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Gauf paid close attention to HR and just recently finished TX. This time he was able to clear, stay clear and just today posted about his continued (undetected) success.
Willy
I would also add Low Dose Naltrexone to that list.
That may be the most important, and biggest bang for the buck.
All safe and all effective.
Mike H
Willy, have you treated yet? Have you had a biopsy and if so what is your status? Do you take a regimn of supps, I would like to know what your strategy is, it might be helpful to others.
Just curious
Denise
HR is a very good doctor who has taken the time to educate himself about beneficial supplements for the use of his patients. My doctor is also a very good, well educated doctor who has me on almost every one of the supplements on HR's list, plus many of the anti-fibrotics I listed, plus Low Dose Naltrexone.
These types of doctors practice what is called integrative medicine, which integrates holistic therapies (science-based supplements) with conventional practices (pharmaceutical drugs), to advance strategies that promote health. It is these doctors that use all the tools in the toolbox.
If your doctor does not tell you about supplements, does not mention diet and exercise, and does not seem to know about health, then maybe he isn't educated about all the things that can help you. Maybe he is using a toolbox that is pretty empty.
The average person does not have the time or the scientific background to discern what supplements are good or bad. That is what integrative medicine doctors are for. If you want the most complete list of strategies and detailed knowledge of what supplements are safe and effective, I would suggest finding a good integrative medicine physician.
Mike H
I tried INF treatment and got to week 12. But I developed extreme autoimmune dermatitis. The soles of both feet developed quarter to half inch calluses that split and bled continuously. All the knuckles of both hands did the same. I had suppurating wounds at the base of my skull in the hairline that seeped serum continuously, trickling serum down the back of my neck constantly. Red itchy welts over three quarters of my trunk, arms and legs. I literally looked like the centerfold of a dermatology textbook. When I called my GE and told him that they needed to see this, he said, "Don't come in here - go to a dermatologist!" My six month post treatment exam consisted of a phlebotomy, then I was ushered to the door. No consultation, no strategy session, nothing. When I called for the results I was told my VL was 700 thousand. I later found out it was 7 million! The nurse misread the report. They are now waiting for me to get bad enough to get on the transplant list. Sorry to disappoint them, but I don't plan on that.
I still occasionally have outbreaks of these dermatology symptoms, even four years after treatment. Luckily, the Low Dose Naltrexone holds the symptoms at bay. But I still also have a hypothyroid condition, low DHEA, low unbound testosterone. low hemo panel (getting better finally) and suffered from chronic fatigue for years after tx. All of that was caused by treatment.
If I couldn't get past 12 weeks of INF/riba, I certainly can't get through INF/riba/PI. That's just the way it goes. That happens to a lot more patients than many people realize. And the attitude of many who were fortunate enough to be able to tolerate treatment is that those who couldn't just weren't tough enough. Just a bunch of babies!
Well for me, integrative medicine is all I have, at least until they develop non-INF drugs. Not holding my breath for that one.
Mike H
Willy, have you treated yet? Have you had a biopsy and if so what is your status? Do you take a regimen of supps, I would like to know what your strategy is, it might be helpful to others.
------------------------------------------------
I'll be brief but there is not much to tell. DX'ed in 2003. Possibly infected mid 70's but unsure; never a IV user, non-military, no tattoos.
Good general health, 56 male, few co-mobidities/ extra-hepatic symptoms diseases. P knop that can change. Fibrosure in 2005 showed stage 1. No other signs to suggest otherwise. Biopsy 2008 June showed 1/6 ishak. I dropped out of a Vertex trial since I felt that I could wait for a better TX. Passed up another in Fall 2008. I am a geno 1 watch and wait guy.
Why? Why not treat now since my chances are possibly better than 50%?
I wouldn't treat for a year for only a chance of about 50% and increased chemo damage. I prefer to wait for a shorter more certain treatment. My staging suggests that I can wait. The hepatologist who does transplants who performed my biopsy said that they expected a cure in about 5 years. Several months later Josh Boger (past CEO of Vertex) mentioned that he felt that the Stat-C drugs (twin PI's; TVR and VX-222) might be approved in 2014; maybe 2015. Obviously, there will be trials for those and many other drugs in FDA trials between now and then.
So far as alternatives..... I am on none. I have in the past. I feel as though one of the first lines of defense it to walk the line and try to eat drink and live, cleanly. I do OK with that; non-smoker, non-drinker (except the rare occasion), decent diet, low BMI, light weight runner but last year did about a 24 minute 5K race and missed a 3rd place ribbon in my age demographic by 11 seconds; took it once though a few years ago. I may be in better than average health than many my age.
