies of successful aging. Neurology. 2002;59:371–378. doi: 10.1212/WNL.59.3.37

Meier-Stephenson FS, Meier-Stephenson VC, et al. Alzheimer's disease as an autoimmune disorder of innate immunity endogenously modulated by tryptophan metabolites. Alzheimers Dement (N Y). 2022 Apr 6;8(1):e12283. doi: 10.1002/trc2.12283.

Lim B, Prassas I, Diamandis EP. Alzheimer Disease Pathogenesis: The Role of Autoimmunity. J Appl Lab Med. 2021 Apr 29;6(3):756-764. doi: 10.1093/jalm/jfaa171

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Livingston G, Huntley J, Sommerlad A, Ames D, Ballard C, Banerjee S, et al. Dementia prevention, intervention, and care: 2020 report of the Lancet Commission. The Lancet. 2020;396(10248):413–46

Cao S, Fisher DW, Yu T, Dong H. The link between chronic pain and Alzheimer's disease. J Neuroinflammation. 2019 Nov 6;16(1):204. doi: 10.1186/s12974-019-1608-z. PMID: 31694670; PMCID: PMC6836339.

Whitlock EL, et al. Association between persistent pain and memory decline and dementia in a longitudinal cohort of elders. JAMA Intern Med. 2017;177:1146–53

Dominguez LJ, et al. Nutrition, Physical Activity, and Other Lifestyle Factors in the Prevention of Cognitive Decline and Dementia. Nutrients. 2021 Nov 15;13(11)

Kelley BJ, Petersen RC. Alzheimer's disease and mild cognitive impairment. Neurol Clin. 2007 Aug;25(3):577-609, v. doi: 10.1016/j.ncl.2007.03.008. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2682228/#R4

Dapsone, More than an Effective Neuro and Cytoprotective Drug. Araceli Diaz-Ruiz, et al. Current Neuropharmacology, Vol 20, Issue 1, 2022 Pages 194 – 210 https://www.eurekaselect.com/article/116223.

Noroozi N, et al: Protective Effects of Dapsone on Scopolamine-Induced Memory Impairment in Mice: Involvement of Nitric Oxide Pathway. Dement Geriatr Cogn Disord Extra 2022;12:43-50. doi: 10.1159/000522163

Lee JH, Choi SH, Lee CJ, Oh SS. Recovery of Dementia Syndrome following Treatment of Brain Inflammation. Dement Geriatr Cogn Dis Extra. 2020 Jan 21;10(1):1-12. doi: 10.1159/000504880

Lee JH, An HK, Sohn MG, Kivela P, Oh S. 4,4'-Diaminodiphenyl Sulfone (DDS) as an Inflammasome Competitor. Int J Mol Sci. 2020 Aug 19;21(17):5953. doi: 10.3390/ijms21175953.).

Lee JH, Kanwar B, Lee CJ, Sergi C, Coleman MD. Dapsone is an anticatalysis for Alzheimer's disease exacerbation. iScience. 2022 Apr 20;25(5):104274. doi: 10.1016/j.isci.2022.104274; Appleby B, S, Nacopoulos D, Milano N, Zhong K, Cummings J, L: A Review: Treatment of Alzheimer’s Disease Discovered in Repurposed Agents. Dement Geriatr Cogn Disord 2013;35:1-22. doi: 10.1159/00034579

Appleby B, et al.: A Review: Treatment of Alzheimer’s Disease Discovered in Repurposed Agents. Dement Geriatr Cogn Disord 2013;35:1-22. doi: 10.1159/000345791;

Lee, J. et al. 4,40-Diaminodiphenyl Sulfone (DDS) as an Inflammasome Competitor. Int. J. Mol. Sci. 2020, 21, 5953; doi:10.3390/ijms21175953 www.mdpi

Durães F, Pinto M, Sousa E. Old Drugs as New Treatments for Neurodegenerative Diseases. Pharmaceuticals. 2018; 11(2):44. https://doi.org/10.3390/ph11020044

Cicero AFG et al. Botanicals and phytochemicals active on cognitive decline: The clinical evidence. Pharmacol Res. 2018 Apr;130:204-212. doi:10.1016/j.phrs.2017.12.029.

Dost FS, et al. Theracurmin Supplementation May be a Therapeutic Option for Older Patients with Alzheimer’s Disease: A 6-Month Retrospective Follow-Up Studu. Curr Alzheimer Res. 2021;18(14):1087-1092. doi:10.2174/1567205019666211221125255.

Auchter, A, et al. Therapeutic benefits of methylene blue on cognitive impairment during chronic cerebral hypoperfusion. J. Alzheimers Dis. 2014;42 Suppl 4:S525-35. doi:10.3233/JAD-141527.

CHAPTER 7 B Is for the B’s: Borrelia, Bartonella, and Babesia: The Tick-Borne Diseases in Epidemic Proportion

Horowitz RI, Freeman PR (2016) The Use of Dapsone as a Novel “Persister” Drug in the Treatment of Chronic Lyme Disease/Post Treatment Lyme Disease Syndrome.  J Clin Exp Dermatol Res 7: 345. doi:10.4172/2155-9554.1000345

Horowitz, R.I.; Freeman, P.R. Precision Medicine: The Role of the MSIDS Model in Defining, Diagnosing, and Treating Chronic Lyme Disease/Post Treatment Lyme Disease Syndrome and Other Chronic Illness: Part 2. Healthcare 2018, 6, 129.

https://www.ncbi.nlm.nih.gov/pubmed/30400667

Horowitz RI, Freeman PR (2016) Are Mycobacterium Drugs Effective for Treatment Resistant Lyme Disease, Tick-Borne Co-Infections, and Autoimmune Disease?. JSM Arthritis 1(2): 1008.

Horowitz, R.I.; Fallon, J.; Freeman, P.R. Combining Double-Dose and High-Dose Pulsed Dapsone Combination Therapy for Chronic Lyme Disease/Post-Treatment Lyme Disease Syndrome and Co-Infections, Including Bartonella: A Report of 3 Cases and a Literature Review. Microorganisms 2024, 12, 909. https://doi.org/10.3390/microorganisms12050909

Horowitz, R.I.; Freeman, P.R. Efficacy of Double-Dose Dapsone Combination Therapy in the Treatment of Chronic Lyme Disease/Post-Treatment Lyme Disease Syndrome (PTLDS) and Associated Co-infections: A Report of Three Cases and Retrospective Chart Review. Antibiotics 2020, 9, 725. https://doi.org/10.3390/antibiotics9110725

Horowitz, R.I., Murali, K., Gaur, G. et al. Effect of dapsone alone and in combination with intracellular antibiotics against the biofilm form of B. burgdorferi. BMC Res Notes 13, 455 (2020). https://doi.org/10.1186/s13104-020-05298-6

https://bmcresnotes.biomedcentral.com/articles/10.1186/s13104-020-05298-6?fbclid=IwAR0qt8lyjHfOYlC_Z5k_a4DGxa49sYned_6xC8mRz66m2Wirekb0MX0vBRA#citeas

Horowitz, R.I.; Freeman, P.R. Precision Medicine: retrospective chart review and data analysis of 200 patients on dapsone combination therapy for chronic Lyme disease/post-treatment Lyme disease syndrome: part 1. International Journal of General Medicine 2019:12 101–119

https://www.dovepress.com/precision-medicine-retrospective-chart-review-and-data-analysis-of-200-peer-reviewed-article-IJGM

https://www.ncbi.nlm.nih.gov/pubmed/30863136

https://www.ncbi.nlm.nih.gov/pubmed/30863136?fbclid=IwAR11hYFa6D-ufSwXztzUEdI9a36vh_90K4Lhu5HN6N-MPMHKzNWt1ldoDyI

Horowitz, R. Babesiosis in Upstate NY. PCR and RNA Evidence of Co-infection with Babesia Microti Among Ixodes Ticks in Dutchess County, NY. 12th International Scientific Conference on Lyme Disease and Other Spirochetal & -  Tick- Borne Disorders. April 1999, NYC, NY

Mefloquine and Artemesia: A Prospective Trial of Combination Therapy in Chronic Babesiosis Horowitz R.I., M.D. Abstract, 13th Annual International Scientific Conference on Lyme Disease and other Tick-Borne Disorders. Hartford, Connecticut, March 25-26, 2000.

Lemieux et al. A Global Map of Genetic Diversity in Babesia Microti Reveals Strong Population Structure and Identifies Variants Associated with Clinical Relapse. Nat Microbiol. 2016 Jun13;1(7):16079

Zhang Y, Alvarez-Manzo H, Leone J, Schweig S, Zhang Y. Botanical Medicines Cryptolepis sanguinolenta, Artemisia annua, Scutellaria baicalensis, Polygonum cuspidatum, and Alchornea cordifolia Demonstrate Inhibitory Activity Against Babesia duncani. Front Cell Infect Microbiol. 2021 Mar 8;11:624745. doi: 10.3389/fcimb.2021.624745. PMID: 33763384; PMCID: PMC7982592.

Peter J Krause, Ralph Rogers, Monika K Shah, HeeEun Kang, Jeffrey Parsonnet, Rich Kodama, Edouard Vannier, Tafenoquine for Relapsing Babesiosis: A Case Series, Clinical Infectious Diseases, Volume 79, Issue 1, 15 July 2024, Pages 130–137, https://doi.org/10.1093/cid/ciae238

Chronic Lyme Disease: A Symptom Complex of Multiple Co-Infections: New Diagnostic & Treatment Protocols. Horowitz, R.I., M.D. 12th International Conference on Lyme Disease and Other Spirochetal and Tick-Borne Disorders, April 9-10, 1999. New York, New York.

Lyme Disease and Babesiosis: New Therapeutic Options for Chronic Persistent Disease. Horowitz R.I., M.D.. Abstract, 13th Annual International Scientific Conference on Lyme Disease and other Tick-Borne Disorders. Hartford, Connecticut, March 25-26, 2000

Li, T. et al. Identification of FDA-Approved Drugs with Activity against Stationary Phase Bartonella henselae. Antibiotics 2019, 8(2), 50;

Deng P, Qin B, Liang A, Zhou Q, Fu X, Liu X, Lao C, Li X, He S, Tang L, Zhao Z, Chen W, Liu D, Li Y, Shi Y. Triatoma rubrofasciata as a potential vector for bartonellosis. Emerg Microbes Infect. 2025 Dec;14(1):2494291. doi: 10.1080/22221751.2025.2494291. Epub 2025 May 2. PMID: 40231453; PMCID: PMC12051607

Zheng X, Ma X, Li T, Shi W, Zhang Y. Effect of different drugs and drug combinations on killing stationary phase and biofilms recovered cells of Bartonella henselae in vitro. BMC Microbiol. 2020 Apr 10;20(1):87. doi: 10.1186/s12866-020-01777-9. PMID: 32276590; PMCID: PMC7149919.

https://www.fda.gov/drugs/drug-safety-and-availability/fda-drug-safety-communication-serious-cns-reactions-possible-when-methylene-blue-given-patients#:~:text=Serotonergic%20psychiatric%20medications%20should%20not,psychiatric%20medications%20or%20methyl.

Rebekah L. Bullard, Emily L. Olsen, Mercedes A. Cheslock, Monica E. Embers, Evaluation of the available animal models for Bartonella infections, One Health, Volume 18, 2024,100665, ISSN 2352-7714, https://doi.org/10.1016/j.onehlt.2023.100665.

CHAPTER 8 C Is for Cardiovascular Conditions. Cancer, and Chronic Fatigue Syndrome/Myalgic Encephalomyelitis/Fibromyalgia

11.3% of the US Population with a projected increase to 15% by 2050:

Karen E. Joynt Maddox, MD, MPH, FAHA Forecasting the Burden of Cardiovascular Disease and Stroke in the United States Through 2050—Prevalence of Risk Factors and Disease: A Presidential Advisory From the American Heart Association 4 June 2024; Volume 150, Number 4

https://doi.org/10.1161/CIR.0000000000001256

Grunau GL, Gueron S, Pornov B, Linn S. The Risk of Cancer Might be Lower Than We Think. Alternatives to Lifetime Risk Estimates. Rambam Maimonides Med J. 2018 Jan 29;9(1):e0002. doi: 10.5041/RMMJ.10321. PMID: 29135419; PMCID: PMC5796733.

Vernon SD, Zheng T, Do H, Marconi VC, Jason LA, Singer NG, Natelson BH, Sherif ZA, Bonilla HF, Taylor E, Mullington JM, Ashktorab H, Laiyemo AO, Brim H, Patterson TF, Akintonwa TT, Sekar A, Peluso MJ, Maniar N, Bateman L, Horwitz LI, Hess R; NIH Researching COVID to Enhance Recovery (RECOVER) Consortium. Incidence and Prevalence of Post-COVID-19 Myalgic Encephalomyelitis: A Report from the Observational RECOVER-Adult Study. J Gen Intern Med. 2025 Jan 13. doi: 10.1007/s11606-024-09290-9. Epub ahead of print. PMID: 39804551.

Savin E, Rosenn G, Tsur AM, Hen O, Ehrenberg S, Gendelman O, Buskila D, Halpert G, Amital D, Amital H. The possible onset of fibromyalgia following acute COVID-19 infection. PLoS One. 2023 Feb 10;18(2):e0281593. doi: 10.1371/journal.pone.0281593. PMID: 36763625; PMCID: PMC9916594.

Staud R. Autonomic dysfunction in fibromyalgia syndrome: postural orthostatic tachycardia. Curr Rheumatol Rep. 2008 Dec;10(6):463-6. doi: 10.1007/s11926-008-0076-8. PMID: 19007537.

