<?xml version="1.0" encoding="UTF-8"?><rss xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:content="http://purl.org/rss/1.0/modules/content/" xmlns:atom="http://www.w3.org/2005/Atom" version="2.0" xmlns:itunes="http://www.itunes.com/dtds/podcast-1.0.dtd" xmlns:googleplay="http://www.google.com/schemas/play-podcasts/1.0"><channel><title><![CDATA[The Forgotten Side of Medicine]]></title><description><![CDATA[The Forgotten Side of Medicine exposes pharmaceutical corruption and remarkable therapies lost to time for the health of humanity.]]></description><link>https://www.midwesterndoctor.com</link><image><url>https://www.midwesterndoctor.com/img/substack.png</url><title>The Forgotten Side of Medicine</title><link>https://www.midwesterndoctor.com</link></image><generator>Substack</generator><lastBuildDate>Mon, 12 Oct 2026 17:53:21 GMT</lastBuildDate><atom:link href="https://www.midwesterndoctor.com/feed" rel="self" type="application/rss+xml"/><copyright><![CDATA[A Midwestern Doctor]]></copyright><language><![CDATA[en]]></language><webMaster><![CDATA[amidwesterndoctor@substack.com]]></webMaster><itunes:owner><itunes:email><![CDATA[amidwesterndoctor@substack.com]]></itunes:email><itunes:name><![CDATA[A Midwestern Doctor]]></itunes:name></itunes:owner><itunes:author><![CDATA[A Midwestern Doctor]]></itunes:author><googleplay:owner><![CDATA[amidwesterndoctor@substack.com]]></googleplay:owner><googleplay:email><![CDATA[amidwesterndoctor@substack.com]]></googleplay:email><googleplay:author><![CDATA[A Midwestern Doctor]]></googleplay:author><itunes:block><![CDATA[Yes]]></itunes:block><item><title><![CDATA[The Fraud That Launched the mRNA Era]]></title><description><![CDATA[A forensic audit of Pfizer's trial data, newly released Argentine regulatory documents, and what they reveal about the "safe and effective" claim the entire mRNA platform rests upon]]></description><link>https://www.midwesterndoctor.com/p/the-fraud-that-launched-the-mrna</link><guid isPermaLink="false">https://www.midwesterndoctor.com/p/the-fraud-that-launched-the-mrna</guid><dc:creator><![CDATA[A Midwestern Doctor]]></dc:creator><pubDate>Sun, 11 Oct 2026 12:30:14 GMT</pubDate><enclosure url="https://substack-post-media.s3.amazonaws.com/public/images/3f4adf0c-45f6-434a-bf9a-f6e633290bfd_1168x784.jpeg" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p><strong>Story at a Glance:</strong></p><ul><li><p><strong>Before COVID, mRNA had failed for decades and both companies developing it were in financial trouble. However, an emergency framework built years in advance made it possible to rush their vaccines to market. Now there is a major push to replace much of the vaccine schedule with lucrative mRNA vaccines, despite the platform being immensely problematic and still poorly understood.</strong></p></li><li><p><strong>The mRNA platform&#8217;s acceptance rests on the claim that its trials proved it &#8220;safe and effective,&#8221; yet the same tactics routinely used to rig clinical trials were used throughout them, from the misleading &#8220;95% effective&#8221; figure to injured participants having their injuries recoded as unrelated conditions.</strong></p></li><li><p><strong>Using trial data released by court order, a team of independent researchers and whistleblowers spent years auditing Pfizer&#8217;s trial. Within the limited records procured, extensive irregularities were documented throughout the trials including 1,203 participants vanishing from the records, 1,209 adverse events re-filed as COVID symptoms, undisclosed deaths in the vaccine group, unequal COVID testing between the groups, and the public receiving a more dangerous formulation of the vaccine which was never tested prior to being released.</strong></p></li><li><p><strong>Newly released documents from Argentina&#8217;s FDA show the trial&#8217;s largest site had twenty violations, including 52 participants given nearly double the planned dose, which finally resolves one of the trial&#8217;s longstanding mysteries.</strong></p></li><li><p><strong>Fortunately, the tide has turned. Federal health officials are now acknowledging vaccine injuries, investigators have gained the power to obtain the evidence long kept hidden, and public opinion has shifted to the point that it is finally possible to openly discuss what was done.</strong></p></li></ul><p>In <a href="https://www.midwesterndoctor.com/p/how-the-law-of-displacement-can-solve">a recent article</a>, I highlighted the &#8220;law of displacement&#8221; which encapsulates my belief that a harmful lucrative technology, regardless of the evidence against it, will almost only be removed from the market once either a more profitable alternative emerges, or a less harmful but equally profitable one does (as in all other cases, the profit the technology makes outweighs the cost of silencing critics of its toxicity).  In some cases, this works in a positive manner and finally expels bad things from the market (e.g., lead in gasoline), but in other cases, it results in something worse entering the market.</p><p>Presently, there are increasing signs of a major push to replace the existing vaccine schedule with mRNA vaccines, and on one side, this has been accompanied by increasing mainstream discussion of the serious issues with vaccination (along with efforts by authors like me to highlight how many of these problems <a href="https://www.midwesterndoctor.com/p/why-do-vaccines-cause-the-illnesses">are due to the foundational issues with how most vaccines are produced</a>)&#8212;which, on one level is an extremely positive shift.<em><br>Note: this is somewhat similar to how the statin community went to great lengths to dismiss the existence of their (extremely common) side effects, but then suddenly pivoted to stating a large number of patients are &#8220;statin intolerant&#8221; once a need arose to sell far more expensive next-generation cholesterol lowering drugs (detailed <a href="https://www.midwesterndoctor.com/p/the-great-cholesterol-lie-and-the">here</a>).</em></p><p>However, while I have serious concerns about traditional vaccines, the more I study the mRNA technology, the more I feel it is significantly more problematic than the existing platforms (e.g., <a href="https://www.midwesterndoctor.com/p/the-covid-shot-was-three-vaccines">in a recent article</a> I highlighted how these vaccines have an intrinsic problem with the toxicity of the lipid nanoparticles used to deliver them, <a href="https://www.midwesterndoctor.com/p/what-we-now-know-about-covid-vaccine">shedding to those who were not vaccinated</a>, persisting within the body, suppressing the immune system, getting into the nucleus where DNA is, and causing cancer&#8212;all of which becomes even worse when it mass produces a highly toxic antigen like the spike protein).</p><p>Furthermore, while each of those is a major issue, I believe the largest problem with the mRNA technology is simply the fact so much of it remains unknown, but rather than slow down to try and understand the actual physiologic consequences of the widespread genetic pollution this technology is creating (something humanity has never had to deal with before), because so much money stands to be made off something which can &#8220;print out new medical technologies like a computer code,&#8221; a decision has been made by mRNA&#8217;s investors to go full speed ahead and find a way to sweep any issues that later emerge under the rug (a situation somewhat analogous to the current situation with AI&#8212;where many of the top researchers have admitted in private they don&#8217;t actually understand how it is working).<em><br>Note: in places like Europe, <a href="https://en.wikipedia.org/wiki/Precautionary_principle">the precautionary principle</a>&#8212;&#8220;where there are threats of serious or irreversible damage, lack of full scientific certainty shall not be used as a reason for postponing cost-effective measures to prevent environmental degradation&#8221;&#8212;is widely practiced, while in the United States, it receives much less of an emphasis as economic progress (which the precautionary principle slows) is prioritized.</em></p><p>For that reason, I feel it is important to briefly review the timeline of the mRNA vaccines:</p><p>1. For decades, mRNA could not find a dose that was both safe and effective.<a href="https://www.malone.news/p/update-moderna-and-pfizer-mrna-vax"><sup>1</sup></a> Most recently, Moderna had raised billions by selling investors the vision of life as software that could be rewritten into health, yet it could not make even its easiest target (a single missing liver enzyme) work, which left vaccines as the only viable use, since one or two doses never gave the toxicity time to accumulate.<a href="https://www.statnews.com/2017/01/10/moderna-trouble-mrna/"><sup>1</sup></a><sup>,</sup><a href="https://www.statnews.com/2016/09/13/moderna-therapeutics-biotech-mrna/"><sup>2</sup></a> By the time COVID arrived, both existing mRNA companies were in trouble. Moderna&#8217;s December 2018 IPO, then the largest in biotech history, fell 19% on its first day,<a href="http://biospace.com/moderna-therapeutics-biggest-ipo-in-biotech-history"><sup>1</sup></a><sup>,</sup><a href="http://thehustle.co/moderna-ipo-stock-biotech"><sup>2</sup></a> and the company closed 2019 with no product, a $1.5 billion accumulated deficit, and a share price below its offering.<a href="https://www.sec.gov/Archives/edgar/data/1682852/000168285220000006/moderna10-k12312019.htm"><sup>1</sup></a><sup>,</sup><a href="https://www.fool.com/investing/2024/01/21/if-you-invested-10000-in-moderna-in-2019/"><sup>2</sup></a> BioNTech had never taken a product past phase 2 and had to shrink its October 2019 IPO to find enough buyers,<a href="https://www.renaissancecapital.com/IPO-Center/News/65358/BioNTech-cuts-share-offering-and-lowers-proposed-range-to-$15-to-$16"><sup>1</sup></a><sup>,</sup><a href="https://www.bloomberg.com/news/articles/2019-10-09/biontech-ipo-raises-150-million-as-biotechs-dominate-listings"><sup>2</sup></a> a month after the Gates Foundation bought in at a higher price.<a href="https://investors.biontech.de/news-releases/news-release-details/biontech-announces-new-collaboration-develop-hiv-and/"><sup>1</sup></a><sup>,</sup><a href="https://www.todayville.com/gates-foundation-bought-55-million-in-biontech-shares-in-2019-by-2021-that-stock-was-worth-over-1-billion/"><sup>2</sup></a> Both needed what a former Moderna employee had called a &#8220;miraculous, Hail Mary sort of save.&#8221;<a href="https://www.statnews.com/2017/01/10/moderna-trouble-mrna/"><sup>1</sup></a></p><p>2. A 2004 law created the FDA&#8217;s Emergency Use Authorization (EUA) authority, allowing unapproved drugs, vaccines, and devices (or unapproved uses of approved ones) to be deployed once an emergency is declared<a href="https://integration.astho.org/globalassets/pdf/legal-preparedness/06-eua-proj-biosh.pdf"><sup>1</sup></a> (first used in 2005 to authorize the anthrax vaccine).<a href="https://regulations.justia.com/regulations/fedreg/2005/02/02/05-2028.html"><sup>1</sup></a> In 2016 at Davos, the Gates Foundation and the World Bank proposed running large-scale pandemic simulations modeled on the Department of Defense&#8217;s war games,<a href="https://brownstone.org/articles/the-nih-emails/"><sup>1</sup></a> which then happened in October 2019 as Event 201, a simulated coronavirus pandemic (which I now think happened <strong>after</strong> COVID already had begun to spread).<a href="https://brownstone.org/articles/the-nih-emails/"><sup>1</sup></a> When COVID officially arrived months later, each organization stepped into the role it had rehearsed: CEPI (Gates&#8217;s industry coalition) directed vaccine funding, the Gates Foundation handled financing and distribution, the World Bank mobilized resources, and the WHO coordinated messaging.<a href="https://brownstone.org/articles/the-nih-emails/"><sup>1</sup></a> Much of this built upon work in July 2017 where CEPI presented the WHO with its plan for the next pandemic: rapidly financing liability-free &#8220;emergency&#8221; vaccines and bringing them to market under a &#8220;no loss&#8221; guarantee that reimbursed developers for their direct and indirect costs.<a href="https://www.amazon.com/-/en/COVID-19-Global-Predators-Are-Prey/dp/0982456069"><sup>1</sup></a></p><p>3. The moment COVID emerged, significant focus was given to developing mRNA vaccines (e.g., the NIH gave Moderna their own research they&#8217;d invested years into), as beyond the existing incentives, mRNA technology was seen as the ideal &#8220;solution&#8221; for a pandemic because the vaccines could be produced in a very short time.  In tandem, Operation Warp Speed enacted the Gates-led plan for rapid emergency vaccine development, effective treatments (which would eliminate the need for EUA vaccines) were stonewalled and the population was isolated, <a href="https://www.midwesterndoctor.com/p/the-covid-shot-was-three-vaccines">preventing America from developing herd immunity to COVID before the vaccines came out</a>.<br><em>Note: a key part of the push for bringing the COVID vaccines to market came from the fact Trump had been boxed into needing them to reopen the country so he could win the 2020 election (so everything possible was done to accelerate their development and approval&#8212;which included cutting many corners), which ultimately resulted in them backstabbing him at the last moment by delaying the vaccine until after the election.<a href="https://judiciary.house.gov/media/in-the-news/new-allegations-about-timing-pfizer-covid-vaccine-passed-house-panel"><sup>1</sup></a><sup>,</sup><a href="https://www.cnn.com/2020/10/06/health/fda-covid-vaccine-safety-data-bn"><sup>2</sup></a></em><br><br>4. Accelerated clinical trials were conducted, which concluded the vaccines were very safe and &#8220;95% effective.&#8221;  On the basis of these trials, an EUA was granted, which came with the condition the vaccines would be rigorously evaluated for safety once they hit the market<a href="https://www.fda.gov/vaccines-blood-biologics/vaccines/emergency-use-authorization-vaccines-explained"><sup>1</sup></a><sup>,</sup><a href="https://www.fda.gov/vaccines-blood-biologics/safety-availability-biologics/covid-19-vaccine-safety-surveillance"><sup>2</sup></a> (e.g. V-safe was specifically made as a more robust way to monitor vaccine safety since there were limitations to what VAERS data could show).  In tandem with this, what was arguably the most aggressive propaganda campaign in history was enacted to vaccinate as many people as possible.</p><p>5. The moment the vaccines hit the market, due to their toxicity, a wide range of side effects emerged&#8212;all of which were dismissed because they were &#8220;anecdotal&#8221; and not shown in the robust clinical trials. Following this, nearly every database started showing massive red flags existed with the vaccines, but in each case, the data was either hidden, doctored or ignored.  For example, through extensive litigation, ICAN received <a href="https://www.midwesterndoctor.com/p/we-now-have-clear-proof-the-vaccine">the V-safe data</a>, which showed serious safety issues existed within it (that the curated publication in a top medical journal <a href="https://www.midwesterndoctor.com/p/we-now-have-clear-proof-the-vaccine">had deliberately hidden</a>), and free text data (which took further litigation to obtain) that showed large numbers of COVID vaccine recipients who deeply trusted the system had severe, progressive (and often fatal) injuries&#8212;many of whom gradually realized they had been exploited and abandoned once no one from the CDC ever got back to them.<br><em>Note: the React19 and the Brownstone Institute recently compiled these injuries <a href="https://brownstone.org/articles/cries-for-help-buried-in-v-safe-data/">into a report that can be read through</a>, and Jeffrey Tucker, believing it&#8217;s critical for people to see the human stories and suffering behind this (rather than just zoning out to the data) has been gradually reading through all of them<a href="https://x.com/brownstoneinst/status/2108682339266232719"><sup>1</sup></a><sup>,</sup><a href="https://x.com/brownstoneinst/status/2106348496970535109"><sup>2</sup></a><sup>,</sup><a href="https://x.com/brownstoneinst/status/2106707335758713337"><sup>3</sup></a><sup>,</sup><a href="https://x.com/brownstoneinst/status/2107153828261069023"><sup>4</sup></a><sup>,</sup><a href="https://x.com/brownstoneinst/status/2107419573553090629"><sup>5</sup></a>&#8212;many of which I&#8217;ve now listened to.</em></p><div class="native-video-embed" data-component-name="VideoPlaceholder" data-attrs="{&quot;mediaUploadId&quot;:&quot;c08778a0-60c4-4b71-9250-03adc048592d&quot;,&quot;duration&quot;:null}"></div><p>6. Because the pandemic proved the COVID vaccines were so incredibly safe and effective, the mRNA platform is being treated as a modern day medical miracle that does not require further testing to demonstrate the safety of the platform itself, making it possible to quickly bring large numbers of other mRNA technologies to market (despite the second human mRNA vaccine&#8212;influenza&#8212;also having serious safety signals that were even shown in its clinical trials<a href="https://alexberenson.substack.com/p/very-urgent-pfizers-mrna-flu-shot"><sup>1</sup></a>).</p><p>If you take a step back, much of this ultimately resulted from the (rushed) COVID vaccine clinical trials determining the vaccines were &#8220;safe and effective,&#8221; and this then becoming an anchor so many refused to deviate from regardless of the evidence to the contrary.  </p><h1>Clinical Trial Fraud</h1><p>In many areas, regulation is needed to prevent industry abuses, but since the private &#8220;donations&#8221; are necessary to get elected (and profit after you leave the government), regulation frequently switches from something that protects the public to something which gives industry a monopoly over a market (along with restricting the rights and freedoms of the public).</p><p>In the case of the FDA, a dire need existed for it to have the power to block unsafe drugs from coming to market, but in the post-thalidomide law which granted the agency that power, it was also given the right to block drugs unless a &#8220;well-controlled&#8221; trial demonstrated efficacy&#8212;which the FDA then interpreted to mean large randomized controlled trials, which created a massive biomedical industry that has hit the point <a href="https://www.midwesterndoctor.com/p/how-medicine-became-too-big-to-fail">it is effectively &#8220;too big to fail</a>&#8221; and hence is so well defended by the system, it is arguably impossible for the government to ever be the party that reforms it (e.g., <a href="https://www.midwesterndoctor.com/p/the-fdas-war-on-americas-health">in this article</a> I showed how over the decades the FDA&#8217;s mission switched from protecting America&#8217;s health to protecting industry).</p><p>Since large RCTs cost tens of millions of dollars, three major problems are created:</p><p>&#8226;In many cases, the &#8220;proven&#8221; benefits RCTs can detect are so small, they are clinically meaningless for patients.  This I believe accounts for why so, so many patients (especially elderly ones) are on numerous drugs that are harming them despite it being unclear to the patient if any benefit is being obtained from the medications they are taking (and likewise why this publication has been so successful&#8212;as unlike conventional treatments&#8212;the simple natural options I share like DMSO make real impacts readers immediately notice that conventional treatments never gave them).</p><p>&#8226;The trials cost so much to conduct most therapies cannot get approved as there is no way to monetize them and recoup those costs&#8212;which has effectively transformed medicine into a &#8220;pay-to-play&#8221; system . This absurdity is highlighted by <a href="https://pubmed.ncbi.nlm.nih.gov/24782322/.">a 2014 Cochrane review</a> (reviews widely regarded as the benchmark for synthesizing and evaluating medical evidence) which found that smaller unblinded observational trials (which independent investigators can afford to do) typically yielded the same results as large RCTs.  This in essence it why tens of thousands of studies (I&#8217;ve laboriously compiled) conducted around the world show that both DMSO and ozone treat a wide range of clinical conditions (along with having a mechanistic basis for doing so), and thousands of readers here have directly corroborated those results&#8212;yet virtually every medical reference states there is &#8220;no evidence&#8221; either of those therapies provides benefit (excluding DMSO&#8217;s narrow indication for interstitial cystitis).</p><p>&#8226;Since clinical trials (along with all the investment that preceded them) cost so much to conduct, there is always an incentive to ensure a positive result. Over the decades, this has produced a well-established playbook for rigging trials,<a href="https://www.midwesterndoctor.com/p/how-they-rig-clinical-trials-leaving"><sup>1</sup></a> which broadly consists of:</p><p>&#8226;<strong>Rigging the design: </strong>using a &#8220;placebo&#8221; that itself causes harm, excluding the patients most likely to be injured, or measuring surrogate markers (e.g., antibody levels) rather than actual health outcomes.</p><p>&#8226;<strong>Manipulating the data mid-stream: </strong>stopping a trial early when the results happen to look favorable, or ending follow-up before harms have time to emerge.</p><p>&#8226;<strong>Gaming the analysis: </strong>presenting benefits as relative risks and harms as absolute ones, changing what the trial measures after the data comes in (as something will always show a positive trend due to random variation).</p><p>&#8226;<strong>Controlling what gets published: </strong>recoding severe injuries under benign diagnoses, burying unfavorable results, and withholding the patient-level data that would allow anyone to check.</p><p>&#8226; <strong>Spinning the presentation: </strong>writing abstracts and conclusions that contradict the data within the study (since the abstract is all most people read).</p><p><em>Note: these tactics persist <strong>because regulators tolerate them</strong>. Industry user fees now account for nearly half of the FDA&#8217;s budget,<a href="https://www.congress.gov/crs-product/R44750"><sup>1</sup></a> nine of its last ten commissioners went on to work for or sit on the board of a pharmaceutical company,<a href="https://bmjgroup.com/the-bmj-investigates-financial-entanglements-between-fda-chiefs-and-the-drug-industry/"><sup>1</sup></a> and much of its senior staff follows the same path. For example, as director of the FDA&#8217;s biologics division (which oversees vaccines), Peter Marks pushed the COVID shots so aggressively that the FDA&#8217;s top vaccine scientists left in protest, internally blocked the agency from recognizing critical vaccine safety signals, and continually stonewalled vaccine-injured patients (claiming to care about them while mocking them at industry conferences). He recently left the FDA to become an executive at Eli Lilly with a seven-to-eight figure salary.<a href="https://www.midwesterndoctor.com/p/the-revolving-door-strikes-again"><sup>1</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/why-did-the-government-lie-about"><sup>2</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/we-now-know-how-the-government-lied"><sup>3</sup></a></em></p><p>Since no comprehensive summary existed of the common ways trials are repeatedly rigged, I compiled all of it here:</p><div class="digest-post-embed" data-attrs="{&quot;nodeId&quot;:&quot;a6af1bd8-b4a6-476c-9d59-1076a6ef7413&quot;,&quot;caption&quot;:&quot;&quot;,&quot;cta&quot;:null,&quot;showBylines&quot;:true,&quot;showDescription&quot;:true,&quot;showImage&quot;:true,&quot;size&quot;:&quot;lg&quot;,&quot;isEditorNode&quot;:true,&quot;title&quot;:&quot;How They Rig Clinical Trials and The Price We All Pay For It&quot;,&quot;publishedBylines&quot;:[{&quot;id&quot;:76762071,&quot;name&quot;:&quot;A Midwestern Doctor&quot;,&quot;bio&quot;:&quot;I write The Forgotten Side of Medicine where I expose pharmaceutical corruption and remarkable therapies lost to time for the health of humanity.&quot;,&quot;photo_url&quot;:&quot;https://substackcdn.com/image/fetch/f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fbucketeer-e05bbc84-baa3-437e-9518-adb32be77984.s3.amazonaws.com%2Fpublic%2Fimages%2Fa3b8e6f0-ce1c-48b8-bbfc-f8150903b2f5_250x298.jpeg&quot;,&quot;is_guest&quot;:false,&quot;bestseller_tier&quot;:10000}],&quot;post_date&quot;:&quot;2026-06-03T06:35:28.841Z&quot;,&quot;cover_image&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/cb15f847-c3fc-4501-8b17-e30b19f9db3d_2296x1286.png&quot;,&quot;cover_image_alt&quot;:null,&quot;canonical_url&quot;:&quot;https://www.midwesterndoctor.com/p/how-they-rig-clinical-trials-leaving&quot;,&quot;section_name&quot;:null,&quot;video_upload_id&quot;:null,&quot;id&quot;:199623724,&quot;type&quot;:&quot;newsletter&quot;,&quot;reaction_count&quot;:642,&quot;comment_count&quot;:166,&quot;publication_id&quot;:748806,&quot;publication_name&quot;:&quot;The Forgotten Side of Medicine&quot;,&quot;publication_logo_url&quot;:&quot;&quot;,&quot;belowTheFold&quot;:true,&quot;youtube_url&quot;:null,&quot;show_links&quot;:null,&quot;feed_url&quot;:null}"></div><p>Senator Ron Johnson, in turn, summed up why the information in that article is so critical for us to understand in a recent Senate Hearing:</p><div class="native-video-embed" data-component-name="VideoPlaceholder" data-attrs="{&quot;mediaUploadId&quot;:&quot;c5442303-88a1-4b6b-90a1-42959f9f859c&quot;,&quot;duration&quot;:null}"></div><p>I published that article when I did because the same tactics the industry has used for decades were also used to rig the COVID-19 vaccine trials, so understanding the general playbook makes it much easier to see exactly what was done with them. If anything, I would argue the government&#8217;s desire to bring the vaccines to market as quickly as possible incentivized the pharmaceutical companies to be even more brazen than usual (as there was no regulatory consequence for doing so).</p><p>For example:</p><p>&#8226; Pfizer&#8217;s &#8220;95% effective&#8221; figure was a relative risk reduction, which in absolute terms meant 119 people had to be vaccinated to prevent one non-severe case of COVID.<a href="https://www.midwesterndoctor.com/p/the-critical-calculation-medicine"><sup>1</sup></a></p><p>&#8226; The &#8220;95% effective&#8221; figure came from an interim analysis after 170 cases, and once it secured the EUA, placebo recipients were offered the vaccine (as continuing the trial was deemed &#8220;unethical&#8221;), ensuring long-term blinded safety data would never exist. The published safety data covered roughly two months after the second dose, from a trial designed to follow participants for two years.<a href="https://www.midwesterndoctor.com/p/how-they-rig-clinical-trials-leaving"><sup>1</sup></a></p><p>&#8226; When a reduction in severe COVID later became the primary justification for the vaccine, that endpoint&#8217;s window had been quietly moved from after the second dose to seven days after the first, pulling five more severe placebo cases into the analysis (a change buried in the appendix).<a href="https://www.midwesterndoctor.com/p/how-they-rig-clinical-trials-leaving"><sup>1</sup></a></p><p>&#8226; An FDA review acknowledged 477 trial participants with COVID symptoms were never swabbed for COVID.<a href="https://downloads.regulations.gov/CDC-2022-0111-123337/attachment_1.pdf"><sup>1</sup></a></p><p>&#8226; Severe injuries were recoded as benign conditions, such as 12-year-old Maddie de Garay&#8217;s permanent disabling injury becoming &#8220;functional abdominal pain&#8221;<a href="https://www.midwesterndoctor.com/p/what-really-happened-inside-the-covid"><sup>1</sup></a> and, in Moderna&#8217;s trial, Olivia Tesenair&#8217;s cutaneous T-cell lymphoma becoming &#8220;lymphadenopathy&#8221;<a href="https://www.hydesmith.senate.gov/those-injured-covid-19-vaccine-still-waiting-government-compensation"><sup>1</sup></a>&#8212;injuries which, had they been acknowledged, would have completely changed how the medical community assessed the vaccines&#8217; risks.<br>Maddie&#8217;s account of what was done to her in the trial (which I previously edited down to its most important parts) is the clearest illustration I know of how this happens:</p><div class="native-video-embed" data-component-name="VideoPlaceholder" data-attrs="{&quot;mediaUploadId&quot;:&quot;5082309b-f743-4b92-9828-52e8aca0ff1a&quot;,&quot;duration&quot;:null}"></div><p><em>Note: Maddie continues to suffer significantly and like other trial participants has not received any support for her injuries. Additionally, participants for the non-mRNA COVID vaccine (e.g., Brianne Dressen with Astrazenca) had similar atrocious experiences (which is part of why we recently put together <a href="https://www.midwesterndoctor.com/p/the-covid-shot-was-three-vaccines">a summary of what has actually worked for treating these challenging spike protein injuries</a>).</em></p><p>Yet, even after clinical investigators and trial participants came forward as whistleblowers to report that the trials were not properly blinded and had serious irregularities that vastly overstated the vaccines&#8217; safety and efficacy, the FDA (in part because of Peter Marks) did nothing, and almost everyone continued to believe the widely trumpeted claim that the vaccines were almost miraculously safe and effective (and would end the pandemic).</p><p>Fortunately, two good things came out of this.</p><p>The first was that the claims made about the (mandated) vaccines were so at odds with the wave of injuries and the vaccines&#8217; failure to prevent COVID that many people who had previously trusted the medical profession unquestioningly began to see through its facade. In just four years, trust in doctors and hospitals fell from 71.5% to 40.1%<a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC11292455/"><sup>1</sup></a> (the significance of which is hard to overstate).</p><p>The second was that a large number of independent researchers and whistleblowers were motivated to scrutinize these trials, and through years of work, gave us a once-in-a-lifetime opportunity to see in granular detail the fraud that routinely occurs in clinical research. Beyond the whistleblowers who testified about the misconduct they witnessed, and members of the evidence-based medicine community (e.g., Peter Doshi of the BMJ) who repeatedly brought it to the public&#8217;s attention, one team produced <a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit">a detailed audit</a> of the irregularities in Pfizer&#8217;s trial.</p><p>Since the teams&#8217; work has remained relatively unknown (and one of its authors, Christine Cotton, recently passed away after a debilitating chronic illness the medical system was unable to address), I want to use this platform to bring it the attention it deserves and provide the context needed to understand it. What follows is a verbatim reproduction of the May 2024 audit (which can be read in its original form <a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit">here</a>). Because it was written to support legal action, I have not altered it in any way, and my commentary (e.g., additional relevant information since this was published) appears <em><strong>in bold</strong></em> so it is clearly distinguished from their original work.</p><p><em>Note: every claim in the audit is sourced, and the footnote numbers link to the references at the end of the original document.</em></p><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://www.midwesterndoctor.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">The Forgotten Side of Medicine is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. To find out how others have benefitted from this publication, click <a href="https://www.midwesterndoctor.com/p/reader-feedback">here</a>.</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div><div><hr></div><h1><strong>Pfizer/BioNTech C4591001 Trial - Audit Report - v1 (2024-05-31)</strong></h1><p>Reanalysis of the data and anomalies inventoried</p><h3><strong>Abstract</strong></h3><p>This review aims to address significant anomalies and discrepancies that have surfaced from the examination of the data from the Pfizer/BioNTech C4591001 trial, which could have profound implications for public trust and regulatory standards, should they not be adequately and transparently investigated.</p><h4><strong>Whistleblower Testimonies</strong></h4><p>Brook Jackson, a former regional director at Ventavia Research Group, reported systemic issues including lack of proper informed consent, enrollment of ineligible participants, data fabrication, and regulatory non-compliance. Despite notifying the FDA, these concerns were not adequately addressed, and critical sites were not inspected, raising questions about regulatory oversight.</p><h4><strong>Case of Augusto Roux</strong></h4><p>Dr. Augusto Roux, a trial participant in Argentina, experienced severe adverse effects after receiving the vaccine, including pericarditis, which was initially misclassified as a potential COVID-19 case at the request of the sponsor. His reports of adverse effects were inadequately documented, and attempts were made to reclassify his symptoms. Roux&#8217;s case highlights serious violations of GCPs <em><strong>[good clinical practices]</strong></em> and criminal investigations are ongoing in Argentina regarding the events he witnessed.</p><h4><strong>Discrepancies in Randomization Figures</strong></h4><p>Analysis of two investigator files, produced on November 26, 2020, and March 29, 2021, revealed unexplained discrepancies in the number of randomized subjects. For instance, site 1231/4444 in Argentina showed a decrease from 5776 to 5615 subjects, amounting to 161 subjects &#8220;lost to randomization,&#8221; which cannot be accounted for by subject movement between sites or recruitment of subjects under 16 years. Overall, 1203 subjects were &#8220;lost to randomization&#8221; across 108 of 153 sites, indicating a significant anomaly <em><strong>[and is a way unwanted results are hidden].</strong></em></p><h3><strong>Missing Subject Identifiers</strong></h3><p>Anomalies in subject identifiers were found, with 301 missing IDs disproportionately affecting certain sites, notably in Argentina. Examination of this problem suggests non-random data handling issues, which could indicate deliberate subjects data deletion  <em><strong>[which again can hide unwanted results].</strong></em></p><h4><strong>Delayed Reporting of Deaths</strong></h4><p>Michels et al. and further correspondence by Jeyanthi Kunadhasan with the Australian Therapeutic Goods Administration (TGA<strong>&#8212;</strong><em><strong>Australia&#8217;s equivalent of the FDA</strong></em>) stresses the importance of delayed reporting of deaths in the Emergency Use Authorization (EUA) figures. The Polack et al. study in the New England Journal of Medicine reported six deaths, while Pfizer&#8217;s internal records already showed eight, with two deaths in the BNT162b2 arm not disclosed. These delays and non-disclosures, particularly of deaths due to cardiac events, raise serious concerns about transparency and potential breaches of GCPs.</p><h4><strong>Anomalies Related to Protocol Deviations</strong></h4><p>Protocol deviations recorded without blind review, contrary to standard clinical trial practices, showed significant disproportions in treatment groups. Notable deviations included the improper administration of protocol-specified procedures, urine pregnancy tests not performed and the receipt of other non-study coronavirus vaccines, suggesting unblinding of the participants themselves, and improper treatment by site staff.</p><h4><strong>Unreported Adverse Events</strong></h4><p>Instances of under-reported adverse events were identified, such as a case where &#8220;chest tightness&#8221; was not logged in the adverse events log but was only noted in the case report forms (CRF) due to a subsequent serious adverse event (SAE). Another example involved misclassification of a serious case of pericarditis as COVID-19 illness, highlighting violations of Good Clinical Practices (GCPs).</p><h4><strong>Adverse Effects Re-qualification</strong></h4><p>Augusto Roux&#8217;s testimony reveals systemic exploitation of protocol weaknesses, leading to widespread re-qualification of adverse effects as COVID-19 symptoms. Analysis of AESPID data indicates that at least 1209 adverse effects across 767 subjects were re-qualified to impact efficacy, safety, and immunogenicity results. This re-qualification process appears to be a deliberate manipulation to suppress adverse events in the safety analysis, as evidenced by the high proportion of communicated CRFs to the FDA among the affected subjects.</p><h4><strong>Further Evidence of Data Manipulation</strong></h4><p>Additional anomalies were identified in the recording of adverse effects. Manual reviews of CRFs revealed discrepancies such as unrecorded adverse events and events reclassified or deleted. This includes significant under-reporting and potential alteration of CRFs, violating GCPs and potentially infringing on US and international regulations.</p><h4><strong>Process 2 mis-representation and concerns</strong></h4><p>In the development of its COVID-19 vaccine, Pfizer/BioNTech utilized two distinct manufacturing methods: &#8220;Process 1&#8221; for most of the clinical trials and &#8220;Process 2&#8221; for commercial production, which was tested on only 252 recipients. Process 1 involved PCR amplification for DNA template production, while Process 2 used linearized plasmid DNA cultured in E. coli, among other modifications to scale up production. Regulatory documents from the FDA, EMA, PMDA, and TGA confirm these differences and their respective uses in clinical and commercial supplies.</p><p><em><strong>Note: I discussed the host of serious issues associated with the plasmid contamination further <a href="https://www.midwesterndoctor.com/p/the-covid-shot-was-three-vaccines">here</a>.</strong></em></p><p>The planned comparative study between the two processes aimed to assess safety and immunogenicity in participants aged 16-55 but was ultimately not conducted <em><strong>[which is sadly another common industry tactic].</strong></em> Analysis of adverse event reports suggests significant differences between the processes, notably higher rates of adverse effects, including lymphadenopathy and menorrhagia, in recipients of Process 2. Several findings indicate that the manufacturing changes between Process 1 and Process 2 have impacted the vaccine&#8217;s safety profile.</p><h1><strong>Introduction</strong></h1><p>The unprecedented speed of COVID-19 vaccine development and emergency use authorization (EUA) involved expedited review processes. A rigorous post-hoc analysis is essential to ensure all data was collected, analyzed, and reported according to the highest scientific standards. This is crucial for effective post-market surveillance, as accurate trial data is fundamental to identifying long-term effects or rare adverse events that may not have been apparent during the initial trials. Flawed foundational data could hinder post-market monitoring, potentially jeopardizing patient safety. Ethical standards in clinical research demand transparency and accuracy in data reporting. The current flaws and lack of transparency in the C4591001 trial data violate ethical principles such as informed consent, and potentially go against the duty to do no harm if the risk/benefit has been misrepresented.</p><p>The FDA conducted its review from November 20, 2020, to December 11, 2020, resulting in a surprisingly brief 57-page memorandum<a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-1"><sup>1</sup></a>. The seriousness of this review has been called into question<a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-2"><sup>2</sup></a>. Despite promises of transparency, evidence of multiple analyst reviews, such as emails exchanged between data analysts who would have critically evaluated the submission, as claimed by Peter Marks, remains unavailable <em><strong>[although Senator Johnson&#8217;s Senate investigative team recently was able to conduct a lengthy interview with him]</strong></em>. As we have been seeking answers to essential questions on data integrity for over a year, the present authors are well-positioned to know the diligence with which the latter&#8217;s department addresses these concerns. Other regulatory bodies, such as France&#8217;s &#8220;Agence Nationale de S&#233;curit&#233; des M&#233;dicaments et des produits de Sant&#233;&#8221; (ANSM) and Australia&#8217;s Therapeutic Goods Administration, have thus far failed to adequately address concerns raised as well.</p><p>In light of the direct testimonies outlining severe infringements to Good Clinical Practices (GCPs) and the supporting data illustrating how extensive were the malpractices within this trial, there is an urgent need for a comprehensive and transparent audit of the participating sites and of the Clinical Research Organizations (CROs) responsible for data management. It is the authors&#8217; hope that the public will utilize this reproducible evidence to bring the matter to the attention of policymakers, and to the legal field shall the regulators stay inactive.</p><p>The facts presented in this report are substantiated by public documents, obtained through Freedom of Information Requests (FOI) and legal proceedings. Notably, a significant proportion of these documents comes from a Texas court order<a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-3"><sup>3</sup></a>, in a proceeding engaged by Public Health &amp; Medical Professionals for Transparency (PHMPT<a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-4"><sup>4</sup></a>), which enabled the publication of data submitted by sponsors to the FDA for the Biological Licence Application (BLA).</p><h1><strong>Authors</strong></h1><p>The following report is the synthesis of the work, and the product of a collaborative effort, between the following authors:</p><ul><li><p>Josh Guetzkow, PhD, Senior lecturer at The Hebrew University of Jerusalem (<a href="https://x.com/joshg99">Twitter</a>, <a href="https://researchrebel.substack.com/">Substack</a>).</p></li><li><p>Jeyanthi Kunadhasan MD (UKM), MMed (AnaesUM), FANZCA MMED (Monash) (<a href="https://x.com/DrJKunadhasan">Twitter</a>, <a href="https://jkunadhasan.substack.com/">Substack</a>)</p></li><li><p>Brook Jackson, Clinical Research Director for the Clinical Research Organisation (CRO) Ventavia during the trial, Whistle-blower (<a href="https://x.com/IamBrookJackson">Twitter</a>, <a href="https://www.iambrookjackson.com/">Website</a>)</p></li><li><p>Christine Cotton, Bio-Statistician, ex-CEO of a CRO for 22 years (<a href="https://x.com/StatChrisCotton">Twitter</a>, <a href="https://christinecotton.com/">Website</a>)</p></li><li><p>Arkmedic (anonymous), Whistle-blower, PhD &amp; MD (<a href="https://www.arkmedic.info/">Substack</a>)<br><em><strong>Note: I am a follower or Arkmedic&#8217;s work and think it is excellent</strong></em></p></li><li><p>Augusto Roux, PhD, Lawyer, University of Buenos Aires, trial participant, Whistle-blower (<a href="https://x.com/RouxAugusto">Twitter</a>)</p></li><li><p>A Concerned Amyloidosis (anonymous), Clinical Researcher (<a href="https://x.com/a_nineties">Twitter</a>, <a href="https://modarnlife.substack.com/">Substack</a>)</p></li><li><p>OpenVAET (anonymous), Forensic &amp; Data Analyst (<a href="https://x.com/canceledmouse">Twitter</a>, <a href="https://openvaet.substack.com/">Substack</a>)</p></li></ul><p><em>The elements we advance can be verified independently and used freely. Shall a signed affidavit be required for legal proceedings, please contact us via <strong><a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit/comments">the comments</a></strong> .</em></p><h1><strong>Method</strong></h1><p>The references to all the documents used are provided, as well as the R<a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-5"><sup>5</sup></a> code required to reproduce every figures &amp; charts advanced.</p><p>We downloaded (<a href="https://github.com/OpenVaet/pfizer_docs_R/blob/main/download_full_prod.R">R</a><a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-6"><sup>6</sup></a>), extracted, and categorized (<a href="https://github.com/OpenVaet/pfizer_docs_R/blob/main/extract_full_prod.R">R</a><a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-7"><sup>7</sup></a>) the data currently available via PHMPT<a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-8"><sup>8</sup></a>. When sources are required, they are provided in footnotes.</p><h1><strong>Overview of the trial &amp; demographics</strong></h1><ol><li><p>The clinical trial had for two main objectives to establish:</p></li></ol><ul><li><p>the safety of the product, by presenting a positive risk/benefit ratio profile (otherwise said &#8220;saving more people than it may injure&#8221;)</p></li><li><p>the efficacy of the product to prevent symptomatic COVID-19 disease confirmed by a PCR test, in accordance with the FDA requirements.</p></li></ul><p>These steps had to be completed in order to obtain the Emergency Use Authorization (EUA). Pfizer &amp; BioNTech were the first of the competing pharmaceutical groups to announce - by a press release on November 9, 2020 - that these objectives had been achieved.</p><p>The EUA was applied to on November 20, 2020<a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-9"><sup>9</sup></a>, after the data had been analyzed with a data collection stop date (cut-off) on November 14, 2020. The goal was then to obtain the BLA - a goal achieved on August 23, 2021<a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-10"><sup>10</sup></a> - following an application for which the data had a cut-off on March 13, 2021.</p><ol start="2"><li><p>A total of 48,091 unique subject identifiers are registered in the clinical trial database, and were screened by 153 sites between April 29, 2020 and January 12, 2021 (<a href="https://github.com/OpenVaet/pfizer_docs_R/blob/main/screening_dates_range.R">R</a><a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-11"><sup>11</sup></a>).</p></li><li><p>Within the study, each of the trial sites was given a 4-digit numerical identifier, starting from 1001. One of the sites, the Dr-Mayor Cirujano Military Central Hospital in Argentina, was split into two identifiers, 1231 &amp; 4444 (a virtual reference<a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-12"><sup>12</sup></a>). The names and addresses of the sites, as well as the identity of the principal investigator for each site, are provided in one of the documents submitted to the FDA<a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-13"><sup>13</sup></a>.<br><em><strong>This Argentine site (the trial&#8217;s largest, with over 5,700 participants randomized) was recently the subject of documents released by ANMAT (Argentina&#8217;s equivalent of the FDA),<a href="https://realpolitik.com.ar/uploads/pdfs/2026/10/20261010112948_compendio-documental-u-nico-y-auditado-realpolitik.pdf"><sup>1</sup></a> which showed its inspectors found twenty problems there. These included 52 participants who were given nearly double the planned dose (roughly 58 rather than 30 micrograms), a participant the system recorded as receiving placebo who had actually received the vaccine, delayed or incomplete records of serious adverse events, and consent and eligibility failures (e.g., women being deemed eligible before their pregnancy test results were on file).<a href="https://realpolitik.com.ar/nota/74655/los-hallazgos-de-la-anmat-en-el-ensayo-de-pfizer-y-el-doble-rol-de-fernando-polack/"><sup>1</sup></a><sup>,</sup><a href="https://react19.org/news/the-findings-of-anmat-in-the-pfizer-trial-and-the-dual-role-of-fernando-polack"><sup>2</sup></a> Remarkably, ANMAT allowed the site to resume enrolling volunteers while its inspection was still underway, and ultimately issued an &#8220;Official Action Indication&#8221; to both Pfizer and the site&#8217;s principal investigator, Fernando Polack (the lead author of the NEJM paper reporting the trial&#8217;s results), who at the time was also president of iTrials SA, the company the hospital&#8217;s agreement named as the trial&#8217;s administrator and a beneficiary of its payments.<a href="https://realpolitik.com.ar/nota/74655/los-hallazgos-de-la-anmat-en-el-ensayo-de-pfizer-y-el-doble-rol-de-fernando-polack/"><sup>1</sup></a><sup>,</sup><a href="https://react19.org/news/the-findings-of-anmat-in-the-pfizer-trial-and-the-dual-role-of-fernando-polack"><sup>2</sup></a><sup> </sup>These documents also resolve one of the trial&#8217;s longstanding mysteries. Die Welt reported that 53 participants at this site were removed from the trial on a single day (August 31, 2020),<a href="https://www.tichyseinblick.de/?p=801879"><sup>1</sup></a> and David Healy found that 52 participants there had been unblinded that day after something unexplained happened on August 23.<a href="https://davidhealy.org/august-is-the-cruellest-month/"><sup>1</sup></a> The ANMAT file shows what it was: on August 23, a dilution error gave 52 participants an estimated 58 micrograms rather than 30, and Pfizer&#8217;s letter to Polack directed that they be unblinded on August 31.<a href="https://realpolitik.com.ar/uploads/pdfs/2026/10/20261010112948_compendio-documental-u-nico-y-auditado-realpolitik.pdf"><sup>1</sup></a></strong></em><br></p></li><li><p>Subjects were recruited over a period of 10 weeks for phase 1 and 22 weeks for phase 2-3. The following diagram illustrates the recruitment carried out each week (<a href="https://github.com/OpenVaet/pfizer_docs_R/blob/main/screenings_by_weeks.R">R</a><a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-14"><sup>14</sup></a>).</p></li></ol><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!XWiU!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F1136a0d6-50b9-47fd-857f-2764713c5f52_1920x1017.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!XWiU!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F1136a0d6-50b9-47fd-857f-2764713c5f52_1920x1017.png 424w, https://substackcdn.com/image/fetch/$s_!XWiU!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F1136a0d6-50b9-47fd-857f-2764713c5f52_1920x1017.png 848w, https://substackcdn.com/image/fetch/$s_!XWiU!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F1136a0d6-50b9-47fd-857f-2764713c5f52_1920x1017.png 1272w, https://substackcdn.com/image/fetch/$s_!XWiU!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F1136a0d6-50b9-47fd-857f-2764713c5f52_1920x1017.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!XWiU!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F1136a0d6-50b9-47fd-857f-2764713c5f52_1920x1017.png" width="1456" height="771" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/1136a0d6-50b9-47fd-857f-2764713c5f52_1920x1017.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:771,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:73308,&quot;alt&quot;:&quot;&quot;,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" title="" srcset="https://substackcdn.com/image/fetch/$s_!XWiU!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F1136a0d6-50b9-47fd-857f-2764713c5f52_1920x1017.png 424w, https://substackcdn.com/image/fetch/$s_!XWiU!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F1136a0d6-50b9-47fd-857f-2764713c5f52_1920x1017.png 848w, https://substackcdn.com/image/fetch/$s_!XWiU!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F1136a0d6-50b9-47fd-857f-2764713c5f52_1920x1017.png 1272w, https://substackcdn.com/image/fetch/$s_!XWiU!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F1136a0d6-50b9-47fd-857f-2764713c5f52_1920x1017.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><ol start="5"><li><p>The geographical coordinates of the sites were manually integrated into a JSON file<a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-15"><sup>15</sup></a> including latitudes and longitudes. A summary of the recruitment carried out for each country was generated (<a href="https://github.com/OpenVaet/pfizer_docs_R/blob/main/subjects_by_arms_and_sites.R">R</a><a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-16"><sup>16</sup></a>), as well as the map below by site (<a href="https://github.com/OpenVaet/pfizer_docs_R/blob/main/generate_screening_map.R">R</a><a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-17"><sup>17</sup></a>).</p></li></ol><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!s0yc!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F79d5410f-9b4b-42be-8d5d-0bcb3c031708_1920x1017.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!s0yc!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F79d5410f-9b4b-42be-8d5d-0bcb3c031708_1920x1017.png 424w, https://substackcdn.com/image/fetch/$s_!s0yc!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F79d5410f-9b4b-42be-8d5d-0bcb3c031708_1920x1017.png 848w, https://substackcdn.com/image/fetch/$s_!s0yc!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F79d5410f-9b4b-42be-8d5d-0bcb3c031708_1920x1017.png 1272w, https://substackcdn.com/image/fetch/$s_!s0yc!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F79d5410f-9b4b-42be-8d5d-0bcb3c031708_1920x1017.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!s0yc!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F79d5410f-9b4b-42be-8d5d-0bcb3c031708_1920x1017.png" width="1456" height="771" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/79d5410f-9b4b-42be-8d5d-0bcb3c031708_1920x1017.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:771,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:73812,&quot;alt&quot;:&quot;&quot;,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" title="" srcset="https://substackcdn.com/image/fetch/$s_!s0yc!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F79d5410f-9b4b-42be-8d5d-0bcb3c031708_1920x1017.png 424w, https://substackcdn.com/image/fetch/$s_!s0yc!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F79d5410f-9b4b-42be-8d5d-0bcb3c031708_1920x1017.png 848w, https://substackcdn.com/image/fetch/$s_!s0yc!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F79d5410f-9b4b-42be-8d5d-0bcb3c031708_1920x1017.png 1272w, https://substackcdn.com/image/fetch/$s_!s0yc!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F79d5410f-9b4b-42be-8d5d-0bcb3c031708_1920x1017.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!rdj4!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3fb53cee-c060-4795-906f-2c0d8430ff29_1253x857.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!rdj4!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3fb53cee-c060-4795-906f-2c0d8430ff29_1253x857.png 424w, https://substackcdn.com/image/fetch/$s_!rdj4!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3fb53cee-c060-4795-906f-2c0d8430ff29_1253x857.png 848w, https://substackcdn.com/image/fetch/$s_!rdj4!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3fb53cee-c060-4795-906f-2c0d8430ff29_1253x857.png 1272w, https://substackcdn.com/image/fetch/$s_!rdj4!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3fb53cee-c060-4795-906f-2c0d8430ff29_1253x857.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!rdj4!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3fb53cee-c060-4795-906f-2c0d8430ff29_1253x857.png" width="1253" height="857" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/3fb53cee-c060-4795-906f-2c0d8430ff29_1253x857.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:857,&quot;width&quot;:1253,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:197115,&quot;alt&quot;:&quot;&quot;,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" title="" srcset="https://substackcdn.com/image/fetch/$s_!rdj4!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3fb53cee-c060-4795-906f-2c0d8430ff29_1253x857.png 424w, https://substackcdn.com/image/fetch/$s_!rdj4!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3fb53cee-c060-4795-906f-2c0d8430ff29_1253x857.png 848w, https://substackcdn.com/image/fetch/$s_!rdj4!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3fb53cee-c060-4795-906f-2c0d8430ff29_1253x857.png 1272w, https://substackcdn.com/image/fetch/$s_!rdj4!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3fb53cee-c060-4795-906f-2c0d8430ff29_1253x857.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><h1><strong>A trial presented as &#8220;Placebo-controlled, blinded observer, which established safety and efficacy</strong></h1><ol start="6"><li><p>The clinical trial was presented to the public as a &#8220;Phase 1/2/3, placebo-controlled, randomized, blinded, dose-ranging study to evaluate the safety, tolerability, immunogenicity and potential efficacy of SARS-CoV-2 RNA vaccine candidates against COVID-19 disease in healthy individuals&#8221;<a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-18"><sup>18</sup></a>.</p></li><li><p>Various measurements (specific neutralizing antibodies (N-Binding), PCR tests (PCR), immunoglobulin G specific to the S1 subunit of the epi and to the receptor binding domain (RBD), etc.) were carried out on subjects in phases 1 and 2-3 to determine whether they had contracted COVID, and how they reacted to the product.</p></li><li><p>Efficacy was measured on the product&#8217;s ability to prevent confirmed cases of COVID-19 and was based on two primary endpoints. The primary efficacy objective was to prevent symptomatic laboratory-confirmed cases of COVID-19 at least 7 days after the second dose, in participants with no serological or virological evidence of prior SARS-CoV-2 infection, before and during the vaccination schedule. The secondary objective was to evaluate the efficacy of the vaccine against severe cases of COVID-19.</p></li><li><p>Safety objectives included assessment of local reactions, systemic events and use of antipyretics/pain medication <em><strong>[e.g., Tylenol]</strong></em> from Day 1 to Day 7 after each dose in a subset of participants. In addition, the trial aimed to monitor unsolicited, non-serious adverse events from the first dose until one month after the second dose in all participants, serious adverse events from the first dose until six months after the second dose in all participants, and deaths and related serious adverse events from the first dose until the end of the study in all participants<a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-19"><sup>19</sup></a>.</p></li></ol><h1><strong>Inconsistent dates for Phase 1</strong></h1><ol start="10"><li><p>According to two studies<a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-20"><sup>20</sup></a> <a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-21"><sup>21</sup></a> reporting phase 1 results, the phase 1 was initiated on May 4, 2020, and the recruitment (screening) would continue until June 22, 2020.</p></li><li><p>These dates are incorrect, and the screening took place between April 29, 2020 and June 29, 2020 (<a href="https://github.com/OpenVaet/pfizer_docs_R/blob/main/screening_dates_range_phase1.R">R</a><a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-22"><sup>22</sup></a>).</p></li></ol><h1><strong>Phase 1 - Products tested and demographic considerations</strong></h1><ol start="12"><li><p>332 subjects were screened for phase 1. 83 failed to satisfy the screening conditions, and 54 weren&#8217;t assigned to a treatment group. Phase 1 was testing dosage and primary safety concerns, on cohorts of 15 subjects (12 being administered the treatment and 3 being administered Placebo). The treatments originally planned to be tested were:</p></li></ol><ul><li><p>BNT162a1 (RNA-LNP vaccine utilizing uRNA and encoding the RBD): 3 &#956;g, 10 &#956;g, 30 &#956;g</p></li><li><p>BNT162b1 (BNT162 RNA-LNP vaccine utilizing modRNA and encoding the RBD): 10 &#956;g, 30 &#956;g, 100 &#956;g</p></li><li><p>BNT162b2 (BNT162 RNA-LNP vaccine utilizing modRNA and encoding the P2 S): 10 &#956;g, 30 &#956;g, 100 &#956;g</p></li><li><p>BNT162c2 (BNT162 RNA-LNP vaccine utilizing saRNA and encoding the RBD): 3 &#956;g,10 &#956;g, 30 &#956;g</p></li></ul><ol start="13"><li><p>The other subjects were to receive their second dose 22 days after dose 1 - in fact a window of 19 to 23 days<a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-23"><sup>23</sup></a> after dose 1. This window would, at EUA time and without adequate protocol amendment - being simply mentioned in the Statistical Analysis Plan (SAP), evolve to 19 to 42 days<a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-24"><sup>24</sup></a>.</p></li><li><p>Phase 1 took place at 4 sites. Sites 1001, 1002, 1003 and 1007, located in the United States, were the only ones involved (<a href="https://github.com/OpenVaet/pfizer_docs_R/blob/main/subjects_by_arms_and_sites_phase1.R">R</a><a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-25"><sup>25</sup></a>) - represented in the map below (<a href="https://github.com/OpenVaet/pfizer_docs_R/blob/main/generate_screening_map_phase1.R">R</a><a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-26"><sup>26</sup></a>).</p></li></ol><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!gQPx!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F69965146-fa0e-46f8-9ea2-fc22792f70a7_1389x907.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!gQPx!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F69965146-fa0e-46f8-9ea2-fc22792f70a7_1389x907.png 424w, https://substackcdn.com/image/fetch/$s_!gQPx!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F69965146-fa0e-46f8-9ea2-fc22792f70a7_1389x907.png 848w, https://substackcdn.com/image/fetch/$s_!gQPx!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F69965146-fa0e-46f8-9ea2-fc22792f70a7_1389x907.png 1272w, https://substackcdn.com/image/fetch/$s_!gQPx!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F69965146-fa0e-46f8-9ea2-fc22792f70a7_1389x907.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!gQPx!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F69965146-fa0e-46f8-9ea2-fc22792f70a7_1389x907.png" width="1389" height="907" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/69965146-fa0e-46f8-9ea2-fc22792f70a7_1389x907.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:907,&quot;width&quot;:1389,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:1020161,&quot;alt&quot;:&quot;&quot;,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" title="" srcset="https://substackcdn.com/image/fetch/$s_!gQPx!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F69965146-fa0e-46f8-9ea2-fc22792f70a7_1389x907.png 424w, https://substackcdn.com/image/fetch/$s_!gQPx!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F69965146-fa0e-46f8-9ea2-fc22792f70a7_1389x907.png 848w, https://substackcdn.com/image/fetch/$s_!gQPx!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F69965146-fa0e-46f8-9ea2-fc22792f70a7_1389x907.png 1272w, https://substackcdn.com/image/fetch/$s_!gQPx!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F69965146-fa0e-46f8-9ea2-fc22792f70a7_1389x907.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a><figcaption class="image-caption"><em><strong>78, 80, and 87 represent the number of test subjects recruited at each site.</strong></em></figcaption></figure></div><ol start="15"><li><p>The number of products tested was lower than initially planned:</p></li></ol><ul><li><p>24 subjects received BNT162b1 (10 mcg)</p></li><li><p>12 subjects received BNT162b1 (20 mcg)</p></li><li><p>24 subjects received BNT162b1 (30 mcg)</p></li><li><p>24 subjects received BNT162b2 (10 mcg)</p></li><li><p>24 subjects received BNT162b2 (20 mcg)</p></li><li><p>24 subjects received BNT162b2 (30 mcg)</p></li><li><p>12 subjects received a dose of BNT162b1 (100 mcg), followed by a dose of BNT162b1 (10 mcg)</p></li><li><p>39 subjects received placebo</p></li></ul><p>BNT162a1 and BNT162c2 were not tested. Changes in the number of subjects scheduled for phase 1 occurred repeatedly<a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-27"><sup>27</sup></a>, while Phase 1 was ongoing:</p><ul><li><p>from 840, on April 17, 2020, to 420, on June 11, 2020</p></li><li><p>from 420 to 630, on July 1st, 2020</p></li><li><p>from 630 to 195, on July 24, 2020</p></li></ul><h1><strong>Pathway of subjects in Phase 1</strong></h1><ol start="16"><li><p>The informed consent form<a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-28"><sup>28</sup></a> details the subjects&#8217; journey through the phase 1 study, which involved a total of 10 planned visits.</p><ul><li><p>At the first visit, the subject underwent an extensive set of tests, including measurements of their antibody levels to ensure they had not contracted COVID-19 prior to participating in the study. The subject&#8217;s medical history was also reviewed, and they were confirmed to be fit to take part. After this screening process, the subject was then randomized and given either a dose of the placebo or the active product.</p></li><li><p>The following day, at the second visit, the subject&#8217;s status was confirmed, and fewer tests were carried out. Notably, this was the only visit where the subject was not tested for antibodies.</p></li><li><p>The subsequent visits occurred at regular intervals. The third visit took place one week after the first dose, while the fourth visit coincided with the administration of the second dose, which was given 19 to 23 days after the first dose. The fifth and sixth visits followed at one week and two weeks after the second dose, respectively. The seventh visit occurred one month after the second dose, and the eighth visit was scheduled six months later. The ninth visit was planned for one year after the second dose, and the tenth and final visit was set to take place two years after the second dose.</p></li></ul></li><li><p>BNT162b2 100 &#956;g subjects were assigned to a dedicated &#8216;dosing schedule&#8217;, with a second dose of 10 &#956;g administered 85-105 days after dose 1. Nowhere in the publicly available versions of the protocol is it documented why the 100 &#956;g were subjected to such special treatment, when this should have been explicit.</p></li><li><p>The visits for which antibody measurements have been retained, at the cut-off date of March 13, 2021, for phase 1 subjects are visits 1 to 8 (<a href="https://github.com/OpenVaet/pfizer_docs_R/blob/main/phase_1_adva.R">R</a><a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-29"><sup>29</sup></a>).</p></li></ol><h1><strong>Anomalies in Phase 1 antibodies measurements</strong></h1><ol start="19"><li><p>Some of the antibody measurements made by subjects during Phase 1 are presented in the previously cited study by Edward Walsh et al, &#8220;Safety and Immunogenicity of Two RNA-Based Covid-19 Vaccine Candidates&#8221;<a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-30"><sup>30</sup></a>.<br><em><strong>Note: antibody levels are a key metric regulators use to assess vaccine effectiveness.</strong></em></p></li><li><p>The ADVA file, which contains the results of these tests, shows 115 discrepancies<a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-31"><sup>31</sup></a> between measurements taken on the same subject, during the same visit, on the same day and during the same test. In the event of a conflict, the higher value was most often maintained <em><strong>[again inflating results]</strong></em>. Although the Analysis data reviewer guide (ADRG<a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-32"><sup>32</sup></a>) mentions this anomaly, it does not provide a reason for it. There are two mNeongreen virus neutralization assays in a document listing analytical methods<a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-33"><sup>33</sup></a>, which differ insofar that one has a limit of quantification (lower and upper bounds for minimum-maximum titer measurable). The documents referred to, VR-MQR-10214<a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-34"><sup>34</sup></a> and VR-MVR-10083<a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-35"><sup>35</sup></a>, are the &#8220;Qualification&#8221; and &#8220;Method Validation of the SARS-CoV-2 mNeonGreen Virus Microneutralization Assay&#8221;, with submission dates of August 18, 2020 and February 9, 2021 respectively. While it seems, the difference after retesting are due to &#8220;validated&#8221; neutralization assay parameters, the experts we consulted were unable to explain how samples taken from the same subject on the same day could produce such significant differences in measurements - which raises the possibility that the tests with &#8216;disappointing&#8217; results had been &#8216;redone&#8217;, by replacing the samples from defective subjects with samples with known high antibody levels. Admitting the method change would be valid, it would in any case raise questions on the validity of previous measurements.</p></li><li><p>As an example, the chart below illustrates the differences in measurements for the &#8220;SARS-CoV-2 serum neutralizing titer 50 (titer) - Virus Neutralization Assay&#8221; when comparing the average of the first measures made versus the average of the measures sustained.</p></li></ol><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!jZJv!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F75ad50a4-5f7f-44a7-9d1c-cee10247ad47_1920x1017.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!jZJv!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F75ad50a4-5f7f-44a7-9d1c-cee10247ad47_1920x1017.png 424w, https://substackcdn.com/image/fetch/$s_!jZJv!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F75ad50a4-5f7f-44a7-9d1c-cee10247ad47_1920x1017.png 848w, https://substackcdn.com/image/fetch/$s_!jZJv!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F75ad50a4-5f7f-44a7-9d1c-cee10247ad47_1920x1017.png 1272w, https://substackcdn.com/image/fetch/$s_!jZJv!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F75ad50a4-5f7f-44a7-9d1c-cee10247ad47_1920x1017.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!jZJv!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F75ad50a4-5f7f-44a7-9d1c-cee10247ad47_1920x1017.png" width="1456" height="771" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/75ad50a4-5f7f-44a7-9d1c-cee10247ad47_1920x1017.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:771,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:105553,&quot;alt&quot;:&quot;&quot;,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" title="" srcset="https://substackcdn.com/image/fetch/$s_!jZJv!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F75ad50a4-5f7f-44a7-9d1c-cee10247ad47_1920x1017.png 424w, https://substackcdn.com/image/fetch/$s_!jZJv!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F75ad50a4-5f7f-44a7-9d1c-cee10247ad47_1920x1017.png 848w, https://substackcdn.com/image/fetch/$s_!jZJv!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F75ad50a4-5f7f-44a7-9d1c-cee10247ad47_1920x1017.png 1272w, https://substackcdn.com/image/fetch/$s_!jZJv!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F75ad50a4-5f7f-44a7-9d1c-cee10247ad47_1920x1017.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><h1><strong>Pathway of subjects in Phase 2-3</strong></h1><ol start="22"><li><p>The informed consent form details the subjects&#8217; journey through the phase 2-3 study<a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-36"><sup>36</sup></a>, which involved a total of 6 planned visits.</p><ul><li><p>At the first visit, the subject underwent a long list of tests, although fewer than those required for the phase 1 subjects. This included measurements of the subject&#8217;s antibody levels to ensure they had not contracted COVID-19 prior to participating in the study. The subject&#8217;s medical history was reviewed, and they were confirmed to be fit to take part. The subject was then randomized and given either a dose of the placebo or the active product sustained following phase 1, the BNT162b2 30 mcg.</p></li><li><p>The second visit was for the administration of the second dose. Notably, this was the only visit where antibody measurements were not made, which could have provided confirmation of infections that may have occurred in the days following the first dose while being asymptomatic or evading PCR detection, due, for example, to the subject not reporting symptoms, or not being tested while reporting symptoms <em><strong>[again potentially inflating efficacy].</strong></em></p></li><li><p>The third visit took place one month after the second dose, while the fourth visit was scheduled for 6 months after the second dose. The fifth visit followed one year after the second dose, and the sixth and final visit was planned for 2 years after the second dose.</p></li></ul></li></ol><h1><strong>Discrepancies in reported randomization figures</strong></h1><ol start="23"><li><p>Two &#8220;investigator files&#8221; were produced by the sponsors to report on the sites&#8217; investigators and the total number of subjects screened and randomized at each site. A first document was produced on November 26, 2020 <a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-37"><sup>37</sup></a>- and a second document was produced on March 29, 2021<a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-38"><sup>38</sup></a>. The first document mentions a query date of November 19, 2020, while the second mentions a query date on March 19, 2021. While the total number of subjects screened per site does not show a greater shift than the number of subjects who changed site, the total number of subjects randomized falls significantly (<a href="https://github.com/OpenVaet/pfizer_docs_R/blob/main/investigators_screening_rando.R">R</a><a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-39"><sup>39</sup></a>), without explanation. Subjects cannot be &#8220;de-randomized&#8221; in a clinical trial <em><strong>[once someone is assigned to the vaccine or placebo group, they remain counted even if they drop out, so this number should never go down&#8212;suggesting participants with unwanted data "disappeared"].</strong></em></p></li><li><p>For example, illustrated below, site 1231/4444 in Argentina went from 5776 randomized subjects on November 26, 2020 to 5615 (-161) on March 29, 2021.</p></li></ol><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!CH2U!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F4973a9a4-1f75-4c9c-b7c0-b4acb84cac3e_1314x892.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!CH2U!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F4973a9a4-1f75-4c9c-b7c0-b4acb84cac3e_1314x892.png 424w, https://substackcdn.com/image/fetch/$s_!CH2U!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F4973a9a4-1f75-4c9c-b7c0-b4acb84cac3e_1314x892.png 848w, https://substackcdn.com/image/fetch/$s_!CH2U!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F4973a9a4-1f75-4c9c-b7c0-b4acb84cac3e_1314x892.png 1272w, https://substackcdn.com/image/fetch/$s_!CH2U!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F4973a9a4-1f75-4c9c-b7c0-b4acb84cac3e_1314x892.png 1456w" sizes="100vw"><img 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srcset="https://substackcdn.com/image/fetch/$s_!CH2U!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F4973a9a4-1f75-4c9c-b7c0-b4acb84cac3e_1314x892.png 424w, https://substackcdn.com/image/fetch/$s_!CH2U!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F4973a9a4-1f75-4c9c-b7c0-b4acb84cac3e_1314x892.png 848w, https://substackcdn.com/image/fetch/$s_!CH2U!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F4973a9a4-1f75-4c9c-b7c0-b4acb84cac3e_1314x892.png 1272w, https://substackcdn.com/image/fetch/$s_!CH2U!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F4973a9a4-1f75-4c9c-b7c0-b4acb84cac3e_1314x892.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!mxlL!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F2ffaf58e-fbff-4285-9ae3-120b9dcde8f4_1317x898.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!mxlL!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F2ffaf58e-fbff-4285-9ae3-120b9dcde8f4_1317x898.png 424w, https://substackcdn.com/image/fetch/$s_!mxlL!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F2ffaf58e-fbff-4285-9ae3-120b9dcde8f4_1317x898.png 848w, https://substackcdn.com/image/fetch/$s_!mxlL!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F2ffaf58e-fbff-4285-9ae3-120b9dcde8f4_1317x898.png 1272w, https://substackcdn.com/image/fetch/$s_!mxlL!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F2ffaf58e-fbff-4285-9ae3-120b9dcde8f4_1317x898.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!mxlL!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F2ffaf58e-fbff-4285-9ae3-120b9dcde8f4_1317x898.png" width="1317" height="898" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/2ffaf58e-fbff-4285-9ae3-120b9dcde8f4_1317x898.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:898,&quot;width&quot;:1317,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:147701,&quot;alt&quot;:&quot;&quot;,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" title="" srcset="https://substackcdn.com/image/fetch/$s_!mxlL!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F2ffaf58e-fbff-4285-9ae3-120b9dcde8f4_1317x898.png 424w, https://substackcdn.com/image/fetch/$s_!mxlL!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F2ffaf58e-fbff-4285-9ae3-120b9dcde8f4_1317x898.png 848w, https://substackcdn.com/image/fetch/$s_!mxlL!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F2ffaf58e-fbff-4285-9ae3-120b9dcde8f4_1317x898.png 1272w, https://substackcdn.com/image/fetch/$s_!mxlL!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F2ffaf58e-fbff-4285-9ae3-120b9dcde8f4_1317x898.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><ol start="25"><li><p>The total number of sites where subjects dropped out was 1203 subjects &#8220;lost to randomization&#8221;, over 108 of the 153 sites. This is a major anomaly which cannot be explained either by the movement of subjects between sites, or by the recruitment of subjects under 16 years of age which would have been included in one report and not the other. To illustrate this anomaly, site 1018 lost 30 subjects, while no subjects went in or out, and that no adolescents under 16 had been recruited on November 19, 2020, the date of the first file&#8217;s query - or at any time later. The excerpt below illustrates all the sites which went backward in randomization figures<a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-40"><sup>40</sup></a>.</p></li></ol><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!K1Uu!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fd24e764e-4ba8-4170-a69d-6a12edb1b04d_621x1063.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!K1Uu!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fd24e764e-4ba8-4170-a69d-6a12edb1b04d_621x1063.png 424w, https://substackcdn.com/image/fetch/$s_!K1Uu!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fd24e764e-4ba8-4170-a69d-6a12edb1b04d_621x1063.png 848w, https://substackcdn.com/image/fetch/$s_!K1Uu!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fd24e764e-4ba8-4170-a69d-6a12edb1b04d_621x1063.png 1272w, https://substackcdn.com/image/fetch/$s_!K1Uu!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fd24e764e-4ba8-4170-a69d-6a12edb1b04d_621x1063.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!K1Uu!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fd24e764e-4ba8-4170-a69d-6a12edb1b04d_621x1063.png" width="657" height="1124.623188405797" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/d24e764e-4ba8-4170-a69d-6a12edb1b04d_621x1063.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:1063,&quot;width&quot;:621,&quot;resizeWidth&quot;:657,&quot;bytes&quot;:97422,&quot;alt&quot;:&quot;&quot;,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" title="" srcset="https://substackcdn.com/image/fetch/$s_!K1Uu!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fd24e764e-4ba8-4170-a69d-6a12edb1b04d_621x1063.png 424w, https://substackcdn.com/image/fetch/$s_!K1Uu!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fd24e764e-4ba8-4170-a69d-6a12edb1b04d_621x1063.png 848w, https://substackcdn.com/image/fetch/$s_!K1Uu!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fd24e764e-4ba8-4170-a69d-6a12edb1b04d_621x1063.png 1272w, https://substackcdn.com/image/fetch/$s_!K1Uu!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fd24e764e-4ba8-4170-a69d-6a12edb1b04d_621x1063.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><h1><strong>Phase 2-3 - Randomization figures officially released</strong></h1><ol start="26"><li><p>The ADRG<a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-41"><sup>41</sup></a> documents 6 subjects who registered on more than one site, generating 12 subject identifiers, and who are subjects to specific exclusions <em>(10561101, 11331382, 11101123, 11331405, 11491117, 12691090, 12691070, 11351357, 11341006, 10891112, 11231105, 10711213)</em>.</p></li><li><p>The BLA application memorandum<a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-42"><sup>42</sup></a> and the corresponding Thomas et al. NEJM study, &#8220;Safety and Efficacy of the BNT162b2 mRNA Covid-19 Vaccine through 6 Months&#8221;<a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-43"><sup>43</sup></a>, both report a total of 44,165 randomized subjects as of March 13, 2021. This population has been reproduced (<a href="https://github.com/OpenVaet/pfizer_docs_R/blob/main/reproduce_rando_march_13.R">R</a><a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-44"><sup>44</sup></a>) and its conformity with the announced demographic characteristics has been verified<a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-45"><sup>45</sup></a>.</p></li></ol><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!zsT9!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc74b33c4-6b36-413e-8b53-8a887bec7934_561x365.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!zsT9!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc74b33c4-6b36-413e-8b53-8a887bec7934_561x365.png 424w, https://substackcdn.com/image/fetch/$s_!zsT9!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc74b33c4-6b36-413e-8b53-8a887bec7934_561x365.png 848w, https://substackcdn.com/image/fetch/$s_!zsT9!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc74b33c4-6b36-413e-8b53-8a887bec7934_561x365.png 1272w, https://substackcdn.com/image/fetch/$s_!zsT9!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc74b33c4-6b36-413e-8b53-8a887bec7934_561x365.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!zsT9!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc74b33c4-6b36-413e-8b53-8a887bec7934_561x365.png" width="561" height="365" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/c74b33c4-6b36-413e-8b53-8a887bec7934_561x365.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:365,&quot;width&quot;:561,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:28368,&quot;alt&quot;:&quot;&quot;,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" title="" srcset="https://substackcdn.com/image/fetch/$s_!zsT9!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc74b33c4-6b36-413e-8b53-8a887bec7934_561x365.png 424w, https://substackcdn.com/image/fetch/$s_!zsT9!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc74b33c4-6b36-413e-8b53-8a887bec7934_561x365.png 848w, https://substackcdn.com/image/fetch/$s_!zsT9!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc74b33c4-6b36-413e-8b53-8a887bec7934_561x365.png 1272w, https://substackcdn.com/image/fetch/$s_!zsT9!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc74b33c4-6b36-413e-8b53-8a887bec7934_561x365.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><h1><strong>Anomalies related to the Blind in deviations</strong></h1><ol start="28"><li><p>Patients whose behavior deviated from that envisaged by the protocol, or who were the subject of an error by the team in charge, had their protocol deviations recorded, which were then reviewed by a dedicated team, in order to determine whether this deviation was serious enough to justify their exclusion from a given &#8216;population&#8217; (group dedicated to the analysis of a trial objective - e.g. efficacy).</p></li><li><p>The study protocol<a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-46"><sup>46</sup></a>, approved by the regulatory authorities, introduced a major departure from standard clinical trial practice: the on-site staff responsible for examining deviations from the protocol, to determine the eventual exclusion of participants, were not subject to blind review <em><strong>[meaning the staff deciding whom to exclude could see who had received the vaccine, giving them the latitude to exclude participants with unfavorable results].</strong></em></p></li><li><p>Analysis of the deviations generated by the randomized phase 3 population (<a href="https://github.com/OpenVaet/pfizer_docs_R/blob/main/format_deviations.R">R</a><a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-47"><sup>47</sup></a>) highlights significant disproportions in the treatment groups. The following table summarizes all the deviations observed in more than 100 subjects in the study and presenting statistically significant imbalances, when compared to the remaining of the randomized population <em>(22 085 BNT162b2 &amp; 22 080 Placebo),</em> using a chi-square test <em><strong>[meaning these differences between the vaccine and placebo groups are far too large to have occurred by chance].</strong></em></p></li></ol><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!5-XS!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F1784c5ef-f1ab-4b2b-b086-b6e3edfee5a4_1140x883.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!5-XS!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F1784c5ef-f1ab-4b2b-b086-b6e3edfee5a4_1140x883.png 424w, https://substackcdn.com/image/fetch/$s_!5-XS!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F1784c5ef-f1ab-4b2b-b086-b6e3edfee5a4_1140x883.png 848w, https://substackcdn.com/image/fetch/$s_!5-XS!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F1784c5ef-f1ab-4b2b-b086-b6e3edfee5a4_1140x883.png 1272w, https://substackcdn.com/image/fetch/$s_!5-XS!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F1784c5ef-f1ab-4b2b-b086-b6e3edfee5a4_1140x883.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!5-XS!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F1784c5ef-f1ab-4b2b-b086-b6e3edfee5a4_1140x883.png" width="1140" height="883" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/1784c5ef-f1ab-4b2b-b086-b6e3edfee5a4_1140x883.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:883,&quot;width&quot;:1140,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:217270,&quot;alt&quot;:&quot;&quot;,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" title="" srcset="https://substackcdn.com/image/fetch/$s_!5-XS!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F1784c5ef-f1ab-4b2b-b086-b6e3edfee5a4_1140x883.png 424w, https://substackcdn.com/image/fetch/$s_!5-XS!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F1784c5ef-f1ab-4b2b-b086-b6e3edfee5a4_1140x883.png 848w, https://substackcdn.com/image/fetch/$s_!5-XS!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F1784c5ef-f1ab-4b2b-b086-b6e3edfee5a4_1140x883.png 1272w, https://substackcdn.com/image/fetch/$s_!5-XS!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F1784c5ef-f1ab-4b2b-b086-b6e3edfee5a4_1140x883.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><ol start="31"><li><p>Some very significant disproportions in the deviations - such as &#8220;Receipt of any other non-study coronavirus vaccine at any time prior to or during the study&#8221; - show that many subjects were aware that they had received a Placebo - and had enrolled in a competitor&#8217;s study (probably Moderna) in parallel, or had received another product after Emergency use authorization. On the other hand, certain disproportions indicate that the teams at certain sites did not treat patients in the way expected in a blinded observational trial, where both groups should be treated equally by the clinical team:</p><ol><li><p>Assessment of acute reaction for protocol specified time-frame after study intervention administration not performed at the vaccination visits</p></li><li><p>Nasal swab not collected by site staff prior to vaccination</p></li><li><p>Nasal swab not collected for the visit where it is required</p></li><li><p>Procedure/Test not performed per protocol</p></li><li><p>Urine pregnancy test not performed<br><em><strong>Note: in a properly blinded trial, staff don't know who received the vaccine, so routine procedures like these should be missed at roughly equal rates in both groups. That they weren't (each was missed more often in the placebo group) indicates staff at these sites knew who had received what. Once that is known, the groups can be treated differently in ways that distort the results (e.g., as shown later in the audit, symptomatic vaccine recipients were less likely to be tested for COVID, making those infections "disappear").</strong></em></p></li></ol></li><li><p>It is worth noting, regarding the deviations &#8220;Receipt of any other non-study coronavirus vaccine&#8221; - that a large portion of them happened after December 2020, while other vaccines became available.</p></li></ol><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!Up5K!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc1e5a049-858b-4975-8de8-e8b63eef5773_1920x1017.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!Up5K!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc1e5a049-858b-4975-8de8-e8b63eef5773_1920x1017.png 424w, https://substackcdn.com/image/fetch/$s_!Up5K!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc1e5a049-858b-4975-8de8-e8b63eef5773_1920x1017.png 848w, https://substackcdn.com/image/fetch/$s_!Up5K!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc1e5a049-858b-4975-8de8-e8b63eef5773_1920x1017.png 1272w, https://substackcdn.com/image/fetch/$s_!Up5K!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc1e5a049-858b-4975-8de8-e8b63eef5773_1920x1017.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!Up5K!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc1e5a049-858b-4975-8de8-e8b63eef5773_1920x1017.png" width="1456" height="771" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/c1e5a049-858b-4975-8de8-e8b63eef5773_1920x1017.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:771,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:91095,&quot;alt&quot;:&quot;&quot;,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" title="" srcset="https://substackcdn.com/image/fetch/$s_!Up5K!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc1e5a049-858b-4975-8de8-e8b63eef5773_1920x1017.png 424w, https://substackcdn.com/image/fetch/$s_!Up5K!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc1e5a049-858b-4975-8de8-e8b63eef5773_1920x1017.png 848w, https://substackcdn.com/image/fetch/$s_!Up5K!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc1e5a049-858b-4975-8de8-e8b63eef5773_1920x1017.png 1272w, https://substackcdn.com/image/fetch/$s_!Up5K!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc1e5a049-858b-4975-8de8-e8b63eef5773_1920x1017.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><ol start="33"><li><p>The 10 sites concerned by 20 or more of these deviations and showing significant imbalance when tested with a Fisher exact test have been isolated and synthesized in the following table.</p></li></ol><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!9phy!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F1f743ce1-7689-4077-ab35-9dc57d756100_1143x506.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!9phy!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F1f743ce1-7689-4077-ab35-9dc57d756100_1143x506.png 424w, https://substackcdn.com/image/fetch/$s_!9phy!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F1f743ce1-7689-4077-ab35-9dc57d756100_1143x506.png 848w, https://substackcdn.com/image/fetch/$s_!9phy!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F1f743ce1-7689-4077-ab35-9dc57d756100_1143x506.png 1272w, https://substackcdn.com/image/fetch/$s_!9phy!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F1f743ce1-7689-4077-ab35-9dc57d756100_1143x506.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!9phy!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F1f743ce1-7689-4077-ab35-9dc57d756100_1143x506.png" width="1143" height="506" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/1f743ce1-7689-4077-ab35-9dc57d756100_1143x506.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:506,&quot;width&quot;:1143,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:110913,&quot;alt&quot;:&quot;&quot;,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" title="" srcset="https://substackcdn.com/image/fetch/$s_!9phy!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F1f743ce1-7689-4077-ab35-9dc57d756100_1143x506.png 424w, https://substackcdn.com/image/fetch/$s_!9phy!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F1f743ce1-7689-4077-ab35-9dc57d756100_1143x506.png 848w, https://substackcdn.com/image/fetch/$s_!9phy!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F1f743ce1-7689-4077-ab35-9dc57d756100_1143x506.png 1272w, https://substackcdn.com/image/fetch/$s_!9phy!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F1f743ce1-7689-4077-ab35-9dc57d756100_1143x506.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><ol start="34"><li><p>Contrarily to the &#8220;subjects related&#8221; deviations envisaged on point 32, examining the &#8220;staff-related&#8221; deviations detailed on point 31 are in majority occurring prior to the official unblinding of the subjects.</p></li></ol><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!mqO9!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7e374057-e611-40e7-b74c-4ff8a9ab9afb_1920x1017.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!mqO9!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7e374057-e611-40e7-b74c-4ff8a9ab9afb_1920x1017.png 424w, https://substackcdn.com/image/fetch/$s_!mqO9!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7e374057-e611-40e7-b74c-4ff8a9ab9afb_1920x1017.png 848w, https://substackcdn.com/image/fetch/$s_!mqO9!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7e374057-e611-40e7-b74c-4ff8a9ab9afb_1920x1017.png 1272w, https://substackcdn.com/image/fetch/$s_!mqO9!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7e374057-e611-40e7-b74c-4ff8a9ab9afb_1920x1017.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!mqO9!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7e374057-e611-40e7-b74c-4ff8a9ab9afb_1920x1017.png" width="1456" height="771" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/7e374057-e611-40e7-b74c-4ff8a9ab9afb_1920x1017.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:771,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:139093,&quot;alt&quot;:&quot;&quot;,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" title="" srcset="https://substackcdn.com/image/fetch/$s_!mqO9!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7e374057-e611-40e7-b74c-4ff8a9ab9afb_1920x1017.png 424w, https://substackcdn.com/image/fetch/$s_!mqO9!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7e374057-e611-40e7-b74c-4ff8a9ab9afb_1920x1017.png 848w, https://substackcdn.com/image/fetch/$s_!mqO9!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7e374057-e611-40e7-b74c-4ff8a9ab9afb_1920x1017.png 1272w, https://substackcdn.com/image/fetch/$s_!mqO9!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7e374057-e611-40e7-b74c-4ff8a9ab9afb_1920x1017.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><h1><strong>COVID visits and symptoms anomalies</strong></h1><ol start="35"><li><p>When subjects experienced COVID symptoms from a list predetermined by the FDA, they had to go to the trial site to have samples taken - or, failing that, to test themselves at home with tests supplied and send the sample to the trial site, within four days<a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-48"><sup>48</sup></a> before or after the onset of symptoms. The &#8220;official&#8221; COVID symptoms were the following 13 symptoms<a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-49"><sup>49</sup></a>:</p><ul><li><p>Chills</p></li><li><p>Diarrhea</p></li><li><p>Fever</p></li><li><p>New loss of taste or smell</p></li><li><p>New or increased cough</p></li><li><p>New or increased muscle pain</p></li><li><p>New or increased shortness of breath</p></li><li><p>Sore throat</p></li><li><p>Vomiting</p></li></ul><p>In addition to these symptoms, there were &#8220;non official&#8221; symptoms:</p><ul><li><p>Fatigue</p></li><li><p>Headaches</p></li><li><p>Nasal congestion</p></li><li><p>Runny nose (rhinorrhea)</p></li></ul></li><li><p>The &#8220;Covid-19 Signs and Symptoms&#8221; .XPT file (ADSYMPT<a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-50"><sup>50</sup></a>) however lists a total of 15 symptoms - the ones not scheduled to the protocol being marked by a (*):</p><ul><li><p>Chills</p></li><li><p>Diarrhea</p></li><li><p>Fatigue</p></li><li><p>Fever</p></li><li><p>Headache</p></li><li><p>Nausea (*)</p></li><li><p>New loss of taste or smell</p></li><li><p>New or increased cough</p></li><li><p>New or increased muscle pain</p></li><li><p>New or increased nasal congestion</p></li><li><p>New or increased shortness of breath</p></li><li><p>New or increased sore throat</p></li><li><p>New or increased wheezing (*)</p></li><li><p>Rhinorrhea</p></li><li><p>Vomiting<br><em><strong>Note: since the symptoms recorded in the dataset don't match those listed in the protocol, it's unclear what standard was actually used to decide who needed a COVID test (or whether testing was done in a manner that inflated efficacy).</strong></em></p></li></ul></li><li><p>Sites also had the ability to enter &#8220;other&#8221; symptoms, which then did not make it into the database. An example is subject 10161289<a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-51"><sup>51</sup></a>, male of age 17, BMI 22.4, who received dose 1 of BNT162b2 30 mcg on September 18, 2020, and dose 2 on October 7, 2020. He had a COVID illness entry on October 7 and 11, with assessment on October 9 and symptoms: fever, cough, muscle pain, sore throat, rhinorrhea. Page 270 of the Case report forms (CRF) however shows &#8220;chest tightness&#8221; as an &#8220;other&#8221; symptom. It is not reported in the Adverse Events (AE) log, and only visible because the young man had a serious adverse event (SAE) later, on October 31, 2020 : a motor vehicle accident where he suffered facial fractures and a concussion, which led to his CRF file being released. This is a violation of GCPs - among others the EMA Guideline for good clinical practice<a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-52"><sup>52</sup></a>.</p></li></ol><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!-510!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F1faa2815-d49b-4a8f-98d5-dbb43025f08e_745x566.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!-510!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F1faa2815-d49b-4a8f-98d5-dbb43025f08e_745x566.png 424w, https://substackcdn.com/image/fetch/$s_!-510!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F1faa2815-d49b-4a8f-98d5-dbb43025f08e_745x566.png 848w, https://substackcdn.com/image/fetch/$s_!-510!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F1faa2815-d49b-4a8f-98d5-dbb43025f08e_745x566.png 1272w, https://substackcdn.com/image/fetch/$s_!-510!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F1faa2815-d49b-4a8f-98d5-dbb43025f08e_745x566.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!-510!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F1faa2815-d49b-4a8f-98d5-dbb43025f08e_745x566.png" width="745" height="566" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/1faa2815-d49b-4a8f-98d5-dbb43025f08e_745x566.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:566,&quot;width&quot;:745,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:83591,&quot;alt&quot;:&quot;&quot;,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" title="" srcset="https://substackcdn.com/image/fetch/$s_!-510!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F1faa2815-d49b-4a8f-98d5-dbb43025f08e_745x566.png 424w, https://substackcdn.com/image/fetch/$s_!-510!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F1faa2815-d49b-4a8f-98d5-dbb43025f08e_745x566.png 848w, https://substackcdn.com/image/fetch/$s_!-510!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F1faa2815-d49b-4a8f-98d5-dbb43025f08e_745x566.png 1272w, https://substackcdn.com/image/fetch/$s_!-510!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F1faa2815-d49b-4a8f-98d5-dbb43025f08e_745x566.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p><em><strong>Note: one repeatedly reported side effects of the COVID vaccines <a href="https://www.midwesterndoctor.com/p/why-do-vaccines-cause-the-illnesses">was catching COVID or having a subclinical COVID infection become acute</a> (due to the immune suppression they create), thereby making it easy to hide many immediate post vaccine reactions by attributing them to &#8220;COVID.&#8221;</strong></em></p><ol start="38"><li><p>Another example of GCPs infringement by the sites is subject 12315632<a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-53"><sup>53</sup></a>, another BNT162b2 30 mcg recipient. His COVID illness entry spans from October 17, 2020 to December 7, 2020, and includes two hospitalizations. While his condition is initially described by the site as pneumonia, the subject suffered a SAE (pericarditis) which was only reported at the sponsor&#8217;s request.</p><p>The site initially reported &#8220;pneumonia&#8221; as adverse event, and later deleted it and put it into a COVID illness visit. Had Pfizer not insisted on an AE entry of the pericarditis in the CRF, it would have remained unreported in the trial data, only existing in Pfizer&#8217;s fax-based safety database.</p></li></ol><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!Hcxl!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F824077bd-f2b3-4064-b0a8-62424e7a22aa_670x1024.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!Hcxl!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F824077bd-f2b3-4064-b0a8-62424e7a22aa_670x1024.png 424w, https://substackcdn.com/image/fetch/$s_!Hcxl!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F824077bd-f2b3-4064-b0a8-62424e7a22aa_670x1024.png 848w, https://substackcdn.com/image/fetch/$s_!Hcxl!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F824077bd-f2b3-4064-b0a8-62424e7a22aa_670x1024.png 1272w, https://substackcdn.com/image/fetch/$s_!Hcxl!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F824077bd-f2b3-4064-b0a8-62424e7a22aa_670x1024.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!Hcxl!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F824077bd-f2b3-4064-b0a8-62424e7a22aa_670x1024.png" width="670" height="1024" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/824077bd-f2b3-4064-b0a8-62424e7a22aa_670x1024.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:1024,&quot;width&quot;:670,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:141560,&quot;alt&quot;:&quot;&quot;,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" title="" srcset="https://substackcdn.com/image/fetch/$s_!Hcxl!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F824077bd-f2b3-4064-b0a8-62424e7a22aa_670x1024.png 424w, https://substackcdn.com/image/fetch/$s_!Hcxl!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F824077bd-f2b3-4064-b0a8-62424e7a22aa_670x1024.png 848w, https://substackcdn.com/image/fetch/$s_!Hcxl!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F824077bd-f2b3-4064-b0a8-62424e7a22aa_670x1024.png 1272w, https://substackcdn.com/image/fetch/$s_!Hcxl!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F824077bd-f2b3-4064-b0a8-62424e7a22aa_670x1024.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><h1><strong>Non-respect for the Blind and for Good Clinical Practices, testimony by Brook Jackson</strong></h1><ol start="39"><li><p>A whistleblower, Brook Jackson, who served as the regional director at Ventavia Research Group (Ventavia), a site management organization responsible for enrolling participants in the trial, provided the British Medical Journal (BMJ) with internal company documents, photos, audio recordings, emails, and other evidence raising significant concerns regarding data integrity and the safety of trial participants<a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-54"><sup>54</sup></a> <em><strong>[and like many whistleblowers, sacrificed her career to do the right thing].</strong></em></p></li><li><p>Among the systemic trial conduct issues documented across the trial sites, she reported the following:</p><ol><li><p><strong>Lack of Proper Informed Consent: </strong>During the internal quality assurance review of hundreds of individual participant records, informed consent was not obtained from each participant prior to being injected with the investigational product. In addition, it was recorded that many of these forms had obvious mismatches in signatures indicating forgery of patient signatures.</p></li><li><p><strong>Enrollment of Ineligible Clinical Trial Participants: </strong>Clinical trial participants who did not meet Pfizer&#8217;s protocol-defined inclusion criteria, or who met exclusion criteria, were enrolled in the trial. This included pregnant women, Ventavia employees, family members and friends.</p></li><li><p><strong>Data Fabrication and Data Falsification: </strong>Documents indicated that data points were fabricated and falsified. Examples include:</p><ul><li><p>Altering patient records and backdating documents.</p></li><li><p>Forging doctor signatures.</p></li><li><p>Fabrication and falsification of missing or inconsistent data, including medical history, concomitant medication use, physical exams, vital signs, blood collection and specimen processing times, urine pregnancy testing, and other essential trial data.</p></li></ul></li><li><p><strong>Regulatory Non-Compliance/Other Protocol Violations</strong></p><ul><li><p>Failure to maintain the &#8220;blind&#8221; as required.</p></li><li><p>Protocol required study visits, including potential COVID-19 illness visits not done or completed outside of the specified timeframe.</p></li><li><p>Failure to monitor participants&#8217; use of the electronic diary application used to record local reaction, systemic events, and use of any antipyretic medication usage following injection.</p></li><li><p>Failure to elicit, collect, and report adverse events and serious adverse events, including the follow-up of the event or its sequelae resolved.</p></li><li><p>Investigational product dosing and administration errors.</p></li><li><p>Failure to maintain proper temperature control of the investigational product.</p></li><li><p>Mislabeling and mix-up of participant laboratory specimens.</p></li><li><p>Use of unqualified and untrained research staff, including blinded vaccinators and laboratory personnel.</p></li><li><p>Principal Investigator oversight failures.</p></li><li><p>Inadequate emergency response protocol in the event of an acute allergic reaction.</p></li><li><p>Failure to assess acute reactions post vaccination.</p></li><li><p>Failure to report serious adverse events, protocol, and regulatory violations to Pfizer or the external Institutional Review Board.</p></li><li><p>Failure to report and follow-up on investigational product exposure during pregnancy, breastfeeding, and occupational exposure.</p></li><li><p>Other ethical violations, including violation of HIPAA and providing unapproved compensation to avoid participant complaints to the FDA, or news media outlets.</p><p><em><strong>Note: many of the above hid or reduced reported vaccine side effects.</strong></em></p></li></ul></li></ol></li><li><p>After repeatedly notifying Ventavia of these concerns without any action being taken to protect the rights, safety, welfare, and private health information of the trial participants she filed a complaint with the Center for Biologics Evaluation and Research (CBER), the department within the FDA <strong>[run by Peter Marks]</strong> that regulates biological products for human use under applicable federal laws, including the Public Health Service Act and the Federal Food, Drug and Cosmetic Act. Within hours of notifying CBER, she was terminated by Ventavia.<br><em><strong>Note: I have often wondered if immediately neutralizing this critical whistleblower was Peter Marks&#8217;s decision. </strong></em></p></li><li><p>The FDA&#8217;s <strong>Bioresearch Monitoring (BIMO)</strong> is a program involving on-site inspections, data audits, and remote regulatory assessments. It is designed to oversee all aspects of conducting and reporting FDA-regulated research. The BIMO program aims to ensure the quality and integrity of data submitted to the FDA for new product approvals and marketing applications while also protecting the rights and welfare of human subjects involved in research<a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-55"><sup>55</sup></a>. Despite receiving a complaint reporting significant violations, the FDA&#8217;s BIMO program failed to inspect these critical locations. Instead, inspections were conducted at six other clinical investigator sites participating in the study. According to the FDA&#8217;s review memo, those inspections did not reveal problems impacting the data submitted in support of the original EUA.</p></li></ol><h1><strong>Testimony by Augusto Roux - Non-recording and re-qualification of adverse effects</strong></h1><ol start="43"><li><p>One of the participants in the clinical trial in Argentina, Dr Augusto Roux, a lawyer, is also among the authors of the present report. He reported, during the trial, several major breaches of GCPs and patient safety. The events were covered, in details, by Dr. David Healy, a University Professor in Canada &amp; Physician, via his website<a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-56"><sup>56</sup></a> - then in a peer-reviewed paper, &#8220;The coverage of medical injuries in company trial informed consent forms&#8221;<a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-57"><sup>57</sup></a>.</p></li><li><p>Augusto Roux volunteered for the trial, where he was given the subject number 12312982, and received his first dose on August 21, 2020. He received his second dose on September 9, 2020, at 6 pm. After his second dose, he felt very unwell an hour and a half later, collapsed once home, and was two days later diagnosed at the Alem&#225;n Hospital with pericarditis, which was judged causal to the vaccine he had received by several medical experts : aside for Dr. David Healy, Dr Gemma Torrell, a family medicine specialist from Barcelona, and Professor Joan-Ramon Laporte, one of the leading Spanish experts in pharmacovigilance.</p></li><li><p>Augusto Roux contacted the FDA, EMA &amp; other regulators - which refrained from considering his case with the seriousness it required. He initiated a criminal investigation in Argentina, against Fernando Polack and others, for falsification of public documents, abandonment of person.</p></li><li><p>The expertise provided by his physician is attached to the present report<a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-58"><sup>58</sup></a>. These three experts have, among other major infringements to GCPs, reported that :</p><ol><li><p>His side effects were not reported correctly - and some were subsequently reclassified as a potential COVID, at the request of the sponsor, BioNTech.</p></li><li><p>His pericarditis, for example, was simply not reported (<a href="https://github.com/OpenVaet/pfizer_docs_R/blob/main/subject_12312982_aes.R">R</a><a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-59"><sup>59</sup></a>).</p></li><li><p>Clinical trial records communicated to his physicians were containing a mixture of samples collected from several patients, weren&#8217;t chronologically ordered, and other infringements to good practices.</p></li><li><p>The records communicated to the physicians seemed scrambled, and incomplete.</p></li><li><p>There are evidences from the records that Dr Fernando Polack, without expertise in that area, attempted to have Augusto Roux classified as suffering from mental illness, and to conceal the relation between the injury and the vaccine.<br><em><strong>Note: in addition to being the director of the Argentina trial site, Polack was also the lead author of Pfizer&#8217;s widely seen December 2020 &#8220;95% effective&#8221; paper.<a href="https://www.nejm.org/doi/full/10.1056/NEJMoa2034577"><sup>1</sup></a></strong></em></p></li><li><p>Phone recordings suggest that deaths, which would have occurred during the trial, would have been concealed.</p></li></ol></li></ol><h1><strong>Additional indicators for deletion of subjects in base, 301 missing subjects identifiers</strong></h1><ol start="47"><li><p>When a subject was registered, the ICON software (&#8220;Firecrest&#8221;, an interface synchronized by a central Oracle database) assigned it a unique and, above all, incremental identifier (&#8221;subject id&#8221; - scalar &#8220;SUBJID&#8221; in the .XPT files):</p></li></ol><div class="captioned-image-container"><figure><div class="image-link image2" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!JyI9!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fea3cbf46-62e4-497d-991a-4e184b9bb63f_496x91.png 424w, https://substackcdn.com/image/fetch/$s_!JyI9!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fea3cbf46-62e4-497d-991a-4e184b9bb63f_496x91.png 848w, https://substackcdn.com/image/fetch/$s_!JyI9!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fea3cbf46-62e4-497d-991a-4e184b9bb63f_496x91.png 1272w, https://substackcdn.com/image/fetch/$s_!JyI9!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fea3cbf46-62e4-497d-991a-4e184b9bb63f_496x91.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!JyI9!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fea3cbf46-62e4-497d-991a-4e184b9bb63f_496x91.png" width="496" height="91" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/ea3cbf46-62e4-497d-991a-4e184b9bb63f_496x91.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:91,&quot;width&quot;:496,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:null,&quot;alt&quot;:&quot;&quot;,&quot;title&quot;:null,&quot;type&quot;:null,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" title="" srcset="https://substackcdn.com/image/fetch/$s_!JyI9!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fea3cbf46-62e4-497d-991a-4e184b9bb63f_496x91.png 424w, https://substackcdn.com/image/fetch/$s_!JyI9!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fea3cbf46-62e4-497d-991a-4e184b9bb63f_496x91.png 848w, https://substackcdn.com/image/fetch/$s_!JyI9!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fea3cbf46-62e4-497d-991a-4e184b9bb63f_496x91.png 1272w, https://substackcdn.com/image/fetch/$s_!JyI9!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fea3cbf46-62e4-497d-991a-4e184b9bb63f_496x91.png 1456w" sizes="100vw" loading="lazy"></picture><div></div></div></div></figure></div><ol start="47"><li><ol><li><p>The first four digits denote the trial site identifier and are always the same for all subjects at the same site. (In some cases, subjects changed trial sites during the course of the study, so the full unique subject identifier provided information on both the &#8216;current&#8217; and &#8216;original&#8217; site).</p></li><li><p>The last four digits designated the order of registration, starting with 1001. The next subject registered at a given test site was then numbered 1002, then 1003, and so on.</p></li><li><p>The study identifier is circled in blue (always C4591001), the current site identifier is circled in green (here, 1016). The initial registration site is circled in yellow. The incremental subject identifier for this given site is circled in red.</p></li></ol></li><li><p>An analysis (<a href="https://github.com/OpenVaet/pfizer_docs_R/blob/main/verify_301.R">R</a><a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-60"><sup>60</sup></a>) of these numbers - which are normally perfectly sequential - shows that 301 subjects are missing from the reports submitted. This anomaly disproportionately affects Argentina, where the only site represents 111 of these 301 missing subjects.</p></li></ol><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!3iW9!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F2d09accd-05b5-49fc-a457-3aac1b8ba492_994x968.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!3iW9!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F2d09accd-05b5-49fc-a457-3aac1b8ba492_994x968.png 424w, https://substackcdn.com/image/fetch/$s_!3iW9!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F2d09accd-05b5-49fc-a457-3aac1b8ba492_994x968.png 848w, https://substackcdn.com/image/fetch/$s_!3iW9!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F2d09accd-05b5-49fc-a457-3aac1b8ba492_994x968.png 1272w, https://substackcdn.com/image/fetch/$s_!3iW9!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F2d09accd-05b5-49fc-a457-3aac1b8ba492_994x968.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!3iW9!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F2d09accd-05b5-49fc-a457-3aac1b8ba492_994x968.png" width="994" height="968" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/2d09accd-05b5-49fc-a457-3aac1b8ba492_994x968.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:968,&quot;width&quot;:994,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:176368,&quot;alt&quot;:&quot;&quot;,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" title="" srcset="https://substackcdn.com/image/fetch/$s_!3iW9!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F2d09accd-05b5-49fc-a457-3aac1b8ba492_994x968.png 424w, https://substackcdn.com/image/fetch/$s_!3iW9!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F2d09accd-05b5-49fc-a457-3aac1b8ba492_994x968.png 848w, https://substackcdn.com/image/fetch/$s_!3iW9!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F2d09accd-05b5-49fc-a457-3aac1b8ba492_994x968.png 1272w, https://substackcdn.com/image/fetch/$s_!3iW9!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F2d09accd-05b5-49fc-a457-3aac1b8ba492_994x968.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><ol start="49"><li><p>17 of these subjects - one of the most significant difference on a single site and a single day - were recruited on the same day as Augusto Roux, August 21, 2020 <em><strong>[at the site supervised by Pfizer&#8217;s lead author].</strong></em></p></li></ol><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!o3qH!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fcb006a8f-a47e-4cc0-b7fd-05c5c92d7e06_764x1040.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!o3qH!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fcb006a8f-a47e-4cc0-b7fd-05c5c92d7e06_764x1040.png 424w, https://substackcdn.com/image/fetch/$s_!o3qH!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fcb006a8f-a47e-4cc0-b7fd-05c5c92d7e06_764x1040.png 848w, https://substackcdn.com/image/fetch/$s_!o3qH!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fcb006a8f-a47e-4cc0-b7fd-05c5c92d7e06_764x1040.png 1272w, https://substackcdn.com/image/fetch/$s_!o3qH!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fcb006a8f-a47e-4cc0-b7fd-05c5c92d7e06_764x1040.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!o3qH!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fcb006a8f-a47e-4cc0-b7fd-05c5c92d7e06_764x1040.png" width="764" height="1040" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/cb006a8f-a47e-4cc0-b7fd-05c5c92d7e06_764x1040.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:1040,&quot;width&quot;:764,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:86183,&quot;alt&quot;:&quot;&quot;,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" title="" srcset="https://substackcdn.com/image/fetch/$s_!o3qH!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fcb006a8f-a47e-4cc0-b7fd-05c5c92d7e06_764x1040.png 424w, https://substackcdn.com/image/fetch/$s_!o3qH!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fcb006a8f-a47e-4cc0-b7fd-05c5c92d7e06_764x1040.png 848w, https://substackcdn.com/image/fetch/$s_!o3qH!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fcb006a8f-a47e-4cc0-b7fd-05c5c92d7e06_764x1040.png 1272w, https://substackcdn.com/image/fetch/$s_!o3qH!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fcb006a8f-a47e-4cc0-b7fd-05c5c92d7e06_764x1040.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><ol start="50"><li><p>If the missing subject IDs were due to random error, we would anticipate a uniform distribution of missing IDs across all sites. However, our analysis reveals a non-random pattern, with a disproportionate concentration of missing IDs at a limited number of sites. Furthermore, we would expect to observe isolated missing ID numbers, but instead, we frequently encounter clusters of consecutive missing IDs, with gaps ranging from 2 to 9 or more consecutive ID numbers. The following breakdown summarizes the frequency of gaps of varying sizes.</p></li></ol><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!Taef!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F1a71379d-08c2-4c9f-8a15-729a1ee6575d_206x368.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!Taef!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F1a71379d-08c2-4c9f-8a15-729a1ee6575d_206x368.png 424w, https://substackcdn.com/image/fetch/$s_!Taef!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F1a71379d-08c2-4c9f-8a15-729a1ee6575d_206x368.png 848w, https://substackcdn.com/image/fetch/$s_!Taef!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F1a71379d-08c2-4c9f-8a15-729a1ee6575d_206x368.png 1272w, https://substackcdn.com/image/fetch/$s_!Taef!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F1a71379d-08c2-4c9f-8a15-729a1ee6575d_206x368.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!Taef!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F1a71379d-08c2-4c9f-8a15-729a1ee6575d_206x368.png" width="206" height="368" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/1a71379d-08c2-4c9f-8a15-729a1ee6575d_206x368.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:368,&quot;width&quot;:206,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:8844,&quot;alt&quot;:&quot;&quot;,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" title="" srcset="https://substackcdn.com/image/fetch/$s_!Taef!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F1a71379d-08c2-4c9f-8a15-729a1ee6575d_206x368.png 424w, https://substackcdn.com/image/fetch/$s_!Taef!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F1a71379d-08c2-4c9f-8a15-729a1ee6575d_206x368.png 848w, https://substackcdn.com/image/fetch/$s_!Taef!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F1a71379d-08c2-4c9f-8a15-729a1ee6575d_206x368.png 1272w, https://substackcdn.com/image/fetch/$s_!Taef!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F1a71379d-08c2-4c9f-8a15-729a1ee6575d_206x368.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><ol start="51"><li><p>Further, if these missing subject identifiers were due to some computer error (no matter how improbable it is given that we&#8217;re very far from volumes which would affect an Oracle database cache), we would expect them to be occurring on the most loaded days. We can represent the daily screening registered on the site 1231, and the subjects who may have disappeared on the recruitment dates we deduced, to illustrate the fact that August 21, 2020 wasn&#8217;t the most loaded day of the subjects enrollment on this site <em><strong>[again indicating these patient deletions were not &#8220;due to chance&#8221;].</strong></em></p></li></ol><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!rZWZ!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7094e3bc-d9ec-4f82-a819-d47554cbddaa_1920x1017.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!rZWZ!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7094e3bc-d9ec-4f82-a819-d47554cbddaa_1920x1017.png 424w, https://substackcdn.com/image/fetch/$s_!rZWZ!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7094e3bc-d9ec-4f82-a819-d47554cbddaa_1920x1017.png 848w, https://substackcdn.com/image/fetch/$s_!rZWZ!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7094e3bc-d9ec-4f82-a819-d47554cbddaa_1920x1017.png 1272w, https://substackcdn.com/image/fetch/$s_!rZWZ!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7094e3bc-d9ec-4f82-a819-d47554cbddaa_1920x1017.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!rZWZ!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7094e3bc-d9ec-4f82-a819-d47554cbddaa_1920x1017.png" width="1456" height="771" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/7094e3bc-d9ec-4f82-a819-d47554cbddaa_1920x1017.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:771,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:85679,&quot;alt&quot;:&quot;&quot;,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" title="" srcset="https://substackcdn.com/image/fetch/$s_!rZWZ!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7094e3bc-d9ec-4f82-a819-d47554cbddaa_1920x1017.png 424w, https://substackcdn.com/image/fetch/$s_!rZWZ!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7094e3bc-d9ec-4f82-a819-d47554cbddaa_1920x1017.png 848w, https://substackcdn.com/image/fetch/$s_!rZWZ!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7094e3bc-d9ec-4f82-a819-d47554cbddaa_1920x1017.png 1272w, https://substackcdn.com/image/fetch/$s_!rZWZ!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7094e3bc-d9ec-4f82-a819-d47554cbddaa_1920x1017.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><h1><strong>Inconsistencies in interim efficacy analyses - announcement dates &amp; non compatible subject</strong></h1><ol start="52"><li><p>The SAP <em><strong>[statistical analysis plan, the rules for analyzing the trial's data that are set before the results are known]</strong></em><a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-61"><sup>61</sup></a> - scheduled an efficacy analysis at 164 cases for application to the EUA, and intermediate efficacy analyses at 62 and 92 cases - at which stage efficacy could be announced if achieved.</p></li><li><p>The 170 &#8220;official&#8221; efficacy cases, presented as those obtained at the stop date of 14 November 2020, are listed in one of the .PDF files provided<a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-62"><sup>62</sup></a>. The cases don&#8217;t include their central PCR date (when Pfizer had knowledge &amp; confirmation of the case). Extracting these cases (<a href="https://github.com/OpenVaet/pfizer_docs_R/blob/main/extract_official_EUA_cases.R">R</a><a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-63"><sup>63</sup></a>) allows for their reanalysis<strong> (</strong><a href="https://github.com/OpenVaet/pfizer_docs_R/blob/main/analyze_eua_official_cases.R">R</a><a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-64"><sup>64</sup></a>).</p></li><li><p>It<strong> </strong>also shows that Pfizer already had the necessary 63 cases on October 22, 2020, and 94 cases on October 30. Nevertheless, they waited until November 9, 2020 to announce the results of the interim efficacy analysis via a press release. It&#8217;s unclear why they delayed announcing the product&#8217;s claimed efficacy so long. Perhaps does it has a relation with the fact that getting a vaccine was a central issue in the US election on November 3, 2020 - and the desire expressed by Albert Bourla<a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-65"><sup>65</sup></a>, Pfizer&#8217;s CEO, not to further politicize the discussion.</p></li></ol><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!XqGi!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F5b49d2dd-56d7-4363-a326-ff7178575829_1920x1017.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!XqGi!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F5b49d2dd-56d7-4363-a326-ff7178575829_1920x1017.png 424w, https://substackcdn.com/image/fetch/$s_!XqGi!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F5b49d2dd-56d7-4363-a326-ff7178575829_1920x1017.png 848w, https://substackcdn.com/image/fetch/$s_!XqGi!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F5b49d2dd-56d7-4363-a326-ff7178575829_1920x1017.png 1272w, https://substackcdn.com/image/fetch/$s_!XqGi!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F5b49d2dd-56d7-4363-a326-ff7178575829_1920x1017.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!XqGi!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F5b49d2dd-56d7-4363-a326-ff7178575829_1920x1017.png" width="1456" height="771" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/5b49d2dd-56d7-4363-a326-ff7178575829_1920x1017.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:771,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:99240,&quot;alt&quot;:&quot;&quot;,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" title="" srcset="https://substackcdn.com/image/fetch/$s_!XqGi!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F5b49d2dd-56d7-4363-a326-ff7178575829_1920x1017.png 424w, https://substackcdn.com/image/fetch/$s_!XqGi!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F5b49d2dd-56d7-4363-a326-ff7178575829_1920x1017.png 848w, https://substackcdn.com/image/fetch/$s_!XqGi!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F5b49d2dd-56d7-4363-a326-ff7178575829_1920x1017.png 1272w, https://substackcdn.com/image/fetch/$s_!XqGi!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F5b49d2dd-56d7-4363-a326-ff7178575829_1920x1017.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p><em><strong>Note: in the extensive discussions of how Pfizer delayed their vaccine to sabotage Trump&#8217;s re-election, I have almost never seen this critical point raised.</strong></em></p><h1><strong>Deviations among the EUA efficacy cases</strong></h1><ol start="55"><li><p>As highlighted by Dr Jeyanthi Kunadhasan, in an article for the Australian&#8217;s The Spectator<a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-66"><sup>66</sup></a>, reporting on her work with the DailyClout&#8217;s team 3, several important protocol deviations have impacted the subjects included in the EUA official cases:</p><ol><li><p>Of the 170 participants, five (4 BNT &amp; 1 Placebo) failed to receive their second dose within the protocol-defined window of 19 to 23 days. As mentioned point 13, the 19-42 day window was only mentioned in the EUA documentation (<a href="https://github.com/OpenVaet/pfizer_docs_R/blob/main/eua_cases_deviations.R">R</a><a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-67"><sup>67</sup></a>).</p></li><li><p>One participant (Placebo) did not receive the correct dose of the product.</p></li><li><p>Another participant (Placebo) received a blood product within 60 days, constituting a major protocol deviation.</p></li><li><p>One participants (44441224, Placebo<a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-68"><sup>68</sup></a>) withdrawn from the trial prior to the EUA issuance date but was still included in the 170.</p></li></ol></li></ol><h1><strong>Antibodies measurements &amp; anomalies to the Blind</strong></h1><ol start="56"><li><p>Anti-N antibodies were examined via tests that respond to a molecule within the SARS-CoV-2 virus known as the nucleocapsid (N). Anti-N antibodies are of particular interest, because the only known method for a subject to produce them is through contracting COVID-19 <em><strong>[unlike the vaccine, which only produces antibodies against the spike protein, so testing for anti-N antibodies reveals who was infected regardless of whether they were ever PCR tested]</strong>.</em> The N-antibodies were measured during the trial via a mNeonGreen SARS-CoV-2 &#8220;Nucleoprotein-Binding Antibodies Assay&#8221;<a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-69"><sup>69</sup></a>. As the name suggests, this test targets the Nucleoprotein, which is a component of the nucleocapsid<a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-70"><sup>70</sup></a>. It&#8217;s worth noting that N-antibodies aren&#8217;t a perfect detection method, with 5.5% of the subjects testing negative at 100 days according to observational studies<a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-71"><sup>71</sup></a>.</p><p><em><strong>Note: this limitation is much greater in vaccinated individuals, as in Moderna&#8217;s trial, only 40% of vaccine recipients with a PCR-confirmed infection went on to develop anti-N antibodies, compared to 93% of placebo recipients.<a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC9258784"><sup>1</sup></a> The same pattern was <a href="https://github.com/OpenVaet/pfizer_docs_R/blob/main/reproduce_moderna_nbinding_v2.R">observed with Pfizer&#8217;s vaccine</a>, analyzing participants who were anti-N and PCR negative at or before dose 1, received both doses, had no evidence of infection before dose 2, subsequently tested PCR positive at a central laboratory at least 14 days after dose 2, and had at least one N-binding antibody test result available from a sample collected at least four days after the positive PCR test. Among these participants, 55.6% of BNT162b2 recipients tested positive for anti-N antibodies, compared with 87.1% of placebo recipients.  These findings suggest that antibody testing alone would also have missed many infections in the vaccine group, meaning that the true number of undetected infections in that group was likely higher than the figures shown below.</strong></em></p></li><li><p>Placebo subjects were significantly more likely not to attend the Visit 3 or not to have their antibodies tested upon visit 3 <em><strong>[the visit one month after the second dose]</strong></em>, as shown by the antibodies testing via N-binding (<a href="https://github.com/OpenVaet/pfizer_docs_R/blob/main/anayse_n_binding_pcr.R">R</a><a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-72"><sup>72</sup></a>).</p></li></ol><div class="captioned-image-container"><figure><div class="image-link image2" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!PjcW!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6e201fa4-bd53-4366-b539-26a7cd6f55fa_762x157.png 424w, https://substackcdn.com/image/fetch/$s_!PjcW!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6e201fa4-bd53-4366-b539-26a7cd6f55fa_762x157.png 848w, https://substackcdn.com/image/fetch/$s_!PjcW!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6e201fa4-bd53-4366-b539-26a7cd6f55fa_762x157.png 1272w, https://substackcdn.com/image/fetch/$s_!PjcW!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6e201fa4-bd53-4366-b539-26a7cd6f55fa_762x157.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!PjcW!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6e201fa4-bd53-4366-b539-26a7cd6f55fa_762x157.png" width="762" height="157" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/6e201fa4-bd53-4366-b539-26a7cd6f55fa_762x157.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:157,&quot;width&quot;:762,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:10632,&quot;alt&quot;:&quot;&quot;,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" title="" srcset="https://substackcdn.com/image/fetch/$s_!PjcW!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6e201fa4-bd53-4366-b539-26a7cd6f55fa_762x157.png 424w, https://substackcdn.com/image/fetch/$s_!PjcW!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6e201fa4-bd53-4366-b539-26a7cd6f55fa_762x157.png 848w, https://substackcdn.com/image/fetch/$s_!PjcW!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6e201fa4-bd53-4366-b539-26a7cd6f55fa_762x157.png 1272w, https://substackcdn.com/image/fetch/$s_!PjcW!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6e201fa4-bd53-4366-b539-26a7cd6f55fa_762x157.png 1456w" sizes="100vw" loading="lazy"></picture><div></div></div></div></figure></div><ol start="58"><li><p>21 of the 1178 missing visit 3 BNTs have a positive central PCR (1.78%), and 105 of the 1392 Placebo subjects missing have a positive PCR (7.5%) (Visit 3 was performed between 46 and 138 days post visit 1). Detection of COVID appear to have been a factor in subjects not having this scheduled visit 3. But it doesn&#8217;t suffice to explain the offset - as even if we exclude these positive PCRs, it remains a significant difference.</p></li></ol><div class="captioned-image-container"><figure><div class="image-link image2" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!k9LG!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F316fefac-cfdb-42a4-8fe6-9436cf5545ca_762x157.png 424w, https://substackcdn.com/image/fetch/$s_!k9LG!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F316fefac-cfdb-42a4-8fe6-9436cf5545ca_762x157.png 848w, https://substackcdn.com/image/fetch/$s_!k9LG!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F316fefac-cfdb-42a4-8fe6-9436cf5545ca_762x157.png 1272w, https://substackcdn.com/image/fetch/$s_!k9LG!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F316fefac-cfdb-42a4-8fe6-9436cf5545ca_762x157.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!k9LG!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F316fefac-cfdb-42a4-8fe6-9436cf5545ca_762x157.png" width="762" height="157" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/316fefac-cfdb-42a4-8fe6-9436cf5545ca_762x157.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:157,&quot;width&quot;:762,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:11534,&quot;alt&quot;:&quot;&quot;,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" title="" srcset="https://substackcdn.com/image/fetch/$s_!k9LG!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F316fefac-cfdb-42a4-8fe6-9436cf5545ca_762x157.png 424w, https://substackcdn.com/image/fetch/$s_!k9LG!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F316fefac-cfdb-42a4-8fe6-9436cf5545ca_762x157.png 848w, https://substackcdn.com/image/fetch/$s_!k9LG!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F316fefac-cfdb-42a4-8fe6-9436cf5545ca_762x157.png 1272w, https://substackcdn.com/image/fetch/$s_!k9LG!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F316fefac-cfdb-42a4-8fe6-9436cf5545ca_762x157.png 1456w" sizes="100vw" loading="lazy"></picture><div></div></div></div></figure></div><ol start="59"><li><p>21 191 BNT &amp; 21 191 Placebo subjects therefore started with negative PCR &amp; N-Binding Results at visit 1, and received their first dose. 19 928 BNT &amp; 19 511 Placebo were negative on visit 3 N-Binding Antibodies testing, and 85 BNT subjects were positive, against 288 Placebo. 53 BNT cases were detected via Central PCR, along with 201 Placebo cases. It leaves us with 32 undetected cases among BNT subjects (37.6% of the 85 cases), compared to 87 undetected cases in the placebo group (30.2%) - illustrating how flawed was the PCR detection and how regrettable it is not to have measured antibodies at visit 2 <em><strong>[the visit when the second dose was given, as testing then would have revealed infections that occurred between the two doses]</strong></em>. Subjects in the BNT groups were 7.4% more likely to avoid PCR detection, while having positive COVID specific antibodies at the 1 month post dose 2 visit <em><strong>[again potentially inflating efficacy].</strong></em></p></li><li><p>In the Comments (CO.xpt) file, there are 9113 comments associated with COVID convalescent visit blood draws <em><strong>[blood taken after a suspected COVID illness so antibody testing could confirm whether it was COVID]</strong></em> (identified by RDOMAIN=IS and VISIT=COVID_n), and 8869 covid convalescent visits are in the Subject visits (SV.xpt) file (identified by VISIT=COVID_n). However, there are only 91 results associated with COVID convalescent visits in the IS.xpt (Immunogenicity) database (identified by VISIT=COVID_n1). The protocol allows for visits to overlap; if one of the visits was a convalescent visit, the samples were to be entered there. The convalescent serology remained unreported, and while the explanation for missing Visit 3 may reside in Placebo subjects who had lost interest in the trial, this represents a protocol flaw which allowed data not to be reported.</p><p><em><strong>Note: put simply, since only an actual COVID infection (not the vaccine) produces anti-N antibodies, testing for them reveals who actually caught COVID regardless of whether they were given a PCR test. When this was done, infections in the vaccine group were more likely to have been missed by the trial&#8217;s PCR testing, while the antibody tests which could have independently confirmed infections were either never done at a key visit or never reported.</strong></em></p></li></ol><h1><strong>The adverse effects to COVID visit re-qualification was widespread</strong></h1><ol start="61"><li><p>Augusto Roux&#8217;s testimony, points 43 to 46, is evidence that the weakness in the protocol - consisting in confusing COVID symptoms &amp; Adverse effects from the product, along with the capacity to qualify one or the other to affect efficacy, safety and immunogenicity results - was exploited.<br><em><strong>Note: since adverse events and COVID symptoms were tracked separately, re-labeling a vaccine recipient&#8217;s adverse event as a COVID symptom removed it from the vaccine&#8217;s safety data. Additionally, once the vaccines hit the market, equating vaccine side effects to COVID or &#8220;long COVID&#8221; became one of the most common methods used to sweep those injuries under the rug.</strong></em></p></li><li><p>Aside for a single row on two subjects (10681017 &amp; 10681036), all the Adverse Events (AEs) entries have 1 to N entries related to a subject by a unique incremental &#8220;AESPID&#8221; entry<a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-73"><sup>73</sup></a><sup> </sup><em><strong>[a sequential ID assigned to each adverse event, so gaps reveal deletions]</strong></em>, documented in the CSDRG<a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-74"><sup>74</sup></a> <em><strong>[Clinical Study Data Reviewer&#8217;s Guide]</strong></em> as the &#8220;Sponsor&#8217;s ID set for the specific AEs&#8221;. The sponsors document 5 exceptions had been raised on March 13, 2021, as duplicate ids were entered by sites in this document.</p></li></ol><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!PQWb!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F2ba16fbb-b056-4aa8-8a61-6dd3dbcc65ab_1375x539.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!PQWb!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F2ba16fbb-b056-4aa8-8a61-6dd3dbcc65ab_1375x539.png 424w, https://substackcdn.com/image/fetch/$s_!PQWb!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F2ba16fbb-b056-4aa8-8a61-6dd3dbcc65ab_1375x539.png 848w, https://substackcdn.com/image/fetch/$s_!PQWb!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F2ba16fbb-b056-4aa8-8a61-6dd3dbcc65ab_1375x539.png 1272w, https://substackcdn.com/image/fetch/$s_!PQWb!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F2ba16fbb-b056-4aa8-8a61-6dd3dbcc65ab_1375x539.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!PQWb!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F2ba16fbb-b056-4aa8-8a61-6dd3dbcc65ab_1375x539.png" width="1375" height="539" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/2ba16fbb-b056-4aa8-8a61-6dd3dbcc65ab_1375x539.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:539,&quot;width&quot;:1375,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:163062,&quot;alt&quot;:&quot;&quot;,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" title="" srcset="https://substackcdn.com/image/fetch/$s_!PQWb!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F2ba16fbb-b056-4aa8-8a61-6dd3dbcc65ab_1375x539.png 424w, https://substackcdn.com/image/fetch/$s_!PQWb!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F2ba16fbb-b056-4aa8-8a61-6dd3dbcc65ab_1375x539.png 848w, https://substackcdn.com/image/fetch/$s_!PQWb!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F2ba16fbb-b056-4aa8-8a61-6dd3dbcc65ab_1375x539.png 1272w, https://substackcdn.com/image/fetch/$s_!PQWb!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F2ba16fbb-b056-4aa8-8a61-6dd3dbcc65ab_1375x539.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><ol start="63"><li><p>By analyzing the data structure to detect gaps in these AESPID by subjects, we can detect adverse events that were deleted and suppressed from the safety analysis: a minimum of 1209 adverse effect have been re-qualified (<a href="https://github.com/OpenVaet/pfizer_docs_R/blob/main/subjects_adverse_effects_deleted.R">R</a>)<a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-75"><sup>75</sup></a>, over 767 subjects. Adverse events at the end of the log evade detection.</p></li></ol><div class="captioned-image-container"><figure><div class="image-link image2" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!BhkJ!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6d705d01-9d2a-40d3-8a7f-921fbdddfc9c_1057x200.png 424w, https://substackcdn.com/image/fetch/$s_!BhkJ!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6d705d01-9d2a-40d3-8a7f-921fbdddfc9c_1057x200.png 848w, https://substackcdn.com/image/fetch/$s_!BhkJ!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6d705d01-9d2a-40d3-8a7f-921fbdddfc9c_1057x200.png 1272w, https://substackcdn.com/image/fetch/$s_!BhkJ!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6d705d01-9d2a-40d3-8a7f-921fbdddfc9c_1057x200.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!BhkJ!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6d705d01-9d2a-40d3-8a7f-921fbdddfc9c_1057x200.png" width="1057" height="200" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/6d705d01-9d2a-40d3-8a7f-921fbdddfc9c_1057x200.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:200,&quot;width&quot;:1057,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:40970,&quot;alt&quot;:&quot;&quot;,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" title="" srcset="https://substackcdn.com/image/fetch/$s_!BhkJ!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6d705d01-9d2a-40d3-8a7f-921fbdddfc9c_1057x200.png 424w, https://substackcdn.com/image/fetch/$s_!BhkJ!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6d705d01-9d2a-40d3-8a7f-921fbdddfc9c_1057x200.png 848w, https://substackcdn.com/image/fetch/$s_!BhkJ!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6d705d01-9d2a-40d3-8a7f-921fbdddfc9c_1057x200.png 1272w, https://substackcdn.com/image/fetch/$s_!BhkJ!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6d705d01-9d2a-40d3-8a7f-921fbdddfc9c_1057x200.png 1456w" sizes="100vw" loading="lazy"></picture><div></div></div></div></figure></div><ol start="64"><li><p>For a limited number of subjects (1028 subjects total - 982 in individual files), the CRF <em><strong>[case report forms]</strong></em> have been communicated to the FDA along with the BLA application. 97 of these individual CRFs are those of subjects among these 767 subjects (12.65%). This very significant rate of CRFs available, while only 2% are available for the 44K+ population, might be explained by the FDA having questions about part of these subjects specifically - or simply their compliance with the conditions established to the CRFs to be provided, detailed in the meetings correspondence<a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-76"><sup>76</sup></a>.</p></li></ol><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!ox5h!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3637c9e4-73bb-4034-be3c-ef2eecd8febb_481x331.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!ox5h!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3637c9e4-73bb-4034-be3c-ef2eecd8febb_481x331.png 424w, https://substackcdn.com/image/fetch/$s_!ox5h!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3637c9e4-73bb-4034-be3c-ef2eecd8febb_481x331.png 848w, https://substackcdn.com/image/fetch/$s_!ox5h!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3637c9e4-73bb-4034-be3c-ef2eecd8febb_481x331.png 1272w, https://substackcdn.com/image/fetch/$s_!ox5h!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3637c9e4-73bb-4034-be3c-ef2eecd8febb_481x331.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!ox5h!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3637c9e4-73bb-4034-be3c-ef2eecd8febb_481x331.png" width="521" height="358.52598752598755" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/3637c9e4-73bb-4034-be3c-ef2eecd8febb_481x331.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:331,&quot;width&quot;:481,&quot;resizeWidth&quot;:521,&quot;bytes&quot;:241163,&quot;alt&quot;:&quot;&quot;,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" title="" srcset="https://substackcdn.com/image/fetch/$s_!ox5h!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3637c9e4-73bb-4034-be3c-ef2eecd8febb_481x331.png 424w, https://substackcdn.com/image/fetch/$s_!ox5h!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3637c9e4-73bb-4034-be3c-ef2eecd8febb_481x331.png 848w, https://substackcdn.com/image/fetch/$s_!ox5h!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3637c9e4-73bb-4034-be3c-ef2eecd8febb_481x331.png 1272w, https://substackcdn.com/image/fetch/$s_!ox5h!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3637c9e4-73bb-4034-be3c-ef2eecd8febb_481x331.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p><em><strong>Note: for a trial of such immense global significance, every CRF should have been available for the FDA (and, with identifying details removed, anyone else) to review.</strong></em></p><ol start="65"><li><p>The subject&#8217;s audit trail allows us to identify which adverse effects were suppressed after being registered as the events were &#8220;re-qualified&#8221; to COVID visits. The case by case review of all the CRFs anomalies will be the subject of a later analysis - but the followings are an illustration of the severity of the phenomenon and are stressing the need for an in depth audit of the individual CRFs. Subject 12181001<a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-77"><sup>77</sup></a>, a 32 years old female, reported Diarrhea on November 4, 2020. On March 29, 2021 (16 days after the BLA application cut-off and 3 days prior the CRFs cut-off), this adverse effect is re-qualified to a &#8220;COVID visit&#8221; retroactively created under instruction from the sponsors <em><strong>[thereby hiding the adverse event].</strong></em></p></li></ol><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!YX_n!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa8883580-bbd4-4331-84f6-5f353cdfa1ce_754x355.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!YX_n!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa8883580-bbd4-4331-84f6-5f353cdfa1ce_754x355.png 424w, https://substackcdn.com/image/fetch/$s_!YX_n!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa8883580-bbd4-4331-84f6-5f353cdfa1ce_754x355.png 848w, https://substackcdn.com/image/fetch/$s_!YX_n!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa8883580-bbd4-4331-84f6-5f353cdfa1ce_754x355.png 1272w, https://substackcdn.com/image/fetch/$s_!YX_n!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa8883580-bbd4-4331-84f6-5f353cdfa1ce_754x355.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!YX_n!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa8883580-bbd4-4331-84f6-5f353cdfa1ce_754x355.png" width="754" height="355" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/a8883580-bbd4-4331-84f6-5f353cdfa1ce_754x355.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:355,&quot;width&quot;:754,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:50215,&quot;alt&quot;:&quot;&quot;,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" title="" srcset="https://substackcdn.com/image/fetch/$s_!YX_n!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa8883580-bbd4-4331-84f6-5f353cdfa1ce_754x355.png 424w, https://substackcdn.com/image/fetch/$s_!YX_n!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa8883580-bbd4-4331-84f6-5f353cdfa1ce_754x355.png 848w, https://substackcdn.com/image/fetch/$s_!YX_n!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa8883580-bbd4-4331-84f6-5f353cdfa1ce_754x355.png 1272w, https://substackcdn.com/image/fetch/$s_!YX_n!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa8883580-bbd4-4331-84f6-5f353cdfa1ce_754x355.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><ol start="66"><li><p>Subject 10871286<a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-78"><sup>78</sup></a>, a 71 years old female, reported on October 20, 2020 a wide range of adverse effects - judged &#8220;non serious&#8221; by the PI (page 648-649). These events were re-qualified as COVID symptoms on March 29, 2021.</p></li></ol><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!dUpr!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ff1a81e76-87af-4b9b-8aad-8bc1afd7954a_710x919.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!dUpr!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ff1a81e76-87af-4b9b-8aad-8bc1afd7954a_710x919.png 424w, https://substackcdn.com/image/fetch/$s_!dUpr!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ff1a81e76-87af-4b9b-8aad-8bc1afd7954a_710x919.png 848w, https://substackcdn.com/image/fetch/$s_!dUpr!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ff1a81e76-87af-4b9b-8aad-8bc1afd7954a_710x919.png 1272w, https://substackcdn.com/image/fetch/$s_!dUpr!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ff1a81e76-87af-4b9b-8aad-8bc1afd7954a_710x919.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!dUpr!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ff1a81e76-87af-4b9b-8aad-8bc1afd7954a_710x919.png" width="698" height="903.4676056338028" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/f1a81e76-87af-4b9b-8aad-8bc1afd7954a_710x919.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:919,&quot;width&quot;:710,&quot;resizeWidth&quot;:698,&quot;bytes&quot;:131700,&quot;alt&quot;:&quot;&quot;,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" title="" srcset="https://substackcdn.com/image/fetch/$s_!dUpr!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ff1a81e76-87af-4b9b-8aad-8bc1afd7954a_710x919.png 424w, https://substackcdn.com/image/fetch/$s_!dUpr!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ff1a81e76-87af-4b9b-8aad-8bc1afd7954a_710x919.png 848w, https://substackcdn.com/image/fetch/$s_!dUpr!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ff1a81e76-87af-4b9b-8aad-8bc1afd7954a_710x919.png 1272w, https://substackcdn.com/image/fetch/$s_!dUpr!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ff1a81e76-87af-4b9b-8aad-8bc1afd7954a_710x919.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p><em><strong>A later comparison of the EUA and BLA datasets found 358 adverse event records present at EUA were gone from the BLA submission under their original identifiers (affecting 153 vaccine recipients versus 103 placebo recipients), while others were altered, such as one participant&#8217;s heart palpitations being moved from one day to fifteen days after the second dose and another&#8217;s congestive heart failure being downgraded from serious to non-serious.<a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-data"><sup>1</sup></a> Likewise, a review of the case report forms found symptoms were removed from the adverse event log and filed as a potential COVID illness, and when that COVID visit was later deleted, the adverse events were never restored, so they vanished from the safety data entirely.<a href="https://modarnlife.substack.com/p/at-investigators-discretion"><sup>1</sup></a></strong></em></p><h1><strong>Further evidence of data manipulations on safety data recordings</strong></h1><ol start="67"><li><p>Another important anomaly in the recording of the adverse effects resides in the presence of a significant number of &#8220;pain at injection sites&#8221; between phase designating the second dose of Placebo and the first dose of BNT162b2, for the Placebo who had been unblinded, and offered to receive the mRNA product <em><strong>[i.e., placebo recipients were recorded as having injection-site pain during a period when they had not received any injection, indicating the timing of their records was unreliable]</strong></em>. These events, designated in the ADAE file as occurring during the phase &#8220;After unblinding and before Vaccination 3&#8221;. As represented in the table below, some subjects wouldn&#8217;t even have received a second dose (<a href="https://github.com/OpenVaet/pfizer_docs_R/blob/main/aes_between_d2_d3.R">R</a><a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-79"><sup>79</sup></a>) - and although 31 (60.8%) had this after-effect registered on the same day than their 3rd dose, it&#8217;s symptomatic of delays in registration of the third dose administration.</p></li></ol><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!NviJ!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F2eb37569-7901-483a-959f-90454b805dcf_1159x1004.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!NviJ!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F2eb37569-7901-483a-959f-90454b805dcf_1159x1004.png 424w, https://substackcdn.com/image/fetch/$s_!NviJ!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F2eb37569-7901-483a-959f-90454b805dcf_1159x1004.png 848w, https://substackcdn.com/image/fetch/$s_!NviJ!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F2eb37569-7901-483a-959f-90454b805dcf_1159x1004.png 1272w, https://substackcdn.com/image/fetch/$s_!NviJ!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F2eb37569-7901-483a-959f-90454b805dcf_1159x1004.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!NviJ!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F2eb37569-7901-483a-959f-90454b805dcf_1159x1004.png" width="1159" height="1004" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/2eb37569-7901-483a-959f-90454b805dcf_1159x1004.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:1004,&quot;width&quot;:1159,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:212105,&quot;alt&quot;:&quot;&quot;,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" title="" srcset="https://substackcdn.com/image/fetch/$s_!NviJ!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F2eb37569-7901-483a-959f-90454b805dcf_1159x1004.png 424w, https://substackcdn.com/image/fetch/$s_!NviJ!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F2eb37569-7901-483a-959f-90454b805dcf_1159x1004.png 848w, https://substackcdn.com/image/fetch/$s_!NviJ!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F2eb37569-7901-483a-959f-90454b805dcf_1159x1004.png 1272w, https://substackcdn.com/image/fetch/$s_!NviJ!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F2eb37569-7901-483a-959f-90454b805dcf_1159x1004.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><ol start="68"><li><p>A manual review of the CRFs files highlighted that rather often, sites did not record any, or only some of the AEs that occurred in the CRFs <em><strong>[again significantly inflating vaccine safety]</strong></em>. To detail but a few examples:</p></li></ol><ul><li><p>10551139<a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-80"><sup>80</sup></a> - the CRF lists injection site soreness and chills, while the Adverse Events table (ADAE) additionally lists another event of chills, nausea, right axillary adenopathy and injection site pain (R<a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-81"><sup>81</sup></a>).</p></li></ul><div class="captioned-image-container"><figure><div class="image-link image2" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!98Nh!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F70fb1f63-e53e-4465-8e1c-c52e3edb3e1e_1055x177.png 424w, https://substackcdn.com/image/fetch/$s_!98Nh!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F70fb1f63-e53e-4465-8e1c-c52e3edb3e1e_1055x177.png 848w, https://substackcdn.com/image/fetch/$s_!98Nh!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F70fb1f63-e53e-4465-8e1c-c52e3edb3e1e_1055x177.png 1272w, https://substackcdn.com/image/fetch/$s_!98Nh!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F70fb1f63-e53e-4465-8e1c-c52e3edb3e1e_1055x177.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!98Nh!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F70fb1f63-e53e-4465-8e1c-c52e3edb3e1e_1055x177.png" width="1055" height="177" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/70fb1f63-e53e-4465-8e1c-c52e3edb3e1e_1055x177.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:177,&quot;width&quot;:1055,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:47573,&quot;alt&quot;:&quot;&quot;,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" title="" srcset="https://substackcdn.com/image/fetch/$s_!98Nh!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F70fb1f63-e53e-4465-8e1c-c52e3edb3e1e_1055x177.png 424w, https://substackcdn.com/image/fetch/$s_!98Nh!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F70fb1f63-e53e-4465-8e1c-c52e3edb3e1e_1055x177.png 848w, https://substackcdn.com/image/fetch/$s_!98Nh!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F70fb1f63-e53e-4465-8e1c-c52e3edb3e1e_1055x177.png 1272w, https://substackcdn.com/image/fetch/$s_!98Nh!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F70fb1f63-e53e-4465-8e1c-c52e3edb3e1e_1055x177.png 1456w" sizes="100vw" loading="lazy"></picture><div></div></div></div></figure></div><ul><li><p>11401282<a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-82"><sup>82</sup></a> - the CRF lists exercise induced asthma, while ADAE additionally lists bilateral pulmonary embolism, deep vein thrombosis, and right upper quadrant abdominal pain, along with a deleted AESPID #2. As there is only AESPID #1 in the CRF, this means Pfizer added an adverse event and deleted it before adding the other three events, which are not in the CRF.</p></li></ul><div class="captioned-image-container"><figure><div class="image-link image2" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!K3zq!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe174bd49-01fc-40b6-8850-5323d93ba9c4_1040x130.png 424w, https://substackcdn.com/image/fetch/$s_!K3zq!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe174bd49-01fc-40b6-8850-5323d93ba9c4_1040x130.png 848w, https://substackcdn.com/image/fetch/$s_!K3zq!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe174bd49-01fc-40b6-8850-5323d93ba9c4_1040x130.png 1272w, https://substackcdn.com/image/fetch/$s_!K3zq!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe174bd49-01fc-40b6-8850-5323d93ba9c4_1040x130.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!K3zq!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe174bd49-01fc-40b6-8850-5323d93ba9c4_1040x130.png" width="1040" height="130" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/e174bd49-01fc-40b6-8850-5323d93ba9c4_1040x130.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:130,&quot;width&quot;:1040,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:32121,&quot;alt&quot;:&quot;&quot;,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" title="" srcset="https://substackcdn.com/image/fetch/$s_!K3zq!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe174bd49-01fc-40b6-8850-5323d93ba9c4_1040x130.png 424w, https://substackcdn.com/image/fetch/$s_!K3zq!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe174bd49-01fc-40b6-8850-5323d93ba9c4_1040x130.png 848w, https://substackcdn.com/image/fetch/$s_!K3zq!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe174bd49-01fc-40b6-8850-5323d93ba9c4_1040x130.png 1272w, https://substackcdn.com/image/fetch/$s_!K3zq!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe174bd49-01fc-40b6-8850-5323d93ba9c4_1040x130.png 1456w" sizes="100vw" loading="lazy"></picture><div></div></div></div><figcaption class="image-caption"><em><strong>Many people I know (or know of) have DVTs or PEs after receiving the vaccine. As this example shows, that link disappeared from the trial because it was deemed &#8220;unrelated.&#8221;</strong></em></figcaption></figure></div><ul><li><p>12411347<a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-83"><sup>83</sup></a> - the CRF lists headache, injection site pain, lymphadenopathy and a second event of headache, while ADAE contains three additional events of fever, headache and fatigue.</p></li></ul><div class="captioned-image-container"><figure><div class="image-link image2" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!BUZX!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fbb0906e0-9b78-46a3-a318-3dd7a1e7b356_1040x199.png 424w, https://substackcdn.com/image/fetch/$s_!BUZX!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fbb0906e0-9b78-46a3-a318-3dd7a1e7b356_1040x199.png 848w, https://substackcdn.com/image/fetch/$s_!BUZX!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fbb0906e0-9b78-46a3-a318-3dd7a1e7b356_1040x199.png 1272w, https://substackcdn.com/image/fetch/$s_!BUZX!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fbb0906e0-9b78-46a3-a318-3dd7a1e7b356_1040x199.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!BUZX!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fbb0906e0-9b78-46a3-a318-3dd7a1e7b356_1040x199.png" width="1040" height="199" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/bb0906e0-9b78-46a3-a318-3dd7a1e7b356_1040x199.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:199,&quot;width&quot;:1040,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:49714,&quot;alt&quot;:&quot;&quot;,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" title="" srcset="https://substackcdn.com/image/fetch/$s_!BUZX!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fbb0906e0-9b78-46a3-a318-3dd7a1e7b356_1040x199.png 424w, https://substackcdn.com/image/fetch/$s_!BUZX!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fbb0906e0-9b78-46a3-a318-3dd7a1e7b356_1040x199.png 848w, https://substackcdn.com/image/fetch/$s_!BUZX!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fbb0906e0-9b78-46a3-a318-3dd7a1e7b356_1040x199.png 1272w, https://substackcdn.com/image/fetch/$s_!BUZX!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fbb0906e0-9b78-46a3-a318-3dd7a1e7b356_1040x199.png 1456w" sizes="100vw" loading="lazy"></picture><div></div></div></div></figure></div><p>The CRF&#8217;s AE log does not report any AEs for 35 subjects<a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-84"><sup>84</sup></a>, and at least 73 CRFs are missing AEs that are present in the database<a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-85"><sup>85</sup></a>, making a minimum of 108 subjects affected by this anomaly in a sample of only 1028, which leads us to question if the reporting was solely made at the sponsors&#8217; discretion - and further, if the CRF files could have been altered. It constitutes at least a major violation of GCPs, and if it is confirmed that this isn&#8217;t human error but that CRFs have been altered, an infringement to several US<a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-86"><sup>86</sup></a> &amp; International regulations<a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-87"><sup>87</sup></a>.</p><p><em><strong>Additionally, a reanalysis of the CRF files identified 402 reactions lasting more than seven days, including 139 lasting more than fourteen days, and documented examples for which corresponding adverse-event entries were absent.<a href="https://modarnlife.substack.com/p/at-investigators-discretion"><sup>1</sup></a> Similarly, one participant&#8217;s grade 4 heart attack appears in the database but not in their case report form, and at least eight participants have conflicting treatment-arm information between their case report forms and the datasets (although the treatment assignments in the datasets themselves did not change between submissions).<a href="https://modarnlife.substack.com/p/at-investigators-discretion"><sup>1</sup></a><sup>,</sup><a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-data"><sup>2</sup></a></strong></em></p><h1><strong>COVID symptoms reported by the subjects</strong></h1><ol start="69"><li><p>It seems necessary, to reach an objective representation of the capacity of the BNT162b2 to prevent COVID-like symptoms, to consider that if a subject reported a fever, no matter if Pfizer decided to classify it as &#8220;Adverse effects&#8221; or &#8220;COVID symptoms&#8221; - the fact remains that the subject reported a fever. We mapped the AEs and COVID symptoms into a single file<a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-88"><sup>88</sup></a> that represented COVID-like symptoms, in order to represent the following unique new events reported by subjects during the &#8220;blinded&#8221; observation phase. We considered - as per protocol - reports of the same symptoms, per the same subjects, within 4 days<a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-89"><sup>89</sup></a> - as a single symptom on the date of first occurrence (<a href="https://github.com/OpenVaet/pfizer_docs_R/blob/main/aes_and_symptoms_by_subjects.R">R</a><a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-90"><sup>90</sup></a>), no matter if the report of the condition affecting the subject was made via the reactogenicity dataset (FACE), the adverse events (ADAE) or the COVID symptoms (ADSYMPT). This means that if a subject reported a Fever and Cough on March 18, and another Fever on March 19, he would count only once, on March 18.</p></li></ol><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!MlzX!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fd3d9a61c-588d-4277-ac51-563c4c307dfe_1920x1017.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!MlzX!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fd3d9a61c-588d-4277-ac51-563c4c307dfe_1920x1017.png 424w, https://substackcdn.com/image/fetch/$s_!MlzX!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fd3d9a61c-588d-4277-ac51-563c4c307dfe_1920x1017.png 848w, https://substackcdn.com/image/fetch/$s_!MlzX!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fd3d9a61c-588d-4277-ac51-563c4c307dfe_1920x1017.png 1272w, https://substackcdn.com/image/fetch/$s_!MlzX!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fd3d9a61c-588d-4277-ac51-563c4c307dfe_1920x1017.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!MlzX!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fd3d9a61c-588d-4277-ac51-563c4c307dfe_1920x1017.png" width="1456" height="771" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/d3d9a61c-588d-4277-ac51-563c4c307dfe_1920x1017.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:771,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:187495,&quot;alt&quot;:&quot;&quot;,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" title="" srcset="https://substackcdn.com/image/fetch/$s_!MlzX!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fd3d9a61c-588d-4277-ac51-563c4c307dfe_1920x1017.png 424w, https://substackcdn.com/image/fetch/$s_!MlzX!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fd3d9a61c-588d-4277-ac51-563c4c307dfe_1920x1017.png 848w, https://substackcdn.com/image/fetch/$s_!MlzX!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fd3d9a61c-588d-4277-ac51-563c4c307dfe_1920x1017.png 1272w, https://substackcdn.com/image/fetch/$s_!MlzX!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fd3d9a61c-588d-4277-ac51-563c4c307dfe_1920x1017.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p><em><strong>Note: the benefit the original COVID vaccine was sold on in Pfizer's "95% effective" paper<a href="https://www.nejm.org/doi/full/10.1056/NEJMoa2034577"><sup>1</sup></a> was a reduction in symptomatic, PCR-confirmed COVID-19, yet as the chart above (and the data in Pfizer&#8217;s NEJM paper<a href="https://www.nejm.org/doi/full/10.1056/NEJMoa2034577"><sup>1</sup></a>) shows, vaccine recipients reported more of those same symptoms overall than those who received the placebo. Peter Doshi raised a similar point in the BMJ shortly after authorization, as the FDA's own review listed 3,410 "suspected" COVID cases (symptomatic but not PCR-confirmed) split almost evenly between the groups (1,594 vs. 1,816), compared to the 170 confirmed cases (8 vs. 162) the 95% figure rested on. If many of these were real cases missed by PCR, the vaccine's efficacy would fall to roughly 19%.<a href="https://blogs.bmj.com/bmj/2021/01/04/peter-doshi-pfizer-and-modernas-95-effective-vaccines-we-need-more-details-and-the-raw-data/"><sup>1</sup></a></strong></em></p><h1><strong>The unblinding wasn&#8217;t randomized</strong></h1><ol start="70"><li><p>The Placebo recipients unblinding began as soon as the EUA was obtained, on December 14, 2020 (the FDA giving its authorization to it 3 days after the EUA on December 11, 2020). The subjects were unblinded non-randomly, prioritizing the elder subjects - and effectively terminating the Randomized Clinical Trial, which became an open-label study, with a very small and highly selective placebo group <em><strong>[making it effectively impossible to definitively assess if any long-term complications actually came from the vaccine]</strong></em>. The following chart represents the evolution of the cumulative unblinding rates for the 44 040 phase 2-3 subjects who had received their first dose prior December 14, 2020 (<a href="https://github.com/OpenVaet/pfizer_docs_R/blob/main/unblinding_by_arm_and_age_groups.R">R</a><a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-91"><sup>91</sup></a>).</p></li></ol><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!psJC!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb431fd61-a038-4f11-afec-57708769e74e_1920x1017.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!psJC!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb431fd61-a038-4f11-afec-57708769e74e_1920x1017.png 424w, https://substackcdn.com/image/fetch/$s_!psJC!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb431fd61-a038-4f11-afec-57708769e74e_1920x1017.png 848w, https://substackcdn.com/image/fetch/$s_!psJC!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb431fd61-a038-4f11-afec-57708769e74e_1920x1017.png 1272w, https://substackcdn.com/image/fetch/$s_!psJC!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb431fd61-a038-4f11-afec-57708769e74e_1920x1017.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!psJC!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb431fd61-a038-4f11-afec-57708769e74e_1920x1017.png" width="1456" height="771" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/b431fd61-a038-4f11-afec-57708769e74e_1920x1017.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:771,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:67306,&quot;alt&quot;:&quot;&quot;,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" title="" srcset="https://substackcdn.com/image/fetch/$s_!psJC!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb431fd61-a038-4f11-afec-57708769e74e_1920x1017.png 424w, https://substackcdn.com/image/fetch/$s_!psJC!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb431fd61-a038-4f11-afec-57708769e74e_1920x1017.png 848w, https://substackcdn.com/image/fetch/$s_!psJC!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb431fd61-a038-4f11-afec-57708769e74e_1920x1017.png 1272w, https://substackcdn.com/image/fetch/$s_!psJC!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb431fd61-a038-4f11-afec-57708769e74e_1920x1017.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><h1><strong>Forensic Analysis of the deaths during the trial</strong></h1><ol start="71"><li><p>A peer reviewed paper<a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-92"><sup>92</sup></a>, <em>&#8220;Forensic analysis of the 38 subject deaths in the 6-Month Interim Report of the Pfizer/BioNTech BNT162b2 mRNA Vaccine Clinical Trial&#8221;</em> by Michels et al., found that Subject # 10841470, a 65-year-old obese Hispanic male with pulmonary fibrosis and hypertension was part of the placebo arm of a Pfizer/BioNTech COVID-19 vaccine trial. He received doses 1 and 2 of the placebo on September 30 and October 21, 2020. However, on December 23, 2020, he received a dose of the Moderna mRNA vaccine, which was a protocol deviation. He later developed COVID-19 symptoms, was hospitalized, and eventually died on January 11, 2021, due to multi-system organ failure. The case was misreported as a placebo death with COVID-19 as the secondary cause of death, when in fact, the subject should have been discontinued from the trial due to receiving a non-study COVID-19 vaccine <em><strong>[providing a pivotal death in the placebo group to counterbalance and hence downplay the deaths in the vaccine group]</strong></em>.</p></li><li><p>The paper also notes,&#8220;a 3.7-fold increase in cardiac events in subjects who received the BNT162b2 vaccine versus the placebo. Of the 15 subjects who were Sudden Adult Deaths (SAD) or Found Dead (FD), 12 died of a cardiac event, 9 of whom were vaccinated.&#8221;</p></li></ol><h1><strong>Delayed deaths recording at EUA time</strong></h1><ol start="73"><li><p>Michels et al. highlights another major finding, further developed by Jeyanthi Kunadhasan in her letters exchanges with the Australian Therapeutic Goods Administration (TGA). These exchanges, sent and made public on behalf of the Australian Medical Professional Society (AMPS), are consisting in a first letter dated March 21, 2024<a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-93"><sup>93</sup></a>, the reply of the TGA&#8217;s Health Products Regulation Group&#8217;s Professor dated March 27, 2024<a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-94"><sup>94</sup></a>, and an expanded argument dated May 17, 2024<a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-95"><sup>95</sup></a> currently unanswered. They are attached to the current report. They provide another illustration of the diligence of the regulators for the matter of investigating critical irregularities - as the TGA interlocutor obviously fails to understand points clarified from the first letter.</p></li><li><p>A major anomaly lies in the delayed reporting of two deaths in the EUA figures communicated to the regulators, and to the world via the December NEJM study of Polack et al<a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-96"><sup>96</sup></a>. The Polack paper disclosed six deaths &#8212; two in the BNT162b2 arm and four in the placebo arm. Both the journal article and the EUA approval documentation showed the six deaths during the period of July 27, 2020, till November 14, 2020. The article shows that Pfizer-BioNTech had records showing eight deaths among the 11 deaths which had occurred at EUA time. The authors show that Pfizer had clear knowledge of four in the BNT162b2 arm and four in the placebo arm, and that Pfizer should have disclosed these to the FDA. The two undisclosed deaths indicated a cardiac event signal in the clinical trial&#8217;s BNT162b2 recipients. Subject 11141050 died on October 19th, 2020, well before the data cut-off date of November 14th, 2020 <em><strong>[meaning Pfizer had data indicating the vaccine had serious heart issues before they released it]</strong></em>. Documentation shows that the subject&#8217;s emergency contact notified the clinical site of the death on the date of death, as per protocol requirements. The protocol also required the clinical site to notify Pfizer, via its vaccine SAE form, within 24 hours of receiving a death notification. However, the clinical staff waited 37 days to enter this patient&#8217;s death into Pfizer&#8217;s records. Because of that delay, Pfizer did not submit this death as part of its EUA data, raising questions about the reasons for the delay and potential breaches of Good Clinical Practice.</p></li></ol><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!7yhJ!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F35f3537f-5fdc-4262-8d20-66d0911345a2_1304x472.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!7yhJ!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F35f3537f-5fdc-4262-8d20-66d0911345a2_1304x472.png 424w, https://substackcdn.com/image/fetch/$s_!7yhJ!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F35f3537f-5fdc-4262-8d20-66d0911345a2_1304x472.png 848w, https://substackcdn.com/image/fetch/$s_!7yhJ!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F35f3537f-5fdc-4262-8d20-66d0911345a2_1304x472.png 1272w, https://substackcdn.com/image/fetch/$s_!7yhJ!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F35f3537f-5fdc-4262-8d20-66d0911345a2_1304x472.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!7yhJ!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F35f3537f-5fdc-4262-8d20-66d0911345a2_1304x472.png" width="1304" height="472" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/35f3537f-5fdc-4262-8d20-66d0911345a2_1304x472.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:472,&quot;width&quot;:1304,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:647732,&quot;alt&quot;:&quot;&quot;,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" title="" srcset="https://substackcdn.com/image/fetch/$s_!7yhJ!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F35f3537f-5fdc-4262-8d20-66d0911345a2_1304x472.png 424w, https://substackcdn.com/image/fetch/$s_!7yhJ!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F35f3537f-5fdc-4262-8d20-66d0911345a2_1304x472.png 848w, https://substackcdn.com/image/fetch/$s_!7yhJ!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F35f3537f-5fdc-4262-8d20-66d0911345a2_1304x472.png 1272w, https://substackcdn.com/image/fetch/$s_!7yhJ!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F35f3537f-5fdc-4262-8d20-66d0911345a2_1304x472.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><ol start="75"><li><p>Per the autopsy, the patient died from &#8216;sudden cardiac death,&#8217; with her known risk factors of hypertension and obesity putting her at high risk of cardiac-acute myocardial infarct. The clinical site staff entered the specific diagnosis of &#8216;sudden cardiac death&#8217; into her notes on December 9th, 2020, the day before the Vaccine and Related Biologicals Products Advisory Committee (VRBPAC) meeting on December 10th, 2020, which suggests that this hidden death also had autopsy results available at the critical juncture of consideration of vaccine emergency use authorization.</p></li><li><p>To be eligible for inclusion in this clinical trial, participants had to be deemed healthy based on medical history, physical examination (if required), and the clinical judgement of the investigator. The protocol allowed healthy participants with pre-existing stable disease &#8211; defined as disease not requiring significant change in therapy or hospitalization for worsening disease during the six weeks before enrolment &#8211; to participate in the clinical trial. The blood pressure reading is absent of her publicly available case notes. Consequently, we can only assume the patient&#8217;s high blood pressure, from which she had suffered since January 1st, 2010, was well controlled when she was admitted to the trial. The patient weighed 74.1kg at a height of 165cm. Hence, her BMI of 27.2 placed her in the overweight category, not the obese one sustained, as referenced on point 74.</p></li><li><p>Subject 11201050 died on November 7th, 2020. Her husband reported her death to the clinical site on November 7th, 2020. Seventy-two days after receiving Dose 2 of the vaccine, she died in her sleep. No hospital visit or autopsy occurred. A coroner pronounced her death and listed the cause of death on her death certificate as cardiac arrest.</p></li></ol><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!VgKR!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ff4a382e4-4209-4247-bb14-e3a502a06beb_1173x455.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!VgKR!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ff4a382e4-4209-4247-bb14-e3a502a06beb_1173x455.png 424w, https://substackcdn.com/image/fetch/$s_!VgKR!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ff4a382e4-4209-4247-bb14-e3a502a06beb_1173x455.png 848w, https://substackcdn.com/image/fetch/$s_!VgKR!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ff4a382e4-4209-4247-bb14-e3a502a06beb_1173x455.png 1272w, https://substackcdn.com/image/fetch/$s_!VgKR!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ff4a382e4-4209-4247-bb14-e3a502a06beb_1173x455.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!VgKR!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ff4a382e4-4209-4247-bb14-e3a502a06beb_1173x455.png" width="1173" height="455" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/f4a382e4-4209-4247-bb14-e3a502a06beb_1173x455.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:455,&quot;width&quot;:1173,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:537623,&quot;alt&quot;:&quot;&quot;,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" title="" srcset="https://substackcdn.com/image/fetch/$s_!VgKR!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ff4a382e4-4209-4247-bb14-e3a502a06beb_1173x455.png 424w, https://substackcdn.com/image/fetch/$s_!VgKR!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ff4a382e4-4209-4247-bb14-e3a502a06beb_1173x455.png 848w, https://substackcdn.com/image/fetch/$s_!VgKR!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ff4a382e4-4209-4247-bb14-e3a502a06beb_1173x455.png 1272w, https://substackcdn.com/image/fetch/$s_!VgKR!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ff4a382e4-4209-4247-bb14-e3a502a06beb_1173x455.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><ol start="78"><li><p>As no autopsy results were available, <em><strong>[as is often the case]</strong></em> it remains unclear how the sponsors or the regulators concluded that this death could not be attributed to the treatment. Pfizer documented receiving notification of her death on November 7th, 2020, well before the data cutoff date of November 14th, 2020. The reasons for not disclosing this death from the vaccinated arm at the December 10th, 2020, VRBPAC meeting or in the Polack New England Journal of Medicine publication need clarification.</p></li></ol><h1><strong>Confirming Michels et al. evaluation of massively under-reported deaths</strong></h1><ol start="79"><li><p>Michels et al.&#8217;s notes that &#8220;the number of subject deaths was 17% of the expected number, based on age-adjusted US mortality. One possible explanation could lie in the 395 subjects that were&#8220;Lost to Follow-up&#8221;. Another explanation in these low deaths could lie in the offset of 1203 subjects in the investigators files highlighted on points 23 to 25 - and/or the 301 records missing (at least) highlighted on points 47 to 51.</p></li><li><p>No BNT162b2 recipient died outside of the United States (US) according to the reported figures. Deaths in the US are 19 subjects post BNT162b2, 12 subjects post Placebo, and 2 subjects first recipients of Placebo who had then received at least one dose of BNT162b2, for a total of 33 deaths in the US. 5 Placebos subjects died outside of the US.</p></li><li><p>We extracted the mortality data by state, year, month &amp; 5 years age group brackets, for 2020 &amp; 2021, from the CDC Wonder Underlying Causes of Death platform<a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-97"><sup>97</sup></a> - and generated an export<a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-98"><sup>98</sup></a>, along with another export<a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-99"><sup>99</sup></a> of the population<a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-100"><sup>100</sup></a> yearly July 1st census data by states. This allowed us to proceed to a comparison of the mortality reported by the US trial sites ( and the mortality which could have been expected from a cohort of this age. Some healthy user bias would potentially have an impact - but the fact to observe a death from &#8220;dementia&#8221; allows to question the standards applied to the recruitment during the trial. This can&#8217;t account, in any case, for how significantly lower the mortality observed is than what would have been expected on a population of 33689 randomized individuals (<a href="https://github.com/OpenVaet/pfizer_docs_R/blob/main/model_deaths_to_us_underlying_mortality.R">R</a><a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-101"><sup>101</sup></a>) - with only 18% of the expected mortality being reported.</p></li></ol><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!8K6L!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7dcfc8b4-d5eb-4d6b-94ea-6c9bf4770f38_1920x1017.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!8K6L!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7dcfc8b4-d5eb-4d6b-94ea-6c9bf4770f38_1920x1017.png 424w, https://substackcdn.com/image/fetch/$s_!8K6L!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7dcfc8b4-d5eb-4d6b-94ea-6c9bf4770f38_1920x1017.png 848w, https://substackcdn.com/image/fetch/$s_!8K6L!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7dcfc8b4-d5eb-4d6b-94ea-6c9bf4770f38_1920x1017.png 1272w, https://substackcdn.com/image/fetch/$s_!8K6L!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7dcfc8b4-d5eb-4d6b-94ea-6c9bf4770f38_1920x1017.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!8K6L!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7dcfc8b4-d5eb-4d6b-94ea-6c9bf4770f38_1920x1017.png" width="1456" height="771" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/7dcfc8b4-d5eb-4d6b-94ea-6c9bf4770f38_1920x1017.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:771,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:84030,&quot;alt&quot;:&quot;&quot;,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" title="" srcset="https://substackcdn.com/image/fetch/$s_!8K6L!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7dcfc8b4-d5eb-4d6b-94ea-6c9bf4770f38_1920x1017.png 424w, https://substackcdn.com/image/fetch/$s_!8K6L!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7dcfc8b4-d5eb-4d6b-94ea-6c9bf4770f38_1920x1017.png 848w, https://substackcdn.com/image/fetch/$s_!8K6L!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7dcfc8b4-d5eb-4d6b-94ea-6c9bf4770f38_1920x1017.png 1272w, https://substackcdn.com/image/fetch/$s_!8K6L!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7dcfc8b4-d5eb-4d6b-94ea-6c9bf4770f38_1920x1017.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><h1><strong>Process 1 &amp; Process 2 - Differences overview</strong></h1><p><em><strong>Note: the next three sections, 82-94 are more tedious to read through, and primarily exist to establish how process 1 and process 2 lots were differentiated. The next part, 95-102, highlights that the vaccine most of the world got (Process 2), was tested only on 252 subjects prior to EUA, and the planned clinical comparison was not conducted, despite Pfizer promising to do so. The final part of this block, 103-112 shows that Pfizer&#8217;s own data indicated Process 2 was significantly more toxic. As mentioned earlier in this article, there are serious issues with Process 2 (which will likely be the default way for manufacturing mRNA vaccines) are discussed further <a href="https://www.midwesterndoctor.com/p/the-covid-shot-was-three-vaccines">here</a>.</strong></em></p><ol start="82"><li><p>In the development of its COVID-19 vaccine candidate, BNT162b2 (commercially known as Comirnaty), Pfizer/BioNTech used two distinct manufacturing methods, which they referred to as &#8220;Process 1&#8221; and &#8220;Process 2.&#8221;</p></li><li><p>The research protocol<a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-102"><sup>102</sup></a> for the clinical trial states: &#8220;The initial BNT162b2 was manufactured using &#8216;Process 1&#8217;; however, &#8216;Process 2&#8217; was developed to support an increased scale of manufacture.&#8221; Additional evidence can be found in other regulatory documents from the US FDA, the Japanese Pharmaceuticals and Medical Devices Agency (PMDA), the TGA and the European Medicines Agency (EMA). To take one example, the EMA Product Assessment Report (PAR) for Comirnaty dated February 19, 2021, states: &#8220;Two active substance processes have been used during the development history; Process 1 (clinical trial material) and Process 2 (commercial process)&#8221;<a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-103"><sup>103</sup></a>.</p></li><li><p>In addition to the statement from the EMA PAR cited on point 83, which indicates that Process 1 was used for clinical trial doses while Process 2 was used for commercial doses, a corroborating statement comes from Japan&#8217;s PMDA in their &#8220;Report on Special Approval for Emergency&#8221; dated February 8, 2021: &#8220;The active substance used for nonclinical and clinical studies are manufactured by Process 1, and the active substance in the proposed commercial formulation by Process 2&#8221;<a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-104"><sup>104</sup></a>.</p></li><li><p>Amendment 7 to the protocol dated Oct. 6<a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-105"><sup>105</sup></a> states: &#8220;Added an additional exploratory objective to describe safety and immunogenicity in participants 16 to 55 years of age vaccinated with study intervention produced by manufacturing &#8216;Process 1&#8217; or &#8216;Process 2&#8217;&#8221;. This amendment is elaborated in section 6.1.1: &#8220;The scale of the BNT162b2 manufacturing has been increased to support future supply. BNT162b2 generated using the manufacturing process supporting an increased supply (&#8216;Process 2&#8217;) will be administered to approximately 250 participants 16 to 55 years of age, per lot, in the study. The safety and immunogenicity of prophylactic BNT162b2 in individuals 16 to 55 years of age vaccinated with material generated using the existing manufacturing process &#8216;Process 1,&#8217; and with material from lots generated using the manufacturing process supporting increased supply, &#8216;Process 2,&#8217; will be described&#8221;<a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-106"><sup>106</sup></a>.</p></li><li><p>The clinical trial protocol cited in point 85 summarizes three key differences between Process 1 and 2: &#8220;the process changes relate to the method of production for the DNA template that RNA drug substance is transcribed from, and the RNA drug substance purification method. The BNT162b2 drug product is then produced using a scaled-up LNP manufacturing process&#8221;<a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-107"><sup>107</sup></a>.</p></li><li><p>The differences between processes 1 and 2 are not trivial. A document obtained from the TGA<a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-108"><sup>108</sup></a> details some of the key changes performed between &#8220;Process 1&#8221; and &#8220;Process 2&#8221;, although many details have been redacted. In Process 1, the DNA template for mRNA transcription was produced via PCR-amplification; Process 2 uses linearized plasmid DNA cultured in E. coli bacteria. Linearized Plasmid DNA involves the use of plasmid DNA, which is a small, circular, double-stranded DNA molecule typically found in bacteria. Additional (partially redacted) details described changes to the in-vitro transcription reaction volume, the batch scale, and the purification procedure (Magnetic Beads in Process 1; Proteinase K treatment to digest proteins and release associated nucleic acids followed by Tangential Flow Filtration in Process 2).</p></li></ol><h1><strong>Identifying Process 2 lots</strong></h1><ol start="88"><li><p>In some of the regulatory documents, Process 1 is sometimes referred to as a &#8216;classical&#8217; process and the resulting product are referred to as the &#8216;clinical supply.&#8217; Process 2 is sometimes referred to as the &#8216;upscale&#8217; process and the resulting products are referred to as &#8216;emergency&#8217; or &#8216;commercial&#8217; supply. This is evident in a document made public by the TGA. It is FOI 3659 document 4, titled &#8220;BNT162b2 (PF-07302048) Comparability Report for PPQ Drug Product Lots&#8221;<a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-109"><sup>109</sup></a>, which lists the lots distributed, their use and their corresponding production processes.</p></li></ol><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!ngdp!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F2b9f27c7-d120-4140-8f48-c4ed143b1496_542x929.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!ngdp!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F2b9f27c7-d120-4140-8f48-c4ed143b1496_542x929.png 424w, 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https://substackcdn.com/image/fetch/$s_!ngdp!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F2b9f27c7-d120-4140-8f48-c4ed143b1496_542x929.png 848w, https://substackcdn.com/image/fetch/$s_!ngdp!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F2b9f27c7-d120-4140-8f48-c4ed143b1496_542x929.png 1272w, https://substackcdn.com/image/fetch/$s_!ngdp!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F2b9f27c7-d120-4140-8f48-c4ed143b1496_542x929.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><ol start="89"><li><p>The comparability report distinguishes clinical, emergency and commercial supply lots as follows: &#8220;The drug product manufacturing process has evolved from clinical supply to emergency supply and finally to commercial supply, undergoing transfer to different manufacturing sites and process scale-up. Clinical supply was initially produced at Polymun, Austria (&#8220;classical&#8221; process). In order to improve the mass throughput of the LNP process and increase the batch size, the process was scaled up at Polymun (&#8220;upscale&#8221; process) followed by transport of the bulk drug product (fully formulated LNPs prior to sterile filtration) to Pfizer Puurs, Belgium for fill/finish operations (for the manufacture of &#8220;emergency supply&#8221; and commercial supply). This process has also been set-up at mibe (Dermapharm), Germany for manufacture of emergency supply material. Within this scope, the fill/finish operations at Puurs were initially conducted on the S2F2 line (for clinical supply) with transition to the WSL5 line for larger batch volumes (emergency use supply, and subsequently for commercial supply). For routine commercial production, the LNP production process has been fully transferred to Pfizer, Puurs, Belgium with fill/finish operations on filling lines WSL5, FC2 and VC2 and to Pfizer, Kalamazoo, US with fill/finish operations on filling lines L8 and L18 (for the manufacture of &#8220;commercial supply&#8221;)&#8221;<a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-110"><sup>110</sup></a>.</p></li><li><p>We can identify which lots are Process 1 or Process 2 from the same document based on the lots listed in Table 1 on page 4 and in notes b and e to Table 3 on page 11. Additional information on the process used to manufacture lots is from a document released under FOI by the FDA<a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-111"><sup>111</sup></a>. This document is titled &#8220;125742_S2_M3_32p5_batch_analyses.pdf.&#8221; - Table 3.2.P.5.4-1 &#8220;Summary of BNT162b2 Drug Product Lots&#8221; on page 4 of the document contains the relevant information. Both of these documents will be referred to below.</p></li></ol><h1><strong>Establishing Which Process 2 Lots Were Used in Clinical Trial C4591001</strong></h1><ol start="91"><li><p>A document released by the FDA details which lots had been shipped to which clinical research site at approximately 6 months into the trial. It is dated March 17, 2021 and titled &#8220;125742_S1_M5_5351_c4591001-interim-mth6-patient-batches.pdf&#8221;<a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-112"><sup>112</sup></a>. The following unique lots numbers are listed in that document: <em>BCV10320-A, BCV10420-A, BCV20420-A, BCV40420-A, BCV40620-A, BCV40620-B, BCV40620-C, BCV40620-D, BCV40720-A, BCV40720-B, BCV40720-C, ED3938, EE3813, EE8493Z</em>, and <em>EJ0553Z</em>. It is not clear what the &#8216;Z&#8217; at the end of lots EE8493 and EJ0553 refer to. In other documents these lots are listed without a Z suffix. It may have been used to designate that those lots used in the trial were from Process 2.</p></li><li><p>Based on the tables from TGA and FDA documents that were referred to in points 88 and 90 above, all lots starting with &#8216;BCV&#8217; are Process 1 lots. Lot ED3983 is listed in Table 3.2.P.5.4-1 of the FDA batch analysis document cited in point 90 as a &#8220;clinical&#8221; lot and is marked with note a, which is defined on page 13 as &#8220;equivalent to BCV40720-P,&#8221; which was established as a process 1 lot on point 91. Lot EE3813 is listed as a Process 1 clinical lot in both tables.</p></li><li><p>Two Process 2 lots are identified in the 6-month patient batches document cited on point 91: EE8493 and EJ0553. Lot EE8493 is listed as a Process 2 lot in Table 1 of the TGA&#8217;s &#8220;Comparability Report for PPQ Drug Product Lots&#8221; document cited on point 90 above (see column marked &#8220;DS Process and Site of Manufacture.&#8221;). Lot EJ0553 is listed in the TGA comparability report in note &#8216;d&#8217; of Table 3 on page 11. Note &#8216;d&#8217; in Table 3 is attached to the column &#8220;Historical Range: Emergency Supply,&#8221; which indicates that EJ0553 is an emergency supply lot, which was another term for Process 2. Note &#8216;d&#8217; further specifies that the manufacturing location of lot EJ0553 was &#8220;Polymun/Puurs WSL5&#8221;, which, based on the description from the document quoted on point 88, provides additional evidence that EJ0553 was an emergency supply lot and not a clinical lot, because every lot in Table 1 with the &#8220;DP Site of Manufacture&#8221; listed as &#8220;Polymun/Puurs WSL5&#8221; is a Process 2 lot. This is wholly consistent with the description of the evolution of the manufacturing process on page 3 as quoted in point 89 above. Many of the other lots in note &#8216;d&#8217; are listed in Table 1 on pages 4-5 of the TGA comparability report and are all marked as Process 2, and none of the lots listed in note &#8216;d&#8217; under Table 3 are listed in Table 1 as a clinical (Process 1) lot. In addition, all clinical lots are listed separately in note &#8216;b&#8217; of Table 3 on page 11. Lot EJ0553 is listed in the FDA &#8220;Batch Analysis&#8221; document cited on point 90 as both an emergency supply and clinical lot. Given that lot EE8493 is also listed as both an emergency supply and clinical lot, this indicates that both EE8493 and EJ0553 were used in some capacity in the clinical trial and were also part of the emergency supply.</p></li><li><p>In addition, almost all adverse events reported<a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-113"><sup>113</sup></a> in the United States Centers for Disease Control&#8217;s Vaccine Adverse Events Reporting System (VAERS<a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-114"><sup>114</sup></a>) for lots EE8493 and EJ0553 have a date of vaccination after Comirnaty had been authorized for temporary use in the UK. None of the other lots listed as having been supplied to the research sites have adverse event reports in VAERS<a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-115"><sup>115</sup></a>. This provides additional evidence that EE8493 and EJ0553 were process 2 formulations, as they were distributed and administered commercially post authorization.</p></li></ol><h1><strong>Evidence Lot EE8493 Was Used for Planned Comparison of Processes 1 and 2</strong></h1><ol start="95"><li><p>There are two ways to identify that lot EE8493 was used as part of the planned comparison study between Processes 1 and 2 as described in the clinical trial protocol cited on point 85. The first is by identifying which Process 2 lots were shipped to which clinical trial research sites and count how many treatment subjects were enrolled from the beginning of the comparison study (see points 98-99 below). The second is to show that the randomization numbers of a subset of participants was distinct from all the others (see point 100 below). These independent methods converge on the same result: only 252 subjects given vaccine doses from lot EE8493 were eventually enrolled as part of the planned comparison.</p></li><li><p>In a reply to FOI request 23/510, the United Kingdom&#8217;s Medicines &amp; Healthcare products Regulatory Agency (MHRA) attested that &#8220;the first clinical batch which contained process 2 drug substance was dosed 19th October 2020 in US&#8221;<a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-116"><sup>116</sup></a>.</p></li></ol><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!P3WH!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F87f2268c-9dc4-43a9-9837-412f54d13717_807x458.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!P3WH!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F87f2268c-9dc4-43a9-9837-412f54d13717_807x458.png 424w, https://substackcdn.com/image/fetch/$s_!P3WH!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F87f2268c-9dc4-43a9-9837-412f54d13717_807x458.png 848w, https://substackcdn.com/image/fetch/$s_!P3WH!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F87f2268c-9dc4-43a9-9837-412f54d13717_807x458.png 1272w, https://substackcdn.com/image/fetch/$s_!P3WH!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F87f2268c-9dc4-43a9-9837-412f54d13717_807x458.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!P3WH!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F87f2268c-9dc4-43a9-9837-412f54d13717_807x458.png" width="654" height="371.1672862453532" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/87f2268c-9dc4-43a9-9837-412f54d13717_807x458.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:458,&quot;width&quot;:807,&quot;resizeWidth&quot;:654,&quot;bytes&quot;:82295,&quot;alt&quot;:&quot;&quot;,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" title="" srcset="https://substackcdn.com/image/fetch/$s_!P3WH!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F87f2268c-9dc4-43a9-9837-412f54d13717_807x458.png 424w, https://substackcdn.com/image/fetch/$s_!P3WH!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F87f2268c-9dc4-43a9-9837-412f54d13717_807x458.png 848w, https://substackcdn.com/image/fetch/$s_!P3WH!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F87f2268c-9dc4-43a9-9837-412f54d13717_807x458.png 1272w, https://substackcdn.com/image/fetch/$s_!P3WH!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F87f2268c-9dc4-43a9-9837-412f54d13717_807x458.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><ol start="97"><li><p>The document from the FDA cited on point 91 lists which lots had been distributed to which study sites as of March 17, 2021. A similar document<a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-117"><sup>117</sup></a> lists which lots were supplied to each study site as of November 19, 2020. In that document, the only Process 2 lot listed is EE8493 (note: lot EJ0553 is not listed). Therefore, it can be inferred that EE8493 was the only Process 2 lot that had been distributed to the clinical study sites when the comparative study of processes 1 vs. 2 began on October 19, 2020. It was supplied to sites 1133, 1135, 1146 and 1170 according to both the interim and 6-month patient batch documents.</p></li><li><p>Analysis of the subjects who received their first dose on or after October 19, 2020 (<a href="https://github.com/OpenVaet/pfizer_docs_R/blob/main/process_2_subjects_by_sites_and_date.R">R</a><a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-118"><sup>118</sup></a>) shows that at those four sites, there were a total of 252 subjects administered the vaccine and 250 administered the placebo<a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-119"><sup>119</sup></a>. All of the 252 subjects in the treatment arm were between the ages of 16 and 55. This is consistent with the description of the planned study in the protocol to administer Process 2 doses &#8220;to approximately 250 participants 16 to 55 years of age&#8221; as detailed in paragraph 2. (See Appendix A for a list of the 252 subjects recruited to these sites during this time period.) This analysis can be confirmed by visual inspection of the BLA randomization file communicated by the sponsors to the FDA<a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-120"><sup>120</sup></a>.</p></li><li><p>Lot EJ0553 was shipped to site 1007. The 17 treatment recipients at site 1007 after October 19, 2020<strong> </strong>do not have randomization numbers that indicate inclusion in the comparative study of Processes 1 and 2, as detailed in paragraph 100. In addition, there are only 17 treatment subjects who could have potentially received doses from lot EJ0553, not the approximately 250 as planned in the protocol cited in paragraph 2. Therefore, we can conclude that these 17 subjects were not part of the planned study to compare processes 1 and 2. Given that lot EJ0553 was supplied to three other trial sites that did not enroll any new treatment subjects after November 14, 2020, it is likely that doses from this Process 2 lot were supplied to those four sites to administer to placebo subjects who were unblinded and offered to be vaccinated subsequent to the FDA&#8217;s issuance of Emergency Use Authorization on December 11, 2020.</p></li><li><p>The dataset and documents used for this analysis provide a second means for identifying the subjects involved in the comparison study - discovered by the same authors who authored Michels et al. (cited on points 71 to 79): the subject randomization number <strong>(</strong><a href="https://github.com/OpenVaet/pfizer_docs_R/blob/main/process_2_subjects_by_randomization_numbers.R">R</a><a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-121"><sup>121</sup></a><strong>)</strong>. Every subject in the trial falls between the numbers 1081 and 274318, except for a small subset of 502 subjects who have a unique range of randomization numbers between 400002 and 401509. Of these, 252 are the same treatment subjects identified on point 98, at the four sites that received Process 2 lots prior to Nov. 19, 2020. The others 250 are Placebo recipients, the same than those at the four sites identified on point 97 (<a href="https://github.com/OpenVaet/pfizer_docs_R/blob/main/compare_process_2_identification_methods.R">R</a><a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-122"><sup>122</sup></a>). This shows independent corroboration of the conclusion from paragraph 80 that these 252 treatment subjects from sites that received lot EE8493 were the only ones who were intended for the comparison between processes 1 and 2.</p></li><li><p>The comparison of process 1 vs process 2 recruitment has been represented on a weekly chart.</p></li></ol><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!pSL8!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ff78a9003-9229-4288-af37-497b47cfe78b_1920x1017.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!pSL8!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ff78a9003-9229-4288-af37-497b47cfe78b_1920x1017.png 424w, https://substackcdn.com/image/fetch/$s_!pSL8!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ff78a9003-9229-4288-af37-497b47cfe78b_1920x1017.png 848w, https://substackcdn.com/image/fetch/$s_!pSL8!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ff78a9003-9229-4288-af37-497b47cfe78b_1920x1017.png 1272w, https://substackcdn.com/image/fetch/$s_!pSL8!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ff78a9003-9229-4288-af37-497b47cfe78b_1920x1017.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!pSL8!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ff78a9003-9229-4288-af37-497b47cfe78b_1920x1017.png" width="1456" height="771" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/f78a9003-9229-4288-af37-497b47cfe78b_1920x1017.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:771,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:75542,&quot;alt&quot;:&quot;&quot;,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" title="" srcset="https://substackcdn.com/image/fetch/$s_!pSL8!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ff78a9003-9229-4288-af37-497b47cfe78b_1920x1017.png 424w, https://substackcdn.com/image/fetch/$s_!pSL8!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ff78a9003-9229-4288-af37-497b47cfe78b_1920x1017.png 848w, https://substackcdn.com/image/fetch/$s_!pSL8!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ff78a9003-9229-4288-af37-497b47cfe78b_1920x1017.png 1272w, https://substackcdn.com/image/fetch/$s_!pSL8!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ff78a9003-9229-4288-af37-497b47cfe78b_1920x1017.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><h1><strong>Evidence The Planned Comparison of Processes 1 and 2 Was Never Conducted</strong></h1><ol start="102"><li><p>In its response to FOI request 23/510, cited in paragraph 96 and attached to this report, the MHRA states that the data from the study were expected in February, 2021 (page 2). However, the planned comparison from the protocol was &#8220;removed and documented in Protocol amendment 20 in September 2022 due to the extensive usage of vaccines manufactured via &#8216;Process 2&#8217;. Thus, this process comparison was not conducted as part of the formal documentation&#8221; (page 5). At least as far as the MHRA is concerned, the comparison study was never conducted.</p></li></ol><h1><strong>Evidence the two products aren&#8217;t perfectly similar : higher rates of adverse effects among Process 2 recipients</strong></h1><ol start="103"><li><p>We modeled the impact of being a recipient of Process 2 compared to other variables on the number of adverse effects registered by subjects in the USA, 55 or under, using a Poisson regression, and found that it increases the count of adverse events by 264.33%; having a highly significant impact on the adverse effects (6.59 times larger effect than &#8220;comorbidity&#8221;); although less significant than the impact of the sex or obesity (<a href="https://github.com/OpenVaet/pfizer_docs_R/blob/main/model_process_2_aes.R">R</a><a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-123"><sup>123</sup></a>).</p></li><li><p>Comparing exclusively the 95 non-obese male recipients in the USA, Process 2 results in a 211.77% increase, with an impact 4.84 times larger than comorbidity. The evaluation is similar (214.49% increase) using a negative binomial regression.</p></li></ol><p><em><strong>When Christine Cotton later compared the 252 Process 2 recipients to six separately selected groups of 252 Process 1 recipients (each controlling for comorbidities, sex, or obesity), 61.5% of the Process 2 recipients had at least one adverse event versus 29.4&#8211;34.1% of the Process 1 recipients, and 58.7% versus 20.2&#8211;27.0% had one deemed product-related.<a href="https://christinecotton.fr/english_expertise_updated"><sup>1</sup></a> Since the 252 Process 2 recipients all came from four sites, some of this difference could reflect how those sites recorded adverse events, which is exactly why the comparison Pfizer planned (and then cancelled) needed to happen.<a href="https://christinecotton.fr/english_expertise_updated"><sup>1</sup></a></strong></em></p><h1><strong>Evidence of Differences in Lymphadenopathy for Process 1 versus Process 2 Lots and Inaccurate Statements by the MHRA</strong></h1><ol start="105"><li><p>Lymphadenopathy is the medical term for swollen lymph nodes. Differences in the reported rate of lymphadenopathy between the first two vaccine doses in the clinical trial (C4591001) and the rate of lymphadenopathy from the third (booster) dose are indicative of the different adverse event profiles of process 1 versus process 2 vaccine product. The reason is that the first two doses in the clinical trial were overwhelmingly from vaccine doses made with process 1, whereas booster doses given many months later would have been manufactured using the process 2 for commercial supply.</p></li><li><p>The &#8220;MHRA&#8217;s Public Assessment Report for the Authorisation for Temporary Supply&#8221; of Pfizer/BioNTech&#8217;s COVID-19 mRNA Vaccine BNT162b2 describes the rate of lymphadenopathy based on the preliminary report from clinical trial C4591001<a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-124"><sup>124</sup></a>. Although the public assessment report (MHRA&#8217;s PAR) was updated for adolescent vaccination in June, 2021, the cover page states that it &#8220;summarises the initial assessment at the time of approval in December 2020. The text in the original report remains unchanged.&#8221;</p></li><li><p>The lymphadenopathy rates from clinical trial C4591001 are listed on page 42 of the MHRA&#8217;s PAR as 0.3% and classed on page 50 as &#8220;uncommon,&#8221; defined as occurring greater than 0.1% of the time but less than 1%.</p></li><li><p>In the MHRA&#8217;s June, 2023, document titled &#8220;Information for Healthcare Professionals on COVID-19 Vaccine Pfizer/BioNTech (Regulation 174)&#8221;, the lymphadenopathy rate is given in Table 1<a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-125"><sup>125</sup></a>. It is listed as uncommon. But note (a) at the bottom of the table states: &#8220;A higher frequency of lymphadenopathy (5.2% vs 0.4%) was observed in participants receiving a booster dose (third dose) compared to participants receiving 2 doses.&#8221; A rate of 5.2% would move the lymphadenopathy from the &#8216;uncommon&#8217; classification to &#8216;common.&#8217; It represents a greater than 13-fold increase in the rate of lymphadenopathy<a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-126"><sup>126</sup></a>.</p></li><li><p>One possible explanation for this increase is that the booster dose provokes a stronger immune reaction, which leads to a higher rate of lymphadenopathy. However, careful and highly accurate imaging studies of lymphadenopathy performed by Israeli researchers at Tel Aviv University&#8217;s Medical School using PET-CT scans concluded that &#8220;the overall incidence of any-grade VAHL [vaccine-associated hypermetabolic lymphadenopathy] following the third COVID-19 vaccine dose is basically similar to that reported following the first and second COVID-19 vaccine doses. However, VAHL cases following the third dose were found to have shorter duration and low uptake intensity after the first 5 days from vaccination&#8221;<a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-127"><sup>127</sup></a>. This means not only that lymphadenopathy following booster vaccination was not worse than the first two doses, but in some ways it was even less severe.</p></li><li><p>The results of the Israeli research are not consistent with the 13-fold increase in the rate of lymphadenopathy reported by MHRA between the first two doses and the third dose. This Israeli research was not conducted as part of clinical trial C4591001. It was based on individuals who received commercial doses supplied to Israel after the vaccine rollout, meaning doses made using process 2.</p></li><li><p>On this basis, it can be concluded with very high confidence that the increase in the rate of lymphadenopathy reported by the MHRA is due to the switch from process 1 doses used in the clinical trial to process 2 doses used later for booster doses.</p></li><li><p>Although the source of the 5.2% rate of lymphadenopathy is not given, in light of the timing at which booster doses were first administered in the second half of 2021, they would had to have come from booster doses made using process 2. An increased rate of lymphadenopathy in booster doses is also supported by the Pfizer/BioNTech clinical trial C4591031 on the first booster (3<sup>rd</sup> dose), which reported a lymphadenopathy rate of 2.7%<a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-128"><sup>128</sup></a>. This represents an increase of over 6 times from doses 1 and 2 and is also not consistent with the finding from the Israeli research cited above (see fn. 12) showing no difference in lymphadenopathy between the first booster and earlier doses.</p></li></ol><h1><strong>The Cut-off Dates weren&#8217;t &#8220;Data Cut-off&#8221;</strong></h1><ol start="113"><li><p>While traditional trials have a date of cut-off which corresponds to the chronological end of the study, here the trial continued both after the EUA and the BLA applications. Practically, while the BLA data submitted documents indicating a cut-off date of March 13, 2021, the CRF kept being edited up to April 1st, 2021, as visual inspection of any CRF file reveals - see for example point 65. This makes reproduction of the BLA application - such as the exact COVID cases communicated, nearly impossible without full access to the audit trail <em><strong>[which Pfizer has not released for most participants]</strong></em>. A vast quantity of the adverse effects &#8220;re-qualified to COVID symptoms&#8221; are concerned by these &#8220;last minute edits&#8221;. To provide but a few examples of ambiguities related to the data cutoff, to be found among the 1028 CRF files:</p></li></ol><ul><li><p>12231058<a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-129"><sup>129</sup></a> - the adverse events of fatigue and injection site pain occurring on March 2nd &amp; 3th, 2021, were entered on March 23, 2021, and are present in the database (R<a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-130"><sup>130</sup></a>).</p></li></ul><div class="captioned-image-container"><figure><div class="image-link image2" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!TZ-D!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F662d6103-61cd-480c-94b6-bbb240d84340_1087x101.png 424w, https://substackcdn.com/image/fetch/$s_!TZ-D!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F662d6103-61cd-480c-94b6-bbb240d84340_1087x101.png 848w, https://substackcdn.com/image/fetch/$s_!TZ-D!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F662d6103-61cd-480c-94b6-bbb240d84340_1087x101.png 1272w, https://substackcdn.com/image/fetch/$s_!TZ-D!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F662d6103-61cd-480c-94b6-bbb240d84340_1087x101.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!TZ-D!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F662d6103-61cd-480c-94b6-bbb240d84340_1087x101.png" width="1087" height="101" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/662d6103-61cd-480c-94b6-bbb240d84340_1087x101.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:101,&quot;width&quot;:1087,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:26539,&quot;alt&quot;:&quot;&quot;,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" title="" srcset="https://substackcdn.com/image/fetch/$s_!TZ-D!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F662d6103-61cd-480c-94b6-bbb240d84340_1087x101.png 424w, https://substackcdn.com/image/fetch/$s_!TZ-D!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F662d6103-61cd-480c-94b6-bbb240d84340_1087x101.png 848w, https://substackcdn.com/image/fetch/$s_!TZ-D!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F662d6103-61cd-480c-94b6-bbb240d84340_1087x101.png 1272w, https://substackcdn.com/image/fetch/$s_!TZ-D!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F662d6103-61cd-480c-94b6-bbb240d84340_1087x101.png 1456w" sizes="100vw" loading="lazy"></picture><div></div></div></div></figure></div><ul><li><p>12261769<a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-131"><sup>131</sup></a> - the subject has a COVID visit on March 18, 2021 entered on March 19, 2021 that is not present in the database.</p></li><li><p>12312420<a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-132"><sup>132</sup></a> - COVID visit A from March 12 to March 15, 2021, entered March 16, 2021, and COVID visit B, 26.3. - ongoing, entered March 29, 2021, with a positive local swab on page 235, are both not present in the database.</p></li><li><p>12313610<a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-133"><sup>133</sup></a> - the SAE of atrial flutter, which occurred on February 19, 2021., was entered on March 20, 2021, with the site having sent the initial safety database on March 19, 2021, page 181, and is present in the database.</p></li></ul><div class="captioned-image-container"><figure><div class="image-link image2" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!vsO1!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa85ba14b-b14b-442a-8181-f3c2e5484c9e_1216x55.png 424w, https://substackcdn.com/image/fetch/$s_!vsO1!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa85ba14b-b14b-442a-8181-f3c2e5484c9e_1216x55.png 848w, https://substackcdn.com/image/fetch/$s_!vsO1!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa85ba14b-b14b-442a-8181-f3c2e5484c9e_1216x55.png 1272w, https://substackcdn.com/image/fetch/$s_!vsO1!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa85ba14b-b14b-442a-8181-f3c2e5484c9e_1216x55.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!vsO1!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa85ba14b-b14b-442a-8181-f3c2e5484c9e_1216x55.png" width="1216" height="55" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/a85ba14b-b14b-442a-8181-f3c2e5484c9e_1216x55.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:55,&quot;width&quot;:1216,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:13767,&quot;alt&quot;:&quot;&quot;,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" title="" srcset="https://substackcdn.com/image/fetch/$s_!vsO1!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa85ba14b-b14b-442a-8181-f3c2e5484c9e_1216x55.png 424w, https://substackcdn.com/image/fetch/$s_!vsO1!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa85ba14b-b14b-442a-8181-f3c2e5484c9e_1216x55.png 848w, https://substackcdn.com/image/fetch/$s_!vsO1!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa85ba14b-b14b-442a-8181-f3c2e5484c9e_1216x55.png 1272w, https://substackcdn.com/image/fetch/$s_!vsO1!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa85ba14b-b14b-442a-8181-f3c2e5484c9e_1216x55.png 1456w" sizes="100vw" loading="lazy"></picture><div></div></div></div></figure></div><h1><strong>Exploitation of the Medical History Loophole</strong></h1><ol start="114"><li><p>The Study Protocol<a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-134"><sup>134</sup></a> specified major loopholes in the recording of the adverse events, practically meaning that preexisting conditions or conditions parts of the medical history of the subject wouldn&#8217;t be registered depending on the appreciation, by the principal investigator, of the &#8220;related nature&#8221; of the condition.</p></li></ol><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!Glln!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F36a7e6de-95e7-47da-8c69-c07b44bbe927_613x417.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!Glln!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F36a7e6de-95e7-47da-8c69-c07b44bbe927_613x417.png 424w, https://substackcdn.com/image/fetch/$s_!Glln!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F36a7e6de-95e7-47da-8c69-c07b44bbe927_613x417.png 848w, https://substackcdn.com/image/fetch/$s_!Glln!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F36a7e6de-95e7-47da-8c69-c07b44bbe927_613x417.png 1272w, https://substackcdn.com/image/fetch/$s_!Glln!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F36a7e6de-95e7-47da-8c69-c07b44bbe927_613x417.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!Glln!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F36a7e6de-95e7-47da-8c69-c07b44bbe927_613x417.png" width="671" height="456.4551386623165" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/36a7e6de-95e7-47da-8c69-c07b44bbe927_613x417.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:417,&quot;width&quot;:613,&quot;resizeWidth&quot;:671,&quot;bytes&quot;:98029,&quot;alt&quot;:&quot;&quot;,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" title="" srcset="https://substackcdn.com/image/fetch/$s_!Glln!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F36a7e6de-95e7-47da-8c69-c07b44bbe927_613x417.png 424w, https://substackcdn.com/image/fetch/$s_!Glln!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F36a7e6de-95e7-47da-8c69-c07b44bbe927_613x417.png 848w, https://substackcdn.com/image/fetch/$s_!Glln!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F36a7e6de-95e7-47da-8c69-c07b44bbe927_613x417.png 1272w, https://substackcdn.com/image/fetch/$s_!Glln!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F36a7e6de-95e7-47da-8c69-c07b44bbe927_613x417.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a><figcaption class="image-caption"><em><strong>Note: one of the most common side effects of the vaccine was a worsening of a pre-existing condition.</strong></em></figcaption></figure></div><ol start="115"><li><p>This protocol loophole, whose full characterization is a tedious work which isn&#8217;t the subject of this current report, has allowed the dissimulation of considerable &#8220;worsening of conditions&#8221;. For example, subject 10791044<a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-135"><sup>135</sup></a> sees a &#8220;worsening of osteoarthritis&#8221;, resulting in his two knees being replaced, or 11171146&#8217;s aortic aneurysm being deleted from the AE log due to the PI&#8217;s assessment.<a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-136"><sup>136</sup></a></p></li></ol><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!DVug!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ff219fade-b835-41cd-ab15-37f2160eb92d_711x455.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!DVug!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ff219fade-b835-41cd-ab15-37f2160eb92d_711x455.png 424w, https://substackcdn.com/image/fetch/$s_!DVug!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ff219fade-b835-41cd-ab15-37f2160eb92d_711x455.png 848w, https://substackcdn.com/image/fetch/$s_!DVug!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ff219fade-b835-41cd-ab15-37f2160eb92d_711x455.png 1272w, https://substackcdn.com/image/fetch/$s_!DVug!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ff219fade-b835-41cd-ab15-37f2160eb92d_711x455.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!DVug!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ff219fade-b835-41cd-ab15-37f2160eb92d_711x455.png" width="711" height="455" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/f219fade-b835-41cd-ab15-37f2160eb92d_711x455.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:455,&quot;width&quot;:711,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:80287,&quot;alt&quot;:&quot;&quot;,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" title="" srcset="https://substackcdn.com/image/fetch/$s_!DVug!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ff219fade-b835-41cd-ab15-37f2160eb92d_711x455.png 424w, https://substackcdn.com/image/fetch/$s_!DVug!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ff219fade-b835-41cd-ab15-37f2160eb92d_711x455.png 848w, https://substackcdn.com/image/fetch/$s_!DVug!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ff219fade-b835-41cd-ab15-37f2160eb92d_711x455.png 1272w, https://substackcdn.com/image/fetch/$s_!DVug!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ff219fade-b835-41cd-ab15-37f2160eb92d_711x455.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><h1><strong>Evidence the two products aren&#8217;t perfectly similar: elevated rates of Menorrhagia in post-marketing studies</strong></h1><ol start="116"><li><p>Posterior studies found high rates of Menorrhagia ; for example 12+%<a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-137"><sup>137</sup></a> in a study on female students and staff at a university in Saudi Arabia. A meta-analysis<a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-138"><sup>138</sup></a>, by Al Kadri, found a pooled prevalence of 24.24 % (95 % CI: 12.8&#8211;35.6 %).</p></li><li><p>By opposition, only 4 cases of Menorrhagia had been reported as Adverse events during the trial (<a href="https://github.com/OpenVaet/pfizer_docs_R/blob/main/inspect_menstrual_disorders_aes.R">R</a><a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-139"><sup>139</sup></a>) - 2 among the BNT162b2 recipients (0.065% of the 3087 women 16 to 39).</p></li><li><p>Inspecting the Medical History records (R<a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-140"><sup>140</sup></a>), we found 131 BNT (1.77%) recipient female subjects 16 to 59, with a past medical history of Menorrhagia - for all of whom the event status was set to &#8220;LAST SUBJECT ENCOUNTER&#8221;. The rate increases to 1.93% (143 subjects) if we include other conditions which could be considered by the PI has related to Menorrhagia <em>(Dysfunctional uterine bleeding, Ovarian haemorrhage)</em>. This remains very far from the post-study rates, and would lead us to conclude that the very high rates of Menorrhagia in the post-marketing studies <em><strong>[which I covered <a href="https://www.midwesterndoctor.com/p/what-we-now-know-about-covid-vaccine">here</a>]</strong></em> are another consequence of the switch to Process 2.</p></li></ol><h1><strong>Anomalous patterns in PCR Testing</strong></h1><ol start="119"><li><p>There were a total of 110 days of the study from July 27, 2020 - first randomization, to the November 14, 2020 data cut-off, last data point included in the submission to the VRBPAC and the Polack paper in the New England Journal of Medicine. During this time period, following their first dose, 448 positive PCR tests were recorded in the Placebo arm, and 163 positive tests in the BNT162b2 arm (<a href="https://github.com/OpenVaet/pfizer_docs_R/blob/main/positive_pcrs_by_days_from_start.R">R</a><a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-141"><sup>141</sup></a>).</p></li></ol><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!EgRx!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Feab1c3bc-8eb8-4819-85ad-7552108d5490_1920x1017.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!EgRx!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Feab1c3bc-8eb8-4819-85ad-7552108d5490_1920x1017.png 424w, https://substackcdn.com/image/fetch/$s_!EgRx!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Feab1c3bc-8eb8-4819-85ad-7552108d5490_1920x1017.png 848w, https://substackcdn.com/image/fetch/$s_!EgRx!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Feab1c3bc-8eb8-4819-85ad-7552108d5490_1920x1017.png 1272w, https://substackcdn.com/image/fetch/$s_!EgRx!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Feab1c3bc-8eb8-4819-85ad-7552108d5490_1920x1017.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!EgRx!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Feab1c3bc-8eb8-4819-85ad-7552108d5490_1920x1017.png" width="1456" height="771" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/eab1c3bc-8eb8-4819-85ad-7552108d5490_1920x1017.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:771,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:112480,&quot;alt&quot;:&quot;&quot;,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" title="" srcset="https://substackcdn.com/image/fetch/$s_!EgRx!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Feab1c3bc-8eb8-4819-85ad-7552108d5490_1920x1017.png 424w, https://substackcdn.com/image/fetch/$s_!EgRx!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Feab1c3bc-8eb8-4819-85ad-7552108d5490_1920x1017.png 848w, https://substackcdn.com/image/fetch/$s_!EgRx!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Feab1c3bc-8eb8-4819-85ad-7552108d5490_1920x1017.png 1272w, https://substackcdn.com/image/fetch/$s_!EgRx!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Feab1c3bc-8eb8-4819-85ad-7552108d5490_1920x1017.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><ol start="120"><li><p>Restricting, per protocol, to the tests recorded with symptoms within 4 days, brings the totals to 306 Placebo &amp; 55 BNT162b2. The rate of BNT162b2 discarded by lack of symptoms (-66.3%) against the Placebo discarded (-31.7%) is of course highly statistically significant <em><strong>[and again inflated efficacy].</strong></em></p></li></ol><div class="captioned-image-container"><figure><div class="image-link image2" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!N9qk!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F1be42a73-f979-46cb-af79-8c4b89ed8faa_774x169.png 424w, https://substackcdn.com/image/fetch/$s_!N9qk!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F1be42a73-f979-46cb-af79-8c4b89ed8faa_774x169.png 848w, https://substackcdn.com/image/fetch/$s_!N9qk!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F1be42a73-f979-46cb-af79-8c4b89ed8faa_774x169.png 1272w, https://substackcdn.com/image/fetch/$s_!N9qk!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F1be42a73-f979-46cb-af79-8c4b89ed8faa_774x169.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!N9qk!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F1be42a73-f979-46cb-af79-8c4b89ed8faa_774x169.png" width="774" height="169" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/1be42a73-f979-46cb-af79-8c4b89ed8faa_774x169.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:169,&quot;width&quot;:774,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:10452,&quot;alt&quot;:&quot;&quot;,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" title="" srcset="https://substackcdn.com/image/fetch/$s_!N9qk!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F1be42a73-f979-46cb-af79-8c4b89ed8faa_774x169.png 424w, https://substackcdn.com/image/fetch/$s_!N9qk!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F1be42a73-f979-46cb-af79-8c4b89ed8faa_774x169.png 848w, https://substackcdn.com/image/fetch/$s_!N9qk!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F1be42a73-f979-46cb-af79-8c4b89ed8faa_774x169.png 1272w, https://substackcdn.com/image/fetch/$s_!N9qk!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F1be42a73-f979-46cb-af79-8c4b89ed8faa_774x169.png 1456w" sizes="100vw" loading="lazy"></picture><div></div></div></div></figure></div><ol start="121"><li><p>We highlighted on point 69 the impact of the re-qualifications of the COVID symptoms. It is therefore useful to proceed to a similar &#8220;symptomatic analysis&#8221; considering COVID symptoms logged, no matter the dataset sustained by the clinical trial staff. This angle brings the totals to 70 symptomatic BNT162b2 with positive PCR (+15) against 316 Placebo (+10), and doesn&#8217;t explain the imbalance. The accrual of symptomatic PCR tests for each arm is represented in the following chart.</p></li></ol><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!Y6Gq!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7a711986-4ce2-441b-8c22-2f9637cce7b0_1920x1017.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!Y6Gq!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7a711986-4ce2-441b-8c22-2f9637cce7b0_1920x1017.png 424w, https://substackcdn.com/image/fetch/$s_!Y6Gq!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7a711986-4ce2-441b-8c22-2f9637cce7b0_1920x1017.png 848w, https://substackcdn.com/image/fetch/$s_!Y6Gq!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7a711986-4ce2-441b-8c22-2f9637cce7b0_1920x1017.png 1272w, https://substackcdn.com/image/fetch/$s_!Y6Gq!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7a711986-4ce2-441b-8c22-2f9637cce7b0_1920x1017.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!Y6Gq!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7a711986-4ce2-441b-8c22-2f9637cce7b0_1920x1017.png" width="1456" height="771" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/7a711986-4ce2-441b-8c22-2f9637cce7b0_1920x1017.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:771,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:112520,&quot;alt&quot;:&quot;&quot;,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" title="" srcset="https://substackcdn.com/image/fetch/$s_!Y6Gq!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7a711986-4ce2-441b-8c22-2f9637cce7b0_1920x1017.png 424w, https://substackcdn.com/image/fetch/$s_!Y6Gq!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7a711986-4ce2-441b-8c22-2f9637cce7b0_1920x1017.png 848w, https://substackcdn.com/image/fetch/$s_!Y6Gq!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7a711986-4ce2-441b-8c22-2f9637cce7b0_1920x1017.png 1272w, https://substackcdn.com/image/fetch/$s_!Y6Gq!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7a711986-4ce2-441b-8c22-2f9637cce7b0_1920x1017.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><ol start="122"><li><p>We analyzed by country (<a href="https://github.com/OpenVaet/pfizer_docs_R/blob/main/tests_on_symptoms.R">R</a><a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-142"><sup>142</sup></a>), for USA &amp; Argentina, the percentage of subjects reporting symptoms, resulting in a Central PCR test within 4 days, as per protocol. We smoothed the rendering on a rolling average of 3 days. The following chart exposes how, in the USA, each wave of symptoms reported is followed by a significant drop in the testing of both arms. Although it is possible that tests shortages would have occurred during high COVID waves, it is - in absence of adequate documentation - also possible that tests manipulations, such as delaying the recording of symptoms, of other forms of tests mitigation, would have occurred during these periods of drastic testing rate drops. This isn&#8217;t, in any case, the testing pattern we could expect in a trial aiming to provide reliable results.</p></li></ol><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!fIaP!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb151152f-eef1-4406-834b-0d1feac7029f_1920x1017.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!fIaP!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb151152f-eef1-4406-834b-0d1feac7029f_1920x1017.png 424w, https://substackcdn.com/image/fetch/$s_!fIaP!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb151152f-eef1-4406-834b-0d1feac7029f_1920x1017.png 848w, https://substackcdn.com/image/fetch/$s_!fIaP!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb151152f-eef1-4406-834b-0d1feac7029f_1920x1017.png 1272w, https://substackcdn.com/image/fetch/$s_!fIaP!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb151152f-eef1-4406-834b-0d1feac7029f_1920x1017.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!fIaP!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb151152f-eef1-4406-834b-0d1feac7029f_1920x1017.png" width="1456" height="771" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/b151152f-eef1-4406-834b-0d1feac7029f_1920x1017.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:771,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:172085,&quot;alt&quot;:&quot;&quot;,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" title="" srcset="https://substackcdn.com/image/fetch/$s_!fIaP!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb151152f-eef1-4406-834b-0d1feac7029f_1920x1017.png 424w, https://substackcdn.com/image/fetch/$s_!fIaP!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb151152f-eef1-4406-834b-0d1feac7029f_1920x1017.png 848w, https://substackcdn.com/image/fetch/$s_!fIaP!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb151152f-eef1-4406-834b-0d1feac7029f_1920x1017.png 1272w, https://substackcdn.com/image/fetch/$s_!fIaP!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb151152f-eef1-4406-834b-0d1feac7029f_1920x1017.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><ol start="123"><li><p>The same visible pattern, of drastic drop of the testing rate following the periods of intensive symptoms reporting, is visible - and also happens while symptoms reported are low, in Argentina (<a href="https://github.com/OpenVaet/pfizer_docs_R/blob/main/tests_on_symptoms_arg.R">R</a><a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-143"><sup>143</sup></a>) - posing further questions on the events which impacted the testing of the subjects reporting symptoms.</p></li></ol><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!nsG-!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F057c810e-f608-45cc-9eae-b6de08c7a8c2_1920x1017.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!nsG-!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F057c810e-f608-45cc-9eae-b6de08c7a8c2_1920x1017.png 424w, https://substackcdn.com/image/fetch/$s_!nsG-!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F057c810e-f608-45cc-9eae-b6de08c7a8c2_1920x1017.png 848w, https://substackcdn.com/image/fetch/$s_!nsG-!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F057c810e-f608-45cc-9eae-b6de08c7a8c2_1920x1017.png 1272w, https://substackcdn.com/image/fetch/$s_!nsG-!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F057c810e-f608-45cc-9eae-b6de08c7a8c2_1920x1017.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!nsG-!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F057c810e-f608-45cc-9eae-b6de08c7a8c2_1920x1017.png" width="1456" height="771" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/057c810e-f608-45cc-9eae-b6de08c7a8c2_1920x1017.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:771,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:159505,&quot;alt&quot;:&quot;&quot;,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" title="" srcset="https://substackcdn.com/image/fetch/$s_!nsG-!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F057c810e-f608-45cc-9eae-b6de08c7a8c2_1920x1017.png 424w, https://substackcdn.com/image/fetch/$s_!nsG-!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F057c810e-f608-45cc-9eae-b6de08c7a8c2_1920x1017.png 848w, https://substackcdn.com/image/fetch/$s_!nsG-!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F057c810e-f608-45cc-9eae-b6de08c7a8c2_1920x1017.png 1272w, https://substackcdn.com/image/fetch/$s_!nsG-!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F057c810e-f608-45cc-9eae-b6de08c7a8c2_1920x1017.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><h1><strong>Anomalies related to the PCR testing on subjects&#8217; COVID visits</strong></h1><ol start="124"><li><p>The randomized subjects in phase 3 triggered a total of 10,219 &#8220;symptomatic visits&#8221; - each &#8220;symptomatic visit&#8221; corresponding to a suspected COVID due to symptoms, but which may generate several physical visits by the subject to the site at several days&#8217; intervals (<a href="https://github.com/OpenVaet/pfizer_docs_R/blob/main/tests_on_symptomatic_visits.R">R</a><a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-144"><sup>144</sup></a>).</p></li><li><p>According to the protocol, samples taken during symptomatic visits were to be tested locally and &#8220;centrally&#8221;, at the Pfizer Pearl River laboratory, New York, USA. The central laboratory tests were the preferred method for a COVID case to be confirmed<a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-145"><sup>145</sup></a>, although depending on protocol variations, local tests approved by the FDA could be used<a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-146"><sup>146</sup></a>. A total of 9474 central tests and 5489 local tests were recorded at the cut-off date of March 13, 2021.</p></li><li><p>87.2% of the 4421 symptomatic visits made by subjects in the BNT162b2 group resulted in PCR tests being sent to the central laboratory, compared with 88.3% of the 5798 visits made by subjects in the placebo group. This minor difference was not significant.</p></li><li><p>In contrast, at the same date, only 43.5% of the 4421 symptomatic visits made by subjects in the BNT162b2 group had resulted in local PCR tests, compared with 50.8% of the 5798 visits made by subjects in the placebo group. This difference is highly significant and demonstrates that a significant difference in treatment between the groups, by the teams in charge, occurred at certain sites.</p></li></ol><div class="captioned-image-container"><figure><div class="image-link image2" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!zTsF!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F956beb6b-179d-43b4-add9-e347531e7fca_772x167.png 424w, https://substackcdn.com/image/fetch/$s_!zTsF!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F956beb6b-179d-43b4-add9-e347531e7fca_772x167.png 848w, https://substackcdn.com/image/fetch/$s_!zTsF!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F956beb6b-179d-43b4-add9-e347531e7fca_772x167.png 1272w, https://substackcdn.com/image/fetch/$s_!zTsF!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F956beb6b-179d-43b4-add9-e347531e7fca_772x167.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!zTsF!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F956beb6b-179d-43b4-add9-e347531e7fca_772x167.png" width="772" height="167" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/956beb6b-179d-43b4-add9-e347531e7fca_772x167.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:167,&quot;width&quot;:772,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:null,&quot;alt&quot;:&quot;&quot;,&quot;title&quot;:null,&quot;type&quot;:null,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" title="" srcset="https://substackcdn.com/image/fetch/$s_!zTsF!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F956beb6b-179d-43b4-add9-e347531e7fca_772x167.png 424w, https://substackcdn.com/image/fetch/$s_!zTsF!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F956beb6b-179d-43b4-add9-e347531e7fca_772x167.png 848w, https://substackcdn.com/image/fetch/$s_!zTsF!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F956beb6b-179d-43b4-add9-e347531e7fca_772x167.png 1272w, https://substackcdn.com/image/fetch/$s_!zTsF!