In short, I don't feel that ALL people need to treat ASAP. I feel that many people could benefit in waiting for more effective and shorter treatments. We are all different and whether one treats or whether one waits there is an element of risk involved.
Oh yes..... I am treatment naive geno 1.
best,
Willy
"And HR can speak for himself should he choose to hiding a post under his name is just pretty childish don't you think?"
_______________________
The link is to one of HR's posts. So, that IS him speaking for himself.
And I think your strategy is clear. Attack, then report abuse, so the thread gets deleted. That's the purpose of your posts. To eliminate discussion. So I'll just be very nice to all of you from now on.
If you don't want to read the posts, don't read them. If you don't want to do supplements, then don't do them.
Lord knows, I don't read your posts unless they appear on one of my threads. No one is forcing anyone to read anything or do anything here.
Have a nice day!
Mike H
I'm not sorry we tried again but I wish we could let the information flow freely for the non-responders or non- toleraters. It is so much less depressing when you feel like there is "something" you can still try to help your quality of life.
I wanted to also say that I think that Super-bio Curcumin or Curcu Gel are what HR suggested as the best. The kind with Bioperine would be more absorb-able than plain Curcumin but not nearly as good as the first two. That is the way I understood it at least. Maybe Goofydad will happen by because I know he has this information also.
If anyone wonders... Joe was almost perfectly compliant for all 15 months of his Tx and he was for the first two tries also. I always organized all his medicines and shots for him and all he had to do was swallow or shoot. I wished I could be sick for him too but I couldn't. He was sick enough each time that I think it would have been hard for him to be this compliant if he hadn't had help. Maybe he could have done it if he had to. We gave it our best each time but he just doesn't respond well enough to interferon to get the job done.
Joe is no doubt improving better than expected and I still have to think the LDN is part of this trend. I have no proof though. We won't have any labs to look at for 3 months.
Ev
Ev
I realize not everyone can clear HCV with inf/riba, and it sounds like your treatment experience was awful. I also realize that supplements and alternative medicine can have a legitimate place in the treatment rubric. But you would sound a lot more credible if you could endure the idea that some people require a little more proof than "because I said so."
I'm just saying...
jd
They also accuse me of advocating not treating with INF. I have never said that or advocated that. But they attack my threads by inventing an argument that I never made and then attacking me for it. Their response to information on supplements also involve the claim that, "Nothing works for Hep c but INF." Obviously that is the only cure, but many of us cannot treat or choose not to. For those of us looking for options, the discussion is halted by these types of heated arguments.
So, what I am saying is, if you refuse to discuss the option of supplements and alternative strategies on their own merits, and you refuse to engage in the topic with an honest discussion, then please don't disrupt the conversations of those of us that want to. If the mere fact that someone is discussing things you have an emotional bias against, then maybe you should ignore the discussion.
Mike H
I don't need anyone to act as a censor for me (including MedHelp!).
This is the Internet, folks. Caveat emptor.
smaug
I think it is best when the information gets out, even if you have to sift through the personal innuendos to find it. It's even better to actually have an intelligent discussion about it. To illustrate that point, please look over this post and review how many posts are about the topic, and how many are about me. I would love to stick to the topic. But that is very rarely allowed on this forum.
However, I do take issue with the remark about having something to sell. I don't remember ever telling anyone to buy from a certain vendor. In the link above, HR does; if you read my post I do not. I have said many times that I get my supplements from my doctor. That is another of the stock remarks that you guys always use: spammer, pyramid schemer, etc. If those accusations were true then you could easily guess what company I work for. Any takers?
Obviously, you are all in complete agreement that you are all very compassionate, kind, intelligent and objective people. Who am I to disagree? And so I wish you all the best.
Mike H
Escalting voices and anger are never convincing arguments to me, but the guy has the right to throw that stuff out there even if you don't agree with him and his stuff.
W
But to return to the topic, the gist of the issue is reversing fibrosis. For many who have achieved SVR, it has been shown that if the damage has not progressed too far, the body has its own mechanism to do that job. But for those who are still infected, the question remains - can you slow the progression of fibrosis in the presence of the virus? Can you stop the progression? And can you actually reverse fibrosis in the presence of the virus? Those are three distinct and separate questions.
Can the body's natural fibrinolytic process be aided or stimulated even while infected?
The answer may lie in the fibrinolytic supplements listed above. Or not. But if you are looking for strategies, it never hurts to narrow the search.
Mike H
Further.....
I can think of a few respected members on this board who treated, SVR'ed and wish that they had waited to treat later.