Sardu C, Fulgenzi G, Graciotti L, Spadoni T, D'Onofrio N, Scisciola L, La Grotta R, Frigé C, Pellegrini V, Municinò M, Siniscalchi M, Spinetti F, Vigliotti G, Vecchione C, Carrizzo A, Accarino G, Squillante A, Spaziano G, Mirra D, Esposito R, Altieri S, Falco G, Fenti A, Galoppo S, Canzano S, Sasso FC, Matacchione G, Olivieri F, Ferraraccio F, Panarese I, Paolisso P, Barbato E, Lubritto C, Balestrieri ML, Mauro C, Caballero AE, Rajagopalan S, Ceriello A, D'Agostino B, Iovino P, Paolisso G. Microplastics and Nanoplastics in Atheromas and Cardiovascular Events. N Engl J Med. 2024 Mar 7;390(10):900-910. doi: 10.1056/NEJMoa2309822. PMID: 38446676; PMCID: PMC11009876.

Meier CR, Derby LE, Jick SS, Vasilakis C, Jick H. Antibiotics and Risk of Subsequent First-time Acute Myocardial Infarction. JAMA. 1999;281(5):427–431. doi:10.1001/jama.281.5.427

Piñon-Esteban, P., Núñez, L., Moure, R. et al. Presence of bacterial DNA in thrombotic material of patients with myocardial infarction. Sci Rep 10, 16299 (2020). https://doi.org/10.1038/s41598-020-73011-5

Soto-Gomez N, Anzueto A, Waterer GW, Restrepo MI, Mortensen EM. Pneumonia: an arrhythmogenic disease? Am J Med. 2013 Jan;126(1):43-8. doi: 10.1016/j.amjmed.2012.08.005. Epub 2012 Nov 20. PMID: 23177550; PMCID: PMC3615552.

Corrales-Medina VF, Taljaard M, Yende S, Kronmal R, Dwivedi G, Newman AB, Elkind MS, Lyles MF, Chirinos JA. Intermediate and long-term risk of new-onset heart failure after hospitalization for pneumonia in elderly adults. Am Heart J. 2015 Aug;170(2):306-12. doi: 10.1016/j.ahj.2015.04.028. Epub 2015 May 2. PMID: 26299228; PMCID: PMC4548825.

Cardiac Manifestations of Lyme Disease

Richard V. Shen, MD, Carol A. McCarthy, MD. Infectious Disease Clinics of North America. Review articleVolume 36, Issue 3 p553-561September 2022. DOI: 10.1016/j.idc.2022.03.001

Corrêa FG, Pontes CL, Verzola RM, Mateos JC, Velho PE, Schijman AG, Selistre-de-Araujo HS. Association of Bartonella spp bacteremia with Chagas cardiomyopathy, endocarditis and arrhythmias in patients from South America. Braz J Med Biol Res. 2012 Jul;45(7):644-51. doi: 10.1590/s0100-879x2012007500082. Epub 2012 May 17. PMID: 22584639; PMCID: PMC3854270.

Ghamar Talepoor A, Doroudchi M. Immunosenescence in atherosclerosis: A role for chronic viral infections. Front Immunol. 2022 Aug 17;13:945016. doi: 10.3389/fimmu.2022.945016. PMID: 36059478; PMCID: PMC9428721.

Medha Dwivedi, et al. A Review on the Epidemiology and Clinical Management of Neglected Tropical Diseases, Infectious Disorders - Drug Targets, 25, 2, (2025).https://doi.org/10.2174/0118715265305007240718081727

An K, Jia Y, Xie B, Gao J, Chen Y, Yuan W, Zhong J, Su P, Liu X. Alterations in the gut mycobiome with coronary artery disease severity. EBioMedicine. 2024 May;103:105137. doi: 10.1016/j.ebiom.2024.105137. Epub 2024 May 3. PMID: 38703606; PMCID: PMC11087906.

Akther, J., Nabi, A., & Ebihara, A. (2019). Heavy metals as environmental risk factors for cardiovascular diseases: from the perspective of the renin angiotensin aldosterone system and oxidative stress. Reviews in Agricultural Science, 7(0), 68-83. https://doi.org/10.7831/ras.7.0_68

Peters, J., Perlstein, T., Perry, M., McNeely, E., & Weuve, J. (2010). Cadmium exposure in association with history of stroke and heart failure. Environmental Research, 110(2), 199-206. https://doi.org/10.1016/j.envres.2009.12.004

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Horowitz, R.I.; Freeman, P.R. Precision Medicine: The Role of the MSIDS Model in Defining, Diagnosing, and Treating Chronic Lyme Disease/Post Treatment Lyme Disease Syndrome and Other Chronic Illness: Part 2. Healthcare 2018, 6, 129.

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Deepika Laddu, PhD, FAHA, Chair et al. Implementation of Obesity Science Into Clinical Practice: A Scientific Statement From the American Heart Association. Originally Published 20 May 2024

Volume 150, Number 1

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Dawn O. Kleindorfer, MD, FAHA, Chair, et al. 2021 Guideline for the Prevention of Stroke in Patients With Stroke and Transient Ischemic Attack: A Guideline From the American Heart Association/American Stroke Association. Originally Published 24 May 2021. Stroke

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Uzomah UA, Rozen G, Mohammadreza Hosseini S, Shaqdan A, Ledesma PA, Yu X, et al. (2021) Incidence of carditis and predictors of pacemaker implantation in patients hospitalized with Lyme disease. PLoS ONE 16(11): e0259123. https://doi.org/10.1371/journal.pone.0259123

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Eating meat may protect against cancer, landmark research shows

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Tsamou M, Kremers FAC, Samaritakis KA, Roggen EL. Identifying microRNAs Possibly Implicated in Myalgic Encephalomyelitis/Chronic Fatigue Syndrome and Fibromyalgia: A Review. Int J Mol Sci. 2024 Sep 3;25(17):9551. doi: 10.3390/ijms25179551. PMID: 39273498; PMCID: PMC11395538.

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Myalgic Encephalomyelitis/Chronic Fatigue Syndrome: Essentials of Diagnosis and Management. Bateman, Lucinda et al.

Mayo Clinic Proceedings, Volume 96, Issue 11, 2861 - 2878

Conroy KE, Islam MF, Jason LA. Evaluating case diagnostic criteria for myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS): toward an empirical case definition. Disabil Rehabil. 2023 Mar;45(5):840-847. doi: 10.1080/09638288.2022.2043462. Epub 2022 Mar 2. PMID: 35236205; PMCID: PMC9437146.

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Zambolin F, Duro-Ocana P, Faisal A, Bagley L, Gregory WJ, Jones AW, et al. (2022) Fibromyalgia and Chronic Fatigue Syndromes: A systematic review and meta-analysis of cardiorespiratory fitness and neuromuscular function compared with healthy individuals. PLoS ONE 17(10): e0276009. https://doi.org/10.1371/journal.pone.0276009

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Iñigo Murga et al. Clinical Heterogeneity in ME/CFS. A Way to Understand Long-COVID19 Fatigue. Front. Psychiatry , 10 October 2021. Sec. Psychological Therapy and Psychosomatics

Volume 12 - 2021 | https://doi.org/10.3389/fpsyt.2021.735784

Mann S DO, Sidhu M DO, Gowin K DO. Understanding the Mechanisms of Diet and Outcomes in Colon, Prostate, and Breast Cancer; Malignant Gliomas; and Cancer Patients on Immunotherapy. Nutrients. 2020 Jul 26;12(8):2226. doi: 10.3390/nu12082226. PMID: 32722632; PMCID: PMC7468768.

Rock CL, et al. American Cancer Society nutrition and physical activity guideline for cancer survivors. CA Cancer J Clin. 2022 May;72(3):230-262. doi: 10.3322/caac.21719. Epub 2022 Mar 16. PMID: 35294043.

Larun L, Brurberg KG, Odgaard-Jensen J, Price JR. Exercise therapy for chronic fatigue syndrome. Cochrane Database Syst Rev. 2024 Dec 19;12(12):CD003200. doi: 10.1002/14651858.CD003200.pub9. PMID: 39697147; PMCID: PMC11656415.

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Management of Chronic Multisymptom Illness: Synopsis of the 2021 US Department of Veterans Affairs and US Department of Defense Clinical Practice Guideline Robbins, Rachel et al.

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Couillin I, Riteau N. STING Signaling and Sterile Inflammation. Front Immunol. 2021 Oct 1;12:753789. doi: 10.3389/fimmu.2021.753789. PMID: 34659260; PMCID: PMC8517477.

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Stephanie L. Bourke, Anne Katrin Schlag, Saoirse Elizabeth O'Sullivan, David J. Nutt, David P. Finn,

Cannabinoids and the endocannabinoid system in fibromyalgia: A review of preclinical and clinical research, Pharmacology & Therapeutics, Volume 240, 2022, 108216, ISSN 0163-7258,

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Management of Chronic Multisymptom Illness: Synopsis of the 2021 US Department of Veterans Affairs and US Department of Defense Clinical Practice Guideline. Robbins, Rachel et al.

Mayo Clinic Proceedings, Volume 97, Issue 5, 991 – 1002

Sharpe M, Chalder T, White PD. Evidence-Based Care for People with Chronic Fatigue Syndrome and Myalgic Encephalomyelitis. J Gen Intern Med. 2022 Feb;37(2):449-452. doi: 10.1007/s11606-021-07188-4. Epub 2021 Nov 17. PMID: 34791590; PMCID: PMC8811058.

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Teng L, Guo X, Ma Y, Xu L, Wei J, Xiao P. A comprehensive review on traditional and modern research of the genus Bupleurum (Bupleurum L., Apiaceae) in recent 10 years. J Ethnopharmacol. 2023 Apr 24;306:116129. doi: 10.1016/j.jep.2022.116129. Epub 2023 Jan 10. PMID: 36638855.

https://www.cancer.org/cancer/risk-prevention/infections/infections-that-can-lead-to-cancer/parasites.html#:~:text=Certain%20parasitic%20worms%20that%20can,other%20parts%20of%20the%20world.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9675916/#:~:text=Based%20on%20epidemiological%20evidence%2C%20there,with%20acquired%20immunodeficiency%20(AIDS).

https://pubmed.ncbi.nlm.nih.gov/29160902/

Song B, Kim KJ, Ki SH (2022) Experience with and perceptions of non-prescription anthelmintics for cancer treatments among cancer patients in South Korea: A cross-sectional survey. PLoS ONE 17(10): e0275620. https://doi.org/10.1371/journal.pone.0275620

Juarez M, Schcolnik-Cabrera A, Dueñas-Gonzalez A. The multitargeted drug ivermectin: from an antiparasitic agent to a repositioned cancer drug. Am J Cancer Res. 2018 Feb 1;8(2):317-331. PMID: 29511601; PMCID: PMC5835698

https://www.cancer.org/cancer/risk-prevention/infections/infections-that-can-lead-to-cancer/parasites.html#:~:text=Certain%20parasitic%20worms%20that%20can,other%20parts%20of%20the%20world.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9675916/#:~:text=Based%20on%20epidemiological%20evidence%2C%20there,with%20acquired%20immunodeficiency%20(AIDS).

https://pubmed.ncbi.nlm.nih.gov/29160902/

Song B, Kim KJ, Ki SH (2022) Experience with and perceptions of non-prescription anthelmintics for cancer treatments among cancer patients in South Korea: A cross-sectional survey. PLoS ONE 17(10): e0275620. https://doi.org/10.1371/journal.pone.0275620

Juarez M, Schcolnik-Cabrera A, Dueñas-Gonzalez A. The multitargeted drug ivermectin: from an antiparasitic agent to a repositioned cancer drug. Am J Cancer Res. 2018 Feb 1;8(2):317-331. PMID: 29511601; PMCID: PMC5835698

https://pubmed.ncbi.nlm.nih.gov/35543867/

https://link.springer.com/article/10.1007/s11064-008-9865-8

Jones DW, Ferdinand KC, Taler SJ, Johnson HM, Shimbo D, Abdalla M, Altieri MM, Bansal N, Bello NA, Bress AP, Carter J, Cohen JB, Collins KJ, Commodore-Mensah Y, Davis LL, Egan B, Khan SS, Lloyd-Jones DM, Melnyk BM, Mistry EA, Ogunniyi MO, Schott SL, Smith SC Jr, Talbot AW, Vongpatanasin W, Watson KE, Whelton PK, Williamson JD. 2025 AHA/ACC/AANP/AAPA/ABC/ACCP/ACPM/AGS/AMA/ASPC/NMA/PCNA/SGIM Guideline for the Prevention, Detection, Evaluation and Management of High Blood Pressure in Adults: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. Hypertension. 2025 Aug 14. doi: 10.1161/HYP.0000000000000249

CHAPTER 9 D Is for Digestion

Peery AF, et al. Burden and Cost of Gastrointestinal, Liver, and Pancreatic Diseases in the United States: Update 2021. Gastroenterology. 2022 Feb;162(2):621-644. doi: 10.1053/j.gastro.2021.10.017. Epub 2021 Oct 19. PMID: 34678215; PMCID: PMC10756322.

Unalp-Arida A, Ruhl CE. Burden of Digestive Diseases in the United States Population: Rates and Trends. Am J Gastroenterol. 2024 Dec 31. doi: 10.14309/ajg.0000000000003241. Epub ahead of print. PMID: 39588980.

Maret-Ouda J, Markar SR, Lagergren J. Gastroesophageal Reflux Disease: A Review. JAMA. 2020 Dec 22;324(24):2536-2547. doi: 10.1001/jama.2020.21360. PMID: 33351048.