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F956beb6b-179d-43b4-add9-e347531e7fca_772x167.png 1456w" sizes="100vw" loading="lazy"></picture><div></div></div></div></figure></div><ol start="128"><li><p>It is also important to observe the treatment of subjects for PCR tests on symptomatic visits at the end of the Emergency Use Authorization (EUA) in the United States on November 14, 2020. By this date, 5415 symptomatic visits had been recorded. Only 65.1% of BNT162b2 &amp; 65.5% of Placebo patients had had their symptomatic visits result in central testing.</p></li><li><p>Although less statistically significant, the difference in treatment for local tests persists. This difference in treatment, which was evident before the emergency marketing authorization was obtained, has not yet been explained.</p></li></ol><div class="captioned-image-container"><figure><div class="image-link image2" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!MkqR!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9468fb1d-591f-494b-a80d-75e7f9ca65a2_776x169.png 424w, https://substackcdn.com/image/fetch/$s_!MkqR!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9468fb1d-591f-494b-a80d-75e7f9ca65a2_776x169.png 848w, https://substackcdn.com/image/fetch/$s_!MkqR!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9468fb1d-591f-494b-a80d-75e7f9ca65a2_776x169.png 1272w, https://substackcdn.com/image/fetch/$s_!MkqR!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9468fb1d-591f-494b-a80d-75e7f9ca65a2_776x169.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!MkqR!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9468fb1d-591f-494b-a80d-75e7f9ca65a2_776x169.png" width="776" height="169" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/9468fb1d-591f-494b-a80d-75e7f9ca65a2_776x169.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:169,&quot;width&quot;:776,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:null,&quot;alt&quot;:&quot;&quot;,&quot;title&quot;:null,&quot;type&quot;:null,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" title="" srcset="https://substackcdn.com/image/fetch/$s_!MkqR!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9468fb1d-591f-494b-a80d-75e7f9ca65a2_776x169.png 424w, https://substackcdn.com/image/fetch/$s_!MkqR!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9468fb1d-591f-494b-a80d-75e7f9ca65a2_776x169.png 848w, https://substackcdn.com/image/fetch/$s_!MkqR!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9468fb1d-591f-494b-a80d-75e7f9ca65a2_776x169.png 1272w, https://substackcdn.com/image/fetch/$s_!MkqR!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9468fb1d-591f-494b-a80d-75e7f9ca65a2_776x169.png 1456w" sizes="100vw" loading="lazy"></picture><div></div></div></div></figure></div><ol start="130"><li><p>Analyzing symptomatic visits resulting in central PCR tests within the protocol window (<a href="https://github.com/OpenVaet/pfizer_docs_R/blob/main/tests_on_symptomatic_visits_4_days.R">R</a><a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-147"><sup>147</sup></a>), the number of tests carried out within the time limit drops to 54.2% for BNT162b2 and 56.2% for Placebos. The proportion of local tests carried out within the protocol window also falls, while continuing to show a significant difference in treatment between the groups, with 29.2% of tests done for the BNT162b2 and 33.3% for the Placebos (p-value 8.103e-06).</p></li></ol><p><em><strong>Between the EUA and BLA submissions, some vaccine recipients&#8217; central laboratory PCR results were changed from negative to positive and some testing records disappeared, altering the inputs that determined who counted as a COVID case.<a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-data"><sup>1</sup></a> Furthermore, Christine Cotton found that before the November 14, 2020 cutoff, 652 vaccine recipients versus 517 placebo recipients missed a required COVID illness visit, further indicating cases were looked for differently in each arm.<a href="https://christinecotton.fr/english_expertise_updated"><sup>1</sup></a></strong></em></p><h1><strong>Analysis of the local tests by sites shows the infringements to the blind are located in the United States</strong></h1><ol start="131"><li><p>Returning to the perspective envisaged in point 127 (March 13, 2021 by COVID visits - otherwise said as the BLA data was analyzed), we can focus on these anomalies by test site in order to identify abnormal sites (<a href="https://github.com/OpenVaet/pfizer_docs_R/blob/main/tests_on_symptomatic_visits_by_sites.R">R</a><a href="https://blog.openvaet.info/p/pfizerbiontech-c4591001-trial-audit#footnote-148"><sup>148</sup></a>). We performed a Fisher&#8217;s exact test on sites with at least 50 symptomatic visits in total in order to identify significantly unbalanced sites - systematically under-testing the BNT162b2 group compared to the Placebo group.</p></li></ol><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!d3ee!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F46181a45-2591-48da-905d-822e101cee9d_772x712.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!d3ee!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F46181a45-2591-48da-905d-822e101cee9d_772x712.png 424w, https://substackcdn.com/image/fetch/$s_!d3ee!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F46181a45-2591-48da-905d-822e101cee9d_772x712.png 848w, https://substackcdn.com/image/fetch/$s_!d3ee!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F46181a45-2591-48da-905d-822e101cee9d_772x712.png 1272w, https://substackcdn.com/image/fetch/$s_!d3ee!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F46181a45-2591-48da-905d-822e101cee9d_772x712.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!d3ee!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F46181a45-2591-48da-905d-822e101cee9d_772x712.png" width="772" height="712" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/46181a45-2591-48da-905d-822e101cee9d_772x712.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:712,&quot;width&quot;:772,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:null,&quot;alt&quot;:&quot;&quot;,&quot;title&quot;:null,&quot;type&quot;:null,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" title="" srcset="https://substackcdn.com/image/fetch/$s_!d3ee!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F46181a45-2591-48da-905d-822e101cee9d_772x712.png 424w, https://substackcdn.com/image/fetch/$s_!d3ee!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F46181a45-2591-48da-905d-822e101cee9d_772x712.png 848w, https://substackcdn.com/image/fetch/$s_!d3ee!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F46181a45-2591-48da-905d-822e101cee9d_772x712.png 1272w, https://substackcdn.com/image/fetch/$s_!d3ee!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F46181a45-2591-48da-905d-822e101cee9d_772x712.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><ol start="132"><li><p>To evaluate if less frequent, varied or severe presentations of symptoms could explain the offset, we measured the difference between symptoms reported by subjects and visits, on these sites, using a t-test (t = -4.729, p-value = 2.451e-06). The mean of symptoms reported by subjects on their visits was 2.49 for the BNT against 2.89 for the Placebos, would indicate that the BNT subjects reported significantly less symptoms than the Placebo.</p></li><li><p>However, given the questionable categorization of symptoms from COVID visits to adverse events we highlighted via Augusto Roux&#8217;s testimony on point 46 <em><strong>[whose severe reaction, per Roux,<a href="https://www.midwesterndoctor.com/p/what-really-happened-inside-the-covid"><sup>1</sup></a> was attributed by Polack to COVID despite Roux having a negative test]</strong></em>, and the wide scale of the phenomenon shown on points 61 to 66, it is necessary to observe that this effect reverses if we consider the COVID-like symptoms reported across all datasets. The following chart represents the percentage of symptoms reported by subjects, with a 7 days rolling average, in both arms, which resulted in being qualified as a COVID symptom and associated to a COVID visit in the adequate dataset. It illustrates that the proportion of symptoms reported by the BNT ending in being qualified as symptomatic visits remained consistently lower, up to the EUA &amp; unblinding.</p></li></ol><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!Ugpx!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F03242395-1ff4-4d42-906b-3d7fee43755d_1920x1017.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!Ugpx!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F03242395-1ff4-4d42-906b-3d7fee43755d_1920x1017.png 424w, https://substackcdn.com/image/fetch/$s_!Ugpx!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F03242395-1ff4-4d42-906b-3d7fee43755d_1920x1017.png 848w, https://substackcdn.com/image/fetch/$s_!Ugpx!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F03242395-1ff4-4d42-906b-3d7fee43755d_1920x1017.png 1272w, https://substackcdn.com/image/fetch/$s_!Ugpx!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F03242395-1ff4-4d42-906b-3d7fee43755d_1920x1017.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!Ugpx!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F03242395-1ff4-4d42-906b-3d7fee43755d_1920x1017.png" width="1456" height="771" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/03242395-1ff4-4d42-906b-3d7fee43755d_1920x1017.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:771,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:null,&quot;alt&quot;:&quot;&quot;,&quot;title&quot;:null,&quot;type&quot;:null,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" title="" srcset="https://substackcdn.com/image/fetch/$s_!Ugpx!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F03242395-1ff4-4d42-906b-3d7fee43755d_1920x1017.png 424w, https://substackcdn.com/image/fetch/$s_!Ugpx!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F03242395-1ff4-4d42-906b-3d7fee43755d_1920x1017.png 848w, https://substackcdn.com/image/fetch/$s_!Ugpx!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F03242395-1ff4-4d42-906b-3d7fee43755d_1920x1017.png 1272w, https://substackcdn.com/image/fetch/$s_!Ugpx!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F03242395-1ff4-4d42-906b-3d7fee43755d_1920x1017.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><h1><strong>Recapitulation of the major anomalies at sites scale</strong></h1><p>The major anomalies at &#8220;site scale&#8221; can be categorized between those impacting the blind:</p><ul><li><p>anomalies to deviations, Point 33</p></li><li><p>anomalies in the PCR rates between arms, Point 131</p></li></ul><p>and those involving serious concerns that subjects may have been removed from the records:</p><ul><li><p>anomalies in the randomization numbers communicated, Point 25</p></li><li><p>anomalies in the identification numbers of the subjects, Point 48</p></li></ul><p>The following tables are summarizing the impacted sites ; leaving only 17 sites over the 153 listed to be &#8220;spared&#8221; by major anomalies.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!iERZ!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F511ae1c7-e133-4e19-9c4f-400c5eb1d889_1142x852.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!iERZ!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F511ae1c7-e133-4e19-9c4f-400c5eb1d889_1142x852.png 424w, https://substackcdn.com/image/fetch/$s_!iERZ!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F511ae1c7-e133-4e19-9c4f-400c5eb1d889_1142x852.png 848w, https://substackcdn.com/image/fetch/$s_!iERZ!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F511ae1c7-e133-4e19-9c4f-400c5eb1d889_1142x852.png 1272w, 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15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!wI_g!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7a543143-5b6c-4437-9672-3e6fa9a6dfb0_1141x806.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!wI_g!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7a543143-5b6c-4437-9672-3e6fa9a6dfb0_1141x806.png 424w, https://substackcdn.com/image/fetch/$s_!wI_g!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7a543143-5b6c-4437-9672-3e6fa9a6dfb0_1141x806.png 848w, https://substackcdn.com/image/fetch/$s_!wI_g!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7a543143-5b6c-4437-9672-3e6fa9a6dfb0_1141x806.png 1272w, https://substackcdn.com/image/fetch/$s_!wI_g!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7a543143-5b6c-4437-9672-3e6fa9a6dfb0_1141x806.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!wI_g!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7a543143-5b6c-4437-9672-3e6fa9a6dfb0_1141x806.png" width="1141" height="806" 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https://substackcdn.com/image/fetch/$s_!wI_g!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7a543143-5b6c-4437-9672-3e6fa9a6dfb0_1141x806.png 848w, https://substackcdn.com/image/fetch/$s_!wI_g!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7a543143-5b6c-4437-9672-3e6fa9a6dfb0_1141x806.png 1272w, https://substackcdn.com/image/fetch/$s_!wI_g!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7a543143-5b6c-4437-9672-3e6fa9a6dfb0_1141x806.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!So17!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F60778446-2d1e-4532-9f29-bc2fce35674d_1141x507.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!So17!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F60778446-2d1e-4532-9f29-bc2fce35674d_1141x507.png 424w, https://substackcdn.com/image/fetch/$s_!So17!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F60778446-2d1e-4532-9f29-bc2fce35674d_1141x507.png 848w, https://substackcdn.com/image/fetch/$s_!So17!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F60778446-2d1e-4532-9f29-bc2fce35674d_1141x507.png 1272w, https://substackcdn.com/image/fetch/$s_!So17!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F60778446-2d1e-4532-9f29-bc2fce35674d_1141x507.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!So17!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F60778446-2d1e-4532-9f29-bc2fce35674d_1141x507.png" width="1141" height="507" 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https://substackcdn.com/image/fetch/$s_!So17!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F60778446-2d1e-4532-9f29-bc2fce35674d_1141x507.png 848w, https://substackcdn.com/image/fetch/$s_!So17!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F60778446-2d1e-4532-9f29-bc2fce35674d_1141x507.png 1272w, https://substackcdn.com/image/fetch/$s_!So17!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F60778446-2d1e-4532-9f29-bc2fce35674d_1141x507.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><div><hr></div><h1>Conclusion</h1><p>Because of how much money is behind the mRNA juggernaut, stopping it is immensely challenging&#8212;even for reformers in the government who have done all they can to oppose it.  Revisiting the original lie that propped up the vaccines is hence extremely valuable&#8212;both because it provides a legal basis to challenge the vaccines on the grounds of fraud, and because it gives people who are now open to questioning the vaccine a way to save face, as they can blame their previous mistakes on having been tricked by a fraudulent trial rather than poor discernment on their part.</p><p>Much of this ultimately results from the fact we have settled for an absurd standard&#8212;we are expected to trust and follow &#8220;the science&#8221; when crafting public policy, yet at the same time we are forbidden from seeing the actual data underlying it, thereby allowing experts, corporations, and authorities to present renditions of the data we take at face value despite them being at odds with reality (e.g., we were continually prohibited from accessing the safety monitoring data (such as V-safe) that showed how dangerous the vaccines were, and while everything these independent auditors were able to uncover about the COVID vaccine trials is immensely concerning, it is likely only the tip of the iceberg, as much of the key data was never available to them).</p><p>Fortunately, things are changing.  Consider the following:</p><p>&#8226;After decades of denying the existence of vaccine injuries, under RFK&#8217;s leadership, <a href="https://www.hhs.gov/press-room/hhs-strengthens-vaccine-injury-research-reporting-patient-care.html">the HHS recently took major actions to acknowledge and address them</a>, by creating an NIH center for studying and treating them, modernizing VAERS (<a href="https://www.midwesterndoctor.com/p/why-do-so-many-people-hate-the-vaccine-1d7">as the existing system is structured to make reporting very challenging</a>), requiring electronic health records to capture adverse events so they become part of a patient&#8217;s medical record, and developing reimbursements for physicians to diagnose, report, and treat vaccine injuries.</p><p>&#8226;Senator Ron Johnson, through years of persistence, has managed to become chair of the Senate&#8217;s premier investigative body (and likely the only party which can obtain Pfizer&#8217;s raw data and case report forms). Since then, he has been aggressively using his authority to obtain hard proof of the malfeasance that occurred within the (increasingly corrupt) HHS, along with many other parties which played a role in this debacle (e.g., Pfizer), and for the first time in history, has provided concrete (and widely seen) evidence of what happened&#8212;particularly since HHS, under RFK&#8217;s direction, has been providing Senator Johnson&#8217;s investigative team with the material they require (whereas in the past great efforts would have been made to dodge the subpoenas).<em><br>Note: I feel one of the most consequential effects of the midterms will be who gains control of the Senate, as if control flips, by Senate rules, it will no longer be possible for Senator Johnson to conduct many of the critical medical investigations he ran for office to perform.</em></p><p>&#8226;Ken Paxton (who is currently in a close race for one of Texas&#8217;s U.S. Senate seats and has been one of the leading attorneys general opposing vaccine mandates) has also been one of the few officials willing to directly take on the industry behind them. In 2023, he sued Pfizer for misrepresenting its vaccine&#8217;s efficacy, specifically the &#8220;95% effective&#8221; figure from the trial discussed throughout this article.<a href="https://www.texasattorneygeneral.gov/news/releases/attorney-general-ken-paxton-sues-pfizer-misrepresenting-covid-19-vaccine-efficacy-and-conspiring"><sup>1</sup></a> In January, he launched an investigation into the financial incentives behind childhood vaccine recommendations, issuing over 20 civil investigative demands to entities including UnitedHealthcare and Pfizer to determine whether providers, insurers, or manufacturers unlawfully failed to disclose the wages, bonuses, and employment tied to vaccinating children (a system his office notes has led to children across Texas being expelled from pediatric practices because of their vaccination status).<a href="https://www.texasattorneygeneral.gov/news/releases/attorney-general-ken-paxton-launches-wide-sweeping-investigation-unlawful-financial-incentives"><sup>1</sup></a> In August, he expanded the investigation to the American Academy of Pediatrics (whose recommendations shape much of pediatric practice), questioning why the only time the AAP has ever broken from the CDC&#8217;s vaccine recommendations was when its top donors stood to lose money.<a href="https://www.texasattorneygeneral.gov/news/releases/attorney-general-ken-paxton-investigates-american-academy-pediatrics-deceptively-promoting-childhood"><sup>1</sup></a><sup> </sup>Beyond indicating that things are changing (as politicians respond to public sentiment and becoming increasingly willing to touch the vaccine issue), this also highlights the potential for significant shifts in federal policy if the midterms favor advocates for vaccine safety and choice.</p><p><em>Note: just as the New York Times recently published <a href="https://www.nytimes.com/2026/10/07/us/politics/kennedy-vaccine-injuries.html">an unhappy piece</a> about RFK&#8217;s efforts to have vaccine injuries federally acknowledged, it just published <a href="https://www.nytimes.com/2026/10/05/health/ken-paxton-pediatricians-vaccines.html">a mortified one</a> about Paxton&#8217;s (which numerous colleagues told me I had to read).</em></p><p>&#8226;<a href="https://eddowdbeyondthenarrative.substack.com/">Ed Dowd</a> (who <a href="https://eddowdbeyondthenarrative.substack.com/">recently joined Substack</a> and has been making excellent content about vaccine injuries and understanding the financial system) was invited by Fox to speak about AI and the economy. To my surprise, the host abruptly pivoted to Ed&#8217;s COVID vaccine injury work, let Ed discuss the issue without interrupting him, plugged his Substack, and then concluded by complimenting his work and stating they&#8217;d like to have him back&#8212;suggesting that a huge cultural shift is now emerging at Fox on this previously taboo topic (perhaps because employees there have been injured by the vaccines).</p><div class="native-video-embed" data-component-name="VideoPlaceholder" data-attrs="{&quot;mediaUploadId&quot;:&quot;9c901904-2421-4127-a124-9662486d240f&quot;,&quot;duration&quot;:null}"></div><p>One of my foundational beliefs is that policy often follows public opinion, and more and more, it seems the groundswell of support we need to overturn the mRNA juggernaut is emerging. As such, I feel one of the most critical things we can do now is to recognize <strong>we are now in the majority</strong> (<a href="https://www.midwesterndoctor.com/p/polling-reveals-a-profound-shift">as a series of vaccine polls earlier this year showed</a>) and that it is time to shift the public narrative by openly discussing the issues with vaccination and the vast fraud that accompanies it, such as what Pfizer did throughout its clinical trials. It is still mind-blowing to see how fast the societal perspective on vaccination has shifted, and I am profoundly grateful both to be part of this shift and, through your support, to finally be able to help make things better.</p><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://www.midwesterndoctor.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">Your support makes The Forgotten Side of Medicine possible! 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Additionally, an index of all the articles published in the Forgotten Side of Medicine can be viewed <a href="https://www.midwesterndoctor.com/p/an-index-of-the-forgotten-side-of">here</a>.</em></p>]]></content:encoded></item><item><title><![CDATA[The Vanishing Human Presence]]></title><description><![CDATA[Why flawless feels fake, how industry learned to engineer the person out of art, and what that costs us]]></description><link>https://www.midwesterndoctor.com/p/the-vanishing-human-presence</link><guid isPermaLink="false">https://www.midwesterndoctor.com/p/the-vanishing-human-presence</guid><dc:creator><![CDATA[A Midwestern Doctor]]></dc:creator><pubDate>Thu, 08 Oct 2026 21:03:15 GMT</pubDate><enclosure url="https://substack-post-media.s3.amazonaws.com/public/images/aa4a8b2c-f3ed-4bcb-9270-c8684c76ffe8_1168x784.jpeg" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p><strong>Story at a Glance:</strong></p><p>&#8226; <strong>One of the most fascinating things about our era is how quickly everything changes. Within a few decades, I watched technology enter media and entertainment, dramatically enhance them, and then degrade them once the technology rather than the artist became the focus, leaving so much of what was &#8220;optimized&#8221; no longer feeling real, as the imperfections that revealed a human presence were engineered away.</strong></p><p>&#8226; <strong>These optimized products function as supernormal stimuli, exaggerated imitations that our instincts prefer to the real thing. As such, they often trap us in hollow dopamine spikes that deplete the nervous system until it can no longer perceive subtler and more nourishing experiences, and erode the capacity for presence they replaced.</strong></p><p>&#8226; <strong>Medicine, for instance, has undergone the same transformation, as the art of perceiving and adapting to each patient has been replaced by protocols built for a statistical average that few people actually match. This is hidden behind a carefully marketed facade that, once you are inside the system, often gives way to something callous and disorganized. Physicians who still practice medicine as an art are stigmatized yet sought out because they succeed where standardized care fails, while those who reduced themselves to protocols have made themselves replaceable by AI.</strong></p><p>&#8226; <strong>Ultimately, this maze of synthetic substitutes keeps many from ever asking the most important question in life: what it is meaningful for them to do with their time here.</strong></p><h1>Hearing the Person</h1><p>Recently, I heard two pop songs from the late 1990s-early 2000s on the radio, and what struck me was how much better they were than almost anything you hear now. This surprised me, as back then, I never gave that music a second thought (to me it was simply what the kids of that generation listened to), so I hadn&#8217;t noticed this before. I then decided to listen to more hits from that time to see if the pattern I&#8217;d noticed in those two songs held up.</p><p>Once I saw that it did (at least in the good songs from that period), I realized that I needed to write this article, as that pattern touches upon a broader process that has permeated our society and I believe began in the 1990s as this time was the inflection point for tech engulfing our society.</p><p><em>Note: one of the things that characterizes our society is the dizzying speed at which technology now reshapes it, something I believe began in the 1990s, as while much of this technology emerged in the 1980s, in that decade it felt more like something new and interesting being added to our reality rather than something that reshaped it.</em></p><p>In the case of music, the 1990s and early 2000s were a major transition point, as digital editing spread throughout the 1990s, and Auto-Tune (pitch-correction software released in 1997) reached the top of the charts with Cher&#8217;s 1998 &#8220;Believe,&#8221; the first number one hit to make its use obvious.<a href="https://stereogum.com/2191750/the-number-ones-chers-believe/columns/the-number-ones"><sup>1</sup></a> These new technologies were initially used to enhance the presence of the artist within the music&#8212;but in time they stopped serving the artist and began replacing them.</p><p>The difference, in turn, that I noticed in these &#8220;ancient&#8221; pop songs was human presence, which I felt provided a much deeper emotional experience than modern pop music. For example, on those recordings, you could hear the people making them (e.g., a singer&#8217;s voice straining on a line, a breath before a phrase, a drummer hitting one beat harder than the others, or a note held a bit longer because the singer felt like it)&#8212;none of these were necessary, and from the standpoint of a perfect recording they are errors, but at the same time, they feel much more real than a synthetic production.</p><p>Modern production, in contrast, has gotten extremely good at removing that evidence, as every note can now be tuned, every beat locked to a grid, every breath erased, and every vocal assembled from dozens of takes until nothing is left that shows the person who made it. The result is technically flawless, but simultaneously feels empty&#8212;suggesting the more perfectly you reproduce a human performance, the less human it tends to feel.</p><p>However, production itself is not the problem, as many of the songs that struck me from that time period were heavily produced. Rather, the question I believe matters is not &#8220;how much production is there?&#8221; but &#8220;does the production make the human being more audible, or less?&#8221; So in the enduring songs from that era, the technology made the singer sound larger than life while still leaving them unmistakably human, whereas in much of what followed, it gradually replaced them.</p><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://www.midwesterndoctor.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">The Forgotten Side of Medicine is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. To find out how others have benefitted from this publication, click <a href="https://www.midwesterndoctor.com/p/reader-feedback">here</a>.</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div><p></p><h1>What Was Lost in the Digital Transition</h1><p>In his 2011 book <a href="https://www.kirkusreviews.com/book-reviews/jason-benlevi/too-much-magic-pulling-the-plug-on-the-cult-of-tec/">Too Much Magic</a>, Jason Benlevi (who spent over two decades writing the marketing for Silicon Valley product launches) argued that we are fundamentally analog beings who live in a world of infinite gradations, whereas computers are built on yes or no. For a century, recorded media were analogies of reality that only partly fooled us and worked <strong>because our imagination filled in the gaps</strong>, and while digital promised far greater fidelity through mathematical precision, he argued it also caused fidelity and veracity to separate, as digital media could now portray fiction flawlessly.</p><p>This touches upon one of my core beliefs. A lot of the meaning and depth in life exists within the ambiguity between one and two (or yes and no), but in our society&#8217;s desire to control and define nature so we can eliminate uncertainty, we erase that space. Similarly, I have long been drawn to ancient spiritual texts, as their ambiguity (e.g., in many older languages, words have multiple meanings or can be constructed in different ways) requires the reader to hold each of those possibilities at once, which in many cases causes them to coalesce into a holographic concept that exceeds what any rigidly defined set of words can convey (and can create an expansion within your mind that transforms your perception). My writing has, in turn, been heavily influenced by this style (although I try to have concrete scientific data serve as the scaffolding this ambiguity can emerge from), and likewise, I&#8217;ve long found things that are rigidly defined, where you can predict their entire course in advance, to be sterile and devoid of &#8220;life.&#8221;</p><p><em>Note: unfortunately, our society frequently does the opposite, taking things that are anything but certain and forcing them into strict dichotomies (e.g., &#8220;you&#8217;re either with us or against us&#8221;) to manufacture a sense of certainty. Psychologists refer to the trait underlying this as an &#8220;intolerance of uncertainty,&#8221; and a substantial body of research shows it frequently underlies anxiety and other emotional disorders.<a href="https://www.sciencedirect.com/science/article/pii/S0887618516300469"><sup>1</sup></a><sup>,</sup><a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC3712497/"><sup>2</sup></a> In my eyes, the rigidity we notice is usually just the visible surface, as underneath it, an intolerance of uncertainty feeds a drive for control, which in turn reinforces it until the entire stance hardens into dogmatism.</em></p><p>Benlevi opened his book with a Twilight Zone episode where a criminal dies and wakes up somewhere he wins every bet and gets everything he wants, until he becomes so bored that he complains this is not the heaven he expected, at which point his host reveals he is in the other place. As Benlevi put it, too much magic becomes no magic at all.<a href="https://www.kirkusreviews.com/book-reviews/jason-benlevi/too-much-magic-pulling-the-plug-on-the-cult-of-tec/"><sup>1</sup></a></p><p>Mattias Desmet made a related observation in <a href="https://www.amazon.com/Psychology-Totalitarianism-Mattias-Desmet/dp/1645021726">The Psychology of Totalitarianism</a> using Galileo&#8217;s pendulum. A real pendulum behaves chaotically and idiosyncratically, whereas a virtual one programmed to follow Galileo&#8217;s law exactly would look nearly identical yet be a dead phenomenon lacking the living chaos of the real one. From this, he argued that every rational model of a natural phenomenon leaves an unexplained remainder, and that this remainder is not meaningless noise, but rather the essence of the thing itself&#8212;which is why whenever we artificially reproduce something natural (e.g., lab-grown meat), something is lost that is often barely visible yet crucial.</p><p>That said, while it felt to me like something was lost when we switched from analog to digital, with music the research shows very little was lost in the digital medium itself. In a 2007 study, hundreds of double-blind trials found listeners could not hear any difference when high-resolution audio was converted to CD quality,<a href="https://www.psaudio.com/blogs/pauls-posts/proven-cds-sound-high-rez"><sup>1</sup></a> and a 2016 meta-analysis of 18 studies found listeners could only slightly tell the two apart (although noticeably more once trained to).<a href="https://www.c4dm.eecs.qmul.ac.uk/news/2016-06-29.Hi-Res-Audio_Meta-Analysis"><sup>1</sup></a></p><p>However, what was lost was what digital made cheap. Digital &#8220;brickwall&#8221; limiters let engineers squash recordings so that everything sat near maximum volume, and from 1990 to 2010 (often called the &#8220;loudness war&#8221;), a standard marker of this compression dropped dramatically.<a href="https://uaudio.de/blog/sos-feature-loudness-war"><sup>1</sup></a> One analysis of the UK charts, for example, found hit singles lost about 20% of their dynamic range between 1985 and 2005 despite recording technology continually improving.<a href="https://blog.last.fm/2011/07/15/anatomy-of-the-uk-charts-part-4-survival-of-the-flattest"><sup>1</sup></a> Likewise, editing, quantizing, and pitch correction went from costly interventions to default settings.</p><p><em>Note: I did locate one study that looked at something the fidelity tests did not: <strong>how listeners felt</strong>. Around 2000, a German psychologist (J&#252;rgen Ackermann) had 53 participants listen to the same music through an analog system, a digital system, and an intermediate CD/tube system (in randomized order) while assessing their emotional states.<a href="https://stereophile.com/content/god-nuances-page-4"><sup>1</sup></a> With the analog system, nervousness dropped from a baseline of 1.8 to 1.1, whereas with the digital system it rose to 2.2. Likewise, 47 said the analog system improved their well-being (vs. 31 for digital), and while none said the analog system made them feel worse, 16 said this of the digital one. Most interestingly, one participant (a musician) could not hear any difference between the systems, yet his emotional responses shifted the same way as everyone else&#8217;s.</em></p><h1>Engineering the Listener</h1><p>As someone who is sensitive to sound, I constantly notice how much of modern music is designed to pull the nervous system in one direction or another&#8212;which while sometimes enjoyable to surrender into, I typically disdain as I am highly averse to external influences manipulating me. With modern music, there are far too many techniques to list, but a few include:</p><p>&#8226; Compression that keeps everything loud, which grabs attention but fatigues the ear and removes the contrast between quiet and loud that carries emotion.</p><p>&#8226; Scheduled build-ups and drops, where tension and release are put in because they reliably move the body rather than because the song calls for them.</p><p>&#8226; Changing how fast a song feels once you have synchronized to its groove (e.g., the drums suddenly hitting half or twice as often), which pushes you up or down without the tempo actually changing.</p><p>&#8226; Relentless repetition of a hook, which exploits the &#8220;mere-exposure effect&#8221; (where simply hearing something enough times makes people feel they like it).</p><p>&#8226; Building songs around streaming metrics. Since a play only counts once someone listens for 30 seconds, intros shrank from 20-25 seconds in the mid-1980s to about five seconds by 2015 as hooks were pushed to the very start.<a href="https://amp.cbc.ca/lite/story/1.5002748"><sup>1</sup></a></p><p>Each of these gimmicks, in turn, targets a reaction in the listener rather than expressing something in the performer that is real.</p><h1>Why the Human Gets Engineered Out</h1><p>A genuinely compelling artist is very hard to find, as they have to be discovered, developed, given time, and allowed to make choices that are not commercially obvious, and their particular voice can neither be predicted nor replaced. A production pipeline, in contrast, can be controlled, so once technology became good enough to produce a plausible imitation of human expression, there was <strong>much less incentive</strong> to find an extraordinary human being in the first place.</p><p>Benlevi traced the entertainment economics behind this. Unlike a car (which must be built again for each sale), a film or song is made once and sold forever, so a studio&#8217;s real assets become its library and its brands. In turn, the rational strategy became protecting them through sequels, remakes, aging stars reprising familiar roles, and formula, since audiences tend to prefer a known brand over something new regardless of its merit<a href="https://www.kirkusreviews.com/book-reviews/jason-benlevi/too-much-magic-pulling-the-plug-on-the-cult-of-tec/"><sup>1</sup></a> (e.g., the Fast &amp; Furious franchise, which began in 2001, now has an <strong>eleventh film in the works</strong>, slated for 2028).</p><p>This was not always the case. After Easy Rider was made for under a million dollars and earned about twenty times that, studios realized cheap personal films by young directors could pay off enormously, opening a ten-year window where risks could be afforded because a flop was survivable. American Graffiti (which executives had turned down) was made for under a million and returned about 70 times its budget, giving George Lucas the chance to make the science fiction film those same executives had also rejected (Star Wars).<a href="https://www.kirkusreviews.com/book-reviews/jason-benlevi/too-much-magic-pulling-the-plug-on-the-cult-of-tec/"><sup>1</sup></a> At a few hundred million dollars per film, however, no one can afford to gamble on a strange idea (or get investors to support it), so everything converges on the safe formula&#8212;not unlike how most pharmaceutical products reuse established franchises rather than developing new transformative therapies.</p><p>Lucas&#8217;s own trajectory highlights this systemic issue. He famously kept the merchandising rights to Star Wars, creating the template for the franchise machine that later swallowed it, and he made his early films as an outsider who had to rely on actors, puppets, and practical sets, whereas once he had unlimited money and technology, his prequels were widely criticized for falling into the same trap. Benlevi, for instance, felt Yoda was funnier and more lovable as a Frank Oz puppet acting alongside the live cast than as the computer-generated character he later became, and noted that the later films&#8217; actors were often speaking to characters who were not there when the scenes were filmed (which showed).<a href="https://www.kirkusreviews.com/book-reviews/jason-benlevi/too-much-magic-pulling-the-plug-on-the-cult-of-tec/"><sup>1</sup></a></p><p>The marketing around The Phantom Menace likewise shows how product began to drive story. PepsiCo&#8217;s reported $2 billion Star Wars tie-in deal, signed in the lead-up to the film, remains the largest single cross-promotion in movie history,<a href="https://www.guinnessworldrecords.com/world-records/69915-largest-film-merchandising-campaign"><sup>1</sup></a> and the film went on to generate close to $2 billion in merchandise sales, several times its $431 million box office.<a href="https://money.cnn.com/2002/05/16/news/starwars/"><sup>1</sup></a> Its heavily hyped podrace, for instance, was widely praised as a visual spectacle, yet numerous reviewers felt it played more like an advertisement for its tie-in video game, which was released alongside the film and turned that single scene into an entire game.</p><p>Disney (which bought Lucasfilm in 2012) then industrialized this, as its sequels brought back the Millennium Falcon, another Death Star, and a lonely young protagonist on a desert planet (the identifiable surface features of what had worked). Marvel shows the same thing even more clearly. One of its earlier films was a fairly grounded thriller that gave its scenes room to breathe, whereas a later and enormously hyped installment by the same directors felt like one small scene after another designed to elicit hype from the audience before cutting to something else, and after watching it for 15 minutes on a plane, I completely lost interest in the entire franchise. Since the same filmmakers made both, the issue was not a loss of talent, but a machine (servicing dozens of franchise characters while delivering a spectacle every few minutes) that no longer let that talent show.</p><p><em>Note: Benlevi made a related point about the old epics, observing that when the crew of Lawrence of Arabia waited for hours in brutal desert heat to capture the right sunrise, the actors could not help but rise to it, and that this kind of adventure cannot take place in front of a workstation.<a href="https://www.kirkusreviews.com/book-reviews/jason-benlevi/too-much-magic-pulling-the-plug-on-the-cult-of-tec/"><sup>1</sup></a></em></p><p>Video games went the same way. Within that community, some of the most positively remembered games come from the early 1990s, as this was when technology had finally crossed the threshold where a sophisticated and immersive gaming experience could be made, and developers had to find the best ways to use the limited resources each platform provided to create a memorable experience for players. However, after this period, the increasing sophistication and capacity of gaming platforms (and the cost of developing increasingly complex games) shifted the focus to creating immensely immersive experiences that could be formulaically replicated rather than the heart of the game (which is what many gamers felt ultimately mattered). Then, as recurring revenue became the increasingly prevalent business model, developers found as many ways as possible to tie gamers&#8217; time up with repetitive tasks to complete&#8212;transforming games from a challenge to finish to something which effectively became an extra job to manage (or put differently, older video games valued your time because they didn&#8217;t have space to do much else).</p><p><em>Note: one of the best illustrations of the success of this business model was the robust secondary economy that emerged for selling imaginary items collected within games for cash on sites like eBay, which became a large enough industry that there were <a href="https://www.theguardian.com/world/2011/may/25/china-prisoners-internet-gaming-scam">mainstream reports</a> of inmates at a Chinese labor camp being forced to collect one popular game&#8217;s currency at night after a day of hard labor.</em></p><p>Many other examples of the same principle exist, as I have noticed this pattern across almost every medium. When the tools were limited, creators had no choice but to focus on depth and meaning, whereas once technology made it possible to make anything elaborate, the elaborateness became the focus and the depth became an afterthought.</p><p>Furthermore, all of these examples highlight that there can be two very different kinds of friction within them: the kind that reveals a person (e.g., strain, imperfection, and risk) and the kind that exists to manage you (e.g., upkeep and daily logins). Modern products, in turn, have consistently gotten rid of the former while adding more and more of the latter.</p><h1>Real Art and Synthetic Mimicry</h1><p>In my eyes, real art falls into a few tiers:</p><p>&#8226; Master artists, who create messages that transcend the limits of their medium and touch on something profound.</p><p>&#8226; Great artists, such as the singers many people loved for their natural voices.</p><p>&#8226; Working artists, who produce art as a craft and do it well enough that most people enjoy it.</p><p>Below these are two counterfeits. Synthetic art tries to model successful artists and then improve and standardize what it extracted so it can be endlessly reproduced (and it tends to copy great and working artists rather than masters, since what makes a master cannot be extracted). Postmodern art, in contrast, is work whose value is declared by critics, institutions, and price tags rather than felt by its audience (e.g., in 2024, a banana duct-taped to a wall sold at Sotheby&#8217;s for $6.2 million).<a href="https://www.boston.com/news/arts/2024/11/21/duct-taped-banana-sells-for-6-2-million-at-art-auction/"><sup>1</sup></a></p><p>A skilled forger can reproduce every brushstroke of a masterpiece while capturing none of what made it worth copying, and in the same way, industry did not reproduce the essence of what people loved. Instead, it reproduced the measurable surface (e.g., the iconic ship, the big set piece, the familiar faces, or the explosive chorus) since that was all it could identify, and each copy carried less of the original, like a photocopy of a photocopy (and likewise modern remakes of older songs often flatten them both melodically and emotionally). Once the essence was gone, the only thing left to turn up was intensity, which is why these productions keep getting more expensive, louder, and more spectacular while feeling emptier.</p><p>The two counterfeits also have something in common, as synthetic art engineers what you feel, while postmodern art dictates what you are supposed to think, and both bypass the thing real art depends on (your own honest response). In real art, someone expresses something and you respond however you respond, whereas manufactured entertainment decides your reaction first and then engineers the cues to produce it (e.g., a swelling score, a slow-motion landing, or a quip right when a moment risks becoming real). This gives you the feeling without the person who would have earned it, which is why it fades as soon as it is over.</p><p><em>Note: people consistently place a far higher value on what they believe is real (e.g., identical paintings were rated as more beautiful and valuable when labeled human-made rather than AI-made),<a href="https://doaj.org/article/c1d43cd30fa3485689a0517e0aa5effe"><sup>1</sup></a> so that belief is frequently manufactured to make more money. In the 1930s and 1940s, for instance, Han van Meegeren made a fortune selling forged Vermeers that leading experts hailed as masterpieces,<a href="https://www.npr.org/2008/07/12/92483237/how-mediocre-dutch-artist-cast-the-forgers-spell"><sup>1</sup></a> yet today, critics describe them as not even very good fakes, as once the belief was gone, it became clear what had been missing all along.<a href="https://www.pressreader.com/uk/the-week/20210305/282076279607321"><sup>1</sup></a> The synthetic art industry, in turn, relies on this same gap, as it only needs to seem real enough for people to believe it is.</em></p><h1>The Supernormal Trap</h1><p>In the 1930s, Niko Tinbergen (who later won a Nobel Prize) discovered that birds which laid small, pale-blue speckled eggs would rather sit on giant bright-blue plaster dummies covered in black polka dots.<a href="https://www.the-scientist.com/supernormal-stimuli-43491"><sup>1</sup></a> He called these &#8220;supernormal stimuli,&#8221; imitations that exaggerate the cues an instinct responds to and hence pull on us harder than the real thing.</p><p>A lot of modern life now consists of supernormal stimuli. Processed food exaggerates the cues of nourishment, pornography exaggerates the cues of intimacy, and engineered entertainment exaggerates the cues of a meaningful experience, each stripped of what made the original nourishing. As I discussed in detail <a href="https://www.midwesterndoctor.com/p/the-hidden-dopamine-trap">here</a>, these products are designed to trigger the brain&#8217;s dopamine-driven &#8220;temporary pleasure&#8221; circuit rather than its serotonin-driven &#8220;sustained happiness&#8221; circuit, shifting reality from a smooth flow you feel connected to into a series of jarring, disconnected spikes where happiness is always fleeting. As with any addiction, each spike is then followed by a low, and stronger and stronger spikes are needed to recreate the original effect.</p><p><em>Note: the psychologist Bruce Alexander (best known for his &#8220;Rat Park&#8221; experiments) has similarly argued that addiction becomes widespread when people are dislocated from the family, community, and traditions that once held them, as addictions become the best substitutes they can find for the wholeness they lost (a point a reader raised in relation to how rapidly technology now reshapes our lives).<a href="https://academic.oup.com/book/25021"><sup>1</sup></a></em></p><p>What industry strips out of its products (presence, friction, and the imperfect person), in turn, is exactly what feeds the deeper neural circuits that give life meaning&#8212;which is why so many of them spike us and then leave us empty.</p><p>Worse still, this becomes a closed loop. When the nervous system is depleted and fatigued, it loses the ability to appreciate the subtleties of life and can only register strong stimuli.<a href="https://www.midwesterndoctor.com/p/the-hidden-dopamine-trap"><sup>1</sup></a> Human presence is subtle, and perceiving it takes sustained attention, so the more people are fed engineered spikes, the less able they become to perceive what was removed, at which point demand for it disappears and industry has even less reason to provide it.</p><p><em>Note: many believe the shorter and shorter segments between cuts on our screens have greatly eroded the attention span needed to perceive deeper meaning in life.<a href="https://www.midwesterndoctor.com/p/seeing-truth-in-the-age-of-information"><sup>1</sup></a></em></p><p>Similarly, when I was young, an older woman I greatly admired once told me that &#8220;comfort makes you weak,&#8221; and the older I get, the more true I find it. Almost every modern product is sold on its promise to remove friction from our lives, yet that friction is what shapes us into capable human beings. Biology reflects this as well, as the right dose of stress (e.g., exercise, heat, cold, a small dose of an oxidative therapy, or a real challenge) is what builds this critical capacity for the body, while its absence leads to atrophy.</p><p><em>Note: rest (which the nervous system needs) and comfort are two very different things. Cyclic rest allows you to recover so you can meet the demands life places upon you, whereas the comfort we are continually sold to experience at every moment instead removes those demands, so the capacity to meet them never develops (e.g., consider the difference between a deep night&#8217;s sleep after a hard day of physical work and a day spent scrolling on a couch, or how someone who has always been shielded from stressful situations struggles with emotional adversity they encounter).</em></p><h1>Relationships</h1><p>These dynamics are especially consequential in relationships. Just as the music industry found that rare humans were hard to source and standardized the sourcing, dating apps have done the same to finding a partner, as people become profiles sorted by measurable features (e.g., height, photographs, and a few lines of text), while what actually makes someone worth loving (their presence) cannot be captured in a profile and is filtered out at the first step as everyone instead selects for the superficial (but largely irrelevant) characteristics they&#8217;ve been conditioned to focus on.</p><p>Likewise, filtered photos, edited messages, and a curated self-presentation are the relationship equivalent of pitch correction, so people meet the edited version of someone and are then let down by the real one.</p><p>In many ways, Instagram and dating apps have turned everyone into their own public relations department, as the practice of presenting a lovely facade while keeping the reality out of view (which was once something corporations did) is now how ordinary people present themselves to each other. As a result, people come to long for images that do not exist. One study that compared online daters&#8217; profiles to their measured height, weight, and age, for example, found 81% had misrepresented at least one of them, and participants rated their photographs as the least accurate part of their profiles.<a href="https://sml.stanford.edu/publications/2008/separating-fact-fiction-examination-deceptive-self-presentation-online-dating"><sup>1</sup></a><sup>,</sup><a href="https://www.psychologytoday.com/us/blog/finding-love-the-scientific-take/201712/lying-online"><sup>2</sup></a> Desmet argued this is a large part of why digital interactions are so appealing, as uncertainty is the defining feature of our relationships with others, and behind a digital wall, people have a far greater sense of control and can selectively show some things while hiding others&#8212;yet they pay for that comfort with a loss of real connection.<a href="https://www.amazon.com/Psychology-Totalitarianism-Mattias-Desmet/dp/1645021726"><sup>1</sup></a></p><p>More importantly, the things that actually determine whether a relationship will work (e.g., someone&#8217;s character, how they handle conflict, or whether they show up when things are hard) cannot be shown in a profile at all, so the format selects against exactly what matters most, which is why I believe online dating has become such a trap.</p><p><em>Note: another major issue with online dating is that like all other continual growth industries, they are incentivized to retain their customers (and recurring revenue), so these deliberately addictive platforms <a href="https://www.midwesterndoctor.com/p/the-hidden-dopamine-trap">have become increasingly structured to prevent people from successfully finding longterm partners</a> (and hence leaving the platforms).</em></p><p>The same test applies here as everywhere else: does the technology make the other person more present to you, or less? A phone call can bring someone far away closer, while texting through dinner makes the person across the table disappear. Most importantly, friction is where intimacy forms, as disagreement, imperfection, and staying through difficult times are what deepen a bond, whereas a relationship optimized for constant excitement and no friction resembles a franchise film (a string of highs with nothing building underneath).</p><h1>Artificial Intelligence</h1><p>AI is the purest version of everything described so far. AI-generated writing, for instance, is essentially the average of everyone with no one in particular behind it, and it can produce smooth, correct, plausible prose indefinitely. As with music, the question is whether the tool makes the writer more audible or replaces them.</p><p><em>Note: a common criticism I received when I started this newsletter was that the articles were too long (as the industry standard was much shorter) and needed more editing&#8212;which I resisted, as when the editors made things &#8220;correct,&#8221; it broke the flow and deliberate ambiguity I was trying to create, resulting in something that felt more rigid and sterile to me and didn&#8217;t feel &#8220;worth&#8221; putting my heart into writing. Now that AI has made everything like that, I rarely receive these same complaints, as it has become increasingly clear &#8220;perfect&#8221; writing leaves much to be desired.</em></p><p>While there are a lot of things I find quite aggravating about AI-generated content (e.g., a major part of why I put so much work into doing the DMSO project the way I did was to make the literature on it widely available so others could write about it and spread the therapy&#8212;but instead people just keep making error-filled AI-generated summaries of it that miss the key points because it only takes a few minutes to do), by far my largest fear is what AI will do to human connection.</p><p>An AI conversation removes almost all the friction of a relationship, as it is always available, never tired, never in a bad mood, and never needs anything from you. Each of these feels like an improvement, but each takes away something that matters. Desmet, for instance, cited a workplace expert&#8217;s observation that in digital interactions our minds are tricked into believing we are together while our bodies know we are not, so what is exhausting about them is being constantly in the presence of the other person&#8217;s absence.<a href="https://www.amazon.com/Psychology-Totalitarianism-Mattias-Desmet/dp/1645021726"><sup>1</sup></a> A real relationship asks you to be responsible for someone else&#8217;s needs (which is a large part of what grows you), a friend&#8217;s praise means something because they could have withheld it (just as a live note matters because the singer could have missed it), and when you hurt or delight a real person, it changes them, which is how we learn who we are to others. Approval from something designed to approve, in contrast, is the equivalent of a pitch-corrected vocal.</p><p>The danger is not just that people will use these optimized interactions, but that they will come to crave them over humans. Like Tinbergen&#8217;s plaster eggs, AI companionship exaggerates the cues we instinctively respond to (e.g., attention, agreement, patience, and understanding) without any of the cost, so it wins on instinct, and real relationships (<strong>which cannot compete on those cues</strong>) get neglected. Early evidence supports this, as in 2025, studies by OpenAI and the MIT Media Lab found that higher daily chatbot use correlated with more loneliness, dependence, and problematic use, along with less socializing (although it is not yet clear if the use drives the loneliness or lonely people are drawn to it).<a href="https://fortune.com/2025/03/24/chatgpt-making-frequent-users-more-lonely-study-openai-mit-media-lab"><sup>1</sup></a></p><p><em>Note: those who sell these substitutes often keep the real thing for themselves. Benlevi, for example, observed that the executives promoting virtual meetings and telepresence still flew around the world in their own jets because being there counts,<a href="https://www.kirkusreviews.com/book-reviews/jason-benlevi/too-much-magic-pulling-the-plug-on-the-cult-of-tec/"><sup>1</sup></a> and many tech executives send their children to schools where screens are banned.<a href="https://www.businessinsider.com/silicon-valley-parents-raising-their-kids-tech-free-red-flag-2018-2"><sup>1</sup></a></em></p><h1>The Standardization of Medicine</h1><p>Medicine has gone through the same transformation. The art of medicine was once the ability to perceive the specific person in front of you (e.g., their constitution, history, and circumstances) and creatively adapt the treatment to them, but over the last few decades, &#8220;to improve the standard of care&#8221; (or to make it easier to sell medical services at scale) this has steadily been replaced with guidelines, algorithms, and protocols every physician is trained to follow. Since those protocols come from trials that measure the average response across large populations, they work best for a statistical average patient few people actually resemble, and they also require each patient to be sorted into a defined category, which eliminates the ambiguity where the true nature of an illness often lies. In reality, patients differ immensely in their constitutions, sensitivities, and responses to treatment, so a rigid model that treats them as identical is the medical equivalent of snapping every note to the grid. A 2015 commentary in Nature, for example, highlighted that the ten highest-grossing drugs in the United States help between 1 in 25 and 1 in 4 of the people who take them.<a href="http://www.nature.com/news/personalized-medicine-time-for-one-person-trials-1.17411"><sup>1</sup></a></p><p><em>Note: with every drug, there is a dose threshold where it will cause toxicity, and a dose where it will be effective (with risky drugs like chemotherapy having those two thresholds be very close, while safe ones like DMSO have them very far apart), so a key part of bringing a drug to market is determining the standardized doses to use that will help but not harm the greatest number of patients. The core dilemma mass-marketed medicine faces is that these thresholds change depending upon the person, and as such, drugs are frequently brought to market at doses which are toxic to a &#8220;sensitive&#8221; subset of the population (which the industry in turn solves by <a href="https://www.midwesterndoctor.com/p/ending-medical-gaslighting">systemically gaslighting</a> these patients by saying their condition isn&#8217;t &#8220;real&#8221;)&#8212;all of which became far worse with the mRNA vaccines because their doses were not standardized and their persistence within the body caused them to sometimes become much larger (detailed <a href="https://www.midwesterndoctor.com/p/the-covid-shot-was-three-vaccines">here</a>).</em></p><p>The same economics that reshaped entertainment drove this. A gifted clinician cannot be standardized, audited, or scaled, whereas a protocol can, and once a protocol becomes the standard of care, rather than being the floor, it becomes the ceiling and deviating from it becomes a liability, even when the deviation is exactly what the patient needed (e.g., the medical system goes after doctors who have the temerity to space out the childhood vaccine schedule to reduce injuries).<a href="https://www.midwesterndoctor.com/p/the-vanishing-human-presence/comment/356269071"><sup>1</sup></a> This accelerated as physicians were moved from independent to corporate practice (e.g., prior to the Affordable Care Act, 60-70% of physicians worked in independent or doctor-owned practices, whereas by 2024, only 35-42% did).<a href="https://www.ama-assn.org/system/files/2022-prp-practice-arrangement.pdf"><sup>1</sup></a><sup>,</sup><a href="https://www.ama-assn.org/system/files/2024-prp-pp-characteristics.pdf"><sup>2</sup></a> Likewise, the technology layered on top of this followed the same course as everywhere else, as one study found that for every hour physicians spent face-to-face with patients, they spent nearly two more on electronic health records and other clerical work (plus another one to two hours each night).<a href="https://www.medicalnewstoday.com/releases/312752.php"><sup>1</sup></a> Here too, the question is whether the protocol or the technology extends the physician&#8217;s ability to perceive the patient or overrides it.</p><p><em>Note: a more detailed discussion of determining the appropriate dose for patients is discussed <a href="https://www.midwesterndoctor.com/p/how-do-we-determine-the-correct-dose">here</a>.</em></p><p>Similarly, a famous ancient Chinese passage describes a cook who carved oxen so skillfully that his knife stayed sharp for nineteen years, because rather than hacking through them, he had learned to feel his way through the natural spaces between the joints, and many of the most talented physicians I have come across feel it describes how their own practice evolved. Much of modern medical technology has gone in the opposite direction. Electrocautery, for instance, allows surgeons to cut without the finesse a scalpel requires (while also leaving dead tissue behind that raises the rate of post-surgical infections), imaging has steadily replaced the physical exam (despite physical touch often being one of the most critical parts of a patient encounter), and robotic surgery, as the trauma surgeon James Miller observed, uncouples the surgeon&#8217;s hands from the tissue they are working on, to the point many recent graduates can no longer competently perform open operations (all of which was discussed in more detail <a href="https://www.midwesterndoctor.com/p/the-forgotten-art-of-surgery">here</a>). For example, in one case, none of his hospital&#8217;s urologists were comfortable removing a kidney without the robot, and those same surgeons later led the hospital&#8217;s safety committees, where they redefined &#8220;competence&#8221; so it no longer had anything to do with patient outcomes.<a href="https://www.midwesterndoctor.com/p/the-forgotten-art-of-surgery"><sup>1</sup></a></p><p><em>Note: this is also why I have so far left the majority of what I use in practice out of my writing, as most of it depends not only on a broad diagnostic framework, but also on individualized judgment rather than a protocol that can be safely followed without supervision&#8212;so if I discuss them here, the information won&#8217;t be actionable for the majority of readers and real risks exist of using it incorrectly (whereas with agents like DMSO, while they still often require patient specific protocols and detailed guidance on use, the margin of both safety and efficacy they have is so much wider, a large number of readers benefit from them while no real issues have occurred).</em></p><p>Conversely, much of what draws me to medicine is its uncertainty, as if I knew exactly what to do in every situation and was simply executing a script, it would be incredibly boring (and drive me insane), yet that is the direction those who wish to micromanage society have continually tried to push it. Notably, when Pierre Kory (who directed an ICU) had a nurse point out that he ordered far fewer tests than any of his partners, he analyzed every intensivist on his service over 18 months and found no correlation between how much each one tested and how their patients fared, whereas he ordered by far the fewest tests yet had the second highest patient survival<a href="https://pierrekorymedicalmusings.com/cp/211410525"><sup>1</sup></a> (mirroring my own experience that the most clinically successful integrative doctors tend to order the smallest number of tests).</p><p>As a result of this relentless push for standardization, physicians who still approach medicine as an art are frequently stigmatized by their peers and institutions, yet they also attract a large number of patients, because they so often succeed where algorithmic care has failed (e.g., those who fall outside the mean). For instance, as <a href="https://www.midwesterndoctor.com/p/how-hospitals-turned-on-their-patients">I recently detailed</a>, many of those who deviated from failing protocols during COVID to save their patients were fired, reported to their licensing boards, or driven out of hospital medicine entirely.<a href="https://www.midwesterndoctor.com/p/how-hospitals-turned-on-their-patients"><sup>1</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/what-happens-to-doctors-who-innovate"><sup>2</sup></a></p><p><em>Note: shortly after I wrote that article, I finally figured out what the massive incentive hospital administrators had to push remdesivir and ban non-covered therapies (e.g., ivermectin), to the point they were willing to go to court to keep doing so (so <a href="https://www.midwesterndoctor.com/p/how-hospitals-turned-on-their-patients">the article has been updated to include that</a>).</em></p><p>Much of this is concealed by a principle as old as public relations itself: present a lovely facade, have everyone amplify it, and few will notice what is behind it. Edward Bernays (often called the father of public relations) laid out in <a href="https://www.harvard.com/book/9781632462046">his 1928 book</a> Propaganda how public opinion could be shaped across almost every area of society, and later named this practice the &#8220;engineering of consent.&#8221; On the simplest level, this is the attractive package around a product you throw away shortly after buying it, whereas in medicine, it takes the form of a carefully cultivated image of a trustworthy and caring system (e.g., between 1997 and 2016, direct-to-consumer advertising for health services rose by 430%, while spending on the health services themselves rose by 90%).<a href="https://mdedge.com/content/spending-medical-marketing-increased-122-billion-over-last-2-decades"><sup>1</sup></a> Once you are inside the system, however, that image frequently gives way to something callous and disorganized, where few seem to know what to do (particularly once you are injured by a medication like an SSRI or COVID vaccine).</p><p><em>Note: for as long as I can remember, facades have never really pulled me in the way they seem to for most people, which I think ultimately accounts for many of my unconventional perspectives.</em></p><p>Maintaining that facade also requires the people within it to become uniform. In The Managed Heart, the sociologist Arlie Hochschild documented how flight attendants were trained to produce standardized warmth on demand, to the point many became estranged from their own smiles,<a href="https://ucpress.edu/books/the-managed-heart/epub-pdf"><sup>1</sup></a> and hospitals now do much the same (e.g., one major hospital required all of its non-physician staff to complete training in a scripted communication framework designed to raise its patient satisfaction scores).<a href="https://community.the-hospitalist.org/content/hospitalist-communication-training"><sup>1</sup></a> Institutions, in turn, pitch-correct their people just as studios pitch-correct a vocal, so every interaction comes out pleasant and on-brand, but once you need something the script does not cover, there is often no one left who can step outside of it.</p><p>Unfortunately, most people only discover this once they are already in trouble. Economists call products whose quality cannot be judged even after they are used &#8220;credence goods,&#8221; and medicine is a textbook example, as patients usually cannot evaluate a surgeon&#8217;s skill or a hospital&#8217;s care and must instead rely on the image they are shown (e.g., a surgeon&#8217;s reported blood loss is not a reliable measure of their skill, so the only way to really know is to ask people who have been in the operating room with them).<a href="https://www.midwesterndoctor.com/p/the-forgotten-art-of-surgery"><sup>1</sup></a> The gross failures we witnessed throughout COVID, in turn, broke this facade, and as a result, between 2020 and 2024, the share of Americans with a lot of trust in doctors and hospitals fell from 71.5% to 40.1%.<a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC11292455/"><sup>1</sup></a></p><p>Ironically, the physicians who reduced themselves to protocols have made themselves replaceable, as anything that can be reduced to an algorithm can be automated. In a 2024 randomized trial, for example, GPT-4 working alone outperformed physicians in diagnostic reasoning on complex cases, regardless of whether those physicians had been given access to it.<a href="https://clinician.nejm.org/large-language-artificial-intelligence-models-clinical-reasoning-frontier-2024-nejm-jw.NA58220"><sup>1</sup></a> As in the arts, the work AI is taking first belongs to those who had already turned themselves into the most standardized version of their craft, while what it cannot replicate is the very thing standardization stripped out..</p><h1>What Is It All For?</h1><p>Everything discussed here ultimately leads to one question: what is the purpose of being alive, and what is meaningful for me to do with my life? Few people ever really explore it, partly because their nervous systems are overwhelmed and deadened, and partly because they are trapped in an endless maze of distractions, attention-grabbing productions, and the rat race needed to pay for them so they never have time to settle on the deeper question.</p><p>In the 1600s, Blaise Pascal wrote that all of humanity&#8217;s problems stem from man&#8217;s inability to sit quietly in a room alone. People have always avoided facing this question, as it is uncomfortable and requires confronting mortality and the possibility that one&#8217;s life is being wasted. What is new is that the avoidance has been industrialized, as distraction has been engineered, optimized, and made endlessly available, and it is profitable in part because someone who stops to ask what they are here for becomes a much worse customer.</p><p>Industry also sells substitutes for meaning itself. Progression systems in games (e.g., levels, skill trees, and completion percentages) give the feeling of accomplishment without accomplishing anything, watching others do things gives the feeling of having done something (which Benlevi illustrated with sports fans shouting &#8220;we won&#8221; from their couches), and engineered emotion gives the sensation of a meaningful experience without the life that would have produced one. As a result, the question of what is worth doing with one&#8217;s life does not just go unasked, but instead gets answered by default, with substitutes convincing enough that most never notice it was skipped.</p><p><em>Note: many readers shared that they have begun deliberately seeking out the opposite (e.g., playing music with friends rather than consuming it, live performances, or simply cooking food from a farmers market and spending time outdoors with a friend), and one reader shared that she had recently retired in part to reclaim that fullness of experience.</em></p><p>Benlevi noted that entertainment began around the fire, where the empty darkness of night and the stars above gave our ancestors&#8217; imaginations room to wander, and where they first told stories about why they existed. That kind of emptiness where nothing is demanding your attention, is what this question requires, and it is exactly what has been engineered out of modern life as we become increasing divorced from nature and what is real within it. Since meaning tends to come from what asks something of us (e.g., effort, risk, responsibility, and creating rather than consuming), the things that would bring us closest to answering it are the very things we are most eagerly being spared.</p><p>Desmet concluded his book by arguing that the essence of life is found in what always escapes rationalization and mechanization&#8212;in what disappears from a conversation when you digitize it, in the difference between a mother&#8217;s womb and an artificial plastic one, and in the difference between the warmth of an electric heater and that of a wood stove.</p><p>For this reason, I believe the most important step is <a href="https://www.midwesterndoctor.com/p/rejuvenating-the-nervous-system-and">restoring the health of the nervous system</a>, as a healthy nervous system can once again perceive the subtle and the real, finds the hollow promise of the next spike far less appealing, and can sit quietly long enough for that question to finally arise.</p><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://www.midwesterndoctor.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">The Forgotten Side of Medicine is a reader-supported publication. To receive new posts and support my work, please consider becoming a free or paid subscriber.</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div><div class="captioned-button-wrap" data-attrs="{&quot;url&quot;:&quot;https://www.midwesterndoctor.com/p/the-vanishing-human-presence?utm_source=substack&utm_medium=email&utm_content=share&action=share&quot;,&quot;text&quot;:&quot;Share&quot;}" data-component-name="CaptionedButtonToDOM"><div class="preamble"><p class="cta-caption">Click below to share this post!</p></div><p class="button-wrapper" data-attrs="{&quot;url&quot;:&quot;https://www.midwesterndoctor.com/p/the-vanishing-human-presence?utm_source=substack&utm_medium=email&utm_content=share&action=share&quot;,&quot;text&quot;:&quot;Share&quot;}" data-component-name="ButtonCreateButton"><a class="button primary" href="https://www.midwesterndoctor.com/p/the-vanishing-human-presence?utm_source=substack&utm_medium=email&utm_content=share&action=share"><span>Share</span></a></p></div><p><em>To learn how other readers have benefitted from this publication and the community it has created, their feedback can be viewed <a href="https://www.midwesterndoctor.com/p/reader-feedback">here</a>. Additionally, an index of all the articles published in the Forgotten Side of Medicine can be viewed <a href="https://www.midwesterndoctor.com/p/an-index-of-the-forgotten-side-of">here</a>.</em></p>]]></content:encoded></item><item><title><![CDATA[The Great Cholesterol Lie and The Dangers of Statins]]></title><description><![CDATA[Why statins fail, how their injuries are hidden, and what really causes heart disease.]]></description><link>https://www.midwesterndoctor.com/p/the-great-cholesterol-lie-and-the</link><guid isPermaLink="false">https://www.midwesterndoctor.com/p/the-great-cholesterol-lie-and-the</guid><dc:creator><![CDATA[A Midwestern Doctor]]></dc:creator><pubDate>Sun, 04 Oct 2026 10:51:12 GMT</pubDate><enclosure url="https://substack-post-media.s3.amazonaws.com/public/images/4969dcca-afdc-471a-91f2-cb98ff304c1d_1040x545.webp" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p><strong>Story at a Glance:</strong></p><p><strong>&#8226;There is a widespread belief that elevated cholesterol is the &#8220;cause&#8221; of cardiovascular disease. However, a large body of evidence shows that there is no association between the two and the real data shows lower cholesterol significantly increases one&#8217;s risk of death.<br><br>&#8226;An alternative model (which the medical industry buried) proposes that the blood clots the body uses to heal arterial damage, once healed, create the characteristic atherosclerotic lesions associated with heart disease.<br><br>&#8226;The evidence for the blood clot model is much stronger than the cholesterol hypothesis and provides many critical insights for treating heart disease.<br><br>&#8226;The primary approach to treating heart disease is to prescribe cholesterol lowering statin drugs (to the point, nearly a trillion dollars have now been spent on them).<br><br>&#8226;Unfortunately, the benefits of these highly toxic drugs are minuscule (e.g., at best taking them for years extends your life by a few days) and the harms are vast (statins are one of the most common pharmaceuticals that severely injure patients).<br><br>&#8226;Multiple 2026 studies have further shown statins do not extend the lives of the healthy individuals they are primarily prescribed to, while a new wave of expensive patented cholesterol drugs is being approved simply for lowering cholesterol&#8212;many of which are being marketed to the same &#8220;statin intolerant&#8221; patients the industry insists are imagining their injuries.<br><br>&#8226;In this article we will explore the specific injuries caused by statin drugs, the forgotten causes of cardiovascular disease, and our preferred treatments for heart and vascular diseases.</strong></p><p>The more I study science, the more I come to see how often fundamental facts end up being changed so that a profitable industry can be created. In the case of heart disease, I very much believe that is the case and in this publication, I&#8217;ve tried to expose the erroneous information that predominates our understanding of this subject (e.g., previously I&#8217;ve discussed why our model of <a href="https://www.midwesterndoctor.com/p/what-moves-water-inside-the-body">how the heart pumps blood in the body is incorrect</a>, the <a href="https://www.midwesterndoctor.com/p/how-the-heart-controls-exactly-where">forgotten Russian research that shows the heart intelligently controls how blood moves within the body</a>, and how <a href="https://www.midwesterndoctor.com/p/the-great-blood-pressure-scam">blood pressure management is filled with erroneous premises that exist to perpetually sell medications</a>).</p><p>Within cardiology, I believe one of the most damaging falsehoods is that cholesterol causes heart disease and that taking statins (or their newer lucrative equivalents), which lower cholesterol, are the key to preventing heart disease. This is because, in addition to those &#8220;facts&#8221; being incorrect, statins are also some of the most dangerous and widely used pharmaceutical drugs on the market.</p><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://www.midwesterndoctor.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">The Forgotten Side of Medicine is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.  To see how others have benefitted from this newsletter, click <a href="https://www.midwesterndoctor.com/p/reader-feedback">here</a>.</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div><p></p><h1>Cholesterol and Heart Disease</h1><p>Frequently, when an industry harms many people, it will create a scapegoat to get out of trouble. Once this happens, a variety of other sectors that also benefit from that scapegoat existing will jump on the bandwagon. Before long, a false belief that harms society becomes an unquestionable dogma that becomes very difficult to overturn because many corrupt parties have a vested interest in maintaining the lie.</p><p>For example, various easily addressable factors (which often exist in the first place because they benefit an industry) are responsible for the chronic diseases we face in society and our vulnerability to infectious diseases (e.g., the obese and diabetics were much more likely to catch COVID-19). However, by saying all diseases result from insufficient vaccination, it gets all those destructive industries off the hook and creates a huge market for selling vaccines and treatments for these illnesses. Thus, since there are so many vested interests behind the vaccine paradigm, it is very difficult to overturn&#8212;despite the fact <a href="https://www.midwesterndoctor.com/p/dismantling-the-common-lies-used">there&#8217;s no evidence</a> vaccines ended the era of infectious disease but <a href="https://www.midwesterndoctor.com/p/how-much-damage-has-mass-vaccination">the existing evidence does show</a> they are responsible for the massive epidemic of chronic disease that is sweeping our country.</p><p>In the 1960s and 1970s, a debate emerged over what caused heart disease. On one side, <a href="https://en.wikipedia.org/wiki/Pure,_White_and_Deadly">John Yudkin</a> effectively argued that the sugar being added to our food by the processed food industry was the chief culprit. On the other side, <a href="https://en.wikipedia.org/wiki/Ancel_Keys">Ancel Keys</a> (who attacked Yudkin's work) argued that it was due to saturated fat and cholesterol. </p><p><em>Note: <a href="https://takecontrol.substack.com/p/linoleic-acid">a case can also be made</a> that the mass adoption of vegetable oils lead to this increase in heart disease.  Likewise, <a href="http://www.purewatergazette.net/blog/chlorination-a-link-between-heart-disease-and-cancer/">some believe</a> the advent of water chlorination was responsible for this increase.</em></p><p>Ancel Keys won, Yudkin's work was largely dismissed, and Keys became nutritional dogma. A large part of Key&#8217;s victory was based on his study of seven countries (Italy, Greece, Former Yugoslavia, Netherlands, Finland, America, and Japan), which showed that as saturated fat consumption increased, heart disease increased in a linear fashion.<br><br>However, what many don&#8217;t know (as this study is still frequently cited) is that this result was simply a product of the countries Keys chose (e.g., one author illustrated that if Finland, Israel, Netherlands, Germany, Switzerland, France, and Sweden had been chosen, the opposite would have been found).<br><br>Fortunately, it gradually became recognized that Ancel Keys did not accurately report the data he used to substantiate his arguments. For example, recently <a href="https://www.statnews.com/2016/04/12/unearthed-data-challenge-dietary-advice/">an unpublished 56 month randomized study</a> of 9,423 adults living in state mental hospitals or a nursing home (which made it possible to rigidly control their diets) that Keys was the lead investigator of was unearthed. This study (inconveniently) found that replacing half of the animal (saturated) fats they ate with vegetable oil (e.g., corn oil) lowered their cholesterol, and that for every 30 points it dropped, <strong>their risk of death increased by 22 percent </strong>(which roughly translates to each 1% drop in cholesterol raising the risk of death by 1%<strong>)&#8212;</strong>so as you can imagine, it was never published.</p><p><em>Note: the author who unearthed that study also discovered another (unpublished) study from the 1970s of 458 Australians, <a href="https://www.bmj.com/content/346/bmj.e8707.long">which found that </a>replacing some of their saturated fat with vegetable oils increased their risk of dying by 17.6%</em></p><p>Likewise, recently, <a href="https://jamanetwork.com/journals/jamainternalmedicine/article-abstract/2548255">one of the most prestigious medical journals in the world published</a> internal sugar industry documents. <a href="https://www.npr.org/sections/thetwo-way/2016/09/13/493739074/50-years-ago-sugar-industry-quietly-paid-scientists-to-point-blame-at-fat">They showed</a> the sugar industry had used bribes to make scientists place the blame for heart disease on fat so Yudkin's work would not threaten the sugar industry. In turn, it is now generally accepted that Yudkin was right, but nonetheless, our medical guidelines are still largely based on Key&#8217;s work.</p><p>However, despite a significant amount of data that now shows lowering cholesterol is not associated with a reduction in heart disease (e.g., <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3303886/">this study</a>, <a href="https://www.ahajournals.org/doi/10.1161/01.CIR.86.3.1046">this study</a>, <a href="https://academic.oup.com/ije/article/44/5/1614/2594571">this study</a>, <a href="https://openheart.bmj.com/content/2/1/e000196">this review</a>, <a href="https://bmjopen.bmj.com/content/6/6/e010401">this review</a>, and <a href="https://www.tandfonline.com/doi/full/10.1080/17512433.2018.1519391">this review</a>) the need to lower cholesterol is still a dogma within cardiology. For example, how many of you have heard of this 1986 study which was published <a href="https://www.thelancet.com/pdfs/journals/lancet/PIIS0140-6736(97)04430-9.pdf">in the Lancet</a> which concluded:</p><blockquote><p>During 10 years of follow-up from Dec 1, 1986, to Oct 1, 1996, a total of 642 participants died. Each 1 mmol/L increase in total cholesterol corresponded to a 15% decrease in mortality (risk ratio 0&#8211;85 [95% Cl 0&#183;79&#8211;0&#183;91]).</p></blockquote><p><em>Note: when people are diabetic (which leads to the liver having to process too much sugar) the liver will convert to fat and then create more cholesterol to transport some of that fat.  In these instances, many argue the actual issue is an excess of sugar rather than elevated cholesterol levels it causes.</em></p><p>Likewise, despite us endlessly being told to avoid saturated fats, the evidence does not show this prevents death. For example, <a href="https://pubmed.ncbi.nlm.nih.gov/40416032/">a large 2025 systematic review</a> found there was no statistically significant benefit to reducing saturated fats and concluded:</p><blockquote><p>The findings indicate that a reduction in saturated fats cannot be recommended at present to prevent cardiovascular diseases and mortality.</p></blockquote><h1>Statin Marketing</h1><p>One of the consistent patterns I&#8217;ve observed within medicine is that once a drug is identified that can &#8220;beneficially&#8221; change a number, medical practice guidelines will gradually shift to prioritizing treating that number and before long, rationals will be created that require more and more of the population to be subject to that regimen.  For example, consider what happened <a href="https://www.midwesterndoctor.com/p/the-great-blood-pressure-scam">with blood pressure</a>:</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!6TtX!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F87dcbd8a-f03f-432f-8186-5833d4036929_1114x1306.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!6TtX!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F87dcbd8a-f03f-432f-8186-5833d4036929_1114x1306.png 424w, https://substackcdn.com/image/fetch/$s_!6TtX!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F87dcbd8a-f03f-432f-8186-5833d4036929_1114x1306.png 848w, https://substackcdn.com/image/fetch/$s_!6TtX!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F87dcbd8a-f03f-432f-8186-5833d4036929_1114x1306.png 1272w, https://substackcdn.com/image/fetch/$s_!6TtX!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F87dcbd8a-f03f-432f-8186-5833d4036929_1114x1306.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!6TtX!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F87dcbd8a-f03f-432f-8186-5833d4036929_1114x1306.png" width="1114" height="1306" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/87dcbd8a-f03f-432f-8186-5833d4036929_1114x1306.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:1306,&quot;width&quot;:1114,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:620447,&quot;alt&quot;:&quot;&quot;,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" title="" srcset="https://substackcdn.com/image/fetch/$s_!6TtX!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F87dcbd8a-f03f-432f-8186-5833d4036929_1114x1306.png 424w, https://substackcdn.com/image/fetch/$s_!6TtX!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F87dcbd8a-f03f-432f-8186-5833d4036929_1114x1306.png 848w, https://substackcdn.com/image/fetch/$s_!6TtX!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F87dcbd8a-f03f-432f-8186-5833d4036929_1114x1306.png 1272w, https://substackcdn.com/image/fetch/$s_!6TtX!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F87dcbd8a-f03f-432f-8186-5833d4036929_1114x1306.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p>Because of this, blood pressure levels were enforced that are much more likely to harm than help the elderly (and likewise <a href="https://www.midwesterndoctor.com/p/the-great-blood-pressure-scam">to create many debilitating side effects along the way</a>).</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!xnB7!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F094beb8f-2319-45c8-bb45-a2f1c5a68695_1532x1116.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!xnB7!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F094beb8f-2319-45c8-bb45-a2f1c5a68695_1532x1116.png 424w, https://substackcdn.com/image/fetch/$s_!xnB7!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F094beb8f-2319-45c8-bb45-a2f1c5a68695_1532x1116.png 848w, https://substackcdn.com/image/fetch/$s_!xnB7!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F094beb8f-2319-45c8-bb45-a2f1c5a68695_1532x1116.png 1272w, https://substackcdn.com/image/fetch/$s_!xnB7!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F094beb8f-2319-45c8-bb45-a2f1c5a68695_1532x1116.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!xnB7!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F094beb8f-2319-45c8-bb45-a2f1c5a68695_1532x1116.png" width="1456" height="1061" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/094beb8f-2319-45c8-bb45-a2f1c5a68695_1532x1116.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:1061,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:427134,&quot;alt&quot;:&quot;&quot;,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" title="" srcset="https://substackcdn.com/image/fetch/$s_!xnB7!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F094beb8f-2319-45c8-bb45-a2f1c5a68695_1532x1116.png 424w, https://substackcdn.com/image/fetch/$s_!xnB7!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F094beb8f-2319-45c8-bb45-a2f1c5a68695_1532x1116.png 848w, https://substackcdn.com/image/fetch/$s_!xnB7!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F094beb8f-2319-45c8-bb45-a2f1c5a68695_1532x1116.png 1272w, https://substackcdn.com/image/fetch/$s_!xnB7!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F094beb8f-2319-45c8-bb45-a2f1c5a68695_1532x1116.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p>In the case of statins, prior to their discovery, it was difficult to reliably lower cholesterol, but once they hit the market, research rapidly emerged stating that cholesterol was more and more dangerous, that lower and lower blood cholesterol levels were needed, and, hence that more and more people needed to be on statins.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!CD3M!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F09174992-b932-487f-9a61-1e6c088f0c3c_1284x944.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!CD3M!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F09174992-b932-487f-9a61-1e6c088f0c3c_1284x944.png 424w, https://substackcdn.com/image/fetch/$s_!CD3M!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F09174992-b932-487f-9a61-1e6c088f0c3c_1284x944.png 848w, https://substackcdn.com/image/fetch/$s_!CD3M!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F09174992-b932-487f-9a61-1e6c088f0c3c_1284x944.png 1272w, https://substackcdn.com/image/fetch/$s_!CD3M!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F09174992-b932-487f-9a61-1e6c088f0c3c_1284x944.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!CD3M!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F09174992-b932-487f-9a61-1e6c088f0c3c_1284x944.png" width="1284" height="944" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/09174992-b932-487f-9a61-1e6c088f0c3c_1284x944.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:944,&quot;width&quot;:1284,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:631518,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!CD3M!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F09174992-b932-487f-9a61-1e6c088f0c3c_1284x944.png 424w, https://substackcdn.com/image/fetch/$s_!CD3M!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F09174992-b932-487f-9a61-1e6c088f0c3c_1284x944.png 848w, https://substackcdn.com/image/fetch/$s_!CD3M!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F09174992-b932-487f-9a61-1e6c088f0c3c_1284x944.png 1272w, https://substackcdn.com/image/fetch/$s_!CD3M!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F09174992-b932-487f-9a61-1e6c088f0c3c_1284x944.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" 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15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p>As you would expect, similar increases also occurred within the USA.  <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10203693">For example</a>, in 2008-2009, 12% of Americans over 40 reported taking a statin, whereas in 2018-2019, that had increased to 35% of Americans.</p><p>Given how much these drugs are used, it then raises a simple question&#8212;how much benefit do they produce?</p><p>As it turns out, this is a remarkably difficult question to answer as the published studies use a variety of confusing metrics to obfuscate their data (which means that the published statin trials almost certainly inflate the benefits of statin therapy), and more importantly, virtually all of the data on statin therapy is kept by<a href="https://www.cttcollaboration.org/"> a private research collaboration</a> which consistently publishes glowing reviews of statins (and <a href="https://drmalcolmkendrick.org/2015/02/16/a-humiliating-climb-down-or-a-machiavellian-move/">attacks anyone who claims otherwise</a>) but simultaneously <a href="https://drmalcolmkendrick.org/2014/05/20/catalyst-crushed/">refuses to release their data to outside researchers</a>, which has led to <a href="https://www.bmj.com/campaign/statins-open-data">those researchers attempting to get this missing data from the drug regulators</a>.<br><em>Note: as you might have guessed, that <a href="https://drmalcolmkendrick.org/2014/03/29/conflict-of-interest-at-the-ctt/">collaboration takes a lot of money from the pharmaceutical industry</a>.</em><br><br>Nonetheless, when independent researchers looked at the published trials (which almost certainly inflated the benefit of statin therapy) <a href="https://bmjopen.bmj.com/content/5/9/e007118">they found</a> that taking a statin daily for approximately 5 years resulted in you living, on average, <strong>3-4 days longer</strong>.  Sadder still, <a href="https://pubmed.ncbi.nlm.nih.gov/9416884/">large trials have found</a> this minuscule &#8220;benefit&#8221; is only seen in men.  In short, most of the benefit from statins is from creative ways to rearrange data and causes of death, not any actual benefit.</p><p>Most recently, <a href="https://pubmed.ncbi.nlm.nih.gov/41864911/">a 2026, meta-analysis</a> of the 10 randomized trials (85,829 participants) which exclusively enrolled people without any prior heart, vascular, or cerebrovascular disease found that cholesterol lowering drugs (primarily statins) did not reduce the risk of dying (3.9% of both groups died) or of dying from heart disease. Remarkably, the authors also pointed out that the reduction in deaths the statin collaboration reported came from pooling healthy individuals with those who already had heart disease.<br><br><em>Note: this is very similar to Pfizer&#8217;s <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7745181/">COVID vaccine trial</a> which professed to be &#8220;95% effective&#8221; against COVID-19, but in reality only created a 0.8% reduction in minor symptoms of COVID (e.g., a sore throat) and a 0.037% reduction in severe symptoms of COVID (with &#8220;severe&#8221; never being defined by Pfizer).  This in turn meant that you needed to vaccinate 119 people to prevent a minor (inconsequential) case of COVID-19, and 2711 to prevent a &#8220;severe&#8221; case of COVID-19. <br><br>Furthermore, <a href="https://amidwesterndoctor.substack.com/p/what-really-happened-inside-the-covid">a clinical trial whistleblower later revealed</a> that these figures were greatly inflated as many individuals in the vaccine group who developed COVID-19 like symptoms were never tested for COVID-19. Likewise, these benefits were fleeting as it was shown the &#8220;efficacy&#8221; of vaccines rapidly waned (disappearing a few months after vaccination). Worse still at six months of follow-up in</em> <em>both <a href="https://www.nejm.org/doi/suppl/10.1056/NEJMoa2110345/suppl_file/nejmoa2110345_appendix.pdf">Pfizer's</a> and <a href="https://www.nejm.org/doi/suppl/10.1056/NEJMoa2113017/suppl_file/nejmoa2113017_appendix.pdf">Moderna's</a> trials, more vaccinated than unvaccinated individuals died, and similarly <a href="https://www.sciencedirect.com/science/article/pii/S0264410X22010283">a peer-reviewed reanalysis</a> of Pfizer and Moderna's trial data showed that one was more likely to suffer a severe adverse event from the vaccine than a hospitalization from COVID-19.</em></p><p>In circumstances like these where an unsafe and ineffective but highly lucrative drug must be sold, the next step is typically to pay everyone off to promote it.  For example, to quote Chapter 7 of <a href="https://www.amazon.com/Doctoring-Data-medical-advice-nonsense/dp/1907797467">Doctoring Data</a>:</p><blockquote><p>The National Cholesterol Education Programme (NCEP) has been tasked by the National Institutes of Health to develop guidelines [everyone uses] for treating cholesterol levels. Excluding the chair (who was by law prohibited from having financial conflicts of interest), <a href="https://drmalcolmkendrick.org/2013/08/02/who-shall-guard-the-guardians/">the other 8 members on average were on the payroll of 6 statin manufacturers</a>.</p><p>In 2004, NCEP reviewed 5 large statin trials and recommended: &#8220;Aggressive LDL lowering for high-risk patients [primary prevention] with lifestyle changes and statins.&#8221;</p><p>In 2005 a Canadian division of the Cochrane Collaboration [who were not paid off] reviewed 5 large statin trials (3 were the same as NCEP&#8217;s, while the other 2 had also reached a positive conclusion for statin therapy). That assessment <a href="https://www.ti.ubc.ca/2010/10/18/do-statins-have-a-role-in-primary-prevention-an-update">instead concluded</a>: &#8220;Statins have not been shown to provide an overall health benefit in primary prevention trials.&#8221;</p></blockquote><p><em>Note: the primary reason no cure for COVID-19 was ever found was that the guideline panel for COVID-19 treatments was <a href="http://midwesterndoctor.com/p/how-corruption-dictates-the-practice">handpicked by Fauci</a>, comprised of <a href="http://midwesterndoctor.com/p/how-corruption-dictates-the-practice">academics taking money</a> from Remdesivir&#8217;s manufacturers. Not surprisingly, the panel always voted against recommending any of the non-patentable treatments for COVID-19, regardless of how much evidence there was for them.</em></p><p>Likewise, the American College of Cardiology <a href="https://tools.acc.org/ascvd-risk-estimator-plus/">made a calculator</a> to determine your risk of developing a heart attack or stroke in the next ten years based on your age, blood pressure, cholesterol level, and smoking status. In turn, I&#8217;ve lost track of how many doctors I saw proudly punch their patient's numbers into it and then inform them that they were at high risk of a stroke or heart attack and urgently needed to start a statin. Given that almost everyone ended up being &#8220;high risk&#8221; I was not surprised to learn that in 2016, <a href="https://www.epic.com/epic/post/heart-disease-risk-calculator-overestimates-risk-according-to-kaiser-study">Kaiser completed an extensive study</a> which determined this calculator <strong>overestimated the rate of these events by 600%</strong>. Sadly, that has not at all deterred the use of this calculator (e.g., medical students are still tested on it for their board examinations).</p><p><em>Note: one of the most unfair things about statins is that the healthcare system decided they are &#8220;essential&#8221; for your health, so doctors who don&#8217;t push them are financially penalized, and likewise patients who don&#8217;t take them are as well (e.g., <a href="https://www.healthline.com/health/acceptable-cholesterol-levels-for-life-insurance">through life insurance premiums</a>).</em></p><p>So, despite the overwhelming evidence against their use, many physicians believe so deeply in the &#8220;profound&#8221; benefits of statins that they do things like periodically advocating for <a href="https://www.wwdmag.com/water/news/10908898/statin-fortified-drinking-water-in-the-uk">statins to be added to the drinking water supply</a>.</p><p>In tandem, a cancel culture has been created where anyone who challenges the use of Statins is immediately labeled as a &#8220;statin denier&#8221; accused of being a mass murderer and effectively canceled. Recently, one of those dissidents, Dr. Aseem Malhotra British cardiologist who has also spoken out against the COVID vaccines went on Joe Rogan where he discussed that dirty industry and the remarkable parallels between how Statins and the COVID vaccines were pushed on the world:</p><div class="native-video-embed" data-component-name="VideoPlaceholder" data-attrs="{&quot;mediaUploadId&quot;:&quot;171dfca0-c85f-4961-8d54-2a78094ad94f&quot;,&quot;duration&quot;:null}"></div><p><em>Note: one of the most remarkable facts Aseem shared was that the previously mentioned statin collaboration (which militantly insists less than 1% of statin users experience side effects) also created a test one could utilize to determine if one was genetically at risk for a statin injury&#8212;and in their marketing for the test said <strong>29% of all statin users</strong>&nbsp;were likely to experience side effects (which they then removed once attention was brought to it).</em></p><p>In addition to doctors being forced to follow these guidelines, patients often are too. Doctors often retaliate against patients who do not take statins (similar to how unvaccinated patients&nbsp;<a href="https://www.midwesterndoctor.com/p/the-price-of-truth-vs-deception-in">were denied essential medical care during COVID-19</a>). Employers sometimes require cholesterol numbers to meet a certain threshold for employment (although they never did anything on the scale of the COVID-19 vaccine mandates placed on workers around America). Similarly, life insurance policies often penalize those with "unsafe" cholesterol numbers.</p><p>Worse still (as the processed food industry intended by creating the war against cholesterol) even if we disagree with this dogma, its difficult to boycott it as the entire food supply has replaced healthy saturated fats (e.g., from animals or coconuts) with unhealthy vegetable oils.  Fortunately, after decades of work, we&#8217;ve managed to bring enough attention to this subject (especially with RFK&#8217;s recent support for returning to saturated fats) that market pressure is at last emerging to make seed oil free foods become more widely available to consumers.</p><h1>Statin Injuries</h1><p>My primary issue with the statins is not the fact we waste billions each year on a useless therapy (<a href="https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2786415">approximately 25 billion per year in America</a> alone). Rather, it&#8217;s the fact that they have a very high rate of injury. For example, the existing studies find between a <a href="https://www.theatlantic.com/health/archive/2023/06/the-gene-that-explains-statins-most-puzzling-side-effect/674542/">5-30% rate of injuries</a>, and Dr. Malhotra, having gone through all the existing evidence estimates that 20% of statin users are injured by them.<br><br>Likewise, statins are well known for having a high percentage of patients discontinue the drugs due to their side effects (e.g., <a href="https://sci-hub.se/https://www.bmj.com/content/363/bmj.k4700.full">one large study</a> found 44.7% of older adults discontinue the drugs within a year of starting them, while another large study of adults of all ages <a href="https://sci-hub.se/https://www.bmj.com/content/363/bmj.k4700.full">found 47% discontinued within a year</a>).</p><p>Statins in turn, <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6336291/">are linked to a large number of complications</a> that have been well-characterized (e.g., mechanistically) and described throughout the medical literature.<a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2849981/"><sup>1</sup></a><sup>, </sup><a href="https://pubmed.ncbi.nlm.nih.gov/24974580"><sup>2</sup></a><sup>, </sup><a href="https://pubmed.ncbi.nlm.nih.gov/24464306"><sup>3</sup></a><sup>, </sup><a href="https://pubmed.ncbi.nlm.nih.gov/24231094"><sup>4</sup></a><sup>, </sup><a href="https://pubmed.ncbi.nlm.nih.gov/16885396"><sup>5</sup></a><sup>, </sup><a href="https://pubmed.ncbi.nlm.nih.gov/17538549"><sup>6<br><br></sup></a>One group of side effects are those perceived by the patient (which often make them want to stop using the medications). These include:</p><ul><li><p>A high incidence of muscle pain<a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4729295/"><sup>1</sup></a><sup>, </sup><a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3425581/"><sup>2</sup></a><sup>, </sup><a href="https://scholar.google.com/scholar_lookup?journal=Sa+Pharm+J+Inc+Pharm&amp;title=Statins:+why+do+they+cause+muscle+pains?&amp;author=N+van+der+Sandt&amp;author=J+Schoeman&amp;author=N+Schellack&amp;volume=83&amp;issue=6&amp;publication_year=2016&amp;pages=26-32&amp;"><sup>3</sup></a><sup>, </sup><a href="https://scholar.google.com/scholar_lookup?journal=Phys+Ther&amp;title=Potential+adverse+effects+of+statins+on+muscle&amp;author=SS+Tomlinson&amp;author=KK+Mangione&amp;volume=85&amp;issue=5&amp;publication_year=2005&amp;pages=459-65&amp;pmid=15842193&amp;"><sup>4</sup></a><sup>, </sup><a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1884475/"><sup>5</sup></a><sup>, </sup><a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6083851/"><sup>6</sup></a><sup>, </sup><a href="https://pubmed.ncbi.nlm.nih.gov/16453090"><sup>7</sup></a></p></li><li><p>Fatigue<a href="https://scholar.google.com/scholar_lookup?journal=Circulation&amp;title=Statin+Effects+on+Energy:+Results+from+the+UCSD+Statin+Study,+a+Randomized+Trial&amp;author=BA+Golomb&amp;author=MH+Criqui&amp;author=JE+Dimsdale&amp;author=MA+Evans&amp;author=J+Broadwin&amp;volume=119&amp;issue=10&amp;publication_year=2009&amp;pages=E308-E&amp;"><sup>1</sup></a><sup>, </sup><a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1884835/"><sup>2</sup></a> especially with exertion and exercise<a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4285455/"><sup>3</sup></a></p></li><li><p>Muscle inflammation (whose cause remains &#8220;unknown&#8221;)<a href="https://scholar.google.com/scholar_lookup?journal=Hypertension&amp;title=Association+of+Idiopathic+Inflammatory+Myositis+with+Statin+Exposure:+A+Population+Based+Case+Control+and+Ecological+Study&amp;author=GM+Gabb&amp;author=G+Caughey&amp;author=S+Ronson&amp;author=M+Ward&amp;author=CL+Hill&amp;volume=69&amp;issue=6&amp;publication_year=2017&amp;pages=E31-E&amp;"><sup>1</sup></a><sup>, </sup><a href="https://pubmed.ncbi.nlm.nih.gov/27956275"><sup>2</sup></a></p></li><li><p>Autoimmune muscle damage<a href="https://pubmed.ncbi.nlm.nih.gov/28905130"><sup>1</sup></a><sup>, </sup><a href="https://pubmed.ncbi.nlm.nih.gov/28277343"><sup>2</sup></a><sup>, </sup><a href="https://scholar.google.com/scholar_lookup?journal=Eur+J+Neurol&amp;title=Statin+induced+autoimmune+necrotizing+Myopathy&amp;author=T+Kalantzakou&amp;author=G+Xiromerisiou&amp;author=A+Tichalas&amp;author=T+Bourinaris&amp;author=O+Sinani&amp;volume=23&amp;publication_year=2016&amp;pages=419&amp;"><sup>3</sup></a><sup>, </sup><a href="https://pubmed.ncbi.nlm.nih.gov/26886523"><sup>4</sup></a></p></li><li><p>Psychiatric and neurologic issues such as depression, confusion, aggression, and memory loss<a href="https://scholar.google.com/scholar_lookup?journal=J+Pharmacovigilance&amp;title=Examination+of+the+Food+and+Drug+Administration+Black+Box+Warning+for+Statins+and+Cognitive+Dysfunction&amp;author=FM+Sahebzamani&amp;author=CL+Munro&amp;author=OC+Marroquin&amp;author=DM+Diamond&amp;author=KE+Kip&amp;volume=2&amp;issue=4&amp;publication_year=2014&amp;pages=141&amp;"><sup>1</sup></a><sup>, </sup><a href="https://pubmed.ncbi.nlm.nih.gov/16940411"><sup>2</sup></a><sup>, </sup><a href="https://scholar.google.com/scholar_lookup?journal=Journal+of+the+American+Geriatrics+Society&amp;title=Impact+of+HMG-CoA+reductase+inhibitors+(statins)+on+cognition+in+a+cognitively+impaired+population:+A+cross-sectional+study+of+statin+withdrawal&amp;author=KP+Padala&amp;author=P+Padala&amp;author=JF+Potter&amp;volume=55&amp;issue=4&amp;publication_year=2007&amp;pages=S153-S4&amp;"><sup>3</sup></a><sup>, </sup><a href="https://pubmed.ncbi.nlm.nih.gov/22921881"><sup>4</sup></a><sup>, </sup><a href="https://pubmed.ncbi.nlm.nih.gov/19558254"><sup>5</sup></a><sup>, </sup><a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4488854/"><sup>6</sup></a><sup>, </sup><a href="https://pubmed.ncbi.nlm.nih.gov/17343428"><sup>7</sup></a><sup>, </sup><a href="https://pubmed.ncbi.nlm.nih.gov/24435290"><sup>8</sup></a><sup>, </sup><a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5487843/"><sup>9</sup></a></p></li><li><p>Severe irritability<a href="https://pubmed.ncbi.nlm.nih.gov/15028853"><sup>1</sup></a></p></li><li><p>Sleep Issues<a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4488854/"><sup>2</sup></a></p></li><li><p>Musculoskeletal disorders and injuries<a href="https://pubmed.ncbi.nlm.nih.gov/22936996"><sup>1</sup></a><sup>, </sup><a href="https://pubmed.ncbi.nlm.nih.gov/23877079"><sup>2</sup></a></p></li><li><p>Sudden (sensorineural) hearing loss<a href="https://pubmed.ncbi.nlm.nih.gov/25450412"><sup>1</sup></a></p></li><li><p>Gastrointestinal distress<a href="https://pubmed.ncbi.nlm.nih.gov/27578118"><sup>1</sup></a></p></li></ul><p>The other group are those not overtly noticed by the patient. These include:</p><ul><li><p>Type-2 diabetes,<a href="https://pubmed.ncbi.nlm.nih.gov/24464306"><sup>1</sup></a><sup>, </sup><a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4617949/"><sup>2</sup></a><sup>, </sup><a href="https://pubmed.ncbi.nlm.nih.gov/28185810"><sup>3</sup></a><sup>, </sup><a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3341610/"><sup>4</sup></a><sup>, </sup><a href="https://pubmed.ncbi.nlm.nih.gov/25754552"><sup>5</sup></a> particularly in women <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3687308/"><sup>6</sup></a><sup>, </sup><a href="https://pubmed.ncbi.nlm.nih.gov/20176986"><sup>7</sup></a><sup>, </sup><a href="https://pubmed.ncbi.nlm.nih.gov/22231607"><sup>8</sup></a></p></li><li><p>Cancer<a href="https://pubmed.ncbi.nlm.nih.gov/12457784"><sup>1</sup></a><sup>, </sup><a href="https://pubmed.ncbi.nlm.nih.gov/25605834"><sup>2</sup></a><sup>, </sup><a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3770184/"><sup>3</sup></a><sup>, </sup><a href="https://pubmed.ncbi.nlm.nih.gov/18765433"><sup>4</sup></a></p></li><li><p>Liver dysfunction and failure<a href="https://pubmed.ncbi.nlm.nih.gov/18752389"><sup>1</sup></a><sup>, </sup><a href="https://pubmed.ncbi.nlm.nih.gov/27860156"><sup>2</sup></a></p></li><li><p>Cataracts<a href="https://pubmed.ncbi.nlm.nih.gov/24052188"><sup>1</sup></a><sup>, </sup><a href="https://pubmed.ncbi.nlm.nih.gov/23771795"><sup>2</sup></a></p></li><li><p>ALS-like conditions and other central motor disorders (e.g., Parkinson&#8217;s disease and cerebellar ataxia)<a href="https://pubmed.ncbi.nlm.nih.gov/19591530"><sup>1</sup></a><sup>, </sup><a href="https://pubmed.ncbi.nlm.nih.gov/28556203"><sup>2</sup></a><sup>, </sup><a href="https://pubmed.ncbi.nlm.nih.gov/28370314"><sup>3</sup></a><sup>, </sup><a href="https://pubmed.ncbi.nlm.nih.gov/26897092"><sup>4</sup></a><sup>, </sup><a href="https://pubmed.ncbi.nlm.nih.gov/29427042"><sup>5</sup></a></p></li><li><p>Lupus-like syndrome<a href="https://pubmed.ncbi.nlm.nih.gov/21868063"><sup>1</sup></a></p></li><li><p>Susceptibility to herpes zoster (shingles)<a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6001979/"><sup>1</sup></a><sup>, </sup><a href="https://pubmed.ncbi.nlm.nih.gov/25864192"><sup>2</sup></a><sup>, </sup><a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3954107/"><sup>3</sup></a></p></li><li><p>Interstitial cystitis<a href="https://pubmed.ncbi.nlm.nih.gov/26184102"><sup>1</sup></a></p></li><li><p>Polymyalgia rheumatica<a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3402515/"><sup>1</sup></a></p></li><li><p>Kidney injury<a href="https://pubmed.ncbi.nlm.nih.gov/24681912"><sup>1</sup></a><sup>, </sup><a href="https://pubmed.ncbi.nlm.nih.gov/23511950"><sup>2</sup></a></p></li><li><p>Renal failure<a href="https://pubmed.ncbi.nlm.nih.gov/23526815"><sup>1</sup></a></p></li></ul><p>All of this, in turn, highlights one of the major issues with our medical system&#8212;statins have a high rate of side effects, and since so many people are on them, a lot of people we routinely encounter are being affected by them. However, because of how pervasive those side effects are, we&#8217;ve become habituated to them and just see them as &#8220;normal.&#8221; For instance, Senator Ron Johnson, a reasonably informed and intelligent person (who being a Senator receives top quality medical care) experienced a sudden hearing loss that was investigated but no one could explain.</p><p>Recently <a href="https://www.midwesterndoctor.com/p/americas-disastrous-health-care-deficit">he shared on Tucker Carlson</a> that after he learned sudden hearing loss (one of the side effects listed above) was a statin side effect and he&#8217;d been on one at the time of the hearing loss, he decided to discontinue it, and then noticed his inexplicable dizziness disappeared.  In short, Johnson&#8217;s experience suggests many others are frequently experiencing unrecognized side effects from routinely prescribed drugs.</p><p>In my own case, the moment I first encountered statin patients, I quickly noticed that they would report either numbness in their body, muscle weakness and pain, or impaired cognition, which began after they started the statin and resolved once they stopped using it. Remarkably, we also noticed that whenever they (or we) pointed this out to their doctor, the doctor would become extremely hostile, and then insist that the statin could not be causing the symptom (e.g., &#8220;because in all their years of practice, they had never had a patient who was injured by a statin&#8221;) and that even if it was harming them, the patient needed to stay on it because otherwise they would get a heart attack and die.</p><p><em>Note: typically, it is the most easy to recognize if something is poisoning the population if you could see the baseline before and after it was introduced (e.g., since the COVID vaccine rollout, patients are much sicker than they were before). Unfortunately, since the historical baseline is never taught in medicine, doctors entering practice always assume the sickness they see around them is &#8220;normal&#8221; and it&#8217;s often not until the ends of their careers that they can see how much sicker and harder to treat patients become throughout the period. As such, while there has been<a href="https://www.midwesterndoctor.com/p/what-is-the-source-of-the-modern"> a massive decline in human health over the last 150 years</a> many have corroborated (which I believe began with the introduction of the smallpox vaccine), this decline remains largely unrecognized by the medical system and instead is simply the &#8220;new normal.&#8221;</em> </p><p>In turn, as the years went by, I saw increasingly elaborate excuses being created to protect the statins from an ever-increasing awareness of their dangers. For example, I lost count of how many doctors I knew who cited this <a href="https://pubmed.ncbi.nlm.nih.gov/27578103/">2016 study</a> when patients stated they had been injured:</p><blockquote><p>The nocebo effect, the inverse of the placebo effect, is a well-established phenomenon that is under-appreciated in cardiovascular medicine. It refers to adverse events, usually purely subjective, that result from expectations of harm from a drug, placebo, other therapeutic intervention or a nonmedical situation. These expectations can be driven by many factors including the informed consent form in a clinical trial, warnings about adverse effects communicated by clinicians when prescribing a drug, and information in the media about the dangers of certain treatments.<br><br>The nocebo effect is the best explanation for the high rate of muscle and other symptoms attributed to statins in observational studies and clinical practice, but not in randomized controlled trials, where muscle symptoms, and rates of discontinuation due to any adverse event, are generally similar in the statin and placebo groups. Statin-intolerant patients usually tolerate statins under double-blind conditions, indicating that the intolerance has little if any pharmacological basis. Known techniques for minimizing the nocebo effect can be applied to the prevention and management of statin intolerance.</p></blockquote><p>Which, when translated into plain English means that the only reason people believe statins injured them is because they were tricked into imagining the injury, so the best solution is to tell them the symptoms are in their head (a tried and true tactic of the medical industry known as &#8220;<a href="https://www.midwesterndoctor.com/p/ending-medical-gaslighting">medical gaslighting</a>&#8221;). What I found remarkable about this study was that the doctors who cited it never considered that the nocebo effect could not apply as their patients were not aware things like muscle pain were associated with statins until they experienced them (and then looked up what was happening) or that the discrepancy in the observed rate of adverse events could also be explained by the fact the randomized controlled trials are always funded by the pharmaceutical industry and hence consistently cover up injuries that occur there.</p><p>Since then, this argument has been taken to its logical extreme. In February 2026, the same statin collaboration that refuses to release its data <a href="http://2">published an analysis in the Lancet</a> of 19 of its trials which concluded that 62 of the 66 side effects listed on statin labels (including cognitive impairment, depression, sleep disturbances, and peripheral neuropathy) were not caused by statins, and called on regulators to revise the labels.As before, it declined to share the underlying data with anyone else.<a href="https://www.zoeharcombe.com/2026/02/the-ctt-statin-adverse-effects-paper/"><sup>1</sup></a></p><p>What this argument overlooks (as Dr. Malhotra pointed out on Joe Rogan) is how many statin trials were conducted. Before the trial began, participants were put through a &#8220;run-in&#8221; period on the statin, and only those who stayed compliant and had no serious problems were then enrolled. For example, in the Heart Protection Study (one of the largest statin trials, run by the same Oxford group behind the statin collaboration), 63,603 people were screened, 32,145 entered a run-in period that included several weeks of simvastatin, and 11,609 of them dropped out before the trial ever started,<a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC341428"><sup>1</sup></a><sup>,</sup><a href="https://www.reliasmedia.com/articles/79713-heart-protection-study-cholesterol-lowering-with-simvastatin"><sup>2</sup></a> after which the trial&#8217;s statin was promoted as being &#8220;so well tolerated and safe.&#8221;<a href="https://www.reliasmedia.com/articles/79713-heart-protection-study-cholesterol-lowering-with-simvastatin"><sup>1</sup></a></p><p><em>Note: the most striking example of this double standard came from the head of the statin collaboration himself. Oxford&#8217;s Clinical Trial Service Unit, led by Professor Rory Collins, identified a genetic marker for statin-induced muscle injury, which Oxford then filed patents on and licensed to an American company that sold it as a test to determine if you were likely to be injured by a statin.<a href="https://web.archive.org/web/20180317000645/https:/innovation.ox.ac.uk/news/isis-licensee-launches-test-statin-side-effects/"><sup>1</sup></a> In <a href="https://web.archive.org/web/20180317000645/https:/innovation.ox.ac.uk/news/isis-licensee-launches-test-statin-side-effects/">Oxford&#8217;s press release announcing the test</a>, Collins stated that this myopathy only occurs &#8220;in rare cases,&#8221; yet the test&#8217;s own website <a href="https://www.health.harvard.edu/blog/muscle-problems-caused-by-statins-can-a-genetic-test-reveal-your-risk-201603039247">told customers that 29% of statin users develop statin-induced muscle problems</a>. Additionally, as Dr. Malhotra shared on Rogan, a Freedom of Information request later found Oxford had received roughly &#163;300,000 from the test (with Collins&#8217;s department receiving about &#163;100,000), and once journalists brought attention to all of this, the 29% figure was taken down.</em></p><p>Remarkably, at the same time the industry insists statin injuries are imaginary, it is selling a new generation of expensive patented cholesterol drugs (which are arriving as the existing statins go off-patent) specifically to the &#8220;<strong>statin intolerant</strong>.&#8221; For example, Esperion&#8217;s bempedoic acid was tested in <a href="https://www.nejm.org/doi/full/10.1056/NEJMoa2215024">a 13,970 person trial</a> where every participant had to be statin intolerant (with both the patient and their doctor having to confirm this in writing), while <a href="https://mdnewsline.com/phase-iv-study-shows-inclisiran-achieves-ldl-c-targets-faster-with-fewer-muscle-symptoms/">a trial of Novartis&#8217;s twice-yearly cholesterol lowering injection</a> (inclisiran) was promoted on the basis of patients on it being 43% less likely to experience muscle-related side effects.</p><p>Similarly, the thing that finally made me realize how impressive the marketing for these drugs had been was the recurring battle I would have with relatives. In each case, I would take them off a statin and provide a strong argument with data supporting why they should not be on the drug. At some point later, they would go to their doctor and inform them that their relative (me), who was a doctor, had taken them off the statin.</p><p>Their doctor (often a cardiologist), in turn, would tell my relative I was incredibly ignorant, insist they knew the data much better than I did, say I was endangering my relative&#8217;s health, and promptly restart the statin, to which my relative dutifully complied. In many cases, I would provide the cardiologist with literature supporting my argument. In each case, they would make an excuse not to read it while simultaneously asserting that they knew all the data and that I, not being a cardiologist, was unqualified to have an opinion on this subject. This made me further appreciate just how challenging a situation patients (without access to the resources my relatives had) were in.</p><p>If you take this story and replace &#8220;statin&#8221; with COVID-19 vaccines, you will see it is essentially what everyone has experienced over the last four years with the vaccines. I suspect this is because, before the COVID-19 vaccines, statins were one of the most profitable medical franchises and, thus amongst the medications most aggressively pushed on patients.</p><p><em>Note: two adverse event reporting systems exist for adverse reactions to pharmaceuticals, <a href="https://www.fda.gov/safety/medwatch-fda-safety-information-and-adverse-event-reporting-program">MedWatch</a> and <a href="https://www.fda.gov/drugs/drug-approvals-and-databases/fda-adverse-event-reporting-system-faers">FAERS</a>. Like VAERS, they suffer from severe underreporting (it is estimated only 1-10% of adverse events are reported to them). The author in the next section was able to find hundreds to thousands of reports for many of the statin injuries in MedWatch that matched what he had personally observed. However, despite these reports existing, nothing has been done with them, and there is almost no knowledge within the medical community that these adverse events exist.</em></p><h1>The Statin Damage Crisis</h1><p>Throughout this publication, I have tried to make the point that less severe reactions to a toxin are much more common than severe ones. Because of this, if you see a cluster of severe reactions, it indicates that far more, less severe reactions are occurring as well (which is how <a href="https://www.midwesterndoctor.com/p/adverse-reactions-to-covid-vaccines">after learning of a few people in my circle dying suddenly from the COVID vaccines</a>, I was able to correctly predict the scale of the non-fatal injuries that would hit America).</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!9euU!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F4382fc89-fa7a-4b43-99da-72d08848e855_1438x870.jpeg" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!9euU!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F4382fc89-fa7a-4b43-99da-72d08848e855_1438x870.jpeg 424w, https://substackcdn.com/image/fetch/$s_!9euU!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F4382fc89-fa7a-4b43-99da-72d08848e855_1438x870.jpeg 848w, https://substackcdn.com/image/fetch/$s_!9euU!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F4382fc89-fa7a-4b43-99da-72d08848e855_1438x870.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!9euU!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F4382fc89-fa7a-4b43-99da-72d08848e855_1438x870.jpeg 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!9euU!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F4382fc89-fa7a-4b43-99da-72d08848e855_1438x870.jpeg" width="1438" height="870" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/4382fc89-fa7a-4b43-99da-72d08848e855_1438x870.jpeg&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:870,&quot;width&quot;:1438,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:null,&quot;alt&quot;:&quot;&quot;,&quot;title&quot;:null,&quot;type&quot;:null,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" title="" srcset="https://substackcdn.com/image/fetch/$s_!9euU!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F4382fc89-fa7a-4b43-99da-72d08848e855_1438x870.jpeg 424w, https://substackcdn.com/image/fetch/$s_!9euU!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F4382fc89-fa7a-4b43-99da-72d08848e855_1438x870.jpeg 848w, https://substackcdn.com/image/fetch/$s_!9euU!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F4382fc89-fa7a-4b43-99da-72d08848e855_1438x870.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!9euU!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F4382fc89-fa7a-4b43-99da-72d08848e855_1438x870.jpeg 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p>Likewise, if you see a large number of less severe reactions to a pharmaceutical (e.g., the statin-induced muscle and nerve damage), you can predict far more severe injuries are lurking in the background. As the longer list of adverse events I shared above demonstrates, this unfortunately is true for statins. In the next two sections, I will quote one of <a href="https://www.amazon.com/Statin-Damage-Crisis-Duane-Graveline/dp/0983383553">the best books I have found on this subject</a>:</p><blockquote><p>&#8220;Many statin victims say that abruptly, almost in the blink of an eye, they have become old people.&#8221;</p></blockquote><p><a href="https://www.amazon.com/Statin-Damage-Crisis-Duane-Graveline/dp/0983383553">Duane Graveline MD</a> was started on a statin and soon after developed global amnesia (which is really scary).  He decided to stop the statin and recovered.  </p><blockquote><p>When I suggested, on the basis of my 23 years as a family doctor, that perhaps my new medicine was the cause of my amnesia, the neurologist replied, almost scoffingly, that "Statins do not do that." He and many other physicians and pharmacists were adamant that this does not occur.&#8221;</p></blockquote><p>Eventually, he was persuaded to try the statin again.</p><blockquote><p>The year passed uneventfully and soon it was time for my next astronaut physical. NASA doctors joined the chorus I had come to expect from physicians and pharmacists during the preceding year, that statin drugs did not do this and at their bidding I reluctantly restarted Lipitor at one-half the previous dose. Six weeks later I again descended into the black pit of amnesia, this time for twelve hours and with a retrograde loss of memory back to my high school days.</p></blockquote><p>Later he discovered:</p><blockquote><p>Perhaps stockholder loyalty explains why <strong>Pfizer</strong> management knew over a decade ago, during the first human use trial of Lipitor, of the cognitive impact to come when Lipitor was released to the public. Of their 2,503 patients tested with Lipitor, seven experienced transient global amnesia attacks and four others experienced other forms of severe memory disturbances, for a total of 11 cases out of 2,503 test patients. <strong>This is a ratio of 4.4 cases of severe cognitive loss to result from every 1000 patients that took the drug</strong>. Not one word of warning of this was transmitted to the thousands of physicians who soon would be dispensing the drug. </p></blockquote><p>Because of this and other debilitating long-term complications (e.g., previously an extremely fit individual, he developed chronic exhaustion), Graveline became an expert on statin injuries and, in 2014, wrote&nbsp;<a href="https://www.amazon.com/Statin-Damage-Crisis-Duane-Graveline/dp/0983383553">The Statin Damage Crisis</a>.  Many of the points he raised there explain why statins are so dangerous, but unfortunately, are virtually unknown within the medical field.</p><h1>Statin Mechanisms of Harm</h1><p>Statins work by inhibiting an easy to target enzyme that is necessary for the production of cholesterol. Unfortunately, blocking that enzyme disrupts a variety of other vital physiologic processes.  Let&#8217;s review what that enzyme does:</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!CUpw!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F65fc9620-ae18-459d-b62a-7b588e02ccf0_1088x1178.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!CUpw!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F65fc9620-ae18-459d-b62a-7b588e02ccf0_1088x1178.png 424w, https://substackcdn.com/image/fetch/$s_!CUpw!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F65fc9620-ae18-459d-b62a-7b588e02ccf0_1088x1178.png 848w, https://substackcdn.com/image/fetch/$s_!CUpw!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F65fc9620-ae18-459d-b62a-7b588e02ccf0_1088x1178.png 1272w, https://substackcdn.com/image/fetch/$s_!CUpw!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F65fc9620-ae18-459d-b62a-7b588e02ccf0_1088x1178.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!CUpw!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F65fc9620-ae18-459d-b62a-7b588e02ccf0_1088x1178.png" width="1088" height="1178" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/65fc9620-ae18-459d-b62a-7b588e02ccf0_1088x1178.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:1178,&quot;width&quot;:1088,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:406866,&quot;alt&quot;:&quot;&quot;,&quot;title&quot;:&quot;&quot;,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" title="" srcset="https://substackcdn.com/image/fetch/$s_!CUpw!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F65fc9620-ae18-459d-b62a-7b588e02ccf0_1088x1178.png 424w, https://substackcdn.com/image/fetch/$s_!CUpw!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F65fc9620-ae18-459d-b62a-7b588e02ccf0_1088x1178.png 848w, https://substackcdn.com/image/fetch/$s_!CUpw!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F65fc9620-ae18-459d-b62a-7b588e02ccf0_1088x1178.png 1272w, https://substackcdn.com/image/fetch/$s_!CUpw!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F65fc9620-ae18-459d-b62a-7b588e02ccf0_1088x1178.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p>As these compounds are essential for the body, understanding statin toxicity hence requires us to understand what happens when each of these goes missing.</p><h3>Cholesterol</h3><p>Cholesterol has a few different essential functions in the body. These include:</p><p>&#8226;It is the precursor to many different hormones.</p><p>&#8226;The brain&#8217;s synapses (which, amongst other things, form memories) require cholesterol to function. Since cholesterol is too big to enter the brain, glial cells (support cells of the nervous system) synthesize it within the brain. Statins, unfortunately, inhibit glial cell production of cholesterol.</p><p>&#8226;Cognition, in turn, is highly dependent upon cholesterol.  For example, <a href="https://pubmed.ncbi.nlm.nih.gov/10806282/">one study</a> found that minor cognitive impairment could be detected in 100% of statin users if sufficiently sensitive testing was done (which again illustrates how minor injuries are more common than severe ones).  Likewise, a variety of more severe adverse effects on cognition are also observed such as amnesia, forgetfulness, confusion, disorientation, and increased senility.</p><blockquote><p>Their patient&#8217;s rapid descent into dementia after a statin is started is much too often written off by their doctor as senile brain changes or beginning Alzheimer's when the real culprit is their statin drug.</p></blockquote><p><em>Note: one of the sadder side effects we have frequently observed from the COVID-19 vaccines <a href="https://www.midwesterndoctor.com/p/we-now-have-proof-the-covid-vaccines">has been a rapid cognitive decline in the elderly</a> (who cannot often advocate for themselves). When this happens, like statin damage, it is&nbsp;<strong>always</strong>&nbsp;assumed to be due to &#8220;their age&#8221; and ignored.</em> </p><p>In addition to cognitive impairment,&nbsp;<a href="https://pubmed.ncbi.nlm.nih.gov/9499332/">numerous studies have found a significant association</a>&nbsp;between low or lowered cholesterol levels and violence.  Likewise, statin dementia is often characterized by aggression.</p><p>Finally, one of the most concerning side effects of statins is their tendency to cause ALS (a truly horrible rare disease&#8212;curiously&nbsp;<a href="https://amidwesterndoctor.substack.com/p/analysis-of-a-large-vaccine-injury">also seen in association with the COVID-19 vaccines</a>). This correlation is further supported by many reports of statin ALS improving once the statin is stopped.</p><p>Unfortunately, while statin cognitive decline frequently improves when the statin is stopped, in many cases, it instead persists.</p><h3>CoQ10</h3><p>CoQ10 is an essential nutrient that both the mitochondria (which power the human body) and the stability of our cell walls depend upon. CoQ10 deficiency caused by statins is generally considered the most common cause of their side effects. This is really sad because those side effects could have been prevented if CoQ10 had been given with the statin.  Unfortunately, this is unlikely ever to happen, as doing so would be equivalent to an admission statins could cause harm&#8212;in fact <a href="https://www.thelancet.com/pdfs/journals/lancet/PIIS0140-6736(04)17346-7.pdf">Merck patented statin formulations containing CoQ10</a> (as this would prevent major statin side effects) but ultimately chose not to bring it to market. </p><p><em>Note: the best parallel I know to this is that&nbsp;<a href="https://www.midwesterndoctor.com/p/what-makes-all-vaccines-so-dangerous">the primary cause of childhood vaccine toxicity</a>&nbsp;is too many vaccines being given too close together for a child's developing circulatory and nervous systems. Most of the harm can be avoided if vaccines are spaced apart and given later in a child's life&#8212;but sadly doctors who promote this approach are routinely targeted (as it is tantamount to an admission vaccines are not 100% safe).&nbsp;Fortunately, while most of the population blindly followed the CDC&#8217;s recommended vaccine schedule, we now live in a new era where <a href="https://www.midwesterndoctor.com/p/ending-medical-gaslighting">only 37% of young parents intend to</a>.</em><br><br>Some of the common energy-related side effects of statin CoQ10 deficiency include:</p><p>&#8226;Mitochondrial damage</p><p>&#8226;Lack of Energy&nbsp;</p><p>&#8226;Chronic Fatigue Syndrome</p><p>&#8226;Congestive Heart Failure and Fluid Retention</p><p>&#8226;Shortness of Breath</p><p>&#8226;Gout</p><p>Some of the side effects of statin CoQ10 deficiency weakening cell wall integrity include:</p><p>&#8226;Hepatitis (interestingly, Graveline noted that the enzyme threshold needed to diagnose statin-induced liver damage <strong>was significantly raised</strong> after this issue began being commonly reported following statin usage).</p><p>&#8226;Pancreatitis</p><p>&#8226;Rhabdomyolysis (rapid breakdown of skeletal muscle tissue)</p><p>&#8226;Tendon and ligament inflammation and rupture.<br><em>Note: this side effect is commonly reported with fluoroquinolone antibiotics, which are known to damage the mitochondria. I suspect it's linked to mitochondrial damage&#8212;a subject I discussed further <a href="https://www.midwesterndoctor.com/p/the-hidden-link-between-hypermobility-5a5">here</a>&#8212;as ligamentous laxity often goes hand in hand with vaccine injuries.</em></p><p>Two of the most common consequences of statins CoQ10 depletion are myopathy (muscle pain, tiredness, weakness, and cramps) and peripheral neuropathy (numbness, tingling, or burning sensations, particularly in hands and feet).</p><p>Although myopathy is the most commonly reported side effect of statin usage, much of it (e.g., myositis) goes undetected. This is because the symptoms are often not accompanied by blood work showing muscle enzyme elevations and can only be detected by biopsies (which are rarely done relative to blood work). In many cases, this condition is permanent (one expert in statin injury found it was permanent for 68% of her patients, while Graveline found it was for 25% of his). Sadly, in some cases, like statin neuropathies, the myopathies will continue to progress even if the statin is stopped.</p><p>One of the sadder things about statins is how aggressively they are pushed on diabetics (under the logic that since diabetics have an increased risk of heart disease, it is critical they take a statin to prevent them from having a heart attack). To highlight the absurdity of this, statins are well known to significantly increase your risk of diabetes (multiple studies&nbsp;<a href="https://www.webmd.com/diabetes/news/20150304/statins-linked-to-raised-risk-of-type-2-diabetes">have found this</a>), which I suspect is again due to them impairing mitochondrial function.&nbsp;</p><p>Similarly, peripheral neuropathy is a condition diabetics are well known to be at a high risk of.&nbsp;<a href="https://pubmed.ncbi.nlm.nih.gov/12011277/">In one study</a>, it was found that the risk of neuropathy (i.e., burning pain with tingling or numbness of the extremities) was increased by 14 to 26 times (depending on the type) for long-term users of statins. Furthermore, other nerve issues, such as neurodegeneration, can be caused by statins.</p><p>Combinations of myopathy and neuropathy also occur in statin users, such as progressive pain, weakness, and incoordination throughout the body, alongside trouble rising from a seated position, unsteadiness, and a tendency to fall. Muscles are also observed to develop a distinctive weakened and mushy characteristic and gradually shrink.<br><br><em>Note: in addition to preventing adverse effects from statins, CoQ10 is also one of the more helpful supplements for preventing heart disease.</em></p><h3>Dolichol</h3><p>Very few physicians know of the <a href="https://en.wikipedia.org/wiki/Dolichol">dolichols</a>, which are a necessary structural component of the cell membrane and play a pivotal role in synthesizing certain proteins (specifically they facilitate N-Glycosylation and O-mannosylation). Graveline in turn <em><strong>argued</strong></em> they were responsible for the synthesis neuropeptides throughout the body, and hence that statins blocking dolichol production would lead to many neuropsychiatric issues.</p><p>While I was never able to find research supporting this contention (their role in neuropeptide synthesis), genetic dolichol deficiencies <a href="https://www.nature.com/articles/pr2002215">have been linked</a> to neurological changes such as developmental delay, seizures, ataxia, and intellectual disability.  Additionally, <a href="https://pubmed.ncbi.nlm.nih.gov/1402910/">lower dolichol levels have been linked to Alzheimer&#8217;s</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/8789251/">brain aging</a>, and  the part of the brain where Parkinson&#8217;s disease develops <a href="https://www.sciencedirect.com/science/article/pii/S0022227520425301">has a very high concentration of dolichols</a> (hence potentially making it more susceptible to dolichol deficiences).</p><p><em>Note: Graveline also theorized that statins would increase the production of neurodegenerative Tau proteins and decrease the production of essential selenoproteins, but I was not able to find any evidence to substantiate these arguments.</em></p><h3>Nuclear Factor-Kappa B</h3><p>The small cardiovascular benefit observed from statins may not be because they reduce cholesterol but rather because they have anti-inflammatory properties (inflammation causes heart disease), as they inhibit NF-kB, a vital part of the immune system.<br><em>Note: statins also lower the C-reactive protein (another inflammatory protein). Additionally, the extent to which NF-kB is lowered varies depending on the statin (which may account for some of their different effects).</em></p><p>Since this suppresses the immune system, it leads to various potential issues such as reduced protection from infectious disease. For example, many common infectious organisms target NF-kB to assist in infecting their host. However, the more significant issue is that Nf-kB inhibition&nbsp;<a href="https://www.amazon.com/Cholesterol-Myths-Exposing-Fallacy-Saturated/dp/0967089700">appears to be linked to cancer</a>.</p><blockquote><p>At five hospitals in Tokyo <a href="https://pubmed.ncbi.nlm.nih.gov/16441424/">a group of Japanese researchers</a> studied whether cancer patients had been treated with statins more often than other people. To that end they selected patients with various forms of lymphoid cancers and control individuals of the same age and sex without cancer admitted to other departments at the same hospitals during the same period. A total of 13.3 percent of the cancer patients, but only 7.3 percent of the control individuals were or had been on statin treatment.</p></blockquote><blockquote><p><a href="https://pubmed.ncbi.nlm.nih.gov/12457784/">In PROSPER</a> [a major statin trial], men and women aged 70-82 were included only. All of them had either vascular disease or had a raised risk of such disease. At follow-up, 4.2 percent had died from a heart attack in the control group, but only 3.3 percent in the treatment group. This small benefit was neutralized by a higher risk of dying from cancer. Indeed, there were 28 fewer deaths from heart disease in the pravastatin group, but 24 more deaths from cancer. If we include non-fatal cancer in the calculation, the cancer difference between the two groups became statistically significant; 199 in the control group and 245 in the pravastatin group. Furthermore the difference between the two groups increased year for year.</p></blockquote><p>In addition to this arguing that some of the benefit of statins &#8220;preventing heart attacks&#8221; <strong>is due to them causing a fatal cancer before you have time to have a natural heart attack</strong>, this situation is somewhat analogous to what was seen with the COVID vaccines (<a href="https://www.midwesterndoctor.com/p/turbo-cancers-and-alternative-cancer">which also cause cancer</a>). There, the &#8220;benefit&#8221; of the COVID vaccines preventing COVID was outweighed by them causing serious conditions such as heart attacks and strokes, but if one only focused on them preventing COVID (which many did), the vaccines could be portrayed as life-saving, even though they overall did the opposite.</p><p>This was again seen in <a href="https://www.nejm.org/doi/abs/10.1056/NEJMoa2607314">the 2026 STAREE trial</a> (the first large trial to test statins in healthy adults over 70). While atorvastatin reduced cardiovascular events (predominantly non-fatal ones), after almost six years of treatment, it did not reduce participants&#8217; combined risk of death, dementia, or persistent disability, and those on the statin had more musculoskeletal, liver, and diabetes-related adverse events. The authors&#8217; explanation for this was that 80% of the deaths in the trial were from non-cardiovascular causes.<a href="https://www.acc.org/Latest-in-Cardiology/Articles/2026/08/24/12/30/sat-215am-staree-esc-2026"><sup>1</sup></a> Additionally, the trial&#8217;s statistical analysis plan reveals that midway through the trial, to ensure enough events would occur to maintain its statistical power, the investigators added coronary revascularizations (e.g., stents) to the cardiovascular endpoint the trial was assessing.<a href="https://www.medrxiv.org/content/10.1101/2025.02.24.25321974.full.pdf"><sup>1</sup></a></p><p>Likewise, <a href="https://www.thelancet.com/journals/lanhl/article/PIIS2666-7568(26)00068-1/fulltext">a 2026 French trial</a> randomized 1,180 adults over 75 who were taking a statin for primary prevention to either continue or stop it. After three years, 7.9% of those who continued their statin had died, compared to 7.2% of those who stopped. This is quite important as <a href="https://www.healio.com/news/cardiology/20260824/stopping-statins-did-not-raise-mortality-in-older-lowrisk-adults">roughly a third of Americans over 80</a> are on a statin for primary prevention, often for years and up to the end of their lives.</p><p><em>Note: although statins appear to increase cancer, one of the few benefits I have seen a significant amount of evidence for&nbsp;<a href="https://www.nature.com/articles/s41391-022-00554-1">is their prevention of fatal prostate cancer</a>. My best guess is that this is due to them blocking the production of hormones in the body, and that outweighs the effects of them inhibiting NF-kB.</em></p><h1>&#8220;Cholesterol&#8221; Plaques</h1><p>One of the tricks to creating a lucrative drug market is to instill a belief throughout the population that everyone can relate to which sells your product.  For example, the antidepressant industry spent years convincing the public depression was due to a &#8220;chemical imbalance&#8221; and because of how successful this campaign was, many sincerely believe it to be true even though <a href="https://www.midwesterndoctor.com/p/why-are-antidepressants-so-harmful">it is a complete and utter fabrication</a>.</p><p>One of the cleverest campaigns I&#8217;ve seen within the medical industry is the widespread belief that heart disease is due to fat clogging the arteries much like they do for a drain pipe.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!akXl!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fbucketeer-e05bbc84-baa3-437e-9518-adb32be77984.s3.amazonaws.com%2Fpublic%2Fimages%2F7d03bff0-b3de-4f70-b056-974d6d263f0d_724x542.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" 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data-attrs="{&quot;src&quot;:&quot;https://bucketeer-e05bbc84-baa3-437e-9518-adb32be77984.s3.amazonaws.com/public/images/7d03bff0-b3de-4f70-b056-974d6d263f0d_724x542.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:542,&quot;width&quot;:724,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:692327,&quot;alt&quot;:&quot;&quot;,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:true,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" title="" srcset="https://substackcdn.com/image/fetch/$s_!akXl!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fbucketeer-e05bbc84-baa3-437e-9518-adb32be77984.s3.amazonaws.com%2Fpublic%2Fimages%2F7d03bff0-b3de-4f70-b056-974d6d263f0d_724x542.png 424w, https://substackcdn.com/image/fetch/$s_!akXl!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fbucketeer-e05bbc84-baa3-437e-9518-adb32be77984.s3.amazonaws.com%2Fpublic%2Fimages%2F7d03bff0-b3de-4f70-b056-974d6d263f0d_724x542.png 848w, https://substackcdn.com/image/fetch/$s_!akXl!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fbucketeer-e05bbc84-baa3-437e-9518-adb32be77984.s3.amazonaws.com%2Fpublic%2Fimages%2F7d03bff0-b3de-4f70-b056-974d6d263f0d_724x542.png 1272w, https://substackcdn.com/image/fetch/$s_!akXl!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fbucketeer-e05bbc84-baa3-437e-9518-adb32be77984.s3.amazonaws.com%2Fpublic%2Fimages%2F7d03bff0-b3de-4f70-b056-974d6d263f0d_724x542.png 1456w" sizes="100vw" loading="lazy" fetchpriority="high"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p>This marketing slogan in turn is remarkably persuasive as it is easy to understand (to the point that people without a medical background will feel confident repeating it to others), easy to visualize, and highly likely to elicit an immediate sense of disgust.</p><p>However, given that there is no link between cholesterol and heart disease, is it necessarily true?</p><p>As one of my favorite authors in this field (<a href="https://drmalcolmkendrick.org">Malcolm Kendrick</a>) was pondering this question, he looked at another mystery of cardiology&#8212;the fact that there is no common thread between the well-known risk factors for heart disease. For example, to calculate the risk of heart disease, England <a href="https://en.wikipedia.org/wiki/QRISK">uses a calculator</a> that combines the adjustable risks for heart disease (e.g., age) with the conditions commonly associated with causing heart disease.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!luXn!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3b58eeb2-e270-4a70-bf56-630155f341f4_2176x702.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!luXn!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3b58eeb2-e270-4a70-bf56-630155f341f4_2176x702.png 424w, https://substackcdn.com/image/fetch/$s_!luXn!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3b58eeb2-e270-4a70-bf56-630155f341f4_2176x702.png 848w, https://substackcdn.com/image/fetch/$s_!luXn!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3b58eeb2-e270-4a70-bf56-630155f341f4_2176x702.png 1272w, https://substackcdn.com/image/fetch/$s_!luXn!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3b58eeb2-e270-4a70-bf56-630155f341f4_2176x702.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!luXn!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3b58eeb2-e270-4a70-bf56-630155f341f4_2176x702.png" width="1456" height="470" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/3b58eeb2-e270-4a70-bf56-630155f341f4_2176x702.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:470,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:187826,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!luXn!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3b58eeb2-e270-4a70-bf56-630155f341f4_2176x702.png 424w, https://substackcdn.com/image/fetch/$s_!luXn!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3b58eeb2-e270-4a70-bf56-630155f341f4_2176x702.png 848w, https://substackcdn.com/image/fetch/$s_!luXn!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3b58eeb2-e270-4a70-bf56-630155f341f4_2176x702.png 1272w, https://substackcdn.com/image/fetch/$s_!luXn!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3b58eeb2-e270-4a70-bf56-630155f341f4_2176x702.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p>Likewise, in a 2017 study, the records of 378,256 English patients were analyzed by an AI system to determine what characteristics put them at the highest risk for a cardiovascular incident in the next 10 years.  From that, they found that <a href="https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0174944">the ten greatest risk factors</a> (in order) were:</p><div class="captioned-image-container"><figure><div class="image-link image2" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!I-Z8!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F29db82f9-a992-4bef-ba8c-aeb62c0ffdb4_1696x396.png 424w, https://substackcdn.com/image/fetch/$s_!I-Z8!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F29db82f9-a992-4bef-ba8c-aeb62c0ffdb4_1696x396.png 848w, https://substackcdn.com/image/fetch/$s_!I-Z8!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F29db82f9-a992-4bef-ba8c-aeb62c0ffdb4_1696x396.png 1272w, https://substackcdn.com/image/fetch/$s_!I-Z8!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F29db82f9-a992-4bef-ba8c-aeb62c0ffdb4_1696x396.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!I-Z8!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F29db82f9-a992-4bef-ba8c-aeb62c0ffdb4_1696x396.png" width="1456" height="340" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/29db82f9-a992-4bef-ba8c-aeb62c0ffdb4_1696x396.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:340,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:89240,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!I-Z8!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F29db82f9-a992-4bef-ba8c-aeb62c0ffdb4_1696x396.png 424w, https://substackcdn.com/image/fetch/$s_!I-Z8!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F29db82f9-a992-4bef-ba8c-aeb62c0ffdb4_1696x396.png 848w, https://substackcdn.com/image/fetch/$s_!I-Z8!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F29db82f9-a992-4bef-ba8c-aeb62c0ffdb4_1696x396.png 1272w, https://substackcdn.com/image/fetch/$s_!I-Z8!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F29db82f9-a992-4bef-ba8c-aeb62c0ffdb4_1696x396.png 1456w" sizes="100vw" loading="lazy"></picture><div></div></div></div></figure></div><p>From this list, Malcolm Kendrick concluded that the common thread was that many of these (e.g., lupus or cortisol) are associated with damage to the blood vessels and impaired microcirculation (a consequence of damaged blood vessels).<br><br><em>Note: a more detailed explanation of the connection between these factors and heart disease can be found <a href="https://www.amazon.com/Clot-Thickens-enduring-mystery-disease/dp/1907797769">within Kendrick&#8217;s book</a> (which inspired a significant portion of this article).</em></p><p>Presently, we believe cholesterol <em><strong>somehow</strong></em> gets into a blood vessel and then damages it, leaving an atherosclerotic plaque.  Kendrick in turn argued that a competing model (that the medical profession largely buried) provides a much better explanation of the actual causes of heart disease.  It is as follows:<br><br>1. Blood vessels get damaged.<br>2. The body repairs those damage with clots.<br>3. As clots heal, they are pulled inside the blood vessel wall, and a new layer of endothelium (blood vessel lining) grows over them.<br>4. As this occurs multiple times in the same area, the damage (plaques) under the blood vessel becomes more abnormal.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!JCgh!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F8fd170fd-22ac-40ea-a66e-4719d1403839_1952x1280.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!JCgh!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F8fd170fd-22ac-40ea-a66e-4719d1403839_1952x1280.png 424w, https://substackcdn.com/image/fetch/$s_!JCgh!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F8fd170fd-22ac-40ea-a66e-4719d1403839_1952x1280.png 848w, https://substackcdn.com/image/fetch/$s_!JCgh!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F8fd170fd-22ac-40ea-a66e-4719d1403839_1952x1280.png 1272w, https://substackcdn.com/image/fetch/$s_!JCgh!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F8fd170fd-22ac-40ea-a66e-4719d1403839_1952x1280.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!JCgh!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F8fd170fd-22ac-40ea-a66e-4719d1403839_1952x1280.png" width="1456" height="955" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/8fd170fd-22ac-40ea-a66e-4719d1403839_1952x1280.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:955,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:1472015,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!JCgh!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F8fd170fd-22ac-40ea-a66e-4719d1403839_1952x1280.png 424w, https://substackcdn.com/image/fetch/$s_!JCgh!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F8fd170fd-22ac-40ea-a66e-4719d1403839_1952x1280.png 848w, https://substackcdn.com/image/fetch/$s_!JCgh!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F8fd170fd-22ac-40ea-a66e-4719d1403839_1952x1280.png 1272w, https://substackcdn.com/image/fetch/$s_!JCgh!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F8fd170fd-22ac-40ea-a66e-4719d1403839_1952x1280.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p>Some of the key points of evidence <a href="https://www.amazon.com/Clot-Thickens-enduring-mystery-disease/dp/1907797769">he uses to support this argument</a> are:<br><br>&#8226;Most of the risk factors for heart disease overlap with things that would be expected to damage the blood vessel lining (endothelium).<br><br>&#8226;<a href="https://jamanetwork.com/journals/jamasurgery/fullarticle/390390">Plaques tend to form</a> at arterial branch (junction) points, which are the parts of the artery which are subjected to the greatest shear stress).<br><br>&#8226;When you examine the components of a plaque, <a href="https://www.ncbi.nlm.nih.gov/pubmed/2035446">they are found to contain the same debris found in blood clots</a> (e.g., see <a href="https://www.ncbi.nlm.nih.gov/pubmed/2035446">this stud</a>y and <a href="https://www.ahajournals.org/doi/full/10.1161/01.CIR.92.5.1355">this study)</a>.<br><br>&#8226;There is no established mechanism for how cholesterol from the blood stream can get under the endothelium (even though the existing model depends upon that <em><strong>somehow</strong></em> happening).  However, red blood cells (<a href="https://ashpublications.org/blood/article/126/23/SCI-39/136388/Role-of-Red-Cells-in-Thrombosis-and-Hemostasis">which play a key role in forming clots</a>) contain a large amount of cholesterol (<a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5323040/">50% of the total amount in the bloodstream</a>), and hence will bring it into the clot as it forms.<br><br>&#8226;Plaques contain cholesterol crystals.  These crystals can only form from free cholesterol, <a href="https://www.sciencedirect.com/science/article/pii/S0022227520600207">something contained within red blood cells,</a> but not the &#8220;bad&#8221; cholesterol that circulates in the blood stream (contained within lipoproteins).  Likewise, much of the cholesterol found in atherosclerotic plaques is <a href="http://&#8220;https://www.sciencedirect.com/science/article/abs/pii/0021915083901508&#8221;  Excerpt From The Clot Thickens: The enduring mystery of heart disease Malcolm Kendrick This material may be protected by copyright.">free cholesterol</a>.<br><br>&#8226;The remnants of lipoproteins that are found in plaques are not cholesterol lipoproteins, but rather <a href="https://en.wikipedia.org/wiki/Lipoprotein(a)">lipoprotein A</a>, something the body uses to repair damage to the arterial walls.  This is supported by the fact elevated blood lipoprotein A levels are associated <a href="http://&#8220;https://www.ahajournals.org/doi/pdf/10.1161/01.ATV.9.5.579&#8221;  Excerpt From The Clot Thickens: The enduring mystery of heart disease Malcolm Kendrick This material may be protected by copyright.">with increased lipoprotein remnants in plaques</a> and that the specific marker of lipoprotein A is found <a href="https://www.jlr.org/article/S0022-2275(20)42092-9/pdf">to concentrate in atherosclerotic plaques</a>.  Lipoprotein A in turn is problematic because while it can patch and repair arterial damage, it also makes clots resistant to subsequent degradation, guaranteeing that they will eventually be pulled under the endothelium and transformed into an atherosclerotic plaque (which may in turn explain why elevated lipoprotein A levels are associated with <a href="http://&#8220;https://www.nytimes.com/2018/01/09/well/heart-risk-doctors-lipoprotein.html&#8221;  Excerpt From The Clot Thickens: The enduring mystery of heart disease Malcolm Kendrick This material may be protected by copyright.">a three-fold increase</a> in the risk of a heart attack or stroke).</p><p><em>Note: another key piece of evidence for the cholesterol hypothesis is that fatty streaks on the lining of healthy blood vessels are thought to serve as the precursors to atherosclerotic plaques.  However, <a href="http://&#8220;https://www.sciencedirect.com/science/article/abs/pii/0021915083901508&#8221;  Excerpt From The Clot Thickens: The enduring mystery of heart disease Malcolm Kendrick This material may be protected by copyright.">when this was extensively researched</a>, that progression was never observed to occur.</em></p><p>In short, a good case can be made that our entire heart disease model is based on a variety of correlations that were erroneously assumed to demonstrate causation. Sadly, while the &#8220;correlation is not causation&#8221; mantra is frequently used to dismiss anything which challenges the orthodoxy, you will frequently find overtly false correlations that support the medical industry&#8217;s bottom line being treated as unquestionable dogmas.<br><br>For example, vaccines are credited with eliminating the infectious diseases that plagued humanity, but it is seldom mentioned that some of the deadliest diseases (e.g., scarlet fever) which had no vaccine also disappeared or that the diseases <a href="https://www.midwesterndoctor.com/p/what-can-the-smallpox-vaccine-disaster">were already disappearing</a> once the vaccines were introduced (in many cases having almost completely disappeared) and that it is very likely <a href="https://www.midwesterndoctor.com/p/what-can-the-smallpox-vaccine-disaster">they would have been eliminated regardless of if a vaccine appeared</a>. Conversely, many of the activists at the time felt the primary cause of these diseases was poor public sanitation (as it caused infectious diseases to rapidly spread through the population), so many hard battles were fought to attain it, and many (myself included) believe the vaccination industry essentially stole the credit for what those activists accomplished by getting us public sanitation.</p><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://www.midwesterndoctor.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">The Forgotten Side of Medicine is a reader-supported publication. To receive new posts and support my work, please consider becoming a free or paid subscriber.</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div><h1>The Causes and Treatments of Heart Disease</h1><p>Kendrick&#8217;s model essentially argues the following:</p><p>&#8226;Most cardiovascular disease is a result of the blood vessel lining becoming damaged (due to the atherosclerotic lesions) and losing the ability to perform the normal functions (e.g., nitric oxide secretion) that allow it to protect the circulation.<br><br>&#8226;Inflammation and periods of prolonged and severe stress (e.g., from mental illness, cigarettes, or extreme social oppression) frequently damage the endothelium and hence contribute to heart disease.<br><br>&#8226;Heart attacks are due to blood clots (which frequently are a result of damaged endothelium) interrupting a critical blood supply to the heart.<br><br>In turn, I deliberately presented Kendrick&#8217;s points in this manner to emphasize that much of his model is in complete agreement with the conventional cardiovascular disease paradigm. However, the key distinctions are that he does not believe cholesterol is the cause of the damage to the blood vessel lining and that he thus believes the other damaging factors (e.g., stress) should receive a greater focus. Likewise, he prioritizes treating the functional impairments of the blood vessels (e.g., reduced nitric oxide synthesis) rather than having a narrow focus on reducing cholesterol.<br><br><em>Note: statins also to some extent <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5633715/">have anti-inflammatory effects</a> and <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6947613/">increase endothelial nitric oxide</a>. In turn, it is very likely that many of the (small) benefits attributed to statins are a result of these effects rather than their lowering of blood cholesterol.</em></p><p>Furthermore, since his focus is not on cholesterol, that allowed him to identify other factors which may be playing an immense (but largely unappreciated) role in heart disease.<br><br>For example, smoking is well recognized to cause heart disease because it damages the blood vessels (e.g., by <a href="https://pubmed.ncbi.nlm.nih.gov/24554606/">creating plaques and impairing their ability to make nitric oxide</a>), but much less thought is given to why it does. However, it&#8217;s been repeatedly demonstrated that fine particulate matter (which is found in cigarette smoke) directly causes these changes, evidenced by the fact similar damage occurs from breathing in pollution particulates such as those in <a href="https://www.sciencedirect.com/science/article/pii/S2214024714000112">coal mines</a>, crowded cities (see <a href="https://pubmed.ncbi.nlm.nih.gov/23206187/">this study</a> and <a href="https://pubmed.ncbi.nlm.nih.gov/23206187/">this study</a>), <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3685524/">cooking with a wood burning stove</a> or <a href="https://www.sciencedaily.com/releases/2018/04/180411090420.htm">being exposed to wildfire smoke</a>.</p><p>Likewise, lead is quite damaging to the endothelium (e.g., see <a href="http://xn--https-hw3b//www.ncbi.nlm.nih.gov/pubmed/25458643%E2%80%9D%20%20Excerpt%20From%20The%20Clot%20Thickens:%20The%20enduring%20mystery%20of%20heart%20disease%20Malcolm%20Kendrick%20This%20material%20may%20be%20protected%20by%20copyright.">this study</a> and <a href="http://xn--https-hw3b//www.ncbi.nlm.nih.gov/pubmed/17226925%E2%80%9D%20%20Excerpt%20From%20The%20Clot%20Thickens:%20The%20enduring%20mystery%20of%20heart%20disease%20Malcolm%20Kendrick%20This%20material%20may%20be%20protected%20by%20copyright.">this study</a>), something many of us were exposed to due to it being added to gasoline, and <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4961898/">lead rapidly entering the bloodstream once inhaled</a>. In turn, as lead was phased out between 1975 to 1996 (although its use is still allowed for certain applications such as aircraft, race cars, farm equipment, and boats&#8212;where it is occasionally used), a variety of interesting trends exist, such as the fact heart disease exploded in America after we started using it (and this then happening in other European nations). Currently, <a href="http://xn--https-hw3b//www.thelancet.com/journals/lanpub/article/PIIS2468-2667(18)30025-2/fulltext%E2%80%9D%20%20Excerpt%20From%20The%20Clot%20Thickens:%20The%20enduring%20mystery%20of%20heart%20disease%20Malcolm%20Kendrick%20This%20material%20may%20be%20protected%20by%20copyright.">it is estimated</a> that around 400,000 deaths each year in America are due to lead exposure and in <a href="https://pubmed.ncbi.nlm.nih.gov/19738141/">a study of 868 men</a>, it was observed that high levels of lead exposure (assessed by its presence in the bones) increased their risk of dying by over 700 percent.<br><em>Note: as lead absorbed earlier in life tends to leach from the bones back into the bloodstream, many have suspected a key cause of aging (e.g., heart disease) is that lead returning without anything being done to address it.</em></p><p>Sadly, as you cannot sell drugs for any of these causes of heart disease, they rarely get mentioned and instead almost all of the research and discussions on heart disease are directed at cholesterol.</p><p>Overall, I think <a href="https://www.amazon.com/Clot-Thickens-enduring-mystery-disease/dp/1907797769">Kendrick&#8217;s model is accurate</a>, and it is my sincere hope that at some point, the medical profession will begin to seriously consider it (although given how much has been invested into the cholesterol hypothesis, it&#8217;s doubtful the industry will ever voluntarily let that market go).</p><p>However at the same time, I also believe that this model is incomplete. So, in the final part of the article, I will focus on the additional factors I believe play a key role in heart disease and how they tie into our preferred treatments for heart disease (and other conditions such as COVID vaccine injuries or high blood pressure).</p>
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   ]]></content:encoded></item><item><title><![CDATA[How Hospitals Turned on Their Patients During COVID]]></title><description><![CDATA[A Senate hearing exposed what was done to the unvaccinated inside America&#8217;s hospitals&#8212;and why the system drives out the doctors patients most need.]]></description><link>https://www.midwesterndoctor.com/p/how-hospitals-turned-on-their-patients</link><guid isPermaLink="false">https://www.midwesterndoctor.com/p/how-hospitals-turned-on-their-patients</guid><dc:creator><![CDATA[A Midwestern Doctor]]></dc:creator><pubDate>Thu, 01 Oct 2026 21:32:27 GMT</pubDate><enclosure url="https://substack-post-media.s3.amazonaws.com/public/images/1272343a-fb60-4aa5-a02e-6963a2b81254_2378x1248.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p><strong>Story at a Glance:</strong></p><p><strong>&#8226; Throughout history, ruling elites have relied on a recurring playbook (manufactured crises, public examples, bought-out hierarchies, and economic coercion) to keep populations compliant, and nearly every tactic was used during COVID.</strong></p><p><strong>&#8226; Federal policies paid hospitals tens of thousands of dollars per COVID admission, boosted reimbursement for ventilated patients, shielded providers from liability, and made remdesivir the standard of care, creating powerful incentives for harmful protocols.</strong></p><p><strong>&#8226; At a recent Senate hearing, families shared strikingly consistent tragic stories of unvaccinated patients being isolated, told they would die, denied safe repurposed drugs, given remdesivir over their objections, and pushed onto ventilators and into DNRs.</strong></p><p><strong>&#8226; An attorney who sued hospitals on behalf of 212 families reported that only 3 of the 72 patients who received court-ordered ivermectin died, while every one of the 140 who didn&#8217;t get it died&#8212;making suing hospitals one of the most effective treatments in history.</strong></p><p><strong>&#8226; Trauma surgeon James Miller testified that his hospital was never overwhelmed despite the headlines, inflated its COVID numbers, and had infectious disease doctors who seemed to know remdesivir was harmful, and he was driven out of surgery after opening a free clinic for the unvaccinated.</strong></p><p><strong>&#8226; Because the system steadily removes the doctors who will break a failing protocol to save a patient, trust in physicians and hospitals fell from 71.5% to 40.1% between 2020 and 2024, and it will only return if medicine becomes honest and starts offering things that work.</strong></p><p>The ruling elite typically aims to accumulate an immense amount of wealth, which often can only be obtained by extracting it from a large number of people, hence requiring each of those people sacrifices their quality of life to meet the elite&#8217;s needs. An excellent meme, in turn, synopsizes the challenge ruling elites seeking this excessive wealth and power have faced throughout history:</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!ppx9!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F92901460-f7ef-4372-b5f4-422dac205f7d_1422x990.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!ppx9!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F92901460-f7ef-4372-b5f4-422dac205f7d_1422x990.png 424w, https://substackcdn.com/image/fetch/$s_!ppx9!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F92901460-f7ef-4372-b5f4-422dac205f7d_1422x990.png 848w, https://substackcdn.com/image/fetch/$s_!ppx9!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F92901460-f7ef-4372-b5f4-422dac205f7d_1422x990.png 1272w, https://substackcdn.com/image/fetch/$s_!ppx9!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F92901460-f7ef-4372-b5f4-422dac205f7d_1422x990.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!ppx9!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F92901460-f7ef-4372-b5f4-422dac205f7d_1422x990.png" width="1422" height="990" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/92901460-f7ef-4372-b5f4-422dac205f7d_1422x990.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:990,&quot;width&quot;:1422,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:2491946,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:false,&quot;topImage&quot;:true,&quot;internalRedirect&quot;:&quot;https://www.midwesterndoctor.com/i/214987255?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F92901460-f7ef-4372-b5f4-422dac205f7d_1422x990.png&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!ppx9!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F92901460-f7ef-4372-b5f4-422dac205f7d_1422x990.png 424w, https://substackcdn.com/image/fetch/$s_!ppx9!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F92901460-f7ef-4372-b5f4-422dac205f7d_1422x990.png 848w, https://substackcdn.com/image/fetch/$s_!ppx9!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F92901460-f7ef-4372-b5f4-422dac205f7d_1422x990.png 1272w, https://substackcdn.com/image/fetch/$s_!ppx9!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F92901460-f7ef-4372-b5f4-422dac205f7d_1422x990.png 1456w" sizes="100vw" fetchpriority="high"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p>Since it is not economically feasible to directly force an entire population into submission (e.g., the estimates I&#8217;ve found put 3-5% of the population as the maximum number of soldiers a society can afford to support), a variety of other tactics have been reused throughout history to keep the population compliant. These include:</p><p>&#8226;Use crises (e.g., war, plague, famine, or financial panic) to justify emergency powers, mute ordinary skepticism, and recast dissent as sabotage. The pattern is ancient: a problem arises, the public demands protection, and the apparatus claiming to provide it expands&#8212;all while fear makes the population far easier to divide and control.</p><p>&#8226;Make public examples of non-compliant individuals so everyone is scared into compliance, or maintain a system for punishing (and monitoring) dissenters that everyone feels is always hanging over their shoulder. This goes hand-in-hand with making the legal and bureaucratic system so complex it can&#8217;t be navigated without specialists the system itself trains (raising the cost of challenging it) and that almost everyone is technically in violation of something&#8212;which allows the law to be selectively applied so only those who challenge vested interests are arrested or prosecuted.</p><p>&#8226;Reward compliance, as careers, grants, titles, access, and prestige for those who play along are just as important as the examples made of the defiant (since most people would rather climb the existing hierarchy than tear it down).</p><p>&#8226;Create a rigid social hierarchy everyone defers to, and then buy out its top (e.g., having a few select &#8220;prestigious&#8221; medical journals, &#8220;impartial&#8221; guideline panels, regulatory agencies, or &#8220;experts&#8221; be deferred to for medical guidance while everything else is ridiculed as &#8220;uncredible&#8221;&#8212;despite each of them typically taking significant pharmaceutical money and only supporting industry narratives).<em><br>Note: one major problem in medicine (which is ingrained through numerous compliance mechanisms) is that the majority of doctors are not willing to deviate from standardized protocols and guidelines&#8212;even when it is clear they will not produce an acceptable outcome for the patient (instead, in those situations, they will simply insist they did their best and there was &#8220;nothing we could do&#8221;).</em></p><p>&#8226;Structure the system so everyone is forced to work within that hierarchy (e.g., making physician employment, reimbursement, and immunity from lawsuits dependent upon following the &#8220;standard of care&#8221; and requiring all other healthcare workers to defer their judgement to physicians).<br><em>Note: I believe this accounts for the aggressive push to move doctors from independent to corporate practice. For example, Obamacare was structured to facilitate this, as immediately prior to its passage, 60-70% of physicians were in independent or doctor-owned practices,</em><a href="https://www.ama-assn.org/system/files/2022-prp-practice-arrangement.pdf"><sup>1</sup></a><sup>,</sup><a href="https://www.ama-assn.org/press-center/ama-press-releases/ama-examines-decade-change-physician-practice-ownership-and"><sup>2</sup></a><sup>,</sup><a href="https://www.ama-assn.org/practice-management/private-practices/generational-trends-underlie-doctors-move-private-practice"><sup>3</sup></a><em> whereas by 2024, only 35-42% were</em><a href="https://www.ama-assn.org/system/files/2024-prp-pp-characteristics.pdf"><sup>1</sup></a><sup>,</sup><a href="https://www.fiercehealthcare.com/providers/doctors-continue-shift-away-private-practice-citing-insurer-payment-and-regulatory-issues"><sup>2</sup></a><em> (e.g., <a href="https://www.fiercehealthcare.com/providers/doctors-continue-shift-away-private-practice-citing-insurer-payment-and-regulatory-issues">a 2024 article</a> was titled &#8220;Doctors continue to shift away from private practice, citing insurer payment rates and regulatory issues&#8221;).</em></p><p>&#8226;Make accumulating money be a guiding principle everyone in the society strives for and then use economic incentives (since they can easily be changed from the top down) to create the desired behavior in the population (e.g., Biden&#8217;s federal policies leading to most workers being told they would be fired if they didn&#8217;t vaccinate).</p><p>&#8226;Have every media source parrot the same message needed to maintain the status quo (as this persuades most of the population since people like to follow the crowd).  This is often paired with well crafted propaganda that effectively misleads the public.</p><p>&#8226;Create a devout belief in the state or its leader, which not only makes people compliant but also leads them to attack those who aren&#8217;t, thereby making the population police itself.</p><p>&#8226;Create a robust social framework everyone is expected to fit into that requires compliance at each step while simultaneously training people to be compliant (e.g., go to school to go to college to get a job to get married).</p><p>&#8226;Atomize the population. Independent bases of loyalty (e.g., extended family, church, guild, or town) are much harder to extract from than isolated individuals, so weakening them leaves people facing the state and the market alone&#8212;at which point they are far easier to message, hire, saddle with debt, and shame.</p><p>&#8226;Whenever something awful and unacceptable will be done, first test and refine it on a marginalized group that cannot advocate for itself, and once it succeeds, use that success to normalize it so it can be done to the general population. This is why I feel it&#8217;s critical not to ignore it when this happens to others, as beyond that apathy being immoral, it often sets people up to be subjected to the same thing once it has gained so much momentum it can no longer be easily opposed (best synopsized by the <a href="https://hmd.org.uk/resource/first-they-came-by-pastor-martin-niemoller/">famous Holocaust poem</a> where the speaker did not speak up for each successive group targeted because he did not belong to it, which concludes with &#8220;Then they came for me, And there was no one left To speak out for me&#8221;).</p><p><em>Note: pages could be written about how this applies across the medical field (e.g., prior to COVID, one of my longstanding frustrations was helping people who&#8217;d been severely injured by a pharmaceutical that never should have been in general use, as despite the immense suffering, no one really cared because not enough people were affected). Likewise, I&#8217;ve recently been thinking about the broader implications of the <a href="https://x.com/TuckerCarlson/status/2103530142706356665">Ukrainian government&#8217;s decision</a> to sacrifice its population and country to keep the war going so they can continue enriching themselves from it.</em></p><p>&#8226;Normalize and gradually increase the exploitation so people view it as a fact of life rather than noticing (let alone questioning) it. For example, since the medical system is structured to continually produce costly proprietary drugs patients must take for long periods (if not permanently), treatments which compete with this model are suppressed. When DMSO was discovered in the 1960s, it was better than any existing therapy for many illnesses, yet it was dismissed for &#8220;insufficient evidence&#8221; compared to &#8220;proven cures&#8221; (many of which were later pulled from the market), and it remained suppressed despite tens of thousands of studies showing its utility and foreign healthcare systems (e.g., Russia and Ukraine) adopting it. Most importantly, when I drew interest back to it <strong>sixty years later</strong>, it was still more effective than any approved therapy for many ailments (which is why that series got so much traction). A major reason I&#8217;ve put so much work into it, in turn, was to show that the primary obstacle to solving many of the illnesses we face is the structure of the medical system itself.</p><p><em>Note: I think one of the major mistakes the ruling class has made recently, in the pursuit of further profit, was to escalate the exploitation so rapidly that the public is now noticing it.</em></p><p>&#8226;Distract and preoccupy the populace so they don&#8217;t focus on the major issues facing them (e.g., with &#8220;bread and circuses&#8221; or by dividing them so they blame another segment of society rather than the ruling class actually creating their problems).</p><p><em>Note: one of my major fears about AI is that it effectively solves the problem elites have struggled with for centuries (being able to afford enough soldiers to police the population), since AI is much cheaper than a full time soldier and hence makes it feasible to exert a much greater degree of control over each member of the population.</em></p><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://www.midwesterndoctor.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">The Forgotten Side of Medicine is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. To find out how others have benefitted from this publication, click <a href="https://www.midwesterndoctor.com/p/reader-feedback">here</a>.</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div><p></p><h1>The COVID-19 Pandemic</h1><p>Since people are uncreative, the above playbook also explains exactly what happened during COVID.</p><p>In my own case, through internet posts, I believe I became aware of a problematic coronavirus circulating in China in late December (based on checking my calendars I think it was around December 19th, but when I looked up the timeline it appeared on the internet around December 31st). I subscribe to the view that pandemics are almost always massively hyped up to support the biopreparedness industry (detailed <a href="https://www.midwesterndoctor.com/p/the-respiratory-and-sinus-treatments">here</a>), but in this case, I instead broke from my preconceived biases and became increasingly concerned about this virus as:<br><br>&#8226;It seemed to be quite dangerous and highly transmissible<br>&#8226;It seemed highly likely it was an lab-made weaponized pathogen.<br>&#8226;Despite more and more signs accumulating that it was the deadly pandemic the industry had been waiting decades for, rather than hype it up, the media (and the Democrat party) continually downplayed its significance and attacked those who raised concerns about it&#8212;even once it had spread to Europe and created a similar wave of problems to what was seen in China.</p><p>Given what Fauci and the health system had done to the (marginalized at the time) gay community during AIDS (where as much fear as possible was generated about the virus while everything that worked <a href="https://www.midwesterndoctor.com/p/how-anthony-fauci-weaponized-science">was suppressed, and a toxic and ineffective drug was pushed through despite public and Congressional pushback</a>), I assumed Fauci and those behind him would do the same thing during COVID. As such, my sense was that if I did not find a way to treat this illness (as I had no faith the medical system would), people I knew were going to die, and likewise, if an effective cure could not be adopted, a lot of really bad stuff was going to happen (most of which subsequently did).<br><em>Note: I initially thought COVID would be an issue for about a year before it mutated to a much more benign variant (as this is what always happens), but once I saw how measures were being taken to prevent the population from developing herd immunity to protect the market for the vaccine (<a href="https://x.com/MidwesternDoc/status/2087270069042913444">which was later admitted by HHS officials</a>), I realized this would drag on far longer, particularly since the design of the vaccines <a href="https://www.midwesterndoctor.com/p/the-covid-shot-was-three-vaccines">also prevented the population from developing herd immunity</a>.</em></p><p>Because of this, in the months leading up to COVID hitting America, in addition to looking down every alley I could for a viable solution to COVID, I tried to alert my colleagues to the problem we were facing (almost none of whom believed me) until eventually, in the middle of March, one working in NYC sent me this text (along with many more describing the catastrophe they were facing and the climate of fear there):</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!Mbrl!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fbucketeer-e05bbc84-baa3-437e-9518-adb32be77984.s3.amazonaws.com%2Fpublic%2Fimages%2F7a7e3303-5831-4ed8-a567-0f45f8cb528f_842x470.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!Mbrl!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fbucketeer-e05bbc84-baa3-437e-9518-adb32be77984.s3.amazonaws.com%2Fpublic%2Fimages%2F7a7e3303-5831-4ed8-a567-0f45f8cb528f_842x470.png 424w, https://substackcdn.com/image/fetch/$s_!Mbrl!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fbucketeer-e05bbc84-baa3-437e-9518-adb32be77984.s3.amazonaws.com%2Fpublic%2Fimages%2F7a7e3303-5831-4ed8-a567-0f45f8cb528f_842x470.png 848w, https://substackcdn.com/image/fetch/$s_!Mbrl!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fbucketeer-e05bbc84-baa3-437e-9518-adb32be77984.s3.amazonaws.com%2Fpublic%2Fimages%2F7a7e3303-5831-4ed8-a567-0f45f8cb528f_842x470.png 1272w, https://substackcdn.com/image/fetch/$s_!Mbrl!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fbucketeer-e05bbc84-baa3-437e-9518-adb32be77984.s3.amazonaws.com%2Fpublic%2Fimages%2F7a7e3303-5831-4ed8-a567-0f45f8cb528f_842x470.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!Mbrl!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fbucketeer-e05bbc84-baa3-437e-9518-adb32be77984.s3.amazonaws.com%2Fpublic%2Fimages%2F7a7e3303-5831-4ed8-a567-0f45f8cb528f_842x470.png" width="842" height="470" data-attrs="{&quot;src&quot;:&quot;https://bucketeer-e05bbc84-baa3-437e-9518-adb32be77984.s3.amazonaws.com/public/images/7a7e3303-5831-4ed8-a567-0f45f8cb528f_842x470.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:470,&quot;width&quot;:842,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:189650,&quot;alt&quot;:&quot;&quot;,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" title="" srcset="https://substackcdn.com/image/fetch/$s_!Mbrl!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fbucketeer-e05bbc84-baa3-437e-9518-adb32be77984.s3.amazonaws.com%2Fpublic%2Fimages%2F7a7e3303-5831-4ed8-a567-0f45f8cb528f_842x470.png 424w, https://substackcdn.com/image/fetch/$s_!Mbrl!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fbucketeer-e05bbc84-baa3-437e-9518-adb32be77984.s3.amazonaws.com%2Fpublic%2Fimages%2F7a7e3303-5831-4ed8-a567-0f45f8cb528f_842x470.png 848w, https://substackcdn.com/image/fetch/$s_!Mbrl!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fbucketeer-e05bbc84-baa3-437e-9518-adb32be77984.s3.amazonaws.com%2Fpublic%2Fimages%2F7a7e3303-5831-4ed8-a567-0f45f8cb528f_842x470.png 1272w, https://substackcdn.com/image/fetch/$s_!Mbrl!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fbucketeer-e05bbc84-baa3-437e-9518-adb32be77984.s3.amazonaws.com%2Fpublic%2Fimages%2F7a7e3303-5831-4ed8-a567-0f45f8cb528f_842x470.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p><em>Note: one of the most common debates about COVID was if &#8220;it really mattered.&#8221; My own assessment is that the original variants (that many did not see) were much more dangerous than the later ones, individual susceptivity greatly varied, it only hit certain areas really badly (I still don&#8217;t know why this is, but my best guesses are either that harmful variants were seeded there or a collective fear in the area worsened the disease), and that as time went on and the industry had established itself but the virus became less dangerous, more and more things were done to justify the industry perpetuating itself (e.g., relabeling flus or automobile injuries as COVID and using harmful hospital protocols to significantly inflate the death rate). As such, depending on which part of that picture you focused on, COVID could appear to be extremely dangerous or completely harmless.</em></p><p>Likewise, once the pandemic started, I was inherently skeptical of sending people to hospitals, as:</p><p>&#8226;While hospitals are excellent at addressing many serious ailments, they often fare poorly with viral disease (as most effective antiviral therapies are not patentable and hence rejected by medicine).<br>&#8226;Hospitals are very quick to give up on patients and say &#8220;nothing can be done.&#8221;<br>&#8226;Hospitals are highly resistant to allowing people to try alternative therapies, even when everyone agrees that patient will die and nothing can be done (which had led to more cases than I can count of people being snuck alternative therapies in the hospital and then &#8220;miraculously&#8221; recovering).<br>&#8226;There was a climate of fear amongst medical professionals (as for the first time in their careers, they felt they were in danger too) so they wanted to minimize their interactions with patients as much as possible (which would lead to even worse care). Likewise, I was expecting below average care because the hospital systems were overwhelmed and locked into a triage mindset.<em><br>Note: generally, these issues tend to be much worse with large &#8220;prestigious&#8221; hospitals than small rural ones (which mirrored what I saw during the pandemic). For this reason, I previously wrote an article on the dangers of hospital care and how one can best navigate it <a href="https://www.midwesterndoctor.com/p/what-makes-hospitals-so-deadly-and">here</a>.</em><br><br>Likewise, I was also alarmed by two federal policies (that were likely shaped by lobbyists):</p><p>&#8226;First, to combat COVID, a series of (well-intentioned) policies were enacted, such as the government <a href="https://www.fiercehealthcare.com/hospitals-health-systems/trump-administration-to-pay-hospitals-to-treat-uninsured-covid-patients">covering COVID hospitalizations for the uninsured</a> (incentivizing hospitals to admit more &#8220;COVID&#8221; patients and diagnose admitted patients with COVID), <a href="https://www.federalregister.gov/documents/2020/03/17/2020-05484/declaration-under-the-public-readiness-and-emergency-preparedness-act-for-medical-countermeasures">shielding healthcare providers from malpractice when treating COVID</a> (thereby incentivizing poorer care and the use of unsafe countermeasures), and the Trump administration doing all they could to secure ample ventilators for America  (which incentivized ventilating patients who weren&#8217;t good candidates for ventilators and needing people without adequate ventilator training being needed to operate many of them&#8212;both of which increased mortality).<br><em>Note: one of the least appreciated facts about COVID was that since the spike protein (<a href="https://www.midwesterndoctor.com/p/what-makes-all-vaccines-so-dangerous">through disrupting zeta potential</a>) caused microclotting throughout the body (which disproportionately affects the smallest vessels) blood oxygenation was much poorer in the periphery than the internal organs. Since oxygen saturation is measured in the finger tips, many patients hence had critically low blood oxygenation (which requires intubation) despite them clinically being fine, and since it took a while for the medical field to recognize many of these patients did not need ventilation (and that ventilation often resulted in death), for a prolonged period, many were inappropriately vented and died.</em>  </p><p><strong>Most importantly</strong>, to make up for the money hospitals had lost (because they saw fewer patients for other things due to the lockdowns), grant subsidies were given to make up the shortfall. While these were initially automatic and first based on the previous year&#8217;s revenue (and then increased so the total came to about 2% of their net patient revenue), those that followed were allocated to hospitals in high COVID impact areas (hospitals that had higher numbers of COVID admissions), where, in addition to their standard reimbursement billing, hospitals received $76,975 per COVID admission, and then, after 4 months, $50,000 instead (as this policy predictably incentivized more &#8220;COVID&#8221; admissions&#8212;corroborated by a senior HHS official, in a media call stating that the reduced funding is due to the number of such admissions surging from about 50,000 in the first round to more than 400,000 by the time of the second round<a href="https://www.kff.org/uninsured/issue-brief/estimated-cost-of-treating-the-uninsured-hospitalized-with-covid-19/"><sup>1</sup></a>). Likewise, the March 27 CARES Act required Medicare to increase reimbursement for COVID hospitalizations by 20%.<a href="https://www.kff.org/uninsured/issue-brief/estimated-cost-of-treating-the-uninsured-hospitalized-with-covid-19/"><sup>1</sup></a><sup> </sup><br><em>Note: prior to COVID, Medicare&#8217;s average payment for someone hospitalized for a respiratory infection was $13,297, $17,437 if they were also vented for less than 4 days, and $40,218 if vented for over 4 days, so venting patients long-term effectively tripled the reimbursement (before the 20% add-on was included).<a href="https://www.kff.org/uninsured/issue-brief/estimated-cost-of-treating-the-uninsured-hospitalized-with-covid-19/"><sup>1</sup></a></em></p><p>&#8226;Second near the start of the pandemic (<a href="https://www.medscape.com/viewarticle/929685?form=fpf">4/29/2020</a>) Fauci announced to the world that the antiviral remdesivir would be the standard of care for COVID, not unlike how he&#8217;d made the antiviral AZT be the standard of care for AIDS (despite minimal evidence of efficacy,  and significant evidence showing it made AIDS worse).  Beyond the AZT parallels, it was also a red flag that remdesivir was a non-specific antiviral that needed a home (as it had not worked for Ebola) rather than a therapy specific to COVID, that the existing data for remdesivir was very poor (Fauci even cited fairly lackluster benefits to justify it being the standard of care), and that like AZT, safety concerns existed with the drug.<br><em>Note: in contrast to remdesivir, the monoclonal antibodies were new drugs <strong>that were specific to COVID</strong>, and in turn, they actually worked quite well (which not surprisingly led to their access being increasingly restricted, as being able to treat COVID disrupted the existing business model).</em></p><p>Because of Fauci&#8217;s pronouncement, I felt hospitals would aggressively push remdesivir protocols as following the standard of care significantly shielded them from liability. More importantly, in November 2020, Medicare created the New COVID-19 Treatments Add-on Payment (NCTAP) to &#8216;mitigate potential financial disincentives&#8217; for hospitals to use remdesivir, which paid hospitals 65% of whatever a COVID stay cost beyond the standard Medicare payment (capped at 65% of the outlier threshold)<a href="https://www.cms.gov/medicare/payment/covid-19-vaccine-toolkit/new-covid-19-treatments-add-payment-nctap"><sup>1</sup></a><sup>,</sup><a href="https://www.cms.gov/medicare/payment/covid-19/new-covid-19-treatments-add-payment-nctap"><sup>2</sup></a>&#8212;but only if remdesivir or a small number of other drugs was billed on the claim (and the code could be used even if the hospital got the drug for free)<a href="https://revenuecycleadvisor.com/node/8469"><sup>1</sup></a>. In turn, giving remdesivir to a patient headed for a long ICU stay meant Medicare would cover most of the losses that would otherwise come out of the hospital&#8217;s pocket, and the sicker the patient became (which remdesivir&#8217;s toxicity helped bring about), the more that code was worth. This was a huge deal, as normally a hospital had to absorb the first $29,064 of losses on an expensive Medicare case before outlier payments kicked in,<a href="https://www.hfma.org/wp-content/uploads/2022/10/key-financial-operational-impacts-final-fy21-ipps-rule-exec-summary.pdf"><sup>1</sup></a>so for each remdesivir patient, this returned up to roughly $19,000 the hospital would have otherwise lost&#8212;making it a done decision virtually every hospital would push for every patient to get it to shield them from the massive potential loss they faced from the more costly patients (which is normally counterbalanced by the profitable ones). Likewise, replacing remdesivir with something like ivermectin removed the code that triggered the payment, so it was actually fiscally worth it for hospitals to go to court to stop its administration.</p><p>So, in the early part of the pandemic, I quickly concluded the most valuable thing the hospitals could do for COVID was provide oxygen (and hence sourced a lot of home oxygen concentrators for people), and then went through a very nerve-wracking period of treating people across the country at home (who&#8217;d only contacted me late in the illness) and having to repeatedly make the call on whether home care would work or we had to take the risk of a hospitalization (where things became much more complicated due to how frequently things were mismanaged and us not having colleagues at the hospital who could address them for us). Much of this came from the fact that in addition to me expecting the hospitals to be unprepared to correctly treat COVID, they were also incentivized (and equipped) to aggressively hospitalize patients for COVID and have them fare poorly enough to require extended ventilation (which was often fatal).</p><p>Later, right before the vaccines came out, for many reasons I&#8217;ve detailed in this newsletter, I was concerned they would be unsafe and ineffective&#8212;which most of my colleagues refused to consider, as they were desperate for the solution the vaccine offered (as everything previously, possibly by design, had abjectly failed to mitigate the pandemic). So, once the failures of the vaccines became readily apparent, rather than admit it, the medical system kept on doubling down on them, leading to this meme:</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!9ZL3!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F0743834b-244f-4a84-84ab-b20c66010b29_435x427.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!9ZL3!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F0743834b-244f-4a84-84ab-b20c66010b29_435x427.png 424w, https://substackcdn.com/image/fetch/$s_!9ZL3!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F0743834b-244f-4a84-84ab-b20c66010b29_435x427.png 848w, https://substackcdn.com/image/fetch/$s_!9ZL3!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F0743834b-244f-4a84-84ab-b20c66010b29_435x427.png 1272w, https://substackcdn.com/image/fetch/$s_!9ZL3!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F0743834b-244f-4a84-84ab-b20c66010b29_435x427.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!9ZL3!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F0743834b-244f-4a84-84ab-b20c66010b29_435x427.png" width="615" height="603.6896551724138" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/0743834b-244f-4a84-84ab-b20c66010b29_435x427.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:427,&quot;width&quot;:435,&quot;resizeWidth&quot;:615,&quot;bytes&quot;:313738,&quot;alt&quot;:&quot;&quot;,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:true,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" title="" srcset="https://substackcdn.com/image/fetch/$s_!9ZL3!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F0743834b-244f-4a84-84ab-b20c66010b29_435x427.png 424w, https://substackcdn.com/image/fetch/$s_!9ZL3!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F0743834b-244f-4a84-84ab-b20c66010b29_435x427.png 848w, https://substackcdn.com/image/fetch/$s_!9ZL3!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F0743834b-244f-4a84-84ab-b20c66010b29_435x427.png 1272w, https://substackcdn.com/image/fetch/$s_!9ZL3!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F0743834b-244f-4a84-84ab-b20c66010b29_435x427.png 1456w" sizes="100vw" loading="lazy" fetchpriority="high"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p>As public resistance to the vaccines increased (due to both their toxicity and ineffectiveness), increasingly aggressive measures were taken to promote them. These included staff-vaccination mandates (in November 2021 CMS made COVID-19 vaccination a Condition of Participation for Medicare and Medicaid hospitals, so a facility that did not require eligible staff to be vaccinated could be terminated from those programs and lose that funding<a href="https://www.cms.gov/newsroom/press-releases/biden-harris-administration-issues-emergency-regulation-requiring-covid-19-vaccination-health-care"><sup>1</sup></a>) and medical professionals (and medical students), along with many on the left, openly holding the unvaccinated in contempt.</p><p>On one hand this was alarming as it went against every principle of medical ethics (e.g., doctors are taught to have compassion and understanding for a combative drug addict who has an addiction related hospitalization and may carry hepatitis or HIV) but also did not surprise me, as in the 2015 measles outbreak (where 117 people got measles<a href="https://stacks.cdc.gov/view/cdc/31932"><sup>1</sup></a> and one previously vaccinated person died<a href="https://apnews.com/general-news-ec5186a0b6444186b0dc8e116f1e782f"><sup>1</sup></a>), the media incited a hysteria about it (presumably to enable the subsequent push for highly unpopular mandatory vaccine laws) at which point, I saw numerous physicians (and a few medical students who cycled through) that had branded themselves as &#8220;highly compassionate&#8221; and &#8220;viewing every patient&#8217;s life as sacred&#8221; wish death upon the children of parents who wouldn&#8217;t vaccinate them.<em><br>Note: I feel one of the major shortcomings in medical education is the minimal focus on ethics (despite physicians carrying a massive ethical responsibility), and as a result, &#8220;whatever results in a billable procedure&#8221; or &#8220;maximizes revenue&#8221; often becomes the guiding principle in medical ethics&#8212;which I believe explains why contradictory positions are frequently taken such as promoting late-term abortions where the fetus is viable but simultaneously mandating childhood vaccines to &#8220;protect the child&#8221; (or why many existing ethical principles were thrown out the window during the pandemic because so much money was to be made from feeding people through the hospital pipeline).</em></p><p>In turn, the media began promoting the message that if you did not vaccinate, you did not deserve to take up a bed at a hospital and medical professionals became quite condescending or hostile to hospitalized patients who had not vaccinated&#8212;all of which became worse once most of the justifications for COVID vaccination had been lost and a pivot was made to them protecting against severe illness (e.g., Fauci and the CDC director repeatedly claimed that 98-99% of patients in hospital and dying were the unvaccinated<em><a href="https://www.cnet.com/health/99-of-covid-deaths-are-now-of-unvaccinated-people-experts-say/"><sup>1</sup></a><strong>)</strong></em>&#8212;despite the trials not being able to determine this, numerous studies showing vaccinated had a higher hospitalization rate,<a href="https://pierrekorymedicalmusings.com/p/proof-the-cdc-knowingly-lied-when"><sup>1</sup></a> and later studies showing the benefit was mostly seen for the early variants in the elderly for a few months after vaccination.  Because of this, I frequently heard stories of unvaccinated patients being treated poorly in the hospitals (and pushed towards the ventilator pathway), and I began hearing of cases of people lying and stating they were vaccinated to get better care.<em><br>Note: I always suspected the unvaccinated numbers were inflated (as the extreme mortality claims did not match what I was seeing), and eventually learned through one activist they&#8217;d been able to show their hospital was inflating their percentage of COVID admissions that were in unvaccinated patients. Later, I found out through Pierre Kory that the EMR they used (EPIC, one of the largest ones in the country) made vaccination status &#8220;vaccinated&#8221; or &#8220;unknown&#8221; (which was typically the status patients who vaccinated outside the hospital system ended up in&#8212;and quite difficult for providers to correct), but &#8220;unknown&#8221; was then interpreted by the CDC to mean &#8220;unvaccinated&#8221; (all of which is detailed in <a href="https://pierrekorymedicalmusings.com/p/proof-the-cdc-knowingly-lied-when">his excellent article</a> on the topic). So in essence, rather than unvaccinated increasing your probability of being admitted to a hospital, being admitted to a hospital significantly increased your likelihood of being reclassified as unvaccinated.  Most tellingly, <a href="https://pierrekorymedicalmusings.com/p/proof-the-cdc-knowingly-lied-when">EPIC corrected this</a> (so the unvaccinated option reappeared and it was easy to change) after the need to increase unvaccinated numbers decreased.</em></p><p>So, if we take a step back, two things should be apparent:</p><p>First, many of the tactics the elite have used throughout history to exploit the population were at play here.<br><br>Second, many incentivizes were in place for hospitals to do bad things which went against the ethical conceptions most people hold of how the medical field could ever act.</p><h1>COVID Hospital Protocol Hearing</h1><p>Senator Ron Johnson (who understandably wanted to retire) made the decision to run for a third term in 2022 because he was appalled by what was happening during COVID and by the fact that almost no one was advocating for those injured by the COVID vaccines.</p><p>From the start of COVID, he sent (mostly ignored) oversight requests to HHS, and as a committee chair, began hosting Senate events questioning how things were being handled, beginning with <a href="https://www.hsgac.senate.gov/hearings/early-outpatient-treatment-an-essential-part-of-a-covid-19-solution/">11/19/2020</a> and <a href="https://www.hsgac.senate.gov/hearings/early-outpatient-treatment-an-essential-part-of-a-covid-19-solution-part-ii/">12/8/2020</a> Senate hearings on using repurposed drugs to treat COVID before the hospital stage. Then, after he lost the chairmanship (as Senate control flipped in 2021), he held a series of roundtables and panels on COVID vaccine injuries, early treatment (which was the only solution to the pandemic and hence stonewalled by the medical system), and the other numerous ways the COVID response was mishandled<a href="https://www.ronjohnson.senate.gov/2021/11/04/2021-11-video-release-sen-ron-johnson-what-is-the-rationale-for-the-mandates-there-is-no-rationale/"><sup>1</sup></a><sup>,</sup><a href="https://www.ronjohnson.senate.gov/2022/01/25/2022-1-video-release-sen-ron-johnson-covid-19-a-second-opinion-panel-garners-over-800-000-views-in-24-hours/"><sup>2</sup></a><sup>,</sup><a href="https://www.ronjohnson.senate.gov/2022/12/08/2022-12-sen-ron-johnson-hears-from-experts-and-medical-professionals-on-covid-19-vaccine-efficacy-and-safety/"><sup>3</sup></a><sup>,</sup><a href="https://www.ronjohnson.senate.gov/2024/2/video-release-sen-johnson-releases-highlight-video-from-roundtable-discussion-federal-health-agencies-and-the-covid-cartel-what-are-they-hiding"><sup>4</sup></a> (along with additional events outside the Senate<a href="https://www.ronjohnson.senate.gov/2023/11/icymi-sen-johnson-joins-house-of-representatives-panel-on-injuries-caused-by-covid-19-vaccines"><sup>1</sup></a><sup>,</sup><a href="https://www.ronjohnson.senate.gov/2021/06/25/2021-6-sen-johnson-to-hold-press-conference-with-families-who-want-to-be-seen-heard-and-believed-by-the-medical-community/"><sup>2</sup></a><sup>,</sup><a href="https://www.ronjohnson.senate.gov/2022/4/sen-johnson-hears-concerns-from-wisconsin-parents"><sup>3</sup></a><sup>,</sup><a href="https://www.ronjohnson.senate.gov/2022/8/sen-johnson-leads-panel-discussion-on-failed-response-to-covid-19"><sup>4</sup></a>). Finally, in 2025, once Republicans regained control of the Senate, he became Chair of the Permanent Subcommittee on Investigations (the Senate&#8217;s chief investigative body with broad subpoena powers), and began both aggressively pursuing federal records that would reveal the malfeasance during the pandemic and hosting a series of poignant Senate hearings on the same topics (along with childhood vaccine injuries and the healthcare system in general).<a href="https://www.hsgac.senate.gov/subcommittees/investigations/hearings/the-corruption-of-science-and-federal-health-agencies-how-health-officials-downplayed-and-hid-myocarditis-and-other-adverse-events-associated-with-the-covid-19-vaccines/"><sup>1</sup></a><sup>,</sup><a href="https://www.hsgac.senate.gov/subcommittees/investigations/hearings/voices-of-the-vaccine-injured/"><sup>2</sup></a><sup>,</sup><a href="https://www.hsgac.senate.gov/subcommittees/investigations/hearings/how-the-corruption-of-science-has-impacted-public-perception-and-policies-regarding-vaccines/"><sup>3</sup></a><sup>,</sup><a href="https://www.hsgac.senate.gov/subcommittees/investigations/hearings/assessing-the-damage-done-by-obamacare/"><sup>4</sup></a><sup>,</sup><a href="https://www.hsgac.senate.gov/subcommittees/investigations/hearings/defining-our-healthcare-problem-and-principles-we-should-follow-to-solve-it/"><sup>5</sup></a><sup>,</sup><a href="https://www.hsgac.senate.gov/subcommittees/investigations/hearings/unmasked-how-biden-health-officials-purposely-turned-a-blind-eye-toward-covid-19-vaccine-safety-signals/"><sup>6</sup></a><sup>,</sup><a href="https://www.hsgac.senate.gov/subcommittees/investigations/hearings/plausible-mechanisms-of-covid-19-injections-causing-cancer-and-attacks-on-scientific-publications-and-research/"><sup>7</sup></a> </p><p>This week, he hosted a gripping hearing on the hospital protocols used throughout COVID that, due to how much many people related to the horror in it, <a href="https://x.com/i/trending/2104616095672152235">went viral on Twitter</a> (with many clips receiving hundreds of thousands to a million views).  As such, while these hearings are long, I believe many will find this one worth watching in its entirety (especially with the context I previously mentioned factored in).</p><div id="youtube2--XnM7Y6maRE" class="youtube-wrap" data-attrs="{&quot;videoId&quot;:&quot;-XnM7Y6maRE&quot;,&quot;startTime&quot;:null,&quot;endTime&quot;:null}" data-component-name="Youtube2ToDOM"><div class="youtube-inner"><iframe src="https://www.youtube-nocookie.com/embed/-XnM7Y6maRE?rel=0&amp;autoplay=0&amp;showinfo=0&amp;enablejsapi=0" frameborder="0" loading="lazy" gesture="media" allow="autoplay; fullscreen" allowautoplay="true" allowfullscreen="true" width="728" height="409"></iframe></div></div><p>In the hearing, family members of patients who died in the hospital shared their surprisingly consistent stories alongside doctors and nurses who worked inside the system. In case after case, an otherwise healthy patient walked into the hospital and was isolated from their family. Once staff identified them as unvaccinated, they were told some variation of &#8220;you&#8217;re going to die&#8221; or &#8220;you&#8217;re unvaccinated, what did you expect?&#8221; Requests for ivermectin, hydroxychloroquine, vitamins, or monoclonal antibodies were refused (and in several cases cut off right after the patient began improving on them).<br><br>Some of the doctors seemed to know this was wrong (e.g., one, when asked why she wouldn&#8217;t try anything else, teared up and said &#8220;I used to save lives&#8221;), but said their hands were tied, and in one instance, an Orlando hospital system had sent its 2,000 doctors a memo recommending against steroids, hydroxychloroquine, ivermectin, and any preventive measures while recommending routine remdesivir. Remdesivir, in turn, was given anyway, often over explicit objections and frequently followed by kidney failure (in one case, to a patient with pre-existing kidney damage whom staff had told his mother did not have an active infection).<br><br>Patients were pressured or forced onto ventilators, and families were pushed to sign DNRs (in one case, to donate the organs of a man who was not an organ donor). Likewise, one patient was told she could only see her priest for last rites if she accepted remdesivir, and another family was told they <em>might</em> be allowed to visit if they switched their father to a DNR. Basic care such as food, water, hygiene, and clothing was neglected for days, and one physician shared that the only way he could get families in to visit was to write in the chart that each of his patients would die within 24 hours. <br><br>Getting out was no easier. One husband had to endure a six-hour standoff with police to bring his wife home (where she fully recovered on the treatments the hospital had refused her), a court order to give ivermectin was simply ignored (after which a hospital employee warned the wife that the doctors were angry she&#8217;d defied them and might let her husband die to prove ivermectin didn&#8217;t work), and families resorted to smuggling medicine in (e.g., in a stuffed novelty pillow or crushed into a feeding tube). <br><br>Likewise, the attorney who sued hospitals on behalf of 212 families shared that of the 72 cases where he got ivermectin administered, only three patients died, whereas every one of the 140 where he couldn&#8217;t died (making suing hospitals amongst the most successful medical interventions in history). Meanwhile, the clinicians described being fired, reported to their licensing boards, subjected to sham peer review, fined, or ordered into psychological counseling for giving patients what they&#8217;d asked for.</p><h1>James Miller</h1><p>Since this hearing is too long for many people to go through, I wanted to draw attention to one of its most widely seen parts&#8212;<a href="https://x.com/MidwesternDoc/status/2104669858470224121">James Miller&#8217;s testimony</a>:</p><div class="native-video-embed" data-component-name="VideoPlaceholder" data-attrs="{&quot;mediaUploadId&quot;:&quot;a9925cb6-2215-4f86-9a8d-3f61f9558ac5&quot;,&quot;duration&quot;:null}"></div><p>Many readers here are familiar with Dr. Miller, both because he helped me write an article on <a href="https://www.midwesterndoctor.com/p/the-forgotten-art-of-surgery">the gradually disappearing art of surgery</a> and because I&#8217;ve repeatedly cited the remarkable results he&#8217;s had with DMSO in his new practice. What many don&#8217;t know is that I got to know him very early in this publication&#8217;s history. Traumatized by what had happened to him in Washington, he reached out to me, and we began corresponding because I really liked where his head and heart were at (he had <a href="https://www.midwesterndoctor.com/p/what-made-doctors-do-the-right-thing">the rare capacity</a> to see things for what they were and break from the crowd to do the right thing). Since I felt his story needed to be heard, and he both has a great deal of integrity and is an excellent communicator, I offered him a platform, and once he was ready, did what I could to get his story seen&#8212;beginning with <a href="https://www.midwesterndoctor.com/p/the-honest-doctors-story-made-national">the first article we published</a> which went viral and was featured nationally on Fox News, followed by three others we put together<a href="https://www.midwesterndoctor.com/p/the-price-of-truth-vs-deception-in"><sup>1</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/what-made-doctors-do-the-right-thing"><sup>2</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-forgotten-art-of-surgery"><sup>3</sup></a> (including <a href="https://www.midwesterndoctor.com/p/the-price-of-truth-vs-deception-in">a detailed affidavit</a> of what he&#8217;d witnessed) and most recently, his Senate testimony.</p><div class="native-video-embed" data-component-name="VideoPlaceholder" data-attrs="{&quot;mediaUploadId&quot;:&quot;c9816ec1-b8c1-4746-994f-d28f5dc862e3&quot;,&quot;duration&quot;:null}"></div><p>I&#8217;m immensely grateful he was given a place on the panel, as few things are more likely to break the narrative we&#8217;ve been stuck in than a doctor of his caliber saying on the record what really happened.</p><h1>Dr. Miller&#8217;s Story</h1><p>Dr. Miller was a trauma surgeon and the top producer at Providence Regional Medical Center Everett (meaning he operated the most, had the best outcomes and fewest complications, and made the hospital the most money). Before COVID, he&#8217;d already gotten a taste of how the system treats people like him. After he raised the standards for the surgeons while serving as interim director of the trauma team, a nurse leader emailed staff that &#8220;we need to get Dr. Miller,&#8221; eleven baseless complaints were filed against him in two weeks (including one accusing him of racism for waving hello to a maintenance worker in a hallway), and the email was then deleted from his inbox.</p><p><em>Note: those years also gave him a front-row seat to how robotic surgery had hollowed out surgical training (e.g., none of the hospital&#8217;s 7-8 urologists could remove a kidney without the robot, so he had to be given emergency privileges to do it). Those same urologists then became the leaders of the hospital&#8217;s safety committees, redefined &#8220;competence&#8221; so it had nothing to do with patient outcomes, and drove out those who objected.</em></p><p>In February 2020, his hospital admitted the first diagnosed COVID patient in America, and shortly after, the CDC sent it remdesivir, which leadership pitched to Miller and other physician leaders as a powerful antiviral everyone should wait for. In practice, it did not work, and the hospital&#8217;s infectious disease doctors seemed to know it (e.g., when Miller brought them a young trauma patient who was a textbook remdesivir candidate, the on-call infectious disease physician told him not to give it to her because she &#8220;seemed like a nice girl&#8221;).</p><p>Likewise, his hospital&#8217;s COVID wave peaked around March 17, 2020, and it never faced a shortage of beds, staff, or equipment&#8212;yet it kept promoting the idea it was overwhelmed. At one point in July 2020, Miller and his colleagues were drinking coffee at the nurses&#8217; station of an ICU that was 30% full (with nurses being sent home for lack of patients) when someone pulled up a news story saying their ICU was overrun, at which point the ICU director panicked and called the administrators to strategize about the crisis. Death certificates, in turn, defaulted to COVID and were cumbersome to change (e.g., an elderly dialysis patient who came in with a brain bleed was repeatedly tested until she finally tested positive, and when she died from the bleed, Miller was prevented from correcting her death certificate).</p><p>Once the vaccines rolled out, things got darker. The head of infectious disease told Miller he was working with the governor&#8217;s office to make driver&#8217;s license renewals contingent on vaccination (and when Miller warned this would incite violent protests, he was excited by the prospect). Unvaccinated members of Miller&#8217;s church began telling him they&#8217;d been refused care by primary care and urgent care doctors (including diabetics who could no longer get their prescriptions), and when he raised this with the medical group&#8217;s chief medical officer, he was told it was the appropriate policy to &#8220;keep the staff safe.&#8221;</p><p>So Miller opened a free clinic through his church, and of the more than one hundred patients he and a few nurses (including his wife) cared for, only one died&#8212;after he sent her to the ER for oxygen and she was sent home without it. After that, they obtained oxygen concentrators for the clinic, and every other patient recovered. Meanwhile, once the federal directives began dictating hospital care, the unanticipated mortality in the hospital&#8217;s trauma patients doubled, yet when the administration was shown this, it made no changes.</p><p>In January 2022, Miller resigned but agreed to stay for 7 more months at the request of the Chief of Trauma to help orient new hires. Four days later, the hospital launched a sham peer review against him for a &#8220;microaggression&#8221; that had occurred a month earlier&#8212;asking an OR charge nurse to stop watching cat videos on her phone with the on-call team so they could operate on a patient who&#8217;d been waiting over nine hours for surgery to untwist his intestines. Subsequently, his colleagues were told not to speak to him if they valued their jobs, his four requests for a fair hearing were denied, and he was told he was suspended and would be arrested if he set foot on hospital grounds, even to collect his personal belongings (until his whistleblower attorney sent a letter, at which point he was told he had never actually been suspended and that the court-couriered letter the hospital&#8217;s CEO had sent him was a &#8220;typo&#8221;). A month later, after he had sold his home, he was exonerated by two separate investigations and told to return to work within the week&#8212;with the warning that any further accusation of &#8220;microaggressions&#8221; or similar offenses would get him reported to the national provider databases (which would end his ability to practice). When he asked for a mediator to rebuild trust with his surgical team, the hospital paid out over $100,000 rather than agree to a mediator, and then offered him more money if he signed a gag order (which he declined).</p><p><em>Note: roughly two thirds of that hospital&#8217;s surgical ICU nurses left, not from &#8220;burnout,&#8221; but from moral outrage over what they&#8217;d been made to do to patients.</em></p><p>Dr. Miller, in turn, chronicled the many disturbing things he witnessed (which helped set the course of the pandemic) in a far more detailed affidavit, which can be read here:</p><div class="digest-post-embed" data-attrs="{&quot;nodeId&quot;:&quot;4c36d2bc-4cda-4a21-a6c9-e68446a9f6ec&quot;,&quot;caption&quot;:&quot;&quot;,&quot;cta&quot;:null,&quot;showBylines&quot;:true,&quot;showDescription&quot;:true,&quot;showImage&quot;:true,&quot;size&quot;:&quot;lg&quot;,&quot;isEditorNode&quot;:true,&quot;title&quot;:&quot;The Price of Truth vs. Deception In Healthcare&quot;,&quot;publishedBylines&quot;:[{&quot;id&quot;:76762071,&quot;name&quot;:&quot;A Midwestern Doctor&quot;,&quot;bio&quot;:&quot;I write The Forgotten Side of Medicine where I expose pharmaceutical corruption and remarkable therapies lost to time for the health of humanity.&quot;,&quot;photo_url&quot;:&quot;https://substackcdn.com/image/fetch/f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fbucketeer-e05bbc84-baa3-437e-9518-adb32be77984.s3.amazonaws.com%2Fpublic%2Fimages%2Fa3b8e6f0-ce1c-48b8-bbfc-f8150903b2f5_250x298.jpeg&quot;,&quot;is_guest&quot;:false,&quot;bestseller_tier&quot;:10000}],&quot;post_date&quot;:&quot;2024-06-06T03:29:50.359Z&quot;,&quot;cover_image&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/6e98593a-a2e5-4fa1-980f-ed467a92e41c_966x542.png&quot;,&quot;cover_image_alt&quot;:null,&quot;canonical_url&quot;:&quot;https://www.midwesterndoctor.com/p/the-price-of-truth-vs-deception-in&quot;,&quot;section_name&quot;:null,&quot;video_upload_id&quot;:null,&quot;id&quot;:145239196,&quot;type&quot;:&quot;newsletter&quot;,&quot;reaction_count&quot;:757,&quot;comment_count&quot;:315,&quot;publication_id&quot;:748806,&quot;publication_name&quot;:&quot;The Forgotten Side of Medicine&quot;,&quot;publication_logo_url&quot;:&quot;&quot;,&quot;belowTheFold&quot;:true,&quot;youtube_url&quot;:null,&quot;show_links&quot;:null,&quot;feed_url&quot;:null}"></div><h1>The Doctors We Lose</h1><p>For the most part, surgeons can only operate under the umbrella of a hospital (and hence at the mercy of its administrators), so leaving Washington meant Dr. Miller had to give up the specialty he&#8217;d spent over a decade mastering. He now practices primary care in Florida, which has been great for him (as he can finally do what he knows will help his patients, and has had remarkable results with DMSO and with a variety of therapies for over a hundred vaccine-injured patients). For patients, however, it&#8217;s an immense loss, as a trauma surgeon of his caliber takes years to train, is exactly who you want operating on you, and is often the only person around who can fix the mistakes less competent surgeons make.</p><p>Sadly, his story was not an anomaly. Almost every clinician at the hearing who put their patients before the protocols was fired, reported to their board, put through sham peer review, or forced out, and Pierre Kory and Paul Marik (who embody the ICU doctors anyone would want caring for them) were likewise <a href="https://www.midwesterndoctor.com/p/what-happens-to-doctors-who-innovate">driven out of hospital medicine</a>. As a result, the system steadily removes the doctors who will deviate from a failing protocol to keep you alive, and keeps the ones who will follow it and then tell your family &#8220;nothing more could be done.&#8221;</p><p>Johnson put it well at the end of the hearing&#8212;it doesn&#8217;t take many people being hanged in the town square before everyone falls into line&#8212;and noted that many of the doctors who privately whispered their thanks to him couldn&#8217;t afford to step out themselves (e.g., because they had $400,000 in student loans and families to support). This is a major reason why, as mentioned earlier, whenever we can safely do it, we prioritize getting patients who are on the border of being hospitalized well at home, as once someone is admitted, the doctors who would break protocol to save them are increasingly no longer there.</p><h1>Conclusion</h1><p>In the middle of COVID, a colleague told me he&#8217;d realized COVID was the Democrats&#8217; version of the Iraq War. Both were sold to the public through lies and a fear campaign every media outlet parroted, both were used to justify sweeping emergency powers and recast anyone who questioned them as a threat (or a source of &#8220;misinformation&#8221;), and both allowed a small group of insiders behind the party to loot the country while countless people were harmed (e.g., Halliburton&#8217;s subsidiary KBR received $39.5 billion in Iraq contracts,<a href="https://jonathanturley.org/2013/04/08/report-halliburton-subsidiary-received-39-5-billion-for-iraqi-war-alone/"><sup>1</sup></a> while Pfizer became the first pharmaceutical company to bring in $100 billion in a year, $56.7 billion of which came from its COVID vaccine and Paxlovid<a href="https://dcatvci.org/features/pfizer-sets-record-becomes-first-100-bn-company-in-bio-pharma-industry"><sup>1</sup></a>). Likewise, in both cases, almost no one responsible has been held accountable.</p><p>Despite spending more than any other nation to fight COVID, America ended up with one of the worst outcomes in the world (over a million deaths), whereas Africa, which could afford very little of what we did, fared far better (as even after accounting for underreporting, its mortality rate remained lower than Western Europe&#8217;s<a href="https://www.weforum.org/stories/2021/10/why-africa-must-gather-its-own-data-to-tackle-the-pandemic/"><sup>1</sup></a>).</p><p>Given all of this, between April 2020 and January 2024, the share of Americans with a lot of trust in doctors and hospitals fell from 71.5% to 40.1%<a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC11292455/"><sup>1</sup></a> (which the study&#8217;s authors framed as a barrier to getting people vaccinated)&#8212;trust the medical industry has worked for decades to create (as its entire business model depends upon it). Since much of that trust was created by public relations and media manipulation, the medical field has tried to solve the problem with more of the same.</p><p>However, since so much of the public watched what happened firsthand (and hence won&#8217;t swallow up a fabricated version of the past), and we have now entered an era where <a href="https://consilienceproject.org/">the vertical monopolization of propaganda the society has depended upon for nearly a century</a> (media monopolized by a few large companies that all promote the same sponsored narrative) is no longer viable, as independent media has broken that monopoly (e.g., I&#8217;m nobody, but on my own limited budget I&#8217;ve produced numerous things seen by millions of people, and I am just one of many doing that). Because of this, no public relations campaign can fix the loss of trust in medicine that has been created. Rather, the only way that trust will return is if medicine is honest about what it did during COVID, holds those responsible accountable, protects rather than punishes doctors like Dr. Miller, and starts giving patients things that actually work.</p><p>Until that happens, the most important lesson from COVID is that while medicine provides numerous essential services, you cannot afford to fully depend on the medical system. That means learning to take care of yourself and your family (which also creates the economic pressure medicine needs to produce better outcomes so it can stay in business), knowing your rights as a patient, and unless you are fortunate enough to live near a hospital you can trust, never letting a loved one go into the hospital without an advocate.</p><p>As Johnson put it at the end of the hearing, when it comes to healthcare, you have to be your own advocate&#8212;and the more of us who can do that (or better yet know enough to not need much of what the medical system has to offer), the less leverage the system has over us and the more room doctors like Dr. Miller will have to practice the way they always wanted to. Given how bad things were just a few years ago, it&#8217;s been incredible to see how quickly things have shifted, and I deeply thank each of you for the support that has helped make that possible.</p><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://www.midwesterndoctor.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">Your support makes The Forgotten Side of Medicine possible. To receive new posts and support my work, please consider becoming a free or paid subscriber!</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div><div class="captioned-button-wrap" data-attrs="{&quot;url&quot;:&quot;https://www.midwesterndoctor.com/p/how-hospitals-turned-on-their-patients?utm_source=substack&utm_medium=email&utm_content=share&action=share&quot;,&quot;text&quot;:&quot;Share&quot;}" data-component-name="CaptionedButtonToDOM"><div class="preamble"><p class="cta-caption">Click below to share this post!</p></div><p class="button-wrapper" data-attrs="{&quot;url&quot;:&quot;https://www.midwesterndoctor.com/p/how-hospitals-turned-on-their-patients?utm_source=substack&utm_medium=email&utm_content=share&action=share&quot;,&quot;text&quot;:&quot;Share&quot;}" data-component-name="ButtonCreateButton"><a class="button primary" href="https://www.midwesterndoctor.com/p/how-hospitals-turned-on-their-patients?utm_source=substack&utm_medium=email&utm_content=share&action=share"><span>Share</span></a></p></div><p class="button-wrapper" data-attrs="{&quot;url&quot;:&quot;https://www.midwesterndoctor.com/leaderboard?&amp;utm_source=post&quot;,&quot;text&quot;:&quot;Refer a friend&quot;,&quot;action&quot;:null,&quot;class&quot;:null}" data-component-name="ButtonCreateButton"><a class="button primary" href="https://www.midwesterndoctor.com/leaderboard?&amp;utm_source=post"><span>Refer a friend</span></a></p><p class="button-wrapper" data-attrs="{&quot;url&quot;:&quot;https://www.midwesterndoctor.com/subscribe?&amp;gift=true&quot;,&quot;text&quot;:&quot;Give a gift subscription&quot;,&quot;action&quot;:null,&quot;class&quot;:null}" data-component-name="ButtonCreateButton"><a class="button primary" href="https://www.midwesterndoctor.com/subscribe?&amp;gift=true"><span>Give a gift subscription</span></a></p><p><em>To learn how other readers have benefitted from this publication and the community it has created, their feedback can be viewed <a href="https://www.midwesterndoctor.com/p/reader-feedback">here</a>. Additionally, an index of all the articles published in the Forgotten Side of Medicine can be viewed <a href="https://www.midwesterndoctor.com/p/an-index-of-the-forgotten-side-of">here</a>.</em></p>]]></content:encoded></item><item><title><![CDATA[DMSO is a Miraculous Therapy for Neurological Diseases]]></title><description><![CDATA[A concise guide to the thousands of forgotten studies showing how one simple compound treats strokes, paralysis, neurodegeneration, and nerve pain]]></description><link>https://www.midwesterndoctor.com/p/dmso-is-a-miraculous-therapy-for-657</link><guid isPermaLink="false">https://www.midwesterndoctor.com/p/dmso-is-a-miraculous-therapy-for-657</guid><dc:creator><![CDATA[A Midwestern Doctor]]></dc:creator><pubDate>Sat, 26 Sep 2026 10:25:24 GMT</pubDate><enclosure url="https://substack-post-media.s3.amazonaws.com/public/images/f7f117e2-9533-427f-918c-029e21ca2e57_2290x1294.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p><strong>Story at a Glance:</strong></p><p>&#8226; <strong>DMSO is an inexpensive &#8220;umbrella remedy&#8221; whose combination of therapeutic properties (e.g., restoring circulation, reducing inflammation, and reactivating dormant cells) makes it uniquely suited to treating neurological disorders that otherwise lack effective options.</strong></p><p>&#8226; <strong>Hundreds of studies and many reader reports show DMSO can dramatically improve strokes, brain bleeds, traumatic brain injuries, and spinal cord injuries (including permanent paralysis), with the best results occurring when it is given soon after the injury.</strong></p><p>&#8226; <strong>Extensive data supports DMSO for neurodegenerative diseases such as Parkinson&#8217;s, Alzheimer&#8217;s, ALS, MS, and prion disease, along with cognitive impairment, psychiatric disorders, chronic stress, seizures, and Down syndrome.</strong></p><p>&#8226; <strong>DMSO is one of the most effective treatments available for pain (e.g., neuropathic pain, spinal pain, headaches, and fibromyalgia) and peripheral nerve damage, and since the eyes and ears are also extensions of the nervous system, it frequently improves vision, hearing, and tinnitus.</strong></p><p>&#8226; <strong>DMSO&#8217;s ability to treat so many seemingly unrelated neurological conditions suggests they share root causes conventional neurology does not recognize, which is a major reason so many of these diseases remain untreated.</strong></p><p>&#8226; <strong>This article condenses a four-part DMSO neurology series (covering approximately 4,500 studies and 1,000 reader reports) into an accessible summary and concludes with practical guidance on sourcing, dosing, and condition-specific protocols.</strong></p><p>Dimethyl sulfoxide (DMSO) is a simple, inexpensive compound found throughout nature whose remarkable properties allow it both to treat a wide range of illnesses and to facilitate the use of many different (FDA approved) medical therapies. Yet, it exists in a strange limbo: it is one of the most extensively studied and used medicinal compounds, but most mainstream sources insist there&#8217;s no evidence it works for anything beyond its single FDA-approved use, interstitial cystitis, despite the fact that physicians and scientists, seeing its promise, independently conducted tens of thousands of studies demonstrating its therapeutic utility and that DMSO, on the basis of that data, is widely used in foreign medical systems.</p><p>DMSO&#8217;s peculiar status results from the fact it cannot be profited off of (e.g., a twenty dollar bottle will last a user for months).  Because of this, there has been no incentive within the medical field to secure a costly approval for it within the FDA&#8217;s &#8220;pay-to-play system.&#8221;  Rather, the <a href="https://www.midwesterndoctor.com/p/the-fdas-war-against-dmso-and-america">FDA went to war against DMSO</a> for decades (despite immense public protest to legalize DMSO) and as a result, almost all of the approved DMSO preparations on the market are <a href="https://www.midwesterndoctor.com/p/therapeutic-dmso-combinations-revolutionize">DMSO pharmaceutical combinations</a> (as they can be patented and then marked up). Likewise, there was no incentive within the natural health field to market it as a supplement, which has resulted in it becoming mostly forgotten by the time <a href="https://en.wikipedia.org/wiki/Dietary_Supplement_Health_and_Education_Act_of_1994">a 1994 law</a> took away the FDA&#8217;s ability to restrict natural supplements like DMSO.</p><p>I find this egregious, as DMSO is able to:<br>&#8226;Treat a variety of common conditions (e.g., <a href="https://www.midwesterndoctor.com/p/dmso-is-a-miraculous-therapy-for">pain and injuries</a>) in a dramatically effective, cheaper, and most importantly <strong>safer</strong> manner than the existing therapeutic options.<br>&#8226;Treat a variety of challenging and tragic illnesses that have few or no treatment options, in many cases producing recoveries so dramatic they are regarded as &#8220;miraculous&#8221; or &#8220;impossible.&#8221; </p><p>Since many of DMSO&#8217;s most incredible effects are seen with neurological disorders (that often otherwise lack satisfactory treatment options), a significant portion of the DMSO literature base has focused on this area. So, over the last six months, in an effort to make this option available to people, I&#8217;ve tried to concisely summarize approximately 4,500 studies and 1,000 reader reports of DMSO&#8217;s utility for neurological conditions. Unfortunately, given how much information this was, despite my absolute best efforts to compress it, the four articles I wrote<a href="https://www.midwesterndoctor.com/p/how-dmso-heals-the-brain-and-transforms"><sup>1</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/how-dmso-heals-the-spine-and-reverses"><sup>2</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/how-dmso-heals-nerves-and-eliminates"><sup>3</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/dmso-heals-blood-vessels-and-could"><sup>4</sup></a> still totaled to 142,000 words. However, now that those four have been done (which I felt had to be done first as many of the claims I&#8217;ve made seem impossible within the conventional framework), it is possible to write a much shorter (and more accessible) summary of the DMSO&#8217;s uses in neurology which can link back to the more detailed pieces which provide all the corroborating references one might need before considering trying DMSO.</p><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://www.midwesterndoctor.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">The Forgotten Side of Medicine is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. To find out how others have benefitted from this publication, click <a href="https://www.midwesterndoctor.com/p/reader-feedback">here</a>.</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div><h1>How DMSO Works</h1><blockquote><p>James Miller, MD: It is my impression, with no hard data, that ~80% of everything people see neurologists for goes away with DMSO. That is what my patients reflect back to me who choose to trial DMSO for their neurological problems.</p></blockquote><p>DMSO&#8217;s unique ability to treat a very wide range of seemingly unrelated disorders makes it critical to understand how this happens, both because skeptical parties require mechanistic plausibility to accept that it can work, and because DMSO&#8217;s ability to treat so many challenging illnesses suggests whatever it does addresses the foundational causes of disease that medicine, despite its &#8220;best efforts,&#8221; has not been able to identify. DMSO&#8217;s mechanisms, in turn, break down into three categories: the conventionally recognized ones (with wide support in the literature), the documented but overlooked ones, and the mostly-unrecognized &#8220;alternative&#8221; ones (which have some supporting literature) that I believe underlie many diseases.</p><p>Since many of DMSO&#8217;s therapeutic effects are uniquely tailored to the needs of the nervous system, in those four articles (which began the second draft of the DMSO series), I laid out extensive body of research demonstrating those therapeutic mechanisms.  They are as follows:</p><h3><strong>Widely Recognized Mechanisms</strong></h3><ul><li><p><strong>Protecting cells from otherwise lethal stressors.</strong> DMSO made modern cryopreservation possible. The same protection extends to radiation, excitotoxins, heavy metals, nerve agents, heat, and loss of blood supply. It works partly by neutralizing the free radicals these stressors generate, stabilizing cell membranes, preventing the calcium influx that triggers cell death, and sustaining ATP production when mitochondria are compromised. CNS Neurons are among the most injury-sensitive and least regenerative cells in the body, so this is particularly valuable for the nervous system, particularly since many neurodegenerative disorders are caused by a continual source of neurotoxic stressors that gradually destroy nervous tissue (<a href="https://www.midwesterndoctor.com/p/how-dmso-heals-the-brain-and-transforms">detailed here</a> and <a href="https://www.midwesterndoctor.com/p/how-dmso-heals-nerves-and-eliminates">here</a>).</p></li><li><p><strong>Neutralizing free radicals and inflammation.</strong> Chronic inflammation is one of the most common drivers of neurological disease, and in our experience DMSO is one of the most effective anti-inflammatories available. Beyond being one of the most potent known hydroxyl radical scavengers (e.g., there are 135,000 results on Google Scholar for &#8220;DMSO radical scavenger&#8221;<a href="https://scholar.google.com/scholar?hl=en&amp;as_sdt=0%2C44&amp;q=dmso+radical+scavenger&amp;btnG=&amp;oq=DMSO+radical"><sup>1</sup></a>), DMSO suppresses NF-&#954;B&#8212;the master switch that turns on inflammatory cytokines (e.g., in one endotoxin model, it cut ICAM-1, TNF-&#945;, and neutrophil infiltration by roughly 80%<a href="https://journals.lww.com/shockjournal/abstract/1997/02000/inhibition_of_nf_kb_activation_by_dimethyl.3.aspx"><sup>1</sup></a>), reduces the adhesion molecules that allow white blood cells to plug vessel walls and infiltrate tissue, inhibits inflammatory prostaglandins, reduces edema, and restores the circulation whose absence allows inflammation to persist. Unlike steroids and other immunosuppressants, however, it modulates rather than shuts down the immune system (while also potentiating cortisol so lower steroid doses can be used) (<a href="https://www.midwesterndoctor.com/p/how-dmso-heals-the-brain-and-transforms">detailed here</a> and <a href="https://www.midwesterndoctor.com/p/how-dmso-treats-incurable-autoimmune">here</a>).</p></li><li><p><strong>Crossing the blood-brain barrier and carrying other agents with it.</strong> Within five minutes of skin application, DMSO reaches the bloodstream, and within an hour it has spread throughout the body (including into the bones), yet it does not accumulate, since 85% is excreted within 24 hours. The blood-brain barrier keeps most therapeutic agents out of the brain (often requiring very high doses so that some reaches it), but DMSO both crosses it and carries other agents across with it. This allows therapies to reach the central nervous system at much lower (and hence less toxic) doses than would otherwise be required (<a href="https://www.midwesterndoctor.com/p/how-dmso-heals-the-brain-and-transforms">detailed here</a>).</p></li><li><p><strong>Relieving pain.</strong> DMSO reduces pain transmission, relaxes muscles, reduces swelling and inflammation (addressing key sources of pain), and potentiates local anesthetics&#8212;which is why pain reduction was DMSO&#8217;s most popular use from the start (<a href="https://www.midwesterndoctor.com/p/how-dmso-heals-nerves-and-eliminates">detailed here</a>).<br><em>Note: muscles compressing nerves contributes to many neurological issues.</em></p></li></ul><h3><strong>Documented but Overlooked Mechanisms</strong></h3><ul><li><p><strong>Inhibiting blood clotting.</strong> Neurons are among the tissues most sensitive to losing their blood supply (often ceasing to function the moment it is interrupted), so even small clots can cause significant neurological damage. A large body of research shows DMSO counteracts clotting through several independent pathways at once. It inhibits platelet aggregation and activation, selectively inhibits COX-1 and thromboxane A&#8322;, raises cAMP and cGMP, scavenges the free radicals that trigger platelet activation, suppresses tissue factor (the protein that initiates the clotting cascade), and activates the body's natural clot-dissolving system, allowing it to break down existing clots as well as prevent new ones (e.g., in rats with injured carotid arteries, IV DMSO virtually abolished clot formation<a href="https://nyaspubs.onlinelibrary.wiley.com/doi/pdfdirect/10.1111/j.1749-6632.1983.tb47304.x"><sup>1</sup></a>). Because DMSO normalizes coagulation rather than forcefully blocking a single pathway, its bleeding risk is much lower than that of conventional blood thinners (<a href="https://www.midwesterndoctor.com/p/dmso-heals-blood-vessels-and-could">detailed here</a>).