Many doctors..... some world renowned hepatologists....are suggesting to their patients that they are fine with waiting until the new PI's come out.
The vast majority of people who have HCV are waiting for something better. PI's should be here in about 18 months. I hardly think it's controversial to wait to TX.
Willy
That all depends what genotype you are. So far the PI's don't work on geno 3's, so I don't think we should generalize.
The powers that be don't exactly know the long term effects if inf & riba (and they have been around for quite a whiloe) and you are advocating adding another TX with less known long lasting sides with less long term data. I personally don't want to be a guinea pig, now if I was a 2 or 4 time relapser I would take the jump.
Do you know your liver status via biopsy to know that you shoulod even wait?
Have a great day
Denise
Furthermore, the topic is antifibrotics and supplements, so your PI post is no more "on topic" than anybody else's.
No I really don't think that is true - most people when they find out they have the disease in later stages just listen to their doctor and do what they are told to do to save their lives or what is left of their livers. Most people aren't like us, obsessed and educated in their own disease. Most people still just trust their doctors like they are God and it wouldn't occur to them to think otherwise or to judge what they say.
and all I gotta say is wow.
Could people please stay on topic? "
Must be fun living in your house.
It looks as if somehow her post is now gone. It preceded my last post.
Denise, I wrote you in an earlier post that I had a biopsy in 2008; 1/6 ishak. It's in this very thread.
Willy
That being said, I agree that I should just not engage when provoked. Getting into a heated argument serves little purpose and there is no winner in an exchange like that. I will try to do better.
I think you misunderstand my post about my treatment experience. The phlebotomist I was referring to was the in-house phlebotomist for blood samples at my Gastroenterologist's office. I was there to get my 6 month end of treatment blood draw for my lab samples. There were no iron issues. There was also no consultation when I quit treatment, or when I went in for that six month EOT treatment blood draw, or even when I got my six month EOT lab results from those lab tests.
The point is that when I was in crisis from treatment, they didn't even want to see me. In fact, they flatly refused to examine my issues, telling me to go to a dermatologist instead. It was obvious to everyone that the dermatology issues were a reaction to treatment. The dermatologist said that these were untreatable issues and they were dangerous, but the only way to stop them was to quit treatment. She had a palpable expression of relief when I said I would. But through my whole treatment, my issues were addressed by a shrug of the shoulders by my GE, most times over the phone.
I also should state the obvious fact that these guys were possibly the worst doctors on the planet. I'm positive that most physicians are better. But, it happens.
My intolerance to treatment was the result of autoimmune-possibly allergic problems brought on by treatment. I still get them occasionally - my knuckles swell and split and sometimes still get a rash. But since the symptoms occurred so radically with just INF/riba, re-treating would almost certainly produce the same results, just faster and probably more radically. So that option is off the table for me.
The question about treating or not to treat is the one that concerns many people on this board, and it is the concern that many responsible people on this board question about my posts and my motives. I have heard from some people on this board privately, who I respect a great deal, who are concerned that putting out this kind of information, while it may be useful to people in my situation, may dissuade people who should treat not to treat.
I understand that, and that is the basis for your concern. I also understand that reasonable people with the best intentions are worried about this. I also understand that these concerns are exacerbated by the arguments that LDN is effective. The chance that LDN is effective magnifies those concerns. It would be much easier if LDN was demonstrable ineffective rather than possibly effective. It would be better if it were like milk thistle that helps a little bit, and not a lot.
So let me tell you my thoughts on this. I never say not to treat. That would be totally irresponsible. I also never say to treat. I believe that is also irresponsible. That is a very difficult personal decision that should be made between a doctor and the patient. The negative consequences of treating and failing are part of the equation, and they must be weighed against the positive chances of being cured. Both sides must be weighed in the decision. There is a fifty-fifty chance that it goes either way.
I just could never in good conscience push someone one way or another. I don't have an opinion on a very important question like that. Consider that if that person fails treatment, and suffers for that decision. What if the failed treatment really gave him a big push in the wrong direction and made his condition worse? I would not want that responsibility. I also would not want the responsibility of telling someone not to treat, and have him miss out on a chance for a cure. INF is the only shot at that.
That's why doctors get paid the big bucks. Let them have the responsibility. And frankly, what good would it be to add my voice to the huge number of people here who give advice to treat to everyone who comes on the board? I never participate in those threads for a reason. I support everyone's choice. But I think they have to make it on their own.
If they don't treat though, or they can't, or if they are in between efforts, then why not give them advice on how to help themselves? And should I suppress the information to people who really need it and really could use it, so that people don't get influenced in their decision? I think not. I think it is just more information, and the two strategies are not mutually exclusive. They just can't be used concurrently.