Ronnie Fass, M.D. Gastroesophageal Reflux Disease. Published September 28, 2022. N Engl J Med 2022;387:1207-1216. DOI: 10.1056/NEJMcp2114026

VOL. 387 NO. 13 Copyright © 2022

Maret-Ouda J, Markar SR, Lagergren J. Gastroesophageal Reflux Disease: A Review. JAMA. 2020 Dec 22;324(24):2536-2547. doi: 10.1001/jama.2020.21360. PMID: 33351048.

Prevalence and Burden of Illness of Rome IV Irritable Bowel Syndrome in the United States: Results From a Nationwide Cross-Sectional Study. Almario, Christopher V. et al. Gastroenterology, Volume 165, Issue 6, 1475 – 1487

Lacy BE, Pimentel M, Brenner DM, Chey WD, Keefer LA, Long MD, Moshiree B. ACG Clinical Guideline: Management of Irritable Bowel Syndrome. Am J Gastroenterol. 2021 Jan 1;116(1):17-44. doi: 10.14309/ajg.0000000000001036. PMID: 33315591.

Mohammad Jafari R, Shayesteh S, Ala M, Yousefi-Manesh H, Rashidian A, Hashemian SM, Sorouri M, Dehpour AR. Dapsone Ameliorates Colitis through TLR4/NF-kB Pathway in TNBS Induced Colitis Model in Rat. Arch Med Res. 2021 Aug;52(6):595-602. doi: 10.1016/j.arcmed.2021.03.005. Epub 2021 Apr 1. PMID: 33814208.

Gibson SER, Harrison J, Molloy A, Cox JAG. Cholesterol-dependent activity of dapsone against non-replicating persistent mycobacteria. Microbiology (Reading). 2022 Dec;168(12). doi: 10.1099/mic.0.001279. PMID: 36748615.

Zhou K, Terrault NA. Gaps in Viral Hepatitis Awareness in the United States in a Population-based Study. Clin Gastroenterol Hepatol. 2020 Jan;18(1):188-195.e4. doi: 10.1016/j.cgh.2019.05.047. Epub 2019 Jun 4. PMID: 31173892; PMCID: PMC8028744.

Gnanapandithan K, Ghali MP. Self-awareness of hepatitis C infection in the United States: A cross-sectional study based on the National Health Nutrition and Examination Survey. PLoS One. 2023 Oct 24;18(10):e0293315. doi: 10.1371/journal.pone.0293315. PMID: 37874815; PMCID: PMC10597475.

Shah SC, Wang AY, Wallace MB, Hwang JH. AGA Clinical Practice Update on Screening and Surveillance in Individuals at Increased Risk for Gastric Cancer in the United States: Expert Review. Gastroenterology. 2025 Feb;168(2):405-416.e1. doi: 10.1053/j.gastro.2024.11.001. Epub 2024 Dec 23. PMID: 39718517.

Ford AC, Yuan Y, Forman D, Hunt R, Moayyedi P. Helicobacter pylori eradication for the prevention of gastric neoplasia. Cochrane Database Syst Rev. 2020 Jul 6;7(7):CD005583. doi: 10.1002/14651858.CD005583.pub3. PMID: 32628791; PMCID: PMC7389270.

https://www.newswise.com/articles/dana-farber-report-shows-alarming-rise-in-many-gastrointestinal-cancers-in-young-people

Farha N, Faisal MS, Allende DS, Sleiman J, Shah R, Farha N, Funchain P, Philpott JR. Characteristics of Immune Checkpoint Inhibitor-Associated Gastritis: Report from a Major Tertiary Care Center. Oncologist. 2023 Aug 3;28(8):706-713. doi: 10.1093/oncolo/oyad031. PMID: 36905577; PMCID: PMC10400162.

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Zuzek R, Potter M, Talley NJ, Agréus L, Andreasson A, Veits L, Vieth M, Walker MM. Prevalence of Histological Gastritis in a Community Population and Association with Epigastric Pain. Dig Dis Sci. 2024 Feb;69(2):528-537. doi: 10.1007/s10620-023-08170-2. Epub 2023 Dec 13. PMID: 38091176; PMCID: PMC10861608.

Gisbert JP. Helicobacter pylori and gastric disease. Med Clin (Barc). 2025 May 22;165(1):106974. English, Spanish. doi: 10.1016/j.medcli.2025.106974. Epub ahead of print. PMID: 40409232.

Vakil N. Peptic Ulcer Disease: A Review. JAMA. 2024 Dec 3;332(21):1832-1842. doi: 10.1001/jama.2024.19094. PMID: 39466269.

JOHN R. MCCONAGHY, MD, AMARA DECKER, MD, MPH, AND SHALINA NAIR, MD, MBA

Peptic Ulcer Disease and H. pylori Infection: Common Questions and Answers

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Zeyun Xue, et al. Association of eosinophilic esophagitis with autoimmune and connective tissue disorders, and the impact on treatment response, Diseases of the Esophagus, Volume 36, Issue 1, January 2023, doac043, https://doi.org/10.1093/dote/doac043

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Mott T, Gray C. Gastric Cancer: Rapid Evidence Review. Am Fam Physician. 2025 Feb;111(2):140-145. PMID: 39964925.

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AGA Clinical Practice Update on Screening and Surveillance in Individuals at Increased Risk for Gastric Cancer in the United States: Expert Review. Shah, Shailja C. et al. Gastroenterology, Volume 168, Issue 2, 405 - 416.e1

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Lacy BE, Pimentel M, Brenner DM, Chey WD, Keefer LA, Long MD, Moshiree B. ACG Clinical Guideline: Management of Irritable Bowel Syndrome. Am J Gastroenterol. 2021 Jan 1;116(1):17-44. doi: 10.14309/ajg.0000000000001036. PMID: 33315591.

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Tonia M. Young-Fadok, B.M., B.Ch. Diverticulitis. New England Journal of Medicine

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Gao H, Zhou H, Zhang Z, Gao J, Li J, Li X. Vitamin D3 alleviates inflammation in ulcerative colitis by activating the VDR-NLRP6 signaling pathway. Front Immunol. 2023 Feb 8;14:1135930. doi: 10.3389/fimmu.2023.1135930. PMID: 36845152; PMCID: PMC9944717.

Dalayeli N, Hajhashemi V, Talebi A, Minaiyan M. Investigating the Impact of Selected B Vitamins (B1, B2, B6, and B12) on Acute Colitis Induced Experimentally in Rats. Int J Prev Med. 2024 Nov 28;15:61. doi: 10.4103/ijpvm.ijpvm_232_23. PMID: 39742123; PMCID: PMC11687687.

Kumar A, Brookes MJ. Iron Therapy in Inflammatory Bowel Disease. Nutrients. 2020 Nov 12;12(11):3478. doi: 10.3390/nu12113478. PMID: 33198376; PMCID: PMC7697745.

de Moura MSB, Soares NRM, Barros SÉL, de Pinho FA, Silva TMC, Bráz DC, Vieira EC, Lima MM, Parente JML, Marreiro DDN, da Silva AS, Nogueira NDN. Zinc gluconate supplementation impacts the clinical improvement in patients with ulcerative colitis. Biometals. 2020 Feb;33(1):15-27. doi: 10.1007/s10534-019-00225-0. Epub 2020 Jan 19. PMID: 31956928.

Protective effects of Arbutus unedo extract on acetic acid-induced colitis in rats: histological, biochemical, and antioxidant assessments

Soumaya Wahabi, Slimen Selmi, Khaoula Gharbi, Ala Ayari, Fethi Yahmdi, Hichem Sebai

First published: 21 May 2025

https://doi.org/10.1002/jsfa.14317

Roberts CL, Rushworth SL, Richman E, Rhodes JM. Hypothesis: Increased consumption of emulsifiers as an explanation for the rising incidence of Crohn's disease. J Crohns Colitis. 2013 May;7(4):338-41. doi: 10.1016/j.crohns.2013.01.004. Epub 2013 Jan 27. PMID: 23360575.

Fitzpatrick JA, Gibson PR, Taylor KM, Anderson EJ, Friedman AB, Ardalan ZS, Smith RL, Halmos EP. Clinical Trial: The Effects of Emulsifiers in the Food Supply on Disease Activity in Crohn's Disease: An Exploratory Double-Blinded Randomised Feeding Trial. Aliment Pharmacol Ther. 2025 Apr;61(8):1276-1289. doi: 10.1111/apt.70041. Epub 2025 Feb 18. PMID: 39967287; PMCID: PMC11950802.

Jarmakiewicz-Czaja S, Piątek D, Filip R. The impact of selected food additives on the gastrointestinal tract in the example of nonspecific inflammatory bowel diseases. Arch Med Sci. 2021 Jan 8;18(5):1286-1296. doi: 10.5114/aoms/125001. PMID: 36160334; PMCID: PMC9479712.

Malinowski B, Wiciński M, Sokołowska MM, Hill NA, Szambelan M. The Rundown of Dietary Supplements and Their Effects on Inflammatory Bowel Disease-A Review. Nutrients. 2020 May 14;12(5):1423. doi: 10.3390/nu12051423. PMID: 32423084; PMCID: PMC7284960.

Limketkai BN, Wolf A, Parian AM. Nutritional Interventions in the Patient with Inflammatory Bowel Disease. Gastroenterol Clin North Am. 2018 Mar;47(1):155-177. doi: 10.1016/j.gtc.2017.09.007. Epub 2017 Dec 7. PMID: 29413010.

De Conno B, Pesce M, Chiurazzi M, Andreozzi M, Rurgo S, Corpetti C, Seguella L, Del Re A, Palenca I, Esposito G, Sarnelli G. Nutraceuticals and Diet Supplements in Crohn's Disease: A General Overview of the Most Promising Approaches in the Clinic. Foods. 2022 Apr 4;11(7):1044. doi: 10.3390/foods11071044. PMID: 35407131; PMCID: PMC8998137.

Masnadi Shirazi K, Sotoudeh S, Masnadi Shirazi A, Moaddab SY, Nourpanah Z, Nikniaz Z. Effect of N-acetylcysteine on remission maintenance in patients with ulcerative colitis: A randomized, double-blind controlled clinical trial. Clin Res Hepatol Gastroenterol. 2021 Jul;45(4):101532. doi: 10.1016/j.clinre.2020.08.010. Epub 2020 Oct 14. PMID: 33067169.

Jiang P, Zhai Z, Zhao L, Zhang K, Duan L. α-Lipoic acid alleviates dextran sulfate sodium salt-induced ulcerative colitis via modulating the Keap1-Nrf2 signaling pathway and inhibiting ferroptosis. J Sci Food Agric. 2024 Feb;104(3):1679-1690. doi: 10.1002/jsfa.13053. Epub 2023 Nov 15. PMID: 37850313.

Arno R. Bourgonje et al. Crohn’s Disease in Clinical Remission Is Marked by Systemic Oxidative Stress. Front. Physiol., 25 April 2019. Sec. Gastrointestinal Sciences. Volume 10 - 2019 | https://doi.org/10.3389/fphys.2019.00499

Li B, Wang Y, Jiang X, Du H, Shi Y, Xiu M, Liu Y, He J. Natural products targeting Nrf2/ARE signaling pathway in the treatment of inflammatory bowel disease. Biomed Pharmacother. 2023 Aug;164:114950. doi: 10.1016/j.biopha.2023.114950. Epub 2023 May 30. PMID: 37263167.

Qiang R, Li Y, Dai X, Lv W. NLRP3 inflammasome in digestive diseases: From mechanism to therapy. Front Immunol. 2022 Oct 26;13:978190. doi: 10.3389/fimmu.2022.978190. PMID: 36389791; PMCID: PMC9644028.

Albuquerque-Souza E, Dalli J. Specialized pro-resolving lipid mediators in gut immunophysiology: from dietary precursors to inflammation resolution. Curr Opin Clin Nutr Metab Care. 2025 Mar 1;28(2):96-103. doi: 10.1097/MCO.0000000000001103. Epub 2025 Jan 13. PMID: 39819646.

Chaim FHM, Pascoal LB, de Castro MM, Palma BB, Rodrigues BL, Fagundes JJ, Milanski M, Lopes LR, Leal RF. The resolvin D2 and omega-3 polyunsaturated fatty acid as a new possible therapeutic approach for inflammatory bowel diseases. Sci Rep. 2024 Nov 20;14(1):28698. doi: 10.1038/s41598-024-80051-8. PMID: 39562789; PMCID: PMC11576872.

Xinzhen Che et al. The lactylation-macrophage interplay: implications for gastrointestinal disease therapeutics . Front. Immunol., 08 July 2025 Sec. Molecular Innate Immunity

Volume 16 - 2025 | https://doi.org/10.3389/fimmu.2025.1608115

Zhou HC, Yu WW, Yan XY, Liang XQ, Ma XF, Long JP, Du XY, Mao HY, Liu HB. Lactate-driven macrophage polarization in the inflammatory microenvironment alleviates intestinal inflammation. Front Immunol. 2022 Oct 18;13:1013686. doi: 10.3389/fimmu.2022.1013686. PMID: 36330516; PMCID: PMC9623299.

Lyu YL, Zhou HF, Yang J, Wang FX, Sun F, Li JY. Biological Activities Underlying the Therapeutic Effect of Quercetin on Inflammatory Bowel Disease. Mediators Inflamm. 2022 Jul 23;2022:5665778. doi: 10.1155/2022/5665778. PMID: 35915741; PMCID: PMC9338876.