</p></li><li><p><strong>Increasing circulation and reducing swelling.</strong> DMSO dilates blood vessels, stimulates lymphatic flow, and by neutralizing the free radicals that constrict vessels and impair nitric oxide, keeps them open under oxidative stress. It also acts as a targeted diuretic that reduces the swelling that compresses injured brain and spinal tissue (e.g., one veterinary review found it lowered pressure inside the skull faster than mannitol<a href="https://www.researchgate.net/profile/Geraldo-Eleno-Alves/publication/268395682_Dimetilsulfoxido_DMSO/links/551d67700cf252bc3a87a882/Dimetilsulfoxido-DMSO.pdf"><sup>1</sup></a>). Unlike conventional treatments for brain swelling, which often lower blood pressure and thereby reduce the brain&#8217;s blood supply, DMSO relieves the pressure while increasing blood flow to the brain (<a href="https://www.midwesterndoctor.com/p/dmso-heals-blood-vessels-and-could">detailed here</a> and <a href="https://www.midwesterndoctor.com/p/how-dmso-heals-the-brain-and-transforms">here</a>).<br><em>Note: many neurodegenerative diseases appear to stem in part from impaired venous and lymphatic drainage from the brain, which traps toxins and the misfolded proteins that accumulate in these diseases (e.g., surgically restoring that drainage <a href="https://www.midwesterndoctor.com/p/how-dmso-heals-the-brain-and-transforms">has produced marked improvements in multiple sclerosis and Alzheimer&#8217;s</a>). Since DMSO increases both venous and lymphatic drainage, it offers a non-invasive way to produce many of the same effects.</em></p></li><li><p><strong>Clearing aged blood cells.</strong> IV DMSO causes osmotic hemolysis. As this selectively affects aged red blood cells (which happen to be prone to clumping), this hemolysis reduces blood viscosity and increases blood flow (e.g., one dog study showed a greater than 20% increase in cerebral blood flow following this hemolysis<a href="https://journals.lww.com/neurosurgery/abstract/1983/01000/Effect_of_Dimethyl_Sulfoxide_on_the_Cerebral_and.5.aspx"><sup>1</sup></a>).  A leading researcher, in turn, believed this explained the paradoxical observation that IV DMSO lowered hematocrit but raised cerebral blood flow (<a href="https://www.midwesterndoctor.com/p/how-dmso-heals-the-brain-and-transforms">detailed here</a>).</p></li><li><p><strong>Increasing parasympathetic tone.</strong> DMSO inhibits acetylcholinesterase, the enzyme that breaks down acetylcholine (the primary transmitter of the parasympathetic nervous system). Many practitioners consider excessive sympathetic (fight-or-flight) activity with deficient parasympathetic (rest-and-repair) activity to be a root cause of chronic disease. That imbalance sustains chronic psychological stress and agitation, constricts blood vessels, reduces blood flow to the brain (and other parts of the body), impairs healing, and keeps neural circuits locked in dysfunctional states. By restoring parasympathetic tone, DMSO helps counterbalance this and normalize autonomic function (<a href="https://www.midwesterndoctor.com/p/how-dmso-heals-the-brain-and-transforms">detailed here</a>).</p></li><li><p><strong>Blocking pain at its source and in the central nervous system.</strong> Beyond dampening pain signals, DMSO biophysically blocks the small nerve fibers that transmit chronic pain (leaving larger fibers untouched), blocks nerve ion channels much as local anesthetics do, and suppresses the NMDA receptors that drive central sensitization. Partly through scavenging free radicals, it also prevents the sensitization that often follows nerve injury. Finally, it strengthens the body&#8217;s own pain-inhibiting circuits and opioid signaling while producing its own opioid-independent pain relief (e.g., comparable to morphine but lasting three times as long<a href="https://www.sciencedirect.com/science/article/abs/pii/0024320581902551"><sup>1</sup></a>), allowing it to address pain conditions other medications cannot touch (<a href="https://www.midwesterndoctor.com/p/how-dmso-heals-nerves-and-eliminates">detailed here</a>).</p></li><li><p><strong>Repairing and rebuilding nerves.</strong> When nerve fibers are cut or crushed, their ruptured membranes must reseal quickly to prevent the cell from dying, and DMSO significantly enhances this resealing, even under conditions that normally impair it. It is also one of the most potent known promoters of microtubule assembly (the internal scaffolding nerves need to regrow&#8212;in one case lowering the threshold for it 8- to 10-fold<a href="https://www.sciencedirect.com/science/article/pii/S0021925817400536"><sup>1</sup></a>), and drives stem cells to differentiate into neurons. This provides a mechanistic basis for the nerve and spinal cord regeneration repeatedly observed with it (<a href="https://www.midwesterndoctor.com/p/how-dmso-heals-the-spine-and-reverses">detailed here</a> and <a href="https://www.midwesterndoctor.com/p/how-dmso-heals-nerves-and-eliminates">here</a>).</p></li><li><p><strong>Acting as a chemical chaperone.</strong> DMSO stabilizes proteins in their correct shape and dissolves misfolded aggregates such as amyloid, and breaks down the abnormal tissue of fibrotic contractile disorders (e.g., scleroderma, Dupuytren&#8217;s, and Peyronie&#8217;s<a href="https://www.midwesterndoctor.com/p/the-simple-ways-to-restore-sexual"><sup>1</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/steroid-dangers-and-safe-autoimmune"><sup>2</sup></a>). As these protein aggregates play a key role in many neurodegenerative disorders, this mechanism likely plays a major part in DMSO&#8217;s ability to address these disorders (<a href="https://www.midwesterndoctor.com/p/how-dmso-heals-the-brain-and-transforms">detailed here</a>).</p></li></ul><p><strong>Unrecognized Mechanisms</strong></p><ul><li><p><strong>Dispersing clumped blood.</strong> A large body of research, pioneered first by Western and later by Russian scientists, found that blood cells clumping together (&#8221;sludging&#8221;) and forming microclots that obstruct the smallest vessels is a root cause of many diseases (mirroring Chinese medicine&#8217;s concept of &#8220;blood stasis&#8221;). This clumping can be triggered by attractive forces (e.g., positive ions or pathologic proteins) or by a loss of the negative charge (zeta potential) that keeps blood cells apart. Infections, vaccines, and the COVID spike protein all cause blood cells to clump, while improving their dispersion frequently produces dramatic improvements across a wide range of ailments, so a significant portion of this newsletter has focused on this forgotten concept (<a href="https://www.midwesterndoctor.com/p/what-makes-all-vaccines-so-dangerous">detailed here</a>). In addition to preventing while blood cells from plugging the smallest vessels, DMSO has effects similar to agents that restore zeta potential, but rather than acting electrically, it prevents microclotting by neutralizing the forces that draw blood cells together (e.g., in a 2009 study, heating rats&#8217; cerebrospinal fluid caused escalating microclotting followed by brain damage, all of which DMSO prevented<a href="https://www.geomednews.com/s/480918712df344a4a77508d4cd7815ab/files/uploaded/V172-173_N7-8_July-August_2009.pdf"><sup>1</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/19644196/"><sup>2</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/how-dmso-heals-the-brain-and-transforms"><sup>3</sup></a>). Since the nervous system is exquisitely sensitive to impaired microcirculation, this likely underlies many of DMSO&#8217;s benefits for neurological disorders (<a href="https://www.midwesterndoctor.com/p/how-dmso-heals-the-brain-and-transforms">detailed here</a>).</p><p><em>Note: ozone is another marginalized low-cost therapy that a vast body of forgotten literature shows treats a broad range of diseases (many overlapping with DMSO&#8217;s). I am currently compiling that literature, and from what I&#8217;ve seen, ozone&#8217;s ability to reduce red blood cell adhesion appears to be one of the core mechanisms behind its broad therapeutic activity.</em></p></li><li><p><strong>Restoring the blood flow the brain loses to chronic stress.</strong> A multi-decade Russian research program found that chronic stress drops cerebral blood flow from roughly 50 to under 30 ml/100g/min, setting off the degenerative changes seen in &#8220;stress&#8221; and psychiatric illness. Oral DMSO, particularly when combined with vitamin E, was the most effective intervention they tested (<a href="https://www.midwesterndoctor.com/p/how-dmso-heals-the-brain-and-transforms">detailed here</a>).</p></li><li><p><strong>Resetting cellular structure.</strong> DMSO binds water more strongly than water binds to itself, and at cell membranes, it pulls water away from their surface. At lower concentrations, this tightens and stabilizes the membrane, while at higher concentrations it opens temporary pores. Both effects reverse as DMSO diffuses away, which is what allows it to carry substances across membranes without damaging them and to protect cells during freezing. A similar reversible process occurs within the cell&#8217;s internal skeleton (e.g., within 20 to 30 minutes, DMSO drives actin from the cytoplasm into the nucleus, and once DMSO diffuses out, the cell&#8217;s normal structure is restored within 1 to 2 hours<a href="https://rupress.org/jcb/article-abstract/84/1/131/19156"><sup>1</sup></a><sup>,</sup><a href="https://onlinelibrary.wiley.com/doi/abs/10.1002/jez.1402130210?casa_token=rW4oJCFjBhIAAAAA:ObMK4L7OBt1BTD-DWcmPaWF8jBAe4im9QvAfD8s34sWwuVQkKIIrD-KUi-X9S1dPTPONmFJgy1ec8Ec"><sup>2</sup></a>). Critically, when these structures reform, they appear to do so in a healthier configuration, with DMSO strengthening normal cellular architecture while breaking down pathological configurations (e.g., those in cancer cells). Many chronic conditions stem from pathological nerve circuits that can be &#8220;reset&#8221; with a short-acting local anesthetic, so this may explain why DMSO produces similar benefits (<a href="https://www.midwesterndoctor.com/p/how-dmso-heals-nerves-and-eliminates">detailed here</a>).</p></li><li><p><strong>Reviving dormant cells.</strong> Injured tissue frequently enters a dormant &#8220;penumbra&#8221; state (resembling <a href="https://www.midwesterndoctor.com/p/why-do-cells-turning-off-underlie">the cell danger response</a>) where it stops functioning but has not yet died, and it can remain that way for years before either recovering or dying. Across the body, studies and patient reports indicate DMSO can reawaken these dormant cells (e.g., one leading DMSO researcher repeatedly found that animals with flatlined EEGs regained brain activity within about ten minutes of receiving DMSO<a href="https://www.midwesterndoctor.com/p/dmso-heals-blood-vessels-and-could"><sup>1</sup></a>). I suspect this results from a combination of DMSO restoring microcirculation (and clearing trapped cellular waste), sustaining cellular energy production, resetting cellular structure (and neuronal firing), and stabilizing microtubules, while also blunting the burst of free radicals that occurs when blood flow returns to oxygen-starved tissue. Neurons readily enter this state (e.g., the penumbra surrounding a stroke is a well-recognized concept in conventional neurology), so this property likely plays a key role in DMSO&#8217;s remarkable ability to treat neurological disorders and suddenly bring &#8220;long dead&#8221; tissue or lost neurological function back to life (<a href="https://www.midwesterndoctor.com/p/dmso-heals-blood-vessels-and-could">detailed here</a>).</p></li></ul><p>With this context in mind, let&#8217;s now review what the data (and many corroborating reader reports) show DMSO does for a wide range of neurological disorders.<br><em>Note: for the majority of the conditions described below, I located and summarized at least 100 studies supporting the use of DMSO for them in the longer articles.</em></p><h2>Strokes</h2><p>Roughly 800,000 Americans have a stroke each year, and despite immense efforts to improve outcomes, strokes remain a leading cause of death and disability. This is largely because clot-busting tPA, the only approved drug for ischemic strokes, cannot be given until a CT scan rules out a brain bleed (so treatment is typically delayed by hours as brain tissue continues to die), reaches only a small fraction of patients within its window, meaningfully benefits about 13% of those who receive it,<a href="https://jamanetwork.com/journals/jamaneurology/fullarticle/1107498"><sup>1</sup></a> and carries a 6.4% risk of a symptomatic brain bleed.<a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3726129/"><sup>1</sup></a> After a stroke, there is also essentially no therapy that restores lost function. DMSO sidesteps each of these problems, as it treats ischemic strokes, partially treats hemorrhagic ones, has no known risk of worsening a bleed, can be given at home or in an ambulance, and protects and revives the brain tissue a stroke would otherwise destroy. For this reason, one of my primary goals has been to raise awareness of DMSO for strokes and move toward emergency services (or patients at home) giving it immediately while the standard workup proceeds (since some bleeds require emergency neurosurgery).</p><p>Supporting this are hundreds of studies (most in animals, plus a large number where DMSO was combined with another agent), with the human ones including the following:</p><ul><li><p>In a 2002 trial of 11 ischemic stroke patients, IV DMSO (with fructose diphosphate) left 63% &#8220;improved&#8221; or &#8220;markedly improved&#8221; at three months, versus 20% on standard care, and the benefit held even when treatment began well after the stroke.<a href="https://pubmed.ncbi.nlm.nih.gov/11783757/"><sup>1</sup></a></p></li><li><p>In 100 Chilean patients with cerebrovascular disease, DMSO accelerated recovery from hemiplegia and aphasia.<a href="https://scholar.google.com/scholar?hl=en&amp;as_sdt=0%2C5&amp;as_ylo=1970&amp;as_yhi=1970&amp;q=j+grismali&amp;btnG="><sup>1</sup></a><sup>,</sup><a href="https://www.amazon.com/DMSO-Natures-Healer-Morton-Walker/dp/B08ZD4MSKT"><sup>2</sup></a></p></li><li><p>In 127 elderly patients with cerebrovascular disorders, DMSO iontophoresis produced clinical improvement in 86% by the fifth session (versus delayed improvement with standard care).<a href="https://cyberleninka.ru/article/n/effektivnost-elektroforeza-s-neyromidinom-v-lechenii-bolnyh-s-tserebrovaskulyarnymi-narusheniyami-v-pozhilom-vozraste"><sup>1</sup></a></p></li><li><p>In 250 patients with cerebrovascular disease, DMSO iontophoresis (with vinpocetine) stabilized cerebral blood flow and improved blood supply to the large cerebral arteries.<a href="https://journals.eco-vector.com/2078-1962/article/view/640870"><sup>1</sup></a><sup>,</sup><a href="https://cyberleninka.ru/article/n/obosnovanie-primeneniya-elektroforeza-lekarstvennyh-preparatov-u-patsientov-so-zritelnymi-narusheniyami-posle-insulta-obzor"><sup>2</sup></a></p></li><li><p>In three newborns with perinatal hypoxic brain injury, DMSO-vitamin E electrophoresis normalized muscle tone and reflexes faster than standard care.<a href="https://www.elibrary.ru/item.asp?id=38076280"><sup>1</sup></a></p></li></ul><p>Stanley Jacob (the physician who pioneered the research into DMSO) considered DMSO so important for strokes that he gave patients home stroke kits so they could inject it themselves the moment symptoms began, and a 1992 review concluded DMSO outperformed mannitol, dexamethasone, and barbiturates as a neuroprotectant for strokes.<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFD9093&amp;filename=GWSK199204012&amp;uniplatform=OVERSEA&amp;v=_u70dmR6_U3z5HgIc0znumqXYxTKGdQ5XI_tqGFA0zfL3CD3_Baxl7zwfmHqCNNr"><sup>1</sup></a></p><p><em>Note: many profound stroke recoveries exist within the DMSO literature. For example, one author reported that a teacher found unconscious after a major stroke was treated with DMSO at home within minutes and was back teaching with no disability when school resumed after the Christmas break, while a woman who had been in a coma for three months after her stroke began responding a month after starting topical DMSO and three years later was living normally.</em><a href="https://www.amazon.com/DMSO-Handbook-Doctors-Archie-Scott/dp/1475997922"><sup>1</sup></a></p><p>In monkeys, dogs, rats, gerbils, and mice (where unlike humans, DMSO can be tested in experimentally induced neurologic injury), DMSO consistently shrank or prevented the brain damage from blocked arteries, protected the surrounding &#8220;penumbra&#8221; tissue so it did not die, reduced brain swelling and blood-brain barrier breakdown, blocked the injury that occurs when blood flow returns, extended the window in which treatment could still work (e.g., to six hours in dogs), reduced mortality, and restored brain electrical activity, frequently outperforming the therapies it was compared against (e.g., hyperbaric oxygen, hemodilution, dexamethasone, and barbiturates). Hundreds of additional studies where DMSO was used to deliver another agent (e.g., curcumin or resveratrol) showed the same protective pattern.<a href="https://www.midwesterndoctor.com/p/dmso-heals-blood-vessels-and-could"><sup>1</sup></a></p><p><em>Note: because DMSO is an effective and non-toxic solvent, it is routinely used in experiments to deliver other therapeutic agents. These studies typically assume DMSO is inert (so DMSO alone serves as the &#8220;control&#8221; and is rarely tested against saline). Collectively, these combination studies tend to yield results similar to those of DMSO alone, and when DMSO is occasionally tested against saline, it often independently produces the therapeutic effect attributed to the tested agent (something the authors sometimes acknowledged,</em><a href="https://pubmed.ncbi.nlm.nih.gov/24788791/"><sup>1</sup></a><sup>,</sup><a href="https://europepmc.org/article/med/22437293"><sup>2</sup></a><em> but in other cases could only be discerned from the study data</em><a href="https://lume.ufrgs.br/bitstream/handle/10183/283161/001196133.pdf"><sup>1</sup></a><em>). Beyond providing a separate body of evidence corroborating DMSO&#8217;s efficacy, I believe this also accounts for why many preclinical studies fail to replicate in clinical trials, as by that stage DMSO (which both potentiates the tested agent and is therapeutic in its own right) is typically no longer used. Replication failure is a major problem science has unsuccessfully contended with for decades.</em></p><p><em>I hence listed these combination studies in the four-part DMSO series, both for the corroboration they provide and to give additional options to individuals dealing with the conditions described here (as DMSO commonly works even better with another therapeutic agent). Within those studies, curcumin and resveratrol are by far the most frequent combinations (improving nearly every condition covered in the series), followed by melatonin, sulforaphane, quercetin, ginkgo biloba and its ginkgolides, tanshinone IIA, baicalin, the ginsenosides, paeoniflorin, astaxanthin, tetramethylpyrazine, triptolide, berberine, astragaloside IV, icariin, thymoquinone, carvacrol, luteolin, ursolic acid, EGCG, and fisetin (along with hundreds of other natural and pharmaceutical agents).</em></p><p>Many readers, in turn, <a href="https://www.midwesterndoctor.com/p/dmso-heals-blood-vessels-and-could">have reported DMSO resolving a stroke on the way to the hospital</a>, often leaving the ER unable to find evidence one had occurred (e.g., &#8220;The ER doc came in to tell me that I had not stroked, despite speech impairment and other signs. I told him I took DMSO&#8221;),<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/77752353"><sup>1</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/142657926"><sup>2</sup></a> a medicinal chemist who drank DMSO as his stroke began credited it with preserving his ability to move and was back to full-time work six weeks later,<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/72429634"><sup>1</sup></a> and many others have reported substantial recoveries from established strokes (e.g., a husband partially paralyzed by a stroke was playing guitar and singing while standing with one foot on a chair three months later).<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/125020383"><sup>1</sup></a></p><p><em>Note: DMSO&#8217;s ability to protect the brain from losing its blood supply is mirrored in the heart (which is similarly sensitive to this). Across roughly 390 studies, DMSO reduced the size of heart attacks (e.g., from 50% to 21% in rats</em><a href="https://pubmed.ncbi.nlm.nih.gov/23330088/"><sup>1</sup></a><em>), essentially eliminated bleeding within the heart muscle after them (0 of 8 pigs versus 7 of 7 controls</em><a href="https://openventio.us/index.php/HROJ/article/download/686/617"><sup>1</sup></a><em>), raised the output of damaged hearts,</em><a href="https://journals.lww.com/ccmjournal/abstract/1987/07000/effects_of_dimethyl_sulfoxide_on_systemic_and.6.aspx"><sup>1</sup></a><em> prevented scarring, and drove stem cells to become heart muscle,</em><a href="https://www.midwesterndoctor.com/p/dmso-heals-blood-vessels-and-could"><sup>1</sup></a><em> while several readers reported using it to stop heart attacks</em><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/261894984"><sup>1</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/272712816"><sup>2</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/129662254"><sup>3</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/144808780"><sup>4</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/261224414"><sup>5</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/166383941"><sup>6</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/166173367"><sup>7</sup></a><em> (and others noticed large drops in blood pressure, in one case from 148/90 to 109/70 within 30 minutes of a small oral dose</em><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/170759060"><sup>1</sup></a><em>). Likewise, roughly 145 studies and 90 reader reports show DMSO&#8217;s circulatory effects treat conditions such as varicose veins, blood clots, Raynaud&#8217;s, and non-healing ulcers (e.g., Stanley Jacob found half of Raynaud&#8217;s patients had their symptoms eliminated,</em><a href="https://archive.org/details/dmsotruestoryofr0000tars"><sup>1</sup></a><em> one study of hundreds of diabetic ulcer patients reported a greater than 94% success rate,</em><a href="https://pubmed.ncbi.nlm.nih.gov/1055558/"><sup>1</sup></a><em> and one reader who sprayed DMSO on her varicose veins nightly reported that &#8220;in 13 months they are entirely gone&#8221;).</em><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/172915062"><sup>1</sup></a><em> These are discussed further <a href="https://www.midwesterndoctor.com/p/dmso-heals-blood-vessels-and-could">here</a>.</em></p><h2>Brain Bleeds, Traumatic Brain Injuries, and Brain Swelling</h2><p>Once the brain swells or bleeds, the rising pressure inside the skull (ICP) progressively crushes brain tissue, yet the existing options for lowering it are poor: mannitol can cause pressure to rebound above where it started, and barbiturates lower blood pressure and force patients into a coma. As such, there has been less-than-satisfactory progress over the decades in preventing the death and long-term disability that follow a severe head injury or brain bleed. DMSO lowers ICP within minutes without rebound while increasing blood flow to the brain, neutralizes the toxic iron released by spilled blood, and protects the neurons that would otherwise die in the hours and days after an injury. Hundreds of studies support this (including an unusually large number of human ones):</p><ul><li><p>In 11 near-death patients with dangerously high ICP (from trauma, encephalitis, or brain bleeds) who had failed standard therapy (including barbiturates and mannitol), IV DMSO brought ICP down within minutes, and three who were expected to die recovered well.<a href="https://pubmed.ncbi.nlm.nih.gov/6576703/"><sup>1</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-fdas-war-against-dmso-and-america"><sup>2</sup></a></p></li><li><p>Of nine patients paralyzed after surgery for a ruptured aneurysm, all but one fully recovered, several within an hour (e.g., a 67-year-old woman who had lost her speech and the use of one side and had not responded to mannitol was fully alert and had regained her strength 45 minutes after DMSO, while one man&#8217;s paralysis returned when DMSO was stopped and resolved again once it was resumed).<a href="https://scholar.google.com/scholar?hl=en&amp;as_sdt=0%2C5&amp;q=%22Dimethyl+sulfoxide+in+the+management+of+postoperative+hemiplegia%22&amp;btnG="><sup>1</sup></a><sup>,</sup><a href="https://www.amazon.com/Dimethyl-Sulfoxide-DMSO-Trauma-Disease/dp/1498714676"><sup>2</sup></a></p></li><li><p>In 10 patients with severe closed head trauma (ICP of 40 to 127 mmHg), ICP began falling within 30 minutes, and by three months seven had minimal or no impairment.<a href="https://pubmed.ncbi.nlm.nih.gov/2060538/"><sup>1</sup></a><sup>,</sup><a href="https://dmso.org/articles/head/headtr1.htm"><sup>2</sup></a><sup>,</sup><a href="https://link.springer.com/article/10.1007/BF00315149"><sup>3</sup></a> An earlier report of 10 similar patients also found DMSO rapidly lowered ICP and improved their neurological outcomes.<a href="https://pubmed.ncbi.nlm.nih.gov/2290457/"><sup>1</sup></a></p></li><li><p>In 10 patients with severe head injuries (Glasgow Coma Scale of 6 or below), seven survived, six without gross deficits.<a href="https://www.thieme-connect.com/products/ejournals/abstract/10.1055/s-2008-1053579"><sup>1</sup></a></p></li><li><p>In 12 TBI patients, DMSO rapidly reduced ICP in 21 of 23 treatments (with the two that failed also failing to respond to mannitol or furosemide).<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFD9093&amp;filename=YSJX199008010&amp;uniplatform=OVERSEA&amp;v=g4Gbjcj__BcihBhCJC2vlhT0OUoAHvJMXSpwx_Nn4253MW76FunpG-7PiQrT2avL"><sup>1</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFD9093&amp;filename=ZGYZ199003009&amp;uniplatform=OVERSEA&amp;v=SI-BKCJ0627Kj5VVo6MDnNDQaZ8waMGQGomynVNnX5SmQ3I6rF-wloCBCxaBrVcT"><sup>2</sup></a></p></li><li><p>In 35 patients undergoing emergency cranial surgery, DMSO controlled ICP in 75% (versus 53% with standard therapy), including half of those who had already failed conventional treatment.<a href="https://link.springer.com/chapter/10.1007/978-3-642-70971-5_146"><sup>1</sup></a></p></li><li><p>Of five children and adults with closed head injuries, a 1.5-year-old and a 7-year-old with high ICP both fully recovered after IV DMSO (while the three older and more severe cases did not survive).<a href="https://www.amazon.com/Dimethyl-Sulfoxide-DMSO-Trauma-Disease/dp/1498714676"><sup>1</sup></a></p></li><li><p>A UC San Diego neurosurgeon credited DMSO with saving 11 of 30 head injury patients judged near death, calling the result &#8220;phenomenal,&#8221;<a href="https://news.google.com/newspapers?nid=hXZnTIgIr50C&amp;dat=19810111&amp;printsec=frontpage&amp;hl=en"><sup>1</sup></a> and his colleagues found DMSO was often effective when barbiturates had failed (with its main obstacle being that it partially dissolved the IV tubing of that era).<a href="https://pubmed.ncbi.nlm.nih.gov/7172553/"><sup>1</sup></a></p></li><li><p>In a Ukrainian trial of 75 severe TBI patients, IV DMSO reduced the oxidative damage that drives secondary brain injury and accelerated neurological recovery (e.g., meningeal and autonomic symptoms improved in over 95% compared to standard therapy alone).<a href="https://web.archive.org/web/20220405180024/http:/www.irbis-nbuv.gov.ua/cgi-bin/irbis_nbuv/cgiirbis_64.exe?C21COM=2&amp;I21DBN=ARD&amp;P21DBN=ARD&amp;Z21ID=&amp;IMAGE_FILE_DOWNLOAD=1&amp;Image_file_name=DOC/2002/02mobked.zip"><sup>1</sup></a></p></li></ul><p>In monkeys, dogs, cats, rabbits, and rats, DMSO repeatedly outperformed the standard treatments for brain injuries. Across simulated hematomas, brain compression, gunshot wounds, head impacts, and brain bleeds, it rapidly lowered ICP and brain swelling, preserved blood flow and oxygen metabolism in the brain, prevented the surge of free radical damage that follows a bleed, reduced lesion size and neuronal death, improved memory and motor function, and dramatically increased survival (e.g., 14 of 15 monkeys with a simulated hematoma survived with DMSO versus 10 of 15 with urea and 0 of 10 with saline).<a href="https://www.midwesterndoctor.com/p/dmso-heals-blood-vessels-and-could"><sup>1</sup></a></p><p>Readers have also shared that DMSO facilitated recoveries from aneurysms and brain bleeds (e.g., an 84-year-old with a grade 3 aneurysm),<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/109066294"><sup>1</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/248220159"><sup>2</sup></a>  including one who provided a corroborating CT scan,<a href="https://www.midwesterndoctor.com/p/dmso-heals-blood-vessels-and-could"><sup>1</sup></a> and a physician who shared IV DMSO left his father &#8220;totally mentally restored in 4 hours&#8221; (he was discharged 36 hours later). Readers with concussions have also reported benefit,<a href="https://www.midwesterndoctor.com/p/dmso-heals-blood-vessels-and-could"><sup>1</sup></a> though the data there is much thinner and results are likely to be more variable.</p><p><em>Note: it is critical that DMSO&#8217;s ability to resolve many life-threatening conditions (e.g., strokes and heart attacks) <strong>is not used as a justification to delay emergency care</strong>, as some of these will be due to causes that require urgent hospital intervention. Rather, DMSO&#8217;s best use is as a complementary therapy given while trying to reach the hospital (and hopefully having significantly recovered by the time you arrive).</em></p><h2>Spinal Cord Injuries and Paralysis</h2><p>Because, like the brain, the spinal cord does not regenerate, spinal cord injuries are considered permanent, and patients are told to prepare for a miserable life of paralysis along with the many severe complications that accompany it). Yet veterinarians have used IV DMSO for decades to get paralyzed dogs and horses back on their feet, with 1980s veterinary textbooks already listing standardized protocols.<a href="https://scholar.google.com/scholar?hl=en&amp;as_sdt=0%2C14&amp;q=Current+Therapy+in+Equine+Medicine+edited+by+N.+E.+Robinson+1983&amp;btnG="><sup>1</sup></a> In humans, the greatest benefit occurs when DMSO is given within 90 minutes of injury, but it can also produce significant rehabilitation years or even decades later. Hundres of studies and many reports support this:</p><p>&#8226;Stanley Jacob treated three patients who arrived paralyzed 5, 6, and 9 hours after injury (far beyond what was thought recoverable), and two regained the ability to walk.<a href="https://www.amazon.com/DMSO-Natures-Healer-Morton-Walker/dp/B08ZD4MSKT"><sup>1</sup></a><sup> </sup>Jacob also found DMSO helped many of the complications paraplegics face (e.g., chronic intractable pain, bladder infections, bedsores, and poor temperature control).<a href="https://www.amazon.com/Dmso-True-Story-Remarkable-Pain-Killing/dp/0688007163"><sup>1</sup></a></p><p>&#8226;An engineer paralyzed for 12 years made remarkable improvements after starting DMSO.<a href="https://www.amazon.com/DMSO-Handbook-Doctors-Archie-Scott/dp/1475997922"><sup>1</sup></a></p><p>&#8226;A college student with a C4-C5 fracture whom Jacob began treating nearly two years after his injury gradually regained sensation, limb movement, and hand function (until the FDA cut off his access), recovering enough to graduate.<a href="https://archive.org/details/persecuteddrugst00mcgr"><sup>1</sup></a></p><p><em>Note: the only formal human study (a safety study of seven patients with spinal cord injuries) found no harm to the kidneys from IV DMSO.<a href="https://www.tandfonline.com/doi/abs/10.3109/15563658108990287"><sup>1</sup></a></em></p><p>Readers have also shared that DMSO helped them recover from spinal cord injuries. Two of the most dramatic cases I received were:</p><p>&#8226;While playing hockey, Jackson suffered the same C1/C2 injury that left Christopher Reeve paralyzed for life and was (accurately) told he would never breathe on his own or move his arms or legs again, so with nothing to lose his mother gave him DMSO in the ICU. His full recovery was so miraculous that it was covered by many news stations and seen by millions online (who did not know DMSO was involved).</p><div class="native-video-embed" data-component-name="VideoPlaceholder" data-attrs="{&quot;mediaUploadId&quot;:&quot;6a30e0ce-ede5-4519-820c-f88aa8d25164&quot;,&quot;duration&quot;:null}"></div><p><em>Note: further corroborating DMSO&#8217;s role, a faster improvement was seen on the side of his body Jackson&#8217;s mother could apply more DMSO to (due to him being on a vent).</em> </p><p>&#8226;After being told she would become a paraplegic after severing her spinal cord, Rosa began DMSO five days after her injury and walked again (which Mary Beth Pfeiffer later verified by tracking her down in Ecuador).<a href="https://rescue.substack.com/p/like-penicillin-miraculous-dmso-could"><sup>1</sup></a></p><div class="native-video-embed" data-component-name="VideoPlaceholder" data-attrs="{&quot;mediaUploadId&quot;:&quot;a3786b35-e0f9-49f6-a35b-01b4f277b30a&quot;,&quot;duration&quot;:null}"></div><p>In dogs, cats, rabbits, and rats given spinal cord contusions, compressions, cuts, or loss of blood supply, <a href="https://www.midwesterndoctor.com/p/how-dmso-heals-the-spine-and-reverses">DMSO consistently prevented or reversed paralysis</a> (e.g., in dogs given injuries that left every untreated animal permanently paraplegic, most DMSO-treated dogs walked again, and when the spinal cord&#8217;s blood supply was cut off, 11 of 12 DMSO-treated dogs fully recovered versus 1 of 12 controls). It also preserved nerve fibers and their myelin, reduced swelling, scarring, and free radical damage, produced visible nerve regrowth through the injury site (with coordinated leg movement returning in rats whose spinal cords had been cut), extended the time available for surgery, and outperformed methylprednisolone, naloxone, dexamethasone, and hyperbaric oxygen.<a href="https://www.midwesterndoctor.com/p/how-dmso-heals-the-spine-and-reverses"><sup>1</sup></a> <br><em>Note: like many other conditions, many DMSO combinations also treated spinal cord injuries,<a href="https://www.midwesterndoctor.com/p/how-dmso-heals-the-spine-and-reverses"><sup>1</sup></a> including a randomized trial of dogs with naturally occurring disc-related spinal cord injuries, where DMSO alone produced the same improvement as the experimental drug it was supposed to be the vehicle for.<a href="https://pubmed.ncbi.nlm.nih.gov/24788791/"><sup>1</sup></a></em></p><p>In veterinary practice, many similar recoveries have been reported (e.g., a dachshund paralyzed despite 14 days of steroids was walking the morning after a single IV dose,<a href="https://pubmed.ncbi.nlm.nih.gov/7085447/"><sup>1</sup></a> and a comatose poodle with a neck fracture was walking again within two weeks<a href="https://www.jstage.jst.go.jp/article/jvas1989/22/2/22_2_53/_pdf/-char/ja"><sup>1</sup></a>), and multiple textbooks and reviews list DMSO among the best-supported treatments for neurological injuries in horses.<a href="https://pubmed.ncbi.nlm.nih.gov/3113696/"><sup>1</sup></a><sup>,</sup><a href="https://avmajournals.avma.org/view/journals/javma/185/10/javma.1984.185.10.1217.xml"><sup>2</sup></a><sup>,</sup><a href="https://ru.dgb.unam.mx/items/87bb700e-4bf4-450c-b3fb-b67e60661d19"><sup>3</sup></a></p><p>DMSO has also been used for other spinal cord conditions:</p><p>&#8226;<strong>Spasticity&#8212;</strong>In Russian patients with spasticity from a wide range of causes, DMSO iontophoresis reduced spasticity, pain, and reflex excitability and improved gait (with one patient progressing from needing a cane to walking independently).<a href="https://www.elibrary.ru/item.asp?id=40294877"><sup>1</sup></a> A reader with vaccine-induced Stiff Person Syndrome likewise found it was the only thing that relieved 22 months of constant spasms (&#8221;I have it with me at all times&#8221;).<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/80694307"><sup>1</sup></a></p><p>&#8226;<strong>Radiation damage&#8212;</strong>Topical DMSO (followed by acupuncture) halved the treatment duration for radiation-induced spinal cord damage while reducing paralysis and sensory deficits.<a href="https://www.elibrary.ru/item.asp?id=40680455"><sup>1</sup></a><sup>,</sup><a href="https://inis.iaea.org/records/8ng8h-pmp05"><sup>2</sup></a></p><p>&#8226;<strong>Arachnoiditis:</strong> In 42 patients with chronic arachnoiditis of the brain, DMSO iontophoresis significantly increased the number discharged with improvement,<a href="https://pubmed.ncbi.nlm.nih.gov/3577502/"><sup>1</sup></a> and in another case, it resolved swelling of the optic nerve with no recurrence at three years.<a href="https://elibrary.ru/item.asp?id=40628225"><sup>1</sup></a></p><h2>Spinal Pain</h2><p>Back and neck pain are among the leading causes of disability, yet they are notoriously difficult to treat, because the same symptoms can arise from dozens of different causes, so treatments targeting any single one (including costly surgeries) fail most patients. DMSO, in contrast, addresses many of those causes at once (e.g., tight muscles, inflamed joints, impaired circulation, bulging discs, and dysfunctional nerve circuits), which likely explains why spinal pain is one of the most common conditions readers report it transformed. Roughly 170 studies (mostly from Russia and Eastern Europe, where DMSO is a standard part of spinal care) and over 300 reader reports support this:</p><p>&#8226;In a Russian placebo-controlled trial of 68 patients, DMSO gel dropped pain from 7.46 to 2.58 (versus 7.13 to 4.73 with placebo) and improved disability scores by 60% (versus 35%).<a href="https://elibrary.ru/item.asp?id=29149389"><sup>1</sup></a><sup>,</sup><a href="https://elibrary.ru/item.asp?id=27497294"><sup>2</sup></a><sup>,</sup><a href="https://elibrary.ru/item.asp?id=30680723"><sup>3</sup></a><sup>,</sup><a href="https://cyberleninka.ru/article/n/sravnitelnyy-analiz-primeneniya-dimeksid-gelya-i-platsebo-u-bolnyh-s-vertebrogennymi-dorsalgiyami"><sup>4</sup></a><sup>,</sup><a href="https://cyberleninka.ru/article/n/sravnenie-effektivnosti-dimeksid-gelya-i-platsebo-pri-lechenii-patsientov-s-vertebrogennymi-dorsalgiyami"><sup>5</sup></a></p><p>&#8226;In a 1968 trial of 38 patients with disc herniations, DMSO halved treatment duration.<a href="https://pubmed.ncbi.nlm.nih.gov/5639509/"><sup>1</sup></a></p><p>&#8226;In a rehabilitation program of 320 patients, DMSO reduced pain to 0 to 2 in 89% (versus 73% of controls), with remission maintained in 80% when repeated annually.<a href="https://cyberleninka.ru/article/n/programma-meditsinskoy-reabilitatsii-bolnyh-s-vertebrogennym-bolevym-sindromom"><sup>1</sup></a></p><p>&#8226;In four studies of 64 to 147 patients with cervical radiculopathy, DMSO compresses (as part of conservative treatment) succeeded in 69 to 84% of patients.<a href="https://cyberleninka.ru/article/n/nekotorye-aspekty-diagnostiki-i-lecheniya-radikulopatiy-u-bolnyh-s-degenerativno-distroficheskimi-izmeneniyami-v-sheynom-otdele"><sup>1</sup></a><sup>,</sup><a href="https://elibrary.ru/item.asp?id=36356785"><sup>2</sup></a><sup>,</sup><a href="https://cyberleninka.ru/article/n/pervichno-neoslozhnyonnaya-travma-sheynogo-otdela-pozvonochnika-podhody-k-diagnostike-i-taktika-lecheniya-v-otdalyonnom-periode"><sup>3</sup></a><sup>,</sup><a href="https://elibrary.ru/item.asp?id=16336606"><sup>4</sup></a></p><p>&#8226;In cervical osteochondrosis, DMSO applications cut disability days 4.7-fold over two years,<a href="https://kazanmedjournal.ru/kazanmedj/article/view/59780/en_US"><sup>1</sup></a> fully resolved pain in 85% of 40 patients with accompanying shoulder pain (while also improving their sleep),<a href="https://www.elibrary.ru/item.asp?id=36909201"><sup>1</sup></a> and when combined with therapeutic mud, improved 100% of patients after 5 to 6 sessions (versus 50% with mud alone after 10).<a href="https://kazanmedjournal.ru/kazanmedj/article/view/101521"><sup>1</sup></a></p><p>&#8226;In 55 patients with piriformis-related sciatica, a DMSO protocol reduced pain scores from 71.4 to 20.2 (versus 36.2 with standard therapy).<a href="https://cyberleninka.ru/article/n/podgrushevidnaya-sedalischnaya-neyropatiya-klinicheskie-varianty-i-algoritm-terapii"><sup>1</sup></a></p><p>&#8226;In 63 machine operators with occupational lumbosacral radiculopathy, DMSO iontophoresis (with other therapies) halved pain scores.<a href="http://www.mtj.ru/num-56_4_2014.pdf#page=32"><sup>1</sup></a></p><p>&#8226;In well over a dozen Russian studies (including one of 221 patients where 98.2% showed a reduction on CT scans), DMSO-enhanced iontophoresis of a papaya enzyme shrank disc herniations by 2 to 7 mm in 75 to 98% of patients and allowed roughly 45% to avoid surgery, a protocol used in over 8,500 patients in Armenia alone.<a href="https://www.caripain.ru/public/47.pdf"><sup>1</sup></a><sup>,</sup><a href="https://www.caripain.ru/public/46.pdf"><sup>2</sup></a><sup>,</sup><a href="https://innoscience.ru/1994-9480/article/download/140045/99025"><sup>3</sup></a><sup>,</sup><a href="https://www.elibrary.ru/item.asp?id=27182077"><sup>4</sup></a><sup>,</sup><a href="https://bifarnpk.ru/public/8.pdf"><sup>5</sup></a><sup>,</sup><a href="https://cyberleninka.ru/article/n/opyt-primeneniya-elektroforeza-s-proteoliticheskim-fermentnym-preparatom-pri-lechenii-bolnyh-s-gryzhami-mezhpozvonkovyh-diskov"><sup>6</sup></a><sup>,</sup><a href="https://cyberleninka.ru/article/n/opyt-konservativnogo-lecheniya-gryzh-mezhpozvonkovyh-diskov-karipainom-v-ambulatornyh-usloviyah.pdf"><sup>7</sup></a><sup>,</sup><a href="https://dspace.ksaeu.kherson.ua/bitstream/handle/123456789/5605/SCIENCE-SOCIETY-EDUCATION_TOPICAL-ISSUES-AND-DEVELOPMENT-PROSPECTS_7-9.06.20.pdf?sequence=1&amp;isAllowed=y#page=218"><sup>8</sup></a><sup>,</sup><a href="https://link.springer.com/article/10.1023/B:NEAB.0000028280.47712.2e"><sup>9</sup></a></p><p>&#8226;In 115 patients treated with laser surgery for lumbar disc herniations, postoperative DMSO iontophoresis contributed to favorable outcomes in 86% at one year.<a href="https://cyberleninka.ru/article/n/opyt-lecheniya-bolnyh-s-gryzhami-mezhpozvonkovyh-diskov-na-poyasnichnom-urovne"><sup>1</sup></a></p><p>&#8226;Injecting a DMSO-containing mixture into damaged discs produced marked improvement in 57% of patients with severe chronic disc pain,<a href="https://pubmed.ncbi.nlm.nih.gov/14589203/"><sup>1</sup></a> and in a comparison study, it outperformed a standard procedure (intradiscal electrothermal therapy), with no patients worsening versus 36% with the standard procedure.<a href="https://pubmed.ncbi.nlm.nih.gov/16868613/"><sup>1</sup></a></p><p>&#8226;In 114 patients, aspirin dissolved in DMSO and delivered by ultrasound relieved pain in 78% after 5 to 6 procedures (versus 60% after 12 to 15 with the prior method).<a href="https://elibrary.ru/item.asp?id=40824301"><sup>1</sup></a></p><p>&#8226;In 50 patients with spinal complications (e.g., disc herniations), a DMSO-based photodynamic protocol eliminated pain in 70% and was effective in 90%.<a href="https://www.elibrary.ru/item.asp?id=37941504"><sup>1</sup></a></p><p>Hundreds of readers have reported relief from chronic back pain, sciatica, neck pain, spinal stenosis, degenerative discs, and failed back surgeries, often after years of failed treatments.<a href="https://www.midwesterndoctor.com/p/how-dmso-heals-the-spine-and-reverses"><sup>1</sup></a> For example, a reader whose 12.5 mm bulging disc left her unable to stand without crying could stand after seven days, and seven months later imaging showed the disc had shrunk to 3 to 4 mm,<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/114809506"><sup>1</sup></a><sup>,</sup><a href="https://x.com/lonestarangle/status/2028280820171985079"><sup>2</sup></a> a reader with over 50 surgeries called DMSO &#8220;life changing,&#8221;<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/187508347"><sup>1</sup></a> a 79-year-old bedridden for three weeks with sciatica was out of bed the day after her first application,<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/143658562"><sup>1</sup></a> a 78-year-old family physician with severe kyphoscoliosis who had declined surgery is now more active than he was 40 years ago,<a href="https://www.midwesterndoctor.com/p/how-dmso-heals-the-spine-and-reverses"><sup>1</sup></a> and a reader with ankylosing spondylitis saw their CRP (an inflammatory marker) fall from a chronic 9 to 12 to 3 after two months of DMSO.<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/129791075"><sup>1</sup></a></p><h2>Neurodegenerative Diseases</h2><p>Despite decades of research and billions of dollars, there are no cures for the major neurodegenerative diseases, and existing drugs at best modestly slow their progression. As mentioned before, DMSO addresses the key drivers of these diseases, and collectively, roughly 500 studies support its use in neurodegenerative disorders.<br><em>Note: while oral and topical DMSO can help neurodegenerative disorders, like strokes, the most significant benefits are typically seen with IV DMSO.</em></p><h3>ALS</h3><p>ALS progressively kills the motor neurons controlling voluntary movement, typically causing suffocating death within two to five years, and the few approved drugs only modestly extend survival. For this reason, it immediately caught my attention when a colleague shared IV DMSO halted the progression of ALS (after which I learned Stanley Jacob had also successfully treated ALS with DMSO, including one patient who had &#8220;instant, overnight and slightly delayed wonders of therapy&#8221; before the patient&#8217;s doctor forbade further treatment)<a href="https://www.amazon.com/Persecuted-Drug-Story-DMSO/dp/0441151019"><sup>1</sup></a>. Likewise, once I mentioned DMSO&#8217;s utility for ALS, a few patients with nothing to lose tried it and reported dramatic results including:</p><p>&#8226;Todd, an Air Force veteran with terminal ALS who&#8217;d just ordered a wheelchair when he started DMSO. His brain fog vanished, his breathing crises stopped within three days, his reflexes healed, and he eventually was dragging 340-lb beams across a road and now has reported being mostly recovered (e.g., he recently posted a video walking up and down a steep dirt hill carrying two large buckets of gravel for a retaining wall).</p><div class="native-video-embed" data-component-name="VideoPlaceholder" data-attrs="{&quot;mediaUploadId&quot;:&quot;f3d7d3f6-a990-4a6f-b92d-9c0ea70f2b4d&quot;,&quot;duration&quot;:null}"></div><p><em>Note: Todd decided to discontinue DMSO (without telling anyone) so he could make a stronger case DMSO was helping him, after which his condition regressed (and then improved once he resumed).</em></p><p>&#8226;Carrie has bulbar ALS and was declining so quickly she stopped recording herself so her family would not have to rewatch it. With nothing to lose, she tried DMSO, and her speech, breathing, mobility, fine motor skills, and even her smile began returning. Her doctor was so impressed with her progress that he is now setting up a dedicated IV DMSO area for his patients. Like Todd, she has noticeably improved since this interview was filmed (e.g., she now drives most days, has much more energy, and her facial structure is visibly coming back). </p><div class="native-video-embed" data-component-name="VideoPlaceholder" data-attrs="{&quot;mediaUploadId&quot;:&quot;2dfa7b4c-352d-4387-8f45-b449130873fe&quot;,&quot;duration&quot;:null}"></div><p>&#8226;Another reader reported visible improvement in her father with ALS,<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/74157942"><sup>1</sup></a> while one with cramping fasciculation syndrome (which mimics early ALS) who had reached the point of planning suicide found oral DMSO largely eliminated his cramping and allowed him to sleep through the night.<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/166148751"><sup>1</sup></a></p><p>Since those videos came out, I learned through that network that other patients have been using IV DMSO with success for ALS, while conversely, one reader who tried it briefly couldn&#8217;t detect an improvement.  The reports I&#8217;ve received, in turn, contradict our own limited experience (that IV DMSO only halts the progression of ALS rather than reversing it), and at this point I am not sure if the better results readers have reported are due to certain subsets of ALS being more responsive to DMSO, or higher doses being used (as we tend to err on the low end of dosing to avoid potential side effects).</p><p>Lastly, while very little formal research has been done in this area, in ALS mice, long-term oral DMSO increased survival and improved motor performance,<a href="https://www.midwesterndoctor.com/p/how-dmso-heals-the-brain-and-transforms"><sup>1</sup></a> and in cells DMSO stabilizes SOD1, the protein whose misfolding drives many cases of ALS.<a href="https://oversea.cnki.net/KCMS/detail/detail.aspx?dbcode=CDFD&amp;dbname=CDFDLAST2019&amp;filename=1019058003.nh&amp;uniplatform=OVERSEA&amp;v=bEdfYYEI-U_v-1_3aaaloMG7JnKqzAXr7Hg8TyFggbCGXsSl9C3WzdDl7rbL6cEe"><sup>1</sup></a></p><p><em>Note: the most realistic path for an FDA approval for a new indication of DMSO I&#8217;ve identified is IV DMSO for ALS, so if an ALS group attempts this, I will do my best to support their endeavor (as I believe it will open a lot of doors which will help a lot of people).</em></p><h3>Parkinson&#8217;s Disease</h3><p>Parkinson&#8217;s results from the progressive loss of the brain&#8217;s dopamine-producing neurons, and while existing drugs temporarily replace the lost dopamine, none stop the disease from progressing. </p><p>In animals, DMSO repeatedly counteracted each of the neurotoxins used to model Parkinson&#8217;s (MPTP, rotenone, 6-OHDA, and the herbicide paraquat, one of the strongest known environmental risk factors for the disease), protecting the dopamine-producing neurons and the surrounding brain tissue, while dozens of natural and pharmaceutical agents delivered with DMSO reduced the toxic protein aggregation, inflammation, and motor deficits that characterize the disease.<a href="https://www.midwesterndoctor.com/p/how-dmso-heals-the-brain-and-transforms"><sup>1</sup></a> In the laboratory, DMSO also reversed rotenone&#8217;s complete blockade of microtubule assembly.<a href="https://pubmed.ncbi.nlm.nih.gov/568944/"><sup>1</sup></a></p><p>Likewise, a case-control study (which linked many chemical exposures to Parkinson&#8217;s) found people with young-onset Parkinson&#8217;s were one tenth as likely to have been exposed to DMSO as healthy controls.<a href="https://pubmed.ncbi.nlm.nih.gov/8170560/"><sup>1</sup></a></p><p>A few readers (and physicians who reached out to me in private) have reported some success with DMSO, including a research scientist with Parkinson&#8217;s who systematically tested oral DMSO and found that at his optimal dose, bradykinesia was eliminated, pain and dystonia fell by 80%, and stiffness by 50% (while higher doses made him worse),<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/72436114"><sup>1</sup></a><sup> </sup>along with another who, after an IV of DMSO and mannitol, &#8220;bounced down a flight of stairs without using the handrails, cut his own food for a week after, spoke clearly, opened cab doors.&#8221;<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/200970754"><sup>1</sup></a> Conversely, another reader who&#8217;s shared their Parkinson&#8217;s journey (and had a positive response to DMSO) shared that copious oral DMSO did not help them.</p><p>Given this (along with a cell study where concentrations far above normal use accelerated the clumping of alpha-synuclein, the protein that aggregates in Parkinson's&#8212;although this did not occur in mice<a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC8904838/"><sup>1</sup></a>) and our experience that IV DMSO typically halted (rather than reversed) Parkinson&#8217;s, my present assessment on this topic is:</p><p>&#8226;DMSO will help a subset of Parkinson&#8217;s patients but not all (so it is worth trying) but at the same time is less efficacious than what is say seen for ALS.<br><br>&#8226;Proper dosing and monitoring of symptomatic response to DMSO is critical for Parkinson&#8217;s (detailed <a href="https://www.midwesterndoctor.com/p/how-dmso-heals-the-brain-and-transforms">here</a>), as a potential for counterproductive overdosing exists.<br><br>&#8226;In many cases, oral DMSO may not suffice but IV DMSO may be able to help (as we&#8217;ve seen numerous cases of it halting but not reversing Parkinson&#8217;s).<br><br>&#8226;In the case of Parkinson&#8217;s it may be necessary to combine DMSO with another natural compound which has therapeutic activity in Parkinson&#8217;s (of which <a href="https://www.midwesterndoctor.com/p/how-dmso-heals-the-brain-and-transforms">a few promising candidates have already been identified</a>).</p><p><em>Note: since DMSO is one of many modalities I&#8217;ve used in practice (rather than the sole thing for over a dozen people a day for decades) and there are so many different conditions DMSO can be used on, there are many clinical situations readers enquire about (pertaining to themselves) that I (and colleagues) simply have no direct experience in and likewise, despite tens of thousands of published DMSO studies, there are many conditions no one has ever gotten around to studying DMSO&#8217;s utility in. For this reason, I have often provided the rationale (or evidence) for why something could work with DMSO, but avoided going further as I just don&#8217;t know. Likewise, since starting this series (where I am effectively pooling from the experiences of tens of thousands of DMSO users and clinicians), I have learned of many DMSO applications we either had an opportunity to explore (or never even considered) that have successfully resolved challenging illnesses. </em></p><h3>Alzheimer&#8217;s Disease and Dementia</h3><p>Alzheimer&#8217;s is the most common form of dementia, and after decades of research focused almost exclusively on removing amyloid plaques, the costly amyloid drugs have largely failed (with significant side effects), while natural therapies that address the root causes of Alzheimer&#8217;s and have been shown to treat the illness have been marginalized (detailed <a href="https://www.midwesterndoctor.com/p/the-great-alzheimers-scam-and-the">here</a>). DMSO, for example, addresses reduced blood flow, inflammation, and protein misfolding, and roughly 190 studies (detailed <a href="https://www.midwesterndoctor.com/p/how-dmso-heals-the-brain-and-transforms">here</a>) support its use for dementia. These include:</p><ul><li><p>In 18 Moldovan patients with probable Alzheimer&#8217;s, DMSO produced improvements in memory, concentration, communication, and orientation that were evident at three months and especially pronounced at six,<a href="https://dmso.org/articles/alzheimers/Alzheimers.htm"><sup>1</sup></a> and the leading DMSO neurology researcher likewise reported DMSO improved cognitive function in Alzheimer&#8217;s patients treated for six months.<a href="https://nyaspubs.onlinelibrary.wiley.com/doi/abs/10.1111/j.1749-6632.1997.tb48462.x"><sup>1</sup></a></p></li><li><p>A 1980s Japanese review noted DMSO had been used to dissolve amyloid deposits in Alzheimer&#8217;s, with one report of partial improvement in motor function.<a href="https://www.jstage.jst.go.jp/article/geriatrics1964/25/4/25_4_375/_pdf/-char/ja"><sup>1</sup></a></p></li><li><p>Across numerous animal models of Alzheimer&#8217;s (streptozotocin-treated rats, amyloid-injected rats, genetically engineered mice, and worms), DMSO improved learning and memory, reduced brain inflammation, increased the connections between neurons, delayed amyloid-induced paralysis (by 48 to 98% in worms), and extended lifespan, while in rats with chronically restricted blood flow to the brain (modeling vascular dementia), it prevented the memory loss that otherwise followed.<a href="https://www.midwesterndoctor.com/p/how-dmso-heals-the-brain-and-transforms"><sup>1</sup></a> Over a hundred additional studies found agents delivered in DMSO did the same.<a href="https://www.midwesterndoctor.com/p/how-dmso-heals-the-brain-and-transforms"><sup>1</sup></a></p></li></ul><p>Likewise, numerous readers <a href="https://www.midwesterndoctor.com/p/how-dmso-heals-the-brain-and-transforms">have reported dramatic improvements in dementia</a>.  For example, after two weeks of oral DMSO, a reader&#8217;s aunt with dementia who had not spoken in over a year began talking again,<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/105218392"><sup>1</sup></a> while another&#8217;s 93-year-old mother with 15 years of dementia stopped having sundowners and regained her personality.<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/92330056"><sup>1</sup></a></p><h3>Multiple Sclerosis</h3><p>MS causes the immune system to progressively destroy the myelin insulating the nerves of the brain and spinal cord, and existing therapies suppress the immune attack but do not restore lost myelin. Many studies support DMSO&#8217;s use here, including:</p><ul><li><p>In a 1984 Russian study of 34 MS patients, DMSO produced &#8220;a very positive result,&#8221; particularly in relapsing-remitting MS.<a href="https://pubmed.ncbi.nlm.nih.gov/6506978/"><sup>1</sup></a></p></li><li><p>In a study of 35 MS patients, DMSO gels were recommended for their chronic neuropathic and spasticity-related pain,<a href="https://elibrary.ru/item.asp?id=20919935"><sup>1</sup></a> while in MS patients with trigeminal neuralgia, DMSO applications allowed carbamazepine to be reduced or stopped.<a href="https://cyberleninka.ru/article/n/nevralgiya-troynichnogo-nerva-u-bolnyh-rasseyannym-sklerozom"><sup>1</sup></a></p></li><li><p>In the standard animal models of MS, a large number of agents delivered in DMSO improved clinical scores, reduced inflammation, and promoted remyelination.<a href="https://www.midwesterndoctor.com/p/how-dmso-heals-the-brain-and-transforms"><sup>1</sup></a> In cell studies, DMSO drives the production of the cells that make myelin<a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC7739515/"><sup>1</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/22115181/"><sup>2</sup></a> and inhibits the challenging clotting triggered by myelin debris.<a href="https://kazanmedjournal.ru/kazanmedj/article/view/88054"><sup>1</sup></a></p></li></ul><p>DMSO authors have also reported successes, including: </p><ul><li><p>Stanley Jacob gave oral DMSO to a 29-year-old woman paralyzed by MS, and she walked again (&#8221;Her improvement was dramatic, as dramatic as any benefit I have ever seen&#8221;). Six years later she was still walking, driving, and caring for her family.<a href="https://www.amazon.com/Persecuted-Drug-Story-DMSO/dp/0441151019"><sup>1</sup></a></p></li><li><p>A California woman confined to bed in the fetal position and expected to die regained leg movement and the ability to feed herself over a year of DMSO.<a href="https://www.amazon.com/Dmso-Handbook-Doctors-Archie-Scott-ebook/dp/B0792T53NW/"><sup>1</sup></a></p></li></ul><p>Readers with MS have also reported benefit. For example, one reader&#8217;s wife, who had not had a pain-free day in the year and a half since developing MS-related trigeminal neuralgia, saw her pain drop 90% after testing 70% DMSO cream on a small spot of her face, and after applying it across the trigeminal area the next morning, was &#8220;99.9%&#8221; pain-free (with the pain not returning after three days without it).<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/115567844"><sup>1</sup></a> Two readers likewise found DMSO stopped their &#8220;MS hugs&#8221; (the painful band-like squeezing around the torso), one of whom had previously &#8220;just had to endure them or go to the hospital for morphine,&#8221;<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/135933408"><sup>1</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/114810613"><sup>2</sup></a> while a reader diagnosed with MS 34 years ago who now takes daily DMSO each morning has since stopped every pharmaceutical drug (including over-the-counter NSAIDs) and feels &#8220;fabulous,&#8221;<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/128114721"><sup>1</sup></a> and another who has used it for a year for MS alongside fibromyalgia and CRPS called it &#8220;a godsend.&#8221;<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/146719618"><sup>1</sup></a></p><h3>Prion Disease (CJD) and Other Protein Misfolding Diseases</h3><p>A variety of fatal neurological diseases result from misfolded proteins, and since DMSO is one of the best-known chemical chaperones, many studies of these diseases have found benefit from DMSO alone or in combination with another agent. For example:</p><ul><li><p>In cells modeling Huntington&#8217;s disease, DMSO partially prevented cell death, increased cell viability, decreased aggregated huntingtin protein, and increased its soluble (non-toxic) form.<a href="https://www.sciencedirect.com/science/article/pii/S0925443900000478"><sup>1</sup></a></p></li><li><p>In prion-infected hamsters, DMSO prolonged survival and increased the urinary clearance of prion protein, and DMSO-treated prion aggregates had less than 1% of the infectivity of untreated ones.<a href="https://www.midwesterndoctor.com/p/how-dmso-heals-the-brain-and-transforms"><sup>1</sup></a></p></li><li><p>In Niemann-Pick disease type C (a fatal genetic disease of childhood), oral DMSO reduced seizures, improved EEGs, and shrank the enlarged liver and spleen in Japanese patients,<a href="https://pubmed.ncbi.nlm.nih.gov/8577061/"><sup>1</sup></a> including an 8-year-old girl whose seizures decreased enough to taper her medication and whose brain atrophy stopped progressing over two years of treatment.<a href="https://onlinelibrary.wiley.com/doi/abs/10.1111/j.1442-200X.1988.tb02544.x"><sup>1</sup></a> In mice with the disease, DMSO also extended survival and delayed neurological symptoms.<a href="https://www.jstage.jst.go.jp/article/expanim1985/5/0/5_0_86/_article/-char/ja/"><sup>1</sup></a></p></li></ul><p>Creutzfeldt-Jakob disease, the most common human prion disease, is universally fatal and has no treatment, making it quite notable that one reader successfully treated her cousin with advanced (confirmed) CJD, making him, to the best of my knowledge, the only person who has ever recovered from it:</p><div class="native-video-embed" data-component-name="VideoPlaceholder" data-attrs="{&quot;mediaUploadId&quot;:&quot;3b82e8c0-4bd5-4ce5-bbcf-26a3b7365ba7&quot;,&quot;duration&quot;:null}"></div><p><em>Note: this nurse requested that her face be blurred out, but we have confirmed in numerous (unblurred) communications with her she is who she claims to be.</em></p><h2>Cognitive Impairment, Brain Fog, and Memory</h2><p>The same processes that eventually cause dementia (e.g., poor blood flow, inflammation, and cells trapped in a dormant state) first cause cognitive impairment and brain fog, which conventional medicine has essentially no treatment for. <a href="https://www.midwesterndoctor.com/p/how-dmso-heals-the-brain-and-transforms">Many studies support DMSO&#8217;s use here</a> including:</p><ul><li><p>In 104 elderly adults with organic brain disease (from strokes, head injuries, or degenerative conditions), DMSO combinations produced &#8220;a highly favorable effect on the psychic and somatic functions of senile patients.&#8221;<a href="https://scholar.google.com/scholar?q=merinex&amp;hl=en&amp;as_sdt=0%2C5&amp;as_ylo=1970&amp;as_yhi=1970"><sup>1</sup></a><sup>,</sup><a href="https://www.amazon.com/DMSO-Natures-Healer-Morton-Walker/dp/B08ZD4MSKT"><sup>2</sup></a></p></li><li><p>In 100 Chilean patients with cerebrovascular disease, DMSO produced favorable changes in wellbeing, agility, mood, sleep, and speech.<a href="https://scholar.google.com/scholar?hl=en&amp;as_sdt=0%2C5&amp;as_ylo=1970&amp;as_yhi=1970&amp;q=j+grismali&amp;btnG="><sup>1</sup></a><sup>,</sup><a href="https://www.amazon.com/DMSO-Natures-Healer-Morton-Walker/dp/B08ZD4MSKT"><sup>2</sup></a></p></li><li><p>In 127 elderly patients with cerebrovascular disorders, DMSO iontophoresis improved memory, hearing, dizziness, sleep, and cognition in 86% by the fifth session.<a href="https://cyberleninka.ru/article/n/effektivnost-elektroforeza-s-neyromidinom-v-lechenii-bolnyh-s-tserebrovaskulyarnymi-narusheniyami-v-pozhilom-vozraste"><sup>1</sup></a></p></li><li><p>In 154 patients undergoing surgery to restore blood flow to an acutely blocked leg artery, IV DMSO before the blood flow was restored resulted in milder cognitive issues afterwards (along with less kidney and heart-lung dysfunction).<a href="http://www.irbis-nbuv.gov.ua/cgi-bin/irbis_nbuv/cgiirbis_64.exe?I21DBN=LINK&amp;P21DBN=UJRN&amp;Z21ID=&amp;S21REF=10&amp;S21CNR=20&amp;S21STN=1&amp;S21FMT=ASP_meta&amp;C21COM=S&amp;2_S21P03=FILA=&amp;2_S21STR=bumv_2019_23_1_5"><sup>1</sup></a></p></li><li><p>In animals with chronically reduced blood flow to the brain, damaged cerebellums, or exposure to brain-damaging drugs, DMSO prevented or reversed the resulting memory loss and neuronal damage<a href="https://www.midwesterndoctor.com/p/how-dmso-heals-the-brain-and-transforms"><sup>1</sup></a> (e.g., improving memory by 54% in rats with blocked carotid arteries<a href="https://pubmed.ncbi.nlm.nih.gov/9473696/"><sup>1</sup></a><sup>,</sup><a href="https://link.springer.com/chapter/10.1007/978-1-4615-5405-9_28"><sup>2</sup></a>), and a large body of combination studies showed agents delivered in DMSO counteracted the cognitive damage caused by anesthesia (a well-recognized trigger of dementia), sleep deprivation, diabetes, sepsis, epilepsy, and chronic pain.<a href="https://www.midwesterndoctor.com/p/how-dmso-heals-the-brain-and-transforms"><sup>1</sup></a></p></li></ul><p>Many readers have reported similar benefits. For example, a family physician diagnosed with mild cognitive impairment by Mass General Neurology reported that after adding oral DMSO (alongside other lifestyle changes), &#8220;my memory is now better than it was decades ago.&#8221;<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/187693725"><sup>1</sup></a><sup> </sup>Likewise, readers have reported DMSO clearing brain fog from anesthesia (within a week of starting it after hip surgery),<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/166447317"><sup>1</sup></a> COVID vaccines (often with topical application to the neck),<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/254250756"><sup>1</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/77270171"><sup>2</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/166443718"><sup>3</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/113133060"><sup>4</sup></a> long COVID,<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/74198161"><sup>1</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/74691165"><sup>2</sup></a> statins,<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/166744135"><sup>1</sup></a> zolpidem,<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/74690951"><sup>1</sup></a> fluoroquinolones,<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/158967002"><sup>1</sup></a> chronic fatigue syndrome,<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/83801626"><sup>1</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/110928160"><sup>2</sup></a> and TBIs,<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/114809824"><sup>1</sup></a> along with a variety of memory improvements (&#8221;Memory is insanely good now&#8221;),<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/80694307"><sup>1</sup></a> all of which is cataloged <a href="https://www.midwesterndoctor.com/p/how-dmso-heals-the-brain-and-transforms">here</a>.</p><h2>Psychiatric Disorders, Chronic Stress, and Sleep</h2><p>Psychiatry&#8217;s drugs manage symptoms rather than treat the underlying illness (often requiring lifelong use) and carry significant side effects. However, a great deal of evidence suggests many psychiatric conditions have a physical basis in the brain, and DMSO&#8217;s effects on circulation and inflammation mirror therapies that frequently improve these conditions. For example:</p><ul><li><p>At a Peruvian psychiatric hospital, 42 patients were taken off their medications and given DMSO injections. All 14 acute schizophrenics improved rapidly and dramatically and were discharged within 45 days without recurrence, manic patients rapidly calmed, alcoholic psychoses resolved, and patients with OCD and severe anxiety also responded well (with the authors noting DMSO worked without the sedation of conventional tranquilizers).<a href="https://pubmed.ncbi.nlm.nih.gov/5342267/"><sup>1</sup></a></p></li><li><p>In 17 patients with treatment-resistant depression lasting 5 to 20 years, adding oral DMSO to their antidepressants resolved the depression in 82.3%, which persisted through one to four years of follow-up.<a href="https://www.cambridge.org/core/journals/european-psychiatry/article/dimethylsulfoxid-application-for-overcoming-of-therapy-resistance-in-patients-with-lingering-depressions/E77A59DCF2B37482B28F9E0F3C9523AA"><sup>1</sup></a></p></li><li><p>In Chile, a DMSO amino acid formulation was used to treat mood and anxiety disorders, and in elderly patients treated with it for cognitive decline, mood shifted from depressed to cheerful.<a href="https://scholar.google.com/scholar?hl=en&amp;as_sdt=0%2C44&amp;q=Terapia+con+Merinex+en+neur%C3%B3sis+depresiva+de+angustia+e+hist%C3%A9rica&amp;btnG="><sup>1</sup></a><sup>,</sup><a href="https://www.amazon.com/DMSO-Natures-Morton-Walker-D-P-M/dp/0895295482"><sup>2</sup></a></p></li><li><p>In 210 women with chronic gum disease, a DMSO treatment resolved the gum disease and lowered their anxiety.<a href="https://medstominst.ru/data/vestnik/Vestnik_MSI_02_2019.pdf#page=27"><sup>1</sup></a></p></li><li><p>Russian reviews have noted DMSO can be used for psychiatric disorders and that injected DMSO calms psychotic patients.<a href="https://pubmed.ncbi.nlm.nih.gov/6123209/"><sup>1</sup></a></p></li><li><p>As mentioned above, a multi-decade Russian research program found chronic stress reduces blood flow to the brain, triggering the brain damage seen in psychiatric illness, and that DMSO was the most effective intervention they found (with their results subsequently beginning to be replicated in clinical trials at the Moscow Medical Academy).<a href="https://pubmed.ncbi.nlm.nih.gov/9173744/"><sup>1</sup></a><sup>,</sup><a href="https://elibrary.ru/item.asp?id=42452075"><sup>2</sup></a><sup>,</sup><a href="https://elibrary.ru/item.asp?id=14947341"><sup>3</sup></a><sup>,</sup><a href="https://europepmc.org/article/med/3188649"><sup>4</sup></a> In their animal work, DMSO given before chronic stress completely prevented stress-induced ulcers, anxiety behaviors, and blood pressure disturbances, while dozens of other animal studies found agents delivered in DMSO reversed depression, anxiety, PTSD, and psychosis across the standard models.<a href="https://www.midwesterndoctor.com/p/how-dmso-heals-the-brain-and-transforms"><sup>1</sup></a></p></li></ul><p>Although DMSO is not a sleeping pill (and in animal studies had minimal effect on sleep at normal doses), dozens of readers have reported it transformed their sleep by resolving the pain, restless legs, breathing problems, or neurological issues that had kept them awake (in some cases after years of being suicidal from sleep deprivation).<a href="https://www.midwesterndoctor.com/p/how-dmso-heals-the-brain-and-transforms"><sup>1</sup></a> This mirrors human studies where sleep improved as DMSO resolved knee arthritis<a href="https://web.archive.org/web/20250502052147/http:/www.irbis-nbuv.gov.ua/cgi-bin/irbis_nbuv/cgiirbis_64.exe?C21COM=2&amp;I21DBN=UJRN&amp;P21DBN=UJRN&amp;IMAGE_FILE_DOWNLOAD=1&amp;Image_file_name=PDF/Savm_2011_18_50.pdf"><sup>1</sup></a> or neck and shoulder pain.<a href="https://www.elibrary.ru/item.asp?id=36909201"><sup>1</sup></a> Many readers also independently noticed their dreams became far more vivid or lucid.<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/183987204"><sup>1</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/166777391"><sup>2</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/166370642"><sup>3</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/166368371"><sup>4</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/128106251"><sup>5</sup></a></p><h2>Seizures, Encephalitis, Myasthenia Gravis, and Movement Disorders</h2><p><strong>Seizures:</strong> Many studies have evaluated DMSO for seizures, collectively showing a biphasic effect (therapeutic doses suppress seizures while very high doses can provoke them). In Niemann-Pick patients, oral DMSO reduced seizure frequency and improved EEGs,<a href="https://pubmed.ncbi.nlm.nih.gov/8577061/"><sup>1</sup></a> veterinarians use IV DMSO in seizing horses and foals,<a href="https://bvajournals.onlinelibrary.wiley.com/doi/abs/10.1136/vetreccr-2015-000222"><sup>1</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/16627116/"><sup>2</sup></a> and in animals, dozens of agents delivered in DMSO reduced seizures and the brain damage that follows them.<a href="https://www.midwesterndoctor.com/p/how-dmso-heals-the-brain-and-transforms"><sup>1</sup></a> One reader shared, &#8220;I&#8217;m not going every three days to emergency with seizures&#8221; (linked to the COVID booster).<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/258084523"><sup>1</sup></a></p><p><strong>Encephalitis:</strong> DMSO has also been repeatedly evaluated for brain inflammation from infections and other causes. In humans, DMSO has been used to treat viral meningitis<a href="https://pubmed.ncbi.nlm.nih.gov/3577074/"><sup>1</sup></a><sup>,</sup><a href="https://www.elibrary.ru/item.asp?id=43188556"><sup>2</sup></a> and to enhance bacterial meningitis treatment,<a href="https://europepmc.org/article/med/356423"><sup>1</sup></a><sup>,</sup><a href="https://elibrary.ru/item.asp?id=43186770"><sup>2</sup></a> while in horses it has been used for herpes and West Nile encephalitis.<a href="https://pubmed.ncbi.nlm.nih.gov/16627115/"><sup>1</sup></a><sup>,</sup><a href="https://web.archive.org/web/20210124165815/https:/cris.unibo.it/handle/11585/84934#.YA2nZuxenEl"><sup>2</sup></a> In animals, agents delivered in DMSO protected against a variety of lethal viral and parasitic brain infections and sepsis-induced brain injury.<a href="https://www.midwesterndoctor.com/p/how-dmso-heals-the-brain-and-transforms"><sup>1</sup></a> One reader who was sent home from the ER with viral meningitis (&#8221;there&#8217;s nothing we can do&#8221;) applied DMSO to the base of the skull and was &#8220;healed&#8221; within 24 hours.<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/158964366"><sup>1</sup></a></p><p><strong>Myasthenia gravis:</strong> In 1980, researchers accidentally discovered that the DMSO they were using as a vehicle was independently lowering acetylcholine receptor antibodies that cause MG (by 52% in rats, persisting six weeks after treatment stopped),<a href="https://pubmed.ncbi.nlm.nih.gov/7453805/"><sup>1</sup></a> and DMSO also fully restored nerve-muscle function in a laboratory model of the disease.<a href="https://academic.oup.com/jpp/article-abstract/24/5/417/6200698?login=false"><sup>1</sup></a> No human trial was ever done, but readers with generalized MG have reported no myasthenic crises since starting DMSO in 2022, with one describing it as &#8220;better than the pyridostigmine I used to take 6x/day,&#8221;<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/80694307"><sup>1</sup></a> another going from 30 prescription medications to nearly none,<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/72694855"><sup>1</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/72740468"><sup>2</sup></a> and a third reporting &#8220;my swallowing and speaking goes back to normal.&#8221;<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/258053058"><sup>1</sup></a></p><p><strong>Hydrocephalus:</strong> One reader&#8217;s brother, whose neurologists had given him a few years to live, was treated by Stanley Jacob with DMSO, stabilized in a way his doctors said was &#8220;making medical history,&#8221; and lived 30 more years.<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/186582079"><sup>1</sup></a></p><p><strong>Movement disorders:</strong> A single DMSO injection during pregnancy completely prevented a neurological ataxia in lambs (0% versus 60% of controls).<a href="https://www.cabidigitallibrary.org/doi/full/10.5555/19751439002"><sup>1</sup></a> Readers have reported improvements in essential tremors (e.g., an 80-year-old regained the ability to write within a month),<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/187504916"><sup>1</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/272683859"><sup>2</sup></a> vaccine-induced tremors,<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/113177064"><sup>1</sup></a> and restless legs (in some cases after decades of medication).<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/142660462"><sup>1</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/110970941"><sup>2</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/77271058"><sup>3</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/113220031"><sup>4</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/113133127"><sup>5</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/166171042"><sup>6</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/261156712"><sup>7</sup></a></p><h2>Down Syndrome and Developmental Disorders</h2><p>When I first dove into the DMSO literature, the claim I had the most difficulty believing was that it significantly improved Down syndrome, as I, like most doctors, assumed nothing could be done for a genetic condition. However, many studies and Congressional testimony corroborate it, including:</p><p>&#8226;In Oregon, 67 children with Down syndrome showed dose-dependent developmental improvements on DMSO with no side effects.<a href="https://pubmed.ncbi.nlm.nih.gov/1055559/"><sup>1</sup></a></p><p>&#8226;In a 1976 Chilean study of 15 young children with Down syndrome, DMSO with amino acids raised motor scores from 56 to 72 and social scores from 40 to 64 over a year (while controls remained unchanged), along with physical improvements such as reduced tongue enlargement and better muscle tone,<a href="https://www.scielo.cl/pdf/rcp/v47n4/art05.pdf"><sup>1</sup></a> and a separate Chilean study of 55 children also found large developmental gains.<a href="https://pubmed.ncbi.nlm.nih.gov/124151/"><sup>1</sup></a></p><p>&#8226;In an Argentinian study, 18 children with Down syndrome given DMSO and amino acids&#11030; showed statistically significant acceleration of their development (particularly language) compared to 91 controls.<a href="https://www.amazon.com/Dmso-Natures-Healer/dp/B00EX5R4KW"><sup>1</sup></a></p><p>&#8226;In a 1969 study of 44 severely developmentally delayed children, over 70% responded favorably, with gains in IQ, reading, writing, coordination, and behavior,<a href="https://scholar.google.com/scholar?hl=en&amp;as_sdt=0%2C5&amp;q=Experiencia+cl%C3%ADnica+con+Merinex+en+ni%C3%B1os+con+d%C3%A9ficit+mental+y+difficultades+de+aprendizaje+b%C3%A1sico&amp;btnG="><sup>1</sup></a> while in another 1969 study of 30 learning-disabled children with language disorders, the same formula produced gains in speech, initiative, self-care, reading, and writing.<a href="https://obtienearchivo.bcn.cl/obtieneimagen?id=documentos/10221.1/55494/1/203298.pdf"><sup>1</sup></a> In Argentina, 13 developmentally disabled children (without Down syndrome) also improved with it.<a href="https://pubmed.ncbi.nlm.nih.gov/1093464/"><sup>1</sup></a></p><p>&#8226;At a 1980 Congressional hearing, testimony described Melody Clark, predicted never to progress mentally beyond age six, who after seven years on DMSO functioned at a second-grade level (with her dentist also testifying her palate, jaw, and tongue had normalized).<a href="https://www.midwesterndoctor.com/api/v1/file/79ee5132-06fb-4f64-b44e-a50dee889b47.pdf"><sup>1</sup></a> Likewise, Billy King, who had the mental capacity of a ten-month-old at 14, reached that of a seven-year-old two years later and eventually held a job in a bookstore,<a href="https://www.amazon.com/DMSO-Handbook-Doctors-Archie-Scott/dp/1475997922"><sup>1</sup></a> while Bronwyn Nash, frail and unable to gain weight at 10 months, began developing steadily once started on DMSO.<a href="https://www.amazon.com/Dmso-Natures-Healer/dp/B00EX5R4KW"><sup>1</sup></a></p><p>After I published this data, the parents of a two-year-old with Down syndrome reported she began sleeping better, became more verbal, and started crawling after starting DMSO (&#8221;It&#8217;s almost like she&#8217;s not even the same kid she was two weeks ago&#8221;).<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/72415471"><sup>1</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/74198425"><sup>2</sup></a></p><p>Finally, the German DMSO community has since refined these amino acid formulations and reports significant benefit for learning disabilities and developmental delays.<a href="https://www.midwesterndoctor.com/p/dmso-mixtures-transform-natural-medicine"><sup>1</sup></a> Additionally, while no direct data exists for autism, numerous mouse studies found agents delivered in DMSO improved autism-like behaviors,<a href="https://www.midwesterndoctor.com/p/how-dmso-heals-the-brain-and-transforms"><sup>1</sup></a> one reader shared DMSO was a key part of a protocol that treated her son&#8217;s autism,<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/316266823"><sup>1</sup></a> and one reader shared that topical DMSO relaxes her daughter&#8217;s tight muscles from cerebral palsy.<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/132292967"><sup>1</sup></a></p><h2>Peripheral Nerve Damage and Neuropathies</h2><p>Peripheral nerves can regenerate, but slowly (about 1 mm per day) and often incompletely, while the treatments for neuropathy and nerve pain (e.g., gabapentin, Lyrica, or opioids) at best partially relieve symptoms and carry significant side effects. DMSO both regenerates damaged nerves and blocks the small fibers that transmit chronic pain, and hundreds of studies and reader reports support its use for these conditions.</p><p><strong>Nerve regeneration:</strong> Many studies have evaluated DMSO&#8217;s effects on nerve repair. In animals with cut, crushed, or compressed nerves, DMSO consistently improved regeneration, increasing the number and myelination of regrown nerve fibers, restoring nerve conduction (e.g., increasing nerve signal strength by 935% in rats with severed sciatic nerves<a href="https://webquery.ujmd.edu.sv/siab/bvirtual/BIBLIOTECA%20VIRTUAL/TESIS/07/MED/0002081-ADTESAE.pdf"><sup>1</sup></a><sup>,</sup><a href="http://www.redicces.org.sv/jspui/bitstream/10972/2852/1/0002081-ADTESAE.pdf"><sup>2</sup></a>), reducing scarring, improving walking and sensation, and, when used to bridge nerve gaps, outperforming autografts (the surgical gold standard). It even induced limb regeneration in adult frogs (which normally cannot regrow limbs).<a href="https://www.midwesterndoctor.com/p/how-dmso-heals-nerves-and-eliminates"><sup>1</sup></a></p><p>Readers have also reported numerous remarkable peripheral nerve recoveries.  For example:</p><p>&#8226;Rebecca&#8217;s leg was crushed in a car accident ten years ago. Surgeons saved it, but the tissue turned gray and she lost all feeling in it, and nothing helped for a decade. After starting DMSO, blood flow visibly returned to the tissue and sensation began coming back.<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/261198422"><sup>1</sup></a></p><div class="native-video-embed" data-component-name="VideoPlaceholder" data-attrs="{&quot;mediaUploadId&quot;:&quot;21d3f565-cb8b-42d4-bb2b-b9df221b69ac&quot;,&quot;duration&quot;:null}"></div><p>&#8226;A reader&#8217;s husband had a leg muscle that was dying from a compressed nerve, pain that painkillers did not touch (to the point he would cry outside each night), and a drop foot his neurosurgeon considered incurable as the muscle was too far gone. Within five minutes of DMSO going on his leg, half the pain was gone, and after eight weeks, the dead muscle began growing back (which then made it possible for the flabbergasted surgeon to perform the nerve release surgery that got him walking without a brace).<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/171151157"><sup>1</sup></a></p><div class="native-video-embed" data-component-name="VideoPlaceholder" data-attrs="{&quot;mediaUploadId&quot;:&quot;29ba25dc-409a-4db6-a6c2-e0929a521848&quot;,&quot;duration&quot;:null}"></div><p>&#8226;A reader whose feet had been paralyzed for 13 years started taking oral DMSO daily and after 3 months was able to walk without braces.<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/194455868"><sup>1</sup></a></p><p><strong>Complex regional pain syndrome:</strong> CRPS is one of the most debilitating pain conditions and has no cure, yet roughly 50 studies (including several randomized trials) have found topical DMSO effective, particularly early in the disease (giving DMSO have Level 1 evidence for the condition). These include:</p><p>&#8226;A 1985 study reported an approximately 90% recovery rate when treatment began early.<a href="https://pubmed.ncbi.nlm.nih.gov/3931223/"><sup>1</sup></a></p><p>&#8226;In an RCT of 31 patients, DMSO cream reduced the median disease score from 5 to 0 (versus 4 to 2 with placebo).<a href="https://pubmed.ncbi.nlm.nih.gov/8721469/"><sup>1</sup></a></p><p>&#8226;In 37 patients, pain scores dropped from 5.3 to 0.9.<a href="https://europepmc.org/article/med/8455741"><sup>1</sup></a></p><p>&#8226;In a 146-patient RCT, roughly 80% improved.<a href="https://pubmed.ncbi.nlm.nih.gov/12670672/"><sup>1</sup></a></p><p>&#8226;In a 145-patient comparison, DMSO outperformed N-acetylcysteine and was more cost-effective.<a href="https://link.springer.com/article/10.2165/00019053-200321020-00006"><sup>1</sup></a><sup>,</sup><a href="https://onlinelibrary.wiley.com/doi/abs/10.1046/j.1524-4733.2001.40202-20.x"><sup>2</sup></a></p><p>&#8226;In 29 patients, DMSO reduced pain by 3.09 points over a year, with 89.7% reporting quality-of-life improvements.<a href="https://pubmed.ncbi.nlm.nih.gov/22266201/"><sup>1</sup></a></p><p>&#8226;In 8 patients, a DMSO-ambroxol cream improved pain in 6, often within 30 minutes to 2 hours.<a href="https://rsds.org/wp-content/uploads/2019/01/Ambroxol-Cream-CRPS.pdf"><sup>1</sup></a></p><p>As a result, German, Dutch, and Russian guidelines recommend 50% DMSO cream for acute CRPS,<a href="https://pubmed.ncbi.nlm.nih.gov/16009087/"><sup>1</sup></a><sup>,</sup><a href="https://www.elibrary.ru/item.asp?id=23774698"><sup>2</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/25471395/"><sup>3</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/29392238/"><sup>4</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/20356382/"><sup>5</sup></a> and readers have reported success, with one who has used it daily for 18 years calling it &#8220;a freaking Miracle.&#8221;<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/244622967"><sup>1</sup></a></p><p><em>Note: CRPS closely matches the German concept of an interference field (which neural therapy treats by injections of a local anesthetic like lidocaine, which resets the dysfunctional nerves), making it notable that CRPS responds not only to neural therapy but also DMSO (which<a href="https://www.midwesterndoctor.com/p/how-dmso-heals-nerves-and-eliminates"> likewise provides a neurological reset</a>).</em></p><p><strong>Trigeminal neuralgia:</strong> This is one of the most severe pain conditions known, and it frequently stops responding to treatment but does respond to DMSO. For example, in 35 patients whose trigeminal neuralgia had lasted over a year, 26 improved with topical DMSO and 13 fully recovered,<a href="https://headachejournal.onlinelibrary.wiley.com/doi/abs/10.1111/j.1526-4610.1965.hed0503078.x"><sup>1</sup></a> in MS patients DMSO allowed carbamazepine to be reduced or stopped,<a href="https://cyberleninka.ru/article/n/nevralgiya-troynichnogo-nerva-u-bolnyh-rasseyannym-sklerozom"><sup>1</sup></a> and in 154 patients with various conditions (including trigeminal neuralgia and facial neuritis), a DMSO iontophoresis protocol produced marked improvement in 93%.<a href="https://www.elibrary.ru/item.asp?id=37521559"><sup>1</sup></a> Numerous readers have reported significant success with trigeminal neuralgia,<a href="https://www.midwesterndoctor.com/p/how-dmso-heals-nerves-and-eliminates"><sup>1</sup></a> including one reader&#8217;s mother, who had been in near-constant pain for years, was pain-free by the evening of her first application and had no flareup over the following three weeks.<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/175507451"><sup>1</sup></a></p><p><strong>Shingles and post-herpetic neuralgia:</strong> Post-herpetic neuralgia is one of the most debilitating complications of shingles and frequently does not respond to standard treatments. However, many studies have shown it responds to DMSO:</p><p>&#8226;A 1992 RCT of 171 patients found an antiviral in DMSO was superior to acyclovir at preventing it,<a href="https://pubmed.ncbi.nlm.nih.gov/1560699/"><sup>1</sup></a> and a 1974 RCT of 118 patients found it significantly improved post-herpetic neuralgia outcomes.<a href="https://pubmed.ncbi.nlm.nih.gov/4600903/"><sup>1</sup></a></p><p>&#8226;In facial shingles (the form most likely to cause post-herpetic neuralgia), the combination cut the median duration of pain to 13 days (versus 1 to 3 months), with pain persisting beyond 30 days in 30% versus 82%.<a href="https://www.tandfonline.com/doi/abs/10.3109/inf.1981.13.issue-4.03"><sup>1</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/7031859/"><sup>2</sup></a></p><p>&#8226;For established cases, 6 of 9 patients in one series had a complete remission,<a href="https://nyaspubs.onlinelibrary.wiley.com/doi/10.1111/j.1749-6632.1967.tb34919.x"><sup>1</sup></a> a German study reported positive results in 10 of 11 cases,<a href="https://europepmc.org/article/med/5591425"><sup>1</sup></a> and 18 of 22 in another series had a good response.<a href="https://www.midwesterndoctor.com/p/dmso-transforms-the-treatment-of"><sup>1</sup></a><sup>,</sup><a href="https://www.amazon.com/DMSO-Natures-Morton-Walker-D-P-M/dp/0895295482"><sup>2</sup></a></p><p>&#8226;In 25 patients, a DMSO combination relieved post-herpetic neuralgia pain within roughly 10 minutes.<a href="https://www.cnki.net/KCMS/detail/detail.aspx?dbcode=CPFD&amp;dbname=CPFD0914&amp;filename=ZGZP201004001156&amp;uniplatform=OVERSEA&amp;v=95XKcynWWJbeDcDVhNerCrWc9OvAh_XpJuhddPHZqHDVnrrgbCNw4e6MyrxjUnJL4eDrLFmODaA%3d"><sup>1</sup></a></p><p>&#8226;At the 1980 Congressional hearing, a Cleveland Clinic physician testified that when DMSO was applied during acute shingles, they never saw post-herpetic neuralgia follow.<a href="https://www.midwesterndoctor.com/p/the-fdas-war-against-dmso-and-america"><sup>1</sup></a></p><p><strong>Facial nerve palsy:</strong> In a controlled study of 65 Bell&#8217;s palsy patients, DMSO compresses significantly increased the cure rate and shortened recovery,<a href="https://pubmed.ncbi.nlm.nih.gov/6495938/"><sup>1</sup></a> DMSO is part of the standard Russian protocols for facial nerve palsy,<a href="https://cyberleninka.ru/article/n/zastosuvannya-elementiv-litoterapiyi-v-kompleksnomu-likuvanni-patsientiv-z-nevropatiyami-litsevogo-nerva"><sup>1</sup></a> and numerous readers have shared it resolved Bell&#8217;s palsy, including a reader with Ramsay Hunt syndrome who saw facial movement return within a week.<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/105221643"><sup>1</sup></a></p><p><strong>Compression neuropathies:</strong> DMSO is recommended in Russian clinical guidelines for tunnel syndromes such as carpal tunnel.<a href="https://www.rcrm.by/upload/science/posob_doctor/2020-2.pdf"><sup>1</sup></a><sup>,</sup><a href="https://cyberleninka.ru/article/n/tunnelnye-porazheniya-nervnyh-stvolov-verhney-konechnosti"><sup>2</sup></a><sup>,</sup><a href="https://omnidoctor.ru/upload/iblock/297/297fd6387d6ce1f9068bac7984039a2a.pdf"><sup>3</sup></a><sup>,</sup><a href="https://www.elibrary.ru/download/elibrary_21087968_74078805.pdf"><sup>4</sup></a> In diabetics with carpal and cubital tunnel syndromes, DMSO applications improved 83% of affected hands (most modestly) without raising blood sugar (as steroid injections do),<a href="https://elibrary.ru/item.asp?id=23416702"><sup>1</sup></a> in 11 patients with radial nerve compression it reduced pain by 69% and restored wrist extension in 73%,<a href="https://assets-eu.researchsquare.com/files/rs-8622370/v1_covered_596d390e-4f46-4129-844c-8d9c5ffba5e6.pdf"><sup>1</sup></a> and in patients with traumatic nerve injuries, DMSO with combined B vitamins produced EMG-confirmed recovery in all of them.<a href="https://www.elibrary.ru/item.asp?id=25703942"><sup>1</sup></a> Over 50 readers have also reported carpal tunnel and related compression improvements (e.g., for sciatica).<a href="https://www.midwesterndoctor.com/p/how-dmso-heals-nerves-and-eliminates"><sup>1</sup></a></p><p><strong>Peripheral neuropathy:</strong> In one study of patients with peripheral neuritis and neuralgia, DMSO produced a full remission in 66% and a partial one in 22%,<a href="https://nyaspubs.onlinelibrary.wiley.com/doi/10.1111/j.1749-6632.1967.tb34919.x"><sup>1</sup></a> while in workers with vibration disease (nerve and circulatory damage from power tools), DMSO compresses improved most cases and reduced or eliminated the need for medications.<a href="https://elibrary.ru/item.asp?id=20653054"><sup>1</sup></a><sup>,</sup><a href="https://europepmc.org/article/med/2612922"><sup>2</sup></a> In animal models of diabetic and chemotherapy-induced neuropathy, many agents delivered in DMSO restored nerve function.<a href="https://www.midwesterndoctor.com/p/how-dmso-heals-nerves-and-eliminates"><sup>1</sup></a> Over 100 readers have reported neuropathy from diabetes, chemotherapy, vaccines, and unknown causes responding to DMSO. For example, a diabetic who had lost about 80% of the feeling below his knees regained it to about 85%,<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/130385917"><sup>1</sup></a> a husband&#8217;s feet that had been &#8220;basically numb&#8221; for nine years regained feeling after a few applications,<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/258042920"><sup>1</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/170496311"><sup>2</sup></a> a Shingrix-induced demyelinating neuropathy&#8217;s foot spasms stopped the first night,<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/166165265"><sup>1</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/218647374"><sup>2</sup></a> and an 85-year-old&#8217;s &#8220;blackish blue&#8221; toes returned to normal color with feeling returning to her heels.<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/180853570"><sup>1</sup></a></p><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://www.midwesterndoctor.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">Your Support Makes The Forgotten Side of Medicine possibible! To receive new posts and support my work, please consider becoming a free or paid subscriber!</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div><p></p><h2>Chronic Pain</h2><p>Pain was DMSO&#8217;s most popular use from the start and remains the most common testimonial I receive. My best estimate from well over a thousand pain reports is that 80 to 90% of people who try DMSO for pain notice a meaningful improvement (which matches what early DMSO researchers observed).</p><p><strong>Neuropathic pain:</strong> Neuropathic pain (e.g., burning, shooting, or electric pain from damaged nerves) is one of the most difficult types of pain to treat. Hundreds of studies have shown how DMSO addresses it (along with many where DMSO was used to deliver another pain-relieving agent in animal models of nerve injury). DMSO produces pain relief comparable to morphine but lasting roughly three times as long (independent of the opioid system),<a href="https://psycnet.apa.org/record/1984-14460-001"><sup>1</sup></a><sup>,</sup><a href="https://www.sciencedirect.com/science/article/pii/0024320581902551"><sup>2</sup></a><sup>,</sup><a href="https://nyaspubs.onlinelibrary.wiley.com/doi/pdf/10.1111/j.1749-6632.1983.tb47281.x"><sup>3</sup></a><sup>,</sup><a href="https://apps.dtic.mil/sti/pdfs/ADA133175.pdf#page=37"><sup>4</sup></a> selectively blocks the small nerve fibers that transmit chronic pain, dampens the central sensitization that makes pain chronic, and potentiates local anesthetics and opioids.<a href="https://www.midwesterndoctor.com/p/how-dmso-heals-nerves-and-eliminates"><sup>1</sup></a><sup> </sup>Studies include:</p><p>&#8226;In 21 patients with acute pancreatitis, rectal DMSO completely relieved pain within 12 hours in 57% (versus 17% of controls) and within 24 hours in all of them.<a href="https://jamanetwork.com/journals/jamasurgery/article-abstract/595169"><sup>1</sup></a><sup>,</sup><a href="https://pmc.ncbi.nlm.nih.gov/articles/instance/2423647/pdf/HPB-04-331.pdf"><sup>2</sup></a></p><p>&#8226;Adding DMSO to an opioid (pethidine) in acute pancreatitis likewise significantly enhanced pain relief.<a href="https://pubmed.ncbi.nlm.nih.gov/1929842/"><sup>1</sup></a></p><p>&#8226;During kidney stone lithotripsy, topical DMSO with lidocaine outperformed a standard anesthetic cream.<a href="https://pubmed.ncbi.nlm.nih.gov/17445637/"><sup>1</sup></a></p><p>&#8226;DMSO with an anesthetic eliminated the need for painful needle anesthesia before eardrum procedures in 164 cases.<a href="https://www.thieme-connect.com/products/ejournals/abstract/10.1055/s-2007-998191"><sup>1</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/8421427/"><sup>2</sup></a></p><p>Many readers have likewise have reported it resolving phantom limb pain,<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/135916790"><sup>1</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/135716698"><sup>2</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/273200343"><sup>3</sup></a> nerve pain that persisted for years after surgery (e.g., a reader who had lost all feeling in her armpit after breast cancer surgery regained it after four applications),<a href="https://www.midwesterndoctor.com/p/how-dmso-heals-nerves-and-eliminates"><sup>1</sup></a> and burning, shooting, or electrical nerve pain from many other causes (e.g., an aircraft mechanic with pain &#8220;like an electrical shock on fire&#8221; in his hand had it resolve after a single application).<a href="https://www.midwesterndoctor.com/p/how-dmso-heals-nerves-and-eliminates"><sup>1</sup></a></p><p><strong>Headaches and migraines:</strong> Many studies and reader reports show DMSO helps headaches, with tension, sinus, and neck-related headaches responding most consistently (whereas migraines respond more variably and best when DMSO is used early).  Research includes:</p><p>&#8226;Stanley Jacob found over 75% of 59 headache patients responded to topical DMSO, including 13 of 17 with arthritis-triggered headaches and 4 of 5 with sinus headaches.<a href="https://headachejournal.onlinelibrary.wiley.com/doi/abs/10.1111/j.1526-4610.1965.hed0503078.x"><sup>1</sup></a></p><p>&#8226;In 10 patients with headaches from various causes, DMSO helped all of them, with relief within 1 minute to 3 hours,<a href="https://pubmed.ncbi.nlm.nih.gov/5232271/"><sup>1</sup></a><sup>,</sup><a href="https://doi.org/10.1111/j.1749-6632.1967.tb34934.x"><sup>2</sup></a> while another study found DMSO relaxed the neck muscles within 60 minutes and relieved the accompanying tension headaches.<a href="https://pubmed.ncbi.nlm.nih.gov/5342266/"><sup>1</sup></a></p><p>&#8226;In 190 patients, topical DMSO produced good or excellent results for many types of headache and neck pain (best in tension, post-traumatic, disc, and sinus-related cases).<a href="https://nyaspubs.onlinelibrary.wiley.com/doi/abs/10.1111/j.1749-6632.1967.tb34927.x"><sup>1</sup></a></p><p>&#8226;In 15 tinnitus patients who also had headaches, DMSO completely resolved the headaches in 7.<a href="https://nyaspubs.onlinelibrary.wiley.com/doi/abs/10.1111/j.1749-6632.1975.tb25389.x"><sup>1</sup></a></p><p>&#8226;In 120 patients with migraines and neck-related headaches, a treatment protocol including DMSO applications cut migraine frequency by up to 50%.<a href="https://journals.eco-vector.com/1027-4898/article/view/14157"><sup>1</sup></a><sup>,</sup><a href="https://cyberleninka.ru/article/n/patogeneticheskoe-vliyanie-lecheniya-tservikogennoy-golovnoy-boli-na-klinicheskoe-techenie-migreni"><sup>2</sup></a></p><p>&#8226;DMSO applications were also effective in 105 children with headaches and neck spine disorders.<a href="https://cyberleninka.ru/article/n/osobennosti-kliniki-i-terapii-golovnyh-boley-u-detey-s-funktsionalnymi-narusheniyami-pozvonochno-dvigatelnyh-segmentov-sheynogo-otdela"><sup>1</sup></a></p><p>Reader reports include one with chronic migraines since age seven who found DMSO at the onset of aura made it &#8220;disappear and dissolve,&#8221;<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/74157334"><sup>1</sup></a> a reader&#8217;s husband with migraines two to three times a week for 30 years had only one in 45 days after starting DMSO,<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/105255837"><sup>1</sup></a> and a physician reader used it to cure a colleague whose headaches &#8220;none of the neurologists could fix.&#8221;<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/166498244"><sup>1</sup></a></p><p><strong>Fibromyalgia:</strong> Fibromyalgia has few effective treatments. Stanley Jacob reported 70% of his fibromyalgia patients benefited,<a href="https://dmso.org/articles/fibromyalgia/fibromyalgia.htm"><sup>1</sup></a> a Russian study found a DMSO protocol normalized its dysfunctions,<a href="https://europepmc.org/article/med/9011284"><sup>1</sup></a> and over a dozen readers have reported DMSO eliminating or greatly reducing their pain (e.g., one became pain-free for the first time in 25 years).<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/89203354"><sup>1</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/105245266"><sup>2</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/118312223"><sup>3</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/132129200"><sup>4</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/254257737"><sup>5</sup></a> However, since fibromyalgia patients are frequently sensitive to treatment, they often need to start at low doses.</p><h2>Sensory Organs</h2><p>The eyes and ears are also extensions of the nervous system (e.g., the retina develops as an outgrowth of the brain, and hearing depends on delicate sensory cells and the nerve connecting them to it). Their exceptionally high metabolic demands make them particularly vulnerable to impaired microcirculation, so DMSO&#8217;s ability to restore blood flow, revive dormant cells, and dissolve protein aggregates frequently restores their function as well (which is extensively detailed in articles separate from the neurological series<a href="https://www.midwesterndoctor.com/p/dmso-heals-the-eyes-and-transforms"><sup>1</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/how-dmso-cures-eye-ear-nose-throat"><sup>2</sup></a>). </p><p>DMSO concentrates in the cornea (reaching 2 to 4 times its blood level),<a href="https://nyaspubs.onlinelibrary.wiley.com/doi/abs/10.1111/j.1749-6632.1967.tb34869.x"><sup>1</sup></a> which likely explains why early DMSO patients so often noticed their vision improving while it was being used for something else. This led to studies such as one where, of 50 patients with retinitis pigmentosa or macular degeneration given DMSO eye drops, 22 had improved visual acuity and only 2 continued to worsen<a href="https://pubmed.ncbi.nlm.nih.gov/1055562/"><sup>1</sup></a> (although a follow-up study could not confirm a benefit for retinitis pigmentosa),<a href="https://nyaspubs.onlinelibrary.wiley.com/doi/abs/10.1111/j.1749-6632.1983.tb47285.x"><sup>1</sup></a> while Stanley Jacob documented a series of long-blind patients regaining sight (e.g., a man blinded for over 30 years by a dynamite explosion began seeing flashes of light).<a href="https://www.amazon.com/Persecuted-Drug-Story-DMSO/dp/0441151019"><sup>1</sup></a> Readers have in turn reported DMSO improving most standard eye conditions (e.g., floaters, cataracts, glaucoma, macular degeneration, dry eyes, and nearsightedness), often after nothing else had worked. One report provides a particularly striking example of how DMSO restores nervous system tissue, where Murray, a 75-year-old who had been blind in one eye since birth, began using DMSO for his sinuses and after a couple of months could see colors and detail in that eye for the first time in his life.<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/125091686"><sup>1</sup></a></p><div class="native-video-embed" data-component-name="VideoPlaceholder" data-attrs="{&quot;mediaUploadId&quot;:&quot;38a7ec80-bddb-4090-8bdd-82b3cf240bac&quot;,&quot;duration&quot;:null}"></div><p>Likewise, a nurse who had been left seeing only shadows in her right eye after a fall fractured her orbit five and a half years earlier began seeing light in it after eight months of using DMSO on her eyes (with the eye also starting to turn back toward center), while the vision in her other eye improved and many of its floaters cleared.</p><div class="native-video-embed" data-component-name="VideoPlaceholder" data-attrs="{&quot;mediaUploadId&quot;:&quot;7cf4c99d-fdd9-484c-b872-b5983e7ebac8&quot;,&quot;duration&quot;:null}"></div><p><em>Note: readers frequently ask if DMSO can be safely applied if one has IOLs from a cataract surgery. The American Academy of Ophthalmology has reported there is no evidence of (presumably systemic) applications of DMSO causing issues for IOLs,<a href="https://www.aao.org/eye-health/ask-ophthalmologist-q/can-i-take-dmso-with-iol"><sup>1</sup></a> while the German community (and ophthalmologists there) have found low dose DMSO applied to the eyes does not cause issues. At higher doses, issues may occur (depending upon the material the lens was made from), but the actual degree of risk remains unknown.</em></p><p>The ears show a similar pattern. In 15 patients with tinnitus of at least six months that they had been unable to adapt to, a month of a DMSO spray (with other agents) improved all of them, with the benefit lasting at least a year and some also regaining hearing on audiometry,<a href="https://nyaspubs.onlinelibrary.wiley.com/doi/abs/10.1111/j.1749-6632.1975.tb25389.x"><sup>1</sup></a> a New York City clinic reported most of its tinnitus patients were permanently cured within a month,<a href="https://www.amazon.com/Dmso-Handbook-Doctors-Archie-Scott-ebook/dp/B0792T53NW/"><sup>1</sup></a> and in air travelers whose ears could not equalize pressure, nasal DMSO resolved 75% of cases.<a href="https://pubmed.ncbi.nlm.nih.gov/6034939/"><sup>1</sup></a> A few studies also report success treating hearing loss with DMSO, but these were typically either case reports of specific ailments or used combinations rather than DMSO alone.<a href="https://www.elibrary.ru/item.asp?id=37521559"><sup>1</sup></a></p><p>Readers have reported the same for tinnitus (e.g., 24/7 tinnitus of over 20 years almost completely gone after two weeks)<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/200966418"><sup>1</sup></a> and also for hearing loss, which I believe often stems from impaired circulation to the ear. For example, sudden hearing loss in both ears reversed after one reader applied DMSO gel behind the ears (instead of the steroids their ENT offered),<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/122570113"><sup>1</sup></a> another reader&#8217;s husband had to have his hearing aids recalibrated twice as his hearing kept improving with DMSO ear drops,<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/92224570"><sup>1</sup></a> a woman with 14 years of hearing loss reported a serious improvement after six weeks of DMSO in her ears,<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/166423700"><sup>1</sup></a> and 35 years of Eustachian tube dysfunction cleared within a week of nasal DMSO (restoring stereo hearing).<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/301927774"><sup>1</sup></a></p><p><em>Note: since tinnitus is such a common challenge, successful DMSO cases inspired Pierre Kory&#8217;s practice to begin a clinical trial (which has thus far been successful). From all the reports I&#8217;ve received, DMSO seems to help about 50% of tinnitus cases, with the failures, I believe, being due to tinnitus having many different causes (which vary in their responsiveness to DMSO), many people using suboptimal applications of DMSO, and certain causes of tinnitus often requiring DMSO combinations rather than DMSO alone.</em></p><p>Lastly, there is also a bit of data on DMSO&#8217;s uses for the nose and tongue (e.g., it was found to treat burning tongue syndrome,<a href="https://www.elibrary.ru/item.asp?id=44226404"><sup>1</sup></a> the German DMSO community identified one DMSO combination frequently restores lost smell and a few readers have reported DMSO alone may have restored their smell or taste). <br><em>Note: like other parts of the nervous system, DMSO was also found to safely facilitate the delivery of compounds to the taste bud sensory cells.<a href="https://pubmed.ncbi.nlm.nih.gov/25209263/"><sup>1</sup></a></em></p><h1>Rethinking Neurological Disease</h1><p>There is a longstanding joke in medicine that neurologists are excellent at diagnosing diseases but not at treating them. Much of this stems from neurological diseases being defined by where the damage occurs and what it looks like rather than by what caused it, so once the diagnosis is made, there is often little to offer besides managing symptoms and monitoring the decline.</p><p>DMSO&#8217;s ability to help such a wide range of seemingly unrelated neurological conditions argues that many of them share common root causes, and that those causes are ones conventional neurology neither tests for nor treats (e.g., impaired microcirculation, dormant cells that have stopped functioning but not yet died, protein aggregation, excessive sympathetic tone, and dysfunctional nerve circuits). Because these causes go unrecognized, the diseases they produce are typically labeled &#8220;idiopathic,&#8221; &#8220;degenerative,&#8221; or &#8220;incurable,&#8221; and as a result, a vast number of patients are never offered anything that addresses why they became ill. Recognizing them, in contrast, opens the door to treating many conditions medicine has long considered hopeless.</p><p>Fortunately, one of DMSO&#8217;s most important characteristics is that patients do not need to wait for the medical system to change its paradigm to benefit from it, as DMSO is inexpensive, widely available, and can be used at home by anyone willing to learn how to use it. This is also critical for changing that paradigm, as the one pressure medicine reliably responds to is patients shifting their spending towards a superior alternative.</p><p>As such, in the remainder of this article, I will provide:</p><p>&#8226;Practical guidance on sourcing each grade of DMSO (including what is needed for IVs) and dosing it topically, orally, and intravenously.<br>&#8226;Emergency protocols for strokes, head injuries, and spinal cord injuries (including what to do on the way to the hospital).<br>&#8226;Protocols for neurodegenerative diseases (e.g., Parkinson&#8217;s and Alzheimer&#8217;s), cognitive impairment, chronic stress, and developmental disorders, along with the supportive therapies we have found enhance DMSO&#8217;s effects.<br>&#8226;Protocols for neuropathic pain, spinal pain, headaches, compression neuropathies, facial nerve disorders, and spasticity.<br>&#8226;Protocols for the eyes, ears, and nose (e.g., tinnitus and hearing loss).</p>
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   ]]></content:encoded></item><item><title><![CDATA[Seaweed, Iodine, and Reclaiming the Critical Minerals Missing From Our Food ]]></title><description><![CDATA[September&#8217;s Open Thread]]></description><link>https://www.midwesterndoctor.com/p/seaweed-iodine-and-reclaiming-the</link><guid isPermaLink="false">https://www.midwesterndoctor.com/p/seaweed-iodine-and-reclaiming-the</guid><dc:creator><![CDATA[A Midwestern Doctor]]></dc:creator><pubDate>Sun, 20 Sep 2026 21:56:15 GMT</pubDate><enclosure url="https://substack-post-media.s3.amazonaws.com/public/images/451d03c9-139c-4fc7-8c63-3e0455734abd_1168x784.jpeg" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p><span>This newsletter exists to help others, and as a result, I frequently receive correspondences from individuals with pressing questions I want to answer. Unfortunately, due to how much work goes into producing the material here, I simply no longer have the time to respond to most of those correspondences.</span></p><p><span>The best solution I&#8217;ve been able to come up with is to have monthly open threads where anyone can ask whatever is needed (e.g., any lingering questions from the previous month) so I could make a point to always reply to them (as having them all in a single place makes it easier to get to them and also possible for others with the same question to see that answer).</span></p><p>Each time I do a monthly thread, I try to tag it to a topic I&#8217;ve wanted to write about but I do not quite feel is enough for its own article. In last week&#8217;s article, since many asked, I <a href="https://www.midwesterndoctor.com/p/the-covid-shot-was-three-vaccines">shared some of my key perspectives on supplements</a>, including that ideally for the body, nutrients (particularly minerals) should be gotten from your diet rather than in concentrated supplements.  However, that can be tricky, especially if you do not live in an area where it&#8217;s possible to procure high quality produce grown locally in healthy soil. <span>Fortunately, one food group bypasses the soil problem entirely and is readily available to us.</span></p><h1>Seaweed</h1><p>&#8220;Seaweed&#8221; is a catch-all for thousands of species of marine algae, grouped by pigment into browns (kombu, wakame), reds (nori, dulse, sea moss), and greens (sea lettuce). Lacking true roots, they absorb everything they contain directly from the surrounding seawater, concentrating minerals far beyond what land plants typically reach, something coastal cultures around the world each seem to have discovered on their own. For example:</p><p><span>&#8226;In Monte Verde, Chile, </span><a href="https://pubmed.ncbi.nlm.nih.gov/18467586/"><span>archaeologists found</span></a><span> nine species of seaweed alongside medicinal plants in a settlement dated to roughly 14,000 years ago, which suggests they were used for both food and medicine.<br><br>&#8226;By the first centuries AD, </span><a href="https://www.sciencedirect.com/science/article/abs/pii/S0378874112003686?via%3Dihub"><span>Chinese medical texts</span></a><span> were specifically documenting Sargassum seaweed as a treatment for goiter, a medicinal use still incorporated today.<br><br>&#8226;</span><a href="https://link.springer.com/article/10.1007/s10811-023-02965-6"><span>Greco-Roman remedies</span></a><span> included seaweed in the treatment of gout, joint ailments, and venomous bites.</span></p><p>This recognition by ancient cultures across the world that had no communication with each other suggests seaweed provided unique health benefits that were tangible enough the simplest medical systems could recognize them. Modern nutritional science, in turn, shows they were onto something. <span>One of the more remarkable demonstrations of this is in the gut: the intestinal bacteria of Japanese individuals carry genes for digesting the polysaccharides in nori that are absent in North Americans, and those genes were acquired directly from the marine bacteria that live on seaweed.</span><a href="https://doi.org/10.1038/nature08937"><sup><span>1</span></sup></a></p><p><em>Note: another extraordinary aspect of seaweed is how quickly it grows (e.g., the widely consumed species that make laver and nori are ready for their first harvest within 30-90 days of seeding, and then can have numerous successive harvests every 10-20 days<a href="https://www.sc.com/EN/uploads/sites/66/content/docs/Kelp-is-on-the-way_web-upload_191223.pdf"><sup>1</sup></a>), along with the fact it can be grown across vast stretches of coastal water where nothing else is being farmed. As such, at a time when the nutrient content of our food supply keeps declining, one of the few foods able to make up the difference also happens to be one of the easiest and cheapest to produce at scale, both for people and for livestock.</em></p><h1><strong><span>Seaweed&#8217;s Nutritional Content</span></strong></h1><p><span>Sea vegetables carry an unusually broad spectrum of minerals and trace elements the body needs for basic physiological function, often at levels that dwarf what you&#8217;d find in land plants. Most contain vitamins A, C, and a range of B vitamins, and a handful are among the only plant-based foods on earth that provide meaningful amounts of B12 (e.g., </span><a href="https://link.springer.com/article/10.1007/s00394-024-03505-9"><span>a 2024 study</span></a><span> found seaweed significantly improved B12 levels in vegetarians).<br></span><em><span>Note: high B12 seaweed contains the best forms of B12</span><a href="https://www.tandfonline.com/doi/pdf/10.1271/bbb.67.2480"><sup><span>1</span></sup></a><span>  and is also a rich source of (healthy) folate.</span><a href="https://storage.imrpress.com/imr/journal/FBE/article/499556/1752792678089.pdf"><sup><span>1</span></sup></a></em></p><p><span>Protein content swings anywhere from roughly 10% to over 40% of dry weight depending on species, and seaweed protein is complete, so all nine of the essential amino acids are present (the nine the body cannot synthesize on its own). Seaweeds are also low in fat and remarkably high in fiber and among the richest natural dietary sources of iodine.</span></p><p>Most importantly, since seaweed absorbs minerals directly from seawater rather than soil, mineral content in seaweed runs up to <a href="https://www.sciencedirect.com/science/article/pii/S0889157524004873">100x higher</a> per gram than land vegetables across the board (e.g., <a href="https://www.sciencedirect.com/science/article/abs/pii/S0889157515001507">one study</a> found nori has 3 times more bioavailable iron than spinach, gram for gram &#8212; and sea lettuce, 5 times more).  <br><em><br>Note: land vegetables today<a href="https://www.tandfonline.com/doi/abs/10.1080/07315724.2004.10719409"> measurably contain less</a> calcium, iron, and other minerals than they did in 1950. While this is commonly attributed to the soil becoming demineralized (as the primary input given to soil is nitrogen, phosphorus, and potassium), decades of selective breeding to meet other priorities also plays a key role<a href="https://www.sciencedirect.com/science/article/pii/S0889157516302113"><sup>1</sup></a>&#8212;both of which are not applicable to seaweed.</em></p><p><span>Conversely, this also means that if seaweed is grown in contaminated water, it will pick up the contaminants present there, which has led to extensive debate on which brands and forms of seaweed are the best to eat, particularly since many of the ancient societies which cultivated seaweed did so at a time when there was much less lead in the oceans. This, I believe, argues for two key principles&#8212;getting seaweed from clean sources and not consuming them in excess but rather treating them as a complementary part of a complete diet.</span></p><p><em>Note: one of the most common concerns with seaweed is its arsenic content. Data in this area is often misleading, as testing rarely distinguishes organic arsenic (which in seaweed exists mostly as arsenosugars and is far less toxic) from the significantly more toxic inorganic form. The main exception is hijiki, which contains a substantial amount of inorganic arsenic, so many guidelines (appropriately) caution against consuming it. For other seaweeds, preparation also makes a large difference: <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC6551690/">one study found</a> that washing, soaking, cooking, and boiling reduced total arsenic content by up to 58.8%, 91.5%, 50%, and 60% respectively.</em></p><p>The key nutritional components of commonly consumed forms of seaweed are as follows:<a href="https://www.sciencedirect.com/science/article/pii/S0889157524004873"><sup>1</sup></a><sup>,</sup><a href="https://www.sciencedirect.com/book/edited-volume/9780128027721/seaweed-in-health-and-disease-prevention"><sup>2</sup></a><sup>,</sup><a href="https://www.wiley-vch.de/en/areas-interest/natural-sciences/life-sciences-11ls/ecology-organismal-biology-11ls2/the-use-of-algae-in-human-health-978-1-78630-956-3"><sup>3</sup></a><sup>,</sup><a href="https://www.sciencedirect.com/science/article/abs/pii/S0955286399000145"><sup>4</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/31540326/"><sup>5</sup></a><sup>,</sup><a href="https://www.sciencedirect.com/science/article/abs/pii/003194229184126D"><sup>6</sup></a></p><ul><li><p><strong><span>Nori</span></strong><span> &#8212; Comparable to beef liver on B12, tomatoes and lettuce on vitamin C, and  bananas in fiber content.</span><a href="https://www.sciencedirect.com/science/article/pii/S0889157524004873"><sup>1</sup></a></p></li><li><p><strong><span>Wakame</span></strong><span> &#8212; A meaningful source of iodine and folate (which are needed for healthy fetal development), that also has a high fucoxanthin content that&#8217;s shown promise for metabolic health.</span><a href="https://www.sciencedirect.com/book/edited-volume/9780128027721/seaweed-in-health-and-disease-prevention"><sup>1</sup></a></p></li><li><p><strong><span>Kombu</span></strong><span> (Kelp) &#8212; Among the strongest iodine accumulators of any living organism on Earth, with potassium and calcium levels that dwarf most conventional foods.</span><a href="https://www.sciencedirect.com/science/article/pii/S0889157524004873"><sup>1</sup></a><sup> </sup>Is also a natural source of fucoidan, a bioactive polysaccharide studied for its wide variety of therapeutic properties (particularly reducing pain and inflammation).<a href="https://www.sciencedirect.com/book/edited-volume/9780128027721/seaweed-in-health-and-disease-prevention"><sup>1</sup></a></p></li><li><p><strong><span>Dulse</span></strong><span> &#8212; Exceptionally high in potassium and B12 for a plant, with EPA (a key fat in fish oil) making up to half its total fatty acid content.</span><a href="https://www.sciencedirect.com/science/article/pii/S0889157524004873"><sup>1</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/31540326/"><sup>2</sup></a> Particularly protein-rich when harvested in winter and early spring.<a href="https://www.sciencedirect.com/science/article/abs/pii/S0955286399000145"><sup>1</sup></a><sup>,</sup><a href="https://www.sciencedirect.com/book/edited-volume/9780128027721/seaweed-in-health-and-disease-prevention"><sup>2</sup></a></p></li><li><p><strong><span>Irish moss</span></strong><span> &#8212; High in protein (35% dry weight), with a favorable mineral profile and floridoside, the compound behind its use in natural moisturizers.</span><a href="https://www.sciencedirect.com/science/article/pii/S0889157524004873"><sup>1</sup></a><sup>,</sup><a href="https://www.sciencedirect.com/book/edited-volume/9780128027721/seaweed-in-health-and-disease-prevention"><sup>2</sup></a></p></li><li><p><strong><span>Sea lettuce</span></strong><span> &#8212; B12 high enough on its own to exceed the full adult daily RDA, plus calcium covering over a third of an adult male&#8217;s daily need. Unusually low iodine for seaweed.</span><a href="https://www.sciencedirect.com/science/article/pii/S0889157524004873"><sup>1</sup></a></p></li><li><p><strong><span>Caribbean sea moss</span></strong><span> &#8212; A diverse source of minerals and trace elements, with notable protein and EPA content.</span><a href="https://www.sciencedirect.com/science/article/pii/S0889157524004873"><sup>1</sup></a><sup><span>,</span></sup><a href="https://www.sciencedirect.com/science/article/abs/pii/003194229184126D"><sup>2</sup></a></p></li></ul><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!SCfh!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F994cf6b2-2704-4636-9954-0cba005366de_1231x1277.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" 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srcset="https://substackcdn.com/image/fetch/$s_!SCfh!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F994cf6b2-2704-4636-9954-0cba005366de_1231x1277.png 424w, https://substackcdn.com/image/fetch/$s_!SCfh!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F994cf6b2-2704-4636-9954-0cba005366de_1231x1277.png 848w, https://substackcdn.com/image/fetch/$s_!SCfh!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F994cf6b2-2704-4636-9954-0cba005366de_1231x1277.png 1272w, https://substackcdn.com/image/fetch/$s_!SCfh!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F994cf6b2-2704-4636-9954-0cba005366de_1231x1277.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://www.midwesterndoctor.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">The Forgotten Side of Medicine is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. To find out how others have benefitted from this publication, click <a href="https://www.midwesterndoctor.com/p/reader-feedback">here</a>.</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div><h1><strong><span>The Global Iodine-Deficiency Predicament</span></strong></h1><p><span>Seaweed is one of the richest natural sources on the planet </span> of iodine (which the thyroid requires to function)<span>. Just a few grams a day can meet or exceed your entire daily requirement without supplements, fortified salt, or anything processed.<br><br>How many grams depends entirely on the species. Dried nori averages around 16 mcg of iodine per gram and wakame around 42, whereas kombu averages roughly 2,350 (and some kelp flakes exceed 8,000).</span><a href="https://pubmed.ncbi.nlm.nih.gov/15588380/"><sup><span>1</span></sup></a><sup><span>,</span></sup><a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC3204293/"><sup><span>2</span></sup></a><span> As such, reaching the 150 mcg RDA takes about 9 grams of nori but less than a tenth of a gram of kombu, and a single gram of kombu delivers twice the 1,100 mcg US upper limit.</span></p><p><em>Note: because iodine is critical for health, to ensure the population received it, it is added to (iodized) salt. In contrast, most of the natural sources of salt&#8212;which I detailed <a href="https://www.midwesterndoctor.com/p/the-hidden-secrets-of-salt">here</a> and believe are superior for your health compared to table salt due to their robust mineral content&#8212;do not contain significant amounts of iodine (which makes alternative dietary sources like seaweed important for individuals consuming them).</em> </p><p>However, despite decades of widespread iodized salt initiatives, <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC8192202/">roughly 1.9 billion</a> people (31% of the global population) still have inadequate iodine intake, and diagnosed deficiency cases <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC11909719">rose about 23% between 1990 and 2021</a>. Moreover, iodized salt itself isn&#8217;t the dependable dietary source most people assume: <a href="https://pubmed.ncbi.nlm.nih.gov/18351111/">a 2008 study</a> of US salt samples found iodine content ranging from 12.7 to 129 mg/kg against a labeled 45 mg/kg, with over half the samples falling below the FDA&#8217;s own recommended range.<br><em><span>Note: since other halogens (e.g. fluorine and bromine) compete with iodine, </span><a href="https://www.amazon.com/Iodine-Need-Cant-Live-Without/dp/B01AU40LIQ/"><span>many have argued</span></a><span> their widespread presence (e.g., via water fluoridation, perchlorate contamination of groundwater and food,</span><a href="https://www.ncbi.nlm.nih.gov/pubmed/20172477"><sup><span>1</span></sup></a><span> or the switch from iodate to bromate as a dough conditioner) is responsible for the widespread functional iodine deficiency seen here. Supporting this, adequate iodine intake has been found to mitigate fluoride&#8217;s effects on the thyroid.</span><a href="https://pubmed.ncbi.nlm.nih.gov/30316182/"><sup><span>1</span></sup></a><span> Fortunately, California recently outlawed bromated flour, so this may at last be changing.</span></em></p><p><span>In the United States, the decline is visible in the national survey data. Median urinary iodine fell from 320 mcg/L in 1971&#8211;1974 to 145 mcg/L by 1988&#8211;1994 (with pregnant women since dropping further to 125 mcg/L),</span><a href="https://emedicine.medscape.com/article/122714-overview"><sup><span>1</span></sup></a><span> and more than 15% of American women of childbearing age now fall below 50 mcg/L (the level the WHO uses to define moderate deficiency in a population).</span><a href="http://www.ncbi.nlm.nih.gov/pubmed/19014327"><sup><span>1</span></sup></a><span> A newer contributor is the move away from dairy, which at roughly 85 mcg per cup</span><a href="https://ods.od.nih.gov/factsheets/Iodine-HealthProfessional/"><sup><span>1</span></sup></a><span> is the main source of iodine in most Western diets, as a 2017 analysis of 47 plant-based milks found most contained about 2% of the iodine in cow&#8217;s milk.</span><a href="https://www.cambridge.org/core/journals/british-journal-of-nutrition/article/iodine-concentration-of-milkalternative-drinks-available-in-the-uk-in-comparison-with-cows-milk/C0EB7183E42B81548331405F83332258"><sup><span>1</span></sup></a></p><p><span>Japan&#8217;s historically low goiter rate &#8212; as low as one case per million people &#8212; is </span><a href="https://www.sciencedirect.com/book/edited-volume/9780128027721/seaweed-in-health-and-disease-prevention"><span>attributed to heavy seaweed consumption</span></a><span>. Compare that to the US today, where goiter affects roughly </span><a href="https://journals.sagepub.com/doi/10.1177/10507256261470301"><span>1.3&#8211;2.5% of working-age adults</span></a><span>, or 13,000 to 25,000 cases per million &#8212; a rate 13,000 to 25,000 times higher than Japan&#8217;s historic low, even after decades of salt iodization. At the same time, excessive iodine should also be avoided (e.g., subclinical and overt hypothyroidism </span><a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC10399747"><span>is more common</span></a><span> in iodine-sufficient, seaweed-heavy regions and in individuals with chronic iodine deficiency, a sudden increase can create hyperthyroidism), which is why intake and preparation methods are essential.</span></p><p><span>Traditional cultures that ate the most seaweed also utilized practices that kept the dose in a sustainable range. The best example is kombu. Since its iodine is water-soluble, boiling kombu for 15 minutes removes up to 99% of it,</span><a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC3204293/"><sup><span>1</span></sup></a><span> so kombu that is boiled and then eaten (as many traditional preparations are) carries a fraction of what the dried strip did. Conversely, that iodine ends up in the water, making dashi (the broth made by simmering kombu and then discarding it) a concentrated source, with kelp-based soups measured at anywhere from 165 to 7,750 mcg per serving.</span><a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC3204293/"><sup><span>1</span></sup></a><span> The Japanese also eat kombu sparingly (roughly half a gram per person per day) and typically alongside soy and cruciferous vegetables, both of which reduce how much iodine the thyroid takes up.</span><a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC3204293/"><sup><span>1</span></sup></a><span> None of this context made it into the Western conversation about seaweed, where kombu is often eaten whole or swallowed as kelp tablets.</span></p><p><em><span>Note: Indigenous Mesoamerican cultures processed corn with limewater (nixtamalization) before eating it, which makes niacin bioavailable. Skipping this step results in pellagra, a niacin-deficiency disease that </span><a href="https://www.cdc.gov/mmwr/preview/mmwrhtml/mm4840a1.htm"><span>killed thousands</span></a><span> across the American South and Europe into the 20th century.</span></em></p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!YePl!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F2bc3dafb-0d75-4b4e-93f6-29e8f4bc5923_1977x1238.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!YePl!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F2bc3dafb-0d75-4b4e-93f6-29e8f4bc5923_1977x1238.png 424w, https://substackcdn.com/image/fetch/$s_!YePl!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F2bc3dafb-0d75-4b4e-93f6-29e8f4bc5923_1977x1238.png 848w, https://substackcdn.com/image/fetch/$s_!YePl!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F2bc3dafb-0d75-4b4e-93f6-29e8f4bc5923_1977x1238.png 1272w, https://substackcdn.com/image/fetch/$s_!YePl!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F2bc3dafb-0d75-4b4e-93f6-29e8f4bc5923_1977x1238.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!YePl!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F2bc3dafb-0d75-4b4e-93f6-29e8f4bc5923_1977x1238.png" width="1456" height="912" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/2bc3dafb-0d75-4b4e-93f6-29e8f4bc5923_1977x1238.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:912,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:null,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:null,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!YePl!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F2bc3dafb-0d75-4b4e-93f6-29e8f4bc5923_1977x1238.png 424w, https://substackcdn.com/image/fetch/$s_!YePl!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F2bc3dafb-0d75-4b4e-93f6-29e8f4bc5923_1977x1238.png 848w, https://substackcdn.com/image/fetch/$s_!YePl!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F2bc3dafb-0d75-4b4e-93f6-29e8f4bc5923_1977x1238.png 1272w, https://substackcdn.com/image/fetch/$s_!YePl!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F2bc3dafb-0d75-4b4e-93f6-29e8f4bc5923_1977x1238.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p><a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC8077470/">Human trials</a>, in turn, have tested whole seaweed providing roughly 475&#8211;1,320 mcg of iodine per day for up to eight weeks <strong>without causing thyroid abnormalities</strong>, exceeding the European upper limit in some cases while remaining below Japan&#8217;s 3,000 mcg upper limit. This hence indicates that, while high, the iodine levels in seaweed are not a risk if it is consumed appropriately. </p><p><span>Isolated iodide, however, has not shown the same margin. In a four-week randomized trial of healthy adults, subclinical hypothyroidism began appearing at 400 mcg per day of supplemental iodide (in 5% of participants) and reached 47% at 2,000 mcg,</span><a href="https://ajcn.nutrition.org/article/S0002-9165(23)02673-4/fulltext"><sup><span>1</span></sup></a><span> which is why the American Thyroid Association advises against iodine or kelp supplements above 500 mcg per day.</span><a href="http://www.thyroid.org/american-thyroid-association-ata-issues-statement-on-the-potential-risks-of-excess-iodine-ingestion-and-exposure/"><sup><span>1</span></sup></a><span> The people who need to be most careful, though, are those with existing thyroid disease (e.g., Hashimoto&#8217;s, Graves&#8217;, or thyroid nodules), in whom excess iodine can tip the gland into either hypothyroidism or hyperthyroidism.</span><a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC5661998"><sup><span>1</span></sup></a><span> Similarly, high seaweed intake can cause or worsen symptoms in individuals with thyroid autoimmunity, and the transient hypothyroidism and iodine-induced goiter seen in Japan typically reverse once seaweed is restricted.</span><a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC3204293/"><sup><span>1</span></sup></a><span> Likewise, daily kombu was found to suppress thyroid function in healthy Japanese adults until it was stopped.</span><a href="https://pubmed.ncbi.nlm.nih.gov/18689954/"><sup><span>1</span></sup></a><span> If you have a thyroid condition or take thyroid medication, I would hence stay with the low-iodine seaweeds (e.g., nori and sea lettuce) unless someone is monitoring your thyroid.</span></p><h1><strong><span>Iodine&#8217;s Overlooked Role in Women&#8217;s Health</span></strong></h1><p>A strong case can be made that iodine deficiency underlies many different chronic illnesses, and in my own experience, iodine is one of the trace minerals that, when correctly supplemented, most commonly provides a tangible improvement in health.</p><p>Classically, iodine is viewed as necessary for the thyroid (as thyroid hormone contains iodine), so many of the core functions of thyroid hormone (e.g., fetal and infant brain development, growth, metabolic rate, heart rate, body temperature) go hand in hand with sufficient iodine.</p><p><span>Since iodine is essential, many tissues in the body preferentially accumulate it. Beyond the thyroid, these include the breasts, </span><a href="https://academic.oup.com/humrep/article/36/2/265/6025913"><span>ovaries</span></a><span>, placenta (for the fetus), prostate, uterus, gastric mucosa, salivary glands, thymus, skin, and eye. Deficiency in each produces its own signature (e.g., a dry mouth from the salivary glands, or dry skin that cannot sweat).</span><a href="https://articles.mercola.com/sites/articles/archive/2013/05/04/iodine-deficiency-affect-childs-brain-function.aspx"><sup><span>1</span></sup></a></p><p><em>Note: this same concentrating mechanism is why potassium iodide tablets</em> <em><a href="https://www.who.int/news-room/questions-and-answers/item/use-of-potassium-iodine-for-thyroid-protection-during-nuclear-or-radiological-emergencies">are distributed</a></em> <em>during nuclear emergencies. Radioactive iodine falls on pastureland, cows eat the grass, and it concentrates in their milk &#8212; the thyroid can&#8217;t differentiate between radioactive and regular iodine, so drinking contaminated milk can cause a toxic overload. After Chernobyl, childhood thyroid cancer cases in Belarus jumped roughly</em> <em><a href="https://thyca.org/news/chernobyl-30th-anniversary-and-the-thyroid-cancer-connection/">45-fold</a>, largely traced to contaminated milk. Potassium iodide works by pre-emptively flooding the thyroid with safe iodine so it does not accumulate radioactive iodine.</em></p><p><span>Women bear the brunt of this. Breast tissue places a large additional demand on the body&#8217;s iodine, and estrogen has been found to inhibit iodine absorption (whereas testosterone promotes it),</span><a href="https://www.ncbi.nlm.nih.gov/pubmed/11939028"><sup><span>1</span></sup></a><span> which likely explains why thyroid disease is several times more common in women than men.</span></p><p>This is most clearly seen with fertility. <a href="https://www.mdpi.com/2072-6643/13/9/3056">Research has found</a> that even mildly iodine-deficient women take longer to become pregnant (with a 19.4% reduction in the likelihood of conceiving each cycle), <a href="https://academic.oup.com/humrep/article/36/2/265/6025913">other research</a> has linked more severe deficiency with greater reproductive difficulty, and a <a href="https://www.nature.com/articles/s41598-025-16545-w">small 2025 pilot study</a> found iodine supplementation improved markers of egg quality in women with diminished ovarian reserve, which is especially noteworthy as more women choose to start families later in life. <span>In the United States, an NIH study of 467 women trying to conceive found 44% were moderately to severely deficient, and those women were 46% less likely to become pregnant in any given cycle.</span><a href="https://jamanetwork.com/journals/jama/article-abstract/2673527"><sup><span>1</span></sup></a></p><p>More importantly, once a woman becomes pregnant, the fetus depends entirely on her iodine for its brain development. Severe deficiency during pregnancy causes cretinism (profound intellectual disability, along with impaired hearing, speech, and motor control), <a href="https://onlinelibrary.wiley.com/doi/10.1111/j.1365-3016.2012.01275.x">two separate meta-analyses</a> found iodine-deficient populations have a mean IQ 12 to 13.5 points below iodine-sufficient ones, and <a href="https://onlinelibrary.wiley.com/doi/10.1111/j.1365-3016.2012.01275.x">controlled trials</a> in Papua New Guinea, Zaire, and China found that correcting the deficiency before or during early pregnancy eliminated new cases of cretinism entirely and raised children&#8217;s developmental scores by 10-20%. <span>Nor is this confined to the developing world, as in a British cohort, children whose mothers were even mildly deficient during pregnancy scored lower on verbal IQ and reading at age 8.</span><a href="https://www.sciencedirect.com/science/article/pii/S0140673613604365"><sup><span>1</span></sup></a></p><p>Outside of pregnancy, one of the most common consequences of an iodine deficiency is goiter, where the thyroid enlarges (making it appear as though there is a tumor in the neck). Notably, a similar process also occurs with the breasts and ovaries (which David Brownstein helped bring attention to). For example, iodine deficiency <a href="https://nyaspubs.onlinelibrary.wiley.com/doi/10.1111/j.2164-0947.1970.tb02988.x">was found</a> to produce fibrocystic-like changes in mammary tissue in animals, while studies of women with fibrocystic breast disease <a href="https://pubmed.ncbi.nlm.nih.gov/8221402/">have repeatedly found</a> over half of those given iodine showed substantial improvements in breast pain and fibrosis. <span>In the best controlled of these, a randomized, double-blind trial of 111 women, 3&#8211;6 mg of iodine per day (but not 1.5 mg) significantly reduced breast pain, tenderness, and nodularity over six months, with no dose-related adverse events.</span><a href="https://pubmed.ncbi.nlm.nih.gov/15239792/"><sup><span>1</span></sup></a></p><p><span>Furthermore, iodine used to enter the American diet through two sources that have since shrunk or disappeared: iodine-based disinfectants in milk production and iodate dough conditioners in commercial bread, which </span><a href="https://www.clinicaleducation.org/wp-content/uploads/miller.pdf"><span>in 1980</span></a><span> bread makers replaced with bromide. As those sources vanished, US dietary iodine intake </span><a href="https://www.clinicaleducation.org/wp-content/uploads/miller.pdf"><span>fell by roughly half</span></a><span> &#8212; a period during which fibrocystic breast disease by some estimates rose from about </span><a href="https://www.clinicaleducation.org/wp-content/uploads/miller.pdf"><span>3% to 90%</span></a><span> of American women. Breast cancer rates in Japan are roughly 66% lower than in the United States.</span><a href="https://www.ncbi.nlm.nih.gov/pubmed/12115511"><sup><span>1</span></sup></a><span> Likewise, </span><a href="https://pubmed.ncbi.nlm.nih.gov/8230262/"><span>well-documented migration studies</span></a><span> have found that Japanese women who emigrate to the US see their breast cancer risk climb over successive generations until it approaches that of US-born women, which has led </span><a href="https://www.clinicaleducation.org/wp-content/uploads/miller.pdf"><span>some to hypothesize</span></a><span> that fibrocystic breast disease, some breast cancers, and even uterine fibroids are in part iodine-deficiency disorders.</span></p><p>As these fibrocystic changes precede cancer, I have long suspected a key reason why men get prostate cancer and women get breast cancer is that the glands are unable to get the minerals they need, and over the years, I have seen numerous approaches show varying degrees of success in treating cancer (or pre-cancerous changes) with appropriate supplementation.<br><em>Note: DMSO has shown remarkable and consistent efficacy for a variety of eye diseases (detailed</em> <em><a href="https://www.midwesterndoctor.com/p/dmso-heals-the-eyes-and-transforms">here</a>), including &#8220;incurable&#8221; macular degeneration. One of the only other approaches I have ever seen treat macular degeneration gave high doses of the nutrients and minerals the eyes needed, which has led me to speculate that these degenerative processes can result either from insufficient dietary sources of the nutrients needed, or from a functional nutritional deficiency (where inadequate blood flow prevents enough of the nutrient already present within the blood from reaching the target tissue). Supporting this, older manipulative literature reported goiter improving once the blood supply to the thyroid was improved, and</em> <em><a href="https://www.midwesterndoctor.com/p/how-dmso-protects-and-heals-the-internal">the DMSO community has found</a></em> <em>many glandular disorders throughout the body responded to topical DMSO combined with iodine.</em></p><p>David Brownstein, the physician who has arguably done the most work in this area, <a href="https://www.amazon.com/Iodine-Need-Cant-Live-Without/dp/B01AU40LIQ">in turn has reported</a> that properly testing for and resolving iodine deficiencies within his own patients (e.g., with a high-dose iodine protocol) has:</p><ul><li><p>Rapidly resolved fibrocystic breast disease, often within two to four weeks. One nurse had spent 15 years having cysts drained at a university breast clinic and was contemplating a bilateral mastectomy. A month after starting iodine, her breasts were soft and pain-free, and her mammograms later normalized.</p></li><li><p>Eliminated ovarian cysts, and improved or reversed cysts and nodules in the uterus and thyroid, which he found typically takes three to six months.</p></li><li><p>Shrunk breast tumors in women who had declined conventional care, when iodine was given as part of a broader nutritional program. In one woman, a PET scan six weeks after she raised her dose showed her metastatic tumors necrosing from the center. In another, the tumors had &#8220;diminished considerably&#8221; on ultrasound at 18 months, and her mammogram and ultrasound were later read as normal. In a third, the cancer did not progress over three years and the lesions slightly regressed.</p></li><li><p>Restored fertility. For example, a 42-year-old with two miscarriages in the previous two years, who was excreting 22% on his iodine loading test (he treats 90% as sufficient), conceived shortly after starting iodine and described it as the easiest pregnancy of her life.</p></li><li><p>Shifted estrogen metabolism toward estriol, the weakest estrogen and the least stimulating to breast tissue (which Jonathan Wright also observed). Conversely, iodine deficiency increases both ovarian estrogen production and the sensitivity of the breast&#8217;s estrogen receptors.</p></li><li><p>Mobilized bromide. In a small in-office comparison, his breast cancer patients excreted roughly twice as much bromide as women without cancer, and that excretion rose further once they started iodine.</p></li><li><p>Improved a range of other conditions, most notably autoimmune thyroid disease. In his initial series, 92% of his Hashimoto&#8217;s and Graves&#8217; patients were iodine deficient by his testing, and he reports nearly all improved dramatically once that was corrected as part of a broader program. For example, a Graves&#8217; patient who had refused radioactive iodine saw her hyperthyroid symptoms resolve within four weeks, and a Hashimoto&#8217;s patient&#8217;s thyroid antibodies normalized over six months. Roughly a third of his hypothyroid patients also needed to lower their thyroid hormone dose, and he has described decade-long daily headaches, chronic fatigue, brain fog, and psychiatric symptoms lifting once the deficiency was addressed.</p></li></ul><p>Of the more than 6,000 patients he has tested, over 96% were deficient by his loading test, and he favors a high-dose approach (significantly exceeding the RDA). He has also reported the problems that come with these doses: palpitations in sensitive patients that resolved once the dose was cut, TSH elevations that can persist for up to six months, and detox reactions as bromide is displaced. For this reason he advises doing this with an iodine-literate practitioner rather than alone, and not starting it mid-pregnancy without one.<br><br><em>Note: in the literature, the fibrocystic response has held up in controlled trials and the fertility link in cohort studies, whereas the rest of Brownstein&#8217;s observations (including his loading test and the doses themselves) has never been put to a controlled test.</em></p><h1><strong><span>Supporting Metabolic Health</span></strong></h1><p><span>The salt in seaweed makes some people worried it can raise blood pressure. Beyond this link being unsubstantiated, seaweed actually </span><a href="https://www.wiley-vch.de/en/areas-interest/natural-sciences/life-sciences-11ls/ecology-organismal-biology-11ls2/the-use-of-algae-in-human-health-978-1-78630-956-3"><span>gently normalized blood pressure</span></a><span>.</span></p><p><em><span>Note: the link between salt intake and blood pressure is typically non-existent (whereas avoiding salt for &#8220;health&#8221; causes a wide range of issues)&#8212;all of which is detailed </span><a href="https://www.midwesterndoctor.com/p/the-hidden-secrets-of-salt"><span>here</span></a><span>.</span></em></p><p><span>Specifically, peptides found in dulse, nori, and wakame have </span><a href="https://www.wiley-vch.de/en/areas-interest/natural-sciences/life-sciences-11ls/ecology-organismal-biology-11ls2/the-use-of-algae-in-human-health-978-1-78630-956-3"><span>demonstrated activity</span></a><span> against the renin-angiotensin system, including ACE inhibition&#8212;the same blood-pressure-regulating pathway targeted by common ACE-inhibitor medications (the class of blood pressure medications</span><a href="https://www.midwesterndoctor.com/p/the-great-blood-pressure-scam"><span> which overall provide the greatest therapeutic benefit</span></a><span>). These seaweed peptides hence help blood vessels relax, easing circulation and lowering blood pressure.</span></p><p><span>Dulse peptides have also </span><a href="https://www.wiley-vch.de/en/areas-interest/natural-sciences/life-sciences-11ls/ecology-organismal-biology-11ls2/the-use-of-algae-in-human-health-978-1-78630-956-3"><span>demonstrated direct</span></a><span> renin-inhibitory activity, suggesting that seaweed proteins may influence multiple steps in the blood-pressure-regulating process. Importantly, these peptides are naturally present in the whole seaweed, meaning you don&#8217;t need to purchase an expensive isolated peptide product to incorporate them into your diet.</span></p><p><span>Of the three, wakame has particularly compelling human evidence. In a randomized, double-blind </span><a href="https://www.jstage.jst.go.jp/article/jcbn1986/30/0/30_0_43/_article"><span>study</span></a><span>, consuming 4&#8211;6 grams of dried wakame per day resulted in a</span><strong><span> </span></strong><span>10.5 mmHg reduction in systolic blood pressure at the 6-gram dose, about the equivalent of a tablespoon&#8212;or what you&#8217;d add to a bowl of miso soup.</span></p><p><span>Seaweed has also shown promise for normalizing blood sugar. </span><a href="https://pubmed.ncbi.nlm.nih.gov/20126367/"><span>In one trial</span></a><span>, participants with type 2 diabetes eating a kombu-wakame blend for four weeks saw postprandial glucose drop from 254 to 203 mg/dL, along with lower triglycerides and increased HDL. </span><a href="https://pubmed.ncbi.nlm.nih.gov/31418121/"><span>In another</span></a><span>, wakame eaten with a meal lowered both glucose and insulin within 30 minutes in people with untreated type 2 diabetes.</span></p><p><span>Brown seaweeds also contain compounds that inhibit alpha-amylase and alpha-glucosidase, enzymes responsible for breaking down carbohydrates, </span><a href="https://pubmed.ncbi.nlm.nih.gov/25341030/"><span>potentially slowing glucose absorption</span></a><span> after a meal. Fucoidan, one of its isolated compounds, </span><a href="https://pubmed.ncbi.nlm.nih.gov/22580164/"><span>has also been shown</span></a><span> in diabetic animal models to lower fasting blood glucose and improve insulin sensitivity. </span><a href="https://www.mdpi.com/2072-6643/15/23/4987"><span>A 2023 meta-analysis</span></a><span> of human studies found that brown seaweed consumption improved postprandial glucose, HbA1c, and markers of insulin resistance overall.</span></p><h1><strong><span>Seaweed Nutraceuticals</span></strong></h1><p><span>While I generally prefer consuming seaweed&#8212;and most things&#8212;as a whole food, there are cases where isolating and concentrating one of its compounds makes sense, particularly when you want amounts that would be difficult to obtain through diet alone. Brown seaweeds are the source of several compounds now sold as concentrated extracts, three of which are particularly interesting:</span></p><ul><li><p><strong><span>Fucoidan</span></strong><span>: A sulfated polysaccharide that has attracted significant </span><a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC13157028/"><span>research interest</span></a><span> for its anti-inflammatory, antioxidant, anticoagulant, and antiangiogenic activity. It has also been </span><a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC13157028/"><span>investigated</span></a><span> for antitumor effects. Most notably, kombu has been used in Chinese medicine for over a thousand years to treat edema (a symptom of kidney disease), and in 2003 China approved a kombu-derived fucoidan capsule (Haikun Shenxi) for chronic renal failure. A review of 15 years of its clinical use found that across 50 papers and 2,130 treated patients, 87% improved on kidney function markers versus 65% of those given routine treatment alone.</span><a href="https://doi.org/10.1016/bs.pmbts.2019.03.011"><sup><span>1</span></sup></a><span><br></span><em><span>Note: these results are for extracted fucoidan rather than whole kombu, whose potassium content is a problem in advanced kidney disease, and since fucoidan is an anticoagulant, concentrated extracts do not belong alongside blood thinners.</span></em></p></li><li><p><strong><span>Fucoxanthin</span></strong><span>: It has been </span><a href="https://www.sciencedirect.com/book/9780128027721/seaweed-in-health-and-disease-prevention"><span>studied</span></a><span> for anti-inflammatory and anticancer activity, as well as its effects on fat metabolism, including triglycerides, liver fat, and fat absorption. </span></p></li><li><p><strong><span>Alginate</span></strong><span>: A natural polysaccharide with an especially interesting application for acid reflux. In the stomach, alginate-based formulations can form a floating gel-like &#8220;raft&#8221; over stomach contents, creating a physical barrier that </span><a href="https://pubmed.ncbi.nlm.nih.gov/23669304/"><span>helps keep acid away from the esophagus</span></a><span> rather than suppressing stomach-acid production. Human trials and a meta-analysis of randomized studies have found alginate-based therapies </span><a href="https://pubmed.ncbi.nlm.nih.gov/23669304/"><span>can improve GERD symptoms.</span></a><span> Alginate also binds strontium: in </span><a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC1935644"><span>a 1966 human study</span></a><span>, 1.5 grams taken with a meal halved the absorption of radioactive strontium without affecting calcium, making it the fallout counterpart to potassium iodide.</span></p></li></ul><h1><strong><span>Sea Moss</span></strong></h1><p><span>The Caribbean Irish moss drink dates back to the 1800s, with its </span><a href="https://en.wikipedia.org/wiki/Irish_moss_(drink)"><span>origins commonly traced</span></a><span> to Irish laborers and immigrants who brought their tradition of preparing Irish moss to the Caribbean, where locally available seaweeds such as </span><em><span>Gracilaria</span></em><span> came to be used instead. Back in Ireland, </span><em><span>Chondrus crispus</span></em><span> had become an </span><a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC7647873"><span>important famine food</span></a><span>, helping sustain impoverished coastal communities during the potato famine.</span></p><p><span>This concoction became a sustained piece of Caribbean culture, cooked with milk, vanilla, and spices, and </span><a href="https://jamaicans.com/irishmoss"><span>taken for general vitality and male libido</span></a><span>. In recent years, it&#8217;s gained a new spotlight in wellness circles as &#8220;sea moss gel&#8221;, a longevity tonic and superfood, particularly marketed for its mineral density and its reputation for vitality and libido support.</span></p><p><a href="https://pubmed.ncbi.nlm.nih.gov/39598320"><span>Studies</span></a><span> on sea moss have documented its mineral, amino acid, and omega-3 content, along with </span><a href="https://pubmed.ncbi.nlm.nih.gov/39598320"><span>demonstrated antioxidant activity</span></a><span> and prebiotic effects, including </span><a href="https://pubmed.ncbi.nlm.nih.gov/39987804/"><span>increases in beneficial gut bacteria and short-chain fatty-acid production.</span></a></p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!YYji!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ffa770fe1-b7e2-4cea-aa26-dc01e29cb89f_1536x1024.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!YYji!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ffa770fe1-b7e2-4cea-aa26-dc01e29cb89f_1536x1024.png 424w, https://substackcdn.com/image/fetch/$s_!YYji!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ffa770fe1-b7e2-4cea-aa26-dc01e29cb89f_1536x1024.png 848w, https://substackcdn.com/image/fetch/$s_!YYji!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ffa770fe1-b7e2-4cea-aa26-dc01e29cb89f_1536x1024.png 1272w, https://substackcdn.com/image/fetch/$s_!YYji!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ffa770fe1-b7e2-4cea-aa26-dc01e29cb89f_1536x1024.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!YYji!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ffa770fe1-b7e2-4cea-aa26-dc01e29cb89f_1536x1024.png" width="1456" height="971" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/fa770fe1-b7e2-4cea-aa26-dc01e29cb89f_1536x1024.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:971,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:null,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:null,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!YYji!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ffa770fe1-b7e2-4cea-aa26-dc01e29cb89f_1536x1024.png 424w, https://substackcdn.com/image/fetch/$s_!YYji!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ffa770fe1-b7e2-4cea-aa26-dc01e29cb89f_1536x1024.png 848w, https://substackcdn.com/image/fetch/$s_!YYji!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ffa770fe1-b7e2-4cea-aa26-dc01e29cb89f_1536x1024.png 1272w, https://substackcdn.com/image/fetch/$s_!YYji!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ffa770fe1-b7e2-4cea-aa26-dc01e29cb89f_1536x1024.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p><a href="https://goodfoodbaddie.com/how-to-make-fruit-infused-sea-moss-gel/"><span>Making the gel yourself</span></a><span> is straightforward and far more economical than buying pre-made jars. The ability to soak it and blend it into a nearly tasteless gel also makes it one of the easiest ways to consume seaweed. A traditional </span><a href="https://thisbagogirl.com/jamaican-irish-moss-recipe/#recipe"><span>Jamaican preparation</span></a><span> combines sea moss with spices and milk.<br><br>Lastly, Irish moss is also the source of carrageenan, a food additive some avoid due to its potential to worsen bowel inflammation or past reaction to it.</span><a href="https://www.cornucopia.org/wp-content/uploads/2016/04/CarageenanReport-2016.pdf"><sup>1</sup></a><span> While this same issue has not yet been reported for Irish moss, caution should be exercised if you already avoid </span>carrageenan.</p><p><em><span>Note: if you wish to prepare this, look for </span><a href="https://www.herbalgoodnessco.com/blogs/healthy-living/where-to-find-sustainably-sourced-sea-moss-local-harvesters-and-farms"><span>dried sea moss</span></a><span> with clear sourcing, </span><a href="https://www.etsy.com/search?q=authentic+Caribbean+sea+moss&amp;ref=search_bar"><span>sustainably harvested</span></a><span> and sun dried, and ideally, tested for heavy metals. That said, there&#8217;s less concern with heavy metal exposure here since the finished product is a diluted gel and at the recommended serving of 1-2 tablespoons a day, you end up consuming a small fraction of the concentrated dry-weight numbers even if the source sample tested high.</span></em></p><h1><strong><span>Sourcing Your Seaweed</span></strong></h1><p>One of the major challenges with moving to a healthy diet is that junk food succeeds because it appeals to core food desires that are hard to find in the healthier alternatives.  For example, to help patients struggling to quit, I spent years searching for a healthy alternative to potato chips (<a href="https://www.midwesterndoctor.com/p/the-importance-of-healthy-relationships-ac4">eventually finding one that was easy enough to make at home</a> many found it allowed them to make the transition).  For this reason, seaweed has become immensely popular as a &#8220;potato chip substitute.&#8221;  Unfortunately, most of the existing seaweed brands are loaded with bad oils, to the point they are arguably worse than the chips they replaced.</p><p>For this reason, I&#8217;ve put quite a bit of work into trying to identify the best brands of seaweed to consume (for the various reasons one would be interested in).  In the final part of this article (which serves as an open thread for you to raise any questions which have accumulated over the past month), I will cite what are presently the healthiest (and tastiest) seaweed brands on the market, how to make sense of the conflicting data on their metal content, and answer a few of the common questions about iodine supplementation.</p>
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   ]]></content:encoded></item><item><title><![CDATA[The Hidden Harms of Modern Lighting and the Fight to Bring Back Incandescent Bulbs]]></title><description><![CDATA[Decades of forgotten research show natural light is an essential nutrient our bodies are being starved of]]></description><link>https://www.midwesterndoctor.com/p/the-hidden-harms-of-modern-lighting</link><guid isPermaLink="false">https://www.midwesterndoctor.com/p/the-hidden-harms-of-modern-lighting</guid><dc:creator><![CDATA[A Midwestern Doctor]]></dc:creator><pubDate>Fri, 18 Sep 2026 00:42:43 GMT</pubDate><enclosure url="https://substack-post-media.s3.amazonaws.com/public/images/23416eb1-405e-4c14-8cf6-a4c81688036f_1168x784.jpeg" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p><strong>Story at a Glance:<br><br>&#8226;Sunlight is one of the most important things for our health (e.g., it halves our risk of dying or getting cancer), yet all we ever hear is how important it is to avoid it.</strong></p><p><strong>&#8226;While the importance of vitamin D is generally recognized, many of the other critical functions of light within plants, animals and human beings remain almost completely unknown, and hence are the focus of this article.</strong></p><p><strong>&#8226;One of the defining characteristics of modern life is continual exposure to unnatural light (particularly from energy efficient light bulbs). This is viewed as relatively benign, but decades of forgotten research (and a growing body of new research) show it is a root cause of a myriad of inexplicable physical and behavioral illnesses.</strong></p><p><strong>&#8226;Cells communicate with each other through faint emissions of ultraviolet light. This was once one of the most active fields in biology (yielding over 700 papers, 11 Nobel nominations, and a blood test which detected cancer with over 95% accuracy) before it was abandoned for political reasons and forgotten.</strong></p><p><strong>&#8226;The eyes and the blood conduct light throughout the body. When this process is disrupted (e.g., by glasses with lenses that filter out critical parts of the spectrum), a variety of significant illnesses can develop.</strong></p><p><strong>&#8226;In 2022, the federal government effectively banned the incandescent bulb because most of its output is &#8220;wasted&#8221; infrared rather than visible light, despite our bodies using that infrared for a myriad of essential processes. Senate Energy Chairman Mike Lee introduced a bill to bring those bulbs back, which yesterday received its first hearing, and with public support, can free us from the unhealthy bulbs that have been forced upon us.<br></strong><br>Over the years, I have become convinced sunlight is one of the most essential nutrients for the body. For example, as human beings moved further and further north from Africa and had increasingly lower sun exposure, their skin became progressively lighter, something which argues the human body needs light and that the whitening of human skin in the higher latitudes was a protecting mechanism designed to ensure enough of the remaining sunlight could get inside the body.<br><em>Note: an explanation of how the darker parts of the skin prevent UV from entering the body can be found <a href="https://cosmosmagazine.com/science/melanin-uv-mechanism-spectroscopy/">here</a>.</em></p><p>Unfortunately (outside of very specific patentable applications), since no one has a financial interest in promoting sunlight it hence has no lobbyists, almost everything we hear about instead focuses on why it&#8217;s terrible for us (as sunlight prevents many diseases other industries profit from). For example:</p><p>&#8226;As discussed <a href="https://www.midwesterndoctor.com/p/dermatologys-disastrous-war-against-f81">in a previous article</a>, dermatology was one of the least desirable professions in medicine. They then transformed themselves into one of the most sought after ones by rebranding themselves as cancer fighters and convincing everyone to get regular skin cancer exams where any potential cancer could be quickly removed, often for thousands of dollars apiece, quickly making dermatology into one of the highest paying specialties. A centerpiece of this rebranding was making benign cancers be labeled as deadly ones and claiming sunlight caused skin cancer (which while true, omitted to mention that that <strong>a lack of sunlight</strong> is what causes fatal skin cancers). Because of this, a lot of dermatology morphed into scaring people senseless about the sun, and despite billions being spent each year on skin cancer, the total death rate from skin cancer remains almost entirely unchanged (instead we simply diagnose and &#8220;treat&#8221; far more of it).<br><em>Note: in this article, I will attempt to explain why unnatural light causes skin cancer.</em></p><p>&#8226;While many factors contribute to cancer, the focus is often on sunlight and smoking as the primary culprits. I believe this emphasis explains why cancer rates continue to rise, as the true causes of cancer remain underexplored. Industries with vested interests lobby to keep these causes off-limits, diverting attention from potentially significant contributors to cancer.</p><p>In this article, I will present some of the forgotten knowledge on the incredible importance of light.</p><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://www.midwesterndoctor.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">The Forgotten Side of Medicine is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.  To find out how others have benefitted from this publication, click <a href="https://www.midwesterndoctor.com/p/reader-feedback">here</a>.</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div><h1><strong>The Importance of Sunlight</strong></h1><p>Prior to dermatology&#8217;s <a href="https://www.midwesterndoctor.com/p/dermatologys-disastrous-war-against">disastrous war on the sun</a>, the value of sunlight was widely recognized in medicine. For example, in the early 1900s, heliotherapy (sunbathing) was used with great success for treating many (otherwise incurable) conditions, such as <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4504358">the 1918 influenza</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/29465107/">tuberculosis</a>, and <a href="http://www.whale.to/a/light_for_health.html">many other diseases</a>.</p><p>The existing data, in turn, shows that sunlight provides an immense degree of benefit. For example:</p><p>&#8226;Sunlight is critical for mental health. This is most well appreciated with depression (e.g., <a href="https://www.nimh.nih.gov/health/publications/seasonal-affective-disorder">seasonal affective disorder</a>). Sadly, many workers (especially night shift workers such as those in hospitals) do not get that essential light exposure and suffer immensely. For example, consider <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10277019/">this study</a> of Chinese operating room nurses which found their mental health was significantly worse than the general population and that this decline was correlated to their lack of sunlight exposure (which I would argue does not benefit the patients they care for).<br><br><em>Note: I really got this point once, where after a long period of hospital night shifts under fluorescent lights, noticed I was becoming clinically depressed (which has never otherwise happened to me and led to another physician I was close to offering to prescribe antidepressants). I decided to do an experiment and stuck with it for a few more days, then went home and bathed under an Ott full spectrum bulb I&#8217;d been able to obtain, at which point I almost instantly felt better.</em></p><p>&#8226;Many different studies have found sunlight exposure dramatically reduces one's risk of cancer (e.g., <a href="https://pubmed.ncbi.nlm.nih.gov/19523595/">this large study</a> found high solar UVB exposure halved one&#8217;s risk of breast and prostate cancer).</p><p><em>&#8226;</em><a href="https://pubmed.ncbi.nlm.nih.gov/26992108/">An excellent 20-year study</a> of 29,518 women found that avoiding the sun made one 60% more likely to die (a 130% difference compared to those who had the most significant amount of sun exposure), and the most considerable benefit from regular sunlight exposure was reducing one&#8217;s risk of dying from heart disease.<br><em>Note: <a href="https://pubmed.ncbi.nlm.nih.gov/26992108/">that study</a> also found a variety of other common diseases were much less likely to affect those with adequate sun exposure.</em></p><p><em>&#8226;</em><a href="https://www.research.ed.ac.uk/en/publications/higher-ultraviolet-light-exposure-is-associated-with-lower-mortal/"><span>In a 2024</span></a><span> analysis of the UK Biobank, both measures of UV exposure that were examined (sunbed use and how much solar radiation reached the participant&#8217;s home) were associated with a lower risk of dying from any cause, from cardiovascular disease and from cancer.</span><sup><span> </span></sup><span>Likewise, when</span><sup><span> </span></sup><a href="https://www.pnas.org/doi/10.1073/pnas.2405924121"><span>88,905 Biobank participants</span></a><span> wore light sensors for a week, those with brighter days and those with darker nights were each less likely to die over the following 8 years.</span></p><p>&#8226;Normal sunlight is critical for facilitating the circadian rhythm our body&#8217;s depend upon to rest and repair themselves.  In turn, a major cause of the modern insomnia epidemic (and the profound health consequences it entails&#8212;which are discussed further <a href="https://www.midwesterndoctor.com/p/stopping-the-war-against-sleep">here</a>) are artificial light exposures, while one of the most useful treatments for it is to simply start your day with a full sunlight exposure.</p><p>Typically, sunlight's benefits are thought to be due to producing vitamin D (a critical nutrient) within the body. However, I have long suspected that many of the benefits of vitamin D are not due to the vitamin itself but rather that its elevation serves as an indicator that the body is having regular sunlight exposure and hence is experiencing the myriad of benefits sunlight provides. For example, <a href="https://pubmed.ncbi.nlm.nih.gov/24445737/"><span>when 24 healthy volunteers</span></a><span> were exposed to UVA (which does not produce vitamin D) at a dose equivalent to about 30 minutes of summer sun, their arteries dilated and their blood pressure dropped, as nitric oxide stored in the skin was released into the circulation.</span><sup><span> </span></sup><span>The dermatologist behind that work, has since argued (e.g., </span><a href="https://pubmed.ncbi.nlm.nih.gov/38661623/"><span>in this review</span></a><span>) his specialty&#8217;s position on sunlight needs to be rethought. Similarly, </span><a href="https://pubs.acs.org/evhpaz/article/128/1/016002/5223762/Solar-Ultraviolet-Radiation-and-Breast-Cancer-Risk"><span>a meta-analysis found</span></a><span> that spending an hour or more a day in the summer sun was associated with a 16% lower risk of breast cancer, whereas simply living somewhere with more ambient UV was not.</span></p><p><em>Note: that being said, vitamin D supplementation can often be very beneficial. However, in almost all cases, elevating your vitamin D levels through appropriate sunlight exposure provides significantly greater benefits than supplementation.</em></p><h1>What is Light?</h1><p>Waves, by definition have a few fundamental properties:<br><br>&#8226;They require a medium to travel through. For example, the medium for waves at the beach is the ocean, whereas the medium for sound is the air.<br><br>&#8226;They travel at specific speeds.</p><p>&#8226;They have a specific wavelength and frequency (which are inversely related to each other).<br><br>&#8226;Their strength is determined by how many waves elapse in a second (a higher frequency correlates to a higher total energy) and how greatly each individual wave disrupts its medium (e.g., a small wave at the beach has much less energy than a tsunami as does a loud sound compared to a quiet one).</p><p>By far, the most common wave in our lives is electromagnetic radiation, which is defined as a wave that travels at the speed of light and, unlike all other waves, does not have a medium it travels through (which is why EMR can travel through space and many objects). &#8220;Light,&#8221; for instance, is one type of EMR.<em><br><br></em>Since there is an inverse relationship between a wave&#8217;s wavelength and frequency, a variety of different types of EMR exist depending upon their wavelength. For example, visible light comprises the EMR with a wavelength between 380nm-700nm, as this is the EMR the eye can &#8220;see.&#8221; At the same time, depending on the wavelength of the EMR, its properties (e.g., color) vary immensely.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!3VqD!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3ed5a543-29c3-4b82-845d-76c718c67449_2560x784.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!3VqD!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3ed5a543-29c3-4b82-845d-76c718c67449_2560x784.png 424w, https://substackcdn.com/image/fetch/$s_!3VqD!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3ed5a543-29c3-4b82-845d-76c718c67449_2560x784.png 848w, https://substackcdn.com/image/fetch/$s_!3VqD!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3ed5a543-29c3-4b82-845d-76c718c67449_2560x784.png 1272w, https://substackcdn.com/image/fetch/$s_!3VqD!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3ed5a543-29c3-4b82-845d-76c718c67449_2560x784.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!3VqD!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3ed5a543-29c3-4b82-845d-76c718c67449_2560x784.png" width="1456" height="446" 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https://substackcdn.com/image/fetch/$s_!3VqD!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3ed5a543-29c3-4b82-845d-76c718c67449_2560x784.png 848w, https://substackcdn.com/image/fetch/$s_!3VqD!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3ed5a543-29c3-4b82-845d-76c718c67449_2560x784.png 1272w, https://substackcdn.com/image/fetch/$s_!3VqD!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3ed5a543-29c3-4b82-845d-76c718c67449_2560x784.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p>Likewise, many other types of EMR also exist (e.g., Gamma rays, x-rays, ultraviolet, visible light, infrared, microwaves, and radiowaves) which each have different properties. However, despite EMR being one of the fundamental constructs of our reality, much of its biological significance is still not recognized. For example, I feel some of the biggest misunderstandings about EMR are as follows:<br><br>&#8226;Natural light tends to have a fairly wide range of frequencies present within it (e.g., this is why sunlight splits into a rainbow once it passes through a prism). In contrast, artificial light tends to have a much narrower range of frequencies present within it which differs greatly from what biology evolved to handle.</p><p><span>&#8226;This is easiest to see by comparing bulbs. A standard white LED emits a sharp spike of blue at around 450nm, a broader hump of yellow, and almost nothing past 700nm. An incandescent bulb, like the sun, emits a smooth curve that keeps rising through the red and continues past 2000nm, so most of what it produces is infrared we cannot see.</span><a href="https://www.nature.com/articles/s41598-026-35389-6"><sup><span>1</span></sup></a><em><span><br>Note: since the government grades bulbs on visible light per watt, that infrared was scored as &#8220;waste,&#8221; which is how the incandescent bulb came to be banned.</span></em></p><p>&#8226;The label &#8220;ultraviolet&#8221; is given to the EMR that lies between visible light and x-rays. This implies all UV is the same, when in reality, each type of UV (UV-A, UV-B, and UV-C behave very differently) and are present in very different amounts (e.g., the atmosphere blocks most UV-C from reaching the surface of the Earth).</p><p>&#8226;Infrared penetrates much deeper into the body than UV (<a href="https://www.bfs.de/EN/topics/opt/application-medicine-wellness/infrared/infrared_node.html">5</a>-<a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3699878/">40</a>mm vs. <a href="https://www.researchgate.net/publication/23485402_Wavelength-dependent_penetration_depths_of_ultraviolet_radiation_in_human_skin">0.02-0.15</a>mm) and <a href="https://doi.org/10.1038/s41598-025-09785-3"><span>in 2025</span></a><span>, researchers at University College London were able to measure the infrared in sunlight after it had passed through the human body and found that it created systemic effects.</span><sup><span> </span></sup>Additionally, standard glass (for the most part) blocks UV from traveling through it.</p><p>&#8226;Conventional science typically describes the adverse effects of EMR as being a property of how much energy the EMR has and if that energy is sufficient to break molecular bonds (termed ionizing energy). For example, gamma rays (which are released by nuclear weapons) are so dangerous because their ionization energy is so powerful they shred the molecular structures of the body (e.g., DNA) apart. Conversely, microwaves (which are instead on the low energy end of the electromagnetic spectrum) are deemed to not be dangerous because they contain too little energy to ionize molecular bonds.<br><br>&#8226;The previous point is not entirely correct because while EMR typically passes through whatever it contacts, if it instead &#8220;matches&#8221; that medium, it will store inside it and have a dramatically greater effect on it (e.g., this describes the concept of a <a href="https://en.wikipedia.org/wiki/Resonance">resonance frequency</a>). This is important because a wide number of critical living structures (e.g., mitochondria) evolved to have a resonance for a specific type of EMR and then respond to them while everything around them is largely unaffected by that specific type of EMR. Unfortunately, this aspect of science has been largely glossed over by our scientific apparatus, something I believe is due to the fact biophysics opens the doors to creating a variety of un-patentable medical therapies, and because it implicates a lot of the EMR we are now saturated in (e.g., the microwaves cell phones bluetooth and Wifi use) as a cause of poor health.</p><p>For example, radar works by sending out a large pulse of microwave energy in each direction (through the unit spinning around), and then using the reflections it receives from any radar pulse into the atmosphere to indicate the presence of an object being there. I personally think radar is far from benign as I&#8217;ve read numerous stories of soldiers stationed next to radar units (where the microwaves are exponentially stronger) becoming severely ill, I know many EMF sensitive people can tell if far away radar units are firing, and I personally can feel something when I am at an airport each time a radar sweeps by. While that seems abstract, I recently saw a brief video by John Ott that perfectly demonstrates the reality of this phenomenon:</p><div class="native-video-embed" data-component-name="VideoPlaceholder" data-attrs="{&quot;mediaUploadId&quot;:&quot;07a1ce48-584d-4bee-a149-4117db573036&quot;,&quot;duration&quot;:null}"></div><h1><strong><span>Biophotons and Mitogenic Radiation</span></strong></h1><p><em><span>Note: in another </span><a href="https://www.midwesterndoctor.com/p/regenerative-medicine-and-the-cell"><span>article</span></a><span> I wrote on this critical subject I highlighted how it underlies many of the therapies now used in regenerative medicine.</span></em></p><p><span>A fundamental principle within biophysics is that cells emit very faint photons (predominantly within the ultraviolet spectrum) they use to control growth and communicate with other cells and that when biophoton transmissions go awry, disease results (leading to abnormal photon emissions from tissue being seen in many disease states). For example, cancers have abnormal biophoton emissions, and (</span><a href="https://www.degruyter.com/document/doi/10.1515/znb-1972-0725/html"><span>when studied</span></a><span>) carcinogenic substances significantly disrupt the wavelength of these photons, whereas similar compounds that do not disrupt those biophotons are not carcinogenic (an observation which led Fritz-Albert Popp to create the discipline of biophotonics).</span></p><p><span>One of the most interesting observations made within biophotonics was that the cytopathic changes caused in a cell by viral infections or toxin exposures could be &#8220;transferred&#8221; to another cell in the immediate vicinity when the cells had no physical connection but were optically connected through a UV transmitting window, while conversely (as </span><a href="https://elibrary.ru/item.asp?id=80497324"><span>this Russian study shows</span></a><span>), cells injured by radiation could be healed by being placed by healthy ones.<br></span><em><span>Note: </span>when cells are irradiated, nearby unirradiated cells can also show radiation-like injury (known as the bystander effect). Recently, evidence has accumulated that ultra-weak biophoton emission contributes to the bystander effect.<a href="https://pubmed.ncbi.nlm.nih.gov/25710575/"><sup>1</sup></a><sup>,</sup><a href="https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0173685"><sup>2</sup></a><sup>,</sup><a href="https://journals.sagepub.com/doi/10.1177/1559325820926763"><sup>3</sup></a></em></p><p><span>Likewise, in health, biophoton emissions cycle with the circadian rhythm (e.g., when a Japanese team imaged the light coming off the human body, it peaked in the late afternoon and stayed low overnight, even in volunteers kept awake under constant light</span><a href="https://pubmed.ncbi.nlm.nih.gov/19606225/"><sup><span>1</span></sup></a><span>), whereas in chronic illness, </span><a href="https://www.sciencedirect.com/science/article/pii/S1567724923000351?via%3Dihub"><span>Robert Naviaux</span></a><span> (the researcher who pioneered studying </span><a href="https://www.midwesterndoctor.com/p/why-do-cells-turning-off-underlie"><span>the cell danger response</span></a><span>)</span> mapped <span>each stage of the cell danger response to a characteristic level of emission the body becomes stuck at.</span><a href="https://www.sciencedirect.com/science/article/pii/S1567724923000351?via%3Dihub"><sup><span>1</span></sup></a></p><p><a href="https://en.wikipedia.org/wiki/Alexander_Gurwitsch">Alexander Gurwitsch</a> was one of the earliest researchers to study this. In 1923, he discovered that living cells (of both animals and plants) gave off extremely faint emissions which triggered the cells around them to leave their lag phase, enter mitosis and divide, leading him to name it mitogenic radiation [MGR]. After realizing that ordinary glass but not quartz glass blocked it, he concluded that MGR was a type of ultraviolet light (as this is how UV behaves), and much later, it was confirmed to be exactly that (with a wavelength between 190-350 nm).</p><p><em><span>Note: MGR is very faint (making it difficult to detect), and its emission from biological systems typically requires the system to be illuminated with light (which makes the faint mitogenic emissions much more difficult to spot). Eventually, roughly a decade after Gurwitsch&#8217;s death, researchers were able to capture this radiation with sensitive photomultiplier devices.</span></em></p><p><span>After studying it in detail, Gurwitsch realized that MGR required a very specific dosing and pattern (e.g., through being pulsed) to achieve its optimal effects, and that too much quickly became counterproductive (e.g., light UV exposure stimulated the growth of yeasts, while stronger UV exposure killed them). For example, light interrupted 100-800 times a second produced the effect in 13 seconds (versus 6-8 minutes for continuous light), while yeast responded to the UV from living tissue at intensities orders of magnitude lower than they did to UV from a lamp, and responded far better to a lamp emitting a mix of wavelengths than to one emitting a single spectral line.</span><a href="https://jbpe.ssau.ru/index.php/JBPE/article/view/3308"><sup><span>1</span></sup></a><span>  </span></p><p><span>As this was very challenging to do artificially, the value of MGR was primarily in what it facilitated the diagnosis of (e.g., blood typically emitted MGR, but if someone had cancer it did not, and as a result, with a high degree of accuracy, the hospital he worked at was able to determine if someone had a cancer purely by assessing if MGR had disappeared from their blood). This was eventually traced to a peptide which appeared in the blood of cancer patients and quenched its UV emission (termed the &#8220;cancer quencher&#8221;), whereas in the other states where blood stopped radiating (e.g., fatigue, starvation, old age, diabetes or sepsis), this was instead due to metabolic byproducts which absorbed the UV, a difference the test could distinguish. In animals, the quencher appeared long before a tumor could be felt (e.g., in rats, 9-12 days after tumor cells were implanted versus 28-32 days) and disappeared within days of the tumor being successfully removed (while its persistence predicted a recurrence). Likewise, in the clinics which used it to screen newly admitted patients, both its sensitivity and specificity exceeded 95%, roughly thirty years before the first conventional blood tumor marker (alpha-fetoprotein) was discovered.</span><a href="https://jbpe.ssau.ru/index.php/JBPE/article/view/3308"><sup><span>1</span></sup></a></p><p>Additionally, Gurwitsch and those who followed him (many of whom also were within the Soviet Union) found that:</p><p><span>&#8226;Both living tissue and enzymatic reactions (e.g., the synthesis of amino acids) emit MGR, while MGR (and UV light) can catalyze the synthesis of biochemical molecules.</span></p><p><span>&#8226;Once many biological substances (e.g., blood) were exposed to MGR, they would then emit MGR, which was termed &#8220;secondary MGR.&#8221; In many cases, secondary MGR was able to precisely match the frequencies and duration of MGR that were necessary for the best response to it in tissue throughout the body, and could significantly exceed the energy that had initially been received. I suspect this is why </span><a href="https://www.midwesterndoctor.com/p/the-century-of-evidence-putting-light"><span>ultraviolet blood irradiation</span></a><span> creates significant systemic effects but </span><a href="https://www.midwesterndoctor.com/p/the-century-of-evidence-putting-light"><span>only works when a small portion of the blood is irradiated</span></a><span>.</span></p><p><span>&#8226;Injuring or killing cells would cause them to release an intense flash of MGR which lasts for minutes, has a very different spectrum from typical MGR, and cannot be triggered again until the cell has recovered. Most recently, </span><a href="https://pubs.acs.org/doi/10.1021/acs.jpclett.4c03546"><span>in 2025</span></a><span>, physicists at the University of Calgary used cameras capable of detecting single photons to image the light coming off living things, and found it rose wherever a plant&#8217;s leaf had been injured, while in mice it dropped markedly once they died.</span></p><p><em><span>Note: I suspect the flash comes from exosomes being released from the cell (while conversely, it is recognized that biophoton signaling will cause cells to release exosomes</span></em><a href="https://pubmed.ncbi.nlm.nih.gov/28278290/"><sup>1</sup></a><em><span>,</span></em><a href="https://mednexus.org/doi/10.1016/j.radmp.2024.06.004"><sup>2</sup></a><em><span>). Likewise, I suspect you often see such rapid systemic changes </span><a href="https://www.midwesterndoctor.com/p/the-covid-shot-was-three-vaccines"><span>after therapeutic exosome infusions</span></a><span> is because of the regulatory photons they release into the body.</span></em></p><p><span>&#8226;Faster-growing cells tended to be mitogenic while slow-growing ones were not, with the primary exception being cancer cells.</span></p><p><span>&#8226;Certain parts of the body (brain tissue, the cornea of the eye, active muscles, and blood) had much greater emissions of MGR (and muscles from frogs freshly taken from the wild emitted far more than those from frogs kept for months in an aquarium</span><a href="https://jbpe.ssau.ru/index.php/JBPE/article/view/3308"><sup>1</sup></a><span>).</span></p><p>&#8226;A<strong> dissected optic nerve was found to radiate mitogenic radiation throughout the optic tract when the eye was exposed to unfiltered sunlight.</strong><br><em>Note: recent research supports this. When freshly isolated rat eyes (and separately their lens, vitreous humor and retina) were exposed to visible light, each re-emitted photons afterwards,<a href="https://pubmed.ncbi.nlm.nih.gov/21034725/"><sup>1</sup></a> while when light of various colors was shone on one end of a rat spinal nerve root, photon activity significantly increased at the other end, something a nerve conduction blocker (procaine) or metabolic inhibitors prevented.<a href="https://link.springer.com/article/10.1039/b9pp00125e"><sup>1</sup></a> Likewise, the M&#252;ller cells of the retina are already known to guide light, and physicists at the University of Calgary have shown that the myelin sheath surrounding nerve fibers could allow them to function as optical waveguides.<a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC5098150"><sup>1</sup></a></em></p><p><span>&#8226;Blood vessel walls were found to not block the transmission of mitogenic radiation, and within the blood vessel, MGR was best conducted when the vessel itself was energized, a quality likely imparted into the blood by the electrical charge of the heart.</span></p><p><span>&#8226;As tissue goes through different developmental stages its MGR changes (which suggests MGR helps guide growth and differentiation, something no biochemical mechanism has been able to explain). For example, as people age, their blood emits less and less MGR (and it temporarily declines after stress or exertion), and this may account for why their bodies have more difficulty healing from injuries.</span></p><p><em><span>Note: in the 1930s, researchers determined that partially restoring the MGR of an older person&#8217;s blood improved senility.</span></em></p><h1><span>Another Forgotten Side of Medicine </span></h1><p><span>Within 25 years of Gurwitsch&#8217;s discovery, over 700 papers had been published on it by more than a hundred researchers around the world (fewer than 3% of which failed to find the effect), Gurwitsch had been nominated for the Nobel Prize 11 times, and a future Nobel laureate (Dennis Gabor) had been among those who confirmed the radiation was ultraviolet. The research then stopped, as it was interrupted in Europe by World War II, increasingly dismissed in the West as &#8220;Soviet science,&#8221; and in 1948 persecuted within the USSR alongside genetics.</span><a href="https://jbpe.ssau.ru/index.php/JBPE/article/view/3308"><sup>1</sup></a><sup> <br><br></sup>It was never seriously resumed, even though physical instruments later confirmed the emissions his school had detected biologically (e.g., from onion roots, embryos, yeast, excited nerves, the working heart and malignant tumors)<sub>,</sub><a href="https://jbpe.ssau.ru/index.php/JBPE/article/view/3308"><sup>1</sup></a><sup><span> </span></sup><span>the author of a 1967 paper in Nature declaring MGR disproven went on to improve his equipment, detect it, and spend the next twenty years confirming the UV emission&#8217;s intensity, wavelength and timing matched what had been reported in the 1930s,</span><a href="https://jbpe.ssau.ru/index.php/JBPE/article/view/3308"><sup>1</sup></a> and a physical basis for how such faint light could trigger cell division has recently been proposed.<a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC11664013/"><sup><span>1</span></sup></a><span> </span></p><p>Sadly, while the subject of MGR has an immense number of important implications for biology, very few know of the topic now (even within disciplines like regenerative medicine <a href="https://www.midwesterndoctor.com/p/regenerative-medicine-and-the-cell-6c5">where MGR modulating therapies significantly improve clinical outcomes</a>), as like many other forgotten sides of medicine, the vast body of literature behind this unpatentable therapy could not keep it from being swept away in the sands of time.<br><em>Note: I consider one of the most important discoveries made by these researchers was that the eyes conducted MGR into the body.</em> </p><h1><strong>John Nash Ott</strong></h1><p><em>Note: most of this section is a summary of Ott&#8217;s book <a href="https://archive.org/details/healthlighteffec00ottj">Health and Light</a>.</em></p><p>As plants move quite slowly, it is typically not possible to see their movement (although exceptions do exist such as plants that reflexively contract like Venus fly traps or if one is in areas where nature has an unusual abundance of vitality, with careful observation, it&#8217;s sometimes possible to see rhythmic movements in the periphery of a tree).</p><p>Time-lapse photography (where shots taken far away from each other are turned into frames for a motion picture) made it possible to accelerate this microscopic movement of plants and hence make it visible. One of the pioneers of time-lapse photography was John Nash Ott, who began working on it in 1927 (while in high school) and because of the popularity of newfound art, got a lot of business. For example, this is some of the footage in a Disney motion picture Ott was hired for:</p><div class="native-video-embed" data-component-name="VideoPlaceholder" data-attrs="{&quot;mediaUploadId&quot;:&quot;66b2a3b9-e30e-4259-af41-2ae506db9b6e&quot;,&quot;duration&quot;:null}"></div><p><em>Note: some of Ott&#8217;s flower time lapses can be viewed <a href="https://collections.chicagofilmarchives.org/Detail/collections/117">here</a> and <a href="https://www.youtube.com/playlist?list=PL-OQncO4jqszgYWH82mP8RPUJ7sSvyUtG">here</a>.</em></p><p>Time-lapse photography was immensely challenging because it required maintaining a consistent frame and lighting for months (and sometimes years) at a time, but due to his talent, Ott (<a href="https://www.midwesterndoctor.com/p/what-made-doctors-do-the-right-thing">a very awake</a> individual) was able to consistently produce results and remained in high demand for decades (whereas many others simply could not pull it off).</p><p>From doing this, Ott figured out a variety of ways to manipulate the movement of plants (e.g., many move towards sunlight), and got very serious about it. For example, this was a highly-regarded time-lapse video (slightly under 2 minutes long) he spent 5 years producing. Where he was able to make primroses &#8220;dance&#8221; and then &#8220;bow&#8221; to a classic waltz:</p><div class="native-video-embed" data-component-name="VideoPlaceholder" data-attrs="{&quot;mediaUploadId&quot;:&quot;3eaf2c40-e1b2-4fa2-91df-c2b328423d2e&quot;,&quot;duration&quot;:null}"></div><p>Through doing this, Ott realized the plants were reacting to the light he was using to film them (as he often used specific light filters to get the right color for each picture) and began to see that plants were exquisitely sensitive to both light in general and also depending on the plant, specific colors. As he began to explore the effect of light on plants, he then realized many similar effects could be seen in animals and humans. I will now list some of Ott&#8217;s most interesting discoveries.</p><p><em>Note: much of Ott&#8217;s work was predicated on the recognition that UV for the most part does not pass through glass, and he hence needed to use special types of windows (e.g., certain plastics) for natural light to be let in.</em></p><h3><strong>Light and Plants:</strong></h3><p>&#8226;Standard glass filters out the essential UV light many plants (and animals) depend upon. Conversely UV light produced the strongest and healthiest plants. For example, amplifying (e.g., by placing aluminum under plants which reflected the UV light in sunlight back up to plants), when tested on squash plants increased their yield five-fold and eliminated both viral and insect infestations from the plants.<br><em>Note: one of the most unexpected discoveries Ott made was that when he started leaving a full spectrum light with long wave UV on at night (to prevent burglaries) in a kitchen that happened to also have UV transmitting windows, he noticed that the orange and grapefruit trees outside burst into bloom out of season and bore exceptionally large fruit&#8212;which again signified a small amount of UV light could have a massive effect on plants. Likewise he also found certain fruits (e.g., apples) needed UV to ripen, while others (e.g., tomatoes) ripened in the darkness.<br><br></em>&#8226;Plants (e.g., tomatoes) that appeared to be sickened or dying from a contagious virus would recover and bear fruit once they received normal unfiltered sunlight&#8212;a recovery considered to be impossible by tomato growers.<br><em>Note: because of this observation, Ott thought there was merit in examining <a href="https://www.midwesterndoctor.com/p/dmso-transforms-the-treatment-of">the pleomorphic theory of biology</a>.</em></p><p>&#8226;Plants were often sensitive to very specific wavelengths of light. For example, morning glories would not open in the morning if they were exposed to red light during the night but if the red was filtered away, nighttime light exposure did not prevent them from later opening.</p><p>&#8226;The same pumpkins will have flowers of both genders. Ott discovered that while under a skylight and a supplemental fluorescent light, their male flowers grew while the female ones withered and died. The next season, when he used a different bulb (daylight-white tubes) with a bluish glow, the opposite happened: the female ones thrived while the male flowers died.</p><p>&#8226;X-rays (emitted from the ends of most fluorescent light tubes and the older cathode ray televisions) would cause chaotic and disordered growth (e.g., beansprouts would often have their roots grow upwards&#8212;something Ott concluded was due to the natural direction of their growth having evolved to be opposite to the background x-rays, as since those come from the sky, this would typically direct the roots into the ground).<br><em>Note: interestingly, the X-rays which affected plant growth were too small for the instrumentation of the time to detect (which highlights why many of the arguments about the safety of low strength electromagnetic fields (EMFs) aren&#8217;t biologically sound).<br><br></em>Later, Ott learned that wheat seedlings on the international space station grew similarly to the plants he exposed to X-rays, which Ott attributed to their increased multidirectional exposure to cosmic rays.<br><em>Note: The Secret Life of Plants (which can be watched <a href="https://www.youtube.com/watch?v=7X0Wy_sCho4">here</a>) also demonstrates the extraordinary sensitivity of plants to their environment.</em></p><p>&#8226;Certain plants needed to first &#8220;sleep&#8221; in darkness (otherwise they would not bloom), and in some species Ott studied, this sleep needed to occur during the night (e.g., putting them in a pitch black room during the day would not help them to bloom). Ott then tried putting them at the bottom of a 650 foot coal shaft (as this largely blocks the cosmic radiation from the sun that is present during the day) while illuminating them with incandescent bulbs (which do not emit cosmic radiation) and observed the plants immediately went to &#8220;sleep&#8221; which indicated plants are quite sensitive to the trace levels of cosmic radiation in our environment. When he instead put them at 100 feet down the shaft (which partially shielded them from cosmic rays), a partial response instead occurred, as the plants still appeared to go to sleep but were much less responsive to opening in the morning once they were brought to the surface.<br><em>Note: the reason a circadian rhythm (which is maintained in complete darkness) and the need for sleep exist in almost all living organisms is still somewhat of a mystery. I believe Ott&#8217;s experiments help shed light on where parts of it is actually coming from.</em></p><h3><strong>Light and Cells:</strong></h3><p>Ott studied plant cells (from <a href="https://extension.psu.edu/elodea-common-waterweed">Elodea grass</a>) under a microscope and discovered that when exposed to full spectrum light, all their chloroplasts (the structures that perform photosynthesis) would stream through the cell in an orderly fashion (an example of which can be viewed <a href="https://www.youtube.com/watch?v=KGmq4cWsBXM">here</a>). Conversely, when he removed UV from that light, many chloroplasts would leave the stream, clump together, and stop moving, while when he also added a red light filter to his microscope (which made the light red by removing the non-red light), more chloroplasts would stop moving, while others would take a shortcut and cut through the cell. When he tried a green filter, the shortcut pattern changed and some of the chloroplasts would resume moving, while when a blue filter was used, their motion mostly returned to normal. Then, when the filters were removed and long UV was added, the normal motion immediately resumed (however if excessive UV was added, the cells would rupture). Finally, regardless of what he did, the chloroplasts gradually slowed down and would not resume moving until they had a dark period to &#8220;sleep.&#8221;<br><em>Note: I believe some (but not all) of Ott&#8217;s observations would have been explained by <a href="https://www.midwesterndoctor.com/p/what-causes-water-to-move-inside">the spontaneous flow liquid crystalline water creates</a>.</em></p><p>These results then inspired him to study the effects of different light in animal cells.<br>Under a microscope, he looked at <a href="https://pubmed.ncbi.nlm.nih.gov/11450762/">the pigmented cells within the retina</a> (from rabbit eyes). There he found:<br><br>&#8226;Their <a href="https://www.youtube.com/watch?v=GJqkYL-r-9o">pseudopodial activity</a> (movement preceded by the cell&#8217;s membrane stretching out like an arm which essentially creates the appearance of it walking along) would become abnormal under shorter wavelengths (e.g., blue light), while longer wavelengths (e.g., red light) would cause the cells&#8217; membranes to rupture and their contents to spill out.<br><em><span>Note: using near infrared spectroscopy, researchers </span><a href="https://pubmed.ncbi.nlm.nih.gov/35020273/"><span>recently found</span></a><span> that blue light (420nm) at the levels present in our everyday environment destabilized mitochondrial metabolism in the mouse retina, and that this persisted for at least an hour after the light was turned off.</span></em><br><br>&#8226;Their cellular reproduction (mitosis) would stop after being exposed to red or blue light for approximately three hours, while full spectrum light instead helped the cells reproduce.</p><p>&#8226;Like the plant chloroplasts, the activity of their pigment granules would slow down at the end of the daytime period and would require a dark period uninterrupted by light before resuming their normal response to light energy.<br><br>&#8226;After a 12-hour continuous exposure to ordinary incandescent light each day for one week, an estimated 90% of the pigment granules became sluggish in their action and remained virtually motionless at one end of the cell until a bit of long UV was added (at which point the pigment granules would become active again and resume their normal movement within the cell).<br><em>Note: it&#8217;s not clear to me how Ott defined long UV, as he implied it was UV with a wavelength greater than 290nm (which is both UVA and most UVB) and that it was <a href="https://en.wikipedia.org/wiki/Blacklight">blacklight UV</a> (which is near the visible boundary of UVA).</em></p><p>&#8226;When he studied chicken embryo heart cells, he consistently found that blue light (which is often present in laboratories) caused them to go through contortions, whereas, like the pigmented retinal cells, red light weakened their cell membranes and caused them to become more likely to burst.<br><em>Note: Ott then showed these changes to a few experts and reported: &#8220;Several well known virologists have commented that this reaction resembles cells being attacked by viruses.&#8221;</em>&nbsp;&nbsp;</p><p>Additionally, Ott also cited the work of researchers working with slime molds who found that for them to sporulate, they had to be in a chamber for a few hours and exposed to cool light (e.g., yellow and green), whereas if they were exposed to warm light (e.g., orange pink), they did not grow.<br><br>In short, Ott found it remarkable that he could induce a greater change in cells (e.g., through increasing their metabolism or killing them) by varying what light the cells were exposed to than with the tranquilizer drugs he exposed the cells to.</p><p><em>Note: footage of Ott&#8217;s cell experiments can be found in the video at the end of this section.  Additionally, different types of fluorescent light exist. Commonly, they have a yellow-orange color to give their light a warm feel as that is often people&#8217;s preferred color. In Ott&#8217;s experiments, he typically compared the effects of cool white fluorescent lights, daylight white ones, and pink ones.</em></p><h3><strong>Light and Animals:</strong></h3><p><strong>Gender Differentiation</strong>&#8212;Since light had a gender based effect on the sexual development of a pumpkin, Ott decided to explore the effect in animals through having fish tanks undergo long-term exposure to pink fluorescent light. From this, he found if those fish laid eggs, the new fish that hatched would all be female (although about 20% developed stunted male characteristics as they aged&#8212;suggesting they were more intersex than female). In total, they found the results held true for the 50 fish they hatched (many of which had different parents).</p><p><em>Note: all embryos begin as being female, however in males, the androgen gene (the Y chromosome) activates and transforms the developing embryo into a male. In turn, <a href="https://my.clevelandclinic.org/health/diseases/22199-androgen-insensitivity-syndrome">many classic cases of transgenderism</a> result from a defect in this process (e.g., the cells do not respond to androgens like testosterone which prevents male development from occurring)</em></p><p>This experiment was then repeated by a <a href="https://en.wikipedia.org/wiki/Chinchilla">chinchilla</a> breeder who needed more females (2 had recently died and in the last three years, 9 males and 1 female had been born). As she had been using a frosted incandescent bulb (which blocks a significant amount of their light spectrum) alongside a distant window at the end of the room for illumination, Ott sent her two transparent incandescent bulbs, which were received at somewhere between a third to halfway through their gestation and then turned on. Eight weeks and one day later, he received a letter of gratitude stating 3 females had been born&#8212;indicating the lights had exerted their effect during the pregnancy (rather than on the male or during conception). This was then followed by another letter several months later stating the next litter were all females (which presumably had instead had that light throughout their entire pregnancy).</p><p>Later, in April 1970, Ott worked with the Kline Chinchilla Research Foundation to complete a 5-year study which over 2000 chinchilla breeders participated in. They found that when the standard incandescent light bulbs were used in the breeding rooms, the litters would average 60-75% males, whereas when &#8220;daylight&#8221; incandescent bulbs were used, the ratio of males to females would be reversed and average 60-75% females.<br><em>Note: Ott also repeated this experiment in horses but I was unable to find the final data for it.</em></p><p><strong>Animal Fertility</strong>:<br><br>&#8226;In the fish experiments (which were not receiving any natural light), Ott also discovered that the fish would not lay eggs until he reduced the light intensity and only had the lights on for 8 hours a day.</p><p>&#8226;When Ott bred rabbits, he found he got much better results from natural UV light (through UV transmitting windows) than with artificial lighting.<br><em>Note: this approach also yielded an &#8220;almost unbelievable improvement&#8221; with breeding rats and mice.</em></p><p>&#8226;When female minks do not get pregnant after mating, they often get an injection of a pregnant mare serum before attempting the second mating. When minks were exposed to blue light (from being behind blue glass), they all became pregnant on the first mating. Conversely, when behind pink glass, after three attempts (and hence two injections) only 87% became pregnant, while 90% of the male minks were classified as &#8220;non-working.&#8221;</p><p>&#8226;Suspecting the x-rays from cathode ray color TVs could affect animals, Ott discovered that once he placed one in the vicinity of his animal breeding program, significant disruptions occurred (e.g., rats went from having 8-12 young to 1-2 young per litter&#8212;many of whom then did not survive), and it took 6 months for breeding to return to normal once the TV was removed.</p><p><em>Note: as discussed below, Ott also discovered ways to improve animal fertility.</em></p><p><strong>Light and Animal Health</strong>:<br><br>&#8226;In a group of 536 mice born under natural UV light, 97% survived to maturity. In a group of 679 born under fluorescent light, 88% survived to maturity, with the highest survival rate (94%) being seen in those who lived under cool white, warm white, and daylight white lamps, and the percentage noticeably declining under different, deeper-colored lights (with the lowest rate, 61%, resulting from exposure to pink fluorescent lights).</p><p>&#8226;Rats raised in total darkness had fur that was soft and smooth in texture, quite thick and fully developed. Rats of the same breed exposed to artificial lights instead had coarse and extremely bristly fur. Additionally, many of the rats raised under daylight white fluorescent light were completely bald on the tops of their heads and often down the ridge of their backs. In parallel to this, the large chinchilla study found if their periods of darkness were lengthened, it would trigger the development of their heavy winter fur, which is what they are often bred for.</p><p>&#8226;Two breeds of research rats that frequently develop tumors also often inexplicably have their tails gradually become necrotic and fall off. When one breed was kept under pink fluorescent lights for 12 hours a day, within 3 months, they would become spotted and develop sores, which then went away within 30 days if the rats were returned to natural light. However, if they were instead kept under the pink light for 6 months, the tail gradually became gangrenous and, bit by bit, sloughed off until there was a complete necrosis of the tail&#8212;which curiously had no bacteria or fungi within it.</p><p>&#8226;Those rats exposed to pink fluorescent light also developed excessive calcium deposits in their hearts (<em>calcific myocarditis), </em>were more tumor prone, had smaller litter numbers, and had challenging behavioral problems.</p><p>&#8226;Mice kept under dark blue fluorescent light had higher blood cholesterol levels than mice kept under red light. Additionally, many of the male (but not female) mice under blue light became obese.<br><em><span>Note: in </span><a href="https://pubmed.ncbi.nlm.nih.gov/39966413/"><span>a 2025 study</span></a><span>, mice exposed to the 420-450nm blue light which dominates LED bulbs were found to gain weight rapidly compared to controls,</span></em><span> while in</span><sup><span> </span></sup><em><a href="https://pubmed.ncbi.nlm.nih.gov/31636947/"><span>a 2019 study</span></a><span> fruit flies raised under white LEDs lived half as long as those kept in darkness, a loss which almost entirely disappeared once a yellow filter removed the blue.</span></em></p><p>&#8226;Ott noted an aquarium had been using the same blacklight UV lamps (originally for decorative purposes) that Ott had found benefitted his research animals. He inquired and found out that this light addressed a major problem in their fish&#8212;<a href="https://en.wikipedia.org/wiki/Exophthalmos">exophthalmus</a><em> (</em>the eyes popping out<em>), </em>a condition attributed to a virus that <em>curiously</em> was rarely seen in fish kept outdoors and subject to natural lighting conditions.</p><p>&#8226;Ott discussed reports from Manitoba, Canada, of dairy herds, located within two miles of telephone microwave relay towers, giving considerably less milk, poultry producing only a fraction of their usual egg quota and flocks of chickens going into sudden, unexplained hysterical stampedes.<br><em>Note: more recently, many have also argued cell phone towers have played a major role in the decline of bee populations.</em></p><p>&#8226;In addition to disrupting fertility, Ott also discovered that the X-rays from (older) colored TVs caused all the young rats around it to die in 10-12 days. Two rats that appeared extremely lethargic and almost dead prior to their demise were then professionally autopsied at the moment of their death, at which point several instances of brain tissue damage were discovered.</p><p>&#8226;For seven years, one shed at a mink farm inexplicably had experienced a significant increase in the young born in the litters there alongside a significant improvement in the condition of their fur. As this increased the farm&#8217;s revenue, they tried to figure out what was causing it, but other than establishing the worst performing minks likewise improved when put into the shed, it remained a mystery. After Ott investigated, he realized it was due to an adjacent building having an aluminum siding (whereas the other ones were next to buildings with iron sidings), and since only aluminum reflects UV, Ott measured the farm and determined a significantly higher UV level was present in that shed.</p><p>&#8226;Ott cited <a href="https://www.sciencedirect.com/science/article/abs/pii/0003996971900793">a 1971 study</a> of golden hampsters which found that when hampsters were fed a cavity provoking diet (a high carbohydrate one containing 60% sucrose), those that spent 12 hours a day under fluorescent light with UV added (to approximate natural light) averaged 2.2 cavities, whereas those under cool white fluorescents averaged 10.9 cavities. Additionally, the cool white light resulted in an 80% reduction in the development of their male sex organs.</p><p><em>Note: UV light exposure also increases agricultural productivity as <a href="https://www.sciencedirect.com/science/article/pii/S0032579119568389">hens will lay significantly more eggs</a>, are less likely to become sick, much less likely to die, and will grow faster (e.g., <a href="https://www.researchgate.net/publication/312508335_Ultraviolet_Irradiation_of_the_Turkey_Hen">a 1953 study</a> found it caused young chicks to typically gain an additional 30-40 grams), to be much less likely to develop disease, to require less feed, and <a href="https://www.researchgate.net/publication/274661536_The_Effect_of_Ultraviolet_Radiation_on_Egg_Production_of_Hen">to not have their egg laying decrease</a> in their second year of life. Similar benefits (e.g., increased egg laying) <a href="https://www.researchgate.net/publication/312508335_Ultraviolet_Irradiation_of_the_Turkey_Hen">have also been found in turkeys</a>.</em></p><p><strong>Animal Cancers</strong>:</p><p><em>Note: much of the research Ott referenced in his book was never published and instead simply learned of by communicating with the researcher.<br><br></em>&#8226;A study exposed rats to carcinogenic chemicals and different light conditions. Those in total darkness had the least cancer, while those living under daylight mimicking fluorescents had significantly smaller and less frequent tumors than those under incandescent bulbs.</p><p>&#8226;A mouse study designed to study malignant melanoma found mice kept under simulated daylight develop tumors at a slower and diminished rate compared to those under cool white fluorescent light.<br><em>Note: fluorescent light exposure has also been linked to melanoma in humans.<br><br>&#8226;</em>Another study of mice that were highly susceptible to cancers, had 30 pairs kept under daylight white fluorescent lights, 30 pairs kept under pink fluorescent lights and 8 pairs which instead received daylight filtered through standard window glass. The pink group developed cancer the fastest, the daylight fluorescent group took a month longer, while the window group took 2 months longer. Ott did a follow up to this with 2000 mice and found out that on average, mice under a pink light developed cancer and then died in 7.5 months, while as the light was improved, their life span progressively lengthened (up to 16.1 months).</p><p>&#8226;Another experiment transplanted tumors into mice, and found that for slow growing tumors, those kept under natural light had an average life span of 43 days whereas mice kept under cool white fluorescents had a lifespan of 29 days.<br><em>Note: no difference was observed for fast growing tumors.</em></p><p>&#8226;When approximately 500 minks were kept behind pink glass, and 500 were kept behind blue glass, 4 of those exposed to pink light died from a strange illness that the farmers had never seen before, with their autopsies showing what appeared to be a cancerous condition of the abdominal area including a number of vital organs.<br><em>Note: due to unforeseen circumstances, a pathological examination of those organs was never performed.</em></p><p><strong>Animal Behavior</strong>:</p><p>&#8226;When breeding lab rats (or mice) it is standard procedure to remove the male from the cage before the litter is born so he will not eat them. However, when provided with natural light, he instead cared for the young (especially when the mother was gone) and was much more docile and friendly (and less likely to bite) than those kept under fluorescent lights.<br><em>Note: a frequent cause of leaks from Biolabs (e.g., <a href="https://www.midwesterndoctor.com/p/colorados-fight-to-stop-a-risky-and">the controversial bat lab being built in Fort Collins CO</a>) are the animals biting lab workers.</em></p><p>&#8226;Animals kept in captivity (e.g., reptiles birds and mammals) were less likely to attack each other if kept under blacklight UV. Ott specifically discussed witnessing this in regards to fin-nipping (which had been a problem at an aquarium until black lighting was brought there), and noted that it has gradually become recognized that blacklights have made it possible for many fish that could never previously be kept in captivity to now be kept in aquariums.</p><p>&#8226;A report from the Houston Zoological Gardens in Texas (published in the 1969 <em>International Zoo </em>Year Book by the Zoological Society of London) reported that a number of reptiles and amphibians became noticeably more active when the cool white and daylight white fluorescent tubes in their cages were replaced with full-spectrum lighting, and that snakes that had previously refused to eat (including a rare type which was very difficult to keep alive in captivity) ate once put under those lights.</p><p>&#8226;After a Syracuse, New York zoo installed a new light to stop vandalism, many animals there started acting like it was spring and began mating (e.g., cougars, geese, lambs, deer, bear, kangaroos and chimpanzees) and in turn had many offspring.</p><p>&#8226; After 4 years, a Bronx, New York zoo was able to get puffins to breed by installing a full-spectrum lighting system.</p><p>&#8226;A 1969 study evaluated how often mice would voluntarily run on a wheel and found those in red and dark environments ran the most, followed by the yellow group, followed by those in a blue-green and daylight colored environment. Additionally, albino mice had the greatest response to the different colors.</p><p>&#8226;When minks were kept in a pink environment, they became increasingly aggressive, difficult to manage and in many instances actually vicious, whereas in a blue environment, they became friendly and docile, and in thirty days could be handled with bare hands like ordinary house pets.</p><p>&#8226;Rats exposed to cathode ray TV x-rays became increasingly hyperactive and aggressive in 3-10 days, and then became progressively lethargic, and at 30 days they needed to be pushed to be moved. Shielding significantly reduced this, although an incomplete result may have resulted from another unshielded TV in the vicinity, which Ott hypothesized (due to<a href="https://zoryglaser.com/wp-content/uploads/2020/05/BEHAVIORAL-EFFECTS-OF-STIMULATION-BY-UHF-RADIO-FIELDS.pdf"> studies such as this one</a>) was a result of acetylcholine release (as at low and then high levels it triggers each of the behaviors observed).<br><em>Note: this study is interesting because I have seen very similar behavior occur in humans.</em></p><p>&#8226;Ott cited Dr. Susan Korbel from the University of Arkansas reporting laboratory rats &#8220;dancing around&#8221; and acting &#8220;as though they had been given a type of nerve gas used in World War I&#8221; when they were subjected to low levels of microwaves.</p><p>&#8226;<a href="https://www.jstor.org/stable/1732648">A study</a> evaluating the effect of stress on a propensity for alcoholism perplexingly found rats preferred water on weekdays, but alcohol on weekends. After this was eventually correlated to the lab being completely dark on the weekend, a group of non-stressed rats were kept in the darkness (where they then developed alcoholism), which was followed by rats not kept in the darkness or exposed to stress being given pineal melatonin injections (as this is released during darkness) and them also becoming alcoholics.</p><p>All of these animal results are quite shocking, and Ott argued that any animal experiments must control for the light conditions in order to be reproducible. Sadly, decades later, the inability to reproduce experimental data <a href="https://www.ipr.northwestern.edu/news/2024/an-existential-crisis-for-science.html">is still one of the largest issues science faces</a> (and very little thought is given to the unhealthy lighting used in research labs).</p><h3><strong>Light and Humans</strong></h3><p>Each of Ott&#8217;s findings in plants and animals in turn generalized to humans and led to a number of remarkable discoveries.</p><p><strong>Glasses:</strong></p><p>After working with plants under artificial light conditions for two years, Ott gradually developed arthritis in his hip and a great difficulty walking, at which point he tried everything he could to identify the cause of the arthritis or to create a cure for it (including lots of sunbathing&#8212;which rather than helped him, made him worse). At one point, his glasses broke, and because he did not like his replacement, he decided to do without glasses, at which point he noticed an immediate and progressive improvement in his condition, and before long feeling better than he had in 4 years and regaining his mobility (which was later confirmed by hip x-ray and a doctor&#8217;s physical exam). This, in turn, led him to suspect a primary route of light to his body was the eyes (as sunbathing had not helped him at all&#8212;rather it made him worse) and that the UV blocking properties of his glasses had created major issues for him (as he had worn sunglasses both while driving to the beach and while sunbathing).</p><p>After some investigating, he discovered that:</p><p>&#8226;Reducing his time in a studio, being under a television studio bright light from 2 hours to 40 minutes helped him, but each time he did that or drove while looking through a windshield he still felt worse.<br><br>&#8226;This regimen (healthy light reaching the eyes) also addressed the increasingly common head colds and sore throats he&#8217;d experienced over the last few years that no remedy had worked for.<br><em>Note: as discussed <a href="https://www.midwesterndoctor.com/p/what-makes-all-vaccines-so-dangerous">here</a>, I believe one of the key characteristics of a viral upper respiratory infection is a lowering of the physiologic zeta potential.</em></p><p>&#8226;He had a friend follow his healthy light regimen and their hay fever vanished.<br><br>&#8226;He encountered someone who&#8217;d worked for him, who had since been on an assignment that required being in a lot of intense indoor artificial lighting and had not only become diabetic from it, but had his diabetes cause blood vessels in both eyes to burst and make him to almost blind. Because of this, he&#8217;d taught himself to read braille and had been reassigned to the photography dark room, but sadly had continued to have additional blood vessels in his eye burst. Ott suggested the regimen, and after 6 months, there had been no additional blood vessels burst and he had partially regained his sight.</p><p>&#8226;Ott met someone who had <a href="https://en.wikipedia.org/wiki/Graves%27_disease">Graves disease</a> (an autoimmune thyroid disorder that causes the same eye swelling seen in the fish) and was not responding to radiation treatment. On the chance it could save her sight, she tried Ott&#8217;s full spectrum regimen, and her eyes healed. Ott then learned that her husband was having issues with recurrent skin cancers (which his doctor had recommended against additional surgery for), so he had him fix his eyelight exposure, get more natural light and stop watching television, and after 5 months, his skin became normal.</p><p>&#8226;Ott found a study of Cree Indians in northern Manitoba, Canada, who had an exceptionally high rate of <a href="https://en.wikipedia.org/wiki/Pterygium">pterygium</a> (abnormal growth of tissue in the eye) who he then discovered had also been given specially designed sunglasses to block sunlight from damaging their eyes. Ott then searched for people who had developed pterygium while on military duty in the tropics, and in his small sample found all had worn prescription sunglasses.</p><p>&#8226;Ott found out that when the eyes are blocked from receiving UV (including where one is but the other is not through customized contacts or glasses), the UV deprived pupils will dilate to let more light in (resulting in different sized pupils when UV is present but one eye is blocked from getting it). This both makes sunglasses appealing (as a more dilated pupil gives one a more vivid perception of their surroundings) and suggests that the body has a regulatory mechanism to ensure it gets enough UV light from the environment.</p><p>&#8226;Ott found a study that showed 7-10 days of exposure to an ordinary (110 lux) light bulb could damage eye cells, but if the eye cells were instead exposed to a 1500 lux bulb with a green filter on it, severe damage occurred in 40 hours. Ott also identified reports that showed exposure to continuous green light damaged the eyes of several types of rats, mice, hamsters, and the Galago monkey.<br><em>Note: many sunglasses use green filters.</em></p><p><span>While Ott&#8217;s belief that glasses deprive the eyes of wavelengths they need never gained traction in medicine, ophthalmology recently arrived at a version of it. In a series of studies since 2017, Japanese researchers found that violet light (360-400nm, right at the edge of UV) suppresses the progression of nearsightedness, and that children who wore eyeglasses (which block it) had their eyes elongate faster than children wearing contact lenses which let it through.</span><a href="https://keio.elsevierpure.com/en/publications/violet-light-exposure-can-be-a-preventive-strategy-against-myopia/"><sup><span>1</span></sup></a><span> They traced this to a violet-sensitive photoreceptor in the retina (OPN5),</span><a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8624215/"><sup><span>1</span></sup></a><span> and when they measured violet light around Tokyo, found it was abundant outdoors and essentially absent indoors, as windows, eyeglasses and modern lighting all filter it out.</span><a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11942253/"><sup><span>1</span></sup></a></p><p><em><span>Note: my present hypothesis is that the eyes (via natural UV light entering the optic nerve) serve as one of the primary sources for mitogenic radiation to enter the body (given what the previous MGR research showed) and it is also very likely they serve a similar function for other essential frequencies of light (as various schools of medicine have established introducing different colors of light into the body produce therapeutically relevant effects).</span></em></p><p><strong>Cancer:</strong></p><p>&#8226;At an African hospital, Ott learned there had been a surge in cancers (whereas previously there had been none) and that while there had been no change in their lighting during this period, sunglasses had become a status symbol that people in the area had started regularly wearing.</p><p>&#8226;After he convinced a doctor to have 15 cancer patients follow his light regimen over the summer months of 1959, it was determined that 14 of the 15 did not have their cancers progress (the one who did had still worn regular glasses), and several had shown possible improvements.</p><p>&#8226;Ott learned of a school that had the highest rates of leukemia of any school in the country (5 times the national average). After investigating, Ott learned all of it had occurred in two classrooms, and in both of them, to avoid an outside glare from a nearby glass building, their teachers had closed the curtains for the room and switched to using artificial lighting in the room which happened to be warm (orange-pink) fluorescents. After several years (prior to Ott arriving), those two teachers left, and the new teachers switched back to sunlight in parallel with the bulbs being switched to the cooler fluorescent color. This in turn resulted in a complete disappearance of the leukemia cases and it being labeled as an unsolved mystery.</p><p>&#8226;Ott learned of a man in his early seventies who had just been diagnosed with terminal lung cancer who wore sunglasses most of the time and was sent a copy of the regimen Ott had used. His cancer disappeared and he lived for 8 more years before dying from a heart complication.<br><br>&#8226;Ott learned of a patient with recurrent cervical leukoplakia (a precancerous condition) who had been advised to get a hysterectomy. She decided to do the light regimen, her remaining leukoplakia shrunk (and was eventually removed), and had no further recurrences (hence avoiding the surgery).</p><p>&#8226;Ott spoke to an elderly man who had prostate cancer and was scheduled for surgery who had been wearing pink tinted eyeglasses. After correcting his glasses, cutting down television and being outdoors, his cancer disappeared on its own.</p><p>&#8226;Ott learned of a patient with a rapidly progressing cancer which was expected to be fatal in 4 months. Ott changed the lighting in his hospital room and at his home, and the man ended up living for 10 months, was free of pain (which is often a major issue in these types of situations) and was highly active until he died.</p><p>&#8226;Ott learned of an older woman who had a fast-spreading terminal cancer and had a small ozone generator (which uses UV light) set up in her room which was missing a covering and hence continually shined UV light into her room. Two years later, she was in excellent health.<br><em>Note: this may have also been an effect of the ozone or negative ions being generated.</em></p><p><strong>Health and UV Lighting:</strong></p><p>&#8226;Ott found a restaurant where for decorative purposes, everyone worked continually under active blacklight, and rather than become ill, they had been in peculiarly excellent health (even when flu epidemics swept through the area), and were a remarkably happy, courteous and efficient group where everyone seemed to get along well together. Ott in turn used their UV exposure as his initial blacklight dose for the animals he studied.<br><br>&#8226;<a href="https://en.wikipedia.org/wiki/Hong_Kong_flu">During 1968-69</a>, a flu epidemic swept the country, with 5% of those in his county being sick at one time (leading to many businesses temporarily shutting down). The one exception was a manufacturer who employed 100 employees, who never had someone get ill, and coincidently had recently switched to UV transmitting windows and full spectrum lighting. Following this change, it was also observed that employees became much happier and work productivity increased by 25%.</p><p><strong>Lighting and Human Behavior:</strong></p><p>&#8226;Ott learned of a radio station where the white fluorescent lights throughout the station were replaced by pink ones to &#8220;brighten the mood,&#8221; and after two months they began to develop personnel problems (e.g., poor performance on air, becoming difficult to control and at odds with the management and two resignations being received). At some point, a male employee said &#8220;If those pink bulbs aren&#8217;t removed I&#8217;ll go out of my mind,&#8221; which management immediately responded to (replacing all of them with white lights) and within a week, all the personnel problems were resolved.</p><p>&#8226;Ott learned of a survey of 300 college students to determine if they wore colored contacts or glass lenses, and found out that the three students who wore pink colored ones were also considered to be the most psychologically disturbed students in the college.<br><em>Note: I have met a few people I believe this process was at work with.</em></p><p>&#8226;Ott also learned of a college football player who had been hyper-aggressive and helmet throwing, who 30 days following Ott&#8217;s suggestion to stop wearing pink tinted glasses became a very relaxed and confident person whose football performance significantly improved. Additionally, he also learned of another player on the team whose performance mysteriously regressed, and once it was tagged to him installing psychedelic red lighting in his dorm room (which was removed) his performance on the field returned.<em><br>Note: workers who work in red colored rooms have been found to have elevated anxiety, distraction, dysphoria annoyance and stress scores (which reduce when they go to rooms with different colors).<a href="https://www.researchgate.net/publication/232444027_Effects_of_Office_Interior_Color_on_Workers'_Mood_and_Productivity"><sup>1</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/15676782/"><sup>2</sup></a><sup>,</sup><a href="https://onlinelibrary.wiley.com/doi/10.1002/(SICI)1520-6378(199704)22:2%3C121::AID-COL7%3E3.0.CO;2-V"><sup>3</sup></a><sup>,</sup><a href="https://www.nature.com/articles/s41598-026-35133-0"><sup>4</sup></a><sup>,</sup><a href="https://www.amazon.com/dp/0895294303?lv=shuf&amp;channelId=500&amp;plpRedirect=mhFallback"><sup>5</sup></a></em></p><p>&#8226;In 1964, a news story swept the nation of 30 children who had developed nervousness, continuous fatigue, headache, loss of sleep and vomiting but after an extensive workup (e.g., for infections or contaminated food or water) the only commonality found was that they all were watching television for 3-6 hours on weekdays and 6-10 hours on weekends. Their doctors recommended cutting all TV, and in the 12 who did, all recovered in 2-3 weeks, whereas for those 18 who cut it down to 2-3 hours a day, it took 5-6 weeks for recovery, and with 11 then going back to normal TV viewing and having their symptoms return.<br><em>Note: because the media is much more corrupt now, stories like these never reach the airwaves.</em></p><p>Ott in turn suspected this was due to the x-rays being emitted by the cathode ray tubes inside televisions (which had greatly increased since color TVs needed three operating at a higher voltage than the single one within a black and white TV), and began the previously mentioned studies which demonstrated many color TVs were emitting x-rays which were significantly harming plants and animals. Following this, Ott was sent to a newly created school for children with learning and behavioral difficulties, measured the x-ray emissions of the TVs in their homes, and found many had unexpectedly high emissions. They were promptly removed, and two months later significant behavioral improvements were noted in those students, resulting in many being allowed to return to their normal classes.<br><em>Note: since x-rays were also emitted from behind the television, one of the improved children was a little girl who had been sleeping next to a wall that was behind a defective TV.</em></p><p>&#8226;In 1973, Ott conducted a pilot study in a Chicago school where two out of four classrooms had their cool fluorescent tubes replaced with full spectrum fluorescent lights whose ends were shielded to prevent x-ray transmission and electrically shielded (to ground them and prevent their radio transmission&#8212;as Russian research had shown fluorescent radio waves altered human EEGs). The students were then monitored with randomized time-lapse photography (so the teachers would not know when to tell the students to behave).</p><p>Students (e.g., first graders) under the normal lighting demonstrated nervous fatigue, irritability, fidgeting, flailing their arms, jumping out of their seats, frequent lapses of attention, and other hyperactive behaviors, but once the new lighting was installed, within a week those under it had a marked improvement in their behavior. Initially, they settled down, paid more attention to their teachers, and became less nervous. Over the next few months, the youngsters appeared calmer and far more interested in their work (e.g., one boy who had been in constant motion and was inattentive to everything became quiet, able to sit still and concentrate and had become capable of independent study to the point he&#8217;d taught himself to read while the experiment was conducted).</p><p><em>Note: following this study, Ott reported that <a href="https://journals.sagepub.com/doi/10.1177/074193258300400210">similar results had been obtained</a> from two schools in California and that in his original group, the students who received healthy lighting were later discovered by their dentists to have had one-third the number of cavities.</em></p><p>Finally, those who would like to know more about Ott&#8217;s work, this is a documentary Ott put together. <a href="https://www.youtube.com/watch?v=BOUA8UAEAdY">It was uploaded</a> by someone with whom Ott had shared his wish for the world to know about this knowledge so it did not become another forgotten side of medicine.</p><div class="native-video-embed" data-component-name="VideoPlaceholder" data-attrs="{&quot;mediaUploadId&quot;:&quot;7513e9a9-4eed-41f4-b359-72004f486b62&quot;,&quot;duration&quot;:null}"></div><h1>Ott&#8217;s Legacy</h1><blockquote><p>No one in science has made a major breakthrough in science by conducting double-blind studies. Breakthroughs are made by careful observation&#8212;John Ott</p></blockquote><p>Ott found himself in a rather peculiar situation. While much of his research threatened the prevailing interests (and hence was destined to be buried&#8212;for example, the schools refused to continue his miraculous lighting regimen for their students), there simultaneously was a great deal of interest from the scientific community in his time-lapse photography. Because of this, Ott continually had windows to share his research with scientists around the world and was gradually able to create an independent center to further his research.<br><br>On one hand, he had some success (e.g., he played a pivotal role in getting the most dangerous TVs taken off the market and he was responsible for getting full spectrum lighting onto the market) but simultaneously, he ran into continual road blocks and despite his best efforts kept on ending up at blind alleys because institutions he&#8217;d work with decided they just could not publish his data (often for spurious and unscientific reasons). Nonetheless, because of how remarkable his insights were, they are periodically shared within the alternative medical field.</p><p>I would now like to highlight a few of Ott&#8217;s discoveries mentioned in the previous section.</p><p>First, given how harmful glasses could be for humans, it appears that the eyes serve a vital function in allowing natural light to nourish the body. Ott argued this was because the eyes were directly connected to both the pituitary and pineal glands and that these critical glands became abnormal without healthy light exposure. While I agree this is a major issue (e.g., we often find getting a patient well requires restoring the normal function of one or both of these glands), I do not believe this is the primary reason why exposure of light to the eyes is so important.</p><p>Second, in many of his microscopic observations, Ott noticed that the mere application of light created spontaneous motion within the structures he observed.</p><p>Third, Ott (along with scientists around the world, particularly those in Russia) believed our species was suffering a widespread chronic epidemic arising from a widespread deficiency of sunlight which in turn caused a variety of severe issues throughout the body.</p><p>Fourth, Ott believed that different parts of the body were highly sensitive to minute amounts of light (or EMR) at very specific frequencies. Likewise, he also suspected the effects of many drugs and pathogens were mediated by which specific frequencies of light they absorbed or reflected, a conclusion many others have also arrived at (e.g., a wide range of <a href="https://www.cancer.org/cancer/managing-cancer/treatment-types/radiation/photodynamic-therapy.html">photosensitizing drugs exist</a> and many believe red food dyes cause hyperactivity because they create red light within the body). It&#8217;s worth noting that a longstanding practice of medicine which utilized a variety of colors previously existed in the United States (which a few of my color-inclined colleagues still utilize with great success). This for example was from a 1939 reference about the therapy:</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!TDtt!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F2ba0a684-436f-4c27-97e0-9fe7ed9c537f_1916x1192.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!TDtt!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F2ba0a684-436f-4c27-97e0-9fe7ed9c537f_1916x1192.png 424w, https://substackcdn.com/image/fetch/$s_!TDtt!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F2ba0a684-436f-4c27-97e0-9fe7ed9c537f_1916x1192.png 848w, https://substackcdn.com/image/fetch/$s_!TDtt!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F2ba0a684-436f-4c27-97e0-9fe7ed9c537f_1916x1192.png 1272w, https://substackcdn.com/image/fetch/$s_!TDtt!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F2ba0a684-436f-4c27-97e0-9fe7ed9c537f_1916x1192.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!TDtt!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F2ba0a684-436f-4c27-97e0-9fe7ed9c537f_1916x1192.png" width="1456" height="906" 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https://substackcdn.com/image/fetch/$s_!TDtt!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F2ba0a684-436f-4c27-97e0-9fe7ed9c537f_1916x1192.png 848w, https://substackcdn.com/image/fetch/$s_!TDtt!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F2ba0a684-436f-4c27-97e0-9fe7ed9c537f_1916x1192.png 1272w, https://substackcdn.com/image/fetch/$s_!TDtt!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F2ba0a684-436f-4c27-97e0-9fe7ed9c537f_1916x1192.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p>In contrast, we live in a world where artificial light produces very specific wavelengths of light which are both much stronger (in that wavelength) than what the body would typically be exposed to, which results in certain aspects of biology being over-activated and others under activated. Likewise, one of the key points Ott tried to demonstrate is that the trace amounts of background radiation we are exposed to, rather than being harmless in reality exert very real effects that correctly designed biological systems can easily detect.</p><h1><strong><span>The Incandescent Bulb Ban</span></strong></h1><p><span>For over a century, the light most Americans lived under at night came from a heated filament, which (like the sun or a fire) emits a smooth spectrum that is mostly infrared. In 2007, Congress passed a law which, if the Department of Energy did not finish its own lighting standards in time, required it to prohibit the sale of any general purpose bulb producing less than 45 lumens per watt. In 2022, the Biden administration put that prohibition into effect, and in 2024 finalized a second rule which raises the minimum to roughly 120 lumens per watt in 2028.</span><a href="https://www.eenews.net/articles/republicans-target-light-bulb-efficiency-rules-with-new-bill/"><sup><span>1</span></sup></a><span> As incandescent bulbs produce 10-18 lumens per watt,</span><a href="https://inside.lighting/news/25-06/new-bill-pushes-end-incandescent-light-bulb-ban"><sup><span>1</span></sup></a><span> this was a ban, and the 2028 standard will eliminate almost everything besides LEDs.