Mike H
Regarding stopping or not treating, I personally would never even assume what another person could or could not do. I have completed a horrible 46 wks of treatment myself. I personally know those who have completed with no sx and others who had to stop because of sx. Treatment has humbled and educated me, I can be more than empathic on this front.
------- You mentioned "when I was in crisis from treatment, they [the dr.] didn't even want to see me". "...issues were addressed by a shrug of the shoulders". ------
These statements seem like the norm to me from the majority of posters on this forum. I learned the same thing pretty early on from my doctors and used this forum to help myself.
It's because of those issues I think everyone should compose a detailed or summary letter after or during treatment. The letter/document should be submitted it to their doctor, health/medical group, insurance company, pharmacy, and maybe a little further. I'm not saying to submit a complaint but information to enlighten these organizations.
Stacie
But, I couldn't help thinking during tx, what if I was in a position where I couldn't help myself? Who would stand up for me? Who would even know I wasn't getting the help I needed?
I'm not just speaking of the doctor and his staff, I had problems with the health insurance staff and one time with a new pharmacy.
Emily
Its cheaper to just buy tumeric than getting it already capped up from lifeextensions.
I don't know what all the fuss is about.
Some people choose herbs some do not.
Myself? I like coffee :)
and I like smokin' my 'erb....
Here in NZ they simply haven't got anything in the pipeline for him (G3A 2 x relapser, cirrhosis). And if you can't treat, the supplements can certainly slow things down; my own battle before my second tx is testament to that.
I've just finished a 13 hour day at work (OMG - I'm starting to really feel alive!!), and can't manage to copy and paste stuff right now. I'd be devastated if one of your postes gets deleted; just letting you know that many people, for many reasons, DO read your postes but don't comment. Thanks again; prior to my eligibility to treat a second time, I tried so many things, including Ozone, and I was really interested when you bought up "LDN" which was something I hadn't heard of before.
There is a lot of info in his journal.
HR gave an ok for ALA ,NAC, SamE, TMG, PPC and probiotics. These are the ones I can think of off the top of my head. Milk thistle ,resveratrol and curcumin weren't on the ok'd list. PPC does have anti-inflammatory properties but it had research to prove it helpful to treatment. The way I understood it, HR wasn't saying they absolutely would hurt progress on Tx but they hadn't been proven ok yet. Someone else that read HR's writings may have more to add to this. If you have the time, rereading his original posts will help a lot. You know what happens when things get repeated and passed down...little things get added and deleted.
Ev
http://tinyurl.com/6b6rsy
Mike H
http://www.wellsphere.com/general-medicine-article/the-drug-warfarin-may-help-prevent-liver-failure-in-thousands-of-people-with-hepatitis-c/29809
which showed that the anti-clotting drug warfarin my help fibrosis in hep c.
In traditional chinese medicine, the herb red sage root is the basis for most of their remedies for fibrosis:
http://www.itmonline.org/arts/hepc2k1.htm
Red sage root (dan shen), or salvia miltorrhiza root, has shown impressive results in Chinese studies, reducing staging, etc.
It is contraindicated for use with warfarin because it duplicates the action. Using both at the same time doubles the effect, potentially causing bleeding problems.
Red sage works by increasing microcirculation in the liver,
"As described in one laboratory animal study (26): "The extract of Salvia miltiorrhiza markedly reduced protein expression of alpha-smooth muscle cell-like actin, which indicates that hepatic stellate cell activation was inhibited during liver fibrosis." The inhibition of hepatic stellate cell activation was also suggested to be the mechanism of salvia action found in an in vitro study (27). The vasodilating activity of salvia may relax the stellate cells (actin is one of the components that contracts the stellate cells) and aid bile flow and hepatic blood circulation.
Spontaneous resolution of liver fibrosis occurs mainly as the result of the action of collagenases, known as matrix metalloproteinases (enzymes incorporating heavy metals; these are partly induced by zinc), that breakdown the accumulated collagen. When new liver fibrosis is inhibited by salvia, it is possible that natural processes slowly reverse the existing fibrosis. Although not yet studied, it is also possible that salvia helps induce collagenase or reduces collagenase inhibitors so that fibrosis recovery is speeded up. It has been proposed that liver regeneration is promoted by salvia through general mechanisms of improving hepatic microcirculation, reducing lipid peroxidation, elevating plasma levels of fibronectin (an antifibrotic agent), and regulating immune responses (28)."
Still Salvia has not been extensively studied in western science, but warfarin is presently being studied, above, and Salvia has reportedly been used quite effectively for treating fibrosis in China.
Mike H