Zobeiri M, Momtaz S, Parvizi F, Tewari D, Farzaei MH, Nabavi SM. Targeting Mitogen-Activated Protein Kinases by Natural Products: A Novel Therapeutic Approach for Inflammatory Bowel Diseases. Curr Pharm Biotechnol. 2020;21(13):1342-1353. doi: 10.2174/1389201021666191216122555. PMID: 31840607.

Zhang Y, Huang S, Zhang S, Hao Z, Shen J. Pomegranate Peel Extract Mitigates Diarrhea-Predominant Irritable Bowel Syndromes via MAPK and NF-κB Pathway Modulation in Rats. Nutrients. 2024 Nov 11;16(22):3854. doi: 10.3390/nu16223854. PMID: 39599640; PMCID: PMC11597445.

Zhang L, Liu G, Han X, Liu J, Li GX, Zou DW, Li ZS. Inhibition of p38 MAPK activation attenuates esophageal mucosal damage in a chronic model of reflux esophagitis. Neurogastroenterol Motil. 2015 Nov;27(11):1648-56. doi: 10.1111/nmo.12664. Epub 2015 Sep 10. PMID: 26353842.

Privitera G, Rana N, Armuzzi A, Pizarro TT. The gasdermin protein family: emerging roles in gastrointestinal health and disease. Nat Rev Gastroenterol Hepatol. 2023 Jun;20(6):366-387. doi: 10.1038/s41575-023-00743-w. Epub 2023 Feb 13. PMID: 36781958; PMCID: PMC10238632.

Camilleri M, Zheng T. Cannabinoids and the Gastrointestinal Tract. Clin Gastroenterol Hepatol. 2023 Dec;21(13):3217-3229. doi: 10.1016/j.cgh.2023.07.031. Epub 2023 Sep 9. PMID: 37678488; PMCID: PMC10872845.

Bonaz B, Sinniger V, Pellissier S. Vagal tone: effects on sensitivity, motility, and inflammation. Neurogastroenterol Motil. 2016 Apr;28(4):455-62. doi: 10.1111/nmo.12817. PMID: 27010234.

Pellissier S, Dantzer C, Mondillon L, Trocme C, Gauchez AS, Ducros V, Mathieu N, Toussaint B, Fournier A, Canini F, Bonaz B. Relationship between vagal tone, cortisol, TNF-alpha, epinephrine and negative affects in Crohn's disease and irritable bowel syndrome. PLoS One. 2014 Sep 10;9(9):e105328. doi: 10.1371/journal.pone.0105328. PMID: 25207649; PMCID: PMC4160179.

Milovanovic B, Filipovic B, Mutavdzin S, Zdravkovic M, Gligorijevic T, Paunovic J, Arsic M. Cardiac autonomic dysfunction in patients with gastroesophageal reflux disease. World J Gastroenterol. 2015 Jun 14;21(22):6982-9. doi: 10.3748/wjg.v21.i22.6982. PMID: 26078576; PMCID: PMC4462740.

Ronnie Fass, M.D. Gastroesophageal Reflux Disease. Published September 28, 2022

N Engl J Med 2022;387:1207-1216. DOI: 10.1056/NEJMcp2114026

VOL. 387 NO. 13

Park YM, Kim JH, Baik SJ, Park JJ, Youn YH, Park H. Clinical risk assessment for gastric cancer in asymptomatic population after a health check-up: An individualized consideration of the risk factors. Medicine (Baltimore). 2016 Nov;95(44):e5351. doi: 10.1097/MD.0000000000005351. PMID: 27858920; PMCID: PMC5591168.

AGA Clinical Practice Guidelines on Management of Gastric Intestinal Metaplasia/ Gupta, Samir et al. Gastroenterology, Volume 158, Issue 3, 693 – 702

Farraye FA, Melmed GY, Lichtenstein GR, Kane SV. ACG Clinical Guideline: Preventive Care in Inflammatory Bowel Disease. Am J Gastroenterol. 2017 Feb;112(2):241-258. doi: 10.1038/ajg.2016.537. Epub 2017 Jan 10. Erratum in: Am J Gastroenterol. 2017 Jul;112(7):1208. doi: 10.1038/ajg.2017.145. PMID: 28071656.

Liang PS, Shaukat A, Crockett SD. AGA Clinical Practice Update on Chemoprevention for Colorectal Neoplasia: Expert Review. Clin Gastroenterol Hepatol. 2021 Jul;19(7):1327-1336. doi: 10.1016/j.cgh.2021.02.014. Epub 2021 Feb 10. PMID: 33581359.

Song M, Garrett WS, Chan AT. Nutrients, foods, and colorectal cancer prevention. Gastroenterology. 2015 May;148(6):1244-60.e16. doi: 10.1053/j.gastro.2014.12.035. Epub 2015 Jan 6. PMID: 25575572; PMCID: PMC4409470.

Arnold MJ. Nonalcoholic Fatty Liver Disease: Diagnosis and Management Guidelines From the AACE. Am Fam Physician. 2023 May;107(5):554-556. PMID: 37192061.

Raknes G, Simonsen P, Småbrekke L. The Effect of Low-Dose Naltrexone on Medication in Inflammatory Bowel Disease: A Quasi Experimental Before-and-After Prescription Database Study. J Crohns Colitis. 2018 May 25;12(6):677-686. doi: 10.1093/ecco-jcc/jjy008. Erratum in: J Crohns Colitis. 2019 Dec 10;13(12):1588-1589. doi: 10.1093/ecco-jcc/jjz101. PMID: 29385430; PMCID: PMC5972567.

CHAPTER 10 E Is for Environmental Toxins, F Is for Functional Medicine, G Is for Genetics

Buekers J, Verheyen V, Remy S, Covaci A, Colles A, Koppen G, Govarts E, Bruckers L, Leermakers M, St-Amand A, Schoeters G. Combined chemical exposure using exposure loads on human biomonitoring data of the 4th Flemish Environment and Health Study (FLEHS-4). Int J Hyg Environ Health. 2021 Sep;238:113849. doi: 10.1016/j.ijheh.2021.113849. Epub 2021 Sep 20. PMID: 34547602.

Stanfield Z, Setzer RW, Hull V, Sayre RR, Isaacs KK, Wambaugh JF. Characterizing Chemical Exposure Trends from NHANES Urinary Biomonitoring Data. Environ Health Perspect. 2024 Jan;132(1):17009. doi: 10.1289/EHP12188. Epub 2024 Jan 29. PMID: 38285237; PMCID: PMC10824265.

Faure S, Noisel N, Werry K, Karthikeyan S, Aylward LL, St-Amand A. Evaluation of human biomonitoring data in a health risk based context: An updated analysis of population level data from the Canadian Health Measures Survey. Int J Hyg Environ Health. 2020 Jan;223(1):267-280. doi: 10.1016/j.ijheh.2019.07.009. Epub 2019 Sep 13. PMID: 31523017.

Woodruff TJ. Health Effects of Fossil Fuel-Derived Endocrine Disruptors. N Engl J Med. 2024 Mar 7;390(10):922-933. doi: 10.1056/NEJMra2300476. PMID: 38446677.

Meichen Wang, Zunwei Chen, Ivan Rusyn, Timothy D. Phillips. Testing the efficacy of broad-acting sorbents for environmental mixtures using isothermal analysis, mammalian cells, and H. vulgaris. Journal of Hazardous Materials, Volume 408, 2021,124425,ISSN 0304-3894,

Meichen Wang, Asuka A. Orr, Joseph M. Jakubowski, Kelsea E. Bird, Colleen M. Casey, Sara E. Hearon, Phanourios Tamamis, Timothy D. Phillips/ Enhanced adsorption of per- and polyfluoroalkyl substances (PFAS) by edible, nutrient-amended montmorillonite clays, Water Research, Volume 188, 2021,116534,

ISSN 0043-1354,

Salthammer T, Gu J, Wientzek S, Harrington R, Thomann S. Measurement and evaluation of gaseous and particulate emissions from burning scented and unscented candles. Environ Int. 2021 Oct;155:106590. doi: 10.1016/j.envint.2021.106590. Epub 2021 May 6. PMID: 33964641.

Andersen C, et al. Emissions of soot, PAHs, ultrafine particles, NOx, and other health relevant compounds from stressed burning of candles in indoor air. Indoor Air. 2021 Nov;31(6):2033-2048. doi: 10.1111/ina.12909. Epub 2021 Jul 23. PMID: 34297865.

Replacing Plastics iHEALTH FEB. 8, 2024

https://nymag.com/intelligencer/article/how-much-plastic-are-you-drinking.html?ueid=a756567066aa180d5aaeb274ff26b7f1&utm_source=Sailthru&utm_medium=email&utm_campaign=One%20Great%20Story%20-%20February%208%2C%202024&utm_term=Subscription%20List%20-%20One

https://www.medicalnewstoday.com/articles/microplastics-in-the-brain-how-can-we-avoid-exposure?utm_source=Sailthru%20Email&utm_medium=Email&utm_campaign=sundaysupplement&utm_content=2025-03-16&apid=32244581&rvid=b53776ea4aeefbff046accba854e159812bc364752

Hafiz Nawaz Hussain, et al. Advances in the removal of Polyfluoroalkyl Substances (PFAS) from water using destructive and non destructive methods, Green Analytical Chemistry, Volume 12, 2025, 100225,

ISSN 2772-5774,

https://doi.org/10.1016/j.greeac.2025.100225.

Appleman TD, Higgins CP, Quiñones O, Vanderford BJ, Kolstad C, Zeigler-Holady JC, Dickenson ER. Treatment of poly- and perfluoroalkyl substances in U.S. full-scale water treatment systems. Water Res. 2014 Mar 15;51:246-55. doi: 10.1016/j.watres.2013.10.067. Epub 2013 Nov 7. PMID: 24275109.

Daniel So, et al. Dietary fiber intervention on gut microbiota composition in healthy adults: a systematic review and meta-analysis, The American Journal of Clinical Nutrition, Volume 107, Issue 6, 2018, Pages 965-983, ISSN 0002-9165,

https://doi.org/10.1093/ajcn/nqy041.

Kunutsor, S.K., Jassal, D.S., Ravandi, A. et al. Dietary flaxseed: Cardiometabolic benefits and its role in promoting healthy aging. GeroScience (2025). https://doi.org/10.1007/s11357-025-01512-0

Shayan M, Kamalian S, Sahebkar A, Tayarani-Najaran Z. Flaxseed for Health and Disease: Review of Clinical Trials. Comb Chem High Throughput Screen. 2020;23(8):699-722. doi: 10.2174/1386207323666200521121708. PMID: 32436825.

Stepień, A.E.; Trojniak, J.; Tabarkiewicz, J. Anti-Oxidant and Anti-Cancer Properties of Flaxseed. Int. J. Mol. Sci. 2025, 26, 1226. https://doi.org/10.3390/ijms26031226

Georgiou-Siafis, S.K.; Tsiftsoglou, A.S. The Key Role of GSH in Keeping the Redox Balance in Mammalian Cells: Mechanisms and Significance of GSH in Detoxification via Formation of Conjugates. Antioxidants 2023, 12, 1953. https://doi.org/10.3390/antiox12111953

Marcel Deponte, Chapter 12 - Glutathione and glutathione-dependent enzymes, Editor(s): Beatriz Alvarez, Marcelo A. Comini, Gustavo Salinas, Madia Trujillo, Redox Chemistry and Biology of Thiols,

Academic Press, 2022, Pages 241-275, ISBN 9780323902199,

https://doi.org/10.1016/B978-0-323-90219-9.00017-0.

Tucker D, Lu Y, Zhang Q. From Mitochondrial Function to Neuroprotection-an Emerging Role for Methylene Blue. Mol Neurobiol. 2018 Jun;55(6):5137-5153. doi: 10.1007/s12035-017-0712-2. Epub 2017 Aug 24. PMID: 28840449; PMCID: PMC5826781.

Casén C, et al. Deviations in human gut microbiota: a novel diagnostic test for determining dysbiosis in patients with IBS or IBD. Aliment Pharmacol Ther. 2015 Jul;42(1):71-83. doi: 10.1111/apt.13236. Epub 2015 May 14. PMID: 25973666; PMCID: PMC5029765.

Navidad JF, Griswold DJ, Gradus MS, Bhattacharyya S. Evaluation of Luminex xTAG gastrointestinal pathogen analyte-specific reagents for high-throughput, simultaneous detection of bacteria, viruses, and parasites of clinical and public health importance. J Clin Microbiol. 2013 Sep;51(9):3018-24. doi: 10.1128/JCM.00896-13. Epub 2013 Jul 12. PMID: 23850948; PMCID: PMC3754681.

Simeonova D, Ivanovska M, Murdjeva M, Carvalho AF, Maes M. Recognizing the Leaky Gut as a Trans-diagnostic Target for Neuroimmune Disorders Using Clinical Chemistry and Molecular Immunology Assays. Curr Top Med Chem. 2018;18(19):1641-1655. doi: 10.2174/1568026618666181115100610. PMID: 30430944.

Simeonova D, Ivanovska M, Murdjeva M, Carvalho AF, Maes M. Recognizing the Leaky Gut as a Trans-diagnostic Target for Neuroimmune Disorders Using Clinical Chemistry and Molecular Immunology Assays. Curr Top Med Chem. 2018;18(19):1641-1655. doi: 10.2174/1568026618666181115100610. PMID: 30430944.

Khoshbin K, et al. Development and Validation of Test for "Leaky Gut" Small Intestinal and Colonic Permeability Using Sugars in Healthy Adults. Gastroenterology. 2021 Aug;161(2):463-475.e13. doi: 10.1053/j.gastro.2021.04.020. Epub 2021 Apr 16. PMID: 33865841; PMCID: PMC8328885.