</span></p><p><em><span>Note: we have also been gradually replacing our (orange) </span><a href="https://en.wikipedia.org/wiki/Sodium-vapor_lamp"><span>sodium vapor street lamps</span></a><span> with white LED street lights (which I greatly dislike). In 2016, the American Medical Association </span><a href="https://policysearch.ama-assn.org/councilreports/downloadreport?uri=/councilreports/a16_csaph2.pdf"><span>put out guidelines</span></a><span> warning against the blue-rich LEDs most cities were installing, as the existing evidence showed they are at least five times more powerful at suppressing melatonin than the lamps they replaced (whereas wood fires and low wattage incandescent bulbs do not have this effect), brighter nighttime lighting is linked to poor sleep, obesity, and possibly cancer, diabetes and heart disease, their intense blue light scatters within the eye (creating a glare that worsens nighttime vision for drivers) and can damage the retina, and they disorient nocturnal wildlife (e.g., birds, insects, sea turtle hatchlings and migrating salmon). Residents in turn complained of a &#8220;prison atmosphere&#8221; and needing heavy drapes to sleep, and Davis, California paid $350,000 to replace its new lights. The AMA hence advised only using warmer (3000K or lower), shielded and dimmable LEDs, which are just 3% less efficient.</span><a href="https://policysearch.ama-assn.org/councilreports/downloadreport?uri=/councilreports/a16_csaph2.pdf"><sup>1</sup></a><sup>,</sup><a href="https://www.ama-assn.org/press-center/ama-press-releases/ama-adopts-guidance-reduce-harm-high-intensity-street-lights"><sup>2</sup></a></em></p><p>The problem is what a lumen is. It does not measure light, but rather how bright light appears, using a curve adopted in 1924 that weighs each wavelength by how strongly it registers in our daytime vision. Green and yellow hence count the most, blue and deep red count for very little, and violet, ultraviolet and infrared count for almost nothing. That curve however only describes one of the things the eye does with light. Decades after it was adopted, a separate set of light-sensing cells was discovered in the retina which set the body&#8217;s clock rather than form images, and respond most strongly to blue light around 480nm (which the lumen curve counts at roughly one-seventh the value of green), while the violet-sensitive receptor discussed earlier responds to light the curve does not count at all. Likewise, it has nothing to say about the red and infrared the rest of the body (or mitochondria within the eye) absorbs. So under this standard, a bulb that puts most of its energy into infrared is wasting it, one that produces a narrow band of visible light and nothing else is nearly perfect, and the blue spike in an LED registers as a minor part of its output despite being the part the body&#8217;s clock reacts to the most.</p><p><span>In 2023, 248 scientists who had collectively published 2,697 papers on light and the circadian clock reached a consensus that the blue-enriched LEDs replacing our older bulbs disrupt circadian rhythms, that this disruption raises the risk of breast cancer, obesity, diabetes and sleep disorders, and that LED bulbs with a high blue content should carry a label warning they &#8220;may be harmful if used at night.&#8221;</span><a href="https://www.frontiersin.org/journals/photonics/articles/10.3389/fphot.2023.1272934/full"><sup><span>1</span></sup></a><sup><span> </span></sup><span>Similarly, when 52 household bulbs were recently measured, cool white LEDs and compact fluorescents were each estimated to suppress melatonin by about 12%, warm white LEDs by 3.6%, and incandescent bulbs by 1.5%,</span><a href="https://www.nature.com/articles/s41598-025-29882-7"><sup><span>1</span></sup></a><span> while a study of actual homes found those lit with energy efficient bulbs had nearly double the circadian-active light in the evening of those still using incandescents, and that nearly half of all homes were bright enough to suppress melatonin by 50%.</span><a href="https://www.nature.com/articles/s41598-020-75622-4"><sup><span>1</span></sup></a></p><p><span>The lost light is also highly consequential. Glen Jeffery&#8217;s team at University College London has spent years showing that deep red and infrared light (670-900nm) increases mitochondrial energy production, whereas the 420-450nm blue which dominates LEDs suppresses it. In 2024, they showed that shining 670nm red light on people&#8217;s backs for 15 minutes reduced the blood sugar spike from a glucose drink by around 27%.</span><a href="https://pubmed.ncbi.nlm.nih.gov/38378043/"><sup><span>1</span></sup></a><span> Then, in January 2026, they published an experiment mirroring much of Ott&#8217;s work. In a London office building lit entirely by LEDs (and with windows coated to reflect infrared), they placed ordinary 60 watt incandescent desk lamps around the benches of 11 workers for two weeks, while 11 others served as controls. The color contrast vision of every worker near the lamps improved (by roughly 25%), nothing changed in the controls, and the improvement lasted for two months after the lamps were taken away.</span><a href="https://www.nature.com/articles/s41598-026-35389-6"><sup><span>1</span></sup></a><sup> </sup>The authors noted that incandescent bulbs are being phased out on the basis of a standard which only considers visible light, and <strong>that their attempts to recreate the missing spectrum with infrared LEDs had limited success</strong>. </p><p><span>Last year, Senator Mike Lee of Utah, who chairs the Senate Energy and Natural Resources Committee, introduced the LIT Act (S. 1568) to undo this.</span><a href="https://www.congress.gov/bill/119th-congress/senate-bill/1568/text"><sup><span>1</span></sup></a><span> It removes general purpose light bulbs from the Department of Energy&#8217;s efficiency program, cancels the 2022 and 2024 rules, and prevents the agency from writing new ones,</span><a href="https://inside.lighting/news/25-06/new-bill-pushes-end-incandescent-light-bulb-ban"><sup><span>1</span></sup></a><sup><span> </span></sup><span>while leaving LEDs on the shelf for anyone who wants them. Lee has made his case on the grounds of cost and consumer choice, and said of the rules that &#8220;these regulations have nothing to do with saving the planet &#8212; they&#8217;re about controlling people.&#8221;</span><a href="https://www.eenews.net/articles/republicans-target-light-bulb-efficiency-rules-with-new-bill/"><sup><span>1</span></sup></a><sup><span> </span></sup><span>He has also introduced a broader bill to reform how the Department of Energy sets efficiency standards for the roughly 60 other products it regulates.</span><a href="https://www.energy.senate.gov/2026/8/chairman-lee-introduces-energy-efficiency-reform-act-of-2026"><sup><span>1</span></sup></a></p><p><span>Yesterday, </span><a href="https://www.energy.senate.gov/hearings/full-committee-hearing-to-receive-testimony-on-pending-legislation/"><span>a hearing</span></a><span> was finally held on the LIT Act, indicating this bill at last is gaining momentum (especially as this policy change is favored by the Republican party) so I edited the hearing down to where it was discussed:</span></p><div class="native-video-embed" data-component-name="VideoPlaceholder" data-attrs="{&quot;mediaUploadId&quot;:&quot;de0efe24-2e2d-4590-8193-4162a827bc98&quot;,&quot;duration&quot;:null}"></div><p><em>Note: watching Congressional and Senate hearings makes it depressing how much people will twist the truth to support industry (as the light bulb industry does not want to deal with competition from incandescent bulbs). What I found particularly comical here was the immense concern over the energy consumed by incandescent light bulbs (and other appliances) but not by data centers.</em></p><p><span>I hence believe it is pivotal we support Senator Lee&#8217;s efforts (as many within the Democrat party are committed to supporting these green energy saving measures as their health consequences are not taken into consideration).  </span>If this matters to you, the most useful thing you can do is <a href="https://www.senate.gov/senators/senators-contact.htm">use this directory</a> to ask <a href="https://www.senate.gov/senators/senators-contact.htm">your Senators</a> to support advancing and consider cosponsoring S. 1568 and to ask <a href="https://www.house.gov/representatives">your Representative</a> to likewise support advancing and consider cosponsoring H.R. 3341&#8212;particularly if your senator is one of the people on that Senate committee (Barrasso-WY, Cantwell-WA, Cassidy-LA, Cortez Masto-NV, Cotton-AR, Daines-MT, Gallego-AZ, Heinrich-NM, Hickenlooper-CO, Hirono-HI, Hoeven-ND, Hyde-Smith-MS, Justice-WV, King-ME, Lee-UT, McCormick-PA, Murkowski-AK, Padilla-CA, Risch-ID, Wyden-OR).</p><p><em><span>Note: there are many other issues with these artificial lights I did not cover here (many of which I greatly dislike being around).</span></em></p><h1>Liquid Crystalline Motion</h1><p>A major mystery in biology is how fluids are able to continually move throughout it without a pressure gradient (e.g., one created by a pump) existing to drive that flow. For example, once blood returns to the capillaries, it transitions from no blood pressure to a rapid flow within the veins, something that should not be possible within the conventional pressure based hydrostatic model. Likewise, the force that would be needed for the heart to move blood throughout the circulation greatly exceeds the force that the heart muscle is capable of providing (which is a key reason why certain schools of medicine believe the heart&#8217;s primary function is not to pump blood through the body).</p><p><a href="https://www.midwesterndoctor.com/p/what-is-the-forgotten-side-of-water">Gerald Pollack</a> at last found an answer to this vexing question. <a href="https://www.midwesterndoctor.com/p/what-is-the-forgotten-side-of-water">Many throughout history have observed</a> that water often enters a state where it doesn&#8217;t quite behave like a solid, but neither does it act like a liquid. Pollack, building upon their work, <a href="https://www.midwesterndoctor.com/p/the-hidden-powers-of-water-that-shape">concluded that</a> under the right conditions, water (H&#8322;O) can kick out hydrogen atoms, and transform into a lattice of negatively charged H&#8323;O&#8322; molecules. Those conditions specifically are the presence of a polar (charged) surface which can form the base to begin building this H&#8323;O&#8322; lattice and an external energy source to fuel its creation.<br><br>This fourth phase of water (discussed further <a href="https://www.midwesterndoctor.com/p/the-hidden-powers-of-water-that-shape">here</a>) has a variety of unique properties, such as the fact it:<br><br>&#8226;Behaves like a gel or liquid crystal.<br><br>&#8226;Has an existing charge gradient which energy can be harvested from (due to the negatively charged H&#8323;O&#8322; existing adjacent to the positively charged H ions).<br><br>&#8226;It has a remarkable degree of solidity and flexibility which allows it to both reinforce everything within the body, protect surfaces of the body (e.g., the blood vessels from damage), and lubricate the motion between adjacent surfaces so they can slide against each other (all of which is discussed further <a href="https://www.midwesterndoctor.com/p/where-does-the-bodys-vitality-come-1cc">here</a>).</p><p>However, one property in particular stands out. When a tube coated with liquid crystalline water is emerged in a body of water (or a water-based solution like blood), <a href="https://www.midwesterndoctor.com/p/how-to-improve-zeta-potential-and">a spontaneous flow will occur</a> from one end of the tube to the other. This in turn functions as the basic pump which is used throughout nature (e.g., plants use it, cells use it, and many vessels besides those for blood in the body utilize it as well).<br><br>Pollack ultimately concluded that this flow occurs because the formation of liquid crystalline water continually releases positively charged protons, which repel each other and are driven forward. It&#8217;s noteworthy that almost all the critical vessels within the body are structured so that they can create a liquid crystalline pump and, hence, spontaneously direct flow through the body.</p><p>Sunlight in turn plays a variety of critical roles here as it:</p><p>&#8226;<a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5593895/">Induces the release of nitric oxide</a> (which dilates blood vessels and is one of the most important factors for cardiovascular health and increasing circulatory flow).</p><p>&#8226;<a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4456713/">Catalyzes the synthesis of cholesterol sulfate</a>, the primary substance the body uses to form the polar base liquid crystalline water is assembled from, which both makes spontaneous flow possible and protects blood vessels from the damage which would otherwise degrade their function and eventually result in a fatal cardiovascular condition.<br><br>&#8226;<a href="https://www.midwesterndoctor.com/p/what-makes-all-vaccines-so-dangerous">Poor zeta potential</a> often significantly inhibits <a href="https://www.midwesterndoctor.com/p/what-causes-water-to-move-inside">liquid crystalline water pumps from moving fluids</a>. UV light (as shown by the video from the previous section), in turn improves zeta potential and to some degree addresses that issue.</p><p>&#8226;<a href="https://www.amazon.com/Fourth-Phase-Water-Beyond-Liquid/dp/0962689548">As Pollack&#8217;s book shows</a>, sunlight provides the energy that drives the formation of liquid crystalline water, as many of the wavelengths of light which are the most effective at producing liquid crystalline water are also the types of light present within sunlight.  </p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!8b6e!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F005c1f05-6aba-4cc7-aeb4-bd5fcfb2565d_1334x1270.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!8b6e!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F005c1f05-6aba-4cc7-aeb4-bd5fcfb2565d_1334x1270.png 424w, https://substackcdn.com/image/fetch/$s_!8b6e!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F005c1f05-6aba-4cc7-aeb4-bd5fcfb2565d_1334x1270.png 848w, https://substackcdn.com/image/fetch/$s_!8b6e!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F005c1f05-6aba-4cc7-aeb4-bd5fcfb2565d_1334x1270.png 1272w, https://substackcdn.com/image/fetch/$s_!8b6e!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F005c1f05-6aba-4cc7-aeb4-bd5fcfb2565d_1334x1270.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!8b6e!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F005c1f05-6aba-4cc7-aeb4-bd5fcfb2565d_1334x1270.png" width="1334" height="1270" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/005c1f05-6aba-4cc7-aeb4-bd5fcfb2565d_1334x1270.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:1270,&quot;width&quot;:1334,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:704125,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!8b6e!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F005c1f05-6aba-4cc7-aeb4-bd5fcfb2565d_1334x1270.png 424w, https://substackcdn.com/image/fetch/$s_!8b6e!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F005c1f05-6aba-4cc7-aeb4-bd5fcfb2565d_1334x1270.png 848w, https://substackcdn.com/image/fetch/$s_!8b6e!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F005c1f05-6aba-4cc7-aeb4-bd5fcfb2565d_1334x1270.png 1272w, https://substackcdn.com/image/fetch/$s_!8b6e!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F005c1f05-6aba-4cc7-aeb4-bd5fcfb2565d_1334x1270.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p><em>Note: the EZ size ratio quantifies how effective different types of energy are at creating liquid crystalline water.</em></p><p><span>Infrared is the most effective part of the spectrum at building liquid crystalline water, and it is also what LEDs lack. Relatedly, one proposed explanation for why red and infrared light increase mitochondrial energy production is that the light acts on the water bound within the mitochondria rather than on an enzyme.</span><a href="https://pubmed.ncbi.nlm.nih.gov/31032294/"><sup><span>1</span></sup></a></p><p>If we take a step back, this also suggests the body was designed to capture sunlight (which makes sense given how good sunlight feels for the body). For example, whenever you are in the sun, (likely due to the production of nitric oxide) the veins at the surface of the body will dilate and in effect make it possible for a significant amount of venous blood to receive the sunlight which can pass through the skin there. Likewise, since sunlight drives the production of liquid crystalline water and hence blood flow, this ensures that new blood is continually getting exposed to sunlight at the most superficial veins.  Similarly, it also provides further evidence for the &#8220;wasted&#8221; energy in incandescent light bulbs is actually their most important part.</p><p><em>Note: the entire liquid crystalline water topic is discussed in more detail <a href="https://www.midwesterndoctor.com/p/the-hidden-powers-of-water-that-shape">here</a>.</em></p><h1><strong>Blood Conducts Light</strong></h1><p>Much of Ott&#8217;s work revolved around getting the light we needed inside the body. Parallel to this, a variety of other innovators discovered that bringing light inside the body (e.g., with a laser) yields a variety of meaningful benefits. Similarly, like Ott, they often found illness results from the body's inability to bring the light it needed into itself.</p><p>One of the oldest approaches to bringing light inside the body was to extract blood from the body and then transfuse it back in, exposing it to light (typically ultraviolet) before it had entered the body and thereby bypassing the barriers skin created to light entering the body.</p><p>When I started experimenting with this therapy, I began noticing that I would often see rapid improvements occur which seemed to be occurring too quickly for it to simply have been a product of the blood itself circulating through the body and affecting whatever it came into direct contact with.<br><em>Note: I have also observed this rapid change with a few other therapies (e.g., the previously mentioned exosomes), which I believe in part work through mitogenic radiation.</em></p><p>Since I noticed there were often immediate subtle physiologic changes one could notice once illuminated blood entered the body (alongside a subjective feeling of improvement within sensitive patients), I started experimenting with turning the external light source on and off midway through a treatment.</p><p>From this, I noticed that once a direct line of blood had been formed from where the light source was contacting the blood outside the body to where the blood entered the body at the IV site (but not before a connected circuit had been established, such as when the bloodless saline which had primed the IV was still emptying into the IV), there would be an immediate response in the patient (within a few seconds) to the light source being changed. I interpreted this to mean that blood could conduct light, and hence by illuminating one part of the circulation, it rapidly illuminated all (or most) of it.<br><em>Note: I also repeatedly tested this on myself and was able to verify under controlled conditions that I could tell when the blood outside my body was and was not being exposed to light.</em></p><p>Presently, I believe this conductivity is due to:</p><p><strong>1.</strong> The secondary emissions of ultraviolet radiation from blood cells. Earlier for example I discussed how the researchers of MGR observed that exposing certain things within the body (e.g., blood) would cause them to&nbsp;emit MGR. Likewise, when blood is exposed to UV light and then placed in darkness next to photography paper which is sensitive to UV light, the photography paper will be exposed, indicating that the blood is emitting light.</p><p><strong>2.</strong> Many living proteins function by transferring electrons from one place to another to facilitate the basic processes of life (for example, the electron transport chain is what mitochondria use to produce the energy which sustains the body). A class of circular biological models known as the <a href="https://en.wikipedia.org/wiki/Porphyrin">porphyrins</a> excel at this function (e.g., they are part of the mitochondrial electron transport chain), and as Arthur Fristenberg makes an extensive case for in chapter 10 <a href="https://www.amazon.com/Invisible-Rainbow-History-Electricity-Life/dp/1645020096">of his book</a> about the biological toxicity of EMFs, porphyrins effectively function as semiconductors and are used in the most critically important parts of the body (e.g., throughout the nervous system). Two of the most well known porphyrins are as follows:</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!Zzqq!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F07b1118f-6da4-4845-a1ff-d6c3bee5d025_2354x2014.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!Zzqq!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F07b1118f-6da4-4845-a1ff-d6c3bee5d025_2354x2014.png 424w, https://substackcdn.com/image/fetch/$s_!Zzqq!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F07b1118f-6da4-4845-a1ff-d6c3bee5d025_2354x2014.png 848w, https://substackcdn.com/image/fetch/$s_!Zzqq!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F07b1118f-6da4-4845-a1ff-d6c3bee5d025_2354x2014.png 1272w, https://substackcdn.com/image/fetch/$s_!Zzqq!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F07b1118f-6da4-4845-a1ff-d6c3bee5d025_2354x2014.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!Zzqq!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F07b1118f-6da4-4845-a1ff-d6c3bee5d025_2354x2014.png" width="1456" height="1246" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/07b1118f-6da4-4845-a1ff-d6c3bee5d025_2354x2014.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:1246,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:278539,&quot;alt&quot;:&quot;&quot;,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" title="" srcset="https://substackcdn.com/image/fetch/$s_!Zzqq!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F07b1118f-6da4-4845-a1ff-d6c3bee5d025_2354x2014.png 424w, https://substackcdn.com/image/fetch/$s_!Zzqq!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F07b1118f-6da4-4845-a1ff-d6c3bee5d025_2354x2014.png 848w, https://substackcdn.com/image/fetch/$s_!Zzqq!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F07b1118f-6da4-4845-a1ff-d6c3bee5d025_2354x2014.png 1272w, https://substackcdn.com/image/fetch/$s_!Zzqq!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F07b1118f-6da4-4845-a1ff-d6c3bee5d025_2354x2014.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p>As chlorophyll makes it possible to extract the energy from sunlight and turn it into fuel, many have hence speculated hemoglobin can do the same, and it is my belief that it plays a critical role in allowing the energy from sunlight to transfer throughout the bloodstream. Likewise, others (e.g., Dr. Mercola) have concluded that a critical role of the mitochondria is to transfer and convert photons from sunlight into electrons that can be processed in the electron transport chain of the mitochondria and converted it into energy (ATP) the body can use.</p><p><span>The University College London group has independently arrived at several of these points. They attribute the harm from LED blue light to it being absorbed by porphyrins in the mitochondria (which then generate singlet oxygen), and have repeatedly found that light applied to one part of the body changes what happens elsewhere (e.g., red light on the back lowering blood sugar,</span><a href="https://pubmed.ncbi.nlm.nih.gov/38378043/"><sup><span>1</span></sup></a><span> or in an animal model of Parkinson&#8217;s disease, light directed at the abdomen or legs protecting the brain</span><a href="https://pubmed.ncbi.nlm.nih.gov/36949610/"><sup><span>1</span></sup></a><span>), which they posit is because mitochondria signal each other through factors carried in the blood.</span><a href="https://www.nature.com/articles/s41598-026-35389-6"><sup><span>1</span></sup></a><sup> </sup>Additionally, one of the most published melatonin researchers (and colleagues) has proposed that near infrared light, which reaches muscle, brain and bone, stimulates mitochondria to produce their own melatonin as an antioxidant, and hence that daytime sun matters as much for melatonin as nighttime darkness.<a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9855654/"><sup><span>1</span></sup></a></p><p><em>Note: I believe other aspects of the body (e.g., the nerves and <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4562093/">the physical correlates of the acupuncture channels</a>) also conduct light.</em></p><p>3. Blood cells having a high absorbance of specific visible light and UV wavelengths.  For example, <a href="https://ui.adsabs.harvard.edu/abs/2003SPIE.5254..257C/abstract">to quote on study on red blood cell light absorbance</a>:</p><blockquote><p>The outstanding absorption peaks appeared at 416nm [long UV], 542nm [green], 578nm [yellow] in the absorptions curve of RBC, but there were also absorption peaks at 282 [UV B], and 345 mm [UV A]. The absorbance of RBC almost reached zero, and no characteristic absorption peaks between 600-800nm wavelength were observed.</p></blockquote><p><em>Note: <a href="https://pubmed.ncbi.nlm.nih.gov/8558361/">as this study shows</a>, white blood cells also have a strong affinity for absorbing UV light (which likely underlies part of the therapeutic efficacy of <a href="https://www.midwesterndoctor.com/p/the-century-of-evidence-putting-light">ultraviolet blood irradiation</a>).</em></p><p>Assuming blood indeed conducts light, this provides an important context to many of the ideas outlined thus far. For example:</p><p>&#8226;It explains why a localized administration of light can rapidly have a systemic effect throughout the entire body (something commonly observed when a light based therapy is utilized).<br><em>Note: I suspect this also applies to stem cell therapy.</em></p><p>&#8226;It explains the vital importance of sunlight exposure to the eyes. Since the eyes are by far the most transparent part of the body to light (e.g., the early pioneers of zeta potential evaluated it within the body by looking at the behavior of blood cells <a href="https://www.midwesterndoctor.com/p/what-makes-all-vaccines-so-dangerous">within the vessels of the eyes</a>), the eyes serve as the gateway which allows sunlight to travel throughout the body.<br><br>&#8226;It explains why wearing glasses can be so incredibly problematic and why the ophthalmology profession's focus on preventing UV sun damage to the eyes is misguided.</p><p>&#8226;It helps to explain why many people observe significant benefits from practicing <a href="https://en.wikipedia.org/wiki/Sungazing">sungazing</a>.<br><em>Note: while some individuals benefit from sungazing, the scientific literature contains many cases of people who damaged or lost their sight due to it (and I likewise have occasionally encountered someone this happened to&#8212;along <a href="https://www.midwesterndoctor.com/p/dmso-heals-the-eyes-and-transforms">readers sharing cases</a> where DMSO healed it), so I believe it is often much better to simply get the eyes healthy natural light exposure throughout the day.</em></p><p>&#8226;It explains how mitogenic radiation can be precisely applied throughout the body and the significance of the optic nerve radiating mitogenic radiation into the brain once it&#8217;s illuminated by sunlight.<br><em>Note: in <a href="https://www.midwesterndoctor.com/p/how-the-heart-controls-exactly-where">a previous article</a>, I also discussed Russian research which shows how the heart is able to direct blood throughout the body to where it is most needed (e.g., to heal damaged tissue).</em></p><p>Conversely, it also raises another important question. What happens when this process is disrupted?</p><p>For example, a common observation in chronic illness is that one loses the ability to tolerate being exposed to the sun (either within their eyes or on their skin), and as I&#8217;ve read through the work of many pioneers of light therapy, I&#8217;ve noticed many of them felt those who most benefited from it were those who for one reason or another had partially lost the normal ability to metabolize external sunlight.</p><p>Similarly, we find one&#8217;s tolerance to sunlight (e.g., how long it takes them to develop a sunburn) dramatically improves as they undergo some type of restorative process to repair the body&#8217;s metabolism of sunlight. For example, as discussed in <a href="https://www.midwesterndoctor.com/p/dermatologys-disastrous-war-against-f81">the previous article</a>, unhealthy dietary changes appear to have played a key role in the body&#8217;s ability to tolerate sunlight, as when <a href="https://www.midwesterndoctor.com/p/dermatologys-disastrous-war-against-f81">these nutritional issues are corrected</a>, the body&#8217;s ability to tolerate sunlight often dramatically increases.</p><p><em>Note: generally speaking, the best approach to sunbathing is to do it around noon (as this is when the healthiest UV is present) and stop once your skin starts to show the initial signs of excessive exposure (e.g., white skin becomes slightly pink).</em></p><p>Presently, I&#8217;ve identified two models to explain why many have lost the ability to metabolize sunlight.</p><p>First (due to the properties of liquid crystalline water) the transference of light into the body relies upon the ability of blood (or interstitial fluid) to freely flow in the smallest vessels at the surface of the body so new fluids can continually be exposed to (and absorb) light they bring into the body. One of the most common things which impedes microcirculation throughout the body is <a href="https://www.midwesterndoctor.com/p/what-makes-all-vaccines-so-dangerous">a poor physiologic zeta potential</a>, as once fluids begin to clump together, smaller pumps (such as the liquid crystalline water derived ones), no longer suffice to create a fluid flow within them. In turn, this leads to fluids at the surface of the skin becoming over exposed (e.g., overheated) and the surrounding tissue eventually experiencing a sunburn from that excessive energy.<br><em>Note: I&#8217;ve long suspected this process going awry underlies many dermatologic conditions.</em></p><p>Secondly, as discussed above, it&#8217;s very possible a key function of the mitochondria is to absorb the energy of photons and convert them into energy the body can use. If the mitochondria are unable to adequately perform that function (which sadly is often the case as mitochondrial dysfunction is now one of the most common chronic illnesses in our society), that will result in a bottleneck occurring within their electron transport chain, which in turn creates both <a href="https://en.wikipedia.org/wiki/Reductive_stress">reductive stress</a>, and the light&#8217;s energy needing to dissipate into another part of the body which is not designed to absorb it (which hence damages it).</p><p><em>Note: I&#8217;m presently not sure which of these models is more correct. Furthermore, due to how much they overlap with each other (e.g., people with complex chronic illnesses typically both have a poor zeta potential and mitochondrial dysfunction, and fixing one of these often improves the other), it&#8217;s very possible both are applicable.</em></p><h1>Conclusion:</h1><p>One of my longstanding beliefs is that whenever a cheap and widely available therapy exists, the medical system is incentivized to bury it, as lucrative markets emerge once its benefits are no longer there. Natural light is one of the clearest examples of this. Despite over a century of research supporting it, a wide range of medical devices which work by putting specific wavelengths of light into the body (the most remarkable of which, ultraviolet blood irradiation, is discussed <a href="https://www.midwesterndoctor.com/p/the-century-of-evidence-putting-light">here</a>), and most importantly, people simply feeling better in natural light, its importance has been almost completely dismissed by the medical profession, and we have instead been subjected to ever increasing amounts of unhealthy light (often without any say in the matter).</p><p>Given how long this has gone on, I find it almost unbelievable that there is finally the political will to let us move back towards a healthier form of light. I am hence immensely grateful to Senator Lee for being willing to take this issue on, and to each of you, as your support for this publication is what has made it possible to bring forgotten sides of medicine like this one back into the public&#8217;s awareness. I sincerely hope each of you will take a few minutes to <a href="https://www.senate.gov/senators/senators-contact.htm">contact your Senators</a> about S. 1568 (<a href="https://www.house.gov/representatives">or Representatives</a> about H.R. 3341).</p><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://www.midwesterndoctor.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">Your Support Makes The Forgotten Side of Medicine possible! To receive new posts and support my work, please consider becoming a free or paid subscriber!</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div><p><em>To learn how other readers have benefitted from this publication and the community it has created, their feedback can be viewed <a href="https://www.midwesterndoctor.com/p/reader-feedback">here</a>. Additionally, an index of all the articles published in the Forgotten Side of Medicine can be viewed <a href="https://www.midwesterndoctor.com/p/an-index-of-the-forgotten-side-of">here</a>.</em></p><div class="captioned-button-wrap" data-attrs="{&quot;url&quot;:&quot;https://www.midwesterndoctor.com/p/the-hidden-harms-of-modern-lighting?utm_source=substack&utm_medium=email&utm_content=share&action=share&quot;,&quot;text&quot;:&quot;Share&quot;}" data-component-name="CaptionedButtonToDOM"><div class="preamble"><p class="cta-caption">Thank you for reading The Forgotten Side of Medicine. This post is public so feel free to share it.</p></div><p class="button-wrapper" data-attrs="{&quot;url&quot;:&quot;https://www.midwesterndoctor.com/p/the-hidden-harms-of-modern-lighting?utm_source=substack&utm_medium=email&utm_content=share&action=share&quot;,&quot;text&quot;:&quot;Share&quot;}" data-component-name="ButtonCreateButton"><a class="button primary" href="https://www.midwesterndoctor.com/p/the-hidden-harms-of-modern-lighting?utm_source=substack&utm_medium=email&utm_content=share&action=share"><span>Share</span></a></p></div><p></p>]]></content:encoded></item><item><title><![CDATA[The COVID Shot Was Three Vaccines, Not One & How We Can Heal From Them ]]></title><description><![CDATA[Persistent mRNA, plasmid DNA in the nucleus, and shedding &#8212; why the spike protein never stops, and what has actually worked for treating it]]></description><link>https://www.midwesterndoctor.com/p/the-covid-shot-was-three-vaccines</link><guid isPermaLink="false">https://www.midwesterndoctor.com/p/the-covid-shot-was-three-vaccines</guid><dc:creator><![CDATA[A Midwestern Doctor]]></dc:creator><pubDate>Sun, 13 Sep 2026 20:32:03 GMT</pubDate><enclosure url="https://substack-post-media.s3.amazonaws.com/public/images/8e4d8f53-19c8-4610-ab30-8707113536f3_2448x1300.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p><strong>Story at a Glance:</strong></p><ul><li><p><strong>Throughout the development, production and distribution of the COVID vaccines, whenever a choice had to be made between safety and efficacy, efficacy won&#8212;a pattern which can be traced through the antigen chosen, the nanoparticles used to deliver it, the modifications made to the mRNA, and the doses selected.</strong></p></li><li><p><strong>Once the vaccines reached the public, a series of things happened which were not supposed to be possible, the most significant being that the spike protein kept being produced for months or years after injection, and that unvaccinated people around the vaccinated became ill in clear and reproducible patterns.</strong></p></li><li><p><strong>For years I assumed this was simply the predictable result of a rushed and profit-driven product. However, while researching the existing vaccine designs, I learned that bringing foreign DNA into the nucleus of cells is already an established vaccine technology&#8212;which not only offers a far more feasible explanation for the persistence, but suggests those designs were chosen knowing what they would do.</strong></p></li><li><p><strong>This matters because continual antigen production and spread through a population are not accidents of these platforms. They are the longstanding goals of vaccination itself, and are now being made explicit by the next generation of &#8220;replicon&#8221; vaccines which are designed to keep producing antigen long after injection.</strong></p></li><li><p><strong>Spike protein injuries have consequently become one of the most widespread and complex illnesses the population currently faces, yet there is almost no mainstream research on them and no established protocols for treating them&#8212;which is why I am continually asked what can actually be done.</strong></p></li><li><p><strong>This article is the result of a large project to answer that question. It covers the treatments which have consistently worked, why the far greater number of failures reveal so much about both the supplement industry and how chronic illness is approached in general, and everything we now know about shedding.</strong></p></li></ul><p>I have always been drawn to puzzles that contain large amounts of &#8220;unknown information&#8221; as this forces you to consider a wide range of possibilities, but simultaneously have the discernment to recognize which of those potential answers is the most probable and hence is less likely to backfire on you if you commit to it.</p><p>On one hand, many people have a total intolerance for anything uncertain or unsanctioned (which is why many medical professionals are unwilling to do anything slightly &#8220;unorthodox&#8221;&#8212;even if it is essentially a given that the existing conventional options will lead to a bad outcome for their patient (e.g., death from an &#8220;incurable&#8221; illness).  On the other end of the spectrum, many people will be too eager to commit to unsubstantiated answers, and in many cases (due to confirmation bias), collect a body of highly questionable evidence that supports their chosen possibility (which in the case of the COVID vaccines, has resulted in numerous theories briefly going viral which are completely at odds with reality&#8212;and often basic science).</p><p>This, in turn, has been the lens I&#8217;ve observed the COVID vaccines through, as beyond the mRNA gene therapies still being in the experimental stage when they were given to the entire population, we saw a lot of very strange things occur which hence invited equally strange explanations for what was going on.  </p><p>For example, since the vaccines came out, embalmers have been observing science fiction-like massive rubbery clots coming out of the bodies of deceased individuals who had been vaccinated.  <a href="https://laurakasner.substack.com/?utm_campaign=profile_chips">A few citizen researchers</a>, in turn, have been trying to draw attention to this issue and have conducted numerous surveys of embalmers (which many professional organizations resisted) that were able to show those clots indeed were being found, and recently were able to have the 2022-2025 results <a href="https://ijirms.in/index.php/ijirms/article/view/2201">be published in a medical journal</a>&#8212;where across 808 responses, 66% to 83% of embalmers reported finding these clots in roughly 19% to 27% of embalmed bodies.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!SV_1!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F826ddd90-ab2f-4ae2-af83-1048d35f5caf_640x682.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!SV_1!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F826ddd90-ab2f-4ae2-af83-1048d35f5caf_640x682.png 424w, https://substackcdn.com/image/fetch/$s_!SV_1!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F826ddd90-ab2f-4ae2-af83-1048d35f5caf_640x682.png 848w, https://substackcdn.com/image/fetch/$s_!SV_1!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F826ddd90-ab2f-4ae2-af83-1048d35f5caf_640x682.png 1272w, https://substackcdn.com/image/fetch/$s_!SV_1!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F826ddd90-ab2f-4ae2-af83-1048d35f5caf_640x682.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!SV_1!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F826ddd90-ab2f-4ae2-af83-1048d35f5caf_640x682.png" width="640" height="682" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/826ddd90-ab2f-4ae2-af83-1048d35f5caf_640x682.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:682,&quot;width&quot;:640,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:536659,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:null,&quot;href&quot;:null,&quot;belowTheFold&quot;:false,&quot;topImage&quot;:true,&quot;internalRedirect&quot;:&quot;https://www.midwesterndoctor.com/i/214758994?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F826ddd90-ab2f-4ae2-af83-1048d35f5caf_640x682.png&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!SV_1!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F826ddd90-ab2f-4ae2-af83-1048d35f5caf_640x682.png 424w, https://substackcdn.com/image/fetch/$s_!SV_1!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F826ddd90-ab2f-4ae2-af83-1048d35f5caf_640x682.png 848w, https://substackcdn.com/image/fetch/$s_!SV_1!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F826ddd90-ab2f-4ae2-af83-1048d35f5caf_640x682.png 1272w, https://substackcdn.com/image/fetch/$s_!SV_1!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F826ddd90-ab2f-4ae2-af83-1048d35f5caf_640x682.png 1456w" sizes="100vw" fetchpriority="high"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p>These disconcerting findings in turn met a variety of expected responses ranging from refusals to discuss the topic at all, to denials they existed (despite the extensive work the citizen journalists did to reveal that they did) to a variety of shocking explanations being put forward to explain what they were (e.g., alien parasites or nanotechnology).</p><p>While I was trying to make sense of this topic, I came across a largely unnoticed paper on COVID-19 that stated the spike protein causes fibrin (which the body uses to create long-lasting blood clots) to misfold. Since the body depends on a precise balance between enzymes creating and breaking down fibrin clots, if misfolded fibrin were to be formed, there was a high likelihood that the body's clot breaking enzymes would no longer match it, and hence that the body would not be able to break these clots, thereby allowing them to grow unchecked until they eventually became the massive clots embalmers were finding, particularly since the study modeling this was able to show (nowhere near as large) irregular fibrin clots formed by the spike protein that were resistant to the enzymes the body used to break down clots&#8212;all of which I detailed in <a href="https://www.midwesterndoctor.com/p/what-is-causing-the-died-suddenly">this 2022 article</a>.  That model then became the accepted explanation and researchers were subsequently able to develop blood tests that showed the amyloid (misfolded) fibrin clots were present in the bloodstream.</p><h1>Malice or Malfeasance?</h1><p>Whenever something bad happens on a large scale, a case can normally be made that it was due to a deliberate desire to harm others, incompetence (and a tendency to double-down on one&#8217;s mistakes), or simply a complete lack of concern for the human cost of whatever they want to do.  I tend to lean towards the latter explanation, as the strongest case frequently exists for it and it does not require ascribing (often ultimately unknowable) motives to someone else.</p><p>As such, from early on with the COVID-19 vaccines, I formed the impression that the vaccine industry (and to some extent the US government) felt they needed to get the vaccines to market as quickly as possible. For instance, leaders wanted a &#8220;working&#8221; vaccine to get to market as soon as possible (and ideally before the 2020 election) so the economy could be opened up, Operation Warp Speed was effectively a winner-take-all competition so whoever got the first vaccines to market would likely make most of the money in it and there was a real likelihood the population would develop herd immunity to COVID-19 before the vaccines came out (negating the need for them in the first place), which led not only to the vaccine being rushed along, but also federal health leaders trying to stall the virus enough for the vaccines to still have a market (e.g., HHS insiders admitted many of the 2020 "containment" measures were done to isolate the population so herd immunity could be delayed,<a href="https://x.com/MidwesternDoc/status/2087270069042913444"><sup>1</sup></a> and Scott Gottlieb, a recent FDA commissioner who became a Pfizer board member in 2019&#8212;advocated for lockdowns and publicly gave statements we were much further away from herd immunity than what he privately told the CIA<a href="https://brownstone.org/articles/pfizer-and-the-cia-privately-cited-high-population-immunity-in-may-2020-unclassified-document-reveals/?cb=1788349081456"><sup>1</sup></a><sup>,</sup><a href="https://x.com/jeffreytucker/status/2095493900123119954"><sup>2</sup></a>).  In contrast, African nations which did nothing for COVID-19 rapidly developed herd immunity to COVID and had dramatically lower death rates than the Western Nations.<em><br>Note: one of the most appalling aspects of this strategy was not only was herd immunity delayed to protect the vaccines, but the unnatural &#8220;immunity&#8221; the vaccines gave prevented the population from being able to develop herd immunity to COVID-19, thereby turning a passing pandemic into a permanent seasonal infection.  This was because the COVID vaccines created a very narrow immunity that locked the immune system onto the original strain (of a rapidly mutating virus), thereby both provoking the rapid evolution of variants but also making those locked onto the original virus less able to mount an immune response to the newer variants&#8212;shown by both Cleveland Clinic Research<a href="https://academic.oup.com/ofid/article/10/6/ofad209/7131292"><sup>1</sup></a> and countless Reddit reports of individuals being more likely to catch COVID the more shots they&#8217;d gotten<a href="https://x.com/Melchizedek1972/status/2094220799666204923"><sup>1</sup></a> (and in many cases catch COVID numerous times). While this was probably not intentional, it is notable that just two months after the COVID vaccines hit the market, vaccine CEOs were already talking about the COVID vaccine becoming an annual vaccination like the flu shot.<a href="https://www.cnbc.com/2021/02/09/covid-vaccine-jj-ceo-says-people-may-get-annual-shots-for-the-next-several-years.html"><sup>1</sup></a><sup>,</sup><a href="https://thehill.com/policy/healthcare/552861-top-hhs-official-covid-19-could-require-annual-boosters/"><sup>2</sup></a><sup>,</sup><a href="https://www.cnbc.com/2021/08/19/cdc-director-says-we-might-not-need-annual-covid-boosters-after-third-shot.html"><sup>3</sup></a><sup>,</sup><a href="https://www.reuters.com/world/us/us-covid-19-shots-remain-free-white-house-says-2022-09-06/"><sup>4</sup></a><sup>,</sup><a href="https://www.axios.com/2022/09/06/us-health-officials-annual-coronavirus-vaccines"><sup>5</sup></a></em></p><p>To expedite the vaccines, again and again, I identified how they appeared to have made the decision to cut as many corners as possible in each stage of its development, testing, production and distribution. As such, I long believed the fiasco we saw was simply due to a desire to make money and a complete lack of concern over the consequences the actions taken would create. However, while researching the existing vaccine designs for <a href="https://www.midwesterndoctor.com/p/how-to-determine-the-risks-and-benefits">a recent article</a>, I came across a rather surprising piece of information that has changed my perspective on what actually happened with the vaccines.</p><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://www.midwesterndoctor.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">The Forgotten Side of Medicine is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. To see how others have benefitted from this newsletter, click <a href="https://www.midwesterndoctor.com/p/reader-feedback">here</a>!</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div><h1>How Vaccines Work</h1><p><span>When the body is exposed to a foreign invader, a series of defensive responses are mounted. Some of these are relatively non-specific and hence can initiate immediately, while others are specific to the microbe and, though often more protective later, initially require time to become effective (as the tiny fraction of your randomly generated immune cells which match the invader must encounter them and then after being activated, have time to reproduce enough that a sufficient amount of those cells are present to control the invader).</span></p><p><em><span>Note: life revolves around having DNA (or RNA equivalents in certain viruses) be transformed by cellular enzymes into corresponding mRNA sequences, which is then transformed into corresponding protein sequences. Because of this, most organisms contain unique protein sequences that give them a &#8220;molecular fingerprint.&#8221;</span></em><span> <br><br>The theory of immunization, in turn, is that if you introduce the antigen (protein fingerprint) of the invader (without the invader also present), it becomes possible for the body to develop adaptive immunity to the antigen (and hence the pathogen which contains that antigen) without also having to survive a potentially dangerous infection. As such, a variety of different antigens are routinely injected under the belief doing so will create immunity to disease&#8212;even though in reality this frequently does not work or creates a host of problems from unintended off-target &#8220;immunity.&#8221; However, due to the religious fervor around vaccinations, the medical field essentially believes in the infallibility of this approach and continually tries to find every feasible way that can be done.</span></p><p><span>As such, over the years, a variety of methods have been created to develop these antigens.</span></p><p><span>Originally, the infectious microbe would either be cultured and then chemically inactivated (e.g., killed), filtered or selectively bred (via repeated passages through cellular mediums) so that the microbe was made less dangerous (e.g., no longer infectious) while still containing sufficient antigens to create an immune response (along with the microbe sometimes reproducing within the host and creating even more antigens to ensure the development of an immune response).</span></p><p>Later, once genetic engineering entered the picture, things would either be modified to produce the antigen so it could then be extracted (e.g., modified yeasts for Merck&#8217;s HepB and HPV vaccines or moth cells for Novavax), or <span>a virus would be modified</span> to carry the antigen and then mass <span>produced</span> outside of the body so those antigens could be delivered via the viruses (e.g., J&amp;J or <span>AstraZeneca&#8217;s</span> COVID vaccines).</p><p><span>Later still, genetic engineering made it possible to instead have the vaccine recipient&#8217;s cells produce the antigen (thereby allowing a much lower initial dose of the vaccine to be used). Many public health officials, in turn, pushed for this approach as it takes much less time to create the synthetic mRNA which did that than producing traditional vaccine antigens, thereby making it possible to bring vaccines to market for a new infection much sooner (whereas with annual flu shots, they have to be produced before the flu season and frequently end up being for different strains than what is circulating).</span></p><p><em><span>Note: there are a variety of safety and efficacy issues with each of the vaccine designs (e.g., many of the &#8220;essential&#8221; ones on the market either provide almost no benefit or make their infections worse) and when I went through all the standard ones, </span><a href="https://www.midwesterndoctor.com/p/how-to-determine-the-risks-and-benefits"><span>I could only identify one you could make a good case provided a net benefit</span></a><span> (along with a few non-standard ones like rabies </span><strong><span>after</span></strong><span> a bite). However, as mentioned before, due to the faith surrounding vaccines, every vaccine is assumed to be completely safe, effective and essential regardless of the actual data or logic underlying that assumption.</span></em></p><h1><span>Designing the mRNA Vaccines</span></h1><p>The vision of mRNA vaccines that was sold to the public is:</p><ul><li><p>A carefully crafted sequence of mRNA is created and then manufactured at scale.</p></li><li><p>This mRNA is introduced into cells by injecting muscles with lipid nanoparticles containing the mRNA (which then travel into just the muscle tissue and the cells in them).</p></li><li><p>Once in the cells, mRNA is transformed by the cellular machinery within the cytoplasm into a foreign antigen which gradually travels out of the cell and coats its surface, where the immune system can recognize the antigen and develop an immune response.</p></li><li><p>Not long after, the immune system breaks the mRNA down and the entire process stops.</p></li></ul><p>However, while that was the vision, it had major problems, and for decades attempts to find an acceptable balance between safety and efficacy failed (Dr. Malone, one of its pioneers, abandoned lipid-nanoparticle delivery in the 1990s after documenting its profound toxicity<a href="https://www.malone.news/p/update-moderna-and-pfizer-mrna-vax">&#185;</a>). This is best shown by Moderna, which raised billions from investors by selling the vision of life as software you could rewrite into health, yet could not deliver what was arguably the easiest mRNA therapy target on the market &#8212; a rare disease needing a single missing liver enzyme &#8212; because no dose was both low enough to be safe on repeat injection and high enough to work.<a href="https://www.statnews.com/2017/01/10/moderna-trouble-mrna/"><sup>1</sup></a>,<a href="https://www.statnews.com/2016/09/13/moderna-therapeutics-biotech-mrna/"><sup>2</sup></a> According to former Moderna employees in 2017, this left vaccines as the only viable use of the technology, since a vaccine needs just one or two doses and the toxicity that made repeat dosing impossible never had a chance to accumulate.<a href="https://www.statnews.com/2017/01/10/moderna-trouble-mrna/"><sup>1</sup></a></p><p>So, by the time COVID-19 arrived, both companies that would bring mRNA vaccines to market were in trouble. Moderna had gone public in December 2018 in what was then the largest biotech IPO in history, raising $604 million at a $7.5 billion valuation&#8212;and then watched its stock fall more than 19% on its first day of trading.<a href="http://biospace.com/moderna-therapeutics-biggest-ipo-in-biotech-history"><sup>1</sup></a><sup>,</sup><a href="http://thehustle.co/moderna-ipo-stock-biotech"><sup>2</sup></a><sup> </sup>It had no product, $60 million in revenue against $606 million in operating expenses, an accumulated deficit of $1.5 billion, and shrinking cash reserves, and it closed 2019 at $19.56 a share, below its $23 offering price.<a href="https://www.sec.gov/Archives/edgar/data/1682852/000168285220000006/moderna10-k12312019.htm"><sup>1</sup></a>,<a href="https://www.fool.com/investing/2024/01/21/if-you-invested-10000-in-moderna-in-2019/"><sup>2</sup></a> BioNTech was in a similar position: it had never taken a product past phase 2, its losses were widening, and its October 2019 IPO had to be cut from 13.2 million shares at $18&#8211;20 to 10 million at $15 before it could get done, closing its first day lower still.<a href="https://www.renaissancecapital.com/IPO-Center/News/65358/BioNTech-cuts-share-offering-and-lowers-proposed-range-to-$15-to-$16"><sup>1</sup></a><sup>,</sup><a href="https://www.bloomberg.com/news/articles/2019-10-09/biontech-ipo-raises-150-million-as-biotechs-dominate-listings"><sup>2</sup></a> One month before that IPO, the Bill &amp; Melinda Gates Foundation had bought a $55 million equity stake in BioNTech (with up to $100 million in total funding pledged), reportedly at around $18 a share, meaning the foundation was underwater the day the company listed.<a href="https://investors.biontech.de/news-releases/news-release-details/biontech-announces-new-collaboration-develop-hiv-and/"><sup>1</sup></a><sup>,</sup><a href="https://www.todayville.com/gates-foundation-bought-55-million-in-biontech-shares-in-2019-by-2021-that-stock-was-worth-over-1-billion/"><sup>2</sup></a> In other words, mRNA's two flagship companies entered 2020 needing exactly what a former Moderna employee had described three years earlier: a "miraculous, Hail Mary sort of save."<a href="https://www.statnews.com/2017/01/10/moderna-trouble-mrna/"><sup>1</sup></a></p><p>Given this, I felt it was a given they would take advantage of everyone&#8217;s desperation to get a viable vaccine to market by both cutting as many corners as possible and by leveraging the vast institutional support for the vaccine (e.g., liability protections, poor oversight of clinical trials, and zealous media support for the vaccine&#8212;particularly since Bill Gates, a key investor in the technology, had also cultivated a vast sphere of media influence through &#8220;donations&#8221; to many leading publications<a href="https://www.midwesterndoctor.com/p/how-medicine-became-too-big-to-fail"><sup>1</sup></a>).  As such, I was curious to see how they would solve the irreconcilable challenges with the mRNA technology and hypothesized whenever a balance needed to be found between efficacy and safety, efficacy would be chosen to expedite getting a COVID-19 antibody producing agent to market (since the widespread faith in vaccines makes robust antibody production one of the primary metrics regulators care about despite it often having a poor correlation to clinical benefit).</p><p>What follows is an (incomplete) list of how that balance was struck:</p><p>1. <strong>Choosing a toxic antigen:</strong> The easiest target for a vaccine was the COVID-19 spike protein since this was a novel part of the virus, needed for infection and highly immunogenic, so both Pfizer and Moderna&#8217;s vaccines were designed around causing cells to mass produce this protein (which was slightly modified so it could not fuse with cells and hence &#8220;safe&#8221; <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC7829931/"><sup>1</sup></a>) as this was by far the fastest way to reliably create an antibody producing vaccine.  However, there were a few problems with this approach.<br><br>Chiefly, since the (<strong>positively charged</strong>) spike protein was inherently toxic in numerous ways (hence why it was so immunogenic), by mass producing it inside the body, an effect was created that was arguably worse than a COVID infection (particularly for the individuals whose bodies could not clear the spike protein&#8212;which was shown as the distinguishing factor in <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC10010667/">a January 2023 study</a>). </p><p>Furthermore, this design was predisposed to creating off target immunity. For example, since the highly toxic antigen was expressed on the surface of cells, it was well-suited for provoking autoimmune responses&#8212;something made considerably more likely by the fact that the spike protein shares sequences with numerous human proteins.<a href="https://people.csail.mit.edu/seneff/2021/SeneffNigh_mRNA_vaccines_IJVTPR.pdf"><sup>1</sup></a> A 2022 peer reviewed analysis identified a motif shared between the spike protein and thrombopoietin (where cross-reactive antibodies could produce the thrombocytopenia seen in these patients), along with another motif shared with PRKG1, which is involved in platelet activation, and with tropomyosin, which is linked to cardiac disease<a href="https://pubmed.ncbi.nlm.nih.gov/35891400/"><sup>1</sup></a> (with the authors explicitly noting the implications of their findings for vaccine design).<a href="https://pubmed.ncbi.nlm.nih.gov/35891400/"><sup>1</sup></a><sup>. </sup></p><p><em>Note: <span>beyond autoimmune disorders frequently being</span> <a href="https://www.midwesterndoctor.com/p/what-can-megyn-kellys-adverse-reaction">associated with the COVID vaccines</a><span>, pathologists who examined the bodies of individuals who died after vaccination found unusual inflammatory infiltration and immune destruction of normal tissue expressing spike protein vaccine antigens (e.g., within the heart).</span><a href="https://www.midwesterndoctor.com/p/how-do-vaccines-cause-sudden-death"><sup>1</sup></a><sup>,</sup><a href="https://pierrekorymedicalmusings.com/p/pathologists-are-unaware-of-the-pathogen"><sup>2</sup></a></em></p><p>Likewise, by forcing the body to lock onto a single antigen (the original COVID-19 spike protein), pressure was made to rapidly mutate COVID to a different spike protein, thereby making immune systems locked onto the original strain less able to respond to the new ones (which as said before is why I believe the vaccines prevented us from developing herd immunity to COVID-19)&#8212;an issue sadly also <a href="https://www.midwesterndoctor.com/p/how-to-determine-the-risks-and-benefits">seen with many other vaccines that use a small number of antigens</a>.</p><p><em>Note: in 2022, I spoke to a few people who argued that China, knowing the US&#8217;s approach to vaccine development, may have designed COVID-19&#8217;s spike protein so that the likely vaccine for it would be highly dangerous. While it&#8217;s impossible to prove or disprove that hypothesis, it is noteworthy that China&#8217;s Sinovac instead used a traditional vaccine design (inactivating a COVID-19 virus), was significantly safer than the mRNA designs and debatably offered comparable efficacy to the mRNA vaccines<a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC8377801/"><sup>1</sup></a><sup>,</sup><a href="https://www.nature.com/articles/s41467-022-33169-0"><sup>2</sup></a><sup> </sup>(which rather than proving malice could simply illustrate that the Chinese were intelligent enough not to pursue a bad vaccine strategy).</em></p><p>2. <strong>Choosing dangerous lipid nanoparticles</strong>: as mentioned before, one of the unsolvable challenges in mRNA technology was making the lipid nanoparticles which delivered them inside cells be both safe and effective (as since mRNA carries a strong negative charge, a strongly positive lipid is needed to package it, but nothing in the body is permanently <strong>positively</strong> charged, so those lipids damage whatever cell membranes they touch&#8212;and simultaneously, since most of the particles are digested before they release anything, far more of them have to be injected than the body can tolerate). Curious how this would be solved, I read through regulatory documents leaked from the EMA (Europe&#8217;s FDA) <a href="https://www.bmj.com/content/372/bmj.n627.short">in December 2020</a>, and noted that when the nanoparticle design chosen (ALC-0159) was discussed, <strong>only efficacy was highlighted as a rationale for it</strong>&#8212;indicating, again, that since there were so few viable ways to make these nanoparticles work, efficacy was prioritized over safety so the products could be brought to market (while the only concern regulators raised was that since its metabolite was an acetamide and certain acetamides have been linked to liver cancer, this could potentially be an issue). As such, I felt it was likely these nanoparticles would have toxicity and issues with spreading to unintended sites in the body which was indeed what happened (e.g., confidential Pfizer documents were obtained through a May 2021 <a href="https://web.archive.org/web/20220811132713/https://int.artloft.co/wp-content/uploads/2021/06/Pfizer-bio-distribution-confidential-document-translated-to-english-1.pdf">Japanese FOIA</a> showing the vaccine nanoparticles accumulated in the ovaries).<br><em>Note: there are a few potential explanations for the significant clotting seen with COVID-19 and the vaccines (e.g., the previously mentioned amyloid clots or our observation the vaccine <a href="https://www.midwesterndoctor.com/p/why-is-the-vaccine-killing-our-young">causes a high rate</a> of the rare but severe autoimmune clotting disorder antiphospholipid syndrome&#8212;likely due to it provoking the immune system into attacking the phospholipid coating of spike protein expressing cells). However, my observation from the start of COVID-19 is that <a href="https://www.midwesterndoctor.com/p/what-makes-all-vaccines-so-dangerous">the positive charges of both the spike protein and the lipid nanoparticles</a> (which matter more acutely) appear to be what is causing the rapid clotting (and microclotting) seen with the vaccines and why so much of my focus since 2020 has shifted towards <a href="https://www.midwesterndoctor.com/p/how-to-improve-zeta-potential-and">restoring the physiologic zeta potential</a>.</em></p><p>3. <strong>Making mRNA resist degradation:</strong> Since foreign mRNA was rapidly degraded by cells, it was not possible to ensure enough would persist long enough to produce enough spike protein to generate the needed immune response. To address this, rather than using uridine (one of the four building blocks of RNA), the synthetic mRNA was manufactured with a modified version of it, pseudouridine, as RNA containing pseudouridine both resists degradation and hides from the immune sensors that would otherwise detect and destroy foreign RNA. In the body, this is a tightly regulated process where specific enzymes modify specific sites on specific mRNAs, and to this day it is not understood well enough to predict what a given modification will do. Rather than attempt to replicate that, the manufacturers simply replaced every uridine in the sequence and did so with N1-methylpseudouridine, a synthetic molecule more potent than the natural version which does not exist in the human body thereby guaranteeing enough was done for the mRNA to persist long enough to work.<a href="https://www.malone.news/p/pseudouridine-what-is-it-and-why"><sup>1</sup></a><sup>,</sup><a href="https://www.malone.news/p/when-is-mrna-not-really-mrna"><sup>2</sup></a></p><p>This however led to two major problems. First, since the process was overshot, the mRNA no longer merely lasted long enough to produce an immune response&#8212;it persisted for months, continually producing spike protein the whole time. This was first shown by a 2022 Stanford study that found vaccine mRNA and spike protein still present in the lymph nodes of recipients 60 days after their second dose (the latest point at which they looked),<a href="https://www.cell.com/cell/fulltext/S0092-8674(22)00076-9"><sup>1</sup></a> and corroborated by a Massachusetts General Hospital autopsy study that detected vaccine mRNA in the lymph nodes and heart muscle of patients who died within 30 days of vaccination,<a href="https://www.nature.com/articles/s41541-023-00742-7"><sup>1</sup></a> another study which found mRNA  persisted in the blood of 37% of recipients for at least two weeks after vaccination,<a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC11447892/"><sup>1</sup></a> along with being found in human blood, placenta and semen in many cases over 200 days since vaccination.<a href="https://web.archive.org/web/20251203093258/https://www.gavinpublishers.com/assets/articles_pdf/Detection-of-Pfizer-BioNTech-Messenger-RNA-COVID-19-Vaccine-in-Human-Blood-Placenta-and-Semen.pdf"><sup>1</sup></a><sup>,</sup><a href="https://www.semanticscholar.org/paper/Detection-of-Pfizer-BioNTech-Messenger-RNA-COVID-19-Mordechay-Baum/08192e8b34ed0f82ce83e726a0ff0d52d9907ba2"><sup>2</sup></a> Second, the key reason pseudouridine allows the mRNA to persist is that it hides it from the innate immune sensors (TLR7, TLR8, RIG-I and PKR) which exist to detect foreign RNA and destroy it.<a href="https://pubmed.ncbi.nlm.nih.gov/16111635/"><sup>1</sup></a><sup>,</sup><a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC2775451/"><sup>2</sup></a><sup> </sup>The long term consequences of this immune suppression however were never tested, and hence may play a contributing role in the immune suppression and cancer being seen following COVID vaccination.</p><p><em>Note: Codon optimization (which increases protein production from mRNA)</em> <em><a href="https://www.arkmedic.info/p/how-many-coincidences">may have also caused</a></em> <em>the vaccine to excessively produce spike protein in the cells&#8212;once again illustrating that efficacy was chosen over safety.</em></p><p>4. <strong>Excessive dosing:</strong> with any substance, as greater amounts are taken, adverse reactions and severe ones become more common (to the point everything has a lethal dose).  For something to be viable as a medicine, the dose needed to create a therapeutic effect has to be below its toxic dose, and generally, the greater that difference (the therapeutic window) is, the better the medication is (e.g., one of the main reasons why I&#8217;ve been able to promote DMSO is because the therapeutic window is so wide, most people who use it correctly have positive rather than negative effects), whereas the narrower it is, the more high risk the medication is and the more precisely its dosage has to be controlled (e.g., this is why chemo is frequently given at infusion centers).  Further complicating this, the toxic dose (and effective dose) vary person to person, so frequently, the medication&#8217;s therapeutic window is narrow enough no optimal dose exists for everyone, which results in the medical system throwing the sensitive patients under the bus who can&#8217;t tolerate the standardized doses the medical system revolves around.</p><p>With the mRNA technology, as mentioned above, a major problem was that the therapeutic window was too small for it to be a viable therapy (as doses high enough to work were also toxic), and while the therapeutic window widened when vaccination (rather than addressing a genetic defect) was the goal, the fundamental issue still remained that there did not appear to be an optimal way to dose the therapy. As such, I was curious how this would be addressed, and immediately noticed <a href="https://www.midwesterndoctor.com/p/why-was-moderna-allowed-to-use-a">Moderna used a dose which was 3.3x greater</a> than what even Pfizer would use (something I attributed to Moderna at that point being desperate to bring a viable product to market). Remarkably, <a href="https://www.midwesterndoctor.com/p/why-was-moderna-allowed-to-use-a">subsequent safety data</a> showed Moderna&#8217;s vaccine indeed had a higher rate of side effects, but despite a dose toxicity relationship being demonstrated, regulators never did anything to address it.</p><h1>Producing the mRNA vaccines</h1><p>One of the greatest challenges with bringing a pharmaceutical to market is scaling up its production. So, as you might guess, a lot of corners were cut here as well to be able to bring a viable product to market.  These included:<br><br>1. <strong>Vaccine mRNA rapidly degraded:</strong> This was one of the primary regulatory concerns with the vaccines (e.g., in the leaked EMA documents, numerous datasets were cited by regulators that showed the vaccine mRNA rapidly broke down into fragments), and is, I believe, why when the vaccines were first launched, a huge deal was made about keeping them ultra-frozen until injection (e.g., Pfizer shipped at -90&#176;C to -60&#176;C and Moderna shipped at -50&#176;C to -15&#176;C<a href="https://graphics.chicagotribune.com/covid-vaccine-logistics/blurb.html"><sup>1</sup></a>).  However, once the launch happened, this gradually became forgotten (e.g., the vaccines were left out for long periods at vaccination clinics and they switched to just refrigerating them).  <br><em>Note: when I initially learned about this, I was worried it would cause abnormal mRNA fragments to form that could be a potential safety risk, but I now believe this actually made the vaccine safer (as the more time they had to break down, the less active mRNA there was), and to some extent, this was <a href="https://www.bitchute.com/video/0rn1V1pwwOqY">supported by an adverse event reporting analysis</a> that found vaccine lots distributed further away from Europe&#8217;s manufacturing site (and hence having longer to break down) had a lower rate of adverse events, as did ones taken further away from the date of manufacture.</em></p><p>2. <strong>Doctored Western Blots</strong>: To assess if an intended protein is present, Western Blots are one of the most commonly used tests, and in the pre-AI era, due to computer generated ones being much less amorphous than natural ones, authors would frequently get caught fabricating Western Blot tests (e.g., this caused billions of dollars and years of Alzheimer&#8217;s research to be wasted on the amyloid hypothesis and was only caught after the fact by an independent investigator <a href="https://www.midwesterndoctor.com/p/the-great-alzheimers-scam-and-the">who noticed the artificial blots</a>). Given that it was a major question if the mRNA vaccines could actually work as promised (especially given their tendency to rapidly break down) when we looked into it, <a href="https://www.midwesterndoctor.com/p/we-now-have-definitive-proof-pfizer">we realized the blots needed to assess what was being produced were likely fabricated</a>.<br><em>Note: while I assumed this was done to gloss over the fact the vaccines had poor quality control (with many not producing the promised product), from looking at all the available blots, another reliable researcher made the case they showed something else <a href="https://threadreaderapp.com/thread/1610888191342710787.html">which was not disclosed was in the vaccines too</a> (and to this day, it has not been identified).</em></p><p>3. <strong>Vaccine contents varied lot by lot:</strong> in addition to <a href="https://howbad.info/">numerous VAERS analyses</a> (and published papers) showing the toxicity of COVID vaccine lots varied greatly, when Ryan Cole examined the COVID vaccines under a microscope (as detailed on The Highwire), he found what was present in the vaccines varied greatly (and likewise, <a href="https://www.reuters.com/business/healthcare-pharmaceuticals/japan-finds-stainless-steel-particles-suspended-doses-moderna-vaccine-2021-09-01/">Japan pulled 1.63M vials of Moderna&#8217;s vaccine</a><span> after visible metal particles were found in them</span>).  <a href="https://thehighwire.com/ark-videos/the-highwires-lab-investigation-of-covid-vaccines/">Cole felt these observations</a> indicated there were real quality control issues with the vaccines, that properly mixing the vaccines was challenging and that the process for the vaccines was very poor (resulting in some individuals getting excessive doses and others effectively getting saline shots&#8212;which mirrored our own experiences). Remarkably, when the UK&#8217;s MHRA was asked through a FOIA what testing had been done to look for contaminants in the COVID vaccines, they disclosed that some vials had been sent for a visual inspection test, which consisted of reviewing them against two monochrome backgrounds to observe particulate matter visible to the naked eye, and explicitly stated the composition of the vaccine was not examined.<a href="https://www.whatdotheyknow.com/request/contaminants_in_the_uk_covid_exp"><sup>1</sup></a></p><div class="native-video-embed" data-component-name="VideoPlaceholder" data-attrs="{&quot;mediaUploadId&quot;:&quot;01632ef1-a3bc-4132-ab2b-14afa201c282&quot;,&quot;duration&quot;:null}"></div><p><em>Note: while Cole&#8217;s explanation for this is the most probable explanation, it is also possible saline was given because not enough vaccine product was available to meet the committed orders.</em></p><p><span>4. </span><strong><span>The production process was changed</span></strong><span>. When the original COVID vaccines were made for the clinical trials, in Process 1, they were produced by:</span></p><p><span>&#8226;Starting with a circular plasmid that had the vaccine sequence on it.<br>&#8226;Using PCR to copy that sequence and turn it into linear DNA.<br>&#8226;Having T7 RNA polymerase make the vaccine mRNA from those linear <br>&#8226;DNA templates.<br>&#8226;Purifying the result so that, for the most part, what you had left was the mRNA.<br><br>The problem with this approach, however, was that it did not scale anywhere close to the volume needed for the public roll-out. So when it came time to bring it to market, they cut corners and improvised a different way with Process 2:<br><br>&#8226;Starting with the same kind of circular plasmid and introducing them to E. coli bacteria.<br>&#8226;Growing E. coli that now had that plasmid in them.<br>&#8226;Using an antibiotic to eliminate E. coli in the culture that did not have the plasmid (as beyond producing a spike protein, the plasmid also contained a gene for antibiotic resistance).<br>&#8226;Once they had a pool of bacteria carrying the plasmid, they killed them and extracted the plasmids which were then cut into linear DNA.<br>&#8226;Having T7 RNA polymerase make the vaccine mRNA from those linear DNA templates.<br>&#8226;Purifying the result so that, for the most part, what you had left was the mRNA.</span></p><p>This shift, in turn, created a few key issues such as a different product being tested in the clinical trials than what was given to the public. Of these, the greatest one was that in Process 2, a different DNA plasmid was used, and that altered plasmid was not effectively purified from the final product.  This, in turn, was discovered by <a href="https://anandamide.substack.com/">Kevin McKernan</a>, who having a background in genetic sequencing, decided to find out what was in the vaccines and <a href="https://anandamide.substack.com/p/curious-kittens">discovered that</a> not only was plasmid DNA present in them, but they contained an undisclosed SV40 virus promoter sequence (which included 72 base pairs that were repeated). These results were eventually <a href="https://www.tandfonline.com/doi/full/10.1080/08916934.2025.2551517#d1e271">published in a 2025 paper</a>, that also showed the rate of adverse reactions to the COVID vaccines had a correlation to the presence of SV40 containing plasmids.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!fpvQ!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F1d112fbe-396c-442b-bf32-b77b2f52f66f_1500x1262.jpeg" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!fpvQ!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F1d112fbe-396c-442b-bf32-b77b2f52f66f_1500x1262.jpeg 424w, https://substackcdn.com/image/fetch/$s_!fpvQ!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F1d112fbe-396c-442b-bf32-b77b2f52f66f_1500x1262.jpeg 848w, https://substackcdn.com/image/fetch/$s_!fpvQ!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F1d112fbe-396c-442b-bf32-b77b2f52f66f_1500x1262.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!fpvQ!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F1d112fbe-396c-442b-bf32-b77b2f52f66f_1500x1262.jpeg 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!fpvQ!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F1d112fbe-396c-442b-bf32-b77b2f52f66f_1500x1262.jpeg" width="1456" height="1225" 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srcset="https://substackcdn.com/image/fetch/$s_!fpvQ!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F1d112fbe-396c-442b-bf32-b77b2f52f66f_1500x1262.jpeg 424w, https://substackcdn.com/image/fetch/$s_!fpvQ!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F1d112fbe-396c-442b-bf32-b77b2f52f66f_1500x1262.jpeg 848w, https://substackcdn.com/image/fetch/$s_!fpvQ!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F1d112fbe-396c-442b-bf32-b77b2f52f66f_1500x1262.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!fpvQ!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F1d112fbe-396c-442b-bf32-b77b2f52f66f_1500x1262.jpeg 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p><em>Note: McKernan&#8217;s sequencing found fragments up to 3.5 kb in length<sup>.</sup><a href="https://pubmed.ncbi.nlm.nih.gov/40913499/"><sup>1</sup></a> (which is many times the size of the SV40 promoter-enhancer region), and the same testing established that this DNA sits inside the lipid nanoparticles, which shields it from the enzymes that would otherwise break down loose DNA in the body.<a href="https://pubmed.ncbi.nlm.nih.gov/40913499/"><sup>1</sup></a><sup> </sup>Furthermore, the plasmid contamination he detected was corroborated by many other labs.<a href="https://jessicar.substack.com/cp/182133985"><sup>1</sup></a><sup> </sup></em></p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!sH6Q!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F1ddd3b63-f524-4cd2-b46f-faa9f7e8b586_1774x991.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!sH6Q!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F1ddd3b63-f524-4cd2-b46f-faa9f7e8b586_1774x991.png 424w, https://substackcdn.com/image/fetch/$s_!sH6Q!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F1ddd3b63-f524-4cd2-b46f-faa9f7e8b586_1774x991.png 848w, 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data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/1ddd3b63-f524-4cd2-b46f-faa9f7e8b586_1774x991.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:813,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:754641,&quot;alt&quot;:&quot;&quot;,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:&quot;https://jessicar.substack.com/i/181668428?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F1ddd3b63-f524-4cd2-b46f-faa9f7e8b586_1774x991.png&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" title="" srcset="https://substackcdn.com/image/fetch/$s_!sH6Q!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F1ddd3b63-f524-4cd2-b46f-faa9f7e8b586_1774x991.png 424w, https://substackcdn.com/image/fetch/$s_!sH6Q!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F1ddd3b63-f524-4cd2-b46f-faa9f7e8b586_1774x991.png 848w, https://substackcdn.com/image/fetch/$s_!sH6Q!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F1ddd3b63-f524-4cd2-b46f-faa9f7e8b586_1774x991.png 1272w, https://substackcdn.com/image/fetch/$s_!sH6Q!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F1ddd3b63-f524-4cd2-b46f-faa9f7e8b586_1774x991.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p>The switch to Process 2 also changed the methylation of that DNA, as Process 1 used PCR (which produces unmethylated DNA) whereas the bacterial strain used in Process 2 methylates the exact bacterial signature sites our innate immune system evolved to recognize as an invader. Industry is well aware of this, as CpG DNA deliberately used as a vaccine adjuvant is kept unmethylated&#8212;and McKernan suspects this is part of why Pfizer resisted removing the residual DNA, noting their product contains roughly ten times more DNA than Moderna&#8217;s at a third of the mRNA dose.<a href="https://anandamide.substack.com/p/epigenetic-mistakes-in-plasmid-manufacturing?utm_source=publication-search"><sup>1</sup></a></p><p>The presence of the SV40 promoter understandably drew significant concern&#8212;due to the virus this sequence comes from being strongly associated with cancer and potential cancer triggering effects being associated with the sequence,<a href="https://anandamide.substack.com/p/shrodingers-sv40-and-p53"><sup>1</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/39490533/"><sup>2</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/31852718/"><sup>3</sup></a><sup>,</sup><a href="https://anandamide.substack.com/p/dam-methylation-and-cgas-sting"><sup>4</sup></a> along with the vaccine plasmids being discovered in unusual aggressive cancers,<a href="https://zenodo.org/records/22677693"><sup>1</sup></a> and reports that raise the possibility vaccine plasmids integrated into the DNA of cancers.<a href="https://ijirms.in/index.php/ijirms/article/view/2130"><sup>1</sup></a><sup>,</sup><a href="https://anandamide.substack.com/p/vaccine-targeted-qpcr-of-cancer-cell"><sup>2</sup></a><sup>,</sup><a href="https://anandamide.substack.com/p/sv40-origin-of-replication-in-mammalian"><sup>3</sup></a></p><p><em>Note: in 2004, Australia's TGA commissioned a review of the health consequences of SV40 contamination of the polio vaccines, which dismissed the cancer concerns by arguing that the SV40 sequences being detected in human tumors were most likely laboratory contamination, as many of the reported positives carried a deletion mutation found in experimental plasmids but not in the infectious virus. At the time this was a reasonable explanation, since there was no other conceivable source of those plasmids. It is not reasonable now, as the same logic dictates that a population injected with plasmids containing those sequences is a route by which they can reach human tissue.<a href="https://www.arkmedic.info/api/v1/file/6c4d1a23-1ff0-46ba-a1e5-1fc14d76ad22.pdf"><sup>1</sup></a>,<a href="https://pubmed.ncbi.nlm.nih.gov/15064010/"><sup>2</sup></a></em></p><p>Giving the benefit of the doubt to the industry, its presence was due to:</p><ul><li><p><span>The SV40 virus&#8217;s enhancer being established as a potent way to bring foreign DNA into the nucleus of many different mammalian cells and have the cells then turn that DNA into mRNA (which then created the intended protein). As a 1999 paper on the subject put it, the nuclear envelope is a major barrier to the uptake of plasmids and one of the most significant unsolved problems in non-viral gene delivery&#8212;and while various fragments of the SV40 region support nuclear import to some degree, it is the &#8220;72-bp repeats of the SV40 enhancer&#8221; which</span> facilitate maximal transport.<a href="https://pubmed.ncbi.nlm.nih.gov/10585295/"><sup>1</sup></a></p></li><li><p><span>The SV40 enhancer being combined with a specific antibiotic-resistance gene, so that it could be ascertained if mammalian (e.g., human) cells were taking up lab-altered plasmids (as they became resistant to lethal antibiotic concentrations).</span></p></li><li><p><span>This package often being bundled with the sequences needed to grow and select the same plasmid in bacteria, so that the same construct could be used for both mammalian and bacterial cell experiments without the cost of having to switch between the two (and hence is frequently used in biomedical research)</span></p></li><li><p><span>BioNTech choosing to use this dual package (which already contained the SV40 part) as the backbone for creating the plasmids used to make their vaccine (despite not having any need for the SV40 part) because they already had easy access to the (well-established) dual package and wanted to use something as quickly as possible to scale up COVID-19 mRNA vaccine production rather than take the time to create a new backbone (much in the same way they did not take more robust measures to ensure residual DNA was consistently removed from the mRNA vaccines).</span></p></li></ul><p>As such, while this is a bit jaw dropping, when I learned about it, I simply interpreted it as yet another example of speed and efficacy being prioritized over safety. Notably, Moderna&#8217;s vaccine plasmids did not contain SV40<a href="https://www.tandfonline.com/doi/full/10.1080/08916934.2025.2551517#d1e1202"><sup>1</sup></a> (as they instead chose to use a backbone without it), which again illustrates that there was no real justification for Pfizer&#8217;s decision to keep it there.<br><br>Furthermore, <a href="https://scoopsmcgoo.substack.com/p/health-canada-strongly-recommends">later FOIAs revealed</a> that five months after <a href="https://anandamide.substack.com/">McKernan revealed the undisclosed plasmid contamination</a>, Canada&#8217;s Health Agency deemed it inappropriate for the SV40 sequences to be included in the plasmids used to manufacture the vaccine and requested for them to be removed&#8212;a request Pfizer disregarded (and received no sanctions for).  </p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!LW3Y!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F18725161-aaff-4691-acf0-8ff4149def4e_2970x1150.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!LW3Y!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F18725161-aaff-4691-acf0-8ff4149def4e_2970x1150.png 424w, https://substackcdn.com/image/fetch/$s_!LW3Y!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F18725161-aaff-4691-acf0-8ff4149def4e_2970x1150.png 848w, https://substackcdn.com/image/fetch/$s_!LW3Y!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F18725161-aaff-4691-acf0-8ff4149def4e_2970x1150.png 1272w, https://substackcdn.com/image/fetch/$s_!LW3Y!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F18725161-aaff-4691-acf0-8ff4149def4e_2970x1150.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!LW3Y!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F18725161-aaff-4691-acf0-8ff4149def4e_2970x1150.png" width="1456" height="564" 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class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><h1>Mysteries of the COVID Vaccines</h1><p>After the COVID vaccines came out, a variety of odd things were observed that were hard to make sense of, and I spent a while investigating them.  Some of these I felt were ultimately false (e.g., many of the alarming things individuals saw in the vaccines under the microscope were actually normal findings). Others I ultimately did not know what to make of (e.g., after many people online said the vaccines made them magnetic, I was able to find and evaluate one person who claimed this and noticed that his body appeared to magnetize paramagnetic metals until they became magnetic, I found a <a href="https://efvv.eu/actions-lawsuits/study-on-the-electromagnetism-of-vaccinated-persons-in-luxembourg">Luxermbourg study</a> , where 29/30 vaccinated [with both mRNA and non-mRNA COVID vaccines] were magnetic while 0/30 unvaccinated were, but then also found <a href="https://www.thegms.co/publichealth/pubheal-pos-21071202.pdf">a larger study</a> James Thorp MD conducted which found about 60% of both vaccinated <strong>and</strong> unvaccinated individuals were magnetic, leading Thorp to conclude that humans have some degree of natural magnetism which had nothing to do with vaccination).</p><p>However, there were also a few inexplicable observations I became increasingly convinced of as time went on.</p><h3>COVID Vaccine Persistence</h3><p>When the COVID vaccines were originally pushed to the public, public health officials and the media promised a variety of things that were not supported by existing data (e.g., that the COVID vaccines would stop disease transmission).<em><br>Note: a common tell for a con is if legitimate objections are addressed with rhetoric rather than data&#8212;a pattern we saw through COVID-19.</em></p><p>As such, while reading through the Pfizer EMA leaks, I was very curious to see what was being said in private about the three largest safety concerns about the vaccine (autoimmunity, fertility issues and cancer). To my initial surprise, this is all that was discussed throughout the documents:</p><blockquote><p><em>Genotoxicity</em>: No genotoxicity has been provided. The components of the vaccine formulation are lipids and RNA that are not expected to have genotoxic potential. That being said, the novel lipids possess an acetamide moiety which is classified as possible human carcinogen (IARC Group 2B) with debated genotoxic mechanism, which should be discussed further (<strong>OC</strong>).</p></blockquote><blockquote><p>Vaccination with modRNA is expected to induce robust neutralising antibodies and a concomitant T cell response to achieve protective immunity. Nevertheless, no further discussion was provided regarding the risk of autoimmune responses induced by the modRNA. The Applicant is invited to further discuss the possibility that the mRNA vaccine can trigger potential autoimmune responses and how do it plan to possibly evaluate their occurrence</p></blockquote><p>Given that these issues&#8212;especially genetic damage <strong>from an experimental gene therapy</strong>&#8212;were the largest concerns with the vaccines and hence most likely would have been tested, I formed the hypothesis (in December 2020) that internal testing had shown there were serious issues with all three, and Pfizer had concluded their best option was to pretend to have never tested it so they could claim plausible deniability once the issues were later discovered (or to sweep the independent evidence of it happening under the rug).</p><p>As the vaccines began to enter the market, I then began noticing countless media outlets state that the vaccines could not change your DNA and that anyone who thought so lacked a basic understanding of science. However, rather than provide evidence, they always referred back to &#8220;experts&#8221; like <a href="https://www.chop.edu/centers-programs/vaccine-education-center/video/can-mrna-vaccines-alter-a-persons-dna">Paul Offit</a> and <a href="https://wecandothis.hhs.gov/sites/default/files/documents/Immunity_in_Our_Community_Episode_3_Transcript-508c.pdf">Anthony Fauci</a> who stated:<a href="https://web.archive.org/web/20210302014518/https://www.chop.edu/centers-programs/vaccine-education-center/video/can-mrna-vaccines-alter-a-persons-dna"><sup>1</sup></a><sup>,</sup><a href="https://web.archive.org/web/20221111013314/https://wecandothis.hhs.gov/sites/default/files/documents/Immunity_in_Our_Community_Episode_3_Transcript-508c.pdf"><sup>2</sup></a></p><p>1. The vaccines cannot enter the nucleus of the cell</p><p>2. mRNA from the vaccines breaks down rapidly in the cell, so it does not have time to enter the nucleus and change your DNA.</p><p>3. mRNA is not DNA, and hence believing it can change DNA represents a fundamental lack of knowledge of biology.</p><p><em>Note: beyond the subsequently discovered SV40 plasmids, there were numerous other issues with these arguments such as the mRNA being deliberately modified to persist in the cytoplasm, and already published studies contradicting their statements (e.g., <a href="https://www.arkmedic.info/p/welcome-to-gilead">an August 2021 paper</a> showing vaccine spike protein concentrated in the nucleus, <a href="https://www.science.org/content/article/further-evidence-offered-claim-genes-pandemic-coronavirus-can-integrate-human-dna">a May 2021 study</a> showing endogenous LINE-1 retrotranscriptases were integrating COVID-19 RNA into human DNA and <a href="https://pubmed.ncbi.nlm.nih.gov/35723296/">a February 2022 cell study</a> showing the Pfizer vaccine's mRNA was reverse transcribed into DNA inside human liver cancer cells within six hours, likely via the LINE-1 mechanism).</em></p><p>Beyond potentially causing cancer, one of the main reasons so many people were concerned about vaccine DNA integration was because this meant that the your body would perpetually produce the vaccine spike protein (rather than the process stopping once the mRNA broke down).  In turn, we came across numerous clinical datasets suggesting this was happening such as:</p><p>&#8226;<a href="https://pierrekorymedicalmusings.com/p/pathologists-are-unaware-of-the-pathogen">Autopsy studies</a> showing the tissue (of people who had died unexpectedly up to six months after vaccination) was flooded with spike protein.<br><br>&#8226;Spike protein antibody bloodwork (in vaccinated individuals) studies showing elevated spike protein levels for months if not years after vaccination (the levels of which often roughly correlated with their clinical status) along with vaccine injured patients who clinically responded to spike protein binders months if not years after vaccination (who then often regressed if the binders were not continued, suggesting they were still being produced in the body).<br><em>Note: the only commercially available test (<a href="https://testdirectory.questdiagnostics.com/test/test-detail/39820/sars-cov-2-total-antibody-spike-semi-quantitative?cc=MASTER">offered by Quest</a> or <a href="https://www.google.com/goto?url=CAESjgEB6zswFVRv2aER4K9RVwKajBsO886iP0IcxdpgKngFEu7Qs8O8b6vU6EqdYnlBJSsJ_RlPpGothWoukm-0MFcfP0As2N1qdxqMLnFVgBVDL27MIqdr61nwUlHvMkpDLGON8aNn2w4_hfb4mNXEVd5c8COFMoLeW5s4LDCqi8gvT8Mdi-BSwmBcV_nsXoER">LabCorp</a>) measures existing antibodies to the spike protein receptor binding domain, and provides values anywhere from 0-2,500 (Quest) or 0-25,000 (LabCorp) or higher than the test&#8217;s maximum value (2,500 or 25,000). Clinically, we&#8217;ve seen that on LabCorp&#8217;s long COVID patients rarely get levels above 4,000, whereas in those with vaccine injuries, it can be anywhere from 0-25,000 with many being over 25,000. In turn, a rough (and debateable) correlation exists between the antibody levels (which do not directly measure spike protein levels) and a patient&#8217;s illness (along with its levels improving or worsening generally correlating to a patient&#8217;s symptoms improving or worsening)&#8212;with the strongest correlation existing between a level above 25,000 and subsequently developing an autoimmune neurodegenerative condition. Curiously, many patients do not have their antibody levels decline with time (which is what you typically see after a COVID infection), which again suggests spike protein is being produced within the body that then stimulates an immune response. Conversely however, some of these cases may instead have been from people who had antibody levels far above 25,000 who then had their antibody levels decline (but this cannot be detected as they are still above the 25,000 cut off).  Additionally, these observations have been corroborated by others (e.g., Alex Berenson <a href="https://alexberenson.substack.com/p/why-do-so-many-people-have-ultra">has also shared reports</a> of vaccinated individuals who&#8217;ve had spike protein antibody levels over 25,000 for months after vaccination).</em><br><br>&#8226;When the spike protein could be directly measured (which requires specialized tests still not available to the public), long term persistence was observed.  Currently, <a href="https://www.medrxiv.org/content/10.1101/2025.02.18.25322379v2">the longest dataset</a> (Yale&#8217;s <a href="https://medicine.yale.edu/ycci/listen-study/">LISTEN study</a>), showed it had persisted for over a year, with the longest case reaching 709 days of spike persistence at the time the study was finished (which sadly has <a href="https://www.medrxiv.org/content/10.1101/2025.02.18.25322379v2">remained a pre-print</a> because no journal will publish anything critical of the vaccine program).</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!rdzO!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F5775f4a1-8bf5-48df-926c-7ec02d4f2a94_886x568.webp" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" 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src="https://substackcdn.com/image/fetch/$s_!rdzO!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F5775f4a1-8bf5-48df-926c-7ec02d4f2a94_886x568.webp" width="886" height="568" 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class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a><figcaption class="image-caption">Total spike protein presence. &#8220;I&#8221; denotes if they also had a COVID-19 infection (so PVS-I is the most indicative group).</figcaption></figure></div><p>Because of this, a few schools of thought emerged on what was causing this persistence.  These were:<br><br>&#8226;Genomic integration was happening (and hence that the nucleus was continually producing small amounts of vaccine mRNA).<br><br>&#8226;Rather than being due to a genomic integration (which would be rare enough it was unlikely to account for most of what was being seen) the persistence was due to the vaccine mRNA not breaking down and hence continually producing spike protein.<br><em>Note: the people I spoke to who I considered to be the most knowledgeable about mRNA technology tended to favor this explanation (as they felt it was by far the most probable).<br><br>&#8226;</em>The actual issue is not continual cellular spike protein production, but rather a permanent dysregulation of the immune system (which can frequently happen after an autoimmune provoking stimulus). Numerous clinicians I know treating COVID vaccine injuries have gradually come around to this perspective (while others generally agree with it but feel a subset of vaccine injured people are still producing spike protein&#8212;mirroring the observations of Yale&#8217;s study).<br><em>Note: some have also postulated the &#8220;persistence&#8221; may have resulted from the gut microbiome (e.g., endogenous E. coli) being transfected by vaccine plasmids and then producing spike protein which travels into the body. That said, to the best of my knowledge, no one has ever tested if this is occurring. However, Pierre Kory spoke with researchers in Italy and Germany who developed a way to test for spike protein in the stools and urine and found that most people they tested (vaccinated or unvaccinated) had fragments in both which appeared to come from gut bacteria being transfected by the COVID virus (as it matched the virus rather than vaccine spike, and had bacterial modifications). Assuming this is true (and the data was collected and interpreted correctly), it indicates that there is widespread spike protein exposure in the population.</em></p><p>Each of these explanations is compelling, and likely partially true.  However, as I recently realized, there is actually a much simpler explanation for what is happening.</p><h3>Vaccine Shedding</h3><p>If a vaccine produces its antigens by replicating within the body, that vaccine has the ability to &#8220;shed&#8221; to others, as a tiny portion of it that reaches someone else can then reproduce into a much larger amount within the other person, thereby producing enough of an antigen there to also provide them with immunity. This, in turn, is viewed as one of the classic risks from using live viral vaccines (e.g., this is well recognized with the polio vaccine and a <a href="https://sayerji.substack.com/p/breaking-vaccinated-people-spread">case can be made </a>it is the source of many measles outbreaks) but simultaneously, by definition, is categorically assumed to not occur from any other vaccine type (with the exception of live bacterial ones&#8212;where it is much less of an issue than with viral ones).<br><em>Note: there has been some other work into self-spreading vaccines (primarily for wildlife but also theoretically for humans), <a href="https://thehighwire.com/ark-videos/self-spreading-vaccines-take-a-dangerous-step-forward/">but despite some pushing for it</a> (so vaccination can reach difficult to un-vaccinate populations), there has thus far been a general restraint on using this technology.</em></p><p>Once the COVID vaccines came out, I began to hear numerous reports of individuals who had made a point not to vaccinate then becoming ill after being around someone who was vaccinated (particularly if they had recently been vaccinated or there was prolonged close contact with them) and I quickly noticed there was a clear and recognizable pattern to the symptoms experienced (e.g., menstrual abnormalities were one of the most common patterns, to the point quite a few of my post-menopausal friends began experiencing immediate and significant bleeding).</p><p>Since the COVID vaccines, by definition, could not shed, each time this point was raised, it was gleefully debunked much in the same way Fauci and Offit explained that it was impossible for the COVID vaccines to change your DNA.  Given this, I felt it  was essentially a lost cause to ever expect it to be investigated, so (with Pierre Kory&#8217;s help), I collected a lot of provider data that had accumulated on this phenomena, put out a call for readers to share shedding experiences (<a href="https://www.midwesterndoctor.com/p/covid-19-vaccine-shedding-experiences/comments">collecting over 2,000 of them</a>), and searched the literature for everything known about this phenomenon.<em><br>Note: I ultimately received significantly more than 2,000 reports, but eventually stopped compiling them because they repeated the data seen in the earlier reports and our time to do projects like this is finite (currently that time is allocated to collecting reader DMSO testimonials at that point&#8212;<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety">of which 7,600 have been collected</a>).</em></p><p>From this whole project (which can be read <a href="https://www.midwesterndoctor.com/p/what-we-now-know-about-covid-vaccine">here</a>), it then became evident that clear and reproducible events could be seen with:</p><p>&#8226;Who was affected by shedding.<br>&#8226;What situations triggered shedding symptoms (including that while rarer, &#8220;secondary shedding&#8221;&#8212;where someone exposed to a shedder then &#8220;shed&#8221; onto someone else and made them ill&#8212;did occur).<br>&#8226;What governed the severity of the symptoms experienced.<br>&#8226;How the symptoms could be prevented and mitigated.<br>&#8226;What symptoms were experienced&#8212;which resembled but had clear differences from COVID-19, long COVID or vaccine injuries.<br><em>Note: the most frequently reported shedding symptoms (in rough order of frequency) were abnormal menstrual bleeding (which far outnumbered everything else), headaches, rashes, flu-like illnesses, tinnitus, fatigue, dizziness, nosebleeds, unexplained bruising, shingles, a distinct odor around the vaccinated, palpitations, coughs, sinus congestion, muscle pain, gastrointestinal issues, and brain fog. Many others (e.g., swollen lymph nodes, hair loss, neuropathy, chest pain, and viral reactivations) were reported less often but still recurred throughout the reports. A few of these (e.g., nosebleeds) were unique to shedding injuries but not seen from other spike protein injuries. Additionally, many noticed &#8220;shedders&#8221; had a characteristic odor (and less frequently, a characteristic taste or feel), and <a href="https://pubmed.ncbi.nlm.nih.gov/37116359/">a 2023 study</a> </em>a <em>found that <strong>COVID vaccination produces a distinct exhaled VOC signature</strong> that can distinguish vaccine recipients from unvaccinated controls with high accuracy (as did <a href="https://digital.car.chula.ac.th/cgi/viewcontent.cgi?article=12726&amp;context=chulaetd">a 2025 one</a> which found the sweat VOC profile shifted after vaccination), providing a plausible chemical basis for the frequently reported odor around &#8220;shedders.&#8221;</em></p><p>It&#8217;s also worth noting that the shedding experiences were quite common.  For example, <a href="https://www.midwesterndoctor.com/p/what-we-now-know-about-covid-vaccine">after I described</a> (in detail) everything which was known about shedding, readers here shared:</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!U3UD!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3bd4bef8-2153-4ffe-9580-c3bf93d9a21d_1226x982.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!U3UD!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3bd4bef8-2153-4ffe-9580-c3bf93d9a21d_1226x982.png 424w, https://substackcdn.com/image/fetch/$s_!U3UD!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3bd4bef8-2153-4ffe-9580-c3bf93d9a21d_1226x982.png 848w, https://substackcdn.com/image/fetch/$s_!U3UD!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3bd4bef8-2153-4ffe-9580-c3bf93d9a21d_1226x982.png 1272w, https://substackcdn.com/image/fetch/$s_!U3UD!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3bd4bef8-2153-4ffe-9580-c3bf93d9a21d_1226x982.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!U3UD!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3bd4bef8-2153-4ffe-9580-c3bf93d9a21d_1226x982.png" width="1226" height="982" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/3bd4bef8-2153-4ffe-9580-c3bf93d9a21d_1226x982.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:982,&quot;width&quot;:1226,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:115302,&quot;alt&quot;:&quot;&quot;,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:&quot;https://www.midwesterndoctor.com/i/189534063?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3bd4bef8-2153-4ffe-9580-c3bf93d9a21d_1226x982.png&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" title="" srcset="https://substackcdn.com/image/fetch/$s_!U3UD!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3bd4bef8-2153-4ffe-9580-c3bf93d9a21d_1226x982.png 424w, https://substackcdn.com/image/fetch/$s_!U3UD!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3bd4bef8-2153-4ffe-9580-c3bf93d9a21d_1226x982.png 848w, https://substackcdn.com/image/fetch/$s_!U3UD!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3bd4bef8-2153-4ffe-9580-c3bf93d9a21d_1226x982.png 1272w, https://substackcdn.com/image/fetch/$s_!U3UD!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3bd4bef8-2153-4ffe-9580-c3bf93d9a21d_1226x982.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p>Since medical phenomena are almost never accepted without a mechanistic basis (and mRNA shedding was &#8220;mechanistically impossible&#8221;) I hence spent a long time looking for every possible mechanism, and from the many potential candidates I identified (each of which a case could be made for), I identified three I felt were the most probable to be true.</p><p>1. <strong>Exosome mediated shedding</strong>: Since the mRNA vaccines worked by causing the cells to produce massive amounts of spike protein that eventually came out on their surface, parts of the expanded cell membrane eventually blebbed off, causing exosomes (vesicles made from cell membranes) to be released which were studded with spike proteins that could then be exhaled or sweated out from the body and trigger reactions in others.  Supporting this (in addition to it fitting numerous reports we received):<br><br>&#8226;COVID-19 infections were repeatedly shown to alter the exosome system<span>,</span><a href="https://www.frontiersin.org/journals/immunology/articles/10.3389/fimmu.2021.785941/full"><sup>1</sup></a><sup>,</sup><a href="https://www.nature.com/articles/s41598-022-26457-8"><sup>2</sup></a><sup>,</sup><a href="https://www.frontiersin.org/journals/immunology/articles/10.3389/fimmu.2024.1467109/full"><sup>3</sup></a><sup>,</sup><a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC8079643/"><sup>4</sup></a><sup>,</sup><a href="https://www.cell.com/trends/endocrinology-metabolism/fulltext/S1043-2760(22)00084-4"><sup>5</sup></a><sup>,</sup><a href="https://www.sciencedirect.com/science/article/pii/S1053249822003321"><sup>6</sup></a><sup>,</sup><a href="https://onlinelibrary.wiley.com/doi/10.1002/jmv.28568"><sup>7</sup></a><sup>,</sup><a href="https://isevjournals.onlinelibrary.wiley.com/doi/epdf/10.1002/jev2.12117"><sup>8</sup></a><sup>  </sup>long COVID (and more severe acute COVID) is characterized by the presence of spike protein studded exosomes,<a href="https://onlinelibrary.wiley.com/doi/10.1002/jmv.28568"><sup>1</sup></a><sup>,</sup><a href="https://isevjournals.onlinelibrary.wiley.com/doi/epdf/10.1002/jev2.12117"><sup>2</sup></a><sup> </sup>(which have been found circulating a year after infection<a href="https://www.frontiersin.org/articles/10.3389/fimmu.2021.785941/full"><sup>1</sup></a>) and at the start of the pandemic, it was discovered that using therapeutic (healthy) exosomes produced dramatic results from severe COVID-19<a href="https://pubmed.ncbi.nlm.nih.gov/32380908/"><sup>1</sup></a><sup>,</sup><a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC7374618/"><sup>2</sup></a><sup>,</sup><a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC8355618/"><sup>3</sup></a><sup> </sup>(something I and many colleagues also observed)&#8212;all of which led me to believe the spike protein &#8220;poisons&#8221; the exosome system.<br><em>Note: the spike protein <span>has a high (heparin dependent) </span><a href="https://onlinelibrary.wiley.com/doi/10.1002/jmv.28568">affinity for binding to the surface of exosomes</a><span>. So, if it was not already there when the exosome initially formed, it can also attach to exosomes traveling in the bloodstream.</span></em></p><p>&#8226;<a href="https://pubmed.ncbi.nlm.nih.gov/34654691/">One study</a> showed the COVID vaccine&#8217;s spike proteins also altered the exosome system.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!1rwj!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ff3d396d2-d12b-4fbe-a8cd-52dd317e1a66_936x512.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!1rwj!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ff3d396d2-d12b-4fbe-a8cd-52dd317e1a66_936x512.png 424w, https://substackcdn.com/image/fetch/$s_!1rwj!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ff3d396d2-d12b-4fbe-a8cd-52dd317e1a66_936x512.png 848w, https://substackcdn.com/image/fetch/$s_!1rwj!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ff3d396d2-d12b-4fbe-a8cd-52dd317e1a66_936x512.png 1272w, https://substackcdn.com/image/fetch/$s_!1rwj!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ff3d396d2-d12b-4fbe-a8cd-52dd317e1a66_936x512.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!1rwj!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ff3d396d2-d12b-4fbe-a8cd-52dd317e1a66_936x512.png" width="936" height="512" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/f3d396d2-d12b-4fbe-a8cd-52dd317e1a66_936x512.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:512,&quot;width&quot;:936,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:419239,&quot;alt&quot;:&quot;&quot;,&quot;title&quot;:&quot;&quot;,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" title="" srcset="https://substackcdn.com/image/fetch/$s_!1rwj!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ff3d396d2-d12b-4fbe-a8cd-52dd317e1a66_936x512.png 424w, https://substackcdn.com/image/fetch/$s_!1rwj!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ff3d396d2-d12b-4fbe-a8cd-52dd317e1a66_936x512.png 848w, https://substackcdn.com/image/fetch/$s_!1rwj!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ff3d396d2-d12b-4fbe-a8cd-52dd317e1a66_936x512.png 1272w, https://substackcdn.com/image/fetch/$s_!1rwj!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ff3d396d2-d12b-4fbe-a8cd-52dd317e1a66_936x512.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p><em>Note: a later case report detailed a man suffering from a significant COVID vaccine injury where spike protein coated exosomes were detected 1173 days post vaccination and vaccine mRNA containing exosomes were detected 1284 days post vaccination.<a href="https://esmed.org/MRA/mra/article/view/7631"><sup>1</sup></a></em></p><p><span>&#8226;A</span><a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10579981/"> 2023 peer-reviewed study</a><span> found that unvaccinated children who were around COVID-19 vaccinated parents developed an immune response to the spike protein that was not seen in children with unvaccinated parents and spike protein antibodies were found in surgical masks worn by the physicians. This led the authors to </span><em><strong>hypothesize</strong></em><span> that antibodies were being directly transferred through the parent&#8217;s breath to their children.</span></p><p><span>&#8226;Significant amounts of (RNA containing) exosomes can be found in your breath, and like exosomes from other tissues in the body, lung derived exosomes vary depending on the disease state of the lungs (&#8220;sicker&#8221; people have &#8220;worse&#8221; exosomes).</span><a href="https://www.jacionline.org/article/S0091-6749(13)00524-1/fulltext"><sup>1</sup></a><sup>,</sup><a href="https://www.nature.com/articles/s41598-020-73243-5"><sup>2</sup></a><sup>,</sup><a href="https://erj.ersjournals.com/content/58/2/2003024.long"><sup>3</sup></a><sup> </sup>Exosomes from COVID patients, in turn, are highly inflammatory,<a href="https://journals.asm.org/doi/10.1128/mbio.00951-22"><sup>1</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/39475319/"><sup>2</sup></a> potentially clot forming<a href="https://isevjournals.onlinelibrary.wiley.com/doi/epdf/10.1002/jev2.12117"><sup>1</sup></a> and are taken up by the lung cells.<a href="https://isevjournals.onlinelibrary.wiley.com/doi/epdf/10.1002/jev2.12117"><sup>1</sup></a><br><em>Note: where the vaccine ends up in the body is highly dependent upon the charge of the lipid nanoparticles (essentially if they are negatively charged, they match the biodistribution data Pfizer provided, whereas if positively charged they go to the lungs&#8212;detailed <a href="https://www.midwesterndoctor.com/p/how-do-we-navigate-uncertainty-in-49e">here</a>). As there was a significant subset of COVID-19 vaccine injured patients who developed lung issues, and a subset of recipients who were the primary "shedders," I suspect this was due to the wide variability in COVID vaccine production causing some to receive positively charged lipid nanoparticles which ended up at the lungs.</em></p><p>&#8226;Since spike coated exosomes trigger an immune response to the spike protein,<a href="https://www.sciencedirect.com/science/article/pii/S1053249822003321"><sup>1</sup></a> an inhaled vaccine<span> was made from lung derived exosomes coated with spike proteins</span><a href="https://www.nature.com/articles/s41551-022-00902-5https://www.nature.com/articles/s41551-022-00902-5"><sup><span>1</span></sup></a><span> (</span><strong>they were lung derived so the lung cells would be more likely to absorb them</strong><span>). These spike protein exosomes both generated an immune response and were absorbed into the body (and were repeatedly demonstrated, when injected, to effectively immunize </span><strong><span>at nano-gram levels</span></strong><a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC10849639/"><sup><span>1</span></sup></a><span>,</span><a href="https://pubmed.ncbi.nlm.nih.gov/37607200/"><sup><span>2</span></sup></a><span>). Once absorbed, those exosomes travel to other tissues and organs in the body, which (based on all the reports we&#8217;ve received and the patients we&#8217;ve seen) are known to be affected by shedding. Likewise, </span><a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC8355618/"><span>a 2021 review paper</span></a><span> highlighted the feasibility of this approach and that numerous companies </span><strong><span>were developing exosome based COVID vaccines</span></strong><span> which contained either COVID-19 antigens (e.g., spike protein) or mRNA to create them.<br></span><em><span><br>Note: exosomes are very similar to the lipid nanoparticles used to deliver the mRNA vaccines (in fact, </span>two studies detected vaccine mRNA within the breast milk exosomes of recently vaccinated mothers<a href="https://pubmed.ncbi.nlm.nih.gov/37734205/"><sup>1</sup></a><sup>,</sup><a href="https://jamanetwork.com/journals/jamapediatrics/fullarticle/2796427"><sup>2</sup></a><span>&#8212;potentially explaining the shedding reactions breast feeding infants developed), but to the best of my knowledge, their presence was never assessed in the breath of vaccine recipients.</span></em></p><p><strong>2. Bacterial Transmission&#8212;</strong>if bacteria are transfected with the COVID-19 vaccine plasmids (and then reproduce), they will express the COVID-19 protein (and potentially be able to alter bacteria they come in contact with so that they too do the same)&#8212;a process which has been shown to occur in the gut with other plasmids.<a href="https://www.nature.com/articles/s41467-024-51398-3"><sup>1</sup></a>  This, in turn, provides a way that the COVID vaccine could behave like a traditional &#8220;live viral&#8221; or &#8220;live bacterial&#8221; vaccine that sheds. However, while this fits some of the observations reported, it has never been directly assessed (the closest was that vaccination caused a 41-73% decrease in one of the most beneficial gut bacteria species<a href="https://journals.lww.com/ajg/fulltext/2022/10002/s227_messenger_rna_sars_cov_2_vaccines_affect_the.227.aspx"><sup>1</sup></a><sup>,</sup><a href="https://journals.lww.com/ajg/fulltext/2022/10002/s2099_persistent_damage_to_the_gut_microbiome.2099.aspx"><sup>2</sup></a> &#8212; which potentially could have been caused by spike protein appearing on other bacteria). As such, I feel it&#8217;s worth raising the hypothesis (and have reached out to researchers who could evaluate this), but it remains a complete unknown. Something quite close to this was documented by accident in 2020, when four asymptomatic lab workers repeatedly tested positive for COVID on the nucleocapsid PCR but were negative for every other viral target&#8212;as what they were actually carrying was the plasmid they had worked with, which persisted in their nasal passages for up to three months after they stopped handling it, with the authors concluding either it had lodged in their nasal tissue or that E. coli containing it had colonized their noses (and a household member who never entered the lab also tested positive).<a href="https://journals.asm.org/doi/10.1128/spectrum.01695-22"><sup>1</sup></a></p><p><em>Note: one (oral) COVID vaccine was created which engineered E. coli bacteria with plasmids to either have spike protein on their surface (thereby creating both blood and mucosal immunity). Additionally, another was made which caused the bacteria to produce nanobodies (tiny antibodies that bind a single domain) against the spike protein which were expelled from the bacteria within exosome like vesicles that then traveled through the gut lining to the lungs and brain.<a href="https://www.uc.edu/news/articles/2025/05/uc-study--bacteria-a-viable-delivery-system-for-antiviral-therapies-vaccines.html"><sup>1</sup></a><sup>,</sup><a href="https://www.tandfonline.com/doi/full/10.1080/19490976.2025.2500056#abstract"><sup>2</sup></a></em></p><p>3. <strong>SARS-CoV-2 Shedding &#8212; </strong>In a significant number of the reports I looked at, after being exposed to an (asymptomatic) shedder, the individual (and often multiple other unvaccinated members of the group) became ill with one or more of the following:<br>COVID-19, a COVID-like illness, a flu which may have been COVID, a severe COVID infection that hospitalized and sometimes killed them.<br><br>Yet in contrast, before the vaccine rollout, they never had this issue (e.g., normally they never got sick, even around those they knew got COVID). This in turn means either that a remarkable coincidence keeps on happening, or that the vaccine increases your risk of transmitting COVID-19.</p><p>As it so happens, there are a few things that argue for the latter such as:</p><p>&#8226;The design of the vaccine does not create mucosal IgA immunity. This means it does not prevent COVID-19 from colonizing the respiratory tract and hence makes one still able to spread COVID-19.  Rather, the vaccine&#8217;s design primarily reduces reactivity to the spike protein (i.e., COVID-19 symptoms). As such, vaccinated individuals can be infected with COVID-19 but not show symptoms of infection (which <a href="https://www.amazon.com/Vaccines-Amen-Religion-Aaron-Siri/dp/B0FQ36W5JY/ref=sr_1_1?dib=eyJ2IjoiMSJ9.KEALW-c-tyE7UxBAfxt6NAg6uVyjSfHGUrljfsGwcxMhLgqMSpSDe7KxNzSa8fPpMjXdHkR1yu0fIUR20_SqqfYGc_XMm9HaiuQOtjA_J_gfgx-O8au9q9RKGkfgN-m4tcXJGrOyuFzBoRUuWyL7yrmlkS9hNRUv4t1R2oixitfbSVqfgXPSwmjDIkxd6OT_Bh-woBhTgaPkMlDN2aO_Z9qw9_EEjX_m38RE1pb6tKE.W4uSzKv7m2PwEyq56447zfmbHd7k3Sx-9sCE3fGJwsI&amp;dib_tag=se&amp;keywords=vaccines+amen&amp;qid=1789118834&amp;sr=8-1">is also a major issue with the pertussis vaccine</a> many are erroneously forced to take to see their grandchildren).</p><p>&#8226;The vaccine is immune suppressing. On one hand, this causes individuals who have a latent COVID infection to either start shedding the infection or become severely ill (which as I show <a href="https://www.midwesterndoctor.com/p/the-forgotten-science-of-vaccine">here</a> is a common but forgotten problem with vaccines). On the other hand, it causes individuals who have been vaccinated to be unable to develop permanent immunity and, hence, continually catch it.<br><em>Note: I have received numerous reports of vaccination causing an existing minor COVID infection to become life threatening,</em></p><p>In short, for some reason, individuals who do not get COVID will come down with it in the presence of a shedder, and in my assessment, this happens frequently enough for it not to be a simple coincidence.</p><p>Based on all of this, the possibility exists that vaccinated individuals with COVID infections either excrete higher concentrations of the spike protein than those with natural immunity, or have chronic infections they never clear (but show minimal symptoms of&#8212;leading to many being exposed to them). However, the existing data on the length of infectiousness and viral counts in the noses of those infected with COVID-19 (which may be biased) shows minimal differences between the vaccinated and unvaccinated. As such, while it seems that vaccination causes certain individuals to give others COVID, to the best of my knowledge data does not exist to support that claim and there may be some other process concurrently occurring which makes those around a shedder more susceptible to catching COVID-19 from them. </p><p>As you might guess, of these three models, I believe the strongest case exists for the first (exosome mediated transmission).<br><br><em>Note: Kevin McKernan <a href="https://anandamide.substack.com/p/sv40-origin-of-replication-in-mammalian">stated</a> that he was initially (and understandably) skeptical of the shedding phenomenon because he felt there could not be a high enough exhaled dosage for it to affect those who breathed it in (whereas I regularly encounter people who are that sensitive microdoses of a potent agent will still affect them). In turn, he shared that what changed his opinion was the potential presence of plasmids in exosomes, as these could serve as a self-replicating vector that allowed a small amount to noticeably affect those exposed to it.</em></p><h1>DNA Vaccines</h1><p>Since there is an irrational faith in vaccines, new designs are always being explored regardless of how unwise they are.  Despite knowing this, I was quite surprised to learn &#8220;DNA vaccines&#8221; (which use synthetic DNA to create mRNA which creates the antigen cells then expel) existed, as this both seems to be a terrible idea, and directly contradicts all the messaging the vaccine industry has given that vaccines cannot change your genome.</p><p>Following this, I was then curious as to exactly how this technology worked (and once I found out, when it was developed). Briefly:</p><ul><li><p>Plasmids are created from a standard industry backbone (which contains a sequence that transports DNA into the mammalian nucleus) along with the DNA sequence that will become the target antigen.</p></li><li><p>E. coli are transfected with that plasmid, the bacteria which took it up are bred, and the plasmids are then separated from the bacteria to become the vaccine product.</p></li><li><p>The plasmids are injected into the body (typically with a jet injector or electroporation to force them into cells, but successful designs such as the first one brought to market simply injected the plasmid into muscle).<a href="https://pubmed.ncbi.nlm.nih.gov/11287553/"><sup><span>1</span></sup></a><span> </span></p></li><li><p>Once inside a cell, the plasmid either enters the nucleus on its own (particularly when the cell divides and the nucleus is more porous), or the plasmid has a transport sequence that brings it into the nucleus regardless of which phase of the cell cycle it is in&#8212;where the cell&#8217;s own machinery turns it into vaccine mRNA (and from there into the antigen).<a href="https://www.who.int/publications/m/item/plasmid-dna-vaccines-annex-2-trs-no-1028"><sup>1</sup></a><sup>,</sup><a href="https://www.sciencedirect.com/science/article/pii/S0022283623004084"><sup>2</sup></a><sup>,</sup><a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC10820593/"><sup>3</sup></a></p></li><li><p><span>This technology has been worked on for about 30 years</span><a href="https://www.who.int/publications/m/item/plasmid-dna-vaccines-annex-2-trs-no-1028"><sup><span>1</span></sup></a><span> and there is now a human COVID-19 DNA vaccine</span><a href="https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(22)00151-9/fulltext"><sup><span>1</span></sup></a><span> (licensed in India) along with several veterinary ones.</span><a href="https://www.sciencedirect.com/science/article/pii/S0022283623004084"><sup><span>1</span></sup></a><sup><span>,</span></sup><a href="https://www.mdpi.com/2076-393X/11/6/1016"><sup><span>2</span></sup></a><span>  All of the licensed products use a CMV promoter (which was also used to produce J&amp;J and AstraZeneca's adenovirus vector COVID vaccines)&#8212;however, the 72 bp SV40 enhancer has been added to many experimental DNA-vaccine plasmids both because it helps get the plasmid DNA into the nucleus and because it can also boost transcription once it is there.</span><a href="https://pubmed.ncbi.nlm.nih.gov/17439744/"><sup><span>1</span></sup></a><sup><span>,</span></sup><a href="https://www.sciencedirect.com/science/article/abs/pii/S001448279994716X"><sup><span>2</span></sup></a></p></li></ul><p>Once I realized this, it cast two of the questions I&#8217;d pondered since the start in a completely different light.</p><p>First, it provides a completely different answer to the persistence problem, as if plasmids are being transported into the nucleus and then being transcribed to mRNA once there (but remaining separate from human DNA), this provides a much more feasible way for extensive production of the mRNA to occur, as it is effectively &#8220;in your DNA&#8221; but at the same time, does not have to meet the high threshold of integrating into the genome for this to happen (which is why many I spoke to had believed DNA changes could not account for the majority of the spike persistence being seen).  More importantly, this is not merely theoretical, as delivering plasmid DNA into the nucleus is a licensed and working vaccine strategy,<a href="https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(22)00151-9/fulltext"><sup>1</sup></a> and it was made to work with far cruder tools than the COVID vaccines had available, since those products rely on a CMV promoter and physical force rather than the two elements which most efficiently solve this problem (the SV40 enhancer&#8212;which the DNA vaccine literature identifies as the sequence producing maximal transport of plasmid DNA into the nucleus,<a href="https://pubmed.ncbi.nlm.nih.gov/10585295/"><sup>1</sup></a>,<a href="https://pubmed.ncbi.nlm.nih.gov/17439744/"><sup>2</sup></a> and lipid nanoparticles). This is also McKernan&#8217;s assessment, as he considers the focus on genomic integration to be something of a limited hangout given that most plasmids operate episomally, and notes they can also be packaged into exosomes.</p><p>Second, while I still believe every bad choice made with the mRNA vaccines could be attributed to pursuing profit with a complete lack of concern for how others were harmed, it&#8217;s hard not to notice the chosen designs coincidentally mirrored existing vaccine designs (or that Pfizer refused to change them even when health regulators pushed them to and Moderna was using a SV40 free plasmid).  Given that the chosen approaches were well-established vaccine production techniques, I feel it is reasonable to infer they were most likely aware of the expected effects of utilizing them.  This is important as those &#8220;expected effects&#8221; dovetail with the core goals of a vaccination program.</p><h3>Goals of a Vaccination Campaign</h3><p>Since the faith of vaccination revolves around provoking the body to produce a targeted immune response (e.g., antibodies), and since the profession has long sought to validate itself by eliminating infectious disease and claiming victory over nature, vaccine programs will inevitably err towards overstimulating that response to ensure as few people as possible have an insufficient one &#8212; which in turn requires ignoring or dismissing the consequences of that excessive stimulation, rather than trading a partial reduction in efficacy for a significant improvement in safety. The regulatory pathways are set up to support this, as the primary basis for approval is typically a consistently robust antibody response rather than a demonstration of safety.<br><em>Note: I believe a major issue with the HPV vaccine came from the fact its antigen had many overlaps with human tissue (which the immune system resisted forming an immune response to it), so a much stronger immune provoking adjuvant and massive antigen doses were needed for the vaccine to work (e.g., Gardasil 9 contains 270 micrograms of antigen whereas the recombinant hepatitis B vaccine contains only 20 micrograms<a href="https://www.medicines.org.uk/emc/files/pil.7330.pdf"><sup>1</sup></a><sup>,</sup><a href="https://au.gsk.com/media/6343/engerix_b_pi_au.pdf"><sup>2</sup></a>). This resulted in the scale being heavily tipped to efficacy (rather than safety), and as a result, the HPV vaccine <a href="https://www.midwesterndoctor.com/p/the-hpv-vaccine-disaster-was-a-test">had an extraordinarily high rate of causing autoimmune disorders</a>.</em></p><p>In this regard, one of the challenges vaccines face is that while natural immunity lasts for a long time (e.g., it is often lifelong), the body will typically &#8220;resist&#8221; the effects of a vaccine&#8217;s artificial stimulation of select parts of the immune system, so over time, vaccine derived immunity fades away (with the rate varying greatly depending on the vaccine).  Boosters, in turn, are given either because the original vaccine derived immunity faded, or because the pathogen has mutated to a strain no longer covered by the vaccine (resulting in the immune system being &#8220;locked onto&#8221; the incorrect strain).</p><p>For this reason, one of the longstanding goals of the vaccine industry has been to effectively mimic what occurs in nature (a continual low level boosting of the population from individuals they encounter with minor infections).</p><p>One way to do this is to ensure the vaccine continually triggers a lighter immune response long after injection&#8212;which both the persistent mRNA and nuclear plasmids (which produce mRNA) accomplish by ensuring a steady supply of spike protein is produced after vaccination. This was recently explicitly illustrated by Japan&#8217;s next generation &#8220;replicon&#8221; COVID vaccine (approved in 2023 and deployed in October 2024), as it is designed to extend antigen production, so in addition to the mRNA coding for the spike protein, it contains mRNA coding for an enzyme which copies that mRNA, so that it is continually replicated as it is broken down and hence retained in the body far longer.<a href="https://mainichi.jp/premier/health/articles/20241018/med/00m/100/008000c"><sup>1</sup></a> Its manufacturer&#8217;s selling point, in turn, is that the effect lasts, and in their Japanese trial, the antibody titer six months after the replicon vaccine was higher than the titer one month after Pfizer&#8217;s, with high titers still present at one year.<a href="https://mainichi.jp/premier/health/articles/20241018/med/00m/100/008000c"><sup>1</sup></a> Yet their own pharmacokinetic data showed the mRNA was largely gone from the muscle within 15-30 days and the spike protein undetectable by day 15&#8212;leaving their head of R&amp;D to admit the mechanism behind a year of elevated antibodies is not actually understood<a href="https://mainichi.jp/premier/health/articles/20241018/med/00m/100/008000c"><sup>1</sup></a> (with a Japanese vaccine expert separately noting that the long term safety of this vaccine&#8212;which had already been given to 18,000 people was not yet possible to know<a href="https://mainichi.jp/premier/health/articles/20241018/med/00m/100/008000c"><sup>1</sup></a>).<br><em>Note: <a href="https://en.wikipedia.org/wiki/Zapomeran">this vaccine</a> was also subsequently licensed in Europe and the United Kingdom.</em></p><p>In short, the same industry which insisted the original mRNA vaccines could not persist (despite the fact they do) has now built a product around making them persist, still cannot explain what its own product is doing, and has responded to the Japanese clinicians and nursing organizations raising these questions by threatening them with civil and criminal legal action.<a href="https://www.mixonline.jp/tabid55.html?artid=77180"><sup>1</sup></a>,<a href="https://www.malone.news/p/what-if-they-jammed-through-a-new"><sup>2</sup></a></p><p>This is a critically important point as the entire justification for a continually produced antigen assumes doing so is both safe and effective (when in reality, the antigens often have a cumulative toxicity, while simultaneously, it has been repeatedly shown that overstimulating the immune system to focus on one antigen reduces its ability to respond to other threats it encounters&#8212;which is why vaccines like the COVID shot have been repeatedly shown to increase one&#8217;s subsequent risk of catching disease<a href="https://www.medrxiv.org/content/10.1101/2022.12.17.22283625v1.full.pdf+html"><sup>1</sup></a>). As such, a real possibility exists that the chronic illnesses seen after vaccine injuries persist because vaccine antigen production persists as well.</p><p><em>Note: Arkmedic (an excellent researcher) <a href="https://www.arkmedic.info/p/would-you-like-plasmids-with-that">recently made the case</a> that the COVID vaccines were not the first to be designed to get foreign DNA into cells.<a href="https://www.arkmedic.info/p/would-you-like-plasmids-with-that"><sup>1</sup></a> Since every recombinant vaccine is manufactured with plasmids and residual plasmid DNA survives into the final product, what matters is whether anything in the vial can carry that DNA across the cell membrane &#8212; and aluminium, the most widely used adjuvant in vaccines, turns out to be exactly that (as do other widely used vaccine components). A 2007 paper from ETH Zurich found aluminium nanoparticles transfected human cells more efficiently than any other metal oxide tested, and were the only ones to do so at calcium concentrations approaching those found in the body.</em><a href="https://analyticalsciencejournals.onlinelibrary.wiley.com/doi/10.1002/bit.21525"><sup>1</sup></a><em> Corroborating this, in 2012, HPV DNA was found bound to the particulate aluminium adjuvant in Gardasil,</em><a href="https://pubmed.ncbi.nlm.nih.gov/23078778/"><sup>1</sup></a><em> and the FDA has acknowledged the presence of residual DNA fragments in that vaccine since 2011 while maintaining they pose no safety risk.</em><a href="https://web.archive.org/web/20190907181603/https://www.fda.gov/vaccines-blood-biologics/vaccines/fda-information-gardasil-presence-dna-fragments-expected-no-safety-risk"><sup>1</sup></a><em> Notably, Gardasil's competitor Cervarix uses a comparable aluminium-lipid adjuvant,&#185; so this is not a quirk of one manufacturer's formulation.<a href="https://pubmed.ncbi.nlm.nih.gov/19864596/"><sup>1</sup></a> The only study the industry has ever offered against this was a three-page 1999 communication co-authored by the Swiss vaccine regulator, which reported zero transfection from nine commercial vaccines &#8212; using a cell line with two publications in the entire PubMed database and no control to establish the assay could detect anything at all.<a href="https://pubmed.ncbi.nlm.nih.gov/10367943/"><sup>1</sup></a><sup> </sup>That said, some of this may simply be convergent chemistry, as a good transfection agent is a positively charged or amphiphilic particle which binds nucleic acid and disrupts membranes, while a good adjuvant is often a positively charged or amphiphilic particle which concentrates antigen and disrupts membranes so the innate immune sensors fire. If so, the situation is arguably worse rather than better, as it would mean the risk is inherent to adjuvanted recombinant vaccines rather than an avoidable formulation choice&#8212;and it still leaves the question of why it is disclosed nowhere</em></p><p>Another is to ensure the vaccine is able to spread in the population, both supplying a continual source of external boosting to those who already got the vaccine and to ensure those who did not vaccinate still are protected.  The shedding observed with the COVID vaccines (and <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10579981/">the 2023 study showing a transfer of COVID immunity</a>) demonstrates this was indeed happening, and the fact that the strongest evidence exists for it being mediated through exhaled (or sweated) exosomes&#8212;which, like DNA plasmid transfection, <strong>was already an established vaccine technology</strong>&#8212;suggests this may have been an intentional feature of the mRNA vaccines rather than an accident (particularly since it is a given overproducing an antigen within a cell will cause the release of exosomes containing the antigen).</p><p><em>Note: the more speculative mechanism I touched upon (self-spreading plasmid transfection of bacteria), could have supported either goal (e.g., by having the gut microbiome produce spike, a continual internal production of it will repeatedly boost the recipient, while by having those bacteria travel to others&#8212;something which routinely occurs with the human microbiome&#8212;it would be possible for the vaccinated individual to stimulate the immune system of others).  However, I must emphasize that this is a much more theoretical possibility as the research needed to critically assess it has never been done (at least publicly).</em></p><p>That said, everything I have described here is simply my best guess to make sense of all the inexplicable things we have observed the COVID vaccines do and it is quite possible some of the inferences I made here from the existing data (e.g., the exact mechanisms or motives at play) are entirely incorrect. What&#8217;s so frustrating is that none of it needs to be guessed at as each of the scientific points I&#8217;ve raised could be assessed with currently existing technology&#8212;but they likely never will be because too many parties have too much to lose if the wrong answer is arrived at.  As such, I don't know the correct way to proceed, but I nonetheless feel real attention needs to be brought to these issues, as otherwise, the industry will continue hurtling forward with &#8220;safe&#8221; genetic technologies that have a wide range of known and unknown risks&#8212;that before long, we will be stuck with.</p><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://www.midwesterndoctor.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">Your Support makes The Forgotten Side of Medicine possible! To receive new posts and support my work, consider becoming a free or paid subscriber.</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div><h1>Mitigating The Disaster</h1><p>A common metaphor used to describe how the predatory ruling class enacts their agenda is the boiling frog analogy (where a frog placed in hot water will jump out, but one placed in water that is slowly heated will stay in until it dies).</p><p><em>Note: this is actually an urban legend, as frogs will still leave if the temperature is raised slowly (something which unfortunately led to many cruel experiments as researchers sought to verify this claim). However, while the analogy does not hold for frogs, it does appear to hold for us, as again and again, changes which would have been fiercely resisted had they been implemented all at once were instead accepted without much protest once they were introduced gradually enough that no individual step seemed worth objecting to.</em></p><p>My longstanding view with the COVID vaccines, in turn, is that the industry had been counting on exactly that gradual acceptance, as a wide host of issues exist with the mRNA platform (and the DNA vaccines which may follow it) that had been slowly phased in over decades without much notice. What happened instead is that many longstanding agendas all rushed to use the pandemic to bring themselves to fruition at once, and because the antigen chosen to be mass produced by these injections was the spike protein (which is toxic to many different parts of the body), the problems with the platform were common and severe enough that it was no longer possible to sweep them under the rug. For example, had a less reaction provoking antigen been used, it is highly unlikely enough people would have noticed effects like shedding and demanded they be looked into. So, as horrific as the process was, it woke the public up to something being very wrong in the field of vaccinology in a way that another fifty years of incrementalism never would have.</p><p>If the Italian and German stool and urine findings hold up, spike protein exposure is now near universal rather than confined to the vaccinated, which means we are in a post-spike world and the relevant question has shifted from how to avoid exposure to how to become resilient to it. For the subset who clearly cannot tolerate it (e.g., those affected by shedding), the question then becomes why&#8212;and my best guess is that it comes down to their bodies not being able to effectively form neutralizing antibodies against it, as <a href="https://www.midwesterndoctor.com/p/yale-proved-covid-vax-injury-exists">a 2023 study</a> found this was the differentiating factor between adolescents who developed myocarditis after vaccination and those who did not.</p><p>I say &#8220;best guess&#8221; because that is all anyone can offer. A novel protein was introduced into essentially every human being on earth and is demonstrably capable of causing disease in a subset of them, so spikeopathy should by now be a recognized discipline with its own researchers, diagnostics and literature. Instead, as Kory put it to me, there are a handful of practitioners figuring it out independently while conventional medicine maintains the illness does not exist.</p><p>Nonetheless, while the injuries the COVID vaccines created brought long overdue attention to the dangers of this platform, they also created a disaster many of us have been struggling to fix ever since. In the final part of this article (which at reader request I have been working on for a few months), I will go through each of the approaches we have found work for the common subsets of vaccine injuries, how the use of supplements there mirrors the issues we see when they are used for many other conditions, along with some of the less appreciated aspects of the higher-end treatments now coming into vogue (e.g., plasmapheresis) which are necessary for getting the best outcomes from them, and address the questions I am most often asked about shedding (e.g., how do you counteract it, and what has been learned about shedding and sexual intimacy).</p>
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   ]]></content:encoded></item><item><title><![CDATA[How the Law of Displacement Can Solve the Data Center Crisis]]></title><description><![CDATA[To stop data centers from ruining communities, they must be displaced by something cheaper&#8212;and for once, cheaper is not only better, but the money also exists to build it and the green energy it needs]]></description><link>https://www.midwesterndoctor.com/p/how-the-law-of-displacement-can-solve</link><guid isPermaLink="false">https://www.midwesterndoctor.com/p/how-the-law-of-displacement-can-solve</guid><dc:creator><![CDATA[A Midwestern Doctor]]></dc:creator><pubDate>Sun, 06 Sep 2026 07:57:24 GMT</pubDate><enclosure url="https://substack-post-media.s3.amazonaws.com/public/images/a8212fae-f42b-4fdd-a397-f572b9348315_1792x1008.jpeg" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p><strong>Story at a Glance</strong></p><ul><li><p><strong><span>Throughout history, harmful products have rarely been removed because of the harm they caused consumers or the environment; they were removed once an equally profitable alternative existed. Here I will apply that principle to the largest deployment of capital in American history&#8212;the AI data center buildout.</span></strong></p></li><li><p><strong><span>Roughly $800 billion is being spent on AI infrastructure this year, $1.4 trillion next year, and data centers now account for nearly a quarter of all nonresidential construction starts in the country. Because they need city-sized amounts of power, they are being placed next to communities, which are experiencing rising electricity bills, constant noise, and a cluster of health complaints that closely matches what electrically sensitive people have reported for decades.</span></strong></p></li><li><p><strong><span>A Bloomberg analysis of 770,000 home sensors suggests why: data centers inject enormous amounts of &#8220;dirty electricity&#8221; back onto the grid, and the worst power distortion in the country clusters within 20 miles of them. Meanwhile, the administration&#8217;s response to the growing opposition (which has already recalled local officials and become a midterm issue) has been to override it rather than address it.</span></strong></p></li><li><p><strong><span>The industry&#8217;s proposed alternative, data centers in space, fails on physics and economics, and even if it worked it would leave nothing behind for anyone on earth.</span></strong></p></li><li><p><strong><span>A better option exists on U.S. soil, and the unprecedented need for power next to it creates the first real chance in fifty years to bring a cheap, safe, and abundant form of nuclear energy to market&#8212;one that was demonstrated at Oak Ridge in the 1960s but abandoned because it could not make weapons.</span></strong></p></li><li><p><strong><span>The decisions that determine whether America builds this or buys it from China are being made now, and this article lays out how taking that path can not only protect communities across the country from the proliferation of data centers but also at last make affordable and abundant green energy.</span></strong></p></li></ul><p>Much of what is written here is guided by the fact I spend a lot of time thinking about the problems the world faces and what solutions could potentially address them, either now or in the future when cultural circumstances change.  This year I realized a few longstanding issues were converging into a potential long-term solution that I wanted to have this newsletter help bring to light.</p><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://www.midwesterndoctor.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">The Forgotten Side of Medicine is a reader-supported publication. To receive new posts and support my work, please consider becoming a free or paid subscriber.</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div><h1>The Law of Displacement</h1><p>One of the depressing things I have come more and more to terms with as I&#8217;ve gotten older is how so, so, many things ultimately come down to money (e.g., a lot of medicine is structured into sales funnels that ensure robust sales of medical services and many seemingly irrational ways the practice of medicine is structured finally make sense once you see it through that lens).</p><p>As such, all throughout history, you can cite examples of people being exploited for profit (e.g., for most of human history in most societies slavery was widely practiced).  Once science entered the picture, this frequently resulted in profitable technologies being deployed which advanced the national wealth but harmed a significant portion of the population in the process (e.g., Monsanto&#8217;s profitable chemical plants poisoning their community&#8217;s water supply).</p><p>In all the case studies I&#8217;ve looked at, a recurring process occurred:<br><br>&#8226;Industry was aware of health issues from their product, but buried all of it (with this frequently being revealed in subsequent lawsuits).<br><br>&#8226;The profit margins for the products were typically larger than the cost of keeping it on the market (e.g., they could afford to fund doctored science that cast sufficient doubt on health issues with the product). Likewise, typically a small enough number of people were directly harmed (e.g., an isolated community or less than 1% of the people who took a pharmaceutical) that it was easy enough for the industry to sweep everything under the rug&#8212;especially since until recently, corporate news controlled the media landscape and was structured to support narratives from large corporate clients.<br><br>&#8226;Government typically sided with industry, due to some combination of lobbying (e.g., bribes), the industry effectively controlling the narrative (so government regulators thought the product was &#8220;safe&#8221;) or the government viewing the product as a strategic national asset which justified a certain degree of sacrifice to promote the national interest.</p><p>Because of this, you would again and again see things that were clearly toxic be able to stay on the market for decades despite those harmed by them doing all they could to bring attention to the issue (and supportive researchers providing the data to substantiate their claims).<br><em>Note: the most extreme example of this is likely the COVID vaccines, as the scale of harm they have done eclipses arguably any other product in history, there is widespread public opposition to them (to the point a clear majority now refuses to take them) and more researchers have come forward to expose their dangers than virtually any other product in history&#8212;but nonetheless&#8212;the FDA continues to advocate for them. Why? Because there is so much money to be made off mRNA technology too many parties are simply not willing to let it go.</em></p><p>Rather, what typically gets these products off the market is a commercially viable alternative to them being developed, as at that point, the same profit can be made, but it is no longer necessary to bear the additional cost of defending the old product to keep it on the market (which, for lack of a better term, I call the &#8220;law of displacement&#8221;). </p><p>For example, almost immediately once leaded gasoline <a href="https://www.caltech.edu/about/news/getting-lead-out-47935">was created in 1922</a>, serious health concerns were raised about it&#8212;the Surgeon General questioned it before a gallon had been sold, workers making it began dying within months of its 1923 launch, and the engineer who invented it wrote the industry&#8217;s reassurances to the government while recovering from lead poisoning himself. However, since GM held the patent and collected a royalty on nearly every gallon of gasoline sold in America, rather than be ethical, GM wrote into its contract with the Bureau of Mines that the government&#8217;s safety findings required company approval before publication, then funded a university laboratory that produced essentially all of the &#8220;safety&#8221; data on lead for the next forty years. When Caltech&#8217;s Clair Patterson proved in 1965 that Americans carried roughly a hundred times the lead burden of their ancestors, the industry tried to buy him and then had his government contracts pulled. As such, all of the efforts to get lead out of gasoline were unsuccessful (which is truly remarkable given the massive health consequences of it such as <a href="https://www.sciencedaily.com/releases/2018/03/180312201739.htm">256,000 premature deaths from cardiovascular disease each year in America</a><strong>).</strong></p><p>Rather, what did was the catalytic converter as automakers needed them to meet the 1970 Clean Air Act, lead destroys them on contact, and in 1970 GM (which had conveniently sold its stake in the lead business a few years earlier) announced it was switching away from leaded gas. As such, once the world&#8217;s largest carmaker needed unleaded fuel, refiners had a product that was just as profitable to sell, and the same machine that had defended lead for half a century quietly phased it out. Notably, a non-toxic alternative had existed the entire time (GM&#8217;s own researchers had tested ethanol blends before lead); <strong>it lost because it couldn&#8217;t be patented</strong> (whereas by 1970 other patentable additives existed).</p><p>Furthermore, this is not an isolated pattern.  For example, DuPont fought the science linking CFCs to ozone depletion for fifteen years, then abruptly reversed its position in 1988&#8212;once it held the patents on the replacement refrigerants. The Montreal Protocol had been signed the year before, and the &#8220;impossible&#8221; phase-out proceeded on schedule.</p><p>Likewise, many things in medicine have fit this pattern:</p><ul><li><p>Seldane (terfenadine) was known from 1990 to cause fatal arrhythmias when taken with common antibiotics, but stayed on the market until 1998&#8212;eighteen months after the same company got Allegra approved (which is simply Seldane&#8217;s active metabolite without the cardiac risk). The FDA&#8217;s own withdrawal proposal stated the reasoning plainly: now that a safer alternative existed, Seldane&#8217;s risks were no longer acceptable.</p></li><li><p>Rezulin (troglitazone) caused fatal liver failure and was pulled in Britain in 1997. The FDA kept it on the market until 2000, and when it finally withdrew the drug, explicitly cited the fact that Avandia (rosiglitazone) and Actos (pioglitazone) were now available to replace it.</p></li><li><p>Bextra (valdecoxib) was withdrawn in 2005 for cardiovascular risk and rare, life-threatening skin reactions, with the FDA noting it offered no advantage over the NSAIDs already on the market&#8212;while Celebrex, Pfizer&#8217;s bigger-selling COX-2 inhibitor (with the same COX-2 class risk), was allowed to stay.</p></li><li><p>Phenacetin was one of the most widely used painkillers in the world and was linked to kidney failure in the 1950s. It wasn&#8217;t banned in the U.S. until 1983, by which point Tylenol (phenacetin&#8217;s own metabolite) had already taken over its market.</p></li><li><p>Barbiturates were known to be lethal in overdose and highly addictive by the 1930s, yet remained the default sedative for another thirty years until Librium and Valium (benzodiazepines) arrived in the 1960s with fresh patents and the same customers.</p></li><li><p>Halothane hepatitis, a frequently fatal liver necrosis, was recognized within a few years of halothane becoming the standard anesthetic in the 1950s. It was tolerated for three decades until patented replacements (isoflurane, desflurane, sevoflurane) captured the operating room in the 1980s and 90s. Tellingly, halothane is still widely used in poorer countries where those patented pharmaceuticals are unaffordable.</p></li><li><p>Tardive dyskinesia, an often irreversible movement disorder, was identified in patients on Thorazine and Haldol by the late 1950s and accepted as a cost of doing business for forty years. The older drugs were rapidly displaced once patented &#8220;atypical&#8221; antipsychotics arrived in the 1990s&#8212;which then turned out to cause diabetes and metabolic syndrome at rates that arguably made them no safer, only newer.</p></li><li><p>The whole-cell pertussis (DTwP) vaccine <a href="https://www.midwesterndoctor.com/p/the-century-of-evidence-vaccines">had a high rate of causing encephalitis</a> and nearly bankrupted the vaccine industry in lawsuits, leading to the <a href="https://en.wikipedia.org/wiki/National_Childhood_Vaccine_Injury_Act">1986 National Vaccine Injury Act</a> being passed (giving the industry immunity from lawsuits). As activists had begged for years for the safer but more expensive Japanese acellular (DTaP) vaccine to replace the DTwP vaccine (which the industry refused to spend the money to do), the 1986 Act was structured to require HHS to promote safer vaccines (leading to the necessary research being Federally funded) and a few years later DTaP quietly replaced DTwP (except in poorer nations where the WHO continues to promote DTwP).</p></li><li><p><span>After the idea of X-raying a fetus throughout pregnancy was proposed in 1923, </span><a href="https://pubmed.ncbi.nlm.nih.gov/25340440/">it was quickly taken up by the medical profession</a><span>. Before long, evidence accumulated that this was very dangerous, </span><strong>but it was not until 1975</strong><span> that the obstetric field shifted away from it&#8212;a shift that largely occurred because an alternative way (ultrasound) was found to conduct those routine exams.</span></p></li><li><p>Cylert (pemoline), an ADHD drug, carried liver-failure warnings from 1996 onward but stayed on the market until 2005, once the stimulant market was fully covered by other products and it no longer filled a gap.</p></li><li><p>OxyContin&#8217;s abuse potential was known to Purdue for a decade before it &#8220;solved&#8221; the problem in 2010 with a crush-resistant reformulation&#8212;which conveniently extended its patent protection and let the company argue the original (now unsafe) version should be blocked from generic competition.</p></li></ul><p>So, while there are many harmful products on the market I believe should be banned, rather than continually emphasize how bad they are, I try to have my focus here be directed towards safer alternatives which can displace them, as I feel that is the most realistic way to get them off the market and have them stop harming people.</p><h1>The AI Boom</h1><p>One of the topics I&#8217;ve seen many people debate is how far AI is likely to go as on one hand, there are projections it will displace many people&#8217;s jobs and completely redo the economy, while on the other many argue that dystopian vision is simply hype the AI industry is creating to justify inflated stock values as the companies go public (and to obtain private investor funding prior to that).</p><p>Given the potential cultural implications of AI, I&#8217;ve hence put a lot of thought into how they actually generate their answers, the relative accuracy of the different types of responses they get, how AI can be a productivity increasing or decreasing tool, and the overall effects I expect them to create upon the society (e.g., a lot of the responses AI gives are terrible because <span>its conversational style is tuned to please raters, which produces the same pretentious and obnoxious responses that dominates Reddit</span>).  From that, I&#8217;ve essentially concluded:</p><p>&#8226;A significant portion of the population prefers to follow the crowd, tends to defer to authority, and is somewhat averse to the hard effort it requires to think for oneself or deal with adversity.  For these people, AI (as most currently understand it) will be irresistible, resulting in them being trapped in a bubble where they can&#8217;t grow or change (exemplified by the rising phenomenon of AI boyfriends and girlfriends) and it becoming increasingly easier for the system to manipulate them into compliance (in part because AI answers <span>inevitably regress toward the orthodoxy of their training data and the preferences of the people who rate their answers</span>).</p><p>&#8226;A smaller portion will recognize that AI provides a tool that allows them to greatly increase their productivity. This, I believe, will ultimately lead to a wealth explosion that will be concentrated in the upper classes (hence increasing the income division in society). However, I do not believe this benefit will be seen for many of the people pursuing it due to them failing to recognize what AI is and is not useful for. Put differently, AI will benefit users who make a point to keep their own agency while using it and harm those who hand it over.</p><p>&#8226;Since many of the things we are trained by the educational system to do are ultimately algorithmic (and hence possible for AI to do), AI will place an increasing pressure upon the population to shift to providing things which offer an inherent value that goes beyond what can be automated and trained (e.g., a genuine authentic human presence in medicine that is naturally therapeutic). However, I do not think many of the people who economically need to do this will do so, and as a result, AI will also amplify the income inequality in society from the opposite direction (by making the less wealthy poorer).</p><p>&#8226;A significant portion of the value of AI comes from things most users cannot see (AI interfacing with programs rather than individual users talking to chatbots), as this setup makes it possible for programs (or programs connected to physical systems) to do a lot of things that previously were not possible (e.g., to create a variety of highly profitable technologies or meticulously micromanage the population). Because of this, I suspect one of the main purposes of the chat bots (beyond creating positive PR for the AI industry) has been to provide free human training that can be used to develop these far more lucrative invisible systems.</p><p>To put all of that in more concrete terms; initially, I was strongly opposed to using AI  as I felt it was highly inaccurate (due to it sharing the exact same subtle biases I was used to seeing on websites like Wikipedia) and found its pretentious and condescending style of conversation to be extremely obnoxious (until we realized you could stop a lot of that by telling the chatbots to stop &#8220;sounding like Reddit&#8221;).  Later, I realized it was very useful for rapidly executing second and third order searches (e.g., I am going from point A to point B, based on my criteria, the possible routes I can take, and the time I am leaving, what is the optimal place for me to stop at midway) as it could quickly do all of that rather than requiring me to manually sort through each part of the decision tree (saving a lot of time).</p><p>Likewise, with writing, I was initially strongly opposed to using AI at all both because I could not tolerate the errors it continually introduced (e.g., AI hallucinations or regressions to the orthodoxy) and because I did not like the feel of AI writing (which beyond having a &#8220;Reddity tone&#8221; also <strong>just felt empty</strong>, which was a deal breaker as I am not willing to ask readers here to read things I myself would not want to read). I then switched to viewing AI as a good way to obtain &#8220;orthodox&#8221; perspectives (many of which are correct) and edit what you are working on (which for me works best by generating word document copies of articles with suggested edits highlighted so I can go through each one and manually add in the ones that make sense).</p><p>Later, I realized that while AI has a high rate of hallucination for anything it generates on its own (and pulls from fairly limited datasets), it&#8217;s fairly good with material you directly give it to process. So if you understand the entire pipeline that is required to create a finished output, it often makes sense to save a lot of time by having AI automate certain parts of the pipeline (rather than asking for the whole thing start to finish&#8212;which inevitably creates a highly erroneous and useless output). Because of this, one of the main things we&#8217;ve done over the last year has been to give them well over ten thousand studies (from all the databases AI systems do not look at) and have them process each one into a paragraph highlighting all the pertinent data in the study (and then sort those paragraphs by category and then sort those categories by overlapping information).  </p><p>From doing this, it&#8217;s made it possible to compile a lot of information that simply was never accessible before and to do it in a very short timeframe (thereby making it actually possible to get all of this into the public domain while RFK is still HHS Secretary).  For example, papers get exponentially harder to write the more sources they contain, and <a href="https://link.springer.com/article/10.1016/s1734-1140(09)70026-x">the capstone paper</a> on DMSO for brain spine and heart injuries the top experts in the field wrote (after spending a decade researching the subject) contained 78 references&#8212;yet the four articles I released this year on this topic collectively contained nearly 5,000 references.<a href="https://www.midwesterndoctor.com/p/how-dmso-heals-the-brain-and-transforms"><sup>1</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/how-dmso-heals-the-spine-and-reverses"><sup>2</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/how-dmso-heals-nerves-and-eliminates"><sup>3</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/dmso-heals-blood-vessels-and-could"><sup>4</sup></a>  So while doing these four articles was immensely time consuming, with the help of AI (and very careful vetting of the outputs), it was possible to do orders of magnitude more than anyone ever has been able to do before, thereby, at last making that forgotten literature base accessible.</p><p>One of the main reasons I did all of this, in turn, was because I knew it was simply not feasible for independent researchers to ever uncover most of the actual research that had been done with DMSO. As such, my hope was that by making it all easily available, other researchers could copy my work and use it as a foundation for their own works on DMSO (as prior to me beginning this project, I&#8217;d realized almost every DMSO book in print rather than independently research the subject had just copied what was in the previously published books and hence all were collectively drawing from a very limited pool of scientific studies).  So, if a much larger body of compelling literature was made available to everyone, it would effectively promote the therapy and make something that could help a lot of people widely available, thereby creating the pressure to shift us to a better model of medical care (which is why I chose to start by the writing the longer and far more difficult articles which make that critical literature available rather than jumping to the shorter ones that have more commercial appeal).</p><p>This has basically happened, and over the last two years, a lot of books and articles have started to be published on using DMSO which are incorporating many of those forgotten studies that have never before been seen in print.  However (and this is the key point), what I&#8217;ve noticed is that most of them were AI generated summaries of what I wrote rather than the authors using them as a scaffolding to assist in developing their own DMSO content.  On one hand, this has been problematic as the AI summaries introduce a significant amount of errors or misinterpretations (so in cases where authors who did this credited me, many people have asked me why I said something I never actually did but the AI summary erroneously concocted).</p><p>However, what I feel is far more important (and why I shared this story) is that even in cases where I&#8217;d already done the vast majority of the work for anyone who would want to broach the DMSO topic (and held off on writing the shorter DMSO pieces so an economic niche was created for other people to do it), when authors were faced with the choice between doing the last bit themselves or letting AI do it with the errors doing so inevitably entails, they chose the latter.  I mention this because I do not think this issue is at all unique to DMSO, but rather that (as I alluded to in the first bullet point of this section) if AI provides an easier and faster way to do tasks at the expense of quality, human nature dictates that a lot of people will use AI to do that (which amongst other things is why the amount of content on the internet is rapidly increasing while in tandem its quality is rapidly declining).</p><p>So to summarize, I feel AI is a very useful tool which makes a lot of things previously not possible possible. However, my fear is that the majority of users will treat it as a crutch and not utilize it in a manner that productively enhances their own lives (or their personal development). In contrast, there will also be a sizable number of individuals who will grasp how to effectively leverage AI, but I think there is a high likelihood most of them will not have the ethics (or wisdom) to prevent their projects from harming humanity (e.g., one of the current AI enabled gold-rushes is AI facilitated mass surveillance while another is using mRNA to cure illnesses by "rewriting the programs your body runs on"&#8212;neither of which is likely to provide a net benefit to humanity). Put differently, the tool amplifies whatever its user brings to it, but most people instead rely upon AI to do everything for them.</p><p><em>Note: since America&#8217;s tech industry originates from a very left-wing area, it exists within a cultural ethos where presenting the appearance of aiming to benefit humanity is paramount. Because of this, many people I&#8217;ve spoken to have collectively seen more investor pitches than I can count from Silicon Valley tech companies over the years that claimed the company would help humanity but in reality were entirely about profit and often later created a negative impact on humanity (e.g., Facebook&#8217;s first president recently admitted <a href="https://www.smh.com.au/technology/god-only-knows-what-its-doing-to-our-childrens-brains-facebooks-first-president-has-some-regrets-20171110-gzigsm.html">he deeply regrets what they did to children&#8217;s brains</a>). Because of this, I am fairly skeptical about all the (repackaged) utopian language I am seeing being increasingly wrapped around AI&#8212;particularly since more and more military spending is going towards developing AI weapon systems, which I feel is very dangerous for humanity (as once human beings are no longer held back by being confronted with the visceral reality of killing another person it opens the doors to unspeakable horrors occurring). </em></p><h1>Datacenter Proliferation</h1><p>Despite unresolved questions existing on the inherent worth of AI, leaders around the world (who seem unable to grasp AI is well suited for certain tasks but not others) have made the decision to go all in on creating robust national AI frameworks as AI dominance has been equated with economic supremacy and being a superpower in the 21<sup>st</sup> century. </p><p>In America&#8217;s case, this has mostly meant the government clearing the way for private money rather than building anything itself. On his second day back in office (building on the precedent he established in his first term of expediting business projects he felt advanced America&#8217;s interests&#8212;such as Operation Warp Speed or obtaining massive amounts of ventilators and hydroxychloroquine), Trump hosted <a href="https://openai.com/index/announcing-the-stargate-project/">the launch of Stargate</a> (a $500 billion, four-year private venture between OpenAI, SoftBank, Oracle, and MGX to build roughly 10 gigawatts of AI data centers&#8212;much of which has not yet come to fruition), and in July 2025 the White House released an &#8220;<a href="https://www.ai.gov/action-plan">AI Action Plan</a>&#8221; whose central pillar was &#8220;<a href="https://www.whitehouse.gov/presidential-actions/2025/07/accelerating-federal-permitting-of-data-center-infrastructure/">Build American AI Infrastructure</a>.&#8221; <span>The accompanying executive order designated any data center needing more than 100 megawatts of new power as a priority federal project, directed agencies to fast-track and narrow their environmental review, opened federal land (including contaminated Superfund sites) to them, and directed the Commerce Department to arrange loans and guarantees for qualifying projects with at least $500 million of private capital behind them. That same month's tax bill restored full immediate expensing for this type of investment,</span><a href="https://taxfoundation.org/research/all/federal/big-beautiful-bill-senate-gop-tax-plan/"><sup><span>1</span></sup></a><span> which David Sacks (who ran AI policy for the White House until this year) has credited as a key driver of what followed.<br><br></span>What followed has no precedent&#8212;Sacks told the G20 <span>on September 2, 2026</span> that about $800 billion is being invested in AI infrastructure in the United States this year, that the figure is expected to reach $1.4 trillion next year, that the estimates keep being revised upward, and that the only comparable buildout was the railroads in the 1800s<a href="https://www.freepressjournal.in/tech/us-ai-infrastructure-investment-set-to-surpass-14-trillion-next-year-fueling-a-new-industrial-revolution-on-the-scale-of-the-19th-century-railway-boom"><sup>1</sup></a> (it already exceeds the fiber-optic buildout of the internet era). The companies&#8217; own numbers agree: Amazon, Microsoft, Alphabet, and Meta spent around $410 billion in 2025 and plan roughly $725 billion or more in 2026,<a href="https://valueaddvc.com/ai-spending"><sup>1</sup></a> with analysts projecting their combined spending will pass $1 trillion in 2027 and Goldman Sachs expecting $5.3 trillion from those four companies alone by 2030.<a href="https://finance.yahoo.com/sectors/technology/article/meta-microsoft-amazon-and-alphabet-are-about-to-spend-a-shocking-amount-of-money-to-dominate-the-ai-era-115359575.html"><sup>1</sup></a> <span>In short, these are some of the most profitable enterprises in human history, and they are now spending so fast that Alphabet's (Google's) free cash flow went negative in the second quarter of 2026 for the first time since it became a public company.</span><a href="https://www.cnbc.com/2026/07/28/hyperscalers-face-higher-capex-scrutiny-after-alphabet-report-panned.html"><sup>1</sup></a></p><div 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class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p>Much of this shows up as physical construction. The Census Bureau only recently began tracking data centers as their own category, and when it did, it found they had overtaken traditional office construction in the country.<a href="https://www.datacenterknowledge.com/build-design/data-centers-become-largest-segment-of-us-office-construction"><sup>1</sup></a> By July 2026 data center construction was running at an annual pace above $75 billion, up nearly 60% from a year earlier&#8212;during a month in which total U.S. construction spending fell (with residential construction down 7.3% from the previous year).<a href="https://www.axios.com/2026/09/01/ai-data-center-constructon-spending"><sup>1</sup></a><sup>,</sup><a href="https://www.enr.com/articles/63595-data-centers-power-see-increase-as-total-spending-declines"><sup>2</sup></a> <span>Data center construction projects now account for nearly a quarter of all nonresidential building in the country (and the buildings are only about a fifth of a data center's cost; the equipment inside is the rest), with nearly three times as much spent so far this year as in the same period last year</span><a href="https://news.constructconnect.com/september-2026-data-center-report-year-to-date-spending-nearly-three-times-a-year-ago"><sup><span>1</span></sup></a> while nearly every other category of investment is flat or falling.<a href="https://www.wsj.com/tech/ai/how-the-u-s-economy-became-hooked-on-ai-spending-4b6bc7ff"><sup>1</sup></a> In turn, one analyst group estimates AI capital spending is adding roughly 1.4 percentage points to U.S. growth this year,<a href="https://www.bridgewater.com/research-and-insights/the-macro-implications-of-the-ai-capex-boom"><sup>1</sup></a> and Sacks has argued it accounted for about 75% of first-quarter GDP growth.<a href="https://www.benzinga.com/markets/tech/26/05/52240027/david-sacks-says-ai-could-drive-75-of-us-gdp-growth-as-morgan-stanley-sees-big-tech-ai-capex-surging-past-800-billion-in-2026"><sup>1</sup></a></p><p><em>Note: this spending is not confined to America. China, for example, is preparing to spend around 2 trillion yuan ($295 billion) over the next five years on data centers,<a href="https://www.bloomberg.com/news/articles/2026-06-09/china-prepares-295-billion-plan-to-fund-nationwide-ai-buildout"><sup>1</sup></a> the EU has announced a &#8364;200 billion "InvestAI" initiative,<a href="https://futurumgroup.com/insights/ai-capex-2026-the-690b-infrastructure-sprint/"><sup>1</sup></a> Saudi Arabia is deploying hundreds of megawatts of Nvidia and AMD chips through a state-backed company,<a href="https://futurumgroup.com/insights/ai-capex-2026-the-690b-infrastructure-sprint/"><sup>1</sup></a> and the UAE is building a 5-gigawatt AI campus in Abu Dhabi.<a href="https://futurumgroup.com/insights/ai-capex-2026-the-690b-infrastructure-sprint/"><sup>1</sup></a> One analyst group, in turn, puts global data center capital expenditure (by a narrower definition than Sacks's) at roughly $800 billion per year in 2026 and projects $31.6 trillion will be spent on AI infrastructure through 2050.<a href="https://www.pwc.com/gx/en/news-room/press-releases/2026/global-investment-in-ai-infrastructure.html"><sup>1</sup></a></em></p><h1>Community Resistance</h1><p>While understandable fears that AI will displace jobs have created public opposition to AI, the primary source of political pushback against the industry has actually come from communities AI data centers are being placed in.  This is because:</p><p>&#8226;Data center processors require a massive amount of energy (a single facility can draw as much power as a mid-sized city), which in turn is spiking electricity demand<a href="https://ieefa.org/resources/projected-data-center-growth-spurs-pjm-capacity-prices-factor-10"><sup>1</sup></a> and hence electricity costs in the areas around them <span>(as the grid upgrade costs get passed to residential ratepayers&#8212;so a key fight in most states is over who pays for those upgrades).</span> That said, the extent to which data centers are raising electricity prices is hard to quantify as estimates vary widely (e.g., some have found none, <a href="https://www.npr.org/transcripts/nx-s1-5649814">one found a 10-20% increase</a> and others found far more; the clearest documented case is the PJM grid serving the mid-Atlantic, whose independent monitor attributed most of a ten-fold jump in capacity prices to data center demand), but even in <a href="https://www.mercurynews.com/2026/05/13/lake-tahoe-power-crunch-shows-ais-growing-energy-toll-in-west/">the most cited extreme cases</a>, other pre-existing factors could explain some of the increases that occurred. <br><em>Note: those upgrades also mean new high-voltage transmission lines being run through communities, which raises residential exposure to the low-frequency magnetic fields that IARC classifies as a possible carcinogen and which have repeatedly been linked to childhood leukemia at exposure levels far below existing standards (an association IARC considers real but unexplained, as no [accepted] mechanism has been established).<a href="https://publications.iarc.fr/Book-And-Report-Series/Iarc-Monographs-On-The-Identification-Of-Carcinogenic-Hazards-To-Humans/Non-ionizing-Radiation-Part-1-Static-And-Extremely-Low-frequency-ELF-Electric-And-Magnetic-Fields-2002"><sup>1</sup></a></em></p><p>&#8226;Since all that electrical usage creates heat, many facilities (particularly those using evaporative cooling) also require large amounts of water.<a href="https://news.ucr.edu/articles/2026/03/09/data-center-water-spikes-could-cost-billions"><sup>1</sup></a><sup> </sup>As such, ia March 2026 study estimated that $10&#8211;58 billion of new water infrastructure will be needed by 2030 to meet this demand (assuming the water is even available), with data centers' additional peak-day requirement by then roughly matching New York City's entire daily water use.<a href="https://news.ucr.edu/articles/2026/03/09/data-center-water-spikes-could-cost-billions"><sup>1</sup></a><sup> </sup>Presently, this translates to communities with robust water infrastructures being relatively unaffected, but smaller ones having challenges such as reduced water pressure and price increases, especially during surges (e.g., hot summer days).  Furthermore, like the electrical cost increases, it&#8217;s hard to estimate exactly what degree of the increase can be attributed to data centers vs. pre-existing factors which were already increasing costs.<em><br><span>Note: evaporative cooling also produces blowdown (leftover water concentrated with salts, biocides, and corrosion inhibitors, plus traces of metals from pipes). This wastewater is usually sent to a municipal plant or a permitted discharge where poor handling can still stress a small treatment plant or creek.</span></em></p><p>&#8226;<span>Data centers create a significant amount of constant noise (primarily due to the cooling systems, but also diesel generators during tests or outages, with some sites also having onsite turbines that run all the time). This noise makes it very unpleasant to live next to the centers and has resulted in many people who invested their lives into homes near the data centers wanting to move but having trouble doing so, with many saying the centers made their homes harder to sell (and as such, more and more heartwrenching documentaries are appearing on how communities have been negatively affected by data centers). Likewise, many are now reporting health effects from living in proximity to data centers (which is in part due to the air pollution their generators create</span><a href="https://www.nytimes.com/2026/08/05/climate/data-centers-pollution-trump-ai-energy.html"><sup>1</sup></a>).<br><em><span>Note: since data centers need a lot of power, land, and fiber, many newer ones are being placed in less affluent communities, including in the Midwest, so this is becoming an increasing problem in my region (which is a large part of why I wrote this article)&#8212;while in contrast, it&#8217;s easy for people in more affluent areas that don&#8217;t host them (but often profit off them) to not notice as cheaper regions are favored for new data center deployment.</span></em></p><p><span>Because of this, there is increasing community pushback against the data centers, which has led to local politicians who approved them despite vocal opposition in their communities subsequently being recalled</span><a href="https://www.nytimes.com/2026/09/01/technology/data-center-recall-vote-independence.html"><sup><span>1</span></sup></a><span> and data center opposition becoming one of the key issues in the midterms in certain affected districts.</span><a href="https://www.politico.com/news/2026/08/26/data-centers-midterms-politicians-voters-sour-01050143"><sup><span>1</span></sup></a><sup><span>,</span></sup><a href="https://www.newsweek.com/how-data-centers-could-upend-the-midterms-12122181"><sup><span>2</span></sup></a><span>  More than 300 state bills targeting data centers were filed in the first six weeks of 2026 alone,</span><a href="https://www.multistate.us/insider/2026/2/20/state-data-center-legislation-in-2026-tackles-energy-and-tax-issues"><sup><span>1</span></sup></a><span> and in July New York's governor signed the nation's first statewide moratorium, pausing new hyperscale data center permits for a year."</span><a href="https://www.governor.ny.gov/news/first-statewide-moratorium-new-hyperscale-data-centers-launched-governor-kathy-hochul"><sup><span>1</span></sup></a><sup><span>,</span></sup><a href="https://www.utilitydive.com/news/behind-the-new-york-data-center-pause-is-legislation-that-could-impact-exis/826369/"><sup><span>2</span></sup></a></p><p><span>In response to this, the industry has become increasingly aggressive in buying up land for the data centers (and pressing landowners to sell), while utilities use eminent domain for power lines across private land to serve those sites, and the industry has both lobbied politicians at every level and sued municipalities to push the projects through&#8212;all of which is expected given how much money is being invested.<br></span><em><span>Note: the industry is also beginning to work on innovations (e.g., onsite power generation and closed-loop cooling), which illustrates the displacement effect is already beginning.</span></em><span>   </span></p><p>Likewise in response to the pushback:</p><p><span>&#8226;President Trump has recently taken the position it is against one&#8217;s interest to oppose data centers:</span></p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!9QoX!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fea80bf5e-ab53-40ec-930c-ab492ed852b6_1144x652.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!9QoX!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fea80bf5e-ab53-40ec-930c-ab492ed852b6_1144x652.png 424w, https://substackcdn.com/image/fetch/$s_!9QoX!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fea80bf5e-ab53-40ec-930c-ab492ed852b6_1144x652.png 848w, https://substackcdn.com/image/fetch/$s_!9QoX!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fea80bf5e-ab53-40ec-930c-ab492ed852b6_1144x652.png 1272w, https://substackcdn.com/image/fetch/$s_!9QoX!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fea80bf5e-ab53-40ec-930c-ab492ed852b6_1144x652.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!9QoX!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fea80bf5e-ab53-40ec-930c-ab492ed852b6_1144x652.png" width="1144" height="652" 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srcset="https://substackcdn.com/image/fetch/$s_!9QoX!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fea80bf5e-ab53-40ec-930c-ab492ed852b6_1144x652.png 424w, https://substackcdn.com/image/fetch/$s_!9QoX!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fea80bf5e-ab53-40ec-930c-ab492ed852b6_1144x652.png 848w, https://substackcdn.com/image/fetch/$s_!9QoX!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fea80bf5e-ab53-40ec-930c-ab492ed852b6_1144x652.png 1272w, https://substackcdn.com/image/fetch/$s_!9QoX!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fea80bf5e-ab53-40ec-930c-ab492ed852b6_1144x652.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p>&#8226;Individuals like Vice President Vance have tried to find middle ground positions like emphasizing the necessity of tech companies needing to build the power generation for the data centers rather than take it from the local grid and spike local electrical prices. <br><br>&#8226;<a href="https://www.mediamatters.org/fox-business/fox-business-framing-local-data-center-opposition-threat-america-ai-race">Fox News</a> originally aired data center concerns (and claimed they could be solved with deregulation, infrastructure improvements or developers absorbing some of the costs). However, as public opposition grew (e.g., in <a href="https://news.gallup.com/poll/709772/americans-oppose-data-centers-area.aspx">March 2026</a>, 71% of Americans opposed data centers being constructed in their areas) Fox pivoted to the position that supporting data centers was necessary for US technological dominance, and that opposing data center proliferation helped China&#8217;s interests (e.g., &#8220;You&#8217;re against data centers, you are for China&#8221;). In tandem, Republican leaders have pressed the position that opposition to data centers is (at least in part) <a href="https://www.wired.com/story/china-us-data-center-opposition/">a Chinese campaign against America&#8217;s interests</a>.<br><em>Note: as I discussed <a href="https://pierrekorymedicalmusings.com/cp/211410525">in a recent interview with Pierre Kory</a>, dealing in absolutes is immensely problematic for society. So, while it is true opposition to data centers likely helps China, and that some of that opposition is probably being egged on by groups that benefit from the Trump administration&#8217;s AI attempts being derailed, that does not negate the fact that the thing motivating most of the opposition to the data centers is the impacts they are having on communities.</em></p><p><em>&#8226;</em>The large conservative influencers have become split on the datacenter topic (e.g., <a href="https://www.youtube.com/watch?v=Ug4nsMLQ0oc">Ben Shapiro has said</a> opposition to them equates to working for China and Russia, <a href="https://x.com/AsraNomani/status/2095579490357301263">others</a> have linked opposition to existing left-wing groups, <a href="https://www.youtube.com/watch?v=wEm1ZpL1PAg">Matt Walsh has rejected</a> both panic-bans and a no-questions buildout, arguing there are real problems with how centers are being rolled out that require a serious public debate before the country sprints further, and <a href="https://x.com/TuckerCarlson/status/2090846606581010746">Tucker Carlson</a> has come out strongly opposed, arguing communities are being stripped of the power to say no while paying the costs and getting no convincing public benefit).</p><h1>Data Center Health Effects </h1><p>Thus far, in this newsletter, I&#8217;ve focused on one half of this equation: some individuals are much more sensitive to toxicity, and hence are disproportionately injured by pharmaceutical drugs but then gaslighted by their doctors and community when they experience those inevitable injuries. The way I make sense of this is by viewing injuries as distributing on a bell curve, where the severe injuries (that are unmistakeable) <span>are</span> fairly rare, while the less severe (but harder to recognize ones) <span>are</span> fairly common.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!9euU!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F4382fc89-fa7a-4b43-99da-72d08848e855_1438x870.jpeg" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!9euU!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F4382fc89-fa7a-4b43-99da-72d08848e855_1438x870.jpeg 424w, 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https://substackcdn.com/image/fetch/$s_!9euU!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F4382fc89-fa7a-4b43-99da-72d08848e855_1438x870.jpeg 848w, https://substackcdn.com/image/fetch/$s_!9euU!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F4382fc89-fa7a-4b43-99da-72d08848e855_1438x870.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!9euU!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F4382fc89-fa7a-4b43-99da-72d08848e855_1438x870.jpeg 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p>This distribution pattern sadly makes it easy to dismiss the injuries, as the extreme ones are rare enough that they can be written off as spontaneous coincidences unrelated to the pharmaceutical, while the common ones are minor enough they are either not recognized or attributed to something else. In contrast, the way I interpret this curve is that if I see a cluster of severe events, I immediately assume the agent is dangerous and there will likely be a massive number of less severe effects, and likewise, if I see a high rate of people reporting moderate reactions to something (especially in different parts of the body), that means there are severe ones hiding in the background.</p><h3>The COVID Vaccine Bell Curve</h3><p>Since the COVID vaccine is fairly toxic and was given to a massive number of people, beyond this bell curve occurring, all of it was amplified to the point people who are not trained to spot it could still tell it was occurring. As such, when the COVID vaccine was approved, I had concerns it would have issues (which led to me advising people to hold off on it until more was known), but I initially expected the issues to primarily be chronic problems like delayed onset autoimmune diseases, increases in cancer a few years down the road and future fertility impairments (the potential risk of which I felt would most likely exceeded the meager benefit the vaccine was likely to offer).</p><p>However, the week it was released to the public, I began seeing distant colleagues post on social media they felt absolutely awful after vaccinating (but still intended to continue) and having multiple patients each day (in the demographics the vaccine had thus far been rolled out to) complaining about fairly significant (but not life-altering) reactions to the vaccines they&#8217;d never experienced from other shots (which most of the other doctors wrote off as not enough to justify skipping the second dose&#8212;despite reactions typically being worse from the second one).</p><p>As such, within a week I realized I had significantly underestimated the toxicity of the shot, and began pleading with people I knew to not get it as I was fairly certain the reactions I was seeing meant there were also going to be a lot of more severe ones that likely would take a while to show up (after which I had to watch quite a few of the people I cared about who didn&#8217;t listen to me develop much more severe chronic complications from the vaccine).  Likewise, after about a month, I started having people around the country (many of whom I had not spoken to in years) reach out to ask if the COVID vaccines could cause sudden death as this had happened to a relative or friend.  </p><p>I share all of this to highlight both why I have been so upset about the whole COVID vaccine program (as with the extremely limited data I had access to at the time, I could tell within a month of their rollout they were one of the most dangerous pharmaceutical products in history&#8212;yet the regulators with orders of magnitude more data than me could not at that time&#8212;and instead have continued to double down on their safety claim regardless of how much evidence mounts against the vaccines) but also to give an illustration of how this bell curve functions in real life.</p><p>However, that is only one half of the story.  The other is simply that people are more sensitive to stimuli in their environment (which often goes hand in hand with them being predisposed to illness following a toxin exposure).  For example, one of the projects with this newsletter has been to expose the COVID-19 mRNA vaccine shedding phenomenon, something we were told was impossible based on the design of the vaccine, but nonetheless we saw more and more cases of as time went on and eventually collected enough data to determine there were clear reproducible patterns in what was happening that elucidated what was actually occurring (all of which I detailed <a href="https://www.midwesterndoctor.com/p/what-we-now-know-about-covid-vaccine">here</a>).  <span>With the shedding phenomenon, I was originally clued into its reality because a few highly-sensitive patients I knew told me they could tell if someone had recently been vaccinated (as it made them ill and they shared overlapping sensory observations) and because numerous unvaccinated women (closer to the middle of the bell curve) had shared with me being around a vaccinated individual significantly disrupted their menstrual cycle (indicating that while shedding reactions were less severe than COVID vaccine reactions, there were likely still rarer severe reactions I would likely later come across and eventually did).</span></p><p><em><span>Note: when profitable projects are pushed through at the expense of the population, &#8220;sensitive&#8221; people normally bear the brunt of the human cost, but in almost all cases, are viewed as an acceptable sacrifice (since they are rare enough they can be swept under the rug) rather than as &#8220;canaries in the coal mine&#8221; that indicate larger but not yet detected issues will arise in the future.</span></em><span> </span></p><h3>The EMF Sensitivity Bell Curve</h3><p>One of the areas where all these concepts best converge is with electromagnetic field sensitivity, as:</p><p>&#8226;A minority of people are &#8220;electrically hypersensitive&#8221; being both able to feel EMFs and becoming quite ill around them (which ultimately requires them to live in low EMF areas&#8212;which sadly are becoming increasingly rare).<br>&#8226;Some (myself included) are EMF sensitive (so we sometimes sense certain EMFs) and feel generally better in low EMF environments but can essentially tolerate everyday life (e.g., I will go to cities when I need to but prefer rural areas).<br>&#8226;Some don&#8217;t notice EMFs at all, but with careful deduction you can link certain symptoms they have to EMF exposure (which goes away once they go to low EMF environments or do things like turning off their wifi router at night and not keeping their phone by their bed).<br>&#8226;Many people really do not seem to be at all affected by them (but the data that would be needed to assess their longterm risks of things like cancer is not there).</p><p>As such, while a case can be made that EMF sensitivity is a primary contributing factor in many diseases (which has been observed by segments of the natural medicine field for decades), it&#8217;s also quite easy for someone who does not have a lived experience of the process to write it off&#8212;so that is what normally happens. Likewise, since so much of the economy revolves around EMF producing technologies, the necessary research in this area has been heavily suppressed (although a lot of it does exist if you know where to find it).  Instead, the rebuttal typically is that EMFs are too weak to create ionizing radiation, so any biological effect they create must be thermal, and as all consumer devices are below the heating threshold, they are therefor harmless (whereas in reality the devices can still do many harmful things&#8212;particularly those in the microwave spectrum such as cellphones, bluetooth radar and wifi&#8212;which I suspect is due to their partial resonance with water). So as you might expect, the existing scientific consensus and mainstream research reject the notion of EMF sensitivity and the vast body of literature indicating it is harmful to life.<br><em>Note: two of the best books in print on the proven harms of EMFs are Devra Davis&#8217;s<a href="https://www.amazon.com/Disconnect-Truth-About-Phone-Radiation/dp/0991219902"><sup>1</sup></a><sup> </sup>and Arthur Fristenberg&#8217;s.<a href="https://www.amazon.com/Invisible-Rainbow-History-Electricity-Life/dp/1645020096/ref=sr_1_1?crid=3LDE6QR691HAF&amp;dib=eyJ2IjoiMSJ9.WP1PPor111mzvMFoclW0F6fuqOyzSsHi0LWYU3UEk7m84j-nP4Fg6gE-CW5XDAKkhP7UnzPPUuOEjjx88odiUNL_g-PaFUhMqn2FwM1llbUvfmd10rFEIJgUtLAuIVOymaIsXEz9YYHMwCyU0qg6bv7Y5hU0Afn85eelDZddUTH-AFA2dSlFYm7yvkN_0hMaUTkbkiMf3MvCESXRQ7TOEaVfLpz-9CPsk7CphupFC5U.5mazUUpF8e8k8pqS1nnnur5wVOcnqv1Ei-XZLmyjNWE&amp;dib_tag=se&amp;keywords=the+invisible+rainbow&amp;qid=1788672926&amp;s=books&amp;sprefix=the+invisible+rainbow%2Cstripbooks%2C240&amp;sr=1-1"><sup>1</sup></a> One of the most interesting studies I recently came across on this topic was one which discovered cell phones caused blood cells to clump together<a href="http://ehtrust.org/science/environmental-health-trust-rouleaux-project/"><sup>1</sup></a> (a process <a href="https://www.midwesterndoctor.com/p/what-makes-all-vaccines-so-dangerous">I believe underlies many diseases</a> and which <a href="https://www.midwesterndoctor.com/p/the-hidden-link-between-hypermobility-5a5">&#8220;sensitive patients&#8221; are predisposed to</a>).</em></p><p>Given this, the symptoms many reported from living next to data centers (and attributed to the noise they made) caught my eye:</p><p><em><span>Note: a * means there is also decent scientific support that chronic environmental noise (or, for air items, combustion exhaust) can cause or worsen the reported effect. </span></em></p><p><strong><span>What people notice from the site (exposures):</span></strong></p><ul><li><p>Constant hum, high whine, or &#8220;vacuum left on,&#8221; indoors and outdoors* <a href="https://www.eesi.org/articles/view/communities-are-raising-noise-pollution-concernsabout-data-centers">&#185;</a> <a href="https://www.wusa9.com/article/news/local/data/loudoun-county-officials-data-center-noise/65-45884219-750f-4d47-a660-71a20d8db001">&#178;</a> <a href="https://www.larsondavis.com/applications/environmental-noise-monitoring/data-center-noise-monitoring">&#179;</a> </p></li><li><p>Vibration or rattling in windows, walls, floors, porch, or sometimes the body <a href="https://www.prismnews.com/news/residents-near-data-centers-battle-constant-noise-vibration">&#185;</a></p></li><li><p>A sense of pressure rather than an ordinary sound <a href="https://www.techradar.com/pro/dizziness-nausea-vertigo-and-sleep-disruption-the-undetectable-hum-of-ai-data-centers-is-making-local-residents-sick">&#185;</a></p></li><li><p>A tone or hum that still seems audible after going inside <a href="https://www.wusa9.com/article/news/local/data/loudoun-county-officials-data-center-noise/65-45884219-750f-4d47-a660-71a20d8db001">&#185;</a> <a href="https://www.prismnews.com/news/residents-near-data-centers-battle-constant-noise-vibration">&#178;</a></p></li><li><p>Diesel, exhaust, &#8220;rotten,&#8221; or chemical odors when generators test or run <a href="https://www.eenews.net/articles/elon-musks-xai-in-memphis-35-gas-turbines-no-air-pollution-permits/">&#185;</a></p></li><li><p>Construction dust, dirt, truck traffic, and early-morning work</p></li><li><p>Bright site lighting / loss of darkness at night*</p></li></ul><p><strong><span>Most commonly reported effects:</span></strong></p><ul><li><p>Sleep disruption &#8212; trouble falling asleep, nighttime awakenings, waking early and being unable to get back to sleep* <a href="https://www.eesi.org/articles/view/communities-are-raising-noise-pollution-concernsabout-data-centers">&#185;</a> <a href="https://www.wusa9.com/article/news/local/data/loudoun-county-officials-data-center-noise/65-45884219-750f-4d47-a660-71a20d8db001">&#178;</a> <a href="https://www.sciencedirect.com/science/article/abs/pii/S0048969716304338">&#179;</a></p></li><li><p>Headaches or migraines* <a href="https://www.eesi.org/articles/view/communities-are-raising-noise-pollution-concernsabout-data-centers">&#185;</a> <a href="https://www.wusa9.com/article/news/local/data/loudoun-county-officials-data-center-noise/65-45884219-750f-4d47-a660-71a20d8db001">&#178;</a> <a href="https://www.sciencedirect.com/science/article/abs/pii/S0048969716304338">&#179;</a></p></li><li><p>Stress, irritability, anxiety, or feeling constantly on edge* <a href="https://www.techradar.com/pro/dizziness-nausea-vertigo-and-sleep-disruption-the-undetectable-hum-of-ai-data-centers-is-making-local-residents-sick">&#185;</a> <a href="https://www.sciencedirect.com/science/article/abs/pii/S0048969716304338">&#178;</a> (including feeling agitated even with earplugs or headphones <a href="https://www.eesi.org/articles/view/communities-are-raising-noise-pollution-concernsabout-data-centers">&#179;</a>)</p></li><li><p>Fatigue and poor concentration the next day* <a href="https://www.sciencedirect.com/science/article/abs/pii/S0048969716304338">&#185;</a> <a href="https://stopsolontownshipdatacenter.com/infrasound-data-center-health-issues/">&#178;</a></p></li><li><p>Avoiding or no longer using the yard, porch, patio, or open windows* <a href="https://www.wusa9.com/article/news/local/data/loudoun-county-officials-data-center-noise/65-45884219-750f-4d47-a660-71a20d8db001">&#185;</a> <a href="https://www.prismnews.com/news/residents-near-data-centers-battle-constant-noise-vibration">&#178;</a></p></li></ul><p><strong><span>More often reported around very loud cooling or on-site power:</span></strong></p><ul><li><p>Nausea <a href="https://www.eesi.org/articles/view/communities-are-raising-noise-pollution-concernsabout-data-centers">&#185;</a> <a href="https://www.techradar.com/pro/dizziness-nausea-vertigo-and-sleep-disruption-the-undetectable-hum-of-ai-data-centers-is-making-local-residents-sick">&#178;</a> <a href="https://stopsolontownshipdatacenter.com/infrasound-data-center-health-issues/">&#179;</a></p></li><li><p>Dizziness or vertigo <a href="https://www.eesi.org/articles/view/communities-are-raising-noise-pollution-concernsabout-data-centers">&#185;</a> <a href="https://www.techradar.com/pro/dizziness-nausea-vertigo-and-sleep-disruption-the-undetectable-hum-of-ai-data-centers-is-making-local-residents-sick">&#178;</a> <a href="https://stopsolontownshipdatacenter.com/infrasound-data-center-health-issues/">&#179;</a></p></li><li><p>Ear pressure, fullness, pain, or a &#8220;fluid&#8221; feeling <a href="https://www.eesi.org/articles/view/communities-are-raising-noise-pollution-concernsabout-data-centers">&#185;</a></p></li><li><p>Perceived hearing problems or hearing deterioration <a href="https://www.wndu.com/2026/05/27/neighbors-voice-complaints-health-concerns-dowagiac-data-center-noise-lawsuit-moves-forward/">&#185;</a></p></li><li><p>Feeling the sound or vibration in the head or chest <a href="https://www.techradar.com/pro/dizziness-nausea-vertigo-and-sleep-disruption-the-undetectable-hum-of-ai-data-centers-is-making-local-residents-sick">&#185;</a> <a href="https://www.prismnews.com/news/residents-near-data-centers-battle-constant-noise-vibration">&#178;</a></p></li><li><p>Tinnitus, or a tone felt in the head, skull, or behind the eyes; some with pre&#8209;existing tinnitus report worsening during high&#8209;noise periods* <a href="https://www.eesi.org/articles/view/communities-are-raising-noise-pollution-concernsabout-data-centers">&#185;</a> <a href="https://www.wusa9.com/article/news/local/data/loudoun-county-officials-data-center-noise/65-45884219-750f-4d47-a660-71a20d8db001">&#178;</a><br><em>Note: I have met a few EMF sensitive people who can hear EMFs and reported their tinnitus improves when they avoid EMFs (e.g., by turning off their house breakers at night).</em></p></li></ul><p><strong><span>Air and breathing:</span></strong></p><ul><li><p>Closing windows because of fumes or noise* <a href="https://www.prismnews.com/news/residents-near-data-centers-battle-constant-noise-vibration">&#185;</a> <a href="https://www.eenews.net/articles/elon-musks-xai-in-memphis-35-gas-turbines-no-air-pollution-permits/">&#178;</a></p></li><li><p>Asthma or breathing symptoms getting worse <a href="https://www.eenews.net/articles/elon-musks-xai-in-memphis-35-gas-turbines-no-air-pollution-permits/">&#185;</a> <a href="https://time.com/7308925/elon-musk-memphis-ai-data-center/">&#178;</a> <a href="https://www.selc.org/press-release/new-study-finds-proposed-xai-gas-plant-could-worsen-regional-air-pollution-cause-millions-of-dollars-in-annual-health-damages/">&#179;</a></p></li></ul><p><strong><span>Other common complaints:</span></strong></p><ul><li><p>Can&#8217;t sit outside, garden, entertain, or enjoy the property* <a href="https://www.wusa9.com/article/news/local/data/loudoun-county-officials-data-center-noise/65-45884219-750f-4d47-a660-71a20d8db001">&#185;</a></p></li><li><p>Feeling like the house is no longer a quiet refuge* <a href="https://www.wusa9.com/article/news/local/data/loudoun-county-officials-data-center-noise/65-45884219-750f-4d47-a660-71a20d8db001">&#185;</a> <a href="https://www.prismnews.com/news/residents-near-data-centers-battle-constant-noise-vibration">&#178;</a></p></li><li><p>Feeling trapped in the house* <a href="https://www.wusa9.com/article/news/local/data/loudoun-county-officials-data-center-noise/65-45884219-750f-4d47-a660-71a20d8db001">&#185;</a></p></li><li><p>Worries about electricity bills, water, utilities, or infrastructure</p></li><li><p>Concerns about property value <a href="https://www.prismnews.com/news/residents-near-data-centers-battle-constant-noise-vibration">&#185;</a></p></li><li><p>Pets becoming restless or behaving differently <a href="https://stopsolontownshipdatacenter.com/infrasound-data-center-health-issues/">&#185;</a></p></li><li><p>Fewer birds or other wildlife changes <a href="https://stopsolontownshipdatacenter.com/infrasound-data-center-health-issues/">&#185;</a></p></li></ul><p>The reason this list caught my eye is that beyond it being immensely unfortunate for the people who have to deal with it, many of these symptoms (e.g., headaches, sleep disruption, fatigue, brain fog, anxiety or feeling on edge, nausea, dizziness, tinnitus) also overlap with what individuals with electromagnetic hypersensitivity (EHS)  report<a href="https://www.mdpi.com/1422-0067/21/6/1915"><sup>1</sup></a><sup>,</sup><a href="https://www.degruyterbrill.com/document/doi/10.1515/reveh-2015-0012/html"><sup>2</sup></a><sup>,</sup><a href="https://www.who.int/teams/environment-climate-change-and-health/radiation-and-health/non-ionizing/hypersensitivity"><sup>3</sup></a> and likewise, already EMF sensitive individuals report some of the other symptoms they experience (e.g., burning skin) near data centers.</p><p>This overlap in turn suggests:</p><p>&#8226;The same effects which trigger EHS are present with data centers, but, since they are stronger, rather than only the ends of the bell curve being affected, significantly more people (closer to the middle of the curve) are also being affected.  So, much in the same way the COVID vaccines awakened the public to the dangers of the other vaccines (due to them being toxic enough large numbers of people were harmed the toxicity could no longer be covered up), the data centers could potentially do the same for the EMF issue.</p><p>&#8226;The overlap in symptoms is not due to strong EMFs being present by data centers, but rather due to the fact infrasound (sound below the typical threshold of human hearing which data centers generate and is a <span>recognized hazard at high exposure levels)</span> is a &#8220;harmful frequency,&#8221; and that some of the symptoms individuals experience from a variety of harmful frequencies have a significant overlap.</p><p>This hence made me curious about what was happening, as I did not see a reason why data centers would need to emit massive amounts of microwave radiation into their vicinity.<br><br><em>Note: with EMFs, the greatest effects individuals experience are typically from microwave sources. However, the fields generated by electrical wiring do also cause issues (particularly for more sensitive individuals) especially if &#8220;dirty electricity&#8221; (high-frequency electrical noise riding on household 50/60 Hz wiring) is present,</em><a href="https://documents.dps.ny.gov/public/Common/ViewDoc.aspx?DocRefId=%7BE7E09BEF-4977-41AA-B6D2-7B9F8209518F%7D"><sup>1</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/18556048/"><sup>2</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/17178585/"><sup>3</sup></a><sup>,</sup><a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC2557071/"><sup>4</sup></a><em> a process that often is due to devices within the home (e.g., <a href="https://www.eiwellspring.org/emc/SolarEMFHazard.htm">solar power inverters</a> or certain types of bulbs sometimes need to be removed to provide EHS individuals with relief).</em></p><p>From looking this up, I discovered the actual issue appears to be that data centers draw their power through enormous non-linear loads (tens of thousands of switched-mode server power supplies, uninterruptible power systems, and variable-speed cooling), which inject harmonics and high-frequency voltage distortion (dirty electricity) back onto the grid&#8212;however rather than a few low output devices creating it, something which draws 10,000 times as much power as a house is doing it and affecting everything.<a href="https://www.bloomberg.com/graphics/2024-ai-power-home-appliances/"><sup>1</sup></a></p><p>Bloomberg News, in turn, in December 2024, <a href="https://www.bloomberg.com/graphics/2024-ai-power-home-appliances/">published a remarkable study of 770,000 home power-quality sensors</a> made by Whisker Labs (whose devices monitor the wiring inside homes to detect fire hazards, and which are dense enough that nearly 90% of American homes are within half a mile of one), cross-referenced against the locations of nearly 1,500 data centers. </p><p><em>Note: at the time this study was published there were far fewer data centers, far less pushback against them, and far less money behind them.  As such, it is unlikely anything similar will be published again in the mainstream media despite the fact the issue Bloomberg highlighted has  become much worse since late 2024.</em></p><p>Using the 8% total harmonic distortion threshold the Institute of Electrical and Electronics Engineers considers damaging to equipment, Bloomberg consistently found:</p><ul><li><p>More than three-quarters of the highly distorted readings in the country were within 50 miles of significant data center activity, and more than half of the households with the worst distortion were within 20 miles. The sensors with the cleanest power were typically at least 87 miles from any major data center. By the Census Bureau&#8217;s figures, about 3.7 million Americans live in the most affected areas.</p></li><li><p>The pattern held in rural areas as well as cities. In big urban areas the median distance to a data center was 14 miles for the worst readings versus 51 for the best; in rural areas it was 49 miles versus 103.</p></li></ul><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!87Fk!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3fbd6c6d-7aab-4d8b-90ea-4bf9070db0b3_1296x768.webp" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!87Fk!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3fbd6c6d-7aab-4d8b-90ea-4bf9070db0b3_1296x768.webp 424w, https://substackcdn.com/image/fetch/$s_!87Fk!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3fbd6c6d-7aab-4d8b-90ea-4bf9070db0b3_1296x768.webp 848w, https://substackcdn.com/image/fetch/$s_!87Fk!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3fbd6c6d-7aab-4d8b-90ea-4bf9070db0b3_1296x768.webp 1272w, https://substackcdn.com/image/fetch/$s_!87Fk!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3fbd6c6d-7aab-4d8b-90ea-4bf9070db0b3_1296x768.webp 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!87Fk!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3fbd6c6d-7aab-4d8b-90ea-4bf9070db0b3_1296x768.webp" width="1296" height="768" 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fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><ul><li><p>In Loudoun County, Virginia (home to &#8220;data center alley&#8221; and roughly 3,000 megawatts of capacity), the share of sensors exceeding the 8% threshold was more than four times the national average. In neighboring Prince William County, about 6% of sensors were over the limit, nearly all within 7 miles of a data center, with some readings reaching 12.9%. Around one newly opened Prince William facility, 78% of nearby sensors were above the limit in October. By contrast, in York County, Virginia, 80 miles from the nearest major data center, harmonics averaged under 3%.</p></li><li><p>In the Chicago area, more than a third of sensors showed sustained high readings over nine months, and over 9,300 of the county&#8217;s 16,000 sensors had at least one monthly reading at or above 8%.</p></li><li><p>The worst distortions occurred at night, when data centers make up a larger share of total demand (i.e., when everyone else is asleep and the servers are not).</p></li><li><p>Bloomberg tested whether large solar installations could explain the pattern and found they did not. It concluded that while the sensor data alone cannot prove a single cause, the correlation with data center proximity was too strong to be coincidence. As you might expect, the utilities questioned these findings (e.g., one company said its 200 grid monitors showed nothing unusual), but Bloomberg stood by them as numerous sensors across the same neighborhoods replicated the findings.<br><em>Note: this is also acknowledged within the industry itself, as data center engineering guides note that the harmonic disturbances these facilities generate can extend beyond the facility to anything connected to the same electrical infrastructure.<a href="https://www.datacenterfrontier.com/sponsored/article/55383213/harmonic-distortion-in-data-centers-a-power-quality-planning-guide"><sup>1</sup></a><sup> </sup>Likewise, a 2025 industry piece concedes that customer loads can distort power for their neighbors.<a href="https://journal.uptimeinstitute.com/are-data-centers-to-blame-for-power-quality-issues/"><sup>1</sup></a></em></p></li></ul><p>Bloomberg News also quoted a Bloom Energy executive explaining that AI workloads draw power in a sawtooth pattern of sudden swings rather than a steady line, which no grid was designed to absorb from one facility, let alone dozens (so given this and more importantly the massive demand being placed on the grid, a real risk exists our aging electrical infrastructure will not be able to handle the demands data centers are placing on them).</p><p>Notably, Bloomberg&#8217;s concerns centered on the health of electronics, highlighting that once AC power deviates from the ideal 60-cycle-per-second pattern, issues consistently emerge such as appliances running hot, motors in refrigerators and air conditioners rattling, lights flickering, increased fire risk during voltage surges, greater vulnerability to brownouts and blackouts, and billions of dollars in cumulative damage to home appliances and aging grid equipment. </p><p>However, as a limited body of research in dirty electricity has indicated, there are also consequences for the health of human beings, including many of the exact same symptoms individuals living by data centers have reported (e.g., sleep disruption, headaches or head pressure, irritability, anxiety or feeling on edge, fatigue, poor concentration or brain fog, dizziness or vertigo, tinnitus, worsened asthma or breathing, and nausea).<a href="https://documents.dps.ny.gov/public/Common/ViewDoc.aspx?DocRefId=%7BE7E09BEF-4977-41AA-B6D2-7B9F8209518F%7D"><sup>1</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/18556048/"><sup>2</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/17178585/"><sup>3</sup></a><sup> <br></sup><em>Note: animal studies also corroborate certain effects of dirty electricity (e.g., <a href="https://pubmed.ncbi.nlm.nih.gov/23416176/">a study of 1,705 cows across 12 dairy farms</a> found milk production fell in proportion to the number of transients and harmonics on the farms' power, that the cows' behavior tracked the voltage measured on their legs, and that the distortion was coming from the utility lines rather than the farms themselves).</em></p><p>Furthermore, many of the symptoms reported near data centers that are not classically associated with dirty electricity (e.g., ear fullness or pain, hearing deterioration, feeling the sound in the chest) have been extensively linked to infrasound exposure<a href="https://www.frontiersin.org/journals/neurology/articles/10.3389/fneur.2020.00234/full"><sup>1</sup></a><sup>,</sup><a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC12818516/"><sup>2</sup></a><sup>,</sup><a href="https://ntrs.nasa.gov/api/citations/20100012137/downloads/20100012137.pdf"><sup>3</sup></a><sup>,</sup><a href="https://nepis.epa.gov/Exe/ZyNET.exe/9101Q7KN.txt?ZyActionD=ZyDocument&amp;Client=EPA&amp;Index=Prior%20to%201976&amp;Docs=&amp;Query=&amp;Time=&amp;EndTime=&amp;SearchMethod=1&amp;TocRestrict=n&amp;Toc=&amp;TocEntry=&amp;QField=&amp;QFieldYear=&amp;QFieldMonth=&amp;QFieldDay=&amp;UseQField=&amp;IntQFieldOp=0&amp;ExtQFieldOp=0&amp;XmlQuery=&amp;File=D%3A%5CZYFILES%5CINDEX%20DATA%5C70THRU75%5CTXT%5C00000024%5C9101Q7KN.txt&amp;User=ANONYMOUS&amp;Password=anonymous&amp;SortMethod=h%7C-&amp;MaximumDocuments=1&amp;FuzzyDegree=0&amp;ImageQuality=r75g8/r75g8/x150y150g16/i425&amp;Display=hpfr&amp;DefSeekPage=&amp;SearchBack=ZyActionL&amp;Back=ZyActionS&amp;BackDesc=Results%20page&amp;MaximumPages=1&amp;ZyEntry=153&amp;slide"><sup>4</sup></a><sup> </sup>(along with it being widely recognized certain animal species like elephants can hear infrasound or become more agitated when it is present).</p><p>Since Bloomberg&#8217;s data only showed what was reaching people&#8217;s homes, I also wanted to know what was actually coming out of the data centers themselves. It turns out this was measured in a 2026 study,<a href="https://ieeexplore.ieee.org/document/11482647"><sup>1</sup></a> where researchers put a magnetometer inside the server room of a university&#8217;s data center and recorded the electromagnetic field continuously for a month (although this was a small facility with 250 servers running at about half capacity, so nothing like what is being built for AI).</p><p>What they found was that the field itself was not particularly strong (around 0.5 microtesla), but it was very distorted. On a typical day, the distortion averaged 36%, during working hours it rose to 65%, and 41 times during the month it spiked far beyond that (in one case to 330%, at which point the &#8220;noise&#8221; on the signal was three times larger than the signal itself). To put those (likely conservative) numbers in perspective, the same instrument in an office in the same building measured 5&#8211;7% during the day and 21&#8211;24% at night.</p><p>Finally, like Bloomberg, the authors of the 2026 study were only concerned with what this did to equipment (e.g., they noted the type of harmonics data centers produce don&#8217;t cancel out on the wiring but instead pile up in the neutral line, overheating wires and transformers), and the study had its limits (one sensor, one small facility, and it couldn&#8217;t measure the higher frequencies where computer power supplies emit the most). Nonetheless, it confirms that the electricity inside these facilities is far dirtier than what a normal building produces, and hence why homes twenty miles away from an AI data center drawing a thousand times more power are being affected (but again, the research needed to conclusively determine what is really happening has not been done).<br><em>Note: utilities typically only monitor dirty electricity harmonics up to about 2&#8211;3 kHz (as did both the Bloomberg report and the 2026 study), whereas <span>the dirty electricity health studies focused on higher frequencies (the filters used in the school studies work between 4 and 100 kHz), which fall within the 2&#8211;150 kHz "supraharmonic" band that switching power supplies emit most strongly.</span> That said, while they are almost never monitored on the grid, <a href="https://ieeexplore.ieee.org/document/10098589/">a 2023 study</a> demonstrated that data centers also make emissions in these higher ranges.</em></p><h1>Solving the Datacenter Dilemma</h1><p>At this point, the AI sector appears to be facing a few critical bottlenecks:</p><p>&#8226;Shortages of chips and rare earth elements they need to function (much of which China currently controls the supply of but the United States is making an effort to create supply chains for).<br><br>&#8226;Insufficient energy to run the data centers (e.g., in a recent talk Musk stated <span>the consensus estimate among analysts that follow the AI space very closely is that there will be at least a 15-gigawatt shortfall of power in 2027 for AI chips</span><a href="https://x.com/TheChiefNerd/status/2094955445668499502"><sup><span>1</span></sup></a><sup><span> </span></sup><span>and there is often a 2-5 year wait time for the major power components like generators and transformers data centers require</span><a href="https://www.fxstreet.com/analysis/148-gigawatts-announced-12-running-ai-financing-outran-the-grid-202609031614"><sup><span>1</span></sup></a><span> along with grid interconnection queues that commonly run two to three years).<br><br>&#8226;Inability of the electrical grid to sustain the power loads AI data centers requiring external power are creating.</span></p><p><span>&#8226;Increasing public pushback against data centers that has the potential to block new constructions or shift elections.</span></p><p>T<span>hese constraints make the industry&#8217;s forecasted exponential growth (which has fueled their rapid rise in stock values) unlikely on the advertised timeline as the deployable capacity is likely to cost more than projected and take a while to arrive.</span></p><p><span>As such, a few (non-mutually exclusive) possibilities exist:</span></p><p><span>&#8226;First, AI encountering structural limitations that make it fail to live up to its hype will prevent it from taking over our society, or at least give us time to adapt to it.<br><br>&#8226;Second, to aid AI in overcoming the obstacles it faces, there will be increasing  pressure to support it (e.g., consider how much Fox&#8217;s positions on the topic shifted over the last year). To this point, it must be emphasized that changing the party in power is unlikely to impede the AI roll-out as while certain Democrats are beginning to publicly oppose the datacenter push, the major tech companies primarily support the Democrat party, and hence will ensure the push continues if the presidency flips in 2028 (much as Biden, days before leaving office, signed his own order opening federal land to AI data centers, which Trump simply revoked and replaced with a more aggressive version; and not unlike how Kamala Harris cast doubt on &#8220;Trump&#8217;s COVID vaccine&#8221; in October 2020 and then pushed it onto the public once elected</span><a href="https://www.youtube.com/watch?v=-dAjCeMuXR0"><sup>1</sup></a><span>).</span></p><p><span>&#8226;Third, the pressures facing AI will force the industry to develop a better solution that allows the technology to scale without public pushback (which, given the law of displacement, I believe is the only realistic option to make things better here).</span></p><p>Since data centers need enormous amounts of power and are best placed where no one lives, Elon Musk has proposed an elegant solution that is very on-brand: use SpaceX&#8217;s launch capacity to put the data centers in orbit alongside Starlink and run them on solar power (which in the right orbit is nearly continuous and up to eight times more productive than on the ground). SpaceX, in turn, has filed with the FCC for up to one million data center satellites, Google is launching prototype satellites carrying its AI chips in early 2027, Nvidia announced a space-rated GPU, and China has already run an AI model in orbit on a small constellation.<a href="https://www.fierce-network.com/cloud/space-data-centers-starcloud-spacex-and-project-suncatcher-explained"><sup>1</sup></a><sup>,</sup><a href="https://www.useluminix.com/reports/industry-analysis/data-centers-in-space"><sup>2</sup></a></p><p>However, while this could potentially solve many of the problems we are facing, I do not think this can be scaled to the degree needed as:</p><ul><li><p><span>Everything a data center does eventually turns electricity into heat. In vacuum that heat can be dumped to the environment only by thermal radiation. At temperatures chips can survive, each square meter rejects only a modest amount of power, so an orbital node is mostly solar arrays and radiators around a relatively small compute payload. However, getting that cooling to be light enough is a real jump from currently existing options (e.g., the international space station&#8217;s radiators are on the order of 13 watts per kilogram, while published orbital-data-center concepts assume something like 160&#8211;350) and nothing in that class of what will be needed has been built at data-center scale yet.</span></p></li><li><p>Unlike on land, once in space, the hardware most likely cannot be fixed or upgraded (satellites in low orbit are almost never serviced; they are replaced), which is a major issue as AI chips go obsolete every three to five years (and possibly faster in space due to radiation shortening the chip&#8217;s life).  Given the cost needing to replace all the data centers every few years adds (unless we have an inconceivable paradigm shift like say UFO antigravity technology being discovered or functional servicing robots being deployed to space) I am hence, doubtful this approach will ever be able to economically compete with the land based model (despite Musk&#8217;s knack for making the impossible possible).</p></li><li><p><span>Getting large amounts of data down from orbit (or up to it) is much harder than sending the same data through fiber on the ground (making fiber much cheaper than space links).</span></p></li><li><p>Beyond the sheer cost of launching all of that into space, scale itself is a manufacturing problem. A million satellites of the size SpaceX describes would take many years at build rates far beyond today&#8217;s Starlink production, and with the demonstrations being scheduled for late 2027, this likely puts any meaningful space data center capacity in the 2030s.</p></li></ul><p>As such, I think this proposal realistically could <span>be</span> used for niche applications <span>(space-native data, some batch training, or a future orbital data infrastructure for colonizing Mars)</span>, but <span>I do not see a viable path for it to beat terrestrial facilities on general-purpose computing</span>.</p><p>However, there is another approach I believe can displace the data centers flooding our communities.</p><h1>The War on Climate Change</h1><p>I care immensely about the health of the earth, so for a long time I was a fairly committed environmentalist. However, in the early 2000s, I distanced myself from that movement due to a more unfortunate occurrence of the law of displacement: one prong of the environmental movement (reducing carbon dioxide to prevent global warming) becoming a lucrative thing to promote (e.g., by selling expensive hybrid cars or carbon credits) and rapidly taking over the movement.  I objected to this because:</p><p>&#8226;It caused the other legitimate environmental issues I cared about and had fought for to be pushed out of the discussion.<br><br>&#8226;It was highly debatable if carbon dioxide emissions were causing global warming (or even problematic), so I felt the dire predictions were unlikely to happen, and if they actually were going to occur as forecast, the changes were so rapid it was unlikely anything could be done to stop them.<br><br>&#8226;Reducing global warming was an extremely nebulous target, so it could never be falsified and the goal posts would be possible to continually shift on it. As such, once the inertia behind this orthodoxy became established, it would be immensely difficult to overturn it, so as time went on, it would inevitably consume more and more of the environmental movement. <br><em>Note: in 2009, a series of hacked emails indicated that global temperature data had been distorted by climate scientists<a href="https://www.conservapedia.com/Climategate"><sup>1</sup></a> (with reactions, based on political leanings, ranging from it being treated as proof global warming was a hoax, to acknowledgments illegal scientific misconduct occurred but not questioning of the underlying consensus, to attempts to excuse everything).<a href="https://www.conservapedia.com/Climategate"><sup>1</sup></a><sup>,</sup><a href="https://www.resilience.org/stories/2010-07-29/book-review-climate-files-fred-pearce/"><sup>2</sup></a><sup>,</sup><a href="https://en.wikipedia.org/wiki/Climatic_Research_Unit_email_controversy"><sup>3</sup></a><sup> </sup>Around this time, the environmental movement pivoted from global warming to the even more nebulous term &#8220;climate change&#8221; (something I suspected could likely be attributed, at least in part, to solar cycles and weather modification programs).</em><br><br>&#8226;The measures being implemented to stop global warming and carbon dioxide emissions skipped the options that could produce clear tangible results (e.g., stopping slash and burn farming practices in the rain forests) and instead focused on technologies with their own host of issues that primarily served to centralize power and make money.<br><em>Note: this is commonly analogized to how leaders in the new environmental movement would tell people not to drive cars but then fly on private jets to climate change conferences. Likewise, I have now see numerous memes highlighting that the same tech companies which cared so much about climate change and the environment threw it all to the wind once that got in the way of them building (far more profitable) data centers.</em></p><p>That said, I do think an argument exists for shifting away from fossil fuels due to the (non-carbon dioxide) emissions they create, so I&#8217;ve spent a while looking at every alternative energy option which exists, particularly since I&#8217;ve held the longstanding belief technologies which reduce the profitability of large markets inevitably get sidelined (e.g., this newsletter is devoted to showing how better and far cheaper medical alternatives have existed for decades but been largely kept off the market by the medical monopoly).<em><br><span>Note: I also hold the minority view (detailed </span><a href="https://www.midwesterndoctor.com/p/how-the-war-on-climate-change-destroyed"><span>here</span></a><span>) that petroleum is not biological in origin but continually upwells from deep within the earth (and contains biological traces because it was the birthplace of the earliest lifeforms)</span></em></p><p>Because of this, over the years, I&#8217;ve spoken to numerous people researching &#8220;free energy&#8221; systems and seen a few which, when demonstrated, were quite compelling.  From looking at the existing options, I eventually concluded &#8220;green nuclear power&#8221; was likely the most practical and viable option we had available to adequately address the energy needs of humanity, but then as the decades went by, much as I&#8217;ve seen with many transformative medical discoveries, I watched the promising nuclear designs go nowhere.</p><p>However, much in the same way the data center moment is finally creating the potential window to bring widespread attention to EMF toxicity, the unprecedented need for massive power generation in the immediate vicinity of data centers (along with the current Iran war) is finally creating the window to bring green nuclear power to market as more money can finally be made off a cheap and abundant energy source than the energy industry has made by locking the world into a limited and overpriced commodity.</p><h1>Nuclear Power Designs</h1><p>Every atom is composed of a nucleus of positively charged protons and neutrally charged neutrons (with <span>the common isotope of hydrogen</span> being the only <span>one</span> lacking neutrons) along with nearly massless negatively charged electrons which surround the <span>atom&#8217;s</span> nucleus<span>. In</span> most chemical reactions, while electrons shift, the nucleus never changes. But when it does, a nuclear reaction occurs, and <span>the</span> total mass of <span>the</span> nucleus shifts.</p><p>Anytime an atomic mass shift occurs, the collective mass of the resulting parts typically do not exactly total to what they were before, as some of that mass is converted to energy.  The famous equation E=mc<sup>2</sup>, in turn, quantifies this shift, illustrating that a tiny amount of mass being lost creates a massive amount of energy (as &#8220;c&#8221; equals the speed of light).</p><p><span>In stars, the immense heat and pressure primarily create these shifts by causing light nuclei to fuse together, whereas on Earth they occur naturally through radioactive decay. Very large nuclei (or those with the wrong number of neutrons to hold the nucleus together) are the least stable, so nuclear engineering focuses on the few heavy isotopes that can be made to split apart when struck by a neutron, releasing that stored energy on demand.</span></p><p><span>When the nuclear age began, uranium was identified as the optimal element for nuclear applications as beyond being intrinsically radioactive, one of its naturally occurring isotopes, U-235, could undergo fission (splitting into two much smaller nuclei), and the neutrons released when it split would trigger fission in adjacent U-235 atoms, thereby creating a chain reaction that quickly released a vast amount of energy.  Nuclear power hence focused on using fuel with enough U-235 to sustain fission, plus neutron-absorbing control rods that could slow or stop the reaction so energy was released gradually enough to harvest for power rather than run away, while nuclear weapons (at least the early U-235 designs) focused on assembling a supercritical U-235 mass fast enough that the fission reaction ran away and exploded.<br></span><em><span>Note: a few natural nuclear reactors </span><a href="https://en.wikipedia.org/wiki/Natural_nuclear_fission_reactor"><span>have been found in uranium deposits in Gabon</span></a><span>, where two billion years ago, the ore still had enough U-235, and groundwater slowed the neutrons enough for a fission chain reaction. The reaction ran in pulses: heat boiled the water off, the reaction stopped, the deposit cooled, water returned, and it started again.</span></em></p><p><span>However, while </span>U-235 is an optimal isotope to use for nuclear applications, it still has a few major problems.<br><br>First, only 0.72% of the earth&#8217;s uranium is U-235, whereas much higher uranium U-235 concentrations are needed for nuclear applications (typically 3&#8211;5% for nuclear reactors and around 90% for nuclear weapons). <br><em>Note: uranium enriched above 20% is called highly enriched uranium and is considered weapons-usable, whereas uranium enriched to 90% U-235 is called weapons grade uranium.<br><br></em>This, in turn, leads to two issues:</p><p>&#8226;In addition to uranium mining and milling creating large amounts of radioactive tailings to obtain uranium, since most of the uranium obtained is not U-235, concentrating the small fraction that is into usable fuel leaves the majority of it behind as "depleted" uranium. This waste is still radioactive, has piled up by the hundreds of thousands of tons, and some of it is used by the military for armor and ammunition, as uranium's density allows it to punch through other metals (but those rounds aerosolize into dust after hitting a target, which has been a major issue in many of the areas where these munitions were deployed).</p><p>&#8226;Concentrating the U-235 is challenging, as the uranium must first be converted into a fluoride gas (uranium hexafluoride) so its isotopes can be separated&#8212;originally through gaseous diffusion, and now with gas centrifuges, the difficulty of which has been a major barrier to smaller countries obtaining uranium-based nuclear weapons. The Iran conflict, in turn, was driven in large part by the fact Iran had developed centrifuges to enrich uranium for nuclear power and fears existed that this capacity could be pushed to the much higher enrichment required for nuclear weapons.<br><em>Note: many have wondered why something as toxic as fluoride is put into the water supply. The idea originated in the 1930s with the aluminum industry (Alcoa), which faced mounting lawsuits over fluoride pollution from its smelters and hence had a strong interest in the chemical being seen as beneficial. America&#8217;s Public Health Service was initially wary of it due to fluoride's toxicity. However, as documents declassified in the 1990s showed, the Manhattan Project needed enormous quantities of fluorine to enrich uranium, its workers were being injured and killed by it (deaths that were kept secret for fifty years), it was venting fluoride over the surrounding communities, and it was already being sued by farmers. So in 1944 the bomb program secretly organized and paid for a conference on fluoride's health effects while having the Public Health Service host it under its own letterhead, and its chief fluoride toxicologist, Harold Hodge, then chaired the advisory committee for the first water fluoridation trial at Newburgh, New York&#8212;which his classified program at the University of Rochester quietly monitored, collecting blood and placenta samples from residents to learn how much fluoride the body retains. Six years later, the official who endorsed fluoridation for the United States was Oscar Ewing, previously Alcoa's Wall Street lawyer (all of which is detailed in <a href="https://www.amazon.com/Fluoride-Deception-Christopher-Bryson-2006-03-07/dp/B01K16TAPI">this 2004 book</a>).</em></p><p>Second, once U-235 is obtained, the reactors still have a few key problems:</p><p>&#8226;The most well recognized is that both the chain reaction and the heat the fuel keeps producing after it is shut down have to be continuously controlled, so if the cooling or shutdown systems fail, the fuel can melt, destroy the reactor, and release radioactive material into the environment. This is what happened at Chernobyl in 1986 and Fukushima in 2011, nearly happened at Three Mile Island in 1979 (where the core partially melted but very little radioactivity escaped), and also occurred in a number of earlier military and experimental reactors that were barely reported at the time.<br><em>Note: these include a partial meltdown at a Canadian research reactor in 1952, another at the Santa Susana site outside Los Angeles in 1959 (whose extent was concealed for twenty years), a 1961 explosion at an Army reactor in Idaho that killed three operators, a partial meltdown at a breeder reactor near Detroit in 1966 (which most of the public only learned of from a book published nine years later), and several Soviet nuclear submarines whose reactors lost cooling at sea (most famously the K-19 in 1961, where crew members died of radiation sickness after improvising a repair), all of which were kept secret until the Soviet Union collapsed.</em></p><p><span>&#8226;The less recognized issue is that even &#8220;normally functioning&#8221; nuclear reactors release some radioactivity into their vicinity, and a number have had unplanned leaks of tritium and other material into local groundwater. The data I&#8217;ve seen, in turn, has led me to believe real health issues exist with this, but like many inconvenient things, the actual health effects on nearby residents have not been sufficiently researched and remain an open question.</span></p><h1>Thorium Reactors</h1><p><span>In addition to concentrated U-235 driving nuclear reactors, another alternative exists: exposing thorium to neutrons, which converts it into U-233, a uranium isotope that also undergoes fission (but being much shorter-lived than U-235, is much rarer in nature and cannot be procured through mining or enrichment).  Thorium designs, in turn have a few major advantages over U-235 ones as:</span></p><p><span>&#8226;There is 3-4 times as much thorium in the earth as uranium,</span><a href="https://earthwise.bgs.ac.uk/index.php?title=OR/17/001_The_distribution_of_natural_radioactivity_in_rocks&amp;oldid=44337"><sup><span>1</span></sup></a><span> mining it is cleaner than uranium, and since all of it is an isotope that can be used (rather than only 0.72%), beyond far less needing to be mined, large amounts of depleted nuclear waste are not created (though, as discussed below, the reactor still needs a small amount of fissile fuel to start it).<br></span><em><span>Note: once mined, thorium is usually mixed with rare-earth elements it must be separated from. That is both an advantage (those rare earths are strategically scarce) and a disadvantage (the separation is complex and uses harsh chemicals). As such, we already &#8220;mine&#8221; thorium, but it is presently disposed of as an unwanted radioactive waste from rare-earth processing</span></em><span>. <br><br></span>&#8226;In the molten-salt designs usually paired with thorium, the fuel is already a liquid at low pressure, so there is no solid core to melt (reducing the risk of nuclear meltdown); if it overheats, the salt expands and the reaction slows, and it can be drained into a dump tank to shut down without pumps (the trade-off being that a leak anywhere in the system releases highly radioactive liquid, and the salts slowly corrode the reactor's plumbing, which remains the main engineering hurdle).<br><em>Note: some thorium designs instead use a particle accelerator to supply the neutrons (so the reaction stops the moment the accelerator is switched off, and the reactor can also burn existing nuclear waste). The concept has been pursued for over thirty years (most notably by a Nobel laureate at CERN in the 1990s), and Belgium and China are each currently building demonstration units, but none has yet operated, as the accelerator required to drive a commercial reactor is so expensive it costs about as much as the plant itself&#8212;which is why molten salt, rather than accelerators (which may ultimately be the superior technology), has become the focus of thorium development.</em><span><br><br></span>&#8226;Thorium reactors make far less long-lived non-uranium nuclear waste (plutonium, americium, curium) than conventional reactors, because thorium is lighter than uranium and does not climb the ladder of neutron captures as easily (but at the same time still produce ordinary fission-product waste).<br><em>Note: some thorium reactor designs (e.g., the accelerator ones) claim to further reduce the resulting nuclear waste.</em></p><p>&#8226;Thorium reactors greatly reduce (but do not eliminate) the risk of nuclear proliferation. Thorium itself cannot sustain a chain reaction, so a reactor needs a small amount of fissile material to start it, but once running it breeds its own fuel (U-233) from the thorium, which means a country does not need the standard enrichment plants that are also the path to weapons-grade uranium, and the reactor produces very little of the weapon&#8217;s grade plutonium formed in uranium reactors. Nuclear weapons can be made from U-233 (the United States tested this), but the U-233 a reactor produces is typically contaminated with U-232, whose decay products emit intense gamma radiation, making the material dangerous to handle, difficult to fabricate into a weapon in secret, and easy for detectors to spot.