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Meg Mangin R.N.
Research Team
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Posted: Thu Nov 22nd, 2007 17:51 |
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Before You Begin the Marshall Protocol
Before you begin the MP, you must read and thoroughly understand the Phase 1 Document.pdf and review the items on this checklist. The second and third phase guidelines are available to study participants upon request at completion of phase one.Your physician has access to all guidelines in the Private Section for Health Professionals.
It's important that you continue reading the information here to help you understand the cause of Th1 inflammation and how to treat it safely and successfully. For background information, see What is the Marshall Protocol? The science is detailed here and simple explanations provides less technical descriptions.
Our study site is the only source that is certain to have reliable information about the MP. Do not assume that your doctor knows all about the MP because s/he has other patients on it or is willing to study it. You must educate yourself, using the study site, to ensure the MP is followed correctly. Please note that:
-It is the patient's responsibility to see that the prescribing doctor is following the MP correctly.
-It is the patient's responsibility to see that the prescribing doctor understands the effectiveness of the MP and the dangers inherent in deviation from the guidelines.
-Combining other protocols with the MP will not work and can lead to dangerous immunopathology. Components of other protocols or alternative treatments such as (but not limited to) supplements, vitamins, glyconutrients, rife machine, infrared sauna, SAD light, chelation, etc are all contraindicated.
Many medications must be avoided on the MP. Be sure to inform study site Staff of all medications and supplements (both Rx and OTC) you are taking.
Because vitamin D is immunosuppressive, it's important to avoid vitamin D supplements (multivitamins, any kind of fish oil, Omega-3 capsules) and all foods naturally high in vitamin D to bring 25-D down to a therapeutic level of 12ng/ml or less.
Order the required sunglasses (NoIR, Bolle100 or Zeiss) as soon as you decide to do the MP because they may take a few weeks to arrive. You should not begin Benicar without them because your eyes may become photosensitive. Ordering information is in Protecting Your Eyes.
Avoiding sunlight exposure is usually necessary to some degree and could be a very important part of the recovery process. Before you begin to do that, please read Should I avoid sun exposure and vitamin D while I'm waiting to start the MP?
Your health care provider can communicate with other medical professionals using the MP by posting in the Private Section for Health Professionals. S/he will be interested in the Papers for Physicians, the Letter of introduction for your MP supportive doctor and the science DVDs. You may encourage him/her to call or email Dr. Marshall if needed (contact information is on all his professional papers).
Presentations by experts, tutorials about the MP and testimonials by recovering members were videotaped at our 2005 and 2006 International Conferences. Click here to obtain these informative DVDs.
Everything you need to know about the Marshall Protocol is in these two forums: Essential Info About the MP and Marshall Protocol FAQs. Please refer to them often.
Folks who chose not to become an active participant on the study site are not officially on the Marshall Protocol because it is still in the clinical study stage and there are no physicians yet certified in the practice of the MP.
MarshallProtocol.com is a huge study site, containing over 130,000 items. New visitors can only view a small fraction of the site because over 2/3 of our membership report in the Phases Two and Three Forum which is hidden from public view. Anyone in phase 2 or 3 who has not requested access to this forum by completing the MP questionnaire, is missing a wealth of information and support.
The Marshall Protocol is a serious and lengthy commitment which should not attempted without fully understanding it. Should you decide to pursue treatment with the MP and wish our assistance, let us know if you agree with the Inclusion criteria for participation in ARF phase II clinical study of the Marshall Protocol which are required for participation in our study and counseling on this study site.
Your supervising doctor is responsible for your welfare. This study site acts in an advisory capacity only. All guidance given on this study site is based on the understanding your doctor supports participation in our clinical study and has given permission to follow our recommendations. Please keep your doctor informed of your progress with regular reports and do not hesitate to contact him/her with any concerns.
The MP has an excellent safety record but it is still an experimental treatment plan. Many folks who are very symptomatic or who have been ill for a long time are doing well on the MP. But you should know that if symptoms are extremely debilitating or vital organs are severely compromised, it may be very difficult or even impossible to tolerate the immunopathology involved in the healing process. Patients should be aware there is a rare possibility that immunopathology will provoke a serious adverse event, especially if the disease process is well advanced.
To ensure your safety and provide study data, we expect members (even those who think they are doing well independantly), to post a brief progress report (start in the Benicar Only Forum) weekly (more often only if not doing well) so Staff can catch any problems early and have details of past responses to provide effective assistance. It is important that you report all pertinent details, even those that might seem embarrassing. Be sure to notify staff before you take any action that is unfamiliar to you. Staff usually respond within a few hours but we ask members to give us more than a day to answer time sensitive questions.
In phase one, you will be expected to learn to recognize immunopathology and how to manage your immune system response with medication management techniques. Knowing how to manage the MP independently on a day-to-day basis will serve you well should an urgent situation occur.
As long as you are on the protocol, it is essential that you continue reading the study site regularly because important new information is frequently posted.
Because the increasing volume of requests for assistance is threatening to overwhelm our small staff of volunteers, before you post a question, we ask that you type key words into the search feature of this site or an Internet search engine. This is an important skill to learn so that you can continue to help yourself as you progress on the protocol.
Be sure to click on all the links in our responses to you. Take your time to absorb all the information. You may be eager to start but it's important to be thoroughly prepared before you begin.
The focus of this professional website, marshallprotocol.com, is a clinical study of the Marshall Protocol. There is a new, more casual website with a message board where folks interested in the MP can get their questions answered by members with extensive MP experience. Please go to http://CureMyTh1.org, register the same username you have used here and click on **Ask your Questions in Here** to post your message.
You may post here at MarshallProtocol.com if you want to have your D-metabolites test results analyzed, if you are weaning from a steroid or when you want to start the protocol.
Pre-MP checklist:
-Ask questions at http://CureMyTh1.org
-Review Inclusion criteria for participation in ARF phase II clinical study of the Marshall Protocol?
-Read the Safety Warning
-Print out the Phase 1 Document.pdf and study it
-Read Frequently Asked Questions About Benicar
-Order NoIRs sunglasses(do not start taking Benicar without them)
-Discontinue medications recommended to avoid
-Discontinue alternative treatments and most supplements
-Obtain an adequate supply of Benicar
-Be sure you have the right kind of Benicar
-Assess your level of 25-D (See The Importance of Reducing 25-D) There is no level of either 25-D or 1,25-D which must be achieved before you begin the Marshall Protocol.
-Modify your environment. (See How to Avoid Sunlight and Bright Lights)
-Obtain a 30 day supply of minocycline
-Read Why and when do you recommend taking minocycline frequently?
-Reduce your 'workload' if possible so you can stay indoors during daylight hours. See Why does exposure to natural light increase symptoms?
-Read Helpful Hints For Those on the Marshall Protocol
-Enlist the support of family and friends. See Personal, Family, Relationship Tips
Cardiac inflammation
Anyone with a Th1 inflammatory disease may have cardiac (heart muscle) inflammation. This inflammation may be known due to previous symptoms of heart irregularity (arrhythmia) and/or congestive heart failure or it may be undetected (subclinical).
Getting well with the Marshall Protocol always involves immune system reactions. Immunopathology can be symptoms you currently have, symptoms you've had before or brand new symptoms, including heart irregularities, chest pain or CHF symptoms.
Ask your doctor if you should have any special tests to assess your cardiorespiratory status. A cardiac workup will provide valuable information to the doctor about the presence of cardiovascular disease. This knowledge will help assess any cardiac symptoms that may develop while on the Marshall Protocol. See When should I be concerned about cardiac symptoms?Last edited on Thu Jul 31st, 2008 18:35 by
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