Larkey NE, Fatica EM, Singh RJ. Detection of 13C-Mannitol and Other Saccharides Using Tandem Mass Spectrometry for Evaluation of Intestinal Permeability or Leaky Gut. Methods Mol Biol. 2022;2546:285-294. doi: 10.1007/978-1-0716-2565-1_26. PMID: 36127598.

Shayota BJ. Biomarkers of mitochondrial disorders. Neurotherapeutics. 2024 Jan;21(1):e00325. doi: 10.1016/j.neurot.2024.e00325. Epub 2024 Jan 30. PMID: 38295557; PMCID: PMC10903091.

Michael J. Goldenthal, et al. Non-invasive evaluation of buccal respiratory chain enzyme dysfunction in mitochondrial disease: Comparison with studies in muscle biopsy, Molecular Genetics and Metabolism,

Volume 105, Issue 3, 2012, Pages 457-462, ISSN 1096-7192,

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Hofman LF. Human saliva as a diagnostic specimen. J Nutr. 2001 May;131(5):1621S-5S. doi: 10.1093/jn/131.5.1621S. PMID: 11340128.

Goldoni R, Dolci C, Boccalari E, Inchingolo F, Paghi A, Strambini L, Galimberti D, Tartaglia GM. Salivary biomarkers of neurodegenerative and demyelinating diseases and biosensors for their detection. Ageing Res Rev. 2022 Apr;76:101587. doi: 10.1016/j.arr.2022.101587. Epub 2022 Feb 11. PMID: 35151849.

Guo F, Adekanmbi V, Hsu CD, Berenson AB, Kuo YF, Shih YT. Cost-Effectiveness of Population-Based Multigene Testing for Breast and Ovarian Cancer Prevention. JAMA Netw Open. 2024 Feb 5;7(2):e2356078. doi: 10.1001/jamanetworkopen.2023.56078. PMID: 38353949; PMCID: PMC10867683.

Vivante A. Genetics of Chronic Kidney Disease. N Engl J Med. 2024 Aug 15;391(7):627-639. doi: 10.1056/NEJMra2308577. PMID: 39141855.

Pizzorno J. Is Challenge Testing Valid for Assessing Body Metal Burden? Integr Med (Encinitas). 2015 Aug;14(4):8-14. PMID: 26770151; PMCID: PMC4712860.

Miller AL. Dimercaptosuccinic acid (DMSA), a non-toxic, water-soluble treatment for heavy metal toxicity. Altern Med Rev. 1998 Jun;3(3):199-207. PMID: 9630737.

Wu, S., Zhao, P., Wang, A. et al. Rapid Determination of Toxic Trace Metals As, Hg, Tl, and Pb in Hair by Monochromatic Excitation X-ray Fluorescence Spectrometry. Biol Trace Elem Res 203, 1776–1785 (2025). https://doi.org/10.1007/s12011-024-04455-3

Aposhian HV, Maiorino RM, Rivera M, Bruce DC, Dart RC, Hurlbut KM, Levine DJ, Zheng W, Fernando Q, Carter D, et al. Human studies with the chelating agents, DMPS and DMSA. J Toxicol Clin Toxicol. 1992;30(4):505-28. doi: 10.3109/15563659209017938. PMID: 1331491.

Bjørklund G, Mutter J, Aaseth J. Metal chelators and neurotoxicity: lead, mercury, and arsenic. Arch Toxicol. 2017 Dec;91(12):3787-3797. doi: 10.1007/s00204-017-2100-0. Epub 2017 Oct 24. PMID: 29063135.

Aposhian HV. Mobilization of mercury and arsenic in humans by sodium 2,3-dimercapto-1-propane sulfonate (DMPS). Environ Health Perspect. 1998 Aug;106 Suppl 4(Suppl 4):1017-25. doi: 10.1289/ehp.98106s41017. PMID: 9703487; PMCID: PMC1533322

George T, Brady MF. Ethylenediaminetetraacetic Acid (EDTA) [Updated 2023 Jun 26]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK565883/

Lamas GA, Issa OM. Edetate Disodium-Based Treatment for Secondary Prevention in Post-Myocardial Infarction Patients. Curr Cardiol Rep. 2016 Feb;18(2):20.

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Virani SS, Newby LK, Arnold SV, Bittner V, Brewer LC, Demeter SH, Dixon DL, Fearon WF, Hess B, Johnson HM, Kazi DS, Kolte D, Kumbhani DJ, LoFaso J, Mahtta D, Mark DB, Minissian M, Navar AM, Patel AR, Piano MR, Rodriguez F, Talbot AW, Taqueti VR, Thomas RJ, van Diepen S, Wiggins B, Williams MS; Peer Review Committee Members. 2023 AHA/ACC/ACCP/ASPC/NLA/PCNA Guideline for the Management of Patients With Chronic Coronary Disease: A Report of the American Heart Association/American College of Cardiology Joint Committee on Clinical Practice Guidelines. Circulation. 2023 Aug 29;148(9):e9-e119. doi: 10.1161/

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CHAPTER 11 H Is for Hormones

Lu, M., Flanagan, J.U., Langley, R.J. et al. Targeting growth hormone function: strategies and therapeutic applications. Sig Transduct Target Ther 4, 3 (2019). https://doi.org/10.1038/s41392-019-0036-y

Derek LeRoith, Jeff M.P. Holly, Briony E. Forbes,

Insulin-like growth factors: Ligands, binding proteins, and receptors, Molecular Metabolism, Volume 52, 2021,101245,

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Pirahanchi Y, Toro F, Jialal I. Physiology, Thyroid Stimulating Hormone. [Updated 2023 May 1]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK499850/

Ganesan K, Anastasopoulou C, Wadud K. Euthyroid Sick Syndrome. [Updated 2022 Dec 8]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK482219/

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JoAnn V. Pinkerton, M.D. Hormone Therapy for Postmenopausal Women

Published January 29, 2020. N Engl J Med 2020;382:446-455

DOI: 10.1056/NEJMcp1714787

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Al Wattar BH, Talaulikar V. Non-oestrogen-based and complementary therapies for menopause. Best Pract Res Clin Endocrinol Metab. 2024 Jan;38(1):101819. doi: 10.1016/j.beem.2023.101819. Epub 2023 Aug 25. PMID: 37659918.

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Andrea R Genazzani, Patrizia Monteleone, Andrea Giannini, Tommaso Simoncini, Hormone therapy in the postmenopausal years: considering benefits and risks in clinical practice, Human Reproduction Update, Volume 27, Issue 6, November-December 2021, Pages 1115–1150, https://doi.org/10.1093/humupd/dmab026

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Wu YC, Sung WW. Clomiphene Citrate Treatment as an Alternative Therapeutic Approach for Male Hypogonadism: Mechanisms and Clinical Implications. Pharmaceuticals (Basel). 2024 Sep 18;17(9):1233. doi: 10.3390/ph17091233. PMID: 39338395; PMCID: PMC11435126.

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Vikash Jaiswal, Aanchal Sawhney, Chikodili Nebuwa, Vamsikalyan Borra, Novonil Deb, Anupam Halder, Kripa Rajak, Mayank Jha, Zarghoona Wajid, Rosy Thachil, Dhrubajyoti Bandyopadhyay, Jishanth Mattumpuram, Carl J. Lavie,

Association between testosterone replacement therapy and cardiovascular outcomes: A meta-analysis of 30 randomized controlled trials,

Progress in Cardiovascular Diseases,

Volume 85, 2024, Pages 45-53, ISSN 0033-0620,

https://doi.org/10.1016/j.pcad.2024.04.001.

Bhasin S, Travison TG, Pencina KM, et al. Prostate Safety Events During Testosterone Replacement Therapy in Men With Hypogonadism: A Randomized Clinical Trial. JAMA Netw Open. 2023;6(12):e2348692. doi:10.1001/jamanetworkopen.2023.48692

Sarkar M, Brady CW, Fleckenstein J, Forde KA, Khungar V, Molleston JP, Afshar Y, Terrault NA. Reproductive Health and Liver Disease: Practice Guidance by the American Association for the Study of Liver Diseases. Hepatology. 2021 Jan;73(1):318-365. doi: 10.1002/hep.31559. Epub 2021 Jan 3. PMID: 32946672.

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Tritos NA, Miller KK. Diagnosis and Management of Pituitary Adenomas: A Review. JAMA. 2023 Apr 25;329(16):1386-1398. doi: 10.1001/jama.2023.5444. PMID: 37097352.

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Lim HW, Grimes PE, Agbai O, Hamzavi I, Henderson M, Haddican M, Linkner RV, Lebwohl M. Afamelanotide and narrowband UV-B phototherapy for the treatment of vitiligo: a randomized multicenter trial. JAMA Dermatol. 2015 Jan;151(1):42-50. doi: 10.1001/jamadermatol.2014.1875. PMID: 25230094.

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Qaseem A, Obley AJ, Shamliyan T, Hicks LA, Harrod CS, Crandall CJ; Clinical Guidelines Committee of the American College of Physicians; Balk EM, Cooney TG, Cross JT Jr, Fitterman N, Lin JS, Maroto M, Miller MC, Shekelle P, Tice JA, Tufte JE, Etxeandia-Ikobaltzeta I, Yost J. Newer Pharmacologic Treatments in Adults With Type 2 Diabetes: A Clinical Guideline From the American College of Physicians. Ann Intern Med. 2024 May;177(5):658-666. doi: 10.7326/M23-2788. Epub 2024 Apr 19. PMID: 38639546; PMCID: PMC11614146.

Kalyani RR, Neumiller JJ, Maruthur NM, Wexler DJ. Diagnosis and Treatment of Type 2 Diabetes in Adults: A Review. JAMA. 2025 Sep 16;334(11):984-1002. doi: 10.1001/jama.2025.5956. PMID: 40549398.

Amir Qaseem, Adam J. Obley, Tatyana Shamliyan, et al. Newer Pharmacologic Treatments in Adults With Type 2 Diabetes: A Clinical Guideline From the American College of Physicians. Ann Intern Med.2024;177:658-666. [Epub 19 April 2024]. doi:10.7326/M23-2788

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Michael F. Holick, Neil C. Binkley, Heike A. Bischoff-Ferrari, Catherine M. Gordon, David A. Hanley, Robert P. Heaney, M. Hassan Murad, Connie M. Weaver, Evaluation, Treatment, and Prevention of Vitamin D Deficiency: an Endocrine Society Clinical Practice Guideline, The Journal of Clinical Endocrinology & Metabolism, Volume 96, Issue 7, 1 July 2011, Pages 1911–1930, https://doi.org/10.1210/jc.2011-0385

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Hartmut P.H. Neumann, M.D  et al. Pheochromocytoma and Paraganglioma

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Gruber LM, Jasim S, Ducharme-Smith A, Weingarten T, Young WF, Bancos I. The Role for Metyrosine in the Treatment of Patients With Pheochromocytoma and Paraganglioma. J Clin Endocrinol Metab. 2021 May 13;106(6):e2393-e2401. doi: 10.1210/clinem/dgab130. PMID: 33693908; PMCID: PMC8118583.

Kamath AS, Singh K. Perioperative Management of Pheochromocytoma. [Updated 2023 Jul 6]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK589634/

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Sahoo DK, Chainy GBN. Hormone-linked redox status and its modulation by antioxidants. Vitam Horm. 2023;121:197-246. doi: 10.1016/bs.vh.2022.10.007. Epub 2023 Jan 13. PMID: 36707135.

Woodruff TJ. Health Effects of Fossil Fuel-Derived Endocrine Disruptors. N Engl J Med. 2024 Mar 7;390(10):922-933. doi: 10.1056/NEJMra2300476. PMID: 38446677.

Corbett GA, Lee S, Woodruff TJ, Hanson M, Hod M, Charlesworth AM, Giudice L, Conry J, McAuliffe FM; International Federation of Gynecology and Obstetrics (FIGO) Committee on Impact of Pregnancy on Long-term Health and the FIGO Committee on Climate Change and Toxic Environmental Exposures. Nutritional interventions to ameliorate the effect of endocrine disruptors on human reproductive health: A semi-structured review from FIGO. Int J Gynaecol Obstet. 2022 Jun;157(3):489-501. doi: 10.1002/ijgo.14126. Epub 2022 Feb 23. PMID: 35122246; PMCID: PMC9305939.

Teede HJ, Tay CT, Laven JJE, Dokras A, Moran LJ, Piltonen TT, Costello MF, Boivin J, Redman LM, Boyle JA, Norman RJ, Mousa A, Joham AE. Recommendations From the 2023 International Evidence-based Guideline for the Assessment and Management of Polycystic Ovary Syndrome. J Clin Endocrinol Metab. 2023 Sep 18;108(10):2447-2469. doi: 10.1210/clinem/dgad463. PMID: 37580314; PMCID: PMC10505534.

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Long B, Willis GC, Lentz S, Koyfman A, Gottlieb M. Evaluation and Management of the Critically Ill Adult With Diabetic Ketoacidosis. J Emerg Med. 2020 Sep;59(3):371-383. doi: 10.1016/j.jemermed.2020.06.059. Epub 2020 Aug 4. PMID: 32763063.

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Jonklaas J, Bianco AC, Bauer AJ, Burman KD, Cappola AR, Celi FS, Cooper DS, Kim BW, Peeters RP, Rosenthal MS, Sawka AM; American Thyroid Association Task Force on Thyroid Hormone Replacement. Guidelines for the treatment of hypothyroidism: prepared by the american thyroid association task force on thyroid hormone replacement. Thyroid. 2014 Dec;24(12):1670-751. doi: 10.1089/thy.2014.0028. PMID: 25266247; PMCID: PMC4267409.