<br><em>Note: since Iran has been adamant it needs nuclear power to address the (real) rolling blackouts the country faces, during the war <a href="https://thehill.com/opinion/national-security/5820080-iran-nuclear-thorium-solution/">a former congressman</a> proposed offering Iran American thorium reactor technology in exchange for permanently ending uranium enrichment, on the logic that this would give Iran electricity while making the weapons pathway <span>harder to exploit rather than dependent on inspectors (although without additional safeguards nuclear weapons could still be made)</span>. As far as I can tell this never made it into the actual negotiations (which centered on enrichment limits, Iran's existing stockpile, and IAEA access), and in any case it could not have been implemented on any near-term timeline, as no commercial thorium reactor yet exists.</em></p><p>This then raises an obvious question: if thorium was the superior technology, why was it never adopted? Simply put, because the entire American nuclear complex was built as a weapons program with a civilian branch attached, and uranium was the fuel that made weapons. Enriching it produced bomb material directly, irradiating it produced plutonium, and so the enrichment plants, production reactors, and reprocessing facilities were all built around the uranium fuel cycle (with the civilian reactors that followed adapted from the Navy&#8217;s submarine designs and fed from that same infrastructure).<a href="https://fortune.com/2015/02/02/doe-china-molten-salt-nuclear-reactor"><sup>1</sup></a> Thorium&#8217;s low proliferation risk, which is now its great selling point, at the time simply meant it did not offer what the nuclear establishment wanted. The decisive moment came in the early 1970s, when the Atomic Energy Commission (at Nixon&#8217;s direction) committed the country&#8217;s reactor future to a liquid-metal breeder that ran on plutonium, and its reactor chief pursued that program, in Weinberg&#8217;s words, &#8220;with Rickoverian dedication: woe unto any who stood in his way.&#8221; Weinberg kept arguing that his molten salt reactor was the safer path and was pushed out of Oak Ridge after eighteen years as its director; the program was cancelled in 1973.<a href="https://moltensalt.org/references/static/downloads/pdf/WhyMSRsAbandonedORNLWeinbergsFiringV3.pdf"><sup>1</sup></a><sup>,</sup><a href="https://www.ornl.gov/news/msres-50th"><sup>2</sup></a> Once that choice was made (and other factors reinforced it such as the Navy's light-water experience, abundant cheap uranium, and later cheap gas), the rest followed: the supply chain for uranium reactors was firmly established (making it difficult to justify creating an entirely separate one), regulatory requirements became far tighter after Three Mile Island (making it much harder for any new design to enter the market), and the existing industry became large enough to have the clout to keep competitors that would displace its plants, fuel mills, and licensing framework from getting off the ground (mirroring the pattern I have watched play out with countless forgotten medical technologies).</p><p>Notably, when the program was cancelled, Oak Ridge had already demonstrated the reactor itself worked, but simply had not yet built the remaining pieces (e.g., the chemistry for continuously processing the fuel salt, a solution to the slow corrosion of the reactor&#8217;s metal alloy by the fluoride salts, and a way to manage the tritium the salt produces)&#8212;all of which <span>researchers believed could be solved but which have never been demonstrated at commercial scale, because the work was never funded</span>.<a href="https://atomicinsights.com/alvin-weinbergs-liquid-fuel-reactors-part-1/"><sup>1</sup></a> After that, essentially no new reactor designs of any kind were built in America, and the regulatory framework hardened around the light-water reactors that already existed, so a design that used liquid fuel at atmospheric pressure did not fit any of the rules (and there is still no licensing framework for a thorium fuel cycle anywhere in the world).<a href="https://www.aveva.com/en/our-industrial-life/type/article/chinas-tmsr-lf1-fuses-two-nuclear-breakthroughs-in-one-reactor/"><sup>1</sup></a> Meanwhile, the original rationale for breeding fuel from thorium (a fear that uranium would run out) evaporated as uranium turned out to be abundant, and cheap natural gas removed any economic pressure to try something new.</p><p>The result is that the technology now requires an entire supply chain that does not exist, so Thorium, despite being abundant, currently has to be extracted from rare earth ores through costly processing, no facility exists to fabricate it into fuel, and a thorium reactor still needs a small amount of fissile material to start it,<a href="https://www.aveva.com/en/our-industrial-life/type/article/chinas-tmsr-lf1-fuses-two-nuclear-breakthroughs-in-one-reactor/"><sup>1</sup></a> which means either the high-assay uranium fuel America is only now beginning to produce or plutonium.<a href="https://www.catf.us/2025/10/advanced-nuclear-energy-supply-chains/"><sup>1</sup></a> Finally, the fluoride molten salt these reactors run on requires lithium enriched to over 99.99% in a single isotope (lithium-7), and the United States has not produced enriched lithium since 1963&#8212;the only suppliers are China and Russia,<a href="https://kairospower.com/internal_updates/bringing-flibe-back/"><sup>1</sup></a><sup>,</sup><a href="https://science.osti.gov/-/media/Isotope-Research-Development-and-Production/pdf/workshops/2013/presentations/Reister_LITHIUM-7_SUPPLY.pdf"><sup>2</sup></a> China has at times restricted exports to feed its own reactor program,<a href="https://science.osti.gov/-/media/Isotope-Research-Development-and-Production/pdf/workshops/2013/presentations/Reister_LITHIUM-7_SUPPLY.pdf"><sup>1</sup></a><sup>,</sup><a href="https://www.gao.gov/assets/gao-13-716.pdf"><sup>2</sup></a> and a single molten salt reactor needs tens of tons of it (compared to the roughly 300 kilograms a year the entire existing American reactor fleet uses).<a href="https://www.autonocion.com/us/lithium-7-cooling-water-64-reactors/"><sup>1</sup></a><sup>,</sup><a href="https://www.gao.gov/assets/gao-13-716.pdf"><sup>2</sup></a> That said, the first serious commercial attempt to restart domestic production was a $7 million seed round recently closed (on 8/31/26).<a href="https://www.prnewswire.com/news-releases/molten-salt-solutions-raises-7-million-to-scale-lithium-enrichment-for-advanced-nuclear-energy-302863208.html"><sup>1</sup></a> </p><p>What this essentially means is that for thorium technology to take off, two things are needed: a relaxing of regulatory restrictions (<span>which has already begun: in May 2025, Trump signed four executive orders that set a goal of quadrupling U.S. nuclear capacity by 2050, ordered the NRC to decide new reactor applications within 18 months, created the Department of Energy test-reactor pathway described below, and invoked the Defense Production Act for the nuclear fuel supply chain</span><a href="https://www.energy.gov/ne/articles/9-key-takeaways-president-trumps-executive-orders-nuclear-energy"><sup><span>1</span></sup></a>) and a very large investment (which is now possible for the first time, as an industry has emerged that needs enormous amounts of power and is willing to pay almost anything for it). On the cost side, while no one can know the actual number until a commercial reactor is built, <span>the published techno-economic models place</span> thorium power among the cheapest sources of electricity ($20&#8211;55 per megawatt hour),<a href="https://www.sciencedirect.com/science/article/pii/S0149197020302511"><sup>1</sup></a><sup>,</sup><a href="https://www.tandfonline.com/doi/full/10.1080/14786451.2021.1928130"><sup>2</sup></a><sup>,</sup><a href="https://copenhagenatomics.com/"><sup>3</sup></a> which is a fraction of what new conventional nuclear plants cost ($175&#8211;255)<a href="https://www.utilitydive.com/news/renewables-remain-cheapest-lcoe-rising-lazard/825443/"><sup>1</sup></a> and well below the roughly $110-115 that analysts estimate Microsoft agreed to pay for twenty years of power from a restarted uranium reactor at Three Mile Island (the contract price itself was not disclosed).<a href="https://www.saurenergy.com/solar-energy-news/microsoft-google-and-now-amazon-is-nuclear-hip-again"><sup>1</sup></a><sup> </sup></p><p>For this to happen, the regulatory opening and the money have to start now, because of how long every step takes. Building the early reactors under Department of Energy authorization rather than NRC licensing can get a test reactor running within a few years (this summer that path took four privately developed test reactors from construction to criticality, one in about eight months<a href="https://www.techtimes.com/articles/322585/20260801/nuclear-microreactor-clears-criticality-crusoe-plans-ai-factory-data-center-test.htm"><sup>1</sup></a>), but it does not license a commercial plant, and even the fastest program still needs years of operating data on salt chemistry, corrosion, and tritium before anyone will build the next size up. Likewise, the supply chain the reactors depend on (lithium-7 enrichment, fuel salt, thorium processing) does not exist at U.S. scale and has to be built alongside the reactor rather than after it works, which is why &#8220;a few billion dollars&#8221; is the entry price rather than the total. Put together, a serious American program could have a molten salt test reactor running by the end of this decade and first commercial power in the mid-2030s, with more money shortening the timeline by a few years but not skipping it. As such, thorium will not power the data centers going up this year&#8212;those will run on gas, restarted plants, and (if their schedules hold) the small uranium reactors now under construction, which at best can be sited away from people&#8212;but a decision now decides the second and third waves of data centers in the 2030s. China already has a molten salt reactor running and a public ladder toward a 10-megawatt demonstration around 2029&#8211;30, a larger one around 2035, and commercial units by 2040.<a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12831022/"><sup>1</sup></a> So if America waits until those are built to begin, it will be buying the technology from China rather than fielding it.</p><p><em>Note: thorium is not the only promising nuclear design to have been shelved for lack of permission and money. In the 1990s, Argonne&#8217;s Integral Fast Reactor&#8212;a sodium-cooled design that recycled its own fuel on site, consumed existing nuclear waste, and had been running as a prototype for decades&#8212;was cancelled by the Clinton administration in 1994 with roughly three years of work left, on the grounds that it had &#8220;no foreseeable commercial value&#8221; and undercut nonproliferation goals rather than for any technical failure.</em><a href="https://www.congress.gov/103/crecb/1994/06/30/GPO-CRECB-1994-pt11-2-2.pdf"><sup>1</sup></a><sup>,</sup><a href="https://www.csmonitor.com/1994/0216/16061.html"><sup>2</sup></a><sup>,</sup><a href="https://en.wikipedia.org/wiki/Experimental_Breeder_Reactor_II"><sup>3</sup></a><em> Later, Bill Gates spent over a decade arguing that his company&#8217;s nuclear reactor design was ready and simply needed someone to fund the first plant (a partnership to build it in China collapsed under export restrictions in 2019); it finally received an NRC construction permit in March 2026, with federal cost-sharing, Meta (Facebook) as a customer, and a first unit targeted for around 2030.</em><a href="https://www.nytimes.com/2024/06/11/climate/bill-gates-nuclear-wyoming.html"><sup>1</sup></a><sup>,</sup><a href="https://www.powermag.com/a-historic-first-nrc-clears-terrapowers-natrium-nuclear-reactor-for-construction/"><sup>2</sup></a><sup>,</sup><a href="https://apnews.com/article/wyoming-nuclear-reactor-912a98d4fb1a05bd06e6bf06d71742e7"><sup>3</sup></a><em> That plant is one of a handful of small modular and advanced reactors now actually being built or licensed in America (the others include Google&#8217;s salt-cooled reactors in Tennessee, which broke ground this April but whose first unit has slipped to 2029, and a pebble-bed design for Dow in Texas expected to be permitted next year), and restarts of existing plants such as Three Mile Island (targeted for 2027) are closer still.</em><a href="https://www.kairospower.com/updates/the-time-is-now"><sup>1</sup></a><sup>,</sup><a href="https://www.neimagazine.com/news/hermes-1-completion-pushed-to-2029/"><sup>2</sup></a><sup>,</sup><a href="https://www.reuters.com/business/energy/us-cost-sharing-thrusts-next-gen-nuclear-into-construction-phase--reeii-2026-06-23/"><sup>3</sup></a><sup>,</sup><a href="https://fortune.com/2024/11/21/tech-nuclear-energy-google-microsoft-amazon-ai/"><sup>4</sup></a><em> These are being funded in a way earlier reactor designs never were&#8212;the major technology companies have contracted for roughly ten gigawatts of nuclear capacity in two years, and the announced U.S. nuclear pipeline now stands near 74 gigawatts, much of it from data center buyers</em><a href="https://smrintel.com/nuclear-data-center-deals/"><sup>1</sup></a><sup>,</sup><a href="https://www.breakthroughjournal.org/p/americas-nuclear-order-book-is-large"><sup>2</sup></a><sup>,</sup><a href="https://assets.carnegieendowment.org/files/Pendleton%20Schussler_Hyperscaler_final.pdf"><sup>3</sup></a><em>&#8212;and while much of that will slip, they are the most immediately viable nuclear option for data centers: slower than gas, but arriving around 2030, well before any thorium reactor, and building the licensing precedent and industrial base thorium will need (Google's salt-cooled uranium reactor developer, for example, is already building its own fluoride salt plant and lithium-7 enrichment&#8212;the very supply chain thorium requires).</em></p><h1>The Space of Alaska</h1><p>While space fits some of the requirements for America&#8217;s data center project, the ideal site would be cold (so the enormous cost of cooling largely disappears), on U.S. soil (which is why the Nordic countries and Greenland, despite coming up constantly, will never receive serious consideration for strategic data centers), sparsely populated (so the noise, water, and dirty electricity land on no one), rich in energy that can be used on site rather than pulled off a residential grid, wanted by its state government, and reachable by the transport and fiber needed to move equipment in and data out. Alaska meets all of these except the last, and that gap is both the entire problem and the reason this moment is different from every earlier attempt to industrialize the North Slope.</p><p>The climate case is straightforward: Alaska&#8217;s mean annual temperature is about 35&#176;F against Texas&#8217;s 65&#176;F (and Deadhorse on the North Slope averages 14&#176;F), which the governor has been telling operators saves a one-gigawatt campus on the order of $150 million a year in cooling costs.<a href="https://www.datacenterknowledge.com/data-center-site-selection/alaska-governor-pitches-state-as-a-data-center-hub-for-ai-era-compute"><sup>1</sup></a> Likewise, Alaska&#8217;s low population density (740,000 people on a landmass larger than Texas, California, and Montana combined) aligns with data center needs and political support for the centers is already in motion&#8212;the Air Force is offering 4,700 acres at three Alaska bases for AI data centers, the state has issued a preliminary decision to lease a square mile of North Slope land to a company proposing a 1&#8211;3 gigawatt campus (disconnected from the grid and fueled by a new gas spur, with initial operations targeted for late 2028), and the governor has courted Meta, Amazon, and Microsoft for years with no state income, sales, or property tax to offer because Alaska has none.<a href="https://www.datacenterdynamics.com/en/news/stak-energy-proposes-3gw-natural-gas-powered-data-center-in-alaskas-north-slope/"><sup>1</sup></a><sup>,</sup><a href="https://alaskabeacon.com/2026/05/14/a-huge-data-center-could-rise-on-alaskas-north-slope/"><sup>2</sup></a><sup>,</sup><a href="https://lbblawyers.com/resource/alaska-data-centers-potential/"><sup>3</sup></a></p><p>Likewise, Alaska produces far more energy than it uses, and the North Slope holds 37 trillion cubic feet of proven natural gas that has been stranded for fifty years because no pipeline was ever built to move it, so the gas produced alongside oil is simply reinjected into the ground.<a href="https://lbblawyers.com/resource/alaska-data-centers-potential/"><sup>1</sup></a> That fuel hence could be what the early data center campuses burn on site&#8212;which matters as Alaska does not have spare electricity in the grid state residents depend upon as the Railbelt serving Anchorage and Fairbanks peaks at about 750 megawatts, Cook Inlet gas is running out, and the utilities have already told the Air Force they cannot power large data centers at the bases from existing supply,<a href="https://thealaskastory.com/as-new-york-and-seattle-slam-the-brakes-on-data-centers-alaska-sees-opportunity/"><sup>1</sup></a><sup>,</sup><a href="https://www.adn.com/alaska-news/military/2026/05/05/the-military-wants-to-host-data-centers-in-alaska-raising-questions-about-whether-theres-enough-gas-to-power-them/"><sup>2</sup></a> so a single AI campus&#8217;s demand would exceed the entire Railbelt (and residents are already protesting a planned data center). As such, the model that works in Alaska is the one the lower 48 states lack (and may need in the near future): generation built next to the servers, consumed behind the meter, and never touching a residential wire or threatening the power grid. This is also what makes Alaska the natural home for the reactors discussed above, as the upcoming modular designs (which could also eventually be done with thorium) <strong>are small enough to place next to the data centers</strong>. The state, in fact, rewrote its nuclear siting law in 2022 to accommodate microreactors, the Air Force&#8217;s first one is being built at Eielson (construction 2027, operation 2030), and villages across the state still burn diesel at electricity rates far above anything in the Lower 48, so Alaska has exactly the kind of customers that first-of-a-kind reactors have always needed but never had.<a href="https://gov.alaska.gov/microreactor-regulations-put-alaskan-communities-at-forefront-of-energy-innovation/"><sup>1</sup></a><sup>,</sup><a href="https://alaskanews.com/c/alaska-news/oklo-targets-2030-for-alaskas-first-small-nuclear-reactor-at-eielson"><sup>2</sup></a><sup>,</sup><a href="https://www.dermotcole.com/reportingfromalaska/2024/12/17/dunleavy-envisions-power-plants-that-would-dwarf-electric-generation-from-susitna-rampart"><sup>3</sup></a> The North Slope has the gas; the rest of Alaska does not, and for sites away from it&#8212;the bases, the Interior, a Mat-Su industrial district&#8212;a reactor next to a data center is the only way to get gigawatt-scale firm power without a pipeline, and the data center is the only customer that will pay for the first ones.</p><p><em>Note: data latency, which is usually cited against Alaska, actually sorts the workload sensibly. AI training (the gigawatt-scale load causing most of the harm in the Lower 48) does not care about distance, since nearly all its traffic stays inside the building (training data is moved in once; it is not streamed). Inference that serves users does, and Alaska is far enough from Seattle to rule out the most latency-sensitive applications in the Lower 48. But Anchorage is closer to Tokyo than California is, and a planned trans-Pacific cable landing through Alaska would make it the shortest path between the United States and North Asia.<a href="https://www.akbizmag.com/industry/telecom-tech/gci-acquires-quintillion-subsea-fiber/"><sup>1</sup></a><sup>,</sup><a href="https://quintillionglobal.com/system-out-asia-europe/"><sup>2</sup></a> As such, Alaska could take the training load and Asian-facing inference, while the small inference sites the Lower 48 actually needs stay near their users at a fraction of the scale now being imposed on communities.</em></p><p>The state&#8217;s compensation structure is another piece the Lower 48 has never had. Alaska is already built on the principle that resource extraction pays the public: the Permanent Fund, funded by oil royalties, now supplies roughly 60% of the state&#8217;s general revenue and still pays every resident a dividend,<a href="https://apfc.org/fund-news/fact-or-myth-understanding-the-alaska-permanent-fund/"><sup>1</sup></a> and the Native corporations created in 1971 own 44 million acres and are required to share 70% of their subsurface resource revenue across all twelve regions.<a href="https://www.koniag.com/about-us/frequent-questions/7j/"><sup>1</sup></a> None of this applies automatically to a data center on state land, and the central dispute in the lease now under review for the North Slope campus is precisely whether the state collects a real royalty or leases a square mile of Arctic at pasture rates.<a href="https://northern.org/news/stak-energy-campus-what-the-states-lease-documents-reveal-about-scale-risk-and-unanswered-questions/"><sup>1</sup></a> But the tools exist (whereas they do not in places like Virginia&#8217;s data center alley) and a lease written with a percentage of gross receipts flowing to the fund and, where the land or gas is Native, to the corporations, turns the host from a victim into a shareholder&#8212;which is the only arrangement under which &#8220;no one fights it&#8221; is actually true.</p><p>Infrastructure is the final constraint that decides whether Alaska could be a national solution or a press release, and the best candidate to start is Prudhoe Bay as the North Slope was built by barge and hence does not require connecting railways to be built (since 1968, the industrial plant has arrived by summer sealift during the six-to-eight-week window when the ice retreats, with modules the size of ten-story buildings offloaded at the West Dock causeway, and the heaviest equipment still moves there way).<a href="https://www.crowley.com/customer-success-alaska-sealift-doyon/"><sup>1</sup></a><sup>,</sup><a href="https://www.ogj.com/home/article/17223066/latest-sealift-of-alaska-north-slope-equipment-about-to-embark"><sup>2</sup></a> Deadhorse, in turn already has the dock, the airport, the highway, fiber along the corridor, and a workforce accustomed to shift work at forty below, and it sits on top of gas with no other buyer. A pilot campus there does not have to invent an Arctic port or wait for an 800-mile export pipeline; it only has to prove the load, the lease, and the power. Fiber is the harder part: sea ice has cut the Arctic subsea cable twice, most recently in January 2025, when 20,000 residents from Utqia&#289;vik to Nome lost fiber for over seven months because repair ships could not reach the break until the ice cleared.<a href="https://www.adn.com/alaska-news/rural-alaska/2025/02/04/beaufort-sea-ice-snips-fiber-optic-cable-limiting-internet-for-some-20000-in-northwest-alaska-until-after-summer/"><sup>1</sup></a> So the training-first, Asia-later sequence depends on the redundant routes now being built (an overland link to bypass the ice-prone segment, a second Arctic cable, and the trans-Pacific landing).<a href="https://www.adn.com/arctic-sounder/2025/01/21/subsea-cable-break-could-interrupt-slow-arctic-communications-for-months-company-says/"><sup>1</sup></a><sup>,</sup><a href="https://www.akbizmag.com/industry/telecom-tech/gci-acquires-quintillion-subsea-fiber/"><sup>2</sup></a> Rail comes after: a 471-mile extension of the Alaska Railroad from Fairbanks to Prudhoe Bay was studied before the oil pipeline was chosen and has been revived repeatedly at estimates of $8&#8211;11 billion (a fraction of the $40&#8211;55 billion gas line), and it would carry the transformers, modules, and eventually fiber and power that would turn an isolated camp into a district.<a href="https://www.adn.com/opinions/2024/12/22/opinion-a-rail-extension-from-the-north-slope-is-a-viable-option/"><sup>1</sup></a><sup>,</sup><a href="https://www.homernews.com/opinion/opinion-reimagining-alaskas-energy-future-extend-the-railroad-to-the-north-slope/"><sup>2</sup></a> It does not need to exist for the first barge-fed campus; it needs to exist if that campus is going to become the second and third waves. Build the pilot on the dock that already works, then spend the billions to pin it to Fairbanks.<br><em><br>Note: other locations in Alaska would also likely make sense once additional railroads were developed&#8212;many of which have already been proposed or worked on (which amongst other things, would make it much easier to transport small modular nuclear reactors to them). To this point, in his first term, Trump attempted to begin (and permitted) the process of connecting Alaska&#8217;s railroads to Canada<a href="https://apnews.com/article/don-young-donald-trump-dan-sullivan-canada-alaska-33abdaba1247c63f815284da417b0747"><sup>1</sup></a><sup>,</sup><a href="https://www.presidency.ucsb.edu/documents/presidential-permit-authorizing-the-alaska-alberta-railway-development-corporation"><sup>2</sup></a> something, which ever developed, would make it very feasible to move datacenter infrastructure (and small nuclear reactors) to Alaska.</em></p><p>That said, there are still real challenged with the initial Alaska deployment. The first campus&#8217;s own filings call for seven million cubic yards of gravel to build a pad on the permafrost (nearly twice what ConocoPhillips was permitted for its Willow oil project) and project 1,500 construction jobs but only 60 permanent ones,<a href="https://www.adn.com/business-economy/2026/05/18/a-huge-data-center-could-rise-on-alaskas-north-slope/"><sup>1</sup></a> everything (and everyone) has to be shipped or flown much farther than at a typical site in the Lower 48, gas generation still creates local air pollution even when it&#8217;s off the grid, and the &#8220;$500 million&#8221; figure being cited for the campus is only the first phase. Likewise, some Alaskans are already asking if the public will turn on data centers the way the Lower 48 has,.<a href="https://thealaskastory.com/alaska-already-has-data-centers-but-will-the-alaskan-public-turn-against-them/"><sup>1</sup></a> which will be a valid concern if what gets built is a few gigawatts of gas turbines on a lease that pays the state almost nothing. However, provided the campuses are kept off the grid and the leases actually compensate Alaskans, this approach eliminates the main problems with the current model (forcing a massive electrical and acoustic load onto people who never asked for it), and more importantly, creates a customer for vital energy technologies that have never had one. A campus that starts on gas can then switch to a microreactor, then a small modular reactor, then a thorium plant, without ever raising anyone&#8217;s utility bills, and the rail and fiber built to support it will remain useful regardless of whether the AI boom lives up to its hype.</p><p>In short, Alaska shows that while no ideal solution exists to the data center problem, innovators are nonetheless coming up with viable options that are significantly better than what we currently have on the table (e.g., I was quite surprised to learn how much work the state had put into this once I began researching if Alaska could potentially work). That said, I can&#8217;t say with certainty if Alaska is the best solution we have for protecting the public from data centers, but I nonetheless felt it was important to layout exactly what the state attempted, as it provides a framework with the real potential to displace what is currently happening.</p><h2>Conclusion</h2><p>Throughout America&#8217;s history, &#8220;successful&#8221; industries have emerged that owed part of their success to exploiting the communities they resided in, and in most cases, regardless of how much the public fought it, nothing could be done to stop it. So, given that the finances behind the AI dwarf what&#8217;s happened in the past, it is unlikely protest alone with be sufficient to stop this&#8212;particularly since it is nearly guaranteed this push will continue regardless of who is in power.</p><p>However, while we can&#8217;t necessarily stop it (unless the AI business model collapses on itself), we can provide the public pressure to direct things towards a manageable compromise, and if we are savvy, simultaneously solve one of the greatest challenges humanity has faced&#8212;finding a clean source of energy which can affordably meet humanity&#8217;s civilizational needs far into the future.  Likewise, while I never expected this, it&#8217;s quite possible giving people the language to explain why they are suffering from the data center push may, at last, be the thing that brings widespread attention to EMF toxicity&#8212;something I have long believe to be one of the most neglected foundational determinants of health.</p><p>Because of the timelines required to bring many of these options to market, decisions will need to be made in the near future to initiate them, and it is my belief the fundamentals behind them are strong enough that if we do not, competitors like China likely will.  </p><p>The data center issue has been immensely upsetting for me, so I&#8217;ve tried my best to come up with realistic solutions to the crisis we are facing and I sincerely appreciate you taking the time to consider them. My hope, in turn, is that this article provided some insightful ideas on how we can tactically respond to the data center push to turn an appalling situation into something we can instead benefit from and I thank each of you for giving me the voice which makes this type of work possible.</p><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://www.midwesterndoctor.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">Your Support Makes The Forgotten Side of Medicine possible! To receive new posts and support my work, consider becoming a free or paid subscriber.</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div><div class="captioned-button-wrap" data-attrs="{&quot;url&quot;:&quot;https://www.midwesterndoctor.com/p/how-the-law-of-displacement-can-solve?utm_source=substack&utm_medium=email&utm_content=share&action=share&quot;,&quot;text&quot;:&quot;Share&quot;}" data-component-name="CaptionedButtonToDOM"><div class="preamble"><p class="cta-caption">Click below to share this post!</p></div><p class="button-wrapper" data-attrs="{&quot;url&quot;:&quot;https://www.midwesterndoctor.com/p/how-the-law-of-displacement-can-solve?utm_source=substack&utm_medium=email&utm_content=share&action=share&quot;,&quot;text&quot;:&quot;Share&quot;}" data-component-name="ButtonCreateButton"><a class="button primary" href="https://www.midwesterndoctor.com/p/how-the-law-of-displacement-can-solve?utm_source=substack&utm_medium=email&utm_content=share&action=share"><span>Share</span></a></p></div><p class="button-wrapper" data-attrs="{&quot;url&quot;:&quot;https://www.midwesterndoctor.com/leaderboard?&amp;utm_source=post&quot;,&quot;text&quot;:&quot;Refer a friend&quot;,&quot;action&quot;:null,&quot;class&quot;:null}" data-component-name="ButtonCreateButton"><a class="button primary" href="https://www.midwesterndoctor.com/leaderboard?&amp;utm_source=post"><span>Refer a friend</span></a></p><p class="button-wrapper" data-attrs="{&quot;url&quot;:&quot;https://www.midwesterndoctor.com/subscribe?&amp;gift=true&quot;,&quot;text&quot;:&quot;Give a gift subscription&quot;,&quot;action&quot;:null,&quot;class&quot;:null}" data-component-name="ButtonCreateButton"><a class="button primary" href="https://www.midwesterndoctor.com/subscribe?&amp;gift=true"><span>Give a gift subscription</span></a></p><p></p>]]></content:encoded></item><item><title><![CDATA[How DMSO Heals The Blood Vessels and Could Save Millions From Strokes]]></title><description><![CDATA[The overlooked evidence on DMSO&#8217;s effects on circulation, blood clots, stroke, brain injury, heart disease, and common peripheral vascular disorders&#8212;and its potential to transform medicine.]]></description><link>https://www.midwesterndoctor.com/p/dmso-heals-blood-vessels-and-could</link><guid isPermaLink="false">https://www.midwesterndoctor.com/p/dmso-heals-blood-vessels-and-could</guid><dc:creator><![CDATA[A Midwestern Doctor]]></dc:creator><pubDate>Sat, 29 Aug 2026 20:11:41 GMT</pubDate><enclosure url="https://substack-post-media.s3.amazonaws.com/public/images/4814f079-1e24-4538-92d9-29f2256f9034_1712x964.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p><strong>Story at a Glance</strong></p><p><strong>&#8226;DMSO is an &#8220;umbrella remedy&#8221; whose combination of therapeutic properties makes it uniquely suited to treat &#8220;incurable&#8221; conditions. This article will focus on the extensive evidence DMSO safely eliminates clots, protects the blood vessels, and restores circulation, as impaired blood flow is one of the most common causes of disease but challenging to manage with conventional options.</strong></p><p><strong>&#8226;DMSO revolutionizes the treatment of strokes, as it not only eliminates the stroke, but also can be started hours earlier than normal treatments and is able to heal the injured tissue that would otherwise be lost. Extensive evidence, and now reader reports show that were it to be widely adopted, millions could be spared from the disability or death they cause each year.<br><br>&#8226;DMSO is also uniquely suited to treating brain bleeds, traumatic brain injuries, and concussions, as it relieves pressure on the brain while restoring vital circulation and reviving dying brain cells. Extensive evidence and reader reports again show its utility here.</strong></p><p><strong>&#8226;Because the heart, like the brain, is exquisitely sensitive to its blood supply being cut off, many of DMSO&#8217;s properties have also been repeatedly shown to have immense value in heart attacks alongside many other severe heart conditions.</strong></p><p><strong>&#8226;DMSO has been extensively used for peripheral circulatory disorders, with hundreds of readers, mirroring the existing evidence, reporting it eliminating varicose veins present for decades, dissolving clots and DVTs, restoring color and sensation to blue, purple, or black ischemic limbs, healing venous, diabetic, and pressure ulcers, and resolving Raynaud&#8217;s, frostbite, and hemorrhoids, frequently within days.</strong></p><p><strong>&#8226;This article summarizes the extensive data demonstrating DMSO&#8217;s efficacy for circulatory and vascular conditions (approximately 1500 studies and 160 pertinent reader testimonials) and provides practical guidance on DMSO protocols and complementary approaches for the neurological and vascular conditions discussed throughout this series.</strong></p><p>Decades ago, I learned that DMSO was an excellent therapy for strokes and then subsequently had numerous experiences where someone I told to take DMSO had their <span>full</span> stroke resolve on the way to the hospital (sparing them from a life of expected disability), after which I started also using DMSO for successful post-stroke recoveries. When you consider both how debilitating strokes typically are <span>and that, for decades, there has been</span> only piecemeal progress on reducing the suffering they cause, it&#8217;s hard to put into words how upsetting this <span>has</span> been for me.</p><p>So, once I realized I&#8217;d stumbled upon being the custodian of a widely read publication, one of my first major projects was to write &#8220;<em><a href="https://www.midwesterndoctor.com/p/dmso-could-save-millions-from-brain">The Evidence DMSO Could Save Millions From Brain and Spinal Injury</a>,</em><strong>&#8221; </strong>which struck the same chord in many readers that it had in me, and was seen by millions (many of whom subsequently shared DMSO saved them from a stroke).</p><p>In the process of researching that article and the reader requested ones which followed (on the myriad of other transformational uses for DMSO), I gradually realized that a massive volume of buried DMSO literature existed, and felt that due to the support I&#8217;d received from readership here, I had the obligation to make that lost knowledge (and the thousands of reader DMSO testimonials&#8212;<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comments">currently 7,500</a>) widely available.  <br><em>Note: some of the most dramatic neurological recoveries readers shared (which can be viewed in filmed interviews) include from <a href="https://x.com/MidwesternDoc/status/2063340365084815502">terminal ALS</a>, <a href="https://x.com/MidwesternDoc/status/2071337640528625678">terminal bulbar ALS</a>, <a href="https://x.com/MidwesternDoc/status/2088635331486560282">advanced CJD</a> (the 100% fatal prion disease), <a href="https://x.com/MidwesternDoc/status/1982222326339916094">sight that had been lost for nearly 75 years</a>, and <a href="https://x.com/MidwesternDoc/status/2086240122144747971">the same spinal cord injury that left Christopher Reeve on a vent for life</a>.</em></p><p>The fastest way I could see to actually do that was to search the key <span>English</span> and foreign <span>databases</span> for each term for DMSO (rather than every possible keyword combination), then filter out the medically relevant studies and compile them and condense them into articles.</p><div class="captioned-image-container"><figure><div class="image-link image2" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!BJzg!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ff313c6f2-80dc-4790-ab7e-565986b809af_1470x254.png 424w, https://substackcdn.com/image/fetch/$s_!BJzg!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ff313c6f2-80dc-4790-ab7e-565986b809af_1470x254.png 848w, https://substackcdn.com/image/fetch/$s_!BJzg!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ff313c6f2-80dc-4790-ab7e-565986b809af_1470x254.png 1272w, https://substackcdn.com/image/fetch/$s_!BJzg!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ff313c6f2-80dc-4790-ab7e-565986b809af_1470x254.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!BJzg!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ff313c6f2-80dc-4790-ab7e-565986b809af_1470x254.png" width="1456" height="252" 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srcset="https://substackcdn.com/image/fetch/$s_!BJzg!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ff313c6f2-80dc-4790-ab7e-565986b809af_1470x254.png 424w, https://substackcdn.com/image/fetch/$s_!BJzg!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ff313c6f2-80dc-4790-ab7e-565986b809af_1470x254.png 848w, https://substackcdn.com/image/fetch/$s_!BJzg!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ff313c6f2-80dc-4790-ab7e-565986b809af_1470x254.png 1272w, https://substackcdn.com/image/fetch/$s_!BJzg!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ff313c6f2-80dc-4790-ab7e-565986b809af_1470x254.png 1456w" sizes="100vw" loading="lazy"></picture><div></div></div></div></figure></div><p>Given how much was there, I was initially unsure if this was possible, but over six grueling months (where I was forced to cut back on everything else and hence published less here), I learned a lot, and with the tools that have never before been available, eventually collected 15,000 summarized studies.<em><br>Note: in the process of doing the same for the medical ozone literature base, I recently discovered there is one large DMSO database I missed that will need to be done in the near future.</em></p><p>Once they were compiled, I polled the supporters here on which topics had the most interest, and the overwhelming answer was neurology. On one hand I supported starting there, as most of the therapeutic mechanisms which underlie how DMSO works are interwoven with neurology (and I believe laying out the mechanistic basis for how DMSO works is critical for the therapy&#8217;s adoption), but I was also hesitant as this was single most challenging part of the topic to synthesize (due to the ultimately 4,500 studies which would need to be incorporated).</p><p>Nonetheless, starting at the end of April, I was able to begin publishing them, and this article, at last, marks the final part of that series.  The previous ones, which provided the mechanistic basis for much of what is discussed in this article are as follows:</p><div class="digest-post-embed" data-attrs="{&quot;nodeId&quot;:&quot;05a4a390-ec38-463e-ad76-65038de86575&quot;,&quot;caption&quot;:&quot;This article covers how circulatory impairments underlie many neuropsychiatric disorders and how DMSO:<br />&#8226;Biophysically eliminates microclots along with preventing immune cells from obstructing capillaries, facilitating lymphatic and venous drainage.<br />&#8226;Counteracts a broad range of inflammation and free radicals<br />&#8226;Shields cells from diverse lethal stressors and excitotoxins<br />&#8226;Protects ATP production, restarts dormant cells, and restores parasympathetic (vagal) tone (e.g., through acetylcholinesterase inhibition)<br />&#8226;Effectively delivers a variety of therapeutic agents to the central nervous system.&quot;,&quot;cta&quot;:null,&quot;showBylines&quot;:true,&quot;showDescription&quot;:true,&quot;showImage&quot;:true,&quot;size&quot;:&quot;lg&quot;,&quot;isEditorNode&quot;:true,&quot;title&quot;:&quot;How DMSO Heals the Brain and Transforms Neurology&quot;,&quot;publishedBylines&quot;:[{&quot;id&quot;:76762071,&quot;name&quot;:&quot;A Midwestern Doctor&quot;,&quot;bio&quot;:&quot;I write The Forgotten Side of Medicine where I expose pharmaceutical corruption and remarkable therapies lost to time for the health of humanity.&quot;,&quot;photo_url&quot;:&quot;https://substackcdn.com/image/fetch/f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fbucketeer-e05bbc84-baa3-437e-9518-adb32be77984.s3.amazonaws.com%2Fpublic%2Fimages%2Fa3b8e6f0-ce1c-48b8-bbfc-f8150903b2f5_250x298.jpeg&quot;,&quot;is_guest&quot;:false,&quot;bestseller_tier&quot;:10000}],&quot;post_date&quot;:&quot;2026-04-25T16:20:45.385Z&quot;,&quot;cover_image&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/fbd816e5-06f7-4042-8611-14a9e4e9eaf2_1464x774.png&quot;,&quot;cover_image_alt&quot;:null,&quot;canonical_url&quot;:&quot;https://www.midwesterndoctor.com/p/how-dmso-heals-the-brain-and-transforms&quot;,&quot;section_name&quot;:null,&quot;video_upload_id&quot;:null,&quot;id&quot;:195000750,&quot;type&quot;:&quot;newsletter&quot;,&quot;reaction_count&quot;:2586,&quot;comment_count&quot;:350,&quot;publication_id&quot;:748806,&quot;publication_name&quot;:&quot;The Forgotten Side of Medicine&quot;,&quot;publication_logo_url&quot;:&quot;&quot;,&quot;belowTheFold&quot;:true,&quot;youtube_url&quot;:null,&quot;show_links&quot;:null,&quot;feed_url&quot;:null}"></div><div class="digest-post-embed" data-attrs="{&quot;nodeId&quot;:&quot;9b738f99-fcc3-4886-98dc-f746a47b7740&quot;,&quot;caption&quot;:&quot;This article also extensively covers:<br />&#8226;How DMSO facilitates neuronal regeneration by stabilizing microtubules and differentiating stem cells into replacement neurons.<br />&#8226;How DMSO&#8217;s other established therapeutic mechanisms (e.g., muscle relaxation, tissue regeneration, and interruption of pain transmission) reduce or eliminate spinal pain.<br />&quot;,&quot;cta&quot;:null,&quot;showBylines&quot;:true,&quot;showDescription&quot;:true,&quot;showImage&quot;:true,&quot;size&quot;:&quot;lg&quot;,&quot;isEditorNode&quot;:true,&quot;title&quot;:&quot;How DMSO Heals the Spine and Reverses Paralysis&quot;,&quot;publishedBylines&quot;:[{&quot;id&quot;:76762071,&quot;name&quot;:&quot;A Midwestern Doctor&quot;,&quot;bio&quot;:&quot;I write The Forgotten Side of Medicine where I expose pharmaceutical corruption and remarkable therapies lost to time for the health of humanity.&quot;,&quot;photo_url&quot;:&quot;https://substackcdn.com/image/fetch/f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fbucketeer-e05bbc84-baa3-437e-9518-adb32be77984.s3.amazonaws.com%2Fpublic%2Fimages%2Fa3b8e6f0-ce1c-48b8-bbfc-f8150903b2f5_250x298.jpeg&quot;,&quot;is_guest&quot;:false,&quot;bestseller_tier&quot;:10000}],&quot;post_date&quot;:&quot;2026-05-16T17:22:12.981Z&quot;,&quot;cover_image&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/0af6f2b1-267a-4c2e-9d02-42d59790ec6d_1654x876.png&quot;,&quot;cover_image_alt&quot;:null,&quot;canonical_url&quot;:&quot;https://www.midwesterndoctor.com/p/how-dmso-heals-the-spine-and-reverses&quot;,&quot;section_name&quot;:null,&quot;video_upload_id&quot;:null,&quot;id&quot;:197801636,&quot;type&quot;:&quot;newsletter&quot;,&quot;reaction_count&quot;:1339,&quot;comment_count&quot;:285,&quot;publication_id&quot;:748806,&quot;publication_name&quot;:&quot;The Forgotten Side of Medicine&quot;,&quot;publication_logo_url&quot;:&quot;&quot;,&quot;belowTheFold&quot;:true,&quot;youtube_url&quot;:null,&quot;show_links&quot;:null,&quot;feed_url&quot;:null}"></div><div class="digest-post-embed" data-attrs="{&quot;nodeId&quot;:&quot;0650998e-4806-4161-8f45-aa4d925e90e6&quot;,&quot;caption&quot;:&quot;This article also extensively covers how:<br />&#8226;DMSO&#8217;s biophysical effects on water temporarily shift the phase of cell membranes and the cytoskeleton, creating a reversible cellular reset that restores normal structure and function (along with uniquely enabling DMSO to transport substances across biological barriers without damaging them).<br />&#8226;DMSO selectively blocks the small nerve fibers that transmit chronic pain<br />&#8226;DMSO supports peripheral nerve regeneration (e.g., with membrane resealing)<br />&#8226;Through neuronal resets, DMSO can eliminate the source of chronic pain and autonomic dysfunction.&quot;,&quot;cta&quot;:null,&quot;showBylines&quot;:true,&quot;showDescription&quot;:true,&quot;showImage&quot;:true,&quot;size&quot;:&quot;lg&quot;,&quot;isEditorNode&quot;:true,&quot;title&quot;:&quot;How DMSO Heals The Nerves &amp; Eliminates Pain&quot;,&quot;publishedBylines&quot;:[{&quot;id&quot;:76762071,&quot;name&quot;:&quot;A Midwestern Doctor&quot;,&quot;bio&quot;:&quot;I write The Forgotten Side of Medicine where I expose pharmaceutical corruption and remarkable therapies lost to time for the health of humanity.&quot;,&quot;photo_url&quot;:&quot;https://substackcdn.com/image/fetch/f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fbucketeer-e05bbc84-baa3-437e-9518-adb32be77984.s3.amazonaws.com%2Fpublic%2Fimages%2Fa3b8e6f0-ce1c-48b8-bbfc-f8150903b2f5_250x298.jpeg&quot;,&quot;is_guest&quot;:false,&quot;bestseller_tier&quot;:10000}],&quot;post_date&quot;:&quot;2026-06-14T20:16:21.751Z&quot;,&quot;cover_image&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/190dbaaf-dd67-4ff8-a70a-a2706c10c414_1974x1110.png&quot;,&quot;cover_image_alt&quot;:null,&quot;canonical_url&quot;:&quot;https://www.midwesterndoctor.com/p/how-dmso-heals-nerves-and-eliminates&quot;,&quot;section_name&quot;:null,&quot;video_upload_id&quot;:null,&quot;id&quot;:197946585,&quot;type&quot;:&quot;newsletter&quot;,&quot;reaction_count&quot;:1346,&quot;comment_count&quot;:216,&quot;publication_id&quot;:748806,&quot;publication_name&quot;:&quot;The Forgotten Side of Medicine&quot;,&quot;publication_logo_url&quot;:&quot;&quot;,&quot;belowTheFold&quot;:true,&quot;youtube_url&quot;:null,&quot;show_links&quot;:null,&quot;feed_url&quot;:null}"></div><p>In this article, I will cover one of DMSO most extensively studied mechanisms: how it works through several well-established anticoagulation pathways to reduce clotting, dilate vessels, protect blood vessels and improve circulation (which works synergistically with its biophysical ability to eliminate micro-clotting discussed in the first part of this series).</p><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://www.midwesterndoctor.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">The Forgotten Side of Medicine is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. To see how others have benefitted from this newsletter, click <a href="https://www.midwesterndoctor.com/p/reader-feedback">here</a>!</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div><p><em>Note: if the information in the next section is too dense, you can skip ahead to the &#8220;Current Stroke Management&#8221; section.</em></p><h2>Effects on Platelets</h2><p>Platelets, the tiny cell fragments that clump together to initiate clotting, are one of the most common targets of blood-thinning medicines (e.g., aspirin) and likewise one of the most thoroughly studied targets of DMSO. Collectively, this evidence shows DMSO independently inhibits platelet aggregation, adhesion, and activation, and most importantly, does so through several converging mechanisms at once.</p><p>For example, one study examining the full panel of platelet agonists (the natural triggers that switch platelets on) found DMSO <a href="https://academic.oup.com/jpp/article-abstract/39/1/62/6177552">inhibited human platelet aggregation</a> induced by ADP, adrenaline, arachidonic acid, collagen, and PAF, with the strongest effect against ADP. Multiple independent groups, in turn, have reproduced these results.<a href="https://www.sciencedirect.com/science/article/pii/0885450588901156"><sup>1</sup></a><sup>,</sup><a href="https://journals.sagepub.com/doi/abs/10.3181/00379727-141-36751"><sup>2</sup></a><sup>,</sup><a href="https://www.osti.gov/biblio/6956269"><sup>3</sup></a><sup> </sup></p><p>Likewise, across studies, DMSO has been found to inhibit platelet aggregation (clumping) triggered by ADP, epinephrine (adrenaline), arachidonic acid, collagen, thrombin, and platelet-activating factor, in a concentration-dependent manner, with ADP-induced aggregation typically the most sensitive to DMSO.<a href="https://academic.oup.com/jpp/article-abstract/39/1/62/6177552"><sup>1</sup></a><sup>,</sup><a href="https://www.sciencedirect.com/science/article/pii/0885450588901156"><sup>2</sup></a><sup>,</sup><a href="https://journals.sagepub.com/doi/abs/10.3181/00379727-141-36751"><sup>3</sup></a> At the level of activation markers, DMSO-containing systems suppress the surface proteins that report a platelet has &#8220;switched on&#8221;&#8212;P-selectin (CD62P), PAC-1, GPIIb/IIIa, CD63, and platelet factor 4 (PF4)&#8212;and reduce the release of ATP and dense-granule contents.<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFD2007&amp;filename=XYSY200706036">1</a> DMSO also <a href="https://pubmed.ncbi.nlm.nih.gov/8486623/">directly binds platelet factor 4</a>, disrupting its aggregation at the molecular level.</p><p><em>Note: these effects are concentration and time dependent. At the low-to-moderate concentrations relevant to therapeutic use, the antiplatelet effect reverses once DMSO is washed out&#8212;consistent with DMSO's rapid diffusion out of cells, which is why platelets cryopreserved in DMSO lose adhesion and aggregation during cold storage yet regain functionality once thawed and infused.<a href="https://pesquisa.bvsalud.org/portal/resource/pt/wpr-524312"><sup>1</sup></a><sup>,</sup><a href="https://onlinelibrary.wiley.com/doi/abs/10.1046/j.1537-2995.1982.22382224942.x"><sup>2</sup></a> At the higher concentrations or longer exposures reached only outside normal use, the inhibition can persist even after removal,<a href="https://journals.sagepub.com/doi/abs/10.3181/00379727-141-36751"><sup>1</sup></a> reflecting a more durable structural change. However at the higher doses, such as the concentrations reached after a DMSO-cryopreserved cell infusion (0.2&#8211;0.6%), DMSO still measurably inhibits ADP, thrombin, and TRAP-induced platelet aggregation,<a href="https://febs.onlinelibrary.wiley.com/doi/abs/10.1002/2211-5463.12193"><sup>1</sup></a><sup>,</sup><a href="https://febs.onlinelibrary.wiley.com/doi/abs/10.1002/2211-5463.12193"><sup>2</sup></a> frequently causes transient circulating coagulation inhibitors and prolonged clotting times<a href="https://www.ovid.com/journals/pedbc/abstract/01445489-201106000-00030~high-incidence-of-transient-circulating-inhibitors-of"><sup>1</sup></a>,<a href="https://febs.onlinelibrary.wiley.com/doi/abs/10.1002/2211-5463.12193"><sup>2</sup></a> and at high topical doses can modestly lower the circulating platelet count.<a href="https://www.sciencedirect.com/science/article/abs/pii/0300483X75900815"><sup>1</sup></a></em></p><p>&#8226;DMSO selectively inhibits cyclooxygenase-1 (COX-1) and thromboxane A&#8322; synthase,<a href="https://www.zpth.ch/wp-content/uploads/2011/06/DMSO-PLT-BBRC2009.pdf"><sup>1</sup></a><sup>,</sup><a href="https://koreascience.kr/article/JAKO201404164659699.pdf"><sup>2</sup></a> (e.g., 0.5% DMSO reduced total COX activity by 36%<a href="https://www.zpth.ch/wp-content/uploads/2011/06/DMSO-PLT-BBRC2009.pdf"><sup>1</sup></a>) cutting production of thromboxane A&#8322; (the potent signal platelets use to recruit one another). Adding the synthetic thromboxane analogue U46619 restored platelet aggregation despite DMSO&#8217;s presence,<a href="https://www.zpth.ch/wp-content/uploads/2011/06/DMSO-PLT-BBRC2009.pdf"><sup>1</sup></a> confirming that DMSO&#8217;s suppression of aggregation runs through the thromboxane pathway.</p><p>&#8226;DMSO <a href="https://www.bslonline.org/journal/view.html?spage=70&amp;volume=20&amp;number=2">raises intracellular cAMP and cGMP</a> (the secondary messengers that hold platelets in the resting state) providing a thromboxane-independent brake on platelet activation.</p><p>&#8226;Because DMSO restructures the water in and around the cell membrane (detailed <a href="https://www.midwesterndoctor.com/p/how-dmso-heals-nerves-and-eliminates">here</a>), it alters membrane fluidity directly, desensitizing platelets to their agonists independent of COX-1&#8212;an effect visible under the microscope as a marked reduction in the filopodia platelets extend when activating.<a href="https://faseb.onlinelibrary.wiley.com/doi/abs/10.1096/fasebj.28.1_supplement.598.5"><sup>1</sup></a> This biophysical membrane action also likely explains DMSO&#8217;s suppression of shear-induced platelet activation,<a href="https://scholar.google.com/scholar?hl=en&amp;as_sdt=0%2C44&amp;q=Dimethyl+Sulfoxide%3A+A+New+Nemesis+of+Shear-Induced+Platelet+Activation&amp;btnG="><sup>1</sup></a> where DMSO cut platelet adhesion under flow to roughly a fifth of control,<a href="https://www.zpth.ch/wp-content/uploads/2011/06/DMSO-PLT-BBRC2009.pdf"><sup>1</sup></a> and connects to the same phase-transition effects DMSO exerts on the platelet membrane&#8217;s phospholipids.<a href="https://scholar.google.com/scholar?hl=en&amp;as_sdt=0%2C5&amp;q=DMSO+and+Phospholipid+Phase+Transitions+in+the+Platelet+Membran&amp;btnG="><sup>1</sup></a> A separate study of platelets forced through the non-physiological shear stresses generated by mechanical heart-assist devices found the same protection, and in a revealing pattern that mirrors the concentration-dependent membrane stages described earlier: low concentrations of DMSO sharply reduced shear-induced activation, while the effect reversed at higher concentrations as DMSO began permeabilizing the membrane&#8212;and DMSO-treated platelets, though shielded from mechanical activation, still responded normally to chemical agonists, confirming it desensitizes platelets to physical force rather than simply disabling them.<a href="https://www.politesi.polimi.it/retrieve/a81cb05b-18e4-616b-e053-1605fe0a889a/2014_12_PhD_Valerio.pdf"><sup>1</sup></a> Notably, in that same body of work the conventional antiplatelet drugs, designed to block platelets through specific chemical pathways, were overwhelmed by these device-level physical forces, whereas DMSO, acting on the membrane itself, was not.<a href="https://www.politesi.polimi.it/retrieve/a81cb05b-18e4-616b-e053-1605fe0a889a/2014_12_PhD_Valerio.pdf"><sup>1</sup></a> At higher concentrations this progresses to increased membrane permeability, at which point DMSO releases the platelet&#8217;s internal contents through a mechanism distinct from thrombin&#8217;s.<a href="https://www.thieme-connect.com/products/ejournals/html/10.1055/s-0038-1650204"><sup>1</sup></a></p><p><span>&#8226;DMSO reversibly inhibits platelet serotonin uptake, thereby (reversibly) reducing the amount of serotonin stored in (and later released from) dense granules that is available to amplify platelet aggregation.</span><a href="https://pubmed.ncbi.nlm.nih.gov/1036809/"><sup><span>1</span></sup></a></p><p>&#8226;Since hydroxyl radicals trigger platelet serotonin release and aggregation, DMSO&#8217;s extensively documented scavenging of these radicals<a href="https://scholar.google.com/scholar?hl=en&amp;as_sdt=0%2C5&amp;q=dmso+hydroxyl+radical+scavenger&amp;btnG=&amp;oq=DMSO+hydro"><sup>1</sup></a> blocks radical-mediated platelet activation<a href="https://pubmed.ncbi.nlm.nih.gov/220174/"><sup>1</sup></a> and thrombus (clot) formation.<a href="https://www.sciencedirect.com/science/article/pii/S0022510X01006736"><sup>1</sup></a> In living microvessels, this was directly visualized: intraperitoneal DMSO more than doubled the time to platelet aggregation in injured mouse brain pial arterioles (117 vs. 57 seconds), and in the same vessels prevented the reactive arteriolar dilation that normally accompanies the injury (holding their diameter near baseline versus a 22% widening in controls).<a href="https://www.ahajournals.org/doi/pdf/10.1161/01.str.13.1.35"><sup>1</sup></a> As such, DMSO&#8217;s radical-scavenging action, in addition to reducing inflammation, also produces both an antiplatelet and a vasomotor effect simultaneously.</p><p><em>Note: as each of these effects is concentration dependent, not every study finds an effect on every pathway (e.g., one group reported DMSO did not inhibit thromboxane production in platelets and did not protect rabbits from arachidonic-acid&#8211;induced pulmonary thrombosis<a href="https://espace.library.uq.edu.au/view/UQ:215126"><sup>1</sup></a><sup>,</sup><a href="https://www.sciencedirect.com/science/article/pii/0885450588901156"><sup>2</sup></a>).</em></p><p>These effects, in turn have been demonstrated their utility in a variety of living systems:</p><p>&#8226;In a dog model of critical coronary stenosis (where platelets aggregating at a narrowed artery routinely cause cyclic drops in coronary blood flow) intravenous DMSO dose-dependently reduced (by up to 85%) those flow reductions without altering blood pressure, heart rate, or cardiac output, isolating the effect to platelet aggregation itself.<a href="https://nyaspubs.onlinelibrary.wiley.com/doi/abs/10.1111/j.1749-6632.1983.tb47323.x?casa_token=W3J_GxXzYEQAAAAA"><sup>1</sup></a></p><p>&#8226;In a rat carotid-injury model, IV DMSO (2 g/kg) virtually abolished thrombus formation despite clear endothelial damage, with electron microscopy showing only spherical, non-activated platelets where clots should have been.<a href="https://nyaspubs.onlinelibrary.wiley.com/doi/pdfdirect/10.1111/j.1749-6632.1983.tb47304.x"><sup>1</sup></a><sup>,</sup><a href="https://scholar.google.com/scholar?hl=en&amp;as_sdt=0%2C44&amp;q=ANTI-PLATELET+PROPERTIES+OF+DMSO+IN+MICRO-VASCULAR+SURGERY&amp;btnG="><sup>2</sup></a><sup> <br></sup><em>Note: because the clotting was prevented at a site of genuine vessel injury, these results<a href="https://nyaspubs.onlinelibrary.wiley.com/doi/pdfdirect/10.1111/j.1749-6632.1983.tb47304.x"><sup>1</sup></a> are applicable to settings like microvascular and reattachment surgery, where a damaged vessel must stay patent long enough to heal.</em></p><p>Finally, DMSO&#8217;s effects on platelets (inhibition of aggregation and suppression of activation markers such as P-selectin, PAC-1, GPIIb/IIIa, and PF4) have also been observed when DMSO has been combined with a variety of natural compounds (which for reader ease I mark with <sup>&#11030;</sup>) such as <a href="https://pubmed.ncbi.nlm.nih.gov/27855519/">xanthohumol</a>,<sup>&#11030; </sup><a href="https://cathi.uacj.mx/handle/20.500.11961/29228">wine polyphenols</a>,<sup>&#11030; </sup><a href="http://www.lcsxyjy.com/EN/10.3969/j.issn.1671-2587.2024.02.008">Ginkgolide B</a>,<sup>&#11030; </sup>and<sup> </sup><a href="https://oversea.cnki.net/kcms2/article/abstract?v=nRANE_nPmUoZ3vC9P9veiw7CsiwxLbKNttpoIJaa3vaFP46HzXYXv8sQTLf_rDWFEGUngGJ3CsNI_OkFpoq_kxezWKYLmitSS1dwVTw8t1PfVzJ4UKNc8SRRboF_jVFHWr7HKWQe7unZAxHyfe1OyauhxOlZJWdVVAAa5LhoHskWH3UE2UkaasQMN3QtQoeB">vitexicarpin</a>.<sup>&#11030;</sup></p><p><em>One of the more unusual reports came from a Russian practitioner combining DMSO with aspirin in "structured water," across a range from conventional doses down to ultra-low dilutions. Using nocturnal leg cramps in the elderly as a readout, he reported that conventional doses reliably prevented recurrence &#8212; cramps returned on withdrawal and stopped again on resumption &#8212; with the effect persisting even as aspirin was diluted roughly a thousandfold, becoming borderline around the nanogram range (~10&#8315;&#8313;) and disappearing by ~10&#8315;&#185;&#178;. He also described rapid relief in acute vascular events such as heart attack and stroke.<a href="https://elibrary.ru/item.asp?id=48970677"><sup>1</sup></a></em></p><h2>Anticoagulant &amp; Fibrinolytic Effects</h2><p>DMSO also acts directly on the coagulation cascade itself, and does so at nearly every level (the initiating trigger, the central enzyme thrombin, and the fibrinolytic system that dissolves clots once they form) giving DMSO a breadth of anticlotting activity that few single agents possess:</p><p><strong>&#8226;</strong>Tissue factor (TF) is the key protein that ignites the entire clotting cascade (and is a critical link between inflammation and thrombosis). DMSO, in turn, suppresses TF expression and activity by inhibiting JNK and p38 MAP kinase signaling and prevents arterial thrombus formation in living animals, without detectable toxicity.<a href="https://www.ahajournals.org/doi/abs/10.1161/CIRCULATIONAHA.106.638460"><sup>1</sup></a><sup>,</sup><a href="https://scholar.google.com/scholar?hl=en&amp;as_sdt=0%2C5&amp;q=DMSO+Inhibits+Tissue+Factor+Expression+and+Vascular+Smooth+Muscle+Cell+Activation&amp;btnG="><sup>2</sup></a> Because it simultaneously reduces the smooth-muscle overgrowth that causes stents to re-occlude, DMSO has been repeatedly proposed as a drug-eluting stent coating due to it being a rare agent that both lowers clotting risk and restenosis risk (unlike conventional stent drugs like sirolimus and paclitaxel, which reduce restenosis but <em>increase</em> TF expression and thrombosis risk).<a href="https://www.sciencedirect.com/science/article/abs/pii/S0006291X09024759"><sup>1</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/17000906/"><sup>2</sup></a><sup>,</sup><a href="https://www.zora.uzh.ch/server/api/core/bitstreams/9c54c961-187b-4a84-b3eb-dbdf3b682262/content"><sup>3</sup></a></p><p>&#8226;DMSO also acts on the coagulation enzymes themselves. It directly alters thrombin, the central clotting enzyme, changing its catalytic behavior through a conformational shift and&#8212;notably&#8212;reducing heparin&#8217;s ability to inhibit it.<a href="https://www.sciencedirect.com/science/article/pii/0049384883901391"><sup>1</sup></a> In the invertebrate clotting systems used as sensitive models of the cascade, DMSO reversibly blocked the activation step that switches on the dormant clotting zymogen (enzyme precursor), without inhibiting the already-active enzyme, in both the Limulus and Carcinoscorpius systems (highly sensitive clotting cascades)<a href="https://www.sciencedirect.com/science/article/pii/0006291X8291470X"><sup>1</sup></a><sup>,</sup><a href="https://europepmc.org/article/med/2256943"><sup>2</sup></a>&#8212;indicating DMSO acts on the trigger that starts the clotting cascade.</p><p>DMSO hence not only <a href="https://pubmed.ncbi.nlm.nih.gov/805559/">prevents clots from forming</a> but, when applied topically, <a href="https://doi.org/10.1111/j.1749-6632.1975.tb25347.x">actively dissolves already-established venous thrombi</a> while inhibiting arterial platelet thrombus formation.  Finally, <a href="https://nyaspubs.onlinelibrary.wiley.com/doi/pdfdirect/10.1111/j.1749-6632.1983.tb47304.x">in a rat carotid-artery injury model</a> intravenous DMSO  eliminated thrombus formation at both crush and incision sites despite clear endothelial damage. Electron microscopy showed only minimal platelet-fibrin deposits and, spherical, <strong>non-activated</strong> platelets where clots should have formed (with DMSO&#8217;s antithrombotic effect statistically superior to the barbiturates and methylprednisolone tested alongside it).</p><p>Its ability to eliminate clots already present appears to be due to it augmenting the body&#8217;s natural clot removal pathways as <strong> </strong>DMSO <a href="https://pubmed.ncbi.nlm.nih.gov/3577065/">activates streptokinase-initiated fibrinolysis</a> across a wide concentration range (1.5&#8211;50%), <a href="https://cdnsciencepub.com/doi/abs/10.1139/o87-093">stimulates production of tissue plasminogen activator (tPA)</a>, the body&#8217;s principal clot-dissolving enzyme and <a href="https://onlinelibrary.wiley.com/doi/abs/10.1111/j.1768-322X.1989.tb00848.x">reduces plasminogen activator inhibitor-1 (PAI-1)</a>, the main physiological brake on that process.</p><p>This is cited so consistently that &#8220;fibrinolytic activity&#8221; appears as a standard listed property of DMSO throughout the clinical literature,<a href="https://science.cfuv.ru/wp-content/uploads/2015/11/V.V.Ejov_1.pdf"><sup>1</sup></a><sup>,</sup><a href="https://dspace.nuph.edu.ua/bitstream/123456789/4354/1/22-28(1).pdf"><sup>2</sup></a><sup>,</sup><a href="http://elib.usma.ru/handle/usma/1533"><sup>3</sup></a><sup>,</sup><a href="https://www.elibrary.ru/item.asp?id=17976003"><sup>4</sup></a> or as described by a Russian review: intravenous DMSO lengthens clotting time, suppresses platelet aggregation (initial clot formation), normalizes fibrin formation (clot solidification), and being fibrinolytic, normalizes fibrinolysis.<a href="https://www.babyblog.ru/user/svetilein/3165985"><sup>1</sup></a><sup> </sup></p><p>All of this touches on a key contrast I&#8217;ve noticed between pharmaceutical drugs and effective natural therapies. Pharmaceuticals tend to target a single pathway (or a few) as forcefully as possible, which produces both their immediately evident effects and, frequently, significant side effects. Time-tested natural agents instead often nudge many pathways at once toward a converging end, making them less immediately potent (their effect being distributed rather than concentrated) but also much better tolerated and often longer-lasting, since the body doesn&#8217;t develop the reflexive tolerance it mounts against a pathway being aggressively shifted in one direction.</p><p><em>Note: as with many of DMSO&#8217;s effects, its fibrinolytic action normalizes rather than simply pushing one direction&#8212;in cancer cells it suppressed <a href="https://www.tandfonline.com/doi/abs/10.1128/mcb.5.12.3552-3559.1985">urokinase-type plasminogen activator</a> (uPA&#8212;which facilitates metastasis), the reverse of its tPA-stimulating effect in normal cells, consistent with DMSO restoring dysregulated systems toward baseline.</em></p><p>Clinically, this translates to DMSO improving coagulation across a broad range of situations.  For example, <a href="https://europepmc.org/article/med/2697951">in 42 patients with rheumatic diseases</a> (including scleroderma and Raynaud&#8217;s), blinded thromboelastography showed DMSO normalized both fibrin formation, with accompanying improvement in microcirculation. Likewise, DMSO added to sepsis, endotoxemia, and disseminated-intravascular-coagulation models and paired with a long and chemically unrelated list of agents, has repeatedly reduced elevated fibrinogen and corrected the underlying coagulopathy.<a href="https://www.researchgate.net/profile/Ali-Hajimohammadi/publication/260793632"><sup>1</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/24957668/"><sup>2</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/25051385/"><sup>3</sup></a><sup>,</sup><a href="https://www.cabidigitallibrary.org/doi/full/10.5555/19992208076"><sup>4</sup></a><sup>,</sup><a href="https://www.scielo.br/j/abmvz/a/BSMvFQjJK9SqvkLHFVCJYmF"><sup>5</sup></a> Similarly, DMSO appears in numerous topical thrombosis and thrombophlebitis formulations where it both facilitates the delivery of and synergistically enhances the effects of the other anti-thrombotic agents present.<a href="https://pubmed.ncbi.nlm.nih.gov/6449618/"><sup>1</sup></a> </p><p><em>Note: DMSO&#8217;s broad range of effects also allows it to treat challenging clotting situations. For example, when the immune system breaks down myelin, the exposed phospholipids in the debris can trigger clotting that starves nerves of blood (a proposed secondary driver of <a href="https://www.midwesterndoctor.com/p/how-dmso-treats-incurable-autoimmune">multiple sclerosis</a>) and while conventional anticoagulants don&#8217;t touch this pathway, <a href="https://kazanmedjournal.ru/kazanmedj/article/view/88054">a Russian study</a> found DMSO inhibited myelin-triggered clotting dose-dependently.</em></p><h1>DMSO and Blood Thinners</h1><p>In medicine a balance often has to be struck between a therapeutic effect and the toxicity it entails, and getting it right can be quite challenging, such as in ensuring chemotherapy kills enough cancer cells without killing too many normal ones. Blood thinning poses another version of this problem: coagulation can predispose someone to severe complications (e.g., embolic strokes), but too little of it is also dangerous, since a minor injury can then produce a large hematoma and a blow to the head a lethal brain bleed.</p><p>For this reason, medicine typically reserves anticoagulants for those already at risk of clotting complications, as in atrial fibrillation, where the irregular rhythm lets clots form in the heart that can then travel to the brain and cause a stroke. It then tightly controls the degree of anticoagulation, doing enough to prevent the major event without raising bleeding risk any more than necessary. <span>However, this is still far from perfect. Many individuals experience significant complications from anticoagulants each year, partly from incorrect dosing or monitoring, and partly because a perfect balance between preventing thrombosis and avoiding bleeding simply cannot always be achieved in the individual patient.  All of this hence raises a few questions regarding DMSO.</span></p><p><span>First, can natural &#8220;anticoagulants&#8221; with a broader spectrum of action be used in lieu of the more potentially dangerous anticoagulants? Ultimately this is a difficult question to answer, as understandably, no clinician I know has taken the risk to attempt this in high </span>risk situations (e.g., atrial fibrillation) and see if it suffices to stop the clotting (whereas gargantuan sums of data were needed to accurately assess the merit of pharmaceutical anticoagulants). However, in lower<span> risk situations (e.g., preventing a heart attack over the next twenty years, or improving chronic illness symptoms resulting from excessive blood clotting), I have seen the natural alternatives perform extremely well without significant risk.  Likewise, in acute situations (e.g., a heart attack or stroke), I have seen numerous cases where they (e.g., DMSO or </span><a href="https://www.midwesterndoctor.com/p/how-to-improve-zeta-potential-and"><span>a zeta potential restoration</span></a><span>) resolved the incident prior to conventional options arriving. A few readers, in turn, have shared stories like quitting a problematic </span>lifelong Eliquis prescription, noting DMSO not only prevented clots from forming but also dissolved existing ones and that &#8220;I&#8217;d be dead if DMSO didn&#8217;t work.&#8221;<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/211375031"><sup>1</sup></a> I, however, do not think this is wise, as the data simply does not exist to determine if this is appropriate to do, and as such, I instead favor the natural anti-clotting approaches in cases where it seems likely someone would benefit from blood thinning but their inherent risk of a severe clotting complication is too low to justify conventional anticoagulation.<em><br>Note: while safer than conventional anticoagulants, many of the natural anticoagulants are still not completely safe (e.g., since mass consumption of generic nattokinase<sup>&#11030;</sup> came into vogue to counteract the spike protein, I have periodically come across cases of them causing a problematic bleed both within my social circle and from readers here).</em></p><p>Second, since DMSO potentiates the actions of pharmaceutical medications, is it safe to take with other anticoagulants? Presently, there is simply not enough data to answer this, but from everything I&#8217;ve been able to find, I lean to &#8220;yes,&#8221; with three major caveats: DMSO cannot be taken within at least two hours of the anticoagulant, coagulation must be carefully monitored to ensure excessive anticoagulation is not occurring (which should happen anyways) and IV DMSO should never be mixed with an anticoagulant in the same infusion.  The limited datapoints I have to go off for this assessment are that:</p><p>&#8226;The German DMSO community, which has the most experience combining DMSO with conventional anticoagulants, considers this acceptable, citing patient reports, existing data that DMSO does not competitively inhibit clotting factors or irreversibly block platelet prostaglandins the way pharmaceutical anticoagulants do, and that in practice no meaningful changes in Quick-Wert (PT activity %) or INR values appear in patients on anticoagulants who use DMSO&#8212;although they did note DMSO can reduce the dose of aspirin (which targets platelets rather than the coagulation cascade), with multiple users &#8220;switching to 50 mg every other day and their coagulation values still being &#8216;as desired.&#8217;&#8221; That said, they still advise starting DMSO slowly, routinely checking coagulation values, and spacing it out from anticoagulants taken during the day.<br><em>Note: in the previously mentioned Russian study (where very limited information was provided), DMSO was reported to work synergistically with aspirin and no toxicity was mentioned from this combination.<a href="https://cyberleninka.ru/article/n/preparat-vybora-ili-zhiznenno-neobhodimoe-lekarstvo/viewer"><sup>1</sup></a></em></p><p>&#8226;DMSO&#8211;heparin combinations have a long track record of safety in topical and oral formulations. DMSO <a href="https://dspace.nuph.edu.ua/bitstream/123456789/15312/1/2-7.pdf">enhances heparin&#8217;s anticoagulant action</a> and, through its membrane-transport properties, can even <a href="https://pubmed.ncbi.nlm.nih.gov/15913716/">render heparin orally absorbable</a> when the two are <a href="https://pubs.acs.org/doi/abs/10.1021/bc100594v">formulated together</a> (rather than via the injection typically required for heparin). Likewise, the commercial gel Dolobene (&#1044;&#1086;&#1083;&#1086;&#1073;&#1077;&#1085;&#1077;), which combined DMSO with heparin has been widely used for decades without issues (as has Phlebolan spray, although only certain Phlebolan formulations contained heparin).<br><em>Note: Jim McCann (the inventor who brought the <a href="https://www.midwesterndoctor.com/p/the-forgotten-cancer-cure-hiding">DMSO hematoxylin cancer therapy</a> to Ecuador) emphasized that he had seen serious bleeding issues when IV DMSO was combined with IV heparin.</em></p><p>&#8226;Due to the size of the readership of this newsletter, I've had a unique window for identifying rare complications of DMSO, so over the last two years, I've kept a careful eye out for bleeding incidents linked to DMSO, of which a few reported nosebleeds after DMSO, a reader who'd used topical DMSO and then had a shoulder surgery cancelled because their PTT was 71,<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/113220570"><sup>1</sup></a> a friend on Eliquis whose small finger cut bled for two hours,<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/265540209"><sup>1</sup></a> and a reader I reached out to after learning they developed a GI bleed, which we concluded may have been linked to them taking a high oral DMSO dose concurrently with a high dose of nattokinase<sup>&#11030;</sup> twice a day.<br><em>Note: conversely, many readers have also reported bleeding wounds healing with DMSO.</em></p><p>&#8226;The existing literature indicates at low doses (which is what can realistically be reached in the body from most uses), DMSO does not meaningfully affect standard clotting parameters at all (e.g. 1.1% did not affect clotting in a zebrafish model<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CPFD&amp;dbname=CPFDLAST2020&amp;filename=ZGYS201710001029"><sup>1</sup></a> and 0.1% had no effect on human plasma PTT<a href="https://www.mdpi.com/2673-9992/21/1/22"><sup>1</sup></a>). Conversely, at higher IV doses, according to one Russian review, DMSO (10&#8211;20%) lengthens clotting and bleeding time, decreases platelet aggregation and increases fibrinolysis,<a href="https://www.babyblog.ru/user/svetilein/3165985"><sup>1</sup></a><sup> </sup>while at even higher IV doses, promotes coagulation (e.g., &#8805;20% precipitates fibrin and consumes fibrinogen<a href="https://elibrary.ru/item.asp?id=26731269"><sup>1</sup></a> and &#8805;50% in monkeys caused instant hemolysis and fibrinogen precipitation alongside transiently shortening PTT<a href="https://nyaspubs.onlinelibrary.wiley.com/doi/10.1111/j.1749-6632.1983.tb47278.x"><sup>1</sup></a>).<br><em>Note: due its safety, much higher doses of DMSO are routinely tested than most other agents, and as a result, toxicity often only shows up at DMSO concentrations orders of magnitude higher than most drugs. In tandem, because of how rapidly DMSO spreads through the body and dilutes, unless high IV doses are used or concentrated DMSO in ingested, it is quite difficult to reach DMSO&#8217;s toxic concentrations.</em> </p><p>&#8226;Within the IV stem cell literature, complications are periodically reported from high dose DMSO infusions given to frail cancer patients, in the studies which looked at this, a small, transient increase in blood clotting was typically observed.<a href="https://pubmed.ncbi.nlm.nih.gov/24304039/"><sup>1</sup></a><sup>,</sup><a href="https://europepmc.org/api/getPdf?pmcid=PMC6714694"><sup>2</sup></a>  Conversely, one case report exists of two elderly patients receiving IV DMSO then developing shortened prothrombin and partial-thromboplastin times (where the clinicians concluded this was likely due to quinine, indomethacin, or a phenothiazine being taken concurrently as they had not seen anything similar in comparable patients receiving IV DMSO).<a href="https://nyaspubs.onlinelibrary.wiley.com/doi/10.1111/j.1749-6632.1983.tb47278.x"><sup>1</sup></a><sup> </sup>Additionally, from extensive review I was able to find three other cases exist where DMSO was linked to a problematic bleed,<a href="https://europepmc.org/article/med/15171490"><sup>1</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/8241990/"><sup>2</sup></a><sup>,</sup><a href="https://casereports.bmj.com/content/14/2/e240371.abstract"><sup>3</sup></a> which given their rarity, makes it difficult to determine if DMSO or another variable was the causative factor.<br><em>Note: while DMSO in general helps CNS (e.g., brain) conditions, IV DMSO produces the most dramatic improvements. I initially thought this was likely due to more DMSO being able to reach the CNS, but now suspect it might be due to direct anticoagulation occurring alongside DMSO&#8217;s other effects.</em><br><em><br></em>&#8226;At lethal or near-lethal doses (far above ordinary use), especially concentrated IV DMSO, animal studies often show hemolysis plus pulmonary or GI hemorrhage.<a href="https://selcukmedj.org/the-evaluation-of-the-metabolic-toxicity-dimethylsulfoxide-at-different-organ-level-en-6578/"><sup>1</sup></a> Much of the hemolysis and some fluid-shift injury is osmotic and can be produced by other strongly hypertonic infusions at similar osmolar loads. DMSO&#8217;s high LD50 (toxic doses) is why those concentrations are reachable at all, as typically a different toxicity of a drug would make it lethal far below the levels needed for osmotic damage to occur.</p><p>In short, excessive bleeding on DMSO appears to be rare and when it does occur, typically mild.  Nonetheless, if anticoagulants are being taken, care must be taken to ensure coagulation parameters are routinely monitored and DMSO is not directly combined with any of them.</p><p><em>Note: the consistent finding across decades of animal safety studies is that diluted</em> <em>DMSO is remarkably well-tolerated, and that its one dose-dependent liability on the blood is transient hemolysis at high intravenous concentrations. Rhesus monkeys given intravenous DMSO at 3 g/kg (as a 40% solution) daily for nine consecutive days showed <a href="https://www.tandfonline.com/doi/abs/10.1080/15287398109529957">no significant or lasting changes</a> in blood chemistry, hematology, urine, or ocular, neurological, and cardiovascular parameters over four months of follow-up. Cats given intravenous DMSO every other day across ten doses <a href="https://udsau.ru/images/DOCS/Nauka/Konferenc/_ArchConference_/2015/4/27-29oct2015_ConfMaterial.pdf#page=126">maintained normal hematology and biochemistry</a> throughout, with no cumulative or delayed adverse effects, and a DMSO-containing mixture fed chronically at up to five times the therapeutic dose <a href="https://cyberleninka.ru/article/n/hronicheskaya-toksichnost-mnogokomponentnoy-smesi-dlya-lecheniya-zabolevaniy-rotovoy-polosti-plotoyadnyh">produced no adverse changes</a> (if anything, hematologic parameters improved). The primary issue repeatedly seen is that highly concentrated intravenous DMSO has been associated in older toxicity reports with local vascular irritation and transient hemolysis (e.g., 10% intravenous DMSO given to horses produced a <a href="https://elibrary.ru/item.asp?id=26154788">transient dip in red-cell and hemoglobin counts</a> that recovered within 24&#8211;48 hours).</em></p><h2>Effects on Prostaglandins &amp; Thromboxane</h2><p>Prostaglandins and thromboxane are the short-lived signaling molecules the body makes from arachidonic acid (via the cyclooxygenase, or COX, enzymes) to control clotting, vascular tone, and inflammation. The system has two opposing sides, thromboxane A&#8322; (TXA&#8322;), which drives platelet aggregation and vasoconstriction and  prostacyclin (PGI&#8322;) and PGE&#8321;, which do the reverse, dispersing platelets and dilating vessels. As such, the balance of these heavily influences whether blood clots and vessels constrict, or blood flows and vessels open.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!vo-z!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fd0d7f5ca-b1f6-447d-8ec1-2885d86b9ea6_1456x657.webp" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!vo-z!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fd0d7f5ca-b1f6-447d-8ec1-2885d86b9ea6_1456x657.webp 424w, https://substackcdn.com/image/fetch/$s_!vo-z!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fd0d7f5ca-b1f6-447d-8ec1-2885d86b9ea6_1456x657.webp 848w, https://substackcdn.com/image/fetch/$s_!vo-z!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fd0d7f5ca-b1f6-447d-8ec1-2885d86b9ea6_1456x657.webp 1272w, https://substackcdn.com/image/fetch/$s_!vo-z!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fd0d7f5ca-b1f6-447d-8ec1-2885d86b9ea6_1456x657.webp 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!vo-z!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fd0d7f5ca-b1f6-447d-8ec1-2885d86b9ea6_1456x657.webp" width="1456" height="657" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/d0d7f5ca-b1f6-447d-8ec1-2885d86b9ea6_1456x657.webp&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:657,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:35848,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/webp&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:&quot;https://www.midwesterndoctor.com/i/212460634?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fd0d7f5ca-b1f6-447d-8ec1-2885d86b9ea6_1456x657.webp&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!vo-z!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fd0d7f5ca-b1f6-447d-8ec1-2885d86b9ea6_1456x657.webp 424w, https://substackcdn.com/image/fetch/$s_!vo-z!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fd0d7f5ca-b1f6-447d-8ec1-2885d86b9ea6_1456x657.webp 848w, https://substackcdn.com/image/fetch/$s_!vo-z!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fd0d7f5ca-b1f6-447d-8ec1-2885d86b9ea6_1456x657.webp 1272w, https://substackcdn.com/image/fetch/$s_!vo-z!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fd0d7f5ca-b1f6-447d-8ec1-2885d86b9ea6_1456x657.webp 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p>DMSO is often described as a prostaglandin inhibitor (an aspirin-like agent that blocks COX) as for platelets, DMSO selectively inhibits COX-1 and thromboxane A&#8322; synthase,<a href="https://www.zpth.ch/wp-content/uploads/2011/06/DMSO-PLT-BBRC2009.pdf"><sup>1</sup></a><sup>,</sup><a href="https://www.sciencedirect.com/science/article/pii/S0006291X09024759"><sup>2</sup></a> cutting TXA&#8322; production and in cholesterol-fed rabbits, DMSO lowered arterial atherosclerosis, an effect attributed to its reduction in platelet thromboxane B&#8322; (a stable marker of TXA&#8322;) while prostacyclin was untouched.<a href="https://europepmc.org/article/med/1984638"><sup>1</sup></a><sup> </sup>So, since DMSO raises PGE&#8321; and cAMP while decreasing thromboxane and fibrinogen,<a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC5377396/"><sup>1</sup></a><sup> </sup>it shifts the balance towards reducing clotting and dilating vessels.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!W_iu!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F63a49496-7e7f-408c-a638-d9173bbfafa5_1456x1072.webp" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!W_iu!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F63a49496-7e7f-408c-a638-d9173bbfafa5_1456x1072.webp 424w, https://substackcdn.com/image/fetch/$s_!W_iu!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F63a49496-7e7f-408c-a638-d9173bbfafa5_1456x1072.webp 848w, https://substackcdn.com/image/fetch/$s_!W_iu!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F63a49496-7e7f-408c-a638-d9173bbfafa5_1456x1072.webp 1272w, https://substackcdn.com/image/fetch/$s_!W_iu!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F63a49496-7e7f-408c-a638-d9173bbfafa5_1456x1072.webp 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!W_iu!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F63a49496-7e7f-408c-a638-d9173bbfafa5_1456x1072.webp" width="1456" height="1072" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/63a49496-7e7f-408c-a638-d9173bbfafa5_1456x1072.webp&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:1072,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:78344,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/webp&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:&quot;https://www.midwesterndoctor.com/i/212460634?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F63a49496-7e7f-408c-a638-d9173bbfafa5_1456x1072.webp&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!W_iu!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F63a49496-7e7f-408c-a638-d9173bbfafa5_1456x1072.webp 424w, https://substackcdn.com/image/fetch/$s_!W_iu!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F63a49496-7e7f-408c-a638-d9173bbfafa5_1456x1072.webp 848w, https://substackcdn.com/image/fetch/$s_!W_iu!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F63a49496-7e7f-408c-a638-d9173bbfafa5_1456x1072.webp 1272w, https://substackcdn.com/image/fetch/$s_!W_iu!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F63a49496-7e7f-408c-a638-d9173bbfafa5_1456x1072.webp 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p><em>Note: the fuller picture is more complex than &#8220;DMSO blocks COX,&#8221; as data shows DMSO is not uniformly a prostaglandin-synthesis inhibitor. In one study it increased arachidonic-acid oxidation rather than inhibiting it, didn&#8217;t suppress thromboxane, and led its authors to propose it acts as a reducing cofactor rather than a blocker.<a href="https://espace.library.uq.edu.au/view/UQ:215126"><sup>1</sup></a> Another found DMSO had no effect on thromboxane yet stimulated PGE&#8322; and concluded DMSO&#8217;s anti-inflammatory action doesn&#8217;t run through an arachidonic-acid metabolism at all.<a href="https://www.sciencedirect.com/science/article/pii/0885450588901156"><sup>1</sup></a> On skin, DMSO releases prostaglandins and arachidonic acid into the tissue<a href="https://pubmed.ncbi.nlm.nih.gov/6198845/"><sup>1</sup></a> (much as histamine does), while in cultured aortic endothelial cells it actually inhibited prostacyclin.<a href="https://apps.dtic.mil/sti/html/tr/ADP001858/"><sup>1</sup></a> All of this argues that DMSO doesn&#8217;t switch the eicosanoid system off but rather rebalances it, with the net effect in platelets and vessels tilting toward the antithrombotic, vasodilatory side (consistent with DMSO&#8217;s broader tendency to normalize dysregulated systems rather than force them one way). Likewise, as we&#8217;ve seen before, the effect is also context-dependent, as in some models DMSO adds nothing, and <a href="https://pubmed.ncbi.nlm.nih.gov/24570285/">did not improve sevoflurane&#8217;s cardioprotection</a> when tested on its own.</em></p><p>Finally, DMSO has also been used to therapeutically deliver beneficial prostaglandins. In one report, topical PGD2 combined with DMSO was used to save digits (fingers or toes) that would otherwise be lost from acute inoperable thrombosis,<a href="https://scholar.google.com/scholar?hl=en&amp;as_sdt=0%2C5&amp;q=DIGIT+SALVAGE+UTILIZING+TOPICAL+PDG2+AND+DMSO+IN+ACUTE+NONOPERABLE+THROMBOSIS&amp;btnG="><sup>1</sup></a> and has been used to deliver agents that act upon this system (e.g., tetrahydroxystilbene<sup>&#11030;</sup><a href="https://www.sciencedirect.com/science/article/abs/pii/S0026286218301407"><sup>1</sup></a> and <span>curcumin</span><sup>&#11030;</sup><a href="https://www.sciencedirect.com/science/article/abs/pii/S0890509617310038"><sup><span>1</span></sup></a><span> to relax the superior mesenteric arteries and arterioles).</span></p><h2>Raising cAMP &amp; cGMP</h2><p>Two closely related molecules cyclic AMP (cAMP) and cyclic GMP (cGMP), once elevated, in platelets, reduce their aggregation and in vascular smooth muscle trigger vessel relaxation and widening. </p><p>DMSO raises cAMP through both increasing its production and by slowing its breakdown. On one hand, DMSO directly stimulates adenylate cyclase,<a href="https://pubmed.ncbi.nlm.nih.gov/4243308/"><sup>1</sup></a><sup>,</sup><a href="https://www.bslonline.org/journal/view.html?spage=70&amp;volume=20&amp;number=2"><sup>2</sup></a><sup>,</sup><a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC5377396/"><sup>3</sup></a> the enzyme that synthesizes cAMP; in heart tissue this stimulation was maximal at around 10% DMSO, comparable in magnitude to the beta-agonist isoproterenol and additive with it&#8212;yet DMSO&#8217;s effect was unaffected by &#945;- or &#946;-adrenergic blockade, meaning it works independently of the adrenergic receptors those drugs act on.<a href="https://pubmed.ncbi.nlm.nih.gov/4243308/"><sup>1</sup></a><sup> </sup>DMSO also was found to inhibit cyclic AMP phosphodiesterase<a href="https://www.sciencedirect.com/science/article/abs/pii/0006295277902234"><sup>1</sup></a> (the enzyme that degrades cAMP), which would further raise cAMP levels.</p><p>As such, in platelets DMSO significantly raises both cAMP and cGMP (through a channel entirely separate from its COX-1 inhibition), further supporting its antiplatelet effects.<a href="https://www.bslonline.org/journal/view.html?spage=70&amp;volume=20&amp;number=2"><sup>1</sup></a> In blood vessels, DMSO likewise raises cGMP and relaxes the vessel wall through a nitric-oxide/cGMP-dependent pathway.<a href="https://karger.com/pha/article/97/3-4/171/272434"><sup>1</sup></a></p><p><em>Note: like DMSO&#8217;s other effects, this one is concentration-dependent and not universal&#8212;at lower concentrations or in certain tissues DMSO showed no measurable effect on the cyclase system.<a href="https://journals.sagepub.com/doi/abs/10.1177/27.3.479553"><sup>1</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CMFD&amp;dbname=CMFD201901&amp;filename=1018143700.nh"><sup>2</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFD2011&amp;filename=TWXH201103018"><sup>3</sup></a></em></p><h1>Opening Blood Vessels (Vasodilation)</h1><p>Blood flow is controlled by smooth muscle surrounding the lining (endothelium) of the blood vessels, which tightens to restrict flow. As such, DMSO&#8217;s ability to relax that muscle provides another key way for it to restore tissue circulation. DMSO&#8217;s circulatory-promoting properties turn up across nearly every vascular bed studied (e.g., aorta, coronary, pulmonary, mesenteric, renal, cerebral, umbilical, and saphenous) both relaxing vessels by itself and serving as the medium through which other vasodilators are delivered without impeding their effect.<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFDLAST2018&amp;filename=GLYZ201809026"><sup>1</sup></a>,<a href="https://www.sciencedirect.com/science/article/abs/pii/S0014299920308591"><sup>2</sup></a>,<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFD2011&amp;filename=YAOL201110019"><sup>3</sup></a>,<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFDLAST2015&amp;filename=DYJD201504016"><sup>4</sup></a></p><p>In the aorta, DMSO produced a concentration-dependent relaxation of contracted aortic rings through an endothelium-dependent pathway (via nitric oxide and cGMP), and an endothelium-independent one that inhibits calcium channels in the smooth muscle and reduces the muscle&#8217;s sensitivity to calcium (partly via Rho-kinase).<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFD2008&amp;filename=XXGZ200806027"><sup>1</sup></a><sup>,</sup><a href="https://karger.com/pha/article/97/3-4/171/272434"><sup>2</sup></a> Likewise, in another study, DMSO relaxed aortic rings by 42-99% and renal arteries by 80% (in part through voltage-gated potassium channels),<a href="https://www.cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFDLAST2025&amp;filename=YLBS202504003&amp;uniplatform=OVERSEA&amp;v=eUopQ0fBetq016QOYQndxIA98pueYf3xzV1ysjpxD2kFuGqKXjnnGLE3keF_U3Cn"><sup>1</sup></a>  in another DMSO relaxed <a href="https://www.jstage.jst.go.jp/article/jphs1951/39/3/39_3_402/_pdf/-char/ja">mesenteric artery</a> preparations, and in drug references, vasodilation is one of dimexide&#8217;s (DMSO) recognized pharmacological properties.<a href="https://link.springer.com/article/10.1007/BF02218425"><sup>1</sup></a><sup><br></sup><em>Note: since one of DMSO&#8217;s relaxing effects acts directly on smooth muscle, it likely can work on damaged vessels where the endothelium is no longer responsive to stimuli.</em></p><p>Additionally, part of DMSO&#8217;s local vasodilation is histamine-mediated&#8212;the same mechanism behind the warmth and flushing people often feel where DMSO is applied. Importantly, this is a controlled dilation rather than tissue injury, as when DMSO was injected into a limb, it markedly increased lymph flow while the protein content of that lymph fell (the opposite of what happens with a burn or a caustic agent, where protein rises) and tissue examination showed only vasodilation and occasional edema, but no cell necrosis (death).<a href="https://pmc.ncbi.nlm.nih.gov/articles/instance/1702782/pdf/brjpharm00564-0185.pdf"><sup>1</sup></a> DMSO hence opens vessels and shifts fluid without damaging the tissue.</p><p><em>Note: combined with hydrogen peroxide as an oxygen source, topical DMSO raised skin-flap survival to 92% versus 71% in controls, an effect the authors attributed partly to DMSO&#8217;s vasodilatory, histamine-like action.<a href="https://pubmed.ncbi.nlm.nih.gov/12148229/"><sup>1</sup></a></em></p><h3>DMSO and Nitric Oxide</h3><p>The classic way a blood vessel dilates is that the endothelium produces nitric oxide, which diffuses into the surrounding smooth muscle and triggers relaxation there through cGMP.  For this reason, many integrative cardiovascular health approaches focus on supporting endothelial nitric oxide production.</p><p>Much of DMSO&#8217;s own vasorelaxation runs through the nitric oxide/cGMP pathway as in isolated aorta, DMSO&#8217;s relaxation is blunted by removing the endothelium or by blocking nitric oxide synthase with L-NAME, while conversely, DMSO raises tissue cGMP the downstream marker of nitric oxide signaling<a href="https://karger.com/pha/article/97/3-4/171/272434"><sup>1</sup></a><sup> </sup>and at 10% redistributed intracellular nitric oxide into mobile membrane vesicles.<a href="https://www.cnki.net/KCMS/detail/detail.aspx?dbcode=CMFD&amp;dbname=CMFD202201&amp;filename=1021798331.nh&amp;uniplatform=OVERSEA&amp;v=k9Oo3px9NxCkr7OtGI2gpNm_Hki4Oa-WV4TuP0PkD3JeADinL1_5ZM5HM6BBMhbd"><sup>1</sup></a></p><p>Furthermore, since DMSO effectively scavenges reactive oxygen species (which cripple the endothelium&#8217;s ability to make and use nitric oxide), DMSO is able to preserve the ability of blood vessels to dilate (e.g., protected against cigarette-smoke-induced impairment of nitric oxide production and vasodilation in rabbit aortas and human endothelial cells)<a href="https://pubmed.ncbi.nlm.nih.gov/9199272/"><sup>1</sup></a><sup> </sup>and, from the opposite direction, DMSO's radical scavenging restored an endothelium-dependent, nitric-oxide&#8211;mediated relaxation that iron had blocked in aortic rings.<a href="https://pubmed.ncbi.nlm.nih.gov/10523071/"><sup>1</sup></a></p><p>Simultaneously, DMSO can counteract nitric oxide when it&#8217;s excessive, both by scavenging it directly (DMSO scavenges radicals including nitric oxide), as when IV DMSO in horses modestly raised systolic blood pressure,<a href="https://lume.ufrgs.br/bitstream/handle/10183/200117/001102534.pdf"><sup>1</sup></a><sup> </sup>and by throttling its production, as when 2.5&#8211;3.5% DMSO (but not 1%) cut endothelial nitric oxide output<a href="https://www.sciencedirect.com/science/article/abs/pii/S0011224016300864"><sup>1</sup></a>&#8212;an effect reversed by adding extra arginine (a common supplement used to enhance nitric oxide production).</p><p>Collectively, this suggests that DMSO normalizes nitric oxide function, both by preserving it when it would otherwise be impaired, but also by counteracting it if it becomes excessive and harmful (as at low doses, DMSO typically does not affect nitric oxide). </p><p>Finally, DMSO has also been used to deliver agents which preserved or restored nitric oxide mediated relaxation such as resveratrol,<sup>&#11030;</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFDLAST2015&amp;filename=DYJD201504016&amp;uniplatform=OVERSEA&amp;v=2dj-kFoqA_nu_kNvi0c4kjYf-qoOAfJ7PZq_mm_frPYLlCNYfxsvJpNPrG2q7tQX"><sup>1</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/19666426/"><sup>2</sup></a> hesperidin,<sup>&#11030;</sup> (reducing hyperhomocysteinemia-induced cognitive deficits),<a href="https://pubmed.ncbi.nlm.nih.gov/27677544/"><sup>1</sup></a> thymoquinone,<sup>&#11030;</sup><a href="https://pubmed.ncbi.nlm.nih.gov/39382366/"><sup>1</sup></a> red-clover isoflavones,<sup>&#11030;</sup><a href="https://pesquisa.bvsalud.org/portal/resource/pt/wpr-658303"><sup>1</sup></a> genistein, <sup>&#11030;</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CMFD&amp;dbname=CMFD201301&amp;filename=1012458949.nh&amp;uniplatform=OVERSEA&amp;v=nLwn1H5wUOmLJVwAMM18YyUxgdQreCWOPHSzSgFUJylJouualnDYzamEUXTKJaNf"><sup>1</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFD2011&amp;filename=WYSB201106005&amp;uniplatform=OVERSEA&amp;v=sco8TZKKkCfNuDgQOFYej4ObinXcArLJroMrlEre-EJ0LnYmQV4UGPnxOZHKGa9G"><sup>2</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/14724351/"><sup>3</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/23116847/"><sup>4</sup></a> (e.g, for fructose-fed hypertension<a href="https://pubmed.ncbi.nlm.nih.gov/23116847/"><sup>1</sup></a>) methylated quercetin flavonoids and phenylbutanoids,<sup>&#11030;</sup><a href="https://www.redalyc.org/pdf/5763/576363916002.pdf"><sup>1</sup></a> Bacopa monnieri flavonoids and saponins,<sup>&#11030;</sup><a href="https://www.mdpi.com/1420-3049/24/12/2243"><sup>1</sup></a> tetrahydroxystilbene glucoside,<sup>&#11030;</sup><a href="https://www.sciencedirect.com/science/article/abs/pii/S0026286218301407"><sup>1</sup></a> astragaloside IV,<sup>&#11030;</sup><a href="https://pubmed.ncbi.nlm.nih.gov/21555978/"><sup>1</sup></a> cinnamaldehyde,<sup>&#11030;</sup><a href="https://oversea.cnki.net/kcms2/article/abstract?v=9r23aJBcv3YX02RdPWuNPLmFFwvTzSo7bSlBsg4c9nBff9pSiF0PeICWKxxsguF0fCFqKqN0KsQpt0HfzqSs4T0f7EtNZs14-q1YhDEjOwXe8OFqFqaNH0raxEwd5-BF2k477dHOCFRREoYW9d94Cdiss0hjU8t_bkbqd5DFtb0yXlK6LCvt_sQozNRzXZAu&amp;uniplatform=OVERSEA&amp;language=EN"><sup>1</sup></a> Jasminum sambac extract,<sup>&#11030;</sup><a href="https://pubmed.ncbi.nlm.nih.gov/22536286/"><sup>1</sup></a> ursolic acid,<sup>&#11030;</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CMFD&amp;dbname=CMFD201802&amp;filename=1018152975.nh&amp;uniplatform=OVERSEA&amp;v=NujLrZGI8JisbVJ-rfS_Ilyt57Djl7Nc26ja3ygr7YQaA0h_ieTXwN6LdNRKWEiq"><sup>1</sup></a> Acer okamotoanum sap,<sup>&#11030;</sup><a href="https://pubmed.ncbi.nlm.nih.gov/22051897/"><sup>1</sup></a> phloridzin,<sup>&#11030;</sup><a href="https://oversea.cnki.net/kcms2/article/abstract?v=r3g0b1Wd3tcN21uDLP9rGw9kZR_eNrcrOkIc_XX8ByrR2pA5ePAfXX8ojyCIihA-oO8hUzpjgE8NUUYUMsX_EXi7rS3n2z0Qj7Xq9RZbyx8fKkeBrUfADLGIEuqLyJfiRmmOhc3rHYj__vABuBQo7ECnm44EKfmUgyvB8QpaSDaGnpv9EYOZjPOgNrPE_ztx&amp;uniplatform=OVERSEA&amp;language=EN"><sup>1</sup></a> adenosine,<sup>&#11030;</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFD2010&amp;filename=JCYL201010012&amp;uniplatform=OVERSEA&amp;v=bXYoBt73rRw8aCMQnfYTY1HNEm-BeoW-BdxszCV2_EI_eseh-gwiHMlc9f_JloeB"><sup>1</sup></a> a Periplaneta americana metabolite,<sup>&#11030;</sup><a href="https://oversea.cnki.net/kcms2/article/abstract?v=adNygMj_jVB_9sbzKN5gkCClX8xy8WdYoqxTq9deajd14rMIss9I78wPIr9edxfgVYaQHy0H0UpT6-gw9qCOGnVkWcFySewrrLXRGgm21Th4ucn4xxbyA8fnOObl-eyq51G6Fto3lC1dx6cePHoWrH7Y6tU4eBUtzwg7nSa1kxz9OCUZFt86QwIUN0Sgp0MXzsQywexgcI8=&amp;uniplatform=OVERSEA&amp;language=EN"><sup>1</sup></a> a polyphenol nutraceutical,<sup>&#11030;</sup><a href="https://pubmed.ncbi.nlm.nih.gov/35403084/"><sup>1</sup></a> the soluble guanylate-cyclase activator cinaciguat,<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFDLAST2016&amp;filename=HNZD201609008&amp;uniplatform=OVERSEA&amp;v=ovjIJ4EZGAWqB_YvYj44-gKeeM66O7cFS9xG7NCvzN23WjoniEecMQO4L-nUfwFe"><sup>1</sup></a> the PPAR-&#947; agonist rosiglitazone,<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFD2013&amp;filename=ZBLS201303032&amp;uniplatform=OVERSEA&amp;v=yOVnmr9c1d5yjEBlgshloB8utTJToLUPgaI-Aorz8HS28uDKyQqKAbV_xaROqjYN"><sup>1</sup></a> 17&#946;-estradiol,<a href="https://oversea.cnki.net/kcms2/article/abstract?v=9r23aJBcv3bSLVaIPRE1w1xjS1_Saj3zzWaFHFA1HSvPyCr9P4LBK32Oq8Dcsd9ug9OHn-3BcU1Q8Vrjx8bMOT-ydRIWQ1c2anQJhOneegT545teZQHsuSqVxjBgWIYnD2mT9TYcfvx3t7MmCOyIKXfwIGa-yZQcV1TOm7tvZ1fMTG5E6R4AopuqoZmmO7p5&amp;uniplatform=OVERSEA&amp;language=EN"><sup>1</sup></a><sup>,</sup><a href="https://journals.sagepub.com/doi/abs/10.3233/CHM-2004-665"><sup>2</sup></a> a STAT3 inhibitor,<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFDLAST2017&amp;filename=GYYX201703024&amp;uniplatform=OVERSEA&amp;v=EXzbAaLyQuSs_YigWU6-nPGi9dgJJ2Lwy0bLcVy3eMagl2uJGR8prZ_hLMyFhmE_"><sup>1</sup></a> a selective adenosine kinase inhibitor,<a href="https://pubmed.ncbi.nlm.nih.gov/24841126/"><sup>1</sup></a> a PPAR-&#945; agonist,<a href="https://pubmed.ncbi.nlm.nih.gov/16411023/"><sup>1</sup></a> and an angiotensin peptide analog.<a href="https://journals.physiology.org/doi/abs/10.1152/physiol.2023.38.S1.5735136"><sup>1</sup></a></p><h3>Counteracting Oxidative Constriction</h3><p>A large body of literature shows DMSO&#8217;s free-radical scavenging (discussed below) protects a wide range of blood vessels from the constriction and endothelial dysfunction caused by oxidative stress, hence keeping vessels from closing down:</p><ul><li><p><strong>In the aorta</strong>, it nearly completely prevented ROS-induced vasoconstriction and preserved endothelial and contractile function<a href="https://pubmed.ncbi.nlm.nih.gov/10685867/"><sup>1</sup></a> and attenuated hydroxyl-radical- and H&#8322;O&#8322;-induced contractions,<a href="https://pubmed.ncbi.nlm.nih.gov/9600652/"><sup>1</sup></a> and it protected platelet-mediated, endothelium-dependent relaxation from hydroxyl-radical damage.<a href="https://pubmed.ncbi.nlm.nih.gov/8023984/"><sup>1</sup></a></p></li><li><p><strong>In coronary arteries</strong>, it protected endothelium-dependent relaxation from radical-induced dysfunction,<a href="https://pubmed.ncbi.nlm.nih.gov/9546605/"><sup>1</sup></a> and it preserved CGRP-mediated neurogenic relaxation of arteries under oxidative attack.<a href="https://pubmed.ncbi.nlm.nih.gov/8996233/"><sup>1</sup></a></p></li><li><p><strong>In pulmonary and cerebral vessels</strong>, it reduced hypoxic pulmonary vasoconstriction by lowering oxygen-radical release,<a href="https://pubmed.ncbi.nlm.nih.gov/18790186/"><sup>1</sup></a> and, as a reducing agent, inhibited and reversed the vasoconstriction that oxidizing agents such as peroxide and silver nitrate induce in rat aortas and dog basilar arteries.<a href="https://www.ahajournals.org/doi/abs/10.1161/str.18.4.812a"><sup>1</sup></a><sup>,</sup><a href="https://citeseerx.ist.psu.edu/document?repid=rep1&amp;type=pdf&amp;doi=a3f01d9582e94a360387cef62be2e1b2b2692567"><sup>2</sup></a></p></li></ul><p>Lastly, DMSO also shielded endothelial cells from the injury driven by infection and its toxins, including bacterial endotoxins<a href="https://hero.epa.gov/reference/1751739/"><sup>1</sup></a> and Pseudomonas aeruginosa<a href="https://pubmed.ncbi.nlm.nih.gov/8557338/"><sup>1</sup></a> products.</p><p><em>Note: DMSO&#8217;s direct vasorelaxation is concentration-dependent so at the higher concentrations DMSO reaches its own clear relaxing effect, but at the low concentrations used in many solvent experiments, it frequently shows no measurable effect on vascular tone.<a href="https://pubmed.ncbi.nlm.nih.gov/15556148/"><sup>1</sup></a><sup>,</sup><a href="https://jcpres.com/storage/upload/pdfs/EMJ_29_1_97_100.pdf"><sup>2</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/10225077/"><sup>3</sup></a></em></p><h1>Free Radical Scavenging</h1><p>Free radicals are atoms or molecules that contain one or more unpaired electrons, which makes them highly reactive and potentially damaging to tissues such as fats, proteins, and DNA. DMSO&#8217;s most well-recognized property is its ability to scavenge (neutralize) free radicals&#8212;particularly the hydroxyl radical, one of the most damaging reactive species, of which DMSO is among the best-known scavengers (there are <a href="https://scholar.google.com/scholar?hl=en&amp;as_sdt=0%2C44&amp;q=dmso+radical+scavenger&amp;btnG=&amp;oq=DMSO+radical+">135,000 results</a> on Google Scholar for &#8220;DMSO radical scavenger&#8221;). Its reaction with the hydroxyl radical, in fact, is so reliable that DMSO is used as a standard molecular probe for detecting and quantifying hydroxyl radicals in biological systems as the hydroxyl converts DMSO into a stable, easily measured marker.<a href="https://pubmed.ncbi.nlm.nih.gov/2172701/"><sup>1</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/15589381/"><sup>2</sup></a></p><p><em>Note: two of the most commonly observed (and studied) scavenging effects of DMSO are its reduction of free-radical-induced lipid peroxidation and its preservation of the body&#8217;s own antioxidant enzymes.<a href="https://scholar.google.com/scholar?hl=en&amp;as_sdt=0%2C44&amp;q=DMSO+lipid+peroxidation&amp;btnG=&amp;oq=DMSO+lipid+pero"><sup>1</sup></a><sup> </sup>Additionally, DMSO&#8217;s radical scavenging is dose dependent,<a href="https://pubmed.ncbi.nlm.nih.gov/1807249/"><sup>1</sup></a><sup> </sup>can directly suppress hydroxyl-radical production in solution,<a href="https://pubmed.ncbi.nlm.nih.gov/8384149/"><sup>1</sup></a> and delivers vascular protection other approaches cannot&#8212;in a cobra-venom model of complement-driven vascular injury, it prevented the microvascular damage (capillary congestion and leukocyte plugging) that cyclooxygenase inhibitors, an iron chelator, and a thromboxane synthetase inhibitor all failed to touch.<a href="https://pubmed.ncbi.nlm.nih.gov/3716753/"><sup>1</sup></a></em></p><p>Since the thin lining of the blood vessels (the endothelium) is highly vulnerable to oxidative damage, DMSO&#8217;s ability to scavenge radicals has shown a variety of key therapeutic effects including:<br>&#8226;Preventing endothelial dysfunction and preserving vessel dilation.<a href="https://www.midwesterndoctor.com/p/dmso-heals-blood-vessels-and-could"><sup>1</sup></a><br>&#8226;Protecting aortic endothelial cells from radical-triggered programmed death.<a href="https://pubmed.ncbi.nlm.nih.gov/8304825/"><sup>1</sup></a><sup><br></sup>&#8226;Blocking the reactive-oxygen signaling that switches on the adhesion molecules (ICAM-1, VCAM-1, E-selectin) endothelial cells use to catch and recruit inflammatory white cells (detailed <a href="https://www.midwesterndoctor.com/p/how-dmso-heals-the-brain-and-transforms">here</a>) largely by inhibiting the master inflammatory switch NF-&#954;B&#8212;thereby preventing those white cells from sticking to the vessel wall, plugging the smallest vessels and causing <a href="https://www.midwesterndoctor.com/p/what-makes-all-vaccines-so-dangerous">the microstrokes which underlie many illnesses</a> (e.g., vaccine injuries).<br>&#8226;Blocking the radical-driven stiffening of endothelial cells that would otherwise impair blood flow.<a href="https://pubmed.ncbi.nlm.nih.gov/10843706/"><sup>1</sup></a><sup><br><br></sup>As such, many studies have shown DMSO protects the endothelium from oxidative stress and free radical injury.<a href="https://oversea.cnki.net/kcms2/article/abstract?v=dKcr_PZ1zcuPaEhNMWdGpCEHX-NsZz5HF1HmyL1vFl8ZcT34EO1vnaSSYHWGr8RD5iRE4-hZRYb00-_D83h4ySgMlbEf-kOLnUHaG-UlTgf0LypvT8eqIrQPD95lmdiYFiVnddOep2WnUSbrlhhKI_yKFFvleq09l7nd1Iax7Gdr07Q9vaxFb8MeF5-IuqVKfw5gbhR15OY=&amp;uniplatform=OVERSEA&amp;language=EN"><sup>1</sup></a><sup>,</sup><a href="https://journals.sagepub.com/doi/epdf/10.1106/088532802030556"><sup>2</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/8023984/"><sup>3</sup></a><sup>,</sup><a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC2772822/"><sup>4</sup></a><sup>,</sup><a href="https://oversea.cnki.net/kcms2/article/abstract?v=dKcr_PZ1zcvxnPoY_jCo74YecHDEHaj4ZB9KDm_LmeaMhxsmjlfjmMVsl9-0XPyXCZ07Ik-fiL_UwILLtps3j8LhvGGjsG-oas0RqfKpDLPa8F9sQB6zMEHkGvGtmgWXidbqtkGvgCrykQspkdDybticuvYmp5g-eUU5n4VY84LHolLcfBRpEwfwxGPuDodr&amp;uniplatform=OVERSEA&amp;language=EN"><sup>5</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/9777942/"><sup>6</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/6886005/"><sup>7</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/2306804/"><sup>8</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/17659266/"><sup>9</sup></a><sup>,</sup><a href="https://www.sciencedirect.com/science/article/pii/S0022480400960335"><sup>10</sup></a><sup>, </sup><a href="https://journals.physiology.org/doi/abs/10.1152/ajpheart.1989.256.3.H655"><sup>11</sup></a><sup>,</sup><a href="https://www.jstage.jst.go.jp/article/nisshoshi1964/93/82sokai/93_82sokai_218/_pdf/-char/ja"><sup>12</sup></a><sup>,</sup><a href="https://cyberleninka.ru/article/n/antioksidantnaya-terapiya-endotelialnoy-disfunktsii"><sup>13</sup></a><sup>,</sup><a href="https://oversea.cnki.net/kcms2/article/abstract?v=Mz9udXFtQxkzuZl5jA1cV-MJknmpHKVlJHiC3C-GnInp59ASFVXM8X_owOVFdZ1lokmtouPx9ntBHhZXj2MaY293bK65akNNTU3tj3cCRmaH7Q7ywojqwj7M3A51wNY8yfsNU_JgdFgKOPEwPG3wjSqAIJZ4pYVxXagNROVXoGQnmjiSPMN3eRkTHmWre2-w&amp;uniplatform=OVERSEA&amp;language=EN"><sup>14</sup></a><sup>,</sup><a href="https://avmajournals.avma.org/view/journals/javma/226/6/javma.2005.226.937.xml"><sup>15</sup></a><sup>,</sup><a href="https://www.jstage.jst.go.jp/article/jpnjurol/101/2/101_KJ00006683790/_pdf/-char/ja"><sup>16</sup></a><sup>,</sup><a href="https://manu41.magtech.com.cn/Jweb_clyl/EN/abstract/abstract12487.shtml"><sup>17</sup></a><sup>,</sup><a href="https://oak.chosun.ac.kr/handle/2020.oak/12461"><sup>18</sup></a><sup>,</sup><a href="https://www.cabidigitallibrary.org/doi/full/10.5555/20173189715"><sup>19</sup></a><sup>,</sup><a href="https://europepmc.org/article/med/34951248"><sup>20</sup></a><sup>, </sup><a href="https://d1wqtxts1xzle7.cloudfront.net/106507954/a12v19n6-libre.pdf?1697065219=&amp;response-content-disposition=inline%3B+filename%3DAcao_do_dimetil_sulfoxido_na_isquemia_de.pdf&amp;Expires=1766637241&amp;Signature=a18ncYji9zJ~ieEM9lMMX98hPVKrc1TDulQeS9WORJ0PaXUvciGiQfY~qiQXWHGK3lscX1Rj2rN7Vkk2SB9fjQmLt52LM-MikHMG9wQlUQmiV-IFPHebQ5VL8T2g-qfqdqw0h4Fnomsl2qTlHSxS02IFtn8hqmQtUvrIqUjY8ahOgVZI8UbmNjORcR6KYZXu~1rKy1ONs7GVKDTLixJgPsIDSdTSMSjzm8vAv~gK~xNxADmJjzQT5a3a75HXrUlBUD9xSKpWoniabF-0f1SlehaIVMEXoWPlvjvhAgkLnHpQ-KgRPpkqqpdns55NDFBrz5x6hMco-RdgFj3qrKmpqQ__&amp;Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"><sup>21</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/4042285/"><sup>22</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/3107403/"><sup>23</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/1711521/"><sup>24</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/10391168/"><sup>25</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/9774489/"><sup>26</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/15689417/"><sup>27</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/16886632/"><sup>28</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/36905721/"><sup>29</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/22441211/"><sup>30</sup></a><sup>, </sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CDFD&amp;dbname=CDFD1214&amp;filename=1012461513.nh&amp;uniplatform=OVERSEA&amp;v=Z4DdyyDhl2_vDoscf7nEKlFRXWtHtBZz4F6Kb4syf5TN5j01VsJg-t_U_18Uneom"><sup>31</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFDLAST2015&amp;filename=YAOL201509022&amp;uniplatform=OVERSEA&amp;v=RrW0cb9UA4KlAQ_Bncv68FGQmcn0RsqPPVIeF8_btIfEDNbhBlziRBOKLrluLODR"><sup>32</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CMFD&amp;dbname=CMFD201701&amp;filename=1016210267.nh&amp;uniplatform=OVERSEA&amp;v=QBBxbQhdiKa5S01g4_cvzv-3UcigM7zte9HbMbtKgjUwF6SgThUDAHuQFUE7ERYJ"><sup>33</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFDLAST2017&amp;filename=DSDX201701008&amp;uniplatform=OVERSEA&amp;v=OABVxdVAh9b1ChnPfkSPBuYZapidoLeq5Si62UbZIkOWJYrFeVhZsQrAJ7csnoPs"><sup>34</sup></a><sup>,</sup><a href="https://oversea.cnki.net/kcms2/article/abstract?v=hmNf6PfbaBv-TaXW-W-m6LxFjeeO2kxalBc-bnLwHgVW3vWDRVUKKjM6pPnbdQnCI1OAREV4JtzX08UdFP7_-gcYD1jJN55WiqJPs5k0J_rbV9d_YIqMOZr-JoEkdFrtWIyXMx_rvEQ9RFhLIh1kCEqsk3RdVE-mfGKATlcKqwPXCD0gv2c00JOBW-4_4rLft2LGrkue7TA=&amp;uniplatform=OVERSEA&amp;language=EN"><sup>35</sup></a><sup>,</sup><a href="https://hero.epa.gov/reference/1751739/"><sup>36</sup></a><sup>,</sup><a href="https://europepmc.org/article/med/2278607"><sup>37</sup></a><sup>,</sup><a href="https://www.cabidigitallibrary.org/doi/full/10.5555/20000310522"><sup>38</sup></a><sup>,</sup><a href="https://pesquisa.bvsalud.org/portal/resource/pt/wpr-838591"><sup>39</sup></a><sup>,</sup><a href="https://pesquisa.bvsalud.org/portal/resource/pt/wpr-905890"><sup>40</sup></a><sup>, </sup><a href="https://pubmed.ncbi.nlm.nih.gov/6412381/"><sup>41</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/2278607/"><sup>42</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/8388866/"><sup>43</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/8908200/"><sup>44</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/8894164/"><sup>45</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/8557338/"><sup>46</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/8958126/"><sup>47</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/8617874/"><sup>48</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/9214575/"><sup>49</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/11201525/"><sup>50</sup></a><sup>, </sup><a href="https://pubmed.ncbi.nlm.nih.gov/10613741/"><sup>51</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/10779046/"><sup>52</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/10600775/"><sup>53</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/10824458/"><sup>54</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/19939488/"><sup>55</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/24768807/"><sup>56</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/27080945/"><sup>57</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/40526160/"><sup>58</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/32044604/"><sup>59</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/15556162/"><sup>60</sup></a><sup>, </sup><a href="https://pubmed.ncbi.nlm.nih.gov/15119848/"><sup>61</sup></a><sup>,</sup><a href="https://journals.eco-vector.com/RCF/article/view/795/400"><sup>62</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFD9697&amp;filename=YIYA199603004&amp;uniplatform=OVERSEA&amp;v=DR-niRpGJgDmzhvKJcuM0grw8X73dah0kswqWZac75cbkZ1oh5EQnYOjkH4T5bNN"><sup>63</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFD2008&amp;filename=JFJY200806031&amp;uniplatform=OVERSEA&amp;v=1kQ7QhoZym5ENZA8EcLgRIlfyqX7HuLy7byyGUv966c6A7wwiqB8UpW5oDGs6MHf"><sup>64</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CMFD&amp;dbname=CMFD0506&amp;filename=2005115168.nh&amp;uniplatform=OVERSEA&amp;v=zp8xBkHFf5Ez_4Y5cppyha3Beww1gDkiyesal7yXHVTiwOtcXVfgk6_8qjcy8i20"><sup>65</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CDFD&amp;dbname=CDFD1214&amp;filename=1013102737.nh&amp;uniplatform=OVERSEA&amp;v=0Poj-R-Aye22_w5q0kv5nhhOlYL98m3Y7zqZ2GbuFpdzyzf6C54Ypg-OWVVra8XS"><sup>66</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFDLAST2015&amp;filename=CZYG201404004&amp;uniplatform=OVERSEA&amp;v=h4p_PHGc-NVnuyNR0h6ch5rKml9JXdSSPBHMtIiA5N6tkmUpfNIlyXhKoUi_Lr2t"><sup>67</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFDLAST2016&amp;filename=JYYL201524013&amp;uniplatform=OVERSEA&amp;v=2MqChrJ2HeoWtL8vt5tUbQkTIy6hrX63F-M0dusiWFI6fHKEsHEuGWDuenp8QwN2"><sup>68</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CMFD&amp;dbname=CMFD201701&amp;filename=1016190165.nh&amp;uniplatform=OVERSEA&amp;v=9n-LNkFP-hwZZRWnvb4UiH0TrJcdZlLCSWXv3zBQqBknfDxZHYYjq_d5YaUjlgAn"><sup>69</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFDLAST2015&amp;filename=SPKX201521051&amp;uniplatform=OVERSEA&amp;v=VM0rldR8no2nrB3nnPHnVnjddCohiesKXJ7UJ9-Wx5BkmQDHUQW8ya3-hu_FvkPb"><sup>70</sup></a><sup>, </sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CMFD&amp;dbname=CMFD201701&amp;filename=1016771893.nh&amp;uniplatform=OVERSEA&amp;v=2mCmu4mvF082xalrS79P2qav92tRZOTcVaHSrs0Rh1AkSbnCzm_fbdaFj8i4zZH-"><sup>71</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFDLAST2016&amp;filename=SZGY201606006&amp;uniplatform=OVERSEA&amp;v=h3mvGQILrSqeMx4c4SQ7Bkb3X1752MIiUBZPpDSOEL11fiUQgLopTZYkccIIJDEL"><sup>72</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CDFD&amp;dbname=CDFDLAST2017&amp;filename=1016260943.nh&amp;uniplatform=OVERSEA&amp;v=gpQPqxwmVqkv8-zs4VSTsotT3pVay0UiwTiTf5nE__xqdB_a9Q2-hnsbv1FoExPr"><sup>73</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CMFD&amp;dbname=CMFD201701&amp;filename=1016730654.nh&amp;uniplatform=OVERSEA&amp;v=EAg6Ze8ArEp3U6_ozj7ymWoatwEZv8qz8X335sloViQvlV0zMqJprqLWdgBqq0Ub"><sup>74</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFDLAST2023&amp;filename=XZYX201801001&amp;uniplatform=OVERSEA&amp;v=0s8mxOvhESljZrlVPfT8ruLjeXkuBQWATo9maqV1ukm7MlA8TzGFoGrowEybux-E"><sup>75</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFDLAST2018&amp;filename=ZZXJ201809014&amp;uniplatform=OVERSEA&amp;v=J2zQGiiLFKgsMPoKOp3dUnkE4_zu4FSWZwxhRh23lK1CqPbt_AD989F7GKZMmzXR"><sup>76</sup></a><sup>,</sup><a href="https://oversea.cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFDLAST2019&amp;filename=SDYY201917007&amp;uniplatform=OVERSEA&amp;v=C1d8RYo4Vv_cWvKOulrKwu6yAeYfOWwutXF5wVcfnPbsvIvNBk-E35RJkOTWj9sU"><sup>77</sup></a><sup>,</sup><a href="https://oversea.cnki.net/kcms2/article/abstract?v=nRANE_nPmUrB142Ih4Zdu2h6xeusawK0BY0uStT0ifFZxv2C21p1BmTblOlRSCVwUSql3ETm3ejasSTfywkMWC4oQNRoRaolhYpyARBTQtKmUY8OLUWT4c0RLv4FE-T0Q2KNbrTHJB7D4UVRLrJuQy116HT4rWu8B2upEg9yF8kGmR8a_3gJrFiqTJGq4zvsrnHG5E9JC8g=&amp;uniplatform=OVERSEA&amp;language=EN"><sup>78</sup></a><sup>,</sup><a href="https://oversea.cnki.net/kcms2/article/abstract?v=nRANE_nPmUq3TTeyPmnwTq2VORwud42huqeJjGOQoQhfdII0aAWNMZ-HSs4-Zd4-Z_a1zZHBw2AjTw4qS05oy13hRfOWbNI3_ASO0W3ReLhM4UoYwLlh3qOZoWNNTR7tgszVgYJUxxQUzQV_NxGPwfwneSmB0jE9SF2Uz09X9Q_5AVQ31W7y1YeHxHPm-pRiNOb4V-0WXII=&amp;uniplatform=OVERSEA&amp;language=EN"><sup>79</sup></a><sup>,</sup><a href="https://oversea.cnki.net/kcms2/article/abstract?v=9r23aJBcv3bT7XqYdXTl2yJc2n6be3sph2rMWl8KBHcWYDgQkTvUeONxd41OxE1WlObeLIgH7D-OM1ZSMJdvR1xptwdZzlU4U3K56hIT4GwIZCMgjDreVaSMmbyHG43yWt-RdZmLgZdAfmYk-b7rHBaY504Oh_Fw3-sSjDEyhO_KO0cxq6YtsKBI6rZq-pzp&amp;uniplatform=OVERSEA&amp;language=EN"><sup>80</sup></a><sup>, </sup><a href="https://oversea.cnki.net/kcms2/article/abstract?v=9r23aJBcv3YDnzBUzPdnCY1kf7sxZb2D0OGrhraSLlBR3UKtpxriHco7Cwqjt3DkFaBwhhGEqaQnMHUC-Dcv6Rz3vPLTjB0a-QR3flfU0EWggkz_7UtYOBz9_cxUDbg_gSvHKD_mpltX5-0az31R8FmzQhsZZbbacvVuEdozd3Wrd0zrcs5XjEjZjAtm1Q_27XyEYg4KqXs=&amp;uniplatform=OVERSEA&amp;language=EN"><sup>81</sup></a><sup>,</sup><a href="https://oversea.cnki.net/kcms2/article/abstract?v=r3g0b1Wd3te4joMA71JguAFLB1EEGFyJajps2S5ZK9D6pkISeuctUSPN6s8kdijIIVmRN9X4_buGLH7Pe9Vl1hkK3vqg-d-K1iphWa-znMBwtT5Rdd5Mduo_hgB3P4cxGDXKxw494AyMXSp-xuPSLoPtE1h2hvjrFV-08cmrR63_2gZ8pOHwe3exA9pNmj4mQhE95nfPFqI=&amp;uniplatform=OVERSEA&amp;language=EN"><sup>82</sup></a><sup>,</sup><a href="https://oversea.cnki.net/kcms2/article/abstract?v=BoNITJRTahKSTB4MMbgy-v1ilClZzWsipMsiiC-_FqwgX9bNN0pSrfi1tO8h0qXp243H4tTPsg_d49QXXFmqR8WHEivTkbxuVp56XNKYMe0UxzHiJF_OGMXPbG-gLtPPYrr9BvrBRgEghQD5bXogsytiM-XXfBepr-ECHSh4pb8fxRHZQu0oavXaRmQ7hUbzwwWXmm5Fv6c=&amp;uniplatform=OVERSEA&amp;language=EN"><sup>83</sup></a><sup>,</sup><a href="https://oversea.cnki.net/kcms2/article/abstract?v=K6QWI_fIKJFg2vKGDAvj-KNAkg7qvzf7jRauvO5aJ9pEb7epGwQfoBfOFnoB05P6ER7D2TwV6Ftd_YFS_GCzoxQcTb9_8CFq_83RCnBe4J0lg29L4DHENdyc0nY3oj2Zv5Rw8oixKThXLD7ed1CKpRWstKM5bMEIa-t0PEG-fcmO6RQUTAJSVJoiuZgiO_iF&amp;uniplatform=OVERSEA&amp;language=EN"><sup>84</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/12748425/"><sup>85</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/12538380/"><sup>86</sup></a><sup>,</sup><a href="https://elibrary.ru/item.asp?id=82414407"><sup>87</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/20807703/"><sup>88</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/28481745/"><sup>89</sup></a><sup>,</sup><a href="https://oversea.cnki.net/kcms2/article/abstract?v=r3g0b1Wd3tdEjCDtNyTBLmP39ee5IJGumzpG5mcfERT-jOtKLvqMD5P9fXR6R2_rR5oXgtHj8GJ4Hp-7ov0XPcyEiWsXgvAP3C1mFoy0pHMjzlJ2eHGwXn6RANnJMhKiA0yB-IdS0YCD_e1oTtEO9zd42EdzcwkPaDlbstiF2ClpMhajy1udDSe9vTaG6RSjH0kTYDF5zV8=&amp;uniplatform=OVERSEA&amp;language=EN"><sup>90</sup></a><sup>, </sup><a href="https://pubmed.ncbi.nlm.nih.gov/36174498/"><sup>91</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFDLAST2015&amp;filename=SWCX201530012&amp;uniplatform=OVERSEA&amp;v=cihckNk9CTYE9yfhMhi6wAUEIH9Xvh5EXEmaqEFfFRAv3A3GeD4O_8DrDdswddDL"><sup>92</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CMFD&amp;dbname=CMFD201701&amp;filename=1016317775.nh&amp;uniplatform=OVERSEA&amp;v=aSOVRAhuI1QkePYVVP28o0TCZxrBtQ8CBcAXateS1qgC_8rV9p29GiTUtaBn5ZV7"><sup>93</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CDFD&amp;dbname=CDFDLAST2015&amp;filename=1014047344.nh&amp;uniplatform=OVERSEA&amp;v=P8Tatfwgz4krfTUNzhaPlqxQJPVLokr2p-D-Hy8vm3E3kNwZC1Uz4VlNpnsBvn-P"><sup>94</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/21946107/"><sup>95</sup></a><sup>,</sup><a href="https://www.cabidigitallibrary.org/doi/full/10.5555/20133319550"><sup>96</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/9798533/"><sup>97</sup></a><sup>,</sup><a href="https://link.springer.com/article/10.1007/s11010-011-0844-z"><sup>98</sup></a></p><p>In addition to neutralizing the free radicals that constrict vessels and injure the vessel wall, DMSO protects against a second wave of radical damage: when a vessel&#8217;s blood flow is cut off and then restored, the oxygen-starved (ischemic) tissue converts the returning oxygen into a burst of radicals, creating a &#8220;reperfusion injury&#8221; that often exceeds the damage from the initial blood loss. As such, in virtually every part of the body (particularly the central nervous system), DMSO has been repeatedly shown to protect organs and tissue from oxidative stress and otherwise devastating reperfusion injuries.<a href="https://www.midwesterndoctor.com/p/how-dmso-protects-and-heals-the-internal"><sup>1</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/how-dmso-heals-the-brain-and-transforms"><sup>2</sup></a><sup>,</sup><a href="https://oversea.cnki.net/kcms2/article/abstract?v=jXpGf_Tis3BRxOo-rwjDEVHbsXzi15UsAfcF3zkyZrjlCXKKXkS6PNPjACu0dvOhlTSeKNjtQOdmH5GTvm58nFtm3Jb2pQBHOw1dBnaPYkYTxqCvYmFLydrlHWA6v5LGMcU4T5to_AignaKrbxHHob1k3kJXyG8CdBFMtXbZ0IEhBg1kKqaZsGjjSDiZty94&amp;uniplatform=OVERSEA&amp;language=EN"><sup>3</sup></a></p><p>For example, DMSO:<br>&#8226;Significantly reduced the microcirculatory vascular leakage caused by a radical-generating system in hamster cheek pouches.<a href="https://europepmc.org/article/med/6166180"><sup>1</sup></a><br>&#8226;Reduced vascular permeability and edema in thermally burned skin.<a href="https://pubmed.ncbi.nlm.nih.gov/2549794/"><sup>1</sup></a><br>&#8226;Protected dermal microvessels from burn injury.<a href="https://pubmed.ncbi.nlm.nih.gov/9824775/"><sup>1</sup></a><sup><br></sup>&#8226;Reduced vascular permeability, edema, and tissue injury in gut and mesenteric ischemia-reperfusion, performing comparably to the antioxidant enzymes superoxide dismutase and catalase.<a href="https://pesquisa.bvsalud.org/portal/resource/pt/wpr-422312"><sup>1</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/2167388/"><sup>2</sup></a><sup>,</sup><a href="https://europepmc.org/article/med/2741625"><sup>3</sup></a><sup>,</sup><a href="https://ejournals.epublishing.ekt.gr/index.php/jhvms/article/view/15413/13881"><sup>4</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/6309018/"><sup>5</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/6087676/"><sup>6</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/9026331/"><sup>7</sup></a><sup>,</sup><a href="https://avmajournals.avma.org/view/journals/ajvr/66/3/ajvr.2005.66.525.xml"><sup>8</sup></a> <br>&#8226;Reduced damage in hemorrhagic shock and ischemic gastric injury.<a href="https://pubmed.ncbi.nlm.nih.gov/9431902/"><sup>1</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/1578058/"><sup>2</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/1578039/"><sup>3</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/2574322/"><sup>4</sup></a><sup>,</sup><a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC2423647/"><sup>5</sup></a><sup>,</sup><a href="https://nckur.lib.ncku.edu.tw/handle/987654321/105343"><sup>6</sup></a><sup>,</sup><a href="https://link.springer.com/article/10.1007/BF02235639"><sup>7</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/10779130/"><sup>8</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/17638126/"><sup>9</sup></a><sup>,</sup><a href="https://www.osti.gov/biblio/7138262"><sup>10</sup></a><sup><br></sup>&#8226;Protected the lung and pulmonary vasculature from radical injury<a href="https://pubmed.ncbi.nlm.nih.gov/1902333/">.<sup>1</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/2006602/"><sup>2</sup></a><br>&#8226;Prevented the secondary lung injury that radicals inflict on distant organs after a period of hind-limb ischemia.<a href="https://pubmed.ncbi.nlm.nih.gov/1647465/"><sup>1</sup></a><sup><br></sup>&#8226;Reduced endotoxin- and shock-driven organ injury<a href="https://pubmed.ncbi.nlm.nih.gov/3706053/">.<sup>1</sup></a><br>&#8226;Improved skin-flap and free-tissue survival by blunting reperfusion radical injury.<a href="https://www.thieme-connect.com/products/ejournals/abstract/10.1055/s-2003-44636"><sup>1</sup></a><sup>,</sup><a href="https://jsurgmed.com/article/view/8098"><sup>2</sup></a><br>&#8226;Protected the liver during cold-ischemic preservation.<a href="https://scholar.google.com/scholar?cluster=14729555040628310656&amp;hl=en&amp;as_sdt=0,44"><sup>1</sup></a><sup>,</sup><a href="https://scholar.google.com/scholar?hl=en&amp;as_sdt=0%2C44&amp;q=Utility+of+meld+score+in+predicting+1-year+and+5-year+patient+survival+following+orthotopic+liver+transplantation%3A+A+European+perspective+Nigel+Heaton++2004%2C+Journal+of+Hepatology&amp;btnG="><sup>2</sup></a><br>&#8226;Used to counteract the reperfusion radical injury implicated in equine laminitis.<a href="https://bibliotekanauki.pl/articles/861988.pdf"><sup>1</sup></a><sup>,</sup><a href="https://periodicos.newsciencepubl.com/editoraimpacto/article/view/4113/5428"><sup>2</sup></a><sup>,</sup><a href="https://www.magonlinelibrary.com/doi/abs/10.12968/eqhe.2017.38.41?journalCode=eqhe"><sup>3</sup></a><sup>,</sup><a href="https://www.elibrary.ru/item.asp?id=44354004"><sup>4</sup></a></p><p><em>Note: in many cases, these protective effects are dose-dependent (e.g., in a rat limb ischemia-reperfusion the dose used only gave partial protection,<a href="https://pubmed.ncbi.nlm.nih.gov/8386444/"><sup>1</sup></a> while in a lung toxin model, a fairly high dose was needed to provide protection<a href="https://www.tandfonline.com/doi/abs/10.1080/15287398709531013"><sup>1</sup></a>).</em></p><h1><strong>Protecting the Endothelium</strong></h1><p>The innermost surface of the endothelium is coated with the glycocalyx, a fragile, sugar-rich gel layer that regulates permeability, shields the cells from shear, and keeps clotting and inflammation in check. In shock, sepsis, and reperfusion, this layer is stripped away (&#8221;shed&#8221;), and its loss is now recognized as an early, pivotal event in vascular collapse. <em><br>Note: sulfates are one of the most effective biological molecules for restoring (vital) <a href="https://www.midwesterndoctor.com/p/what-makes-all-vaccines-so-dangerous">zeta potential</a>. The glycocalyx is structured so that abundant sulfates on it form a (continually regenerating) liquid crystalline gel around the glycocalyx which repels other substances from entering the endothelium and independently drives blood circulation (all of which is detailed <a href="https://www.midwesterndoctor.com/p/the-hidden-powers-of-water-that-shape">here</a>)&#8212;making the glycocalyx one of the most critical components of cardiovascular health.</em>  </p><p>Many studies, in turn, show DMSO protects the glycocalyx along with the underlying endothelium:</p><p>&#8226;In a mouse model of LPS-induced acute respiratory distress, systemic DMSO preserved the pulmonary endothelial glycocalyx (staining intensity roughly four times that of untreated injury), cut protein leak into the airspaces, and reduced inflammatory cell counts; in human endothelial cells it prevented glycocalyx shedding by blocking the enzyme (a matrix metalloproteinase) that cleaves it from the cell surface.<a href="https://journals.lww.com/jtrauma/abstract/2024/07000/dimethyl_sulfoxide_as_a_novel_therapy_in_a_murine.5.aspx?ref=truth11.com"><sup>1</sup></a> </p><p>&#8226;In a rat hemorrhage-resuscitation model, DMSO reduced glycocalyx shedding and the accompanying coagulopathy.<a href="https://scholar.google.com/scholar?hl=en&amp;as_sdt=0%2C5&amp;q=DIMETHYL+SULFOXIDE+REDUCES+GLYCOCALYX+SHEDDING+AND+COAGULOPATHY+IN+A+RAT+HEMORRHAGE-RESUSCITATION+MODEL&amp;btnG="><sup>1</sup></a></p><p>&#8226;At the level of the underlying matrix, DMSO restored the normal structure of heparan-sulfate proteoglycan in endotoxin-exposed endothelial cells,<a href="https://pubmed.ncbi.nlm.nih.gov/8138580/"><sup>1</sup></a> and  prevented endotoxin-induced lung protein leak while preserving the endothelium&#8217;s ability to relax.<a href="https://scholar.google.com/scholar?hl=en&amp;as_sdt=0%2C5&amp;q=DIMETHYLSULFOXIDE+PREVENTS+ENDOTOXIN+INDUCED+LUNG+PROTEIN+LEAK+AND+ATTENUATES+LOSS+OF+ENDOTHELIAL+DEPENDENT+RELAXATION.&amp;btnG="><sup>1</sup></a></p><p>&#8226;DMSO also inhibited apoptosis in nutrient-deprived human endothelial cells by promoting DNA replication and survival,<a href="https://www.cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFD2003&amp;filename=PWJZ200304008&amp;uniplatform=OVERSEA&amp;v=YGuOCc_E9ESn6EIcmi5-Oe4dkjaGVZMpGjCa0Cdqs_RnbnmVGY-3YcZ1CA7tbxMQ"><sup>1</sup></a> and protected them under oxidative stress by raising heme oxygenase-1 and reducing apoptosis through several cytoprotective pathways.<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CDFD&amp;dbname=CDFD1214&amp;filename=1013102737.nh&amp;uniplatform=OVERSEA&amp;v=0Poj-R-Aye22_w5q0kv5nhhOlYL98m3Y7zqZ2GbuFpfu01Kjq1VIneGc0oyldITq"><sup>1</sup></a></p><p>&#8226;In the equine ascending colon, DMSO protected against the capillary permeability changes caused by ischemia-reperfusion injury.<a href="https://www.cabidigitallibrary.org/doi/full/10.5555/19922261090">1</a></p><p><em>Note: DMSO has also been used in combination with a variety of agents to promote endothelial growth and repair (e.g., in studies of endothelial proliferation, migration, tube formation, differentiation, and progenitor-cell-driven revascularization).  Agents combined with DMSO to create these effects on the endothelium include: curcumin, <sup>&#11030;</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CMFD&amp;dbname=CMFD201802&amp;filename=1018152787.nh&amp;uniplatform=OVERSEA&amp;v=hlhZFo6dLZMzt-BO4QjWMM6gFgvkfLGabCgz0BXI-wW4qvsNKrb5vRgnTq9QwdEJ"><sup>1</sup></a> resveratrol,<sup>&#11030;</sup><a href="https://oversea.cnki.net/kcms2/article/abstract?v=jXpGf_Tis3CN6mVVAyzJV8f4x0orw_rfvLk6IGl1NbGONQpI-ixw-vtUa62d5Fdcf3pFnWOrWFGD9Ei8fI_43EozlcLyu-VRKo8K4R3PfXzX_apMnejnAlwGS88EA4JTTllmUg8ZxciuiTSP7wzSdb1yqz8TDvB65oHJnFH6ThBIMc0H9A9auLVvh5Udn9Bw77UX7e6N6KQ=&amp;uniplatform=OVERSEA&amp;language=EN"><sup>1</sup></a> luteolin,<sup>&#11030;</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFDLAST2018&amp;filename=SWCX201807009&amp;uniplatform=OVERSEA&amp;v=I-T5q978cnRoqJT7f1d_PSaZZiWplhgoCU4Vs3oaFsEYSQngbYfzzv4Bid8SN1B0"><sup>1</sup></a> kaempferol,<sup>&#11030;</sup><a href="https://www.scielo.br/j/cr/a/CKMr33ZPdMX6stHGW74y6bs/?format=pdf&amp;lang=en"><sup>1</sup></a> diosgenin,<sup>&#11030;</sup><a href="https://oversea.cnki.net/kcms2/article/abstract?v=dKcr_PZ1zcsbhCUsdk_a_BttBGGUAJMXaDi_1U_Z9xqUTGLaz4eVPQdianHxjBofXevdmzThqsJAWoCbr3e1tPI7lIv1yGdsdbGhlvDLl4RnyW-3zw9IzbHx66CO_4rOhdTz04AfLz9MHnfBTeWSJa2ZkQrpSXrYFkCkR_VgO41sBcvEVeqxZhy_57gbxPW2GUSLyi10znY=&amp;uniplatform=OVERSEA&amp;language=EN"><sup>1</sup></a> icariin,<sup>&#11030;</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CMFD&amp;dbname=CMFD201702&amp;filename=1017816528.nh&amp;uniplatform=OVERSEA&amp;v=xKSkpq1rc-3ZGpsdqd2i7ilc_DZZTY2QyRZqnWGQRQ-VIBaB7c2a_M2j7_Xom_b1"><sup>1</sup></a> arnebin-1,<sup>&#11030;</sup><a href="https://pubmed.ncbi.nlm.nih.gov/24794013/"><sup>1</sup></a> celastrol,<sup>&#11030;</sup><a href="https://pubmed.ncbi.nlm.nih.gov/34367293/"><sup>1</sup></a> dihydroartemisinin,<sup>&#11030;</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CDFD&amp;dbname=CDFDLAST2018&amp;filename=1018106340.nh&amp;uniplatform=OVERSEA&amp;v=sSXLp_sVkySdmWyjvqAAAIQeWGCongRAuS9qr-u1ivMVBhHd6TTP7DMySOnNGHCw"><sup>1</sup></a> alkannin,<sup>&#11030;</sup><a href="https://oversea.cnki.net/kcms2/article/abstract?v=r3g0b1Wd3tfklvC41J_uyxmdt4X-aGTgTOp2W7XNIpLVMXa8bL1aZkA8t6g2ElT4DUEDkiQ-ExvsNAzk9uJJrj3V4CIqo1fqewJECkuJfrIsYkET_h6hdlNTJguq27n0_TnFdrd_rZiElKRupVri4rchhi9PU3BfEaqty44y85RQuqEmbKHx1_VxKpYdGjFx&amp;uniplatform=OVERSEA&amp;language=EN"><sup>1</sup></a> sulforaphane,<sup>&#11030;</sup><a href="https://oversea.cnki.net/kcms2/article/abstract?v=r3g0b1Wd3td9B2aAGKQjJBFCKxbtJfe9-g0PLeiIqxxcNdR9yZuzZXRBnd5hu50ubL9RBLwvKX_cXrPEqsQqfIbvsVgSLGwSgXefRuOJETWHi96qmmmRmjGi_aPp_c77KPRkPmnESO9SvPF9MDrQtpfvRoYwEfBSboG4UwKYz5BiCUxEjzHNO8KpO5aHkA28&amp;uniplatform=OVERSEA&amp;language=EN"><sup>1</sup></a> ginsenoside Rg3,<sup>&#11030;</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CMFD&amp;dbname=CMFD201802&amp;filename=1018152783.nh&amp;uniplatform=OVERSEA&amp;v=hlhZFo6dLZP7LSSE6mpJQf7FQubWlSu9y63P53QQUdBY4iEijGiecjVczWDoAMB1"><sup>1</sup></a> Illicium henryi extract,<sup>&#11030;</sup><a href="https://oversea.cnki.net/kcms2/article/abstract?v=edlgIlFUcgsqPA5rKsspKgk9oSbKVgXH_VY-HbDbAnbBxOKkoygecpPyGukdC3Zz7AYMdYp933I__Y7uh01EKLb4cjkFdWaR7lLgV_V7sqQRR_RrT284r-e77zlx-ZMZCATJWMc0FgZZgG0gqn-H5JnrCL0qmahaTwJ_Uw8uAiWxXe8obKDR_Q==&amp;uniplatform=OVERSEA&amp;language=EN"><sup>1</sup></a> dracorhodin,<sup>&#11030;</sup><a href="https://oversea.cnki.net/kcms2/article/abstract?v=BoNITJRTahLdv4LqZ7zUh5oK6HRd33lB8MSSupTbzyEo33am2XjnE3YepgL8MZwl_40moD05NY5-PWNOXaSShjMpJTdDw3KzcfQtNm0RUSpdZUZD7sCGnrQlegPkV2PEQQ-GK5NpJMKQsl36WcUI7oK9uEnyrvZs6ssRMdziLqp9Ph6EdpbBGyB9zJr0Dykd&amp;uniplatform=OVERSEA&amp;language=EN"><sup>1</sup></a> onychin,<sup>&#11030;</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFD2003&amp;filename=YLZL200304004&amp;uniplatform=OVERSEA&amp;v=YWU6XyYrp5R0vfYI81lW8OQd_0tmQWuA8vR82q4cdGfE_a8z-ipgzUOIVeeXUBK8"><sup>1</sup></a> Echinacea extract,<sup>&#11030;</sup><a href="https://pubmed.ncbi.nlm.nih.gov/27114944/"><sup>1</sup></a> 13-cis retinoic acid<a href="https://journals.lww.com/prsgo/fulltext/2021/10001/13_cis_retinoic_acid_activates_regenerative.210.aspx">,<sup>1</sup></a> fluvastatin,<a href="https://pubmed.ncbi.nlm.nih.gov/19371739/"><sup>1</sup></a> simvastatin,<a href="https://oversea.cnki.net/kcms2/article/abstract?v=dKcr_PZ1zcthtneBiVOJEFD0m7Cve6PoLr3-xDpEQ9tq9vjAfA43zB7-5D15MmT725UO4OBwoAulw7rA260p6uioqHmyfgXuowuOUx5pZrubCt5qiCIolsOVbsoqFscjiuzfyuFuMRM_rAq8RnfxWOdlkqokjGIYL84MHDBmqOeJuRR9cwjqNW5Ta_VQp5SOOrZcrmJlXbE=&amp;uniplatform=OVERSEA&amp;language=EN"><sup>1</sup></a> atorvastatin,<a href="http://1"><sup>1</sup></a> dihydrotestosterone<a href="https://pubmed.ncbi.nlm.nih.gov/24190051/">,<sup>1</sup></a> recombinant proteoglycan-4,<a href="https://faseb.onlinelibrary.wiley.com/doi/full/10.1096/fj.202301289RRR"><sup>1</sup></a> sirolimus<a href="https://pubmed.ncbi.nlm.nih.gov/28869461/"><sup>1</sup></a> rapamycin,<a href="https://pubmed.ncbi.nlm.nih.gov/23590802/"><sup>1</sup></a> a demethylating agent,<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CMFD&amp;dbname=CMFD201602&amp;filename=1016149956.nh&amp;uniplatform=OVERSEA&amp;v=fkMtgUmZZdFxK3-v-SnpJd7-6G2We1eiYh87jrM4cODEg5nEa7wTpZhrgHTIgm2u"><sup>1</sup></a> a Kir2.1 blocker,<a href="https://oversea.cnki.net/kcms2/article/abstract?v=Ap1IM-J3Ck1l71xyIaHEMXwGDFtautyZB4uIkqeHlYPUKcEVIYBD2XcR36XKDyVmjPmpRG_PiIEesscY5pQl-tZhyVmsDwJARPTzx8N_7pYP31F_8PNSCLXGmTjFi6XkBV-4jFCuLJOvXCxRB2Qns71pB1PJq7LPjGpSHI35pQ_MtOQRKq9fzvU7gKo1IjuP&amp;uniplatform=OVERSEA&amp;language=EN"><sup>1</sup></a> or a JAK2 inhibitor.<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFDLAST2019&amp;filename=ZQYK201901001&amp;uniplatform=OVERSEA&amp;v=CvNq_Hv9I-rxEXOWPtLjNUSd1IVzm5oUcGp4JSpLqEdaISDfeALCXV2s5uqVMWAm"><sup>1</sup></a></em>  </p><h1><strong>Current Stroke Management</strong></h1><p><span>Roughly 3.1% of adult Americans </span><a href="https://www.cdc.gov/nchs/fastats/stroke.htm">have experienced a stroke</a><span> (a figure I expect to rise from the COVID-19 vaccines). Each year, this translates to about 800,000 people in the United States having a stroke, and in 2022, 165,393 died (making it the fifth most frequent cause of death in the United States), with between </span><a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9833459/">20-40</a><span>% of survivors experiencing long term disability from the stroke.</span></p><p>Because of the harm strokes pose to society, and the rate at which brain tissue deteriorates once its blood supply is lost, the medical system emphasizes doing everything that can be done to treat strokes as soon as possible. <span>Unfortunately, there is a fundamental limitation to how strokes are addressed which makes it impossible to ever eliminate the immense toll strokes place upon society.</span></p><p><span>This is because three types of strokes exist, ischemic strokes (which are typically caused by a blood clot obstructing the artery), a brain hemorrhage (where bleeding is both directly toxic to sensitive brain tissue and creates large blood pockets that compress and damage the brain), and transient ischemic attacks (TIAs)&#8212;which are not classically considered strokes.<br></span><em><span>Note: TIAs occur when someone shows clinical signs of a stroke that resolves on its own (and typically does not have stroke imaging findings). I believe TIAs often represent microstrokes occurring (as the microclots are too small to be seen with conventional brain imaging and typically resolve on their own)&#8212;a subject I went into much more detail </span><a href="https://www.midwesterndoctor.com/p/what-makes-all-vaccines-so-dangerous"><span>here</span></a><span> as these visually detectable microstrokes frequently underlies vaccine injuries and many other chronic illnesses.</span></em><span> </span></p><p><span>The essential challenge with managing strokes is that it&#8217;s nearly impossible to reliably differentiate an ischemic stroke from a </span>hemorrhagic<span> stroke without imaging (we&#8217;ve tried for a longtime, and while there are a few diagnostic signs that suggest one or the other, they are not reliable enough for the degree of certainty required).  This matters because opposite approaches are taken to ischemic strokes and </span>hemorrhagic<span> strokes&#8212;with ischemic strokes a powerful clot busting medicine </span>(<a href="https://www.ninds.nih.gov/about-ninds/what-we-do/impact/ninds-contributions-approved-therapies/tissue-plasminogen-activator-acute-ischemic-stroke-alteplase-activaser">tPA</a>) is used to restore circulation, whereas with hemorrhagic strokes (13% of strokes in the developed world), a variety of steps are taken to reduce further bleeding in the brain (which can include brain surgery).</p><p>As such, when a stroke occurs, while it is urgent to treat it as soon as possible (as &#8220;time is brain&#8221;), the standard approach (<a href="https://www.ninds.nih.gov/about-ninds/what-we-do/impact/ninds-contributions-approved-therapies/tissue-plasminogen-activator-acute-ischemic-stroke-alteplase-activaser">tPA</a>) cannot be used until a CT scan has ruled out a hemorrhagic stroke (as giving tPA for a hemorrhagic stroke is devastating or lethal). Because of this, definitive stroke treatment cannot begin until it has been recognized, an ambulance gets them to an ER, a CT scan has been completed, a diagnosis is made, and that diagnosis reaches the treating physician&#8212;all of which, despite the best efforts by the medical system to expedite the process, often takes hours.</p><p><span>Worse still, the statistics on tPA (</span><a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3840541/">approved in 1996 and still the only FDA approved treatment for ischemic strokes</a><span>) aren&#8217;t actually that good. Presently, </span><a href="https://www.accessdata.fda.gov/drugsatfda_docs/label/2015/103172s5203lbl.pdf">tPA is only approved to be given within 3 hours of a stroke starting</a><span> (as its likelihood of benefitting a patient decreases with time), and in practice, </span><a href="https://www.ahajournals.org/doi/full/10.1161/strokeaha.108.544171">it is often given up to 4.5 hours</a><span> after symptoms start (since some degree of benefit still exists).</span></p><p><span>When that window is met (</span><a href="https://www.ahajournals.org/doi/10.1161/strokeaha.111.644963">which only happens about 25% of the time</a><span> and ultimately results in roughly </span><a href="https://pubmed.ncbi.nlm.nih.gov/10703777/">1.8</a><span>%-</span><a href="https://pubmed.ncbi.nlm.nih.gov/15890989/">8.5</a><span>% of ischemic stroke patients receiving tPA), the existing data shows that </span><a href="https://jamanetwork.com/journals/jamaneurology/fullarticle/1107498">only 13% percent</a><span> of patients who receive tPA significantly benefit from it (39% return to normal, compared to 26% who would return to normal without treatment), with an additional 19% of tPA users experiencing some degree of improvement (but not a full recovery) from it.</span><br><br><span>Worse still, tPA can cause significant bleeding, which is sometimes minor (e.g., gum bleeding), but also carries a </span><a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3726129/">6.4% risk</a><span> of a symptomatic brain bleed, and a </span><a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3726129/">1.6% risk</a><span> of a serious systemic hemorrhage (along with other issues such as a </span><a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3726129/">1.3% to 5.1% risk of angioedema</a><span> and tPA </span><a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3726129/">frequently causing reperfusion injuries</a><span>). In turn, many risk factors exist for the increased bleeding (e.g., a few common risk factors can lead to </span><a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3726129/">a 33% chance</a><span> of tPA causing a fatal bleed), and </span><a href="https://www.ahajournals.org/doi/10.1161/STROKEAHA.119.025352">there have been many lawsuits</a><span> for either giving </span><strong><span>or</span></strong><span> not giving tPA to a stroke patient. Additionally, tPA is a poor choice for larger obstructions (e.g., </span><a href="https://www.ahajournals.org/doi/10.1161/STROKEAHA.112.655621">one within the internal carotid artery</a><span>), which instead must be physically removed. In short&#8212;many ICU doctors I know are quite hesitant to use tPA as they have seen cases where it dramatically improved patients, many where it did not do anything, and quite a few disasters (especially in the early days of the therapy where it was used for heart attacks and then often caused the patient to have a fatal or debilitating brain bleed).</span></p><p><em>Note: the best data exists for tPA being injected directly into the obstructed artery with interventional radiology. Unfortunately, while many premier institutions offer this, it is a specialized procedure that is not available at most hospitals.</em></p><p><span>Finally, there is essentially no therapy for recovery from stroke&#8212;which in short explains why </span><a href="https://www.ahajournals.org/jaha/doi/10.1161/JAHA.122.027044">stroke is the second leading cause of death and the third leading cause of disability worldwide</a><span>.</span></p><h3><span>DMSO and Stroke Management</span></h3><p>As the previous section shows, there are insurmountable limitations to how strokes can be managed.  DMSO, however, completely changes this equation as:<br><br>&#8226;It effectively treats ischemic strokes.<br>&#8226;It partially treats hemorrhagic strokes.<br>&#8226;It carries no known risk of worsening a hemorrhagic stroke.<br>&#8226;It can be easily administered at home or on an ambulance.<br>&#8226;In addition to addressing the circulatory issues, independently protects brain tissue from stroke damage.<br>&#8226;Prevents the reperfusion injuries which follow strokes.<br>&#8226;Can heal damaged brain tissue after a stroke.</p><p>As such, DMSO makes it possible to eliminate the multi-hour delay typically required for stroke treatment, often is a safer can be a more effective stroke treatment option than the conventional alternatives, and provides one of the only existing options to heal the permanent disability that follows a stroke.</p><p>This is why researchers like Jack de la Torre MD devoted their entire careers to producing a robust body of evidence DMSO could treat strokes, as they knew it was unlikely any other agent would ever be able to solve the ischemic-hemorrhagic stroke dilemma.</p><p><em>Note: many readers have reported to me successfully treating strokes at home or on the way to the ER with DMSO and hence, due to increasing skepticism towards hospital care,<a href="https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2821693"><sup>1</sup></a> have advocated for home DMSO in lieu of going to the hospital. <strong>This is extremely unwise</strong>, as if a significant hemorrhagic stroke is occurring, DMSO cannot work as the primary treatment. Rather, the correct course is to use DMSO on the way to the hospital, and then if the whole thing is written off as a TIA (which many people have shared happened to them after they used DMSO, it resolved the stroke midway to the ER, and ER could then not decide if a stroke had happened), simply be grateful you had the optimal outcome when things could have easily been much worse.  In short, the existing management we have for strokes is correct, and DMSO should be viewed as way to improve the results it yields rather than a replacement for it.</em></p><h1>Ischemic Stroke Data</h1><p>Many stories like these two Archie Scott reported<a href="https://www.amazon.com/DMSO-Handbook-Doctors-Archie-Scott/dp/1475997922"><sup>1</sup></a> exist throughout the DMSO literature:</p><blockquote><p>A Los Angeles school teacher had a major stroke shortly after the start of the Christmas break. She was unconscious on her living room floor. DMSO treatment was started immediately after the stroke. The DMSO was first applied topically to her head within minutes of the stroke. Less than one hour after the stroke she was given DMSO by intramuscular injection. This patient was never taken to the hospital for this stroke. A prominent surgeon who was a family friend told the husband of this patient that it was important to keep her out of the hospital. The surgeon said that even though the treatment was completely legal, it would be difficult to get approval to give the DMSO especially by injection at his hospital.</p><p>This patient made a dramatic recovery. She regained consciousness later in the day in which she had her stroke. Treatment continued for the next week. Each day she received two topical applications of DMSO, one intramuscular injection of DMSO, and two doses of one teaspoonful of DMSO in juice. Her condition improved each day. When school resumed after the first of January, this teacher was back in the school teaching the students as if nothing had happened during the Christmas vacation. She continued teaching until she retired, healthy and with no disability.</p></blockquote><blockquote><p>A lady was in a coma in a convalescent hospital and had been in the coma since her stroke three months ago. She was given little chance of recovery and was expected to remain in a vegetative state until her death.</p><p>When I first observed this lady, there was no response to any type of stimulus. She was alive, but appeared lifeless. It was decided that her treatment should be topical DMSO daily&#8230;.One month after the start of treatment, there were positive signs in the lady. Her brain was starting to respond to the DMSO. The treatment continued, and four months after treatment started this lady was able to return to her home [where treatment continued].</p><p>Three years after the start of DMSO treatment this writer returned to visit this patient. At this time the lady was living a normal life, not the life of a stroke victim. She was able to look after the house and walked normally.</p><p>The only lingering effect of the stroke was a slight speech defect. At this time she said that her memory was better than that of her husband who had not had a stroke and who was considered to be completely normal.</p></blockquote><p><em>Note: there are also many reported cases of individuals who took <a href="https://www.midwesterndoctor.com/p/dmso-is-a-miraculous-therapy-for">DMSO for musculoskeletal or pain disorders</a> (by far the most common use of DMSO) who then experienced a permanent improvement of stroke symptoms.</em></p><p>Extensive data, in turn, corroborates these remarkable stories.</p><h3>Human Evidence</h3><p>Due to the ethical issues with creating and then treating strokes in humans, most of the research in this field has been conducted in animals (which I hold many strong ethical objections to).  As such, the only human study has been conducted in ischemic strokes was a <a href="https://pubmed.ncbi.nlm.nih.gov/11783757/">2002 trial</a>, where IV DMSO given with fructose diphosphate twice daily to 11 patients (mean age 65) with acute or subacute ischemic stroke was well tolerated and, when started within 12 hours of stroke onset, left 63% &#8220;improved&#8221; or &#8220;markedly improved&#8221; versus 20% of those on standard care at three months, and the benefit held even when treatment began well after the stroke.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!4jOc!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9f3f4a91-2a64-463f-9f30-9d49abc31f69_1456x1013.webp" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" 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class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!Xsd4!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3c707a1e-d826-4e1d-9a29-cbe7e6a78c48_1456x1120.webp" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!Xsd4!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3c707a1e-d826-4e1d-9a29-cbe7e6a78c48_1456x1120.webp 424w, https://substackcdn.com/image/fetch/$s_!Xsd4!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3c707a1e-d826-4e1d-9a29-cbe7e6a78c48_1456x1120.webp 848w, https://substackcdn.com/image/fetch/$s_!Xsd4!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3c707a1e-d826-4e1d-9a29-cbe7e6a78c48_1456x1120.webp 1272w, https://substackcdn.com/image/fetch/$s_!Xsd4!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3c707a1e-d826-4e1d-9a29-cbe7e6a78c48_1456x1120.webp 1456w" sizes="100vw"><img 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srcset="https://substackcdn.com/image/fetch/$s_!Xsd4!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3c707a1e-d826-4e1d-9a29-cbe7e6a78c48_1456x1120.webp 424w, https://substackcdn.com/image/fetch/$s_!Xsd4!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3c707a1e-d826-4e1d-9a29-cbe7e6a78c48_1456x1120.webp 848w, https://substackcdn.com/image/fetch/$s_!Xsd4!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3c707a1e-d826-4e1d-9a29-cbe7e6a78c48_1456x1120.webp 1272w, https://substackcdn.com/image/fetch/$s_!Xsd4!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3c707a1e-d826-4e1d-9a29-cbe7e6a78c48_1456x1120.webp 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p><em>Note: animal studies further corroborate DMSO-FDP value. In <a href="https://pubmed.ncbi.nlm.nih.gov/2326842/">rabbits</a> whose brains were driven to flatlined (isoelectric) EEGs by combined hypoxemia, hypotension, and carotid occlusion, DMSO-FDP given after five minutes of electrical silence restored brain activity far faster and let all animals survive with minimal damage, versus only 22% survival (severely disabled) on saline, and in <a href="https://pubmed.ncbi.nlm.nih.gov/7477779/">mice given head impacts</a> (another area DMSO helps), DMSO-FDP was the most protective and DMSO alone the second, while FDP and the rest gave no benefit, confirming DMSO was therapeutic. Finally, when DMSO-FDP was given to rats with poor chronic blood flow to the brain (due to carotid obstruction), there was a 54% improvement in visuo-spatial memory</em><a href="https://pubmed.ncbi.nlm.nih.gov/9473696/"><sup>1</sup></a><sup>,</sup><a href="https://link.springer.com/chapter/10.1007/978-1-4615-5405-9_28"><sup>2</sup></a><em> (which is corroborated by <a href="https://www.midwesterndoctor.com/p/how-dmso-heals-the-brain-and-transforms">dementia patients who&#8217;ve improved from DMSO</a>)</em>.<br><br>&#8226;<a href="https://www.elibrary.ru/item.asp?id=38076280">A <span>Russian paten</span></a><span>t treated perinatal hypoxic </span>encephalopathy<span> in newborns by daily electrophoresis of vitamin E</span><sup>&#11030;</sup><span> in DMSO. In three term infants </span>6&#8211;7 sessions produced disappearance of limb tremor (chin tremor remaining only with crying), normalization of muscle tone, return of tendon and support/automatic-walking reflexes, loss of the spontaneous Moro reflex, and restoration of the Babkin reflex, with faster clinical recovery than intramuscular vitamin E<sup>&#11030;</sup> plus standard care.<br><br>&#8226;One physician reported knowing of a patient of Stanley Jacob&#8217;s whose stroke was successfully treated with DMSO.<a href="https://health-matrix.net/2011/03/15/dmso-the-real-miracle-solution/"><sup>1</sup></a><em><sup><br></sup>Note: I have corroborated through multiple sources that Stanley Jacob successfully treated numerous strokes with DMSO, but I have not been able quantify how many in total were treated or what the success rate was.</em></p><p>Additionally, numerous reviews support DMSO&#8217;s use in humans with strokes.  These include:</p><p>&#8226;A 2009 pharmacology review by Jack de la Torre and Stanley Jacob of DMSO in cardiac and CNS damage (arguably the most detailed one in print) showed intravenous DMSO elevated cerebral blood flow, limited infarct volume after middle-cerebral-artery occlusion, preserved the vulnerable CA1 and dentate neurons and facilitated recovery from acute or chronic cerebral ischemia.<a href="https://link.springer.com/article/10.1016/s1734-1140(09)70026-x"><sup>1</sup></a><sup> <br></sup><em>Note: de la Torre was publishing papers on DMSO treating strokes <strong>fifty years ago</strong><a href="https://scholar.google.com/scholar?hl=en&amp;as_sdt=0%2C44&amp;q=DMSO+in+the+treatment+of+brain+infarction%3A+Basic+considerations.%22&amp;btnG="><sup>1</sup></a><sup> </sup>and likewise, a 1982 paper<a href="https://asma.kglmeridian.com/downloadpdf/view/journals/asem/54/12/article-p1137-s.pdf"><sup>1</sup></a> acknowledged DMSO was being used to treat strokes.<br></em><br>&#8226;A 1992 Chinese review that concluded DMSO protects ischemic brain tissue and blocks the secondary pathological processes that follow cerebral ischemia, outperforming mannitol, dexamethasone, and barbiturates as a neuroprotectant.<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFD9093&amp;filename=GWSK199204012&amp;uniplatform=OVERSEA&amp;v=_u70dmR6_U3z5HgIc0znumqXYxTKGdQ5XI_tqGFA0zfL3CD3_Baxl7zwfmHqCNNr"><sup>1</sup></a><sup><br></sup><br>&#8226;A 2010 Chinese review of DMSO&#8217;s effects on the heart and central nervous system (which noted authors had identified over 10,000 articles on the biological effects of DMSO).<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFD2010&amp;filename=CDYX201001065&amp;uniplatform=OVERSEA&amp;v=jJht9IxxDhNSIb3knOMGTC8Y1stzgSyVquycbkgKLLOflFS0hG_fsP9sZN68ysXB"><sup>1</sup></a><sup><br></sup><br>&#8226;A 2012 Chinese review classified DMSO as a classic antioxidant with therapeutic effects on ischemia reperfusion injury across many organs (and noted it had already been used clinically abroad for cerebral reperfusion injury).<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFD2012&amp;filename=YYCY201235024&amp;uniplatform=OVERSEA&amp;v=e3dYZpZo2OVJhdnQm7tTHsva75ZYWlg6VU2ECIKPzQQ6H5YIwRBy5M4zOQqsqLcK"><sup>1</sup></a> </p><p>&#8226;In a 2018 Ukrainian physical-rehabilitation review where DMSO appears as an iontophoresis solvent in post-stroke and disability rehabilitation protocols.<a href="https://ela.kpi.ua/bitstreams/cf066aba-13b8-4171-9956-aa394d711c9e/download"><sup>1</sup></a><br><br>&#8226;A 2022 Russian review from Osh State University argued that drug electrophoresis (driving charged medication ions through the skin with direct current) is among the most valuable physiotherapy methods for cerebrovascular disease (stroke and TIA) and peripheral-nerve disorders. Within it, DMSO is used as a carrier that lets otherwise water-insoluble drugs dissociate and be pushed through the skin. In acute stroke in the early recovery period, this was applied to the eyelids and back of the neck with heparin added for ischemic stroke and iodine substituted for hemorrhagic stroke.<a href="https://bulletennauki.ru/gallery/%D0%AE%D1%81%D1%83%D0%BF%D0%BE%D0%B2%20%D0%A4.%20%D0%90.,%20%D0%AE%D0%BB%D0%B4%D0%B0%D1%88%D0%B5%D0%B2%20%D0%90.%20%D0%90.,%20%D0%9E%D1%80%D0%BC%D0%BE%D0%BD%D0%BE%D0%B2%D0%B0%20%D0%93.%20%D0%9C.pdf"><sup>1</sup></a></p><h3>DMSO Alone in Stroke Models</h3><p>DMSO has repeatedly been shown to reduce the core injury of an ischemic stroke:</p><p>&#8226;<a href="https://pubmed.ncbi.nlm.nih.gov/827034/">A rhesus monkey</a><span> study blocked the MCA for 4 hours, gave DMSO, dexamethasone, or nothing, and then opened the MCA after it had been blocked for 17 hours. DMSO gave significant protection from the severe neurological deficits and loss of arterial blood flow the other two groups developed.</span></p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!2XOl!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F0c7e1b56-a3d2-47f1-8ae0-2134a17feb2e_1434x860.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!2XOl!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F0c7e1b56-a3d2-47f1-8ae0-2134a17feb2e_1434x860.png 424w, 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https://substackcdn.com/image/fetch/$s_!2XOl!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F0c7e1b56-a3d2-47f1-8ae0-2134a17feb2e_1434x860.png 848w, https://substackcdn.com/image/fetch/$s_!2XOl!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F0c7e1b56-a3d2-47f1-8ae0-2134a17feb2e_1434x860.png 1272w, https://substackcdn.com/image/fetch/$s_!2XOl!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F0c7e1b56-a3d2-47f1-8ae0-2134a17feb2e_1434x860.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p>&#8226;<a href="https://pubmed.ncbi.nlm.nih.gov/814644/">A squirrel monkey study</a><span> blocked the left MCA for 4 hours, after which the animals were given a variety of different treatments (e.g., saline, hemodilution, or hyperbaric oxygen at 2 atmospheres). Seven days after treatment, 8 of 10 DMSO treated monkeys were alive (with 2 having mild contralateral muscle weakness), while 75% of those receiving hyperbaric oxygen survived, and just 34% of those receiving hemodilution survived (with the last two groups </span><strong><span>also having more significant neurological deficits</span></strong><span>). Finally, combining either of these treatments with DMSO produced slightly worse results than just DMSO alone.</span></p><p>&#8226;In experimental canine middle cerebral artery embolectomy, DMSO (or low-dose methylprednisolone) extended the grace period to 6 hours following embolization and protected the cerebral tissue from the injury of ischemia and post-ischemic reperfusion (<span>with no infarcted tissue in DMSO treated animals and a 1.45 cm</span><sup><span>3</span></sup><span> area of infarction in untreated ones</span>).<a href="https://pubmed.ncbi.nlm.nih.gov/690678/"><sup>1</sup></a><sup>,</sup><a href="https://thejns.org/view/journals/j-neurosurg/49/4/article-p508.xml"><sup>2</sup></a><sup>,</sup><a href="https://scholar.google.com/scholar?hl=en&amp;as_sdt=5%2C44&amp;sciodt=0%2C44&amp;cites=5377394094236476479&amp;scipsc=&amp;q=ROLE+OF+DMSO+AND+METHYLPREDNISOLONE+IN+CANINE+MIDDLE+CEREBRAL-ARTERY+MICROSURGICAL+EMBOLECTOMY&amp;btnG="><sup>3</sup></a><sup>,</sup><a href="https://scholar.google.com/scholar?hl=en&amp;as_sdt=5%2C44&amp;sciodt=0%2C44&amp;cites=5377394094236476479&amp;scipsc=&amp;q=ROLE+OF+DMSO+AND+METHYLPREDNISOLONE+IN+CANINE+MIDDLE+CEREBRAL-ARTERY+MICROSURGICAL+EMBOLECTOMY&amp;btnG="><sup>4</sup></a></p><p>&#8226;<a href="https://europepmc.org/article/med/6325977">In a canine model of severe cerebral ischemia</a> (where blood flow was cut by 90% for an hour), DMSO given alone as pretreatment allowed EEG activity to re-emerge after recirculation where untreated animals showed none. <a href="https://pubmed.ncbi.nlm.nih.gov/1987322/">In a second canine study</a>, in brains subjected to 14 minutes of complete ischemia and then reperfused for an hour, DMSO added to the reperfusion blood lowered a marker of lipid peroxidation (TBAR) back to control levels, restored roughly three quarters of the lost energy stores (ATP and creatine phosphate), cut lactate accumulation by 60%, and produced a marked return of EEG and auditory evoked potentials that untreated brains entirely lacked. Adding a platelet-activating factor antagonist on top of the DMSO further improved mitochondrial energy markers, though the reduction in lipid peroxidation was attributable to DMSO alone.<br><em>Note: the first study also found vitamin E</em><sup>&#11030;</sup><em> restored brain function, mirroring <a href="https://www.midwesterndoctor.com/p/how-dmso-heals-the-brain-and-transforms">forgotten Russian research</a> on how to counteract the biological consequences of chronic stress on the brain with DMSO and vitamin E.</em><sup>&#11030;</sup></p><p>&#8226;<a href="https://pubmed.ncbi.nlm.nih.gov/3757524/">In a canine model of pressure-induced focal ischemia</a> worsened by ethanol exposure (done to model head trauma from a drunk driving car accident), DMSO significantly reduced brain lesion volumes under both normotensive and hypotensive conditions and scavenged the hydroxyl radicals generated from ethanol metabolism.</p><p>&#8226;When <a href="https://nyaspubs.onlinelibrary.wiley.com/doi/pdfdirect/10.1111/j.1749-6632.1983.tb47307.x">seven different therapies were compared head-to-head</a> in a canine model of severe pressure-induced focal ischemia, intravenous DMSO produced the best neurobehavioral recovery scores and the smallest lesion volumes, with reduced edema, necrosis, and cavitation.</p><p>&#8226;<a href="https://www.sid.ir/paper/38774/en">In a rat transient focal ischemia model</a> done with 90-minute middle cerebral artery  occlusion followed by reperfusion (as the MCA is one of the most commonly sites of consequential strokes and hence often blocked to simulate strokes), DMSO given 30 minutes before ischemia dose-dependently reduced cortical and striatal infarct volumes (how much brain tissue was damaged), and at the higher dose also significantly improved neurological motor function (while a low dose produced no benefit).</p><p>&#8226;In rats, DMSO given 30 minutes prior to MCA occlusion significantly reduced the amount of permanently damaged brain tissue<a href="https://pubmed.ncbi.nlm.nih.gov/9469672/"><sup>1</sup></a><sup>,</sup><a href="https://www.sciencedirect.com/science/article/abs/pii/S0304394097009154"><sup>2</sup></a><sup>,</sup><a href="https://cir.nii.ac.jp/crid/1920865334635284864"><sup>3</sup></a><sup>  </sup>In another, <a href="https://www.sciencedirect.com/science/article/abs/pii/S0006899306033142">DMSO immediately</a> after occluded MCA blood flow was restored reduced rat infarct size and blood-brain-barrier damage (as measured by MRI), with enhanced protection and reduced MMP-2/MMP-9 activity (enzymes that breakdown the blood&#8211;brain barrier) when combined with DPI. Additionally, <a href="https://irispublishers.com/ann/fulltext/neurochemical-effects-of-vitamins-c-e-and-dmso-combinations-on-oxidative-stress-biomarkers-and-severity-of-ischemic-stroke-in-wistar-rats.ID.000508.php">oral DMSO with vitamins C<sup>&#11030;</sup> and E</a><sup>&#11030;</sup>, given 12 hours after rat MCA occlusion, significantly reduced oxidative stress.</p><p>&#8226;In rats,<sup> </sup><a href="https://faseb.onlinelibrary.wiley.com/doi/abs/10.1096/fasebj.26.1_supplement.711.14">DMSO one hour</a> before or after MCA and carotid occlusion significantly reduced rat brain edema and infarct volume. <a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFD9093&amp;filename=ZSJJ1991S1002&amp;uniplatform=OVERSEA&amp;v=fhw1NxMAHZ0UmW4GRVknRSuZgReq6rcBb1avERPbg1t01QQ90ZzqU7kn8XsYzkAm">In rats with focal cerebral ischemia</a> DMSO reduced brain water content and lipid peroxidation, preserved Na&#8314;-K&#8314;-ATPase and superoxide dismutase activity relative to saline controls, and markedly improved brain edema and ischemic tissue damage.</p><p>&#8226;In rats subjected to four vessel occlusion (which cuts off almost all blood flow to the brain) DMSO <a href="https://pubmed.ncbi.nlm.nih.gov/8158141/">partially reduced mitochondrial malondialdehyde and free fatty-acid accumulation</a> after reperfusion.</p><p>&#8226;<a href="https://www.cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFD2003&amp;filename=HNYK200301011&amp;uniplatform=OVERSEA&amp;v=wSFtOmTDD53LMhEqnhzkJecpFXBhyZbF3mxBgbsyuhTE_3VA_Tlq2H8ykSdRo3Fr">In neonatal (7 day old) rats</a> with hypoxia-ischemia brain damage, DMSO injected into the brain reduced infarct volume and brain injury (particularly within the cortex) along with inhibiting the breakdown of MAP2 and fodrin, suggesting neuroprotection via calpain inhibition.</p><p>&#8226;In gerbils subjected to carotid ischemia-reperfusion, DMSO, significantly reduced delayed neuronal death and lowered markers of hydroxyl radical activity that accumulates after reperfusion.<a href="https://pubmed.ncbi.nlm.nih.gov/8334017/"><sup>1</sup></a> In another study, intraperitoneal 10% DMSO before ischemia cut gerbil mortality from 60% to as low as 14%, reduced the proportion of ischemic hippocampal neurons (from 71% to 46% at the higher dose), and blunted neurological signs.<a href="https://web.archive.org/web/20251018184425/http://dev.siteworks.com.br:8080/jspui/bitstream/123456789/595/1/Poliana%20Penasso.pdf"><sup>1</sup></a><sup>,</sup><a href="https://bdtd.ibict.br/vufind/Record/CUB_1e1f7403d34860634e784970f0a56ad1"><sup>2</sup></a></p><p>&#8226;In a thrombotic (clot) stroke mouse model, daily DMSO (given for five days after the infarction) prevented the shrinkage and nuclear condensation of injured neurons and, most strikingly, sharply reduced the excessive astrocytic scarring response (gliosis) in the damaged cortex and hippocampus, restoring the astrocytes toward their normal morphology.<a href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S1657-95342013000100006&amp;lang=pt"><sup>1</sup></a><sup>,</sup><a href="https://pdfs.semanticscholar.org/e86e/a306ffea0bab4abfc134850269a7c21f42ec.pdf"><sup>2</sup></a></p><p>&#8226;In decapitated mice (with blood flow hence being cut off to the brain), DMSO prolonged the time the animal continued to gasp for breath and produced a dose-dependent relaxation of pre-contracted vascular smooth muscle, pointing to a vasodilatory contribution to its anti-ischemic effect.<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFD2004&amp;filename=ZYYB200406004&amp;uniplatform=OVERSEA&amp;v=OF4-H1Rs87yHUHqTY1149E_GToeFtthdft5agj8O-luuhJ1vwI-Idd2pFQRrlYfQ"><sup>1</sup></a><sup> </sup>An earlier report found DMSO was protective experimental hypoxic respiratory depression.<a href="https://pubmed.ncbi.nlm.nih.gov/4800367/"><sup>1</sup></a></p><p>&#8226;In a rat model of deep hypothermic circulatory arrest, the <a href="https://www.thieme-connect.com/products/ejournals/abstract/10.1055/s-0035-1544515">DMSO solvent-control group</a> &#8220;unexpectedly&#8221; showed some of the same organ-protective effects as the active drug (ebselen) it was carrying.</p><p><em>Note: many of these results argue that giving IV DMSO beforehand could reduce the complications of many challenging surgeries (e.g., a coronary bypass). Unfortunately, much in the same way</em> <em><a href="https://www.midwesterndoctor.com/p/the-century-of-evidence-putting-light">ultraviolet blood irradiation dramatically reduces bad surgical outcomes</a>, neither has been adopted for this purpose.</em></p><p>Beyond reducing the core infarct, DMSO also protects the penumbra. Frequently in strokes, an area will form where blood has been impaired, but brain tissue has not yet died (known as the penumbra and the key target of most stroke management). <a href="https://journals.sagepub.com/doi/full/10.1038/sj.jcbfm.9600095">In a rat stroke study</a> where DMSO was administered an hour after brain blood flow had been permanently cut off, MRI imaging showed that DMSO stopped the region of dying brain tissue from continuing to expand, hence allowing a penumbra (rather than additional dead tissue) to form around the stroke site (particularly within the cortex).</p><p><em>Note: beyond the classic penumbra, groups of cells can also enter a shocked state where their normal functions cease (and they eventually die). As discussed</em> <em><a href="https://www.midwesterndoctor.com/p/how-dmso-protects-and-heals-the-internal">here</a>, this &#8220;penumbra&#8221; also responds to DMSO (which is one reason tissue often comes back to life following DMSO treatment and why the sooner DMSO is used after a brain or spinal injury, the better the results typically are).</em></p><p>&#8226;In guinea-pig hippocampal slices, <a href="https://www.sciencedirect.com/science/article/pii/S0006899300030183">0.4% DMSO alone</a> more than doubled the latency to irreversible ischemic depolarization (from 2.9 to 7.1 minutes) under combined oxygen-glucose deprivation while also reducing its amplitude, an effect further augmented when DMSO was combined with nimodipine. </p><p>&#8226;In rat hippocampal slices, <a href="https://synapse.koreamed.org/articles/1083298">10 mM DMSO</a> completely prevented the hypoxia-induced drop in serotonin (5-HT) release and directly increased spontaneous release under normoxia (indicating a direct stimulatory action on serotonergic neurons).</p><p>Finally, <a href="https://www.mdpi.com/1420-3049/26/23/7387">DMSO also potentiated hypoxic preconditioning</a> on its own: given intraperitoneally or directly into the hippocampus, it increased rats&#8217; resistance to severe hypoxia by roughly 79% and 111% respectively over controls (via &#945;7-nicotinic receptors).</p><p><em>Note: a veterinary text<a href="https://bvajournals.onlinelibrary.wiley.com/doi/full/10.1136/vr.142.24.665?casa_token=Xj3h_nx63qgAAAAA%3AygR4bGsNxIUKDtas9tWGCZoNXtOvTIBBOQGmc71fwVeExEUBllC4p9Tj59h2Bprl_E2vme3KAFa2L2ZZ"><sup>1</sup></a> (along many with other parts of the veterinary literature<a href="https://avmajournals.avma.org/view/journals/javma/185/10/javma.1984.185.10.1217.xml"><sup>1</sup></a>) also highlighted DMSO&#8217;s edema-reducing, diuretic, and anti-inflammatory effects in cerebral ischemia<a href="https://bvajournals.onlinelibrary.wiley.com/doi/full/10.1136/vr.142.24.665?casa_token=Xj3h_nx63qgAAAAA%3AygR4bGsNxIUKDtas9tWGCZoNXtOvTIBBOQGmc71fwVeExEUBllC4p9Tj59h2Bprl_E2vme3KAFa2L2ZZ">.</a><sup> </sup>Likewise, in veterinary neurology, DMSO was used therapeutically or as a carrier in temporohyoid osteoarthropathy with acute neurological signs<a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC340371/#r4-28"><sup>1</sup></a>, post-anesthetic air embolism with neurologic sequelae in a horse<a href="https://pubmed.ncbi.nlm.nih.gov/17444936/"><sup>1</sup></a>, critically ill neonatal foals<a href="https://onlinelibrary.wiley.com/doi/abs/10.1111/j.1476-4431.2000.tb00012.x"><sup>1</sup></a>, a filly&#8217;s watershed cerebral infarction<a href="https://www.agriculturejournals.cz/pdfs/vet/2017/04/01.pdf"><sup>1</sup></a>, and a 2-day-old filly with hypoxic-ischemic encephalopathy given IV DMSO.<a href="https://pubmed.ncbi.nlm.nih.gov/16627116/"><sup>1</sup></a></em></p><h3>How DMSO Protects the Brain</h3><p>In addition to the extensive research showing that DMSO restores blood circulation and prevents reperfusion injuries in those (previously ischemic) tissues, numerous studies have shown DMSO mechanistically protects the brain from strokes:</p><p>&#8226;<a href="https://link.springer.com/chapter/10.1007/978-1-4684-1188-1_27">In anesthetized cats,</a> DMSO significantly enhanced brain oxygenation (particularly in the caudate nucleus).</p><p>&#8226;<a href="https://pubmed.ncbi.nlm.nih.gov/11134621/">DMSO was shown to preserve</a> the neurological function of hippocampal brain tissue samples once their oxygen or glucose were withdrawn (with similar results seen in <a href="https://pubmed.ncbi.nlm.nih.gov/10081912/">this study</a>).</p><p>&#8226;<a href="https://pubmed.ncbi.nlm.nih.gov/11873048/">When infused directly into the rat brain,</a> DMSO alone reduced ischemia-induced (blood loss induced) extracellular glutamate (the excitotoxin that drives much of the neuronal death in a stroke) by 51% and modestly preserved the vulnerable hippocampal CA1 neurons relative to controls.</p><p>&#8226;<a href="https://scholar.google.com/scholar?hl=en&amp;as_sdt=0%2C5&amp;q=Dimethylsulfoxide+%28DMSO%29+down-regulates+the+aquaporin-4+expression+following+middle+cerebral+artery+occlusion+in+the+rat&amp;btnG=">DMSO down-regulated aquaporin-4 expression</a> (a key driver of the brain swelling that follows an occlusion) after MCA occlusion in the rat.</p><p>&#8226;<a href="https://link.springer.com/content/pdf/10.1007/3-211-30714-1.pdf#page=263">DMSO was found </a>to protect the integrity of the blood-brain barrier integrity after MCA occlusion.</p><p>&#8226;<a href="https://www.sciencedirect.com/science/article/pii/S0006899304003518">Diazoxide and DMSO</a> prevented the learning dysfunction and brain damage that follow carotid artery occlusion (with DMSO alone restoring) Morris-water-maze learning and preventing COX-2-positive neuron loss in the dentate gyrus.</p><h1>Reader Stroke Reports</h1><p>Corroborating DMSO&#8217;s benefits for strokes, numerous readers here shared the following with me:</p><p>&#8226;A medicinal chemist with a background in neuroscience, recognized his own stroke the moment it began: &#8220;Right after waking up I went to the toilet and noticed that I had lost control of my palm. I walked to bed and I froze, unable to lay down.&#8221; He had his wife get him diluted DMSO, drank most of it over the next hour, and went to the hospital&#8212;by which point he had lost speech (Polish entirely, English partially), leaving him, a Pole, to communicate in English in a Polish hospital. &#8220;I credit DMSO for not losing movement ability,&#8221; he wrote. His speech recovered well enough that he returned to full-time work as a scientist six weeks later, and he now drinks a small maintenance dose daily.<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/72429634"><sup>1</sup></a></p><p>&#8226;One week after her husband&#8217;s stroke, which had left him with severe pain, vertigo, exhaustion, and partial paralysis of the left side of his face, arm, and leg, a reader discovered this series. She then applied undiluted DMSO to his face, neck, and shoulder two to three times a day; the pain, she reported, &#8220;went away almost instantly every time.&#8221; Within about two weeks he began walking short distances without a cane. &#8220;Only 3 months after the stroke he walked with me unassisted to a friend&#8217;s house carrying a guitar, and was able to play the guitar and sing flawlessly while standing with one foot on a chair. My jaw was on the floor... &#8216;You&#8217;re all witnessing a freakin&#8217; miracle right now. This man had a stroke three months ago, and now he&#8217;s playing his guitar like nothing happened!&#8217;&#8221;<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/125020383"><sup>1</sup></a></p><blockquote><p>Thanks for saving my life. I had a stroke recently, and because of your article on dmso and strokes, was given some by my partner. Three minutes later I was OK again. I continue to read your articles daily.<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/142657926"><sup>1</sup></a></p></blockquote><blockquote><p>I have been in health chats where twice now, folks were in the chat and were having a stroke, they both had DMSO on hand &amp; took 1 oz it both were stopped within 10-15 min and reversed any damage.<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/319671345"><sup>1</sup></a></p></blockquote><blockquote><p><span>I just recently had a stroke but used DMSO immediately ( I had my wife apply it in the hospital within hours of my stroke) and I&#8217;m about 95% back to normal and hoping to be 100% soon.</span><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/266867453"><sup><span>1</span></sup></a></p></blockquote><p>&#8226;A wife whose husband had atrial fibrillation and two microclot strokes in 2024 <a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/172917459">treated a recurrence herself the following year</a>: when both his legs went numb with pins and needles, she applied DMSO and &#8220;Within two hours he was 70% better,&#8221; and after a second identical treatment &#8220;everything was cleared up and did not return&#8221; (months later she used the same protocol over his chest for a suspected pulmonary embolism, with the same result).</p><p>&#8226;Another wife, reported DMSO &#8220;Made a world of difference&#8221; for her husband&#8217;s entire-left-side deficit,<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/152957921"><sup>1</sup></a><sup> </sup>another reported their husband&#8217;s two mini-strokes cleared within a few hours,<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/272709378"><sup>1</sup></a> another reported that when her husband woke up unable to speak and with numbness in his cheeks, she began DMSO, and there was &#8220;a huge improvement from a week ago&#8221; as he was speaking in complete sentences most times.<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/97253978"><sup>1</sup></a></p><p>&#8226;A reader who saved her mother from a third stroke shared &#8220;It was miraculous!&#8221;<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/152957408"><sup>1</sup></a>; another reported it saving a family member from a stroke.<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/272627972"><sup>1</sup></a><sup> </sup>Likewise, a reader whose father began showing stroke symptoms wrote: &#8220;Thankfully I had some 99.9% DMSO on hand. The improvement was remarkable&#8230;.&#8220;The Lord might have just used you to save my dad&#8217;s life.&#8221;<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/138685597"><sup>1</sup></a></p><p>Interestingly, many readers have reported stories matching my own experience of giving someone DMSO and then having the ER be confused because they could not find any signs of stroke:</p><p>&#8226;After a reader woke at 4:30 a.m. and found his left side would not respond when he tried to walk stated he immediately knew to use his DMSO and over the next 4 hours &#8220;My walking returned to normal but my reach and grab with my left arm/hand would not allow me to pick green beans in my garden.&#8221; He hence called 911, walked down his own hill to greet the firemen, and talked the EMTs out of taking him; the next morning his clinic&#8217;s nurses sent him to the hospital by ambulance, where monitoring, a CT scan, and echocardiograms found &#8220;no evidence of stroke,&#8221; and his remaining left-hand impairment recovered over two weeks with self-directed therapy. His conclusion: &#8220;In every interaction with medical personnel I strongly recommended that DMSO should be the first/immediate action when stroke symptoms are detected. Waiting for an ambulance or an emergency room visit to respond is a tragic waste of time.&#8221;<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/187973377"><sup>1</sup></a></p><p>&#8226;A 76-year-old man in excellent health had a nearly identical experience 36 hours after giving a double-red blood donation: he woke at 4 a.m. with trouble walking and gripping on his left side, and applied DMSO based on what he had read here. Hospital testing &#8220;has not found/confirmed stroke,&#8221; and he reported rehabbing himself until symptoms had &#8220;disappeared 97%.&#8221;<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/139796406"><sup>1</sup></a></p><p>&#8226;Another reader who was already familiar with DMSO and kept it on hand took it during an apparent stroke: &#8220;The ER doc came in to tell me that I had not stroked, despite speech impairment and other signs. I told him I took DMSO.&#8221;<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/77752353"><sup>1</sup></a> </p><p>&#8226;The reports extend well beyond the acute window into recovery from established strokes. One reader&#8217;s husband, who had suffered eight strokes, takes DMSO three times a week; two years after his last stroke, in her words, &#8220;recovery great, he has some aphasia but still thinking great speaking to others although he&#8217;s an introvert and has lost some confidence in himself he is still living life to its fullest playing with grandkids gardening home renovations and going to the gym and doing a full work out which includes 30 chin ups!&#8221;<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/249352273"><sup>1</sup></a> A caregiver eight weeks into treating a stroke patient (who noted the changes &#8220;began almost immediately, after the very first treatment&#8221;) observed a cascade of gains: stronger voice and markedly improved speech, dramatically improved swallowing (he could again eat normal-sized meals, and even swallow while the TV was on, previously a choking hazard), self-feeding with the affected hand; improved energy, strength, and balance; and, &#8220;the most recent and undeniable change,&#8221; the return of his sense of taste. On one lucid day he zipped up his own jacket&#8212;notable, she wrote, &#8220;because the fine motor skills in his right hand were quite impaired by the stroke&#8221; and &#8220;even he commented at the time that it was remarkable.&#8221;<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/166393498"><sup>1</sup></a> Another reader watching his mother&#8217;s recovery described her damaged right side visibly &#8220;waking up&#8221;, regaining feeling and strength until one day she exclaimed, &#8220;Hey look, I&#8217;m sanding with my right hand!&#8221;<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/79724146"><sup>1</sup></a></p><p>&#8226;Others report gains across the full range of stroke severity. One reader had a large stroke that &#8220;affected every joint on my right side&#8221; and used DMSO with CBD: &#8220;One year later? Only my knee and two fingers (pinky and ring) are still &#8216;lazy&#8217; but each month I notice an improvement... I couldn&#8217;t write but I can now. I&#8217;ve learned to type with 8 fingers but the other two are still improving.&#8221;<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/316000381"><sup>1</sup></a></p><p>&#8226;Another reader began giving her 72-year-old husband DMSO six weeks after his stroke; over two and a half weeks &#8220;he improved and slowly regained more function so that he could swim again,&#8221; and a later course brought further gains. She noted the oral route seemed to act faster, though its garlic-like odor kept him homebound&#8212;so he switched to applying DMSO nightly to his temples, forehead, and neck, on which he continued to slowly improve.<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/143768326"><sup>1</sup></a></p><p>&#8226;A 65-year-old who&#8217;d had a series of small strokes reported that after starting DMSO the improvement in mental acuity was &#8220;amazing&#8221; alongside whole-body pain relief;<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/72754710"><sup>1</sup></a> a physician who ran an IV chelation and ozone clinic recalled an &#8220;amazing recovery&#8221; in a stroke patient given IV DMSO;<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/112970058"><sup>1</sup></a> and caregivers successfully treating loved ones after strokes (e.g. &#8220;a very bad stroke<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/105237050"><sup>1</sup></a>&#8221;) or an ischemic stroke and reporting steady, believable progress.<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/84928310"><sup>1</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/112970058"><sup>2</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/233710053"><sup>3</sup></a></p><p>&#8226;A grandfather who nebulized DMSO for decades survived multiple strokes and &#8220;amazed doctors by how quickly he recovered,&#8221; living to 94.<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/142166145"><sup>1</sup></a> Another reader stated flatly that DMSO saved him from a stroke a decade ago.<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/114810922"><sup>1</sup></a></p><p>Finally, many readers describe using oral DMSO as ongoing stroke prevention. One was having strokes two or three times a week until he started DMSO (originally bought for sciatic nerve pain): &#8220;the strokes stopped happening... once it is in the blood stream it works everywhere.&#8221;<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/165687662"><sup>1</sup></a> Another also reported DMSO stopped their strokes,<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/244319437"><sup>1</sup></a> Likewise, a diabetic who&#8217;d had two strokes from clotting that monitoring his own blood under a microscope, found daily oral DMSO kept his red cells out of rouleaux formation and &#8220;the clots at bay.&#8221;<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/125004388"><sup>1</sup></a> <br><em>Note: these readers were almost certainly suffering from what would be diagnosed as &#8220;TIAs&#8221; and the fact that both DMSO prevented their recurrence and that one reader could link this to DMSO eliminating blood sludging argues for my theory many TIAs <a href="https://www.midwesterndoctor.com/p/what-makes-all-vaccines-so-dangerous">are actually microstrokes triggered by things like zeta potential disruption</a>. </em></p><p>In short, I hope all of this (and what is to come) makes it clear why I feel so strongly about DMSO becoming a standard therapy for strokes.  Nonetheless, as discussed earlier, it is absolutely critical <strong>you do not avoid emergency care just because DMSO is available</strong> and rather treat it as complementary therapy as you wait for conventional care.</p><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://www.midwesterndoctor.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">Your support makes the Forgotten Side of Medicine possible! To receive new posts and support my work, consider becoming a free or paid subscriber.</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div><h1>DMSO Stroke Combination Therapies</h1><p>Since DMSO is both a non-toxic solvent and able to deliver a variety of agents (e.g., through the skin), that rare combination results in it being used as a &#8220;vehicle control&#8221; in many studies. In these studies, DMSO is typically assumed to be inert (and hence not independently tested for an effect), but in some cases is tested, where it often yields a therapeutic effect (which I&#8217;ve noticed authors often do not disclose). As a wide number of agents combined with DMSO all yield therapeutic effects similar to those seen with DMSO, this suggests that DMSO plays a direct role in the effects observed, particularly since DMSO frequently potentiates the agents it is combined with. This dynamic I believe likely accounts for why many agents that succeed in preclinical studies (where DMSO is also used) fail in clinical studies where DMSO is not also used.</p><p><em>Note: replication failure is one of the largest problems in science.</em></p><p>As such, I include these combinations here (most of which were used for focal brain ischemia) both to highlight the shared effects seen across many agents (that potentially are due to DMSO) and to provide insights to readers looking for additional treatment strategies. To make these section easier to skim, all natural agents are marked with a <sup><span>&#11030;</span></sup>.</p><h2>Natural agents</h2><p><strong>Polyphenols &amp; flavonoids</strong> &#8212; curcumin<sup>&#11030;</sup> (reduced infarct size and cell death)<a href="https://pesquisa.bvsalud.org/portal/resource/pt/wpr-1032079"><sup>1</sup></a><sup>,</sup><a href="https://pesquisa.bvsalud.org/portal/resource/pt/wpr-385381"><sup>2</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/32627273/"><sup>3</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFDLAST2015&amp;filename=YYGZ201504015&amp;uniplatform=OVERSEA&amp;v=YjPltfpqxjHsnoDNfH35VmgJfbBpPSl9UWOkuiqGhI4x26D2y3lbVjQrIUUiVOJ1"><sup>4</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFD2012&amp;filename=ZQYK201206004&amp;uniplatform=OVERSEA&amp;v=MekjrgbSIgY6h-LEhSfg100JMvrsepdoxSC7Rg6IdCZvfTe4lNYgw2eOhQ9Uze4p"><sup>5</sup></a><sup>,</sup><a href="https://link.springer.com/article/10.1186/1750-1326-7-S1-S10"><sup>6</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CMFD&amp;dbname=CMFD2011&amp;filename=1011174180.nh&amp;uniplatform=OVERSEA&amp;v=cKV4dCJ9A3csSi1jig5aw6WEaxySWoKZWJJJYT7xmUzA4NmkD0qXUL5197yowtH5"><sup>7</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/29067098/"><sup>8</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFD2011&amp;filename=SWZP201110023&amp;uniplatform=OVERSEA&amp;v=8bF2yQSa574CuJ0p4wsxm2HL_vAN2oI_o8JLX1j-VxieZSgAlerss6EetCVl-Gp8"><sup>9</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFD2012&amp;filename=SWZP201206018&amp;uniplatform=OVERSEA&amp;v=P2waXfTQ_4XpAGqICIItLSJFpG6JFAXvbq4BXacvHWrLyHFspNIPG7GrvdcVqLdV"><sup>10</sup></a><sup>,</sup><a href="https://www.sciencedirect.com/science/article/pii/S0753332217371202"><sup>11</sup></a><sup>,</sup><a href="https://link.springer.com/article/10.1186/1750-1326-7-S1-S33"><sup>12</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFD2013&amp;filename=YAOL201310025&amp;uniplatform=OVERSEA&amp;v=hEPFAGoO08qgxrK23Q6KHB9KwljgZl-Mf7HMm3813aQU0oSaX9jA3jmCpRjVpvf1"><sup>13</sup></a><sup>,</sup><a href="https://pdfs.semanticscholar.org/7b14/42d45a74eeaa574c62f44cedf60b4ed491c9.pdf"><sup>14</sup></a>; resveratrol<sup>&#11030;</sup> (reduced infarct size and preserved neurons, including in elderly and recurrent-stroke rats)<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CDFD&amp;dbname=CDFD1214&amp;filename=1012496895.nh&amp;uniplatform=OVERSEA&amp;v=o1697jh6gqbxWMH5igx49y5qw2z2tNL-v5o0_fpHuP9-yYKu1COrMReW620uIbmB"><sup>1</sup></a><sup>,</sup><a href="https://www.oarsijournal.com/article/S1063-4584%2824%2900199-7/fulltext"><sup>2</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFDLAST2017&amp;filename=SJJP201705017&amp;uniplatform=OVERSEA&amp;v=cgDP6QoTB7fQT1tW7X-Z4HEhFpGj4ieqP7ZljcbnQJffjRLVHOdlZZmgVwqakY5m"><sup>3</sup></a><sup>,</sup><a href="https://pesquisa.bvsalud.org/portal/resource/pt/wpr-1034853"><sup>4</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/32357375/"><sup>5</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/37098490/"><sup>6</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CMFD&amp;dbname=CMFD201401&amp;filename=1014028569.nh&amp;uniplatform=OVERSEA&amp;v=KnndMPn2rQSyXalHtM3ZlMu3DGrA3orzb3vdiD3kQsLVM0iJIOFsinWvU_knG4mX"><sup>7</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFD2009&amp;filename=SWCX200918007&amp;uniplatform=OVERSEA&amp;v=y0V8fy1cqjXPra0W7n7CVMQ718BEkIBvIArTPMaj7-da1MjNROyvJxagMBjNKXe4"><sup>8</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CMFD&amp;dbname=CMFD201802&amp;filename=1018864339.nh&amp;uniplatform=OVERSEA&amp;v=yHU1wSUkNRGtmGUG1WOoQM87Cc8iatbsDCMp30BSRjWdP_DyHRPWVxlCmhcPEFfA"><sup>9</sup></a><sup>,</sup><a href="https://www.dbpia.co.kr/Journal/articleDetail?nodeId=NODE07364742"><sup>10</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CDFD&amp;dbname=CDFDLAST2018&amp;filename=1018106321.nh&amp;uniplatform=OVERSEA&amp;v=sSXLp_sVkyQNy5PYH-jH4W-CaMgDcaoiz8RLQZ5K5qA-uenjfaobg5qiBHx_ewZr"><sup>11</sup></a>; baicalein<sup>&#11030;</sup> (reduced infarct size and cell death)<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFDLAST2017&amp;filename=HYDX201702002&amp;uniplatform=OVERSEA&amp;v=V8xinbC1o6QAIKl6hCUx5cr1Zx7Yp8J1ATt--gelncWMQceKTQxCoVCvNb4ytJKd"><sup>1</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CDFD&amp;dbname=CDFD1214&amp;filename=1013287760.nh&amp;uniplatform=OVERSEA&amp;v=xd2oHwkJ1PuN8nCv4lG48LSWvBR4vzK4uVJPePahAAEBDMshEKebQEKKA--qFhU3"><sup>2</sup></a>; chrysophanol<sup>&#11030;</sup> (reduced infarct size and cell death as a pre-treatment)<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CMFD&amp;dbname=CMFD201402&amp;filename=1014248713.nh&amp;uniplatform=OVERSEA&amp;v=SzjmNSVSqYJC2jjDeBOhjz1w_6KhVDRmo1aMI_EbasUtQzb2qX5_T-VPzPTAKhFf"><sup>1</sup></a><sup>,</sup><a href="https://oversea.cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFDLAST2019&amp;filename=GLYZ201921015&amp;uniplatform=OVERSEA&amp;v=WFsEhnoF7QYkZTcpamsjve8xCmynNNWEWSaf7UiRfXXAwmrC5lQdHwtIyCifKad-"><sup>2</sup></a>; quercetin<sup>&#11030;</sup> (reduced infarct size)<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFDLAST2015&amp;filename=ZGSL201502013&amp;uniplatform=OVERSEA&amp;v=frucdWvtogv97-GW5OEOxH72x_TxUVf3RyrDmS7ON-P3uSoK8pj-rSXmBcBzgKI4"><sup>1</sup></a><sup>,</sup><a href="https://www.slarc.org.cn/dwyx/EN/abstract/abstract3748.shtml"><sup>2</sup></a>; chrysin<sup>&#11030;</sup> (improved movement and memory and reduced oxidative stress)<a href="https://pubmed.ncbi.nlm.nih.gov/31853830/"><sup>1</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CMFD&amp;dbname=CMFD201302&amp;filename=1013287186.nh&amp;uniplatform=OVERSEA&amp;v=tcql7iYygI7SlpV0-dWMCjSqg5GmDELYzGKrAgRiZ60qkISfVpaTdVmoSfqwEahT"><sup>2</sup></a>; nordihydroguaiaretic acid<sup>&#11030;</sup> (reduced neurological deficits and infarct size)<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFDLAST2015&amp;filename=HYDX201406004&amp;uniplatform=OVERSEA&amp;v=JjcC7FkKAOGftnSEEdPafmmZoip4csmU8sam7bYPNkFeWxVzYErUp9ZufJvLifre"><sup>1</sup></a>; apigenin<sup>&#11030;</sup> (reduced inflammation)<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFD2010&amp;filename=XXYY201003012&amp;uniplatform=OVERSEA&amp;v=5GixkPZMCcY63-yXSdqRdZL3TVeDUa43yjTbNlZtmBNV7UuToxvP-rhA4NqrWrN_"><sup>1</sup></a>; mangiferin<sup>&#11030;</sup> (reduced neurological deficits when given before ischemia)<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFDLAST2018&amp;filename=JYJY201807073&amp;uniplatform=OVERSEA&amp;v=Z9XoM6NbjyuRaD92-AC7823oJ_pOHrWhyA9Xgj-i9U2wsvL3RJRG8icDzra6gChK"><sup>1</sup></a>; shikonin<sup>&#11030;</sup> (reduced infarct size and oxidative stress)<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CDFD&amp;dbname=CDFD1214&amp;filename=1013287772.nh&amp;uniplatform=OVERSEA&amp;v=xd2oHwkJ1PuwHmrlQcFjcQoKh33bWeUn-AbjNp-9_XW0q9WHDvJh-LBvaTiYB_cJ"><sup>1</sup></a>; trifluoro-icaritin (reduced neurological deficits and infarct size)<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFDLAST2018&amp;filename=GNYX201703002&amp;uniplatform=OVERSEA&amp;v=kes0C1A7PDejef_ouS-I5O5jiz80ZgBQHbS9_Sxcy2fvbC-skrqrwd9ERnO1-3tw"><sup>1</sup></a>.</p><p><strong>Alkaloids</strong> <strong>&amp; related plant compounds</strong> &#8212; berberine<sup>&#11030;</sup> (reduced infarct size and cell death)<a href="https://elibrary.ru/item.asp?id=17811294"><sup>1</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/34483445/"><sup>2</sup></a><sup>,</sup><a href="https://pesquisa.bvsalud.org/portal/resource/pt/biblio-1369119"><sup>3</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFDLAST2016&amp;filename=ZGYK201512012&amp;uniplatform=OVERSEA&amp;v=5_xcPHLaVE65Nu-SHqab-B6i0diP6hflBNlYRiqbjzFC_ep9rmIAz6WQuDg-X0GH"><sup>4</sup></a>; evodiamine<sup>&#11030;</sup> (reduced infarct size)<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CMFD&amp;dbname=CMFD201302&amp;filename=1013287233.nh&amp;uniplatform=OVERSEA&amp;v=a9IWNuZ_eNXwEzL8HnhxZdysR9Z8Wf6JWBosVTlagEHof15Q0E6Viu4JY10XNCWk"><sup>1</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CPFD&amp;dbname=CPFDLAST2016&amp;filename=ZGZP201509001077&amp;uniplatform=OVERSEA&amp;v=phTITwxJLTkZ0bJr4JPPJJzryBjcdDw1nEky7e8UAnop3EjI-7QUfJEmTxNr9BPLgaLH15UHgwc%3d"><sup>2</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CPFD&amp;dbname=CPFDLAST2016&amp;filename=ZHYX201509002101&amp;uniplatform=OVERSEA&amp;v=9YEUbEbvJSozs9r4G-bfkNhUAlMCwHyFFEy7patU9NiH8VRumv6STQGiJELsBx26q-vJt7YIJZE%3d"><sup>3</sup></a>; rutaecarpine<sup>&#11030;</sup> (improved movement and raised neurotrophic factors)<a href="https://pubmed.ncbi.nlm.nih.gov/29420916/"><sup>1</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFD2012&amp;filename=YLBS201203043&amp;uniplatform=OVERSEA&amp;v=k_PG11vVcC9SW3XRzamDt13VE6KdCCKHVYoYSxIqKPB6ndwgTwkBH5RkIDCEJ8KI"><sup>2</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CPFD&amp;dbname=CPFD0914&amp;filename=ZGYS201207005052&amp;uniplatform=OVERSEA&amp;v=dgox6LOIkrvFaArDaMcSb9jpEm0Q0h1SW4k2VcHjuNBxTa-mIWKHix2E-JXB-8puyOCF4Dm0rgo%3d"><sup>3</sup></a>; cynandione A<sup>&#11030;</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CDFD&amp;dbname=CDFD1214&amp;filename=1013232769.nh&amp;uniplatform=OVERSEA&amp;v=rxCTBf7epUrJKP6sl8DP6imqqNdYGc54rjT5zeQk2-KmR2p-sz8nshGnVToEkzQn"><sup>1</sup></a>; vinpocetine<sup>&#11030;</sup> (reduced infarct size and inflammation)<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CDFD&amp;dbname=CDFDLAST2018&amp;filename=1018110171.nh&amp;uniplatform=OVERSEA&amp;v=XVK6_xzkcGo0qEnd2chdWuULoJ_S9u_b8dT1iVRyrr6iZtxxZEEhEUUkHLceW9F1"><sup>1</sup></a>; sinomenine<sup>&#11030;</sup> (reduced inflammation)<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CDFD&amp;dbname=CDFDLAST2019&amp;filename=1019170410.nh&amp;uniplatform=OVERSEA&amp;v=E-D4omALZ_0anhodRIBCaTnrc3CLzOdwQGsrYdd523Nc77Gm7L0GjotUZ4hSMAKB"><sup>1</sup></a>; piperine<sup>&#11030;</sup> (reduced injury)<a href="https://pubmed.ncbi.nlm.nih.gov/30579855/"><sup>1</sup></a>; carvacrol<sup>&#11030;</sup> (reduced injury)<a href="https://oversea.cnki.net/KCMS/detail/detail.aspx?dbcode=CMFD&amp;dbname=CMFD202001&amp;filename=1019850871.nh&amp;uniplatform=OVERSEA&amp;v=bhNKCPiQeSb8bf6aNIRRIILX4GkOVi_nRmsQd7dxk8gs8aDBqCK7GUjk2RchhAeY"><sup>1</sup></a>.</p><p><strong>Terpenoids, saponins &amp; quinones</strong> &#8212; astragaloside IV<sup>&#11030;</sup> (protected neurons and reduced cell death)<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFDLAST2017&amp;filename=JZYB201705009&amp;uniplatform=OVERSEA&amp;v=MnOzM2f6yB8i4-qy9_V1-X4TNMGRR_tVazzKw9q1H98W535wge-SlabXSzdsfklv"><sup>1</sup></a><sup>,</sup><a href="https://oversea.cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFDLAST2019&amp;filename=ZGDX201904008&amp;uniplatform=OVERSEA&amp;v=l44HLyhBn5aEf-TVvcwwvJnTlN18Im90SUeXUsifbSOgwOgSAZD7zhXgIWxj8j-c"><sup>2</sup></a><sup>,</sup><a href="https://oversea.cnki.net/KCMS/detail/detail.aspx?dbcode=CDFD&amp;dbname=CDFDLAST2020&amp;filename=1019675006.nh&amp;uniplatform=OVERSEA&amp;v=pk24Px9Z6NL6_vhppzjCkefT4rEotvvGabn-QX-5JY6UiEJrC42xiAN7YPDJ4CjQ"><sup>3</sup></a><sup>,</sup><a href="https://pesquisa.bvsalud.org/portal/resource/pt/wpr-857368"><sup>4</sup></a><sup>,</sup><a href="https://oversea.cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFDLAST2019&amp;filename=YAOL201904015&amp;uniplatform=OVERSEA&amp;v=XhZ9rz6lO6HdkkNxMxFg59SkbwP4FoOtpTlGNDAVCyBg5WqNP9SZKY2yAbIjEzmI"><sup>5</sup></a>; celastrol<sup>&#11030;</sup> (reduced neurological deficits and infarct size)<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CMFD&amp;dbname=CMFD201301&amp;filename=1012418118.nh&amp;uniplatform=OVERSEA&amp;v=CNU4tJaRU2LyITbGbTxhyOY9j5X3M3P4iktTeU9h00Huo8lAYXTIcz66giT2BrOx"><sup>1</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFDLAST2015&amp;filename=ZQYK201501008&amp;uniplatform=OVERSEA&amp;v=foPsE7JGnwVdu--cP8LXS7U89Oqom0WYJM0PUzfgDE4xyXyQ43NK9oeHxHLgR2lr"><sup>2</sup></a>; the cembranoid 4R<sup>&#11030;</sup> (reduced infarct size and cell death)<a href="https://pubmed.ncbi.nlm.nih.gov/25677097/"><sup>1</sup></a>; ginsenoside Rb1<sup>&#11030;</sup> (reduced neuronal death)<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CDFD&amp;dbname=CDFDLAST2015&amp;filename=1015597272.nh&amp;uniplatform=OVERSEA&amp;v=KpvPp0-JheueouL3nGCd_qsydr4tBdRWWUGeZhGci-y-z6TbfWbqgyDo6ywqz5jI"><sup>1</sup></a>; bilobalide<sup>&#11030;</sup> (reduced neurological deficits and infarct size)<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFDLAST2017&amp;filename=GNYX201702004&amp;uniplatform=OVERSEA&amp;v=kes0C1A7PDcnP6QNnw5RtxYbjbIEXrkW0_u8K9wemF-yf__8Upfa-jWYwvUhtNi8"><sup>1</sup></a>; tanshinone IIA<sup>&#11030;</sup> (reduced infarct size when given after stroke)<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CMFD&amp;dbname=CMFD201301&amp;filename=1012455692.nh&amp;uniplatform=OVERSEA&amp;v=07q5zI-EIp5pWg5G2Iv4iaX8ZU4kIR46J-dJyTbpENtYUztaWDbOTYA-3wIsmwRU"><sup>1</sup></a>; sulforaphane<sup>&#11030;</sup> (reduced infarct size and inflammation)<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CDFD&amp;dbname=CDFDLAST2017&amp;filename=1017843293.nh&amp;uniplatform=OVERSEA&amp;v=z-5f-WZwgYmgwg5gOT9ySn-xqau32z9tZI2ufldTbwbkxFBuMBHuy-tN3p9txdAb"><sup>1</sup></a>; triptolide<sup>&#11030;</sup> (reduced infarct size, swelling, and neurological deficits)<a href="https://pubmed.ncbi.nlm.nih.gov/28087909/"><sup>1</sup></a>; picroside<sup>&#11030;</sup> (protected mitochondria and reduced cell death)<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CMFD&amp;dbname=CMFD201801&amp;filename=1017724785.nh&amp;uniplatform=OVERSEA&amp;v=PHVXVPYZSWMeRQqdM9ARDYvj_cBobcH5_5ZfzCkYUj0BBM8KZcRQNeBTZ4ljd_03"><sup>1</sup></a>; ursolic acid<sup>&#11030;</sup> (reduced infarct size and improved neurological scores)<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CDFD&amp;dbname=CDFD0911&amp;filename=1011157826.nh&amp;uniplatform=OVERSEA&amp;v=fc-nz-ef4HXquBsGZr3JXOzcZVo0Hb0D3E2S-W5jXZOsm-ADG1DkImumjiALynF_"><sup>1</sup></a>; Z-guggulsterone<sup>&#11030;</sup> with boswellic acid<sup>&#11030;</sup> (improved neurological function and promoted new blood-vessel growth)<a href="https://pesquisa.bvsalud.org/portal/resource/pt/wpr-817394"><sup>1</sup></a>; salvinorin A<sup>&#11030;</sup> (reduced inflammation and swelling and protected the blood-brain barrier)<a href="https://pubmed.ncbi.nlm.nih.gov/34596819/"><sup>1</sup></a><sup>,</sup><a href="https://xuebao.shsmu.edu.cn/CN/10.3969/j.issn.1674-8115.2015.12.005"><sup>2</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFDLAST2016&amp;filename=YYCY201531003&amp;uniplatform=OVERSEA&amp;v=KtTej3dPeo0uNTPm9MzGk4hhAr16RLCzdmGU4kznsGBFj6pyd4fZyBTLg9tHXRw8"><sup>3</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFDLAST2016&amp;filename=SHEY201512008&amp;uniplatform=OVERSEA&amp;v=kc2hdWCOypkpMiZRim_gdGYhxBwJkEchk_l59NE9cLjTXKhKhBFxe7C8dkIPNLGF"><sup>4</sup></a>; herkinorin (reduced brain swelling and improved neurological function)<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFDLAST2017&amp;filename=SDYD201703003&amp;uniplatform=OVERSEA&amp;v=M4ZMDYfgLbw_tkR8znNQVJuuSIoCv9T_oOR0B_uYaFVN9a1a8XavTyoYxpdDjx59"><sup>1</sup></a><sup>,</sup><a href="https://journal03.magtech.org.cn/Jweb_sdykdxxb/EN/10.3969/j.issn.1006-7795.2017.03.002"><sup>2</sup></a>.</p><p><strong>Whole-herb &amp; multi-herb extracts</strong> &#8212; kava extract<sup>&#11030;</sup> (reduced cell injury and inflammation)<a href="https://repositorio.usp.br/item/001390218"><sup>1</sup></a>; Gastrodia elata extract<sup>&#11030;</sup> (reduced infarction by shifting immune cells toward healing)<a href="https://pubmed.ncbi.nlm.nih.gov/39391701/"><sup>1</sup></a>; Ptychopetalum olacoides extract<sup>&#11030;</sup> (protected brain tissue from oxygen deprivation)<a href="https://pubmed.ncbi.nlm.nih.gov/15302233/"><sup>1</sup></a>; Angelica sinensis extract<sup>&#11030;</sup> (improved neuronal survival and regrowth)<a href="https://pubmed.ncbi.nlm.nih.gov/34090910/"><sup>1</sup></a>; Ginkgo biloba extract<sup>&#11030;</sup> (prolonged survival and reduced injury)<a href="https://xb.xzhmu.edu.cn/cn/article/pdf/preview/20133307001%E6%9D%8E%E6%A2%85.pdf"><sup>1</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/22212488/"><sup>2</sup></a>; Viola spathulata extract<sup>&#11030;</sup> (reduced infarct size)<a href="https://pubmed.ncbi.nlm.nih.gov/36589019/"><sup>1</sup></a>; Zhenbao Pill<sup>&#11030;</sup> (reduced inflammation and cell death)<a href="https://pubmed.ncbi.nlm.nih.gov/37980552/"><sup>1</sup></a>; Qing-Nao-Tong-Luo Recipe<sup>&#11030;</sup> (reduced infarct size and improved neurological function)<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CDFD&amp;dbname=CDFDLAST2016&amp;filename=1016208735.nh&amp;uniplatform=OVERSEA&amp;v=8v8f5I6BcBmEprj_O5dvGuPnhQxB3Y4XXDZbpT7OI_Au4-kfRP2mNth6weSD_8hE"><sup>1</sup></a>; Tongxinluo<sup>&#11030;</sup> (protected the blood-brain barrier and circulation)<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CDFD&amp;dbname=CDFDLAST2018&amp;filename=1018193742.nh&amp;uniplatform=OVERSEA&amp;v=ltCLm59gQhS4wGrwTYhKp9dUVWL4FDMfPaAX8WTo30W2auu3A-BEbtZPY6w_AJzx"><sup>1</sup></a>; Shenmai injection<sup>&#11030;</sup> (reduced deficits and infarct size)<a href="https://pubmed.ncbi.nlm.nih.gov/26591368/"><sup>1</sup></a>.</p><p><strong>Other natural compounds</strong> &#8212; stilbazulenyl nitrone<sup>&#11030;</sup> (was highly neuroprotective as an antioxidant)<a href="https://pubmed.ncbi.nlm.nih.gov/12953265/"><sup>1</sup></a>; docosahexaenoic acid<sup>&#11030;</sup> (protected brain cells from oxygen deprivation)<a href="https://www.researchgate.net/publication/355656840_DOCOSAHEXAENOIC_ACID_PROTECTS_RAT_ASTROCYTES_FROM_OXYGEN-GRUCOSE_DEPRIVATIONREPERFUSION_INJURY_BY_ACTIVATING_PPARg_AND_DOWNSTREAM_ANGTIE2_AND_PI3KAKT_SIGNALING_PATHWAYS"><sup>1</sup></a>.</p><h2>Synthetic &amp; pharmacological agents</h2><p><strong>Kinase &amp; MAPK-pathway inhibitors</strong> &#8212; an ERK inhibitor (improved survival and protected mitochondria after cardiac arrest, and reduced infarct size)<a href="https://oversea.cnki.net/KCMS/detail/detail.aspx?dbcode=CDFD&amp;dbname=CDFDLAST2020&amp;filename=1020068763.nh&amp;uniplatform=OVERSEA&amp;v=rqNEvredLBM_rDUtPui5nf2PvWGo7hUKCarcJNy7BWpFEKK5sbxYxtl6NMDzdumX"><sup>1</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/32214796/"><sup>2</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/33517223/"><sup>3</sup></a><sup>,</sup><a href="https://oversea.cnki.net/KCMS/detail/detail.aspx?dbcode=CMFD&amp;dbname=CMFD202002&amp;filename=1020068942.nh&amp;uniplatform=OVERSEA&amp;v=pynjWLQ-HouBex50283aaCd-eCoKlngE48oAeMxYNnZXG5OTzQLHenIxd3FWCM-4"><sup>4</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CMFD&amp;dbname=CMFD201401&amp;filename=1013341421.nh&amp;uniplatform=OVERSEA&amp;v=TElWaRclAwgNIR5hPBQaxanIefnm8d0ix_V8yVuXxmniJkYFzQvhq5jLLNZGkE0Y"><sup>5</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CMFD&amp;dbname=CMFD201501&amp;filename=1015516583.nh&amp;uniplatform=OVERSEA&amp;v=wIX39dbCQkKhRUhYb4noS7XGmPvSuSJbd0iiuGVZlY2mwMb8WWC0K_ugyxZxmeJh"><sup>6</sup></a>; a PI3K inhibitor (reduced injury in diabetic brain injury)<a href="https://oversea.cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFDLAST2019&amp;filename=SDYY201914009&amp;uniplatform=OVERSEA&amp;v=C1d8RYo4Vv9Ha7b6iCeRLMJ-FsSrGh5n1xehWP-yjyPFgVBSHV-avRQtxdYvUY0e"><sup>1</sup></a>; a p38 MAPK inhibitor (reduced cell death and swelling and improved neurological function)<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CMFD&amp;dbname=CMFD201801&amp;filename=1017235090.nh&amp;uniplatform=OVERSEA&amp;v=tmshwUG78_56YE1wifjfZLZdJFP8TBCfwj8E4esWN79ZY6be7dPKght_ded3eVVY"><sup>1</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/34469698/"><sup>2</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFDLAST2018&amp;filename=JPXZ201801013&amp;uniplatform=OVERSEA&amp;v=Uq1DzUe4MQrmgixJvf-7-yrrEp9U5U0REZjLcSaanyyQxPC0NY-3thgkppwrqY6p"><sup>3</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CDFD&amp;dbname=CDFDLAST2017&amp;filename=1016131671.nh&amp;uniplatform=OVERSEA&amp;v=fnTnOSzpTltBBmWrssRzhiNB6FgQPo8XevhKpmaPB7j31VRNlJcZZ4Ct2joUuwFN"><sup>4</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CMFD&amp;dbname=CMFD201601&amp;filename=1015985782.nh&amp;uniplatform=OVERSEA&amp;v=LaNH3srZtGUt-0pmXQo9C1isZSigX7Oqt3f2IPv8D0oueEauINRWyzksXKcv6gOu"><sup>5</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CMFD&amp;dbname=CMFD201501&amp;filename=1014393083.nh&amp;uniplatform=OVERSEA&amp;v=zA4gNBsp16BtJ0GdDQbiG0gqy4VWubl6BU9OplCfQs21vTz-34S8IJ1W1gaawXXY"><sup>6</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFD2013&amp;filename=ZFSJ201308007&amp;uniplatform=OVERSEA&amp;v=r1X3UdQ3XqYsukVBGURSEIT5i7ytfSLub47EQaPMmBrd_e9L4cJoP8gKA_7vcSNP"><sup>7</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFD2014&amp;filename=JCYL201403027&amp;uniplatform=OVERSEA&amp;v=kps4Lzleyaz_RtJVeGJdv4fAbPWPf6u33PPNxUyP_YQAPKZDchzKI7uPB6r2GWpc"><sup>8</sup></a>; a JNK inhibitor (protected neurons and improved survival)<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CMFD&amp;dbname=CMFD201701&amp;filename=1016316660.nh&amp;uniplatform=OVERSEA&amp;v=mpXqX1GeE-_TNAuBN7Of8VjXQruiRN9Rv18S9ZAvq8QH0-0ARFZ58tcuGZmKnP1S"><sup>1</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFD2007&amp;filename=DSJY200720008&amp;uniplatform=OVERSEA&amp;v=xBPYNFWZPz1fVQGoz0a8iXFZH0oZrdiGoeIS7awGIZxWZevpbItEw5FCTv6fNpn8"><sup>2</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFD2011&amp;filename=ZHTY201106010&amp;uniplatform=OVERSEA&amp;v=xm2xqc4AJtt5zQu6p-OkDe_1peCTZeBbAoRap7HlxnG3K_3rrVbFBq-ngyB70tyo"><sup>3</sup></a>; rapamycin (reduced infarct size)<a href="https://pubmed.ncbi.nlm.nih.gov/25814258/"><sup>1</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CDFD&amp;dbname=CDFDLAST2015&amp;filename=1015033296.nh&amp;uniplatform=OVERSEA&amp;v=p0pkDKnpe1gTI4dD4SAA-ce18V62RrP9oKyOOChpeyLC8PMKTGWGyjH7PVAeIlgs"><sup>2</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CMFD&amp;dbname=CMFD201601&amp;filename=1016000325.nh&amp;uniplatform=OVERSEA&amp;v=uQB_qVLfDiAb_Iqal-OBORZhrpk_uWK1rTCtOYqteTNPp4Z_mAgkwFGD_UZBKCU9"><sup>3</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CDFD&amp;dbname=CDFDLAST2018&amp;filename=1017061480.nh&amp;uniplatform=OVERSEA&amp;v=bNNb2sQvyCnMUG4fbfvc7Os5AlHhfy4zFcwF38gOn77Dd2e0YiyvRnumCifx6lHf"><sup>4</sup></a>; Mdivi-1 (reduced oxidative stress and cell death)<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CMFD&amp;dbname=CMFD201402&amp;filename=1014302954.nh&amp;uniplatform=OVERSEA&amp;v=ZzU5Ps7ap7YH8PGWJqeXoT8Mei0RXoQwZwIBfQ264qVTv7_U8FvApy0YjxAsE65R"><sup>1</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CMFD&amp;dbname=CMFD201402&amp;filename=1013228697.nh&amp;uniplatform=OVERSEA&amp;v=T_93fEAHH_foNx6YfQeDz0kpwZSa64ruNT-oqXtXf_PAGq1Wios5Gu6jjUJA3SSi"><sup>2</sup></a>; a STAT3 inhibitor (reduced injury)<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CMFD&amp;dbname=CMFD201601&amp;filename=1015375179.nh&amp;uniplatform=OVERSEA&amp;v=XUz5jhbIYUrJCaGe0R3N9Pzc17b73Pf8LtG3DbzMslKAcESmrbtkzLu6gqNawUi5"><sup>1</sup></a>; anisomycin (improved neuronal survival)<a href="https://pubmed.ncbi.nlm.nih.gov/35603649/"><sup>1</sup></a>; a PTEN inhibitor (promoted neuronal repair)<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CPFD&amp;dbname=CPFD0914&amp;filename=SDKX201309001035&amp;uniplatform=OVERSEA&amp;v=pqOpVPJhI1ypAJoYvOl5C7QnK-svmux0Nkw8aPWFl8uTt5BKhKQIZ8CL5mEOWtAgpMD64hYoX_A%3d"><sup>1</sup></a>; HIF prolyl-hydroxylase inhibitors (induced protective autophagy)<a href="https://pubmed.ncbi.nlm.nih.gov/32005890/"><sup>1</sup></a>; bosutinib (reduced infarct size and inflammation)<a href="https://europepmc.org/article/med/37308439"><sup>1</sup></a>; a TAK1 inhibitor (improved neurological scores and reduced infarct size)<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFD2014&amp;filename=XBGY201403013&amp;uniplatform=OVERSEA&amp;v=IDtmmg0kKjui5ADPDzQK1vZ4YB2GONl9YVI2vBALgtDnY09rKhvmj9CucXOLeJWg"><sup>1</sup></a>; 5&#8217;-deoxy-5-iodotubercidin (reduced infarct size by up to 57%)<a href="https://pubmed.ncbi.nlm.nih.gov/9059845/"><sup>1</sup></a>; 2-Cl-MGV-1 (promoted new blood-vessel growth)<a href="https://pubmed.ncbi.nlm.nih.gov/37988123/"><sup>1</sup></a>.</p><p><strong>Cell-death &amp; protease inhibitors</strong> &#8212; caspase inhibitors (reduced infarct size and cell death)<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFD2005&amp;filename=DEJD20050300T&amp;uniplatform=OVERSEA&amp;v=e71b6sR40nf-KJ_wGEpNoJVdxQk6PBTLTfokGAcXp3JML28wqkvgyvQ5S5R5cW5U"><sup>1</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CMFD&amp;dbname=CMFD201801&amp;filename=1018057446.nh&amp;uniplatform=OVERSEA&amp;v=gcoYwGDW_8uKFpVcOp7ig7ALZiCoGdcoGU66V3I6WndIiL81HFOtNGbnoqTT4Kbh"><sup>2</sup></a><sup>,</sup><a href="https://oversea.cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFDLAST2019&amp;filename=HAIN201920001&amp;uniplatform=OVERSEA&amp;v=Lup4rwVaiuVFq7VK3oqVGbHBT8AVTkR4-bgtSLQ8jHVHhJ2cELuthKJc5dgrIql3"><sup>3</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CMFD&amp;dbname=CMFD201601&amp;filename=1015422441.nh&amp;uniplatform=OVERSEA&amp;v=QX8w_jxX-QpGoAe9ghM3GwsdQ0KTVhyMjAiQDoxjNHHMiLI8mFsVh6iRFoIPpG68"><sup>4</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFD2012&amp;filename=GWSK201203007&amp;uniplatform=OVERSEA&amp;v=gwvl7gEI_dgFSOoEBkzYJ7htyKojg8uJO3ovQ2ZA7l6i4NhkrQC0LUx1OHIm1-aj"><sup>5</sup></a>; cathepsin inhibitors (reduced infarct size and cell death)<a href="https://pubmed.ncbi.nlm.nih.gov/16763180/"><sup>1</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CMFD&amp;dbname=CMFD201501&amp;filename=1014396762.nh&amp;uniplatform=OVERSEA&amp;v=zsfeOdgFFBXQMdB9WNWVexSb9Ewu_voZRBfXjw4JWiPAk5cfGfHySUBt_IcWF5Wc"><sup>2</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CMFD&amp;dbname=CMFD201601&amp;filename=1015422446.nh&amp;uniplatform=OVERSEA&amp;v=QX8w_jxX-Qqgl0Ep__vJREClDX4uCcAulqQL3pMJJFir9ZaW3h9CnMWlV-t4uNkD"><sup>3</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CMFD&amp;dbname=CMFD201401&amp;filename=1013341430.nh&amp;uniplatform=OVERSEA&amp;v=TElWaRclAwj7AkO_ogfgUCSjAtNNyoFSAd5ve3oIICnTstzYyN_hgFutI93mRSey"><sup>4</sup></a>; a Notch/&#947;-secretase inhibitor (drove stem cells toward neurons and aided post-stroke regrowth)<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CMFD&amp;dbname=CMFD201301&amp;filename=1012446883.nh&amp;uniplatform=OVERSEA&amp;v=4vsRn9oVh66-LjC5mn1DWtw5NsNFMGQkP1N-iUx9k3Ds4f4ovJLCEhLYbYQe1Suo"><sup>1</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CMFD&amp;dbname=CMFD201402&amp;filename=1014296421.nh&amp;uniplatform=OVERSEA&amp;v=SwOACvlmGhwAkKIxZCYgVnJ5uDn4DUEOkdGYCMNxzEklb3k86M_e1XxrV6DW7jdK"><sup>2</sup></a>; necrostatin-1 (reduced necroptosis and improved myelination and memory)<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CMFD&amp;dbname=CMFD201801&amp;filename=1017113854.nh&amp;uniplatform=OVERSEA&amp;v=7ijBMBBRxNCUbJgXUnbC1Xr_syYxGhpKxDBYaooyDdX0HMnQMp6OWC8tA_y8HOOm"><sup>1</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFDLAST2023&amp;filename=XZYX201506003&amp;uniplatform=OVERSEA&amp;v=vy13_Kw_y2jyGOhGYzUAzPTFe9qNl-uyAj3O7gtczuuBFm66_v2q5f92XgxABF6V"><sup>2</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFDLAST2019&amp;filename=ZFSJ201812007&amp;uniplatform=OVERSEA&amp;v=YQlws5z7huXV4eC_1zvm7-ubBwvc9UF7UFBctSEDa8cmBr-dK0uIBaNkeb-Hhnam"><sup>3</sup></a>; cyclosporin A (protected neurons)<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CMFD&amp;dbname=CMFD201801&amp;filename=1017840338.nh&amp;uniplatform=OVERSEA&amp;v=UtvOICTKVhTZLhW7vWmaYM85LMyxJ-vf_bd6L4Q_dIAODUR5RBnG-osItW8-nhBb"><sup>1</sup></a>; a calpain inhibitor (reduced cell death and injury)<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFDLAST2015&amp;filename=ZYCX201529007&amp;uniplatform=OVERSEA&amp;v=5xCEDc7WdNiARdzFNVPcdp98-q1P3f_yvRV8ndGuszRqEUUqPagccAMEiZQtTkvb"><sup>1</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFDLAST2015&amp;filename=ZYCX201528007&amp;uniplatform=OVERSEA&amp;v=5xCEDc7WdNihsAv2ZuKEl6Yzei1i1BlT0Zy9LmqKMfmrDI8xqJUt_LCmXEUJpn8o"><sup>2</sup></a>; a PARP inhibitor (reduced infarct size)<a href="https://pubmed.ncbi.nlm.nih.gov/9390644/"><sup>1</sup></a>; thalidomide (reduced infarct size and cell death)<a href="https://pubmed.ncbi.nlm.nih.gov/25818676/"><sup>1</sup></a>.</p><p><strong>HDAC &amp; epigenetic inhibitors</strong> &#8212; an HDAC inhibitor (trichostatin A) (reduced infarct size and inflammation)<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CDFD&amp;dbname=CDFD0911&amp;filename=1011177517.nh&amp;uniplatform=OVERSEA&amp;v=iFr6Roqf2X6DU4CUEKuWLSJSOh-3MIUfuddehtzwOmfuT5V3R_8AroqqAFb3gLZL"><sup>1</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFD2012&amp;filename=HNYD201204012&amp;uniplatform=OVERSEA&amp;v=hVSsa8ubmeJF-qCfQumXJxYu-juVGV46AqoheDx48RbP4MbucJONN20zfhmtcp8v"><sup>2</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/22561570/"><sup>3</sup></a>; an HDAC inhibitor (SAHA) (reduced infarct size by up to 57%)<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CMFD&amp;dbname=CMFD201501&amp;filename=1015002287.nh&amp;uniplatform=OVERSEA&amp;v=PRc8GoyHoWWPkOJi6q4tYT6Fq2d_lW9tyPuYlRz3iumfaBZP-Y4J7TtrsgWow_1Z"><sup>1</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CDFD&amp;dbname=CDFDLAST2017&amp;filename=1017186702.nh&amp;uniplatform=OVERSEA&amp;v=RxBWFaPTOLQvncU3Wvrf7r2_nX7Tz9mnTFt5z8HDGpE5bAReo7vTCJ4-5m0y3A6Z"><sup>2</sup></a>; an HDAC inhibitor (MS-275) (reduced infarct size)<a href="https://onlinelibrary.wiley.com/doi/abs/10.1111/jnc.12498"><sup>1</sup></a>; an HDAC inhibitor (TSA) (reduced infarct size and inflammation)<a href="https://europepmc.org/article/med/22561570"><sup>1</sup></a>; an EZH2 inhibitor (improved coordination and reduced injury)<a href="https://doi.org/10.1016/j.brainresbull.2020.12.019"><sup>1</sup></a>.</p><p><strong>Nuclear-receptor &amp; metabolic modulators</strong> &#8212; pioglitazone (reduced neurological deficit, swelling, and inflammation)<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFD2012&amp;filename=GAYX201223015&amp;uniplatform=OVERSEA&amp;v=1Ubys5o27QA9Sr-L4N9rPSLvkZPG82CwotFCnQS73M5UjKjxF6dHRWpUjEIdHpyw"><sup>1</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFD2013&amp;filename=ZDYS201304003&amp;uniplatform=OVERSEA&amp;v=23OcE9a5MOhEnEk7dA0l9YHO24VLavfwAcjdtILAXbkmDrx44xuqvzF5Wf__ua24"><sup>2</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CMFD&amp;dbname=CMFD201401&amp;filename=1013379544.nh&amp;uniplatform=OVERSEA&amp;v=Nr4yeIVi7vHYms1koy62mCPyq5SYk1PZ0IYNm1W96QsJNbaGANDA0OF_7Bv7dAZf"><sup>3</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFD2013&amp;filename=LCSJ201302018&amp;uniplatform=OVERSEA&amp;v=ed2ftN9KIXskhBqt6tncyjQa15vwR0jAZ8Iu-wO1mnM7y7feL_h_0mM9fHmQBa5l"><sup>4</sup></a>; all-trans retinoic acid (reduced infarct size as a post-treatment)<a href="https://europepmc.org/article/med/24796737"><sup>1</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/24796737/"><sup>2</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFD2014&amp;filename=XBFM201405003&amp;uniplatform=OVERSEA&amp;v=4Vma07csyFGlLvs3XTHhVjI2rRCwvzIaUclItR6ey2rqRvqUdMP0B-vsc6EmiD0W"><sup>3</sup></a>; a PPAR&#947; inhibitor<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CMFD&amp;dbname=CMFD201302&amp;filename=1013287151.nh&amp;uniplatform=OVERSEA&amp;v=tcql7iYygI6NuFfa3r2_JMx-jKg12VoVxAVw4F-3Jn6WRdRSQTw49ZuR4FVvYBpG"><sup>1</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CDFD&amp;dbname=CDFD1214&amp;filename=1012418423.nh&amp;uniplatform=OVERSEA&amp;v=D0z4TwE7j-iEpT0hX0sr_LqCJqbEDqIO4jmg9jn1Pzy_3SULRkvTRFHDDjJN3WDO"><sup>2</sup></a>; LXR agonists (reduced infarct size)<a href="https://accedacris.ulpgc.es/bitstream/10553/76386/1/Protective_role_LXR.pdf"><sup>1</sup></a>; rosiglitazone (reduced infarct size, and in DMSO cut it by roughly half where DMSO alone was inert)<a href="https://pubmed.ncbi.nlm.nih.gov/17910613/"><sup>1</sup></a>; a thyronamine analog (induced protective hypothermia)<a href="https://elibrary.ru/item.asp?id=46300531"><sup>1</sup></a>; a PPAR&#945; agonist (bezafibrate)<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CMFD&amp;dbname=CMFD2012&amp;filename=1012352286.nh&amp;uniplatform=OVERSEA&amp;v=zfZCbRMljhJujkX8jSFa3aQ-_DqhIqdyJyAJV7r1f1mVocE7OuC_kyQV4MOgik1k"><sup>1</sup></a>; an SGLT2 inhibitor (empagliflozin) (reduced microvascular injury)<a href="https://pubmed.ncbi.nlm.nih.gov/40173314/"><sup>1</sup></a>; an Nrf2 activator<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CMFD&amp;dbname=CMFD201801&amp;filename=1017843718.nh&amp;uniplatform=OVERSEA&amp;v=paNL6LYTETX_CQUeFiOT1mPw8abDoe21VaGhv7jowru6BaQr4reIn6d2roFqeaWg"><sup>1</sup></a>; an ALDH2 activator<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CMFD&amp;dbname=CMFD201402&amp;filename=1014345977.nh&amp;uniplatform=OVERSEA&amp;v=YlQXKP1ydrBOqzG2IB1WbQ9bv3pwdxjXGgJ7QMOwcPuezADgAWYbbTbLKKGZEQ_u"><sup>1</sup></a>.</p><p><strong>Receptor ligands &amp; ion-channel modulators</strong> &#8212; an adenosine A1 agonist (improved outcomes and reduced injury)<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFD2012&amp;filename=ZZXJ201203029&amp;uniplatform=OVERSEA&amp;v=QaiX9hvO52m-PjDJ40lAhdtqypU2izfy85NeX3whJrx83GQFP5NGVecfWYUFuSCF"><sup>1</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/23660326/"><sup>2</sup></a><sup>,</sup><a href="https://europepmc.org/article/med/22686090"><sup>3</sup></a><sup>,</sup><a href="https://europepmc.org/article/med/23660326"><sup>4</sup></a>; an &#945;7-nicotinic modulator (reduced damage after stroke)<a href="https://pubmed.ncbi.nlm.nih.gov/40012683/"><sup>1</sup></a>; dexmedetomidine (reduced mitochondrial fission and cell death)<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFDLAST2018&amp;filename=LCMZ201807024&amp;uniplatform=OVERSEA&amp;v=1jg_XoA5Kz61xbWUNj672Ndu21U9j4et_joS6-mt95vuEobqeUUIKyyjLPdGHYDK"><sup>1</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFDLAST2018&amp;filename=BATE201802008&amp;uniplatform=OVERSEA&amp;v=_FP5iQlWgGxbtJix1AehlOolYZRVeJHg91qKLWspBz24JJFCM5fspLe0HVpLQuRG"><sup>2</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CDFD&amp;dbname=CDFDLAST2018&amp;filename=1018156493.nh&amp;uniplatform=OVERSEA"><sup>3</sup></a>; octanol, a gap-junction blocker (reduced infarct size after longer ischemia (worsening it after brief ischemia))<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFD2013&amp;filename=LCSJ201305015&amp;uniplatform=OVERSEA&amp;v=ed2ftN9KIXv5jtup7fyQnnR2MG-vwFAEMQdPJnLM3xwVmadxJG28sfigqxO9T3Ye"><sup>1</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/9384404/"><sup>2</sup></a><sup>,</sup><a href="https://oversea.cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFDLAST2019&amp;filename=LNXG201908021&amp;uniplatform=OVERSEA&amp;v=LK26DAGakB82S7UZ-4ve1mHdnHw0LXqcIw028QRcK-DUbl-0bqTixVC671bchSVp"><sup>3</sup></a>; a TRPC1 blocker (reduced calcium overload and cell death)<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CMFD&amp;dbname=CMFD201901&amp;filename=1018864275.nh&amp;uniplatform=OVERSEA&amp;v=LyxlTgsi30t3yyP5NzvwBFwr-BaTSE2BejXj3k2GqmzMTk1AJuZChUAO3mBzVJ6l"><sup>1</sup></a><sup>,</sup><a href="https://oversea.cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFDLAST2019&amp;filename=SXYX201907006&amp;uniplatform=OVERSEA&amp;v=x91StFTqK5jO31VzK6nizxG6MyRYSCg-YcYV9H4dP0eAaayYstSYb7ix1E5-VWxQ"><sup>2</sup></a>; nimodipine (improved neuronal survival)<a href="https://www.sciencedirect.com/science/article/pii/S0006899300030183"><sup>1</sup></a>; bumetanide (reduced swelling)<a href="https://pubmed.ncbi.nlm.nih.gov/30862257/"><sup>1</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CMFD&amp;dbname=CMFD201601&amp;filename=1015425435.nh&amp;uniplatform=OVERSEA&amp;v=OT4lDIrjYTURbDyfrhKgziNB2GZF2vbNq_X4TMCMC6VxH3e6i6P0OvjSYcrsblVA"><sup>2</sup></a>; an LPA2 agonist (improved survival)<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFDLAST2017&amp;filename=ZZYS201703002&amp;uniplatform=OVERSEA&amp;v=qleeDkc9461lNI-4KlGm5ShvtVWWxKfrNc7DqVZ_bjmzpW8DFCXuGVbjjzKLrcPn"><sup>1</sup></a>; a GABAA &#945;5 inverse agonist (promoted motor recovery)<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CDFD&amp;dbname=CDFDLAST2020&amp;filename=1019891645.nh&amp;uniplatform=OVERSEA&amp;v=I4uUmEHx542HieaUgPhafj0LmVaVp1PAwkKsEnVR57ArDFWgKrUAqRXTDEG649BY"><sup>1</sup></a>; a nucleoside-transporter inhibitor (reduced infarct size)<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CMFD&amp;dbname=CMFD201702&amp;filename=1017816821.nh&amp;uniplatform=OVERSEA&amp;v=bbuS0w2F9a_i0W_WpQMqKxf3eV2rLxM1A0qdH4_C6u2t7BXTemtJyY6T5HpR4HCw"><sup>1</sup></a>.</p><p><strong>Cannabinoid-system modulators</strong> &#8212; a CB1 agonist (acted through mitochondrial CB1 receptors)<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CMFD&amp;dbname=CMFD201802&amp;filename=1018880844.nh&amp;uniplatform=OVERSEA&amp;v=Z0mS19QxQlPzHbJs8Z2QS6fe95B_w-tvKYk3icZKofTOfyGrMVSyKLeeoFajOseN"><sup>1</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFDLAST2018&amp;filename=SWCX201804010&amp;uniplatform=OVERSEA&amp;v=I-T5q978cnTEa-TN0HbooarhEkeWLb6skUHn5Y5FcMPbZtXN84Zyyfo9kxu5WdvE"><sup>2</sup></a>; a CB2 agonist (reduced injury)<a href="https://pesquisa.bvsalud.org/portal/resource/pt/wpr-566835"><sup>1</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFDLAST2015&amp;filename=ZXDY201510004&amp;uniplatform=OVERSEA&amp;v=HkIXrc_OFmpSNJr6Zkk1u1ROJvVxWVTnQOQgsTVj2IGgohh2qO1ED8d6lnQ-iw8t"><sup>2</sup></a>.</p><p><strong>Hormones, steroids &amp; vitamins</strong> &#8212; estrogen (reduced infarct size and cell death)<a href="https://pubmed.ncbi.nlm.nih.gov/36933865/"><sup>1</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/30372862/"><sup>2</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/31440749/"><sup>3</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFDLAST2024&amp;filename=ZGYG201701016&amp;uniplatform=OVERSEA&amp;v=m8D_1kfvGe4QOePLuIz7g18fZGtZ0Sxwr63qLgFr67a5Ovq6h2szbpQLDZjRQr4z"><sup>4</sup></a><sup>,</sup><a href="https://lume.ufrgs.br/bitstream/handle/10183/194860/001082623.pdf?sequence=1"><sup>5</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CMFD&amp;dbname=CMFD2012&amp;filename=1012358224.nh&amp;uniplatform=OVERSEA&amp;v=sH6GqoNE1bpwXqZeTfX2B8nCRnvN0-PJJ76bfvu_CFK12qgeW1cI3qsqH8iW82eR"><sup>6</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CMFD&amp;dbname=CMFD201801&amp;filename=1017141519.nh&amp;uniplatform=OVERSEA&amp;v=2sMo9cHjjRauS5dDHf3vQGAgXP3xuRzxRb3u7SLENO2gYkJShEIxyCh3fCt1E9mT"><sup>7</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CMFD&amp;dbname=CMFD201601&amp;filename=1015808336.nh&amp;uniplatform=OVERSEA&amp;v=2P-lqPvYDrsCNm5nDqDD3dZm_Er9edNyCjoEaA2obKt6RngJjYpu_waceNh7I6XM"><sup>8</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CMFD&amp;dbname=CMFD201801&amp;filename=1017713785.nh&amp;uniplatform=OVERSEA&amp;v=nzipUryutFYs9qTDh1LcRuj79NSYkLe-UnJC_hzaT54ddDPPTgtB0g7_fPMui1ZE"><sup>9</sup></a>; progesterone (reduced infarct size and improved recovery, less so in aged animals)<a href="https://pubmed.ncbi.nlm.nih.gov/10567046/"><sup>1</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/10794300/"><sup>2</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFD2004&amp;filename=YLZL200409019&amp;uniplatform=OVERSEA&amp;v=8JbFNEeC3Amf_PA1asx29430Jmd-liP0iOhSmF20lneK5armgceq5vDTBwo3Sub9"><sup>3</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFD2001&amp;filename=ZFSJ200102002&amp;uniplatform=OVERSEA&amp;v=dABpcsYja8sCXrzoCHiZ3TCt-DgD4Xyo47n4AAQb8lZuKZBBOTIvS43UqFqCfGuc"><sup>4</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/25471043/"><sup>5</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFD2012&amp;filename=YIKE201205008&amp;uniplatform=OVERSEA&amp;v=I2dwU960f09g20YyEXRVAax35E-N1fgjJDqEss3uTzJ8qAQD7iKowHpR29ImuZ1I"><sup>6</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CMFD&amp;dbname=CMFD201301&amp;filename=1012468276.nh&amp;uniplatform=OVERSEA&amp;v=F0CGmIftYhooJpQEci8YehSJsQLRmEi0ubcWce6byRzurm-Enq-rBxl802V2mIUL"><sup>7</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/15241189/"><sup>8</sup></a><sup>,</sup><a href="https://link.springer.com/article/10.1186/s12868-014-0131-5"><sup>9</sup></a>; tamoxifen (reduced injury)<a href="https://pubmed.ncbi.nlm.nih.gov/12854756/"><sup>1</sup></a>; vitamin D3<sup>&#11030;</sup> (reduced infarct size and increased blood flow)<a href="https://pubmed.ncbi.nlm.nih.gov/35369317/"><sup>1</sup></a>; vitamin K2<sup>&#11030;</sup> (reduced swelling, cell death, and inflammation)<a href="https://pubmed.ncbi.nlm.nih.gov/32150581/"><sup>1</sup></a>; erythropoietin (reduced injury, including intranasal delivery)<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CMFD&amp;dbname=CMFD201601&amp;filename=1015986028.nh&amp;uniplatform=OVERSEA&amp;v=dt5wioWINBzi8mWLc333ny4fLDI-tuqGRi-dKSzPTBYZpk07Gm_d8CMR4VQm-aAv"><sup>1</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFDLAST2015&amp;filename=ZGCK201506003&amp;uniplatform=OVERSEA&amp;v=djLt_7kwRBcCJG45Eb52Rl_-dFK_BuBQtJOgi6EizNenJpGKt72FY3lAvLAmDb7C"><sup>2</sup></a>; leukemia inhibitory factor (protected neurons)<a href="https://pubmed.ncbi.nlm.nih.gov/26746670/"><sup>1</sup></a>.</p><p><strong>Repurposed clinical drugs</strong> &#8212; 4-methylcyclopentadecanone (reduced infarct size and inflammation)<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CDFD&amp;dbname=CDFDTEMP&amp;filename=1015304026.nh&amp;uniplatform=OVERSEA&amp;v=tN7xqaT-D5W9YveJbkcTX7xIwACHvt2CddZG_wGcT32p3wXXViUBzTIMh4WXM8j9"><sup>1</sup></a>; a norcantharidin MMP-9 inhibitor (improved scores and protected the blood-brain barrier)<a href="https://pubmed.ncbi.nlm.nih.gov/26544777/"><sup>1</sup></a>; modafinil (reduced infarct size and swelling)<a href="https://pubmed.ncbi.nlm.nih.gov/30644018/"><sup>1</sup></a>; cilostazol (protected brain blood vessels)<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFD2011&amp;filename=ZSMB201102011&amp;uniplatform=OVERSEA&amp;v=cB6z3iBPwCVfNCy8nWyWla6P7jbNoPMWGi_8dKy3bUsZ0N3BVcBcqaHxg-aDnW-Z"><sup>1</sup></a><sup>,</sup><a href="http://yxbwk.njournal.sdu.edu.cn/CN/Y2008/V46/I4/366"><sup>2</sup></a>.</p><p><strong>Other synthetic / pharmacological agents</strong> &#8212; an nNOS inhibitor (reduced infarction by 70-92%)<a href="https://pubmed.ncbi.nlm.nih.gov/9950505/"><sup>1</sup></a>; an azulenyl nitrone (STAZN) (was neuroprotective)<a href="https://pubmed.ncbi.nlm.nih.gov/17945201/"><sup>1</sup></a>; Z-11 (reduced neurological deficits and infarct size)<a href="https://pubmed.ncbi.nlm.nih.gov/30502344/"><sup>1</sup></a>; a 12/15-LOX inhibitor (reduced infarct size and inflammation)<a href="https://pubmed.ncbi.nlm.nih.gov/37822799/"><sup>1</sup></a>; electroacupuncture with microRNA delivery (reduced deficits and promoted stem-cell regrowth).<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFDLAST2017&amp;filename=ZKLS201611003&amp;uniplatform=OVERSEA&amp;v=nr2rVCi_bUP7-NQY2ViWSTLIIStbOgy8wesbo66Fm1PAiKLl1TycNtVgI5MLgbws"><sup>1</sup></a><sup>,</sup><a href="https://pesquisa.bvsalud.org/portal/resource/pt/wpr-905093"><sup>2</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/39755657/"><sup>3</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CMFD&amp;dbname=CMFD201501&amp;filename=1014047464.nh&amp;uniplatform=OVERSEA&amp;v=l1VGxyl7oFgFBm9uXIyIAnE6qEDNFKulnOj0llOv67WdRBCjjaNtOOYIxU1viMCi"><sup>4</sup></a></p><h2>Other injury models</h2><p>The combination data also extend beyond focal ischemic stroke to the following models:</p><p><strong>Neonatal &amp; perinatal hypoxic-ischemic models</strong> &#8212; hesperidin<sup>&#11030;</sup> (reduced oxidative stress and improved survival)<a href="https://pubmed.ncbi.nlm.nih.gov/24076349/"><sup>1</sup></a>; baicalin<sup>&#11030;</sup> (cut neonatal infarct size roughly in half)<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CMFD&amp;dbname=CMFD201601&amp;filename=1015965957.nh&amp;uniplatform=OVERSEA&amp;v=zD5WGGktR9VqZmpY62KvFWzpalZeRmnKdsp186PP6lKwLt4nTkmLOpjlqJhL9cma"><sup>1</sup></a>; notoginsenoside R1<sup>&#11030;</sup> (improved survival)<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CDFD&amp;dbname=CDFDLAST2018&amp;filename=1018863541.nh&amp;uniplatform=OVERSEA&amp;v=IvJD_MIqo7C-5yULUp-66tK25YAdjDROlaaTQpGUo-6IBj2YwYcjRsK1ug6znJjI"><sup>1</sup></a>; melatonin<sup>&#11030;</sup> (reduced infarct size and improved brain metabolism)<a href="https://pubmed.ncbi.nlm.nih.gov/28934366/"><sup>1</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/26526584/"><sup>2</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CDFD&amp;dbname=CDFDLAST2017&amp;filename=1017224966.nh&amp;uniplatform=OVERSEA&amp;v=wp-Skk4Ky7nVbGbrObqW1i8k6VCJlJV4KvWacfZeAEUQwhFc23BfbN5xGcXTxaCA"><sup>3</sup></a>; a JNK inhibitor (reduced neonatal cell death)<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFDLAST2017&amp;filename=DDKZ201704023&amp;uniplatform=OVERSEA&amp;v=StI6PC4iiNQF1U5tUkM1YTfyJ8Rxf_oJjYdLf096_WDEB_RCV18avKOyTqeYZQGB"><sup>1</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/28407836/"><sup>2</sup></a>; dantrolene (reduced cell death and injury)<a href="https://journals.lww.com/ejanaesthesiology/fulltext/2006/06001/Effects_of_dantrolene_on_hypoxic_ischemic_injury.604.aspx"><sup>1</sup></a>; an adenosine A2A antagonist (reduced brain damage and cell death)<a href="https://pubmed.ncbi.nlm.nih.gov/22071908/"><sup>1</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CMFD&amp;dbname=CMFD201701&amp;filename=1016195446.nh&amp;uniplatform=OVERSEA&amp;v=qLMJ-Kiqk9ut86-RaJ1kPrMZ13AnE3b4fDkNZgD8ScZt8Pz3gMlJNOnTFLNBp6_t"><sup>2</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFDLAST2017&amp;filename=ZBLS201612006&amp;uniplatform=OVERSEA&amp;v=4OLricxJTJ7F1d8Iu-9C0CvroTuUvZ1uw2HwQC3Ptq0o7d7wcxq7ncTL2HMPyrQ6"><sup>3</sup></a>; 2-methoxyestradiol (reduced swelling and cell death)<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFD2008&amp;filename=JPXB200802003&amp;uniplatform=OVERSEA&amp;v=Xu0594f-pCVMQGhA1mFUvnh7qbNumU6zMUHUdEZ4OwMrRiviDhXbBnBqyXtW2ZJk"><sup>1</sup></a>; indomethacin (reduced infarct size and protected the blood-brain barrier)<a href="https://pubmed.ncbi.nlm.nih.gov/37842754/"><sup>1</sup></a>; miconazole (improved myelination in white-matter damage)<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFDLAST2017&amp;filename=LCAK201706022&amp;uniplatform=OVERSEA&amp;v=drlEZI0lpinOrW48KqGbVOlU3_th7ldTogyMxOzh16iSmRzdGZQP0KZNis3I5vKU"><sup>1</sup></a>; G-CSF (reduced neonatal cell death)<a href="https://pubmed.ncbi.nlm.nih.gov/25448005/"><sup>1</sup></a>; H2S donors (reduced injury and promoted remyelination)<a href="https://oversea.cnki.net/kcms2/article/abstract?v=adNygMj_jVBJEFzWSQtnl4ex2TTt8IkMgMHVYkP_1K1th6xyYfgGG2e1bf3puUCvGYMrN3wQPiwW7QiWLYaPlS7pbgQ95OaHJjv0yyBNa0eK2uS9y2xAf4B9-m2hHopvAVzvUpgW7TP8072inG15IsyKVTFyk-JzDbNRwZdo5Tv1F82vu6pT7cznZuhKdt3OEWphszeHAns=&amp;uniplatform=OVERSEA&amp;language=EN"><sup>1</sup></a><sup>,</sup><a href="https://ruj.uj.edu.pl/server/api/core/bitstreams/b8128256-c46c-4037-a853-fb1f8433fb21/content"><sup>2</sup></a>.</p><p><strong>Cardiac-arrest &amp; global-ischemia models</strong> &#8212; ellagic acid<sup>&#11030;</sup> (improved kidney function after global ischemia)<a href="https://pubmed.ncbi.nlm.nih.gov/28133528/"><sup>1</sup></a>; Gynostemma pentaphyllum<sup>&#11030;</sup> (improved outcomes after cardiac arrest)<a href="https://pubmed.ncbi.nlm.nih.gov/29250141/"><sup>1</sup></a>; necrosulfonamide (improved recovery by blocking programmed cell death)<a href="https://pubmed.ncbi.nlm.nih.gov/35588872/"><sup>1</sup></a>; a TLR4 inhibitor (reduced neuron loss after cardiac arrest)<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CMFD&amp;dbname=CMFD201901&amp;filename=1017230186.nh&amp;uniplatform=OVERSEA&amp;v=QRlUbYCexsReDxVcSQBuY88xny-5zf9mMVg3HdBqTlyzNSY1heVrqY7lCN3WXfhT"><sup>1</sup></a>; oxcarbazepine (protected neurons after cardiac arrest)<a href="https://pubmed.ncbi.nlm.nih.gov/36552657/"><sup>1</sup></a>; WIN 55,212-2 (reduced infarct size and induced protective hypothermia that prolonged survival)<a href="https://europepmc.org/article/med/19080676"><sup>1</sup></a><sup>,</sup><a href="https://pesquisa.bvsalud.org/portal/resource/pt/wpr-490866"><sup>2</sup></a><sup>,</sup><a href="https://www.ahajournals.org/doi/abs/10.1161/circ.140.suppl_2.359"><sup>3</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CMFD&amp;dbname=CMFD201801&amp;filename=1017202523.nh&amp;uniplatform=OVERSEA&amp;v=WAUoGzGoqIHHsqoo10t0iYI2QpelolVm9Utxuc4nza1Fcw9ru0hY3PlhZPgzhgfg"><sup>4</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFD2010&amp;filename=JFJY201001023&amp;uniplatform=OVERSEA&amp;v=WIdZLGMXFQJqK1foRG-5tMB6UQ0RwaDxiELq_Nd9XcN1mN7L-qp2KBrmKr9AZ_YL"><sup>5</sup></a>; salubrinal (improved outcomes and preserved mitochondria after cardiac arrest)<a href="https://pubmed.ncbi.nlm.nih.gov/32064028/"><sup>1</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/25705860/"><sup>2</sup></a>; glibenclamide (raised 7-day survival after cardiac arrest)<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CDFD&amp;dbname=CDFDLAST2017&amp;filename=1016260906.nh&amp;uniplatform=OVERSEA&amp;v=gpQPqxwmVqlFHyIq6HZsi8uZJp1R53HtNYXr8WT2l8NA3J3JVjylbMS-YCXaNVFq"><sup>1</sup></a>; genistein<sup>&#11030;</sup> (increased neuron survival after cardiac arrest)<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFD2012&amp;filename=JCYL201207003&amp;uniplatform=OVERSEA&amp;v=wlO5pHZEOxoHO4iToA3kxKLEcd0pjazEv9rF4_j2U2MtAmSOX_aZq8yDVQRLVy91"><sup>1</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFDLAST2023&amp;filename=XZYX201312007&amp;uniplatform=OVERSEA&amp;v=OAdgV5GDddfh3a1nZuwE8WQioB100lMnxpYBABjG5uvPniiXqSmEYcCP3pRGn0IX"><sup>2</sup></a>; paclitaxel (protected neurons after cardiac arrest)<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFD2012&amp;filename=SYXU201201002&amp;uniplatform=OVERSEA&amp;v=VEtYAlne_aOgu3dON9QUZ9PfpKElwcux1oQ0b2TJPN7P0W24tSP6qCcDWAeXephl"><sup>1</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFD2012&amp;filename=YIYA201204008&amp;uniplatform=OVERSEA&amp;v=1aSdlo6PjQwY7TRaO3GhSQQ7cQkJ1dPtmnMcG5WiDCDvwX-YPX32x010rXS-mNci"><sup>2</sup></a>.</p><h1>Cerebral Blood Flow &amp; Vascular Reactivity</h1><p>Beyond protecting brain tissue once a stroke is underway, as highlighted previously in the endothelial data, DMSO also acts directly on the cerebral vessels themselves, changing their tone, their reactivity to constrictors and dilators, and the blood flow they carry.</p><p>Like many other properties of DMSO<strong>, </strong>its effect on cerebral vessel caliber (width) depends heavily on dose. In a cat study examining pial (brain) arterioles both in vitro and in vivo, DMSO concentrations from 0.0001% to 0.5% produced no significant change in arteriolar caliber, while 1% DMSO dilated them by 19%&#8212;and on isolated cerebral arteries, high-concentration DMSO reversed constriction induced by PGF&#8322;&#945; (85% reversal), serotonin (60%), and potassium (13%).<a href="https://www.ahajournals.org/doi/abs/10.1161/01.str.17.3.483"><sup>1</sup></a> That study also found that intravenous 10% DMSO (1 g/kg) produced rapid, measurable brain shrinkage within 10&#8211;15 minutes, consistent with DMSO&#8217;s edema reducing properties.<a href="https://www.ahajournals.org/doi/abs/10.1161/01.str.17.3.483"><sup>1</sup></a> </p><p>Conversely, some of DMSO&#8217;s effects on cerebral vessels actually work by blocking dilation, and this too traces back to its radical scavenging. This is because hydroxyl radicals themselves dilate cerebral microvessels, so when acetaldehyde and xanthine oxidase were used to dilate mouse pial arterioles, free-radical scavengers including DMSO stopped that dilation.<a href="https://pubmed.ncbi.nlm.nih.gov/6307066/"><sup>1</sup></a> Likewise, DMSO inhibited the pial arteriole dilation produced by a radical-generating xanthine oxidase acetaldehyde system while leaving carbon dioxide induced dilation untouched.<a href="https://europepmc.org/article/med/6410963"><sup>1</sup></a> This selectivity (blocking only the radical-driven dilation) hence indicated DMSO was scavenging radicals rather than acting as a general vasomotor agent.<a href="https://europepmc.org/article/med/6410963"><sup>1</sup></a> Likewise, in canine basilar arteries, DMSO reduced the Fe&#178;&#8314;-mediated inhibition of endothelium-dependent relaxation by scavenging hydroxyl radicals.<a href="https://pubmed.ncbi.nlm.nih.gov/9865858/"><sup>1</sup></a> DMSO hence does not push vascular tone in a fixed direction like a typical pharmaceutical, rather normalizes vascular function by removing the radical signal, so it dilates a vessel radicals were constricting and blocks a dilation radicals were driving.</p><p>DMSO also independently blocks ATP-sensitive potassium (KATP) channel mediated cerebral vasodilation, and it does so at very low concentrations (within the range routinely used just to dissolve a test compound). In anesthetized rats, DMSO dose-dependently inhibited pinacidil-induced dilation of pial arterioles at 0.01-0.2%, with significant inhibition at the very bottom of that range.<a href="https://www.sciencedirect.com/science/article/pii/S0014299901013619"><sup>1</sup></a> Notably, DMSO alone did not change the baseline vessel diameter, and the effect reversed within 15 minutes of washing the DMSO out.<a href="https://www.sciencedirect.com/science/article/pii/S0014299901013619"><sup>1</sup></a> A companion report found the same for very low dilutions of both ethanol and DMSO,<a href="https://scholar.google.com/scholar?hl=en&amp;as_sdt=0%2C5&amp;q=Very+low+dilutions+of+ethanol+and+DMSO+inhibit+dilation+of+rat+pial+arterioles+by+pinacidil%2C+an+opener+of+Katp+ion+channels&amp;btnG="><sup>1</sup></a> and in cats, DMSO inhibited the cerebral arteriolar dilation produced by hydrogen peroxide and KATP openers at under 1 mmol/L (which those authors attributed to potassium-channel blockade rather than radical scavenging).<a href="https://pubmed.ncbi.nlm.nih.gov/9550517/"><sup>1</sup></a></p><p>That said, when perfusion is measured across the whole brain rather than in isolated vessels, DMSO consistently raises cerebral blood flow (e.g, this was a key focus of <a href="https://www.midwesterndoctor.com/p/dmso-could-save-millions-from-brain">forgotten Russian research on reversing the effects of chronic stress)</a>. In a 1986 rabbit brain-edema study, a 20% DMSO bolus raised cerebral blood flow by roughly 75-77% in both hemispheres almost immediately, with flow still elevated an hour later.<a href="https://pubmed.ncbi.nlm.nih.gov/3768741/"><sup>1</sup></a> Pretreating with indomethacin did not prevent this rise, which indicated the increase was not prostaglandin-mediated, and <strong>the intracranial pressure still fell despite the higher flow</strong> (as DMSO rapidly pulls water out of the brain).<a href="https://pubmed.ncbi.nlm.nih.gov/3768741/"><sup>1</sup></a> Low-dose intravenous DMSO did much the same in a canine model of myocardial ischemia, raising both cardiac output and cerebral blood flow while lowering vascular resistance, with no adverse change in heart rate or blood pressure.<a href="https://journals.lww.com/ccmjournal/abstract/1987/07000/effects_of_dimethyl_sulfoxide_on_systemic_and.6.aspx"><sup>1</sup></a> Likewise, when given an hour after an experimental brain hemorrhage, DMSO held brain oxygen and glucose consumption near baseline, curbed the excess lactate, stabilized or increased blood flow (partly by raising blood osmolarity), completely prevented the surge in lipid peroxidation, and eliminated the early mortality seen in the untreated animals (0% versus 25%).<a href="https://link.springer.com/article/10.1007/BF00840042"><sup>1</sup></a></p><p><em>Note: DMSO&#8217;s effect on central cardiovascular control has been found to be transient and local rather than systemic. Injected directly into the brainstem cardiovascular center (the NTS),</em> <em><a href="https://www.sciencedirect.com/science/article/pii/S0361923002007578">40% DMSO</a></em> <em>produced only a brief 1-2 minute drop in blood pressure and heart rate before returning to baseline, with no lasting change (consistent with DMSO&#8217;s rapid diffusion out of tissue).</em></p><p>Agents dissolved in DMSO have also been shown to dilate the cerebral vessels such as an activator of ATP-sensitive potassium channels,<a href="https://journals.physiology.org/doi/abs/10.1152/ajpheart.1993.265.1.H152"><sup>1</sup></a> various PDE5 inhibitors,<a href="https://pubmed.ncbi.nlm.nih.gov/22094063/"><sup>1</sup></a><sup>  </sup>apigenin,<sup>&#11030;</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFDLAST2018&amp;filename=GLYZ201809026&amp;uniplatform=OVERSEA&amp;v=nfOJ556_qg1x4Gy2Gb1bE_ZUYkx6E1KQPLcPuQLmzhSH5t_zINv1VDbz1p-gCwf0"><sup>1</sup></a> (which relaxed the basilar artery), tetrahydroxystilbene glucoside,<sup>&#11030;</sup><a href="https://www.sciencedirect.com/science/article/abs/pii/S0026286218301407"><sup>1</sup></a> (which in rats relaxed the mesenteric artery while protecting carotid flow),<a href="https://www.sciencedirect.com/science/article/abs/pii/S0026286218301407"><sup>1</sup></a><sup> </sup> a gamma-secretase inhibitor (that reduced the vasospasm following a subarachnoid hemorrhage).