Puri BK, Shah M, Julu PO, Kingston MC, Monro JA. The association of lyme disease with loss of sexual libido and the role of urinary bladder detrusor dysfunction. Int Neurourol J. 2014 Jun;18(2):95-7. doi: 10.5213/inj.2014.18.2.95. Epub 2014 Jun 26. PMID: 24987563; PMCID: PMC4076487.

Horowitz, R.I.; Freeman, P.R. Precision Medicine: The Role of the MSIDS Model in Defining, Diagnosing, and Treating Chronic Lyme Disease/Post Treatment Lyme Disease Syndrome and Other Chronic Illness: Part 2. Healthcare 2018, 6, 129.

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Kalyani RR, Gavini S, Dobs AS. Male hypogonadism in systemic disease. Endocrinol Metab Clin North Am. 2007 Jun;36(2):333-48. doi: 10.1016/j.ecl.2007.03.014. PMID: 17543722.

CHAPTER 12  I Is for Immune System: Immunology and Autoimmune Diseases

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Lentz AK, Feezor RJ. Principles of immunology. Nutr Clin Pract. 2003 Dec;18(6):451-60. doi: 10.1177/0115426503018006451. PMID: 16215081.

Calder PC. Feeding the immune system. Proc Nutr Soc. 2013 Aug;72(3):299-309. doi: 10.1017/S0029665113001286. Epub 2013 May 21. PMID: 23688939.

Rankin LC, Artis D. Beyond Host Defense: Emerging Functions of the Immune System in Regulating Complex Tissue Physiology. Cell. 2018 Apr 19;173(3):554-567. doi: 10.1016/j.cell.2018.03.013. PMID: 29677509.

Sattler S. The Role of the Immune System Beyond the Fight Against Infection. Adv Exp Med Biol. 2017;1003:3-14. doi: 10.1007/978-3-319-57613-8_1. PMID: 28667551.

McComb S, Thiriot A, Akache B, Krishnan L, Stark F. Introduction to the Immune System. Methods Mol Biol. 2019;2024:1-24. doi: 10.1007/978-1-4939-9597-4_1. PMID: 31364040.

Alam R, Gorska M. 3. Lymphocytes. J Allergy Clin Immunol. 2003 Feb;111(2 Suppl):S476-85. doi: 10.1067/mai.2003.121. PMID: 12592294.

Márquez A, Martín J. Genetic overlap between type 1 diabetes and other autoimmune diseases. Semin Immunopathol. 2022 Jan;44(1):81-97. doi: 10.1007/s00281-021-00885-6. Epub 2021 Oct 1. Erratum in: Semin Immunopathol. 2022 Jan;44(1):99. doi: 10.1007/s00281-021-00898-1. PMID: 34595540.

Riccardi N, Rotulo GA, Castagnola E. Definition of Opportunistic Infections in Immunocompromised Children on the Basis of Etiologies and Clinical Features: A Summary for Practical Purposes. Curr Pediatr Rev. 2019;15(4):197-206. doi: 10.2174/1573396315666190617151745. PMID: 31242834; PMCID: PMC7040525.

McCusker C, Warrington R. Primary immunodeficiency. Allergy Asthma Clin Immunol. 2011 Nov 10;7 Suppl 1(Suppl 1):S11. doi: 10.1186/1710-1492-7-S1-S11. PMID: 22165913; PMCID: PMC3245434.

Yazdani R, Azizi G, Abolhassani H, Aghamohammadi A. Selective IgA Deficiency: Epidemiology, Pathogenesis, Clinical Phenotype, Diagnosis, Prognosis and Management. Scand J Immunol. 2017 Jan;85(1):3-12. doi: 10.1111/sji.12499. PMID: 27763681.

Yuhang Sun, Kehe Huang, Miao Long, Shuhua Yang, Ying Zhang. An update on immunotoxicity and mechanisms of action of six environmental mycotoxins,

Food and Chemical Toxicology, Volume 163,

2022, 112895, ISSN 0278-6915,

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Penn I, Starzl TE. Proceedings: The effect of immunosuppression on cancer. Proc Natl Cancer Conf. 1972;7:425-36. PMID: 4587653; PMCID: PMC3079479.

Saji AM, Gupta V. Progressive Multifocal Leukoencephalopathy. 2023 Jul 10. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan–. PMID: 32809419.

Mechanisms of nutrient modulation of the immune response. Cunningham Rundles, Susanna et al. Journal of Allergy and Clinical Immunology, Volume 115, Issue 6, 1119 – 1128

Horowitz, R.I.; Freeman, P.R. Precision Medicine: The Role of the MSIDS Model in Defining, Diagnosing, and Treating Chronic Lyme Disease/Post Treatment Lyme Disease Syndrome and Other Chronic Illness: Part 2. Healthcare 2018, 6, 129.

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Scorpio DG, Choi KS, Dumler JS. Anaplasma phagocytophilum-Related Defects in CD8, NKT, and NK Lymphocyte Cytotoxicity. Front Immunol. 2018 Apr 9;9:710. doi: 10.3389/fimmu.2018.00710. PMID: 29686681; PMCID: PMC5900440.

Kurachi M. CD8+ T cell exhaustion. Semin Immunopathol. 2019 May;41(3):327-337. doi: 10.1007/s00281-019-00744-5. Epub 2019 Apr 15. PMID: 30989321.

Wherry EJ, Kurachi M. Molecular and cellular insights into T cell exhaustion. Nat Rev Immunol. 2015 Aug;15(8):486-99. doi: 10.1038/nri3862. PMID: 26205583; PMCID: PMC4889009.

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Ali FHM, Smatti MK, Elrayess MA, Al Thani AA, Yassine HM. Role of genetics in eleven of the most common autoimmune diseases in the post genome-wide association studies era. Eur Rev Med Pharmacol Sci. 2023 Sep;27(18):8463-8485. doi: 10.26355/eurrev_202309_33772. PMID: 37782163.

Topaloudi A, et al. PheWAS and cross-disorder analysis reveal genetic architecture, pleiotropic loci and phenotypic correlations across 11 autoimmune disorders. Front Immunol. 2023 Sep 21;14:1147573. doi: 10.3389/fimmu.2023.1147573. PMID: 37809097; PMCID: PMC10552152

Zhernakova A, Withoff S, Wijmenga C. Clinical implications of shared genetics and pathogenesis in autoimmune diseases. Nat Rev Endocrinol. 2013 Nov;9(11):646-59. doi: 10.1038/nrendo.2013.161. Epub 2013 Aug 20. PMID: 23959365

Terao C, et al.  Three groups in the 28 joints for rheumatoid arthritis synovitis--analysis using more than 17,000 assessments in the KURAMA database. PLoS One. 2013;8(3):e59341. doi: 10.1371/journal.pone.0059341. Epub 2013 Mar 12. PMID: 23555018; PMCID: PMC3595245

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Sec. Multiple Sclerosis and Neuroimmunology

Volume 12 - 2021 | https://doi.org/10.3389/fneur.2021.799698

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Mojtaba Ehsanifar, Reihane Rajati, Akram Gholami, Joseph P Reiss. Mold and Mycotoxin Exposure and Brain Disorders. J. Integr. Neurosci. 2023, 22(6), 137. https://doi.org/10.31083/j.jin2206137

Maiuolo J, Macrì R, Bava I, Gliozzi M, Musolino V, Nucera S, Carresi C, Scicchitano M, Bosco F, Scarano F, Palma E, Gratteri S, Mollace V. Myelin Disturbances Produced by Sub-Toxic Concentration of Heavy Metals: The Role of Oligodendrocyte Dysfunction. Int J Mol Sci. 2019 Sep 14;20(18):4554. doi: 10.3390/ijms20184554. PMID: 31540019; PMCID: PMC6769910.

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Volume 13 - 2022 | https://doi.org/10.3389/fphar.2022.898049

Saadeh RS, Ramos PA, Algeciras-Schimnich A, Flanagan EP, Pittock SJ, Willrich MA. An Update on Laboratory-Based Diagnostic Biomarkers for Multiple Sclerosis and Beyond. Clin Chem. 2022 Sep 1;68(9):1134-1150. doi: 10.1093/clinchem/hvac061. PMID: 35934949.

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McGinley MP, Goldschmidt CH, Rae-Grant AD. Diagnosis and Treatment of Multiple Sclerosis: A Review. JAMA. 2021 Feb 23;325(8):765-779. doi: 10.1001/jama.2020.26858. Erratum in: JAMA. 2021 Jun 1;325(21):2211. doi: 10.1001/jama.2021.7928. PMID: 33620411.

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McGinley MP, Goldschmidt CH, Rae-Grant AD. Diagnosis and Treatment of Multiple Sclerosis: A Review. JAMA. 2021 Feb 23;325(8):765-779. doi: 10.1001/jama.2020.26858. Erratum in: JAMA. 2021 Jun 1;325(21):2211. doi: 10.1001/jama.2021.7928. PMID: 33620411.

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Alshamrani F, Alnajashi H, Almuaigel MF. Efficacy and Safety of Intravenous Cladribine in Patients with Rapidly Evolving or Early Secondary Progressive Multiple Sclerosis. Cureus. 2020 Feb 14;12(2):e6995. doi: 10.7759/cureus.6995. PMID: 32206459; PMCID: PMC7077152.

Saguil A, Farnell Iv EA, Jordan TS. Multiple Sclerosis: A Primary Care Perspective. Am Fam Physician. 2022 Aug;106(2):173-183. PMID: 35977131.

Lamb YN. Ocrelizumab: A Review in Multiple Sclerosis. Drugs. 2022 Feb;82(3):323-334. doi: 10.1007/s40265-022-01672-9. Epub 2022 Feb 22. PMID: 35192158; PMCID: PMC8862399.

Berkovich R. Treatment of acute relapses in multiple sclerosis. Neurotherapeutics. 2013 Jan;10(1):97-105. doi: 10.1007/s13311-012-0160-7. PMID: 23229226; PMCID: PMC3557364.

McGinley MP, Goldschmidt CH, Rae-Grant AD. Diagnosis and Treatment of Multiple Sclerosis: A Review. JAMA. 2021 Feb 23;325(8):765-779. doi: 10.1001/jama.2020.26858. Erratum in: JAMA. 2021 Jun 1;325(21):2211. doi: 10.1001/jama.2021.7928. PMID: 33620411.

Pfeuffer, S., Rolfes, L., Wirth, T. et al. Immunoadsorption versus double-dose methylprednisolone in refractory multiple sclerosis relapses. J Neuroinflammation 19, 220 (2022). https://doi.org/10.1186/s12974-022-02583-y

Levin MC, Jackson WC. Developing a therapeutic plan for treating MS: evidence for new treatments. J Clin Psychiatry. 2014 Dec;75(12):e34. doi: 10.4088/JCP.12100nr8c. PMID: 25551246.

Elovaara I, Kuusisto H, Wu X, Rinta S, Dastidar P, Reipert B. Intravenous immunoglobulins are a therapeutic option in the treatment of multiple sclerosis relapse. Clin Neuropharmacol. 2011 Mar-Apr;34(2):84-9. doi: 10.1097/WNF.0b013e31820a17f3. PMID: 21301327.

Fanara S, Aprile M, Iacono S, Schirò G, Bianchi A, Brighina F, Dominguez LJ, Ragonese P, Salemi G. The Role of Nutritional Lifestyle and Physical Activity in Multiple Sclerosis Pathogenesis and Management: A Narrative Review. Nutrients. 2021 Oct 25;13(11):3774. doi: 10.3390/nu13113774. PMID: 34836032; PMCID: PMC8620342.

Wahls TL, Chenard CA, Snetselaar LG. Review of Two Popular Eating Plans within the Multiple Sclerosis Community: Low Saturated Fat and Modified Paleolithic. Nutrients. 2019 Feb 7;11(2):352. doi: 10.3390/nu11020352. PMID: 30736445; PMCID: PMC6412750.

Di Majo D, Cacciabaudo F, Accardi G, Gambino G, Giglia G, Ferraro G, Candore G, Sardo P. Ketogenic and Modified Mediterranean Diet as a Tool to Counteract Neuroinflammation in Multiple Sclerosis: Nutritional Suggestions. Nutrients. 2022 Jun 8;14(12):2384. doi: 10.3390/nu14122384. PMID: 35745113; PMCID: PMC9229939.

Navarrete-Pérez A, Gómez-Melero S, Escribano BM, Galvao-Carmona A, Conde-Gavilán C, Peña-Toledo MÁ, Villarrubia N, Villar LM, Túnez I, Agüera-Morales E, Caballero-Villarraso J. MIND Diet Impact on Multiple Sclerosis Patients: Biochemical Changes after Nutritional Intervention. Int J Mol Sci. 2024 Sep 17;25(18):10009. doi: 10.3390/ijms251810009. PMID: 39337497; PMCID: PMC11431943.

Ciumărnean L, et al. Obesity Control and Supplementary Nutraceuticals as Cofactors of Brain Plasticity in Multiple Sclerosis Populations. Int J Mol Sci. 2024 Oct 10;25(20):10909. doi: 10.3390/ijms252010909. PMID: 39456690; PMCID: PMC11507128.

Szymaszkiewicz, A.; López-Gómez, L.; Zielińska, M.; Abalo, R. Nutraceuticals and peripheral glial cells: A possible link? J. Integr. Neurosci. 2022, 21, 1.

Lang Y, Chu F, Liu L, Zheng C, Li C, Shen D, Liu S, Zhang W, Cui L, Zhu J. Potential role of BAY11-7082, a NF-κB blocker inhibiting experimental autoimmune encephalomyelitis in C57BL/6J mice via declining NLRP3 inflammasomes. Clin Exp Immunol. 2022 May 12;207(3):378-386. doi: 10.1093/cei/uxab022. PMID: 35553640; PMCID: PMC9113142.

Higashi C, Kawaji A, Tsuda N, Hayashi M, Saito R, Yagishita Y, Suzuki T, Uruno A, Nakamura M, Nakao K, Furusako S, Yamamoto M. The novel Nrf2 inducer TFM-735 ameliorates experimental autoimmune encephalomyelitis in mice. Eur J Pharmacol. 2017 May 5;802:76-84. doi: 10.1016/j.ejphar.2017.02.044. Epub 2017 Feb 27. PMID: 28246026.

Shao S, Chen C, Shi G, Zhou Y, Wei Y, Fan N, Yang Y, Wu L, Zhang T. Therapeutic potential of the target on NLRP3 inflammasome in multiple sclerosis. Pharmacol Ther. 2021 Nov;227:107880. doi: 10.1016/j.pharmthera.2021.107880. Epub 2021 Apr 24. PMID: 33901504.

Hoxha M, Spahiu E, Prendi E, Zappacosta B. A Systematic Review on the Role of Arachidonic Acid Pathway in Multiple Sclerosis. CNS Neurol Disord Drug Targets. 2022;21(2):160-187. doi: 10.2174/1871527319666200825164123. PMID: 32842948.

Costanza M, Colombo MP, Pedotti R. Mast cells in the pathogenesis of multiple sclerosis and experimental autoimmune encephalomyelitis. Int J Mol Sci. 2012 Nov 16;13(11):15107-25. doi: 10.3390/ijms131115107. PMID: 23203114; PMCID: PMC3509630.

Pietrantonio F, Serreqi A, Zerbe H, Svenningsson P, Aigner L. The leukotriene receptor antagonist montelukast as a potential therapeutic adjuvant in multiple sclerosis - a review. Front Pharmacol. 2024 Sep 13;15:1450493. doi: 10.3389/fphar.2024.1450493. PMID: 39346564; PMCID: PMC11427386.

Conti P, Kempuraj D. Important role of mast cells in multiple sclerosis. Mult Scler Relat Disord. 2016 Jan;5:77-80. doi: 10.1016/j.msard.2015.11.005. Epub 2015 Nov 11. PMID: 26856948.

Sánchez-Fernández A, Zandee S, Mastrogiovanni M, Charabati M, Rubbo H, Prat A, López-Vales R. Administration of Maresin-1 ameliorates the physiopathology of experimental autoimmune encephalomyelitis. J Neuroinflammation. 2022 Feb 2;19(1):27. doi: 10.1186/s12974-022-02386-1. PMID: 35109863; PMCID: PMC8808957.

Polykretis P. Advanced glycation end-products as potential triggering factors of self-reactivity against myelin antigens in Multiple Sclerosis. Med Hypotheses. 2021 Dec;157:110702. doi: 10.1016/j.mehy.2021.110702. Epub 2021 Oct 9. PMID: 34666261.

Bhattacharya R, Alam MR, Kamal MA, Seo KJ, Singh LR. AGE-RAGE axis culminates into multiple pathogenic processes: a central road to neurodegeneration. Front Mol Neurosci. 2023 May 17;16:1155175. doi: 10.3389/fnmol.2023.1155175. PMID: 37266370; PMCID: PMC10230046.

Esmael A, Talaat M, Egila H, Eltoukhy K. Mitochondrial dysfunction and serum lactate as a biomarker for the progression and disability in MS and its correlation with the radiological findings. Neurol Res. 2021 Jul;43(7):582-590. doi: 10.1080/01616412.2021.1893567. Epub 2021 Mar 4. PMID: 33657991.

Benveniste EN, Liu Y, McFarland BC, Qin H. Involvement of the janus kinase/signal transducer and activator of transcription signaling pathway in multiple sclerosis and the animal model of experimental autoimmune encephalomyelitis. J Interferon Cytokine Res. 2014 Aug;34(8):577-88. doi: 10.1089/jir.2014.0012. PMID: 25084174; PMCID: PMC4118716.

Ten Bosch GJA, Bolk J, 't Hart BA, Laman JD. Multiple sclerosis is linked to MAPKERK overactivity in microglia. J Mol Med (Berl). 2021 Aug;99(8):1033-1042. doi: 10.1007/s00109-021-02080-4. Epub 2021 May 5. PMID: 33948692; PMCID: PMC8313465.

Grasselli G, Rossi S, Musella A, Gentile A, Loizzo S, Muzio L, Di Sanza C, Errico F, Musumeci G, Haji N, Fresegna D, Sepman H, De Chiara V, Furlan R, Martino G, Usiello A, Mandolesi G, Centonze D. Abnormal NMDA receptor function exacerbates experimental autoimmune encephalomyelitis. Br J Pharmacol. 2013 Jan;168(2):502-17. doi: 10.1111/j.1476-5381.2012.02178.x. PMID: 22924679; PMCID: PMC3572574.

Ferecskó AS, Smallwood MJ, Moore A, Liddle C, Newcombe J, Holley J, Whatmore J, Gutowski NJ, Eggleton P. STING-Triggered CNS Inflammation in Human Neurodegenerative Diseases. Biomedicines. 2023 May 5;11(5):1375. doi: 10.3390/biomedicines11051375. PMID: 37239045; PMCID: PMC10216406.

Fanara S, Aprile M, Iacono S, Schirò G, Bianchi A, Brighina F, Dominguez LJ, Ragonese P, Salemi G. The Role of Nutritional Lifestyle and Physical Activity in Multiple Sclerosis Pathogenesis and Management: A Narrative Review. Nutrients. 2021 Oct 25;13(11):3774. doi: 10.3390/nu13113774. PMID: 34836032; PMCID: PMC8620342.

Yadav SK, Ito K, Dhib-Jalbut S. Interaction of the Gut Microbiome and Immunity in Multiple Sclerosis: Impact of Diet and Immune Therapy. Int J Mol Sci. 2023 Sep 29;24(19):14756. doi: 10.3390/ijms241914756. PMID: 37834203; PMCID: PMC10572709.

Fang YT, Lin YT, Tseng WL, Tseng P, Hua GL, Chao YJ, Wu YJ. Neuroimmunomodulation of vagus nerve stimulation and the therapeutic implications. Front Aging Neurosci. 2023 Jul 6;15:1173987. doi: 10.3389/fnagi.2023.1173987. PMID: 37484689; PMCID: PMC10358778.

Ludwig MD, Zagon IS, McLaughlin PJ. Featured Article: Serum [Met5]-enkephalin levels are reduced in multiple sclerosis and restored by low-dose naltrexone. Exp Biol Med (Maywood). 2017 Sep;242(15):1524-1533. doi: 10.1177/1535370217724791. Epub 2017 Aug 2. PMID: 28766982; PMCID: PMC5648293.

Zagon IS, McLaughlin PJ. Endogenous Opioids in the Etiology and Treatment of Multiple Sclerosis. In: Zagon IS, McLaughlin PJ, editors. Multiple Sclerosis: Perspectives in Treatment and Pathogenesis [Internet]. Brisbane (AU): Codon Publications; 2017 Nov 27. Chapter 8. Available from: https://www.ncbi.nlm.nih.gov/books/NBK470156/ doi: 10.15586/codon.multiplesclerosis.2017.ch8

Schmitz K, Barthelmes J, Stolz L, Beyer S, Diehl O, Tegeder I. "Disease modifying nutricals" for multiple sclerosis. Pharmacol Ther. 2015 Apr;148:85-113. doi: 10.1016/j.pharmthera.2014.11.015. Epub 2014 Nov 27. PMID: 25435020.

Li V, McKay FC, et al. Australian Anti-EBV Drugs for MS Working Group. Repurposing Licensed Drugs with Activity Against Epstein-Barr Virus for Treatment of Multiple Sclerosis: A Systematic Approach. CNS Drugs. 2025 Mar;39(3):305-320. doi: 10.1007/s40263-024-01153-5. Epub 2025 Jan 10. PMID: 39792343.

Thomé MP, Borde C, Larsen AK, Henriques JAP, Lenz G, Escargueil AE, Maréchal V. Dipyridamole as a new drug to prevent Epstein-Barr virus reactivation. Antiviral Res. 2019 Dec;172:104615. doi: 10.1016/j.antiviral.2019.104615. Epub 2019 Sep 30. PMID: 31580916.

Marrodan M, Alessandro L, Farez MF, Correale J. The role of infections in multiple sclerosis. Mult Scler. 2019 Jun;25(7):891-901. doi: 10.1177/1352458518823940. Epub 2019 Jan 14. PMID: 30638421.

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Miller FW. The increasing prevalence of autoimmunity and autoimmune diseases: an urgent call to action for improved understanding, diagnosis, treatment, and prevention. Curr Opin Immunol. 2023 Feb;80:102266. doi: 10.1016/j.coi.2022.102266. Epub 2022 Nov 26. PMID: 36446151; PMCID: PMC9918670.

Raymond W, Eilertsen G, Nossent J. Hypocomplementemia as a Risk Factor for Organ Damage Accrual in Patients with Systemic Lupus Erythematosus. J Immunol Res. 2018 Dec 30;2018:8051972. doi: 10.1155/2018/8051972. PMID: 30687766; PMCID: PMC6330819.

Khanna D, Tashkin DP, Denton CP, Renzoni EA, Desai SR, Varga J. Etiology, Risk Factors, and Biomarkers in Systemic Sclerosis with Interstitial Lung Disease. Am J Respir Crit Care Med. 2020 Mar 15;201(6):650-660. doi: 10.1164/rccm.201903-0563CI. PMID: 31841044; PMCID: PMC7068837.

Xiang Liu, et al., The TEDDY Study Group; Physical Activity and the Development of Islet Autoimmunity and Type 1 Diabetes in 5- to 15-Year-Old Children Followed in the TEDDY Study. Diabetes Care 1 July 2023; 46 (7): 1409–1416. https://doi.org/10.2337/dc23-0036

Evans E, Piccio L, Cross AH. Use of Vitamins and Dietary Supplements by Patients With Multiple Sclerosis: A Review. JAMA Neurol. 2018 Aug 1;75(8):1013-1021. doi: 10.1001/jamaneurol.2018.0611. Erratum in: JAMA Neurol. 2018 Aug 1;75(8):1028. doi: 10.1001/jamaneurol.2018.1407. PMID: 29710293.

Yu Y, Wu DM, Li J, Deng SH, Liu T, Zhang T, He M, Zhao YY, Xu Y. Bixin Attenuates Experimental Autoimmune Encephalomyelitis by Suppressing TXNIP/NLRP3 Inflammasome Activity and Activating NRF2 Signaling. Front Immunol. 2020 Dec 9;11:593368. doi: 10.3389/fimmu.2020.593368. PMID: 33362775; PMCID: PMC7756000.

Michaličková D, Hrnčíř T, Canová NK, Slanař O. Targeting Keap1/Nrf2

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CHAPTER 13 L Is for Lifestyle

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Weiler CR, Austen KF, Akin C, Barkoff MS, Bernstein JA, Bonadonna P, Butterfield JH, Carter M, Fox CC, Maitland A, Pongdee T, Mustafa SS, Ravi A, Tobin MC, Vliagoftis H, Schwartz LB. AAAAI Mast Cell Disorders Committee Work Group Report: Mast cell activation syndrome (MCAS) diagnosis and management. J Allergy Clin Immunol. 2019 Oct;144(4):883-896. doi: 10.1016/j.jaci.2019.08.023. Epub 2019 Aug 30. PMID: 31476322.

Maintz L, Novak N. Histamine and histamine intolerance. Am J Clin Nutr. 2007 May;85(5):1185-96. doi: 10.1093/ajcn/85.5.1185. PMID: 17490952.

Reddy S, Yi L, Shields B, Platts-Mills T, Wilson J, Flowers RH. Alpha-gal syndrome: A review for the dermatologist. J Am Acad Dermatol. 2023 Oct;89(4):750-757. doi: 10.1016/j.jaad.2023.04.054. Epub 2023 May 5. PMID: 37150300.

Boyce RM, Schulz A, Mansour O, Giandomenico D, Farel CE, Commins SP. Alpha-Gal Syndrome in the Infectious Diseases Clinic: A Series of 5 Cases in Central North Carolina. Open Forum Infect Dis. 2022 Dec 12;9(12):ofac663. doi: 10.1093/ofid/ofac663. PMID: 36582771; PMCID: PMC9795474.

Platts-Mills TAE, Li RC, Keshavarz B, Smith AR, Wilson JM. Diagnosis and Management of Patients with the α-Gal Syndrome. J Allergy Clin Immunol Pract. 2020 Jan;8(1):15-23.e1. doi: 10.1016/j.jaip.2019.09.017. Epub 2019 Sep 28. PMID: 31568928; PMCID: PMC6980324.

Commins SP. Diagnosis & management of alpha-gal syndrome: lessons from 2,500 patients. Expert Rev Clin Immunol. 2020 Jul;16(7):667-677. doi: 10.1080/1744666X.2020.1782745. Epub 2020 Jul 8. PMID: 32571129; PMCID: PMC8344025.