<a href="https://pubmed.ncbi.nlm.nih.gov/20026381/"><sup>1</sup></a></p><p>Finally, these cerebral-perfusion effects are often used as a rationale for clinical applications. For example, in a horse that developed seizures and blindness after surgery, intravenous DMSO was given specifically for its radical scavenging and thromboxane inhibition to maintain the brain&#8217;s blood supply, after which the seizures stopped by day 3 and the vision partially returned over the following months.<a href="https://bvajournals.onlinelibrary.wiley.com/doi/abs/10.1136/vetreccr-2015-000222"><sup>1</sup></a> Likewise, the Russian clinical literature describes dimexide (DMSO) as relieving brain-tissue swelling, improving cerebral blood flow, and normalizing cerebral hemodynamics.<a href="https://www.babyblog.ru/user/svetilein/3165985"><sup>1</sup></a> One unusual Russian diagnostic protocol even applied a DMSO, nicotinic acid,<sup>&#11030;</sup> and novocaine compress to the forehead to test whether increasing forehead blood flow improved a patient&#8217;s vision, using that result to predict who would benefit from surgery on the branches of the carotid artery.<a href="https://elibrary.ru/item.asp?id=41050739"><sup>1</sup></a></p><h1>Hemorrhagic Strokes</h1><p>Hemorrhagic strokes are among the most difficult conditions in all of medicine to treat, and despite decades of work, there has been remarkably little progress in neurocritical care&#8212;particularly in <a href="https://pubmed.ncbi.nlm.nih.gov/1045997/">preventing the long-term paralysis and disability</a> that so often follow a brain bleed. This is because a hemorrhage sets off a cascade of injuries that conventional medicine has no single agent to address, whereas DMSO, remarkably, addresses each of them at once.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!NauW!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6931b2c2-76bf-460c-bea4-057630686282_1408x1228.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!NauW!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6931b2c2-76bf-460c-bea4-057630686282_1408x1228.png 424w, https://substackcdn.com/image/fetch/$s_!NauW!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6931b2c2-76bf-460c-bea4-057630686282_1408x1228.png 848w, https://substackcdn.com/image/fetch/$s_!NauW!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6931b2c2-76bf-460c-bea4-057630686282_1408x1228.png 1272w, https://substackcdn.com/image/fetch/$s_!NauW!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6931b2c2-76bf-460c-bea4-057630686282_1408x1228.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!NauW!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6931b2c2-76bf-460c-bea4-057630686282_1408x1228.png" width="1408" height="1228" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/6931b2c2-76bf-460c-bea4-057630686282_1408x1228.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:1228,&quot;width&quot;:1408,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:699000,&quot;alt&quot;:&quot;&quot;,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" title="" srcset="https://substackcdn.com/image/fetch/$s_!NauW!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6931b2c2-76bf-460c-bea4-057630686282_1408x1228.png 424w, https://substackcdn.com/image/fetch/$s_!NauW!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6931b2c2-76bf-460c-bea4-057630686282_1408x1228.png 848w, https://substackcdn.com/image/fetch/$s_!NauW!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6931b2c2-76bf-460c-bea4-057630686282_1408x1228.png 1272w, https://substackcdn.com/image/fetch/$s_!NauW!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6931b2c2-76bf-460c-bea4-057630686282_1408x1228.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p>When blood escapes into the brain, three things happen more or less simultaneously. First, the swelling and accumulating blood raise the pressure inside the rigid skull (the intracranial pressure, or ICP), and brain tissue is exquisitely sensitive to being compressed&#8212;yet there is no good agent for lowering ICP (the most commonly used drug, mannitol, can produce a &#8220;rebound&#8221; in which pressure climbs higher than where it started). Second, the blood-brain barrier begins to break down, allowing still more fluid into the brain. Third, as the spilled blood cells die, the iron they release generates free radicals that destroy surrounding brain cells,<a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4848452/">1</a> while inflammatory processes triggered by the blood injure tissue further and drive additional cell death.</p><p>Remarkably, DMSO addresses each of these<strong>.</strong><a href="https://link.springer.com/article/10.1016/s1734-1140(09)70026-x"><sup>1</sup></a> It rapidly lowers ICP without the risk of rebound,<a href="https://pubmed.ncbi.nlm.nih.gov/7279169/"><sup>1</sup></a> and unlike most ICP-lowering agents it does not do so by cutting blood flow to the brain&#8212;instead it increases cerebral perfusion without raising blood pressure or heart rate,<a href="https://pubmed.ncbi.nlm.nih.gov/7070636/"><sup>1</sup></a> which matters because brain cells die within minutes of losing their blood supply. That improved flow is also what clears the leaked blood, and DMSO is excellent at reducing the accompanying brain edema.<a href="https://pubmed.ncbi.nlm.nih.gov/7057982/"><sup>1</sup></a></p><p><em>Note: I suspect rebound ICP is the brain&#8217;s attempt to restore its own blood supply; because DMSO already guarantees that supply, there is nothing to rebound from. Consistent with an osmotic rather than a direct vascular mechanism, <a href="https://www.ahajournals.org/doi/abs/10.1161/01.str.17.3.483">one study in anesthetized cats</a> found IV DMSO never constricted the cerebral arteries across an enormous concentration range, and only relaxed already-contracted vessels&#8212;while still shrinking the brain by pulling out excess fluid.</em></p><p>Beyond pressure and perfusion, DMSO lowers the inflammatory cytokines (IL-1&#945;, IL-1&#946;, IL-6) tied to stroke and tissue injury<a href="https://pubmed.ncbi.nlm.nih.gov/21878375/"><sup>1</sup></a>,<a href="https://pubmed.ncbi.nlm.nih.gov/21523780/"><sup>2</sup></a> and calms overactive immune signaling.<a href="https://pubmed.ncbi.nlm.nih.gov/7195781/"><sup>1</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/how-dmso-treats-incurable-autoimmune"><sup>2</sup></a> It also directly counters the damage from blood breakdown products: its free-radical scavenging limits platelet aggregation at injured microvessels and prevents blood from flooding the injury site (reducing secondary ischemic injury).<a href="https://pubmed.ncbi.nlm.nih.gov/6410963/"><sup>1</sup></a>  At just 0.5% DMSO protected basilar-artery smooth muscle from oxyhemoglobin-induced contraction membrane blebbing, and cell death by scavenging hydroxyl radicals<a href="https://pubmed.ncbi.nlm.nih.gov/1991346/"><sup>1</sup></a> and it reversed iron-mediated damage to vessel relaxation in canine basilar arteries.<a href="https://pubmed.ncbi.nlm.nih.gov/9865858/"><sup>1</sup></a> DMSO likewise prevented bilirubin toxicity in myelinated axons, protecting nerve fibers from another toxic product of degrading blood.<a href="https://pubmed.ncbi.nlm.nih.gov/25160671/"><sup>1</sup></a></p><p>In short, no comparable agent exists for lowering ICP&#8212;one of the greatest unsolved challenges in neurocritical care&#8212;and many drugs that succeeded in animals have failed in human trials.<a href="https://pubmed.ncbi.nlm.nih.gov/15717008/"><sup>1</sup></a> Beyond removing edema, limited human work also suggests DMSO can somehow reduce the ongoing spilling of blood into the brain, through a mechanism that has not yet been definitively worked out.</p><p><em>Note: DMSO additionally lowers JAK2/STAT signaling,<a href="https://pubmed.ncbi.nlm.nih.gov/21596098/"><sup>1</sup></a> suppresses neurotoxic NMDA/AMPA ion currents,<a href="https://pubmed.ncbi.nlm.nih.gov/11421595/"><sup>1</sup></a> prevents iron-induced lipid peroxidation and focal edema,<a href="https://pubmed.ncbi.nlm.nih.gov/6704746/"><sup>1</sup></a> and partially inhibits PARP-1.<a href="https://pubmed.ncbi.nlm.nih.gov/15586663/"><sup>1</sup></a></em></p><h3>De la Torre&#8217;s Discovery</h3><p>The potential of DMSO here was recognized decades ago by Jack de la Torre, who when watching a near-dead experimental animal revive with DMSO recounted:</p><blockquote><p>It was, as if the hand of God had somehow touched the animal&#8217;s forehead. &#8220;I don&#8217;t believe it,&#8221; I stammered. But it was true. I felt a tingling in my spine because this reawakening of a virtually dead animal had all the markings of a medical breakthrough.</p></blockquote><p><em>Note: de la Torre&#8217;s observations were based partly on his repeated finding that animals with flatlined EEGs&#8212;which normally precede brain death&#8212;had their EEGs return within about ten minutes of receiving DMSO. As so often in this story, the discovery was never developed and was instead quietly laid to rest in the coffers of forgotten medicine.<a href="https://link.springer.com/article/10.1016/s1734-1140(09)70026-x"><sup>1</sup></a></em></p><h3>Animal Hemorrhagic Stroke Studies</h3><p>In experimental brain hemorrhages, DMSO given an hour after the bleed prevented the collapse of the brain&#8217;s antioxidant defenses and cut mortality to zero (vs. 25% in controls by three hours). In rats, it held lipid-peroxidation products at normal levels rather than letting them climb; in cats, it kept oxygen and glucose metabolism near baseline and blunted the flood of lactate an injured brain pours into the bloodstream. The authors doubted the improved flow was vasodilation as DMSO only widens vessels at 1%+ concentrations, well above those reached at 0.3 g/kg and attributed it instead to the compound&#8217;s antiedematous action: by raising blood osmolarity (335&#8594;352 mosm/L), DMSO drew fluid out of the swelling brain, an effect they compared to glycerol&#8217;s; the accompanying drop in brain lactate, they suggested, aided the same anti-edema process..<a href="https://link.springer.com/article/10.1007/BF00840042"><sup>1</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/2386828/"><sup>2</sup></a></p><p>The protection reaches the molecular level too: in <a href="https://pubmed.ncbi.nlm.nih.gov/18404074/">hemorrhagic shock</a>, another state where the brain loses its blood supply, DMSO quieted the inflammatory driver NF-kappaB while boosting the survival protein HSP70.</p><p><em>Note: much of this foundational Russian work on DMSO in acute intracerebral hemorrhage is collected in a dedicated chapter (by M.B. Plotnikov) of a Russian monograph on DMSO in clinical practice.<a href="https://elibrary.ru/item.asp?id=24971846"><sup>1</sup></a><sup> </sup><span>Interestingly, much of Plotnikov&#8217;s later work (I just came across and need to read in detail) revolved around the hypothesis that increased blood viscosity (which included oxidized red blood cells clumping together, and after ischemia&#8211;reperfusion injuries occurred were further oxidized) was not only a marker but an amplifier of many diseases, particularly high blood pressure, chronic cerebrovascular disease, brain ischemia, and ischemic heart disease, and to a lesser extent venous insufficiency, diabetes, radiation injury, and shock&#8212;dovetailing with my understanding of the subject. As he worked in a Soviet/Russian cerebral-pharmacology and viscometry tradition he appears not to have engaged with the Western blood-sludging or zeta-potential or microstroke research, and hence arrived at a variety of different disease and treatment insights than what I&#8217;ve come across.</span></em></p><h3>Human Hemorrhagic Stroke Studies</h3><p>&#8226;In a <a href="https://pubmed.ncbi.nlm.nih.gov/6576703/">study of 11 patients</a> with dangerously high ICP and Glasgow Coma Scores of 4&#8211;6 following brain trauma, encephalitis or subarachnoid hemorrhage (patients on the verge of death for whom standard therapy had failed), IV DMSO (1 g/kg) promptly lowered ICP (mean drop ~23 mm Hg at 30 min) and produced a brisk diuresis. Three patients survived with good functional recoveries; the others died despite ICP control. Unlike barbiturates, which lower systemic arterial pressure and force patients into a coma, DMSO did neither&#8212;so cerebral perfusion pressure rose as ICP fell and patients remained clinically examinable.</p><p>&#8226;A <a href="https://scholar.google.com/scholar?hl=en&amp;as_sdt=0%2C5&amp;q=%22Dimethyl+sulfoxide+in+the+management+of+postoperative+hemiplegia%22&amp;btnG=">second paper reported on nine patients</a> who suffered partial or total paralysis after surgical repair of a ruptured aneurysm and had remarkable responses to DMSO:</p><ul><li><p>A <strong>61-year-old man</strong> developed left-sided paralysis after surgery; within 30 minutes of starting DMSO his cerebral blood flow rose and he improved markedly. When DMSO was stopped on day 5 the paralysis and confusion rapidly returned&#8212;and resolved again once it was resumed, after which he fully recovered.</p></li><li><p>A <strong>67-year-old woman</strong> who lost speech and developed right-sided paralysis (and hadn&#8217;t responded to mannitol) became fully alert and regained her strength within 45 minutes of DMSO; her motor function permanently normalized within 12 hours.</p></li><li><p>A <strong>25-year-old woman</strong> who developed right-leg paralysis and speech difficulty 12 days after aneurysm surgery, again after mannitol failed, could lift her leg within 90 minutes of DMSO and had fully recovered by the next day.</p></li><li><p>A <strong>28-year-old woman</strong> with an MCA aneurysm and a severe carotid spasm unresponsive to standard care recovered completely on DMSO.</p></li><li><p>The <strong>remaining five cases</strong> followed the same course, with all but one (who had severe complicating factors) making a full recovery. No adverse events occurred in any case.</p></li></ul><p>In de la Torre&#8217;s own book,<a href="https://www.amazon.com/Dimethyl-Sulfoxide-DMSO-Trauma-Disease/dp/1498714676"><sup>1</sup></a> IV DMSO for ruptured aneurysms in humans is likewise reported to reverse progressive hemiplegia, relieve vasospasm and the resulting low cerebral blood flow, and improve motor deficits.</p><h3>Hemorrhages Elsewhere in the Body</h3><p>That DMSO limits bleeding is not unique to the brain&#8212;it has been observed in other organs, indicating this is a general property of DMSO. In a pig model of myocardial ischemia-reperfusion, intracoronary DMSO essentially eliminated intramyocardial hemorrhage (0 of 8 DMSO animals vs. 7 of 7 controls by cardiac MRI, and 1 of 10 vs. 8 of 8 by pathology) and reduced microvascular obstruction by 45%, with no hemodynamic or arrhythmic side effects.<a href="https://openventio.us/index.php/HROJ/article/download/686/617"><sup>1</sup></a> A Russian literature review likewise lists hemorrhages among the conditions DMSO (with antibiotics) is applied to directly, alongside bruises, sprains, and edema.<a href="https://www.babyblog.ru/user/svetilein/3165985"><sup>1</sup></a> Finally, in children with hemophilia, topical DMSO has been used as part of physiotherapy protocols for acute joint bleeding (hemarthrosis)&#8212;applied for 2&#8211;4 days to relieve pain, prevent intra-articular clotting, and reduce the progression toward joint damage.<a href="https://elibrary.ru/item.asp?id=36914611"><sup>1</sup></a><sup>,</sup><a href="https://cyberleninka.ru/article/n/balalarda-y-gemofiliya-auruyny-zamanaui-emi"><sup>2</sup></a></p><h1>Hemorrhagic Stroke Combinations</h1><p>As before, many agents have been combined with DMSO here and demonstrated efficiacy for intracerebral and subarachnoid hemorrhages, many of which targeting the same injury cascades DMSO itself acts on (e.g, oxidative stress, inflammation, blood-brain barrier breakdown, edema, vasospasm, and neuronal death).</p><p><strong>Natural agents</strong> &#8212; curcumin<sup><span>&#11030;</span></sup> (reduced brain-cell death and mortality, protected the blood-brain barrier and reduced swelling, and outperformed nimodipine against vasospasm)<a href="https://pubmed.ncbi.nlm.nih.gov/21926905/"><sup>1</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CMFD&amp;dbname=CMFD201701&amp;filename=1016277050.nh&amp;uniplatform=OVERSEA&amp;v=8-zMV76A5LuLRCOTvkSVYVSwwKFV5n5xToS-KFlWIahmux54s5tUFRif-jvAvFU7"><sup>2</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFDLAST2017&amp;filename=HBZY201710027&amp;uniplatform=OVERSEA&amp;v=iSmGnopmfRFOpI97sXmFaz_uEy_UZvhkC0G0l5gz-PaxjSSQNnVFTHp7R1DTim_X"><sup>3</sup></a>; resveratrol<sup><span>&#11030;</span></sup> (improved neurological outcomes and reduced cell death, swelling, and inflammation)<a href="https://oversea.cnki.net/kcms2/article/abstract?v=edlgIlFUcgvckW__MCDopQ2B-0coS6EG-TbjistcgxPjUYtn4fLvoeCwyJnHfKAHQ3Y43Jpf9Zuf3A8VkOYXSPdH8AKYnhFKqOb1CxBIYzMdmaoN_O-a20KXjWqlxoYKSqsyYApaaA1sCKDbmSQzQTyoG1I8A70URBmcVPA5D2f8j0pIDtUE5w==&amp;uniplatform=OVERSEA&amp;language=EN"><sup>1</sup></a><sup>,</sup><a href="https://oversea.cnki.net/kcms2/article/abstract?v=BoNITJRTahLQqW-0Slmd6ngMgcBWBjT_8lUwPaCuzRUwPO3FPi_3UwvJ6OAC7Z3cpN4Bb2k7vs40HaFarcJSeM5q9_iHepqXXK3uiDc_3BwVQMpO9hEuz8TSu1MsYGmQSCMZ6qs7ErQ0AiFOYqQq0SZ9aIrrHkz8LeIQLvMoo-Yze4kEWAllcLtVnNWW2RAs0y56Am1PhJs=&amp;uniplatform=OVERSEA&amp;language=EN"><sup>2</sup></a><sup>,</sup><a href="https://oversea.cnki.net/kcms2/article/abstract?v=nRANE_nPmUoXcTAbAI0uhZ9mvQHioQQ1Y6VzsC12Eau7WU5AVPSMHtm79kqinAEY6qUy8QN8y8FzGiQHd3blUANiam5ItlkilRcKamGnC57NbUv9QKvwhhYsJembkogk016aXZG-wV-3l4fQwZB7qI75mvZ64-UH_VxbE1M5JsEzF56vHkOBEoNBLbDbNEIn&amp;uniplatform=OVERSEA&amp;language=EN"><sup>3</sup></a>; 6-gingerol<sup><span>&#11030;</span></sup> (improved neurological function and reduced swelling, cell death, and inflammatory cytokines)<a href="https://oversea.cnki.net/kcms2/article/abstract?v=adNygMj_jVC-cQu3yXXnoF7LZAQKytK5uXQUKAxC7ZRExqysIVrznWO4hWMaRml0Q7BZMX4LeW9ZxDdl99h8ixGVABrFX-KgSrcpy4snxrnaEUjsNixa4_J5O4mAgafF3dah2yywkZ7YGWaHar3mIm2uG4VPSxOGQ6_BqjBriYCRnNBhT88vHZE29hfN7_BZaMuRoPzTgGs=&amp;uniplatform=OVERSEA&amp;language=EN"><sup>1</sup></a>; quercetin<sup><span>&#11030;</span></sup> (reduced oxidative stress, cell death, swelling, and vasospasm)<a href="https://pubmed.ncbi.nlm.nih.gov/41165384/"><sup>1</sup></a>; allicin<sup><span>&#11030;</span></sup> (improved neurological outcomes and protected the blood-brain barrier)<a href="https://oversea.cnki.net/KCMS/detail/detail.aspx?dbcode=CMFD&amp;dbname=CMFD201902&amp;filename=1019173450.nh&amp;uniplatform=OVERSEA&amp;v=PkXKq6_VS9y3UYLNhCAsTsV8lzxMxzI5r-ycw1BJ4j44PLVaWiW6LkViA3ISjecZ"><sup>1</sup></a>; honokiol<sup><span>&#11030;</span></sup> (reduced cell death and improved cognition)<a href="https://oversea.cnki.net/kcms2/article/abstract?v=hmNf6PfbaBvNm3a4jA1vYCavSyQ8OXpsmCJrd5kdAt92cRAwCQZhoIeKfwt1DZ1PaCr5N1XobqW6zQ8AAXKPnbo5UTpadsu6QxXNDPpwYwBXlUHT-MV9ADpc-oT3fxnjqJurxjSksL9NZuMovPikBoLYfuYZEW5ww6JsQLsjgKSDHQFout-iRXVBq5c-6LWD&amp;uniplatform=OVERSEA&amp;language=EN"><sup>1</sup></a>; genistein<sup><span>&#11030;</span></sup> (reduced inflammation and improved neurological outcomes)<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CMFD&amp;dbname=CMFD201501&amp;filename=1014410397.nh&amp;uniplatform=OVERSEA&amp;v=6VLVJx3xySdgOaO5E1bE8U59QKNwj2lNKwhDbKUhxK3pxss4TARtdST67DoCcHpX"><sup>1</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CMFD&amp;dbname=CMFD201401&amp;filename=1013341141.nh&amp;uniplatform=OVERSEA&amp;v=nfvN_pqOiDXyRehGioMr8KergoQkNnZyt2dOBRhUvQlFgRTVfftW_UfPBqfzu6ZB"><sup>2</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFDLAST2015&amp;filename=ZFSJ201510012&amp;uniplatform=OVERSEA&amp;v=PqIUR9-QRqqG3QdDO--cd9kvy7wxSi2q0jxhzIQPPueY35v3zqEjxT0FukvSLIaU"><sup>3</sup></a>; sulforaphane<sup><span>&#11030;</span></sup> (improved outcomes)<a href="https://pubmed.ncbi.nlm.nih.gov/26604696/"><sup>1</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFDLAST2015&amp;filename=ZFSJ201507001&amp;uniplatform=OVERSEA&amp;v=PqIUR9-QRqo0ZZL7h4q_IDsSgWcgQbPbRg0ykASNYt3YNExYK50y-JlI5zLnZ-25"><sup>2</sup></a>; EGCG<sup><span>&#11030;</span></sup> (green-tea polyphenol; reduced oxidative injury and cell death)<a href="https://oversea.cnki.net/kcms2/article/abstract?v=9r23aJBcv3bE0fsADdQP5tkAKnQpyjfTSd3sqtfWjZHEzFwhB4JLkTzRNX4l2J5HiBVkT35z7IFzKNPn9arok7eSblfe0ppMrB0mcxi-1s_s1XlE_zuaTTgzFbs2Q4ZB97AdYRqi67mMjqqaA6-KPd_zwGEH74eG5HDUA00MKj9-X_bdI3yqHA1Vo8PQIfjr9ca7sPKqB08=&amp;uniplatform=OVERSEA&amp;language=EN"><sup>1</sup></a>; naringenin<sup><span>&#11030;</span></sup> (improved neurological outcomes and reduced inflammation)<a href="https://oversea.cnki.net/kcms2/article/abstract?v=r3g0b1Wd3tds8YR7PielML16xlFJ9pWaqTC9tG7B7-R-G73pI8O5d-UhmiFrRcphO9fIXoqG7_sv6ZJGoTIuYI0exiOXMO1eW-yfJKiY7U9_H6QfNETvyt7JsUOLCuIYYLtaRix2xMj_zewJxvpU2TZlDpDaRHnFzS8ADS_TfCnWopZca2CWUtNUCa-dKzk3&amp;uniplatform=OVERSEA&amp;language=EN"><sup>1</sup></a>; piperine<sup><span>&#11030;</span></sup> (relieved vasospasm)<a href="https://web.archive.org/web/20260304021603/https:/pesquisa.bvsalud.org/portal/resource/pt/wpr-586460"><sup>1</sup></a>; triptolide<sup><span>&#11030;</span></sup> (reduced cell death and inflammation)<a href="https://pesquisa.bvsalud.org/portal/resource/pt/wpr-669059"><sup>1</sup></a>; salvinorin A<sup><span>&#11030;</span></sup> (relieved vasospasm)<a href="https://pesquisa.bvsalud.org/portal/resource/pt/wpr-1015391"><sup>1</sup></a><sup>,</sup><a href="https://oversea.cnki.net/kcms2/article/abstract?v=9r23aJBcv3ZKcKR5LOh0DC5pWGyuoc2y_XHF63KC60fS9x0pVpoh9UyTrrpClPEgWYJr_-FGKXPhVzxLnb2K2ak0RZNQILseUQhFNELSvt-FRw-4u53yD2l9KTwzgv-yEg3rg2I_3S0LU2P4n_CHx7roZ6TDYkbWmjx5NMqsTYAVIHrYXlY2cXgxetuNsKhQ&amp;uniplatform=OVERSEA&amp;language=EN"><sup>2</sup></a>; schisandrin A<sup><span>&#11030;</span></sup> (reduced pyroptosis, an inflammatory form of cell death) <a href="https://oversea.cnki.net/kcms2/article/abstract?v=dKcr_PZ1zcu5sbvq5XQuZA_semwSEkSHwsSEqGpCcuRRyBTblwnFGVhyCsYqTFFE_z5GX1RazTJzdUnZIT4Jth-_sDW-c_subP8Ayc_95n49ydYDoA4J1vkXGS-QJQIheC2bYQbiBtoh8xvFbIseX95M47UOGoTG2yY8DJG5CaJVgQz1fBUZu0ZOFDntO6sreZqkTP1HOhY=&amp;uniplatform=OVERSEA&amp;language=EN"><sup>1</sup></a>; astragaloside (A and IV)<sup><span>&#11030;</span></sup> (improved neurological outcomes and reduced vasospasm)<a href="https://oversea.cnki.net/kcms2/article/abstract?v=K6QWI_fIKJGoNU1eD7lrC02N6ekid6lCyUp9w3T8wCBe_wF8JkQPy6ovZudfgiqiEk4PDafOWl8Ho3omD4ACKyIdmuk-sKFkmycWgIcwlCgBkxs2Wh6bgljwCV_L2Q13U6Oa1xbb52pYbkP1JBjWr3yseKh41FXSwnVas9VeAinA8eyIGagxjosrPLAlU2OR&amp;uniplatform=OVERSEA&amp;language=EN"><sup>1</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/29981464/"><sup>2</sup></a>; anethole trithione (a hydrogen-sulfide donor; reduced inflammation) <a href="https://oversea.cnki.net/kcms2/article/abstract?v=adNygMj_jVBqpKp_4KRC5oQx4cuG-emH6feSnUJgwHzWUfycyVVuk5ca_suFemkMk9Z8uDY9yh_cYf4sZ5ZO2Yz5qTl599JG2ZUd1kSl5_Gvq5XNm9Q1yKBb_umSc9xmWYSEtUFQtbrq8tUTTb7cw4RLAdTzFYYtM-7as3PfVQs0FjzwMYLlcp4Ry-jujolvPSN3EqrSbHs=&amp;uniplatform=OVERSEA&amp;language=EN"><sup>1</sup></a>; omega-3 polyunsaturated fatty acids<sup><span>&#11030;</span></sup> (improved outcomes and increased protective autophagy)<a href="https://oversea.cnki.net/kcms2/article/abstract?v=BoNITJRTahLzBUTMd0OYb_yyTSKRwqES_qzDkQsJNDRiL8rqeqnAbxJ_ruN_nzzmU0FUiBuKDnYw4uOns6P_IeLHHIRxBQWVraQedBU5g7rcfEUsO0tjqhilME5lL4lR7aLZdlvE89aXDOr0QyXTEfP4Pxu03JM6IkhUOz-Lsz5lOTtY3jTTsQkBW3OpsLGr&amp;uniplatform=OVERSEA&amp;language=EN"><sup>1</sup></a>.</p><p>A parallel set of targeted pathway inhibitors and drugs dissolved in DMSO also hemorrhagic reduced brain injury:</p><p><strong>Cell-death pathway inhibitors</strong> &#8212; necroptosis inhibitor<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFDHIS2&amp;filename=XAYX201306006&amp;uniplatform=OVERSEA&amp;v=AJHBLQP_ki4HE2MCLbENOsTX9TWyRVCqyMH3tD1eMXwMC3pEd_LqMOdnlppxW4Xq"><sup>1</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFDHIS2&amp;filename=XAYX201306009&amp;uniplatform=OVERSEA&amp;v=AJHBLQP_ki5iAamVT4sMF2piNU54_dy-Nv7DDEmTfEtxfShUUZDXqf4g5OCAqqV0"><sup>2</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CMFD&amp;dbname=CMFD201802&amp;filename=1017857456.nh&amp;uniplatform=OVERSEA&amp;v=8rlxGumihfVav8GqT-xriLq107yWCzClNX0Gmvua718mNyhDOIn3WF5FqDrJ6UNL"><sup>3</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CDFD&amp;dbname=CDFDLAST2019&amp;filename=1018961949.nh&amp;uniplatform=OVERSEA&amp;v=5dfhkajcMCCoCPXdxcomu6fwAkTArU-5FWQuwr7ypTEHuIAzo81O3mAz7os1fECN"><sup>4</sup></a><sup>,</sup><a href="https://openurl.ebsco.com/EPDB%3Agcd%3A3%3A32282899/detailv2?sid=ebsco%3Aplink%3Ascholar&amp;id=ebsco%3Agcd%3A91880500&amp;crl=c&amp;link_origin=scholar.google.com"><sup>5</sup></a>; caspase-1 inhibitor<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFDHIS2&amp;filename=ZFSJ201312010&amp;uniplatform=OVERSEA&amp;v=r1X3UdQ3XqbssAyQbdLGs74_XL_VpKFtzJTi0OclIAeSstFC_EzFUrUYxu8u-VpQ"><sup>1</sup></a>; caspase-3 inhibitor<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFD2011&amp;filename=ZYYY201110053&amp;uniplatform=OVERSEA&amp;v=EbWtv8ggMVonT1yTcM9fdFQKVcPJ0Wpj4MB2YHWLDGuGxl2OcwyT1WOFem9iLs0h"><sup>1</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CMFD&amp;dbname=CMFD201301&amp;filename=1013130015.nh&amp;uniplatform=OVERSEA&amp;v=-2lWrTDSu4svAVFs83fTZNeU3x04SAWC9yYAN22b-bDh4qykY5dvblXkk-MqNDvP"><sup>2</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFD2013&amp;filename=YYLC201305014&amp;uniplatform=OVERSEA&amp;v=CEfe8mZrwXftzT27nlf84VXQxUl2-2n-6lLz0jjvL6ZX7GKGO3wCAhN2geaD9Kug"><sup>3</sup></a>; ferroptosis inhibitor<a href="https://oversea.cnki.net/KCMS/detail/detail.aspx?dbcode=CMFD&amp;dbname=CMFD202002&amp;filename=1020710518.nh&amp;uniplatform=OVERSEA&amp;v=1U_BwjE96wlLN_0GPQLAygv3p7WLMu-TsLmpeBi5yNQnwsZ8TfWw7Xj5TC_MvrrI"><sup>1</sup></a><sup>,</sup><a href="https://oversea.cnki.net/kcms2/article/abstract?v=r3g0b1Wd3tend_awGsPnPs6fAJxI6EHEEo0b4VzXTa2PAh0KhcKihw7QMRrd69UZpR5xEiAOmscdEMPxstuvKwpXTPAIS41Dr8e-1htPr70Cah_x8cpFDNvJrtxsWp5Nb-d6UDucoQ1kaGrjnEQYFfCuqOcKCVMBRxR4_-KIQTB4azD5WGI2IiK_f2bW_48XFr1qB96kaeA=&amp;uniplatform=OVERSEA&amp;language=EN"><sup>2</sup></a>; necrosulfonamide<a href="https://pubmed.ncbi.nlm.nih.gov/35721316/"><sup>1</sup></a>; caspase inhibitor<a href="https://pubmed.ncbi.nlm.nih.gov/17639882/"><sup>1</sup></a>.</p><p><strong>Kinase, signaling &amp; channel inhibitors</strong> &#8212; ERK inhibitor<a href="https://web.archive.org/web/20260307023157/https:/pesquisa.bvsalud.org/portal/resource/pt/wpr-606066"><sup>1</sup></a><sup>,</sup><a href="https://www.ahajournals.org/doi/abs/10.1161/circ.136.suppl_1.17797"><sup>2</sup></a><sup>,</sup><a href="http://www.zhqkyx.net/en/article/doi/10.16766/j.cnki.issn.1674-4152.2017.01.005"><sup>3</sup></a>; p38 MAPK inhibitor<a href="https://pubmed.ncbi.nlm.nih.gov/23540891/"><sup>1</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CMFD&amp;dbname=CMFD201802&amp;filename=1018174676.nh&amp;uniplatform=OVERSEA&amp;v=PnlYStiJGbgD2NBbQvfTMQbjNCpAOm8LoLyDQwLbgTgEZBowLlSTzNI90CSpJUfL"><sup>2</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFD2013&amp;filename=YIYA201316006&amp;uniplatform=OVERSEA&amp;v=DB8mJ2avACGpXkGgmmNKaoRTUeZ9RnyO1feYdrPn6GJ6pLHeksGscvZQlibP8TUh"><sup>3</sup></a>; JNK inhibitor<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFDLAST2017&amp;filename=JLYB201705005&amp;uniplatform=OVERSEA&amp;v=TIlpYNrbKHlXp8J9rEZLHPOBJzveJmR7fmCaFD-lUXZ-WSAieDggDAIGJvT1lQFz"><sup>1</sup></a>; HIF-1&#945; inhibitor<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFDLAST2015&amp;filename=YXYZ201412038&amp;uniplatform=OVERSEA&amp;v=rQNbpU2BwLclmziTDUwmp_b-g1jMvSpbDeZhqI-z4BGjfU7BTzB2bvy0C17o78ja"><sup>1</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CPFD&amp;dbname=CPFDLAST2015&amp;filename=ZJKX201410004167&amp;uniplatform=OVERSEA&amp;v=4pC8ifmddrn1_oD8qGz6UhMuOF2rpaEk8i1NQCvZjA1NxryilPMNT5lX_8BTGit8lQo7SpeA0-A%3d"><sup>2</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CMFD&amp;dbname=CMFD201501&amp;filename=1014266625.nh&amp;uniplatform=OVERSEA&amp;v=kVlzkv3ppJ-04F-NsAkUB_T5hOM2mvzs3nR0oooh3_Xke2a2ge9tPYlf8OcIBsv8"><sup>3</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CPFD&amp;dbname=CPFDLAST2016&amp;filename=ZJKX201509001045&amp;uniplatform=OVERSEA&amp;v=L3tqLM20gM6BGemvODmeVsL74MU-QYdLMLDaKxtTcTmb_5FB0sNJ0bx5KL8gH0davfkiofT4ikE%3d"><sup>4</sup></a>; LRRK2 inhibitor<a href="https://oversea.cnki.net/KCMS/detail/detail.aspx?dbcode=CDFD&amp;dbname=CDFDLAST2022&amp;filename=1019256901.nh&amp;uniplatform=OVERSEA&amp;v=ZPxREvWBGXE1rgyG6MuQ8_p5YhZ2mD-s4dVwpCc8pF5FeBqInWxtdeJFHP9eQzYH"><sup>1</sup></a><sup>,</sup><a href="https://oversea.cnki.net/kcms2/article/abstract?v=K6QWI_fIKJEjigPgxwH5MlS8LvpggIj5buVFlhr7yLupYP5qz3AKuyI64woifqVhqxNq_gVZdJwQILZ7jSB4D0rRslR-kVTJkXOjhea_6quEGS_OjfcC7tklGTCqFROslTUKEImLu7fHm4_Ig9p_RD0eA6V1-P3wJrFrFnHiVUd8TfuHToUR7tGP2PGp9hEx25x79ubFYwc=&amp;uniplatform=OVERSEA&amp;language=EN"><sup>2</sup></a>; STING inhibitor<a href="https://oversea.cnki.net/kcms2/article/abstract?v=adNygMj_jVCy_mHsd21xvwKL_fqlBn9xEejE-7eHwoECl9owwJS6V2cHz2oF0Jdj9zCU4aAdXO-VEu0XQ0KqAxTfzUDWaxCxXKXf_Fq0vxNgOvUPPYNSEcZq7KV1pxZNO_K2Etkmxyof0ahuelXpaEI18FVpxLAPbM-k7rBNfecNZx4N2TRpago7zPWKDJiL12PPZjNrYNk=&amp;uniplatform=OVERSEA&amp;language=EN"><sup>1</sup></a>; PTEN inhibitor <a href="https://oversea.cnki.net/KCMS/detail/detail.aspx?dbcode=CMFD&amp;dbname=CMFD202001&amp;filename=1020012812.nh&amp;uniplatform=OVERSEA&amp;v=VbnP7V5PXGKL7Zq-NXUqC81CnYditMAaudTlvhOc5drokmDcVxK-uPggbTnXQueb"><sup>1</sup></a>; PTP1B inhibitor<a href="https://oversea.cnki.net/kcms2/article/abstract?v=Mz9udXFtQxm-tMHYlLbMygcSkLir19VjZ1Up5bxq3BK7EKV0V46eDrXqazUcZj7yH3EjHr3c2lk9M-3cHhZ4ITon_SvpuEPa7KqE8fVUwR5vrui07BOyPXSmyqWoidzD_p42khjtkM0e8eXuMfORWU_PQVUgfjcBeJm4RKWtOdUquMqIilm8XVnpLBCvvNxd69J-ttI2OS8=&amp;uniplatform=OVERSEA&amp;language=EN"><sup>1</sup></a>; HDAC inhibitor<a href="https://oversea.cnki.net/kcms2/article/abstract?v=dKcr_PZ1zcsAWu6-d6DlhKpeP_EOXJHwXAUju-6NwJgYJnhcdHpvcZxJcf3KWwzpAZvmpweoNQnZtVzZppxgfUBe993bT8c6XQZCNR-z8fWusdRNU6XEh4t5Xa3yOPZ7bUsI_iQ8_nFYHt7R1VeoZUc7AON6RFgnXqfeplYrFbEn_Pbd4yuJg5yiqgQeMtu0AYZMiFhH-tc=&amp;uniplatform=OVERSEA&amp;language=EN"><sup>1</sup></a>; Drp1 inhibitor<a href="https://oversea.cnki.net/kcms2/article/abstract?v=nRANE_nPmUpqk1OQZ9DtiHcL4dfBjUU_Baiq0nJ1tzJ_h3pNiSP2ZmM2YBOzQk2NDcFPkfOXSFh9O-nHAQ2y-l5CO62zxDNL7zOXAROCTKH40Xqx7DTKRcnDmB_z42-uXWqqivYlpAyb6o-Rv0Ssd5rjQeJO-JDid1CeCjl0Z-bU2ofocrpzr79gJmZKFCBN9zpFLkgovvo=&amp;uniplatform=OVERSEA&amp;language=EN"><sup>1</sup></a>; IRE1&#945; inhibitor<a href="https://oversea.cnki.net/kcms2/article/abstract?v=dKcr_PZ1zctnCmEPEpyNNNPolUd5-XdOjBVlGwjCIA7kzIxRhaAq5QU7-FPf6jUVYVibSE2pAGtTOclzFH_e1ZFFEG99HDWVQ_P7e8vv9ZYDQpxm6MLqXT7iEL6fTIsENkyTlgs2lrxkou1mTHlJD4MnjrxnuSOm2QWZPJuQsbiVrtrYwdaX97vJEcmTAc35LIw8lngIils=&amp;uniplatform=OVERSEA&amp;language=EN"><sup>1</sup></a>; AP-1 inhibitor <a href="https://oversea.cnki.net/kcms2/article/abstract?v=BoNITJRTahLDngcQ2T8BdZb5Q8WrZDtQtPRK9qYOwYL3A3Zakqk05HqNBeevDqxjEdUmXU-NhXcwdTcfrEUmLvj0W_LXcvv-y5d4l-PjFyM7fCqBAPhdU7tqBgSFmwRwuoKltDYkK9YQwy4nP_7cW9QUeNaU5kCM1BqwgtOxIiN5mvjQmVP8A_Pp6HUeWc6JVBtJxPMjZkA=&amp;uniplatform=OVERSEA&amp;language=EN"><sup>1</sup></a>; TRPC channel blocker<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFDHIS2&amp;filename=XAYX201306007&amp;uniplatform=OVERSEA&amp;v=AJHBLQP_ki7Jcqfi-O0zFzDNpPli5eEmlVITl-f7bVK2Lg8VAlV4ChcnsIKWUQ2p"><sup>1</sup></a>; FAK inhibitor<a href="https://pubmed.ncbi.nlm.nih.gov/37884185/"><sup>1</sup></a><sup>,</sup><a href="https://oversea.cnki.net/KCMS/detail/detail.aspx?dbcode=CDFD&amp;dbname=CDFDLAST2020&amp;filename=1020010490.nh&amp;uniplatform=OVERSEA&amp;v=DJlPtP8HQVyfXV3YpR_zNz-d2eHND2IBTWgZnZsYq6TpwUM3D4Eqlq74LIGNnJPi"><sup>2</sup></a>; aquaporin-regulating ERK inhibitor<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CDFD&amp;dbname=CDFDLAST2017&amp;filename=1017007221.nh&amp;uniplatform=OVERSEA&amp;v=UhA21uc9KyZ0BWAeAD-FkpJR5wBJRtkpt92rLBnc3bzjijb-S2nCfwWMkr94ja0H"><sup>1</sup></a>; valproate and related HDAC inhibitors (improved survival in hemorrhagic-shock and TBI models)<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CDFD&amp;dbname=CDFDLAST2023&amp;filename=1018840167.nh&amp;uniplatform=OVERSEA&amp;v=aYyA0sBGX4k6yRk3OdYDswexn5kOLOCLjLmafXKIFnePa1OMOGzV14XhpVROYhna"><sup>1</sup></a>.</p><p><strong>Iron, heme &amp; inflammatory-pathway agents</strong> &#8212; TLR4 blocker<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CMFD&amp;dbname=CMFD201901&amp;filename=1018088998.nh&amp;uniplatform=OVERSEA&amp;v=2zDC7a-fVi0-edVQcPfVXESeiHWbVon3bOKOg1coJQGlexXam2SF29jFKA1PCgwA"><sup>1</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFD2013&amp;filename=NXGB201311007&amp;uniplatform=OVERSEA&amp;v=tTS2fFahGPcEKnDLkKG4aKy-Hd1gwwxSfo1wSvNIMcta0e-jf0iz-Dar_kcTbC2Y"><sup>2</sup></a>; heme oxygenase-1 inhibitor<a href="https://pubmed.ncbi.nlm.nih.gov/21125442/"><sup>1</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CMFD&amp;dbname=CMFD201501&amp;filename=1014053610.nh&amp;uniplatform=OVERSEA&amp;v=Zl6HqD5SLHhdAP2xEgyQs1uKQKz4A2L3L1ntTydcOrwJrKjUEH3AULwNHL0XyuyW"><sup>2</sup></a>; iron chelator<a href="https://pubmed.ncbi.nlm.nih.gov/20515571/"><sup>1</sup></a>; mTOR inhibitor<a href="https://pubmed.ncbi.nlm.nih.gov/22177999/"><sup>1</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CMFD&amp;dbname=CMFD201402&amp;filename=1014267030.nh&amp;uniplatform=OVERSEA&amp;v=wgPpXpLVQbzIcbMQmISYzMXL1j0zUArxGkSQUJvC-fCe-TJABZEuCgzReOSRKBjl"><sup>2</sup></a>; tin-mesoporphyrin, a heme oxygenase inhibitor<a href="https://europepmc.org/article/med/10872746"><sup>1</sup></a>.</p><p><strong>Receptor ligands, growth factors &amp; neuropeptides</strong> &#8212; TSPO ligand<a href="https://pubmed.ncbi.nlm.nih.gov/32387718/"><sup>1</sup></a><sup>,</sup><a href="https://oversea.cnki.net/KCMS/detail/detail.aspx?dbcode=CMFD&amp;dbname=CMFD201902&amp;filename=1019045615.nh&amp;uniplatform=OVERSEA&amp;v=TvUsjWyktrSngNZlZMvFMy7v90BW7ieSPYzHCAN_ey4P1Cdwj6tumeWqYeJ5h5V5"><sup>2</sup></a>; FGF-2<a href="https://pubmed.ncbi.nlm.nih.gov/34023434/"><sup>1</sup></a>; mitoNEET ligand<a href="https://pubmed.ncbi.nlm.nih.gov/37828361/"><sup>1</sup></a>; ghrelin<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CMFD&amp;dbname=CMFD201601&amp;filename=1015331507.nh&amp;uniplatform=OVERSEA&amp;v=RNzSe5J5hoEkB5H2eeTVxPmQAV5X0w0c2kIvTTzz0dp5rSjCCwUgCRNIUNMl40BM"><sup>1</sup></a>; IGF-1<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFD2010&amp;filename=JLYB201006009&amp;uniplatform=OVERSEA&amp;v=tO1SDo3aPVh4KHxz0VQwIibye_KS6osq0HUCUrhbX5cVpuUjysW5EzidjiVoedmO"><sup>1</sup></a>; orexin-A<a href="https://oversea.cnki.net/kcms2/article/abstract?v=dKcr_PZ1zcsz6c5euw-7Z-wPnN8MYpdzYANfApwfhfubnAuHaOYb7Gfj7xqA63UCPqJZf4R029QKwG1QIDnPXCakD5ASN22QBmhfQnV1BJ0rP7K9_n6W-Qfb-L6vMCyrAkHEyuhvDkassTyH4iBlMN1WJ5r7PK9eysUNhp79tr93uKH7uBlkWqB0Z6hhE3T-zjgAuF7qhBU=&amp;uniplatform=OVERSEA&amp;language=EN"><sup>1</sup></a>; apelin-13<a href="https://oversea.cnki.net/kcms2/article/abstract?v=dKcr_PZ1zcst223hz9lfYEvaONGpiJBrYJg7zWDI16ZHnw3A0FufBtOOfp1hcQeS94gA6hGLcx4dR2M5eFsqX7YMKUW7zRPDsJlRRqvRatFI0lC0tbuozNLM-EN00hRAedZv4m5U88Moewi5NcUxoudMv_sy6Eru67Mlb9L6uOONz5LBxipH6P4505lKc-pp6Pjs0P7s5iA=&amp;uniplatform=OVERSEA&amp;language=EN"><sup>1</sup></a>; sufentanil<a href="https://oversea.cnki.net/kcms2/article/abstract?v=dKcr_PZ1zcsWx7RT7UeCzoc9WLOoiJz3K84DW3nhlkdgXrty-nUg4Gr3Xj1OuOPRWM9gHZey8SWdm1aXqqVDdVuwBOxDoPjD-qJyjpZLvra-Yll4_jHht2DXIZEy9xQKYTavQfL08TKCNjsFmqdASSsS58S-UrtBjnmKo6Gjh0633dnxQHXprH5nh9uYizFy&amp;uniplatform=OVERSEA&amp;language=EN"><sup>1</sup></a>; siponimod<a href="https://oversea.cnki.net/kcms2/article/abstract?v=nRANE_nPmUoAXSiPuCcMk6H5BZUQQEd0QyR07ilIc9WBaOo_JzlmoGzduCuzrCnriPKV4IhGDmFxI1g4DAntjapryctDUxWKuq3ZGBvHXmjoL4MR3U9tJzU7jy2yVag8E1HUdCHEYoyNgmklI4316-XWOlDBWWbMPqKZFgoigN8Rp5H2ZxdtzATCbd3NG-mOuSmMsUObUgU=&amp;uniplatform=OVERSEA&amp;language=EN"><sup>1</sup></a>; recombinant neurotrophin-4<a href="https://oversea.cnki.net/kcms2/article/abstract?v=r3g0b1Wd3te-bAQV0mbNIHr16A7iXGrX6-pub3C6_BXAVNM6EMAZnE6Ssx7fvegtpx0HG4tgelRL-_Aov9-8Vtkkx4QgOtfvufU40Tgpz2OFEiO57ppGK1vKHJGRA2G-ueyesUChgL9mSYD-DemqIp8pk-pELReQVcn-ntC6xIfmwcfUTUf2Gii1U5S8LhIC4Y8moeN0Pvs=&amp;uniplatform=OVERSEA&amp;language=EN"><sup>1</sup></a>.</p><p><strong><span>Other drugs &amp; compounds</span></strong><span> &#8212; mGluR1 antagonist</span><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFDLAST2018&amp;filename=NXGB201811004&amp;uniplatform=OVERSEA&amp;v=-FOEpWhmshnksdSDMm24g31Y-4pY2K5Zd2EaLmEtdmHxwCbKmO3jOmDXgx8azyZF"><sup><span>1</span></sup></a><span>; cyclosporine A</span><a href="https://pubmed.ncbi.nlm.nih.gov/24508908/"><sup><span>1</span></sup></a><sup><span>,</span></sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CDFD&amp;dbname=CDFDLAST2018&amp;filename=1017265339.nh&amp;uniplatform=OVERSEA&amp;v=LYcWkWWSVlLz8IgbELRkWxzxJjzqorMX58_03r1l1h1nd9RpEiMqlZ0hWfoRTdd8"><sup><span>2</span></sup></a><span>; 2-methoxyestradiol</span><a href="https://pubmed.ncbi.nlm.nih.gov/27943229/"><sup><span>1</span></sup></a><span>; dabigatran</span><a href="https://pubmed.ncbi.nlm.nih.gov/28155585/"><sup><span>1</span></sup></a><span>; glibenclamide</span><a href="https://oversea.cnki.net/kcms2/article/abstract?v=BoNITJRTahKdTYb18ddbCjZTGCRcMGIAM6equL_dhd1X3NxosrFV2PQWjzHV0B6IO4Y5LBpUJR-tAhJSLlhjtPIA28gdnfysijleHrOYt7jq1qIRJffa7ftnXY6mfJVmEfBr2UPy8a4UD_mVaoFB0ZOgYZmRkfB-WHPQ6LBP3Qw37lpgvPtIb6AdUxzkVpwG&amp;uniplatform=OVERSEA&amp;language=EN"><sup><span>1</span></sup></a><span>; tamoxifen</span><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFD2012&amp;filename=LCSK201205004&amp;uniplatform=OVERSEA&amp;v=K6d5K2bfWkMYBG5wUvn3CcG_8Fu6vwspEvwaW0RkdwBDgvyh_bmBcBlCHj6JSp8V"><sup><span>1</span></sup></a><span>; praeruptorin E</span><a href="https://oversea.cnki.net/kcms2/article/abstract?v=Mz9udXFtQxm_AHwvF0PrI9GlClsIxsl78hoRug-2Jgj62JV2oD6aCmTWQ_iIxAh629Lnlf7oWbipzM7eByuYDZHX9E_PwJyLa20q3Jj6nCI_i2nFxrujZdalDHhjitxHz6mRGY4q7B9skh6Pe-JrGW0MC5WRR9y3qwUaJtJwTKGWeDFLCVJHSo7t1kt5Ax6wJ83eU2ku8-g=&amp;uniplatform=OVERSEA&amp;language=EN"><sup><span>1</span></sup></a><span>; didymin</span><a href="https://oversea.cnki.net/kcms2/article/abstract?v=nRANE_nPmUpkH9rYv09tMHd_-EMBpYB9h_d5A-3FDXKfoT7jP0fIvGYcf2I4-su2WnVncd-c5FEHeENeW4dku-W6whlYXkYPyYcYu58cQfax2wO3TDuSeCL-oIqPfS4wPHu-JqI-Sh0NEqx27qQfXFHcaICw9zYgpmZvG-yVEtkunq5-tKUDsFz0FGEMRnMcIjFZN7axT7U=&amp;uniplatform=OVERSEA&amp;language=EN"><sup><span>1</span></sup></a><span>; H&#8322;S donor AP39</span><a href="https://oversea.cnki.net/kcms2/article/abstract?v=9r23aJBcv3bxBzx1rxRYxWaWnDesWz-jvlTQxrB1BaQab-CRxlvITltI3asz29HLAg3ZIy7hxoxL5zhenV9fVSmg0kFs-dxLoNEQtm7gH00yHSlddHCKmBdsu-OAhgooS0WpNMplrbty9kXzq_FmQYbcKsmnsQkpkJ4mG683aW0-isGdhlahcXXks2-X_frFB7J1GwTr3Dc=&amp;uniplatform=OVERSEA&amp;language=EN"><sup><span>1</span></sup></a><span>; chelerythrine</span><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CMFD&amp;dbname=CMFD201901&amp;filename=1018118928.nh&amp;uniplatform=OVERSEA&amp;v=YdNxvbBY5JG4Xp8Ycv2r8rEmg9zw8CvGCJhA_t1L-VPVBOLZ9hZvVJHtiENU1_AI"><sup><span>1</span></sup></a><span>; Nur77 modulator</span><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CDFD&amp;dbname=CDFDLAST2018&amp;filename=1017265339.nh&amp;uniplatform=OVERSEA&amp;v=LYcWkWWSVlLz8IgbELRkWxzxJjzqorMX58_03r1l1h1nd9RpEiMqlZ0hWfoRTdd8"><sup><span>1</span></sup></a><span>; rosuvastatin and simvastatin (reduced tPA-related hemorrhage and infarct)</span><a href="https://pubmed.ncbi.nlm.nih.gov/19781532/"><sup><span>1</span></sup></a></p><p><em>Note: an <a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFDLAST2016&amp;filename=BJZO201601003&amp;uniplatform=OVERSEA&amp;v=lY3n0zZdMf1jHex3BqA97JmlXyNmRK_Ejm_gFcPkwigZz81SKh2ZqI2KlhwxCZIE">emodin<sup>&#11030;</sup> study in acute pancreatitis</a> (DMSO alone as a solvent) reduced tissue hemorrhage scores as one marker.</em></p><h3>DMSO in Interventional Neurosurgery</h3><p>I have argued the reason many transformative medical therapies do not enter medical practice despite widespread public demand for them is because <a href="https://www.midwesterndoctor.com/p/what-the-war-on-chlorine-dioxide">we exist within a &#8220;pay to play&#8221; system</a>, where access to the mainstream medical marketplace can only be earned if massive amounts of money are spent to secure an FDA approval&#8212;which is problematic as approval is largely dependent upon the money spent, not the quality of the therapy (which is essentially why the medical medical marketplace is crowded with mediocre and harmful therapies).  </p><p>A key piece of evidence for my contention is that while many of the transformative (but off-patent) therapies I have come across are effectively barred from mainstream care, once the therapy is repackaged into something far more expensive and proprietary, it is often a widely embraced therapy (e.g., while used globally with immense data behind it, ultraviolet blood irradiation is not permitted in American medicine, but UVBI combined with a photosensitizer&#8212;<a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC6119964/">extracorporeal photopheresis</a>&#8212;is a widely used and extremely expensive therapy here and likewise <a href="https://www.midwesterndoctor.com/p/therapeutic-dmso-combinations-revolutionize">many proprietary DMSO containing drugs have been approved by the FDA</a>).</p><p>So, while &#8220;unsafe&#8221; DMSO is not used for strokes despite fifty years of pleas and research&#8212;it simultaneously is.  <span>Specifically, a common way many blood vessel issues are addressed is by threading a catheter into an easy-to-reach artery (for example the groin or the wrist) and then guiding it through the vessels to the site of the problem and doing something there, such as placing a stent, so you do not have to open the body surgically to get to that spot.</span></p><p><span>One common reason this is done is to cut off blood flow in a vessel, for example a bleeding artery. One popular way to do that uses DMSO to dissolve a polymer that is not soluble in blood, thereby allowing it to stay liquid in the catheter, so it can be pushed to the target. However, once it is injected into the bloodstream, the DMSO diffuses away and the polymer precipitates into a cast that plugs the vessel and stops flow. As such, tens of thousands of published papers exist on this DMSO combination</span><a href="https://scholar.google.com/scholar?hl=en&amp;as_sdt=0%2C44&amp;q=onyx+embolization&amp;btnG=&amp;oq=onyx+"><sup><span>1</span></sup></a><sup><span>,</span></sup><a href="https://scholar.google.com/scholar?hl=en&amp;as_sdt=0%2C44&amp;q=phil+embolization&amp;btnG="><sup><span>2</span></sup></a><sup><span>,</span></sup><a href="https://scholar.google.com/scholar?hl=en&amp;as_sdt=0%2C44&amp;q=squid+embolization&amp;btnG="><sup><span>3</span></sup></a><span> (with numerous readers sharing they recognized DMSO because it was in one of those agents).</span></p><p><em><span>Note: while generally safe</span><a href="https://pubmed.ncbi.nlm.nih.gov/39299534/"><sup><span>1</span></sup></a><span> (with an experienced operator), since very high concentrations of DMSO are used to dissolve the polymers, they have to injected slowly so the vessels and brain tissue are not injured by a highly concentrated burst of DMSO (whereas in contrast much lower DMSO concentrations are typically used in DMSO IVs).  Additionally, since the polymer plugs can travel from the target site, side effects periodically happen (and comprise a significant portion of the small number of side effects which have been reported for DMSO&#8212;as all agents used at the time of an adverse event are typically reported).</span></em></p><h1>Reader Hemorrhage Reports</h1><blockquote><p>My most impressive experience with DMSO has been post a hemorrhagic stroke my Father had due to anticoagulant use for atrial fibrillation. Free iron from hemorrhage, especially in the brain, is quite possibly the most inflammatory event that can happen and responds to DMSO.</p><p>After IV DMSO he was <span>totally</span> mentally restored in 4 <span>hours</span>, sitting up in bed asking what his Dr said about his condition and was discharged in 36 hours with NO complications!! &#8212; From a physician reader</p></blockquote><p>Several readers have described applying DMSO in the immediate aftermath of an aneurysm or brain bleed. The most detailed came from a reader whose 84-year-old mother suffered a grade 3 brain aneurysm and subarachnoid hemorrhage: about 90 minutes after the event, as paramedics loaded her into the ambulance, the reader applied topical DMSO, with a smaller application in the ER hours later and small amounts perhaps six times over the next two weeks in the ICU. She went on to make a nearly complete&#8212;possibly complete&#8212;neurological recovery, with her remaining issues (weakness, UTIs) plausibly attributable to six weeks of bed rest. The reader described her recovering in sudden increments, as if her brain were &#8220;re-indexing&#8221; visual and motor skills and finding neural pathways that had been misplaced after the aneurysm.<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/109066294"><sup>1</sup></a> In a follow-up roughly a year later, the same reader reported that despite a subsequent fall and subdural hematoma (during which DMSO was only applied several days late), his mother remained in assisted living with most of her cognitive function and mobility intact&#8212;an outcome he understood to be exceptional for someone her age.<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/248220159"><sup>1</sup></a></p><p>Another reader described her own nonaneurysmal brain hemorrhage following an ice bath, three weeks after first buying DMSO on the strength of these articles. Her partner applied DMSO immediately; she went to the hospital, then resumed topical DMSO at home. At a follow-up scan, the neurosurgeon reportedly expressed surprise both that she had not developed cerebritis after the hemorrhage and that she had improved so markedly in such a short time.<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/165687779"><sup>1</sup></a></p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!B3DL!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F249236df-8126-4487-ba70-97a7fdbf74cc_1994x1358.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!B3DL!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F249236df-8126-4487-ba70-97a7fdbf74cc_1994x1358.png 424w, https://substackcdn.com/image/fetch/$s_!B3DL!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F249236df-8126-4487-ba70-97a7fdbf74cc_1994x1358.png 848w, https://substackcdn.com/image/fetch/$s_!B3DL!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F249236df-8126-4487-ba70-97a7fdbf74cc_1994x1358.png 1272w, https://substackcdn.com/image/fetch/$s_!B3DL!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F249236df-8126-4487-ba70-97a7fdbf74cc_1994x1358.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!B3DL!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F249236df-8126-4487-ba70-97a7fdbf74cc_1994x1358.png" width="1456" height="992" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/249236df-8126-4487-ba70-97a7fdbf74cc_1994x1358.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:992,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:3257429,&quot;alt&quot;:&quot;&quot;,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:&quot;https://www.midwesterndoctor.com/i/148929239?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F249236df-8126-4487-ba70-97a7fdbf74cc_1994x1358.png&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" title="" srcset="https://substackcdn.com/image/fetch/$s_!B3DL!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F249236df-8126-4487-ba70-97a7fdbf74cc_1994x1358.png 424w, https://substackcdn.com/image/fetch/$s_!B3DL!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F249236df-8126-4487-ba70-97a7fdbf74cc_1994x1358.png 848w, https://substackcdn.com/image/fetch/$s_!B3DL!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F249236df-8126-4487-ba70-97a7fdbf74cc_1994x1358.png 1272w, https://substackcdn.com/image/fetch/$s_!B3DL!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F249236df-8126-4487-ba70-97a7fdbf74cc_1994x1358.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a><figcaption class="image-caption">All identifying information redacted at her request.</figcaption></figure></div><p>A reader whose 93-year-old grandmother had suffered several brain injuries over eighteen months&#8212;including a stroke and two brain bleeds caused by a fall with a blow to the head&#8212;reported that treating her with DMSO &#8220;made her recovery much faster.&#8221;<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/279713942"><sup>1</sup></a> Another reader survived a brain hemorrhage three weeks after buying DMSO on the strength of these articles; after the hospital misdiagnosed her, she applied it topically and then took it orally twice a day, and came through with &#8220;no inflammation and very little residual issues.&#8221; In her words, &#8220;without [@MidwesternDoc] I don&#8217;t think I would be alive today.&#8221;<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/273134971"><sup>1</sup></a></p><p>A reader who purchased DMSO for her mother-in-law&#8212;who had suffered a brain aneurysm seven years earlier&#8212;noted improvements across a range of unrelated issues (plantar fasciitis, knee-replacement swelling, varicose veins, arthritic hands) and was watching to see whether cognition and brain fog would improve over time. In the same report, the reader&#8217;s husband, who suffered near-constant neck and head pain and worsening migraines, applied DMSO once and reported his headache and neck pain were &#8220;GONE.&#8221;<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/77270196"><sup>1</sup></a></p><p>DMSO&#8217;s ability to relieve the pressure a mass places on neural tissue was also illustrated in a non-hemorrhage case. A clinician reader who shared he&#8217;d seen several glioblastomas resolve with mebendazole described one patient left virtually blind in one eye because the tumor had compressed the optic nerve; even after eight months of treatment fully eliminated the tumor, the blindness remained. After being shown DMSO eye drops, the patient used them once&#8212;and by the next morning his wife reported his vision had returned to normal.<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/166532816"><sup>1</sup></a> Though the tumor was gone, the compressive injury to the nerve had persisted until DMSO addressed it, mirroring the way DMSO relieves the pressure and secondary injury that follow a brain bleed.</p><p>Likewise, another reader&#8217;s partner (aged 75) was diagnosed with an inoperable 8 cm glioblastoma causing a slow brain bleed, losing the ability to speak and developing right-side paralysis, with a prognosis of three weeks to live. After copious topical DMSO, motor function began returning within 24 hours; over the following weeks the partner regained the ability to feed himself, communicate using Google Translate, and perform basic activities, and by week four could walk with a walker. A new CT scan at day 55 showed no brain bleed and reduced tumor metrics.<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/164701931"><sup>1</sup></a> </p><p>Collectively, these reports mirror what was reported within DMSO literature and again suggest (provided another anticoagulant is not being taken), DMSO does not expose individuals with an active brain bleed to a serious risk. That said, the far smaller number of hemorrhagic testimonials makes me less confident in this assessment (e.g., if someone had used DMSO for a hemorrhagic stroke and died I would not have heard from them and within a sample that small that possibility can&#8217;t be excluded). However, given that hemorrhagic strokes are much rarer than ischemic strokes (13% vs. 87%), even if every case where a reader had used DMSO for either type of stroke was reported to me, I would still expect to receive far less hemorrhagic stroke reports. Notably, the ratio between all the ischemic and hemorrhagic stroke reports I&#8217;ve received here is fairly close to their expected distribution within the population, again suggesting there is not a significant (hidden) pool of readers with bad DMSO hemorrhagic stroke experiences.</p><h1>Traumatic Brain Injuries and Concussions</h1><p><span>While ischemic strokes are difficult to treat, hemorrhagic strokes and severe traumatic brain injuries are often more challenging still, and after decades, progress in neurologic intensive care has been limited, particularly in preventing the long-term paralysis and disability that follow a serious head injury.</span><a href="https://pubmed.ncbi.nlm.nih.gov/1045997/"><sup><span>1</span></sup></a><span> The core problem is that the initial impact is only the beginning, as in the hours and days that follow, a secondary injury unfolds, as swelling raises the pressure inside the rigid skull, circulation to the injured tissue falls, free radicals are generated in large quantities, and cells that survived the initial trauma begin to die.<br><br>This secondary cascade, together with the impact itself, determines whether a patient lives, and whether they recover. DMSO addresses that cascade at almost every point at once. It rapidly draws off the excess fluid driving intracranial pressure, restores circulation to the compromised tissue, scavenges the free radicals generated by the injury, and directly protects neurons from dying. Because a traumatic brain injury requires all of these problems to be solved simultaneously (something conventional care attempts with a different intervention for each, with the therapies often having conflicting effects and hence requires careful balancing between them), an agent that does all of the needed actions together is uniquely suited to the task. What follows is the extensive and largely forgotten evidence that DMSO does here.</span></p><p><em>Note: conflicting evidence exists supporting the use of</em> <em><a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6463867/">progesterone</a>,</em> <em><a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6483736/">hypothermia</a>, and</em> <em><a href="https://www.sciencedirect.com/science/article/abs/pii/S187887502300699X">hyperbaric oxygen therapy</a></em> <em>for traumatic brain injuries, but none of these approaches are in widespread use. Strong evidence also supports the use of</em> <em><a href="https://www.frontiersin.org/journals/neurology/articles/10.3389/fneur.2019.01133/full">methylene blue</a></em> <em>but it also is rarely used. Finally, certain trials (e.g.,</em> <em><a href="https://pubmed.ncbi.nlm.nih.gov/8905174/">with progesterone</a></em> <em>or</em> <em><a href="https://pubmed.ncbi.nlm.nih.gov/9059845/">with an adenosine kinase inhibitor</a>) find those therapies work even better if combined with DMSO.</em></p><h2>Severe Head Trauma</h2><p>The most striking human evidence concerns DMSO&#8217;s ability to rapidly lower the dangerously high intracranial pressure (ICP) that follows severe head injury, an effect that repeatedly translated into improved survival and neurological recovery.<em><br>Note: typically agents that lower ICP also lower (necessary) cerebral perfusion. As DMSO instead protects both, it is hence uniquely suited for these situations (e.g., while pentobarbitone and DMSO lowered ICP comparably (a 66% versus 45% drop)&#8212;pentobarbitone dropped systolic pressure by an average of 20 torr while DMSO caused no such drop, preserving cerebral perfusion<a href="https://pubmed.ncbi.nlm.nih.gov/7072538/"><sup>1</sup></a>).</em></p><p>A pivotal study on this followed ten patients with closed head trauma and severely elevated ICP (40 to 127 mmHg, against a normal 5 to 13 mmHg) who received IV DMSO. In most cases ICP began dropping within 30 minutes, falling on average 28 mmHg after 24 hours and 58 mmHg after six days, with the reduction in brain swelling confirmed by CT scans. At a six-day neurological assessment, six patients had mild or no impairment and two had moderate impairment (two eventually died of their injuries), and by three months seven had minimal to no impairment. No adverse effects from DMSO were observed.<a href="https://pubmed.ncbi.nlm.nih.gov/2060538/"><sup>1</sup></a><sup>,</sup><a href="https://dmso.org/articles/head/headtr1.htm"><sup>2</sup></a><sup>,</sup><a href="https://link.springer.com/article/10.1007/BF00315149"><sup>3</sup></a> This study, in turn, built on an earlier report of ten patients with severe closed head injuries, where DMSO rapidly reduced ICP and increased cerebral perfusion without lowering systemic blood pressure, and again improved the neurological course and outcome.<a href="https://pubmed.ncbi.nlm.nih.gov/2290457/"><sup>1</sup></a></p><p>These results were replicated across other studies. In a prospective study of 10 patients with severe closed head injury, marked brain swelling, and Glasgow Coma Scale (GCS) scores of 6 or below, IV DMSO (given whenever ICP reached 25 mmHg) dropped ICP markedly within 10 minutes (mean maximum reduction of 23.5 mmHg), raised cerebral perfusion pressure as ICP fell, and produced no rebound; seven of ten survived, six without gross deficits.<a href="https://www.thieme-connect.com/products/ejournals/abstract/10.1055/s-2008-1053579"><sup>1</sup></a> In 12 patients with traumatic brain injury and elevated ICP, IV DMSO (given on average twice) rapidly reduced ICP in 21 of 23 treatment sessions, with the non-responding sessions also failing to respond to mannitol or furosemide, and no effect on blood pressure or other side effects.<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFD9093&amp;filename=YSJX199008010&amp;uniplatform=OVERSEA&amp;v=g4Gbjcj__BcihBhCJC2vlhT0OUoAHvJMXSpwx_Nn4253MW76FunpG-7PiQrT2avL"><sup>1</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFD9093&amp;filename=ZGYZ199003009&amp;uniplatform=OVERSEA&amp;v=SI-BKCJ0627Kj5VVo6MDnNDQaZ8waMGQGomynVNnX5SmQ3I6rF-wloCBCxaBrVcT"><sup>2</sup></a> Likewise, a trial of 35 patients with severe head injury undergoing emergency cranial surgery found IV DMSO controlled ICP in 75% of cases (versus 53% with standard therapy), and controlled it in half of the patients who had already failed conventional treatment.<a href="https://link.springer.com/chapter/10.1007/978-3-642-70971-5_146"><sup>1</sup></a></p><p>The speed of the effect impressed even DMSO&#8217;s contemporaries. <span>At a 1980 Congressional hearing on DMSO,</span><a href="https://www.midwesterndoctor.com/p/the-fdas-war-against-dmso-and-america"><sup>1</sup></a><span> Dr. Stanley Jacob discussed Oregon data (published in 1983</span><a href="https://pubmed.ncbi.nlm.nih.gov/6576703/"><sup><span>1</span></sup></a><span>) on 11 patients with intracranial hypertension from mixed causes, 5&#8211;6 of whom were already unresponsive to barbiturates and mannitol (3 of the barbiturate nonresponders after head trauma). IV DMSO dropped ICP to the normal range within 3&#8211;5 minutes in all 11 and was repeated as needed to keep ICP below 20 mmHg with three patients expected to die recovered well. A further five patients started on DMSO earlier did markedly better than those given it only after other measures had failed.</span> </p><p>Finally, a report discussed by Dr. de la Torre<a href="https://www.amazon.com/Dimethyl-Sulfoxide-DMSO-Trauma-Disease/dp/1498714676"><sup>1</sup></a> (which I could not locate) detailed five patients with closed head injuries and high ICP that rapidly fell with IV DMSO. A 1.5 year old with a GCS of 7 and ICP of 30 mmHg fully recovered over 3 weeks, and a 7 year old admitted with a GCS of 5 and ICP of 25 mmHg fully recovered after 8 weeks; the three others (aged 17 to 52 with GCS scores of 3 to 5, two with ICPs above 50 mmHg) initially responded but did not survive.</p><p><em>Note: an early and candid</em> <em><a href="https://pubmed.ncbi.nlm.nih.gov/7172553/">1982 report</a> by UC San Diego researcher</em>s <em>captured both the promise and the practical problem with DMSO in this era. The authors found the drug &#8220;often initially successful in controlling ICP&#8221; and &#8220;occasionally effective when barbiturates have failed&#8221; (and noted the ICP drop was too rapid to be a simple diuretic effect, implying a distinct mechanism), but struggled with its administration, <strong>as concentrated DMSO could dissolve standard IV tubing</strong> and the large fluid volumes then used were poorly suited to a head-injured patient (making prolonged control of ICP challenging to calibrate). These were solvable problems as refined protocols were developed (e.g., later work used lower concentrations and different IV materials to avoid them), but at the time they blunted enthusiasm for a therapy that was otherwise working.<a href="https://pubmed.ncbi.nlm.nih.gov/7172553/"><sup>1</sup></a><sup>,</sup><a href="https://link.springer.com/chapter/10.1007/978-3-642-70971-5_146"><sup>2</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/6462399/"><sup>3</sup></a><sup> </sup>Likewise, a 1981 NIOSH report documented that staff at San Francisco General Hospital developed headaches and nausea (likely due to concentrated dimethyl sulfide) while working in rooms with patients receiving high-dose IV DMSO for an experimental cerebral-edema protocol, and that the problem resolved once room ventilation was improved<a href="https://www.cdc.gov/niosh/hhe/reports/pdfs/80-98-790.pdf"><sup>1</sup></a>&#8212;something which has required clinics offering IV DMSO to often have a &#8220;DMSO only day&#8221; and that could likely also be addressed with appropriate air filters.</em> </p><p>DMSO&#8217;s use for traumatic high ICP is also recognized in veterinary medicine, where its edema and pressure-lowering effects have long been utilized in large animals. A 1991 veterinary review of IV DMSO for traumatic brain injury in horses describes its use to reduce cerebral edema, intracranial pressure, and anoxia (with a regimen used at Oregon State University given slowly, generally twice daily), noting that DMSO increases localized circulation and cortical vasodilation, reduces platelet aggregation and fibrin thrombus formation in small injured vessels, protects endothelium, and reduces elevated ICP.<a href="https://ru.dgb.unam.mx/items/2b9d4e81-7d7a-464f-a568-006c8396f2dc"><sup>1</sup></a> Likewise, in equine clinical guidance, IV DMSO is indicated for acute head trauma resulting in high intracranial pressure and cerebral edema,<a href="https://www.cabidigitallibrary.org/doi/full/10.5555/19872297670"><sup>1</sup></a> and in parallel, a broader review of DMSO in equine medicine covers its application to central nervous system trauma among other indications.<a href="https://europepmc.org/article/med/9537081"><sup>1</sup></a> Similarly, in one case report, a 10-month-old filly presenting in coma after severe skull-brain trauma, IV DMSO was given as part of aggressive supportive therapy,<a href="https://www.thieme-connect.com/products/ejournals/abstract/10.1055/s-0038-1623970"><sup>1</sup></a> and an early proprietary DMSO formulation was evaluated in craniotomized (skull opened) dogs for its effects on cerebral edema and inflammation.<a href="https://agris.fao.org/search/en/providers/122516/records/64712199804410faf61eb179"><sup>1</sup></a><sup> </sup>In another, a 2-day-old Quarter Horse filly with perinatal asphyxia and hypoxic-ischemic encephalopathy, given DMSO as part of supportive care, recovered fully by discharge,<a href="https://pubmed.ncbi.nlm.nih.gov/16627116/"><sup>1</sup></a> and a goat with polioencephalomalacia treated with IV DMSO alongside corticosteroids and mannitol showed progressive neurologic improvement with MRI-confirmed resolution of the lesion.<a href="https://avmajournals.avma.org/view/journals/javma/259/11/javma.20.07.0392.xml"><sup>1</sup></a></p><h2>Human Antioxidant Trials</h2><p>A separate line of human research, largely published in the Ukrainian and Russian literature, approached DMSO from the angle of its free-radical scavenging rather than its pressure-lowering effect, and provides some of the strongest controlled human TBI data in this section.</p><p>The most substantial came from <a href="https://web.archive.org/web/20220405180024/http:/www.irbis-nbuv.gov.ua/cgi-bin/irbis_nbuv/cgiirbis_64.exe?C21COM=2&amp;I21DBN=ARD&amp;P21DBN=ARD&amp;Z21ID=&amp;IMAGE_FILE_DOWNLOAD=1&amp;Image_file_name=DOC/2002/02mobked.zip">a 2003 dissertation at the Romodanov Neurosurgery Institute in Kyiv</a>, which combined rat experiments with a controlled trial in 135 severe TBI patients. It established that lipid peroxidation, a key driver of secondary brain damage, activates within 3 hours of injury, peaks around days 3 to 7, tracks with injury severity, and persists for at least a year. In a controlled arm of 75 of those severe TBI patients, adding intravenous DMSO (first dose 3 to 5 hours after trauma and a second the following day) to standard therapy reduced lipid peroxidation markers by 22% by day 8 (versus a 15% rise in controls), raised the peroxide resistance of red cells by 71% (versus 13% in controls), and accelerated the regression of major neurological syndromes, with significant improvement in general cerebral (66.6%), meningeal (95.8%), asthenic (46.1%), and vegetative (95.6%) symptoms compared to standard therapy alone.<a href="https://web.archive.org/web/20220522100139/http:/www.irbis-nbuv.gov.ua/cgi-bin/irbis_nbuv/cgiirbis_64.exe?C21COM=2&amp;I21DBN=ARD&amp;P21DBN=ARD&amp;Z21ID=&amp;IMAGE_FILE_DOWNLOAD=1&amp;Image_file_name=DOC/2002/02mobked.zip"><sup>1</sup></a> The parallel rat work found that the same intraperitoneal DMSO regimen significantly reduced lipid peroxidation products in brain and blood (TBARS by 8 to 34%, Schiff bases by 27 to 68%) and raised red-cell resistance to peroxide-induced hemolysis by 11 to 51%, with the antioxidant effect sustained out to 21 days.<em><br>Note: these results have many intriguing correlations to Plotnikov&#8217;s previously mentioned research and the Russian chronic stress <a href="https://www.midwesterndoctor.com/p/how-dmso-heals-the-brain-and-transforms">discussed in the first part of the series</a> all of which suggests DMSO can counteract primary causes of acute and chronic neurodegeneration.</em></p><p>Likewise, this antioxidant framing recurs throughout the Russian-language reviews, where DMSO is classified as a synthetic radical scavenger noted for trapping the highly damaging hydroxyl radical and for providing a &#8220;high and stable&#8221; antioxidant effect in severe craniocerebral trauma, raising the body&#8217;s antioxidant status and preventing secondary brain damage.<a href="https://elibrary.ru/download/elibrary_42894643_55763223.pdf"><sup>1</sup></a></p><h1>Animal Brain Injury Research</h1><p>The human findings above have been reproduced and mechanistically dissected across a wide range of animal brain injury models.</p><p><strong>&#8226;Compression and pressure injuries:</strong> Because any brain bleed or concussive impact risks putting pressure on part of the brain (for instance from an expanding clot), the models that mimic this are especially relevant. The most dramatic was a study in which <a href="https://thejns.org/view/journals/j-neurosurg/38/3/article-p345.xml">an expanding balloon was placed in the brains of 40 rhesus monkeys</a> to simulate a hematoma. All 10 saline-treated monkeys died, versus 10 of 15 surviving with urea (66.7%) and 14 of 15 with DMSO (93.3%), and among survivors neurological deficits occurred in 4 of 10 urea-treated animals versus only 1 of 14 given DMSO.<a href="https://thejns.org/view/journals/j-neurosurg/38/3/article-p345.xml"><sup>1</sup></a><sup>,</sup><a href="https://dmso.org/articles/head/ExperimentalBrainCompression.pdf"><sup>2</sup></a> This study, in turn, was preceded by <a href="https://www.acpjournals.org/doi/10.7326/0003-4819-76-5-878_5">an earlier study of 30 monkeys</a> with similar results.<a href="https://www.acpjournals.org/doi/10.7326/0003-4819-76-5-878_5"><sup>1</sup></a><em><sup><br></sup>Note: urea was previously regularly used as a diuretic,<a href="https://scispace.com/pdf/urea-the-forgotten-diuretic-3psyh7rviw.pdf"><sup>1</sup></a> and while it is now mostly (but not completely<a href="https://www.kidneynews.org/view/journals/kidney-news/13/3/article-p13_7.xml"><sup>1</sup></a>) forgotten. We have found one oral urea formulation to be very helpful for certain types of edema and swelling.</em></p><p>Pressure injuries in dogs told the same story. <a href="https://pubmed.ncbi.nlm.nih.gov/6410964/">In dogs with reduced blood pressure</a>, pressure was applied directly to the brain for an hour, cutting off cerebral blood flow and producing necrosis, cavitation, edema, and deficits on the opposite side of the body. Against a panel of agents (barbiturates, mannitol, dextran, methylprednisolone), DMSO was the most effective: compared to no treatment, it improved neurobehavioral scores by 220%, reduced lesion volume by 93%, and prevented death in 5 of 6 dogs. Since blood alcohol worsens the damage from a traumatic brain injury (as occurs in drunk driving), the experiment was repeated with high blood alcohol, where DMSO still reduced brain tissue damage by 60%.<a href="https://pubmed.ncbi.nlm.nih.gov/6410964/"><sup>1</sup></a><sup>,</sup><a href="https://www.cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFD7984&amp;filename=GWQB198402011&amp;uniplatform=OVERSEA&amp;v=uTUd_GuCiA8Ow8HbVL6bvmmsenojm-sn4VzEiDhDIrcROwnCkA-RCWwhfbsbi1bQ"><sup>2</sup></a><sup>,</sup><a href="https://journals.lww.com/ccmjournal/abstract/00003246-198610000-00001~an-experimental-study-of-craniocerebral-trauma-during"><sup>3</sup></a> In a related model, <a href="https://journals.lww.com/ccmjournal/citation/1980/04000/dmso_protects_brain_against_experimental_pressure.112.aspx">pressure-induced ischemia applied to the somatosensory cortex</a> killed every untreated dog within days, whereas with IV DMSO five of six survived with no neurological or behavioral changes and preserved evoked potentials. A <a href="https://apps.dtic.mil/sti/html/tr/ADP001852/">further comparison of seven therapies</a> likewise found DMSO the most effective against pressure-induced focal ischemia. Likewise in rats with diffuse axonal brain injury, DMSO significantly reduced c-fos and c-jun gene expression in neurons across the cortex, white matter, brain stem, thalamus, and cerebellum, with the most pronounced reduction 2 hours post-injury compared to controls<a href="https://www.cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFD2010&amp;filename=SCYX201011008&amp;uniplatform=OVERSEA&amp;v=TLsEfMmRK0-2COcT0b2d888J6kV0mOs-gHOk_72IcdZxbbR7gRI7tmPqhT6hXwFl"><sup>1</sup></a>&#8212;which is noteworthy as these genes drive inflammation and neuronal cell death in the window immediately after traumatic brain injury.</p><p><em>Note: one of the more intriguing findings across these compression studies was that neurological function was frequently preserved even when injury was still present in the brain tissue itself, suggesting DMSO protects function above and beyond what its effect on visible damage would predict.</em></p><p><strong>&#8226;Edema models:</strong> A large body of rabbit work established DMSO&#8217;s anti-edema effect. A rabbit study that created lethal brain edema by freezing part of the brain found DMSO significantly reduced ICP and edema within 5 minutes while raising cerebral perfusion and leaving central venous pressure unchanged.<a href="https://pubmed.ncbi.nlm.nih.gov/7279169/"><sup>1</sup></a> This was reproduced repeatedly, including a follow-up with similar results,<a href="https://nyaspubs.onlinelibrary.wiley.com/doi/10.1111/j.1749-6632.1983.tb47306.x"><sup>1</sup></a> one using slow infusion rather than a bolus,<a href="https://pubmed.ncbi.nlm.nih.gov/7057982/"><sup>1</sup></a> another one that also found  a 20% solution reduced ICP more reliably than 30% or 40% (at 1.0 to 2.0 g/kg)<em>,<a href="https://pubmed.ncbi.nlm.nih.gov/7070636/"><sup>1</sup></a></em> two others showing a synergistic effect with a barbiturate (where DMSO enhanced the ICP reduction while counteracting the barbiturate&#8217;s reduction of brain blood flow),<a href="https://link.springer.com/article/10.1007/BF01406310"><sup>1</sup></a><sup>,</sup><a href="https://apps.dtic.mil/sti/html/tr/ADP001851/"><sup>2</sup></a> one indicating the effect was mediated through sodium mobilization,<a href="https://pubmed.ncbi.nlm.nih.gov/6624558/"><sup>1</sup></a> and a final set showing indomethacin partly blocked DMSO&#8217;s ICP reduction, implicating prostaglandins.<a href="https://link.springer.com/article/10.1007/BF01406206"><sup>1</sup></a><sup>,</sup><a href="https://www.sciencedirect.com/science/article/abs/pii/0361923086902431"><sup>2</sup></a><sup>,</sup><a href="https://link.springer.com/chapter/10.1007/978-1-4684-4616-6_64"><sup>3</sup></a> </p><p><em>Note: highlighting DMSO&#8217;s normalizing properties, while DMSO lowers pathologically elevated ICP, in anesthetized rabbits with normal pressures, intravenous DMSO produced a prompt, significant rise in cerebrospinal fluid pressure (up to 66 mm H&#8322;O, lasting under a minute)&#8212;and, unlike norepinephrine or epinephrine, it did so with no change in systemic blood pressure, respiration, or anything else, pointing to a local cerebral vascular or blood-CSF barrier effect.<a href="https://pubmed.ncbi.nlm.nih.gov/6462399/"><sup>1</sup></a></em></p><p>A Chinese study likewise used DMSO for acute cerebral edema.<a href="https://www.cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFD7984&amp;filename=GWSK198203022&amp;uniplatform=OVERSEA&amp;v=aJaDBkIzO03FUqgPSnA02LhYTNG0fHxK1rvSAoySAzLgOcNVTYXIqMsV7LQ7Er-J"><sup>1</sup></a> The effect held in other edema models too: in rabbits with brain edema induced by <strong>injecting pertussis vaccine</strong> into the carotid artery, IV DMSO effectively reduced ICP and edema,<a href="https://oversea.cnki.net/kcms2/article/abstract?v=2g3PLS-OwFpYgV7s8KM2JUn10LztCalNN5L-hWN1MfkmkFSRHsMBSyEl7tpMk_ZG20SK-aZBaUKaC2lj343mlJ6EkJ_szSihO7WXgbK9FB06ikyZuKsxRG8dqqtSyUvB3Wq8iNymnfwCxVSbpA-k4luGrxyhyNZEpRKx-65Teluo_m0cTnMC_Q==&amp;uniplatform=OVERSEA&amp;language=EN"><sup>1</sup></a> and in rats with edema induced by injecting iron (FeCl&#8322;) into the brain, intraperitoneal DMSO reduced edema by 23% initially and left treated rats with far less edema at 24 hours.<a href="https://www.sciencedirect.com/science/article/abs/pii/0006899384900805"><sup>1</sup></a><sup> </sup>Similarly in cats exposed to standardized cortical freeze injury, DMSO reduced Evans blue extravasation&#8212;a marker of blood-brain-barrier disruption and vasogenic edema&#8212;acting as a hydroxyl-radical scavenger and grouped with deferoxamine as effective.<a href="https://cir.nii.ac.jp/crid/1870020692961624192"><sup>1</sup></a> Finally in a rat frozen-brain-injury model, DMSO (0.4 g/kg*) significantly reduced brain water content and neuronal apoptosis, outperforming tetramethylpyrazine at relieving the edema.<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CMFD&amp;dbname=CMFD9904&amp;filename=2001001790.nh&amp;uniplatform=OVERSEA&amp;v=OVa8srvHG8-LOv6z0mn4YU3Shaw98lr-d-EZ8O6pMCIKNwygwF-9PAfxpeGR3rYI"><sup>1</sup></a></p><p><em>Note: the older pertussis vaccine (<a href="https://www.midwesterndoctor.com/p/the-century-of-evidence-that-vaccines">which was notorious for causing severe brain injuries</a>) contained a toxin that disrupted the blood-brain barrier and created brain inflammation. In that study, injecting it into the artery feeding the brain <strong>was used as a reliable way to induce brain damage</strong>.</em></p><p><strong>&#8226;Missile and penetrating injuries:</strong> To simulate DMSO&#8217;s protective effects against gunshot wounds, missile injuries (frequently with BB pellets) were created in monkeys. Compared to mannitol, DMSO produced significantly better cerebral perfusion and oxidative metabolism along with an 86% survival rate (versus 75% for mannitol and 55% untreated).<a href="https://pubmed.ncbi.nlm.nih.gov/6774065/"><sup>1</sup></a> These results were replicated in a more detailed follow-up<a href="https://nyaspubs.onlinelibrary.wiley.com/doi/abs/10.1111/j.1749-6632.1983.tb47305.x"><sup>1</sup></a> and by two other groups.<a href="https://pubmed.ncbi.nlm.nih.gov/120025/"><sup>1</sup></a><sup>,</sup><a href="https://www.cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFD7984&amp;filename=GWSK198101051&amp;uniplatform=OVERSEA&amp;v=T490DMUlWQp7v-_N0N-iQOWJhCG-FBexBlGWMxDA3kT1PQEydNugEMBv-rrAltfq"><sup>2</sup></a> A direct comparison to mannitol in rhesus monkeys with a standardized occipitofrontal missile injury confirmed DMSO better preserved cerebral blood flow, perfusion pressure, and oxidative metabolism than mannitol,<a href="https://thejns.org/view/journals/j-neurosurg/53/1/article-p58.xml"><sup>1</sup></a> and a further monkey study comparing 50% DMSO to mannitol for experimental brain gunshot wounds tested repeat dosing whenever ICP exceeded 20 mmHg.<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFD8589&amp;filename=MEDI198906009&amp;uniplatform=OVERSEA&amp;v=A9-m8FakkfMdCqL1Y27YEnQ7djIMPWElm8dU0TqX9krKrzY5q1w-vPXM0TTn9jtV"><sup>1</sup></a></p><p><strong>&#8226;Impact and weight-drop models:</strong> Numerous studies simulate closed head trauma by dropping weights on the heads of animals, and DMSO consistently protected against the resulting damage. In injured rats it reduced neuronal apoptosis, increased anti-apoptotic Bcl-2 expression across 6 to 168 hours post-injury,<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFD2003&amp;filename=CZYX200301002&amp;uniplatform=OVERSEA&amp;v=1VKM6UMWEtnjSK9WE3k4NRqnr4Hx2dAe6PgUBbcaIvwX1NYmm9ddV2NMIWHDjZJo"><sup>1</sup></a> and raised Survivin and NF-&#954;B expression in injured tissue, all reducing cell death.<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFD2008&amp;filename=HNSJ200804028&amp;uniplatform=OVERSEA&amp;v=cnIzLSv8VoG8A6lv71A_lj3kg1ogGOCjyZgpRJyPOkllZZL1mDxZLxvAFRhRtcXd"><sup>1</sup></a> Functionally, DMSO improved cognitive and locomotor performance (such as solving mazes) while reducing anxiety, oxidative stress, inflammation, necrosis, and axonal damage,<a href="https://www.frontiersin.org/journals/pharmacology/articles/10.3389/fphar.2022.998179/full"><sup>1</sup></a> and separately reduced memory deficits by 62% a week after injury.<a href="https://www.jnbs.org/uploads/files/105455jnbs1479979187_en.pdf"><sup>1</sup></a> A particularly rigorous study found that DMSO significantly reduced secondary neuronal degeneration in the hippocampus, with a magnitude of neuroprotection statistically indistinguishable from curcumin<sup>&#11030;</sup> or alpha-tocopherol<sup>&#11030;</sup> tested alongside it, leading the authors to conclude DMSO itself acted as a neuroprotective agent.<a href="https://journals.sagepub.com/doi/abs/10.3233/RNN-2008-00441"><sup>1</sup></a> In mice, DMSO combined synergistically with fructose 1,6-diphosphate (FDP) to protect motor function, survival, and cortical and hippocampal neurons from these injuries.<a href="https://pubmed.ncbi.nlm.nih.gov/7477779/"><sup>1</sup></a></p><p><em>Note: in animal experiments simulating severe brain injury, DMSO has also been shown to strengthen respiration (which otherwise becomes shallow and may stop), and in both humans and animals it often significantly increases urination through its diuretic action.</em></p><p><strong>&#8226;Free-radical scavenging:</strong> DMSO also attenuated free-radical-mediated neurotoxicity in traumatized rat hippocampal neuron cultures, reducing apoptosis in uninjured neighboring cells by scavenging reactive oxygen species,<a href="https://pubmed.ncbi.nlm.nih.gov/9219962/"><sup>1</sup></a> providing a cellular-level mechanism to for its protective effects here.</p><p>Jacob and de la Torre&#8217;s capstone review of this literature,<a href="https://link.springer.com/article/10.1016/s1734-1140(09)70026-x"><sup>1</sup></a> summarized the whole picture: low-dose intravenous DMSO restores cardiac output and cerebral blood flow, inhibits tissue-factor expression, scavenges free radicals, suppresses platelet aggregation, and in CNS models and patients rapidly lowers intracranial pressure without rebound, reduces edema, raises cerebral perfusion pressure, limits infarct volume, and preserves vulnerable hippocampal neurons. </p><p>To put all of this into context:</p><blockquote><p>A January 11, 1981, <a href="https://news.google.com/newspapers?nid=hXZnTIgIr50C&amp;dat=19810111&amp;printsec=frontpage&amp;hl=en">news report</a> in the <em>Ocala Star Banner</em> [<a href="https://news.google.com/newspapers?nid=hXZnTIgIr50C&amp;dat=19810111&amp;printsec=frontpage&amp;hl=en">page 6</a>] carried the headline &#8220;DOCTOR CLAIMS DMSO SAVED 11.&#8221; The story read:</p><p>SAN DIEGO (AP) - A doctor at the University of San Diego [UCSD] credits the controversial drug DMSO with saving the lives of 11 people who suffered severe head injuries.</p><p>Dr. Perry E. Camp, a UCSD Medical School neurosurgeon, said Friday that dimethyl sulfoxide was effective for 11 of 30 people judged near death and for which other lifesaving methods have proved useless.</p><p>&#8220;To take patients like that and have even one out of 10 survive is phenomenal,&#8221; Camp said. &#8220;The fact that we have any survivorship at all . . . doesn&#8217;t sound like much, but it is extremely encouraging,&#8221; Camp said.</p></blockquote><p><em>Note: many of the same principles discussed above hold true for concussions, and the pioneers of DMSO felt DMSO was an essential treatment for athletes after they experienced one, particularly since concussions can predispose the athlete to long-term cognitive issues (e.g., both <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10329127/">boxers</a> and <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10329127/">professional football players</a> have a threefold risk of dementia).</em></p><h2>Traumatic Brain Injury DMSO Combinations</h2><p>Like many other neurological conditions, a variety of agents dissolved in DMSO have shown promise in treating traumatic brain injuries, and convergent effects seen suggest some of the effects arise from DMSO rather than the active agent.</p><p>For example, in <a href="https://pubmed.ncbi.nlm.nih.gov/40510018/">a controlled cortical impact study using DMSO as the vehicle for glibenclamide</a>,  the authors reported &#8220;unexpected independent beneficial effects&#8221; of DMSO itself, particularly in female mice, in which DMSO alone significantly downregulated the neurodegeneration markers TDP43 and TAU and helped restore cerebral blood flow by 21 days post-injury, comparable to the drug it was merely supposed to be dissolving. The authors flagged these as novel, previously unrecognized protective effects.<em><br>Note: this response illustrates why the protective effects of DMSO are rarely recognized in combination studies as the authors frequently can&#8217;t even conceive they could be present to begin with (despite a vast body of evidence already showing it).</em></p><h1>Traumatic Brain Injury Combinations</h1><p>The TBI combinations were as follows:</p><p><strong>Natural agents</strong> &#8212; curcumin<sup>&#11030;</sup> (reduced inflammation, oxidative stress, and seizure susceptibility)<a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC11186616/"><sup>1</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFDLAST2018&amp;filename=ZGDX201804013&amp;uniplatform=OVERSEA&amp;v=V7DW0OdedZo4c4aeZSA4m5eNZRof5LvT_HDSVF4Zd7Hv2uGT6RWdBG8xN6w_H7Vc"><sup>2</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFDLAST2015&amp;filename=XYWS201520005&amp;uniplatform=OVERSEA&amp;v=ORP7fIxJqe_nqlacNGQHCYWFBsmOqzRFaxb849MUlbpVE3S34QUvfzqWC2K0ksSH"><sup>3</sup></a>; tetrahydrocurcumin<sup>&#11030;</sup> (curcumin&#8217;s more absorbable form; enhanced autophagy and restored antioxidant enzymes)<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CMFD&amp;dbname=CMFD202001&amp;filename=1017184034.nh&amp;uniplatform=OVERSEA&amp;v=kguZT1BlR71mdlOLgTrS384oBbLSAzoOIEJarONar1i5gUQb54lirTbOD2dxVy5c"><sup>1</sup></a>; resveratrol<sup>&#11030;</sup> (reduced cell death and modulated autophagy)<a href="https://pubmed.ncbi.nlm.nih.gov/27769789/"><sup>1</sup></a><sup>,</sup><a href="https://www.cabidigitallibrary.org/doi/full/10.5555/20203407744"><sup>2</sup></a><sup>,</sup><a href="https://oversea.cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFDLAST2019&amp;filename=ZGYK201905005&amp;uniplatform=OVERSEA&amp;v=BonQWmtDR7xnsLqW3M-vIqDD6XYl3XmIsvw_jgJxj1IK9I53-alaXb_p_KBwjkIT"><sup>3</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/31102754/"><sup>4</sup></a>; quercetin<sup>&#11030;</sup> (reduced swelling and cell death)<a href="https://oversea.cnki.net/kcms2/article/abstract?v=r3g0b1Wd3tfIr1ADvQq9MKVoceayvCF308xiZb8faG23IgY0McagGb1BkPb0CqLKv1tehwEm5mWOhNqxmPyMMTGBQ4ZMgbFroPPF6sEH4cmbJSBqjYPv4trUPEU_LtQn9-3sGaO0D0qa-EG_FOiyKSgPeE0ASpB6sMkK-fbzJKegsrc1bs8BdEpXYSR8t-VJ&amp;uniplatform=OVERSEA&amp;language=EN"><sup>1</sup></a>; sulforaphane<sup>&#11030;</sup> (reduced swelling, contusion size, and oxidative stress)<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CDFD&amp;dbname=CDFD0911&amp;filename=1011187531.nh&amp;uniplatform=OVERSEA&amp;v=Ufy3s09oO0GHYlSRZny7r1X40GJBFIaUfyfoOSAA7ZSY4lxkbMdoj6pVMd3NbkBn"><sup>1</sup></a>; alpha-lipoic acid<sup>&#11030;</sup> (improved neurological scores and reduced cell death)<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CMFD&amp;dbname=CMFD201601&amp;filename=1016013317.nh&amp;uniplatform=OVERSEA&amp;v=HWF6eLpdu0hM5CRI7yKQS4Di0ji5piAr7rhoZ1z3zP1wVbex47b5Pz3cU1sKliYK"><sup>1</sup></a>; honokiol<sup>&#11030;</sup> (from magnolia bark; protected the blood-brain barrier and reduced oxidative stress)<a href="https://pubmed.ncbi.nlm.nih.gov/30835336/"><sup>1</sup></a>; vitamin K&#8322;<sup>&#11030;</sup> (reduced inflammation)<a href="https://pesquisa.bvsalud.org/portal/resource/pt/wpr-933344"><sup>1</sup></a>; docosahexaenoic acid (DHA)<sup>&#11030;</sup> (the omega-3 fatty acid; improved autophagy and reduced inflammation)<a href="https://pubmed.ncbi.nlm.nih.gov/28365875/"><sup>1</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/29597004/"><sup>2</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/26685193/"><sup>3</sup></a><sup>,</sup><a href="https://faseb.onlinelibrary.wiley.com/doi/abs/10.1096/fasebj.28.1_supplement.877.5"><sup>4</sup></a>; erianin and the mangrove-fungus derivative C53N (from Dendrobium; reduced inflammation, oxidative stress, and cell death (isolated research compounds rather than accessible remedies))<a href="https://oversea.cnki.net/kcms2/article/abstract?v=dKcr_PZ1zctAyGjJvmOTNXrIi6QTgqZSdWTMb-2Cu5sXiLcA54k-oSG8bQXO8oZANh6S0EB9lioQammMxAtyubtixjGlFOyxceDYUFQe6LHOQijyZ_hQdCyrH4c7mOCbFgWy_dQpuf4GPMvRZ1cTlhlNrnp9N68ebIJVKSikc_scteeKMJ8Tiav-wnCM_KAeY7lA20IZBaY=&amp;uniplatform=OVERSEA&amp;language=EN"><sup>1</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/30643385/"><sup>2</sup></a>; Morin<sup>&#11030; </sup>with MK-801 (lowered dementia and inflammatory markers after repetitive TBI)<a href="https://pubmed.ncbi.nlm.nih.gov/31002817/"><sup>1</sup></a>; Auraptene<sup>&#11030;</sup> (reduced oxidative stress and inflammation)<a href="https://pubmed.ncbi.nlm.nih.gov/34624461/"><sup>1</sup></a>.</p><p><em>Note: the hormones progesterone and 17&#946;-estradiol were also repeatedly delivered in DMSO and found protective after TBI, reducing swelling, oxidative stress, and inflammation while improving neurological outcomes. </em><a href="https://pubmed.ncbi.nlm.nih.gov/37661235/"><sup>1</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/28752929/"><sup>2</sup></a><sup>,</sup><a href="https://www.sciencedirect.com/science/article/pii/S0147651321000981"><sup>3</sup></a><em> Notably, in one progesterone study the DMSO-only arm itself showed the same pattern of benefit</em><a href="https://oversea.cnki.net/kcms2/article/abstract?v=r3g0b1Wd3tc5U9aYh2PQCyBPAq8kJadNYl8UbsEFskZSnP4BrWWz_FtjHl-hOYYVn2xM-cr89Hf6-pcYXWq_PidUcVGFuC1n0kLaGyRR_wMCJUlL1Wr6zx5iYScRzMWS9-vTYkudwaAfvHzk-6-Umum0Bb_tp7ur52v_w_2QeDO57SqABPkKbPFn82K7dtsi&amp;uniplatform=OVERSEA&amp;language=EN"><sup>1</sup></a><em> (reduced swelling and cell death and improved neurological scores over time), an ambiguity in the source data that again points to how independent DMSO effects get folded into the &#8220;vehicle&#8221; group.</em></p><p>A far larger set of studies used DMSO to deliver targeted pathway inhibitors and other synthetic compounds. Across these, the agents below repeatedly reduced brain swelling, cell death, oxidative stress, and neurological deficits, with the DMSO-only arm often following the same protective direction.</p><p><strong>Oxidative-stress &amp; Nrf2 agents</strong> &#8212;  Nrf2 activators apocynin<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CDFD&amp;dbname=CDFDLAST2015&amp;filename=1015321147.nh&amp;uniplatform=OVERSEA&amp;v=DE8_9vudKSgZeVpnhAF80h5ULRJDlr1FfCnyhTDIiq0Kf2TzY_VqskRav98mMLwR"><sup>1</sup></a><sup>,</sup><a href="https://www.sciencedirect.com/science/article/pii/S0891584918308931"><sup>2</sup></a>; and tert-butylhydroquinone<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CMFD&amp;dbname=CMFD201701&amp;filename=1016267783.nh&amp;uniplatform=OVERSEA&amp;v=64ZTm6AwOCD-mrOrGCECJLS73sI7xK-n6s2kQh4CAC0B2bcs9iDvvh1Syygm8hjN"><sup>1</sup></a>.</p><p><strong>HDAC &amp; epigenetic inhibitors</strong> &#8212; HDAC inhibitors<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CDFD&amp;dbname=CDFDLAST2023&amp;filename=1018840167.nh&amp;uniplatform=OVERSEA&amp;v=aYyA0sBGX4k6yRk3OdYDswexn5kOLOCLjLmafXKIFnc6JIklWS813_10DqFct_Bz"><sup>1</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFD2013&amp;filename=XYZL201305002&amp;uniplatform=OVERSEA&amp;v=M4utIe9cBjvDioVCMrWElOAKgGvFT9reG9ffNX3q2qHJDnyYUlMS5qXQeRSA7N7W"><sup>2</sup></a><sup>,</sup><a href="https://pesquisa.bvsalud.org/portal/resource/pt/wpr-1035893"><sup>3</sup></a>.</p><p><strong>Cell-death &amp; protease inhibitors</strong> &#8212; necroptosis inhibitors<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFDLAST2017&amp;filename=SJCW201705007&amp;uniplatform=OVERSEA&amp;v=aHUWCVcwIt1nidisyNG19aqWHZc1O2JbIAqgHGOGIK5PzHs8LiElyvOfLEb3ytcF"><sup>1</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CMFD&amp;dbname=CMFD202001&amp;filename=1019639001.nh&amp;uniplatform=OVERSEA&amp;v=CtXj4HxkTJ_5lKi0HirK_ufP6iKmbf3_lyq07a4hUWQ1w7FumFSV9HtRsSrzyUhk"><sup>2</sup></a>; a cathepsin, a calpain inhibitor<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFD2011&amp;filename=SYXU201102004&amp;uniplatform=OVERSEA&amp;v=vqLmDRXArHMFm1pMsCb8QoTHxsL003A8NbulIOT4kFG_9e0VRGEMDLQojtUAxBJ1"><sup>1</sup></a> and a selective PAR-1 inhibitor (improved depression-associated behaviors, social interaction and hippocampal-associated cognitive impairment).<a href="https://alz-journals.onlinelibrary.wiley.com/doi/abs/10.1002/alz.091625"><sup>1</sup></a></p><p><strong>Autophagy &amp; mTOR modulators</strong> &#8212; autophagy modulators<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFDLAST2017&amp;filename=ZJYE201701007&amp;uniplatform=OVERSEA&amp;v=0XK7GDmE1zDNXQTkD6mU5GuRAddUkLoxxyGXGZQZczYM1wbxu9W3Ntk5YeTdyxj_"><sup>1</sup></a><sup>,</sup><a href="https://oversea.cnki.net/kcms2/article/abstract?v=adNygMj_jVBGIq3d8SYHB_WkVTps0gfl6mFgN4cu5YsLOEZ7-oiAs07o2FPoNljDKVqHv-vgOom-34kGv8gRvhCuFKeQI8IzpOtZJ4QMmNnthFN8ID3Id1frjXCo3xynYyPRKQTZS_mLoC4G9a0wSH50C7YZWWFQbMglrtyw7XbxXPApKLKB7MFGx3D659RlVLFtw07COnY=&amp;uniplatform=OVERSEA&amp;language=EN"><sup>2</sup></a><sup>,</sup><a href="https://oversea.cnki.net/kcms2/article/abstract?v=Mz9udXFtQxni9aKAnwjKJ4naY5pYjf4Yr8bL-PjPcXjmsmaylNmjNi3L1oYRSVfUXamW59CJfWWPbk7G3UwXgieIPwRHg0S_-coVI_xlHsdMRfcURPXZMzT619utuPbg-Z6FjTI_UBOu6d9RrJaJ6h-F4kcNujqmXnmKcGFnq0uEQIm9csTsW1soEAuI52xS&amp;uniplatform=OVERSEA&amp;language=EN"><sup>3</sup></a>; an Epac2 inhibitor<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CMFD&amp;dbname=CMFD202002&amp;filename=1018231873.nh&amp;uniplatform=OVERSEA&amp;v=bb-7oE_ylAjd00x9upHBsk3kFUnwfMG0mrcexDyF3ex6udmXhlRkMWTRdD2hMLFe"><sup>1</sup></a>; an mTOR inhibitor (rapamycin)<a href="https://pubmed.ncbi.nlm.nih.gov/26458361/"><sup>1</sup></a>.</p><p><strong>Receptor ligands &amp; agonists</strong> &#8212; an S1P1 agonist and a bile-acid-receptor agonist<a href="https://oversea.cnki.net/kcms2/article/abstract?v=dKcr_PZ1zcsdnjdqOyJYLZXumKDbqKIBVotOVtxZSgq6t35bf41M_CQIGAt_F_90m-rHKNXK14qib2oOpZwUeXtmOVR13rplM1Qe157RAgGSV4YKa43C8qDLVxkTXWRYBbIZRCy9okgnCRdpMB-Dj3Sb0IejtXH9gDVh6EFyEnTsEzRWIkc-RsB8cTeCFPuhpHOoeGDz5uo=&amp;uniplatform=OVERSEA&amp;language=EN"><sup>1</sup></a><sup>,</sup><a href="https://oversea.cnki.net/kcms2/article/abstract?v=9r23aJBcv3aO93xVsAgcLkim0XooHhD1OiF1LANAdI2tQ7D0DwW6-XzKsblYOFtKpEXKjAadTlan5JyrsF5xiYp4yT-ZwmjMyWwhCk8uCwBzaKVjakh61ITuo92dC0hf-yq0Sir729wrTxKxHMRq61JloTaeRlSF1o4wWJJdTnM2JfPXcqp3-cOhfJ63dpK8&amp;uniplatform=OVERSEA&amp;language=EN"><sup>2</sup></a>; a translocator-protein ligand<a href="https://pubmed.ncbi.nlm.nih.gov/21584844/"><sup>1</sup></a>; a histamine-receptor ligand<a href="https://pubmed.ncbi.nlm.nih.gov/39732275/"><sup>1</sup></a>.</p><p><strong>Other pathway &amp; enzyme modulators</strong> &#8212; a matrix metalloproteinase inhibitor<a href="https://pubmed.ncbi.nlm.nih.gov/24661104/"><sup>1</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CMFD&amp;dbname=CMFD201601&amp;filename=1015808735.nh&amp;uniplatform=OVERSEA&amp;v=TrJtYt_gFnjURJUIXX9CThHxITmr6fz-0eBBmqMEUG3Wy6Z1kKdUXxR_AtNIC3XF"><sup>2</sup></a>; a PTEN inhibitor<a href="https://oversea.cnki.net/kcms2/article/abstract?v=BoNITJRTahJ1fII0KhFHp4pyJCFb5FowKtliypmVuBg3QGXag8yd9buc1fRLpzE8AO3Q_2mDaK4SdtvNuXXQ5bRHY-t3ZAegjgf52u1xFBqNY1Z8QlXunZN7jrwi1ZnwR-8a605YbJNjG2YI_T95h-xjACTvehaxf_gc30m1zdpBb8BfZWgKGzSQKJ6r3h8P0kxh1xqJbz4=&amp;uniplatform=OVERSEA&amp;language=EN"><sup>1</sup></a>; an adenosine kinase inhibitor<a href="https://scholarship.libraries.rutgers.edu/esploro/outputs/conferencePaper/Adenosine-kinase-inhibition-promotes-regenerative-processes/991031921199604646?institution=01RUT_INST"><sup>1</sup></a>; mitochondrial uncouplers<a href="https://pubmed.ncbi.nlm.nih.gov/17518535/"><sup>1</sup></a>; a spinogenic agent<a href="https://pubmed.ncbi.nlm.nih.gov/30014757/"><sup>1</sup></a>; a CRMP2-derived peptide<a href="https://www.sciencedirect.com/science/article/pii/S0021925820507990"><sup>1</sup></a>; cypin activators<a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC6214165/"><sup>1</sup></a>; an anti-inflammatory (ATB-346)<a href="https://pubmed.ncbi.nlm.nih.gov/25472548/"><sup>1</sup></a>; salubrinal (improved motor and cognitive function and reduced lesion size)<a href="https://oversea.cnki.net/kcms2/article/abstract?v=r3g0b1Wd3tcR4tSVR74Bx2PXf3skioIyQDz5YqNcXvpjuQdqT3IqO49LWkFBCxIugAbC7lMRvsKR3dL7pu9vEBImEryDDFMEpsZ2GOn5KJuhxfIgukExqgmRmc-4XJvh_PGOnaJFnvmL-guqSjmP_uOc6O6Dc60GVrNr3jxLpu31YUotvoMKwdvcwE4W5dAyf2fqWq_6LJI=&amp;uniplatform=OVERSEA&amp;language=EN"><sup>1</sup></a>; an ADAM inhibitor (reduced lesion size and axonal injury)<a href="https://pubmed.ncbi.nlm.nih.gov/33791311/"><sup>1</sup></a>.</p><p><strong>Edema model combinations</strong> &#8212; curcumin<sup>&#11030;</sup> (reduced brain swelling and inflammation)<a href="https://pubmed.ncbi.nlm.nih.gov/14723822/"><sup>1</sup></a>; quercetin<sup>&#11030;</sup> (reduced oxidative stress, brain swelling, cell death, and vasospasm)<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CDFD&amp;dbname=CDFDLAST2015&amp;filename=1014047344.nh&amp;uniplatform=OVERSEA&amp;v=P8Tatfwgz4krfTUNzhaPlqxQJPVLokr2p-D-Hy8vm3E3kNwZC1Uz4VlNpnsBvn-P"><sup>1</sup></a>; kadsura pepper stem extract<sup>&#11030;</sup> (reduced hematoma size)<a href="https://oversea.cnki.net/kcms2/article/abstract?v=9r23aJBcv3bIvNB0dJslopS6Lj-wJJkAO5La_PFsSoAbYZq1K00G9PemnO8godAewgcvK6b2M7QVwTMc574KM2n5rctVpHHm53b7bffDsSpWw2fu6-Di3iTl81gUCZ0ZEzCp9Nbs4OBXvppeL-ar5JrmUXxROVwqfjB5xyVijhAso9-4TVC0yLf9oQ3-kf8x&amp;uniplatform=OVERSEA&amp;language=EN"><sup>1</sup></a>; a JAK2 inhibitor with dexmedetomidine (reduced brain swelling and cell death)<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CDFD&amp;dbname=CDFDLAST2018&amp;filename=1018156493.nh&amp;uniplatform=OVERSEA&amp;v=6dxkjxyY6z3ffW_N0NnkvkE7btC7t-cjF6UJD7XE8iovfGbQequx2twSptnMsSzC"><sup>1</sup></a>; a KMO inhibitor<a href="https://pubmed.ncbi.nlm.nih.gov/31257634/"><sup>1</sup></a>.</p><h2>TBI and Concussion Reader Reports</h2><p>Within the DMSO literature, there are periodic cases of dramatic concussion recoveries following DMSO. <a href="https://www.amazon.com/DMSO-Handbook-Doctors-Archie-Scott/dp/1475997922">For example</a>, one author shared the case of a woman who had received a severe concussion from falling off a horse, after which she had trouble walking, would suddenly neurologically decompensate (e.g., dropping things), and had memory issues alongside foggy headaches. Thirteen years later, she received an injection of DMSO, immediately had a large improvement, and further improved with subsequent injections.</p><p>Readers recovering from traumatic brain injuries, concussions, and related head trauma have reported similar benefits from DMSO.</p><p>The most mechanistically intriguing report came from a reader who is post-traumatic brain injury since 2017 and lives with cervical instability and a CSF leak that leaves her with recurring concussion-like symptoms. Even at a low dose she could tolerate, she found DMSO noticeably lowered her intracranial pressure, along with reducing daytime fluid retention, improving her distance vision and bowel function, and lessening food reactivity. She noted this could be particularly helpful for others with raised intracranial pressure, since, as in her case, elevated ICP can itself produce CSF leaks.<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/77850588"><sup>1</sup></a></p><p>Other readers reported briefer successes: one for sciatica and brain trauma<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/158964075"><sup>1</sup></a> (&#8221;It works!&#8221;), and another for finger joints and a head injury.<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/166156733"><sup>1</sup></a></p><h3><strong>Concussion Reports</strong></h3><p>Several readers have described using DMSO specifically for concussion. One with a concussion said it was &#8220;saving me and helping me to continue working,&#8221;<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/206772925"><sup>1</sup></a> another used it for post-concussion and whiplash injury,<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/166423096"><sup>1</sup></a> and another, recovering from fifteen concussions and a broken back after a 1992 Grand Canyon fall found success with castor oil<sup>&#11030;</sup> and DMSO.<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/105246504"><sup>1</sup></a><br><br>Another reader described slipping on a wet floor and landing on her cheekbone with nothing but her glasses to break the fall&#8212;&#8221;I could feel my brain slam inside my head.&#8221; Within 30 minutes her cheek and eye had puffed up severely; she ingested DMSO and lathered it on her face, continuing for three days. By day five the bruising was already in its final yellowing stage. &#8220;I think had I not had DMSO in my house, I would be suffering from symptoms of concussion now,&#8221; she wrote, adding that she now keeps a bottle in her handbag at all times.<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/261162367"><sup>1</sup></a></p><p>The most detailed concussion account came from a reader who said DMSO &#8220;gave me my life back&#8221; after a shoulder injury with a concussion of the upper back left everything from his neck to his left hand inflamed and painful, and left him feeling systemically ill for months. Standard anti-inflammatories were useless. Starting a topical DMSO once nightly, he felt &#8220;not sick for the first time in months&#8221; within about three weeks. He described the pain first being suppressed, then localizing to its true source (his neck rather than the shoulder), then resolving, alongside a range of incidental benefits (a chronic wrist problem, thumb inflammation, eye floaters, a fading scar, and body odor all improved). He also found an on-off strategy worked best, applying for several days then pausing, observing that each time he stopped, the pain would briefly spike and then settle to a new low, as though removing DMSO let the body &#8220;better see where the problems really are.&#8221;<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/77648869"><sup>1</sup></a></p><p>One reader even tried it for a rare eye condition tied to an old concussion. He has superior oblique myokymia, a &#8220;twitch behind the eye&#8221; that makes his vision jump and occasionally double (alarmingly, sometimes while driving at speed), which had been attributed to a concussive injury from a serious car accident in which an airbag knocked him out. After a neuro-ophthalmologist offered only anti-convulsant drugs with &#8220;awful&#8221; side effects, he tried a 10% DMSO solution in distilled water as an eye drop, which temporarily &#8220;hit the off switch.&#8221; It didn&#8217;t cure the condition, but gave him, in his words, an actual tool in the toolbox.<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/74196745"><sup>1</sup></a></p><p><em>Note: concussions are notoriously difficult to manage (e.g., I have only found one approach that seems to work consistently for them), so the possibility a simple and widely accessible option exists is immensely encouraging as it would benefit many. However, while the evidence strongly argues for DMSO&#8217;s use in severe traumatic brain injuries, there is much less data for typical concussions, and it is quite likely the results for DMSO on those injuries were will be highly variable with not everyone experiencing a noticeable benefit from DMSO.</em></p><h1>The Heart</h1><p>Because the heart, like the brain, is exquisitely sensitive to oxygen deprivation and to the flood of free radicals that accompanies the restoration of blood flow, DMSO&#8217;s protective and circulation-promoting effects have shown promise for many heart conditions (e.g., physiologic concentrations of DMSO enhanced respiratory control ratio and viability of heart cardiomyoblasts<a href="https://www.mdpi.com/1420-3049/26/23/7305"><sup>1</sup></a>).</p><p>For example, DMSO&#8217;s scavenging ability has been shown to protect the heart from many stressors. These includes protecting heart-muscle contractility from iron-induced oxidative injury,<a href="https://pubmed.ncbi.nlm.nih.gov/27396687/"><sup>1</sup></a> completely blocking radical-mediated damage to the calcium-handling machinery of cardiac cells,<a href="https://pubmed.ncbi.nlm.nih.gov/3036009/"><sup>1</sup></a> preserving the sodium-potassium pump during ischemia-reperfusion,<a href="https://pubmed.ncbi.nlm.nih.gov/3028176/"><sup>1</sup></a> protected the cultured chick embryo cardiac myocytes from injury caused by hydrogen peroxide,<a href="https://pubmed.ncbi.nlm.nih.gov/8304492/"><sup>1</sup></a> and preventing lipid peroxidation of heart-cell membranes under bacterial-toxin stress.<a href="https://pubmed.ncbi.nlm.nih.gov/1649932/"><sup>1</sup></a> </p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!Cmpi!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7afdc48d-02dd-4d4a-8741-555c375da6e8_1114x598.webp" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!Cmpi!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7afdc48d-02dd-4d4a-8741-555c375da6e8_1114x598.webp 424w, https://substackcdn.com/image/fetch/$s_!Cmpi!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7afdc48d-02dd-4d4a-8741-555c375da6e8_1114x598.webp 848w, https://substackcdn.com/image/fetch/$s_!Cmpi!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7afdc48d-02dd-4d4a-8741-555c375da6e8_1114x598.webp 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class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><h2>Ischemia and Heart Attack<span>s</span></h2><p>As DMSO&#8217;s therapeutic properties in strokes directly translate to heart attacks, many studies have explored it here:</p><p><span>&#8226;</span>When the heart&#8217;s blood supply is impaired, its ability to pump is as well (which is part of why heart attacks are a downhill spiral, as the heart loses the ability to give itself the blood it needs). When heart attacks were modeled (e.g., by ligating the coronary artery to impair the heart&#8217;s blood supply), DMSO was able to counteract this. For example, in a dog heart attack study, an IV bolus of DMSO raised cardiac output to 1.65 L/min by the third hour versus 1.15 L/min in untreated controls, alongside lowering systemic vascular resistance and increasing cerebral blood flow.<a href="https://journals.lww.com/ccmjournal/abstract/1987/07000/effects_of_dimethyl_sulfoxide_on_systemic_and.6.aspx"><sup>1</sup></a> Likewise, in another dog study, intravenous DMSO (2 g/kg as a 50% solution*) transiently raised cardiac index from 4.56 to 6.91 L/min/m&#178; and stroke index from 36 to 45 ml/beat/m&#178; while dropping systemic vascular resistance.<a href="https://journals.lww.com/ccmjournal/abstract/1981/12000/Acute_cardiovascular_effects_of_dimethylsulfoxide.11.aspx"><sup>1</sup></a></p><p><span>&#8226;</span>In addition to preserving the heart&#8217;s vital function, many studies have shown DMSO prevents damage to the heart itself. In isolated rat hearts subjected to global ischemia-reperfusion, three days of intraperitoneal DMSO pretreatment (550 mg/kg*) cut infarct size from 50.0% to 21.2% and improved post-ischemic left-ventricular function.<a href="https://pubmed.ncbi.nlm.nih.gov/23330088/"><sup>1</sup></a> In rats where the coronary supply was cut for 30 minutes and then reperfused for 120 minutes, DMSO preserved coronary blood flow and reduced both the resulting necrosis (tissue death) by 57.6% and the ensuing left-ventricular dysfunction (an effect that was greater when DMSO was given for several days beforehand rather than immediately prior to occlusion).<a href="https://link.springer.com/article/10.1007/s10517-012-1872-8"><sup>1</sup></a> In another rat study, DMSO reduced the damaged portion of the heart by 76.18%,<a href="https://journals.lww.com/cardiovascularpharm/abstract/2010/01000/protective_effect_of_dimethyl_sulfoxide_on_acute.16.aspx"><sup>1</sup></a> and in another it prevented contracture bands from forming in ischemic heart tissue (a common long-term complication of heart attacks).<a href="https://pubmed.ncbi.nlm.nih.gov/6817643/"><sup>1</sup></a> </p><p>&#8226;Similarly, in pigs, DMSO significantly reduced intramyocardial hemorrhages and gross pathological changes,<a href="https://journals.indexcopernicus.com/api/file/viewByFileId/603050"><sup>1</sup></a> and in another study improved overall heart attack outcomes.<a href="https://scholar.google.com/scholar?hl=en&amp;as_sdt=0%2C44&amp;q=Intravenous+use+of+dimethylsulfoxide+to+improve+outcome+of+acute+myocardial+ischemia+in+a+porcine+model&amp;btnG="><sup>1</sup></a> In rabbits, giving hydrogen peroxide (H&#8322;O&#8322;) concurrently with DMSO immediately after occlusion reduced the damage still further, presumably by supplying oxygen to the starved tissue.<a href="https://nyaspubs.onlinelibrary.wiley.com/doi/abs/10.1111/j.1749-6632.1967.tb34884.x?sid=nlm:pubmed"><sup>1</sup></a> Consistent with this, in models of heart attack DMSO reduced the oxidative markers and preserved the antioxidant enzymes that track myocardial injury.<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFD9093&amp;filename=GZXI199103007&amp;uniplatform=OVERSEA&amp;v=F6acswz3Ox6kccKqWsvHs8pLl8E1xroLYXFkBpAnFMY39PoCAX2lL9DZkVhxx3SX"><sup>1</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFD9093&amp;filename=ZBLS199102017&amp;uniplatform=OVERSEA&amp;v=CJ2VF4FHSNiEbbtlm5moJF_5YgjY_-GQFK-57p9NiHfIpU8eSfZ4FiLReAQNS1rY"><sup>2</sup></a></p><p>Furthermore, a large part of the damage in a heart attack comes not from the loss of blood flow itself but from its restoration, and DMSO addresses this reperfusion injury directly. In perfused rat hearts, 10% DMSO attenuated the oxygen paradox, reducing reoxygenation creatine-kinase release from 25.3 to 7.2 IU/g and cutting calcium-paradox enzyme release from 134.1 to 54.9 IU/g,<a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC1916113/"><sup>1</sup></a> and it likewise protected against the reperfusion injury caused by calcium-containing solutions.<a href="https://pubmed.ncbi.nlm.nih.gov/7234971"><sup>1</sup></a> In isolated cardiac muscle it preserved contractility during hypoxia,<a href="https://www.sciencedirect.com/science/article/abs/pii/0011224076900043"><sup>1</sup></a> an effect echoed in rabbit studies of preserved contractile strength<a href="https://europepmc.org/article/med/235779"><sup>1</sup></a> and maintained cardiac output and brain perfusion in dogs.<a href="https://pubmed.ncbi.nlm.nih.gov/3595155/"><sup>1</sup></a></p><p>This same protection extends to hearts held for surgery or storage: in isolated rat hearts, 0.5% DMSO reduced post-storage contractile dysfunction during hypothermic ischemic storage,<a href="https://pubmed.ncbi.nlm.nih.gov/2082254/"><sup>1</sup></a> and when added to cardioplegic solutions (used to stop the heart during surgery) at 0.55%, fully preserved mitochondrial respiration after two hours of global ischemia.<a href="https://www.sciencedirect.com/science/article/pii/0011224082901250"><sup>1</sup></a> Combined with cardioplegia and alpha-tocopherol,<sup>&#11030;</sup> DMSO likewise improved rat-heart function through ischemia.<a href="https://pubmed.ncbi.nlm.nih.gov/6700137/"><sup>1</sup></a><sup>,</sup><a href="https://www.sciencedirect.com/science/article/pii/S0011224067801494"><sup>2</sup></a> Beyond ischemia, it protected against endotoxin-induced myocardial injury,<a href="https://scholar.google.com/scholar?hl=en&amp;as_sdt=0%2C5&amp;q=Dimethyl+sulfoxide+protection+of+endotoxin-induced+myocardial+injury&amp;btnG="><sup>1</sup></a> improved survival in endotoxemic rats,<a href="https://www.tandfonline.com/doi/abs/10.3109/10715768909087957"><sup>1</sup></a> and shielded the heart from intravenous potassium (given at the dose used in lethal injections).<a href="https://www.sciencedirect.com/science/article/abs/pii/001122407290168X"><sup>1</sup></a> Most notably, with a cardiac enzyme that normally breaks down ATP (extracted from cow hearts) once mixed with DMSO, it instead synthesized ATP, suggesting DMSO can create a cellular environment that favors energy generation&#8212;particularly when the conditions cells normally rely on for it are absent (e.g., during a heart attack).<a href="https://www.sciencedirect.com/science/article/pii/001457939181302O"><sup>1</sup></a></p><p>Reviews have accordingly proposed DMSO as an antioxidant therapy for myocardial ischemia reperfusion injury<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFD2012&amp;filename=YYCY201235024&amp;uniplatform=OVERSEA&amp;v=e3dYZpZo2OVJhdnQm7tTHsva75ZYWlg6VU2ECIKPzQQ6H5YIwRBy5M4zOQqsqLcK"><sup>1</sup></a> and summarized its cardiac and CNS pharmacology,<a href="https://link.springer.com/article/10.1016/s1734-1140%2809%2970026-x"><sup>1</sup></a> and reviews of renal and organ protection in aortic surgery note that low-dose IV DMSO restored cardiac output after coronary ligation in dogs while scavenging free radicals, blocking Na&#8314;/Ca&#178;&#8314; influx, and suppressing platelet aggregation.<a href="https://www.jvascsurg.org/article/0741-5214(87)90086-3/fulltext"><sup>1</sup></a></p><p><em>Note: as DMSO&#8217;s effects are dose and administration dependent, some studies found weaker results. For example, where DMSO served only as the solvent control, it sometimes protected on its own: in a rat deep-hypothermic-circulatory-arrest model testing ebselen, the DMSO solvent-control group itself showed partial protection on several markers, limiting attribution of the benefit to the drug.<a href="https://www.thieme-connect.com/products/ejournals/abstract/10.1055/s-0035-1544515"><sup>1</sup></a> Likewise, in a canine model of coronary occlusion and reperfusion, intravenous DMSO reduced infarct size but not to a statistically significant degree (43.7% vs. 53.4% in controls),<a href="https://www.sciencedirect.com/science/article/pii/0891584989901007"><sup>1</sup></a> in two others the benefit was small<a href="https://pubmed.ncbi.nlm.nih.gov/2390668/"><sup>1</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/2390668/"><sup>2</sup></a><sup> </sup> and in another heart attack study I located, DMSO provided no benefit (which was likely due to 50% DMSO being directly infused).<a href="https://www.sciencedirect.com/science/article/pii/0735675786902998"><sup>1</sup></a><sup> </sup>All of this indicates that while helpful, it is not guaranteed DMSO will be able to help every heart attack.</em></p><p>Lastly according to one of the main DMSO authors,<a href="https://www.amazon.com/dp/0895295482/"><sup>1</sup></a> DMSO was used to treat angina pectoris, heart attacks and prevent heart attacks by physicians in Chile (likely at the dose of 2g/kg).  However, despite my best efforts, I could not locate the published paper he referred to with the limited information provided, so it&#8217;s likely impossible to corroborate this claim.</p><h2>Cardioprotective Combinations</h2><p>Many agents delivered in DMSO reduced infarct size, apoptosis, or oxidative injury in myocardial ischemia-reperfusion and cardiac-arrest models.</p><p><strong>Polyphenols &amp; flavonoids</strong> &#8212; curcumin<sup><span>&#11030;</span></sup> (reduced inflammatory cytokines and oxidative stress) <a href="https://e-century.us/files/ijcep/9/3/ijcep0021262.pdf"><sup>1</sup></a><sup>,</sup><a href="https://oversea.cnki.net/kcms2/article/abstract?v=hmNf6PfbaBvEMiCH8xl4DTs0pNlmlcvXSAx7ZMz6mYnd0-2uPZ6O5HMHVar2CqZgNn4P_FpF5nsH3Hod7vcoll9t1FfPRn5MRC8kE--J-DeQNlTT1rBBIl0kJNEdIndo5s8aNNrFdOCvfCSIW2uX0qDGDB9sv6_VAm6jA39C35EwtYz_kCDrDDxwwk5p6BqCrsqwxwDIHnM=&amp;uniplatform=OVERSEA&amp;language=EN"><sup>2</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFD2011&amp;filename=SLYY201105029&amp;uniplatform=OVERSEA&amp;v=-ic1tX5vhWZ1VaXrB5ON09KEsFeH7T_nUv6fW_eiyK2fRTcvm5fZA4YdDLkBQ5vR"><sup>3</sup></a><sup>,</sup><a href="https://web.archive.org/web/20260226221928/https:/repository.hanyang.ac.kr/handle/20.500.11754/138471"><sup>4</sup></a><sup>,</sup><a href="https://www.sciencedirect.com/science/article/abs/pii/S0040816623001027"><sup>5</sup></a>; resveratrol<sup><span>&#11030;</span></sup> (reduced oxidative stress and inflammatory cytokines) <a href="https://oversea.cnki.net/kcms2/article/abstract?v=r3g0b1Wd3teHIzrmytwCgURpInjkIKVh8EPSKtPeIlbsK8iB8XYuKHp-Cu73QdGHAzCVLG9O4UuEX5Oe9GJ1OA-9ATEvXG28IA4wPNWi6cO77dEn-HqBE8rTbPthN5BGLf6T5rbQzTywRQISnrE0SNy21jVx0jg0U1FZ20GSg1k2iDAfTm848s-D5ntqIuN7ZY_2KCoKViQ=&amp;uniplatform=OVERSEA&amp;language=EN"><sup>1</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CDFD&amp;dbname=CDFD0911&amp;filename=2010118090.nh&amp;uniplatform=OVERSEA&amp;v=U-bl5_SXhg-N6GAQzTJgISW9uLqHdZtiL3LbUF38Kx8T2eu9tC8Mn7cZ2zi6U9pX"><sup>2</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFD2013&amp;filename=JFJB201302027&amp;uniplatform=OVERSEA&amp;v=_v7h1tqreb1s1AoFW29Cfrd90-cUD9BSbZHn0fospjf8NF-Furozmh_8_3CGOOYU"><sup>3</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFDLAST2018&amp;filename=HBYX201808004&amp;uniplatform=OVERSEA&amp;v=ydWf4O45ZWsggEeQOj299Pl509m8vByeGEVfuqPsubyQb_fd5pnQf_T61pCzo1sy"><sup>4</sup></a>; quercetin<sup><span>&#11030;</span></sup> (shrank the infarct) <a href="https://oversea.cnki.net/kcms2/article/abstract?v=dKcr_PZ1zcul5BqkmSBqwijBF_ZCTpNC2inOEFsF1ihG7vY7K3_fU5wcfIUVWSKRxP83IyCFSlGHg53nlSFaqzsIchXNgbiga_57wXCmaM8s8Jy-xrFs2S2fnCqeurjn490O_JJZyJfsfNftL7L2imhBPKCrNqORWahvIDdI5_z58mKkTYF4xB1I4BA4h-IBHJM1t7CDnUE=&amp;uniplatform=OVERSEA&amp;language=EN"><sup>1</sup></a>; lycopene<sup><span>&#11030;</span></sup> (reduced heart-cell death) <a href="https://oversea.cnki.net/KCMS/detail/detail.aspx?dbcode=CMFD&amp;dbname=CMFD202001&amp;filename=1019891795.nh&amp;uniplatform=OVERSEA&amp;v=ZZXzsZsGcCcFK0KHbImrfe5YvJvvSS0CG0WsHqAC0ixlP41TEQvx2SzdVeuLjaIj"><sup>1</sup></a>; propolis<sup><span>&#11030;</span></sup> (improved heart function) <a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CMFD&amp;dbname=CMFD201501&amp;filename=1015548963.nh&amp;uniplatform=OVERSEA&amp;v=GKNa0VHVFBdTH67NicTLhCzlll4PlcJGdE7utem3rWiQbcOz0BMtU1ZUk8YcMecC"><sup>1</sup></a>; dihydromyricetin<sup><span>&#11030;</span></sup> (reduced inflammatory cytokines and cell death) <a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFDLAST2018&amp;filename=SWCX201734007&amp;uniplatform=OVERSEA&amp;v=AI_8FqkTm3jucQrQ_2sP0OcEWkUIgXOaGH3o_pqnnDV9tEwJbztRSJT1XgGmTLXN"><sup>1</sup></a>; eriocitrin<sup><span>&#11030;</span></sup> (improved cell survival and oxidative stress) <a href="https://oversea.cnki.net/kcms2/article/abstract?v=nRANE_nPmUqIwd5htEUeZm6ngA1clfFaVRZcpouzwY48it8_G9ofZII9R6ZGQWvsLXBku2sy_W0upYY_ac6M3x4gwJ5uV8kUEb07eJDmqrmwQJ01z5qpe6eef1Ocw3d1jwZ4C7pHgYKyGmYB1X2R_h-okUAe-AEdJlbTZCYdaCdXm473pGenbKICVrIT7Zw0&amp;uniplatform=OVERSEA&amp;language=EN"><sup>1</sup></a>; <a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CDFD&amp;dbname=CDFDLAST2017&amp;filename=1016316305.nh&amp;uniplatform=OVERSEA&amp;v=t2rzzoeWUUQ4qjRVDQFLyuftVBLjxAfbRKcBuqOW9HrbT_4m2HXz9470tsORS5S5">danshensu</a><sup><span>&#11030;</span></sup> (reduced oxidative stress and cell death); <a href="https://oversea.cnki.net/kcms2/article/abstract?v=nRANE_nPmUqlLVg9w1xwyzFigGj6gaY6PQOwmxkCwsBA_2voXKK5AeYoM9NqxANG2zlC3U87JwlUG2DvfZ65u7Q84K3aattx51q3eGZCANQ1j-t0R9cLeV3V2IIEj2IspnddzcB4bE-KhS0bnz-66uw_bmZqJPGNgME1L4oF0qbwOoL2xgHzYethb7j2NKGFgOC_hgGHO10">Licochalcone A</a><sup><span>&#11030;</span></sup>; <a href="https://oversea.cnki.net/kcms2/article/abstract?v=BoNITJRTahKctTpnK2CtdRxwrexwxbfqy6tq5Hq2TzPNBAs-rOuEHPOSwAhr9oeYcfg-2WAyurXtpYMY0ldmMfgBdGy2vsZa-93c_YktdZPssENGu63MDWdzF4HPdgamlOnQf3VpcmOeSy534FWjNIEUCd2HLLb_x1piQwaoO45I-p627ZihrYrN0TmClk_a">curcumin</a><sup><span>&#11030;</span></sup>; <a href="https://oversea.cnki.net/kcms2/article/abstract?v=r3g0b1Wd3tf-BIeHa-eLxLzAKLs5qeSO5x9oY8mYfcUqKDmELakO6iIkqBraSEcYO58QRmufaoxdExwMVoee2vV41ol9JGXIQDO7UHp0GiPKFnBGyWIo3RXQODv2WIVsWb5-70VEh54XYkQgj2Zi7gHS_ilDkWes0RC3iX1l2jTrvcqg-tERuoDZoN5t0DHU">quercetin (with Ala-Gln)</a><sup><span>&#11030;</span></sup>; <a href="https://oversea.cnki.net/kcms2/article/abstract?v=edlgIlFUcgsXTSqpvHppgxDvwHH06bEFtEglRYo420qEIu6u6ZgSlhcbof05wLwa0E_F4uVXxGUb5d2nOP45Uf0xT7yGmVmdO6J-F2E528Z-6awFzNL197_9xVIxVIJKxwpA1a4o_oShXSiIBtwRvGq1mp15DI4qKE0o6Buw317aq-j0qsXKCQ">eriocitrin</a><sup><span>&#11030;</span></sup>; <a href="https://oversea.cnki.net/kcms2/article/abstract?v=nRANE_nPmUr87BUWf52TdxmFlM8LeUvFW9jFGQg5GNTCw7kYlf545hG5yvJckRXdN18TYVDG0yIQyqQ6IHzyM6LQG66pAlSqHT8I-6kP9BaXOrcqOVnLBut1YW69MFxHrSZxcPBJV0kmAYuCHrFrQceSjebW4ifPPXLOkvcr3jjW7oPXVuRjPq21GHl3bcHKO37RuQZuWis">tanshinone IIA (PLGA nanoparticles)</a><sup><span>&#11030;</span></sup> (protected against oxidative damage); <a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CMFD&amp;dbname=CMFD201701&amp;filename=1016316356.nh&amp;uniplatform=OVERSEA&amp;v=t2rzzoeWUUSiT77QzUvO1gv3HI4laJCZ390OwOCMcUid1ZdMsbY0rgbeXgTutidH">genistein</a><sup><span>&#11030;</span></sup> (reduced oxidative stress); <a href="https://pubmed.ncbi.nlm.nih.gov/21801832/">flavonols</a><sup><span>&#11030;</span></sup> (preserved the heart&#8217;s pumping strength); mangiferin<sup><span>&#11030;</span></sup> (antioxidant protection against a chemically induced heart attack) <a href="https://pubmed.ncbi.nlm.nih.gov/16584858/"><sup>1</sup></a>.</p><p><strong>Alkaloids &amp; terpenes</strong> &#8212; carvacrol<sup><span>&#11030;</span></sup> (reduced infarct size and cell death, and reduced mitochondrial fission)<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFDHIS2&amp;filename=DYJD201311013&amp;uniplatform=OVERSEA&amp;v=-Rg0a6lNXsbB9OUOW6lHz3pgUbLP7xTP6KPK3bAvXbIwD9vsekuGSTwdwdyy8LGA"><sup>1</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFD2013&amp;filename=RDYZ201306005&amp;uniplatform=OVERSEA&amp;v=Kd40cJ-FQ3Rs53NziQQ8K9jSM02KBlZBV0SLvhNWNNErqTXFWt0_oMOL-7J3WKPf"><sup>2</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/24273265/"><sup>3</sup></a>; higenamine<sup><span>&#11030;</span></sup> (reduced infarct size and improved heart function) <a href="https://www.authorea.com/doi/full/10.22541/au.165589437.72398085"><sup>1</sup></a>; notopterol<sup><span>&#11030;</span></sup> (improved heart function and reduced scarring)<a href="https://oversea.cnki.net/kcms2/article/abstract?v=nRANE_nPmUqwhHbPzge2N7FAsN6iyTsX3Bk4qpAnnui6inpw-YRmxrX1mlbD9z-sbc6q64qGpYIqBVuflUbnNE6N6ElaBHgp7BhY4Na1cwBxrw1E2C4WrtBh-MGVcMV5fxA92DRESkK1CcNyRPqpE6uJddyPRoh00PgpCwnqZNyCq8koOKdYPY7EOiZfoGHvwEH5EhCg00g=&amp;uniplatform=OVERSEA&amp;language=EN"><sup>1</sup></a>.</p><p><strong>Saponins, terpenoids &amp; other botanicals</strong> &#8212; ginsenoside Rh2<sup><span>&#11030;</span></sup> (reduced inflammatory cytokines) <a href="https://oversea.cnki.net/kcms2/article/abstract?v=9r23aJBcv3YoQLqLM7Ibb3KTuo9DYfRGNnxtpZ3z2lKC_9lmniPZs9KzdoqOUnRJPpc3C4xL4JLEbsnQW54TaxgCPj7AyLSOJacomDnjjClYykUsDjWNPOqze_rGGCc6NCG_XIRS4JFRBgpHsIXMHbucNm4FhRU5sySUQljYLQjq6DWKWmXMWXQw-nc7cVkV&amp;uniplatform=OVERSEA&amp;language=EN"><sup>1</sup></a>; ginsenoside 20(S)-Rh2<sup><span>&#11030;</span></sup> (improved heart function)<a href="https://oversea.cnki.net/kcms2/article/abstract?v=nRANE_nPmUrBbMlwOIeSbHboicQI7vOxIAcAwHRVqB8_HtMPqJbiEgtji2wWu4MJ1qt-nBpfCvZnLXCeZaW2m5-Fo928QhZUt897QHl5J6tjAkxfZWk2EM-W1GkMJJTqmfLxPkusntlzl4EGZCYryp104xx0WW2XqHSLMSQVjrSPWbZNfyYaHfqU_VNkwAu_TgldwkvKifU=&amp;uniplatform=OVERSEA&amp;language=EN"><sup>1</sup></a>; ginsenoside Rd<sup><span>&#11030;</span></sup> (cut infarct size from 36% to 21%, and shifted immune cells toward healing)<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CDFD&amp;dbname=CDFDLAST2015&amp;filename=1014047284.nh&amp;uniplatform=OVERSEA&amp;v=6RHVvwS_bAdL9piMrUWsN3mZ1TgarmIbIYePXkyG6MkS7P2s5249_EyCpFw05qgp"><sup>1</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/36033133/"><sup>2</sup></a>; magnolol<sup><span>&#11030;</span></sup> (reduced infarct size)<a href="https://pubmed.ncbi.nlm.nih.gov/18641058/"><sup>1</sup></a>; honokiol<sup><span>&#11030;</span></sup> (reduced infarct size) <a href="https://pubmed.ncbi.nlm.nih.gov/35414825/"><sup>1</sup></a>; asiatic acid<sup><span>&#11030;</span></sup> (reduced cell death and oxidative stress)<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFDLAST2015&amp;filename=YIYA201515003&amp;uniplatform=OVERSEA&amp;v=SCW8KM-OR7osTKHuAY-TS3sX8gYLvJR9FCiYr1x1HcwvV9nXqUvU1aYMDLZ_vpNq"><sup>1</sup></a>; curculigoside<sup><span>&#11030;</span></sup> (improved cell survival and reduced infarct size)<a href="https://oversea.cnki.net/kcms2/article/abstract?v=r3g0b1Wd3tdRJIZg3S06LLnLRDwdJPwJZ_Sax7jAUKQOn_wAILbAstje5H05hLx-7MgbBNHvKF8T4cJ8z--LQPzbaD2NEXLFqqjqLrpGZHexBuhkrtONmQEn2UkXXS60sdtU9mivW9_N4aDhZmbx1rRY1AYYnPKBVu_8_l5dNESCcZy0DOodxgLrwLCGJyMRaJtAhuwiutQ=&amp;uniplatform=OVERSEA&amp;language=EN"><sup>1</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFD2014&amp;filename=TJIY201405002&amp;uniplatform=OVERSEA&amp;v=pP-YytKqiWgvdYI7dsXcLAwffnJPFrMicFQ69Rq4ahwwHQN5FTL0witxuy18aIwe"><sup>2</sup></a>; tanshinone IIA<sup><span>&#11030;</span></sup> (reduced cell death and inflammation)<a href="https://oversea.cnki.net/kcms2/article/abstract?v=dKcr_PZ1zcsi7iCGVfWiR3i8lXjEbn0qnf6WmpjOWw4KQpQADHXOfk4rvi6F7yXV0CccOtlAVIIkChCeLSlF_tPu24nY-0x08qzCCbcxWufV2syG_sE7FjKmmn7febxg7CN2SfjZsF9PXIac234Zx76fpseO1fAGTGoxqY-PngJZ_UGA0i5BxDBtGuae_S_i&amp;uniplatform=OVERSEA&amp;language=EN"><sup>1</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFDLAST2015&amp;filename=GWXX201504014&amp;uniplatform=OVERSEA&amp;v=C49U0I_gxVTCsLt5EsJi961HrI4COYTRffZXS4N4qDt-Xc59NhyKfPYntcg6ckkM"><sup>2</sup></a>; astragaloside IV<sup><span>&#11030;</span></sup> (promoted new blood-vessel growth)<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFDLAST2018&amp;filename=YLBS201804103&amp;uniplatform=OVERSEA&amp;v=AVjCHx_3bU9AglketN7RVuTviG8JB8qPWGSxZpdAhJrwXnCUCfW5RfvH6YJw_xLJ"><sup>1</sup></a><sup>,</sup><a href="https://oversea.cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFDLAST2019&amp;filename=KXJS201911007&amp;uniplatform=OVERSEA&amp;v=HdDefB2j3GpUHPFRIwo2U2dX-mwSRMgB-vmvagXDfyOtJVcwB4V74VabbKC1S5uJ"><sup>2</sup></a>; triptolide<sup><span>&#11030;</span></sup> (reduced inflammation and scarring)<a href="https://oversea.cnki.net/kcms2/article/abstract?v=Ap1IM-J3Ck1TXhVfNUQgupRy2iRnjGgAAW52Z4J4jW2TPvFvm9rXq5O0lNv8Jo2pSfv6ilieknftmQY1w3R10YcjQZe6RnBoZzqQdCp24xMdOBpEDHukbiv7zwy08bueh_-5HKVTOZjcFXEZG2FjKyljrx4ynooILF40SkUP3fatJO86d4LJ1w==&amp;uniplatform=OVERSEA&amp;language=EN"><sup>1</sup></a>.</p><p><strong>Anesthetic (pre-/postconditioning) agents</strong> &#8212; propofol (reduced cell death)<a href="https://pubmed.ncbi.nlm.nih.gov/21155223/"><sup>1</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFD2010&amp;filename=AHYY201001012&amp;uniplatform=OVERSEA&amp;v=wDDm2Co3pmY1kIUQszVsTYidsTTaCnzBk0RdXYeP7b6r4gy8tjM9r3WEGQ7i6yqa"><sup>2</sup></a>; sufentanil<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CMFD&amp;dbname=CMFD201402&amp;filename=1014318767.nh&amp;uniplatform=OVERSEA&amp;v=UpFI78u-UuzoH7j_vuH4umze4KaU5uRVl6qzXByxCBMJ7pGHa9dZtPXuyQRgZiaJ"><sup>1</sup></a>; sevoflurane (reduced infarct size 36% vs 56%)<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFDLAST2015&amp;filename=LNXG201508024&amp;uniplatform=OVERSEA&amp;v=iRQMb4jV6e6RckpI1NqgkUZ3u-5ZCpRdF1k5f4cdGmjydnFKAMjskMHcOf7traPC"><sup>1</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFDLAST2015&amp;filename=CQYX201510010&amp;uniplatform=OVERSEA&amp;v=1BGMCMmkzTA87jRtVu3zuimXgFxmke0K1Idw8DxLPRxhr82pIJYiHDUZlw_LZJk-"><sup>2</sup></a>; desflurane (reduced infarct size 48% to 19%) <a href="https://pubmed.ncbi.nlm.nih.gov/22315330/"><sup>1</sup></a>; isoflurane<a href="https://pubmed.ncbi.nlm.nih.gov/18292679/"><sup>1</sup></a>.</p><p><strong>Mitochondrial &amp; metabolic-pathway agents</strong> &#8212; hydrogen sulfide donors (repeatedly reduced infarct size, including in diabetic hearts)<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFD2013&amp;filename=YAOL201307029&amp;uniplatform=OVERSEA&amp;v=hEPFAGoO08qaqQuZY_xoi-sFBj5g4qPvP_jc-iVR03-pEQSkDHcl12e0TQmjNSia"><sup>1</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFDLAST2015&amp;filename=YAOL201507014&amp;uniplatform=OVERSEA&amp;v=RrW0cb9UA4LAaPuAktMBLGJC9URdQb_f-EYu6p5WE_YJkaRshiKEdYFhiX6Edkhz"><sup>2</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/22948409/"><sup>3</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFDLAST2017&amp;filename=LCMZ201709016&amp;uniplatform=OVERSEA&amp;v=qSePY4LHQPVa8zCnv9vGb6NRKFERVGf0l2CU0k0Xs_E2nhnkH1sbEvHzncRSbGrK"><sup>4</sup></a><sup>,</sup><a href="https://oversea.cnki.net/kcms2/article/abstract?v=9r23aJBcv3bAbnM0OsPRyzlZi11ipYddtLUdVhCCwb_hEVBvIwvjsyObmSSyuAK0OtwuirEJ7ov7HNUZltv0W1BjL8DwFI7WE2hpnQL5_svfYab-zdEyXUNX62ed_eeXxcZ25X9ih7Ve39jJv6DlIbjpsl76XE5mm7D0OxqvkTmH_kcWh1Ep8D50wD7FesYCWqHStXAnIxY=&amp;uniplatform=OVERSEA&amp;language=EN"><sup>5</sup></a>; rapamycin (protected diabetic and normal hearts, cutting infarct size from 36% to 13%)<a href="https://www.ahajournals.org/doi/abs/10.1161/circ.140.suppl_1.16293"><sup>1</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/28373901/"><sup>2</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/31738412/"><sup>3</sup></a><sup>,</sup><a href="https://www.ahajournals.org/doi/abs/10.1161/circ.130.suppl_2.15702"><sup>4</sup></a>; Mdivi-1 (reduced infarct size and cell death, including in diabetic and pre-diabetic hearts)<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFDLAST2018&amp;filename=XGNZ201804003&amp;uniplatform=OVERSEA&amp;v=gC_9Vi6eH7aDBBsJGKvfWHjW4yj6DaWX8DA48YtjVKj2E5PUual8stzNTKn9CeNn"><sup>1</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/34515894/"><sup>2</sup></a>; MOTS-c (reduced infarct size)<a href="https://oversea.cnki.net/kcms2/article/abstract?v=hmNf6PfbaBsfTL9anrj5SRHRncxCBwBl3CCvdlYqCrfRNW6cxhhEYutnpumHmVO9-ty5q6Ze2HE_xXbcr8GWJZe9Mh1hFl3orbnVYTTvi1naQnzk7dBdbKOSIZrE5RiDeu_Bdj3HOOf14gwevRbOEB_owntkDX5nHAExHIa0N7nCXBDjn5rTfjqnw8z7FqRF&amp;uniplatform=OVERSEA&amp;language=EN"><sup>1</sup></a>; diazoxide (reduced oxidative stress and preserved mitochondria)<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFDLAST2017&amp;filename=ZSYK201605007&amp;uniplatform=OVERSEA&amp;v=X7lIVT_I_slWcQOrRZjbZTcBr4hN-AfiH5wkSMDRPownUIELtFCNGwd4Nsd5NquM"><sup>1</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFD2011&amp;filename=TWXH201103018&amp;uniplatform=OVERSEA&amp;v=cdMS4gkFNJaQcTELeL2cQYVI-PDR8PfOT9jq_Mr-1ZMI1nH8WHdjLExbMsuGoTuR"><sup>2</sup></a>; carbon monoxide-releasing molecules (reduced injury)<a href="https://oversea.cnki.net/kcms2/article/abstract?v=K6QWI_fIKJHxlA_87vbRR5ZAiV-NvqkJ8P3QkYMNyEKIBcgJS_qWe_Mfk35kTyXkPWkrlR4TJbcgnylcOsq1pgXoT12kZYG6-koxxaHKglvG1pCIf1MfT_VKSuEWW9lTwFtfV0gCS_7pmdmBDxFefNOtLWH99BEDSC0BP0KtjJYZzpP10RHYDKm-UTnQAm9y&amp;uniplatform=OVERSEA&amp;language=EN"><sup>1</sup></a><sup>,</sup><a href="https://oversea.cnki.net/KCMS/detail/detail.aspx?dbcode=CMFD&amp;dbname=CMFD202102&amp;filename=1020753707.nh&amp;uniplatform=OVERSEA&amp;v=0YLqLBAWz2O3qb5wJOyJMxDivM7zSNyBPUJpR-Py6PrzuVCjhbQRhQGmTr7kbP1Y"><sup>2</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/35605656/"><sup>3</sup></a>.</p><p><strong>Repurposed clinical drugs &amp; metabolic agents</strong> &#8212; dapagliflozin (reduced inflammatory infiltration)<a href="https://oversea.cnki.net/kcms2/article/abstract?v=Mz9udXFtQxkyDdTMBRDQ7ACV_sMSE8RfNzMtsWr6mfjkxw2p6YEUZV5nPLlY_jTaeCagaQkhQzvcNtoIhXdxdKoEou1i4wxKCLfOlzCbcUF5plgUXG-CfDGSAzvo8Zy2ABff0azkojJ0i9coge6WR8zXQ3iWi90Jp3vH6H46agmxPdfFq87D82t2kTbCc9Jt&amp;uniplatform=OVERSEA&amp;language=EN"><sup>1</sup></a>; canagliflozin (improved heart function)<a href="https://pubmed.ncbi.nlm.nih.gov/35753619/"><sup>1</sup></a>; lovastatin<a href="https://pubmed.ncbi.nlm.nih.gov/2913050/"><sup>1</sup></a>; simvastatin (reduced infarct size 39%)<a href="https://pubmed.ncbi.nlm.nih.gov/12761443/"><sup>1</sup></a>; atorvastatin (reduced infarct size)<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CDFD&amp;dbname=CDFDLAST2015&amp;filename=1015401602.nh&amp;uniplatform=OVERSEA&amp;v=CaF1dzZGtffTrhDoi-xQqp4_oD6fT08Jzq3D8yOt69RsvWZUq1ro4VCoYO1uhiQ0"><sup>1</sup></a>; roxadustat (reduced infarct size and cell death)<a href="https://oversea.cnki.net/kcms2/article/abstract?v=hmNf6PfbaBs-elQjFOPea0MUlmXUcBQmWtmNbpljXwqQ9EmODWk_gTuwocdXuXuDA37lh29XafGYPwJ037qERV12KAjghm2-HbD3NmkQvYkArYw6o8uVTbca8as9lJTlUYQbHTQbBRcfqe6QkP-eUZsZ4WUXogvnwBcs7FcHnhyma_BCt0-fCRAPQgMc1_jx&amp;uniplatform=OVERSEA&amp;language=EN"><sup>1</sup></a>; ciglitazone (reduced infarct size and inflammation)<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFD2007&amp;filename=TDYX200705004&amp;uniplatform=OVERSEA&amp;v=OGMWkLXlo_Qf7AN0v7Vq5RyTOXg9sYDF0IyfguUwYEcgKPMgCzl7BRSZK1-EN0R9"><sup>1</sup></a>; <a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFDLAST2015&amp;filename=SYNK201508018&amp;uniplatform=OVERSEA&amp;v=TTmjrT3BMwjWLnEpShwgSOGA29VmGJSSTikAOJJ-OXJ2jM2Mgg17CzEr_SG0Kfwc">tert-butylhydroquinone (tBHQ)</a><sup><span>&#11030;</span></sup> (reduced oxidative stress); <a href="https://pubmed.ncbi.nlm.nih.gov/15381965/">compound C</a><sup><span>&#11030;</span></sup>; <a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CPFD&amp;dbname=CPFD0914&amp;filename=OGSC201410001389&amp;uniplatform=OVERSEA&amp;v=H5mKyy4z32LoFQhlwKfn5-TdS1JZcE2H2Kb0U04ei6RKmKI05BhVFk29OpnjHdBJoxOGiQeQA60%3d">&#947;-secretase inhibitor</a><sup><span>&#11030;</span></sup> (reduced oxidative stress); <a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CPFD&amp;dbname=CPFDLAST2020&amp;filename=ZGYS201812001078&amp;uniplatform=OVERSEA&amp;v=7jhUZLsldhV5O7-_IDkcQX2JX5K3OJE_0-r0QAh0Gs9ljOQE_IDxUfcBSSJATH0ABxdlgwYEDRw%3d">nifedipine and diltiazem</a><sup><span>&#11030;</span></sup> (reduced inflammation and oxidative stress); <a href="https://oversea.cnki.net/kcms2/article/abstract?v=nRANE_nPmUrRQ_OKcqSRU-vhWx2YmLlQL-DIiBq9eJ8KJIubh6RnKjlNrSRiVsi_w6c8Yl9C_jW6yDGIdqCNPcZ92fT_302fcSCvl8D8wVnN07bgbxwcs9alflXak-slkfKr8XDa2vqUTNwZUPTHwpUYAFJzM1OkzMKV8Jz3y-ryQW47BsGWWYgbKQHUa2qnuRQVMtUkr1A">pioglitazone</a><sup><span>&#11030;</span></sup>; <a href="https://oversea.cnki.net/kcms2/article/abstract?v=BoNITJRTahLkrks2-CbQNSJJgzXwiN1DF24cRkhxeaEXiyg34wP80Jhe1LiMbd0GSJVtjIjxcqZniaOgbUA2zxRQuj6X68M7miDGZxkrUC9FnD_cynbMibOdWBfU-umwSIlD0WpfwlSHBfzmvOkQZ9Hs3xNhbvXTEUpeCMGO-YKIFQHqGbPwRF5N2zWd9nsLneIqLy7LPGQ">NS398 / Ca-channel blockers</a><sup><span>&#11030;</span></sup>; <a href="https://oversea.cnki.net/kcms2/article/abstract?v=edlgIlFUcgu0O21bsC3TGjjpuUAntJiMVDsN6YQhenVbZiCJ9y9sX26JtKC9pYH0tXbNh9jUyEYIZK3Xw3LqGYHjNo__VkBXL4qLBT46KOIrKrFhdDMlylhVed4JIIeq1o28Q-b29fAoPcglhlAYPu4lDZKIEFEzHKmw_fndLi-Zj5j6MZUN0cfy0VlZEgKQ">sorafenib (toxicity model)</a><sup><span>&#11030;</span></sup>; <a href="https://oversea.cnki.net/kcms2/article/abstract?v=9r23aJBcv3ZkKkeOce4THALvBEC6M3kLblBg2qHvfmzeHCQJMKawsCLBDSixRcb4PQsTDzh9Or4Ua2-E2LqibABoP-H2TorrUxcNO0WED-FIgvH4qtQyeR-080T0rdzK8NgQuGZRghp0X5KmGQUiDYmNP87jVTKKA6iWG3NLXC-KTY-ceUR9L0LR_m1zsVgU">probucol</a><sup><span>&#11030;</span></sup> (reduced ferroptosis, a form of iron-driven cell death); <a href="https://oversea.cnki.net/kcms2/article/abstract?v=BoNITJRTahJj70p8V3nwqbThMNmhiW_4Ms0PI0o7QFPfF52-Ap_wQxCzcAfk4JWgUlzw9h5zPDxZGvgLs4bI0C18PpKHaC4QkCZ-M4uCTtnpo5R2yXka3cWZbabgM7HZS6XA0JG-gUpHFxJTLqE4Gvs1CK2OKxI3RM3wbUacie56lxx3xSR1ql1vb27W_lPL">allopurinol</a><sup><span>&#11030;</span></sup>; <a href="https://oversea.cnki.net/kcms2/article/abstract?v=r3g0b1Wd3te5lLiId_vZOC-yD1_TczH9mtGa5giupxx69P91hMKr41yEVOC0nWFuMpKPZPW-0SqIqjCkw1czqJyyIvBHxik61oBMBYu6PXKWiy06naHuBUMXWLxnhFMRkU1Zk85BjJPCVb5xnsd0zE5ODHX5WbuSW21bGvHPCn4pNJkiXWv9ql3jCPKJ0Kx2">DMOG (HIF-1&#945; activator)</a><sup><span>&#11030;</span></sup>; <a href="https://oversea.cnki.net/kcms2/article/abstract?v=nRANE_nPmUo8LJp5bzE4GTm6x7GZtY18woVlUlxWfUyI29jz0q2SqPJ_Di3vEWzCwbsrwqiS1qQICcZDQ6ul-eSx7aYxnTmZrCczBMdkxhtJxNKLi0kVWKJhue3QbV-fSxpO_wpLQbHkUJZMM1V8ycudUWQOcCyt5bmwsHQKzK5wFLf4roHJyJMytMSJ99Lg">pioglitazone (PA/high-glucose)</a><sup><span>&#11030;</span></sup>; <a href="https://oversea.cnki.net/kcms2/article/abstract?v=Ap1IM-J3Ck1iyzCx9GQsXaP2FHOcYrnNNJrMHJPQ-tPLHTE8MgJQUsAuHQvrnpmZVnMJxv_dOm1hSO0mhv3zJdxuPMr63uQT0d5n3-EoUpcoLXCsba1t-e7QLf6Rsr39XknUYG2uh_l93462w6fi7TyMZDVZ0-hj0-cdboyhpPpYhqibDmso5w">agent (equal-volume ip DMSO vehicle)</a><sup><span>&#11030;</span></sup>; <a href="https://oversea.cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFDLAST2019&amp;filename=PZXX201908013&amp;uniplatform=OVERSEA&amp;v=2C78MO73OaMkXOeK7m1wSA2audNkzq8aOalepYcNTjmN7lJ_0WSqQAtafdjYPYNq">netrin-1</a><sup><span>&#11030;</span></sup> (reduced oxidative stress and cell death); ferrostatin-1 (reduced ferroptosis)<a href="https://oversea.cnki.net/kcms2/article/abstract?v=nRANE_nPmUoyAcxK_b6JoMBqJgtwHCn3nBusd1DA1w5xf16NNlPLVSfu2AknXQlFlJXVVLKKDE9iZGUHpkuT29icrZxK7AOoEZ-XtJmJjjVEX0mqN1yI6tFzxwuQkUt1FxmdT9UYD_P9DjCk1saT07tHj9Gp5Y5pxldQ_1ixR5wJBLDcVN8hqXSuq178l3GG&amp;uniplatform=OVERSEA&amp;language=EN"><sup>1</sup></a>; 3-iodothyronamine (reduced infarct size)<a href="https://pubmed.ncbi.nlm.nih.gov/35280406/"><sup>1</sup></a>.</p><p><strong>Hormones</strong> &#8212; 17&#946;-estradiol (reduced microvascular damage)<a href="https://pubmed.ncbi.nlm.nih.gov/14666959/"><sup>1</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFD2003&amp;filename=ZGYK200301009&amp;uniplatform=OVERSEA&amp;v=mswiS2FIBZyjYNbb6eHaQTxFTENp4ZtZ83lNFScfZCjMOkBA7llh-u2Dprt0_tUz"><sup>2</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFD2004&amp;filename=ZHXG200404022&amp;uniplatform=OVERSEA&amp;v=EqangNyS42R-866xIC7WB2E_ONcYV2cAqET01T-HuYnc7AQrZ8GsARr65pKzf-xc"><sup>3</sup></a>.</p><p><strong>Cell-death &amp; protease/lipoxygenase inhibitors</strong> &#8212; ilomastat (reduced infarct size)<a href="https://pubmed.ncbi.nlm.nih.gov/24380772/"><sup>1</sup></a>; MI-2 (restored the cell&#8217;s ferroptosis defenses)<a href="https://oversea.cnki.net/kcms2/article/abstract?v=nRANE_nPmUr-z3jfzRtk3eVDpkfer4qycuDuXIhPnIgRr1rDFDvlVloYI1yRLcfUbnANB7-tbafLI7Soa6fZ1eic8SsgzXfCQONa8t0xgMBJND9eSLT1HMbFDnyR-8wGKxGZUHW-DbZWor6kXeTvkp7trBuEzQzspZGdwmPCXhBoHcgrl9u7Xq3ZN2qF9Q340y-ASZjJFbc=&amp;uniplatform=OVERSEA&amp;language=EN"><sup>1</sup></a>; necrosulfonamide (improved recovery after cardiac arrest by blocking programmed cell death)<a href="https://pubmed.ncbi.nlm.nih.gov/35588872/"><sup>1</sup></a>; ML355 (improved heart function in pigs and monkeys)<a href="https://oversea.cnki.net/kcms2/article/abstract?v=nRANE_nPmUq9d8K7DOn5ZaXtDKcBafOitjcqPlsSuPLQ9lUe9u-LON3iLcRwyvCj95pX6Dyk1TbN8m2B3PBFBiGe4VcnL91unFbPfmlNMVaYodsh5mkgMqpN8TYcAPdfrFzIxo1aavr-v6eX12EInRqBMURz4YXNiK1Im6gyYaHzWZ01CjvZRYdVi80nDdR-_Tf7kAQZKp4=&amp;uniplatform=OVERSEA&amp;language=EN"><sup>1</sup></a>; zVAD-FMK (reduced injury) <a href="https://pubmed.ncbi.nlm.nih.gov/40851081/"><sup>1</sup></a>.</p><p><strong><span>Receptor, kinase &amp; other targeted agents</span></strong><span> &#8212; MMI-0100 (cut the loss of heart function by half and halved scarring)</span><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CDFD&amp;dbname=CDFDLAST2016&amp;filename=1015370873.nh&amp;uniplatform=OVERSEA&amp;v=-YWKrUB7V-XidDZiVUpYb468wEz9S_fJKbQOtOCuVqQZqCYBSG4xt9OeRLr38nLe"><sup><span>1</span></sup></a><span>; MHBFC (reduced infarct size and inflammatory cytokines)</span><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CMFD&amp;dbname=CMFD201402&amp;filename=1014305756.nh&amp;uniplatform=OVERSEA&amp;v=URdyPpJEzmP05b1THHHNmygSh0w71ID-F1KvPzf-oGiWd5R953b9-Uh5Ual96RuV"><sup><span>1</span></sup></a><span>; ginkgetin (reduced infarct size and inflammation)</span><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFDLAST2016&amp;filename=SYXL201603013&amp;uniplatform=OVERSEA&amp;v=Hg-_co9RCdz7wSHMM2s9ribb6rxeJFZYeKRo12U_yWHMGl9aVsKYnEjSMrZzSMM0"><sup><span>1</span></sup></a><span>; IB-MECA (reduced infarct size by about 40% in dogs)</span><a href="https://pubmed.ncbi.nlm.nih.gov/12689858/"><sup><span>1</span></sup></a><span>; 9-phenanthrol (reduced infarct size from 38% to 9%)</span><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CDFD&amp;dbname=CDFDLAST2015&amp;filename=1015597277.nh&amp;uniplatform=OVERSEA&amp;v=KpvPp0-JhetLPzfXZ4WVDTu1hEYgaoIMePqNQUfW7JAchAFp0iomXBE0kg-kCOyJ"><sup><span>1</span></sup></a><span>; LGK-974 (improved heart function 62% vs 41%)</span><a href="https://www.ahajournals.org/doi/abs/10.1161/circ.138.suppl_1.11688"><sup><span>1</span></sup></a><span>; ticagrelor (reduced inflammation)</span><a href="https://oversea.cnki.net/kcms2/article/abstract?v=hmNf6PfbaBu_15D_jtNqHsh4lvVT9WSfI_R-Q8tLBdyrXTU9wcvF5xDi9mi4guYS7w5Ml_uPaFsOfT8ax9zwcIi9vcShBhw9SJp2swf39mhpBAZ2863oSvDHVKAou8L6NBQTYAjjpMmhqnBVl_axDW_GZslcf0Qp_r5AH8es_ZuosRy8Y2aEQ1qd6qffuJnqh8xEc9n8xNk=&amp;uniplatform=OVERSEA&amp;language=EN"><sup><span>1</span></sup></a><span>; MG132 </span><a href="https://oversea.cnki.net/kcms2/article/abstract?v=9r23aJBcv3YZc0K5Mhx8tf1FgSI8iJS4UPt_La3ckz2yFi2cfltVox254whohuX8NgZPVWWUCiPZ8LJOS70gSQj51ENuYJ_HBWjkACIzcLPBFCXS01cAAhvyfHsET2-S21q3A4m3t6dj48OETZQi2622s3bcfcvRHdXvhwajRB2GbANF9f9oRr6AezZjzENT6CHuD6BIxLw=&amp;uniplatform=OVERSEA&amp;language=EN"><sup><span>1</span></sup></a><span>; L41 (reduced infarct size and spurred heart-muscle regrowth)</span><a href="https://oversea.cnki.net/kcms2/article/abstract?v=Mz9udXFtQxl4Ys6lPh9_ulCIpTCjI84v25NzTt_65EI5XC9rWCjm6yaav8Z1DCkT4cbL1cjpvvb-uaVNxvgauUEopoILh2TxtfvGuOoafgwews4aRwHR-wa69AohfqlX8K1WuVgKuyouiylSpcyEOLWmBRWiEHtcQotl7IpJKZBXxiSJEEm4lbo0MH20--e2pjX8K11yCXU=&amp;uniplatform=OVERSEA&amp;language=EN"><sup><span>1</span></sup></a><span>; SEW2871 (shifted immune cells toward healing)</span><a href="https://oversea.cnki.net/kcms2/article/abstract?v=BoNITJRTahK1gLSUyFB9uOA8o2uJfEFBAW0r3duxyA9KQnCQS3Arg7I3KaCy7xwk5OOmAHBh-xUqtNMqbYw48T-pTqscfHDh8U9xGPHB7gpc8Pm4wZuTovckipA_x02A3BW1f18BVEwJdFlqNXHSpNnVPTtd8T9SYwhZJYeAf5IdLRXoqTnmbK5FKBkVYiUJ&amp;uniplatform=OVERSEA&amp;language=EN"><sup><span>1</span></sup></a><span>; left-ventricular unloading</span><a href="https://www.ahajournals.org/doi/abs/10.1161/res.133.suppl_1.P2124"><sup><span>1</span></sup></a><span>; HU-210 (reduced infarct size).</span><a href="https://cyberleninka.ru/article/n/materialy-mezhdunarodnoy-konferentsii-sovremennaya-kardiologiya-era-innovatsiy-tomsk-24-25-iyunya-2010-g-1"><sup><span>1</span></sup></a></p><h3><span>Reader Heart Attack Reports</span></h3><p><span>While CPR can produce miracles, the reality is that it typically doesn&#8217;t (e.g., 10.5% of people with heart attacks </span>resuscitated<span> out of the hospital by EMS survive</span><a href="https://www.ahajournals.org/doi/pdf/10.1161/CIR.0000000000001372"><sup><span>1</span></sup></a><span> and 22-24% of those </span>resuscitated<span> in the hospital survive</span><a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC12256702/"><sup><span>1</span></sup></a><span>).  Because of this, I&#8217;ve put quite a bit of thought over the years into how this can be improved, and in parallel, we&#8217;ve collectively had quite a few cases where something we expected to work (e.g., a natural agent which improves circulation or eliminates clotting) did, including a few cases with DMSO.  Given DMSO&#8217;s properties described above, I&#8217;ve hence repeatedly wondered if injecting DMSO during a cardiac code (CPR protocol) could have saved the person&#8212;but due to how unorthodox this was, this was understandably impossible to test.  Likewise, while I know of cases where DMSO has been used to treat a heart attack, the reality of the situations around heart attack make giving it quite difficult, so I have much less experience with this than DMSO for strokes.  As such, while I suspect it would be lifesaving, that is nothing more than a guess without adequate clinical experience to begin corroborating it and hence not something I can stand behind.</span></p><p><span>For that reason, I did not previously broach this, but nonetheless a few reader tried it anyways and reported success in stopping heart attacks,</span><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/261894984"><sup>1</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/272712816"><sup>2</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/129662254"><sup>3</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/144808780"><sup>4</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/261224414"><sup>5</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/166383941"><sup>6</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/166173367"><sup>7</sup></a><sup> </sup>along with two who stated it healed complications of COVID vaccine induced heart attacks.<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/243498281"><sup>1</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/233710053"><sup>2</sup></a></p><p><span>Of these, the most interesting one that </span>came from a woman who described her husband getting through what she characterized as a heart attack with a blockage and ischemia, using DMSO and aspirin at the onset and then frequent DMSO over the following days, and coming through it with no measurable heart damage and feeling nearly normal a week later.<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/272712816"><sup>1</sup></a> Notably, she independently described the same three-stage structure this section lays out: an initial circulatory phase, in which she believed the DMSO and aspirin opened the blockage in the first minutes; then the oxidative-stress phase of the first few days, in which frequent DMSO was aimed at preserving the heart tissue that reperfusion would otherwise damage; and finally the fibrosis phase from roughly days three to seven, each of which she noted, called for a different approach.<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/272712816"><sup>1</sup></a></p><p><em>Note: one reader also reported DMSO helping angina,<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/238502429"><sup>1</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/172876854"><sup>2</sup></a><sup> </sup>and another concerning chest pain.<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/175779407"><sup>1</sup></a></em></p><h3><span>Myocardial Necrosis and Fibrosis</span></h3><p>DMSO also limits the death and scarring of heart muscle. In rats given isoproterenol (a standard chemical model of infarct-like injury), DMSO reduced fiber necrosis, prevented ventricular aneurysm formation and cardiac rupture, and left a smaller residual area of fibrosis,<a href="https://www.sciencedirect.com/science/article/pii/0002870370904254"><sup>1</sup></a> an effect confirmed in a second isoproterenol study,<a href="https://pubmed.ncbi.nlm.nih.gov/5111630/"><sup>1</sup></a> in further work showing reduced oxidative stress after isoprenaline,<a href="https://www.cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFD9093&amp;filename=ZBLS199202010&amp;uniplatform=OVERSEA&amp;v=yPwqXSgIOQWNTFL7T6dmraazE0vkOgY78eZraodZndDX2Sv9A1Cy9dPGJkFHgzQC"><sup>1</sup></a> and in dedicated work on DMSO and experimental myocardial necrosis.<a href="https://scholar.google.com/scholar?hl=en&amp;as_sdt=0%2C5&amp;q=allintitle%3A+EFFECT+OF+DIMETHYL+SULFOXIDE+%28DMSO%29+ON+EXPERIMENTAL+MYOCARDIAL+NECROSIS&amp;btnG="><sup>1</sup></a> Finally, DMSO reduced  the several-fold rise in creatine kinase, LDH, and &#945;-hydroxybutyrate dehydrogenase and reduced histologic damage after isoprenaline.<a href="https://europepmc.org/article/med/1806990">1</a> </p><p>In a D-galactose accelerated-aging model, subcutaneous 4% DMSO lowered TGF-&#946;1, normalized cardiomyocyte diameter, and reduced fibrotic area to near-control <strong>levels</strong>, an anti-fibrotic effect the authors attributed to DMSO itself.<a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC11965944/"><sup>1</sup></a> In a series of studies on copper deficiency (which drives cardiac hypertrophy), chronically administered DMSO inhibited the hypertrophy, anemia, and heart-copper depletion via hydroxyl-radical scavenging, attenuated the rise in heart weight and water content, and preserved mitochondrial and myofibrillar ultrastructure.<a href="https://journals.sagepub.com/doi/abs/10.3181/00379727-190-1-rc1"><sup>1</sup></a><sup>,</sup><a href="https://www.sciencedirect.com/science/article/pii/S0271531705806748"><sup>2</sup></a><sup>,</sup><a href="https://link.springer.com/article/10.1007/BF02990195"><sup>3</sup></a> Consistent with a radical-mediated mechanism, DMSO also reversed the copper-induced impairment of force generation, calcium handling, and myosin-ATPase activity in cardiac muscle<a href="https://pubmed.ncbi.nlm.nih.gov/29772264/"><sup>1</sup></a><sup>,</sup><a href="https://www.sciencedirect.com/science/article/pii/S002231662305808X"><sup>2</sup></a></p><p><em>Note: DMSO also</em> <em>protected older rat hearts</em> <em>from the stress caused by prolonged immobility and from</em> <em>dietary copper deficiencies.<a href="https://europepmc.org/article/med/9929822"><sup>1</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/2521393/"><sup>2</sup></a><sup>,</sup><a href="https://europepmc.org/article/med/14565074"><sup>3</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/11830360/"><sup>4</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/11404056/"><sup>5</sup></a></em></p><h3>Cardiac Fibrosis &amp; Remodeling Combinations</h3><p>In the fibrosis and remodeling literature, the same anti-fibrotic or anti-hypertrophic effects was seen with many agents delivered in DMSO.</p><p><strong>&#8226;Natural agents</strong> &#8212; <a href="https://www.cabidigitallibrary.org/doi/full/10.5555/20103036514">curcumin</a><sup>&#11030;</sup> (raised antioxidant defenses and reduced heart-muscle damage); <a href="https://pubmed.ncbi.nlm.nih.gov/20029958/">curcumin</a><sup>&#11030;</sup> (protected against heart-muscle damage); <a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFD2012&amp;filename=ZSFX201219051&amp;uniplatform=OVERSEA&amp;v=RoN84WuMbiFVG7HZhdgphr-WMpEjIoPUh53ISNonIGHF6LjoHk41YTkwLqvcjX6R">genistein</a><sup>&#11030;</sup> (reduced hypertrophy, oxidative stress, and inflammation); <a href="https://pubmed.ncbi.nlm.nih.gov/39667049/">atractylenolide III</a><sup>&#11030;</sup> (reduced post-heart-attack scarring); <a href="https://oversea.cnki.net/kcms2/article/abstract?v=BoNITJRTahLCjtq2YyVHJh0O-02mNlrgP5IcZzs6AOUCXc08NG5JAOwM0CQYtd-Et4IzWzz7tVweK56lsNND89YwH_BkP-2q7MRNloRH0tShBPgXtLQJFLYd-hWBEiX-R-j5HULsdgH5tEqTSEl4iOFDEHeD1bORlKIVWxa18kr2V0pVhNnjX6XyvHq-BaUmS_aBZ7JW4tU">gCTRP9</a><sup>&#11030;</sup> (protected injured heart cells); <a href="https://oversea.cnki.net/kcms2/article/abstract?v=BoNITJRTahLVv5RbtTIoZiDZaimMWEF40t5KNE4hHtY8Slm2dGLLh14M16ESCn3AEWLk_xj91nu0tjBUs55xkuk7p-UgomMzdGUco5UVF8IDNLtLmMSzIpNU2Db8UQttuQjDUyp_9vO53ixFci6wbhWw3cljaq4I4f_YOA_sb_KaycWN-ZnWWG2CDz6yOfs5">RGS6 with DPI</a><sup>&#11030;</sup> (reduced remodeling); <a href="https://oversea.cnki.net/kcms2/article/abstract?v=r3g0b1Wd3tdvWiszz9nwe3uNOWLwMRjuqu8PlsXufHxQh2n4W3mJ8ut2--W7gTZUjW30OKPxOPH5uyCfoMcRy1KqbukF-_3rzXpifjKE3UX4ur6OzN1qqDKQLAgOwW-4un-yV_DrDq8iR9vR1Eyx8YH4evUtWKKLNh9YdOSy2WWTsNe21Y8-BMFKZoKMNCoT">CRIF1 with NAC</a><sup>&#11030;</sup> (protected injured heart cells); <a href="https://oversea.cnki.net/kcms2/article/abstract?v=edlgIlFUcguqQl6R4Bu5rSOeUJWSQWr-5t3SxXdWaR3R5Iw_Vem1ysslcq3ewTuqbJVX3HCiiiJU32eMKm5OKx0GA4kNUsBdDurZQTvXMMqy0ILHGT64rusUrQ1axEta__NxTxxAsvUal0vMMeCQGcSQimVcVb7jyXtam2hd412JAdAyPnCsIg">Maresin 1</a><sup>&#11030;</sup> (protected heart cells); <a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFD2012&amp;filename=ZSFX201212051&amp;uniplatform=OVERSEA&amp;v=RoN84WuMbiHaaQGNdYpTkBM55wfZjuRmg14ZXiSspNrkUDP4Vh6xJZcCjx4GbMhR">andrographolide</a><sup>&#11030;</sup> (reduced hypertrophy and scarring); <a href="https://oversea.cnki.net/kcms2/article/abstract?v=nRANE_nPmUpi23vSSMd1ZioO1zz3ielgNjy_5YZbMNsFX1Q5Ccyqce1CS-cTnXOnYg3Ykexk7kItA-XPMLVbfWFgVkcuQjnKLuA5xfrNOM808fDDfdpORnROqjtoVg_zSSP4a7xeTQjCqJfOa21blqMLEB8vUsWf6P_pqKv2tNxiD5cWMYpd_3xNHi875_hy&amp;uniplatform=OVERSEA&amp;language=EN">baicalein</a><sup>&#11030;</sup> (reduced heart-muscle damage, scarring, and inflammation); <a href="https://oversea.cnki.net/kcms2/article/abstract?v=nRANE_nPmUqmDI1D4xVwxDvcq_iitxQEQYbzjjNe3KcrDeJwgBTP1uBsVp2ZxgtNCEm6sUDehDtNlqBNps_wgFCXMqQifMyKcPAm2TfhD_Rg6y3M904r3OG8QlMecuGPx4PyrnT-LtoaiFvqBUkpeX6hw_5BT_qzfW_QMIJGLaoumxbPAy4M1bjXbLFFh3McvAozConyBJQ=&amp;uniplatform=OVERSEA&amp;language=EN">&#946;-carotene</a><sup>&#11030;</sup> (reduced inflammation and scarring); <a href="https://oversea.cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFDLAST2019&amp;filename=NJYK201908005&amp;uniplatform=OVERSEA&amp;v=SJnMVCblYD10qeUdW9VY-1fLkQ9hFQS7s7qQDL_piW90yIR0RTpRKi00iUVI9nPx">resveratrol</a><sup>&#11030;</sup> (reduced fibroblast overgrowth); <a href="https://oversea.cnki.net/kcms2/article/abstract?v=r3g0b1Wd3tc0CT_QLR3vlqFIqvLAsF8aKVBOW41qBcqdN6swGvByCPugA640DVt2CDQck38O9OFv9wxliDSOPTZ3sGnZy1PChYARVeg5HAE6GZMMzmGDdtelsENhHcFw7cKQjU5O9T2-hpzOcg41EAmzS9HS-MJjoS_jIMozJFK0TLq6y3ebf8AhnK-Gi9ja&amp;uniplatform=OVERSEA&amp;language=EN">tanshinone IIA</a><sup>&#11030;</sup> (reduced hypertrophy); <a href="https://oversea.cnki.net/kcms2/article/abstract?v=adNygMj_jVA7u3NoIX-AclTknLMIxRo1i1UaoeJLDqgwPSYsjlcg8F4BvdTrzTX0iNphUI9y25UmlSAkms2ssj8uxTN6H9BoZczKi9JjVP_RpxKal3NTnqD13MKXr1Bf9xnmbS8Um2FJIy8EqVXTedbH9Q0Cxeh1myAlrRrZyhcviEwELu6t4IZDFY5i-ocXqwIbTWyl_Jo=&amp;uniplatform=OVERSEA&amp;language=EN">asiaticoside</a><sup>&#11030;</sup> (reduced hypertrophy); <a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CDFD&amp;dbname=CDFDLAST2019&amp;filename=1016277961.nh&amp;uniplatform=OVERSEA&amp;v=-ptvpEJ_tSgoNJw_Ca62fRc7Xru1NJZ1sPnQzw-g7i5Kdo0NO115jUgFKzjwnSYD">salvianolic acid B</a><sup>&#11030;</sup> (improved heart function); <a href="https://oversea.cnki.net/kcms2/article/abstract?v=BoNITJRTahJtpxrOp2e0K46nwjKYAVbEHwrqRJhaIeQ5IZuH8ou1cYB_foXbOJzffXeqsvVaH5-Xej1o4XM2HuAOAMQmpI31oAO6wybaFcg5-aho56fRd77_ioNWvzb_O7PlTkm20ObjuDl7So9jCME7bys5KDYSMLOs0kib1kO7uaxk5QE3VrVe14BLgYdi&amp;uniplatform=OVERSEA&amp;language=EN">anacardic acid</a><sup>&#11030;</sup> (blocked hypertrophy); <a href="https://oversea.cnki.net/kcms2/article/abstract?v=BoNITJRTahIWwXu3JYjbJCMR38n9XGvKWpuStwX8T-BayLmHllEZnJ7YweLNIFHnVdKuRMw39vvCDPr317Qas5N-6mSIxqepBIAEqEVRi2mAc3FZQ6jTgnZ46o0H1JZNcRa4mznJMi6xSgDbszlwm4m_GxQpwFC21b0QVckwzAy-6K0xaxOZFmjSWdSp-tGl&amp;uniplatform=OVERSEA&amp;language=EN">colchicine</a><sup>&#11030;</sup> (reduced fibrosis); <a href="https://pubmed.ncbi.nlm.nih.gov/39053131/">nimbolide</a><sup>&#11030;</sup> (reduced fibrosis in diabetic hearts); <a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CDFD&amp;dbname=CDFDLAST2018&amp;filename=1018089024.nh&amp;uniplatform=OVERSEA&amp;v=rXgcQzoYqUSFzqY6hSpZTSkpalCLa2QgwB__Hikw_RtirHmgJW8X56bvp7geaBGv">Buyang Huanwu Decoction</a><sup>&#11030;</sup> (reduced post-heart-attack cell death).</p><p><strong>&#8226;Pharmaceutical &amp; synthetic agents</strong> &#8212; valsartan (reversed chemotherapy-induced remodeling)<a href="https://oversea.cnki.net/kcms2/article/abstract?v=r3g0b1Wd3tf--A1H3glivK8cafyZdORdWnDWxEPsUfncDqAAFj0xSRE1DYRgkrM7u5XbPMYA307JjJ1f1Kp9rxBEQ0lj5BoRjJLmyF99YR_efOG998LRYNx7XF6Ixq6u4cg1I16KIdI3369EPqXo-PPJYcUZxqWgvOD4NipVqkqq2bcixNnsYetqa1grc6ZN&amp;uniplatform=OVERSEA&amp;language=EN"><sup>1</sup></a>; a JNK inhibitor (reduced fibrosis)<a href="https://pubmed.ncbi.nlm.nih.gov/34515064/"><sup>1</sup></a>; a LOXL2 inhibitor (reduced fibrosis and hypertrophy)<a href="https://oversea.cnki.net/kcms2/article/abstract?v=9r23aJBcv3akN8XbS8GiS_1XUluLLKITYGyiz6LlCdnvT8ZMJptH9fSe2WTps4yXXqzGhUU_3Fbn1VznAltG0sMNoG03liZXyliMxswiMXEFz9oCV-jMXV2gRj4UymvIDkHPOPOXjZuxFjV5wfOP88yiUdGxpHBpp2jBk7hP_ecERJ7dEW3CAn698jeY7RujrZHa-SsXfkA=&amp;uniplatform=OVERSEA&amp;language=EN"><sup>1</sup></a>; an EZH2 inhibitor (reduced fibrotic proteins)<a href="https://oversea.cnki.net/kcms2/article/abstract?v=nRANE_nPmUo0qpw2epRrdIN2Wr6gRwukpk2imKLpeMg69fIve7Jfu0lvM9Jv4MwqM5dOnwyDN1THenu2CzmNlvFo_zNdDGPtXGVJGlUDbdMcG8O9sr7Mv_GYkxi06ulpcbssecNqPliiQ6mEgoao4C-xwkpDxWriPyj4oO1DtuR0xN8v36TXjxgxUn6W5Rt5_P8akqR53DA=&amp;uniplatform=OVERSEA&amp;language=EN"><sup>1</sup></a>; a GCN5 inhibitor (reduced hypertrophy and fibrosis)<a href="https://pubmed.ncbi.nlm.nih.gov/24565258/"><sup>1</sup></a>; salubrinal (improved function in heart failure)<a href="https://pubmed.ncbi.nlm.nih.gov/28367092/"><sup>1</sup></a>; rapamycin (improved pressure-overload hypertrophy)<a href="https://oversea.cnki.net/kcms2/article/abstract?v=Mz9udXFtQxncvrMjoGw-FPIrQ8H3g_9ALKYEMC60ezfa3olJN_W0YqB2StHfScdmbJiiw0fwZSGiD3HQRmr8zAuAOaS_glHjPIsqXUBAxeHo1LGsYgD30stPo8t4yvvcpEwq_yshbEllC4Laao7yTaS5LlDwJsKL6k2CxTbGyjv3gNgWeOyY59ubH1NuRsdy2N6be4o9M7c=&amp;uniplatform=OVERSEA&amp;language=EN"><sup>1</sup></a>; a Pannexin1 inhibitor (reduced hypertrophy and fibroblast activation)<a href="https://pubmed.ncbi.nlm.nih.gov/38857651/"><sup>1</sup></a>; an H2S donor (reduced remodeling and blood pressure)<a href="https://pubmed.ncbi.nlm.nih.gov/37592236/"><sup>1</sup></a>; dasatinib (reduced fat buildup and fibrosis in diabetic hearts)<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CMFD&amp;dbname=CMFD202001&amp;filename=1016311894.nh%5d"><sup>1</sup></a>.</p><h2><span>Cardiotoxicity, Sepsis, and the Diabetic Heart</span></h2><p>In 42 severely ill patients with septic complications of post-resuscitation disease, intravenous DMSO was an effective therapy, including in cases where the sepsis arose from antibiotic-resistant bacteria.<a href="https://journals.eco-vector.com/kazanmedj/article/view/64468"><sup>1</sup></a></p><p>Additionally, DMSO has been used with a wide variety of agents to protect chemically injured, septic, and metabolically stressed hearts where it frequently reduced cardiac enzymes, oxidative stress, inflammation, and apoptosis:</p><p><strong>&#8226;Chemotherapy cardiotoxicity</strong> &#8212; <a href="https://pubmed.ncbi.nlm.nih.gov/32714390/">Cissus verticillata</a><sup>&#11030;</sup>; <a href="https://pubmed.ncbi.nlm.nih.gov/33178389/">Irvingia gabonensis extracts</a><sup>&#11030;</sup> (reduced heart-injury markers); ursolic acid<sup>&#11030;</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CMFD&amp;dbname=CMFD201802&amp;filename=1018152975.nh&amp;uniplatform=OVERSEA&amp;v=NujLrZGI8JisbVJ-rfS_Ilyt57Djl7Nc26ja3ygr7YQaA0h_ieTXwN6LdNRKWEiq"><sup>1</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/33149803/"><sup>2</sup></a> (improved heart function and reduced cell death); <a href="https://oversea.cnki.net/kcms2/article/abstract?v=9r23aJBcv3Y5nYSWl3qQWI26K4OfLnUdG7m9N094CxFS2HnGrmpzi51WEkasT9KNbijbuJaTdaJImI4gy5dS3TYUaFjVld51RE0bw0vMYFA7kFHEzCreesNkF6hQ8qiqqjnCwg331rbxvuspNAvOLk-5rzDvjzTY0R46_axsEgNkZU-grotludPGk1kuBRS0nzk86ZO3sWM=&amp;uniplatform=OVERSEA&amp;language=EN">silibinin</a><sup>&#11030;</sup> (promoted protective autophagy); necrosulfonamide (restored antioxidant enzymes)<a href="https://pubmed.ncbi.nlm.nih.gov/38313169/"><sup>1</sup></a>; necrostatin-1 (reduced heart-injury markers and inflammation)<a href="https://pubmed.ncbi.nlm.nih.gov/37622503/"><sup>1</sup></a>; a PARP inhibitor (reversed apoptosis and remodeling)<a href="https://pubmed.ncbi.nlm.nih.gov/40712701/"><sup>1</sup></a>; azilsartan (reduced oxidative stress and cell death)<a href="https://pubmed.ncbi.nlm.nih.gov/38585516/"><sup>1</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/33860986/"><sup>2</sup></a>; <a href="https://pubmed.ncbi.nlm.nih.gov/35922740/">selenium</a><sup>&#11030;</sup> (reduced inflammation and cell death); <a href="https://pubmed.ncbi.nlm.nih.gov/41132529/">avenanthramide-C</a><sup>&#11030;</sup> (reduced oxidative stress and inflammation); <a href="https://pubmed.ncbi.nlm.nih.gov/34384828/">rutin</a><sup>&#11030;</sup> (raised antioxidant defenses and reduced inflammation).</p><p><strong>&#8226;Sepsis-induced cardiac injury</strong> &#8212; <a href="https://pubmed.ncbi.nlm.nih.gov/40023854/">Trimetazidine</a><sup>&#11030;</sup> (protected against sepsis heart injury); <a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CMFD&amp;dbname=CMFD201901&amp;filename=1018841204.nh&amp;uniplatform=OVERSEA&amp;v=7Fg4QxiQKfNlSHIDoCO_pw422ssRCtuKA9R9PSPGlkdxbbULQapbWv9ozzDZYmSj">D3T</a><sup>&#11030;</sup> (raised antioxidant defenses); <a href="https://oversea.cnki.net/kcms2/article/abstract?v=r3g0b1Wd3tdi3DfF0ZOBpsuOSd9d5OX_qFFHFRkIrnZopNZgM2doB4V6roh5PNtFEGKOt9ne-qXFF97CKo9fyDGPzE8uexMYfhBWv6xEpu-XueMI70v0Mhv8iVLGpKqln8_t1yi1rQzArnfP7c9UKVuCaSx7dIMAScHY201nhIwktfik3X4sEmJuK1cp6IoRNyvRdRHdnsQ">a pancreatitis-ascitic-fluid injury model</a> (DMSO solvent control); <a href="https://oversea.cnki.net/kcms2/article/abstract?v=BoNITJRTahKKLQpYIbm-PKHttcedav2bOzWiCWYiChlyqHANWCtGTv5XzPJiryT4RzxiXgX-GXLeI12kjjRgmJ9-9fTkK-2poFmAH3hznRp9OnOblfmlIB_zayKoAQWIKvmFP07ivbm0d-LnQ08I8gp04xpl8RbAATaL-ZQw1V5HPseeQ2NFaf2xpTZxmRsJaIKNZ8lR2w0=&amp;uniplatform=OVERSEA&amp;language=EN">paeoniflorin</a><sup>&#11030;</sup> (reduced vascular leakage and inflammation); <a href="https://oversea.cnki.net/kcms2/article/abstract?v=BoNITJRTahLc6NrYqlTJW7mE4wfcyDiGhhFS839dizsewZnd6HzILnFz5-hmERMlm8NoXaUXY5xN1nvs0VMomakiLbu0yBJYFW0ug-WGcTvQr22XFFKbyBqAHYSs4LJsU23zDPhGpssvG1k2XeExWR11KK_FUS5my2aodW3nlelkDnC7ZqgJ02fraW80dMHoyIhS9a4OoYw=&amp;uniplatform=OVERSEA&amp;language=EN">astragaloside IV</a><sup>&#11030;</sup> (reduced oxidative stress and inflammation); <a href="https://oversea.cnki.net/kcms2/article/abstract?v=nRANE_nPmUqaFy2Wm9CwGHxmE6OfFuNmsPiz8bMb1fUVHtdlDywV3f7pqlWo7VKq7UoMle8_iahzFrb2zkKKiRuMvt7LWnicom2b38xWGBDmWZUsl3DIJ_qfcHkOLmenINwNxT4GqTvjPykLjM4lN8mZEu3NUwpG67RxPTVm6NSKpDA3SRCfBGejRlMNVYaTwGDWVJPrKN8=&amp;uniplatform=OVERSEA&amp;language=EN">astaxanthin</a><sup>&#11030;</sup> (reduced injury signaling); <a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CMFD&amp;dbname=CMFD201901&amp;filename=1018277867.nh&amp;uniplatform=OVERSEA&amp;v=gfBMZTHxy3AbHyK7dn_FHvcbjqoc2yMWSZwI2JbcwAwA1QxZXQ6yHgsMa3dtwmkz">curcumin</a><sup>&#11030;</sup> (reduced heart-injury markers); <a href="https://pubmed.ncbi.nlm.nih.gov/32323750/">luteolin</a><sup>&#11030;</sup> (enhanced protective autophagy); <a href="https://pubmed.ncbi.nlm.nih.gov/37900081/">sulforaphane</a><sup>&#11030;</sup> (reduced inflammation); <a href="https://pubmed.ncbi.nlm.nih.gov/37900069/">xanthohumol</a><sup>&#11030;</sup> (reduced inflammation and cell death); octreotide (reduced inflammation and raised antioxidant defenses)<a href="https://pubmed.ncbi.nlm.nih.gov/37801567/"><sup>1</sup></a>; simvastatin (reduced heart-injury markers and inflammation)<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFD2011&amp;filename=JXYB201106005&amp;uniplatform=OVERSEA&amp;v=4cxorMe7MTysvb1kaUaVStHrAV6sykvGvQJ6OOSCn5T8NNzYYhQAjeN3y19a63dt"><sup>1</sup></a>.</p><p><strong>&#8226;Diabetic cardiomyopathy</strong> &#8212; <a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CDFD&amp;dbname=CDFD1214&amp;filename=1013034015.nh&amp;uniplatform=OVERSEA&amp;v=01mNJartq4u8vRMLvGLmYDXgctaoPMYpzJgjRVk6onpsY0w2ERI_zBJp1GEMpf-s">GLP-1 drugs</a><sup>&#11030;</sup> (reduced oxidative stress in heart blood vessels); tadalafil (protected mitochondria)<a href="https://pubmed.ncbi.nlm.nih.gov/24727492/"><sup>1</sup></a>; rapamycin (reduced oxidative stress)<a href="https://pubmed.ncbi.nlm.nih.gov/24371138/"><sup>1</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/23385031/"><sup>2</sup></a>; ferrostatin-1 (reversed ferroptosis, a form of iron-driven cell death)<a href="https://oversea.cnki.net/kcms2/article/abstract?v=dKcr_PZ1zcvpTabPNdRqDBYqDkXSkCQWU2zCg0oiIn7lvhNioRG6ogBiE5WnP6VIlTmSshAdOXYom4aI5KuCefUMz32Sg58XLx-TuxA9AKjVuVbN5ECtFlarHntGT2awO_7cEXD2N_bHIFekdxAFyrfo_tfZwow3OTcIZfNQfFkk_7kE6g4zg40KjJxhQHlt&amp;uniplatform=OVERSEA&amp;language=EN"><sup>1</sup></a>; <a href="https://oversea.cnki.net/kcms2/article/abstract?v=r3g0b1Wd3tf3lEVKoyGsFNgNUpyHGIpxv7uX2xcgcDmD0RyU4zggzur2A4b68B-EhrmQEM8WdjSp_OPJJDb78d5lAREY41XTAnes7Uiep-8JTh9IphwZajKP-fl83pSLUjIifFB1I2u4Idpd8MzImkd34HVQID2aUNjZc5xnydhtYxwxzouqlwBlNqtXaXDqNYFmEETvZkQ=&amp;uniplatform=OVERSEA&amp;language=EN">honokiol</a><sup>&#11030;</sup> (reduced high-glucose fibrosis); <a href="https://pubmed.ncbi.nlm.nih.gov/30658350/">resveratrol</a><sup>&#11030;</sup> (reduced inflammation); <a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CDFD&amp;dbname=CDFD1214&amp;filename=1012369577.nh&amp;uniplatform=OVERSEA&amp;v=4vbUv6Vk6PwJUG9aH4e1MYCS4a_P7Qzm_YFpr-E2cyBqCWh4JYF4l4X1cdH5Wc5m">EGCG</a><sup>&#11030;</sup> (restored cell-to-cell coupling).</p><h2>Combinations for Additional Heart Conditions</h2><p>In pulmonary hypertension and pulmonary embolism, where the right heart is strained by elevated pressures, DMSO delivered agents benefited right-ventricular function and pulmonary vascular remodeling:</p><p><strong>&#8226;Myocarditis </strong>&#8212; <a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFDLAST2018&amp;filename=YLZL201805004&amp;uniplatform=OVERSEA&amp;v=xErtkvLlW7TMz4YAUfwV7bXFsxxrIKwfiu3KDUsDI_siuZl5kNvou7qUHRtbmqa2">A proteasome inhibitor</a> (reduced inflammation and apoptosis);<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFDLAST2018&amp;filename=YLZL201805004&amp;uniplatform=OVERSEA&amp;v=xErtkvLlW7TMz4YAUfwV7bXFsxxrIKwfiu3KDUsDI_siuZl5kNvou7qUHRtbmqa2"><sup>1</sup></a> an &#945;7-nicotinic agonist<sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CPFD&amp;dbname=CPFDLAST2022&amp;filename=ZJKX201806002307&amp;uniplatform=OVERSEA&amp;v=vgy-fHu9AVeUIEH6BU4EAnBzmRvlJun44dDjSnUiSp-n7gZpzjiGepjKAt4KJwi4K-ruzVFPgpI%3d"><sup>1</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFDLAST2016&amp;filename=YLZL201609005&amp;uniplatform=OVERSEA&amp;v=7wOdpRIKXMIAwVvv4MqsobMpUbRGb0ejga7uqm7sl95T5GfcojPm9yCeGyoqiEDU"><sup>2</sup></a> (reduced inflammation and cell death); <a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFDLAST2015&amp;filename=SYXL201501020&amp;uniplatform=OVERSEA&amp;v=TFXwKDz8EsLHe5xDJXWZ5HGh7H121dcZ-h3s31LJZ4FWf24S3NeyDOaGbezyhg0a">carbon monoxide-releasing molecules</a> (reduced mortality and heart injury);<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFDLAST2015&amp;filename=SYXL201501020&amp;uniplatform=OVERSEA&amp;v=TFXwKDz8EsLHe5xDJXWZ5HGh7H121dcZ-h3s31LJZ4FWf24S3NeyDOaGbezyhg0a"><sup>1</sup></a> a 3C protease inhibitor (antiviral protection);<a href="https://pubmed.ncbi.nlm.nih.gov/22207647/"><sup>1</sup></a> an androgen-receptor inhibitor (reduced inflammation and enhanced autophagy);<a href="https://oversea.cnki.net/kcms2/article/abstract?v=Ap1IM-J3Ck1YwcMdEGzUFfD3X6MuZb48C5k_hwOT_RJEagmosETLWW9Xt4tEiG68w-97SFBYls8onXBvpQ9vUvQMY4AcDBxfji_fPyzSIsz4Osw73PPIXVA0yaEl4eZsjryTLbpaX2A25pqSb-FziCUStB5YB5yTnyDt7fX2LLLatP02VI_oHT2PkURCr9cq&amp;uniplatform=OVERSEA&amp;language=EN"><sup>1</sup></a> a tyrphostin (reduced inflammation).<a href="https://pubmed.ncbi.nlm.nih.gov/15126106/"><sup>1</sup></a></p><p>&#8226;<strong>Arrhythmias</strong> &#8212; <a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CMFD&amp;dbname=CMFD201901&amp;filename=1018083860.nh&amp;uniplatform=OVERSEA&amp;v=5qDdsIIqRdbmNKK4xYxXhIH2rAsF0ZpRxXxbaiZ80UiapwBMz3IOy6846_gl30JX">A calpain inhibitor</a> (reduced atrial-fibrillation incidence); <a href="https://pubmed.ncbi.nlm.nih.gov/38939955/">mexiletine</a> (shortened repolarization in long-QT models); <a href="https://pubmed.ncbi.nlm.nih.gov/31666455/">fisetin</a><sup>&#11030;</sup> (reduced atrial inflammation and fibrosis after heart attack); <a href="https://pubmed.ncbi.nlm.nih.gov/22336507/">valsartan or an ERK inhibitor</a> (reduced atrial fibrosis and remodeling).</p><p>&#8226;<strong>Pulmonary Hypertension</strong> (which also damages the heart)&#8212;Curcumin<sup>&#11030;</sup><a href="https://oversea.cnki.net/kcms2/article/abstract?v=Ap1IM-J3Ck0JJ-nAH-HYi095T2WVE1lmg7Xdp73Ix25C1s9YIaUKQOPWo6O2mu-LHpvNgrHydSV6iUkMhizsoDf1qXV1vTds5yoyLqNb9tIR9tQ9U-9NtNBjkbi1TkMIXipp2jZTFGqB5iB5sPnsCT7mHQAqPMXtEMn5nifrGzXdNzDG-2Y2Sg==&amp;uniplatform=OVERSEA&amp;language=EN"><sup>1</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFDLAST2018&amp;filename=GLYZ201821011&amp;uniplatform=OVERSEA&amp;v=nfOJ556_qg2fCeiSLbvdvOeoBGZj1QRsENzC-02HKwhllQdV0ELzlBS46plK7yN4"><sup>2</sup></a> (reduced platelet activation and heart-injury markers); <a href="https://www.cabidigitallibrary.org/doi/full/10.5555/20163363542">resveratrol</a><sup>&#11030;</sup> (reduced inflammation and heart strain); <a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFDLAST2018&amp;filename=JPXB201804014&amp;uniplatform=OVERSEA&amp;v=me2-s46ZPOFFfNxseFhIC6Ppnz2RJ-GRp1P0OitT6JA_bMrJEx0tcMw-L1_9M2pQ">isoliquiritigenin</a><sup>&#11030;</sup> (reduced right-heart pressure and oxidative stress); <a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CMFD&amp;dbname=CMFD201702&amp;filename=1017816528.nh&amp;uniplatform=OVERSEA&amp;v=xKSkpq1rc-3ZGpsdqd2i7ilc_DZZTY2QyRZqnWGQRQ-VIBaB7c2a_M2j7_Xom_b1">icariin</a><sup>&#11030;</sup> (reduced inflammation); <a href="https://oversea.cnki.net/kcms2/article/abstract?v=nRANE_nPmUpaLLOsdpajr7d9icMYOW8Klg6rppUJhXn4DmwlFLXneuDUqe2yzT--k7PLJrsN0gusPg_XcI9wV2lx-9RIDl6X9HNFmMN_JJDpNWtDcYZ4F7m9ZTN-fgfB-Cihzc20W9NLTEiKN1kHud_-dKSAL5w8FspHsCMJyI9GavMual_xbkrR7SRIepQShnb8NNmXd2c=&amp;uniplatform=OVERSEA&amp;language=EN">a fission inhibitor with 17&#946;-estradiol</a> (reduced right-heart enlargement and shifted immune cells toward healing); <a href="https://oversea.cnki.net/kcms2/article/abstract?v=dKcr_PZ1zcuFCvoLLecEMEUU5l-EwN6lWjabuCnwEqZb7Yk2eyB14_21Nr5aEgfJ10GwSmnURpE_I9wFj0AUQ5Rs73PB_kNWjWe2YvcD5oFimT1_OK4z83HhN9QrheMpyG8mKfqzgvIQSerGurwdWfX13PsWDPEtCkg0evtwBJQanLSpHH9mR5BExMTwQbur&amp;uniplatform=OVERSEA&amp;language=EN">a TRAF6 inhibitor</a> (improved right-heart function); <a href="https://oversea.cnki.net/kcms2/article/abstract?v=dKcr_PZ1zctf-T5RC9wI4TaPYhFcaI0PYryJiRoMcNj6yDAb2cY9c609zsS2XWQqw7NMP8eZVOhAkpyD_tFvQJIsXIpywnW-suDniTJxzs8aJ5Qgw4z_yfCvvOx2C5qVBsu5MHGrhyRUeBL0nTgRznpoAA-jRtPhOXGhfA0NIwr9910uNfna5zgwA5ML7s0c0ICibmkLjhQ=&amp;uniplatform=OVERSEA&amp;language=EN">a Pannexin-1 inhibitor</a> (improved pulmonary artery flow).</p><h1>Direct Effects on Heart Function</h1><p>Several of DMSO&#8217;s standalone cardiac actions cut across all of the above. DMSO is a direct vasomotor agent, producing endothelium-independent relaxation of coronary and pulmonary arteries<a href="https://pubmed.ncbi.nlm.nih.gov/9751453/"><sup>1</sup></a>. As a hydroxyl-radical scavenger it also attenuated tempol-induced falls in blood pressure, heart rate, and sympathetic nerve activity<a href="https://pubmed.ncbi.nlm.nih.gov/19330914/"><sup>1</sup></a>. As discussed earlier, DMSO also protects coronary endothelium-dependent relaxation against oxidative injury, inhibits platelet aggregation, and suppresses tissue-factor expression and arterial thrombus formation&#8212;vascular protections equally relevant to the heart. A DMSO&#8211;aspirin preparation was likewise reported to reduce erythrocyte aggregation, normalize fibrin formation, lower peripheral vascular resistance, and improve microcirculation<a href="https://cyberleninka.ru/article/n/biologicheski-aktivnyy-preparat-dimas-inform"><sup>1</sup></a>. In the vehicle-delivered atherosclerosis and vascular-injury literature the same effects recur, with cinnamaldehyde<sup>&#11030;</sup><a href="https://pubmed.ncbi.nlm.nih.gov/35774377/"><sup>1</sup></a> cutting serum lipids and raising heart antioxidant enzymes in atherosclerotic rats, hesperetin<sup>&#11030;</sup><a href="https://pubmed.ncbi.nlm.nih.gov/35262885/"><sup>1</sup></a> limiting diesel-exhaust cardiovascular oxidative damage, and kolaviron<sup>&#11030;</sup><a href="https://pubmed.ncbi.nlm.nih.gov/27114693/"><sup>1</sup></a> attenuating angiotensin-II/LPS-driven vascular smooth-muscle proliferation.</p><p>On the muscle itself it exerts direct, concentration-dependent effects on contractility, rate, and electrophysiology<a href="https://nyaspubs.onlinelibrary.wiley.com/doi/abs/10.1111/j.1749-6632.1975.tb25350.x?casa_token=NeXA6QYVSr8AAAAA:A4XoEPDvr_doxG66oSR3KCuMfxGUsrGKp5spzZXFnqc0zsHXroGaycupN8JlZ4ahaQWbf9fPAoc86G3N"><sup>1</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/236711/"><sup>2</sup></a><sup>,</sup><a href="https://scholar.google.com/scholar?hl=en&amp;as_sdt=0%2C44&amp;q=Dimethylsulfoxid+und+Myokard%3A+Membranpotential+und+Kontraktionskraft+des+Meerschweinchen-Papillarmuskels&amp;btnG="><sup>3</sup></a>: at low doses positive inotropy<a href="https://opus.bibliothek.uni-augsburg.de/opus4/frontdoor/index/index/docId/48547"><sup>1</sup></a>&#8212;a moderate increase at 3% becoming marked at 6%<a href="https://jamanetwork.com/journals/jama/article-abstract/657556"><sup>1</sup></a>&#8212;while potentiating the inotropic response to isoprenaline<a href="https://onlinelibrary.wiley.com/doi/pdf/10.1111/j.2042-7158.1972.tb09023.x?casa_token=S9c9TjI6hXQAAAAA:qZpUDAcMDRsXTo9CBYN3tWKXg3REmxi1pY0rKs5bDss14aG0QFhYHp4lAmOVaNit3rK-qD0n_2J1L-M"><sup>1</sup></a>; still higher concentrations reversibly depress contractility<a href="https://pubmed.ncbi.nlm.nih.gov/6309056/"><sup>1</sup></a> or produce a mild hyperpolarization that prolongs the action potential<a href="https://pubmed.ncbi.nlm.nih.gov/7540688/"><sup>1</sup></a>. These effects are independent of beta-adrenergic receptors<a href="https://deepblue.lib.umich.edu/handle/2027.42/74561?show=full"><sup>1</sup></a> and typically do not alter cardiac rhythm<a href="https://pubmed.ncbi.nlm.nih.gov/6576725/"><sup>1</sup></a>, though the rate response is dose-dependent: 1&#8211;3% DMSO slightly raised heart rate while 6&#8211;10% markedly slowed it, an effect reversed by atropine<a href="https://pubmed.ncbi.nlm.nih.gov/962427/"><sup>1</sup></a> and thus mediated through cholinesterase inhibition.<br><em>Note: DMSO and colchicine were found to increase myocardial work output.<a href="https://pubmed.ncbi.nlm.nih.gov/38584975/"><sup>1</sup></a></em></p><p>DMSO increased cardiac output during hypoxia<a href="https://pubmed.ncbi.nlm.nih.gov/6742615/"><sup>1</sup></a> and, given IV to dogs, raised cardiac output, stroke volume, and central venous pressure<a href="https://europepmc.org/article/med/6576724"><sup>1</sup></a>. DMSO further protects cardiac t-tubules from stress-induced sealing<a href="https://www.cell.com/biophysj/fulltext/S0006-3495%2814%2902675-7"><sup>1</sup></a>. On the parasympathetic side it inhibits cardiac acetylcholinesterase, lowering the vagal threshold and potentiating acetylcholine&#8217;s slowing of the heart rate.<a href="https://www.sciencedirect.com/science/article/pii/0006295284902272"><sup>1</sup></a></p><p>As discussed earlier, DMSO&#8217;s radical scavenging protects cardiac calcium handling, the sodium-potassium pump, and heart-muscle contractility against iron- and peroxide-driven injury making antioxidant protection equally relevant here. Beyond those, in cell-free and isolated-heart systems DMSO acts as a direct radical scavenger on its own: it neutralized electrolytically generated oxygen radicals in an enzyme-free buffer<a href="https://pubmed.ncbi.nlm.nih.gov/3724201/"><sup>1</sup></a>, protected rabbit hearts against radical-driven rises in coronary and end-diastolic pressure and albumin leakage<a href="https://pubmed.ncbi.nlm.nih.gov/3789177/"><sup>1</sup></a>, raised coronary release of protective uric acid in guinea-pig hearts<a href="https://pubmed.ncbi.nlm.nih.gov/2556684/"><sup>1</sup></a>, and served as the reactive-oxygen scavenger confirming the antioxidant basis of protection against ischemia-reperfusion injury<a href="https://pubmed.ncbi.nlm.nih.gov/14507664/"><sup>1</sup></a>. It also limits stress-induced lipid peroxidation in the myocardium<a href="http://pbmc.ibmc.msk.ru/en/article-en/PBMC-2003-49-2-117/"><sup>1</sup></a> (most pronounced in aged hearts), and in H9c2 cardiomyocytes it upregulates heme oxygenase-1 via p38 MAPK and Nrf2 to protect against hydrogen-peroxide injury<a href="https://onlinelibrary.wiley.com/doi/abs/10.1002/jcb.24761?casa_token=U3bqupzH6eMAAAAA:a7AZWPSbacw5M5BI43UhF0LZKwQLheuvOWeBCIxdVrRVoG_kWL_em0zr0iEfhtuuIzWFeI0Jbv264zy_"><sup>1</sup></a>.</p><h1>Differentiation of Heart Cells</h1><p>DMSO has long been used to turn cancer cells back into normal cells and to steer stem cells into the cell types the body needs &#8212; a way to replace and repair damaged tissue, <a href="https://www.midwesterndoctor.com/p/how-dmso-heals-the-spine-and-reverses">including the nervous system</a>. A large body of work shows the same thing for the heart: DMSO alone reliably drives stem cells to become cardiomyocytes.</p><p>When stem cells are exposed to DMSO alone they are most often reported to become heart tissue, which points to a real role for DMSO in cardiac stem-cell protocols.</p><p>A very large literature has since used DMSO as a cardiomyocyte-differentiation inducer across many starting cell types, with the same result recurring: exposure to DMSO (typically 0.5 to 1 percent) drove the cells to switch on cardiac genes and structural muscle proteins and, in most reports, to form spontaneously beating cardiomyocytes.</p><p>By far the most studied model is the P19 (and P19CL6) embryonal carcinoma line, in which DMSO alone reliably produced beating cardiomyocytes and became the standard system for dissecting how it works.t<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CDFD&amp;dbname=CDFDLAST2019&amp;filename=1017231937.nh&amp;uniplatform=OVERSEA&amp;v=NWn7jSaIjewFkS4cMPPmVCcPHepkdwWWTNLrndVak2GeDb03APgBnKzjquEwFHOV"><sup>1</sup></a><sup>,</sup><a href="https://europepmc.org/article/cba/617803"><sup>2</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/7797528/"><sup>3</sup></a><sup>,</sup><a href="https://oversea.cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFDLAST2019&amp;filename=SHYK201906004&amp;uniplatform=OVERSEA&amp;v=3Zfoa1559GhRrUq5Q2tM4XKqJX0Ljf0Sm3q-I5ZLMcaqKHTIjoMLdhwV7DCh5HCw"><sup>4</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/35435106/"><sup>5</sup></a><sup>,</sup><a href="https://www.sciencedirect.com/science/article/pii/S1672652908600979"><sup>6</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/17132782/"><sup>7</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/19878064/"><sup>8</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/22100652/"><sup>9</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/23271121/"><sup>10</sup></a><sup>, </sup><a href="https://pubmed.ncbi.nlm.nih.gov/27165188/"><sup>11</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/19149193/"><sup>12</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/18538425/"><sup>13</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/8344390/"><sup>14</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/19585175/"><sup>15</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/17138963/"><sup>16</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/24920049/"><sup>17</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/22935419/"><sup>18</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/24885014/"><sup>19</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/22845717/"><sup>20</sup></a><sup>, </sup><a href="https://pubmed.ncbi.nlm.nih.gov/1875951/"><sup>21</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/7999094/"><sup>22</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/15336529/"><sup>23</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/17520663/"><sup>24</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/16960874/"><sup>25</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/16556595/"><sup>26</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/16773658/"><sup>27</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/20368798/"><sup>28</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/20163207/"><sup>29</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/26531318/"><sup>30</sup></a><sup>, </sup><a href="https://www.jbc.org/article/S0021-9258%2820%2967561-5/fulltext"><sup>31</sup></a><sup>,</sup><a href="https://vbn.aau.dk/en/publications/transcriptional-study-of-cardiac-differentiation-mechanism-of-dms"><sup>32</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/22575628/"><sup>33</sup></a><sup>,</sup><a href="https://jct.araku.ac.ir/article_9187_1280.html?lang=en"><sup>34</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFD2006&amp;filename=DSJY200602013&amp;uniplatform=OVERSEA&amp;v=yMMYj3eAxSgfAWZljoYYiN3pv8rIM9VH78CcXE8gd-mvlvVqhQtUCj-PlW96j44C"><sup>35</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFD2011&amp;filename=YIYA201118002&amp;uniplatform=OVERSEA&amp;v=LmJzEfHmDymBUR15In4y04PHLEM_S5mfMUS0mrd4yD0-LrkTUT8Rnq5ztG7JL7EE"><sup>36</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFD2010&amp;filename=YIKE201005003&amp;uniplatform=OVERSEA&amp;v=QUYsZ28IORVMTkI2cqNyryTQ7L3Y9phEFMmYV4e8X-KpZwchWBQEq0czCk_XbX9E"><sup>37</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/10802244/"><sup>38</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/10639728/"><sup>39</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/10772808/"><sup>40</sup></a><sup>, </sup><a href="https://pubmed.ncbi.nlm.nih.gov/10490646/"><sup>41</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/11352931/"><sup>42</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/7952511/"><sup>43</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/9857019/"><sup>44</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/10514493/"><sup>45</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/18182860/"><sup>46</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/10926868/"><sup>47</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/9770359/"><sup>48</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/14645532/"><sup>49</sup></a><sup>,</sup><a href="https://faseb.onlinelibrary.wiley.com/doi/abs/10.1096/fasebj.28.1_supplement.1097.5"><sup>50</sup></a><sup>, </sup><a href="https://kindai.repo.nii.ac.jp/records/2003384"><sup>51</sup></a><sup>,</sup><a href="https://kumadai.repo.nii.ac.jp/record/2000974/files/yakkagaku_kou101youyaku.pdf"><sup>52</sup></a><sup>,</sup><a href="https://www.jstor.org/stable/4294920"><sup>53</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CMFD&amp;dbname=CMFD201601&amp;filename=1015341812.nh&amp;uniplatform=OVERSEA&amp;v=cnISmB9JbHlLG_MRKsPqFhTdJO3cXDfp05ZyJcnnQGFzKrlUSP7Q7Ap6DRtoiwiE"><sup>54</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFDLAST2015&amp;filename=ZJSZ201501016&amp;uniplatform=OVERSEA&amp;v=zZLuQKknjNKSuY0phGjYZ_QuAa-OsTs7ADk7_c_EHkDXZy7OgwgxH0onHHeSTvTe"><sup>55</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CMFD&amp;dbname=CMFD201601&amp;filename=1015386550.nh&amp;uniplatform=OVERSEA&amp;v=8FjL8aMSeYcY2a2imSV1qQ7nUETeoEBCsId5NYYC1dWXW_5UMd04ArGRWYxazVg8"><sup>56</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CMFD&amp;dbname=CMFD202101&amp;filename=1015727411.nh&amp;uniplatform=OVERSEA&amp;v=Bp4LGq7grST13tJll54O_UxOFsHxIvd6KI-WTWNkepsp0eR6REb3vsyYDpDiRB7a"><sup>57</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFDLAST2015&amp;filename=SWHZ201508008&amp;uniplatform=OVERSEA&amp;v=4jKzZlJTewYUec_v9Pk3nwfIzjFjK93eEQfsdheZ0bjyUzYB3VD0PNPHJvcYD-69"><sup>58</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CMFD&amp;dbname=CMFD201701&amp;filename=1016135592.nh&amp;uniplatform=OVERSEA&amp;v=5PpfqnUAVvU5SyHwoa33QQK51wuOesXu5ApT5Ch0p0SnUbiJ0LQssVtMG3Dx9QOe"><sup>59</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CMFD&amp;dbname=CMFD201701&amp;filename=1016181138.nh&amp;uniplatform=OVERSEA&amp;v=yNZbnc6d9tFhpUNo2Ld8paZadajKSDe4EkO5DfXkp6Pe2-oBbHqqbrhp0cCX5Jvw"><sup>60</sup></a><sup>, </sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CMFD&amp;dbname=CMFD201901&amp;filename=1015727373.nh&amp;uniplatform=OVERSEA&amp;v=D5QvjavMGHPHxoW_AjYu659XnbacF11z3qqQQrxM3KOQswHWY586fyMZPeDCGp1f"><sup>61</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CMFD&amp;dbname=CMFD202101&amp;filename=1018174761.nh&amp;uniplatform=OVERSEA&amp;v=O0xnBC-fMDOL8UpfYgX3PMLN1lSEkTB6EpydfJc9Wmo3eCqhthm36c70CB7R2tEK"><sup>62</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CMFD&amp;dbname=CMFD201901&amp;filename=1018246149.nh&amp;uniplatform=OVERSEA&amp;v=ltijnHF30P27pZ1ecmMt_ux8Q9CyTvf8a00EQqIVBuAkTnYj91Cu7rojcgJwLgn5"><sup>63</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFDLAST2018&amp;filename=NJYK201804006&amp;uniplatform=OVERSEA&amp;v=7h87c-i1BAS17JW1c4JO0_-6Gkg-HTLrFoA2TGau4wEyb7o2FhsD6uGOE9xzsjTC"><sup>64</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFDLAST2018&amp;filename=XDKF201812021&amp;uniplatform=OVERSEA&amp;v=is3R5wkd_A8Z_UCQDkubUeixOyoLU5BhN1ae6_xy1l9eiRg_6YCZQuMJIUBMcmZc"><sup>65</sup></a><sup>,</sup><a href="https://oversea.cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFDLAST2019&amp;filename=XBFM201905005&amp;uniplatform=OVERSEA&amp;v=4Wj6Qpx4UW-L-pwyJbMexLSPP0eSN0moScGRLMGae7U_wSM6cqZ7aFgrDgjIyyTH"><sup>66</sup></a><sup>,</sup><a href="https://oversea.cnki.net/KCMS/detail/detail.aspx?dbcode=CMFD&amp;dbname=CMFD201902&amp;filename=1019671483.nh&amp;uniplatform=OVERSEA&amp;v=lEPY-YmynhP_CAqP9-K50-UCD2QJjd9G4fqmDuEHxwzvvKVfINQvtcn6hlzhEtKp"><sup>67</sup></a><sup>,</sup><a href="https://oversea.cnki.net/KCMS/detail/detail.aspx?dbcode=CMFD&amp;dbname=CMFD201902&amp;filename=1019105604.nh&amp;uniplatform=OVERSEA&amp;v=0HU1HFBE4Es7-wESvy1nu2rsanJUwOuL1wB4njb56N7wY97ivFCcBp73UP4wLJxK"><sup>68</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/3078960/"><sup>69</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/8145145/"><sup>70</sup></a><sup>, </sup><a href="https://pubmed.ncbi.nlm.nih.gov/2674852/"><sup>71</sup></a><sup>,</sup><a href="https://www.tandfonline.com/doi/abs/10.1128/mcb.13.3.1590-1598.1993"><sup>72</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/22721678/"><sup>73</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/6656767/"><sup>74</sup></a><sup>,</sup><a href="https://www.nature.com/articles/299165a0"><sup>75</sup></a><sup>,</sup><a href="https://pure.johnshopkins.edu/en/publications/characterization-of-beta-amyloid-toxicity-of-p19-embryonal-carcin-3/"><sup>76</sup></a><sup>,</sup><a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC3312485/"><sup>77</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/16508137/"><sup>78</sup></a><sup>,</sup><a href="https://europepmc.org/article/med/16553298"><sup>79</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/12719544/"><sup>80</sup></a><sup>, </sup><a href="https://pubmed.ncbi.nlm.nih.gov/25492026/"><sup>81</sup></a>.</p><p>The effect shows up across source cell type after source cell type. DMSO alone has turned <a href="https://www.cjter.com/EN/abstract/abstract11113.shtml">bone-marrow mesenchymal stem cells</a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFDLAST2016&amp;filename=XDKF201601007&amp;uniplatform=OVERSEA&amp;v=jaJk3KUEge4Clzam-4q0MNiURjxWbP3n5X549-VVdLozEZESLz8guujo6njmAVJX"><sup>2</sup></a> into myocardial cells, <a href="https://pubmed.ncbi.nlm.nih.gov/19624256/">adipose-derived stem cells</a> into cardiomyoblast-like cells, and <a href="https://www.cjter.com/CN/abstract/abstract3116.shtml">fetal liver stem cells</a> into cardiomyocyte-like cells. It has also <a href="https://www.jstage.jst.go.jp/article/ihj/60/2/60_18-206/_pdf">driven fetal cardiomyocytes to proliferate</a> and <a href="https://pubmed.ncbi.nlm.nih.gov/34146546/">boosted the direct reprogramming of fibroblasts into cardiomyocytes roughly five-fold</a>.</p><p>The same DMSO-driven differentiation has been reported across species and stem-cell source: in <a href="https://pubmed.ncbi.nlm.nih.gov/19160855/">goat embryonic stem cells</a>, mouse embryonic stem cells<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CMFD&amp;dbname=CMFD2009&amp;filename=2008129925.nh&amp;uniplatform=OVERSEA&amp;v=jpjHBYV5nDCEqbSN529135G2g_u6Z_4GtLhj-kmVxV3LApQwnWHnZIhdfM9WWzIz"><sup>1</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CMFD&amp;dbname=CMFD2010&amp;filename=2010071932.nh&amp;uniplatform=OVERSEA&amp;v=bwJr4-pzqCSuno7QFbIRcEo-JgkHDDoYKyj9AmL6z4WSl-nS2-EaMJnREoGiGCHc"><sup>2</sup></a><sup>,</sup><a href="https://www.sciencedirect.com/science/article/abs/pii/0963689795020403"><sup>3</sup></a><sup>,</sup><a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CDFD&amp;dbname=CDFD9908&amp;filename=2007189270.nh&amp;uniplatform=OVERSEA&amp;v=kTU-PnCSwIOavmNktgoTCJBNPvoV-Hblvo7SY636GbbNj_1Ev5VOEj-FOZvDfJYe"><sup>4</sup></a><sup>,</sup><a href="https://oversea.cnki.net/KCMS/detail/detail.aspx?dbcode=CMFD&amp;dbname=CMFD202001&amp;filename=1019236506.nh&amp;uniplatform=OVERSEA&amp;v=_W1I7zl6OB8m3RmaRFGHAk0AyiTkeGSbYLRLsNod2DRELR0zf5N_Nd9NDw6p6zCF"><sup>5</sup></a>, human embryonic stem cells<a href="https://link.springer.com/article/10.3103/S0095452719010055"><sup>1</sup></a><sup>,</sup><a href="https://link.springer.com/article/10.1007/s11427-010-0111-7"><sup>2</sup></a><sup>,</sup><a href="https://link.springer.com/protocol/10.1007/978-1-4939-8597-5_5"><sup>3</sup></a><sup>,</sup><a href="https://academic.oup.com/stcltm/article/3/1/18/6388016"><sup>4</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/20596941/"><sup>5</sup></a>, <a href="https://europepmc.org/article/cba/598954">human bone-marrow stem cells</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/30530197/">cardiac progenitor cells</a>, and <a href="https://www.sciencedirect.com/science/article/pii/S0022282821001309">mouse embryonic fibroblasts</a>.</p><p>Lastly, the same differentiation was also achieved when DMSO was combined with many other agents including <a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFD2004&amp;filename=LCYX200403011&amp;uniplatform=OVERSEA&amp;v=ZwYTnLQ3M_-8C0J-2CgrX2HHeqQA7CccLg2611bH14R2y3Gvq6UcHC2fW0xy3c7k">5-azacytidine</a>, a <a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CMFD&amp;dbname=CMFD201701&amp;filename=1016223324.nh&amp;uniplatform=OVERSEA&amp;v=6I24RlSX_y7cyVKIxojusQ-AZDVSIMbpg3UL6z9EeZCYNHU3-D4N8geW8KCXy0cj">cocktail of growth factors including BMP and FGF</a>, <a href="https://link.springer.com/article/10.1007/s10561-015-9514-9">retinoic acid with 5-azacytidine</a>, <a href="https://www.pnas.org/doi/abs/10.1073/pnas.152302499">oxytocin</a> (which worked synergistically with DMSO) and many others.<a href="https://www.cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFD2004&amp;filename=SHSW200406005&amp;uniplatform=OVERSEA&amp;v=Jfcp6wIh0s9oJf3iRZGgqhmgMzsdfLMN81qvqWLWhr7Lo-0-GTO-yVfYSrtFMSGy"><sup>1</sup></a><sup>,</sup><a href="https://www.sciencedirect.com/science/article/abs/pii/S0167527312004883"><sup>2</sup></a></p><p><em>Note: the effect is again concentration-dependent. At high concentration the picture reverses: a brief exposure to 10 percent DMSO disrupted muscle fibers and suppressed proliferation in cultured heart and cardiac endothelial cells,</em><a href="https://www.e-jyms.org/upload/pdf/yujm-5-2-111.pdf"><sup>1</sup></a><sup>,</sup><a href="https://pesquisa.bvsalud.org/portal/resource/pt/wpr-147314"><sup>2</sup></a></p><h3>Atherosclerosis</h3><p>DMSO endothelial protective effects also allow it to prevent atherosclerosis itself. In rabbits fed a cholesterol-overloaded diet, oral DMSO reduced the resulting atherosclerosis by 30&#8212;40% and halved the cholesterol accumulating in the tissue.<a href="https://dmso.org/articles/atherosclerosis/Atherosclerosis.pdf"><sup>1</sup></a> Beyond limiting the damage, it also supported the vasculature&#8217;s ability to rebuild itself, as DMSO promoted the differentiation of human embryonic stem cells into endothelial, cardiac, and blood-cell precursors&#8212;the early cells the body draws upon to build new vessels and blood.<a href="https://www.cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFDLAST2017&amp;filename=XYSY201703002&amp;uniplatform=OVERSEA&amp;v=E1QYsftx5vJ_E2e9wbP_cjLCi8evaAfP79V3_lJwdr9FhNIdHPGkLbp8YwuQ9Bvi"><sup>1</sup></a></p><p>Finally, a series of studies in the cells lining human umbilical veins (a standard laboratory stand-in for the vessel wall) point to a protective and anti-inflammatory action there. Pretreatment with 2.5% DMSO reduced the neutrophil adhesion TNF-&#945; normally triggers, which is one of the first steps of vascular inflammation and the initiating event in atherosclerosis.<a href="https://www.cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFD9899&amp;filename=KDYZ199904005&amp;uniplatform=OVERSEA&amp;v=m-O6GynX1puaSankZSEcNgs-LRw2vbnr9oMnASLkir0Ehedn3k-78BfVMO17q_af"><sup>1</sup></a> In nutrient-starved cells it blocked programmed cell death by promoting DNA replication and enhancing survival,<a href="https://www.cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFD2003&amp;filename=PWJZ200304008&amp;uniplatform=OVERSEA&amp;v=YGuOCc_E9ESn6EIcmi5-Oe4dkjaGVZMpGjCa0Cdqs_RnbnmVGY-3YcZ1CA7tbxMQ"><sup>1</sup></a> and under oxidative stress it raised heme oxygenase-1 and reduced apoptosis through several anti-inflammatory and cytoprotective pathways.<a href="https://www.cnki.net/KCMS/detail/detail.aspx?dbcode=CDFD&amp;dbname=CDFD1214&amp;filename=1013102737.nh&amp;uniplatform=OVERSEA&amp;v=0Poj-R-Aye22_w5q0kv5nhhOlYL98m3Y7zqZ2GbuFpfu01Kjq1VIneGc0oyldITq"><sup>1</sup></a></p><h3>Blood Pressure</h3><p>As DMSO is a mild vasodilator which simultaneously increases parasympathetic tone and scavenges the radicals that stiffen and constrict vessels, there is a mechanistic basis for it reducing blood pressure. However, the direct evidence is quite limited and most of what exists is indirect.</p><p>For example, DMSO is used as a transdermal penetration enhancer for conventional antihypertensives such as diltiazem and labetalol, where it improves both how much of the drug crosses the skin and how far the pressure falls in hypertensive animals.<a href="http://eprints.unwahas.ac.id/934/"><sup>1</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/16305413/"><sup>2</sup></a> More importantly, it protects the vessels hypertension damages rather than merely the number on the cuff, as in rats made hypertensive with angiotensin II, DMSO reduced vascular hyperpermeability, smooth-muscle necrosis, and fibrin deposition in the small arteries by scavenging free radicals<a href="https://pubmed.ncbi.nlm.nih.gov/2306804/"><sup>1</sup></a>&#8212;guarding the vessel wall even in cases where it did not move the pressure at all.<br><em>Note: as I&#8217;ve shown throughout the series, the primary value of DMSO for cardiovascular disease is its ability to protect the tissue rather than meet a numerical blood pressure threshold (<a href="https://www.midwesterndoctor.com/p/the-great-blood-pressure-scam">which is often not even healthy</a>).</em></p><p>DMSO is not, however, a blood pressure drug in the way an ACE inhibitor is, and as with every other system, its effect is concentration dependent. At the low solvent-level doses used in most research it is close to neutral, as DMSO-alone control groups repeatedly show no meaningful change in mean arterial pressure.<a href="https://www.sciencedirect.com/science/article/pii/0028390876900654"><sup>1</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/9648627/"><sup>2</sup></a> Any lowering emerges only at the higher therapeutic concentrations where the vasodilation becomes pronounced, and at the far end of the range the direction reverses entirely&#8212;the same counter-current already seen when DMSO scavenged enough nitric oxide to nudge blood pressure up in horses. The clearest illustration of this is what happens when stem cell grafts cryopreserved in concentrated (10%) DMSO are infused rapidly, which produces a transient rise in blood pressure proportional to the DMSO dose<a href="http://dspace.nbuv.gov.ua/handle/123456789/135722"><sup>1</sup></a>&#8212;the same high-concentration ceiling described in the safety section above. In short, DMSO is a mild and dose-dependent vasodilator whose most consistent contribution in hypertension is protecting the blood vessels rather than driving down the number on the cuff.</p><p>Readers, in turn, have described exactly what the mechanism predicts, and frequently stumbled upon it by accident. One woman had been applying DMSO to her husband&#8217;s belly at night for a pulled muscle when a checkup found his blood pressure had normalized; months of magnesium and potassium had only brought him to 150/90, but he now read 125/80.<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/190021980"><sup>1</sup></a></p><p>The pattern which recurs the most however is a rapid drop following a single oral dose. A 73-year-old found half a teaspoon in water took him from a usual 148/90 to 109/70 within thirty minutes, which he described as &#8220;way better than the meds I used to take.&#8221;<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/170759060"><sup>1</sup></a> Another, who had been pushed up to 40 mg of lisinopril and was applying DMSO over his carotids, watched a pre-DMSO 159/95 fall to 106/75 on the first reading afterwards.<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/166686812"><sup>1</sup></a> Others reported oral DMSO doing &#8220;more for my general inflammation and BP than aspirin or these days BP meds,&#8221;<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/158957664"><sup>1</sup></a> blood pressure finally dropping after years of unsuccessful diet, exercise, and weight changes,<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/118001923"><sup>1</sup></a> and a more modest shift from 160/90 to 150/80 which arrived alongside easier urination and sharper vision.<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/72488576"><sup>1</sup></a></p><p>Consistent with this being vasodilation rather than something else, a few readers instead noticed it as mild low-pressure symptoms when they used DMSO aggressively, one describing feeling &#8220;rather unsteady&#8221; with unusually flat and invisible hand veins during heavy use<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/166790479"><sup>1</sup></a> (which the German DMSO community believes accounts for why some people get temporary headaches from significant DMSO use). In others it was simply folded into a much broader recovery, such as the reader treating a vaccine injury with oral DMSO who listed normalized blood pressure among a long list of improvements,<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/113133060"><sup>1</sup></a> and another who found his blood pressure and cholesterol returned to normal once DMSO allowed him to discontinue Humira.<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/315491460"><sup>1</sup></a></p><p>Given all of this, I would expect DMSO to help certain kinds of blood pressure but not others (as <a href="https://www.midwesterndoctor.com/p/the-great-blood-pressure-scam">many different things can cause the elevation</a>). That said, blood pressure is not always a thing you want to treat (sometimes it being elevated is helpful)&#8212;although in the cases where it&#8217;s helpful to be elevated (to maintain perfusion through aging arteries), DMSO would likely at least somewhat bridge the gap due to its ability to promote circulation.</p><p><em>Note: because a few of these drops were both large and rapid, anyone already on blood pressure medication should monitor their pressure when starting DMSO rather than assume the two simply stack, as the reader above who was on 40 mg of lisinopril illustrates how quickly the combination can move things.</em></p><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://www.midwesterndoctor.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">The Forgotten Side of Medicine is a reader-supported publication. To receive new posts and support my work, please consider becoming a free or paid subscriber.</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div><h1>Peripheral Circulatory Disorders</h1><p>In addition to protecting tissues from death, DMSO is remarkably effective at removing excess fluid from outside the bloodstream, increasing circulation, and clearing circulatory obstructions such as clots, along with many other conditions which result from impaired circulation (and microcirculation). <em><br>Note: numerous observations of the years have led me to believe blood congestion is a primary cause of many ailments including varicose veins and hemorrhoids.</em></p><p>The pioneering DMSO researchers documented this early. Stanley Jacob found<a href="https://archive.org/details/dmsotruestoryofr0000tars"><sup>1</sup></a> that half of Raynaud&#8217;s patients had their symptoms eliminated and that thrombophlebitis responded excellently, while two investigators using plethysmography demonstrated objective improvement<a href="https://sci-hub.se/https:/www.jstor.org/stable/1718848"><sup>1</sup></a> in peripheral-artery insufficiency in a large number of patients given topical DMSO. DMSO was also shown to relieve diabetic circulatory problems including peripheral neuropathy<a href="https://www.amazon.com/DMSO-Handbook-Doctors-Archie-Scott/dp/1475997922"><sup>1</sup></a> and diabetic ulcers, where one study<a href="https://pubmed.ncbi.nlm.nih.gov/1055558/"><sup>1</sup></a> of hundreds of patients reported over a 94% success rate &#8212; and to help prevent future amputations (<a href="https://www.midwesterndoctor.com/p/how-dmso-heals-nerves-and-eliminates">data which has since been extensively corroborated</a>).</p><p>The early clinical series were substantial. A study of 67 patients with varicose ulcers<a href="https://pubmed.ncbi.nlm.nih.gov/1055556/"><sup>1</sup></a> (39 women, 28 men) found a remarkable response even in chronic ulcers that had been present for years and had failed other treatments. Likewise a larger early<a href="https://nyaspubs.onlinelibrary.wiley.com/doi/10.1111/j.1749-6632.1967.tb34919.x"><sup>1</sup></a> study found:</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!UdKf!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb21605cc-8468-4e2d-b08f-4c6e2975615d_2064x1124.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!UdKf!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb21605cc-8468-4e2d-b08f-4c6e2975615d_2064x1124.png 424w, https://substackcdn.com/image/fetch/$s_!UdKf!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb21605cc-8468-4e2d-b08f-4c6e2975615d_2064x1124.png 848w, https://substackcdn.com/image/fetch/$s_!UdKf!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb21605cc-8468-4e2d-b08f-4c6e2975615d_2064x1124.png 1272w, https://substackcdn.com/image/fetch/$s_!UdKf!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb21605cc-8468-4e2d-b08f-4c6e2975615d_2064x1124.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!UdKf!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb21605cc-8468-4e2d-b08f-4c6e2975615d_2064x1124.png" width="1456" height="793" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/b21605cc-8468-4e2d-b08f-4c6e2975615d_2064x1124.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:793,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:364041,&quot;alt&quot;:&quot;&quot;,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" title="" srcset="https://substackcdn.com/image/fetch/$s_!UdKf!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb21605cc-8468-4e2d-b08f-4c6e2975615d_2064x1124.png 424w, https://substackcdn.com/image/fetch/$s_!UdKf!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb21605cc-8468-4e2d-b08f-4c6e2975615d_2064x1124.png 848w, https://substackcdn.com/image/fetch/$s_!UdKf!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb21605cc-8468-4e2d-b08f-4c6e2975615d_2064x1124.png 1272w, https://substackcdn.com/image/fetch/$s_!UdKf!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb21605cc-8468-4e2d-b08f-4c6e2975615d_2064x1124.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p>DMSO&#8217;s vasodilatory action has long been invoked for frostbite, diabetic ulcers, and varicose ulcers<a href="https://asma.kglmeridian.com/downloadpdf/view/journals/asem/53/1/article-p82.pdf"><sup>1</sup></a>, and over a hundred studies have since corroborated these results.</p><p><strong>Venous disease and varicose veins.</strong> The most consistent modern use is topical, much of it centered on Dolobene &#8212; a gel of DMSO, heparin, and dexpanthenol in which DMSO both carries the heparin through the skin and adds its own analgesic and anti-inflammatory action. Dolobene has been evaluated across the venous disorders<a href="https://link.springer.com/content/pdf/10.1007/978-3-642-70428-4_13?pdf=chapter%20toc"><sup>1</sup></a>, used specifically for varicose vein disease<a href="https://link.springer.com/content/pdf/10.1007/978-3-642-70428-4_12?pdf=chapter%20toc"><sup>1</sup></a>, and ranked by vascular surgeons and pharmacists among the priority topical agents for varicose veins<a href="https://elibrary.ru/item.asp?id=26078973"><sup>1</sup></a>.<a href="https://apni.ru/uploads/f25d0c17_f391_465d_9898_734889c7ffd9_6ac850b607.pdf#page=145"><sup>2</sup></a>,<a href="https://elibrary.ru/item.asp?id=37431617"><sup>3</sup></a>,<a href="https://elibrary.ru/item.asp?id=12974320"><sup>4</sup></a>,<a href="https://cyberleninka.ru/article/n/marketingovoe-issledovanie-rynka-flebotropnyh-lekarstvennyh-preparatov-primenyaemyh-v-lechenii-i-profilaktike-varikoznoy-bolezni"><sup>5</sup></a> An early double-blind study of 55 patients<a href="https://pubmed.ncbi.nlm.nih.gov/4563622/"><sup>1</sup></a> tested topical DMSO for chronic venous insufficiency, and a 1975 New York Academy of Sciences report<a href="https://nyaspubs.onlinelibrary.wiley.com/doi/abs/10.1111/j.1749-6632.1975.tb25382.x"><sup>1</sup></a> documented its use across venous stasis, dermatosclerosis, and lymphedema. It recurs throughout the topical treatment of chronic venous insufficiency and post-thrombophlebitic disease<a href="https://elibrary.ru/item.asp?id=17301678"><sup>1</sup></a> and appears in the formulation literature for antivaricose gels<a href="http://www.chem.folium.ru/index.php/chem/article/view/823"><sup>1</sup></a> and horse-chestnut/aescin preparations<a href="https://www.elibrary.ru/item.asp?id=53928360"><sup>1</sup></a> as the penetration enhancer of choice.<a href="https://pubmed.ncbi.nlm.nih.gov/4826744/"><sup>1</sup></a> This indicates DMSO may also play a wall-strengthening role (e.g., in a mouse model of venous hypertension<a href="https://www.ahajournals.org/doi/abs/10.1161/circ.134.suppl_1.16017"><sup>1</sup></a> that reproduces varicose remodeling, agents delivered transdermally in DMSO prevented the pathological changes in vein structure and smooth muscle that drive the disease).</p><p><strong>Thrombophlebitis, superficial venous thrombosis and hematomas.</strong> DMSO-based gels are commonly used here. A randomized, double-blind trial of a Phlebolan spray<a href="https://pubmed.ncbi.nlm.nih.gov/4563623/"><sup>1</sup></a> and related studies<a href="https://ebninfo.at/antwortdokumente/Rapid_Review_Phlebitis_2020_06.pdf"><sup>1</sup></a>,<a href="https://europepmc.org/article/med/4563623"><sup>2</sup></a>,<a href="https://europepmc.org/article/med/4826743"><sup>3</sup></a> support topical DMSO-heparin (and the topical DMSO heparin gel Dolobene) for superficial thrombophlebitis.<a href="https://link.springer.com/content/pdf/10.1007/978-3-642-70428-4_14?pdf=chapter%20toc"><sup>1</sup></a> Likewise Dolobene recurs as a standard thrombophlebitis and thrombosis therapy throughout the literature, including for combined deep and saphenous-vein thrombosis.<a href="https://elibrary.ru/item.asp?id=45639943"><sup>1</sup></a><sup>,</sup><a href="https://www.researchgate.net/profile/Karen-Grigoryan-5/publication/354527925_Income_convergence_in_developing_economies/links/613cd5bde4419c5e6ec6af10/Income-convergence-in-developing-economies.pdf#page=37"><sup>2</sup></a><sup>,</sup><a href="https://cyberleninka.ru/article/n/klinicheskiy-sluchay-lecheniya-poverhnostnogo-tromboflebita-unikalnyy-po-svoey-nepovtorimosti"><sup>3</sup></a> DMSO (alone) gels have also been used to treat acute thrombophlebitis<a href="https://pubmed.ncbi.nlm.nih.gov/7401520/"><sup>1</sup></a>, superficial-vein thrombosis<a href="https://elibrary.ru/item.asp?id=47282529"><sup>1</sup></a>, and chemotherapy-induced phlebitis.<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFD2005&amp;filename=LYLC200502028&amp;uniplatform=OVERSEA&amp;v=Tt6rn1VS1hX4gy8lM6ten-AEd1pf-FmfqTgK9rdsMetOPD6iWy1romsW8NXlRSAB"><sup>1</sup></a>,<a href="http://www.irbis-nbuv.gov.ua/cgi-bin/irbis_nbuv/cgiirbis_64.exe?C21COM=2&amp;I21DBN=UJRN&amp;P21DBN=UJRN&amp;IMAGE_FILE_DOWNLOAD=1&amp;Image_file_name=PDF/Khkhsh_2011_6_6.pdf"><sup>2</sup></a>,<a href="https://onlinelibrary.wiley.com/doi/abs/10.1111/j.1532-950X.2010.00723.x"><sup>3</sup></a><sup> </sup>Electrophoretic DMSO has also resolved intramuscular-injection hematomas in hemophilic children, clearing the bruising well enough to let their therapy continue.<a href="https://elibrary.ru/item.asp?id=9514559"><sup>1</sup></a></p><p><strong>Venous, trophic, and diabetic ulcers.</strong> DMSO&#8217;s ulcer record (e.g., the greater than 94% success rate and the 67-patient varicose-ulcer series above) are highlighted in many papers discussing the use of large DMSO containing wound-dressing for venous trophic ulcers and lipodermatosclerosis<a href="https://elibrary.ru/item.asp?id=13008236"><sup>1</sup></a>, chronic trophic leg ulcers<a href="https://www.elibrary.ru/download/elibrary_40411584_16786477.pdf"><sup>1</sup></a>, post-thrombophlebitic trophic ulcers<a href="https://elibrary.ru/item.asp?id=17301678"><sup>1</sup></a>, venous ulcers and chronic venous insufficiency (in one study a DMSO powder healed 95% of patients at 3 months versus 70% on placebo),<a href="https://elibrary.ru/item.asp?id=13008236"><sup>1</sup></a><sup>,</sup><a href="https://link.springer.com/article/10.1007/BF01659062"><sup>2</sup></a> and trophic ulcers of atherosclerotic origin (with a DMSO powder)<a href="https://elibrary.ru/item.asp?id=30579229"><sup>1</sup></a>. In 58 patients with chronic purulent wounds from vascular disease or diabetic angiopathy, negative-pressure instillation of 20% DMSO produced faster cleansing, near-complete granulation in 76% by the first dressing change, and healing 1.5&#8211;3&#215; faster than standard care.<a href="https://elibrary.ru/item.asp?id=38274698"><sup>1</sup></a>,<a href="https://elibrary.ru/item.asp?id=38112291"><sup>2</sup></a> The diabetic-foot thread is distinct: in 80 diabetic patients with lower-extremity ulcers, DMSO dressings combined with an oxygen-carrying perfluorocarbon cut mean healing time to 17 days versus 47 for standard care, with faster bacterial clearance and a better microcirculatory index by day 22.<a href="https://www.medline.ru/public/art/tom5/art26.html"><sup>1</sup></a> DMSO is also used as an antiseptic and penetration enhancer in diabetic-foot and gangrenous-wound protocols<a href="https://www.bulletennauki.ru/gallery/115_28.pdf"><sup>1</sup></a>, in diabetic wound management with documented perfusion improvement<a href="https://www.microcirc.ru/jour/article/view/10/11"><sup>1</sup></a>, for necrobiosis lipoidica and other diabetic skin conditions<a href="https://elibrary.ru/item.asp?id=41020119"><sup>1</sup></a>, and as the vehicle in experimental diabetic-wound and angiogenesis models.<a href="https://cyberleninka.ru/article/n/kriterii-otsenki-dinamiki-techeniya-ostrogo-paraproktita-na-fone-saharnogo-diabeta"><sup>1</sup></a></p><p><strong>Scleroderma and Raynaud&#8217;s.</strong> In addition to the 50% Raynaud&#8217;s symptom-elimination figure from the original DMSO literature, DMSO is a standard component of scleroderma care specifically for its microcirculatory action.  DMSO with nicotinic acid<sup>&#11030;</sup> has been used to treat systemic scleroderma,<a href="https://pubmed.ncbi.nlm.nih.gov/705639/"><sup>1</sup></a> and topical DMSO (often paired with heparin) is mentioned as a treatment throughout the scleroderma treatment literature<a href="https://journals.eco-vector.com/kazanmedj/article/view/84126"><sup>1</sup></a>, including pediatric localized scleroderma<a href="https://kingad.ru/sq/abdominal-ultrasound/ogranichennaya-sklerodermiya-u-detei-simptomy-lokalizovannoi-sklerodermii/"><sup>1</sup></a>, explicitly to improve microcirculation and soften dermatosclerosis.<a href="https://zdorovieinfo-ru.ru/nl/gorlo/ochagovaya-sklerodermiya-prichiny-simptomy-lechenie-kak/"><sup>1</sup></a>,<a href="https://www.elibrary.ru/item.asp?id=32493153"><sup>2</sup></a>,<a href="https://medi.ru/info/1137/"><sup>3</sup></a>,<a href="https://jasulib.org.kg/wp-content/uploads/2024/06/Kozin-VM_Klinicheskaia_dermatologiia_2020.pdf"><sup>4</sup></a>,<a href="https://web.archive.org/web/20220327101512/https:/repo.knmu.edu.ua/handle/123456789/22163"><sup>5</sup></a><sup>,</sup><a href="https://dmso.org/articles/scleroderma/psclero3.htm"><sup>6</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/5058095/"><sup>7</sup></a><sup>,</sup><a href="https://nyaspubs.onlinelibrary.wiley.com/doi/abs/10.1111/j.1749-6632.1983.tb47312.x?sid=nlm%3Apubmed"><sup>8</sup></a>  (where in one study, blood flow was increased 20% by DMSO and 500% by DMSO with nicotinic acid<sup>&#11030;</sup><a href="https://nyaspubs.onlinelibrary.wiley.com/doi/abs/10.1111/j.1749-6632.1983.tb47312.x?sid=nlm%3Apubmed"><sup>1</sup></a>). It also appears in systemic lupus with acrocyanosis and Raynaud-type lesions<a href="https://journals.sagepub.com/doi/10.1177/000331977002100304"><sup>1</sup></a>, in vasculitis<a href="https://omnidoctor.ru/upload/iblock/f78/f78297b0aa5e072c8239d873e9f3dcb1.pdf"><sup>1</sup></a> with cutaneous circulatory involvement, and as the vehicle for vasoactive agents in scleroderma<a href="https://europepmc.org/article/med/6918176"><sup>1</sup></a>.<a href="https://dspace.mphu.edu.ua/handle/123456789/9393"><sup>2</sup></a><sup><br></sup><em>Note: many more scleroderma studies are discussed <a href="https://www.midwesterndoctor.com/p/how-dmso-treats-incurable-autoimmune">here</a>.</em></p><p><strong>Tissue perfusion, flap and graft survival.</strong> The most objective experimental evidence that DMSO raises tissue blood flow comes from surgical flap models, where perfusion decides whether ischemic tissue lives. In 48 rats with abdominal island flaps<a href="https://jamanetwork.com/journals/jamaotolaryngology/article-abstract/614473"><sup>1</sup></a>, systemic DMSO significantly increased perfusion (by laser Doppler and perfusion fluorometry) and improved flap survival. In ischemic dorsal skin flaps<a href="https://www.lareferencia.info/vufind/Record/BR_1405cd5890ad3d519348291a8e174f6e"><sup>1</sup></a>, 5% DMSO reduced distal necrosis and produced greater neovascularization and earlier repair. The benefit recurs across independent models such as pedicle-flap necrosis<a href="https://journals.lww.com/plasreconsurg/abstract/00006534-196801000-00011~evaluation-of-dextran-and-dmso-to-prevent-necrosis-in"><sup>1</sup></a>,<a href="https://europepmc.org/article/med/5331835"><sup>2</sup></a>,<a href="https://academic.oup.com/asj/article-abstract/25/2/201/229513"><sup>3</sup></a>,<a href="https://www.rbcp.org.br/details/224/Local-Injection-of-Hyaluronidase-in-Increasing-Skin-Flap-Survival--An-Experimental-Study?idioma=pt-BR"><sup>4</sup></a> composite and vascular allografts<a href="https://www.elibrary.ru/item.asp?id=38260589"><sup>1</sup></a>, or nipple-areolar and penile tissue salvage<a href="https://openurl.ebsco.com/EPDB%3Agcd%3A12%3A22058540/detailv2?sid=ebsco%3Aplink%3Ascholar&amp;id=ebsco%3Agcd%3A187659349&amp;crl=c"><sup>1</sup></a>.<a href="https://www.scielo.br/j/acb/a/gNHYGHKtM4xp9LMr8frCtqk/?lang=pt"><sup>2</sup></a> The same perfusion gain runs through a large wound-healing literature, where DMSO (alone or as carrier) increases skin blood flow<a href="https://www.agriculturejournals.cz/pdfs/vet/2017/04/01.pdf"><sup>1</sup></a>, normalizes capillary permeability and microcirculation<a href="http://science.sgmu.ru/system/files/diss/319/diss_dudar_marina_vyacheslavovna.pdf"><sup>1</sup></a>, improves isolated-organ perfusion<a href="https://scholar.google.com/scholar?cluster=17706670480224504431&amp;hl=en&amp;as_sdt=5,44&amp;sciodt=0,44"><sup>1</sup></a>, and accelerates granulation and revascularization in trophic ulcers, burns, and other wounds.<a href="https://elibrary.ru/item.asp?id=37431617"><sup>1</sup></a>,<a href="https://cyberleninka.ru/article/n/nemedikamentoznaya-terapiya-sindroma-razdrazhennogo-kishechnika"><sup>2</sup></a>,<a href="https://med-click.ru/uploads/files/docs/nemedikamentoznaya-terapiya-sindroma-razdrazhennogo-kishechnika.pdf"><sup>3</sup></a><sup><br></sup><em>Note: many additional DMSO skin flap studies can be read <a href="https://www.midwesterndoctor.com/p/dmso-is-a-miraculous-therapy-for">here</a>.</em></p><p><strong>Surgery. </strong>In addition to protecting skin flaps (a common challenge in plastic surgery), DMSO also addresses many other challenges. In breast reconstruction, applying topical 60% DMSO before each tissue-expansion session cut expansion time by roughly a third, allowed greater volume per session, and reduced pain<a href="https://web.archive.org/web/20220703212611/https:/air.unipr.it/handle/11381/2807038"><sup>1</sup></a>, across two clinical series.<a href="https://web.archive.org/web/20220928120703/https:/air.unipr.it/handle/11381/2807035"><sup>1</sup></a> Topical DMSO salvaged (saved) an ischemic nipple-areola complex<a href="https://jsurgmed.com/article/view/8098"><sup>1</sup></a> after reduction mammoplasty by restoring perfusion, and as a trauma wound dressing used in nearly ten thousand cases it dilated capillaries and improved microcirculation<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFD9495&amp;filename=HNGY199401026"><sup>1</sup></a>. Finally, in 154 patients undergoing surgery to restore blood flow to an acutely ischemic leg, intravenous DMSO added before reperfusion reduced markers of reperfusion injury<a href="http://www.irbis-nbuv.gov.ua/cgi-bin/irbis_nbuv/cgiirbis_64.exe?I21DBN=LINK&amp;P21DBN=UJRN&amp;Z21ID=&amp;S21REF=10&amp;S21CNR=20&amp;S21STN=1&amp;S21FMT=ASP_meta&amp;C21COM=S&amp;2_S21P03=FILA=&amp;2_S21STR=bumv_2019_23_1_5"><sup>1</sup></a> ( lower peak lactate, faster normalization, fewer cases of kidney and cardiopulmonary dysfunction) though amputation and mortality were unchanged.</p><p><strong>Hemorrhoids and frostbite.</strong> DMSO is used in topical mixtures for acute thrombosed hemorrhoids<a href="https://cyberleninka.ru/article/n/evolyutsiya-metodov-lecheniya-ostrogo-tromboza-gemorroidalnyh-uzlov"><sup>1</sup></a> and hemorrhoidal thrombosis<a href="http://www.irbis-nbuv.gov.ua/cgi-bin/irbis_nbuv/cgiirbis_64.exe?C21COM=2&amp;I21DBN=UJRN&amp;P21DBN=UJRN&amp;IMAGE_FILE_DOWNLOAD=1&amp;Image_file_name=PDF/Khkhsh_2016_1_39.pdf"><sup>1</sup></a>, in a placebo-controlled trial of an MSM<sup>&#11030;</sup>-containing gel<a href="https://pubmed.ncbi.nlm.nih.gov/22492249/"><sup>1</sup></a> (MSM being DMSO&#8217;s oxidized metabolite), and in anorectal wound healing after hemorrhoid surgery<a href="https://cyberleninka.ru/article/n/splenodimeksid-v-lechenii-ran-anorektalnoy-oblasti"><sup>1</sup></a>.<a href="https://dspace.nuph.edu.ua/bitstream/123456789/18558/1/2017_%e2%84%962_%d0%9a%d0%9b%d0%9c%20%28%d0%94%d0%b0%d0%bd%d1%8c%d0%ba%d0%b5%d0%b2%d0%b8%d1%87%2c%20%d0%9e%d1%80%d0%bb%d0%be%d0%b2%d0%b5%d1%86%d1%8c%d0%ba%d0%b0%29.pdf"><sup>2</sup></a>,<a href="https://cyberleninka.ru/article/n/nemedikamentoznaya-terapiya-sindroma-razdrazhennogo-kishechnika"><sup>3</sup></a> For frostbite, a peripheral cold-ischemic injury, DMSO appears in the treatment guidelines for local cold trauma<a href="http://combustiolog.ru/wp-content/uploads/2015/03/Proekt-Klinicheskih-rekomendatsij-DIAGNOSTIKA-I-LECHENIE-MESTNOJ-HOLODOVOJ-TRAVMY-.pdf"><sup>1</sup></a>, in military cold-injury research<a href="https://apps.dtic.mil/sti/html/tr/ADA122986/"><sup>1</sup></a>, and as a carrier delivering heparin into cold-injured tissue<a href="https://elibrary.ru/item.asp?id=37894677"><sup>1</sup></a>.<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFD7984&amp;filename=ZGYZ198104014&amp;uniplatform=OVERSEA&amp;v=y3z4wJ-9M9M73YKLgtw3ulx35owawuB9QmQNjjuWFYrKgXCnpoIqyGuI_3vDED6B"><sup>2</sup></a>,<a href="https://cyberleninka.ru/article/n/klassifikatsiya-i-diagnostika-mestnoy-holodovoy-travmy"><sup>3</sup></a>,<a href="https://nvlvet.com.ua/index.php/journal/article/view/4630/4741"><sup>4</sup></a><sup>,</sup><a href="https://cyberleninka.ru/article/n/multimodalnaya-anesteziologicheskaya-zaschita-u-bolnyh-s-ostroy-kishechnoy-neprohodimostyu"><sup>5</sup></a><sup><br></sup><em><span>Note: Stanley Jacob (the pioneer of DMSO) </span>treated hemorrhoids with DMSO<span>,</span><a href="https://www.amazon.com/Persecuted-Drug-Story-DMSO/dp/B000VVEAKO"><sup><span>1</span></sup></a><span> other DMSO authors have advocated for using </span>DMSO to treat them<span>, and </span>Merck (in their early clinical trials) reported<span> that it improved recovery after their surgical removal.</span><a href="https://www.amazon.com/Persecuted-Drug-Story-DMSO/dp/B000VVEAKO"><sup><span>1</span></sup></a></em></p><p><strong>Arterial and ischemic limb disease.</strong> The arterial side is thinner than the venous but present: DMSO has been used adjunctively for arterial disease of the extremities<a href="https://scholar.google.com/scholar?hl=en&amp;as_sdt=0%2C22&amp;q=DIMETHYL+SULFOXIDE+%28DMSO%29+AS+AN+ADJUNCT+IN+THERAPY+OF+ARTERIAL+DISEASE+OF+EXTERMITIES&amp;btnG="><sup>1</sup></a>, for chronic purulent wounds from advanced peripheral arterial occlusive disease<a href="https://elibrary.ru/item.asp?id=30579229"><sup>1</sup></a>, with hyaluronidase for ischemic limb edema<a href="https://cyberleninka.ru/article/n/marketingovoe-issledovanie-rynka-flebotropnyh-lekarstvennyh-preparatov-primenyaemyh-v-lechenii-i-profilaktike-varikoznoy-bolezni"><sup>1</sup></a>, and for vaso-occlusive hand-foot crises<a href="https://elibrary.ru/item.asp?id=17301678"><sup>1</sup></a> where Dolobene relieved pain and edema. It also improved facial arterial blood flow after surgery<a href="https://scholar.google.com/scholar?q=Der+Einfluss+von+Dimethylsulfoxid+Durchblutung"><sup>1</sup></a>.</p><p><strong>Veterinary peripheral circulation.</strong> In veterinary medicine, where DMSO is a mainstream drug, it is used for equine laminitis to improve digital perfusion<a href="https://dergipark.org.tr/en/download/article-file/308471"><sup>1</sup></a>, distal-limb edema<a href="https://avmajournals.avma.org/view/journals/javma/201/1/javma.1992.201.01.63.xml"><sup>1</sup></a>, and aorto-iliac thrombosis<a href="https://agro.icm.edu.pl/agro/element/bwmeta1.element.agro-02a650e2-7b13-4534-8eeb-f7ac4d499183"><sup>1</sup></a>, in regional limb perfusion<a href="https://periodicos.pucpr.br/cienciaanimal/article/view/15995"><sup>1</sup></a> and tendinitis<a href="https://elibrary.ru/item.asp?id=20331656"><sup>1</sup></a>, for bovine hoof and teat lesions<a href="https://elibrary.ru/item.asp?id=23101923"><sup>1</sup></a>, and as anti-endotoxemic support in colic and peritonitis<a href="https://revistas.faculdadefacit.edu.br/index.php/JNT/article/view/4059/2660"><sup>1</sup></a> where circulatory collapse is the threat.<a href="https://periodicos.pucpr.br/index.php/cienciaanimal/article/download/16169/15725"><sup>1</sup></a>,<a href="https://eu-st01.ext.exlibrisgroup.com/32RUG_INST/storage/alma/0D/B8/56/A1/DD/C5/12/41/68/F5/B5/A1/FC/33/1D/73/RUG01-001460158_2011_0001_AC.pdf"><sup>2</sup></a><sup> </sup></p><p>DMSO also completely abolished toxin-induced constriction of lymphatic microvessels<a href="https://pubmed.ncbi.nlm.nih.gov/1625923/"><sup>1</sup></a>, protecting lymphatic as well as blood-vessel tone. </p><h1>Peripheral-Vascular Combinations</h1><p>Many agents have also been combined with DMSO to topically treat the same conditions DMSO alone also treats.</p><h3>Venous Disease, Trophic Ulcers &amp; Wound Healing</h3><p>Many agents combined with DMSO, like DMSO alone, speed cleansing, granulation, and closure of venous, trophic, diabetic, and traumatic wounds:</p><p><strong>&#8226;Antiseptics &amp; antibiotics (topical wound care)</strong> &#8212; furacillin + sensitivity-selected antibiotics (25% DMSO cleared monoflora by day 5&#8211;6 and healed varicose/post-thrombophlebitic ulcers in 16 days, 2.2x faster with phototherapy)<a href="https://cyberleninka.ru/article/n/maloinvazivnye-metody-hirurgicheskogo-lecheniya-oslozhnennyh-form-varikoznogo-rasshireniya-ven"><sup>1</sup></a>; chlorhexidine (multimodal venous trophic-ulcer regimen; remission in 80&#8211;95% of 152 cases)<a href="https://www.elibrary.ru/item.asp?id=17301678"><sup>1</sup></a>; bactosin + sulbactam (DMSO antiseptic irrigation of contaminated vascular-trauma wounds; fewer thromboses, infections, amputations),<a href="https://web.archive.org/web/20250508052743/http:/www.irbis-nbuv.gov.ua/cgi-bin/irbis_nbuv/cgiirbis_64.exe?C21COM=2&amp;I21DBN=UJRN&amp;P21DBN=UJRN&amp;IMAGE_FILE_DOWNLOAD=1&amp;Image_file_name=PDF/Khkhsh_2011_6_6.pdf"><sup>1</sup></a> photoditazine plus photodynamic therapy (gunshot wound treatment aiding cleansing and microcirculation)<a href="https://goslasmed.elpub.ru/jour/article/download/897/766"><sup>1</sup></a><sup>,</sup><a href="https://rsmu.ru/fileadmin/templates/DOC/Faculties/LF/phthisiology/methodology/Vakcinoprofilaktika_tuberkuleza.pdf"><sup>2</sup></a>.</p><p><strong>&#8226;Anesthetics &amp; anti-inflammatories (compounded dressings/ointments)</strong> &#8212; Anikol, a patented anilocaine ointment (~190-min surface anesthesia; infected wounds closed in 7 days, frostbite healed in 8)<a href="https://elibrary.ru/item.asp?id=38112291"><sup>1</sup></a>; splenic preparation splenodimexide (anorectal wounds; complications cut &gt;1.5x, faster granulation)<a href="https://cyberleninka.ru/article/n/nemedikamentoznaya-terapiya-sindroma-razdrazhennogo-kishechnika"><sup>1</sup></a></p><p><strong>&#8226;Free-radical scavengers &amp; flavonoids (ulcer healing)</strong> &#8212; Quercetin<sup>&#11030;</sup> (10% DMSO vehicle showed no independent effect while quercetin-in-DMSO drove angiogenesis and closure in diabetic wounds)<a href="http://oversea.cnki.net/KCMS/detail/detail.aspx?dbcode=CMFD&amp;dbname=CMFD202001&amp;filename=1019695473.nh&amp;uniplatform=OVERSEA&amp;v=Ny8iCSJSUzA9tAty4yrUBIm8taEEL_rkD4Y50CaS7unlRQ9kqn-zk-WeMH3hFz3h"><sup>1</sup></a>; loureirin A<sup>&#11030;</sup> (promoted vascularization and wound healing via miR-339-5p/Wnt).<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CMFD&amp;dbname=CMFD202201&amp;filename=1018272800.nh&amp;uniplatform=OVERSEA&amp;v=SxSSzCIjgc6_g0o1T5sG0PD-boh8Xh6ix4OM-C25SjyzKUgRKEyJwgn58dSdqDCf"><sup>1</sup></a></p><h3>Thrombosis, Clotting, Platelet Function &amp; Vascular Tone</h3><p>DMSO is frequently combined with other anti-clotting agents:</p><p><strong>&#8226;Natural compounds</strong> &#8212; curcumin<sup>&#11030;</sup> (dose-dependently reduced platelet aggregation, CD63, GMP-140 in pulmonary embolism)<a href="https://oversea.cnki.net/kcms2/article/abstract?v=nRANE_nPmUoeA6L-HvBEWbzviyDen75zW5CHJPIPYDmOTYGlDmQiyTDmMJc0t6HLhr914GcIq-CUMDPiy_c0p1HCi7L0P4QPjMY0HAhHR7Zl7UJorNARvDaReZsLhctoJIompgVGvjazpz5JeWzX6R9rVHKR3FsZG6ebOZUINrRLuHUGbH6VP3tnGeDh9qp-&amp;uniplatform=OVERSEA&amp;language=EN"><sup>1</sup></a>; berberine<sup>&#11030;</sup> (prolonged mesenteric-artery occlusion time; reduced venous thrombosis and NET formation in colitis)<a href="https://oversea.cnki.net/kcms2/article/abstract?v=Mz9udXFtQxlVFap971mS8USY8EENgklEZSr_XMwUXsWE-TfYCAuWwKGH0lisXr7eUMNDjZo6492uWU6Ujv9bRLhrqcFNcUaKTglfEQ0t5_Gb3soyZ8bivoU1kriyY7QA6X16_W9d7HBZ9HMbSHHpTvok8UqZev8AvMTsn7kFDvS3Iz3cLlkbTqCXEVxKJZZDU9sdDFcdcTc=&amp;uniplatform=OVERSEA&amp;language=EN"><sup>1</sup></a>;  senkyunolide I (reduced platelet activation and NET formation in sepsis).<a href="https://pubmed.ncbi.nlm.nih.gov/34224996/"><sup>1</sup></a></p><p><strong>&#8226;Anticoagulants &amp; other pharmaceuticals &#8212; </strong>rivaroxaban (suppressed leukocyte adhesion and microthrombus formation in diabetic microvasculature)<a href="https://pubmed.ncbi.nlm.nih.gov/24351208/"><sup>1</sup></a>; aspirin (DMSO + aspirin stopped nocturnal leg cramps within a day)<a href="https://cyberleninka.ru/article/n/preparat-vybora-ili-zhiznenno-neobhodimoe-lekarstvo"><sup>1</sup></a>. Nadroparin (15% DMSO carried this LMWH into tissue to prevent Nicolau syndrome skin necrosis after sclerotherapy)<a href="https://cyberleninka.ru/article/n/lechenie-pozdnih-luchevyh-povrezhdeniy-mochevogo-puzyrya"><sup>1</sup></a>;<sup> </sup>hydrocortisone (90% DMSO potentiated hydrocortisone ~10-fold and, alone, prolonged arteriolar flow-stop time and sped flow restoration after venous thrombosis)<a href="https://nyaspubs.onlinelibrary.wiley.com/doi/abs/10.1111/j.1749-6632.1975.tb25347.x?casa_token=mZR5bSF7hUQAAAAA:yAkKb19tcxuoUFj-f0WPjWtbRpIZ34gpTINRBiESODhW_amhC7KUTCnPwd7iOM6lfyssDuwMBE-RJc7c"><sup>1</sup></a>; Procaine + heparin (corrected vascular tone and arterial-bed filling in chronic interstitial parotitis).<a href="https://pubmed.ncbi.nlm.nih.gov/1440675/"><sup>1</sup></a></p><p><strong>&#8226;Signaling-pathway inhibitors (thrombosis mechanism)</strong> &#8212; PI3K inhibitor wortmannin (malnutrition-driven venous thrombosis)<a href="https://oversea.cnki.net/kcms2/article/abstract?v=dKcr_PZ1zcuPaEhNMWdGpCEHX-NsZz5HF1HmyL1vFl8ZcT34EO1vnaSSYHWGr8RD5iRE4-hZRYb00-_D83h4ySgMlbEf-kOLnUHaG-UlTgf0LypvT8eqIrQPD95lmdiYFiVnddOep2WnUSbrlhhKI_yKFFvleq09l7nd1Iax7Gdr07Q9vaxFb8MeF5-IuqVKfw5gbhR15OY=&amp;uniplatform=OVERSEA&amp;language=EN"><sup>1</sup></a>; suberoylanilide hydroxamic acid(improved survival and clot quality in sepsis coagulopathy)<a href="https://pubmed.ncbi.nlm.nih.gov/24957668/"><sup>1</sup></a>; Tubastatin A (HDAC6) (reduced renal microcirculatory thrombin and NET formation in sepsis).<a href="https://oversea.cnki.net/kcms2/article/abstract?v=Ap1IM-J3Ck1dgwYOgDOxRE9f2CVrPRPRcWu3ek1S664bYNl5lcrNAxAy2p650ywVyrvC5_Ujxm9HaldiGi0rb1JEVR2TG3ZFi8FzIdQufKKd4rVIdl4_c_L3GxkZRGW0LOesloyK5Lo0STnT8r8GuRZvnGhtwK_Rwa_vWYEJzhf22c2NzhJmlih3PetoGCaR&amp;uniplatform=OVERSEA&amp;language=EN"><sup>1</sup></a></p><p><strong>&#8226;Polyphenols &amp; natural vasorelaxants &#8212; </strong>resveratrol<sup>&#11030;</sup> (near-complete relaxation of human intrapulmonary arteries, partly NO-dependent)<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFDLAST2015&amp;filename=DYJD201504016&amp;uniplatform=OVERSEA&amp;v=2dj-kFoqA_nu_kNvi0c4kjYf-qoOAfJ7PZq_mm_frPYLlCNYfxsvJpNPrG2q7tQX"><sup>1</sup></a>; garlic diallyl trisulfide<sup>&#11030;</sup> (endothelium-independent relaxation of intrarenal arteries, Emax &gt;91%)<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFD2011&amp;filename=YAOL201110019&amp;uniplatform=OVERSEA&amp;v=oQ9QRd81NQD5HuadXU0iUH2vC5hQwD9xehoHmd-YY0N_ZkTHZUAJ7Z2abrMtuxo1"><sup>1</sup></a>; tetrahydroxystilbene glucoside<sup>&#11030;</sup> (mesenteric relaxation via COX-2/TXA2 and K+/Ca2+ channels)<a href="https://www.sciencedirect.com/science/article/abs/pii/S0026286218301407"><sup>1</sup></a>; cannabidiol (potent inhibition of small-resistance-artery contraction, stronger in smaller vessels)<a href="https://www.sciencedirect.com/science/article/abs/pii/S0014299920308591"><sup>1</sup></a>; resveratrol <sup>&#11030;</sup> + CAPE<sup>&#11030;</sup>  silibinin<sup>&#11030;</sup> (concentration-dependent relaxation of human umbilical artery).<a href="https://dergipark.org.tr/en/download/article-file/3991525"><sup>1</sup></a></p><h3>Endothelial Protection &amp; Microvascular Barrier</h3><p><strong>Polyphenols &amp; flavonoids</strong> &#8212; resveratrol<sup>&#11030;</sup> (raised hypoxic endothelial viability and SIRT1/PGC-1&#945;; lowered inflammatory IL-6, ICAM-1, ROS)<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFDLAST2016&amp;filename=SZGY201606006&amp;uniplatform=OVERSEA&amp;v=h3mvGQILrSqeMx4c4SQ7Bkb3X1752MIiUBZPpDSOEL11fiUQgLopTZYkccIIJDEL"><sup>1</sup></a>; resveratrol<sup>&#11030;</sup> plus atorvastatin (synergistically enhanced bone marrow stem cell endothelial differentiation and stent re-endothelialization beyond either alone)<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CDFD&amp;dbname=CDFDLAST2019&amp;filename=1019009085.nh&amp;uniplatform=OVERSEA&amp;v=hShSQK0gYXSipOJl8NJBjKDOrHsK6M0VaSyZRah3uARn4gGIvL5GS0qHWRNPA235"><sup>1</sup></a>; kaempferol<sup>&#11030;</sup> (protected islet microvessel endothelium from fatty-acid injury)<a href="https://pesquisa.bvsalud.org/portal/resource/pt/wpr-838591"><sup>1</sup></a>; astragaloside IV<sup>&#11030;</sup> (improved aortic-endothelial viability, migration, tube formation under hypoxia).<a href="https://oversea.cnki.net/KCMS/detail/detail.aspx?dbcode=CMFD&amp;dbname=CMFD201902&amp;filename=1019868418.nh&amp;uniplatform=OVERSEA&amp;v=g1VwSDjFFZ1f_XMtCeZdzwv37isWSBtpGYtGE8haNHQn4hBn5QQjlgR9jRPMo0R6"><sup>1</sup></a> </p><p><strong>Endothelial-barrier disruption</strong> &#8212; ulinastatin (blocked endothelial hyperpermeability via p38)<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFDLAST2015&amp;filename=DYJD201508022&amp;uniplatform=OVERSEA&amp;v=2dj-kFoqA_mEo6SAlhPq_c48xBRJdjIL1nNegweeaWciDIFU-U3EkRBIaE0Sf-HJ"><sup>1</sup></a>; HSPA12B pathway inhibitors (preserved endothelial barrier function),<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CMFD&amp;dbname=CMFD201601&amp;filename=1015331537.nh&amp;uniplatform=OVERSEA&amp;v=RNzSe5J5hoHbX4YvWN1CuLF0c9yYsJyRDhPeJ16xBUBMwhYn4sP5GpWH0gQ6a4Bj"><sup>1</sup></a><sup> </sup>thymoquinone<sup>&#11030;</sup> (sepsis) (improved mesenteric-artery blood flow and aortic function,)<a href="https://pubmed.ncbi.nlm.nih.gov/28549307/"><sup>1</sup></a>. resveratrol<sup>&#11030;</sup> (cut sepsis leukocyte/platelet adhesion, improved survival),<a href="https://pubmed.ncbi.nlm.nih.gov/25959124/"><sup>1</sup></a><sup> </sup>genipin<sup>&#11030;</sup> (reduced LPS-induced vascular hyperpermeability via SIRT1).<a href="https://oversea.cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFDLAST2019&amp;filename=ZLQG201906013&amp;uniplatform=OVERSEA&amp;v=1m3Yh9kDVWehNdqRCzMh54sBS4wnUCzO7C_hUEl_ZW93S3l1IpgktvccdqlF-aiR"><sup>1</sup></a></p><p><strong>Neointimal Vascular Remodeling after Artery Injury</strong> &#8212; celastrol<sup>&#11030;</sup> (restored contractile VSMC markers)<a href="https://oversea.cnki.net/kcms2/article/abstract?v=dKcr_PZ1zcsZ1KznoYG2qOgR2yVxR23rGGnQi_BjneO4TE_aKTdDXaKzowKfXlvx5E4c4k4rDomkzTMOOB-fUfbxAzpOw7d2M0iumw0hlzGDgB4uLhh5BDRVjh95AF0Nj1xy6nAvZ8Hz_tWG-tWy3mSBL8ZeTDnRDctVTZst4jLpGYQb2-tp7IHVmgHsZ9HA&amp;uniplatform=OVERSEA&amp;language=EN"><sup>1</sup></a>; ursolic acid<sup>&#11030;</sup> (also reduced NF-&#954;B/PCNA)<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CJFD&amp;dbname=CJFD2014&amp;filename=TSYX201404006&amp;uniplatform=OVERSEA&amp;v=KiT0KrzMqQecSMmA5V8zJjUuqWW6yEJpFLCppjGYdy1RQGImV1qe4pgR6UZFijIU"><sup>1</sup></a>; YM201636<a href="https://oversea.cnki.net/kcms2/article/abstract?v=adNygMj_jVCAh7t0p7YormtyOeAGW_5pQp1tU5kOrjA9JwKdPfeODm0DV81ySS21lwJaTMGrbHd9FXpPBAAz47mVswruggZhEM0cbkFsI5cYQXeDInH-zzTHc_frxadVmLaSDwCoXXZ32a_WzhRr5daFZhuFB483fvu8MepaFB_hip5wf1eX_ayz1OFrNMRvviCtbxMxIlE=&amp;uniplatform=OVERSEA&amp;language=EN"><sup>1</sup></a>; a Pol I inhibitor;<a href="https://cnki.net/KCMS/detail/detail.aspx?dbcode=CDFD&amp;dbname=CDFDLAST2017&amp;filename=1017070578.nh&amp;uniplatform=OVERSEA&amp;v=90lMULodSxBIt-OVyrcxQ_Ta2156wmpQcX6SDORZmIKwXqAfEC5V50C4BG8ZPWTl"><sup>1</sup></a><sup> </sup> enalaprilat (DMSO alone demonstrated a modest reduction in remodeling).<a href="https://www.sciencedirect.com/science/article/pii/S0890509606603270"><sup>1</sup></a></p><h1>Reader Reports</h1><p>Since DMSO is easy to utilize for peripheral circulatory conditions, many readers have attempted it, and their testimonials mirror the successes for these conditions seen in the trials.<br><br><strong>Varicose and spider veins.</strong> This is the single most common circulatory use readers describe, and the reports are strikingly consistent: repeated topical application (typically 70-100% DMSO,* often in aloe<sup>&#11030;</sup> or castor oil,<sup>&#11030;</sup> once or twice daily) shrinks, softens, fades, and in many cases eliminates the veins, frequently after they had been present for decades. One reader sprayed 100%* DMSO on varicose veins nightly and reported that &#8220;in 13 months they are entirely gone,&#8221;<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/172915062"><sup>1</sup></a> another in New Zealand treated badly &#8220;varicosed&#8221; saphenous veins roughly half a dozen times over a week and found the change (documented in before-and-after photos) durable: &#8220;I am fairly sure that the applications are not maintaining the varicose vein recovery-they are fixed.&#8221;<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/317585031"><sup>1</sup></a> A third watched veins that &#8220;stuck out about 1/2 inch&#8221; recede to &#8220;about 1/8 of an inch,&#8221;<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/278903943"><sup>1</sup></a> and one posted a 24-hour before-and-after showing a large varicosity essentially gone.<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/74157219"><sup>1</sup></a> Many more described veins that &#8220;just disappeared&#8221; along with the aching and end-of-day leg pain,<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/131274882"><sup>1</sup></a> that faded or shrank steadily with continued use<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/82080948"><sup>1</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/135945502"><sup>2</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/311017586"><sup>3</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/153889678"><sup>4</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/145629720"><sup>5</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/131277494"><sup>6</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/166493453"><sup>7</sup></a> that became &#8220;much smaller, softer&#8221; with the previous sensation of &#8220;thickness&#8221; gone<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/166771432"><sup>1</sup></a> or that improved only on the treated leg while the untreated leg served as an inadvertent control.<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/143241283"><sup>1</sup></a> A woman treating her elderly relative&#8217;s chronic venous insufficiency tracked it week by week&#8212;roughly 20% improvement in the first week, 50% by the second, 75% by the third.<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/200981098"><sup>1</sup></a> Several noted the veins returned when treatment stopped<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/82982230"><sup>1</sup></a> and a minority saw little or no effect,<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/87672519"><sup>1</sup></a>,<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/180832422"><sup>2</sup></a> but the dominant pattern was steady improvement of veins that conventional medicine treats only by stripping or ablation.<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/74684268"><sup>1</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/95780373"><sup>2</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/91715865"><sup>3</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/74157597"><sup>4</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/131277467"><sup>5</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/76198029"><sup>6</sup></a><sup><br></sup>These are some of the many pictures I&#8217;ve received:</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!TDz8!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9f31421b-9d1c-4556-afe1-62ca21d4162e_1058x642.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!TDz8!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9f31421b-9d1c-4556-afe1-62ca21d4162e_1058x642.png 424w, https://substackcdn.com/image/fetch/$s_!TDz8!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9f31421b-9d1c-4556-afe1-62ca21d4162e_1058x642.png 848w, https://substackcdn.com/image/fetch/$s_!TDz8!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9f31421b-9d1c-4556-afe1-62ca21d4162e_1058x642.png 1272w, https://substackcdn.com/image/fetch/$s_!TDz8!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9f31421b-9d1c-4556-afe1-62ca21d4162e_1058x642.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!TDz8!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9f31421b-9d1c-4556-afe1-62ca21d4162e_1058x642.png" width="1058" height="642" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/9f31421b-9d1c-4556-afe1-62ca21d4162e_1058x642.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:642,&quot;width&quot;:1058,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:1384150,&quot;alt&quot;:&quot;&quot;,&quot;title&quot;:&quot;&quot;,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" title="" srcset="https://substackcdn.com/image/fetch/$s_!TDz8!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9f31421b-9d1c-4556-afe1-62ca21d4162e_1058x642.png 424w, https://substackcdn.com/image/fetch/$s_!TDz8!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9f31421b-9d1c-4556-afe1-62ca21d4162e_1058x642.png 848w, https://substackcdn.com/image/fetch/$s_!TDz8!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9f31421b-9d1c-4556-afe1-62ca21d4162e_1058x642.png 1272w, https://substackcdn.com/image/fetch/$s_!TDz8!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9f31421b-9d1c-4556-afe1-62ca21d4162e_1058x642.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a><figcaption class="image-caption">This was 24 hours before and after.<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/74157219"><sup>1</sup></a></figcaption></figure></div><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://x.com/JanuarysJargon/status/1865457967992013269" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!-DSe!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F32c79c39-348c-4f0e-9c04-b30293b3a487_1190x692.png 424w, https://substackcdn.com/image/fetch/$s_!-DSe!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F32c79c39-348c-4f0e-9c04-b30293b3a487_1190x692.png 848w, https://substackcdn.com/image/fetch/$s_!-DSe!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F32c79c39-348c-4f0e-9c04-b30293b3a487_1190x692.png 1272w, https://substackcdn.com/image/fetch/$s_!-DSe!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F32c79c39-348c-4f0e-9c04-b30293b3a487_1190x692.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!-DSe!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F32c79c39-348c-4f0e-9c04-b30293b3a487_1190x692.png" width="1190" height="692" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/32c79c39-348c-4f0e-9c04-b30293b3a487_1190x692.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:692,&quot;width&quot;:1190,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:1401820,&quot;alt&quot;:&quot;&quot;,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:&quot;https://x.com/JanuarysJargon/status/1865457967992013269&quot;,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" title="" srcset="https://substackcdn.com/image/fetch/$s_!-DSe!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F32c79c39-348c-4f0e-9c04-b30293b3a487_1190x692.png 424w, https://substackcdn.com/image/fetch/$s_!-DSe!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F32c79c39-348c-4f0e-9c04-b30293b3a487_1190x692.png 848w, https://substackcdn.com/image/fetch/$s_!-DSe!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F32c79c39-348c-4f0e-9c04-b30293b3a487_1190x692.png 1272w, https://substackcdn.com/image/fetch/$s_!-DSe!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F32c79c39-348c-4f0e-9c04-b30293b3a487_1190x692.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p><strong>Blood clots and DVT.</strong> Readers reported both topical and oral DMSO dissolving existing clots and preventing new ones, often as a deliberate replacement for prescribed anticoagulants. One who had been told to take Eliquis for life stopped it and switched entirely to oral DMSO to dissolve clots in the legs and lungs: &#8220;I&#8217;d be dead if DMSO didn&#8217;t work.&#8221;<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/211375031"><sup>1</sup></a> Another treated a bad DVT running from above the knee to the ankle with topical DMSO (plus lumbrokinase<sup>&#11030;</sup> and serrapeptase<sup>&#11030;</sup>) and &#8220;dissolved the clot in 2.5 months,&#8221; declining the year of Eliquis doctors advised.<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/166416824"><sup>1</sup></a> A mother whose son had hip-bone necrosis from a clot lodged in a small twisted vein reported that after starting DMSO &#8220;within 3 days he was able to walk without pain,&#8221; and that the hip healed without the scheduled surgery.<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/158962081"><sup>1</sup></a> One reader whose arm had visible hardened clots from an IV reaction for months found &#8220;the clots were gone within three days&#8221; of applying DMSO gel,<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/114807895"><sup>1</sup></a> and another watched a large hard lump on a calf vein resolve until &#8220;it is gone now and the area soft.&#8221;<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/223848392"><sup>1</sup></a> Another described using DMSO to resolve a clot in an 89-year-old&#8217;s leg.<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/114807038"><sup>1</sup></a> </p><p><strong>Raynaud&#8217;s and cold extremities.</strong> For Raynaud&#8217;s, the reported effect is often nearly immediate. One reader who came in from shoveling snow put DMSO on the fingertips and was &#8220;instantly warm&#8221;;<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/223814307"><sup>1</sup></a> another applied it to the toes and it &#8220;changed the color of my toes back to normal.&#8221;<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/152958019"><sup>1</sup></a> A regular user reported applying it two or three times daily to her hands with &#8220;great success, no longer needing to wear fingerless gloves around the house...It has been life changing,&#8221;<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/166430601"><sup>1</sup></a> while another with cold hands happened to track the effect on a pulse oximeter and watched readings climb after each application.<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/166408834"><sup>1</sup></a> Others described relief of the spasms, discoloration, and stiffness,<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/105223271"><sup>1</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/244320170"><sup>2</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/321816495"><sup>3</sup></a> marked overall improvement in circulation alongside the Raynaud&#8217;s,<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/273627587"><sup>1</sup></a> and one reported that five consecutive days of DMSO &#8220;cured Chilblains and Raynaud&#8217;s for the entire winter season.&#8221;<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/180894487"><sup>1</sup></a> Several with autoimmune-associated Raynaud&#8217;s (lupus, scleroderma, rheumatoid disease) folded it into broader regimens with reported relief.<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/200949254"><sup>1</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/173037205"><sup>2</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/181177384"><sup>3</sup></a></p><p><strong>Ischemic and discolored limbs.</strong> Many reported normal color and warmth to feet and legs that had gone blue, purple, or black from poor perfusion. A daughter treating her 85-year-old mother&#8217;s severe foot neuropathy (toes and ankles &#8220;a blackish blue color,&#8221; numb, with nightly cramping) described the results after three weeks as &#8220;amazing&#8221; &#8220;the normal color has returned to her feet and legs...she now has feeling back in both of her heels.&#8221;<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/180853570"><sup>1</sup></a> Another reader rubbing DMSO cream on the feet nightly found that &#8220;on the fourth morning I looked down at my feet and all the purple mottling was completely gone.&#8221;<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/121367405"><sup>1</sup></a> One person watched an elderly mother&#8217;s &#8220;blue-black toes...from frostbite&#8221; return &#8220;to a healthy pink&#8212;permanently&#8221; after a single application of DMSO with magnesium.<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/272631546"><sup>1</sup></a> An 84-year-old with a decades-old radiation wound near the bone that had never fully healed reported that once she applied DMSO gel, &#8220;the skin color has returned to normal and circulation is now almost normal, my foot does not swell from lack of circulation.&#8221;<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/166170104"><sup>1</sup></a> Many others described impaired circulation, cold feet, leg swelling, and perfusion-related pain improving with topical or oral use<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/118477788"><sup>1</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/311022449"><sup>2</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/282469294"><sup>3</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/199802068"><sup>4</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/304287710"><sup>5</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/317613332"><sup>6</sup></a> including a post-COVID reader whose cyanotic, &#8220;bluish purple&#8221; legs looked &#8220;a normal healthy colour...for the first time in 3 years.&#8221;<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/166191342"><sup>1</sup></a></p><p><strong>Frostbite and cold injury.</strong> Frostbite is a peripheral cold-ischemic injury, and readers reported DMSO restoring warmth and color to affected tissue, often within hours, particularly when applied promptly. One who &#8220;burned&#8221; a hand with liquid refrigerant until &#8220;half of my hand went numb and changed color&#8221; applied DMSO and reported the hand &#8220;back to normal&#8221; two days later, with only a little surface skin peeling.<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/132124716"><sup>1</sup></a> A second described the same refrigerant injury (a hand &#8220;numb for 24 hours and changing color&#8221;) returning to normal in three days, adding that &#8220;immediate or even preemptive application is essential.&#8221;<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/144750282"><sup>1</sup></a> Another reported that on a &#8220;almost frost bite,&#8221; DMSO &#8220;restored warm asap.&#8221;<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/294057446"><sup>1</sup></a> These mirror the documented reports of frostbitten and blue-black toes regaining healthy color after DMSO.</p><p><strong>Venous, diabetic, and pressure ulcers.</strong> DMSO&#8217;s reported effect on chronic wounds and ulcers is among the most consistent in this collection. A reader watched an elderly friend&#8217;s leg &#8220;a six inch diameter festering mess&#8221; that a year of medical treatment had failed to close, with surgeons wanting to cut &#8220;turn into clean skin&#8221; over a month of DMSO.<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/187975346"><sup>1</sup></a> A 12-year user reported that DMSO &#8220;saved a 75-year-old woman&#8217;s leg&#8221; doctors wanted to amputate: &#8220;she walks now despite being bedridden before.&#8221;<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/135942825"><sup>1</sup></a> Wives caring for diabetic husbands with chronic venous ulcers&#8212;one after a year of wound-care visits and twice-weekly home nursing&#8212;described the ulcers improving significantly within two weeks of switching to DMSO gel<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/166379849"><sup>1</sup></a> and not recurring afterward.<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/297325444"><sup>1</sup></a> A diabetic reader healed three foot ulcers with DMSO gel and pursued IV infusions to improve leg blood flow,<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/166800112"><sup>1</sup></a> and a man given DMSO cream by an acquaintance saw &#8220;a 2 inch ulcer&#8221; on his arm heal over &#8220;in a couple of weeks.&#8221;<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/180842982"><sup>1</sup></a> The same pattern appears with pressure sores: a family applied 80% DMSO to a bedbound 101-year-old&#8217;s bedsores and reported her skin &#8220;became normal in just a matter of days,&#8221;<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/72414282"><sup>1</sup></a> and a caregiver treating early Alzheimer&#8217;s incidentally cleared his wife&#8217;s &#8220;horrid bed sores,&#8221; leaving her &#8220;with no sores or irritated pink skin.&#8221;<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/166501418"><sup>1</sup></a> Others reported healing of diabetic leg ulcers, lupus-related skin ulcers, and assorted chronic sores, often in combination with iodine, silver, or chlorine dioxide.<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/110089346"><sup>1</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/124119001"><sup>2</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/158967399"><sup>3</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/129672227"><sup>4</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/158956900"><sup>5</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/72528723"><sup>6</sup></a></p><p><strong>Hemorrhoids.</strong> Because a hemorrhoid is essentially a swollen, clotted vein, readers repeatedly found it responded to DMSO the way varicosities did&#8212;often within days (to the great surprise of skeptical readers).<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/132293507"><sup>1</sup></a> One applied &#8220;two drops of DMSO on a hemorrhoid I had for years&#8221; and reported that &#8220;after a single dose, it shrank to the size of a grain of sand.&#8221;<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/170237528"><sup>1</sup></a> Another reported that two friends &#8220;had their hemorrhoids vanish after a single subcutaneous thigh injection of .5ml of DMSO,&#8221; including one who had had them for 15 years.<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/72599275"><sup>1</sup></a> A reader whose doctor had diagnosed a hemorrhoid and written a prescription instead applied DMSO to the bulge and reported it &#8220;gone&#8221; after three days,<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/258079626"><sup>1</sup></a> and another who makes DMSO-cocoa butter suppositories reported they &#8220;heal and relieve hemorrhoids immediately...Prep H is useless.&#8221;<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/316019531"><sup>1</sup></a> Many more described hemorrhoids shrinking, clot release accelerating, and pain and itching resolving with topical gels, suppositories, or oral use, frequently after over-the-counter suppositories had failed.<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/187545653"><sup>1</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/77790123"><sup>2</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/166163823"><sup>3</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/143773623"><sup>4</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/132293507"><sup>5</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/189378156"><sup>6</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/283957339"><sup>7</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/166785776"><sup>8</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/72480818"><sup>9</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/132295472"><sup>10</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/255414472"><sup>11</sup></a></p><p>Lastly, readers describe a number of adjacent circulatory and lymphatic uses that don&#8217;t fit neatly under a single heading. DMSO was credited with improving lymphedema and restoring sensation in a diabetic reader&#8217;s legs and feet (from roughly 20% to 85% feeling),<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/239580309"><sup>1</sup></a> softening the &#8220;cord&#8221; of post-surgical axillary web syndrome until it &#8220;feels like a thin cotton string,&#8221;<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/135094450"><sup>1</sup></a> and relieving lymphatic congestion in the neck and shoulders.<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/258078385"><sup>1</sup></a> Two readers with pigmented purpuric dermatosis (capillaritis) reported the discoloration fading&#8212;one by &#8220;at least 50%&#8221; after months of oral DMSO following chemotherapy-induced capillaritis on both shins,<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/166411099"><sup>1</sup></a> another finding that DMSO &#8220;drains blood from purpura in my older skin within 3-4 days.&#8221;<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/77790796"><sup>1</sup></a> A reader with peripheral arterial disease found DMSO cream slightly eased claudication pain enough to resume treadmill walking,<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/166833406"><sup>1</sup></a> and a post-COVID reader reported it changing &#8220;the micro clotting and total arterial blockage&#8221; of a popliteal artery.<a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/166441915"><sup>1</sup></a></p><h1>Ending Fifty Years of Neglect</h1><p>When I began this series nearly two years ago, I stated at the start the evidence showed DMSO could save millions from neurological disability or death.  Now that I have been able to present that evidence, it should be clear there is something real here, and a lot of the suffering that happens doesn&#8217;t need to.  I cannot begin to describe how much I wish DMSO could become the standard of care for strokes, and it is for that reason that I have tried so hard with pieces like this to effectively make the case for that to happen.</p><p>At the same time however, another one of DMSO&#8217;s unique characteristics is that even if the medical system wants to maintain its narrow paradigm of how medicine must be practiced, DMSO can still be used by anyone who has taught themselves how to do so.  This is critical, both because it means an option exists now that can be taken to avoid these devastating outcomes, but also because the one type of pressure medicine does respond to is external economic ones (e.g., individuals shifting enough of their medical spending to a superior alternative that medicine is motivated to provide a service that is good enough to recapture those customers).  So, since DMSO can address so many both common and rare &#8220;incurable&#8221; ailments, it not only provides an immediate and tangible benefit to those who use it, but also, through doing so, provides the critical grass roots pressure for it to shift the entire medical system.</p><p>As such, in the <span>remainder</span> of this article, I will provide:</p><ul><li><p>Practical guidance on sourcing each grade of DMSO (including what is needed for IVs) and detailed dosing protocols for topical, oral, and intravenous use.</p></li><li><p>DMSO protocols for the urgent conditions discussed in this article such as strokes, heart attacks, and head injuries, including what to do on the way to the hospital along with other therapies we have seen work over the year for those conditions (e.g., heart attacks).</p></li><li><p>Condition-specific protocols for the circulatory conditions covered here (e.g., varicose veins, clots, Raynaud&#8217;s, venous and diabetic ulcers, hemorrhoids, chronic wounds arrhythmias), along with the non-DMSO approaches we have found to further benefit them.</p></li><li><p>Protocols for the neurological and spinal conditions covered earlier in this series (e.g., Parkinson&#8217;s, Alzheimer&#8217;s, cognitive impairment, brain fog, chronic stress, neuropathies, carpal tunnel syndrome, neuropathic pain, disc disease, and spinal cord injuries).</p></li></ul>