Valenta R, Hochwallner H, Linhart B, Pahr S. Food allergies: the basics. Gastroenterology. 2015 May;148(6):1120-31.e4. doi: 10.1053/j.gastro.2015.02.006. Epub 2015 Feb 11. PMID: 25680669; PMCID: PMC4414527.

Hsu H, Sheth CC, Veses V. Herbal Extracts with Antifungal Activity against Candida albicans: A Systematic Review. Mini Rev Med Chem. 2021;21(1):90-117. doi: 10.2174/1389557520666200628032116. PMID: 32600229.

Authier H, Bardot V, Berthomier L, Bertrand B, Blondeau C, Holowacz S, Coste A. Synergistic Effects of Licorice Root and Walnut Leaf Extracts on Gastrointestinal Candidiasis, Inflammation and Gut Microbiota Composition in Mice. Microbiol Spectr. 2022 Apr 27;10(2):e0235521. doi: 10.1128/spectrum.02355-21. Epub 2022 Mar 9. PMID: 35262409; PMCID: PMC9045305.

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Alshannaq A, Yu JH. Occurrence, Toxicity, and Analysis of Major Mycotoxins in Food. Int J Environ Res Public Health. 2017 Jun 13;14(6):632. doi: 10.3390/ijerph14060632. PMID: 28608841; PMCID: PMC5486318.

Al-Jaal BA, Jaganjac M, Barcaru A, Horvatovich P, Latiff A. Aflatoxin, fumonisin, ochratoxin, zearalenone and deoxynivalenol biomarkers in human biological fluids: A systematic literature review, 2001-2018. Food Chem Toxicol. 2019 Jul;129:211-228. doi: 10.1016/j.fct.2019.04.047. Epub 2019 Apr 26. PMID: 31034935

Lestner J, Hope WW. Itraconazole: an update on pharmacology and clinical use for treatment of invasive and allergic fungal infections. Expert Opin Drug Metab Toxicol. 2013 Jul;9(7):911-26. doi: 10.1517/17425255.2013.794785. Epub 2013 May 6. PMID: 23641752.

Sánchez-Pérez S, Comas-Basté O, Veciana-Nogués MT, Latorre-Moratalla ML, Vidal-Carou MC. Low-Histamine Diets: Is the Exclusion of Foods Justified by Their Histamine Content? Nutrients. 2021 Apr 21;13(5):1395. doi: 10.3390/nu13051395. PMID: 33919293; PMCID: PMC8143338.

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CHAPTER 14 M Is for Mood Disorders

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CHAPTER 15 P Is for Pain

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Licina E, Radojicic A, Jeremic M, Tomic A, Mijajlovic M. Non-Pharmacological Treatment of Primary Headaches-A Focused Review. Brain Sci. 2023 Oct 8;13(10):1432. doi: 10.3390/brainsci13101432. PMID: 37891800; PMCID: PMC10605615.

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Bjørklund G, Chirumbolo S, Dadar M, Pen JJ, Doşa MD, Pivina L, Semenova Y, Aaseth J. Insights on Nutrients as Analgesics in Chronic Pain. Curr Med Chem. 2020;27(37):6407-6423. doi: 10.2174/0929867326666190712172015. PMID: 31309880.

Zhao L, Tao X, Song T. Astaxanthin alleviates neuropathic pain by inhibiting the MAPKs and NF-κB pathways. Eur J Pharmacol. 2021 Dec 5;912:174575. doi: 10.1016/j.ejphar.2021.174575. Epub 2021 Oct 18. PMID: 34673033.

Ciapała K, Rojewska E, Pawlik K, Ciechanowska A, Mika J. Analgesic Effects of Fisetin, Peimine, Astaxanthin, Artemisinin, Bardoxolone Methyl and 740 Y-P and Their Influence on Opioid Analgesia in a Mouse Model of Neuropathic Pain. Int J Mol Sci. 2023 May 19;24(10):9000. doi: 10.3390/ijms24109000. PMID: 37240346; PMCID: PMC10219356.

Pol O. The role of carbon monoxide, heme oxygenase 1, and the Nrf2 transcription factor in the modulation of chronic pain and their interactions with opioids and cannabinoids. Med Res Rev. 2021 Jan;41(1):136-155. doi: 10.1002/med.21726. Epub 2020 Aug 20. PMID: 32820550.

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Furia, A.; Liguori, R.; Donadio, V. Small-Fiber Neuropathy: An Etiology-Oriented Review. Brain Sci. 2025, 15, 158. https://doi.org/10.3390/brainsci15020158

Melamed I, Rahman S, Pein H, Heffron M, Frankovich J, Kreuwel H, Mellins ED. IVIG response in pediatric acute-onset neuropsychiatric syndrome correlates with reduction in pro-inflammatory monocytes and neuropsychiatric measures. Front Immunol. 2024 Oct 3;15:1383973. doi: 10.3389/fimmu.2024.1383973. PMID: 39421743; PMCID: PMC11484259.

CHAPTER 16 V Is for Viruses

Horowitz, R.I., Freeman P, Bruzzese, J. Efficacy of glutathione therapy in relieving dyspnea associated with COVID-19 pneumonia: A report of 2 cases. Respiratory Medicine Case Reports, April 21, 2020. Article Number: 101063

https://doi.org/10.1016/j.rmcr.2020.101063

R.I. Horowitz, P.R. Freeman, Three Novel Prevention, Diagnostic and Treatment Options for COVID-19 Urgently Necessitating Controlled Randomized Trials, Medical Hypotheses (2020)

https://www.sciencedirect.com/science/article/pii/S0306987720308276?via%3Dihub

Patterson BK, Guevara-Coto J, Yogendra R, Francisco EB, Long E, Pise A, Rodrigues H, Parikh P, Mora J, Mora-Rodríguez RA. Immune-Based Prediction of COVID-19 Severity and Chronicity Decoded Using Machine Learning. Front Immunol. 2021 Jun 28;12:700782. doi: 10.3389/fimmu.2021.700782. PMID: 34262570; PMCID: PMC8273732.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8273732

Turner S, Khan MA, Putrino D, Woodcock A, Kell DB, Pretorius E. Long COVID: pathophysiological factors and abnormalities of coagulation. Trends Endocrinol Metab. 2023 Jun;34(6):321-344. doi: 10.1016/j.tem.2023.03.002. Epub 2023 Apr 19. PMID: 37080828; PMCID: PMC10113134.

Patterson BK, Francisco EB, Yogendra R, Long E, Pise A, Rodrigues H, Hall E, Herrera M, Parikh P, Guevara-Coto J, Triche TJ, Scott P, Hekmati S, Maglinte D, Chang X, Mora-Rodríguez RA, Mora J. Persistence of SARS CoV-2 S1 Protein in CD16+ Monocytes in Post-Acute Sequelae of COVID-19 (PASC) up to 15 Months Post-Infection. Front Immunol. 2022 Jan 10;12:746021. doi: 10.3389/fimmu.2021.746021. PMID: 35082777; PMCID: PMC8784688.

https://pubmed.ncbi.nlm.nih.gov/35082777/

The Persistence of SARS-CoV-2 and Its Role in Long Covid

Authors: Katie E. Lineburg, Ph.D., and Corey Smith, Ph.D. corey.smith@qimrberghofer.edu.auAuthor Info & Affiliations. Published August 22, 2023, NEJM Evid 2023;2(9), DOI: 10.1056/EVIDe2300165

VOL. 2 NO. 9

Chen B, Julg B, Mohandas S, Bradfute SB; RECOVER Mechanistic Pathways Task Force. Viral persistence, reactivation, and mechanisms of long COVID. Elife. 2023 May 4;12:e86015. doi: 10.7554/eLife.86015. PMID: 37140960; PMCID: PMC10159620.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10159620/

Simonnet A., Engelmann I., Moreau A.-S., Garcia B., Six S., El Kalioubie A., Robriquet L., Hober D., Jourdain M. High incidence of Epstein-Barr virus, cytomegalovirus and human-herpes 6 reactivation in critically ill patients with COVID-19. Infect. Dis. Now. 2021;51:296–299. doi: 10.1016/j.idnow.2021.01.005

reactivation of several HHVs, such as VZV, EBV, CMV, HHV-6, and HHV-7 (Ciccarese et al., 2020; Massey et al., 2020; Simonnet et al., 2021; Zubchenko et al., 2022).

Sequential activation of DNA viruses by the RNA virus SARS-CoV-2 in patients with long COVID syndrome

M Gyongyosi,  E Hasimbegovic,  D Lukovic,  K Zlabinger,  A Spannbauer,  E Samaha, J Bergler-Klein,  C Hengstenberg,  P Mucher,  H Haslacher

European Heart Journal, Volume 44, Issue Supplement_2, November 2023, ehad655.1823, https://doi.org/10.1093/eurheartj/ehad655.1823, 09 November 2023

Sequential activation of DNA viruses by the RNA virus SARS-CoV-2 in patients with long COVID syndrome

M Gyongyosi,  E Hasimbegovic,  D Lukovic,  K Zlabinger,  A Spannbauer,  E Samaha, J Bergler-Klein,  C Hengstenberg,  P Mucher,  H Haslacher, European Heart Journal, Volume 44, Issue Supplement_2, November 2023, ehad655.1823, https://doi.org/10.1093/eurheartj/ehad655.1823 Published: 09 November 2023

http://www.ncbi.nlm.nih.gov/pmc/articles/pmc10292739/   

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Zhang J, Zhang Y, Xia Y, Sun J. Microbiome and intestinal pathophysiology in post-acute sequelae of COVID-19. Genes Dis. 2023 Jun 19;11(3):100978. doi: 10.1016/j.gendis.2023.03.034. Epub ahead of print. PMID: 37362775; PMCID: PMC10278891.

Liu Q, Su Q, Zhang F, Tun HM, Mak JWY, Lui GC, Ng SSS, Ching JYL, Li A, Lu W, Liu C, Cheung CP, Hui DSC, Chan PKS, Chan FKL, Ng SC. Multi-kingdom gut microbiota analyses define COVID-19 severity and post-acute COVID-19 syndrome. Nat Commun. 2022 Nov 10;13(1):6806. doi: 10.1038/s41467-022-34535-8. PMID: 36357381; PMCID: PMC9648868.

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Zubchenko S., Kril I., Nadizhko O., Matsyura O., Chopyak V. Herpesvirus infections and post-COVID-19 manifestations: A pilot observational study. Rheumatol. Int. 2022;42:1523–1530. doi: 10.1007/s00296-022-05146-9

Paolucci S., Cassaniti I., Novazzi F., Fiorina L., Piralla A., Commoli G., Bruno R., Maserati R., Gulminetti R., Novati S., et al. EBV DNA increase in COVID-19 patients with impaired lymphocyte subpopulation count. Int. J. Infect. Dis. 2021;104:315–319. doi: 10.1016/j.ijid.2020.12.051

Vojdani A, Vojdani E, Saidara E, Maes M. Persistent SARS-CoV-2 Infection, EBV, HHV-6 and Other Factors May Contribute to Inflammation and Autoimmunity in Long COVID. Viruses. 2023 Jan 31;15(2):400. doi: 10.3390/v15020400. PMID: 36851614; PMCID: PMC9967513.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9967513/

Vojdani A, Vojdani E, Saidara E, Maes M. Persistent SARS-CoV-2 Infection, EBV, HHV-6 and Other Factors May Contribute to Inflammation and Autoimmunity in Long COVID. Viruses. 2023 Jan 31;15(2):400. doi: 10.3390/v15020400. PMID: 36851614; PMCID: PMC9967513.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9967513/

Patterson BK, Guevara-Coto J, Yogendra R, Francisco EB, Long E, Pise A, Rodrigues H, Parikh P, Mora J, Mora-Rodríguez RA. Immune-Based Prediction of COVID-19 Severity and Chronicity Decoded Using Machine Learning. Front Immunol. 2021 Jun 28;12:700782. doi: 10.3389/fimmu.2021.700782. PMID: 34262570; PMCID: PMC8273732.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8273732/

From Bruce Patterson: The long hauler index (IL-2 +IFN/CCL4) is the first indication of vascular j flammation. In addition the triad of sCD40L, CCL5, and VEGF indicate vascular inflammation.

Fungal Blood Cultures: When should they be ordered?

By Laboratory Best Practice blog

Alison Chan, DO, Pathology Resident_Anna Romanelli, PhD, Medical Director of Clinical Microbiology Laboratory

https://health.ucdavis.edu/blog/lab-best-practice/fungal-blood-cultures-when-should-they-be-ordered/2018/12#:~:text=The%20best%20test%20to%20order,and%20sometimes%20Fusarium%20spp.

Fungal Blood Cultures:

Fungal microbiota sustains lasting immune activation of neutrophils and their progenitors in severe COVID-19 Takato Kusakabe et al. Nature Immunology 23 Oct 2023.

https://www.nature.com/articles/s41590-023-01637-4

Farhana A, Khan YS. Biochemistry, Lipopolysaccharide. [Updated 2023 Apr 17]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK554414/

https://www.ncbi.nlm.nih.gov/books/NBK554414/

FUNGAL BLOOD DISORDERSDECEMBER 15, 2018

Fungal Blood Cultures:

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Gharibpour F, Shirban F, Bagherniya M, Nosouhian M, Sathyapalan T, Sahebkar A. The Effects of Nutraceuticals and Herbal Medicine on Candida albicans in Oral Candidiasis: A Comprehensive Review. Adv Exp Med Biol. 2021;1308:225-248. doi: 10.1007/978-3-030-64872-5_16. PMID: 33861447.

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Dipyridamole as a new drug to prevent Epstein-Barr virus reactivation

Author links open overlay panelMarcos P. Thomé

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