      <p>
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          </a>
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   ]]></content:encoded></item><item><title><![CDATA[The Hidden Secrets of Salt]]></title><description><![CDATA[August&#8217;s Open Thread]]></description><link>https://www.midwesterndoctor.com/p/the-hidden-secrets-of-salt</link><guid isPermaLink="false">https://www.midwesterndoctor.com/p/the-hidden-secrets-of-salt</guid><dc:creator><![CDATA[A Midwestern Doctor]]></dc:creator><pubDate>Sat, 22 Aug 2026 23:25:07 GMT</pubDate><enclosure url="https://substack-post-media.s3.amazonaws.com/public/images/b2284118-e191-42fa-9140-1947b297fff0_960x639.webp" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p><strong>Story at a glance:</strong></p><ul><li><p><strong>For 50 years, medicine has waged a misguided war against critical sources of health like salt and sunlight while avoiding discussing the real causes of diseases. Because of this, the dangers of salt are relentlessly focused on despite evidence not supporting them.</strong></p></li><li><p><strong>In parallel, the extreme dangers of consuming too little salt are rarely discussed in the medical field&#8212;despite dangerously low sodium being one of the most common conditions seen in hospitalized patients, and chronically low sodium greatly increasing one&#8217;s risk of dying.</strong></p></li><li><p><strong>The war against salt originated from the belief salt raises blood pressure&#8212;despite the evidence showing it doesn&#8217;t.</strong></p></li><li><p><strong>Many of the foundational beliefs around high blood pressure are not supported by the existing data, leading to situations where patients are routinely medicated to blood pressures far below what is safe, significantly reducing their quality of life and increasing their risk of severe injuries or death.</strong></p></li><li><p><strong>Salt restriction creates many similar complications to dangerously low blood pressures (e.g., fatigue, lightheadedness, erectile dysfunction). Because of this, many find their health and energy dramatically improves once they start consuming healthy salts.</strong></p></li><li><p><strong>This article will cover some of the key dangers associated with salt restriction and strategies for locating the healthiest natural salts.</strong></p></li></ul><p>This newsletter exists to help others, and as a result, I frequently receive correspondences from individuals with pressing questions I want to answer. Unfortunately, due to how long each article takes to write (e.g., I&#8217;ve spent most of the last two weeks finishing up the last part of the DMSO neurological series as I believe it&#8217;s vital that astonishing data becomes widely accessible), I simply no longer have the time respond to most of those correspondences. </p><p>The best solution I&#8217;ve been able to come up with is to have monthly open threads where anyone can ask whatever is needed (e.g., any lingering questions from the previous month) and I would make a point to always reply to them (as having them all in a single place makes it easier to get to them and also possible for others with the same question to see that answer).</p><p>Each time I do a monthly thread, I try to tag it to a topic I&#8217;ve wanted to write about but I do not quite feel is enough for its own article. In this article, I will focus on one my major frustrations with the medical system, the half a century war against salt (which began in 1977 when a Senate Committee published dietary guidelines <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC3910043/">arguing for reduced sodium consumption</a> despite the existing evidence <a href="https://www.sciencedirect.com/science/article/abs/pii/S0002934317305089">not supporting this</a>).  Since then, like many other bad government policies, it has developed a nearly unstoppable inertia of its own.</p><p><em>Note: in the recent interview <a href="https://pierrekorymedicalmusings.com/cp/211410525">I did with Pierre Kory</a>, one of the key points I hoped to illustrate was that on highly contentious issues, middle ground positions often exist which achieve most of what both side is seeking and help everyone&#8212;but as things become increasingly politically polarized, both sides dig in and the common sense solutions fade into the background creating an irresolvable quagmire. For example, currently, there is a highly polarizing debate occurring over what should happen to a mother with postpartum depression who murdered her three children, as a large number of people are adamant the death penalty must be imposed while many others have made it clear they deeply emphasize with her stress and hence want an insanity defense to prevail. Yet, few have mentioned the <a href="https://www.midwesterndoctor.com/p/the-evidence-ssri-antidepressants">violent psychosis </a><strong><a href="https://www.midwesterndoctor.com/p/the-evidence-ssri-antidepressants">inappropriate</a></strong><a href="https://www.midwesterndoctor.com/p/the-evidence-ssri-antidepressants"> psychiatric medications cause</a> (which may have played a key role here) or that much better non-pharmaceutical options exist for treating postpartum depression (e.g., decades ago William Walsh showed postpartum depression and psychosis was <a href="https://www.midwesterndoctor.com/p/how-big-pharma-sold-depression-and-1c0">often caused by a copper overload</a> that was highly responsive to treatment).</em></p><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://www.midwesterndoctor.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">The Forgotten Side of Medicine is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. To see how others have benefitted from this newsletter, click <a href="https://www.midwesterndoctor.com/p/reader-feedback">here</a>!</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div><h1>Is Salt Bad For You?</h1><p>Many people you ask, particularly those in the medical field will tell you salt is bad, and one of the most common pieces of health advice given both inside and outside of medicine is to eat less salt. </p><p>Over the years, I&#8217;ve heard two main arguments for why salt is bad for you.</p><p>First, salt raises blood pressure, and high blood pressure is deadly, so salt is too and should be avoided.</p><p>Second, with individuals who have heart failure, eating too many salty foods will create exacerbations of their condition, and as a result, after holidays where people eat those foods (e.g., the 4<sup>th</sup> of July) <a href="https://jamanetwork.com/journals/jamainternalmedicine/article-abstract/2737501">more heart failure patients will be admitted to hospitals for heart failure exacerbations</a>.</p><p><em>Note: excessive sodium causes these exacerbations because an excess amount of fluid accumulates in the body (e.g., because the weakened heart can&#8217;t move enough blood to the kidneys to eliminate it), which then overloads other parts of the body (e.g., causing swelling and edema, which, if in the lungs, can be life threatening).</em></p><p>Because of these two things, many in the medical field assume that salt must be bad for you and hence strongly urge patients to avoid it (to the point you often see an elderly patient who loves her salt be aggressively pushed into abandoning it).  Unfortunately, the logic behind those two arguments is much less solid than it initially appears.</p><h3>Blood Pressure</h3><p>Many things in medicine resulted from what approach to patient care was the most profitable, not the most helpful. In turn, since recurring revenue is a foundational principle of successful businesses, <a href="https://www.midwesterndoctor.com/p/why-medicine-wont-cure-youand-how">rather than cure patients</a>, a key goal in medicine often ends up being to have as many patients as possible be on lifelong prescriptions. </p><p>In most cases, the drugs that are developed and approved have real value for specific situations, but those situations are not enough to cover the exorbitant cost it requires to get a drug to market. As a result, once drugs are approved, the industry will gradually come up with reasons to give them to more and more people (e.g., <a href="https://www.midwesterndoctor.com/p/how-big-pharma-sold-depression-and-1c0">by relabeling a vast swathe of normal feeling as &#8220;depression&#8221;</a>).  As such, things quickly arrive at the point where many of the industry&#8217;s customers experience significantly greater harm than benefit from the pharmaceutical (e.g., <a href="https://www.midwesterndoctor.com/p/what-everyone-needs-to-know-about">while they harm the majority of users</a> and providing minimal benefit to most patients, <a href="https://www.midwesterndoctor.com/p/what-everyone-needs-to-know-about">SSRI antidepressants are also very helpful for a subset of people who take them</a>).</p><p>One classic way drug markets are expanded is by creating a drug that treats a number, asserting that the number has to be within a certain range for someone to be healthy, and then once that is enshrined, narrow and narrow the acceptable range so less and less people are &#8220;healthy&#8221; and hence need the drug (e.g., <a href="https://www.midwesterndoctor.com/p/what-they-dont-tell-us-about-heart">this happened with cholesterol</a> once statins were invented).  Likewise, this characterizes the history of blood pressure management:</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!6TtX!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F87dcbd8a-f03f-432f-8186-5833d4036929_1114x1306.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!6TtX!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F87dcbd8a-f03f-432f-8186-5833d4036929_1114x1306.png 424w, https://substackcdn.com/image/fetch/$s_!6TtX!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F87dcbd8a-f03f-432f-8186-5833d4036929_1114x1306.png 848w, https://substackcdn.com/image/fetch/$s_!6TtX!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F87dcbd8a-f03f-432f-8186-5833d4036929_1114x1306.png 1272w, https://substackcdn.com/image/fetch/$s_!6TtX!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F87dcbd8a-f03f-432f-8186-5833d4036929_1114x1306.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!6TtX!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F87dcbd8a-f03f-432f-8186-5833d4036929_1114x1306.png" width="1114" height="1306" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/87dcbd8a-f03f-432f-8186-5833d4036929_1114x1306.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:1306,&quot;width&quot;:1114,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:620447,&quot;alt&quot;:&quot;&quot;,&quot;title&quot;:&quot;&quot;,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" title="" srcset="https://substackcdn.com/image/fetch/$s_!6TtX!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F87dcbd8a-f03f-432f-8186-5833d4036929_1114x1306.png 424w, https://substackcdn.com/image/fetch/$s_!6TtX!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F87dcbd8a-f03f-432f-8186-5833d4036929_1114x1306.png 848w, https://substackcdn.com/image/fetch/$s_!6TtX!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F87dcbd8a-f03f-432f-8186-5833d4036929_1114x1306.png 1272w, https://substackcdn.com/image/fetch/$s_!6TtX!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F87dcbd8a-f03f-432f-8186-5833d4036929_1114x1306.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a><figcaption class="image-caption"><a href="https://www.ahajournals.org/history/192a49ec-3785-423b-9d19-a899aab4fcad/cir.0000000000001356.9021116.pdf">In 2025</a> (the year after I published this annotated chart), the treatment threshold for &#8220;high&#8221; blood pressure was further lowered to &#8805;130 for low-CVD-risk patients (after a lifestyle trial), while &lt;120 was set as the encouraged systolic treatment target for high-CVD-risk patients who began treatment at &#8805;130.</figcaption></figure></div><p>Because of this, many people (particularly the elderly) are frequently pushed to excessively low blood pressures which reduces critical blood perfusion for the organs&#8212;which is particularly unfortunate as <a href="https://www.midwesterndoctor.com/p/unmasking-the-great-blood-pressure">high blood pressure is often a symptom of poor circulation rather than its cause</a>. As such, reducing the remaining circulation by lowering blood pressure then makes them significantly more likely to get a variety of significant issues (e.g., <a href="https://www.bmj.com/content/372/bmj.n189">kidney injuries</a>, <a href="https://theconversation.com/low-blood-pressure-could-be-a-culprit-in-dementia-studies-suggest-122032">cognitive impairment</a>, <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4122609/">macular degeneration</a>), the most studied of which is <a href="https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/1832197">lightheadedness or fainting leading to (often devastating) falls</a>.  Additionally, blood pressure medications also often greatly reduce one&#8217;s quality of life (e.g., by causing <a href="https://consensus.app/questions/fatigue-from-beta-blockers/">fatigue</a> or <a href="https://pubmed.ncbi.nlm.nih.gov/26049386/">erectile dysfunction</a>). </p><p><em>Note: for those interested in learning more about the great blood pressure scam (a lot of what we&#8217;re taught about blood pressure is less than accurate), it can be read <a href="https://www.midwesterndoctor.com/p/unmasking-the-great-blood-pressure">here</a>.</em></p><div class="digest-post-embed" data-attrs="{&quot;nodeId&quot;:&quot;5e056df8-1bcf-4b99-aab7-a680b73d4f0d&quot;,&quot;caption&quot;:&quot;&quot;,&quot;cta&quot;:null,&quot;showBylines&quot;:true,&quot;showDescription&quot;:true,&quot;showImage&quot;:true,&quot;size&quot;:&quot;lg&quot;,&quot;isEditorNode&quot;:true,&quot;title&quot;:&quot;Unmasking The Great Blood Pressure Scam&quot;,&quot;publishedBylines&quot;:[{&quot;id&quot;:76762071,&quot;name&quot;:&quot;A Midwestern Doctor&quot;,&quot;bio&quot;:&quot;I write The Forgotten Side of Medicine where I expose pharmaceutical corruption and remarkable therapies lost to time for the health of humanity.&quot;,&quot;photo_url&quot;:&quot;https://substackcdn.com/image/fetch/f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fbucketeer-e05bbc84-baa3-437e-9518-adb32be77984.s3.amazonaws.com%2Fpublic%2Fimages%2Fa3b8e6f0-ce1c-48b8-bbfc-f8150903b2f5_250x298.jpeg&quot;,&quot;is_guest&quot;:false,&quot;bestseller_tier&quot;:10000}],&quot;post_date&quot;:&quot;2025-08-30T23:35:19.354Z&quot;,&quot;cover_image&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/8c17a66c-5948-49a1-8a01-ea588265d9f9_2008x1140.png&quot;,&quot;cover_image_alt&quot;:null,&quot;canonical_url&quot;:&quot;https://www.midwesterndoctor.com/p/unmasking-the-great-blood-pressure&quot;,&quot;section_name&quot;:null,&quot;video_upload_id&quot;:null,&quot;id&quot;:172363180,&quot;type&quot;:&quot;newsletter&quot;,&quot;reaction_count&quot;:1305,&quot;comment_count&quot;:235,&quot;publication_id&quot;:748806,&quot;publication_name&quot;:&quot;The Forgotten Side of Medicine&quot;,&quot;publication_logo_url&quot;:&quot;&quot;,&quot;belowTheFold&quot;:true,&quot;youtube_url&quot;:null,&quot;show_links&quot;:null,&quot;feed_url&quot;:null}"></div><h3>Low Sodium</h3><p>A corner stone of cementing the blood pressure market has been to make everyone terrified of salt (much in the same way making people terrified of the sun is a cornerstone of the <a href="https://www.midwesterndoctor.com/p/dermatologys-disastrous-war-against-f81">lucrative skin cancer treatment market</a>&#8212;despite the fact the deadly skin cancers are actually <a href="https://www.midwesterndoctor.com/p/dermatologys-disastrous-war-against-f81">due to a lack of sunlight</a>). </p><p>Remarkably, much like t<a href="https://www.midwesterndoctor.com/p/dermatologys-disastrous-war-against-f81">he great dermatology scam</a> (which has been able to make a massive amount of money from removing cancers that almost never become life threatening) the link between blood pressure and salt consumption is actually quite tenuous.</p><p>For example, <a href="https://www.cochrane.org/CD004022/HTN_effect-low-salt-diet-blood-pressure-and-some-hormones-and-lipids-people-normal-and-elevated-blood">the most detailed review of this subject</a> found that drastic salt reduction typically results in <strong>less than a 1% reduction in blood pressure. </strong>Likewise, doctors rarely recognize that patients in the hospital are routinely given large amounts of IV 0.9% sodium chloride, in many cases receiving ten times the daily recommended sodium chloride we are supposed to consume&#8212;yet their blood pressure often barely rises.</p><p><em>Note: much of the confusion with salt and blood pressure arises from the fact changes from salt-reduction are only seen in a minorities of the population (e.g., <a href="https://www.ahajournals.org/doi/full/10.1161/01.hyp.28.5.854">certain ethnicities</a>), leading to the average change across everyone being very small. Likewise, a <a href="https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD004022.pub5/full">larger Cochrane analysis</a> of this question found that cutting salt by roughly 4.4 grams a day lowered blood pressure by about 5.4/2.8 mmHg in hypertensives but only 2.4/1.0 mmHg in those with normal blood pressure (a rounding error you could achieve by relaxing for a few minutes).</em></p><p>Despite this, patients are often pushed to eliminate all (or almost all) salt from their life &#8220;to prevent them from dying.&#8221; Beyond this significantly reducing their quality of life (as people like salty foods) it can be dangerous.  For example:</p><p>&#8226;A study <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC8169157/">of 181 countries</a> found countries with lower salt consumption have shorter life expectancies.</p><p>&#8226;Low sodium levels (hyponatremia) are strongly correlated with a risk of dying (e.g., the salt consumption target we are recommended to follow <strong><a href="https://www.medscape.com/viewarticle/824749">increases one&#8217;s risk of dying by 25%</a>)</strong>. Likewise, a common reason for hospital admissions, are symptoms resulting from hyponatremia (as once sodium levels get too low, it can be very dangerous), and <a href="https://emedicine.medscape.com/article/242166-overview">15-20% of hospitalized patients have low sodium levels at admission</a>. </p><p><em>Note: mild hyponatremia <a href="https://pubmed.ncbi.nlm.nih.gov/23325088/">is also associated with an increased risk of death</a>&#8212;even &#8220;mild&#8221; low sodium raises five-year mortality by 25%, and in a <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5864034/">database of 2.3 million patients</a> it independently predicted death. It also leaves the elderly <a href="https://journals.lww.com/jfmpc/fulltext/2023/12090/does_hyponatremia_pose_a_risk_factor_for_hip.15.aspx">nearly six times more likely to break a hip in a fall</a> (which is frequently catastrophic).</em><br><br>&#8226;Reduced salt consumption, not surprisingly, increases one&#8217;s risk of hyponatremia (e.g., <a href="https://journals.plos.org/plosone/article?id=10.1371%2Fjournal.pone.0308457">one study</a> found salt restriction made hypertensive patients 9.9 times more likely to develop hyponatremia).<br><em>Note: in addition to dietary salt reduction, many <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC9572915/">blood pressure and psychiatric medications</a> put you at risk for dangerously low sodium levels (e.g., <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC10966618/">SSRI antidepressants</a> make you 3.16 times more likely to).  Additionally, certain patients (e.g., <a href="https://www.sciencedirect.com/science/article/abs/pii/S1566070221001211">those with autonomic nervous issues</a>) are much more sensitive to salt restriction causing hypotension (low blood pressure).</em></p><p>&#8226; Low dietary sodium intake causes <a href="https://www.thelancet.com/journals/lancet/article/PIIS0140-67361630467-6/abstract">a 34% increase</a> in cardiovascular disease and death.<br><br>&#8226;Rapidly lowering blood sodium levels reduces cardiac output and blood pressure <a href="https://dm5migu4zj3pb.cloudfront.net/manuscripts/101000/101681/JCI46101681.pdf">in a manner resembling traumatic shock</a> (which frequently raises the heart rate as the heart tries to compensate for insufficient blood). Low salt consumption, in turn, <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC4805644/">has been repeatedly linked to tachycardia</a> (and <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC8246952/">atrial fibrillation</a>).</p><p>Remarkably, while this is rarely prioritized in medicine, there is simultaneously a well-recognized physiologic mechanism for it. When the body senses insufficient sodium, it defends its blood volume by activating the renin-angiotensin-aldosterone system and the sympathetic nervous system&#8212;the same stress machinery that raises the heart rate (and patients take blood pressure medications to block). So, in exchange for a tiny blood pressure reduction, <a href="https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD004022.pub5/full">salt restriction was found</a> to significantly raise plasma renin, aldosterone, adrenaline, noradrenaline, cholesterol, and triglycerides&#8212;trading a trivial drop in one number for a rise in the very hormones and lipids that drive cardiovascular disease. This is worse in the elderly, <a href="https://pubmed.ncbi.nlm.nih.gov/23177611/">whose aging kidneys respond poorly to changes in blood sodium</a> and are thus at greater risk for hyponatremia following sodium deprivation.</p><p><em>Note: <a href="https://www.mayoclinic.org/diseases-conditions/hyponatremia/symptoms-causes/syc-20373711">three of the most common symptoms of hyponatremia</a> (which lead people to go to the Emergency Room) are fatigue, confusion and difficulty concentrating.</em></p><p>&#8226;Chronic sodium depletion <a href="https://www.sciencedirect.com/science/article/abs/pii/S0306987712004094">has been linked</a> to fatigue and insomnia.</p><p>&#8226;Many readers have reported discovering low salt consumption was the cause of their fatigue and lightheadedness (which <a href="https://pubmed.ncbi.nlm.nih.gov/33926653/">has also been proven in a clinical trial</a> which treated postural orthostatic tachycardia syndrome with increasing dietary sodium).<em><br>Note: chronically low blood pressure (e.g., POTS) has been shown to be one cause of chronic fatigue syndrome,<a href="https://jamanetwork.com/journals/jama/article-abstract/389684"><sup>1</sup></a><sup>,</sup><a href="https://sci-hub.se/https://onlinelibrary.wiley.com/doi/abs/10.1111/j.1365-2362.2010.02310.x"><sup>2</sup></a><sup> </sup>and POTS <a href="https://www.dysautonomiainternational.org/page.php?ID=30">is often treated</a> with increased dietary sodium</em> <em>(e.g. the <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC5267948/">autonomic disorder consensus guidelines</a> formally recommend it).</em></p><div class="captioned-image-container"><figure><div class="image-link image2" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!vA8L!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa73f153c-2c2c-420a-bb96-88eef1f92a84_1466x260.png 424w, https://substackcdn.com/image/fetch/$s_!vA8L!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa73f153c-2c2c-420a-bb96-88eef1f92a84_1466x260.png 848w, https://substackcdn.com/image/fetch/$s_!vA8L!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa73f153c-2c2c-420a-bb96-88eef1f92a84_1466x260.png 1272w, https://substackcdn.com/image/fetch/$s_!vA8L!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa73f153c-2c2c-420a-bb96-88eef1f92a84_1466x260.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!vA8L!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa73f153c-2c2c-420a-bb96-88eef1f92a84_1466x260.png" width="1456" height="258" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/a73f153c-2c2c-420a-bb96-88eef1f92a84_1466x260.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:258,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:64807,&quot;alt&quot;:&quot;&quot;,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:&quot;https://www.midwesterndoctor.com/i/165504128?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa73f153c-2c2c-420a-bb96-88eef1f92a84_1466x260.png&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" title="" srcset="https://substackcdn.com/image/fetch/$s_!vA8L!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa73f153c-2c2c-420a-bb96-88eef1f92a84_1466x260.png 424w, https://substackcdn.com/image/fetch/$s_!vA8L!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa73f153c-2c2c-420a-bb96-88eef1f92a84_1466x260.png 848w, https://substackcdn.com/image/fetch/$s_!vA8L!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa73f153c-2c2c-420a-bb96-88eef1f92a84_1466x260.png 1272w, https://substackcdn.com/image/fetch/$s_!vA8L!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa73f153c-2c2c-420a-bb96-88eef1f92a84_1466x260.png 1456w" sizes="100vw" loading="lazy"></picture><div></div></div></div></figure></div><p><em>&#8226;</em>A variety of other health issues (e.g., <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC8397566/">worsening of diabetes</a> or <a href="https://www.midwesterndoctor.com/p/stomach-acid-is-critical-for-health">a stomach hydrochloric acid deficiency</a>) have <a href="https://www.amazon.com/Salt-Fix-Experts-Wrong-Eating-ebook/dp/B01GBAJR9C">also been linked to insufficient dietary sodium</a>. For example, a <a href="https://journalofmetabolichealth.org/index.php/jmh/article/view/78">review of 23 trials</a> found low-salt diets consistently produced insulin resistance, and <a href="https://pubmed.ncbi.nlm.nih.gov/21036373/">one study</a> induced it in healthy people in as few as 7 days.</p><p>&#8226;Beyond the acute confusion of hyponatremia, there is now emerging evidence that chronically low sodium intake harms the aging brain. A <a href="https://pubmed.ncbi.nlm.nih.gov/41058017/">2025 longitudinal study</a> of over 1,500 older adults found that those in the lowest sodium intake quintile (around 1,764 mg/day&#8212;right about where public health targets try to push people) experienced faster decline in global cognition, especially memory, compared to those eating a moderate amount. Likewise, low sodium intake was also associated with more tau tangles (a hallmark of Alzheimer&#8217;s pathology) on autopsy, while high sodium intake was <em>not</em> linked to faster decline in this cohort.<br><em>Note: the suppressed causes and treatments of Alzheimer&#8217;s disease are discussed further <a href="https://www.midwesterndoctor.com/p/the-great-alzheimers-scam-and-the">here</a>.</em></p><p>The Forgotten Side of Medicine is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. To see how others have benefitted from this newsletter, click <a href="https://www.midwesterndoctor.com/p/reader-feedback">here</a>.</p><h1>U-Shaped Curves</h1><p>Much in the same way I have observed extreme positions on either side of a political issue will frequently cause problems for the society (as they prevent a healthy balance from ever being found), frequently in physiology, a number will be observed which, when improved, appears to correlate with improved health, leading to the assumption as much as possible should be done to improve that number. In many cases however, at some point, the effect reverses, and it becomes harmful to further increase or decrease that number.</p><p>For example, with blood pressure, a few data points showed that if it&#8217;s too high, it increases one&#8217;s risk of death, <a href="https://www.midwesterndoctor.com/p/the-great-blood-pressure-scam">so this was used</a> to create a linear model which extrapolated that trend to much lower blood pressure values.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!e2lt!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ffbe35759-f7a4-44a8-8c4f-e28f6c86b8bc_1236x696.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!e2lt!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ffbe35759-f7a4-44a8-8c4f-e28f6c86b8bc_1236x696.png 424w, https://substackcdn.com/image/fetch/$s_!e2lt!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ffbe35759-f7a4-44a8-8c4f-e28f6c86b8bc_1236x696.png 848w, https://substackcdn.com/image/fetch/$s_!e2lt!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ffbe35759-f7a4-44a8-8c4f-e28f6c86b8bc_1236x696.png 1272w, https://substackcdn.com/image/fetch/$s_!e2lt!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ffbe35759-f7a4-44a8-8c4f-e28f6c86b8bc_1236x696.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!e2lt!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ffbe35759-f7a4-44a8-8c4f-e28f6c86b8bc_1236x696.png" width="1236" height="696" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/fbe35759-f7a4-44a8-8c4f-e28f6c86b8bc_1236x696.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:696,&quot;width&quot;:1236,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:115081,&quot;alt&quot;:&quot;&quot;,&quot;title&quot;:&quot;&quot;,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" title="" srcset="https://substackcdn.com/image/fetch/$s_!e2lt!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ffbe35759-f7a4-44a8-8c4f-e28f6c86b8bc_1236x696.png 424w, https://substackcdn.com/image/fetch/$s_!e2lt!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ffbe35759-f7a4-44a8-8c4f-e28f6c86b8bc_1236x696.png 848w, https://substackcdn.com/image/fetch/$s_!e2lt!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ffbe35759-f7a4-44a8-8c4f-e28f6c86b8bc_1236x696.png 1272w, https://substackcdn.com/image/fetch/$s_!e2lt!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ffbe35759-f7a4-44a8-8c4f-e28f6c86b8bc_1236x696.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p>Yet, in real life, once blood pressure gets too low, <a href="https://www.midwesterndoctor.com/p/the-great-blood-pressure-scam">the trend reverses</a> and one&#8217;s risk of dying increases rather than decreases.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!xnB7!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F094beb8f-2319-45c8-bb45-a2f1c5a68695_1532x1116.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!xnB7!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F094beb8f-2319-45c8-bb45-a2f1c5a68695_1532x1116.png 424w, https://substackcdn.com/image/fetch/$s_!xnB7!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F094beb8f-2319-45c8-bb45-a2f1c5a68695_1532x1116.png 848w, https://substackcdn.com/image/fetch/$s_!xnB7!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F094beb8f-2319-45c8-bb45-a2f1c5a68695_1532x1116.png 1272w, https://substackcdn.com/image/fetch/$s_!xnB7!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F094beb8f-2319-45c8-bb45-a2f1c5a68695_1532x1116.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!xnB7!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F094beb8f-2319-45c8-bb45-a2f1c5a68695_1532x1116.png" width="1456" height="1061" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/094beb8f-2319-45c8-bb45-a2f1c5a68695_1532x1116.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:1061,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:427134,&quot;alt&quot;:&quot;&quot;,&quot;title&quot;:&quot;&quot;,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" title="" srcset="https://substackcdn.com/image/fetch/$s_!xnB7!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F094beb8f-2319-45c8-bb45-a2f1c5a68695_1532x1116.png 424w, https://substackcdn.com/image/fetch/$s_!xnB7!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F094beb8f-2319-45c8-bb45-a2f1c5a68695_1532x1116.png 848w, https://substackcdn.com/image/fetch/$s_!xnB7!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F094beb8f-2319-45c8-bb45-a2f1c5a68695_1532x1116.png 1272w, https://substackcdn.com/image/fetch/$s_!xnB7!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F094beb8f-2319-45c8-bb45-a2f1c5a68695_1532x1116.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p>Likewise, both high and low sodium diets <a href="https://pubmed.ncbi.nlm.nih.gov/24651634/">have been shown to increase the risk of death</a>.  This U-shaped curve was best demonstrated <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC3294276/">in a study</a> of chronic kidney disease and heart failure patients:</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!dvC4!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F5f7f308c-0ad3-497a-81d7-49c7c5378f64_1496x1014.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!dvC4!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F5f7f308c-0ad3-497a-81d7-49c7c5378f64_1496x1014.png 424w, https://substackcdn.com/image/fetch/$s_!dvC4!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F5f7f308c-0ad3-497a-81d7-49c7c5378f64_1496x1014.png 848w, https://substackcdn.com/image/fetch/$s_!dvC4!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F5f7f308c-0ad3-497a-81d7-49c7c5378f64_1496x1014.png 1272w, https://substackcdn.com/image/fetch/$s_!dvC4!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F5f7f308c-0ad3-497a-81d7-49c7c5378f64_1496x1014.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!dvC4!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F5f7f308c-0ad3-497a-81d7-49c7c5378f64_1496x1014.png" width="1456" height="987" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/5f7f308c-0ad3-497a-81d7-49c7c5378f64_1496x1014.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:987,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:479165,&quot;alt&quot;:&quot;&quot;,&quot;title&quot;:&quot;&quot;,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:&quot;https://www.midwesterndoctor.com/i/165443850?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F5f7f308c-0ad3-497a-81d7-49c7c5378f64_1496x1014.png&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" title="" srcset="https://substackcdn.com/image/fetch/$s_!dvC4!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F5f7f308c-0ad3-497a-81d7-49c7c5378f64_1496x1014.png 424w, https://substackcdn.com/image/fetch/$s_!dvC4!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F5f7f308c-0ad3-497a-81d7-49c7c5378f64_1496x1014.png 848w, https://substackcdn.com/image/fetch/$s_!dvC4!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F5f7f308c-0ad3-497a-81d7-49c7c5378f64_1496x1014.png 1272w, https://substackcdn.com/image/fetch/$s_!dvC4!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F5f7f308c-0ad3-497a-81d7-49c7c5378f64_1496x1014.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p>Further corroborating the U-shaped curve for sodium input, <a href="https://www.nejm.org/doi/full/10.1056/NEJMoa1311889">a study of 100,000 adults across 18 countries</a>, found the same U-shape, with the lowest risk of death and cardiovascular events at a moderate intake of roughly 3&#8211;5 grams of sodium per day and rising risk at both lower and higher intakes (<a href="https://www.nejm.org/doi/full/10.1056/NEJMoa2109794">a pattern a follow-up study further corroborated</a>), along with also finding that higher potassium and a lower sodium-to-potassium ratio predicted lower mortality. </p><p>The same U-shape even appears when sodium is measured directly in the blood, where <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC10324141/">a study of 32,666 patients</a> found mortality was lowest at a serum sodium of 139&#8211;144 and rose at both lower and higher levels. Finally, most recently, a <a href="https://link.springer.com/article/10.1186/s12916-025-04206-8">2025 national Chinese cohort of nearly 271,000 adults</a> confirmed the U-shape for cardiovascular mortality, with the lowest risk near 4.6&#8211;5.4 grams of sodium per day. Additionally, that study identified much of the increased risk of death from low sodium resulted from elevated heart rates and blood glucose&#8212;both well-known (but rarely discussed) effects of salt avoidance.</p><h1>Sodium in Heart Failure</h1><p>Due to <a href="https://www.researchgate.net/publication/47811977_A_high-sodium_diet_is_associated_with_acute_decompensated_heart_failure_in_ambulatory_heart_failure_patients_A_prospective_follow-up_study">excessive sodium consumption causing heart failure exacerbations</a>, heart failure patients are often (dogmatically) told to avoid dietary sodium, despite there being many cases of them improving once they add some salt back into their diet (as they had been on the left side of this curve). While this has long been known within the integrative health field, in the last few years, data at last is emerging to support this (along with the U-shaped mortality curve in sodium consumption):</p><ul><li><p>A <a href="https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2712563">2018 systematic review</a> of 9 trials found no evidence that salt restriction reduced deaths, hospitalizations, or hospital stays in heart failure patients.</p></li><li><p>The largest trial to date, (<a href="https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(22)00369-5/fulltext">a 2022 one</a> of 806 patients across six countries), found that cutting sodium to under 1,500 mg/day did not reduce deaths, hospitalizations, or emergency visits compared to usual care.</p></li><li><p>A <a href="https://www.sciencedirect.com/science/article/pii/S0033062024000045">2024 review</a> concluded that across the randomized trials, restricting dietary sodium does not reduce clinical events in heart failure patients&#8212;and that strict restriction (1,500 mg/day) offers no advantage over moderate intake, with some data hinting a looser 2,000&#8211;3,000 mg/day may carry lower mortality.</p></li><li><p>A <a href="https://www.frontiersin.org/journals/cardiovascular-medicine/articles/10.3389/fcvm.2026.1751581/full">2026 meta-analysis of 16 randomized trials</a> (roughly 2,260 heart failure patients) found sodium restriction associated with higher all-cause mortality (a 50% increase) and markedly higher cardiac mortality, with the harm most pronounced in the sickest patients and when restriction was combined with fluid restriction and diuretics.</p></li></ul><p>In light of this data, while American medicine still clings to the low sodium dogma, Europe fortunately is beginning to <a href="https://onlinelibrary.wiley.com/doi/epdf/10.1002/ejhf.3244">rescind salt restriction recommendations for heart failure patients</a>.</p><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://www.midwesterndoctor.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">Your support makes The Forgotten Side of Medicine is a reader-supported publication. To receive new posts and support my work, please consider becoming a free or paid subscriber.</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div><h1>Zeta Potential Curves</h1><p>When fluid contains suspended particles (which is true for most fluids in nature), those colloids can either have finely dispersed or clumped together particles. One of the primary determinants of this is the electrical repulsion or attraction between the particles, something quantified by a system&#8217;s <a href="https://www.midwesterndoctor.com/p/what-makes-all-vaccines-so-dangerous">zeta potential</a> and heavily influenced by the charges present in a solution (e.g, too many positive charges will make fluid components like blood cells clump together and is why the aluminum in vaccinations <a href="https://www.midwesterndoctor.com/p/what-makes-all-vaccines-so-dangerous">frequently trigger microstrokes of varying severity</a>). In turn, many diseases result from poor zeta potential, including poor circulation and fluid congestion or edema (e.g., that seen in heart failure).</p><p>One critical aspect of zeta potential is that it follows a U-shaped curve in relationship to the amount of a charged ion present, with both too little or too much of it being problematic.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!UtYC!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fbucketeer-e05bbc84-baa3-437e-9518-adb32be77984.s3.amazonaws.com%2Fpublic%2Fimages%2Fba4811e0-3060-4aef-82b9-9527434183da_1318x1006.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!UtYC!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fbucketeer-e05bbc84-baa3-437e-9518-adb32be77984.s3.amazonaws.com%2Fpublic%2Fimages%2Fba4811e0-3060-4aef-82b9-9527434183da_1318x1006.png 424w, https://substackcdn.com/image/fetch/$s_!UtYC!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fbucketeer-e05bbc84-baa3-437e-9518-adb32be77984.s3.amazonaws.com%2Fpublic%2Fimages%2Fba4811e0-3060-4aef-82b9-9527434183da_1318x1006.png 848w, https://substackcdn.com/image/fetch/$s_!UtYC!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fbucketeer-e05bbc84-baa3-437e-9518-adb32be77984.s3.amazonaws.com%2Fpublic%2Fimages%2Fba4811e0-3060-4aef-82b9-9527434183da_1318x1006.png 1272w, https://substackcdn.com/image/fetch/$s_!UtYC!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fbucketeer-e05bbc84-baa3-437e-9518-adb32be77984.s3.amazonaws.com%2Fpublic%2Fimages%2Fba4811e0-3060-4aef-82b9-9527434183da_1318x1006.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!UtYC!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fbucketeer-e05bbc84-baa3-437e-9518-adb32be77984.s3.amazonaws.com%2Fpublic%2Fimages%2Fba4811e0-3060-4aef-82b9-9527434183da_1318x1006.png" width="1318" height="1006" data-attrs="{&quot;src&quot;:&quot;https://bucketeer-e05bbc84-baa3-437e-9518-adb32be77984.s3.amazonaws.com/public/images/ba4811e0-3060-4aef-82b9-9527434183da_1318x1006.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:1006,&quot;width&quot;:1318,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:1243365,&quot;alt&quot;:&quot;&quot;,&quot;title&quot;:&quot;&quot;,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" title="" srcset="https://substackcdn.com/image/fetch/$s_!UtYC!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fbucketeer-e05bbc84-baa3-437e-9518-adb32be77984.s3.amazonaws.com%2Fpublic%2Fimages%2Fba4811e0-3060-4aef-82b9-9527434183da_1318x1006.png 424w, https://substackcdn.com/image/fetch/$s_!UtYC!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fbucketeer-e05bbc84-baa3-437e-9518-adb32be77984.s3.amazonaws.com%2Fpublic%2Fimages%2Fba4811e0-3060-4aef-82b9-9527434183da_1318x1006.png 848w, https://substackcdn.com/image/fetch/$s_!UtYC!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fbucketeer-e05bbc84-baa3-437e-9518-adb32be77984.s3.amazonaws.com%2Fpublic%2Fimages%2Fba4811e0-3060-4aef-82b9-9527434183da_1318x1006.png 1272w, https://substackcdn.com/image/fetch/$s_!UtYC!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fbucketeer-e05bbc84-baa3-437e-9518-adb32be77984.s3.amazonaws.com%2Fpublic%2Fimages%2Fba4811e0-3060-4aef-82b9-9527434183da_1318x1006.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p><em>Note: giving IV sodium infusions to hospital patients will frequently greatly improve their condition, something nonchalantly attributed to everyone being &#8220;dehydrated&#8221; but more accurately due to their blood sodium being too low to adequately support the physiologic zeta potential. Likewise, many people often feel much better after getting outpatient saline infusions at concierge hydration clinics.</em></p><p>This in turn helps to explain why too little salt (e.g., through intentional sodium restriction or unintentional sodium restriction through a diet that puts you into ketosis [<a href="https://aletenutrition.com/blogs/saltstick-blog/ketogenic-extra-salt">which increases sodium excretion</a>]) can be problematic while at the same time high salt diets can be problematic as well.</p><p>With high salt diets (the other end of the U-shaped curve), I believe a few points are particularly important to recognize:</p><p>1. I&#8217;ve had multiple cases where I ate fairly salty foods right before bed, then woke up feeling extremely dry throughout my body with a fast heart rate.  Through trial and error I figured out <a href="https://www.midwesterndoctor.com/p/what-water-should-you-drink">drinking certain waters</a> would help me feel better. Later, from reading <a href="https://www.midwesterndoctor.com/p/what-makes-all-vaccines-so-dangerous">Thomas Riddick&#8217;s work on zeta potential</a>, I understood what was happening and measured the conductivity in my urine, showing that my kidneys indeed were trying to dump a large amount of sodium and restore my zeta potential. Riddick, tracked many cases where more severe versions of what I experienced resulted in cardiovascular incidents (as poor zeta potential causes blood to clot together and triggers heart arrhythmias as the heart struggles to push this congested blood).<br><em>Note: numerous readers here have reported zeta potential restoring protocols <a href="https://www.midwesterndoctor.com/p/how-to-improve-zeta-potential-and">has fixed their atrial fibrillation</a>.</em>   </p><p>2.  Riddick (and those who followed him) found that processed foods and many restaurant meals tended to be problematic for zeta potential and hence advised reducing the frequency of their consumption (e.g., I try to minimize eating out because of the congestion I feel after restaurant meals).<em><br>Note: since there are so many other harmful things in processed foods, it is very possible many of the issues associated with salty foods are due to something else that is present in it (e.g., seed oils or questionable food additives).</em> </p><p>3. Riddick believed one of our key issues with salt was that potassium was better for zeta potential than sodium, so by switching our potassium based sources of salt (e.g., vegetables) for highly salted foods, we were creating an unhealthy balance between the ions. Likewise, modern research <a href="https://articles.mercola.com/sites/articles/archive/2025/05/13/how-potassium-lowers-blood-pressure.aspx">has shown adequate potassium alongside sodium is critical for cardiovascular health</a> (e.g., <a href="https://articles.mercola.com/sites/articles/archive/2025/05/13/how-potassium-lowers-blood-pressure.aspx">normalizing blood pressure</a>), with <a href="https://www.nejm.org/doi/full/10.1056/NEJMoa2105675">a recent trial of 21,000 people</a> finding that simply replacing ordinary salt with a 75% sodium / 25% potassium substitute (not reducing salt intake, just rebalancing it) led to 14% fewer strokes, 13% fewer major cardiovascular events, and 12% fewer deaths. <br><em>Note: potassium deficiency causes a variety of issues (e.g., fatigue and muscle cramps) and many practitioners over the years have found supplementary potassium greatly helps their patients.</em></p><p>4. In general, I noticed most of the salt overload issues individuals run into come from eating foods high in refined salt (e.g., salty processed foods) rather than those consuming natural salts. This has led me to suspect that a major issue with salt is either something else present in the processed foods or something specific to processed salts. At this point, my best guesses is that it is due to refined salts:<br>&#8226;Lacking minerals we otherwise need for homeostasis<br>&#8226;Containing other problematic additives (e.g., refined salt tends to clump together so it requires anti-caking agents,  many of which adversely affect zeta potential).<br>&#8226;Having a refinement process that introduces unhealthy chemicals to the salt (e.g., sodium carbonate, sodium hydroxide, barium chloride or barium carbonate are used to remove minerals besides sodium from refined salt).<br><em>Note: salt bleaching or heating may also be problematic.</em></p><p></p><h1>Healthy Salt</h1><p>Since salt is such an integral part of our life, I frequently receive a variety of questions on which type of salt we should consume. In the last part of this article (which exists as an open forum for you to ask any questions you have), I will share what I&#8217;ve learned from years of exploration on this topic, which brands of salt we prefer, the other critical steps for ensuring salt is compatible with health and invite each of you to share what you have discovered from your own exploration of salt.</p>
      <p>
          <a href="https://www.midwesterndoctor.com/p/the-hidden-secrets-of-salt">
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   ]]></content:encoded></item><item><title><![CDATA[Why Medicine Won’t Cure You—and How That's Finally Changing]]></title><description><![CDATA[The predatory business model that requires lifelong patients faces its first federal challenge with Kennedy&#8217;s historic SSRI initiative]]></description><link>https://www.midwesterndoctor.com/p/why-medicine-wont-cure-youand-how</link><guid isPermaLink="false">https://www.midwesterndoctor.com/p/why-medicine-wont-cure-youand-how</guid><dc:creator><![CDATA[A Midwestern Doctor]]></dc:creator><pubDate>Fri, 14 Aug 2026 01:09:44 GMT</pubDate><enclosure url="https://substack-post-media.s3.amazonaws.com/public/images/69514875-17cd-439b-82b0-8e4742861330_1040x545.webp" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p><strong><span>Story at a Glance:</span></strong></p><p><span>&#8226;</span><strong><span>No industry, organization, or cause tasked with solving a problem will </span></strong><em><strong><span>actually solve</span></strong></em><strong><span> it, because the problem disappearing threatens their economic livelihood or political power.</span></strong></p><p><span>&#8226;</span><strong><span>The pharmaceutical industry has perfected this model: drugs are designed to be taken perpetually rather than cure, side effects create demand for additional drugs, and the entire regulatory apparatus is structured to suppress affordable natural therapies that challenge it.</span></strong></p><p><span>&#8226;</span><strong><span>SSRIs epitomize this dynamic&#8212;massively overprescribed, frequently life-ruining, and nearly impossible to withdraw from&#8212;yet for decades, the industry successfully kept all criticism of them out of mainstream discourse.</span></strong></p><p><span>&#8226;</span><strong><span>Kennedy announced a multiagency federal effort to combat inappropriate SSRI prescribing, train providers in how to correctly taper patients off antidepressants, and provide non-pharmaceutical alternatives.<br><br>&#8226;This marks the first time in memory a federal health initiative has aimed to help get patients </span></strong><em><strong><span>off</span></strong></em><strong><span> a major drug class rather than on one.</span></strong></p><p><span>When I was in high school, I observed a few discouraging events which led me to postulate: &#8220;no industry, organization or cause tasked with solving a problem will actually solve it because the problem disappearing threatens their economic livelihood or political power.&#8221; Since that time, I have observed more examples than I can count in so many different spheres that I&#8217;ve accepted this dynamic is a common feature of society, and likewise, have come across many similar observations by others, my favorite of which was:</span></p><blockquote><p><em><span>Nothing is so permanent as a temporary government program&#8212;Milton Friedman</span></em></p></blockquote><p><span>Recently a noteworthy exampls of this principle came to my attention after I learned all of the online dating apps had switched from formats which allowed people to find suitable long term partners to ones which prevented people from matching, because if someone found a good match, they would stop paying for the service. Once one company figured this out, they bought out all competitors and shifted them to this predatory model as well (and all the profound consequences it entails).</span><a href="https://groundworkcollaborative.org/work/swipe-right-to-pay-how-dating-apps-turned-love-into-a-subscription-service/"><sup><span>1</span></sup></a><sup><span>,</span></sup><a href="https://gwern.net/doc/psychology/okcupid/whyyoushouldneverpayforonlinedating.html"><sup><span>2</span></sup></a><sup><span>,</span></sup><a href="https://tomasmcintee.medium.com/what-happened-to-okcupid-474c6166bca7"><sup><span>3</span></sup></a><sup><span>,</span></sup><a href="https://www.npr.org/sections/money/2024/02/13/1228749143/the-dating-app-paradox-why-dating-apps-may-be-worse-than-ever"><sup><span>4</span></sup></a><sup><span>,</span></sup><a href="https://techcrunch.com/2016/12/15/eharmony-makes-its-questionnaire-optional-to-get-hip-with-the-times/"><sup><span>5</span></sup></a><sup><span>,</span></sup><a href="https://tomasmcintee.substack.com/p/why-dating-apps-suck-21-11-17"><sup><span>6</span></sup></a></p><p><em><span>Note: because online dating has now become so bad, the companies that monopolized the market are starting to lose a lot of users and money, signaling there may be a chance for this cycle to reset itself.</span><a href="https://seekingalpha.com/article/4865534-match-group-stock-tinder-bleeding-users-hinge-growth-slows"><sup><span>1</span></sup></a></em></p><p><span>This article will focus on how that principle applies to medicine and why I believe beyond greed, complacency also plays a central role in the continual recurrence of this dynamic across societies.</span></p><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://www.midwesterndoctor.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">The Forgotten Side of Medicine is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. To see how others have benefitted from this newsletter, click <a href="https://www.midwesterndoctor.com/p/reader-feedback">here</a>!</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div><h2><strong><span>Is Money The Root Of All Evil?</span></strong></h2><p><span>The love of money has long been recognized as one of the most powerful forces for twisting human hearts towards evil. However, I would argue the core issue is that for many people effectively</span><strong><span>, accumulating money becomes the foundational axiom used to navigate life</span></strong><span>, causing them to rationalize a variety of unethical positions because their internal algorithm will frequently default to the choice that acquires more money. Recognizing this provides an invaluable tool for understanding the world, as the motivations of others often become far clearer once you view things strictly through what and how they stand to profit from their actions.</span></p><h2><strong><span>Algorithms of Business</span></strong></h2><p><span>In the same way that a default behavior to seek the most profitable choice helps to explain individual actions, businesses also follow a relatively predictable set of behaviors aimed at optimizing profit. In general, most large businesses aim for the following, prioritizing whichever are most feasible:</span></p><ul><li><p><span>Continual growth</span></p></li><li><p><span>High markups on their product</span></p></li><li><p><span>The widest possible market</span></p></li><li><p><span>Market exclusivity (to protect and maximize sales)</span></p></li><li><p><span>Repeating sales far into the future</span></p></li></ul><p><span>The pharmaceutical industry excels in all of these, which helps to explain why they have managed to sustain steady growth for decades, and why one-fifth of all money spent in the United States goes to healthcare despite our country receiving very poor returns on that investment.</span></p><p><em><span>Note: annual adult vaccines (which frequently do nothing, particularly because they are often for the wrong strain) are an excellent example of an unsafe, unproven and ineffective product that is pushed on everyone because it fulfills the need for perpetually recurring sales.</span></em></p><h2><strong><span>Lifelong Patients</span></strong></h2><p><span>A frequently shared meme highlights that members of the medical community frequently face the same dilemma dating companies do.</span></p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!5DFY!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fda7ea611-bda6-40b0-9a91-3902e2ab5c3b_205x246.jpeg" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!5DFY!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fda7ea611-bda6-40b0-9a91-3902e2ab5c3b_205x246.jpeg 424w, https://substackcdn.com/image/fetch/$s_!5DFY!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fda7ea611-bda6-40b0-9a91-3902e2ab5c3b_205x246.jpeg 848w, https://substackcdn.com/image/fetch/$s_!5DFY!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fda7ea611-bda6-40b0-9a91-3902e2ab5c3b_205x246.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!5DFY!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fda7ea611-bda6-40b0-9a91-3902e2ab5c3b_205x246.jpeg 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!5DFY!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fda7ea611-bda6-40b0-9a91-3902e2ab5c3b_205x246.jpeg" width="205" height="246" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/da7ea611-bda6-40b0-9a91-3902e2ab5c3b_205x246.jpeg&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:246,&quot;width&quot;:205,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:null,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:null,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!5DFY!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fda7ea611-bda6-40b0-9a91-3902e2ab5c3b_205x246.jpeg 424w, https://substackcdn.com/image/fetch/$s_!5DFY!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fda7ea611-bda6-40b0-9a91-3902e2ab5c3b_205x246.jpeg 848w, https://substackcdn.com/image/fetch/$s_!5DFY!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fda7ea611-bda6-40b0-9a91-3902e2ab5c3b_205x246.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!5DFY!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fda7ea611-bda6-40b0-9a91-3902e2ab5c3b_205x246.jpeg 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p><span>The more time I&#8217;ve spent in medicine, the more I&#8217;ve come to appreciate that many principles you see in business are not only replicated in medicine but inevitably will guide medical practice. The entire industry (and regulatory apparatus) is structured around this status quo, so anytime someone tries to deviate from it, countless stakeholders will emerge to oppose it.</span></p><p><span>This was best demonstrated by </span><a href="https://www.cnbc.com/2018/04/11/goldman-asks-is-curing-patients-a-sustainable-business-model.html"><span>a 2018 report</span></a><span> which provoked considerable public outrage when it was publicized by the mainstream media:</span></p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!zs9Z!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ffdb05cd1-ee42-405f-921e-92edb4eee113_596x870.jpeg" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!zs9Z!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ffdb05cd1-ee42-405f-921e-92edb4eee113_596x870.jpeg 424w, https://substackcdn.com/image/fetch/$s_!zs9Z!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ffdb05cd1-ee42-405f-921e-92edb4eee113_596x870.jpeg 848w, https://substackcdn.com/image/fetch/$s_!zs9Z!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ffdb05cd1-ee42-405f-921e-92edb4eee113_596x870.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!zs9Z!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ffdb05cd1-ee42-405f-921e-92edb4eee113_596x870.jpeg 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!zs9Z!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ffdb05cd1-ee42-405f-921e-92edb4eee113_596x870.jpeg" width="596" height="870" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/fdb05cd1-ee42-405f-921e-92edb4eee113_596x870.jpeg&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:870,&quot;width&quot;:596,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:null,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:null,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!zs9Z!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ffdb05cd1-ee42-405f-921e-92edb4eee113_596x870.jpeg 424w, https://substackcdn.com/image/fetch/$s_!zs9Z!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ffdb05cd1-ee42-405f-921e-92edb4eee113_596x870.jpeg 848w, https://substackcdn.com/image/fetch/$s_!zs9Z!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ffdb05cd1-ee42-405f-921e-92edb4eee113_596x870.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!zs9Z!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ffdb05cd1-ee42-405f-921e-92edb4eee113_596x870.jpeg 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p><em><span>Note: while I can&#8217;t prove this, given how rarely the media will expose pharmaceutical misconduct, I believe the reason it did in this specific case was not to help the public but rather to send a message to the industry (and investors) to avoid curative genomic therapies.</span></em></p><p><span>All of this helps explain why the medical industry (and regulators) will only target competing therapies with the potential to meaningfully compete with their bottom line (e.g., we all saw what happened to the off-patent COVID-19 treatments like hydroxychloroquine and ivermectin).</span></p><p><span>Sadly, many even more consequential examples. For example:<br><br>&#8226;</span><a href="https://www.midwesterndoctor.com/p/the-century-of-evidence-putting-light"><span>Ultraviolet blood irradiation</span></a><span> cured a wide range of otherwise fatal bacterial and viral infections (and many autoimmune disorders), but as it was taking off across American&#8217;s hospitals, the American Medical Association tried to buy it, and once they couldn&#8217;t, successfully buried it (except in areas like Russia outside their monopoly).</span></p><p><span>&#8226;Sleeping medications have a wide range of issues which cause serious issues for their users, so once an effective (but un-patentable) one which restored people&#8217;s sleep and health (frequently to a profound degree) came into use, the FDA launched a relentless campaign that eventually outlawed it (detailed</span><a href="https://www.midwesterndoctor.com/p/the-fdas-disastrous-war-against-sleep"><span> here</span></a><span>).</span></p><p><span>&#8226;Oxidative therapies, like </span><a href="https://www.midwesterndoctor.com/p/what-the-war-on-chlorine-dioxide"><span>chlorine dioxide</span></a><span>, when dosed appropriately, have shown remarkable efficacy against a variety of infectious diseases, along with certain ones (e.g., ozone) also showing significant efficacy against a variety of musculoskeletal issues, organ diseases and circulatory disorders. Yet, despite thousand of studies corroborating their use, the FDA treats them as toxic agents with no redeeming value, and any attempts to research these therapies (particularly chlorine dioxide) are obstructed.</span></p><p><span>&#8226;DMSO is safe and essentially free substance that </span><a href="https://www.midwesterndoctor.com/p/dmso-is-a-miraculous-therapy-for"><span>rapidly heals injuries</span></a><span>, cures a wide range of common debilitating problems (e.g.,</span><a href="https://www.midwesterndoctor.com/p/dmso-is-a-miraculous-therapy-for"><span> all types of pain</span></a><span>,</span><a href="https://www.midwesterndoctor.com/p/how-dmso-heals-the-spine-and-reverses"><span> spine issues</span></a><span>,</span><a href="https://www.midwesterndoctor.com/p/dmso-revolutionizes-skin-care-and"><span> most skin issues</span></a><span>,</span><a href="https://www.midwesterndoctor.com/p/dmso-heals-the-eyes-and-transforms"><span> most eye issues</span></a><span>,</span><a href="https://www.midwesterndoctor.com/p/how-dmso-heals-the-gut-and-cures"><span> gastrointestinal inflammation</span></a><span> and</span><a href="https://www.midwesterndoctor.com/p/how-dmso-treats-incurable-autoimmune"><span> many autoimmune disorders</span></a><span>) along with addressing many otherwise incurable issues (e.g.,</span><a href="https://www.midwesterndoctor.com/p/dmso-could-save-millions-from-brain"><span> stroke damage</span></a><span>,</span><a href="https://www.midwesterndoctor.com/p/how-dmso-heals-the-spine-and-reverses"><span> paralysis</span></a><span>,</span><a href="https://www.midwesterndoctor.com/p/dmso-transforms-the-treatment-of"><span> chronic lung disease</span></a><span>, and</span><a href="https://www.midwesterndoctor.com/p/how-dmso-heals-the-brain-and-transforms"><span> many different neurodegenerative disorders</span></a><span>). Yet, despite the life-changing properties of this substance, the FDA fought the public for decades (including at multiple Congressional hearings) to bury it, and as a result, few people know it is anything but an inert solvent widely used in research and to deliver pharmaceuticals (and an interstitial cystitis treatment).</span></p><p><span>While many other candidates exist too (e.g., </span><a href="https://www.midwesterndoctor.com/p/what-the-war-on-chlorine-dioxide"><span>many promising cancer therapies were blacklisted by the AMA and FDA</span></a><span>), I believe</span><a href="https://www.midwesterndoctor.com/p/the-fdas-war-against-dmso-and-america"><span> DMSO&#8217;s story</span></a><span> is likely the clearest case of the FDA suppressing something to maintain the status quo of profitable diseases being incurable (and requiring perpetual lucrative medical care). This is because roughly 15,000 studies (I am gradually compiling) show its efficacy across a wide range of illnesses and I have now received </span><strong><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comments"><span>over 7000 thousand testimonials</span></a></strong><span> from readers who had a lifelong debilitating issue rapidly resolve with DMSO that are nearly identical to those the FDA received as the public begged them not to ban it.</span></p><h1><strong><span>Medical Sales Funnels</span></strong></h1><p><span>One of the most common critiques of the pharmaceutical industry is that the entire enterprise is a more sophisticated form of the addictive drug model: the drugs that are widely sold are designed to hook people for life and the immense lobbying the industry can afford effectively takes the place of cartel violence to maintain their market monopoly. Furthermore, unlike classic drug enterprises which have to market their products from the shadows, the state sanctioning of their business model makes it possible for them to publicly market the products to the entire society and buy out both the media and government so criticisms of their products are not allowed to be aired.</span></p><p><em><span>Note: other common criticisms include several of the largest pharmaceutical companies (e.g., </span><a href="https://gmwatch.org/en/main-menu/resources/gm-firms/bayer-a-history"><span>Bayer via IG Farben</span></a><span>) having been deeply entwined with Nazi Germany, and that many major pharma firms were once leading marketers and manufacturers of cocaine, methamphetamine, and heroin (Bayer famously marketed heroin as a &#8220;non-addictive&#8221; wonder drug</span><a href="https://www.unodc.org/unodc/en/data-and-analysis/bulletin/bulletin_1953-01-01_2_page004.html"><sup><span>1</span></sup></a><span>).</span></em></p><p><span>Fittingly, the medical profession has largely moved away from the language of &#8220;cure.&#8221; For centuries, major medical dictionaries either omitted a clear definition of &#8220;cure&#8221; or defined it only minimally.</span><a href="https://tracykolenchuk.substack.com/p/medical-dictionaries-have-no-cure"><sup><span>1</span></sup></a><sup><span>,</span></sup><a href="https://healthicine.org/wordpress/forbidden-word-modern-medicine/"><sup><span>2</span></sup></a><sup><span> </span></sup><span>The word is also notably absent from the indexes of core references such as Merck&#8217;s Manual and Harrison&#8217;s Principles of Internal Medicine.</span><a href="https://tracykolenchuk.substack.com/p/medical-dictionaries-have-no-cure"><sup>1</sup></a><sup>,</sup><a href="https://healthicine.org/wordpress/forbidden-word-modern-medicine/"><sup>2</sup></a><span> In practice, physicians are strongly discouraged from promising or even declaring a &#8220;cure&#8221; in many contexts.</span><a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC5145017/"><sup><span>1</span></sup></a><span> You cannot be accused of failing to achieve something the profession rarely claims is possible.</span></p><p><span>Because of this, every successful pharmaceutical lies somewhere along a spectrum of being &#8220;addictive&#8221; to &#8220;ineffective.&#8221; Much of this results from the fact the body is designed to maintain homeostasis and resist unnatural alterations of physiology, so the human response to medications is frequently either: for the effect to be temporary, for progressively higher doses to be required, or for the body to shift to an unnatural baseline where it can no longer function without the artificial counterweight of the medication.</span></p><p><em><span>Note: sometimes additional steps are involved. For example, acid reflux frequently results from a lack of stomach acid (which prevents the top of the stomach from getting the signal to close) which argues for supplementing meals with stomach acid (that</span><a href="https://www.midwesterndoctor.com/p/stomach-acid-is-critical-for-health"><span> beyond frequently curing reflux, provides numerous other health benefits</span></a><span>). However, rather than do this, the preferred approach is to completely suppress stomach acid production so nothing is there to reflux, making it very difficult to stop the medications because once small (insufficient) amounts of acid return, they will reflux and cause heartburn.</span></em></p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!9fi8!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe80758d0-c8f8-4b78-8ed7-c4592c4a1108_1456x629.jpeg" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!9fi8!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe80758d0-c8f8-4b78-8ed7-c4592c4a1108_1456x629.jpeg 424w, https://substackcdn.com/image/fetch/$s_!9fi8!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe80758d0-c8f8-4b78-8ed7-c4592c4a1108_1456x629.jpeg 848w, https://substackcdn.com/image/fetch/$s_!9fi8!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe80758d0-c8f8-4b78-8ed7-c4592c4a1108_1456x629.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!9fi8!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe80758d0-c8f8-4b78-8ed7-c4592c4a1108_1456x629.jpeg 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!9fi8!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe80758d0-c8f8-4b78-8ed7-c4592c4a1108_1456x629.jpeg" width="1456" height="629" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/e80758d0-c8f8-4b78-8ed7-c4592c4a1108_1456x629.jpeg&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:629,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:null,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:null,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!9fi8!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe80758d0-c8f8-4b78-8ed7-c4592c4a1108_1456x629.jpeg 424w, https://substackcdn.com/image/fetch/$s_!9fi8!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe80758d0-c8f8-4b78-8ed7-c4592c4a1108_1456x629.jpeg 848w, https://substackcdn.com/image/fetch/$s_!9fi8!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe80758d0-c8f8-4b78-8ed7-c4592c4a1108_1456x629.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!9fi8!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe80758d0-c8f8-4b78-8ed7-c4592c4a1108_1456x629.jpeg 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p><span>Beyond the design of pharmaceutical drugs inevitably producing side effects, those side effects are often actually an upside for the industry because they create additional problems that require other drugs to treat, hence creating a robust &#8220;sales funnel.&#8221; General practitioners not only provide a steady stream of patient referrals to more expensive medical services, but also give patients tests that convert a significant number into taking common lifelong drugs (which half of American adults are on at least one of</span><a href="https://www.cdc.gov/nchs/fastats/drug-use-therapeutic.htm"><sup><span>1</span></sup></a><span>).</span></p><h2><strong><span>SSRI Antidepressants</span></strong></h2><p><span>From the start, I decided to focus on SSRIs as</span><a href="https://www.midwesterndoctor.com/p/what-everyone-needs-to-know-about"><span> while they significantly help a subset of patients</span></a><span>, I also feel they are one of the worst offenders on the market. Beyond being massively overprescribed, they frequently ruin people&#8217;s lives (</span><a href="https://www.midwesterndoctor.com/p/what-everyone-needs-to-know-about"><span>often in very cruel ways</span></a><span>), are often nearly impossible to withdraw from, and have predatory sales funnels that affect large numbers of American women:</span></p><p><span>Unfortunately, SSRIs languished in the same place many other toxic drugs did: they harmed a significant number of people but the drugs made enough money (one in six adults take psychiatric medications</span><a href="https://www.cdc.gov/nchs/products/databriefs/db419.htm"><sup><span>1</span></sup></a><span>) that it was possible for industry to corral the entire government and media into sweeping them under the rug.</span></p><p><span>To try to shift this, I decided to focus not on the common side effects, but rather</span><a href="https://www.midwesterndoctor.com/p/the-evidence-ssri-antidepressants"><span> the psychotic violence and mass shootings they occasionally cause</span></a><span>. My theory was that since so much effort has gone into politicizing mass shootings and gun control, the right would be receptive to the fact SSRIs were triggering many of the shootings being blamed on inadequate gun control, and that this would spur interest into all the other far more common side effects SSRIs cause and make it finally an acceptable topic of discourse.</span></p><p><span>So, I tried to draft a very clear case for this (along with a follow up </span><a href="https://www.midwesterndoctor.com/p/the-evidence-ssri-antidepressants"><span>explaining the dangers of SSRIs</span></a><span> and the corruption that allowed them to come to market) and then put them out immediately following a school shooting which was large enough to become the national media story. </span><a href="https://www.midwesterndoctor.com/p/the-evidence-ssri-antidepressants"><span>That article</span></a><sup><span> </span></sup><span>somehow made it to Tucker Carlson, who then, five weeks later, for the first time in the mainstream media, </span><a href="https://www.midwesterndoctor.com/p/a-major-news-network-has-finally"><span>did a segment on the topic for Fox News</span></a><span>.</span></p><p><span>Following this, as more and more political figures on the right were willing to broach the subject, it became a gradually acceptable topic to discuss (e.g., during his 2024 campaign, </span><a href="https://x.com/RobertKennedyJr/status/1742676665900376353"><span>RFK Jr. shared that article</span></a><span> stating: &#8220;Any conversation about gun violence is incomplete if it doesn&#8217;t touch on mental health and the suppressed evidence implicating SSRIs in suicide and homicide&#8221;).</span></p><p><span>The successive attention which bubbled up in the alternative media to the frequent side effects of SSRIs (and Secretary Kennedy&#8217;s public acknowledgment of it) has gradually brought mainstream attention to this, including at a recent May 4th panel (covered by the press) which began with victims of SSRIs sharing what they have experienced.</span><a href="https://www.youtube.com/watch?v=ZJC8cYfSsTM"><sup><span>1</span></sup></a><sup><span>,</span></sup><a href="https://www.youtube.com/watch?v=cTZNcru7yPw"><sup><span>2</span></sup></a></p><div class="native-video-embed" data-component-name="VideoPlaceholder" data-attrs="{&quot;mediaUploadId&quot;:&quot;9f91ac98-8b96-4abc-ba74-d2e2f1437a19&quot;,&quot;duration&quot;:null}"></div><p><span>That panel concluded with Secretary Kennedy stating we need to do better, that withdrawing from SSRIs is significantly more difficult than withdrawing from heroin, and announcing that the Federal Government would begin combatting this. He laid out </span><a href="https://www.hhs.gov/press-room/hhs-launches-maha-action-plan-curb-psychiatric-overprescribing.html"><span>a multiagency national effort</span></a><span> to educate health care providers in the dangers of SSRIs (particularly inappropriate prescribing), provide non-pharmaceutical mental health alternatives, and train providers in how to correctly taper off psychiatric medications (along with reimbursing them for doing this).</span><a href="https://www.hhs.gov/press-room/hhs-launches-maha-action-plan-curb-psychiatric-overprescribing.html"><sup><span>1</span></sup></a></p><p><span>Since that May 4, 2026 announcement,</span><a href="http://HHS Launches MAHA Action Plan to Curb Psychiatric Overprescribing"><sup><span>1</span></sup></a><span> the multiagency effort has continued to advance rather than stall. HHS agencies issued the planned &#8220;Dear Colleague&#8221; letter emphasizing informed consent and non-drug options, CMS clarified reimbursement so clinicians can be paid for time spent helping patients taper, and SAMHSA began educational webinars and training modules on psychiatric medication risks, deprescribing, and alternatives. In early July a Technical Expert Panel of clinicians, patients, and professional societies met to shape formal clinical guidance on safe tapering of SSRIs and related drugs</span><a href="https://www.statnews.com/2026/07/13/hhs-ssri-deprescribing-experts-gather-clinical-withdrawal-guidance/"><sup><span>1</span></sup></a><span>&#8212;the first such federal process focused on getting people off a major drug class rather than onto one.</span></p><p><span>Most remarkably, the profession is responding to these attempts&#8212;deprescribing has begun appearing as a formal topic at major psychiatry meetings, including sessions and consensus work at the </span><a href="https://www.psychiatrictimes.com/view/the-first-panel-of-psychiatric-experts-weighs-in-on-deprescribing-at-ascp-2026"><span>American Society of Clinical Psychopharmacology&#8217;s 2026 gathering this week</span></a><span>, where clinicians are now openly discussing when and how to taper patients off psychiatric medications rather than leaving them on them indefinitely.</span></p><p><span>Most remarkably, the profession is responding and deprescribing has moved into formal sessions at major psychiatry meetings. Shortly after RFK&#8217;s announcement, at the American Society of Clinical Psychopharmacology&#8217;s 2026 annual meeting, members of the society&#8217;s own Deprescribing Task Force </span><a href="https://www.psychiatrictimes.com/view/the-first-panel-of-psychiatric-experts-weighs-in-on-deprescribing-at-ascp-2026"><span>held a detailed panel discussion</span></a><span> on when and how clinicians should taper patients off psychiatric medications and on the importance of non-drug alternatives such as psychotherapy, lifestyle changes, and collaborative care rather than leaving patients on medication indefinitely:</span></p><div id="youtube2-u4R1vL6Oyvw" class="youtube-wrap" data-attrs="{&quot;videoId&quot;:&quot;u4R1vL6Oyvw&quot;,&quot;startTime&quot;:null,&quot;endTime&quot;:null}" data-component-name="Youtube2ToDOM"><div class="youtube-inner"><iframe src="https://www.youtube-nocookie.com/embed/u4R1vL6Oyvw?rel=0&amp;autoplay=0&amp;showinfo=0&amp;enablejsapi=0" frameborder="0" loading="lazy" gesture="media" allow="autoplay; fullscreen" allowautoplay="true" allowfullscreen="true" width="728" height="409"></iframe></div></div><p><em><span>Note: SSRIs are not the only psychiatric medication with major issues (e.g., </span><a href="https://www.midwesterndoctor.com/p/what-they-dont-tell-us-about-anxiety"><span>there are many serious issues with benzodiazepines</span></a><span> which are used for anxiety, insomnia and SSRI side effects).</span></em></p><p><span>Despite everything I&#8217;ve seen happen over the last four years, I still never believed something like this would happen. For context, in a period when the pharmaceutical industry had much less influence over the FDA, </span><a href="https://www.midwesterndoctor.com/p/how-the-fda-buried-the-dangers-of"><span>it took more than a decade</span></a><span> of activism, leaks and Congressional hearings to simply get a warning label on SSRIs that they could cause suicide. This went miles beyond anything even the most optimistic activists had ever imagined, illustrating why it is so critical to shift the Overton window and make taboo subjects acceptable for regular discussion.</span></p><p><span>Additionally, it was quite notable that this entire effort goes contrary to the entire foundation of the medical system, as Secretary Kennedy&#8217;s ultimate goal was to decrease rather than increase pharmaceutical sales. As such, predictable criticisms of his completely reasonable approach emerged, such as </span><a href="https://www.facebook.com/USSenTinaSmith/posts/people-i-care-a-whole-lot-about-rely-on-ssris-to-make-their-lives-work-i-dont-kn/1558053599016052/"><span>this one from Senator Tina Smith</span></a><span> (D-MN):</span></p><blockquote><p><span>People I care a whole lot about rely on SSRIs to make their lives work. I don&#8217;t know where I would be without SSRIs. RFK Jr. can get his f***ing hands and crazy conspiracy theories out of our medicine cabinets&#8221;</span></p></blockquote><h2><strong><span>Institutional Inertia</span></strong></h2><p><span>Most societies and institutions follow a similar trajectory: initially, they have to be as innovative and dedicated as possible to establish themselves. Once established, their focus shifts to maintaining their position rather than advancing their original mission (e.g., empires throughout history </span><a href="https://www.midwesterndoctor.com/p/the-profound-decline-of-americas"><span>typically last seven generations because they all succumb to this cycle</span></a><span>).</span></p><p><span>This shift commonly translates to the goal moving from solving the issue to providing an &#8220;indispensable service&#8221; by perpetually managing rather than fixing it. I&#8217;ve never forgotten one clip from a documentary</span><sup><span>29</span></sup><span> about soldiers injured by the (completely unnecessary)</span><a href="https://www.midwesterndoctor.com/p/the-forgotten-lessons-of-the-militarys"><span> experimental anthrax vaccine</span></a><span>, which much like the COVID vaccine, ended the careers of many promising soldiers despite widespread resistance against the shots.</span></p><div id="youtube2-wDDMsvErsQw" class="youtube-wrap" data-attrs="{&quot;videoId&quot;:&quot;wDDMsvErsQw&quot;,&quot;startTime&quot;:null,&quot;endTime&quot;:null}" data-component-name="Youtube2ToDOM"><div class="youtube-inner"><iframe src="https://www.youtube-nocookie.com/embed/wDDMsvErsQw?rel=0&amp;autoplay=0&amp;showinfo=0&amp;enablejsapi=0" frameborder="0" loading="lazy" gesture="media" allow="autoplay; fullscreen" allowautoplay="true" allowfullscreen="true" width="728" height="409"></iframe></div></div><h2><strong><span>Conclusion</span></strong></h2><p><span>While financial incentives are the most obvious driver for institutions to abandon their original mission, I (and many others throughout history) have come to believe that plain human complacency and the widespread aversion to change play an equally central (and perhaps even larger) role. Most people would simply rather master a comfortable routine and get paid for it than face the constant uncertainty required to actually solve difficult problems.</span></p><p><span>When I was much younger, I saw many instances of wealthy people being far less happy than their less fortunate peers and realized that money without purpose was often spiritual poison. I concluded that my purpose would be to learn as much about life as I could, and along that journey, find ways to help others. I gravitated towards medicine because very few things are as complex as the human body (or as meaningful when you can finally figure something out and help heal someone). I was quite shocked to discover not only that inquisitive medical students were the minority, but that the entire educational process was structured to gradually remove that mindset from trainees.</span></p><p><span>I&#8217;ve long wondered what the solution is. On one hand, I hold the idealistic perspective that if people are presented with a better way to practice medicine, supported in enacting it, and shown that they can find the passion for medicine they had long ago lost, they would eagerly embrace it. Conversely, from watching attempt after attempt to reform the medical system fail, I&#8217;ve adopted the more cynical perspective that medicine will only change if it faces genuine disruptive competition.</span></p><p><span>RFK&#8217;s approach on mental health hence offers an intriguing third (hybrid) option: provide physicians with a safe, supportive and guided framework to break from the existing mold, while simultaneously rekindling their interest in medicine by seeing the results this previously unconventional approach creates.</span></p><p><span>It&#8217;s hard to describe how much joy this brings me, not only because it offers a better path forward for medicine in general, but also because so many people I was close to have had their lives ruined by SSRIs, and it always felt like there was so much inertia behind the drugs that it would be impossible to ever shift that. We live in a very unusual time, and I want to thank each of you for helping to make what we are now seeing possible.</span></p><p><em><strong><span>Author&#8217;s note:</span></strong><span> This is an abridged version of </span><strong><a href="https://www.midwesterndoctor.com/p/why-medicine-wont-cure-you-and-whats"><span>a longer article</span></a><span> </span></strong><span>that goes into greater detail about the above points and the therapies the FDA suppressed to support the medical industry. That article and its additional references can be read </span><strong><a href="https://www.midwesterndoctor.com/p/why-medicine-wont-cure-you-and-whats"><span>here</span></a></strong><span>. Additionally, a companion article on the dangers of antidepressants and the natural treatments for depression can be read </span><strong><a href="https://www.midwesterndoctor.com/p/what-everyone-needs-to-know-about"><span>here</span></a></strong><span>, while another on the dangers of benzodiazepines and the natural treatments for anxiety can be read </span><strong><a href="https://www.midwesterndoctor.com/p/what-they-dont-tell-us-about-anxiety"><span>here</span></a></strong><span>.</span></em></p><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://www.midwesterndoctor.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">The Forgotten Side of Medicine is a reader-supported publication. To receive new posts and support my work, please consider becoming a free or paid subscriber.</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div><div class="captioned-button-wrap" data-attrs="{&quot;url&quot;:&quot;https://www.midwesterndoctor.com/p/why-medicine-wont-cure-youand-how?utm_source=substack&utm_medium=email&utm_content=share&action=share&quot;,&quot;text&quot;:&quot;Share&quot;}" data-component-name="CaptionedButtonToDOM"><div class="preamble"><p class="cta-caption">Click below to share this article!</p></div><p class="button-wrapper" data-attrs="{&quot;url&quot;:&quot;https://www.midwesterndoctor.com/p/why-medicine-wont-cure-youand-how?utm_source=substack&utm_medium=email&utm_content=share&action=share&quot;,&quot;text&quot;:&quot;Share&quot;}" data-component-name="ButtonCreateButton"><a class="button primary" href="https://www.midwesterndoctor.com/p/why-medicine-wont-cure-youand-how?utm_source=substack&utm_medium=email&utm_content=share&action=share"><span>Share</span></a></p></div><p><em><span>To learn how other readers have benefitted from this publication and the community it has created, their feedback can be viewed </span><a href="https://www.midwesterndoctor.com/p/reader-feedback">here</a><span>. Additionally, an index of all the articles published in the Forgotten Side of Medicine can be viewed </span><a href="https://www.midwesterndoctor.com/p/an-index-of-the-forgotten-side-of">here</a><span>.</span></em></p>]]></content:encoded></item><item><title><![CDATA[Stopping the War Against Sleep]]></title><description><![CDATA[Since few recognize the critical value of sleep, a safe cure was buried, the pills that replaced it make sleep worse, and Congress is on the precipice of locking in dark mornings nationwide.]]></description><link>https://www.midwesterndoctor.com/p/stopping-the-war-against-sleep</link><guid isPermaLink="false">https://www.midwesterndoctor.com/p/stopping-the-war-against-sleep</guid><dc:creator><![CDATA[A Midwestern Doctor]]></dc:creator><pubDate>Sun, 09 Aug 2026 20:20:30 GMT</pubDate><enclosure url="https://substack-post-media.s3.amazonaws.com/public/images/fbbea6a1-23c3-4d3a-af61-0f96fe1f3880_1040x545.webp" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p><strong>Story at a Glance:</strong></p><p><strong>&#8226;Proper sleep is one of the most important things for our health, and when it is disrupted, many severe issues consistently emerge (e.g., heart attacks, psychiatric illnesses, car accidents, fatigue, diabetes, cognitive impairment, or dementia).</strong></p><p><strong>&#8226;Due to the importance of sleep and healthy sleep cycles not being understood, many counterproductive policies exist (e.g., sleep is essential for learning, yet educational programs like medical training sleep-deprive students, and schools wake adolescents up too early).</strong></p><p><strong>&#8226;One of these, daylight saving time, has been particularly problematic, so decades of attempts have been made to fix it. A law is currently advancing through Congress to do so, but it is mislabeled and will actually make things much worse&#8212;unless the public is awakened to what is actually in the bill.</strong></p><p><strong>&#8226;A similar issue exists with sleeping pills, which are labeled to &#8220;fix sleep&#8221; but in reality function as sleep-blocking sedatives that create a host of issues, making them among the most dangerous drugs on the market. Many people hence do not know that in 1964, a sleeping medication hit the market that was remarkably effective for a variety of conditions (including insomnia) and hence, unlike sleeping pills, profoundly improved the health of its recipients.</strong></p><p><strong>&#8226;Because it threatened so many different drug markets, once it reached America in 1990, the FDA, in collusion with the media, launched a ten-year takedown of it, which in many regards was almost identical to what they did to ivermectin. It was successful, and very few people are even aware that this drug exists or that many of the sleeping disorders we face are easily treatable.</strong></p><p><strong>&#8226;In this article, we will review the data that illustrates the harms of poor sleep, the common causes of poor sleep, and the most effective treatments we have found for sleeping disorders that are still available to the public.</strong></p><p>One of the key themes I&#8217;ve tried to illustrate throughout this publication is that chronic illness has vastly increased over the last 150 years. Furthermore, again and again, doctors of each generation who observed each successive wave of that increase noticed that the treatments they learned at the start of their careers were much less effective for treating the patients they saw at the conclusion of their careers.</p><p>For example, <a href="https://www.midwesterndoctor.com/p/what-is-the-source-of-the-modern">here recent article</a>, I discussed this collective loss of vitality in more detail, and listed what I believed were the primary culprits (which has been quite a challenge as there are now so many unhealthy things in our environment). In addition to listing the key culprits many are familiar with (e.g., <a href="https://www.midwesterndoctor.com/p/how-much-damage-has-mass-vaccination">the vaccination program has had a horrific impact on our health</a>), I proposed another primary cause of chronic illness was modern life being highly disruptive to the natural rhythms the body depends upon for self-regulation and self-repair.</p><p>I believe this concept is relatively under appreciated within Modern Medicine (Allopathy) because, unlike almost any other medical system in history, our scientific approach to understanding the body does not recognize the concept of an innate &#8220;health&#8221; of the body, and as such, many Allopathic treatments are based around doing what they can to stabilize (e.g., in the ICU) or alter the body (e.g., through a surgery) and then hoping the body eventually works things out from there. In contrast, most other medical systems focus on what can be done to augment this innate capacity for recovery (health) and trust that through doing so, the present issue will resolve itself.</p><p><em>Note: typically the Allopathic approach (forcing the body to assume the state deemed necessary for the patient) is ideal to utilize for acute conditions, whereas the health-augmenting approach is what gets the best results for chronic conditions (something Allopathic medicine is well-known for struggling with).</em></p><p>At this point, I believe there are three reasons why we utilize the Allopathic model (discussed further <a href="https://www.midwesterndoctor.com/p/steroid-dangers-and-safe-autoimmune">here</a>) rather than the health-focused model:<br><br>&#8226;The Allopathic model lends itself to creating a large number of perpetual treatments and diagnostic services for each person. Because this is so lucrative, it inevitably incentivizes its proponents to monopolize the entire medical market and healthcare practitioners to prioritize creating and utilizing its therapies.<br><br>&#8226;One of the fundamental psychological neuroses that exists in our culture is the need to control things and believe one knows exactly what&#8217;s happening. Because of this, our culture tends to default towards adopting methods and models <a href="https://www.midwesterndoctor.com/p/natural-and-unnatural-political-systems">that dominate nature rather than working in harmony with it</a> and refusing to accept the inherent uncertainty that trusting in the path nature takes entails. Trusting in the health of the body to cure illness hence is opposed to <a href="https://www.midwesterndoctor.com/p/steroid-dangers-and-safe-autoimmune">the cultural philosophy Allopathy emerged from</a>.</p><p>&#8226;Knowing if a therapy actually &#8220;works&#8221; is quite challenging, especially if the change can only be observed over a long time. Because of this, most medical research is based on whether an overt change can be consistently observed within a patient (e.g., lowering their blood pressure) and hoping that change will yield a long-term benefit rather than evaluating the long-term prognosis of people who receive a medical intervention. Because of this, medical research is strongly biased towards evaluating treatments that create an overt change (e.g., pharmaceutical drugs) rather than ones that augment the body&#8217;s health and lead toward a gradual recovery. Likewise, it is much easier to diagnose someone by their symptoms (and prescribe drugs to treat those symptoms) than it is to identify the root cause of their disease.</p><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://www.midwesterndoctor.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">The Forgotten Side of Medicine is a reader-supported publication. To receive new posts and support my work, please consider becoming a free or paid subscriber. To see how others have benefitted from this publication and its community click <a href="https://www.midwesterndoctor.com/p/reader-feedback">here</a>!</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div><h1>Self Regulating Cycles</h1><p>The &#8220;health&#8221; of the body is highly dependent on the normal functioning of a variety of repeating cycles that occur within it.&nbsp;</p><p>For example:</p><p>&#8226;Practicing slow, smooth, and expansive nasal breathing has a profound impact on one's health and longevity because breathing regulates many different critical physiologic functions.</p><p>&#8226; Normal exposure to sunlight serves a variety of critical functions for health, and once it is lost, one&#8217;s risk of dying doubles, and a variety of other conditions, such as depression set in (discussed further <a href="https://www.midwesterndoctor.com/p/dermatologys-disastrous-war-against-f81">here</a>).<br><br>&#8226;Beyond its many direct effects, light is also the master signal that sets the body's internal clock. The brain's central clock (the suprachiasmatic nucleus) reads the timing of light and dark through the eyes to decide when to release melatonin, when to raise cortisol, and when to run body temperature up or down. Crucially, morning light shifts this clock earlier and anchors it to the solar day, while light pushed into the evening shifts it later and pulls it out of sync. This is why when we get our light, not merely how much, turns out to matter enormously&#8212;which is why many biohackers and integrative physicians find restoring healthy light exposures throughout the day is one of the most important steps individuals can take to restore health (e.g., for metabolic health, insomnia or addressing psychiatric disorders&#8212;all of which is detailed <a href="https://www.midwesterndoctor.com/p/why-light-is-an-essential-nutrient">here</a>).<br><br>&#8226;People need regular physical activity, whereas once they become sedentary, a variety of significant health issues arise. In turn, we have all noticed individuals who make a point to walk daily have dramatically improved longevity.</p><p>&#8226;The mind is designed to alternate between periods of rest and activity. Yet, in our modern era, we have to think constantly, which often occurs in conjunction with significant stressors.</p><p>&#8226;Humans are meant to alternate between periods of eating and not eating (fasting) rather than continually eating (although the length of the ideal fasting period varies depending upon individual metabolism).</p><p>In short, many of the natural rhythms our bodies rely upon for self-regulation are heavily disrupted in modern society, which in turn results in a variety of consistent derangements to normal physiology that are now seen throughout the population.<br><em><br>Note: based on how much we frequently see people&#8217;s health improve once they restore their natural rhythms, I now believe their disruption is a primary cause of the widespread health dysfunction we see now.</em></p><h1>The Importance of Sleep</h1><p>Throughout my career, I&#8217;ve met countless integrative practitioners who believed that one of the most important things to do when treating a chronic illness is to normalize their patient&#8217;s sleep, as this cyclical process is one of the foundational methods the body uses to restore its health. Unfortunately, patients with chronic illnesses tend to have highly disrupted sleep cycles which are often very challenging to correct (e.g., insomnia is fairly common following a COVID-19 vaccine injury).</p><p>The important thing to understand about sleep is that it is a tightly regulated cycle which is both highly responsive to signals from the environment and also responsible for maintaining many of the other critical rhythms within the body.&nbsp;</p><p>During sleep, the body cycles through different phases of sleep, each of which performs a critical function (e.g., deep NREM sleep heals the brain and allows toxins to drain out of it through the glymphatics, while REM sleep consolidates memories and allows one to process the emotions of their experiences). A typical sleep cycle goes as follows:</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!X_VX!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F5d33f927-5a4c-4a40-99ab-81315a4ef92b_2260x796.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!X_VX!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F5d33f927-5a4c-4a40-99ab-81315a4ef92b_2260x796.png 424w, https://substackcdn.com/image/fetch/$s_!X_VX!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F5d33f927-5a4c-4a40-99ab-81315a4ef92b_2260x796.png 848w, https://substackcdn.com/image/fetch/$s_!X_VX!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F5d33f927-5a4c-4a40-99ab-81315a4ef92b_2260x796.png 1272w, https://substackcdn.com/image/fetch/$s_!X_VX!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F5d33f927-5a4c-4a40-99ab-81315a4ef92b_2260x796.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!X_VX!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F5d33f927-5a4c-4a40-99ab-81315a4ef92b_2260x796.png" width="1456" height="513" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/5d33f927-5a4c-4a40-99ab-81315a4ef92b_2260x796.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:513,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:536219,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!X_VX!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F5d33f927-5a4c-4a40-99ab-81315a4ef92b_2260x796.png 424w, https://substackcdn.com/image/fetch/$s_!X_VX!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F5d33f927-5a4c-4a40-99ab-81315a4ef92b_2260x796.png 848w, https://substackcdn.com/image/fetch/$s_!X_VX!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F5d33f927-5a4c-4a40-99ab-81315a4ef92b_2260x796.png 1272w, https://substackcdn.com/image/fetch/$s_!X_VX!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F5d33f927-5a4c-4a40-99ab-81315a4ef92b_2260x796.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p><em>Note: since REM sleep predominates later at night, not sleeping long enough disproportionately disrupts REM sleep.</em></p><p>Matthew Walker is one of the world&#8217;s most vocal sleep researchers. In his book <a href="https://www.amazon.com/Why-We-Sleep-Unlocking-Dreams/dp/1501144316">Why We Sleep</a>, he argues that some of the most important functions of sleep include:</p><ul><li><p>Maintaining circulatory health and preventing heart attacks.</p></li><li><p>Ensuring proper metabolic health (e.g., sleep deprivation causes hunger, diabetes, and weight gain).</p></li><li><p>Ensuring proper immune function (e.g., you are more likely to get the flu if you are sleep deprived).</p></li><li><p>Preventing cancer.</p></li><li><p>Preventing fatigue and brain fog (which are typically the most overt symptoms we notice from sleep deprivation).</p></li><li><p>Remaining awake and alert.</p></li><li><p>Healing and restoring the brain (e.g., Alzheimer&#8217;s disease is strongly linked to poor sleep).</p></li><li><p>Regulating hormonal function and maintaining fertility (e.g., <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4445839/">sleep deprivation lowers testosterone levels</a>).</p></li><li><p>Processing emotional trauma (e.g., <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5068571">sleep is typically disrupted in PTSD</a>, and PTSD often significantly improves <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6143346/">once a drug is given which prevents PTSD from disrupting sleep</a>).</p></li><li><p>Integrating one&#8217;s sense of reality and accurately interpreting emotional signals from one&#8217;s environment.</p></li><li><p>Sleep allows the rational mind (the prefrontal cortex) to control counterproductive impulses (e.g., emotional outbursts, or binge eating).</p></li><li><p>Maintaining one&#8217;s mental health (e.g., it&#8217;s well known that a variety of psychiatric conditions, such as bipolar episodes are triggered by periods of sleep deprivation).</p></li><li><p>Maintaining one&#8217;s sense of reality (e.g., <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6048360/">prolonged sleep deprivation</a> can trigger psychosis, and <a href="https://ajp.psychiatryonline.org/doi/10.1176/appi.ajp.2020.20070968">sleep is known to be disturbed in schizophrenic patients</a>).</p></li><li><p>Facilitating creativity (e.g., many paradigm-shifting discoveries came from dreams, Thomas Edison was well-known <a href="https://www.scientificamerican.com/article/thomas-edisons-naps-inspire-a-way-to-spark-your-own-creativity/">for using dreams to concoct his inventions</a>, and when people are woken up from REM sleep, <a href="https://pubmed.ncbi.nlm.nih.gov/12421655/">they often demonstrate a radically improved abstract problem solving capacity</a>).</p></li><li><p>Reducing one&#8217;s sensitivity to pain (<a href="https://www.jneurosci.org/content/39/12/2291">whereas sleep deprivation increases it</a>).</p></li><li><p>Facilitating the long-term retention of memories.</p></li></ul><p>I generally agree with this list (and will cite more studies supporting it later in the article). Likewise, I am sure many of you know firsthand how bad you feel when you are sleep deprived.  Here are some of my personal experiences with sleep:</p><p>&#8226;I am fairly sensitive to the baselines within my body and I immediately notice that things within me go awry if I&#8217;ve had insufficient sleep. For example, I notice impairments in a variety of neurologic functions (e.g., I become significantly less able to tolerate the cold, my coordination worsens, and it&#8217;s much harder for me to maintain my focus in either an intellectual or social task).</p><p>&#8226;During periods of significant sleep deprivation, I will notice I have fleeting pain within the heart muscle and periodic arrhythmias. <a href="https://www.ahajournals.org/doi/full/10.1161/01.HYP.27.6.1318">This is corroborated by a study</a> that found one night of modest sleep reduction (as little as one or two hours) quickly increased one&#8217;s heart rate and blood pressure.</p><p>&#8226;During periods of insufficient sleep, I experience general mental fogginess that persists until I get a good night's sleep (and sometimes two).<br><br>&#8226;I have repeatedly observed that one&#8217;s recovery from a traumatic brain injury is highly dependent upon whether they get significant sleep after the incident, something I in part attribute to improved venous and lymphatic drainage (e.g., most <a href="https://www.midwesterndoctor.com/p/what-moves-water-inside-the-body">glymphatic drainage</a> occurs during NREM sleep and when you are lying down, there is much greater venous drainage than while standing). Likewise, <a href="https://openresearch.surrey.ac.uk/esploro/outputs/99515151702346">research shows</a> that a significant part of the gradual recovery from strokes occurs while sleeping.<br><br>&#8226;Before high school, I accidentally figured out <a href="https://www.midwesterndoctor.com/p/the-art-of-memorization">how to use sleep to facilitate the long-term retention of information</a>. This &#8220;lifehack&#8221; allowed me to memorize large volumes of information in very little time, and was the main reason I was able to get through the academic system while simultaneously teaching myself a separate curriculum (e.g., I spent more time studying things I was not assigned to learn during medical school than the material I was expected to learn). I mention this because the rules I discovered through experimenting with my &#8220;lifehack&#8221; matched what Walker&#8217;s own data demonstrated (although some of them also went beyond the scope of what Walker looked at).</p><p><em>Note: NREM sleep is responsible for eliminating unnecessary memories, whereas REM sleep processes the day's experiences and reinforces them into long-term memory.</em></p><p>&#8226;I tend to gain weight during periods of poor sleep.</p><p>Finally, Walker cites many examples of severe consequences occurring after prolonged periods of significant sleep deprivation (e.g., death or psychosis). I have also seen similar things occur. For instance, periodically I will have a patient who comes to me after engaging in an unsafe spiritual practice which involved staying awake for multiple days, after which they developed a permanent psychiatric or spiritual disorder (discussed further <a href="https://www.midwesterndoctor.com/p/cults-meditation-drugs-and-psychosis">here</a>).</p><h1>Quantifying the Importance of Sleep</h1><blockquote><p><strong>Any individual, no matter what age, will exhibit physical ailments, mental health instability, reduced alertness, and impaired memory if their sleep is chronically disrupted.</strong></p></blockquote><blockquote><p>Even when controlling for factors such as body mass index, gender, race, history of smoking, frequency of exercise, and medications, the lower an older individual&#8217;s sleep efficiency score, the higher their mortality risk, the worse their physical health, the more likely they are to suffer from depression, the less energy they report, and the lower their cognitive function, typified by forgetfulness. </p></blockquote><p>Furthermore, it is not only how long you sleep that matters, but how regularly. <a href="https://academic.oup.com/sleep/article/47/1/zsad253/7280269">A 2024 UK Biobank study</a> calculated sleep-regularity scores from over 10 million hours of accelerometer data in nearly 61,000 people and found that the most regular sleepers had a 20-48% lower risk of death from any cause, 16-39% lower cancer mortality, and 22-57% lower cardiometabolic mortality than the most irregular, and that sleep regularity predicted mortality better than sleep duration did.</p><h3><strong>Immunity</strong></h3><p>During periods of sleep deprivation, immune system function significantly decreases. Some of the consequences of this include:</p><p><strong>Cancer</strong>&#8212;Numerous studies have found an association between sleep deprivation and cancer (while conversely, others have not&#8212;which I believe is due to the difficulty of properly studying this topic). Data supporting the link includes:</p><p>&#8226;<a href="https://publications.iarc.fr/Book-And-Report-Series/Iarc-Monographs-On-The-Identification-Of-Carcinogenic-Hazards-To-Humans/Painting-Firefighting-And-Shiftwork-2010">In 2010, using all the available evidence</a>, the WHO classified shift work (one of the most reliable ways to heavily disrupt natural sleep cycles and something many workers in the healthcare field experience) as a probable human carcinogen. This link is also supported by <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10416670/">a 2023 review paper</a>.</p><p>&#8226;<a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7953221/">An English study</a> of 10,036 people over 50 found that poor sleep resulted in a 33-62% increased risk of cancer.<br><br>&#8226;<a href="https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0030972">A study of 23,620 Europeans</a> found that those who slept for less than 6 hours per day were 43-46% more likely to develop cancer.<br><br>&#8226;<a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4247537/">When mice were intentionally sleep deprived</a>, they experienced their speed and size of cancer growth roughly doubled, relative to the well-rested group.<br><br>&#8226;When healthy young men slept for four hours, compared to nights where they slept eight hours, <a href="https://pubmed.ncbi.nlm.nih.gov/7871104/">there was a 72% decrease in their circulating natural killer cells</a> (which are responsible for eliminating cancers).<br><br>&#8226;<a href="https://www.medicalnewstoday.com/articles/249842">Two different studies</a> found sleep apnea (which disrupts healthy sleep) caused a large increase in one&#8217;s risk of dying from cancer.</p><p>&#8226;<a href="https://www.center4research.org/trouble-sleeping-pills-not-safe-solution/">Existing data shows that sleeping pills</a> (which disrupt normal sleep) are associated with a large increase in one&#8217;s risk of cancer.</p><p><em>Note: the increased cancer risk from poor sleep may also be due to disturbances in the body&#8217;s normal release of melatonin or insufficient tissue oxygenation.</em></p><p><strong>Infections</strong>&#8212;individuals who are sick are more likely to develop infections (e.g., most times I get sick are after periods of prolonged poor sleep). Some of the evidence to substantiate this common observation includes:</p><p>&#8226;Rats that are not allowed to sleep deteriorate <a href="https://watermark.silverchair.com/120103.pdf">and eventually die</a>. When death occurs, <a href="https://watermark.silverchair.com/sleep-19-7-554.pdf">it is typically due to sepsis from their gut bacteria</a>.<br><em>Note: humans also can develop blood infections from their gut bacteria, but it typically requires circumstances that predispose them to it (e.g., <a href="https://www.amazon.com/Marinos-ICU-Book-Updates-Marino/dp/1451121180">on a central venous catheter</a> as that provides a site bacteria in the blood stream can adhere to, or following a bowel rupture).</em></p><p>&#8226;<a href="https://pubmed.ncbi.nlm.nih.gov/19139325/">A study</a> determined how much sleep research subjects had had in the last week and then exposed them to the common cold virus (by squirting it in their nose). It found those who had averaged less than 7 hours of sleep were 2.94 times more likely to develop a cold than those who had more than 8 hours. It also found those with poor sleep efficiency (how much of the time bed you are asleep) were 5.50 times more likely to develop a cold than those with good sleep efficiency.</p><p><a href="https://pubmed.ncbi.nlm.nih.gov/22215923/">A study</a> of 56,953 nurses found women who slept 5 hours or less were 1.7 times as likely to develop pneumonia over a 4-year period compared to those who slept 8 hours a night.<br><br>&#8226;<a href="https://jamanetwork.com/journals/jama/article-abstract/1032061">A 2002 study</a> compared 14 healthy young men who slept for 7.5-8.5 hours a day to 11 others who restricted their sleep to 4 hours a night for 6 days, after which all 25 received a flu shot. The sleep-deprived group was observed to produce less than half the vaccine antibodies seen in the control group, and this loss continued after normal sleep had been restored </p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!1r7w!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F5ba247e1-86d2-4608-a87a-64ff757f9952_1968x612.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!1r7w!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F5ba247e1-86d2-4608-a87a-64ff757f9952_1968x612.png 424w, https://substackcdn.com/image/fetch/$s_!1r7w!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F5ba247e1-86d2-4608-a87a-64ff757f9952_1968x612.png 848w, https://substackcdn.com/image/fetch/$s_!1r7w!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F5ba247e1-86d2-4608-a87a-64ff757f9952_1968x612.png 1272w, https://substackcdn.com/image/fetch/$s_!1r7w!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F5ba247e1-86d2-4608-a87a-64ff757f9952_1968x612.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!1r7w!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F5ba247e1-86d2-4608-a87a-64ff757f9952_1968x612.png" width="1456" height="453" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/5ba247e1-86d2-4608-a87a-64ff757f9952_1968x612.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:453,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:121827,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!1r7w!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F5ba247e1-86d2-4608-a87a-64ff757f9952_1968x612.png 424w, https://substackcdn.com/image/fetch/$s_!1r7w!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F5ba247e1-86d2-4608-a87a-64ff757f9952_1968x612.png 848w, https://substackcdn.com/image/fetch/$s_!1r7w!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F5ba247e1-86d2-4608-a87a-64ff757f9952_1968x612.png 1272w, https://substackcdn.com/image/fetch/$s_!1r7w!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F5ba247e1-86d2-4608-a87a-64ff757f9952_1968x612.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p><em>Note: this association <a href="https://www.cell.com/current-biology/fulltext/S0960-9822(23)00156-2">has also been seen</a> with other influenza vaccines along with hepatitis A and B vaccines.</em></p><p>&#8226;When patients take sleeping medications that interfere with the sleep cycle, they have a significantly increased rate of infections (e.g., <a href="https://thorax.bmj.com/content/68/2/163">one large study found</a> they increased one&#8217;s risk of pneumonia by 54% and one&#8217;s risk of dying from pneumonia by 32%).</p><h3><strong>Car Accidents</strong></h3><p>When people are sleep-deprived they have <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6143346/">significant impairments in their attention</a> (which a third of the population is particularly vulnerable to), their reflexes decrease, and they intermittently completely lose their awareness of the environment (e.g., because the brain engages in micro-sleeps). In areas of life where a split second can make all the difference, <a href="https://www.ncbi.nlm.nih.gov/books/NBK384963/">this can be highly consequential</a>. For instance, when the rates of road accidents are looked at, &#8220;drowsy driving&#8221; has been found to be as dangerous as drunk driving.</p><p>For example, <a href="https://aaafoundation.org/wp-content/uploads/2017/12/AcuteSleepDeprivationCrashRisk.pdf">consider this study</a>:</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!ldAB!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F67e70629-b159-4e7d-8e5a-5a0d2e5ae242_1328x804.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!ldAB!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F67e70629-b159-4e7d-8e5a-5a0d2e5ae242_1328x804.png 424w, https://substackcdn.com/image/fetch/$s_!ldAB!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F67e70629-b159-4e7d-8e5a-5a0d2e5ae242_1328x804.png 848w, https://substackcdn.com/image/fetch/$s_!ldAB!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F67e70629-b159-4e7d-8e5a-5a0d2e5ae242_1328x804.png 1272w, https://substackcdn.com/image/fetch/$s_!ldAB!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F67e70629-b159-4e7d-8e5a-5a0d2e5ae242_1328x804.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!ldAB!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F67e70629-b159-4e7d-8e5a-5a0d2e5ae242_1328x804.png" width="1328" height="804" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/67e70629-b159-4e7d-8e5a-5a0d2e5ae242_1328x804.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:804,&quot;width&quot;:1328,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:100274,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!ldAB!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F67e70629-b159-4e7d-8e5a-5a0d2e5ae242_1328x804.png 424w, https://substackcdn.com/image/fetch/$s_!ldAB!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F67e70629-b159-4e7d-8e5a-5a0d2e5ae242_1328x804.png 848w, https://substackcdn.com/image/fetch/$s_!ldAB!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F67e70629-b159-4e7d-8e5a-5a0d2e5ae242_1328x804.png 1272w, https://substackcdn.com/image/fetch/$s_!ldAB!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F67e70629-b159-4e7d-8e5a-5a0d2e5ae242_1328x804.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p><em>Note: <a href="https://www.nhtsa.gov/risky-driving/drunk-driving">for comparison</a>, those with a blood alcohol content of 0.08 are 4X more likely to crash, whereas those with a BAC of 0.15 are at least 12X more likely to crash.</em></p><p>As teenagers have the greatest need for morning sleep (puberty <em>delays</em> their circadian rhythm, so they naturally become sleepy later at night and need to wake later in the morning), forcing them to school before dawn makes them chronically sleep-deprived. As such:</p><p>&#8226;<a href="https://academic.oup.com/sleep/article/47/11/zsae171/7724037">A 2024 prospective study</a> found delaying school start by one hour was associated with longer sleep, fewer insomnia symptoms, and improvements in depression, anxiety, stress, and life satisfaction seven months later.</p><p>&#8226;When a county in Kentucky made schools start an hour later, it resulted in <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2603528">a 16.5% reduction in car accidents</a> with teen drivers (whereas during that period accidents increased by 7.8% in the rest of the state).</p><p>&#8226;When a Minnesota school district moved their schools&#8217; start time from 7:30 to 8:00 a.m., depending on the district, <a href="https://www.cbsd.org/cms/lib/PA01916442/Centricity/Domain/338/Impact%20of%20Later%20Start%20Time%20Final%20Report.pdf">there was a 6-70% reduction</a> in traffic accidents in drivers 16-18 years of age (which averaged out to a 13% reduction).</p><p>&#8226;When a Wyoming school district moved their start time from 7:35 to 8:55 a.m., <a href="https://www.cbsd.org/cms/lib/PA01916442/Centricity/Domain/338/Impact%20of%20Later%20Start%20Time%20Final%20Report.pdf">there was a 70% reduction in teen driver car accidents</a>.</p><p>Similarly, the loss of focus and coordination created by sleep deprivation <a href="https://journals.lww.com/pedorthopaedics/fulltext/2014/03000/chronic_lack_of_sleep_is_associated_with_increased.1.aspx">also often leads to sports injuries</a>.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!ZEL4!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F951832ab-8ddd-4b03-afe3-8fbf8f41930f_2010x1934.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!ZEL4!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F951832ab-8ddd-4b03-afe3-8fbf8f41930f_2010x1934.png 424w, https://substackcdn.com/image/fetch/$s_!ZEL4!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F951832ab-8ddd-4b03-afe3-8fbf8f41930f_2010x1934.png 848w, https://substackcdn.com/image/fetch/$s_!ZEL4!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F951832ab-8ddd-4b03-afe3-8fbf8f41930f_2010x1934.png 1272w, https://substackcdn.com/image/fetch/$s_!ZEL4!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F951832ab-8ddd-4b03-afe3-8fbf8f41930f_2010x1934.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!ZEL4!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F951832ab-8ddd-4b03-afe3-8fbf8f41930f_2010x1934.png" width="1456" height="1401" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/951832ab-8ddd-4b03-afe3-8fbf8f41930f_2010x1934.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:1401,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:963677,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!ZEL4!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F951832ab-8ddd-4b03-afe3-8fbf8f41930f_2010x1934.png 424w, https://substackcdn.com/image/fetch/$s_!ZEL4!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F951832ab-8ddd-4b03-afe3-8fbf8f41930f_2010x1934.png 848w, https://substackcdn.com/image/fetch/$s_!ZEL4!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F951832ab-8ddd-4b03-afe3-8fbf8f41930f_2010x1934.png 1272w, https://substackcdn.com/image/fetch/$s_!ZEL4!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F951832ab-8ddd-4b03-afe3-8fbf8f41930f_2010x1934.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><h3>Heart Disease</h3><p>There is a strong link between heart disease and sleep deprivation. For example:</p><p>&#8226;When the clock shifts forward during daylight saving time (forcing people to wake an hour earlier), <a href="https://pubmed.ncbi.nlm.nih.gov/25332784/">a 24% increase in heart attacks was observed the following Monday in one Michigan study</a>, while the fall shift back produced <a href="https://pubmed.ncbi.nlm.nih.gov/25332784/">a 21% decrease</a>. Additionally <a href="https://pubmed.ncbi.nlm.nih.gov/38888468/">a recent 2024 meta-analysis</a> across ten countries found shifting the clock forward in spring did increase heart attacks (though to a smaller degree, and the size of the increase varied across studies).<br><em>Note: the spring shift <a href="https://www.cell.com/current-biology/fulltext/S0960-9822(19)31678-1#relatedArticles">has also been observed</a> to increase car accidents by 6%.<br><br>&#8226;</em>This vulnerability to mistimed sleep also is not limited to the clock changes. "Social jet lag," the gap between your body clock on workdays versus free days, behaves like chronic, self-inflicted time-zone travel. <a href="https://onlinelibrary.wiley.com/doi/full/10.1111/joim.70133">A 2026 analysis</a> of over 51,000 UK Biobank participants found those with two or more hours of social jet lag had a 30% higher risk of cardiovascular disease, an effect that persisted even in people getting a normal number of hours of sleep.<em><br><br></em>&#8226;<a href="https://pubmed.ncbi.nlm.nih.gov/17296887/">A Harvard Study of 23,000 Greeks</a> discovered that once they abandoned their afternoon naps (siestas), over a six year period, they had a 37% increased risk of dying from heart disease. In working men, this risk increased to 60%.</p><p>&#8226;<a href="https://academic.oup.com/eurheartj/article/32/12/1484/502022">A 2011 study</a> of 474,684 people across the globe found that shortened sleep was associated with a 48% increased risk of developing or dying from heart disease over 7-25 years.<br><em>Note: this study also found excessive sleeping increased one&#8217;s risk for heart disease.</em></p><p>&#8226;<a href="https://www.sjweh.fi/show_abstract.php?abstract_id=3168">A Japanese study</a> of 2,282 male workers found that those who slept less than 6 hours a night were 4-5 times more likely to have a coronary event (e.g., a heart attack or prolonged chest pain requiring catheterization or surgery) attack than those who slept between 7-7.9 hours each night.<br><em>Note: another study found adults over 45 who sleep less than six hours a night are 200% more likely to have a stroke or heart attack compared to those who only sleep 7-8 hours a night.</em></p><p>&#8226;<a href="https://www.ahajournals.org/doi/10.1161/JAHA.119.013043">A 2019 study</a> found those with high blood pressure or diabetes who slept less than six hours had twice the risk of dying from heart disease or stroke compared to people who slept six or more hours.</p><p>&#8226;Sleep deprivation <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2661105/">damages the lining of the blood vessels</a> and shuts off the release of growth hormone (<a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7226428/">which is critical for the health of that lining</a>). This is important, since heart disease <a href="https://www.midwesterndoctor.com/p/what-causes-alzheimers-disease">is largely due to damage in that lining</a>.</p><p>&#8226;Insufficient sleep <a href="https://journals.lww.com/psychosomaticmedicine/abstract/2023/01000/sleep_loss_influences_the_interconnected.6.aspx">impairs the brain&#8217;s control of blood vessel function</a>, hence raising blood pressure.</p><p>&#8226;<a href="https://journals.plos.org/plosbiology/article?id=10.1371/journal.pbio.3000726">Sleep loss increases</a> the levels of the white blood cells, which causes inflammation within the blood vessels.<br><em>Note: many of the studies demonstrating the link between sleep deprivation and damage to the blood vessels can be found in the references <a href="https://journals.plos.org/plosbiology/article?id=10.1371/journal.pbio.3000726">for this article</a>.</em></p><p>&#8226;<a href="https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0030972">A study of 23,620 Europeans</a> found that those who slept for less than 6 hours per day were 41% more likely to experience strokes and 44-78% more likely to experience heart attacks.<br><em>Note: When I am sleep-deprived, my heart often doesn&#8217;t feel right (e.g., the heart muscle hurts or the beat is more irregular), and I hence find myself needing to do some type of meditative practice to compensate for this.</em> </p><h3>Diabetes and Obesity:</h3><p>Diabetes is defined by too much sugar being in the bloodstream (e.g., because cells no longer respond to insulin telling them to absorb the sugar or because too much sugary food was eaten). In the case of insufficient sleep:</p><p>&#8226;Numerous studies (e.g., <a href="https://www.jahonline.org/article/S1054-139X(16)30871-0/abstract">this one</a> and <a href="https://www.annualreviews.org/content/journals/10.1146/annurev-clinpsy-032813-153716">this one</a>) have found insufficient sleep increases the desire for sugary foods, and increases the tendency to overeat them, <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4444051/">along with increasing the hormones that cause hunger</a>.</p><p>&#8226;Numerous studies (e.g., <a href="https://www.cell.com/cell-reports-medicine/pdf/S2666-3791(23)00219-7.pdf">this one</a> and <a href="https://pubmed.ncbi.nlm.nih.gov/34845532/">this one</a>) have found that poor sleep elevates blood glucose levels and decreases insulin sensitivity.</p><p>&#8226;<a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6779243/">There is a direct relationship</a> between the health of one&#8217;s gut microbiome and the health of one's sleep.<br><br>&#8226;<a href="https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0030972">A study of 23,620 Europeans</a> found that those who slept for less than 6 hours per day were 6-41% more likely to be diabetic.<br><em>Note: each time I&#8217;ve cited this study, I&#8217;ve given a range for the percent increase. This is because after the initial (highest) value, they adjusted it for potential cofounders which weakened the association.</em></p><p>&#8226;<a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2398753/">A meta-analysis</a> found insufficient sleep made children 89% more likely to be obese and adults 59% more likely to be obese.</p><p><em>Note: many of the conditions sleep deprivation worsens are considered to be interrelated (e.g., diabetes greatly increases one&#8217;s risk for heart disease, and both heart disease and diabetes greatly increase one&#8217;s risk for Alzheimer&#8217;s disease). Because of this, the effects of poor sleep are often much greater than initially appreciated.</em></p><p>Lastly, I want to note that since I published the original version of this article, many of these positions are no longer a 'fringe view' within mainstream science. Corroborating this, <a href="https://www.ahajournals.org/doi/10.1161/CIR.0000000000001388">in October 2025</a>, the American Heart Association issued a formal scientific statement concluding that circadian disruption has substantial effects on cardiometabolic health, that the regularity of sleep timing is as important as its duration, and that people with robust circadian rhythms had a 62% lower prevalence of cardiovascular disease than those with fragmented rhythms.<br><em>Note: a major reason I have always believed sleep deprivation is bad for you is because on days when I am forced to do so, I frequently noticed that in the morning when I wake up, my &#8220;heart hurts&#8221; in a manner that makes me concerned I may be increasing my risk for a cardiac episode down the road.</em></p><h3><strong>A Law That Does the Opposite of What People Think</strong></h3><p>Clock shifts have two major problems. They reduce the critical sleep people get by forcing them to wake an hour early, they jolt the body into a new circadian rhythm, and (as I showed in the previous section), these shifts, beyond being miserable to endure, create significant health problems across the population.</p><p>Because of this, I&#8217;ve long envied the people who live in Arizona and Hawaii, as both states do not practice daylight saving (which Arizona does to reduce the amount of extreme summer heat AC use and Hawaii does because it has steady light year round) and always hoped something could be done to eliminate it for the rest of us.  </p><p>I was hence overjoyed to discover that Trump and Musk repeatedly spoke out about ending the clock changes, and more recently, that a law was advancing through Congress to do this. However, when I looked into the law, I found out that it was &#8220;controversial&#8221; and faced significant opposition from the medical community&#8212;leading to my immediate disappointment (but not surprise) they would take a position like this.  Since I try to not rush to judgement, I looked into why they held that position I disagreed with, and realized to my surprise I&#8217;d actually been tricked into supporting something that went against my own interests (a remarkably common occurrence in politics).</p><p>In July, the House passed the Sunshine Protection Act (<a href="https://www.congress.gov/bill/119th-congress/house-bill/139">H.R. 139</a>) by a vote of <a href="https://www.nbcnews.com/politics/congress/house-passes-bill-daylight-saving-time-permanent-sunshine-protection-rcna587531">308&#8211;117</a>, it now sits in the Senate, and Trump has urged its passage. The problem? While it has been branded as &#8220;ending the clock change&#8221; (which everyone supports) it does so not by ending daylight saving (which again everyone supports), but rather by making it permanent&#8212;forcing us to wake up an hour earlier than our bodies want to every single day, putting us permanently out of sync with the natural clock (the sun) our bodies depend upon to stay aligned and guaranteeing dark winter mornings that persist for months. For example, <a href="https://www.scientificamerican.com/article/permanent-daylight-savings-is-bad-for-americans-health-heres-what-science-says-could-be-better/">under this law</a>, in much of the country the winter sun wouldn&#8217;t rise until well after 8 a.m.; in some cities not until after 9, which, as one sleep physician noted, would mean <a href="https://www.scientificamerican.com/article/permanent-daylight-savings-is-bad-for-americans-health-heres-what-science-says-could-be-better/">children sitting in school for two hours before sunrise</a>.<br><em>Note: given how much generational damage was already done to America&#8217;s children with masking and remote learning, I feel now is really the time we want to be enacting policies that help their education rather than undermine it.</em> </p><p>As such, while I have major disagreements with many of the positions taken by major medical associations (e.g., vaccines), I am in complete agreement with the conclusion of the <a href="https://pubmed.ncbi.nlm.nih.gov/37904574/">American Academy of Sleep Medicine</a> (and <a href="https://www.ama-assn.org/press-center/press-releases/ama-calls-permanent-standard-time">American Medical Association</a>) that permanent standard time (0 daylight saving) is the healthiest choice, precisely because morning light anchors the circadian system while evening-shifted light disrupts it. Furthermore, it&#8217;s also worth highlighting that <a href="https://archive.ph/DkjNL#selection-1893.141-1893.169">in 1974</a> the U.S. adopted permanent daylight saving time, and it proved so unpopular (e.g., with dark 9 a.m. sunrises and widely reported deaths of children walking to school in the dark&#8212; including eight in Florida in the first weeks) that within a few months, public support rapidly plummeted from 79% to 42% and <a href="https://archive.ph/DkjNL#selection-1893.141-1893.169">Congress repealed the law within a year</a>.</p><p>Why then is the worse option the one advancing? <a href="https://energycommerce.house.gov/posts/chairman-guthrie-delivers-remarks-on-h-r-139-the-sunshine-protection-act">On the House floor</a>, the bill&#8217;s champions sold it as a boon to the evening economy &#8212; more daylight for people to &#8220;attend concerts and sporting events, attract customers to their retail businesses&#8221; &#8212; and the committee hearing that fed the bill was focused on the tourism industry (e.g., <a href="https://sports.yahoo.com/articles/house-passes-bill-daylight-saving-210048165.html">the golf industry</a> has openly celebrated it as a win). So once again, a policy that aligns with the businesses profiting (from after-work spending), is dressed up as relief from an annoyance, while every institution that depends on people functioning (in the morning<em>)</em> quietly absorbs the cost.<em><br>Note: since the tech industry is much larger than the hospitality industry, my hope is that they will recognize the impact on productivity this law will create (e.g., a <a href="https://pages.uoregon.edu/waddell/papers/DickinsonWaddell_DST-and-Productivity_JEBO_2024.pdf">major 2024 study</a> of hour-by-hour GitHub activity from over 174,000 programmers worldwide found that the spring clock change produced a sharp drop in output in the early-morning working hours &#8212; a decline that, hour-for-hour, persisted into the second week after the switch), and then outmuscle the smaller industries pushing for permanent daylight saving.</em></p><p>Fortunately, this bill is far from a done deal, which means our voices have a critical opportunity to be heard. In the Senate, the effort to stop it is being led by Tom Cotton of Arkansas, the chamber&#8217;s No. 3 Republican (and normally a close Trump ally), who <a href="https://www.cotton.senate.gov/news/speeches/floor-speech-on-opposing-the-sunshine-protection-act">has vowed to block the bill</a> and declared he will &#8220;always oppose&#8221; year-round daylight saving time. Furthermore, Senators from both parties in the Midwest and northern states (including Senate Majority Leader John Thune<strong>)</strong> <a href="https://www.notus.org/policy/daylight-saving-time-bills-senate-regional-fight">have voiced their opposition to it</a> as they are the most vulnerable to the winter sun rising later (e.g., <a href="https://www.pbs.org/newshour/show/what-to-know-about-the-latest-push-to-make-daylight-saving-time-permanent">87% of Americans</a> would see winter sunrises after 8:00 a.m., sending children to school and workers to their jobs in hours of darkness). </p><p><span>Fortunately, a competing measure, the Sunshine for Our Kids Act, would solve the actual problem by making standard time permanent. An amendment to replace the Sunshine Protection Act with that language was offered in the Rules Committee and defeated only on a party-line </span><a href="https://rules.house.gov/bill/119/hr-139"><span>4&#8211;6 vote</span></a><span>, while the procedural rule that blocked any such change on the House floor itself passed by the narrowest of margins </span><a href="https://rules.house.gov/bill/119/hr-139"><span>(215&#8211;211</span></a><span>)&#8212;again showing that things are close enough that your voice can still make a difference in tipping public policy toward health.</span><em><span><br>Note: options also exist to address this on a state level, but outside of my state, I have no idea on the legislative feasibility of this (so I favor the national option unless that becomes impossible and can only be achieved by so many states not practicing daylight saving it needs to become a national standard).</span></em></p><p>In short, I rarely ask readers to contact their representatives. But since this bill is still in the Senate and close, if you've reached the same conclusion I have (or wish to help people living in the Midwest), please consider contacting your senators (which you can do <a href="https://www.senate.gov/senators/senators-contact.htm">here</a>, ideally by phone tomorrow) and ask them to oppose permanent daylight saving and make standard time permanent instead. Likewise, if you have additional time, it will likely be prudent to contact your house representative so the correct bill can advance forward.</p><div class="captioned-button-wrap" data-attrs="{&quot;url&quot;:&quot;https://www.midwesterndoctor.com/p/stopping-the-war-against-sleep?utm_source=substack&utm_medium=email&utm_content=share&action=share&quot;,&quot;text&quot;:&quot;Share&quot;}" data-component-name="CaptionedButtonToDOM"><div class="preamble"><p class="cta-caption">Click below to share this article!</p></div><p class="button-wrapper" data-attrs="{&quot;url&quot;:&quot;https://www.midwesterndoctor.com/p/stopping-the-war-against-sleep?utm_source=substack&utm_medium=email&utm_content=share&action=share&quot;,&quot;text&quot;:&quot;Share&quot;}" data-component-name="ButtonCreateButton"><a class="button primary" href="https://www.midwesterndoctor.com/p/stopping-the-war-against-sleep?utm_source=substack&utm_medium=email&utm_content=share&action=share"><span>Share</span></a></p></div><h3>Learning:</h3><p>One of the most important functions of sleep is that it determines which memories from the previous day should be retained (the rest are &#8220;eliminated&#8221; during NREM sleep) and then integrates them into long-term memory during REM sleep (e.g., <a href="https://academic.oup.com/cercor/article/21/11/2534/275505">see this study</a> and <a href="https://www.nature.com/articles/nn.3303">this review article</a>). Furthermore, it also integrates tasks the body had difficulty with during the day. For example, consider this anecdote <a href="https://www.amazon.com/Why-We-Sleep-Unlocking-Dreams/dp/1501144316">which was shared with Walker</a>:</p><blockquote><p>As a pianist,&#8221; he said, &#8220;I have an experience that seems far too frequent to be chance. I will be practicing a particular piece, even late into the evening, and I cannot seem to master it. Often, I make the same mistake at the same place in a particular movement. I go to bed frustrated. But when I wake up the next morning and sit back down at the piano, I can just play, perfectly.&#8221;</p></blockquote><p>Walker has focused on this area and conducted a large volume of research (which can be found <a href="https://www.humansleepscience.com/p-u-b-l-i-c-a-t-i-o-n-s">here</a>) that demonstrates sleep is essential for all aspects of learning. For example:</p><p>&#8226;Numerous studies (e.g., <a href="https://www.sciencedirect.com/science/article/abs/pii/S0028393210004513">this one</a>,&nbsp; <a href="https://www.frontiersin.org/articles/10.3389/fnhum.2014.00910/full">this one</a>) have demonstrated that sleep is responsible for developing fine motor skills (e.g., being able to quickly and smoothly perform a task that requires significant coordination) and that the integration is facilitated by NREM 2 sleep (especially what occurs in the last two hours of an eight-hour night of sleep).</p><p>&#8226;Numerous studies (e.g., <a href="https://www.nature.com/articles/s41467-019-11444-x">this one</a>) have demonstrated that sleep transfers short-term memory to long-term memory, while sleep deprivation has been repeatedly shown to impair retention.</p><p>&#8226;<a href="https://academic.oup.com/cercor/article/21/11/2534/275505">Sleep plays a key role in episodic memory</a> (one&#8217;s memory of events that happened that day) and <a href="https://www.cell.com/current-biology/fulltext/S0960-9822(13)00848-8">in memory consolidation</a>.<br><em>Note: <a href="https://journals.sagepub.com/doi/10.1177/0269881110372545">ecstasy</a> and <a href="https://link.springer.com/article/10.1007/s00213-004-2088-z">cocaine</a> usage are associated with poor sleep and impaired memory.</em></p><p>&#8226;<a href="https://www.cell.com/current-biology/fulltext/S0960-9822(11)00042-X">Prolonged wake time impairs learning</a>, while healthy sleep restores it.</p><p>&#8226;<a href="https://academic.oup.com/cercor/article/24/12/3301/277963">Impaired sleep has been shown</a> to account for the difficulty older adults often have retaining new memories.<br><br>It is thus unfortunate that the academic system (and particularly medical training) instead encourages periods of prolonged sleep deprivation.</p><h3><strong>Mental Health:</strong></h3><p>There is a longstanding association between psychiatric disorders and impaired sleep (e.g., as mentioned above, schizophrenia and psychosis are linked to poor sleep) that goes in both directions (psychiatric illness disrupts sleep, but disrupted sleep and unstable circadian timing also drive emotional dysregulation, and in more cases than I and many colleagues can count were the trigger for significant psychiatric episodes).<br><em>Note: reduced sleep can tip a bipolar patient into mania, and this is reliable enough that sleep deprivation <a href="https://pubmed.ncbi.nlm.nih.gov/1751874/">has been used experimentally to induce mania in bipolar patients</a>.</em></p><p> In turn, my more integrative psychiatrist colleagues consider optimizing sleep <strong>to be one of the most important things they can do for their patients</strong>. To illustrate:</p><p>&#8226;Sleep deprivation <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4276345/">increases emotional reactivity and impulsivity</a>, and <a href="https://www.annualreviews.org/content/journals/10.1146/annurev-clinpsy-032813-153716">engaging in risky activity (e.g., gambling)</a>.&nbsp; Conversely, healthy sleep <a href="https://www.cell.com/current-biology/fulltext/S0960-9822(11)01248-6">decreases one&#8217;s reactivity to traumatic experiences</a>.</p><p>&#8226;<a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6143346/">Poor sleep has been shown</a> to significantly increase one&#8217;s autonomic response to unpleasant things in their environment (e.g., they become more easily upset by them).<br><br>&#8226;Sleep helps calibrate <a href="https://www.annualreviews.org/content/journals/10.1146/annurev-clinpsy-032813-153716">an appropriate degree of reactivity</a> to stimuli in one&#8217;s environment.</p><p>&#8226;Studies (e.g., <a href="https://pubmed.ncbi.nlm.nih.gov/31685950/">this one</a> and <a href="https://www.nature.com/articles/s41562-019-0754-8">this one</a>) show that poor sleep predisposes one to anxiety.</p><p>&#8226;Sleep loss <a href="https://www.cell.com/trends/cognitive-sciences/abstract/S1364-6613(20)30055-3">makes individuals less able to accurately interpret non-verbal expressions</a>, (e.g., <a href="https://academic.oup.com/sleep/article/33/3/335/2513714?login=false">see this study</a>), which <a href="https://www.jneurosci.org/content/35/28/10135.long">causes them to feel more threatened by those they encounter</a>) and <a href="https://www.cell.com/trends/cognitive-sciences/abstract/S1364-6613(20)30055-3">amplifies basic emotional reactivity</a>, thereby increasing negative mood states (e.g., anxiety, depression, suicidality).&nbsp; Conversely, <a href="https://academic.oup.com/cercor/article/21/1/115/339129">healthy sleep improves positive mood states</a> and decreases emotional reactivity.</p><p>&#8226;Sleep loss <a href="https://www.nature.com/articles/s41467-018-05377-0">has been shown</a> to cause social withdrawal and loneliness.</p><p>&#8226;Sleep loss <a href="https://journals.plos.org/plosbiology/article?id=10.1371/journal.pbio.3001733">makes individuals less willing to help others the next day</a>, and when the daylight saving transition occurs, <a href="https://journals.plos.org/plosbiology/article?id=10.1371/journal.pbio.3001733">donations to charity decrease</a>.<br><em>Note: one of the interesting things I learned from Walker is that Arizona and Hawaii don&#8217;t follow daylight saving (which explains why their timezone &#8220;changes&#8221; half of the year).  In hindsight, it would have been nice to have lived in one of those states while I was in school because I always noticed I did not feel good whenever daylight saving began.</em></p><p>&#8226;It is well known in psychiatry that bipolar episodes are triggered by sleep deprivation. <a href="https://www.cambridge.org/core/journals/psychological-medicine/article/abs/youll-feel-better-in-the-morning-slow-wave-activity-and-overnight-mood-regulation-in-interepisode-bipolar-disorder/3B4C025CEDE34822975A3109444B20A4">One study that artificially created this situation found</a> impaired sleep worsened a patient&#8217;s bipolar disorder.</p><p><em>Note: individuals with psychiatric disorders also <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4276345/">frequently have impaired memory retention</a> (another symptom of sleep deprivation) <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4276345/">which may prevent them from retaining the lessons of psychotherapy sessions</a>.</em></p><h3><strong>Cognitive Impairment:</strong></h3><p>As many of you know from personal experience, sleep loss is well recognized to cause brain fog and cognitive impairment (e.g., <a href="https://pubmed.ncbi.nlm.nih.gov/29151101/">this study</a> demonstrated sleep depriving test subjects worsened their auditory processing and responses on neurophysiological tests).</p><p>This process is particularly consequential in the elderly (<a href="https://www.nia.nih.gov/health/memory-loss-and-forgetfulness/memory-problems-forgetfulness-and-aging">who are widely recognized</a> to be more susceptible to memory loss and cognitive impairment), and likewise <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5810920/">more likely to suffer from impaired sleep as they age</a>.</p><p>As <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4967375/">this review paper shows</a>, a significant body of research hence ties poor sleep (especially if chronic) to dementia. For example:</p><p>&#8226;<a href="https://pubmed.ncbi.nlm.nih.gov/21828324/">A study</a> compared 105 older women with sleep-disordered breathing (which impairs sleep) to 193 without it and found that sleep-impaired individuals were 71% more likely to develop mild cognitive impairment and 104% more likely to develop dementia.</p><p>&#8226;<a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3669060/">In one study</a>, 737 older adults initially without dementia received annual measurements of their sleep quality, their cognition, and the presence of Alzheimer&#8217;s Disease (AD). After 6 years, individuals with poor sleep (high sleep fragmentation) were found to have a 22% increase in their risk of AD, with those who had the worst sleep fragmentation having a 50% increase.</p><p>&#8226;<a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3378676/">A study</a> recruited 346 patients with normal cognition, averaging 75.9 years of age, 80 of whom had insomnia.&nbsp; It found those with insomnia were 139% more likely to develop AD.<br><br>&#8226;<a href="https://www.neurology.org/doi/10.1212/WNL.0000000000214513">A 2026 study</a> drawing on the long-running cohort tracked over 2,000 dementia-free older adults (average age 79) using wearable monitors, and found that those with weaker, more fragmented circadian rest-activity rhythms, and a later daily activity peak, were significantly more likely to develop dementia, independent of how much they slept.<br><br>&#8226;Sleeping disorders are very common in AD. For example <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6922506/">one study</a> found that the seven most common sleeping disorders occurred in between 50.0% to 65.5% of those with AD (which was 2.0-4.46 as frequent as that seen in patients without AD).</p><p>Furthermore, many studies have directly tied poor sleep to the pathogenesis of AD. For example:</p><p>&#8226;<a href="https://www.sciencedirect.com/science/article/pii/S0960982220311714">A remarkable 2020 study</a> of 32 individuals without cognitive impairment who received an average of 6.1 months of sleep assessments and 3.7 years of PET scans (a non-invasive way to measure Alzheimer&#8217;s plaques in the brain) found that disrupted sleep caused an accelerated accumulation of Alzheimer&#8217;s plaque and forecasted the development of dementia. These results are very important as most adults at this stage do not recognize the damage accumulating in their brain which will inevitably lead to dementia.<br><em>Note: one of the unfortunate things about AD is that the presence of one of the misshapen proteins found in it (tau) <a href="https://www.jneurosci.org/content/41/36/7687">has been linked to impaired sleep quality</a>, while the other, &#946;-amyloid has been linked <a href="https://www.jneurosci.org/content/41/36/7687">to losing the ability to recognize one is suffering from impaired sleep</a>. These facts, combined with the 2020 study help to illustrate why AD can be so insidious and seem inevitable once it&#8217;s snuck up on someone. Likewise, in the same way poor sleep impairs the retention of long-term memory, AD disease plaques do as well&#8212;all of which illustrates how many chronic illnesses have a &#8220;momentum&#8221; and are much easier to cure the earlier in their progression you try to shift one&#8217;s momentum back towards health.<br><br></em>&#8226;Deep sleep <a href="https://bmcmedicine.biomedcentral.com/articles/10.1186/s12916-023-02811-z">has been shown</a> to mitigate the cognitive impairment created by Alzheimer&#8217;s plaques.<br><br>&#8226;The only method that has ever been proven to reverse AD (discussed further <a href="https://www.midwesterndoctor.com/p/what-causes-alzheimers-disease">here</a>) places a heavy emphasis on restoring healthy sleep.</p><p>It is thus remarkable that sleep is rarely considered in the field of AD, given that AD is one of the most costly diseases in society. Unfortunately, like many other areas in medicine, all of that knowledge has been buried, and for decades <a href="https://www.midwesterndoctor.com/p/why-isnt-there-a-cure-for-alzheimers">we&#8217;ve instead spent billions of dollars each year on (flawed) research</a> to develop incredibly expensive drugs which, at best, <em><strong>may </strong></em>slow the progression of AD (<a href="https://www.midwesterndoctor.com/p/what-are-the-priorities-of-the-healthcare">which simultaneously have a wide range of severe side</a> effects such as causing brain swelling and brain bleeding in 41% of those who receive them).</p><p><em>Note: this article only scratches the surface of the research on the benefits of sleep (e.g., <a href="https://pubmed.ncbi.nlm.nih.gov/11937126/">women sleeping less</a> than 8&#8201;hours have a 17% reduction in follicular-stimulating hormone, are 30% more likely to have abnormal menstrual cycles, and may have reduced fertility, relative to those obtaining sufficient sleep). However, I hope what I presented here sufficed to make the point that sleep is very important.</em></p><h1>The Sleep Crisis</h1><p>&#8220;Adequate sleep&#8221; in turn requires one to achieve all of the following:</p><p>&#8226;Have enough time set aside to sleep.</p><p>&#8226;Being able to fall asleep once you are in bed (as if you lie awake for 2 hours of a &#8220;8&#8221; hour sleep, you are only actually sleeping for 6 hours).<br><br>&#8226;Making sure your brain actually enters each phase of sleep once you are no longer awake.</p><p>That said, it should be noted significant debate exists as to exactly what constitutes enough sleep. It is generally agreed that normal adults need between 7-9 hours a night (whereas many, myself included believe 7 hours a night is too low). Furthermore, the amount humans need varies with age and to some extent by individual.<br><br><a href="https://www.nature.com/articles/s41598-018-35850-1">Existing data shows</a> the developing infant sleeps, and <a href="https://www.amazon.com/Why-We-Sleep-Unlocking-Dreams/dp/1501144316">according to Walker</a>, at approximately 23 weeks of pregnancy, the brain has developed the capacity for NREM and REM sleep (he argues the &#8220;kicks&#8221; a fetus produces are a product of the sleep paralysis circuits for REM sleep not yet being developed). At this stage, the infant initially spends roughly 6 hours in REM sleep, 6 in NREM, and 12 hours in something in between them, while later in the third trimester, the fetus begins to be awake for 2-3 hours a day, and in the last two weeks, REM significantly increases (9 hours in the second to last week and 12 hours in the final week).<br><br>Since sleep is crucial for the development of the brain, <a href="https://www.sleepfoundation.org/children-and-sleep/how-much-sleep-do-kids-need">increased needs persist through childhood</a> (i.e., between 4-12 months they need 12-16 hours, between 1-2 years they need 11-14 hours, between 3-5 years they need 10-13 hours, between 6-12 years they need 9-12 hours and between 13-18 years, they need 8-10 hours).<br>Note: early morning waking should not automatically be read as proof that a person needs less sleep or is simply a "morning person." What matters is whether they wake <em>refreshed</em> after an adequate sleep opportunity, or wake prematurely (tired, irritable, anxious, unable to fall back asleep), as <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC11192690/">that can reflect</a> an advanced circadian phase, depression or anxiety, alcohol or medication effects, sleep-disordered breathing, pain, reflux, nocturia, restless legs, environmental light, or simply a bedtime that's too early for that person's sleep drive. <a href="https://pubmed.ncbi.nlm.nih.gov/37890009/">In children especially</a>, fragmented sleep from an unrecognized airway problem often shows up not as daytime sleepiness but as inattention, hyperactivity, or declining school performance.<br><em>Note: these same disruptions are often involved in a variety of debilitating adult chronic illnesses (e.g., <a href="https://www.sciencedirect.com/science/article/abs/pii/S002239991730243X?via%3Dihub">fibromyalgia</a>, or as I showed above Alzheimer&#8217;s).</em><br><br>Lastly, <a href="https://pubmed.ncbi.nlm.nih.gov/39455177/">the timing problem is not the same at every age.</a> Young children often become sleepy early and may naturally wake early, whereas puberty produces a biological delay in the circadian rhythm (teenagers tend to become sleepy later at night and need to sleep later in the morning). So, &#8220;waking up early&#8221; can be healthy for one child, developmentally inappropriate for another, and a sign of fragmented or insufficient sleep in a third, again illustrating the perils of forcing everyone to follow a single homogenous standard.</p><p>Sadly, regardless of the metric you use for adequate sleep, it&#8217;s clear we get nowhere near that much sleep, which in turn likely plays a key role in the widespread illness throughout our society.</p><p>For example, a <a href="https://news.gallup.com/poll/642704/americans-sleeping-less-stressed.aspx">Gallup poll</a>, released April 15, found 57% of Americans say they would feel better if they could get more sleep, while only 42% say they are getting as much sleep as they need. More concerningly, these numbers have continued to worsen as the years go by (which I believe is a symptom of the fact <a href="https://www.midwesterndoctor.com/p/what-were-the-economic-consequences">we are being forced into a feudalistic economy</a> that overworks everyone so they can never challenge the system).</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!BsFx!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9768d775-7e84-40e3-8bc1-5a8b479d3591_2108x1332.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!BsFx!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9768d775-7e84-40e3-8bc1-5a8b479d3591_2108x1332.png 424w, https://substackcdn.com/image/fetch/$s_!BsFx!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9768d775-7e84-40e3-8bc1-5a8b479d3591_2108x1332.png 848w, https://substackcdn.com/image/fetch/$s_!BsFx!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9768d775-7e84-40e3-8bc1-5a8b479d3591_2108x1332.png 1272w, https://substackcdn.com/image/fetch/$s_!BsFx!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9768d775-7e84-40e3-8bc1-5a8b479d3591_2108x1332.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!BsFx!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9768d775-7e84-40e3-8bc1-5a8b479d3591_2108x1332.png" width="1456" height="920" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/9768d775-7e84-40e3-8bc1-5a8b479d3591_2108x1332.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:920,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:258276,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!BsFx!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9768d775-7e84-40e3-8bc1-5a8b479d3591_2108x1332.png 424w, https://substackcdn.com/image/fetch/$s_!BsFx!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9768d775-7e84-40e3-8bc1-5a8b479d3591_2108x1332.png 848w, https://substackcdn.com/image/fetch/$s_!BsFx!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9768d775-7e84-40e3-8bc1-5a8b479d3591_2108x1332.png 1272w, https://substackcdn.com/image/fetch/$s_!BsFx!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9768d775-7e84-40e3-8bc1-5a8b479d3591_2108x1332.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p>Furthermore:</p><p>&#8226;<a href="https://www.ncoa.org/adviser/sleep/sleep-statistics/">35.5% of American adults</a> report they sleep less than 7 hours per night.<br><em>Note: this figure varies greatly by state (e.g., <a href="https://www.ncoa.org/adviser/sleep/sleep-statistics/">Hawaii is the highest at 45.6%</a>).</em> </p><p>&#8226;Roughly <a href="https://www.ncoa.org/adviser/sleep/sleep-statistics/">30% of adults have symptoms of insomnia</a>, with <a href="https://www.cdc.gov/nchs/products/databriefs/db436.htm">14.5%</a> experiencing insomnia all (or most days) of the month and <a href="https://www.ncoa.org/adviser/sleep/sleep-statistics/">10% having insomnia which impacts their daily activities</a>.</p><p>&#8226;<a href="https://www.ncoa.org/adviser/sleep/sleep-statistics/">13.5% of adults</a> report feeling tired or exhausted most days.<br><em>Note: according to Walker, ten days of deficient sleep (6 hours a night) produced an equivalent impairment to that seen after one stays awake for 24 hours).  Sadly, both of these are frequently seen in our society (e.g., in university students and medical trainees).</em><br><br>&#8226;Sleep apnea (which significantly impairs the sleep cycle) <a href="https://www.ncoa.org/adviser/sleep/sleep-statistics/">impacts 9%&#8211;38%</a> of the general population.</p><p>&#8226;Poor sleep (e.g., insomnia, early awakening, or not feeling rested) is even more common in the elderly (who have the greatest need for sleep).  <a href="https://pubmed.ncbi.nlm.nih.gov/7481413/">For example, a 1995 study</a> of over 9,000 individuals 65 or older found less than 20% rarely or never had sleep issues, while more than 50% reported sleep issues most of the time (e.g., 23-34% had symptoms of insomnia).  That study in turn found that many of the consequences of poor sleep discussed earlier were elevated in those with sleep disturbances.  <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5991956/">More current estimates</a> find that 30-48% of the elderly experience symptoms of insomnia and between 12-20% have insomnia disorders.</p><p>&#8226;<a href="https://pubmed.ncbi.nlm.nih.gov/15586779/">As we age</a>, we become less able to spend all of our time in bed being asleep:</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!O0iF!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc698f8bd-a1a8-48ea-b698-55d0b6ff7939_1598x920.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!O0iF!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc698f8bd-a1a8-48ea-b698-55d0b6ff7939_1598x920.png 424w, https://substackcdn.com/image/fetch/$s_!O0iF!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc698f8bd-a1a8-48ea-b698-55d0b6ff7939_1598x920.png 848w, https://substackcdn.com/image/fetch/$s_!O0iF!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc698f8bd-a1a8-48ea-b698-55d0b6ff7939_1598x920.png 1272w, https://substackcdn.com/image/fetch/$s_!O0iF!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc698f8bd-a1a8-48ea-b698-55d0b6ff7939_1598x920.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!O0iF!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc698f8bd-a1a8-48ea-b698-55d0b6ff7939_1598x920.png" width="1456" height="838" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/c698f8bd-a1a8-48ea-b698-55d0b6ff7939_1598x920.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:838,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:166076,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!O0iF!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc698f8bd-a1a8-48ea-b698-55d0b6ff7939_1598x920.png 424w, https://substackcdn.com/image/fetch/$s_!O0iF!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc698f8bd-a1a8-48ea-b698-55d0b6ff7939_1598x920.png 848w, https://substackcdn.com/image/fetch/$s_!O0iF!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc698f8bd-a1a8-48ea-b698-55d0b6ff7939_1598x920.png 1272w, https://substackcdn.com/image/fetch/$s_!O0iF!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc698f8bd-a1a8-48ea-b698-55d0b6ff7939_1598x920.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p>&#8226;Likewise, <a href="https://thebettersleepclinic.com/blog/what-is-normal-sleep-for-an-adult">we become more likely to awaken multiple times each night</a> (e.g., due to age-related incontinence):</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!keTw!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fed1271bb-28e6-44b6-8454-f51fc6a2986a_1202x948.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!keTw!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fed1271bb-28e6-44b6-8454-f51fc6a2986a_1202x948.png 424w, https://substackcdn.com/image/fetch/$s_!keTw!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fed1271bb-28e6-44b6-8454-f51fc6a2986a_1202x948.png 848w, https://substackcdn.com/image/fetch/$s_!keTw!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fed1271bb-28e6-44b6-8454-f51fc6a2986a_1202x948.png 1272w, https://substackcdn.com/image/fetch/$s_!keTw!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fed1271bb-28e6-44b6-8454-f51fc6a2986a_1202x948.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!keTw!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fed1271bb-28e6-44b6-8454-f51fc6a2986a_1202x948.png" width="1202" height="948" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/ed1271bb-28e6-44b6-8454-f51fc6a2986a_1202x948.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:948,&quot;width&quot;:1202,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:228061,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!keTw!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fed1271bb-28e6-44b6-8454-f51fc6a2986a_1202x948.png 424w, https://substackcdn.com/image/fetch/$s_!keTw!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fed1271bb-28e6-44b6-8454-f51fc6a2986a_1202x948.png 848w, https://substackcdn.com/image/fetch/$s_!keTw!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fed1271bb-28e6-44b6-8454-f51fc6a2986a_1202x948.png 1272w, https://substackcdn.com/image/fetch/$s_!keTw!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fed1271bb-28e6-44b6-8454-f51fc6a2986a_1202x948.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p>Given that the elderly are the most vulnerable to deficient sleep (and the least able to initiate the restorative sleep cycle while sleeping due to things like the development of AD), these changes with age are quite unfortunate and again illustrate why healthy sleep should be prioritized.</p><h1>Sleep Disruptors</h1><p>Unfortunately, in addition to us not having enough time to sleep, a variety of things in our environment either disrupt our ability to stay asleep, or more insidiously, our brain&#8217;s ability to perform the vital functions of healthy sleep while we are sleeping.</p><p>Some of the biggest offenders include:<br><br>&#8226;Modern technology has created a variety of unnatural signals from the environment which interfere with the body&#8217;s normal regulation of sleep.<br><em>Note: undoing this is the basis of using sleep hygiene practices to fix the sleep cycle, which will be discussed later in the article.</em></p><p>&#8226;Habitually consuming long-acting substances that block our ability to sleep (e.g., caffeine or alcohol).<br><br>&#8226;A wide range of commonly used pharmaceuticals <a href="https://www.aarp.org/health/drugs-supplements/info-04-2013/medications-that-can-cause-insomnia.html">being heavily disruptive to sleep</a> (e.g., decongestants, asthma inhalers, common blood pressure and diabetes medications, antidepressants, <a href="https://pubmed.ncbi.nlm.nih.gov/17557450/">opioids</a>, prostate medications, stimulants, corticosteroids).<br><em>Note: many pharmaceuticals are neurotoxic and sleep disruption is a common consequence of being injured by them.  One of the most notorious examples was the 2009 (emergency) swine flu vaccine causing a significant number of its recipients to develop narcolepsy (one of the worst sleep disorders), particularly since this link <a href="https://www.cdc.gov/vaccinesafety/concerns/history/narcolepsy-flu.html">was later acknowledged by the medical authorities</a>.</em></p><h1>Sleeping Pills</h1><p>Because of the immense problems our society faces from sleeping issues, a massive &#8220;treatment&#8221; market exists.  Unfortunately, like many things in modern medicine, the more money we put into the problem, the worse it becomes.  <a href="https://www.forbes.com/sites/nicoleroberts/2022/03/20/despite-65-billion-a-year-sleep-aid-market-americans-remain-sleep-deprived">To illustrate</a>:</p><blockquote><p>Despite a <a href="https://www.polarismarketresearch.com/industry-analysis/sleeping-aids-market">nearly $65 billion a year</a> (and growing) sleep aid market, 50-70 million American&#8217;s suffer from sleep disorders and many more experience the physical and mental toll lack of sleep can have on the body and brain on any given day. Globally, the &#8220;sleep economy,&#8221; which includes everything from beds and pillows to medical devices, rings in at a whopping <a href="https://www.statista.com/statistics/1119471/size-of-the-sleep-economy-worldwide/">$432 billion a year</a>. In 2020 alone more than half of Americans say their sleep worsened due to the pandemic, and 76% of American&#8217;s admitted to purchasing a <a href="https://www.forbes.com/health/body/natural-sleep-aids/">sleep aid</a> to help them fall asleep, stay asleep or improve the quality of sleep had at night.</p></blockquote><p>The entire scam comes down to the fact <strong>most sleeping pills are sedatives, not sleep aids</strong>. What this means is that once you take them, you are no longer conscious, but since this is done through sedating the brain, its ability to initiate restorative sleep functions is greatly impaired. As a result, people who take sleeping pills effectively have greatly reduced sleep, and in turn, are both tired throughout the day (because they did not have a restorative night of sleep) and are at high risk of developing a wide range of health issues associated with poor sleep. <br><br>For example, <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4883191/">one study</a> found people who used sleeping pills <strong>were twice as likely to die</strong> as those who did not (and <strong>three times more likely</strong> if they were daily users). Worse still, <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3293137/">another study</a> that compared 10,529 sleeping pill users to 23,676 controls, found that over the course of 2.5 years, the sleeping pill users (depending on how many pills they took) were 3.6-5.4 times more likely to die, and for those who took at least 18 pills a year, they had a 7-99% increased risk of dying from cancer. This in turn, led the authors to conclude that in 2010, prescription sleeping pills &#8220;may have been associated <strong>with 320,000-507,000 excess deaths within the USA alone</strong>.&#8221;</p><p>Most prescription sleeping pills (e.g., Ambien) are classified as &#8220;sedative hypnotics&#8221; and are fairly similar to the benzodiazepine medications commonly used for anxiety (e.g., Valium). The problem with these drugs is that they are highly addictive, but unfortunately, despite the fact they are only supposed to be used in the short term, individuals typically end up being permanently on them (at which point they can&#8217;t withdraw from them). Conversely, over the counter sleeping pills (e.g., Benadryl or Unisom) are typically antihistamines, and unfortunately are also sedatives that damage the sleep cycle (e.g., I once had a medical student who habitually used Unisom and then had to drop out because they gradually became psychotic).  For those interested, the profound dangers of benzodiazepines (and related drugs) is discussed in more detail <a href="https://www.midwesterndoctor.com/p/what-they-dont-tell-you-about-anxiety">here</a>.</p><p><em>Note: alcohol <a href="https://en.wikipedia.org/wiki/Alcohol_(drug)">has a similar mechanism to benzodiazapines</a>, which may explain why it is an addictive sedative that inhibits the sleep cycle.</em></p><p>Remarkably, despite sleeping pills being the typical treatment for insomnia, the actual first-line treatment for chronic insomnia <a href="https://www.sciencedirect.com/science/article/abs/pii/S1389945723002447">recommended by sleep-medicine guidelines</a> is cognitive behavioral therapy for insomnia.</p><h1>Gamma-Hydroxy-Butarate</h1><p>While most of the sleeping medications are unsafe and ineffective drugs that are best avoided, one actually worked and frequently produced miraculous results. In turn, I know of numerous cases where my colleagues prescribed it to chronically ill patients with challenging conditions (e.g., non-restorative sleep is one of the classic symptoms of fibromyalgia) who almost completely recovered once they received it.</p><p>That drug, originally developed in 1874, is gamma-hydroxybutyrate, and in 1964, it began to be marketed in Europe as an intravenous anesthetic but never quite caught on due to its unusual properties. On one hand, it is an ideal anesthetic as:<br><br>&#8226;It slows the heart rate without creating a loss of blood pressure.<br>&#8226;It doesn&#8217;t irritate the veins.<br>&#8226;It doesn&#8217;t suppress the respiratory centers in the brain.<br>&#8226;It relaxes the muscles.<br>&#8226;It induces sleep without reducing oxygen consumption.<br>&#8226;It protects tissue from injury due to blood loss (e.g., during hemorrhagic shock) or from reperfusion injuries after a temporary loss of the blood supply.<br>&#8226;It permits an easy reduction and maintenance of the body temperature and reduces the metabolic demands of the brain.<br><br>Conversely:<br><br>&#8226;Its duration of action is somewhat unpredictable.<br>&#8226;The central nervous system remains active (and hence the autonomic nervous system will regulate the body in response to external stimuli).<br>&#8226;In adults (not children) it is insufficient for total anesthesia and hence normally needs to be used with another anesthetic (which is given at a lower dose).<br><br>Because of this, while it was much safer than a typical anesthetic, it was not practical to use during surgeries and was much more appropriate for use in the intensive care unit.</p><p>Over the decades that followed, a wide range of research was done on this substance, where it was discovered it had a variety of other extraordinary properties and very low toxicity (e.g., it metabolized to succinate and then water within the mitochondria, its LD50 was 4.28 grams/kg, no deaths have ever been conclusively attributed to it, and when humans have been kept asleep for 24 hours on it or rats for 5 days, they recover immediately once it wears off).</p><p>The most apparent benefit was that it was a powerful (and consistent) sleep aid that immediately put the recipient deep into the sleep cycle, resulting in the benefits of those cycles being restored for many who had previously lost them, and the individual waking up feeling completely refreshed and energized. Furthermore, it frequently could allow people to feel fully refreshed after just a 3-4 hour sleep, was unlikely to be addictive, and did not suppress the reticular activation system.<br><em>Note: while its benefits have been clearly demonstrated for those with sleeping disorders, its effect on the sleep of relatively healthy individuals is much less understood.</em></p><p>As scientists (and then members of the public) began exploring the drug, <a href="https://www.amazon.com/GHB-Natural-Enhancer-Ward-Dean/dp/0962741868/">according to Ward Dean MD</a> (who provided extensive references to support his claims), they found a variety of benefits from GHB including:</p><p>&#8226;It dramatically increased the levels of growth hormone (e.g., 2.4 grams given intravenously, in 30 minutes, caused a 16-fold increase in GH levels). As growth hormone heals and repairs the body (but greatly declines with age), this resulted in many previously frail elderly patients on GHB having significantly increased strength, stamina, muscle mass, and function, while in younger patients, significant improvement was seen in their healing from musculoskeletal injuries.<br><em>Note: I know one doctor who gave GHB to their adolescent son to increase his growth, and it did appear to work (and it did not have any side effects).</em></p><p>&#8226;It produced remarkable results in the treatment of a variety of addictions, particularly opioids (e.g., <a href="https://www.nature.com/articles/npp199345">see this study</a>), alcohol (e.g., see the results of <a href="https://pubmed.ncbi.nlm.nih.gov/1326902/">this study</a>), and benzodiazepines, along with helping mitigate the withdrawals from each of these substances. Conversely, GHB was not addictive.</p><p>&#8226;It increased dopamine levels within the substancia niagra (thereby counteracting the effects of Parkinson&#8217;s disease).</p><p>&#8226;It aided childbirth by relaxing the mother, dilating the cervix, and protecting the fetus from respiratory depression (which for context revolutionizes labor and delivery).</p><p>&#8226;It had a variety of aphrodisiac effects, such as making people much more comfortable with sexual intimacy, dramatically increasing their sensitivity to touching or being touched, improving male erectile capacity and premature ejaculation, and increasing capacity for female orgasms.</p><p>&#8226;Helping individuals address subjects they are otherwise inhibited from exploring during therapy (thereby allowing therapeutic breakthroughs to happen). GHB was also found to be particularly helpful for couples therapy.<br><br>&#8226;Having a disinhibiting effect like alcohol but making individuals friendly rather than aggressive.</p><p>&#8226;It temporarily helped with anxiety but without many of the side effects seen with benzodiazepines. Similarly, in France, it was frequently used by students who had to pass an exam or give a public presentation.</p><p><strong>Given these remarkable benefits and the decades of research supporting its use, why has no one ever heard of it?</strong></p><h1>The Ivermectin of Sleep Medicines</h1><p>In this publication, I have tried to illustrate how frequently the medical industry recruits the public relations (PR) industry to concoct a campaign that guarantees them lucrative profits at the expense of everyone&#8217;s health.<br><br>For example, I <a href="https://www.midwesterndoctor.com/p/dermatologys-disastrous-war-against-f81">recently highlighted</a> how the dermatology profession rebranded themselves as skin-cancer fighters (an incredibly lucrative business that transformed dermatology from one of the least desirable to the most desirable specialities) through spreading as much hysteria about skin cancer and the dangers of sunlight as possible. This was really bad because sunlight is essential for physical and mental health (e.g., avoiding it <a href="https://www.midwesterndoctor.com/p/dermatologys-disastrous-war-against-f81">doubles one&#8217;s risk of dying</a>), and a lack of sunlight causes rather than prevents the deadliest skin cancer (which is why billions of dollars later, skin cancer deaths are relatively unchanged). </p><p>Likewise, as many of you know, throughout COVID-19, the FDA covered up the clear and unambiguous evidence demonstrating the benefits of ivermectin for COVID-19, creating a hysteria about it (and hydroxychloroquine&#8217;s) dangers despite them both being incredibly safe drugs, as well as doing all that it could to block ivermectin from being used in the USA (which <a href="https://pierrekorymedicalmusings.com/p/the-fda-settled-with-us-because-they">was later defeated in court</a>).</p><p>In the case of GHB, in the early 1990s, it began entering the USA as a supplement (largely due to bodybuilders recognizing the value of it increasing growth hormone in the body). Before long, the FDA decided they needed to stop it, and became very interested in publicizing the adverse reactions that occurred to it, and in no time, discovered 57 calls to poison control about it (<a href="https://www.cdc.gov/mmwr/preview/mmwrhtml/00001847.htm">which the CDC heavily publicized</a>), including 9 which resulted in ICU admissions (but 0 of which are fatal). This in turn, is very similar to the epidemic of poison control calls for ivermectin and hydroxychloroquine deaths we saw throughout COVID-19 (all of which were later shown to be a hoax&#8212;for example, the photos of people lining up at the ERs that were supposedly overloaded with ivermectin poisonings were actually old images of individuals lining up for COVID-19 vaccines).</p><p><em>Note: one of the unusual properties of GHB is its short half-life (it typically wears off in 3-4 hours). Because of this, individuals who take a high dose of it (especially if it is combined with alcohol or a benzodiazepine) will fall into a deep slumber with slowed but expansive breathing they cannot be woken from until the drug wears off (which can be mistaken for a coma). In turn, there were many cases of individuals passing out on GHB, and then being brought to the hospital by panicked relatives and then briefly intubated (by doctors who did not understand what was going on and following protocols intubated a non-responsive patient), including instances where someone woke up fully alert as they were about to be intubated and leaving (along with at least one case where they were then forcefully intubated).</em></p><p>In response to this &#8220;epidemic&#8221; the FDA decided to release an urgent press release.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!8J-a!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Feb332e07-2eaa-4b21-8793-f4dddc5f77ec_1244x1918.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!8J-a!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Feb332e07-2eaa-4b21-8793-f4dddc5f77ec_1244x1918.png 424w, https://substackcdn.com/image/fetch/$s_!8J-a!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Feb332e07-2eaa-4b21-8793-f4dddc5f77ec_1244x1918.png 848w, https://substackcdn.com/image/fetch/$s_!8J-a!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Feb332e07-2eaa-4b21-8793-f4dddc5f77ec_1244x1918.png 1272w, https://substackcdn.com/image/fetch/$s_!8J-a!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Feb332e07-2eaa-4b21-8793-f4dddc5f77ec_1244x1918.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!8J-a!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Feb332e07-2eaa-4b21-8793-f4dddc5f77ec_1244x1918.png" width="1244" height="1918" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/eb332e07-2eaa-4b21-8793-f4dddc5f77ec_1244x1918.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:1918,&quot;width&quot;:1244,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:965079,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!8J-a!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Feb332e07-2eaa-4b21-8793-f4dddc5f77ec_1244x1918.png 424w, https://substackcdn.com/image/fetch/$s_!8J-a!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Feb332e07-2eaa-4b21-8793-f4dddc5f77ec_1244x1918.png 848w, https://substackcdn.com/image/fetch/$s_!8J-a!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Feb332e07-2eaa-4b21-8793-f4dddc5f77ec_1244x1918.png 1272w, https://substackcdn.com/image/fetch/$s_!8J-a!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Feb332e07-2eaa-4b21-8793-f4dddc5f77ec_1244x1918.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p>Then on the basis of the authority &#8220;bestowed&#8221; by this press release (which was full of deceptive inaccuracies), the FDA banned GHB in the country, threatened compounding pharmacies into no longer supplying it, and began raiding people who were supplying it (which they did not have the legal authority to do). Many of these arrests eventually went to the courts, where the FDA engaged in a series of highly unscrupulous tactics. For example, when attempting to prosecute individuals for supplying GHB, they argued that there was &#8220;no evidence&#8221; GHB had any valid use or had any evidence of safety, but simultaneously, they refused to let the courts admit the decades of evidence arguing otherwise or the fact there were 15 investigational new drug applications which had been submitted to them for GHB (each of which indicated a lot of that evidence actually existed). For reference, those INDs were for:</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!KgwX!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb8ef70c7-bba6-406c-9048-469adc14bc9d_1116x1004.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!KgwX!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb8ef70c7-bba6-406c-9048-469adc14bc9d_1116x1004.png 424w, https://substackcdn.com/image/fetch/$s_!KgwX!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb8ef70c7-bba6-406c-9048-469adc14bc9d_1116x1004.png 848w, https://substackcdn.com/image/fetch/$s_!KgwX!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb8ef70c7-bba6-406c-9048-469adc14bc9d_1116x1004.png 1272w, https://substackcdn.com/image/fetch/$s_!KgwX!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb8ef70c7-bba6-406c-9048-469adc14bc9d_1116x1004.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!KgwX!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb8ef70c7-bba6-406c-9048-469adc14bc9d_1116x1004.png" width="1116" height="1004" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/b8ef70c7-bba6-406c-9048-469adc14bc9d_1116x1004.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:1004,&quot;width&quot;:1116,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:356893,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!KgwX!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb8ef70c7-bba6-406c-9048-469adc14bc9d_1116x1004.png 424w, https://substackcdn.com/image/fetch/$s_!KgwX!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb8ef70c7-bba6-406c-9048-469adc14bc9d_1116x1004.png 848w, https://substackcdn.com/image/fetch/$s_!KgwX!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb8ef70c7-bba6-406c-9048-469adc14bc9d_1116x1004.png 1272w, https://substackcdn.com/image/fetch/$s_!KgwX!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb8ef70c7-bba6-406c-9048-469adc14bc9d_1116x1004.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p><em>Note: this is similar to how there was &#8220;no evidence&#8221; ivermectin worked for COVID-19 despite the fact dozens of trials had proven otherwise.</em></p><p>Because of how egregious the FDA's tactics were (e.g., prosecutorial misconduct, withholding evidence from the defense, lacking a legal basis for the prosecution, entrapment, or illegal searches and seizures), the higher courts gradually sided with the defendants and began overturning the convictions. The FDA in turn, switched to trying to persuade the state legislatures to outlaw GHB (as politically it was not possible for the FDA to do so at a Federal level).</p><p><em>Note: at the same time this was happening, the FDA was also silencing thousands of SSRI antidepressant victims (the recently released Prozac was one of the most complained about drugs in FDA history), silencing its own employees who tried to speak out, producing fraudulent research to protect the drugs and defying Congressional oversight of their conduct with the SSRIs.  I previously wrote <a href="https://www.midwesterndoctor.com/p/just-how-far-will-the-fda-go-to-protect">an article</a> documenting that saga because I felt it represented one of the best case precedents to predict what they will do with the COVID vaccines. Likewise, as I&#8217;ve shown throughout the DMSO series, despite clear evidence DMSO safely treated a variety of debilitating conditions medicine could not help, <a href="https://www.midwesterndoctor.com/p/the-fdas-war-against-dmso-and-america">the FDA fought for decades</a> (including against Congress) to keep DMSO away from the public (and ultimately only &#8220;lost&#8221; because of a law legalizing all natural supplements).</em></p><p>As Rohypnol (&#8220;Roofies&#8221;) had recently entered the United States and fear was beginning to build over its use as a date rape drug (since it both made the recipient unable to resist the assault and likely to forget it), the fear of Roofies was juxtaposed onto GHB. In turn, the media began trumpeting that America was facing a wave of rapes from a silent, odorless, and colorless drug that made one helpless to resist or even remember sexual assault. In parallel, these (likely focus-group tested) words began flooding those stories about GHB: "dangerous," "potentially lethal," "hallucinogenic," "addictive," "illegal," "designer," "date-rape" "drug."</p><p>Before long, a few young women were identified who had been date-raped while on GHB and then died afterward from the drug's side effects. The media did all that it could to fan the hysteria (e.g., see this <a href="https://time.com/archive/6729683/liquid-x/">Time article</a> or this <a href="https://www.sfchronicle.com/crime/article/party-drug-may-have-killed-hayward-teen-autopsy-2900486.php">San Francisco Chronicle article</a> or consider these patently false quotes): </p><blockquote><p>A lot of people [GHB users] have heart attacks, go into cardiac arrest." &#8212;Sgt. Michael Lewis, Atlanta Police.</p><p>&#8226; "GHB, the new back-room drug on the party scene, can kill without warning." &#8212; Steven Frazier, CNN</p><p>&#8226; "GHB slows breathing &#8212; cuts off oxygen. A blackout can be brief &#8212;can be forever." &#8212;David Lewis, CNN</p></blockquote><p><em>Note: one of the most extraordinary ones was the Tennessee Bar Association publishing an alleged affidavit from the medical examiner who performed Elvis&#8217;s autopsy claiming GHB killed him (although once questioned, they stated it was just an &#8220;academic exercise&#8221;).</em></p><p>Using this fear campaign, the FDA gradually convinced individual states to ban it, and in 2000, in honor of two GHB victims, Congress passed the &#8220;<a href="https://www.congress.gov/bill/106th-congress/house-bill/2130">Hillory J. Farias and Samantha Reid </a><strong><a href="https://www.congress.gov/bill/106th-congress/house-bill/2130">Date-Rape</a></strong><a href="https://www.congress.gov/bill/106th-congress/house-bill/2130"> Drug Prohibition Act of 2000</a>." That law<strong> made GHB a Schedule I drug</strong> (whereas cocaine for example, is a Schedule II drug), thereby bypassing the protections GHB had from the <a href="https://en.wikipedia.org/wiki/Dietary_Supplement_Health_and_Education_Act_of_1994">1994 DSHEA Act</a> (as GHB is produced naturally within the body and found in small amounts within meat and wine). Remarkably however, the (&#8220;emergency&#8221;) law also included a special exemption for a pharmaceutical preparation of GHB, which was instead made a schedule III drug (which violates the entire basis for the scheduling as something can only be a schedule I if there is no accepted medical use for it).<br><em>Note: this scheduling also made it very difficult to conduct future research on GHB.</em></p><p><a href="https://www.amazon.com/GHB-Natural-Enhancer-Ward-Dean/dp/0962741868">Most remarkably</a>:</p><blockquote><p>In Hawaii, GHB was legally classed as a date-rape drug, while Rohypnol&#174; (a highly potent, commercial benzodiazepine drug, similar to Valium and Xanax) was quietly dropped from the legislation at the last minute, apparently due to pressure applied by its manufacturer, Hoffman-La Roche. This occurred despite the fact that Rohypnol is widely acknowledged to be used for date-rape purposes (It is far more potent than GHB, and because a smaller dose is required, far easier to slip into someone's drink unnoticed.) With no equivalent force willing to stand up for GHB, it never stood a chance.</p></blockquote><p><em>Note: Rohypnol (which was never brought to the market in America but was in many other countries), thanks to Roche <a href="https://www.deadiversion.usdoj.gov/schedules/orangebook/a_sched_alpha.pdf">remains a schedule IV drug</a> (like Valium and Xanax) and is not mentioned in any of the state or Federal anti-date rape drug laws that swept through America.</em></p><p>In looking at these events, there are three important things to take note of.</p><p>First, the entire epidemic was made up of:</p><p>&#8226;<a href="https://www.sciencedirect.com/science/article/abs/pii/S03768716000">A safety database</a> (used for monitoring these types of things) found GHB accounted for less than 0.1% of the drugs mentioned in Emergency Department reports.<br><br>&#8226;In 2006, after the English Police <a href="http://news.bbc.co.uk/2/hi/uk_news/6152646.stm">examined 120 cases</a> of sexual assault, they determined 119 of them involved alcohol (often at dangerous levels), 57 had taken an illegal or controlled prescription drug (e.g., cocaine), and only 2 had received GHB (which may or may not have played a role in the assault).</p><p>&#8226;<a href="https://pubmed.ncbi.nlm.nih.gov/20488831/">A 2010 literature review</a> determined that GHB had been detected in between 0.2-4.4% of reported sexual assaults and hence was not causing the rape epidemic the media&#8217;s hysteria had suggested.</p><p><em>Note: the most detailed account I have found about the (tiny) GHB epidemic can be found <a href="https://www.sciencedirect.com/science/article/abs/pii/S0376871600001915">here</a>.</em></p><p>Second, it didn&#8217;t make any sense as:<br><br>&#8226;GHB was very salty and hence easy to taste (rather than being a stealth rape drug), especially at a dose which would be sufficient to sedate someone.</p><p>&#8226;If GHB actually was an effective date rape drug, the last thing you would want to do would be to widely advertise it to potential rapists.<br><br>&#8226;Most of the claims made about GHB overtly contradicted the decades of research on it (e.g., minor muscle movements made on the drug were labeled as seizures despite EEG studies repeatedly showing they were not accompanied by seizure motion in the brain, while the brief deep sleep it caused was labeled as &#8220;comas&#8221;).<br><br>&#8226;In lieu of evidence, the media unquestionably repeated the government&#8217;s talking points.<br><br>Finally, each widely publicized GHB victim (none of whom were ever sexually assaulted) had a story inconsistent with GHB being their cause of death alongside a clear cause of death besides GHB (e.g., a blood clot in the heart and a family history of fatal heart defects or accidentally being dropped on the head while asleep). <strong>This</strong> <strong>includes the two date-rape victims the act that outlawed GHB was named after</strong>. Likewise, the small number of case reports that were used to portray GHB as dangerous presented a very weak case that it was.  In contrast, large numbers of victims exist for many of the lucrative drugs on the market, but we never hear about them because their manufacturers sponsor both the media and political class. Consider for example a recent segment Comedia Jimmy Dore did on the GHB story:</p><div id="youtube2-qdS_y-pgoYk" class="youtube-wrap" data-attrs="{&quot;videoId&quot;:&quot;qdS_y-pgoYk&quot;,&quot;startTime&quot;:null,&quot;endTime&quot;:null}" data-component-name="Youtube2ToDOM"><div class="youtube-inner"><iframe src="https://www.youtube-nocookie.com/embed/qdS_y-pgoYk?rel=0&amp;autoplay=0&amp;showinfo=0&amp;enablejsapi=0" frameborder="0" loading="lazy" gesture="media" allow="autoplay; fullscreen" allowautoplay="true" allowfullscreen="true" width="728" height="409"></iframe></div></div><p><em>Note: much of the previous two sections were sourced from <a href="https://www.amazon.com/GHB-Natural-Mood-Enhancer-1998-01-28/dp/B01LWV0O11">the book</a> Dean Ward M.D. wrote about GHB, some of which can be found in <a href="https://web.archive.org/web/20210622204216/https://drugwatch.info/ap_WardDean.htm">a shorter statement he made</a>.</em></p><h1>The Aftermath</h1><p>Because of this debacle, it became much more difficult to get GHB, and many leading integrative doctors at the time were disgusted with the FDA as they saw how much GHB benefitted their patients and treated a variety of immensely challenging illnesses. For example, one of my (somewhat-renowned) colleagues is fairly left-wing and reflexively denies the notion any type of coordinated conspiracy could ever exist, but even he is outraged over what happened with GHB and believes the stories of GHB rapes were a complete hoax.</p><p>In my own case, I periodically have patients request it from me, and I sadly have to explain that were I to help them obtain it, I could get in far more trouble than if I were to become a humble cocaine dealer. However, while GHB was outlawed, the pharmaceutical preparation, <a href="https://en.wikipedia.org/wiki/Sodium_oxybate">sodium oxybate</a> (Xyrem) was not.<br><em>Note: other salts of GHB (e.g., potassium oxybate) with slightly differing properties also exist.<br><br></em>Unfortunately, due to the unique situation its dual classification has provided it, Xyrem is extremely expensive (it costs about $60,000 to $100,000 a year for it), most doctors can&#8217;t prescribe it, and <strong>it is very difficult to qualify for a prescription</strong> of it as <a href="https://www.xyremhcp.com/dsm-5-narcolepsy-diagnostic-criteria">one must meet the criteria for severe narcolepsy</a>. Nonetheless, because of how life changing it is, people still choose to go through the hassle of getting it and then paying for it out of pocket (as insurance often won&#8217;t cover it).<br><em>Note: I do not know of any other easy to synthesize (and over a century old) pharmaceutical drugs which commands an equivalent price.  For example, while cocaine is an expensive drug, Xyrem costs significantly more than a typical addict spends on it in a year.</em></p><p>Consider this email, for example, from a reader who was in the tiny minority of patients who actually got a prescription for it:</p><blockquote><p>I&#8217;m an EDS patient who was catastrophically injured in 2010 by two weeks of Cytomel. I stopped sleeping naturally and have never regained the ability.</p><p>Over these years the sedatives have multiplied, and now no class of drug will put me to sleep.</p><p>Desperate, I tried the Xyrem in the garage I&#8217;d feared. Prescribed by a terribly kind doctor who understood (now retired), it is a miracle. Real sleep every night, as good as my natural sleep 15 years ago.</p><p>I have 1 month of this medication. I am an approved patient in the Xyways registry. Any approved prescriber could fax a script for me</p><p>[3g 2x/night] and I would have it within a week. But for all my looking, I cannot find such a person.</p><p>When this month ends, I cannot/will not go back to the the horror of not sleeping. I loved my life when I slept and could be joyful and productive once again. But for want of someone to prescribe...</p><p>Please, please help.</p></blockquote><p>Since strong evidence exists to support the use of GHB for many other conditions (e.g., it's<a href="https://en.wikipedia.org/wiki/Sodium_oxybate"> a safe and highly effective treatment for alcohol addiction</a> and data shows it <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC5415435/">cures spasmodic dysphonia</a>&#8212;the condition affecting RFK Jr.&#8217;s voice), many people have tried to get the FDA to change their position that it&#8217;s just a &#8220;dangerous date-rape drug&#8221; over the years. Consider for a moment what happened with fibromyalgia (a condition which is conventionally incurable and affects at least 4 million Americans):</p><blockquote><p><a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3382678/">Multiple trials</a> have shown sodium oxybate to be effective in treating important symptoms of fibromyalgia, such as pain and poor sleep structure. However, in 2010, the FDA voted <strong>unanimously</strong> against this indication, with commenters citing its potential for abuse as a street drug.</p></blockquote><p><em>Note: the only other thing GHB has been approved for (<a href="https://aasm.org/fda-approves-new-indication-for-xywav-for-idiopathic-hypersomnia/">in 2021</a> after years of lobbying) is the treatment of idiopathic hypersonmnia, a condition similar to narcolepsy.</em></p><p>Since GHB is easy to synthesize and it essentially allows people to become drunk without the hangover (while simultaneously functioning as an effective aphrodisiac), it became very popular in the rave scene (where to some extent, it is still used). Likewise, since some patient populations who are dealing with significant challenges (e.g., due to PTSD) find GHB greatly helps them, I periodically hear of them finding a way to get it.<br><br><em>Note: the fact that GHB is a superior alternative to alcohol suggests that the alcohol industry was also threatened by its availability.</em><br><br>Over the years, I&#8217;ve talked to numerous people who used or prescribed it. Collectively, they&#8217;ve told me:<br><br>&#8220;I don&#8217;t think it&#8217;s a very effective date rape drug&#8212;alcohol is much more powerful.&#8221;<br><br>&#8220;When you are on GHB, touch feels incredible and groups of people often just want to hold each other.&#8221;</p><p>&#8220;I have seen a few people who repeatedly used it become somewhat addicted to it.&#8221;<br><br>&#8220;Most of the issues with GHB come from people around you not being warned you might pass out for a few hours, <strong>it being dosed inappropriately, or mixing it with alcohol, benzodiazepines or antihistamines</strong>.&#8221;</p><p>&#8220;I&#8217;ve never had an issue with it.&#8221;</p><p>&#8220;It is incredibly helpful for sleep, so I use my limited supply when I really need to be well-rested and clear-headed the next day.&#8221;</p><p>&#8220;It is a remarkable drug, <strong>but I have seen it cause memory loss, addiction, airway issues, and mood depression </strong>in people who use it so it needs to prescribed appropriately.&#8221;<br><br>&#8220;The effect is very different depending on the dose you use.&#8221;</p><p>&#8220;The growth hormone release is a big deal.&#8221;</p><p>&#8220;Make sure you never use it while driving.&#8221;</p><p><em>Note: many of these also match <a href="https://www.amazon.com/GHB-Natural-Mood-Enhancer-1998-01-28/dp/B01LWV0O11">what Ward Dean M.D. believed</a>.</em></p><p>Conversely, when I&#8217;ve looked into anonymous online reports, I&#8217;ve found many had remarkably positive experiences, while others reported negative experiences which while bad, <strong>were not as bad as the things I often see the traditional sleeping pills cause</strong>, but nonetheless indicate that GHB needs to be used responsibly under the supervision of a doctor who what they are doing. For this reason, it is my sincere hope the our new FDA will consider creating a pilot program to make GHB available to patients with insomnia under a strict monitoring and verification program (e.g., using AI to ensure only the patient is using the prescription and doing so in a 100% safe manner), as were this to be done, it would be much safer than the existing options being used and transform the lives of its recipients.</p><p>Overall, one of the most extraordinary things about the GHB saga is that its many of benefits discovered over the decades of research it received were then subsequently discovered by the sleep research community to result from healthy sleep.  This again illustrates how often the research we really need already exists but was simply buried due to it being inconvenient for industry.  Fortunately however, now that we are at last in an era where forgotten medical truths are being unearthed, more and more are learning about them&#8212;for example, recently Joe Rogan and Jimmy Dore discussed the GHB story in front of millions of listeners:</p><div class="native-video-embed" data-component-name="VideoPlaceholder" data-attrs="{&quot;mediaUploadId&quot;:&quot;c8bcca27-2ac1-4755-b08b-1c894ea6e107&quot;,&quot;duration&quot;:null}"></div><p>More than anything else, I believe the GHB story demonstrates the importance of not being overly biased.  For example, while many doctors hold a strong prejudice against any &#8220;natural&#8221; (e.g., non-drug) therapy, I am the opposite and typically avoid using pharmaceutical drugs because of how frequently I find their harms outweigh their benefits.  Nonetheless, I periodically find extraordinary drugs (e.g., DMSO) I give a hard look at and end up using throughout my medical practice.  Sadly, as <a href="https://www.amazon.com/War-Ivermectin-Medicine-Millions-Pandemic/dp/151077386X">the war against ivermectin</a> showed the world, the primary motivation behind most of medicine is money, and as a result, whenever a true miracle drug is discovered (that competes with existing drugs), medicine moves to bury it, regardless of how much evidence there is in support of it.</p><h1>Sleep Hygiene</h1><p>While GHB is challenging to obtain (options are discussed further below), there are also many other options for improving sleep.  One of the most tried and true ones is to change the signals your body receives so it can go to asleep on its own.</p><p>Briefly, three processes are at work:<br><br>1. Throughout the day, the brain metabolizes ATP to into adenosine as energy is harvested from ATP.  When there is an excessive amount of adenosine in the brain, it provides a signal to feel tired and initiate the sleep cycle (presumably because it serves as a proxy for other metabolic waste products).<br><br>2. The body has a cyclic pattern it goes through during the day known as the circadian rhythm.  For example, consider what happens to its temperature:</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!uV96!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F64f2ec4c-af85-4f01-bd3a-aae2c3168f23_1962x1574.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!uV96!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F64f2ec4c-af85-4f01-bd3a-aae2c3168f23_1962x1574.png 424w, https://substackcdn.com/image/fetch/$s_!uV96!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F64f2ec4c-af85-4f01-bd3a-aae2c3168f23_1962x1574.png 848w, https://substackcdn.com/image/fetch/$s_!uV96!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F64f2ec4c-af85-4f01-bd3a-aae2c3168f23_1962x1574.png 1272w, https://substackcdn.com/image/fetch/$s_!uV96!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F64f2ec4c-af85-4f01-bd3a-aae2c3168f23_1962x1574.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!uV96!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F64f2ec4c-af85-4f01-bd3a-aae2c3168f23_1962x1574.png" width="1456" height="1168" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/64f2ec4c-af85-4f01-bd3a-aae2c3168f23_1962x1574.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:1168,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:1006209,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!uV96!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F64f2ec4c-af85-4f01-bd3a-aae2c3168f23_1962x1574.png 424w, https://substackcdn.com/image/fetch/$s_!uV96!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F64f2ec4c-af85-4f01-bd3a-aae2c3168f23_1962x1574.png 848w, https://substackcdn.com/image/fetch/$s_!uV96!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F64f2ec4c-af85-4f01-bd3a-aae2c3168f23_1962x1574.png 1272w, https://substackcdn.com/image/fetch/$s_!uV96!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F64f2ec4c-af85-4f01-bd3a-aae2c3168f23_1962x1574.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p>This rhythm is self sustaining, signals to the body when to go to sleep, and also responds to environmental cues.  Because of this, the ideal thing is to go to sleep at the same time each day and have the daily signals your body receives be consistent in their timing and match those that would tell it to go to sleep at the correct time (e.g., at 10pm each day).  Unfortunately, modern life continually prevents that from happening, and as a result, we often get signals from our circadian rhythm to be asleep when we should be awake.</p><p>3. Sleep is an active energy intensive process.  Because of this, if the drive for sleep is weak and significant barriers to sleep exist (e.g., age related damage to the parts of the brain which initiate sleep), it&#8217;s often not possible (or quite difficult) to get to sleep, which in turn creates a downhill spiral (because deficient sleep further worsens the brains ability to maintain its health).<br><em>Note: one of the most common barriers to sleeping I encounter in patients are fluid obstructions within it (many of which respond to <a href="https://www.midwesterndoctor.com/p/how-to-improve-zeta-potential-and">treatments which restore the physiologic zeta potential</a> and hence increase circulation throughout the body; unfortunately for elderly, <a href="https://www.midwesterndoctor.com/p/what-makes-all-vaccines-so-dangerous">the physiologic zeta worsens with age</a>).  Likewise, I often find EMFs (possibly due to their adverse effect on zeta potential or <a href="https://pubmed.ncbi.nlm.nih.gov/30295923/">their inhibition of the memory encoding process</a>) create a significant barrier to sleep for some.  Because of this, <a href="https://www.midwesterndoctor.com/p/sleeping-aids-and-electromagnetic">more sensitive patients find reducing their exposure</a> (e.g., by flipping circuit breakers at night, disabling WIFI, putting the phone near your bed on airplane mode, living in a low EMF area, or camping in an EMF dead zone) greatly helps their sleep. </em></p><p>Treating insomnia hence is a product of improving one or more of these and hoping that gets you to sleep.<br><br><em>Note: additional issues need to be considered if the problem instead is an inability to stay asleep (e.g., <a href="https://en.wikipedia.org/wiki/Reactive_hypoglycemia">reactive hypoglycemia</a>).</em></p><h3>Caffeine and Alcohol:</h3><p>Both caffeine and alcohol are highly disruptive to sleep.  In the case of caffeine, it works by blocking the adenosine receptors in the brain (hence eliminating the pressure you feel to be tired as a result of the brain having built up metabolic waste products during the day it needs sleep and the gylmphatics to clear out).  In the case of alcohol, like sleeping pills, it functions as a sedative which is highly disruptive the actual sleep cycle (hence why people wake up not feeling clear in the head after a night of drinking and why drinking greatly impairs your ability to memorize whatever you&#8217;ve studied).</p><p><em>Note: at a young age, I noticed each of these substances negative impact the health of the adults around me, so I avoided them completely, and I believe that gave me a major leg up in life.</em> </p><p>The important thing to understand about each substance is that it takes a while for the liver to metabolize and eliminate them, and furthermore, that the rate of elimination varies person to person.  Because of this, people often still have the substances active in their blood stream at the time they are trying to get to sleep (e.g., slower metabolizers are kept awake in bed by an afternoon cup of coffee, while moderate metabolizers have their sleep disrupted by an evening glass of wine).  Furthermore, for most people liver metabolism declines with age (which is another reason why sleeping issues are so prevalent in the elderly).</p><p>Lastly, one of the most intriguing data points I&#8217;ve seen about the effects of caffeine came from <a href="https://web.archive.org/web/20210327150247/https://arachnidlady.files.wordpress.com/2013/08/nasa-tech-brief.pdf">this NASA study</a>:</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!A5YV!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F05c288b0-3732-40f7-93a9-ca22751f592e_2108x852.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!A5YV!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F05c288b0-3732-40f7-93a9-ca22751f592e_2108x852.png 424w, https://substackcdn.com/image/fetch/$s_!A5YV!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F05c288b0-3732-40f7-93a9-ca22751f592e_2108x852.png 848w, https://substackcdn.com/image/fetch/$s_!A5YV!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F05c288b0-3732-40f7-93a9-ca22751f592e_2108x852.png 1272w, https://substackcdn.com/image/fetch/$s_!A5YV!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F05c288b0-3732-40f7-93a9-ca22751f592e_2108x852.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!A5YV!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F05c288b0-3732-40f7-93a9-ca22751f592e_2108x852.png" width="1456" height="588" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/05c288b0-3732-40f7-93a9-ca22751f592e_2108x852.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:588,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:1705105,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!A5YV!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F05c288b0-3732-40f7-93a9-ca22751f592e_2108x852.png 424w, https://substackcdn.com/image/fetch/$s_!A5YV!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F05c288b0-3732-40f7-93a9-ca22751f592e_2108x852.png 848w, https://substackcdn.com/image/fetch/$s_!A5YV!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F05c288b0-3732-40f7-93a9-ca22751f592e_2108x852.png 1272w, https://substackcdn.com/image/fetch/$s_!A5YV!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F05c288b0-3732-40f7-93a9-ca22751f592e_2108x852.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><h3>Temperature:</h3><p><em>Note: I know someone who shared with me that the most restorative period of their life was when they spent the winter in a snowy mountain cabin without gas or electricity, and that each night they went to sleep in front of a fire (so they didn&#8217;t freeze), then woke up in the middle of the night from the cold (because the fire went out) at which point they restarted the fire and went back to sleep.  While this is a bit extreme, it helps illustrates how different modern life is from what the human body experienced throughout most of human history.</em></p><p>One of the most consistent signs in the environment to sleep is the temperature dropping at night.  For this reason, people often find cooling the body (which warm baths ultimately do once you get out as they bring core blood to the surface which is then cooled as the bathwater evaporates off your skin) helpful for putting them to sleep.  Likewise, the body&#8217;s temperature drops by 1-2 degrees when you sleep, and people often find sleeping in a cooler room helps them get to sleep (whereas many, myself included) have a great deal of difficulty sleeping in hot rooms (so I&#8217;ve learned to make sure I never run into this issue when I travel).</p><p>Because of this, people struggling with insomnia are often advised to make their rooms colder (e.g., according to Walker, assuming standard bedding and clothing, the ideal bedroom temperature for sleep is around 65 degrees F&#176; [18.3&#176;C]).</p><p><em>Note: one of the most interesting approaches to overcoming the temperature barrier for sleep was <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2542970/">a study</a> that found using a customized suit to externally drop people&#8217;s temperature <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2542970/">made it much easier for them to sleep</a> (especially in the elderly). Since that time, a variety of devices have been made which replicate this process and many report significantly improve sleep.</em></p><h3><strong>Light:</strong></h3><p>Your brain evolved to have the light present in the early morning (blue) wake you up, while the light present at the end of the day (red) signals you to sleep. Since we are continually exposed to blue light (most electronic screens give them off&#8212;which I believe was done intentionally to make them more addictive), we have widespread issues with sleep cycle dysregulation (as blue light stops the pineal gland from secreting melatonin).&nbsp;<br><em>Note: I periodically encounter people whose sleeping issues seem to be coming from issues within the pineal gland or the hypothalamus (e.g., <a href="https://www.midwesterndoctor.com/p/what-makes-all-vaccines-so-dangerous">due to microstrokes</a>) and require something to directly heal that gland (e.g., <a href="https://www.midwesterndoctor.com/p/how-to-improve-zeta-potential-and">restoring the zeta potential</a> and hence blood flow to the gland).</em></p><p>To address the unnatural light issue, people suggest:</p><p>&#8226;Using blue light filters on all electronic devices. I think&nbsp;<a href="https://justgetflux.com">f.lux</a>&nbsp;is the easiest option for computers, while with cell phones, a variety of apps exist (however, the default settings in the phones typically do not remove blue light from the screens). You can also put blue light-blocking material directly on screens or wear blue light blocking glasses.<br><em>Note: the rest of the body (especially the middle of the forehead above the nose) is also somewhat sensitive to light so some cases, this needs to be addressed as well (e.g., if I can&#8217;t eliminate a light, I will sleep in sheets that block the light from contacting the rest of my body.</em></p><p>&#8226;Change the lighting in your house. Most people believe halogen lamps and incandescent bulbs are the best options, while fluorescents are the worst, followed by LEDs with a low amount of blue light (many have a lot of blue light). Some people like to use red lights in the house at night too. Unfortunately, in recent years there has been a gradual push to phase out these healthier lights and replace them with unhealthy energy efficient ones (which has made incandescent bulbs more difficult to obtain).</p><p><em>Note: my favorite lighting option I ever came across was the traditional&nbsp;<a href="https://en.wikipedia.org/wiki/Sodium-vapor_lamp">sodium-vapor lamps</a>&nbsp;(the orange street lights). Unfortunately, these are gradually being replaced with toxic LED street lamps that emit large amounts of blue light (which, amazingly,&nbsp;<a href="https://www.ama-assn.org/press-center/press-releases/ama-adopts-guidance-reduce-harm-high-intensity-street-lights">even the AMA said was a bad idea</a>).</em> </p><p>&#8226;Do everything you can to reduce the light in your room (e.g., no electronics that blink) and, if possible lightproof everything (e.g., use effective blackout curtains that can entirely block the light in each room). I have incredible difficulty sleeping in poorly light-proofed rooms, which is one of the primary reasons I do not travel as much now.</p><p>&#8226;If your circadian rhythm has been disrupted (e.g., from traveling to another time zone), having melatonin a few hours before bed can help reset your circadian rhythm to the correct time.</p><p><em>Note: many melatonin supplements on the market do not contain the melatonin they claim to. Additionally, we have observed that long term continual usage of melatonin can lead to a variety of other problems, something we suspect is due to the pineal gland becoming dysregulated (due to an excess of melatonin in the system) and hence no longer performing its normal secretion of melatonin throughout the day.  For this reason, I believe melatonin should be applied in a targeted and judicious manner rather than it being a supplement that is always taken for sleep.</em></p><h3><strong>Behavioral:</strong></h3><p>&#8226;You need to have your bedroom be a place that is psychologically associated with sleeping (this can include physical intimacy). Sleep hygienists generally advise minimizing the number of non-sleep-related things in your bedroom (e.g., a TV or desktop computer) and avoiding intellectual activity or social media in your bedroom.</p><p>&#8226;You need to have a set time to wake up and sleep each day. The body adapts to a rhythm, and if you keep changing that time, the body has much greater difficulty falling asleep.<br><em>Note: many people find cognitive behavioral therapy (CBT) to be extremely helpful for insomnia and there is now significant evidence to support <a href="https://www.sleepfoundation.org/insomnia/treatment/cognitive-behavioral-therapy-insomnia">it being a first line therapy</a>.</em></p><p>&#8226;You need to allow your mind to wind down before sleep. If you can give yourself at least a 1-2 hour buffer between screens and other mentally taxing or emotionally stressful activities before sleep, that is ideal.  For many people, <strong>this is the single most important thing for ensuring healthy sleep</strong> (especially those with unaddressed anxiety), and an area where CBT can be extremely helpful.<br><br>&#8226;Do not spend too long on a computer or sitting at one time. At some point, you will pass a critical threshold where it becomes quite difficult to sleep (which I acknowledge can often be challenging&#8212;this has happened to me quite a few times while working on an upcoming article).</p><p>&#8226;Having more physical activity during the day often makes it much easier for people to fall asleep at night. I believe this is primarily due to the increased fluid circulation in the body those activities create.<br><em>Note: many people consider this to be the single most important thing for preventing insomnia&#8212;and sadly modern life prevents many of us from having access to it.</em></p><p>&#8226;Use good earplugs at night.<br><br>&#8226;Avoiding eating later in the night.<br><em>Note: conversely, if your blood sugar drops at night (which can cause you to wake up in a state of sympathetic activation), eating a slowly digesting carbohydrate can often be very helpful for keeping you asleep.</em><br><br>&#8226;Lastly, while this is not behavioral per say, for many individuals, it can take a lot of time to clear caffeine from their bodies, so foods like coffee should not be eaten later in the day (and with exceptionally sensitive people, other things with small amounts of caffeine like chocolate must not be eaten later in the day either).</p><p><em>Note: sleep specialists <a href="https://sleepdoctor.com/sleep-hygiene/sleep-diary/">often recommend keeping a sleep journal</a> where you log both how much sleep you are getting and what you did throughout the day.  When you have this type of a journal it can frequently help you identify what is contributing to your insomnia (e.g., certain foods).</em> </p><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://www.midwesterndoctor.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">The Forgotten Side of Medicine is a reader-supported publication. To receive new posts and support my work, please consider becoming a free or paid subscriber.</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div><p></p><h1>Legal Sleep Aids</h1><p>Over the years, we&#8217;ve looked at a lot of different options for fixing sleep, and as the years have gone by, my perspectives on what to do for insomnia have evolved.  For example, I&#8217;ve long believed that sleep apnea is something which needs to be checked for (due to how disruptive it is to sleep) but as the years have gone by, I&#8217;ve become of the opinion CPAPs are not an ideal way to treat it (as while helpful for addressing this critically important issue, they are simultaneously disruptive to the body).</p><p>In the last part of this article I will discuss our preferred approaches for treating sleep issues  (e.g., which supplements, devices, and pharmaceutical drugs help), some of the aspects of insomnia I believe are the most important to focus upon (but are not acknowledged within the orthodoxy), my preferred devices for improving sleep (or making partners able to comfortably share beds) along with highlighting a few additional resources for those wishing to learn more about GHB and how to obtain it.</p>
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   ]]></content:encoded></item><item><title><![CDATA[What the War on Chlorine Dioxide Reveals About Medicine]]></title><description><![CDATA[For over a century, remarkable therapies have been suppressed to maintain a medical monopoly at the expense of humanity]]></description><link>https://www.midwesterndoctor.com/p/what-the-war-on-chlorine-dioxide</link><guid isPermaLink="false">https://www.midwesterndoctor.com/p/what-the-war-on-chlorine-dioxide</guid><dc:creator><![CDATA[A Midwestern Doctor]]></dc:creator><pubDate>Thu, 06 Aug 2026 07:18:58 GMT</pubDate><enclosure url="https://substack-post-media.s3.amazonaws.com/public/images/c9218c65-3cb6-4df6-ab3e-8e4b5d506af4_1636x1084.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p><strong>Story at a Glance:</strong></p><ul><li><p><strong><span>Modern medicine is built around costly, narrowly approved drugs that treat (but rarely cure) specific disease franchises, with regulatory approval correlating more strongly with money spent than with real therapeutic value.</span></strong></p></li><li><p><strong><span>To enforce this, for over a century the same institutions, backed by vast fortunes, have repeatedly sidelined broader or cheaper therapies that threatened those franchises.</span></strong></p></li><li><p><strong><span>The same playbook is used again and again&#8212;once a therapy threatens a market, claims of &#8220;no evidence&#8221; or doctored research amplified by the media will allow regulators to clamp down on the &#8220;dangerous and unproven&#8221; therapy until it becomes forgotten to history.</span></strong></p></li><li><p><strong><span>In this article, I will illustrate how the exact same playbook was used again and again on numerous transformative medical discoveries endorsed by leading physicians of the era, resulting in nearly every one (e.g., UVBI and numerous cancer treatments) becoming largely forgotten despite immense evidence behind them.</span></strong></p></li><li><p><strong><span>This same playbook was used throughout COVID-19 to eliminate the off-patent therapies that threatened the boondoggle. One of these, chlorine dioxide, was not only repeatedly shown to eliminate COVID outbreaks, but also to do the same with malaria, where it likewise was banned.</span></strong></p></li><li><p><strong><span>Pierre Kory and Jenna McCarthy&#8217;s recent book The War on Chlorine Dioxide provides a critical body of evidence that chlorine dioxide has treated a myriad of challenging conditions, and that each time it did, a robust censorship apparatus erased those discoveries and retaliated against the discovers&#8212;providing a poignant illustration of the medical monopoly in action.</span></strong></p></li></ul><p>While medicine has produced remarkable and life-changing results for a variety of challenging conditions, the present reality of our medical system is that:</p><p>&#8226;Large amounts of research dollars are collected each year to seek out solutions for incurable diseases creating immense suffering for many patients with &#8220;incurable&#8221; conditions.</p><p>&#8226;Since many diseases lack satisfactory treatments, patients and health care systems begrudgingly accept paying for and using the unsatisfactory treatments that are available.</p><p>&#8226;When medicine is ultimately unable to address a condition patients have, this is justified under the logic &#8220;we tried everything we had and nothing more could be done&#8221; (e.g., for a hospitalized patient, or more recently, for a disabled patient being funneled into medically assisted dying).</p><p>Our medical system, in turn, is structured so that:</p><p>&#8226;For a therapy to enter regular use (and particularly for it to be paid for) it must secure a regulatory approval.</p><p>&#8226;Regulatory approvals require a body of preclinical science (which if often the results of years of public research dollars), a mechanistic basis (that typically draws upon those studies), <a href="https://www.midwesterndoctor.com/p/the-critical-calculation-medicine">costly large randomized controlled trials</a> and effective regulatory lobbying (all of which results in drugs now typically costing 1-2 billion dollars to bring to market<a href="https://www.deloitte.com/uk/en/blogs/thoughts-from-the-centre/a-long-view-of-pharmaceutical-r-d-productivity.html"><sup>1</sup></a><sup>,</sup><a href="https://intuitionlabs.ai/pdfs/cost-to-bring-a-drug-to-market.pdf"><sup>2</sup></a><sup>,</sup><a href="https://www.physiciansweekly.com/post/mean-cost-of-bringing-new-drug-to-u-s-market-is-879-3-million"><sup>3</sup></a>). However, while there is a strong correlation between spending money to secure an approval and receiving it, a much weaker correlation exists between the intrinsic value of a treatment and its approval (<a href="https://www.midwesterndoctor.com/p/the-critical-calculation-medicine">resulting in many unsafe drugs being approved that provide negligible benefits</a>).</p><p>&#8226;Once a drug is brought to market, payers will pay vast sums of money for the treatment, in part to cover the cost of bringing it to market.</p><p>&#8226;The regulatory approval process typically rewards drugs having a specific mechanism for a specific disease.  Because of this, each disease becomes a lucrative franchise that is reserved for a limited number of pharmaceuticals (which utilize a limited number of approved mechanisms) that in most cases provide an unsatisfactory treatment, making it possible to reuse the franchise in the future with a new class of drugs once the patents on the original ones run out.<br><em>Note: &#8220;franchise&#8221; is a term routinely used in the pharmaceutical industry.</em></p><p>&#8226;While the rules for getting an FDA approval are quite strict, once approved, the rules for using an approved drug for something else are quite lax, and as such, pharmaceutical drugs are routinely used to treat conditions they lack evidence for treating.</p><p>If you take a step back, this entire paradigm relies upon two things:</p><ol><li><p>The belief that a substance, by virtue of being labeled as a pharmaceutical (through regulatory approval), is &#8220;real medicine&#8221; that works (and must have extensive credible evidence behind it).</p></li><li><p> For each of these disease franchises to remain incurable so that an endless funnel of money can go into bringing us closer to a cure (which occasionally new pharmaceuticals accomplish, but typically do not).</p></li></ol><p>Many hence find the existing paradigm extremely frustrating, in part because of how much money it sucks up (which has now hit the point socialist medical systems are pursuing medically assisted dying to balance their budgets), and in part because of how much the people with these &#8220;incurable&#8221; diseases suffer year after year after year.</p><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://www.midwesterndoctor.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">The Forgotten Side of Medicine is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. To learn more about the newsletter and how readers have benefitted from it, click <a href="https://www.midwesterndoctor.com/about">here</a>!</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div><p></p><h1>A History of Medicine</h1><p>Understanding where the current paradigm comes from requires understanding the history of medicine.</p><p>In the earliest recorded history, disease was widely attributed to supernatural causes (e.g., angry gods, demons, ancestral spirits, curses, or soul loss) and medicine typically involved shamans,  priests, or medicine men using rituals, incantations, charms, amulets, sacrifices, and exorcisms, often combined with herbal remedies or basic surgery (e.g., trepanation to release evil energy from the head).<br><em>Note: while these supernatural approaches have still been largely discarded, some are still utilized by spiritual healers and indigenous traditions (e.g., Native American and Amazonian shamans) and every now and then, I hear of someone treating a fairly challenging illness with one.</em></p><p>Around the time of Christ (400 BC - 100 AD) a new perspective entered the world that led to medical systems across numerous major civilizations concluding illness resulted from innate qualities within the body being out of balance or obstructed (e.g., the four humors, yin and yang, the five elements, the doshas etc) and hence that healing arose from harmoniously rebalancing them.  Due to the success of this approach, it supplemented and then gradually displaced old approaches like human sacrifice.<br><em>Note: certain points of evidence suggest the &#8220;balance&#8221; school of medicine originated from a much older society that predated recorded history (e.g., it&#8217;s referenced in the opening of <a href="https://en.wikipedia.org/wiki/Huangdi_Neijing">the original text of Chinese of medicine</a> and <a href="https://en.wikipedia.org/wiki/Graham_Hancock">Graham Hancock</a> has built an extensive case an older advanced civilization was mostly but not completely erased by a planetary disaster).</em></p><p><span>After the classical balance systems became established, they remained the dominant medical framework for well over a thousand years. In Rome, Galen (129-216 AD) then refined Greek humoral theory with extensive anatomy and physiology derived from animal dissections and experiments (human ones were illegal), causing the synthesis of the four humors with detailed organ function and bodily structure to become the authoritative medical model across Europe and then the Islamic world.</span></p><p>The Renaissance (roughly 1300&#8211;1600) and the Scientific Revolution that overlapped and followed it (roughly 1500&#8211;1700) produced major anatomical and physiological discoveries (most notably William Harvey&#8217;s 1628 demonstration that blood circulates in a closed circuit pumped by the heart)  as well as philosophical shifts such as Descartes&#8217; separation of mind (or soul) from body. Together these developments encouraged a new view of the body as a mechanical structure governed by physical laws and amenable to external analysis and intervention.</p><p>This gave birth to &#8220;heroic medicine&#8221; which used invasive methods, mineral remedies and toxic remedies (e.g. mercury, opium and antimony) to powerfully shift the body in the belief that would achieve health (with this school of medicine eventually coming to be known by many as &#8220;allopathy,&#8221; after the founder of homeopathy in 1810 critically coined this term to denote that this system worked <span>by forcefully producing effects opposite to the symptoms of the disease).</span></p><p>Between the 1850s-1880s, advances in germ theory (Pasteur and Koch), cellular pathology (Virchow), controlled laboratory methods, and clinical observation shifted the understanding of disease toward specific, measurable causes such as microorganisms, cellular damage, chemical imbalances, and structural failures. The body was hence increasingly viewed as a complex biological machine that could be diagnosed and fixed through targeted interventions and in the early 1900s, this mechanistic approach had become the prevailing paradigm in Western medicine, after which it spread globally.</p><p>However, since allopathy had major shortcomings (e.g., it failed to treat many diseases, its remedies&#8212;particularly mercury and early vaccines like smallpox&#8212;created a horrendous wave of illnesses never seen before, and patients often died from allopathic methods), in the 1800s a variety of other medical schools emerged that gradually outcompeted allopathic medicine (homeopathy, osteopathy, &#8220;the eclectic&#8221; naturopathic school of medicine and to a lesser extent chiropractic&#8212;with doctors at the time often also being licensed in many of these schools).</p><h3>Medical Monopolization</h3><p>The American Medical Association, founded in 1847 partly to counter the newly established American Institute of Homeopathy, for decades remained relatively weak in membership and finances (as most MDs in the country did not wish to join the AMA and homeopaths were far more prosperous <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC12318542/">due to them being preferred by the wealthy and most educated)</a>. However, two developments changed that trajectory.</p><p>First, internal reorganization of the AMA itself. In 1899 George H. Simmons became general manager (and later editor of the AMA&#8217;s widely read medical journal JAMA). Under Simmons and his successor Morris Fishbein (editor roughly 1924&#8211;1950), the association professionalized its operations, expanded membership dramatically, and created revenue streams tied to pharmaceutical advertising. The AMA Council on Pharmacy and Chemistry (1905) introduced a &#8220;Seal of Acceptance&#8221; program: companies disclosed ingredients and limited certain claims in exchange for the right to advertise in AMA publications. <br><em>Note: a friend knew Morris Fishbein&#8217;s secretary and shared with me the secretary witnessed highly unethical behavior from him consistent with his unscrupulous behaviors highlighted throughout this article.</em> </p><p>Advertising revenue (<a href="https://www.amazon.com/-/he/When-Healing-Becomes-Crime-Alternative/dp/0892819251">according to the most commonly cited source</a>) rose from roughly $34,000 in 1899 to $150,000 by 1909, while membership grew from about 8,000 to over 70,000. Critics at the time called the arrangement commercially self-serving but the AMA nevertheless gained resources and visibility. <em><br>Note: in many later accounts of the events, the AMA&#8217;s activities were characterized as monopolistic blackmail (with the AMA having a lengthy conflict with the founder of Abbott Laboratories), and while that seems likely given the AMA&#8217;s other activities, I have not located any sources from the time that substantiated overt blackmail occurred.</em></p><p>Likewise, the AMA had earlier used a &#8220;consultation clause&#8221; in its code of ethics that forbade members from associating with homeopaths (or other &#8220;irregulars&#8221;), with expulsion from local societies sometimes resulting in loss of licensure. Even after the clause was formally removed in 1901, homeopaths could join only by renouncing homeopathy in practice.</p><p>Second, there was a concerted push for higher educational and licensing standards. The AMA&#8217;s Council on Medical Education (established 1904) began rating schools. In 1910 the Carnegie Foundation published Abraham Flexner&#8217;s &#8220;<em>Medical Education in the United States and Canada</em>.&#8221; Flexner, working with input from AMA reformers (including close consultation with Nathan Colwell of the AMA Council and correspondence that treated the report as &#8220;ammunition&#8221; for the AMA while publicly distancing the collaboration), harshly criticized proprietary, under-resourced, and most sectarian schools&#8212;including the majority of the roughly 20&#8211;22 homeopathic colleges then operating&#8212;for inadequate laboratories, weak science prerequisites, and commercial incentives. State licensing boards increasingly aligned with these ratings. The result was rapid closure or conversion of many competing schools; by the 1930s the number of U.S. medical schools had fallen sharply (with Women&#8217;s and Black medical colleges disproportionately affected), homeopathic schools had dwindled to two by 1923, and the remaining institutions were almost entirely scientific and allopathic in orientation.<em><br>Note: a case can be made Flexner did this not to monopolize medicine, but simply to address poor standards in medical schools across the country, but many of his &#8220;standards&#8221; were based upon an allopathic worldview that placed a much greater weight on subjects like anatomy than homeopathic medical schools (where a precise knowledge of anatomy was not necessary to practice the discipline).  That said, from having spoken to (now deceased) people directly familiar with the events at the time, they felt Flexner approached the non-allopathic schools with the intent of discrediting them.</em></p><p>Rockefeller philanthropy supplied key capital for the new model. The Rockefeller<em> </em>Institute for Medical Research (organized 1901) and the General Education Board directed tens of millions of dollars (enormous sums at the time) toward laboratory-based research, full-time faculty systems, and university-affiliated schools that met Flexner-style criteria. Frederick T. Gates, Rockefeller&#8217;s principal philanthropic adviser, viewed scientific medicine as a strategic social investment: it promised healthier, more productive workers and framed disease as a technical and biological problem rather than a social or environmental one. Rockefeller funding hence favored institutions that aligned with this biomedical approach; support for homeopathic or other sectarian emphases was withdrawn.<br><em>Note: E. Richard Brown&#8217;s critical <a href="https://archive.org/details/rockefellermedic00browrich">Rockefeller Medicine Men</a> (1979), provides the most detailed summary of what occurred here, but argues it was class-aligned philanthropy rather than a simple personal profit scheme and was framed by Gates as long-term institutional shaping, not a direct buyout of the AMA. <a href="https://archive.org/details/rockefellermedic00browrich">That book</a> and <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC12318542/">this article</a> are the primary sources for the above section.</em></p><p>Finally, <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC12318542/">recently made available primary sources</a> shed further light on exactly what happened. In 1911 Gates prepared five private &#8220;Notes on Homeopathy&#8221; reports exclusively for John D. Rockefeller Sr. These documents (now available through the Rockefeller Archive Center) harshly criticized homeopathy and its founder Samuel Hahnemann while praising William Osler and laboratory-based scientific medicine. <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC12318542/">Critics however noted that</a> Gates overstated the reach of germ theory, misrepresented Hahnemann&#8217;s views on the body&#8217;s self-healing capacities, and asserted that homeopathy had never cured a single patient (despite hospital mortality data at the time indicating otherwise and Osler&#8217;s having publicly expressed respect for homeopathy). So, despite Rockefeller&#8217;s lifelong personal reliance on homeopathic physicians for decades and his repeated instructions that homeopathic institutions should receive &#8220;fair, courteous, and liberal treatment&#8221; equal to allopathic ones, the foundations under Gates&#8217;s influence (and later under John D. Rockefeller Jr.) provided no grants to any institution bearing the word &#8220;homeopathic&#8221; in its name. Abraham Flexner himself was later hired by the (Rockefeller) General Education Board to help implement the report&#8217;s recommendations, further concentrating societal resources behind the scientific model. Homeopathic schools, starved of capital and forced by licensing exams and equipment requirements to dilute their curricula, either closed or abandoned rigorous homeopathic training and by mid-century none remained.<br><em>Note: I believe the reason the medical system (and scientific community) has been so strongly opposed to homeopathy is because it was the initial opponent the AMA had to vanquish to establish their monopoly&#8212;illustrating how often large actions create unintended consequences (as Rockefeller explicitly stated he did not want the status quo that followed).</em></p><p>In short, the combined effect of AMA organizational power, state licensing leverage, Flexner&#8217;s influence, foundation capital, and the deliberate withholding of support from competing systems monopolized medical education and practice by the science-focused allopathic model as alternative systems lost schools, licenses, and institutional legitimacy. Then, once the monopoly was established, the same institutions that had raised barriers to entry could define what counted as &#8220;real medicine,&#8221; what research received funding, and which therapies were branded quackery. Later federal drug regulation (e.g., the FDA) operated within this already-consolidated professional and educational framework.</p><p>When the above events are recounted, they are typically portrayed as the Rockefellers and the AMA attempting to monopolize medicine, both so that MDs could earn more (shifting them from being some of the lowest to highest paid members of society) and because Rockefeller had recognized that immense amounts of money could be made from the new scientific model of medicine (which is why he sought to enshrine it as the gold standard). I am inclined toward these arguments, both because Rockefeller and Carnegie had a history of brutal and methodical suppression of competitors when they established their respective monopolies in oil and steel (Rockefeller&#8217;s largely secret and conspiratorial, Carnegie&#8217;s more open) and because after their &#8220;philanthropy&#8221; medicine rapidly became a far more profitable enterprise. However, strictly on the basis of what the available sources substantiate, the outcome could instead be explained as a combination of unfortunate factors (most notably Rockefeller placing Frederick T. Gates in charge of his philanthropy), the broader institutional momentum that already favored laboratory-based scientific medicine and unscrupulous individuals quickly recognizing the immense profit potential of science-focused medicine.</p><p><em>Note: in the 1970s police raided and arrested Chinese immigrants practicing acupuncture (which was in high demand from the community).<a href="https://www.nytimes.com/1972/11/29/archives/queens-man-jailed-in-acupuncture-case.html"><sup>1</sup></a><sup>,</sup><a href="http://www.100md.com/html/201505/2154/1309.htm"><sup>2</sup></a><sup>,</sup><a href="https://www.ovid.com/jnls/cmc/fulltext/10.1097/mc9.0000000000000002~establishment-of-the-first-professional-organization-of"><sup>3</sup></a><sup>,</sup><a href="https://time.com/archive/6840233/medicine-acupuncture-crackdown/"><sup>4</sup></a> I vividly remember despondently asking someone who witnessed a raid &#8220;why are they doing this?&#8221; to which he said &#8220;the Rockefellers&#8230;control everything,&#8221; illustrating that this viewpoint has existed for a long time.</em> </p><h1>The AMA&#8217;s Monopolization of Medicine</h1><p>Based on the events that happened, I believe it is fair to say the heads of the AMA quickly realized the immense financial value of restricting the practice of American medicine to allopathy. Furthermore, I believe they also recognized that it was in their financial interest to gain ownership (or at least a cut) of the therapies allopathic physicians could utilize at scale that could treat a wide variety of diseases, as beyond this being the most logical course of action for them to take if profit was the priority, numerous cases studies demonstrated it occurred.</p><h3>Ultraviolet Blood Irradiation</h3><p>Building upon the recognition prolonged sun bathing could cure severe infections (e.g., the 1918 influenza or tuberculosis) and that UV light was antimicrobial, in 1927, Emmett K. Knott discovered directly the blood to UV light cured a variety of otherwise fatal infections, and once he finally convinced doctors to try it, it was rapidly adopted across America&#8217;s hospitals because of how consistently it treated a myriad of challenging conditions including sepsis, pneumonia (including viral pneumonias), kidney disorders, asthma, polio, botulism, rheumatic fever, and viral hepatitis.</p><p><span>The pioneers of UVBI, in turn documented their work in a significant body of literature: 50 papers by 20 different authors (published in 18 different medical journals) covering over 3000 patients with 36 different diseases, all of which found remarkable UVBI benefits. In tandem, these results led to UVBI being promoted in mainstream media (e.g.,</span><a href="https://www.nytimes.com/1940/06/10/archives/internal-sun-kills-deadly-germs-blood-removed-for-bath-in-rays-new.html"> The New York Times</a><span> and</span><a href="https://time.com/archive/6602675/medicine-ubi/"> Time Magazine</a><span>).</span></p><p>The AMA then attempted to extort Knott <a href="https://www.amazon.com/Invisible-Cure-Definitive-Ultraviolet-Irradiation/dp/173642520X">by offering to conduct a study validating UVBI for $100,000</a> (approximately $1.4 million today) and to purchase the rights to Knott&#8217;s device in return for a small sales cut.  <span>After Knott refused (as did physicians across America advocating for UVBI&#8212;one of whom documented this in their records), the AMA decided to do the study anyway. It was overseen by a friend of the AMA director (who was designing a competing device) and curiously, prior to being done, JAMA announced it was likely to fail. </span><a href="https://pubmed.ncbi.nlm.nih.gov/14938136/">The study</a><span> had various issues (e.g., no one could inspect the machine, when returned they discovered a film had blocked UV light from reaching blood, it only had 68 test subjects, many cases were conditions UVBI wasn&#8217;t used for). Nonetheless, no adverse events occurred, no one died (despite many having dangerous conditions), and many patients experienced significant improvement.</span></p><p><span>Despite this, </span><a href="https://pubmed.ncbi.nlm.nih.gov/14938136/">the 1952 study concluded</a><span>:</span></p><p><span>&#8220;We have concluded that </span><strong>none</strong><span> of our patients derived benefit from the irradiation of blood with the Knott hemo-irradiator.&#8221;</span></p><p>Because of this &#8220;definitive study,&#8221; hospitals across America quickly abandoned UVBI and became fully committed to emerging antibiotic therapy. The large body of literature the pioneers produced was forgotten, Knott stopped producing his machine and then died in 1961.</p><p><em>Note: while the AMA successfully buried UVBI in the United States, it has been extensively used in Germany, Russia (and now China), with a large body of data showing it treats a wide of range of challenging and &#8220;incurable&#8221; conditions. One of the key reasons why I greatly dislike the AMA is because of how effective yet unknown UVBI is.</em></p><h3>Krebiozen</h3><p><span>Andrew Ivy, at the end of World War II, was arguably the most famous and influential doctor in America, to the point that the American Medical Association sent him as their representative to Nuremberg, where he helped draft the Nuremberg Code. </span><a href="https://www.amazon.com/Politics-Healing-Suppression-Manipulation-American/dp/0982513879"><span>In 1949 he was introduced to Krebiozen</span></a><span>, a promising cancer therapy, and after seeing the evidence, became its leading proponent. Then, in 1951, while he was still testing it, a sensational press release went out claiming a major breakthrough, which immediately turned the medical community against him.</span></p><p><span>The AMA, recognizing its value, threatened the inventors to sell them the rights. When they refused, the AMA conducted a fabricated study to debunk it, hoping to bankrupt them and gain ownership. This was later corroberated by examining the actual records of the AMA study and by a co-conspirator plus another witness who testified under oath before the Illinois legislature about the criminal conspiracy AMA leaders had shared with him.<br><br>Ivy kept collecting data, including miraculous results for key politicians, and eventually showed in over 4,200 patients that Krebiozen had a 50-70% success rate depending on the metric used (but nonetheless, the AMA and then the National Cancer Institute continue to denounce </span>Krebiozen).</p><p><span>When Ivy applied for approval, the FDA stonewalled them and eventually produced spectrographic data claiming Krebiozen was just a common worthless metabolite. Before long it was revealed the FDA had fabricated that data, leading to Senator Paul Douglas telling the Senate on December 6, 1963: &#8220;It is a terrible thing that we cannot really trust either the Food and Drug Administration or the National Cancer Institute.&#8221;</span></p><p><span>The FDA then used its new authority from the </span><a href="https://www.govinfo.gov/content/pkg/STATUTE-76/pdf/STATUTE-76-Pg780.pdf"><span>1962 Kefauver-Harris Amendment</span></a><span> to ban Krebiozen from being shipped across state lines on June 7, 1963, which led to large protests in front of the White House. They were on the verge of winning over Kennedy when he was assassinated on November 22, 1963, and Johnson could not be persuaded. Unable to get Krebiozen, many of those patients then died. </span></p><p><span>In 1973 Illinois outlawed it, and not long after, like so many other alternative cancer treatments of that era, it was forgotten. Fortunately, </span><a href="https://en.wikipedia.org/wiki/William_Kronick"><span>William Kronick</span></a><span>, a well-known television producer, made an impartial program that documented this forgotten history and the FDA&#8217;s gross malfeasance throughout it.</span></p><div class="native-video-embed" data-component-name="VideoPlaceholder" data-attrs="{&quot;mediaUploadId&quot;:&quot;fa8060fc-657b-4b70-857c-6e009f7100cb&quot;,&quot;duration&quot;:null}"></div><p><em>Note: Mike Wallace of 60 Minutes <a href="https://www.newspapers.com/newspage/518422730/">also interviewed Dr. Ivy in 1957</a> (but I have not been able to find a copy of this TV program). Krebiozen was also featured in national magazines like <a href="https://www.abebooks.com/first-edition/Pageant-Magazine-1956-Sex-Job-Madelyn/30890361359/bd">Pageant</a>, <a href="http://www.philsp.com/homeville/gfi/k00384.htm">Argosy</a>, and Inside Story.</em></p><h3>The Koch Catalysts</h3><p><span>Dr. William F. Koch was a chemist and physician who made a variety of discoveries (e.g., regarding the parathyroid gland) that were published in major journals. Eventually, suspecting cancer resulted from an abnormal (non-oxidative) respiratory cycle in cells and that natural catalysts existed in the body which could prevent this from occurring, he isolated those catalysts and observed remarkable recoveries in terminal cancer patients (and likewise, from the 1920s to 1940s other physicians corroborated these results).</span></p><p><em>Note: in addition to hearing many successful stories about Koch&#8217;s catalysts, I had direct experience utilizing two of them, and found they worked (and for conditions beyond just cancer)&#8212;making it quite frustrating this therapy was erased from history.</em></p><p><span>According to accounts from Koch and his supporters, AMA representatives </span>approached Koch and attempted to acquire the rights to Glyoxylide which Koch refused as he wanted it to be easily available to humanity.  In retaliation, Morris Fishbein, the powerful editor of the Journal of the American Medical Association, repeatedly denounced Koch as a quack in the pages of JAMA and used the full weight of the Association to destroy his reputation.</p><p><span>The FDA followed suit and pursued him aggressively, filing criminal misbranding charges (claiming his preparations were inert and worthless) and tying him up in lengthy court battles that spanned years. In two major trials (in 1943 and 1946) </span>the defense presented numerous patient testimonies of dramatic recoveries (including many who&#8217;d been given months or weeks to live prior to the catalysts), with <span>both ended without a conviction (a hung jury and a mistrial) with </span>and leading to the cases being dismissed, and a few years later Koch moved to Brazil.</p><p><em>Note: In many accounts of the Rife technology (another therapy I&#8217;ve extensively utilized), it is claimed the AMA made a similar buyout offer to Rife, which he declined. After that, the AMA blacklisted the technology and the physicians using it. Rife&#8217;s company was hit with a costly lawsuit that effectively bankrupted it; the San Diego Medical Society warned doctors using the machines that they could lose their licenses, causing many to surrender the equipment; the FDA later investigated doctors using Rife technology and often confiscated their devices; and much of Rife&#8217;s work was lost when his laboratory burned down in a suspicious fire. While the AMA&#8217;s abrupt campaign against Rife after the technology had been gaining traction is well documented, no primary sources corroborate the alleged buyout attempt itself. This could mean the buyout story was added later to strengthen a suppression narrative, or simply that direct proof of that kind of covert blackmail is hard to come by.</em></p><p><span>Since it worked, the &#8220;doctored study&#8221; method used against UVBI and Krebiozen was applied to other therapies as well. In the 1970s the FDA aggressively campaigned against laetrile (amygdalin, claimed to selectively release cyanide in cancer cells), resulting in widespread confiscations and patients seeking it through back channels such as Mexican clinics. Amid intense public pressure to study it, Sloan-Kettering Institute assigned its renowned researcher Kanematsu Sugiura to test the substance. He conducted nine experiments across three spontaneous mouse-tumor systems and obtained consistently positive results, particularly inhibition of lung metastases. After NCI officials expressed doubt, further collaborative tests with other researchers (including a joint study with a skeptical researcher) were run; several of these also confirmed the metastasis reduction. Sugiura&#8217;s findings were nevertheless suppressed in the final 1978 published paper, which framed the overall outcome as negative, </span>Sugiura&#8217;s positive results were attributed to a <span>&#8220;unconscious bias,&#8221; and the NCI gagged on the topic thereafter. The cover-up was chronicled by Ralph W. Moss, the institute&#8217;s public affairs officer, who refused orders to falsify reports, organized an internal group (Second Opinion) to expose the discrepancies, and was fired.</span><a href="https://www.nytimes.com/1977/11/24/archives/cancer-aide-out-in-laetrile-dispute.html"><sup><span>1</span></sup></a><sup><span>,</span></sup><a href="https://www.amazon.com/Doctored-Results-Ralph-W-Moss/dp/1881025527"><sup><span>2</span></sup></a></p><p><em><span>Note: The FDA&#8217;s primary soundbite for attacking laetrile was the risk of cyanide poisoning. While this toxicity was occasionally observed with oral use (due to gut bacteria releasing cyanide from the compound), it was never reported with intravenous or topical (DMSO) administration that bypassed the gut. Many practitioners over the years&#8212;including some with whom I currently correspond&#8212;have described these non-oral routes (topical with DMSO or IV) as remarkably effective against cancer, particularly when intravenous laetrile was combined with intravenous DMSO.</span></em> </p><p>Lastly, the NCI&#8217;s use of this tactic against alternative cancer therapies was not unique to laetrile. With hydrazine sulfate, Dr. Joseph Gold had reported 40&#8211;50% positive results in properly conducted studies; the NCI&#8217;s own trials produced essentially zero benefit after patients were given substances Gold had repeatedly warned would cancel the effect. With Burzynski&#8217;s antineoplastons, the NCI diluted the compounds in its trials to the point of ineffectiveness while the FDA pursued an aggressive multi-year legal campaign against him. Finally, with Hoxsey, rather than running a controlled clinical trial, the NCI and FDA simply reviewed the case records he submitted, declared the documentation inadequate, and used those incomplete reviews to brand the therapy worthless (all of three of which, along with the other cancer stories were detailed <a href="https://www.amazon.com/Politics-Healing-Suppression-Manipulation-American/dp/0970115008">here</a>).  </p><p><span>Likewise during COVID, to counter the wave of independent studies and clinical experience showing that inexpensive generic drugs like hydroxychloroquine (HCQ) and ivermectin could treat COVID-19, this playbook was run at scale, as doctored studies were published in the leading journals, then amplified in unison by the mainstream media, successfully convincing both the medical community and governing bodies these results were &#8220;the science.&#8221;</span></p><p><span>As a result, fabricated or systematically manipulated results were routinely published, the most notorious of which were the May 2020 Surgisphere-based papers in The Lancet and the New England Journal of Medicine that claimed HCQ dramatically increased mortality and arrhythmias on the basis of a massive multinational registry (successfully stopping HCQ trials around the world). However, their underlying data was so implausible the papers were retracted within weeks (after the authors could no longer vouch for the data), after which independent investigators determined the dataset had effectively been concocted out of thin air. Yet despite all of that, the episode still triggered worldwide HCQ trial pauses and policy shifts against HCQ.</span><a href="https://www.theguardian.com/world/2020/jun/03/covid-19-surgisphere-who-world-health-organization-hydroxychloroquine"><sup><span>1</span></sup></a><sup><span>,</span></sup><a href="https://www.theguardian.com/world/2020/jun/10/surgisphere-sapan-desai-lancet-study-hydroxychloroquine-mass-audit-scientific-papers"><sup><span>2</span></sup></a><sup><span>,</span></sup><a href="https://www.science.org/content/article/two-elite-medical-journals-retract-coronavirus-papers-over-data-integrity-questions"><sup><span>3</span></sup></a><sup><span>,</span></sup><a href="https://www.science.org/content/article/mysterious-company-s-coronavirus-papers-top-medical-journals-may-be-unraveling"><sup><span>4</span></sup></a><span><br><br>Likewise, </span>the &#8220;Big Six&#8221; (later Big Seven) large ivermectin trials that hit JAMA, the NEJM and other high-impact outlets <a href="https://pierrekorymedicalmusings.com/p/the-last-of-the-big-seven-fraudulent">were riddled with design and conduct flaws engineered to guarantee failure</a>: dosing too late, too low and far too short a duration, administration on an empty stomach, arbitrary weight-based dose caps that under-dosed high-risk patients, failure to exclude concurrent ivermectin use in control groups, mid-trial endpoint changes, long publication delays, and refusal to share individual patient data.<br><a href="https://pierrekorymedicalmusings.com/p/the-last-of-the-big-seven-fraudulent">The Oxford&#8217;s PRINCIPLE trial went further</a>, quietly reporting a statistically significant two-day faster recovery plus large reductions in hospitalization and Long COVID as a negative result by inventing a statistical threshold the same investigators had never applied to their own molnupiravir or budesonide arms.</p><p>Worst of all, in addition to fabricating data to show HCQ was toxic, <a href="https://pierrekorymedicalmusings.com/p/can-scientific-misconduct-be-criminally">patients were deliberately overdosed to provide that data</a>. In the UK RECOVERY trial and the WHO SOLIDARITY trial, elderly hospitalized patients received HCQ at roughly 2,400 mg on day one followed by 800 mg daily. This was several times a standard therapeutic dose, above the threshold the UK&#8217;s own toxicology database flags as potentially lethal and resulted in markedly higher death rates (which were then used to prove HCQ was dangerous). Finally, <a href="https://pierrekorymedicalmusings.com/p/can-scientific-misconduct-be-criminally">a parallel Brazilian high-dose study</a> had to be halted when nearly 39 % of patients in the extreme-dose arm died &#8212; and was nonetheless published in JAMA and in tandem with the Surgisphere trials. All of this, in turn, successfully convinced a large portion of the medical community one of the safer drugs in their arsenal many had routinely used for years was actually a deadly poison no one had noticed in the 65 years it had been on the market.<br><br><em>Note: all of this is discussed in much greater detail in Pierre Kory&#8217;s book <a href="https://www.amazon.com/War-Ivermectin-Medicine-Millions-Pandemic/dp/151077386X">The War on Ivermectin</a>.</em></p><h1>The FDA&#8217;s Monopolization of Medicine</h1><p>In many of the previous campaigns, the FDA served as the enforcer once the AMA had successfully convinced the FDA or NCI (National Cancer Institute) that a therapy was &#8220;dangerous quackery.&#8221;  However, after the passage of <a href="https://en.wikipedia.org/wiki/Kefauver%E2%80%93Harris_Amendment">a 1962 law</a> that gave the FDA broad powers to both approve and police medicine in the United States (which was done to prevent a subsequent thalidomide disaster), the FDA began enacting similar campaigns without an initial public instigation by the AMA (which for DMSO, I covered in detail <a href="https://www.midwesterndoctor.com/p/the-fdas-war-against-dmso-and-america">here</a>).</p><p><em>Note: this hence raises major questions as to who was behind this (e.g., was it always the Rockefellers or did the AMA heavily influence the FDA behind the scenes). While a consistent playbook can be seen throughout each of the cases I studied, the instigating party varied significantly (e.g., the AMA did not denounce DMSO until after the FDA went after it, and while DMSO eventually became a threat to the pharmaceutical industry, at the time the FDA did so, major pharmaceutical companies were heavily invested in bringing it to market). </em></p><p>When DMSO was discovered in 1961, due to how effective it was at treating a myriad of challenging conditions, it rapidly caught on, soon was being used throughout Oregon, and attracted major interest from both pharmaceutical companies (e.g., six of the world&#8217;s largest companies including Merck invested heavily in clinical trials) and the public as the media stories aired depicting it as a potential wonder drug.  </p><p>Initially the FDA was very receptive to approving DMSO, but at a 1964 meeting (with the FDA scientist who stopped thalidomide), she both expressed that the FDA wanted to do everything possible to permit further testing of DMSO, but also that they were worried about being overwhelmed by a large number of DMSO drug applications (due to the immense demand for DMSO and its vast number of uses), so they wanted more animal data before continuing human trials (despite extensive animal and human safety data already being there). A year later, the trial data was there for tens of thousands of patients, drug applications were submitted by major companies to the FDA, a DMSO symposium was held and demand for DMSO continued to increase resulting in over 100,000 members of the public bypassing the trials and just using it for themselves. </p><p>As the FDA was deliberating over what to do, in September (immediately after receiving the applications), one subject in a trial who&#8217;d been taking many other medications had an anaphylactic reaction (which was never linked to DMSO and has never been seen since), after which the FDA began terminating INDs. Following this, in November, a few animal reports emerged that DMSO could alter the refractive index in certain animal species (something never observed in over 37,000 human test subjects or any member of the public using DMSO), at which point the FDA immediately outlawed all DMSO testing and sent out a telegram to all embassies stating to the world DMSO could make you blind, at which point the press parroted the line the FDA had saved us from a thalidomide like disaster.</p><p>Following this, the FDA began sending agents to investigate the pioneering DMSO researchers to acquire incriminating records (often in an illegal manner) and the FDA under its new leadership (the director wanted to brand himself as a &#8220;tough commissioner&#8221; who kept the medical community in line to help the public) shifted to a posture of aggressively policing the use of unapproved substances and blacklisting scientists who conducted research the FDA did not approve of.</p><p>While this approach initially worked, a large number of scientists rebelled and began holding symposiums attesting to DMSO&#8217;s efficacy in a large number of conditions, public pressure on the FDA never stopped, and countries around the world became disillusioned with the FDA&#8217;s persecution of DMSO and resumed using it themselves. In the midst of this, an October 1967 study was conducted where prisoners were exposed to DMSO doses 3-30 times higher than what anyone would ever use (achieved by covering their entire body in DMSO gel daily for 14 or 90 days) and subjected to an extensive battery of tests&#8212;all of which found DMSO was completely safe (including for the eyes).  Finally, in 1978, facing Congressional pressure, the FDA eventually approved DMSO for one indication, interstitial cystitis and at 1980 hearings, promised they would not put roadblocks to future applications, and that unlike interstitial cystitis (which had &#8220;well controlled evidence&#8221;) there simply was not yet sufficient evidence to approve the other applications.</p><p>As you might guess, in the nearly fifty years that followed, the FDA never approved a single DMSO drug application.</p><p>However, in 1994, in response to growing public outrage over the FDA&#8217;s suppression of natural medicine (e.g., gunpoint raids to confiscate vitamins), <a href="https://en.wikipedia.org/wiki/Dietary_Supplement_Health_and_Education_Act_of_1994">Congress passed a law </a>that removed the FDA&#8217;s jurisdiction over natural supplements, and because of this, DMSO gradually became accessible again (and then due to the traction the series I wrote on it achieved, has begun returning to the popularity it had reached in the 1980s prior to the FDA erasing the public&#8217;s memory of it).</p><p><em>Note: one of the most interesting facets of this saga was that a journalist who interviewed numerous successive FDA commissioners discovered most of them knew almost nothing about DMSO beyond the FDA&#8217;s soundbites (despite DMSO being the most controversial drug in America for well over a decade)&#8212;not unlike how <a href="https://www.midwesterndoctor.com/p/what-faucis-diary-reveals-about-americas">Fauci&#8217;s private diary and Scott Atlas&#8217;s memoir</a> showed he knew very little about the current science on COVID-19.  Remarkably, two years after leaving office in 1969, President Johnson (who appointed the FDA commissioner who went to war with DMSO) reached out to Stanley Jacob (the pioneer of DMSO) for help as he&#8217;d realized he needed DMSO for his own health.</em></p><p>Lastly, the FDA has engaged in similar tactics against a variety of other therapies which threatened established medical franchises. For example, after a natural low-cost <a href="https://www.midwesterndoctor.com/p/the-fdas-disastrous-war-against-sleep">revolutionary sleep aid</a> was discovered (which unlike most options not only worked but also restored health rather than destroying it&#8212;as most sleeping pills sedate the brain and suppress restorative sleep), despite a vast body of scientific literature demonstrating its value for a variety of challenging conditions, <a href="https://www.midwesterndoctor.com/p/the-fdas-disastrous-war-against-sleep">the FDA went to war with it</a>. Branding it as a dangerous date rape drug (despite there never being an evidence this was an issue), the FDA eventually convinced the Congress to outlaw this natural substance in 2000 (excluding allowing one extremely expensively formulation to be sold at the FDA&#8217;s discretion for a small number of sleep disorders).</p><p><em>Note: the reason I have not extensively discussed many of these therapies is because I believe providing extensive evidence for easily accessible ones (which takes a lot of time and I am still far from completing the initial round of) is the most effective way I can &#8220;make things better.&#8221;</em></p><h1>Oxidative Therapies</h1><p><span>One of the simplest chemical reactions is oxidation&#8212;the loss of electrons. This process frequently involves oxygen (or another oxidizing agent) accepting those electrons, often releasing energy in the process (combustion is a classic example of rapid oxidation). Animal cells, in turn, generate most of their energy through controlled oxidation in the mitochondria. In contrast, many microorganisms lack the same protective systems and antioxidant defenses found in human cells, making them especially vulnerable to oxidizing agents and as a result, a wide range of effective disinfectants work by oxidation. Some (such as dilute hydrogen peroxide) are relatively non-toxic to humans, while others that employ stronger oxidants like chlorine (e.g., bleach) are more damaging to cells because they both oxidize and chlorinate organic molecules.</span></p><p>Because of this, a variety of oxidizing disinfectants have been studies for their ability to eliminate virtually every known pathogen, in a test tube, topically over infections, and in many cases, once put directly into the body.  In the process of doing that, it was observed that not only were infections treated, but a variety of non-infectious diseases also improved.</p><p>Of the oxidizing therapies, the most well-studied one is ozone (three oxygen atoms bonded together) and due to the breadth of what its applications can address, has been extensively studied (outside of the United States) for its use in a variety of conditions. Because of this, like I did with DMSO, I have been working day in and day out to compile and summarize every published ozone study as very few people are aware of the vast body of literature supporting its use.</p><p>To put this in context, from the first ten thousand studies I&#8217;ve reviewed, infectious disease (bacterial, viral, fungal, and surgical, spanning virtually every organ system in the body) was by a wide margin the most commonly studied application (as appropriately administered ozone typically resolved them). However, beyond that, ozone was repeatedly studied (and frequently reported to help) in chronic wounds and non-healing ulcers, surgical and post-operative recovery, a wide range of dental conditions, pain and musculoskeletal conditions (e.g., osteoarthritis, disc herniation, and low back pain), gastrointestinal and liver disease, respiratory illness, and cardiovascular conditions&#8212;much of which I believe results from ozone&#8217;s ability to restore microcirculation. Finally, many other areas have repeatedly been reported to respond to ozone as well, such as diabetes, cancer, dermatology, neurology, obstetrics and infertility, urology, and eye disease (along with sporadic but favorable studies on conditions as varied as thyroid disorders and osteoporosis).</p><p>However, in almost all cases if you bring up the subject of ozone, most people (having no idea these uses exist), they will fall back to the soundbite &#8220;ozone is a toxic gas&#8221; or to quote <a href="https://www.ecfr.gov/current/title-21/chapter-I/subchapter-H/part-801/subpart-H/section-801.415">the FDA&#8217;s Federal Regulations</a>:</p><blockquote><p>Ozone is a toxic gas with no known useful medical application in specific, adjunctive, or preventive therapy. In order for ozone to be effective as a germicide, it must be present in a concentration far greater than that which can be safely tolerated by man and animals.</p></blockquote><p><em>Note: ozone&#8217;s toxicity results from it being irritating to the lung&#8217;s mucous membranes (which is why medical ozone is never administered via inhalation) and because ozone is used as a surrogate marker for air pollution due to the fact the same process which generates toxic smog also produces ozone (something that does not occur when medical ozone is generated). Lastly, with all oxidative therapies, a therapeutic dose exists, and in nearly all cases where someone responds negative to them, it was due to that dose being exceeded.</em></p><h1>The War on Chlorine Dioxide</h1><p>One of the more recent additions to the oxidative therapy family is chlorine dioxide (ClO&#8322;), a highly potent disinfectant routinely used as a non-toxic alternative to chlorine across water treatment, food and beverage processing, and hospital sterilization across the world. The EPA registered it for food and water use in 1967 and by the 1980s was recommending it over chlorine, largely because as unlike chlorine, it doesn&#8217;t generate carcinogenic trihalomethane byproducts when it reacts with organic matter.</p><p>Since ClO&#8322; is typically generated from sodium chlorite NaClO&#8322;, once it started being successfully used as a medical therapy, the FDA (along with the media and virtually every other health agency) adopted the it was &#8220;toxic bleach,&#8221; likely owing to the fact bleach (sodium <strong>hypo</strong>chlorite) had a similar name and formula (NaClO)&#8212;despite the two acting completely differently. So, much in the same way DMSO research was globally halted because it would &#8220;make people blind&#8221; (<a href="https://www.midwesterndoctor.com/p/dmso-heals-the-eyes-and-transforms">despite improvements in vision consistently being observed after DMSO use</a>), the fact people were being &#8220;poisoned with bleach&#8221; (despite no evidence demonstrating this) was used to do the same to CDS&#8212;creating the curious situation where oral CDS is branded toxic when taken medically but not when used to purify what you then eat and drink.<br><em>Note: I have encountered numerous people who had temporary issues from <strong>excessive</strong> CDS doses. For this reason, I advise individuals to drop or lower their dose when reactions occur (whereas others view this as a sign &#8220;beneficial detoxification&#8221; is occurring and advocate for continuing).</em></p><p>Positive experienced with CDS and Pierre Kory learning CDS had faced a similar pattern of suppression to ivermectin inspired him to write a <a href="https://waronchlorinedioxide.com/">book on the topic</a>, which in addition to documenting many of the proven uses for CDS, provides one of the most well documented example of how the medical system colluded to suppress a therapy that threatened multiple franchises.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!sYyJ!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9e7cbf92-d553-4470-9ea7-d7eeab49f1a2_876x1276.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!sYyJ!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9e7cbf92-d553-4470-9ea7-d7eeab49f1a2_876x1276.png 424w, https://substackcdn.com/image/fetch/$s_!sYyJ!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9e7cbf92-d553-4470-9ea7-d7eeab49f1a2_876x1276.png 848w, https://substackcdn.com/image/fetch/$s_!sYyJ!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9e7cbf92-d553-4470-9ea7-d7eeab49f1a2_876x1276.png 1272w, https://substackcdn.com/image/fetch/$s_!sYyJ!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9e7cbf92-d553-4470-9ea7-d7eeab49f1a2_876x1276.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!sYyJ!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9e7cbf92-d553-4470-9ea7-d7eeab49f1a2_876x1276.png" width="876" height="1276" 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srcset="https://substackcdn.com/image/fetch/$s_!sYyJ!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9e7cbf92-d553-4470-9ea7-d7eeab49f1a2_876x1276.png 424w, https://substackcdn.com/image/fetch/$s_!sYyJ!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9e7cbf92-d553-4470-9ea7-d7eeab49f1a2_876x1276.png 848w, https://substackcdn.com/image/fetch/$s_!sYyJ!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9e7cbf92-d553-4470-9ea7-d7eeab49f1a2_876x1276.png 1272w, https://substackcdn.com/image/fetch/$s_!sYyJ!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9e7cbf92-d553-4470-9ea7-d7eeab49f1a2_876x1276.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p><em>Note: this book is not on Amazon and can only be ordered <a href="https://waronchlorinedioxide.com/">here</a>.</em></p><p>From the book, I learned CDS therapeutic research began after an accidental discovery in the mid-1970s, when an inventor searching for a non-corrosive sterilizer for his ultrasonic cleaning tanks noticed that a persistent irritation on his hands cleared after he&#8217;d handled a chlorine-dioxide-disinfected tank. He and his family became the guinea pigs, and he went on to show it worked for a wide range of topical and mucosal applications such as wound healing, acne, warts, moles, nail fungus, scalp itch and other skin irritations, dental and oral care (including tooth whitening), and animal infections such as bovine mastitis&#8212;work the FDA supported rather than obstructed (e.g., the inventor described the agency as &#8220;a bit of a help&#8221;). Over the following decades he and his companies, conducted more than 300 studies and published 42 papers, and he secured patents along the way&#8212;beginning with his foundational 1977&#8211;78 method patent (<a href="https://patents.google.com/patent/US4084747A/en">Germ Killing Composition and Method, #4,084,747</a>), which made small-scale personal ClO&#8322; production possible, extending across the 30-plus patents he held on chlorine dioxide products, and culminating late in life in a method for injecting tumors directly with chlorine dioxide.</p><p>In parallel, an unnamed defense scientist Kory interviewed shared that he learned of CDS in (frequently classified) government projects where he used it to sterilize food and medical instruments for NASA, inactivate nerve gas (with NaClO&#8322;) and then learned through a defector the Soviets viewed it as &#8220;the ultimate antidote to all bioweapons.&#8221; <br><em>Note: when Jim Humble&#8217;s book on MMS (CDS) came out, a friend asked me to review it, after which I told her &#8220;this would probably be very helpful if a bioweapon was ever released,&#8221; which I later realized meant that it threatened too many franchises.</em><br><br>Later, when working on a steel project in Nigeria, he was asked to help contain a cholera outbreak, and after consulting a firm renowned for designing municipal water systems, deployed a treatment system that used chlorine dioxide in its post-treatment. This quickly contained the cholera as intended&#8212;but then local doctors reported that the water was also curing the town&#8217;s malaria, which made no sense to him, since malaria is mosquito-borne rather than waterborne. So, he flew in a blood-disease colleague, who confirmed under the microscope that the drinking-water concentrations of chlorine dioxide cleared the parasite from the bloodstream within hours. Before long he was deluged with people traveling from around the region to collect as much of the water as they could, which they also reported cured a host of other conditions besides malaria. After the Nigerian health minister came to verify the findings, the scientist was flown to neighboring Ghana to meet its king&#8212;himself a physician trained at London&#8217;s premier school of tropical medicine&#8212;who, rather than embrace the discovery, ordered him to cease the work: malaria, the king argued, was keeping the population in check, and eliminating it before the region&#8217;s high birth rate could be addressed risked a future famine. His team and equipment were then expelled from the country.<em><br>Note: while that account (and others in his book) relies upon individual testimony given to Dr. Kory that cannot be independently verified, as I show <a href="https://www.midwesterndoctor.com/p/the-history-of-population-control">here</a>, numerous lines of evidence corroborate that the ruling class has actively pursued population control, and <a href="https://www.midwesterndoctor.com/p/the-complete-history-of-depopulation">that in multiples cases this was done with vaccines</a>.</em></p><p>Not giving up, he shared that he began mailing sodium chlorite samples to engineers and expeditioners around the world including Jim Humble, who in 1996, while leading a mining expedition through the jungles of Guyana, had two crew members fall gravely ill with suspected malaria. With no medicine on hand, days from help and nothing to lose, he gave them drops of the sodium chlorite he&#8217;d received and within hours both had recovered. Struck by this, Humble began experimenting on himself and other locals with malaria, saw the same result, and worked out that when sodium chlorite meets stomach acid it forms chlorine dioxide. He then discovered it also treated many other conditions (e.g., typhoid, dengue and HIV) and in 2006 published a book. However, once word of the malaria cure reached Guyana&#8217;s government, Humble was ordered out of the country within a day, after (by his account) as the nation&#8217;s main pharmaceutical supplier threatened to cut off drug donations to the capital&#8217;s hospital if the cure became public.</p><p><em>Note: <span>when Africa was being overrun with Ebola in 2014, ozone advocates Robert Rowen MD and Howard Robins DPM, at the president&#8217;s invitation, went to Sierra Leone on a medical mission trip and publicly chronicled what occurred as the trip progressed. There, they trained well over a hundred doctors and staff (including at the government Ebola treatment center) on how to administer ozone, but despite the president&#8217;s support, were abruptly blocked by the health ministry from applying it officially to patients for &#8220;unknown reasons&#8221; (that they suspected resulted from pharmaceutical pressure as numerous novel ebola therapies were being tested at the time). As there was no approved treatment for Ebola (and the majority of cases were fatal), healthcare workers treating patients (who were not always bound by the same government restrictions) eagerly sought ozone and in the documented ebola cases where it was used, recipients fully recovered (along with ozone appearing to prevent ebola exposures from developing into disease).</span><a href="https://www.acam.org/page/RowenEbolaNews"><sup>1</sup></a><sup>,</sup><a href="https://explorersfoundation.org/archive/Ebola-Ozone-Rowen-Mercola.pdf"><sup>2</sup></a><sup>,</sup><a href="https://www.researchgate.net/publication/290474717_Rapid_resolution_of_hemorrhagic_fever_Ebola_in_Sierra_Leone_with_ozone_therapy"><sup>3</sup></a></em></p><p>Later, Dr. Enno Freye and his team tested a sublingual chlorine dioxide formulation on 500 malaria patients in Cameroon, reporting complete reversal of symptoms within two days. While traveling to launch a follow-up trial in Senegal, according to Freye (in an interview with Pierre Kory), he was arrested at Rome&#8217;s airport after cocaine turned up in a package handed to him by the officials funding the study, and was imprisoned in Italy for three years.<em><br>Note: while I was able to find corroboration online for certain parts of Freye&#8217;s story,<a href="https://www.pepijnvanerp.nl/2019/04/malachlorite/"><sup>1</sup></a><sup>,</sup><a href="https://www.businessinsider.com/mms-enno-freye-mms-study-2019-6"><sup>2</sup></a> I was not able to find any verification he was imprisoned.<br><br></em>In Freye&#8217;s absence, the study was retracted as having &#8220;never actually been conducted,&#8221; he was stripped of his adjunct professorship, and regulators pressured the manufacturer into pulling the product.<br><br><em>Note: Freye attributed his prosecution to pharmaceutical interests protecting the malaria-vaccine franchise. His Cameroon work and Senegal trial, in turn, coincided with the final push behind RTS,S (Mosquirix), the GSK malaria vaccine developed over three decades<a href="https://www.who.int/news/item/06-10-2021-who-recommends-groundbreaking-malaria-vaccine-for-children-at-risk"><sup>1</sup></a> at a cost exceeding $750 million<a href="https://www.scientificamerican.com/article/scientists-hail-historic-malaria-vaccine-approval-but-point-to-challenges-ahead1/"><sup>1</sup></a> and funded largely by GSK and the Gates Foundation, which poured more than $200 million<a href="https://www.who.int/news/item/06-10-2021-who-recommends-groundbreaking-malaria-vaccine-for-children-at-risk"><sup>1</sup></a><sup>,</sup><a href="https://www.path.org/our-impact/media-center/rtss-malaria-candidate-vaccine-reduces-malaria-by-approximately-one-third-in-african-infants/"><sup>2</sup></a> into its late-stage development between 2001 and 2015 before the WHO recommended it for African children in 2021<a href="https://www.who.int/news/item/06-10-2021-who-recommends-groundbreaking-malaria-vaccine-for-children-at-risk"><sup>1</sup></a>&#8212;despite a Phase 3 trial in which efficacy against clinical malaria waned to roughly 39% over four years<a href="https://www.sciencedirect.com/science/article/abs/pii/S1473309923001263"><sup>1</sup></a> (undetectable by year three in earlier pooled data<a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3771416/"><sup>1</sup></a>), and which flagged three safety signals its own investigators couldn&#8217;t dismiss: excess meningitis and cerebral malaria in vaccinated children, and a doubling of all-cause mortality in vaccinated girls.<a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6816384/"><sup>1</sup></a><sup>,</sup><a href="https://www.nejm.org/doi/full/10.1056/NEJMoa1102287"><sup>2</sup></a></em></p><p>Other forgotten malaria trials highlighted in <a href="https://waronchlorinedioxide.com/">the War on Chlorine Dioxide</a> include a 1982 report of malaria disappearing from a Nigerian town after a chlorine dioxide water unit was installed, and the field records of Jim Humble and the practitioners he trained, who between them claimed to have treated well over a hundred thousand cases. But the most striking was what happened with the Red Cross trial in Uganda.</p><p>In 2012, Klaas Proesmans, then CEO of the Water Reference Center (a research arm of the International Federation of Red Cross and Red Crescent Societies), oversaw a study in Iganga, Uganda, examining the effect that sodium chlorite&#8211;purified water had on malaria patients. Researchers identified 154 patients who tested positive for malaria by finger-prick microscopy, gave each cups of the treated water, and re-tested daily. Within 24 to 48 hours, all 154 were malaria-free, with no reported side effects. As word of its success spread, the Ugandan Red Cross and the IFRC issued statements denying any official involvement and insisting no trial had taken place&#8212;while simultaneously conceding it had, by claiming their staff had been &#8220;duped&#8221; into giving patients &#8220;poison.&#8221; Most importantly, unlike the other malariga accounts, which rest largely on witness testimony (which you can never be certain of), this one was filmed start to finish (the protocol called for one of Uganda&#8217;s top filmmakers to document the entire trial) and in the footage below, Proesmans, who later denied it, states on camera that the study produced &#8220;100% cured people... within 24 hours to 48 hours.&#8221;</p><div class="native-video-embed" data-component-name="VideoPlaceholder" data-attrs="{&quot;mediaUploadId&quot;:&quot;dafd2cd8-cb10-40d6-abed-c3e796970627&quot;,&quot;duration&quot;:null}"></div><p><em>Note: as you might guess, the above documentary was deleted from YouTube</em></p><h3>COVID-19 and CDS</h3><p>I have long observed that people who ascend into power tend to lack creativity, and so once a playbook has been established, it gets reused ad infinitum. As such, their predatory practices are typically first tested on a marginalized group that lacks broad public support, then once no meaningful protest follows, the conduct hardens into an acceptable standard and is replicated on the general population. </p><p>This, for example, is how I was able to predict what would happen during COVID-19&#8212;as a similar dynamic had already played out <a href="https://www.midwesterndoctor.com/p/how-anthony-fauci-weaponized-science">during Fauci&#8217;s AIDS crisis</a>, where treatments that physicians around the country reported were saving patients&#8217; lives were stonewalled, while a toxic and largely ineffective antiviral was pushed through (which was justified by the ever-mounting deaths of the untreated patients).</p><p>As such, it was no surprise that once researchers around the world discovered chlorine dioxide treated COVID, what we saw with malaria pattern repeated. <a href="https://www.cnn.com/2020/07/29/americas/bolivia-disinfectant-covid-19-intl/index.html">In July 2020</a>, Bolivia, then suffering one of the highest COVID mortality rates in South America, grew tired of waiting on the WHO for a solution and passed a law legalizing oral chlorine dioxide, which its military and universities produced and distributed under protocol. Within six months the country&#8217;s outcomes were among the best on the continent. Yet, the Ministry of Health, citing the WHO, PAHO, FDA, and EMA, subsequently issued a statement condemning the law and declaring the compound unsafe, and the actual program data were never properly published. The published evidence Kory assembles points the same way regardless&#8212;a <a href="https://www.researchgate.net/publication/353756595_A_Retrospective_Observational_Study_of_Chlorine_Dioxide_Effectiveness_to_Covid19-like_Symptoms_Prophylaxis_in_Relatives_Living_with_COVID19_Patients">retrospective study in which 90% of 1,163 relatives living with infected patients took CDS prophylactically and reported no symptoms</a>, a <a href="https://www.academia.edu/49035123/Determination_of_the_Effectiveness_of_Chlorine_Dioxide_in_the_Treatment_of_COVID_19">chart review of more than 1,100 outpatients reporting a 99% recovery rate with only mild and transient side effects</a>, an <a href="https://web.archive.org/web/20220423044858/https://www.aememiecuador.org/_files/ugd/6f0fc4_45b0d6b69d6246189dfcf2a28c0789eb.pdf">Ecuadorian physicians&#8217; report of 97% symptom resolution within four days</a>, and more than 14,000 PCR-confirmed cases treated across Latin America by over 3,000 COMUSAV doctors with no serious adverse events reported&#8212;all of which was observational rather than randomized, since the controlled trials, as we&#8217;ve seen, were blocked.</p><p>Likewise, everywhere it worked, the people behind it faced retaliation. In Peru, the Chief of the COVID Command in an entire region was fired in 2020 for treating patients with chlorine dioxide, and a health official openly laughed at the idea of even studying it. In Mexico, a surgeon who reported a 99.6% success rate across 3,000 patients had his hospital&#8217;s COVID unit shut down. Once COVID started, Mark Grenon and his sons, who had spent a decade distributing CDS, were pursued by the DOJ at the FDA&#8217;s request, extradited from Colombia, <a href="https://www.justice.gov/usao-sdfl/pr/leaders-genesis-ii-church-health-and-healing-who-sold-toxic-bleach-fake-miracle-cure">and sentenced to years in federal prison</a>. Similarly, the studies that might have settled the question were simply not permitted: a University of Colorado trial was rejected because &#8220;the FDA prohibits such research,&#8221; a Bolivian army-led randomized, double-blind trial that had already cleared two bioethics committees was denied without explanation by the country&#8217;s drug regulator, and a multi-country study collapsed after regulators in eleven nations issued warnings and bans (e.g., for &#8220;toxic bleach&#8221;) that made patient recruitment impossible.</p><p>It also bears mentioning that when Trump broached using internal UV for COVID by <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC8234768/">referencing a device Cedars-Sinai had shown</a> improved COVID by putting UV light in the lungs <a href="https://www.ms.now/transcript/2020-04-24-msna1352151">by stating</a>:</p><blockquote><p>Supposing we hit the body with a tremendous &#8212; whether it`s ultraviolet or just very powerful light..And then I said supposing you brought the light inside the body, which you can do either through the skin or in some other way, and I think you said you&#8217;re going to test that too. Sounds interesting.</p><p>TRUMP: Right. And then I see the disinfectant, where it knocks it out in a minute. One minute. And is there a way we can do something like that, by injection inside or almost a cleaning. Because you see it gets in the lungs and it does a tremendous number on the lungs. So it would be interesting to check that.</p></blockquote><p>The media immediately repurposed their CDS soundbites to claim Trump told everyone to inject bleach&#8212;and despite the fact this was never stated, the claim repeats to this day (e.g., the Biden campaign used it during the 2024 election and online commentators <a href="https://www.snopes.com/fact-check/trump-bleach-fauci-hearing/">recently used it to dismiss criticisms of Fauci</a>).</p><p>Beyond the fact independent investigators (myself included) successfully used UVBI to treat COVID-19 and that Russia, in clinical trials, <a href="https://iimmun.ru/iimm/article/view/1610">demonstrated UVBI treated COVID-19</a>, there is one even more remarkable aspect of this episode.</p><p>The one internal use of CDS the FDA has permitted to advance to testing is a NP001, an IV sodium chlorite formulation that in two placebo-controlled Phase 2 trials, extended survival in ALS patients (by nearly two years in the non-progressor subgroup),<a href="http://pubmed.ncbi.nlm.nih.gov/39457678/"><sup>1</sup></a><sup>,</sup><a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC11504292/"><sup>2</sup></a><sup>,</sup><a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC11505581/"><sup>3</sup></a> and for which Neuvivo filed for FDA approval in 2024. On its face it seems astonishing that the agency would forbid oral chlorine dioxide as &#8220;poison&#8221; or &#8220;toxic bleach&#8221; while permitting the same compound to be dripped (injected) into the bloodstream at higher doses. But if you take a step back, it makes perfect sense: NP001 is a costly, patented pharmaceutical that patients cannot make or obtain themselves, and its narrow ALS indication threatens no existing franchise&#8212;whereas cheap oral CDS, taken at home for anything, threatens many drugs which have already &#8220;paid to play.&#8221;</p><p>Likewise, while UVBI has never received FDA approval despite many attempts and successful trials, (less safe) <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC6119964/">extracorporeal photopheresis</a> (UVBI of the white blood cells with a photosensitizer) is a well established therapy for T-cell lymphoma that is also sometimes used for refractory psoriasis (and costs 5-50 times as much as UVBI). Similarly, while DMSO alone has still not been approved for any condition besides interstitial cystitis, many different proprietary pharmaceutical therapies containing DMSO <a href="https://www.midwesterndoctor.com/p/therapeutic-dmso-combinations-revolutionize">have been approved for a wide range of specific conditions</a>.</p><p><em>Note: In <a href="https://waronchlorinedioxide.com/">The War on Chlorine Dioxide,</a> Kory also details CDS&#8217;s reported use across a range of other difficult conditions&#8212;from herpes, sinusitis, and stubborn fungal infections to non-healing diabetic wounds, Fournier&#8217;s gangrene, autism and several metastatic cancers that had failed conventional therapy along with the vast community of users that has been created by the tireless work of individuals whose lives were changed by the therapy (many of whom faced significant persecution for promoting it). Due to the reactivity many patients I work with have to stronger doses of any agent, my use of CDS has been restricted to temporary use for infections (where I&#8217;ve repeatedly seen it work) rather than longterm use at higher doses for systemic issues (as I use other therapies for those cases).</em></p><h1>Conclusion</h1><p>Throughout this publication, I have argued that science&#8217;s priorities are fundamentally misplaced, as while it is a wonderful tool for elucidating the truth, once its focus shifts from discerning the truth to supporting a prevailing interest (which is almost inevitable once scientific research becomes too costly to conduct and too much money rides on the outcome of a study), the data is worthless.</p><p>For example, <a href="https://www.midwesterndoctor.com/p/the-critical-calculation-medicine">we require large randomized controlled trials</a> (which cost tens of millions of dollars) for drug approvals under the logic <a href="https://www.midwesterndoctor.com/p/the-critical-calculation-medicine">they can eliminate small biases or measurement errors</a>, yet ignore the fact small observational trials any clinician can independently conduct have been found to find the same results for clinically meaningful results and <a href="https://www.midwesterndoctor.com/p/the-critical-calculation-medicine">that large RCTs have been shown</a> to doctor results so that they support their sponsors (e.g., artificially inflating safety and efficacy).  Likewise, the FDA has long justified the tight control they exert over the need to protect the public from &#8220;the next thalidomide,&#8221; yet, as we saw with the COVID vaccines, they ignored a tsunami of red flags that were so common <a href="https://www.midwesterndoctor.com/p/polling-reveals-a-profound-shift">over half of the American public could see them</a> (which has caused a generational loss of trust in the public health authorities). Instead, as internal documents show, <a href="https://www.midwesterndoctor.com/p/why-did-the-government-lie-about">gagged their own scientists</a> who pointed out the data showed those dangers so that they could continue to claim the COVID-19 vaccine was safe so that they could push <a href="https://www.midwesterndoctor.com/p/what-faucis-diary-reveals-about-americas">outdated and unproven COVID boosters</a> that were unlikely to work and in many cases not even needed (e.g., children had no risk of dying from COVID).  </p><p>In short, we have a medical system where we pay vast amounts of money for research pharmaceutical companies use to create costly pharmaceuticals we not only directly pay for, but also pay for both the harm they cause and the social cost of millions of Americans who live with the debilitating illnesses medicine cannot address. As a result, the costs of medicine keep going up, and the massive monopoly forecast by Rockefeller&#8217;s critics has grown to the point many of our institutions are wholly dependent upon perpetuating it regardless of the human and financial cost doing so entails.</p><p>As we circle back to where this all began, I&#8217;ve long been struck by the fact many of the therapies I use and try to bring public attention were discovered in America roughly a century ago, as this was a time when technology had advanced to the point many remarkable medical innovations became possible, but the censorship apparatus had not yet matured to the point medical researchers had a real fear of retribution if they studied novel therapies which could disrupt existing disease franchises, and research had not yet been siloed into narrow biomolecular pathways which could produce profitable drugs for specific franchises.</p><p>Somewhat analogously, many of the most remarkable and paradigm shifting discoveries in science were made by independent researchers who funded their own work and studied it outside of the scientific community.  Now however, since so much money goes into scientific research and so many careers depend upon the status quo, novel paradigm shifting discoveries are quite rare, and <a href="https://www.nature.com/articles/d41586-022-04577-5">as Nature recently highlighted</a>, novel science which disrupts existing orthodoxies has rapidly dwindled.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!Fbnt!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F68509801-76d2-4004-b171-e3f0584b9eff_751x731.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!Fbnt!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F68509801-76d2-4004-b171-e3f0584b9eff_751x731.png 424w, 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srcset="https://substackcdn.com/image/fetch/$s_!Fbnt!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F68509801-76d2-4004-b171-e3f0584b9eff_751x731.png 424w, https://substackcdn.com/image/fetch/$s_!Fbnt!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F68509801-76d2-4004-b171-e3f0584b9eff_751x731.png 848w, https://substackcdn.com/image/fetch/$s_!Fbnt!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F68509801-76d2-4004-b171-e3f0584b9eff_751x731.png 1272w, https://substackcdn.com/image/fetch/$s_!Fbnt!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F68509801-76d2-4004-b171-e3f0584b9eff_751x731.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p>It is for this reason that I think it is so important documented records like what <a href="https://pierrekorymedicalmusings.com/">Pierre Kory</a> and Jenna McCarthy (<a href="https://jennasside.rocks/">who also writes on Substack</a>) detailed in the <a href="https://waronchlorinedioxide.com/">War On Chlorine Dioxide</a> are so important, as until we expose how again and again the medical cartel has used the same predatory playbook on us, it will continue to escalate far past what we saw during COVID-19.  Imagine for a moment what the world would be like if our ever-evolving scientific apparatus was instead focused on discoveries which benefitted humanity and addressed our real needs rather than sustaining each disease franchise.  </p><p>The therapies I regularly discuss here were discovered in America roughly a century ago with what is now fairly primitive technology. Yet, if that much was possible then, before we understood a fraction of what we now do, the real question is not whether medicine could produce miracles today. It&#8217;s why it doesn&#8217;t and why our scientific apparatus has shifted its focus from helping people to sustaining each disease franchise (which includes burying any potential competition).</p><p>It is for that reason that documented records like the one <a href="https://pierrekorymedicalmusings.com/">Pierre Kory</a> and Jenna McCarthy (<a href="https://jennasside.rocks/">who also writes on Substack</a> and helped make <a href="https://waronchlorinedioxide.com/">the book</a> more accessible to a broader audience) assembled in <a href="https://waronchlorinedioxide.com/">The War on Chlorine Dioxide</a> matter so much. Until we drag this playbook into the open &#8212; the way <a href="https://waronchlorinedioxide.com/">their book has</a> &#8212; it will keep escalating far past what we saw during COVID-19.</p><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://www.midwesterndoctor.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">Your support makes The Forgotten Side of Medicine possible! To receive new posts and support my work, consider becoming a free or paid subscriber.</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div><div class="captioned-button-wrap" data-attrs="{&quot;url&quot;:&quot;https://www.midwesterndoctor.com/p/what-the-war-on-chlorine-dioxide?utm_source=substack&utm_medium=email&utm_content=share&action=share&quot;,&quot;text&quot;:&quot;Share&quot;}" data-component-name="CaptionedButtonToDOM"><div class="preamble"><p class="cta-caption">Click below to share this post!</p></div><p class="button-wrapper" data-attrs="{&quot;url&quot;:&quot;https://www.midwesterndoctor.com/p/what-the-war-on-chlorine-dioxide?utm_source=substack&utm_medium=email&utm_content=share&action=share&quot;,&quot;text&quot;:&quot;Share&quot;}" data-component-name="ButtonCreateButton"><a class="button primary" href="https://www.midwesterndoctor.com/p/what-the-war-on-chlorine-dioxide?utm_source=substack&utm_medium=email&utm_content=share&action=share"><span>Share</span></a></p></div><p><em><span>To learn how other readers have benefitted from this publication and the community it has created, their feedback can be viewed </span><a href="https://www.midwesterndoctor.com/p/reader-feedback">here</a><span>. Additionally, an index of all the articles published in the Forgotten Side of Medicine can be viewed </span><a href="https://www.midwesterndoctor.com/p/an-index-of-the-forgotten-side-of">here</a><span>.</span></em></p>]]></content:encoded></item><item><title><![CDATA[How To Determine The Risks and Benefits of Each Vaccine]]></title><description><![CDATA[Knowing how vaccines work is necessary for understanding which ones are likely to help, which ones are likely to harm, and the forgotten alternatives to immunization they medical industry buried.]]></description><link>https://www.midwesterndoctor.com/p/how-to-determine-the-risks-and-benefits</link><guid isPermaLink="false">https://www.midwesterndoctor.com/p/how-to-determine-the-risks-and-benefits</guid><dc:creator><![CDATA[A Midwestern Doctor]]></dc:creator><pubDate>Sun, 02 Aug 2026 21:08:59 GMT</pubDate><enclosure url="https://substack-post-media.s3.amazonaws.com/public/images/1756f2af-ef4c-4452-a6b4-81d47a55dcc9_1040x545.webp" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p><strong>Story at a Glance:</strong></p><ul><li><p><strong>The vaccine industry has largely escaped scrutiny because of the belief that &#8220;vaccines are safe and effective&#8221;&#8212;a slogan that treats every vaccine as an identical good and discourages any examination of how vaccines are actually made or how sharply their individual risks and benefits differ. </strong></p></li><li><p><strong>Here I will review the foundational principles of vaccine design and the clinical implications that I believe are essential for understanding why these products so often fail to live up to their promises and have major safety issues.</strong></p></li><li><p><strong>Building upon this, I will show how the actual risks and benefits of a vaccine can be calculated (something medicine almost never computes) and why many commonly administered ones rest on very shaky ground that makes it hard to ever justify giving them to anyone.</strong></p></li><li><p><strong>I will also review numerous core principles of immunology that virtually never enter the vaccine discussion and help to explain why vaccines cause so many different immunological issues.</strong></p></li><li><p><strong>With this framework, I will provide a guide to assist you in determining the risks and benefit of each vaccine on the CDC schedule and tools for identifying the most toxic and unecessary ones.</strong></p></li><li><p><strong>Medicine&#8217;s religious focus on vaccines has covered up the fact many safe natural alternatives to vaccines exist which can prevent a variety of complex illnesses. Likewise, much in the same way a few vaccines have been used to treat challenging chronic conditions (e.g., cancer, diabetes, shingles, fibromyalgia), forgotten natural therapies have been as well that both eliminate chronic debilitating illnesses, and provide completely safe methods to make populations immune to problematic infectious diseases.</strong></p></li></ul><p>I&#8217;ve held a longstanding belief that regardless of how strongly I feel about one side of a debate, effort should be made to understand both sides of an argument, as normally, valid points are raised by both parties and you can provide a much more effective and persuasive case for your position if you are able to clearly elucidate how the other has gone awry rather than simply dig into your pre-existing position.</p><p>So, despite my strong personal objections to vaccination and my belief their harms greatly outweigh their benefits, I have spent a lot of time trying to understand the case for vaccination, and more importantly how it varies for each vaccine (as some are much more egregious than others).  Unfortunately, much in the same way medicine&#8217;s mantra is &#8220;all vaccines are safe and effective&#8221; (an extremely nebulous statement) the vaccine brand is treated as a homogenous entity where every single one is &#8220;good&#8221; simply by virtue of being a vaccine, and as such, surprisingly little information is available to objectively assess the merits of each individual vaccine&#8212;rather, all complications of vaccines are treated as being unrelated to the vaccine unless extraordinary efforts are gone to establish them, whereas extremely whimsical assumptions are made to establish their benefits and any complication of any infectious disease is nearly always attributed to the individual (or those around them) not vaccinating.</p><p>Because of this, one of the most common questions I receive is &#8220;which vaccines should I give my children&#8221; as parents who have become skeptical of vaccination essentially have nothing to go off besides a general distrust of vaccination and fearmongering from the medical community over the dangers of not vaccinating.</p><p>At the same time, this paradigm is somewhat understandable, as calculating the benefit and risks of a vaccine is quite challenging, as it requires you to know the following:</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!xJr3!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3ec927d1-ebd9-4d3b-8a7c-f6a067520b3b_1436x584.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!xJr3!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3ec927d1-ebd9-4d3b-8a7c-f6a067520b3b_1436x584.png 424w, https://substackcdn.com/image/fetch/$s_!xJr3!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3ec927d1-ebd9-4d3b-8a7c-f6a067520b3b_1436x584.png 848w, https://substackcdn.com/image/fetch/$s_!xJr3!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3ec927d1-ebd9-4d3b-8a7c-f6a067520b3b_1436x584.png 1272w, https://substackcdn.com/image/fetch/$s_!xJr3!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3ec927d1-ebd9-4d3b-8a7c-f6a067520b3b_1436x584.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!xJr3!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3ec927d1-ebd9-4d3b-8a7c-f6a067520b3b_1436x584.png" width="1436" height="584" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/3ec927d1-ebd9-4d3b-8a7c-f6a067520b3b_1436x584.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:584,&quot;width&quot;:1436,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:116785,&quot;alt&quot;:&quot;&quot;,&quot;title&quot;:&quot;&quot;,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:true,&quot;internalRedirect&quot;:&quot;https://www.midwesterndoctor.com/i/173007547?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3ec927d1-ebd9-4d3b-8a7c-f6a067520b3b_1436x584.png&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" title="" srcset="https://substackcdn.com/image/fetch/$s_!xJr3!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3ec927d1-ebd9-4d3b-8a7c-f6a067520b3b_1436x584.png 424w, https://substackcdn.com/image/fetch/$s_!xJr3!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3ec927d1-ebd9-4d3b-8a7c-f6a067520b3b_1436x584.png 848w, https://substackcdn.com/image/fetch/$s_!xJr3!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3ec927d1-ebd9-4d3b-8a7c-f6a067520b3b_1436x584.png 1272w, https://substackcdn.com/image/fetch/$s_!xJr3!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3ec927d1-ebd9-4d3b-8a7c-f6a067520b3b_1436x584.png 1456w" sizes="100vw" loading="lazy" fetchpriority="high"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a><figcaption class="image-caption">Note: in the above calculations, medicine typically assume the vaccine preventable disease is &#8220;incurable,&#8221; whereas in reality, non-standard (and sometimes conventional) therapies often exist which can treat the rare cases that turn into a problem (significantly decreasing the actual justification for any vaccine).</figcaption></figure></div><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!zi-J!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F81b1b12b-8423-41e9-b35d-77cbf631f730_1504x474.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!zi-J!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F81b1b12b-8423-41e9-b35d-77cbf631f730_1504x474.png 424w, https://substackcdn.com/image/fetch/$s_!zi-J!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F81b1b12b-8423-41e9-b35d-77cbf631f730_1504x474.png 848w, https://substackcdn.com/image/fetch/$s_!zi-J!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F81b1b12b-8423-41e9-b35d-77cbf631f730_1504x474.png 1272w, https://substackcdn.com/image/fetch/$s_!zi-J!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F81b1b12b-8423-41e9-b35d-77cbf631f730_1504x474.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!zi-J!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F81b1b12b-8423-41e9-b35d-77cbf631f730_1504x474.png" width="1456" height="459" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/81b1b12b-8423-41e9-b35d-77cbf631f730_1504x474.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:459,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:134245,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:false,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:&quot;https://www.midwesterndoctor.com/i/209443594?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F81b1b12b-8423-41e9-b35d-77cbf631f730_1504x474.png&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!zi-J!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F81b1b12b-8423-41e9-b35d-77cbf631f730_1504x474.png 424w, https://substackcdn.com/image/fetch/$s_!zi-J!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F81b1b12b-8423-41e9-b35d-77cbf631f730_1504x474.png 848w, https://substackcdn.com/image/fetch/$s_!zi-J!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F81b1b12b-8423-41e9-b35d-77cbf631f730_1504x474.png 1272w, https://substackcdn.com/image/fetch/$s_!zi-J!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F81b1b12b-8423-41e9-b35d-77cbf631f730_1504x474.png 1456w" sizes="100vw"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a><figcaption class="image-caption"><span>Note: one common vaccine injury is OAS immune suppression which reduces your </span>resistance to other strains of the disease and hence subtracts from the net &#8220;benefit.&#8221; Likewise, research has repeated shown that if one is currently infected with a disease,<a href="https://www.midwesterndoctor.com/p/why-do-vaccines-cause-the-illnesses"> vaccinating increases their risk of a severe infection</a> (which was &#8220;solved&#8221; by not testing for infections beforehand to preserve vaccine sales). </figcaption></figure></div><p><span>One of the many aggravating things I&#8217;ve long noticed about the vaccine program is that the information needed to make this calculation is never made readily available.  For example, </span>a few years ago, someone shaping public policy asked me if COVID was more dangerous than the flu. Answering this required me to know how deadly each was, and as I showed <a href="https://www.midwesterndoctor.com/p/is-covid-more-dangerous-than-the">here</a>, I eventually discovered no one actually knows how deadly the flu is (the estimates vary widely, and fatalities are typically less than 0.1% of cases that progress enough to become symptomatic)&#8212;something I found quite surprising, given that the CDC dedicates a large portion of their resources each year to expounding the dangers of the flu so we will vaccinate.</p><p>In turn, rather than objectively showing the risks and benefits of a vaccine,<span> the medical community focuses on a few components of the above equation to create the impression there is a massive danger from not vaccinating (e.g., Merck convinced women around the country to be terrified of cervical cancer despite it being fairly rare) and that there is minimal risk from vaccinating, or in lieu of that theoretical arguments lacking data which suggest vaccination has merit. For example, the HPV vaccine, by increasing the immune system&#8217;s attack on HPV, could potentially reduce cervical cancer, but trial data that directly showed this was never provided, and it is unclear from the existing data sets that have followed decades of Gardasil if the vaccine increased, decreased or had no effect on (the rare to begin with) cervical cancer rates.</span></p><p><span>As such, we have a reality where the case for many of the vaccines on the schedule is quite weak, and many are for more likely to injure you than the actual infection&#8212;but despite this being readily apparent to an outside observer (particularly one who has been injured), most medical professionals carry a diametrically opposed world view which firmly believes vaccines are safe, effective, and necessary and are almost never willing to research the actual risks and benefits of a vaccine.</span></p><p><em>Note: during medical training, students are expected to memorize a massive amount of information and repeat it verbatim to the doctors supervising them (without showing any doubt or skepticism in it). Because of this, extremely complex subjects with vast nuance are distilled into simple facts or &#8220;if A then B&#8221; statements they are effectively forced to commit to memory rather than taking far more time to explore and question, after which the social status attached to being a doctor and medical expert cements the validity of their approach (memorizing accepted medical facts without critically examining them), particularly since &#8220;cognitive dissonance&#8221; makes doctors reluctant to consider what they worked so hard to learn was wrong or that they had injured their patients.  This dynamic understandably makes many people loathe physicians who are close minded to facts which fall outside their training, but I feel the system was designed so that nearly anyone who goes through that training would think in this manner, so rather than resent those doctors, I primarily extend gratitude for the physicians whose minds are evolved enough to have the flexibility to break through this conditioning.</em></p><p>In short, we essentially have a system where we are expected to follow science (with legal penalties for not doing so) but rather than &#8220;science&#8221; being the result of an objective and critical examination of data, we instead are expected to trust the perspectives of experts who have evaluated that data <strong>but will not make it available to us</strong> (e.g., Steve Kirsch and ICAN spent years going to great lengths to get the government data on COVID vaccine injury and efficacy, often having to rely upon leakers, because governments simply would not provide any data which undermined the justification for the vaccination program).</p><p>Somewhat ironically, Fauci (who had proclaimed he &#8220;represented science&#8221; to frame any questions of his positions as &#8220;attacks on science&#8221;) recently provided an excellent metaphor of this dynamic, as in response to over a hundred questions, Fauci pled the fifth.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!GvGA!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe0ae920b-5a3b-4126-bad7-a66547549ae4_560x840.webp" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!GvGA!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe0ae920b-5a3b-4126-bad7-a66547549ae4_560x840.webp 424w, https://substackcdn.com/image/fetch/$s_!GvGA!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe0ae920b-5a3b-4126-bad7-a66547549ae4_560x840.webp 848w, https://substackcdn.com/image/fetch/$s_!GvGA!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe0ae920b-5a3b-4126-bad7-a66547549ae4_560x840.webp 1272w, https://substackcdn.com/image/fetch/$s_!GvGA!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe0ae920b-5a3b-4126-bad7-a66547549ae4_560x840.webp 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!GvGA!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe0ae920b-5a3b-4126-bad7-a66547549ae4_560x840.webp" width="560" height="840" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/e0ae920b-5a3b-4126-bad7-a66547549ae4_560x840.webp&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:840,&quot;width&quot;:560,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:61098,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/webp&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:&quot;https://www.midwesterndoctor.com/i/209443594?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe0ae920b-5a3b-4126-bad7-a66547549ae4_560x840.webp&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!GvGA!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe0ae920b-5a3b-4126-bad7-a66547549ae4_560x840.webp 424w, https://substackcdn.com/image/fetch/$s_!GvGA!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe0ae920b-5a3b-4126-bad7-a66547549ae4_560x840.webp 848w, https://substackcdn.com/image/fetch/$s_!GvGA!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe0ae920b-5a3b-4126-bad7-a66547549ae4_560x840.webp 1272w, https://substackcdn.com/image/fetch/$s_!GvGA!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe0ae920b-5a3b-4126-bad7-a66547549ae4_560x840.webp 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p>Additionally, after I sent out <a href="https://www.midwesterndoctor.com/p/what-faucis-diary-reveals-about-americas">Thursday&#8217;s article</a> on Fauci&#8217;s testimony, I was informed about something else I felt <a href="https://x.com/MidwesternDoc/status/2083230408372523452">I had to share about it</a>:</p><div class="captioned-image-container"><figure><a class="image-link image2" target="_blank" href="https://x.com/MidwesternDoc/status/2083230408372523452" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!m9j6!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6ffaf167-0f63-42c6-a59a-76c8d9cc4238_1440x178.png 424w, https://substackcdn.com/image/fetch/$s_!m9j6!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6ffaf167-0f63-42c6-a59a-76c8d9cc4238_1440x178.png 848w, https://substackcdn.com/image/fetch/$s_!m9j6!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6ffaf167-0f63-42c6-a59a-76c8d9cc4238_1440x178.png 1272w, https://substackcdn.com/image/fetch/$s_!m9j6!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6ffaf167-0f63-42c6-a59a-76c8d9cc4238_1440x178.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!m9j6!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6ffaf167-0f63-42c6-a59a-76c8d9cc4238_1440x178.png" width="1440" height="178" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/6ffaf167-0f63-42c6-a59a-76c8d9cc4238_1440x178.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:178,&quot;width&quot;:1440,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:87585,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:&quot;https://x.com/MidwesternDoc/status/2083230408372523452&quot;,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:&quot;https://www.midwesterndoctor.com/i/209443594?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6ffaf167-0f63-42c6-a59a-76c8d9cc4238_1440x178.png&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!m9j6!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6ffaf167-0f63-42c6-a59a-76c8d9cc4238_1440x178.png 424w, https://substackcdn.com/image/fetch/$s_!m9j6!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6ffaf167-0f63-42c6-a59a-76c8d9cc4238_1440x178.png 848w, https://substackcdn.com/image/fetch/$s_!m9j6!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6ffaf167-0f63-42c6-a59a-76c8d9cc4238_1440x178.png 1272w, https://substackcdn.com/image/fetch/$s_!m9j6!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6ffaf167-0f63-42c6-a59a-76c8d9cc4238_1440x178.png 1456w" sizes="100vw" loading="lazy"></picture><div></div></div></a></figure></div><div class="native-video-embed" data-component-name="VideoPlaceholder" data-attrs="{&quot;mediaUploadId&quot;:&quot;bbb4fca5-de70-4dad-8ec4-6c5836b98855&quot;,&quot;duration&quot;:null}"></div><div class="captioned-image-container"><figure><a class="image-link image2" target="_blank" href="https://x.com/MidwesternDoc/status/2083230408372523452" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!mzZJ!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa0baff6a-c3b0-493d-83d8-5726520c9239_1440x96.png 424w, https://substackcdn.com/image/fetch/$s_!mzZJ!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa0baff6a-c3b0-493d-83d8-5726520c9239_1440x96.png 848w, https://substackcdn.com/image/fetch/$s_!mzZJ!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa0baff6a-c3b0-493d-83d8-5726520c9239_1440x96.png 1272w, https://substackcdn.com/image/fetch/$s_!mzZJ!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa0baff6a-c3b0-493d-83d8-5726520c9239_1440x96.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!mzZJ!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa0baff6a-c3b0-493d-83d8-5726520c9239_1440x96.png" width="1440" height="96" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/a0baff6a-c3b0-493d-83d8-5726520c9239_1440x96.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:96,&quot;width&quot;:1440,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:16529,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:&quot;https://x.com/MidwesternDoc/status/2083230408372523452&quot;,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:&quot;https://www.midwesterndoctor.com/i/209443594?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa0baff6a-c3b0-493d-83d8-5726520c9239_1440x96.png&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!mzZJ!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa0baff6a-c3b0-493d-83d8-5726520c9239_1440x96.png 424w, https://substackcdn.com/image/fetch/$s_!mzZJ!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa0baff6a-c3b0-493d-83d8-5726520c9239_1440x96.png 848w, https://substackcdn.com/image/fetch/$s_!mzZJ!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa0baff6a-c3b0-493d-83d8-5726520c9239_1440x96.png 1272w, https://substackcdn.com/image/fetch/$s_!mzZJ!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa0baff6a-c3b0-493d-83d8-5726520c9239_1440x96.png 1456w" sizes="100vw" loading="lazy"></picture><div></div></div></a></figure></div><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://www.midwesterndoctor.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">The Forgotten Side of Medicine is a reader-supported publication. To receive new posts and support my work, please consider becoming a free or paid subscriber.  To see how others have benefitted from this publication, click <a href="https://www.midwesterndoctor.com/p/reader-feedback">here</a>.</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div><h1><span>Hepatitis B</span></h1><p><span>One of the more egregious vaccinations on the schedule is newborn hepatitis B, so when I learned Trump wanted it off the schedule, to help with that effort, I spent a lot of time, via official sources, trying to calculate the actual risks and benefits of the newborn hepatitis B vaccination (which I detailed </span><a href="https://www.midwesterndoctor.com/p/why-is-every-newborn-forced-to-get"><span>here</span></a><span>). To summarize that article:</span></p><p><span>Since hepatitis B is transmitted through blood to blood contact (e.g., sharing drug needles or unprotected sex), it&#8217;s difficult to justify giving it to newborns who will never do any of that. So, presently, the justifications are as follows:</span></p><p><span>1. It will prevent newborn infants from catching hepatitis B from their mothers during delivery when their immune system is too weak to resist the infection.<br>2. It will prevent young children from catching hepatitis B, either from family members or outside (e.g., touching an infected drug needle in a playground).<br>3. If an infant gets a hepatitis B infection, they run a real risk of it becoming a chronic hepatitis B infection (which causes a variety of problems including liver failure).<br>4. Hepatitis B vaccination has caused a massive drop in acute hepatitis B cases in adults, and hence creates a massive drop in chronic hepatitis B in infants.</span></p><p>The problems with the first (primary) argument are:<br>&#8226;Pregnant mothers are routinely screened for hepatitis B, so a benefit can only be found in the odd cases where the test is either not done or has a false negative.<br>&#8226;It is not guaranteed a child will catch hepatitis B from their mother, and giving the vaccine to a child at birth born to a hepatitis B positive mother only partially protects them from catching the disease (which is why it is typically is given alongside antibodies designed to increase the likelihood of preventing transmission).<br>&#8226;Hepatitis B is fairly rare outside of a few key demographics (e.g., Southeast Asian immigrants&#8212;which was a real issue following the influx of Vietnam War refugees).<br>&#8226;The form of hepatitis B which is more likely to transmit to infants is fairly rare, and something the vaccine is significantly less effective against.<br><br>In turn, when I looked through all the available official (e.g., CDC) data (which likely overestimates the need for vaccine), I discovered a significant number of data points which should have been worked out to assess the benefit of the vaccine never were, but if you took the mid-point of the ranges given for each of those coincidences lining up, you had to vaccinate roughly 1 million infants to prevent 1 case of mother to infant hepatitis B transmission, and 6.5 million infants to prevent one case of chronic hepatitis B&#8212;which means you cannot justify the program unless the vaccine has a less than 1 in 10 million chance of causing a severe injury.  <br><br>However, while I watched the coverage of this discussion, the media simply amplified things like doctors stating there was no evidence the vaccine caused harm, a Vietnamese doctor who got hepatitis B from her parents testifying at the ACIP committee meeting she would have given anything to have been given the vaccine at birth and not have to live with hepatitis B, or <a href="https://x.com/SenBillCassidy/status/1962269409642197050">Senator Cassidy discussing the horrors of chronic hepatitis B</a> and <a href="https://www.midwesterndoctor.com/p/why-is-every-newborn-forced-to-get">citing wildly incorrect figures and the likelihood it would transmit to the infant</a>.</p><p>Similarly, the other justifications for newborn vaccination are equally unfounded:</p><p>&#8226;In <a href="https://pubmed.ncbi.nlm.nih.gov/18676535/?utm_source=chatgpt.com">one study</a> of 274 children who pricked themselves with drug needles in a playground (which is a rare occurrance), none developed hepatitis B (including cases from known carriers), <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC5804656/?utm_source=chatgpt.com">in a review of studies spanning 1,565 instances</a>, only one needlestick was potentially linked to catching hepatitis B, and throughout the literature, <a href="https://journals.lww.com/pidj/fulltext/1997/11000/hepatitis_b_virus_infection_from_a_needle_stick.27.aspx">I could only find one case</a> of this ever conclusively happening (making this significantly rarer than being hit by lightning).</p><p>&#8226;The decline in acute hepatitis B following adult vaccination was also seen with Hepatitis C (which is not vaccinated for but spreads in a similar manner as hepatitis B) suggesting other public health policies may account for the decline.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!cruZ!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F80ce0887-f778-414f-ab2a-4c934294881b_828x510.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" 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src="https://substackcdn.com/image/fetch/$s_!cruZ!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F80ce0887-f778-414f-ab2a-4c934294881b_828x510.png" width="828" height="510" 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srcset="https://substackcdn.com/image/fetch/$s_!cruZ!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F80ce0887-f778-414f-ab2a-4c934294881b_828x510.png 424w, https://substackcdn.com/image/fetch/$s_!cruZ!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F80ce0887-f778-414f-ab2a-4c934294881b_828x510.png 848w, https://substackcdn.com/image/fetch/$s_!cruZ!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F80ce0887-f778-414f-ab2a-4c934294881b_828x510.png 1272w, https://substackcdn.com/image/fetch/$s_!cruZ!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F80ce0887-f778-414f-ab2a-4c934294881b_828x510.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p>&#8226;Despite decades of the program, <strong>there has been no decrease in chronic hepatitis B </strong>(the ultimate justification for the program).  This, I suspect, results from the fact a small portion of people do not respond to the vaccine, and those individuals who progress from acute to chronic hepatitis B share the same underlying immune dysfunction (effectively making it impossible for vaccination to achieve its ultimate goal as it cannot protect those who need protection)&#8212;a recurring issue with vaccination seen ever since <a href="https://www.midwesterndoctor.com/p/what-can-the-smallpox-vaccines-teach">the original smallpox vaccines</a>.</p><p><em>Note: many suspect the newborn hepatitis B program was mass introduced to provide a larger market for Merck than homosexuals and IV drug addicts at risk for Hepatitis B or to prevent newborn hepatitis B transmission in Vietnamese refugees (both of which are plausible). However, an ACIP insider shared with me it was actually done to reduce Hepatitis B transmission in inner city youth engaged in risky behaviors (which was a public health issue) under the theory that they were unlikely to come in for vaccination appointments, so a blanket newborn hospital immunization policy was the only thing that could reach them, with newborn transmission then being concocted to justify that blanket policy.</em></p><p>Given this low benefit, extensive safety research should have been conducted to ascertain its safety and if it meets the &#8220;1 in 10 million threshold.&#8221; However, despite decades of pleas for this to happen (including from the IOM), other than studies tracking symptoms for 4-5 days after vaccination (where depending upon the symptom, 10-30% of recipients experience them, including some that can be quite serious in a neonatal context) nothing has been done.</p><p>At the same time, many datasets have shown there are more deaths each year immediately following the vaccine than (far less serious) cases of newborn hepatitis B transmission, and that many autoimmune diseases (particularly MS) have been repeatedly observed to follow the vaccine as its antigen matches human myelin (e.g., a buried <a href="https://pubmed.ncbi.nlm.nih.gov/16295528/">2005 study</a> found that 60% of its recipients also developed immune reactivity to the myelin coating their nerves&#8212;which in the majority of cases persisted for over 6 months, while <a href="https://x.com/VigilantFox/status/1939747230430425130">an unpublished 1999 study</a> found newborn hepatitis B vaccination increased the risk of autism by 12.35X&#8212;with <a href="https://www.midwesterndoctor.com/p/why-is-every-newborn-forced-to-get">many other studies finding a comparable increase in developmental disability</a>).</p><p>Corroborating this, <a href="https://www.midwesterndoctor.com/p/why-is-every-newborn-forced-to-get">a 1999 Congressional hearing</a> featured many witnesses severely injured by the injection and a 1999 ABC investigation (aired prior to the pharmaceutical industry buying out the media <a href="https://www.midwesterndoctor.com/p/vaccine-amnesia-75-forgotten-segments">in an era where segments on vaccine injury were routinely aired</a>) highlighted many of the dangers of the hepatitis B vaccine:</p><div class="native-video-embed" data-component-name="VideoPlaceholder" data-attrs="{&quot;mediaUploadId&quot;:&quot;f20b39e9-c3ea-4238-8d66-a5f1687df7dc&quot;,&quot;duration&quot;:null}"></div><p>Yet, despite all of this and the newborn hepatitis B vaccine long being one of the most unpopular vaccines, the medical community has continually circled wagons around it, has almost no knowledge of any of the previously mentioned data (rather they view hepatitis B vaccination as one of public health&#8217;s crowning achievements) and over the years, I&#8217;ve heard numerous reports from parents (and readers here) who gave birth at a hospital of their child either being vaccinated against their consent while separated from the mother (with developmental disability following in some cases) or being threatened with CPS involvement if they did not vaccinate.</p><p>In short, the hepatitis B example demonstrates that the medical community does not accurately provide the risks and benefits of vaccination, and were they to do so, parents would likely decline many vaccines.</p><h1>Justifications for Vaccination</h1><p>Our society has a very weird obsession with vaccination, many (myself) included <a href="https://www.midwesterndoctor.com/p/dissecting-the-religion-of-vaccines">have likened to a dogmatic religion</a>.  I believe this ultimately results from:</p><p>&#8226;After Christianity stopped being the shared foundation of our society, something had to fill the void, and &#8220;science&#8221; stepped in&#8212;shifting from a method for uncovering reality into a dogmatic pseudo-religion that claims exclusive ownership of truth (often for money and power). Medicine became a core pillar of that system as it offered the modern version of miracles (against death and disease), and vaccines took on the role of the ritual that marks you as one of the faithful by baptizing you into the faith.</p><p>&#8226;Much of the credibility and social status of Western medicine (and arguably the Western order itself) rests on the story that science and medicine conquered the dark ages of disease and lifted us out of the primitive conditions that kept everyone trapped in sickness and early death. Admitting that vaccines were actually counterproductive would therefore be existential suicide for the medical profession.</p><p>&#8226;In the early days of medicine (when infectious disease ran rampant due to poor sanitation and living conditions), there were very few options for treating them, and the main ones that existed&#8212;serums and vaccines&#8212;had major issues (e.g., partial efficacy and severe toxicity) that made them far from perfect   From having read through all the historical documentation, I believe the physicians and public health officers of that time regretted the harm those early treatments caused, but gradually felt forced to adopt a callous attitude that viewed the harm as a necessary sacrifice for the benefit those therapies created, and once this mentality cemented, it persisted long after the need for those therapies had disappeared (e.g., diphtheria used to be a major killer&#8212;now it&#8217;s non-existent but we still vaccinate for it) and much better solutions had appeared.<em><br>Note: likewise, I believe the reason why allergies are the one accepted contraindication to vaccination is due to the fact allergic reactions (to the early unpurified vaccinations) was a major recurring issue (and at some point in the future I will publish all the examples and studies <a href="https://scispace.com/pdf/the-hazards-of-immunization-3ps0h5suhg.pdf">Sir Graham Wilson collected on this</a>).</em></p><p><em>&#8226;</em>Governments tend to excel at top down measures their force and power can be leveraged to administer rather than bottom up grass roots approaches (which are often necessary to fix the health of the society). Vaccines are the quintessential top-down approach as they provide the promise a tangible health benefit can be achieved through the tools at their disposal (and as mandates are needed, feed into the need for power and control that inevitably emerges in governance). Because of this, you see a surprising number of people in government and public health get sucked into the belief &#8220;all our health problems would go away if we just vaccinated more people&#8221; whose focus largely shifts towards whatever can be done to increase vaccination rates (even in instances where the vaccine fails to live up to its initial promises and the goalposts have to keep being moved). <em><br>Note: a recurring theme in government is that they will be tasked with solving a problem but only have an imperfect solution available. In these cases, rather than improve the solution, they will use the power of the state to force the solution to &#8220;work&#8221; in manner akin to using a hammer to pound a square peg through a round hole.</em></p><p>&#8226;While most infectious diseases we vaccinate for can be treated with conventional or natural methods, in many cases, parents do not know how to spot the early signs of the disease or have immediate access to effective therapies. As such, I always consider that while this point does not apply to me, for many others who lack the resources I am fortunate to have, vaccines do provide a critical safety net (although I could see AI greatly reducing the value of this as the early red flags are easy for it to detect if queried).</p><p>&#8226;In some cases, vaccine arguably provided a public health benefit (particularly if their harms are ignored), so per the inevitable human tendency to confirmation bias, these positive aspects of these examples are always focused on rather than the litany of forgotten failures and catastrophes<a href="https://www.midwesterndoctor.com/p/the-century-of-forgotten-vaccine"><sup>1</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-forgotten-history-of-neurological"><sup>2</sup></a> seen throughout the history of immunization.</p><p><em>Note: a case can also be made the justification for vaccination is far more malignant (e.g., <a href="https://www.midwesterndoctor.com/p/the-forgotten-history-of-sterilizing">reducing fertility</a>, causing <a href="https://www.midwesterndoctor.com/p/how-much-damage-has-mass-vaccination">chronic illness that creates lifelong medical customers</a>, it being a religious sacrifice mirroring that seen in other societies like the Aztecs or <a href="https://www.midwesterndoctor.com/p/how-much-damage-has-mass-vaccination">blunting the consciousness of children</a> so they are easier to control), but ultimately, I have no way to know why things are the way they are.</em></p><h1>Producing Vaccines</h1><p>Many of the problems with vaccines are ultimately inherent to their design.  Unfortunately, much in the same way the immune system is one of the least understood parts of the body (often being referred to as &#8220;the last frontier&#8221; in medicine), most people, including doctors, have a very cursory understanding of how vaccines work.<em><br>Note: I believe this knowledge gap largely results from immunologic research being focused on creating profitable pharmaceuticals (vaccines, cancer immunotherapies and autoimmunity suppressing drugs) rather than actually understanding the immune system.</em></p><p><span>When the body is exposed to a foreign threat, it generally first encounters the innate immune system (barriers that keep pathogens from entering plus non-specific responses like fever and inflammation), which either clears the threat or slows it down. In tandem, an adaptive immune response is initiated that takes time to build (an immune cell with a randomly generated receptor that matches the threat must encounter it, become activated, and then produce enough copies of itself to control the infection). The duration and severity of illness are largely dependent on how long that adaptive response takes to become effective. Finally, once this adaptive response forms, it can reactivate much more quickly each time, so the initial phase (and hence the duration of illness) is much shorter.</span></p><p><span>The theory behind vaccination, in turn, is that if the unique molecular code of the threat (its antigen) can be introduced to the body without an actual pathologic infection, the adaptive immunity can be created without any actual danger or illness, so when the actual infection occurs, it will be rapidly neutralized.</span></p><p>Making vaccines hence requires producing a suitable antigen and introducing it into the body.  Unfortunately, there are a few major challenges with doing this.</p><p>First, antigens are costly to produce, particularly at a scale which will elicit a reliable immune response (which often requires introducing toxic adjuvants).</p><p>Second, producing antigens normally involves culturing microrganisms, and hence often introduces a wide range of biological contaminants which are difficult to remove (and when not removed, often leads to catastrophic &#8220;<a href="https://www.midwesterndoctor.com/p/the-century-of-forgotten-vaccine">hot lots</a>&#8221;). Likewise, the chemicals needed to inactivate the toxic components of the vaccine (e.g., a virus or toxin) are often also toxic to the body.<br><br>Third, the antigens that effectively stimulate an immune response also <a href="https://www.midwesterndoctor.com/p/what-can-megyn-kellys-adverse-reaction">often stimulate an immune response against human tissue</a> (e.g., in addition to the previously mentioned hepatitis B vaccine, this was a major issue with<a href="https://www.midwesterndoctor.com/p/the-hpv-vaccine-disaster-was-a-test"> the HPV vaccine Gardasil</a> and <a href="https://www.midwesterndoctor.com/p/what-can-megyn-kellys-adverse-reaction">the COVID vaccines</a>).</p><p>Fourth, some antigens are inherently toxic to the body. The best example of this was the COVID-19 spike protein (which through natural infections, long COVID or vaccine injuries) wrecked havoc throughout the body (particularly when mass produced by the vaccine), but has also been seen in with other vaccines (e.g., the soup of poorly filtered <a href="https://www.midwesterndoctor.com/p/what-do-we-now-know-about-hot-covid">pertussis</a> and <a href="https://www.midwesterndoctor.com/p/the-forgotten-lessons-of-the-militarys">anthrax</a> vaccines caused a lot of issues). Likewise, if an antigenic toxin (e.g., from tetanus or diphtheria) added to the body with a vaccine is not sufficiently deactivated, that toxin can injure or kill the recipient (which as I showed in <a href="https://www.midwesterndoctor.com/p/the-century-of-forgotten-hot-lot">a previous article</a> has happened numerous times in the past).</p><p>Finally, <a href="https://www.midwesterndoctor.com/p/why-do-vaccines-consistently-fail">the immune system behaves very differently</a> when a pathogen contacts it at the surface (where a sterilizing response that often blocks transmission forms) versus deep inside the body (which often only reduces symptoms rather than preventing infection and transmission and often provokes a far more severe immune response). As such, classical injected vaccines frequently fail to prevent disease transmission, whereas the much rarer ones designed to create mucosal (<a href="https://en.wikipedia.org/wiki/Immunoglobulin_A">IgA</a>) immunity (e.g., intranasal sprays, and certain live virus preparations), accomplish this&#8212;all of which is discussed <a href="https://www.midwesterndoctor.com/p/why-do-vaccines-consistently-fail">here</a>.</p><p> However, despite this being well-known at the start of the COVID-19 vaccine campaign, it took a long time to acknowledge the wrong design was chosen (e.g., it was only after the vaccines had been on the market for a year that <a href="https://x.com/ezralevant/status/1458213301951807488">Bill Gates publicly admitted</a> a sterilizing vaccine which blocked transmission should have been chosen).<br><em>Note: another vaccine <a href="https://www.malone.news/p/cocooning-using-tdap-vaccine">which is frequently falsely asserted to prevent transmission is the TDaP pertussis vaccine</a> (to the point ICAN successfully got an repulsive ad-campaign pulled which scared parents into forbidding unvaccinated relatives from visiting their infants&#8212;something many grandparents I know fell victim too).  This failure is due to the fact TDaP counteracts the toxin which causes whooping cough rather than bacterial colonization&#8212;creating asymptomatic spreaders), and in turn, many pertussis outbreaks have been observed within vaccinated populations. That said, I am hesitant to attack this facet of the vaccine, as TDaP only came to market as a replacement for the<a href="https://www.midwesterndoctor.com/p/the-century-of-evidence-that-vaccines"> far more toxic TDwP</a> (which prevented transmission) because of years of lawsuits and lobbying by the vaccine safety community, and things would be much worse if TDwP was still on the market.<br><br></em>Before we go further, it&#8217;s important to underscore that most members of the medical profession are not aware of how vaccines are made, and hence do not have the context to understand why the &#8220;safe and effective&#8221; products will inevitably have issues. Instead, due to the religious aura surrounding vaccines, their mental exploration of this subject typically doesn&#8217;t go beyond &#8220;safe and effective.&#8221;</p><h1>Antigen Production</h1><p>Over the years, a variety of increasingly genetically engineered approaches have been created to create the needed antigens. The six main ones are:<br><br>1. Growing large amounts of the infectious organism, doing something to &#8220;kill&#8221; it (or neutralize the toxoid), and then attempting to filter away everything besides the desired antigens of the organism or its neutralized toxin (which is how most vaccines for bacterial infections are produced).  In conjugate vaccines, these antigens are then bound to a carrier to improve the immune response in children.<br><br>2. Culturing a virus in a medium (e.g., annual flu vaccines are grown in eggs while the polio vaccine is grown <a href="https://en.wikipedia.org/wiki/Polio_vaccine">in monkey kidney cells</a>) and then inactivating the antigen containing virus by exposing it to a chemical. In most cases, this takes a while, which helps to explain why the annual flu vaccine is almost always for a different strain than the one that actually emerges (as they have to start producing the vaccine long before the dominant flu strain is known and hence must rely on their best guess to determine what the strain is).<br><em>Note: a major problem with this approach is that beyond the inactivating agent (e.g., formaldehyde) being toxic, a balance needs to be struck where enough is given to sufficiently inactivate the virus (so it does not cause illness) but not have too much be given (as once the virus is too damaged, its antigen are no longer recognizable to the immune system).  For example, major issues emerged with the early the polio vaccines due to not enough formaldehyde being used and vaccine recipients hence being injected with live polio virus.</em></p><p>3. Genetically modifying an organism to produce the target antigen sequence, then killing the organism and extracting the antigen sequence. For example, both <a href="https://www.nature.com/articles/s41423-022-00897-8">the HPV vaccine</a> and the <a href="https://pubmed.ncbi.nlm.nih.gov/2437037/">hepatitis B</a> vaccine antigens are made from genetically modified baker yeasts. Newer approaches, such as growing the antigen from <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8782010/">plants</a> or insect cells (e.g., <a href="https://www.nebraskamed.com/COVID/moths-and-tree-bark-how-the-novavax-vaccine-works">Novavax </a>was made from moth cells), are also now beginning to enter use. In some cases (e.g., with the HPV vaccine) these antigens then spontaneously assemble into spherical virus like particles (VLPs).<em><br><br></em>4. Modifying an organism so that it remains capable of reproducing within the body, but is less likely to cause a severe illness. Some of the common live attenuated vaccines include the measles mumps and rubella vaccine, certain flu vaccines (e.g., the nasal ones), the chickenpox and shingles vaccines, and the live oral polio one (which is not given in the United States). A few bacterial ones also exist (e.g., for tuberculosis or typhoid fever).  While typically the most effective, these vaccine are met with some skepticism by conventional medicine because they can cause illness in individuals with suppressed immune systems and shed. Additionally, I believe the nature of their production causes these vaccines to be commonly contaminated with other unwanted agents (e.g., pathologic viruses) and in some cases, they independently cause problems (e.g., Andrew Wakefield&#8217;s original controversial research linking MMR to autism showed significant gut inflammation was present and that <a href="https://mp.bmj.com/content/55/2/84">this was potentially  triggered by the vaccine measles virus</a>).<br><em>Note: self-spreading vaccines (either of easily transmittable live viral vaccines or replicating viruses modified to carry an antigen) that transmit between hosts and replicate inside them have been developed and proposed for mass vaccinating animal populations, but none have been licensed.</em><br><br>5. Modifying a <em><strong>relatively</strong></em> harmless virus to also carry a target antigen sequence (e.g., the spike protein), mass producing it in a cell culture, and then injecting it into the body. The most well known examples of this were AstraZeneca, J&amp;J&#8217;s, Russia&#8217;s (Sputnik), and China&#8217;s Convidecia COVID-19 vaccines.<em><br>Note: typically (with the exception of an ebola vaccine and a few animal ones) these are designed to not replicate within the body. </em></p><p>6. Transfecting human cells with mRNA which causes them to produce the target vaccine antigen until the mRNA goes away (which can take a long time as mRNA in the COVID vaccines was engineered to resist being broken down). Unfortunately there a massive number of problems with this approach (e.g., <a href="https://www.malone.news/p/pseudouridine-what-is-it-and-why">immune suppression</a> and <a href="https://www.midwesterndoctor.com/p/what-we-now-know-about-covid-vaccine">shedding to those not vaccinated</a>) which strongly argue against the longterm adoption of this technology.<em><br>Note: self-amplifying mRNA technology (where the mRNA reproduces in cells requiring much lower initial vaccines doses) has also been developed (with a few approved COVID-19 ones existing).</em> </p><p><span>(7). Transfecting a cell&#8217;s nucleus with a bacterial plasmid DNA (either by including a DNA nuclear targeting sequence such as the 72-bp SV40 enhancer region, or simply waiting until the cell divides and the nuclear envelope temporarily opens). Once inside the nucleus, the cell&#8217;s transcription machinery produces mRNA from the plasmid, which is then translated into the target vaccine antigen. Because of the theoretical risk of genomic integration, this approach has been viewed as riskier than mRNA or protein-based methods. So while extensively studied (with quite a few in development), only one DNA vaccine have been approved for human use so far (</span><a href="https://jamanetwork.com/journals/jama/fullarticle/2784978"><span>India&#8217;s ZyCoV-D COVID-19 vaccine</span></a><span>), although numerous animal ones exist (making this not be one of the primary six approaches).</span><em><span><br>Note: I felt I had to mention this because when </span>Kevin McKernan sequenced the COVID vaccines, he discovered DNA plasmids from the manufacturing process were present that contained the 72-bp SV40 enhancer region and argued were likely getting into the DNA and indefinitely producing spike protein&#8212;which critics said was impossible.  It hence is astonishing this is actually a well established vaccine technology.</em></p><p><span>Lastly, while not technically a vaccine, one recent approach that is now used for preventing RSV in healthy infants is to inject a longstanding antibody which binds the virus (neutralizing it) and hence provides protection for a prolonged period (e.g., the RSV season).</span></p><p>The essential challenge all of these approaches face is that enough of the costly antigen needs to be produced for the immune system to develop a durable immune response to it. The original solution the vaccination field developed was to mix the antigen with a much cheaper additive which enhanced the immune response to the antigen, thereby making less of the costly antigen needed. Unfortunately, those adjuvants tended to overstimulate the immune system (producing off-target autoimmunity to tissues besides the target antigen). For example, in addition to the hepatitis B vaccine myelin issue mentioned above (where the immune system becomes programmed to attack tissue resembling the vaccine&#8217;s antigen), <a href="https://www.sciencedirect.com/science/article/abs/pii/S0091674974800047">a classic study in this field</a> showed that mice developed allergies to pollens that were in the air at the time of their pertussis vaccination (as the excessive immune stimulation primed the immune system to become permanently reactive to whatever was present at the time).<br><em><br>Note: I believe one of the primary issues with most vaccines is the tendency of their aluminum adjuvants (or spike proteins) <a href="https://www.midwesterndoctor.com/p/what-makes-all-vaccines-so-dangerous">to cause microstrokes</a> by disrupting the body&#8217;s zeta potential and <a href="https://www.midwesterndoctor.com/p/what-can-megyn-kellys-adverse-reaction">create autoimmune disorders</a>. In turn, <a href="https://www.amazon.com/Vaccines-Autoimmunity-Yehuda-Shoenfeld/dp/1118663438">a textbook</a> has been written on how aluminum causes autoimmune disorders, while other papers have shown how the immune system shuttles it into the brain after vaccination. While I cannot prove this, I have long believed the reason why aluminum functions as such an effective stimulus for the immune system is due to <a href="https://www.midwesterndoctor.com/p/what-makes-all-vaccines-so-dangerous">its strong ability to destroy the physiologic zeta potential</a>, as this is something that would also occur in most infections and hence serve as a nonspecific signal to the immune system and something that could be detected from far away (due to how it distorts the water of the body). Amongst the aluminum adjuvants, the one used in Gardasil was the most problematic (as a strong stimulus was needed to overcome the body&#8217;s resistance to developing immunity to things matching the vaccine antigen), and in turn, <a href="https://www.midwesterndoctor.com/p/the-hpv-vaccine-disaster-was-a-test">disabling autoimmune conditions frequently followed the vaccine</a> (making it the most harmful vaccine on the market until the COVID vaccines were released).</em></p><p>As time has passed, the vaccine field has moved towards using genetic engineering to efficiently produce the target antigen, either outside the body (e.g., in yeast cells) or within the body through some type of self replicating technology (e.g., the viral vectors or mRNA technology). As these approaches are highly unnatural, we are in turn continually discovering new consequences of them.<br><br>For example, the mRNA technology overproduces spike protein within cells, leading to it being forced out onto the surface of the cells, at which point the immune system not only recognizes it but the entire cell as a threat, which in turn helps to explain why profound tissue abnormalities were detected in autopsies of those who died from the vaccines experienced things such as tissue destruction <a href="https://pierrekorymedicalmusings.com/p/pathologists-are-unaware-of-the-pathogen">due to immune cell infiltration</a> that examiners described as:</p><blockquote><p>This combination of multifocal, T-lymphocyte-dominated pathology that clearly reflects the process of immunological self-attack <strong>is without precedent</strong>.</p></blockquote><p>Furthermore, while many issues exist with each of these approaches for designing vaccines, the core issue all single antigen vaccines share is that they produce an excessive immune response to a single antigen, rather than a moderate immune response to a wide variety of antigens (which is what happens during a natural infection).</p><h1>Single Antigen Vaccines</h1><p>Typically, the immune system does not produce an excessive immune response to a single antigen. However, if enough of it is put into the body or the body is exposed to adjuvants which provoke it into responding, it will. In turn, there are a few key issues with doing this:<br><br>First, the simplest type of mutation which occurs in nature is the changing of a protein sequence. Since protein (antigen) sequences have to match for an immune response to occur, creating a strong immune response to a single antigen immediately creates a selective pressure that causes the pathogen to evolve into something which no longer has the matching antigen. In contrast, since natural immune responses typically target multiple antigens within a pathogen, it is much harder for them to evolve resistance to it as even if one antigen changes, the immune system can still target the other antigens it was primed to react to and eliminate that partially resistant strain before it can reproduce and become the dominant one.</p><p>Because of this, a recurring theme of vaccination is that when they actually work, they will rapidly trigger the evolution of vaccine resistant strains and a selective pressure is exerted for the resistant strains to become the dominant one.  In the case of COVID, this was particularly pronounced as the rapidly mutating virus shifted faster than it was possible to develop new vaccines and bring them to market, and the selective pressure the vaccines exerted caused many new variants to emerge once the vaccine had hit the market.</p><p>As such, <a href="https://www.bmj.com/content/372/bmj.n627">when leaked documents were revealed</a> in December 2020 of Europe&#8217;s regulatory review of the Pfizer vaccine, one of the things Europe&#8217;s EMA highlighted was that the circulating strain of COVID-19 was now slightly different from the one the vaccine had been designed for:</p><blockquote><p><span>The Spike protein of SARS-CoV-2 undergo mutations, and it thus critically important to investigate the biological significance of these variants in relation to the development of Spike-based covid-19 vaccine candidates. For example, Korber et al. 2020 present evidence that there are now more SARS-CoV-2 viruses circulating in the human population globally that have the G614 form of the Spike protein versus the D614 form that was originally identified from the first human cases in Wuhan, China. Further, Li et al., states that as of May 6, 2020, 329 naturally occurring variants in Spike protein have been reported in the public domain. The applicant is asked to discuss how the chosen Spike antigen variant in BNT162b2 relates to the Spike variants currently on the dominant SARS-CoV-2 viruses circulating in the human population ([confidential information deleted]).</span><a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7332439/"><sup><span>1</span></sup></a><sup><span>,</span></sup><a href="https://doi.org/10.1016/j.cell.2020.07.012"><sup><span>2</span></sup></a></p></blockquote><p>Likewise, once the COVID vaccine hit the market and a selective pressure was created, we rapidly saw the emergence of variant after variant, which the government tried to either ignore (resulting in the absurdity of mandates for vaccines to viruses that no longer existed) or rushing boosters to market as quickly as possible in the hope they could catch the strains before they disappeared, eventually resulting in (mandated) BA.4/5 bivalent boosters being approved on the basis of results from 8 mice, something the recent head of the FDA repeatedly criticized in 2022.<a href="https://x.com/MartyMakary/status/1564943270702206978"><sup>1</sup></a><sup>,</sup><a href="https://x.com/MartyMakary/status/1575114719748292608"><sup>2</sup></a><sup>,</sup><a href="https://x.com/MartyMakary/status/1580391841836384262"><sup>3</sup></a><sup>,</sup><a href="https://x.com/MartyMakary/status/1580144344790888448"><sup>4</sup></a></p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!sTB6!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc75068c6-066e-4098-918b-495e394b5943_1476x384.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!sTB6!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc75068c6-066e-4098-918b-495e394b5943_1476x384.png 424w, https://substackcdn.com/image/fetch/$s_!sTB6!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc75068c6-066e-4098-918b-495e394b5943_1476x384.png 848w, https://substackcdn.com/image/fetch/$s_!sTB6!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc75068c6-066e-4098-918b-495e394b5943_1476x384.png 1272w, https://substackcdn.com/image/fetch/$s_!sTB6!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc75068c6-066e-4098-918b-495e394b5943_1476x384.png 1456w" sizes="100vw"><img 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srcset="https://substackcdn.com/image/fetch/$s_!sTB6!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc75068c6-066e-4098-918b-495e394b5943_1476x384.png 424w, https://substackcdn.com/image/fetch/$s_!sTB6!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc75068c6-066e-4098-918b-495e394b5943_1476x384.png 848w, https://substackcdn.com/image/fetch/$s_!sTB6!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc75068c6-066e-4098-918b-495e394b5943_1476x384.png 1272w, https://substackcdn.com/image/fetch/$s_!sTB6!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc75068c6-066e-4098-918b-495e394b5943_1476x384.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div 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fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p>This ties into one of the more appalling revelations in Fauci&#8217;s diary where he states the head of the CDC wanted to disclose the (untested) boosters did not work (as the virus had already mutated), but the White House gagged her to ensure the booster campaign could continue (which Fauci supported).</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" 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src="https://substackcdn.com/image/fetch/$s_!pcgV!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F919b2a41-4628-4735-bb75-250e0812c212_1200x788.jpeg" width="1200" height="788" 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srcset="https://substackcdn.com/image/fetch/$s_!pcgV!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F919b2a41-4628-4735-bb75-250e0812c212_1200x788.jpeg 424w, https://substackcdn.com/image/fetch/$s_!pcgV!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F919b2a41-4628-4735-bb75-250e0812c212_1200x788.jpeg 848w, https://substackcdn.com/image/fetch/$s_!pcgV!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F919b2a41-4628-4735-bb75-250e0812c212_1200x788.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!pcgV!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F919b2a41-4628-4735-bb75-250e0812c212_1200x788.jpeg 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p>As such, a large portion of the American public lost confidence in the vaccine program, as they were promised the vaccines would fully protect them against COVID, but in reality, even with numerous boosters, they kept getting sick.</p><p>Furthermore, it should be noted that this issue is not unique to the COVID vaccines, as mutations have been observed in many other commonly circulating organisms after their vaccines hit the market.  For example, the pneumococcal vaccine keeps on having to be updated with more and more antigens to cover the existing variants (where in 2000, one covering 7 strains was introduced, in 2009, a 10 strain one came out, in 2010 a 13 strain one came out, in 2021 a 15 and then 20 strain one came out, and in 2024, a 21 strain one was brought to market).  Likewise, similar changes in vaccine efficacy have also been observed with N<span>eisseria meningitidis</span>, Haemophilus influenzae, HPV, pertussis, and to a lesser extent rotavirus (as the original designs used a limited number of antigens).  <br><em><span>Note: In addition to these evolutionary changes that can weaken vaccine effectiveness against specific strains, they frequently alter how the pathogen behaves or which groups it affects (e.g., Delta and Omicron being more transmissible than the ancestral COVID-19 strain, non-vaccine pneumococcal serotypes rising with higher antibiotic resistance rates within those serotypes, and invasive Haemophilus influenzae disease shifting from predominantly childhood Hib to nontypeable and other non-b strains that mainly affect adults).</span></em></p><h3>Original Antigenic Sin (OAS)</h3><p>One of the unscientific beliefs which existing with the science of vaccinology is that the immune system has an unlimited ability to adapt to antigens, so an endless number of vaccines can be given, which in each instance enhance the immune systems ability to further respond to more threats.</p><p>The problem with this belief is that the immune system has a finite ability to respond to new infections, so if it becomes locked onto one (due to the immune response being excessively stimulated to target a vaccine antigen sequence), it loses the ability to respond to other strains it naturally encounters.  Because of this, a recurring theme seen with vaccines carrying a low number of antigens is that they not only trigger the evolution of variants resistant to the vaccine but also reduce the body&#8217;s ability to respond to these variants.</p><p>For example, one of the most egregious examples occurred when <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5360569/">one of the WHO&#8217;s top vaccine </a>researchers discovered that giving the DTwP vaccine in a region of Africa where people frequently died of infectious diseases caused children to be 5 times as likely to die (boys were 3.93 times and girls were 9.98 times more likely to die)&#8212;which did not result in any changes to the &#8220;lifesaving&#8221; vaccine program.</p><p>Conversely, in many cases, live vaccines (which contain many different antigens) do the opposite and provide a broad non-specific stimulation of the immune system, which while harmful in fairly clean environments (e.g., the inflammation MMR creates may be a catalyst for autistic regressions), is quite helpful in less sanitary environments where infectious diseases are a common cause of death (e.g., the MMR and tuberculosis vaccines are some of the only vaccines I know of <a href="https://pubmed.ncbi.nlm.nih.gov/31449870/">which have been shown to cause a clear mortality benefit</a> as they reduce the risk of dying from other infections&#8212;with reductions in death ranging from 38-86%).<br><br>Further underscoring how little is understood about the immune system, this cuts both ways.  Many of the viral infections of childhood have been repeatedly found to provide a critical development of the immune system that can stave off deadly diseases later in life. For example, not having a chickenpox infection increases your risk of brain cancer later in life,<a href="https://pubmed.ncbi.nlm.nih.gov/9098175/"><sup>1</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/15870157/"><sup>2</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/21792750/"><sup>3</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/24127236/"><sup>4</sup></a><sup> </sup>not having a mumps infection increases your subsequent risk of ovarian cancer,<a href="https://pubmed.ncbi.nlm.nih.gov/20559706/"><sup>1</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/445337/"><sup>2</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/5939299/"><sup>3</sup></a><sup> </sup>(as did not having a measles, rubella, or chickenpox infection<a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC479015/"><sup>1</sup></a>) and previous infections of influenza, measles, mumps, or chickenpox were found to decrease one&#8217;s risk of malignant melanoma.<a href="https://pubmed.ncbi.nlm.nih.gov/1450674/"><sup>1</sup></a>,<a href="https://pubmed.ncbi.nlm.nih.gov/10596918/"><sup>2</sup></a><sup>  </sup><span>Likewise, </span><a href="https://www.sciencedirect.com/science/article/abs/pii/S0021915015013805"><span>a 2015 Japanese study</span></a><span>, found previously having measles (especially when also previously having mumps) was associated with an 8&#8211;20% lower risks of death from cardiovascular disease, heart attacks, and stroke.</span></p><p><span> Finally, in many cases, populations rely upon shedding of a longstanding virus to stimulate everyone&#8217;s immune system and create herd immunity, which is why after the chickenpox vaccine was launched (which the CDC eagerly expected to eliminate shingles), shingles instead permanently increased (r</span><a href="https://www.midwesterndoctor.com/p/how-rare-is-justin-biebers-vaccine"><span>esulting in the CDC gagging the researcher they assigned to monitor this</span></a><span>) and at the time the MMR vaccine was launched, measles had become a largely innocuous disease as the population was fully resistant to it due to population wide shedding creating herd immunity (which was then destroyed through the introduction of the vaccine). Given how small the benefits of vaccination are, this data suggests the benefits of vaccination may be outweighed by the chronic diseases the </span>absence<span> of the viral infections causes.<br></span><em><span>Note: this 1969 episode of the Brady Bunch (aired when measles deaths </span><a href="https://ourworldindata.org/grapher/measles-cases-and-death-rate"><span>had dropped almost to 0 deaths annually</span></a><span>) illustrates how much our conception of this disease shifted in the post vaccination era where it is effectively a national emergency if everyone is not vaccinated.</span></em></p><div class="native-video-embed" data-component-name="VideoPlaceholder" data-attrs="{&quot;mediaUploadId&quot;:&quot;97a186ad-49f2-4fe4-a7a0-1c63b4ed8a43&quot;,&quot;duration&quot;:null}"></div><p>The immune suppression of OAS, in turn, has been best demonstrated with the influenza and COVID vaccines, particularly when the existing vaccine does not match the circulating strain (which is an extremely common occurrence).  For example:</p><p>&#8226;<a href="https://sci-hub.se/https://pubmed.ncbi.nlm.nih.gov/19879807/">A 2009 study</a> found that vaccinating mice for influenza removed their ability to develop resistance to pandemic influenza following previous exposure to normal influenza. Compared to unvaccinated mice, vaccinated mice continued to lose body weight after a pandemic influenza infection <strong>and had 100-fold higher lung virus titers on day 7 </strong>[<em>this increases transmission</em>] post-infection and more severe histopathological changes.</p><p>&#8226;<a href="https://pubmed.ncbi.nlm.nih.gov/20386731/">A 2010 review</a> of four studies found that recipients of a seasonal influenza vaccine had a significantly increased risk (ranging from a 40% to 150% increase) of subsequently developing severe pandemic influenza (which unlike normal influenza could hospitalize you).</p><p>&#8226;<a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2878199/">A 2010 study</a> of the severe pandemic influenza found that active duty members of the military were more likely to have received influenza vaccination than were those without H1N1 virus infection.</p><p>&#8226;This<a href="https://pubmed.ncbi.nlm.nih.gov/22525386/"> 2012 study</a> conducted between 1999-2007 of 261 children 6 months to 18 years old who developed laboratory-confirmed influenza found that infected children were 267% more likely to be hospitalized if they had previously received an influenza vaccine.</p><p>&#8226;A <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3404712/">2012 study</a> randomized 69 children to receive an inactive influenza vaccination, and 46 to receive a placebo. Of those vaccinated, 29.0% developed an infection with a non-influenza upper respiratory virus, whereas 3.4% of those who were not vaccinated developed an upper respiratory infection from a non-influenza virus.</p><p>&#8226;<a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3693492/">A 2013</a> study found receiving an influenza vaccination two years in a row increased rather than decreased the likelihood of developing influenza by 45% (ranging from 6% to 148% depending on one&#8217;s age).</p><p><em>Note: there is very little evidence influenza vaccination provides any benefit. For example, this <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6491174/">2013 Cochrane review</a> (which represents the most objective and comprehensive evaluation of the existing evidence) found there is no benefit in giving them to children, <a href="https://pubmed.ncbi.nlm.nih.gov/27251461/">this 2012 review</a> found there was no benefit to patients if healthcare workers received them (nonetheless they are still mandated for most healthcare workers) and this <a href="https://www.jpands.org/vol11no3/geier.pdf">2006 stud</a>y found our national vaccine program had provided no reduction in influenza for the United States.  Nonetheless, much like the DPT study, these results have had no effect on halting the momentum behind the vaccine program, as once a vaccine is approved, the religious faith behind them makes it nearly impossible to withdraw them from the market.</em></p><p>Finally, we also witnessed throughout COVID-19, as we&#8217;ve all seen that those who were repeatedly vaccinated kept on getting COVID, whereas those who got the infection naturally developed a durable immunity. This was best shown by the Cleveland Clinic&#8217;s <a href="http://doi.org/10.1101/2022.12.17.22283625">study</a> of 51011 people, which found the more (single antigen) vaccines one got, the more likely they were to get COVID-19.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!YvnX!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F28a65f7d-2c74-4bcf-b99f-4c291599bfcd_1754x902.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!YvnX!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F28a65f7d-2c74-4bcf-b99f-4c291599bfcd_1754x902.png 424w, https://substackcdn.com/image/fetch/$s_!YvnX!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F28a65f7d-2c74-4bcf-b99f-4c291599bfcd_1754x902.png 848w, https://substackcdn.com/image/fetch/$s_!YvnX!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F28a65f7d-2c74-4bcf-b99f-4c291599bfcd_1754x902.png 1272w, https://substackcdn.com/image/fetch/$s_!YvnX!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F28a65f7d-2c74-4bcf-b99f-4c291599bfcd_1754x902.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!YvnX!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F28a65f7d-2c74-4bcf-b99f-4c291599bfcd_1754x902.png" width="1456" height="749" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/28a65f7d-2c74-4bcf-b99f-4c291599bfcd_1754x902.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:749,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:1044818,&quot;alt&quot;:&quot;&quot;,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" title="" srcset="https://substackcdn.com/image/fetch/$s_!YvnX!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F28a65f7d-2c74-4bcf-b99f-4c291599bfcd_1754x902.png 424w, https://substackcdn.com/image/fetch/$s_!YvnX!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F28a65f7d-2c74-4bcf-b99f-4c291599bfcd_1754x902.png 848w, https://substackcdn.com/image/fetch/$s_!YvnX!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F28a65f7d-2c74-4bcf-b99f-4c291599bfcd_1754x902.png 1272w, https://substackcdn.com/image/fetch/$s_!YvnX!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F28a65f7d-2c74-4bcf-b99f-4c291599bfcd_1754x902.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p><em>Note: OAS is particularly bad with the COVID vaccines because their continual production of spike protein in the body <a href="https://www.malone.news/p/what-your-covid-booster-did-to-your">triggers a variety of immunosuppressive changes in the body</a>.</em></p><p>Likewise, three years after that study was published, in a <a href="https://www.medrxiv.org/content/10.1101/2022.12.17.22283625v5">53,402 person study</a>, the Cleveland clinic showed the same issue occurred with flu vaccines:</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!NU7P!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F0f8af967-96bf-44a2-959d-a824a5d17c1b_2572x1450.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!NU7P!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F0f8af967-96bf-44a2-959d-a824a5d17c1b_2572x1450.png 424w, https://substackcdn.com/image/fetch/$s_!NU7P!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F0f8af967-96bf-44a2-959d-a824a5d17c1b_2572x1450.png 848w, https://substackcdn.com/image/fetch/$s_!NU7P!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F0f8af967-96bf-44a2-959d-a824a5d17c1b_2572x1450.png 1272w, https://substackcdn.com/image/fetch/$s_!NU7P!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F0f8af967-96bf-44a2-959d-a824a5d17c1b_2572x1450.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!NU7P!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F0f8af967-96bf-44a2-959d-a824a5d17c1b_2572x1450.png" width="1456" height="821" 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srcset="https://substackcdn.com/image/fetch/$s_!NU7P!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F0f8af967-96bf-44a2-959d-a824a5d17c1b_2572x1450.png 424w, https://substackcdn.com/image/fetch/$s_!NU7P!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F0f8af967-96bf-44a2-959d-a824a5d17c1b_2572x1450.png 848w, https://substackcdn.com/image/fetch/$s_!NU7P!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F0f8af967-96bf-44a2-959d-a824a5d17c1b_2572x1450.png 1272w, https://substackcdn.com/image/fetch/$s_!NU7P!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F0f8af967-96bf-44a2-959d-a824a5d17c1b_2572x1450.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p><em>Note: in tandem with OAS, vaccine efficacy often wanes (requiring repeated reboosting to maintain immune function).  For example, the <span>COVID-19 vaccine&#8217;s efficacy </span><a href="https://www.nih.gov/news-events/news-releases/vaccine-induced-immune-response-omicron-wanes-substantially-over-time">wanes approximately three months</a><span> after the most recent injection, while with the hepatitis B vaccine, </span><a href="https://www.midwesterndoctor.com/p/why-is-every-newborn-forced-to-get"><span>its efficacy largely wanes</span></a><span> by the time an infant will be old enough to be exposed to unprotected sex or drug needles.</span></em> </p><h1>Th1 and Th2 Responses</h1><p>An introductory principle in immunology is that there is a constant balance between the Th1 (cell mediated or cytotoxic) immune response and the Th2 (humoral or antibody) immune response as the Th1 response releases IFN-&#947; which effectively suppresses the Th2 response, and the Th2 response releases IL-4 and IL-13, both of which effectively suppress the Th1 response.&nbsp; The Th1 response tends to be excellent at dealing with intercellular pathogens and cancers, while the Th2 response tends to be excellent at dealing with pathogenic substances such as toxoids, parasites and encapsulated bacteria that are outside cells or on their surfaces. The balance between Th1 and Th2 is frequently discussed within the <a href="https://en.wikipedia.org/wiki/Hygiene_hypothesis">hygiene hypothesis</a>, which posits many of our chronic diseases arise from an imbalance between these two systems due to modern sterile living conditions.</p><p>Classical vaccinations (those with a small number of antigens and an adjuvant such as aluminum) tend to excessively increase the Th2 response (e.g., see <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC101661/">this study on the DPT vaccine</a>). Likewise, there are a variety of effective conventional and alternative medical therapies that elevate the Th1 response and suppress the Th2 response which are often used to treat complications from vaccinations, cancers, or viral infections.</p><p>Because of this, you typically observe the best results for single antigen vaccines which are directed against toxoids or encapsulated bacteria. However, at the same time, as the previous section shows, these vaccines often stop working because they place selective pressure on the organism to evolve resistance. This is best demonstrated with the pneumococcal vaccine, which as the years have gone by, has had to have more and more antigens added to it so that the existing strains are still covered by the vaccine.<br><br><em>Note: live viral vaccines tend to give a more natural and functional immune response with both a Th1 and Th2 response (e.g., see <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1809549/">this study on the MMR vaccin</a>e).</em></p><h1>Therapeutic Vaccines</h1><p>One of the strongest cases for vaccination exists for vaccines which are given once a disease is already present (for the purpose of eliminating or reducing it) rather than beforehand to prevent a disease. This is because there is no longer a small unquantifiable benefit (the chance of getting the infection within the period of time the vaccine remains effective times how severe that infection is likely to be) counterbalancing the known risks of the vaccine.</p><p>The quintessential example of this is rabies, as while the rabies vaccine is harmful and has a long history of causing neurological damage,<a href="https://www.midwesterndoctor.com/p/the-forgotten-tragedy-of-neurological"><sup>1</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-forgotten-tragedy-of-neurological"><sup>2</sup></a><sup> </sup>(with the Supreme Court, <a href="https://supreme.justia.com/cases/federal/us/562/223/">in a 2011 opinion</a>, recognizing some of the earlier and more toxic rabies vaccines as being &#8220;unavoidably unsafe&#8221;) an untreated rabies infection is worse (typically being 100% fatal).  Since rabies infections following a bite take a while to develop, it hence it possible to prevent the ensuing rabies infection by giving a vaccine after the bite (with the vaccine typically working), thereby justifying the harm the vaccine will cause.<br><em>Note: even this example is not completely clearcut, as no data exists to establish what percent of rabies infections will progress to the certainly fatal symptomatic cases, in many cases vaccines are given without knowing if the animal was actually rabid (which has led to people I know who unnecessarily received the vaccine after a bite seriously regretting the decision due to the complications they experienced). Furthermore, while no other treatment for rabies exist, I came across <a href="https://www.amazon.com/Invisible-Cure-Definitive-Ultraviolet-Irradiation/dp/173642520X">a 2008 report</a> from Togo (West Africa) where a boy with advanced rabies (where nothing could be done) received UVBI and rapidly had a full recovery&#8212;which while plausible given <a href="https://www.midwesterndoctor.com/p/the-century-of-evidence-putting-light">UVBI&#8217;s robust antiviral properties</a>, given the lack of data here, I would never substitute for rabies vaccination unless the latter was simply unavailable.</em></p><p>On the opposite end of the spectrum, therapeutic vaccines are also used for chronic disease, which in a few cases, by increasing the immune response, have demonstrated remarkable efficacy at eliminating a chronic infection which caused chronic recurring issues for the patient.  Unfortunately, that does not always hold true.   For example, one of the reasons concocted to market the COVID vaccines was as a treatment for long COVID under the theory (and a widely promoted pharmaceutical sponsored case study) the vaccine&#8217;s immune stimulation could allow the body to eliminate the  infection.  However, since long COVID primarily resulted from cumulative spike protein toxicity, we came across many cases where significantly increasing a patient&#8217;s spike protein burden with a vaccine made them become much worse, and in turn, this marketing pitch for the COVID vaccine was gradually dropped.</p><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://www.midwesterndoctor.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">Your support makes The Forgotten Side of Medicine possible! To receive new posts and support my work, consider becoming a free or paid subscriber.</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div><h1>Withdrawn Vaccines</h1><p>Lastly, a key fact many people do not appreciate about vaccines is that despite the vaccines being &#8220;safe and effective&#8221; many have been withdrawn from the market, and it is likely many more (e.g., some of the COVID vaccines) will be in the future. For example, this is <a href="https://jeffreydachmd.com/wp-content/uploads/2017/01/discontinued_vaccines-1.pdf">one list</a> of withdrawn vaccines that was compiled:</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!xmuF!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F75078a6d-0cba-4dba-9343-d9e920683ba7_1826x1600.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!xmuF!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F75078a6d-0cba-4dba-9343-d9e920683ba7_1826x1600.png 424w, https://substackcdn.com/image/fetch/$s_!xmuF!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F75078a6d-0cba-4dba-9343-d9e920683ba7_1826x1600.png 848w, https://substackcdn.com/image/fetch/$s_!xmuF!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F75078a6d-0cba-4dba-9343-d9e920683ba7_1826x1600.png 1272w, https://substackcdn.com/image/fetch/$s_!xmuF!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F75078a6d-0cba-4dba-9343-d9e920683ba7_1826x1600.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!xmuF!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F75078a6d-0cba-4dba-9343-d9e920683ba7_1826x1600.png" width="1456" height="1276" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/75078a6d-0cba-4dba-9343-d9e920683ba7_1826x1600.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:1276,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:802217,&quot;alt&quot;:&quot;&quot;,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" title="" srcset="https://substackcdn.com/image/fetch/$s_!xmuF!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F75078a6d-0cba-4dba-9343-d9e920683ba7_1826x1600.png 424w, https://substackcdn.com/image/fetch/$s_!xmuF!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F75078a6d-0cba-4dba-9343-d9e920683ba7_1826x1600.png 848w, https://substackcdn.com/image/fetch/$s_!xmuF!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F75078a6d-0cba-4dba-9343-d9e920683ba7_1826x1600.png 1272w, https://substackcdn.com/image/fetch/$s_!xmuF!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F75078a6d-0cba-4dba-9343-d9e920683ba7_1826x1600.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><h1>Determining The Risks and Benefits of Each Vaccine</h1><p>Given all of this, I have tried to extensively explore the risks and benefits of each recommended vaccine, partially for my own curiosity, but also so that I can provide truthful information to patients who ask.  I feel this is particularly important as many parents want a reduced vaccine schedule rather than a full one, and since the harm of vaccines is cumulative, removing both the most harmful ones and spacing out the remaining can significantly decrease the total harm to the infants.<em><br>Note: despite spacing out being a well established way to reduce vaccine harm, the medical profession has relentlessly targeted anyone who advocates for deviating from the (ever-growing) CDC vaccine schedule as doing so is a tacit admission vaccines are not 100% safe.</em></p><p>In the final part of this article I will highlight:</p><p>&#8226;Which therapeutic vaccines have demonstrated real value for chronic illnesses (e.g., fibromyalgia, diabetes, cancer) and the natural &#8220;therapeutic&#8221; vaccines which have been shown over the years to offer immense promise for key chronic illnesses that do not respond to standard therapies (and in some cases reverse the immune dysfunction vaccines cause).<br><br>&#8226;My assessment of the overall risks and benefits of each vaccine on the infant vaccine schedule (e.g., I believe the COVID and HPV vaccines have the worst risk/benefit ratios).</p><p>&#8226;Completely non-toxic alternatives to vaccination which have extensive data demonstrating their efficacy in large scale &#8216;vaccination&#8217; campaigns, but nonetheless have been suppressed by the medical system to protect the vaccine market.</p>
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   ]]></content:encoded></item><item><title><![CDATA[What Fauci’s Diary Reveals About America’s Health Care Apparatus]]></title><description><![CDATA[Numerous lines of evidence show Fauci lied to us about the pandemic's biggest questions &#8212; origins, severity, lockdowns, and masks &#8212; all of which was just exposed at an explosive hearing.]]></description><link>https://www.midwesterndoctor.com/p/what-faucis-diary-reveals-about-americas</link><guid isPermaLink="false">https://www.midwesterndoctor.com/p/what-faucis-diary-reveals-about-americas</guid><dc:creator><![CDATA[A Midwestern Doctor]]></dc:creator><pubDate>Thu, 30 Jul 2026 23:35:16 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!Wn3c!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F28832841-2ad8-45c7-ad6a-6d95a93086f5_1248x776.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p><strong>Story at a Glance:<br><br>&#8226;Throughout his career, NIAID director Anthony Fauci has been involved in unscrupulous activity which put America&#8217;s health at risk, with much of what he did through COVID building upon a successful blueprint he created decades ago during the AIDS crisis (at a now surreal time when Democrats like Pelosi grilled him during a 1988 hearing).</strong></p><p><strong>&#8226;As part of Senator Rand Paul&#8217;s six year quest to hold Fauci accountable for his role in creating COVID-19 and putting an end to gain of function research, Fauci recently was forced to testify in front of a Senate committee in an unusually candid and contentious hearing where Fauci took the unusual tactic of refusing to testify by pleading the Fifth on every question. This article will summarize the key highlights of that hearing.</strong></p><p><strong>&#8226;Immediately prior to hearing, private diary entries were released that Fauci had been keeping on a nearly daily basis that explicitly showed many of the public statements he made (and forced us to go along with) contradicted his actual beliefs.</strong></p><p><strong>&#8226;They also paint a unique picture into his personality, as the saint much of the world came to worship during the pandemic (despite him failing to provide any substantive results) was not at all focused on the science or wellbeing of the country, and instead was a petty man who was obsessed with the fame and media attention he got and using that fame to influence the media&#8217;s coverage of the pandemic (and hence the course of it).</strong></p><p><strong>&#8226;Many of the almost unbelievable revelations about Fauci&#8217;s personality and conduct mirror what two White House insiders witnessed as they tried to stop Fauci&#8217;s senseless pandemic policies&#8212;including his profound lack of scientific literacy Scott Atlas observed throughout the pandemic.</strong></p><p><strong>&#8226;Collectively, these events illustrate an unfortunate reality&#8212;the loudest &#8220;follow the science&#8221; voices are often the most illiterate grifters.  Fortunately, as the hearing showed, public opinion is turning against this paradigm and now that the unconditional trust medicine relies upon has been broken, there is a real window for alternatives to the existing paradigm to flourish. <br></strong><br>Yesterday, a rather contentious hearing occurred where Fauci was subpoenaed by the Senate to testify over what happened during COVID, which was immediately preceded by the private diaries (which HHS Secretary RFK Jr. team found sequestered on government HHS servers) being released to the public.</p><p>The hearing (after opening statements), began with Fauci giving a statement claiming he had been a dutiful servant helping the government for decades, that he was facing a malicious prosecution that put science itself at risk, and that he would be invoking his 5<sup>th</sup> amendment rights. Following this, Democrat members of the committee repeated this message, while Republican senators gave scathing criticisms of his conduct throughout the pandemic (eclipsing everything we&#8217;ve seen thus far), and Fauci, over a hundred times, in response to each question stating:</p><blockquote><p>On the advice of counsel, I respectfully declined to answer based upon my rights under the Fifth Amendment to the Constitution.</p></blockquote><p>While the focus of this hearing was largely directed at the scathing statements made toward Fauci (and his refusal to respond to or even acknowledge them), it was also apparent that many of the questions were designed to set up a future prosecution, and that Fauci&#8217;s allies gave speeches but <strong>never asked him a single question</strong>. This suggests the primary focus of both sides was executing a legal strategy each had worked out beforehand.</p><p><em>Note: there are widespread questions about the legitimacy of <a href="https://www.justice.gov/pardon/media/1385746/dl?inline">Fauci&#8217;s presidential pardon</a>, which covers all of his federal actions between 1/1/2014 and 1/19/2025, given existing legal precedent that a pardon can negate one&#8217;s ability to invoke the Fifth Amendment&#8217;s protection against self-incrimination. Multiple Republican senators pressed this contradiction (that Fauci either does not have a valid pardon or is willfully committing contempt) and it will likely be an issue that plays out in the courts, especially if the committee votes to hold him in contempt.</em> </p><p>Given all of this, there were a few noteworthy things about the hearing and Fauci&#8217;s diary I felt merited discussion.</p><h1>Fauci&#8217;s 1988 Hearing</h1><p>In each COVID hearing that has been conducted, Republican Senators and Representatives have grilled Fauci while Democrats have heaped lavish praise upon him.  This is a remarkable contrast to the climate in 1988 where Democrats (whose constituents were dying while AIDS drug development proceeded at a snail&#8217;s pace) instead grilled Fauci over his program (while Republican members of Congress were largely neutral towards him).</p><p><em>Note: <a href="https://www.midwesterndoctor.com/p/how-anthony-fauci-weaponized-science">Fauci&#8217;s actions during the AIDS crisis</a> (where he faced widespread pushback from the gay community for continually stonewalling effective off-patent therapies for AIDS to push through the toxic antiviral AZT), the fact that he was still in power over thirty years later, and his immediate endorsement of remdesivir played a large part in allowing me to accurately predict the trajectory of COVID-19.</em></p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!Wn3c!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F28832841-2ad8-45c7-ad6a-6d95a93086f5_1248x776.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!Wn3c!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F28832841-2ad8-45c7-ad6a-6d95a93086f5_1248x776.png 424w, https://substackcdn.com/image/fetch/$s_!Wn3c!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F28832841-2ad8-45c7-ad6a-6d95a93086f5_1248x776.png 848w, https://substackcdn.com/image/fetch/$s_!Wn3c!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F28832841-2ad8-45c7-ad6a-6d95a93086f5_1248x776.png 1272w, https://substackcdn.com/image/fetch/$s_!Wn3c!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F28832841-2ad8-45c7-ad6a-6d95a93086f5_1248x776.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!Wn3c!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F28832841-2ad8-45c7-ad6a-6d95a93086f5_1248x776.png" width="1248" height="776" 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https://substackcdn.com/image/fetch/$s_!Wn3c!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F28832841-2ad8-45c7-ad6a-6d95a93086f5_1248x776.png 848w, https://substackcdn.com/image/fetch/$s_!Wn3c!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F28832841-2ad8-45c7-ad6a-6d95a93086f5_1248x776.png 1272w, https://substackcdn.com/image/fetch/$s_!Wn3c!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F28832841-2ad8-45c7-ad6a-6d95a93086f5_1248x776.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><div class="file-embed-wrapper" data-component-name="FileToDOM"><div class="file-embed-container-reader"><div class="file-embed-container-top"><image class="file-embed-thumbnail-default" src="https://substackcdn.com/image/fetch/$s_!0Cy0!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack.com%2Fimg%2Fattachment_icon.svg"></image><div class="file-embed-details"><div class="file-embed-details-h1">Therapeutic Drugs For Aids - April 28 &amp; 29, 1988</div><div class="file-embed-details-h2">14.7MB &#8729; PDF file</div></div><a class="file-embed-button wide" href="https://www.midwesterndoctor.com/api/v1/file/921c4fed-e1c4-4c13-a4fc-b36fff002a1b.pdf"><span class="file-embed-button-text">Download</span></a></div><a class="file-embed-button narrow" href="https://www.midwesterndoctor.com/api/v1/file/921c4fed-e1c4-4c13-a4fc-b36fff002a1b.pdf"><span class="file-embed-button-text">Download</span></a></div></div><p>To illustrate all of this, I will quote a few key lines from a 1988 hearing:</p><blockquote><p><strong>Chairman Ted Weiss (D-NY):</strong> &#8220;But then you told Mr. Waxman that you couldn&#8217;t develop a drug that&#8217;s been lying on the shelf for 13 months even though your committees have placed it on the highest priority list because you didn&#8217;t have one person full time to devote to it. You can understand how the people in the affected community, those who have the disease and who are struggling for their lives, feel when they hear that.&#8221; <em>(p. 324)</em></p></blockquote><blockquote><p><strong>Rep. Henry Waxman (D-CA):</strong> &#8220;Dr. Fauci, many people have complained that the NIH drug development process is too slow to put volunteers in trials. Thirteen months ago, your own drug selection committee said that aerosolized pentamidine, to prevent the deadly pneumonia in AIDS patients, was a very high priority for research. You have three protocols designed, but as best I can discover, no patients yet.&#8221; <em>(p. 321)</em></p></blockquote><blockquote><p><strong>Rep. Henry Waxman (D-CA):</strong> &#8220;The pneumonia costs us millions of dollars in Medicaid dollars. Why can&#8217;t we hire one full-time person to have gotten this study underway?&#8221; <em>(p. 321)</em></p></blockquote><blockquote><p><strong>Rep. Henry Waxman (D-CA):</strong> &#8220;Your own drug selection committee has named 24 drugs as high priority for development and trials. As best I can tell, 11 of these 24 are not in trial yet. Six of these drugs have been waiting for 6 months to more than a year. Why the delays?&#8221; <em>(p. 322)</em></p></blockquote><blockquote><p><strong>Rep. Nancy Pelosi (D-CA):</strong> &#8220;Well, it&#8217;s not the length of time &#8212; I&#8217;m in Congress, Dr. Fauci &#8212; it&#8217;s the length of time that a person with AIDS has left to live before something, some hope is there for him or her.&#8221; <em>(p. 320)</em></p></blockquote><blockquote><p><strong>Chairman Ted Weiss (D-NY):</strong> &#8220;Wouldn&#8217;t you say that... as far as drug development is concerned, very little has been achieved and you still have a long, long way to go?&#8221;<br><strong>Dr. Anthony Fauci:</strong> &#8220;With regard to a cure, I agree with you; relatively speaking, little has been accomplished.&#8221; <em>(p. 324)</em></p></blockquote><p><em>Note: despite my best efforts, while I have a transcript, I have not been able to find a video of this contentious hearing (e.g., in C-SPANs archives, it somehow was removed from <a href="https://www.c-span.org/search/?sdate=01%2F01%2F1988&amp;edate=01%2F01%2F1989&amp;congressSelect=&amp;yearSelect=&amp;searchtype=Videos&amp;sort=Most+Recent+Event&amp;text=0&amp;formatid%5B%5D=26">all the other Congressional hearing that occurred at that time</a>).</em></p><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://www.midwesterndoctor.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption"><span>The Forgotten Side of Medicine is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. To learn more about the newsletter and how readers have benefitted from it, click </span><a href="https://www.midwesterndoctor.com/about">here</a><span>!</span></p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div><p></p><h1>A Plague Upon Our House</h1><p>After I read <a href="https://www.amazon.com/Plague-Upon-Our-House-Destroying/dp/163758220X">Scott Atlas MD&#8217;s memoir</a> about his time on the coronavirus task force (where he was brought in to serve as a counterweight to Anthony Fauci and Deborah Birx&#8217;s relentless push for mass masking, testing, and lockdowns), I was struck by the sense that he&#8217;d provided one of the most accurate accounts of what actually went wrong inside the White House in 2020.</p><p>The first thing that emerges from his account is that no one in the White House felt positioned to challenge the doctors&#8217; &#8220;expertise,&#8221; so no one did. As Atlas explains, most of the task force &#8220;had no medical background... so they deferred to those deemed medical experts.&#8221; That deference ran all the way to the top. When Atlas pressed his case on testing, a frustrated Trump told him, &#8220;You&#8217;ll have to convince my son-in-law of that,&#8221; and as Atlas notes, &#8220;Kushner and everyone else had been deferring to Fauci and Birx on all things medical.&#8221; The two doctors, in his words, &#8220;commandeered federal policy,&#8221; and their prescriptions &#8220;had been instituted as though it were simple common sense.&#8221; No one questioned them, largely because of the prestige of the people delivering them.</p><p>However, on closer inspection, the expert doctors had an almost unbelievable lack of scientific literacy or COVID-19 data. Atlas (a Stanford physician and health-policy scholar who had spent decades around serious researchers) was  flabbergasted by what he found in the Situation Room. Of the &#8220;troika&#8221; of Fauci, Birx, and Redfield, he wrote that &#8220;none of them showed detailed knowledge of ongoing scientific literature on the pandemic,&#8221; that he &#8220;never witnessed any of them provide any detailed critique of any journal publication,&#8221; and that &#8220;none of the three ever brought scientific publications into the meetings.&#8221;<em><br>Note: the third doctor, CDC director Redfield, during COVID unlike the other two tried to do the right thing, was repeatedly disparaged by Fauci in his diary, and since leaving the CDC has done a lot of really good work to make things right (whereas CDC directors typically take lucrative positions).</em></p><p>Fauci in particular receives a striking assessment. Despite his daily omnipresence in the media, Atlas records that Fauci &#8220;was not in charge of anything specific on the Task Force&#8221; and &#8220;served mainly as a channel for updates on the trials of vaccines and drugs.&#8221; More pointedly:</p><blockquote><p>&#8220;A bigger surprise was that Fauci did not present scientific research on the pandemic to the group that I witnessed. Likewise, I never heard him speak about his own critical analysis of any published research studies. This was stunning to me.&#8221;</p></blockquote><p>Nor was any of this open to correction. Atlas describes a group that had locked in its conclusions and would not engage with contrary evidence. As he put it, &#8220;They were fixated on lockdowns, school closures, and stopping COVID cases, no matter the economic and human costs&#8221; <strong>or the fact the approach was clearly failing </strong>as it was not targeted to the primary group (elderly patients in nursing homes) that was dying. Birx&#8217;s daily presentations, which drove national policy, were &#8220;fundamentally simple tabulations of weekly tallies,&#8221; propped up by &#8220;circular reasoning as &#8216;proof&#8217; that locking down was successful.&#8221; When Atlas distributed peer-reviewed data on the flaws in PCR testing at a September meeting, it went entirely undiscussed:</p><blockquote><p>&#8220;The White House Task Force doctors sitting in the Situation Room for months, Birx, Fauci, Giroir, Redfield, literally never discussed this critical error during the meetings I sat through. They never mentioned it, not even after I distributed the research at a Task Force meeting in September.&#8221;</p></blockquote><p>He handed the papers out, he recalls, &#8220;while noting with a tinge of sarcasm, &#8216;I thought some people might actually be interested in reading the science.&#8217;&#8221; It only got worse from there. By his final task force meeting, nine full months into the pandemic, Atlas was asked to prepare a basic tutorial because the doctors still didn&#8217;t grasp the rationale for testing. He refused, writing to the vice president&#8217;s staff that he &#8220;had no energy or interest in teaching basic information to people who after nine months on the Task Force still lacked such fundamental knowledge.&#8221; His verdict was blunt. This was &#8220;not the expected level of legitimate scientists, let alone those supposed to be advising the president of the United States,&#8221; people operating below what, as he put it elsewhere, &#8220;every second-year medical student knew.&#8221;</p><p>In 2006, a movie premised on projecting the consequences of our society continually selecting for low-IQ individuals was released. It became a cult classic thanks to how accurately it predicted the future just a decade later. As I read Scott Atlas&#8217;s memoir, I was floored to realize the Coronavirus Task Force meetings were a real-life version of <em><a href="https://en.wikipedia.org/wiki/Idiocracy">Idiocracy</a></em><a href="https://en.wikipedia.org/wiki/Idiocracy">&#8216;s</a> iconic cabinet scene: one person reasons from the plainest available evidence, lays it on the table, and watches a room full of the nation&#8217;s most credentialed officials stare back blankly, unable or unwilling to follow, before defaulting to the slogan they&#8217;d already committed to.</p><div id="youtube2-ZMHfBobgLSI" class="youtube-wrap" data-attrs="{&quot;videoId&quot;:&quot;ZMHfBobgLSI&quot;,&quot;startTime&quot;:null,&quot;endTime&quot;:null}" data-component-name="Youtube2ToDOM"><div class="youtube-inner"><iframe src="https://www.youtube-nocookie.com/embed/ZMHfBobgLSI?rel=0&amp;autoplay=0&amp;showinfo=0&amp;enablejsapi=0" frameborder="0" loading="lazy" gesture="media" allow="autoplay; fullscreen" allowautoplay="true" allowfullscreen="true" width="728" height="409"></iframe></div></div><p>However, while Fauci contributed little of substance in these meetings, Atlas made it clear about what he was good at. The gap between Fauci&#8217;s actual role and his public dominance is one of the book&#8217;s recurring themes:</p><blockquote><p>&#8220;Dr. Fauci held court in the public eye on a daily basis, so frequently that many misconstrue his role as being in charge. However, it was really Dr. Birx who articulated Task Force policy [and pushed through the lockdowns].&#8221; </p></blockquote><p>Atlas came to suspect this media fluency wasn&#8217;t incidental but strategic. After one private meeting between the two men, he glanced at the news afterward and was astonished to find Fauci had tipped off reporters in advance:</p><blockquote><p>&#8220;It turned out that Fauci had alerted the media beforehand that he was going to talk with me that day. I wondered, &#8216;What kind of person would give a heads-up that he was going to speak with me?&#8217;&#8221;</p></blockquote><p>Furthermore, Atlas&#8217;s claims that Fauci sabotaged the COVID response and quietly worked the press against internal rivals (e.g., press hysterias were incited each time Atlas began getting traction to overturn Fauci and Birx&#8217;s disastrous policies) was independently corroborated by <a href="https://www.amazon.com/Trump-Time-Journal-Americas-Plague/dp/1737478501">Peter Navarro&#8217;s White House memoir</a>. Navarro  described the same behavior aimed at him, writing what &#8220;really frosted&#8221; him &#8220;was the shadow leak campaign Fauci ran to get me off TV even as he sought to free himself completely from any disciplined White House messaging.&#8221; Navarro also captures the broader dynamic that made Fauci untouchable. &#8220;During the Trump administration,&#8221; he writes, &#8220;Saint Fauci, the anti-Trump media&#8217;s favorite POTUS foil, was always off limits.&#8221;</p><p>Navarro corroborates the substance, too. Where I&#8217;ve long argued that remdesivir was essentially Fauci&#8217;s pet drug, Navarro documents the maneuver that got it approved. Fauci, he writes, &#8220;surprised the scientific community by abruptly moving this goalpost&#8221; for the remdesivir trial, shifting it from a reduction in mortality (the original &#8220;death off the table&#8221; endpoint) &#8220;to the much less consequential time to recovery.&#8221; The drug that couldn&#8217;t clear the bar it was originally measured against was waved through once the bar was lowered, all while cheaper, off-patent options were being publicly dismissed.</p><p>Navarro also connected Fauci&#8217;s COVID conduct to a much older pattern seen in the 1988 hearing. He notes that &#8220;during the AIDS epidemic in the 1980s, Fauci had sung the very same &#8216;there&#8217;s not enough data&#8217; song to block approval of a suite of drugs proving to be quite effective&#8221; at preventing the pneumonia that was then the leading killer of AIDS patients. Navarro cites a documented 1987 exchange in which activist Michael Callen told Fauci there was ample evidence that the drug could prevent that pneumonia, and Fauci, by the account Navarro quotes, &#8220;practically screamed&#8221; back, &#8220;There&#8217;s no data.&#8221; One AIDS-era memoir Navarro references put Fauci&#8217;s share of the resulting body count at &#8220;nearly 17,000.&#8221;</p><p>That history came roaring back during a Situation Room showdown over hydroxychloroquine, which Navarro argues both Fauci and the FDA moved to undermine against Trump&#8217;s wishes. When Fauci played what Navarro calls &#8220;his &#8216;there&#8217;s only anecdotal evidence&#8217; card,&#8221; (while the Vice President was present) Navarro walked over, dropped a dossier of studies on the table and exclaimed:</p><blockquote><p>&#8220;Tony, these are not anecdotes. That&#8217;s more than fifty scientific studies in support of hydroxy. Fifty! So stop spouting your crap about there only being anecdotal evidence... You are going to kill people just like you did during the AIDS crisis when you refused to approve medicines that everybody but you knew worked.&#8221;</p></blockquote><p>Within hours, in a room Navarro notes held only a small handful of senior officials, the confrontation was leaked to Axios and written up as an &#8220;epic Situation Room showdown&#8221;, providing a fitting illustration of exactly the kind of press leak Navarro was accusing Fauci of running.</p><p><em>Note: in Fauci&#8217;s February 28, 2020 NEJM editorial, <a href="https://www.nejm.org/doi/full/10.1056/NEJMe2002387">&#8220;Covid-19 &#8212; Navigating the Uncharted,&#8221;</a> he listed chloroquine by name among the investigational therapies being explored against the virus and back in 2005, CDC virologists had published <a href="https://virologyj.biomedcentral.com/articles/10.1186/1743-422X-2-69">&#8220;Chloroquine is a potent inhibitor of SARS coronavirus infection and spread&#8221;</a> in Virology Journal, finding it active against the original SARS virus fifteen years earlier.</em></p><h1><strong>Fauci&#8217;s Diary</strong></h1><p>Since Fauci has a long history of lying to the public, I did not find it particularly surprising Fauci&#8217;s private diary that provided explicit proof the public statements he repeated made (I knew at the time to be false) were indeed lies. However, given the difficulty of definitively proving someone indeed intentionally lied and the consequences the country faces from those lies, Fauci&#8217;s private admissions have attracted significant attention.  Specifically:</p><p><strong>1.</strong> On January 31, 2020, weeks before most Americans had heard of the Wuhan Institute of Virology, Fauci recorded a call in which leading scientists told him &#8220;the mutations around the furin cleavage site of the spike protein could not have occurred naturally,&#8221; and raised &#8220;the possibility that this could have been deliberately inserted and either accidentally released or deliberately released by a crazy person in the lab, the former being the most likely.&#8221; He convened a group to examine it the next day. So at the exact moment the lab-leak hypothesis was being publicly written off as a bigoted conspiracy theory (and was aggressively censored online), the man presiding over that dismissal had been told privately, by serious scientists, that the virus looked engineered, and had quietly organized an inquiry into precisely that.</p><p>As Fauci recorded it, &#8220;there was not total agreement about the likelihood of deliberate [lab] insertion&#8221; creating the virus. Ron Fouchier (a gain-of-function researcher himself) insisted the virus&#8217;s genetics could occur naturally and that they should not waste time pursuing the question, and Christian Drosten sided with him. But the rest, by Fauci&#8217;s own tally, &#8220;felt that deliberate insertion was possible,&#8221; given that Dr. Zheng-Li Shi at Wuhan had spent years doing gain-of-function work on coronaviruses to adapt the spike protein to bind the human ACE2 receptor. In other words, on the pivotal early call, the two dissenters were the field&#8217;s leading gain-of-function advocates, and the majority thought engineering was plausible. Yet publicly, they all not only insisted the virus emerged naturally but denounced those who claimed otherwise.</p><p><strong>2.</strong> On February 8, 2020, Fauci privately agreed with the CDC&#8217;s Tom Frieden that COVID was &#8220;acting like a bad influenza in its transmissibility&#8221; and that the real case fatality rate was &#8220;more like 0.2-0.3% rather than 2.0%,&#8221; roughly a tenfold gap from the numbers driving public panic. Days later, <a href="https://brownstone.org/articles/anthony-faucis-private-diary-and-emails-show-he-knew-lockdowns-failed/">as Ian Miller noted</a>, he <a href="https://www.huffpost.com/entry/anthony-fauci-fact-check-republicans_n_5e695561c5b6747ef116958a">told Sean Hannity&#8217;s audience</a> &#8220;to make sure your viewers get an accurate idea about what goes on&#8221; the mortality rate was &#8220;about 2 to 2.5%,&#8221; probably &#8220;closer to 1%,&#8221; and even at 1 percent &#8220;10 times more lethal than the seasonal flu.&#8221; This detail is critical as the allegedly high mortality rate of COVID was used to craft many of its draconian containment policies.<br><em>Note: previously I <a href="https://www.midwesterndoctor.com/p/is-covid-more-dangerous-than-the">attempted to answer</a><span> how dangerous COVID-19 actually is alongside how that compares to the flu and discovered that despite all the fear mongering, no one actually knows the influenza fatality rate.</span></em></p><p>3. While he aggressively defended the lockdowns publicly at the Coronavirus task force meetings, privately, Fauci admitted doubting them and on June 18, 2020, barely three months into the shutdowns, he emailed this to Deborah Birx:</p><blockquote><p>I have been obsessing about the increases in cases that do not seem to be related to openings or closings or massive crowds. I believe that ultimately we will see increases related to all of the above; however, right now we may be looking for the lost keys under the light of the lamppost. There is something inherent here that we are missing and that is insidiously keeping the outbreak alive in the USA, and that is more concerning than anticipated spikes associated with identifiable events.</p></blockquote><p>Yet despite recognizing the questionable value of the lockdowns, three months later he was publicly warning that DeSantis&#8217;s Florida was &#8220;asking for trouble&#8221; for reopening. Furthermore in 2023, when public opinion had fully turned against this senseless policy, when asked by the New York Times to account for pushing school closures, Fauci said: &#8220;Show me a school that I shut down and show me a factory that I shut down. Never. I never did.&#8221; However, on a March 15, 2020 entry, he recorded phoning Mayor Bill de Blasio and personally convincing him &#8220;to close the NYC schools,&#8221; then adding that he should &#8220;close the bars and restaurants,&#8221; and logged an identical call to the chief of staff of California Governor Gavin Newsom, after which &#8220;the Governor has decided to close the schools in California.&#8221;</p><p>4. Regular masking was pointless (and arguably counterproductive) for COVID-19 because by <a href="https://www.medrxiv.org/content/10.1101/2020.03.09.20033217v2">March 13, 2020</a>, due to <strong>a NIAID funded study</strong>, there was already strong evidence it spread by aerosols (which masks couldn&#8217;t block) rather than droplets.<a href="https://www.medrxiv.org/content/10.1101/2020.03.09.20033217v2"><sup>1</sup></a><sup>,</sup><a href="https://www.nejm.org/doi/full/10.1056/NEJMc2004973"><sup>2</sup></a><sup>,</sup><a href="https://www.nejm.org/doi/full/10.1056/NEJMc2007942"><sup>3</sup></a> Around the same time, the WHO made <a href="https://www.who.int/news/item/03-03-2020-shortage-of-personal-protective-equipment-endangering-health-workers-worldwide">a March 3rd announcement</a> (I learned about from watching a WHO webinar around the same time) that one of the most critical things for combatting COVID would be to ensure there was an adequate supply of N95 masks for healthcare workers which could block the aerosol spread (after which I stocked up prior to the panic buying that hit America, and then later gave them to my colleagues in urban areas, who having not listened to my earlier warnings were desperate for PPE once all the supplies were emptied out).  </p><p>Given this, I assumed the immediate pivot I saw in the media towards telling people not to wear masks had no medical basis (e.g., <a href="https://web.archive.org/web/20200303020926/https://twitter.com/Surgeon_General/status/1233725785283932160">on February 29</a> Surgeon General Jerome Adams, in a now deleted tweet, stated &#8220;Seriously people &#8212; STOP BUYING MASKS! They are NOT effective in preventing general public from catching #Coronavirus"and on <a href="https://www.politifact.com/factchecks/2020/dec/28/marco-rubio/marco-rubio-says-anthony-fauci-lied-about-masks-fa/">March 8</a>  Fauci told <em>60 Minutes</em> that &#8220;right now in the United States, people should not be walking around with masks&#8221;). Rather, I thought it was being done to protect the N95 supply until it could be scaled up&#8212;which in a <a href="https://www.foxnews.com/politics/faucis-coronavirus-flip-flops-ignite-renewed-calls-removal.amp">June 2020 interview</a> Fauci overtly admitted was the case.</p><p>As such, it put people through quite a lurch when the medical system pivoted from arguing against masks to advocating for cloth masks beginning with <a href="https://web.archive.org/web/20200404022600/https:/www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/cloth-face-cover.html">an April 3<sup>rd</sup> CDC announcement</a> (and <a href="https://www.washingtonpost.com/health/2021/02/10/cdc-double-masks-covid/">then ten months later</a>, after that didn&#8217;t work, again re-enacting <em>Idiocracy</em>, recommended double masking&#8212;a policy Fauci helped lay the ground work for by claiming it was &#8220;common sense&#8221; <a href="https://www.cnbc.com/2021/01/25/dr-fauci-double-mask-during-covid-makes-common-sense-more-effective.html">a few weeks before</a>). <br><br>Furthermore, as his private diaries show, when the White House comms team balked at the CDC&#8217;s April 2020 public-masking recommendation, Fauci&#8217;s actual argument for overriding them contained no science at all. &#8220;We should push back a bit on the [White House&#8217;s opposition to] masks,&#8221; he wrote Birx on April 15. &#8220;Since when do comms people dictate public health suggestions? Walk out of the streets and people are wearing them anyway. We should be on board with them.&#8221;</p><p><em>Note: additionally, <a href="https://www.newsweek.com/fauci-said-masks-not-really-effective-keeping-out-virus-email-reveals-1596703">in a FOIA&#8217;d February 2020 email</a>, Fauci (correctly) disclosed to Obama&#8217;s former HHS secretary cloth masking was pointless.</em></p><p>However, while these actions were egregious (as each of these big lies were immensely consequential), one of the most salient things many took from Fauci&#8217;s entries was what they said about his character.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!YBha!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe0b5111f-0f2d-49dd-81e2-37c0a3832639_1200x926.jpeg" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!YBha!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe0b5111f-0f2d-49dd-81e2-37c0a3832639_1200x926.jpeg 424w, https://substackcdn.com/image/fetch/$s_!YBha!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe0b5111f-0f2d-49dd-81e2-37c0a3832639_1200x926.jpeg 848w, https://substackcdn.com/image/fetch/$s_!YBha!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe0b5111f-0f2d-49dd-81e2-37c0a3832639_1200x926.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!YBha!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe0b5111f-0f2d-49dd-81e2-37c0a3832639_1200x926.jpeg 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!YBha!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe0b5111f-0f2d-49dd-81e2-37c0a3832639_1200x926.jpeg" width="1200" height="926" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/e0b5111f-0f2d-49dd-81e2-37c0a3832639_1200x926.jpeg&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:926,&quot;width&quot;:1200,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:129564,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/jpeg&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:&quot;https://www.midwesterndoctor.com/i/209118427?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe0b5111f-0f2d-49dd-81e2-37c0a3832639_1200x926.jpeg&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!YBha!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe0b5111f-0f2d-49dd-81e2-37c0a3832639_1200x926.jpeg 424w, https://substackcdn.com/image/fetch/$s_!YBha!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe0b5111f-0f2d-49dd-81e2-37c0a3832639_1200x926.jpeg 848w, https://substackcdn.com/image/fetch/$s_!YBha!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe0b5111f-0f2d-49dd-81e2-37c0a3832639_1200x926.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!YBha!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe0b5111f-0f2d-49dd-81e2-37c0a3832639_1200x926.jpeg 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p>In turn, one of the most striking things about Fauci&#8217;s diary was how preoccupied and addicted he was to his newfound fame and popularity&#8212;which I believe it&#8217;s fair to say (both from Atlas&#8217;s accounts of his actions on the task force and an objective reading of his diary) was a much higher priority to him than actually addressing COVID-19.<br><em>Note: this touches upon a key theme<a href="https://www.midwesterndoctor.com/p/why-medicine-wont-cure-you-and-whats"> I&#8217;ve highlighted here</a>&#8212;when parties are tasked with addressing a problem and receive support for doing so, this incentivizes them to demand more and more but never actually solve the problem (e.g., this is why medical therapies are designed to temporarily treat rather than cure diseases and there is a constant demand for more research but that research is never funneled into areas which can treat the diseases at hand).</em></p><p>As there are so many examples, I was not sure which to flag, but this one Jeffrey Tucker found makes the point quite succinctly:</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!44AO!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Faf619225-3735-45d6-8ed5-a44910cc8aac_1199x708.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!44AO!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Faf619225-3735-45d6-8ed5-a44910cc8aac_1199x708.png 424w, https://substackcdn.com/image/fetch/$s_!44AO!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Faf619225-3735-45d6-8ed5-a44910cc8aac_1199x708.png 848w, https://substackcdn.com/image/fetch/$s_!44AO!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Faf619225-3735-45d6-8ed5-a44910cc8aac_1199x708.png 1272w, https://substackcdn.com/image/fetch/$s_!44AO!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Faf619225-3735-45d6-8ed5-a44910cc8aac_1199x708.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!44AO!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Faf619225-3735-45d6-8ed5-a44910cc8aac_1199x708.png" width="1199" height="708" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/af619225-3735-45d6-8ed5-a44910cc8aac_1199x708.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:708,&quot;width&quot;:1199,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:420967,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:&quot;https://www.midwesterndoctor.com/i/209118427?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Faf619225-3735-45d6-8ed5-a44910cc8aac_1199x708.png&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!44AO!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Faf619225-3735-45d6-8ed5-a44910cc8aac_1199x708.png 424w, https://substackcdn.com/image/fetch/$s_!44AO!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Faf619225-3735-45d6-8ed5-a44910cc8aac_1199x708.png 848w, https://substackcdn.com/image/fetch/$s_!44AO!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Faf619225-3735-45d6-8ed5-a44910cc8aac_1199x708.png 1272w, https://substackcdn.com/image/fetch/$s_!44AO!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Faf619225-3735-45d6-8ed5-a44910cc8aac_1199x708.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p>Fauci hence compulsively logged his media appearances day after day, in many cases making his vanity explicit: &#8220;It is not hyperbole to say,&#8221; he writes, &#8220;that today I am the most famous and talked about person in the country and one of the most recognizable person in the world.&#8221; He saved clippings about his childhood and his high-school basketball career, noted a petition to name him <em>People</em>&#8216;s &#8220;Sexiest Man Alive,&#8221; logged &#8220;grandmothers who have crushes on me,&#8221; and archived an <em>Atlantic</em> profile headlined &#8220;America Is Thirsty for Anthony Fauci.&#8221; He transcribed the full guest list of a celebrity Zoom call Kim Kardashian organized for him &#8212; nearly thirty names, Katy Perry, Orlando Bloom, Gwyneth Paltrow, Ashton Kutcher, Chris Rock, Ariana Grande among them &#8212; logged Brad Pitt playing him on SNL, and tracked the songs written about him. As such, I feel I need to share <a href="https://www.youtube.com/watch?v=9sJ-d33a-FA">one song</a> that was made in Fauci&#8217;s honor (which is sung in full at the end of the segment):</p><div class="native-video-embed" data-component-name="VideoPlaceholder" data-attrs="{&quot;mediaUploadId&quot;:&quot;eb95995d-1a4c-43cc-b64e-a6a839f3776f&quot;,&quot;duration&quot;:null}"></div><p><em>Note: the only other thing Fauci compulsively logged was the daily COVID death count.</em></p><p>However, what immediately jumped out at me about the diaries was that they corroborated what Atlas had alleged about Fauci:</p><p>&#8226;He used his fame to manage the press directly. When Washington Post reporter Lena Sun called about reports that Beijing had pressured the WHO not to declare a global emergency, Fauci recorded that he dismissed it and &#8220;probably stopped her from writing the story,&#8221; noting that she backed down because, as he put it, &#8220;I am in all the important meetings.&#8221; He wasn&#8217;t merely enjoying the adulation; he understood it as leverage, and he used it to kill coverage he didn&#8217;t like. </p><p>&#8226;Fauci&#8217;s private remarks demonstrates his pettiness and vindictiveness. Fauci saw Atlas as a threat to be neutralized, never a colleague &#8212; accusing him of &#8220;deliberately trying to undermine Deb Birx[&#8217;s] interpretation of the data,&#8221; writing off the world-class epidemiologists behind the Great Barrington Declaration (Bhattacharya of Stanford, Gupta of Oxford, Kulldorff of Harvard) as &#8220;Atlas and his 3 stooges,&#8221; and grumbling that Atlas kept &#8220;causing problems&#8221; (at one point even pushing Kushner to have Trump remove him). Rand Paul gets it too: after one hearing, Fauci gloats that he &#8220;really stuffed him as he spouted out bullshit acting like he is an experienced epidemiologist.&#8221; The tell is that when Atlas&#8217;s account and Fauci&#8217;s are set side by side, it&#8217;s Atlas&#8217;s that the diary backs up.</p><p>&#8226;Atlas&#8217;s observation that Fauci lacked a basic ability to critically interpret scientific studies (demonstrated with individual exchanges they had such as when Fauci gleefully showed Atlas a study which at last vindicated Fauci until Atlas pointed out he&#8217;d misinterpreted it), an extreme bias towards only seeing the parts of literature that supported his own pre-existing biases and no interest in studying new science is corroborated by the fact scientific reasoning (wrestling with data, working through new studies, thinking on the pages) was absent from Fauci&#8217;s diary.</p><p>Peter Navarro&#8217;s accounts are corroborated too. For example, his &#8220;epic Situation Room showdown&#8221; over hydroxychloroquine was recorded by Fauci as &#8220;a big (unusual) argument with Peter Navarro who handed out a folder that he says shows studies that Hydroxychloroquine is effective in COVID,&#8221; notes that he &#8220;strenuously objected,&#8221; and adds, tellingly, &#8220;VP and Marc Short acted like Peter was nuts.&#8221; Both men place the same clash in the same room with Pence watching, each remembering the VP breaking his own way. Fauci even pasted the Axios writeup of the fight into his own diary, suggesting he was the one leaking (biased) summaries of these events to the press.</p><p><em>Note: one interesting admission from Fauci in his diary was that he initially favored hydroxychloroquine over remdesivir due to remdesivir&#8217;s &#8220;the potential toxicities&#8221; and &#8220;the need to prove that it works.&#8221;  Not long after however, he stacked the NIH committee which decided the national protocols with longtime friends <a href="https://www.midwesterndoctor.com/p/how-big-pharma-bought-the-federal-7fa">who had deep financial ties to remdesivir&#8217;s manufacturer</a> and then predictably recommended it rather than the off patent-therapies with much stronger data.</em></p><p>Overall, I feel four critical insights can be gleaned about Fauci&#8217;s personality from these entries which apply to many people who worm their way into positions of power:</p><p>&#8226;The <a href="https://en.wikipedia.org/wiki/Dunning%E2%80%93Kruger_effect">Dunning-Kruger</a> effect is a psychological observation that the less competence or knowledge individuals have, the greater they will overestimate what they know or can do. Because of this, when people are overly aggressive with asserting something to be true,  I tend to become inherently skeptical of their claims&#8212;which is unfortunate as humans are generally wired to follow the crowd and believe the most confident party even if what&#8217;s being promoted is insane.</p><p>&#8226;Many people in the public sphere (e.g., public health) have adopted the belief some degree of suffering is justified for the greater good (e.g., Fauci admitted lying to the public about masks to protect the N95 supply for healthcare workers). This mentality inevitably causes a lot of problems, because (due to the Dunning-Kruger effect) public health officials will become certain the bad policies available to them are justified and then come up with increasingly sophisticated rationalizations to continue them as more and more evidence (or public pushback) emerges showing they are not a good idea.</p><p>&#8226;Once people lie enough, they start to believe their own stories.  My impression was that while Fauci flip-flopped on a lot of positions, once he became committed to one, he gradually began to rationalize everything to see all evidence as proof for his belief regardless of how at odds with reality it was (e.g., he constantly ranted about lab leak claims being &#8220;conspiracy theories&#8221; even though he&#8217;d previously acknowledged their validity). </p><p>&#8226;Certain insecure men (I&#8217;ve had my own share of bad experiences with) like Anthony Fauci and Peter Hotez have a deep craving for fame adulation and worship, will go to great lengths to attain sycophants and will be quite vindictive towards anyone who threatens their needs.  As you might guess, these types of narcissists can cause a lot of issues once they rise to positions of power, particularly since power structures inevitably select for these types of people rather than competent or ethical individuals.</p><p><em>Note: while the conduct highlighted throughout both Fauci&#8217;s diary and the hearing is abhorrent (and likely the most consequential due to how many people COVID-19 impacted), I must emphasize that Fauci has engaged in far more abhorrent conduct throughout his career (which was the focus of RFK Jr.&#8217;s best seller <a href="https://www.amazon.com/Real-Anthony-Fauci-Democracy-Childrens/dp/1510766804/">The Real Anthony Fauci</a> and <a href="https://www.midwesterndoctor.com/p/how-anthony-fauci-weaponized-science">covered in this previous article I wrote</a>).</em></p><h1>Fauci&#8217;s Hearing</h1><p>Since the entire hearing was quite long, I wanted to highlight a few of the most noteworthy parts.</p><p>First, one of my &#8220;favorite&#8221; unbelievable facts about COVID-19 was that in 2021, Fauci received a $900,000 prize (from an Israeli foundation that <a href="https://www.npr.org/sections/coronavirus-live-updates/2021/02/15/968059128/fauci-awarded-1-million-israeli-prize-for-speaking-truth-to-power-amid-pandemic">gives out 3 million each year</a>&#8212;typically split between 9 people and scholarship recipients) for &#8220;<strong>speaking truth to power.</strong>&#8221;  In Hawley&#8217;s questioning (which given his background as a former Attorney General was clearly designed to expose and legally box in Fauci&#8217;s Fifth Amendment strategy), Hawley not only brought up the Dan-David prize, but also that Fauci not only had received many other cash prizes, but tasked numerous HHS employees with helping him to secure a multitude of prestigious cash awards.</p><div class="native-video-embed" data-component-name="VideoPlaceholder" data-attrs="{&quot;mediaUploadId&quot;:&quot;fe309632-f494-4bf8-be0b-14dcf17f7c85&quot;,&quot;duration&quot;:null}"></div><p><em>Note: Fauci also had his employees lobby federal ethics watch dogs to allow him to receive the cash prizes (as it was a violation of Federal law for Fauci to receive them). This goes hand in hand with Fauci going to great lengths to <a href="https://www.midwesterndoctor.com/p/how-big-pharma-bought-the-federal-7fa">cover up many of the pharmaceutical royalties he and his staffers had received</a> (another point raised at this hearing) and  <a href="https://en.wikipedia.org/wiki/Christine_Grady">Fauci&#8217;s wife</a> effectively being the nation&#8217;s chief bioethicist for medical research.</em></p><p>During Senator Ron Johnson&#8217;s questioning, after highlighting the immense damage of the vaccines and the FDA cover-up of them he&#8217;s used his Senate authority to uncover, he noted that <a href="https://x.com/KanekoaTheGreat/status/2082161985178026164">Fauci&#8217;s own diary</a> (prior to being redacted<a href="https://x.com/KanekoaTheGreat/status/2082161985178026164"><sup>1</sup></a>,<a href="https://www.snopes.com/fact-check/fauci-pulmonary-infarction-covid/"><sup>2</sup></a>) recorded a pulmonary infarction around June 2021 (<a href="https://www.midwesterndoctor.com/p/we-now-know-how-the-government-lied">one of the flagged safety signals the FDA never disclosed</a>). Johnson then asked whether it ever occurred to Fauci his own shots might have caused it:</p><div class="native-video-embed" data-component-name="VideoPlaceholder" data-attrs="{&quot;mediaUploadId&quot;:&quot;0c472993-6a7e-46c1-a650-a27b0cf17be2&quot;,&quot;duration&quot;:null}"></div><p><em>Note: due to the political repercussions of acknowledging a COVID vaccine injury (especially if one advocated for them), but the nonetheless high rate of injury seen with them, I hypothesized we would likely see a spate of public officials who developed unusual injuries linked to the vaccine that were too severe to cover up (but nonetheless would never admit the vaccine association). As it so happened, these severe injuries were seen in numerous Senators (at a rate matching those detected in COVID-19 vaccine injury surveys), and I have since corroborated through direct sources sources other Senators have in private admitted they are suffering from less severe (concealable) injuries&#8212;all of which is detailed <a href="https://www.midwesterndoctor.com/p/what-the-us-senate-showed-america">here</a> (along with other cases like Biden&#8217;s sudden cognitive decline).</em>  </p><p>Fetterman (one of the Democrat Senators who suffered a stroke after COVID vaccination), then, to the best of my knowledge, became the first Democrat legislator to jump ship, adopting a neutral position towards Fauci and saying it was completely justified to question both the lockdowns and natural origin of COVID-19:</p><div class="native-video-embed" data-component-name="VideoPlaceholder" data-attrs="{&quot;mediaUploadId&quot;:&quot;1b77bc06-8a2d-4a72-b3e2-f06d4f210676&quot;,&quot;duration&quot;:null}"></div><p>Lastly, Senator Moreno gave to the best of my knowledge the most scathing criticism a legislator has given to Fauci (which then went viral, in part due to the profanities within it and the vivid pandemic authoritarianism he recounted). </p><div class="native-video-embed" data-component-name="VideoPlaceholder" data-attrs="{&quot;mediaUploadId&quot;:&quot;6a30a210-40db-46e3-9e2d-0c36d7bc97f3&quot;,&quot;duration&quot;:null}"></div><p>The full hearing had an excellent summary from a variety of Senators of many of the other egregious things Fauci did during the pandemic, and for those interested, can be watched in here:</p><div id="youtube2-Dk_68K4QQzA" class="youtube-wrap" data-attrs="{&quot;videoId&quot;:&quot;Dk_68K4QQzA&quot;,&quot;startTime&quot;:null,&quot;endTime&quot;:null}" data-component-name="Youtube2ToDOM"><div class="youtube-inner"><iframe src="https://www.youtube-nocookie.com/embed/Dk_68K4QQzA?rel=0&amp;autoplay=0&amp;showinfo=0&amp;enablejsapi=0" frameborder="0" loading="lazy" gesture="media" allow="autoplay; fullscreen" allowautoplay="true" allowfullscreen="true" width="728" height="409"></iframe></div></div><h1>Conclusion</h1><p>From watching how this movement has grown over the last six years, two key themes have emerged.  First, there has been deep gratitude from those who fought for vaccine safety and health freedom that these concepts are at last reaching public attention and that many of the seemingly insurmountable COVID-19 policies were successfully overturned.  Secondly, there has been a widespread despair amongst those awakening to the reality of our situation both at how bad it is and the fact that regardless of how much we try to do things, nothing seems to change and no one is held accountable.</p><p>Since I belong to the former camp, rather than be distraught, I&#8217;m astonished at how much has been accomplished, but I also recognize how critical it is to have a tangible pathway forward so everything we are doing doesn&#8217;t seem like a perfunctory exercise in futility.</p><p>While I have been trying to do what I can to amplify specific leverage points that can shift things in a positive direction (which at times works), because of how entrenched vested interests are within the government, I&#8217;ve long believed that the only real solution to the predicament we are in is to shift public opinion and provide viable alternatives that allow them to opt out of the status quo (e.g., community food production frees you from the harmful food we are flooded with and DMSO is a freely available alternative to many of the less than ideal things we are forced to rely upon the medical system for).<em><br>Note: I have been publishing less over the last month because I&#8217;ve been working around the clock to collect the ozone literature base, and just finished the Russian part of that (which was harder to do than I expected because they&#8217;ve demonstrated a lot of uses for ozone therapy I would have never thought of). One notable thing about ozone therapy is that its demonstrated significant efficacy against a wide range of &#8220;incurable&#8221; viral pandemics and I believe a case could be made ozone therapy would be a superior approach to the billions we spend each year (<a href="https://www.midwesterndoctor.com/p/why-the-bioweapons-research-industry">and risky gain-of-function research</a>) trying to make novel countermeasures to them.</em></p><p>As such, it&#8217;s been quite noticeable to me that we&#8217;ve seen a nearly historic loss of trust in vaccination and medical authorities (which I covered in detail <a href="https://www.midwesterndoctor.com/p/polling-reveals-a-profound-shift">here</a>), with extensive polling now showing:</p><ul><li><p><span>9%&#8211;34% of COVID vaccine recipients developed side effects from the vaccine, 7-13% developed serious side effects, 7.5-22% know someone with a severe vaccine injury, 24-28% know someone who they believe died from the vaccine and 46-55% believe the COVID vaccines have killed a significant number of people.</span><br></p></li><li><p><span>There has been an unprecedented loss of trust in doctors and hospitals since COVID (from 71.5% to 40.1%) which is mirrored by a significant loss of trust in the pharmaceutical industry, government health authorities and support for childhood vaccinations (which, now, almost half of the population no longer fully trusts).</span></p></li></ul><p>As such, the political (and medical) system are now slowly responding to that pressure, with things such as RFK Jr. ascending to a previously unimaginable position (due to the MAHA coalition and public sentiment) and state bills across the country legalizing ivermectin for over-the-counter use.  Fauci&#8217;s recent hearing, in turn, demonstrates that this pressure is continuing to build, as beyond him, for the first time in his career refusing to answer any questions in front of Congress (as he now has legitimate fears for his own freedom), not only were the Republican remarks against Fauci much harsher but one Democrat crossed over.  </p><p>I never expected this to be an easy or quick battle, so it is still unbelievable to me how quickly all of this is progressing and I sincerely thank each of you for you help in bringing this new status quo to fruition.</p><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://www.midwesterndoctor.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">Your support makes The Forgotten Side of Medicine Possible! To receive new posts and support my work, please consider becoming a free or paid subscriber.</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div><div class="captioned-button-wrap" data-attrs="{&quot;url&quot;:&quot;https://www.midwesterndoctor.com/p/what-faucis-diary-reveals-about-americas?utm_source=substack&utm_medium=email&utm_content=share&action=share&quot;,&quot;text&quot;:&quot;Share&quot;}" data-component-name="CaptionedButtonToDOM"><div class="preamble"><p class="cta-caption">Click below to share this post!</p></div><p class="button-wrapper" data-attrs="{&quot;url&quot;:&quot;https://www.midwesterndoctor.com/p/what-faucis-diary-reveals-about-americas?utm_source=substack&utm_medium=email&utm_content=share&action=share&quot;,&quot;text&quot;:&quot;Share&quot;}" data-component-name="ButtonCreateButton"><a class="button primary" href="https://www.midwesterndoctor.com/p/what-faucis-diary-reveals-about-americas?utm_source=substack&utm_medium=email&utm_content=share&action=share"><span>Share</span></a></p></div><p></p><p><em><span>To learn how other readers have benefitted from this publication and the community it has created, their feedback can be viewed </span><a href="https://www.midwesterndoctor.com/p/reader-feedback">here</a><span>. Additionally, an index of all the articles published in the Forgotten Side of Medicine can be viewed </span><a href="https://www.midwesterndoctor.com/p/an-index-of-the-forgotten-side-of">here</a><span>.</span></em></p>]]></content:encoded></item><item><title><![CDATA[Vaccine Amnesia: 78 Forgotten News Segments That Could Never Air Today]]></title><description><![CDATA[Before the press was captured, vaccine injuries were openly covered on national TV. Now the dam of censorship is breaking, and we can finally confront the tragic history that keeps repeating.]]></description><link>https://www.midwesterndoctor.com/p/vaccine-amnesia-75-forgotten-segments</link><guid isPermaLink="false">https://www.midwesterndoctor.com/p/vaccine-amnesia-75-forgotten-segments</guid><dc:creator><![CDATA[A Midwestern Doctor]]></dc:creator><pubDate>Sun, 26 Jul 2026 21:13:51 GMT</pubDate><enclosure url="https://substack-post-media.s3.amazonaws.com/public/images/5f9cd486-015b-43f5-b014-47423839a12b_872x482.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p><strong>Story at a Glance:</strong></p><p><strong>&#8226;Something about vaccines (e.g., their promise of a simple injection being sufficient to safely and effectively end all diseases) has always deeply appealed to the minds of government officials.<br><br>&#8226;That promise is often a lie. Over and over, unsafe and ineffective vaccines reach the market, and each time, the officials invested in them do everything they can to shield the vaccines from scrutiny and bury the red flags. The medical field has dutifully gone along.</strong></p><p><strong>&#8226;In earlier decades, the press was far less captured than it is now, and it occasionally aired real investigations into what was happening &#8212; segments that documented the suffering of the injured.</strong></p><p><strong>&#8226;Watched together, these reports show two things at once: how much more candid the media used to be, and how precisely the lies of that era match the lies we face now.<br><br>&#8226;I compiled this article in the hope of breaking the collective amnesia, now that the pharmaceutical industry&#8217;s grip on the media is finally slipping. Below are 78 news reports on the dangers of vaccination that have been almost entirely forgotten and would never be broadcast today.</strong></p><p>A key theme I&#8217;ve tried to highlight in this publication is that the same medical catastrophes keep repeating (because those responsible are never held accountable), so by understanding what happened in the past, you can see and understand what is happening now and what will likely happen in the future.</p><p>For example, because vaccines are &#8220;risky but necessary,&#8221; the medical profession and government, again and again, concluded that they needed to tell the public all vaccines were &#8220;safe and effective&#8221; as the potential injuries a mass vaccination campaign would cause were outweighed by &#8220;necessary&#8221; benefit the vaccines could offer. As such, examples can be found again and again of severe injuries being systematically covered up for the &#8220;greater good&#8221; (e.g., the earliest documented example I know of this <a href="https://www.midwesterndoctor.com/p/the-smallpox-pandemic-response-was">happened in 1874</a> with the smallpox vaccine) and health authorities concocting the same set of excuses <a href="https://www.midwesterndoctor.com/p/the-smallpox-pandemic-response-was">we&#8217;ve seen since smallpox</a> as to why those vaccines failed to prevent the diseases they were supposed to.</p><p>Since the risks of most vaccines (detailed <a href="https://www.midwesterndoctor.com/p/how-much-damage-has-mass-vaccination">here</a>) far outweigh their benefits, a mass-vaccination paradigm can only be sustained by censoring the evidence of harm &#8212; and then citing that manufactured silence as proof of safety. Over the decades, more and more has been done to conceal those harms. For almost a century, <a href="https://www.midwesterndoctor.com/p/the-forgotten-history-of-neurological">severe neurological injuries after vaccination were routinely reported in the medical literature</a>. Now vaccine injuries are censored, and it is nearly impossible to publish anything critical of vaccines in a &#8220;reputable&#8221; journal.</p><p>Likewise, despite the &#8220;science&#8221; that says vaccines are safe, it is nearly impossible to obtain the raw datasets that could actually answer the question &#8212; as Steve Kirsch showed the public throughout COVID-19 with his relentless, endlessly stonewalled quest to get that data. Likewise, VAERS, a public injury-reporting database only exists because the 1986 National Childhood Vaccine Injury Act required a way for patients to bypass doctors refusing to report their injuries, and as such, ever since a law mandated its creation, <a href="https://www.midwesterndoctor.com/p/why-do-so-many-people-hate-the-vaccine-1d7">everything possible has been done to undermine and discredit VAERS</a> (except when the industry uses it as &#8220;proof&#8221; to prove vaccines are safe).<br><br><br><br>This is the inescapable problem at the heart of mass vaccination. When you take a product that is not completely safe and give it to an entire population, tens of millions of healthy people, most of whom were never at meaningful risk from the disease, even a small rate of serious harm guarantees that enormous numbers are injured or killed. Since there is no way around that arithmetic the authorities have chosen concealment every time, suppressing the data, reclassifying the injuries, and dismissing each casualty as a coincidence, because the alternative is admitting the paradigm itself produces the ever-increasing wave of chronic illness sweeping our society.</p><p>For a long time, the injuries were too numerous to fully hide, so the public kept reawakening to them and the mainstream media kept covering them. The industry&#8217;s solution came after it won liability protection in the 1986 vaccine law: spend whatever it took to censor the coverage and bury the injuries. But removing that check, the public finding out and objecting, removed the only real constraint on toxic vaccines reaching the market, and progressively more dangerous ones followed, until the COVID-19 catastrophe injured so many people that even a robust censorship apparatus couldn&#8217;t contain it. Numerous polls I&#8217;ve summarized in detail <a href="https://www.midwesterndoctor.com/p/polling-reveals-a-profound-shift">here</a> demonstrate the scale of the vaccine injuries: depending on the survey, 7% to 13% of recipients reported a serious side effect, 24% to 28% say they know someone they believe died from the shot, and 46% to 55% believe the COVID vaccines have killed a significant number of people. Propaganda has its limits, and once numbers like those take hold, a new awareness of vaccine injury surfaces across the media ecosystem, occasionally on conservative networks, but mostly in the independent press.</p><p>Because we keep forgetting the past, the cycle repeats. My goal here is to show that what we are seeing now is nothing new, that it has happened countless times before, on a smaller scale that was easier to sweep under the rug, by collecting dozens of clips that were once routinely aired on television and are almost inconceivable today, given how brutal the censorship has become.</p><p>Watch them in sequence and two patterns jump out. The same lines protected the schedule every time. We just need more research before we change anything, and we&#8217;ll do that research soon. Yet decades later, we still &#8220;need more research.&#8221; And the things vaccine-safety advocates warned about, and were denounced for warning about, kept coming true.</p><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://www.midwesterndoctor.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">The Forgotten Side of Medicine is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. To learn more about the newsletter and how readers have benefitted from it, click <a href="https://www.midwesterndoctor.com/about">here</a>!</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div><p><em>Note: after publishing this article ten months ago, its message generated immense interest and I subsequently found a much larger number of buried news reports so I have been gradually updating it since then (and likely will add a few more in the future). As such, if you have any segments you know of which are not in here their additions would be greatly appreciated (and helpful to many).</em></p><h1>Mass Media Censorship</h1><p>Actions like these were only possible because the corporate media suppressed dissent &#8212; even when large numbers of Americans believed the mandatory vaccines were injuring or killing their children, which is exactly the kind of story the press has a foundational duty to cover.</p><blockquote><p><a href="https://www.theblaze.com/news/review-the-federal-government-paid-media-companies-to-advertise-for-the-vaccines">In response to a FOIA request filed by TheBlaze</a>, [Biden&#8217;s] HHS revealed that it purchased advertising from major news networks including ABC, CBS, and NBC, as well as cable TV news stations <strong>Fox News</strong>, CNN, and MSNBC, legacy media publications including the New York Post, the Los Angeles Times, and the Washington Post, digital media companies like BuzzFeed News and Newsmax, and hundreds of local newspapers and TV stations. These outlets were collectively responsible for publishing countless articles and video segments regarding the vaccine that were nearly uniformly positive about the vaccine in terms of both its efficacy and safety.</p></blockquote><p><em>Note: the amount spent per network is unknown, but likely totaled a billion. Additionally, <a href="https://odysee.com/@VaccineNews:d/HHS-and-CDC-admit-using-Sesame-Street-and-ESPN-to-promote-H1N1-Vaccine---vactruth.com:a">in 2009</a>, the H.H.S. Secretary testified to congress about similar partnerships (e.g., with Seasame Street) to promote the H1N1 vaccine.</em></p><p>Because of this, many people in the media wanted to speak out against the vaccines, but effectively could not, and to my knowledge, other than a few Fox hosts lightly criticizing them, only two did. One, <a href="https://www.youtube.com/watch?v=yDWbfsf8XPA">a recently hired reporter at a local station</a>, on live television announced Fox was muzzling stories the public wanted to hear (and was promptly fired) after which <a href="https://rumble.com/vilbwd-project-veritas-and-reporter-release-tapes-sounding-alarm-on-corruption-and.html?e9s=src_v1_s%2Csrc_v1_s_m&amp;sci=dfed214b-32f2-4f4f-b5cf-b5e1bc2fc0e2">she provided secret recordings to Project Veritas</a> corroborating this censorship.</p><p>The other was Tucker Carlson, who was able to leverage both being the most popular news host in America and having a show which did not rely upon pharmaceutical funding to speak out against the vaccines without being fired. Nonetheless, this was still a huge risk for him and eventually, after airing <a href="https://www.youtube.com/watch?v=t9eN19qkZRk">this remarkable 4-19-23 segment</a> (which took a lot of courage), at immense cost to Fox News, was immediately fired.</p><div class="native-video-embed" data-component-name="VideoPlaceholder" data-attrs="{&quot;mediaUploadId&quot;:&quot;b460a5d2-5a06-4833-ba54-183c221f9421&quot;,&quot;duration&quot;:null}"></div><p>Once he left, he began talking openly about how much pharmaceutical money kept these stories off the air &#8212; and other former hosts corroborated him:</p><blockquote><p><a href="https://x.com/MAHA_PAC/status/1852530136127574379">When I was on Fox News</a> [circa 2007] and we talked about the possibility of vaccine injuries &#8230; They would RUN out to the set to tell you to shut that down.&#8212;Megyn Kelly</p></blockquote><div class="native-video-embed" data-component-name="VideoPlaceholder" data-attrs="{&quot;mediaUploadId&quot;:&quot;5a6e8f11-6f8d-4706-a683-5532e40f9327&quot;,&quot;duration&quot;:null}"></div><p>Likewise, Sharyl Attkisson (an acclaimed CBS investigative journalist) has extensively chronicled (e.g., in her <a href="https://www.amazon.com/Slanted-Media-Taught-Censorship-Journalism/dp/0062974696">2020 book</a> and even more so in <a href="https://www.amazon.com/Follow-Science-Sharyl-Attkisson-ebook/dp/B0CCP683RD?ref_=ast_author_dp">her 2025 book</a>) how in the early 2000s, the pharmaceutical industry, feeling the pressure from negative coverage of disastrous vaccination programs was creating for them, lobbied to prevent future negative coverage. Once this happened, it became impossible for her to air well produced segments which were critical of any vaccine initiative, and likewise, tha<em>t in the </em>post-2000s, stories on vaccine risks &#8220;disappeared&#8221; due to advertiser pressure.</p><p>However, things were not always this way. Rather, major networks used to air numerous scathing stories about vaccine disasters&#8212;and in many cases, the dangers they covered were so explicit by current journalistic standards that I frequently find sharing those (previously inconceivable) segments with people on the fence about vaccination opens their minds to the entire mess.</p><p>Let&#8217;s now review <em><strong>some</strong></em> of the forgotten vaccine disasters and the evolving censorship emerging alongside them.</p><h1>Mass Censorship</h1><p>The Vietnam War was considered by many to be the event that broke the public&#8217;s trust in the Federal Government.<br><br><em>Note: many believe the specific event which turned the American public against the Vietnam War was the <a href="https://en.wikipedia.org/wiki/My_Lai_massacre">My Lai massacre</a>&#8212;an event where American soldiers decided to commit war crimes against Vietnamese civilians until a different group of American soldiers on their own volition decided to stop the massacre.</em></p><p>That collapse of trust alarmed the government and prompted the Pentagon to make sure it never happened again, which it accomplished by ending the draft and switching to an all-volunteer army, and by ensuring the public only ever saw a sanitized picture of future wars &#8212; embedded journalists supplying government-approved footage, and the press strongly discouraged from showing anything that exposed the horror.</p><p><a href="https://en.wikipedia.org/wiki/My_Lai_massacre">Major Colin Powell </a>was one of the officers who helped cover up My Lai. He rose through the ranks, became Secretary of State, and infamously lied to the UN about Iraq&#8217;s weapons of mass destruction &#8212; a lie that killed hundreds of thousands and cost trillions. Powell is one of many cases that illustrate how richly the government rewards those who cover up its atrocities.</p><p>It is hard to overstate how much work went into hiding the horrors of war, and how effective it was &#8212; transforming war from something much of the public vehemently opposed into an abstraction they were largely apathetic about (the best documentary I&#8217;ve seen on how military propaganda evolved is <em><a href="https://www.sonypictures.com/movies/whywefight">Why We Fight</a></em>).</p><p>The sanitizing of war parallels the medical censorship we now face. The same PR (public relations) firm that manufactured <a href="https://en.wikipedia.org/wiki/Nayirah_testimony">a heart-wrenching but entirely made up testimony that dragged the U.S. into the Gulf War</a> has a <a href="https://www.prweek.com/article/1719347/mary-jane-walker-returns-hill%2Bknowlton-strategies-lead-us-healthcare">long history of pharmaceutical work</a> &#8212; and was contracted both to promote the COVID narrative and to eliminate &#8220;vaccine hesitancy.&#8221;<a href="https://www.prweek.com/article/1689785/attacked-trump-turned-hill%2Bknowlton-strategies-spring"><sup>1</sup></a><sup>,</sup><a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC9350739/"><sup>2</sup></a><sup>,</sup><a href="https://www.google.com/search?q=did+Hill+%26+Knowlton+promote+covid+vaccines&amp;sca_esv=64c82b2b08ea075f&amp;sxsrf=AE3TifNkzrr5GBKpnHVvDLc1B8L9kE7bEw%3A1759478299473&amp;source=hp&amp;ei=G4LfaJfHGpuhwN4PwK6S4Ak&amp;iflsig=AOw8s4IAAAAAaN-QK_ePD_TpND8-VyuzG9wPJCm8hVbX&amp;ved=0ahUKEwjXwJy4x4eQAxWbENAFHUCXBJwQ4dUDCBo&amp;uact=5&amp;oq=did+Hill+%26+Knowlton+promote+covid+vaccines&amp;gs_lp=Egdnd3Mtd2l6IipkaWQgSGlsbCAmIEtub3dsdG9uIHByb21vdGUgY292aWQgdmFjY2luZXMyBRAhGKABMgUQIRigATIFECEYoAFIvSFQAFjrH3AAeACQAQCYAegBoAGOKaoBBjAuNi4xObgBA8gBAPgBAfgBApgCGaAC2SnCAgQQIxgnwgILEAAYgAQYkQIYigXCAgsQLhiABBiRAhiKBcICCBAAGIAEGLEDwgIOEC4YgAQYsQMY0QMYxwHCAgsQABiABBixAxiDAcICCxAuGIAEGNEDGMcBwgIIEC4YgAQYsQPCAg4QABiABBixAxiDARiKBcICBBAAGAPCAgUQABiABMICBRAhGKsCmAMAkgcGMC40LjIxoAfIbbIHBjAuNC4yMbgH2SnCBwcxMC4xNC4xyAcc&amp;sclient=gws-wiz"><sup>3</sup></a></p><h1>Turning Points in Medical Censorship</h1><p>Numerous medical catastrophes have happened which provoked widespread public outrage, and like the Vietnam War, those events brought the government to conclude it was imperative the public was prevented from becoming aware of future medical atrocities.  Some of those events include:</p><h3>The Polio Vaccine</h3><p>In 1955, after an expedited approval, the government released a much-heralded vaccine, and two weeks later, children across America began turning up paralyzed in the exact limb where they&#8217;d received Salk&#8217;s polio shot.</p><p>After some investigation, it was discovered that:<br><br>&#8226;Only two of the five vaccine manufacturers had produced the same &#8220;safe&#8221; vaccines used in the clinical trials&#8212;which meant many of the vaccines the public got (which at the time were a new experimental technology) had never been tested in humans.<br><br>&#8226;At the urging of Salk, when the vaccine was mass produced, a different and less safe production process was used for the vaccine so the orders could be met.<br><br><em>Note: <a href="https://www.midwesterndoctor.com/p/why-does-the-covid-vaccine-persist">this also happened with the COVID-19 vaccines</a> and many now believe this is a key reason why they were so dangerous.<br><br>&#8226;</em>Bernice Eddy, an NIH employee, had immediately discovered this mass produced vaccine caused paralysis in monkeys.<br><br><em>Note: Eddy had previously upset the NIH after she discovered that adenovirus vaccines caused cancers (which caused the NIH to put up innumerable obstacles to her work) but eventually Eddy won and adenovirus vaccines stopped being given to children&#8212;at least until COVID-19 (as the J&amp;J vaccine is a modified adenovirus).</em><br><br>&#8226;All of the paralyzing vaccines came from the same manufacturer (Cutter Laboratories).<br><br><em>Note: later paralyzing lots were also identified from Wyeth (better known for making the highly dangerous DPT vaccine&#8212;<a href="https://www.midwesterndoctor.com/p/the-century-of-forgotten-vaccine">which also had major hot lot issues</a>), but the general public was never made aware of the other hot polio lots&#8212;which the head of the CDC&#8217;s polio surveillance unit believed was done to prevent the public from realizing the Polio vaccine in general was unsafe and ineffective.</em><br><br>&#8226;The (early) FDA delegated testing of the vaccine for safety to the vaccine manufacturers rather than doing so itself.<br><br><em>Note: I believe this is a key reason why &#8220;<a href="https://www.midwesterndoctor.com/p/the-century-of-forgotten-vaccine">hot&#8221; vaccine lots that disproportionately injure their recipients</a> are a recurring issue with our vaccines.</em><br><br>&#8226;There were many safety concerns with the testing of the Salk vaccine, but the professional publications chose to censor them and instead continually repeated the message that the vaccine was completely safe and effective.<br><br>The public was outraged, the government faced a public-relations crisis, and lawsuits dragged on against Cutter. In response, the federal government took direct control of every aspect of the vaccine program &#8212; switching from a neutral external auditor to a major stakeholder. As you&#8217;d expect, that conflict of interest gave the government every incentive to bury safety problems, and business as usual soon resumed.</p><p>To quote <em><a href="https://en.wikipedia.org/wiki/Turtles_all_the_way_down">Turtles All The Way Down</a></em>:</p><blockquote><p>Perhaps the most disturbing element of the entire program has been the disparity between the risks that were known to be involved and the repeated assurances of safety.&#8212;Paul Meier, professor of epidemiology at the Johns Hopkins University School of Public Health</p></blockquote><p>The National Foundation told doctors, in a memo, that the vaccine was completely safe and the risk of paralysis was &#8220;zero.&#8221; Meier, at an expert panel, described the operating philosophy plainly:</p><blockquote><p>The best way to push forward a new program is to decide on what you think the best decision is and not question it thereafter, and further, not to raise questions before the public or expose the public to open discussion of the issue.&#8212;Paul Meier speaking at an expert panel on the vaccine.</p></blockquote><p>In 1960, five years after Cutter, Bernice Eddy determined that the polio vaccines were contaminated with a cancer-causing virus, SV-40, and were not fit for the public. Ordered to keep quiet so the public wouldn&#8217;t lose faith in the program, she published anyway &#8212; and was immediately demoted and stripped of her lab. Officials had known since 1959 that their vaccine caused cancer (a consequence of cutting costs with imported monkey kidneys) and were scrambling to address it while still promoting the shot. Only in 1963 did the government force manufacturers to stop growing the vaccine on contaminated kidneys &#8212; by which point between 40 and 98 million Americans had been infected, and a case can be made that SV-40 lingered in some vaccines until around 2000. This drove an increase in cancer that, until COVID, was unprecedented.</p><p>Around 1997, Canada&#8217;s Broadcasting Corporation aired a remarkable program on the recent findings that SV-40 was turning up in tumors, how it caused cancer, and the full history of how the polio vaccines became contaminated with it.</p><p>Many severe kidney diseases are also strongly associated with SV-40, and have likewise exploded since the polio vaccines. Because SV-40 was introduced into the population through the program (and transmits between humans and to fetuses) there has been a persistent reluctance to study its danger or admit it lingered in the supply for decades.</p><div class="native-video-embed" data-component-name="VideoPlaceholder" data-attrs="{&quot;mediaUploadId&quot;:&quot;786fa4aa-6c29-48e1-85ad-9fe19a4b9a77&quot;,&quot;duration&quot;:null}"></div><p>Additionally, many horrible kidney diseases are strongly associated with SV-40 (and likewise have exploded in incidence since the Polio vaccines hit the market).  Sadly, since SV-40 was introduced to the population through the vaccine program (and transmits between humans and fetuses) there has been a general reluctance to study its danger&#8212;or to acknowledge it was still present in the vaccine supply decades later.<em><br><br></em>Dr. Suzanne Humphries covered what happened in a 28-minute video:</p><div class="native-video-embed" data-component-name="VideoPlaceholder" data-attrs="{&quot;mediaUploadId&quot;:&quot;46e2a9b9-c3ea-4b73-9c07-312fc2ea7d07&quot;,&quot;duration&quot;:null}"></div><p>One of the most important admissions of the entire polio fiasco came from <a href="https://pubmedinfo.org/wp-content/uploads/2016/07/Federal-Register-Vol.-49-No.-107-Friday-June-1-1984-.1-Rules-and-Regulations.pdf">the FDA in the Federal Register</a>: that any doubts about a vaccine&#8217;s safety, valid or not, could not be permitted to exist, because they would reduce vaccine uptake.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!UOhZ!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fbucketeer-e05bbc84-baa3-437e-9518-adb32be77984.s3.amazonaws.com%2Fpublic%2Fimages%2F07b10748-fbaf-4162-9186-93ddc0bb08df_1244x423.jpeg" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!UOhZ!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fbucketeer-e05bbc84-baa3-437e-9518-adb32be77984.s3.amazonaws.com%2Fpublic%2Fimages%2F07b10748-fbaf-4162-9186-93ddc0bb08df_1244x423.jpeg 424w, https://substackcdn.com/image/fetch/$s_!UOhZ!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fbucketeer-e05bbc84-baa3-437e-9518-adb32be77984.s3.amazonaws.com%2Fpublic%2Fimages%2F07b10748-fbaf-4162-9186-93ddc0bb08df_1244x423.jpeg 848w, https://substackcdn.com/image/fetch/$s_!UOhZ!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fbucketeer-e05bbc84-baa3-437e-9518-adb32be77984.s3.amazonaws.com%2Fpublic%2Fimages%2F07b10748-fbaf-4162-9186-93ddc0bb08df_1244x423.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!UOhZ!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fbucketeer-e05bbc84-baa3-437e-9518-adb32be77984.s3.amazonaws.com%2Fpublic%2Fimages%2F07b10748-fbaf-4162-9186-93ddc0bb08df_1244x423.jpeg 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!UOhZ!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fbucketeer-e05bbc84-baa3-437e-9518-adb32be77984.s3.amazonaws.com%2Fpublic%2Fimages%2F07b10748-fbaf-4162-9186-93ddc0bb08df_1244x423.jpeg" width="1244" height="423" data-attrs="{&quot;src&quot;:&quot;https://bucketeer-e05bbc84-baa3-437e-9518-adb32be77984.s3.amazonaws.com/public/images/07b10748-fbaf-4162-9186-93ddc0bb08df_1244x423.jpeg&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:423,&quot;width&quot;:1244,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:230605,&quot;alt&quot;:&quot;&quot;,&quot;title&quot;:null,&quot;type&quot;:&quot;image/jpeg&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" title="" srcset="https://substackcdn.com/image/fetch/$s_!UOhZ!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fbucketeer-e05bbc84-baa3-437e-9518-adb32be77984.s3.amazonaws.com%2Fpublic%2Fimages%2F07b10748-fbaf-4162-9186-93ddc0bb08df_1244x423.jpeg 424w, https://substackcdn.com/image/fetch/$s_!UOhZ!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fbucketeer-e05bbc84-baa3-437e-9518-adb32be77984.s3.amazonaws.com%2Fpublic%2Fimages%2F07b10748-fbaf-4162-9186-93ddc0bb08df_1244x423.jpeg 848w, https://substackcdn.com/image/fetch/$s_!UOhZ!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fbucketeer-e05bbc84-baa3-437e-9518-adb32be77984.s3.amazonaws.com%2Fpublic%2Fimages%2F07b10748-fbaf-4162-9186-93ddc0bb08df_1244x423.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!UOhZ!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fbucketeer-e05bbc84-baa3-437e-9518-adb32be77984.s3.amazonaws.com%2Fpublic%2Fimages%2F07b10748-fbaf-4162-9186-93ddc0bb08df_1244x423.jpeg 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><h3>The Swine Flu Fiasco</h3><p>When the earliest influenza vaccines hit the market in 1945, they received minimal interest from the public. Joseph Anthony Morris PhD was recruited by the early FDA to conduct the research to prove those vaccines were safe and effective (eventually leading to him becoming the FDA&#8217;s Chief Vaccine Control Officer). Yet, after he found they were ineffective (only working 0-40% of the time) and unsafe, his superiors ignored his data and released the vaccines while claiming they were safe and effective.</p><p>Like Bernice Eddy, he also faced significant retaliation, being harassed, demoted, losing access to his lab and blocked from publishing his results. Before being fired, Morris decided to fight the FDA&#8217;s gross misconduct by hiring a lawyer and going to the Senate. This prompted a 1972 Senate hearing (detailed in Dr. Humphries&#8217; 28 minute video above) which concluded the issues Morris raised were only the tip of the iceberg, and as a result of the hearing, <strong>thirty-two</strong> unsafe and unproven vaccines were taken off the market. Most importantly, the conduct of the FDA&#8217;s progenitor (called the DBS) was deemed so egregious that it was scrapped and replaced with the modern FDA (which unfortunately did not fix the rot within the agency).</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!4e3_!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fd9422955-72e5-4248-a7c1-e049392a206a_1170x1202.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!4e3_!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fd9422955-72e5-4248-a7c1-e049392a206a_1170x1202.png 424w, https://substackcdn.com/image/fetch/$s_!4e3_!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fd9422955-72e5-4248-a7c1-e049392a206a_1170x1202.png 848w, https://substackcdn.com/image/fetch/$s_!4e3_!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fd9422955-72e5-4248-a7c1-e049392a206a_1170x1202.png 1272w, https://substackcdn.com/image/fetch/$s_!4e3_!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fd9422955-72e5-4248-a7c1-e049392a206a_1170x1202.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!4e3_!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fd9422955-72e5-4248-a7c1-e049392a206a_1170x1202.png" width="1170" height="1202" 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https://substackcdn.com/image/fetch/$s_!4e3_!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fd9422955-72e5-4248-a7c1-e049392a206a_1170x1202.png 848w, https://substackcdn.com/image/fetch/$s_!4e3_!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fd9422955-72e5-4248-a7c1-e049392a206a_1170x1202.png 1272w, https://substackcdn.com/image/fetch/$s_!4e3_!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fd9422955-72e5-4248-a7c1-e049392a206a_1170x1202.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p>After being transferred to the new FDA (where he was protected from termination due to the recent Senate investigation), he continued to be responsible for influenza, and in February of 1976, a swine flu strain was found in a soldier who died in March. As the FDA tried to drum up fear about a new 1918 influenza, Morris was called into the investigation and concluded that swine flu strain was not something to be concerned about as it rarely travelled from person to person.</p><p><em>Note: As far as I know, the three deadliest plagues in human history were the Black Death (of which much is still not known), its predecessor the Justinianic Plague, and the 1918 Influenza. Because of the 1918 Influenza, the medical community became fixated on preventing anything like it from happening again, which amongst other things resulted in an enormous influenza vaccination apparatus flooding America, <strong>which sadly has injured many <a href="https://www.midwesterndoctor.com/p/why-do-vaccines-consistently-fail">but consistently failed to provide any benefit</a></strong>.</em></p><p>Since that swine flu strain reproduced slowly, it was not feasible to produce enough of it to make a vaccine before the &#8220;pandemic&#8221; faded into memory, so someone had a truly astounding idea. Why not hybridize it with the <em><strong>fast-growing</strong></em> 1918 influenza? As this provided a way to meet the vaccine production timeline, it was supported by the government.</p><p>Dr. Morris did not support this idea, and before long discovered that the <em><strong>emergency</strong></em> vaccine was unsafe and ineffective, but when he reported this to his superiors at the FDA, he was told to keep his concerns to himself. Morris then decided to go on a speaking tour which included the Donahue show (one of the largest talk shows in America) and warned the public of the vaccine&#8217;s danger.</p><p><em>Note: I have been unable to find a transcript or copy of that 1976 show. However,</em> <em><a href="https://www.beyondconformity.org.nz/hilary-s-desk/on_the_matter_of_dr_anthony_j_morris">according to one account of it</a>, Morris &#8220;warned the experimental vaccine could cause serious allergic and neurological reactions, had a very low potency, and was completely unnecessary as the virus concerned was an ordinary pig virus, and not highly pathogenic, and had died out within two weeks of its being detected in February, and had not been seen anywhere else.&#8221;</em></p><p>However, his warning went unheeded, and the vaccine was distributed across America. Before long, the injuries piled up from this experimental vaccine, with hundreds becoming paralyzed from Guillain-Barr&#233; syndrome, dozens died, and thousands of lawsuits were filed.<br><br><em>Note: the official count (which claimed 1 in 100,000 developed GBS) likely underestimated the actual injuries. For example, a colleague who was in practice at the time</em> <em><a href="https://www.midwesterndoctor.com/p/the-forgotten-history-of-neurological">shared 6% of their patients developed GBS</a></em> <em>and one reader here</em> <em><a href="https://www.midwesterndoctor.com/p/the-forgotten-history-of-neurological">shared they did as well</a>. Likewise, when the COVID-19 vaccines came out, a patient who refused to vaccinate shared with me she was still dealing with severe injuries from the 1976 vaccine and was not going to fall for the government&#8217;s scam again.</em></p><p>In the same way it is remarkable that the Donahue show was willing to publicly give a platform to Dr. Morris&#8217;s concerns, consider the 1979 program Sixty Minutes aired across America and how eerily it parallels what happened decades later with the COVID-19 vaccines:</p><div class="native-video-embed" data-component-name="VideoPlaceholder" data-attrs="{&quot;mediaUploadId&quot;:&quot;39f9ced8-7be3-4741-b488-c14e6a134077&quot;,&quot;duration&quot;:null}"></div><p><em>Note: throughout this article, I designated some of the news clips like the above one as &#8220;<strong>programs</strong>.&#8221; Those are the more detailed segments with hard-hitting investigative journalism (rather than ones either with people from opposing sides debating the topic or a guest sharing the dangers of vaccination).</em></p><p>What I find most extraordinary about this program is that while the 1976 vaccine was much less damaging than the COVID-19 vaccine, in this current era of mass censorship, airing a segment like this would be unthinkable.</p><p>One of the more remarkable things about these events is how they were seen in the eyes of government officials. The Public Health Crisis Survival Guide (quoted <a href="https://academic.oup.com/book/37274/chapter-abstract/330512991">via Oxford</a>) provides a remarkable illustration into the administrative mindset:</p><blockquote><p>Early in 1976, the Centers for Disease Control and Prevention proposed and President Gerald Ford approved a plan to vaccinate the country against swine influenza, a new infection that had only recently appeared on a New Jersey army base. While agency leaders imagined themselves rising to the challenge of a crisis, mismanagement and poor communication led to a debacle for public health. Problems included logistical difficulties in manufacturing the vaccine, disputes with Congress, and the inability to revise the vaccination goal in light of the fact that the disease never returned. When people who were vaccinated fell ill with neurological complications, the vaccine effort ended, but not before causing grave damage to confidence in public health agencies.</p></blockquote><p><em>Note: this effectively says the &#8220;mistake&#8221; in this debacle was poor control of the media that damaged public trust in the all-important vaccination program, rather than say...pushing an unsafe, ineffective and unneeded vaccine onto the market and ignoring every warning to the contrary.</em><br>Lastly, in 2009, when a new swine flu vaccine was being promoted (which also was ultimately unnecessary and had some safety issues), CBS aired a segment which generally pro-vaccine but acknowledged some concerns from parents.</p><div class="native-video-embed" data-component-name="VideoPlaceholder" data-attrs="{&quot;mediaUploadId&quot;:&quot;39c2efd3-c2ae-462b-9bfa-1d3338b0fb58&quot;,&quot;duration&quot;:null}"></div><p>Likewise, in 2009, Fox aired a segment on the need to understand the risks and benefits of vaccinating which focused on the potential issues with getting the experimental swine flu vaccine where it was too soon to know the risk profile of it.</p><div class="native-video-embed" data-component-name="VideoPlaceholder" data-attrs="{&quot;mediaUploadId&quot;:&quot;53c4e908-60dd-4395-a2b8-bb10fcf9b953&quot;,&quot;duration&quot;:null}"></div><p><em>Note: larger datasets later detected serious issues with that vaccine <a href="https://archive.cdc.gov/www_cdc_gov/vaccinesafety/concerns/history/narcolepsy-flu.html">such as it causing narcolepsy</a>.</em></p><p>Finally, in 2010, England&#8217;s Channel 4 news aired a segment highlighting that the swine flu pandemic was a scam governments wasted billions of dollars on after the WHO&#8217;s &#8220;experts&#8221; exaggerated how bad it would be due to pharmaceutical influence.</p><div class="native-video-embed" data-component-name="VideoPlaceholder" data-attrs="{&quot;mediaUploadId&quot;:&quot;0c1dc0ff-80a9-472e-b975-9f83e450da4d&quot;,&quot;duration&quot;:null}"></div><h3>Pertussis</h3><p>Developed a century ago, the original pertussis vaccine was incredibly dangerous, and from the very start evidence emerged (which I compiled <a href="https://www.midwesterndoctor.com/p/the-century-of-evidence-that-vaccines">here</a>) showed that it caused seizures, permanent brain damage, and infants to suddenly die (likely due to microstrokes in the respiratory centers of the brain). I&#8217;ve extensively studied this subject because so many people I know developed permanent brain damage from it (as have numerous readers here<a href="https://www.midwesterndoctor.com/p/how-much-damage-have-vaccines-done/comments"><sup>1</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/how-much-damage-has-mass-vaccination/comments"><sup>2</sup></a>), and to this day I still periodically meet people (e.g., an epileptic) whose entire lives were upended by that vaccine.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!vA2H!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F037c3611-7ecd-420d-bcca-424a418935df_1122x1120.jpeg" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!vA2H!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F037c3611-7ecd-420d-bcca-424a418935df_1122x1120.jpeg 424w, https://substackcdn.com/image/fetch/$s_!vA2H!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F037c3611-7ecd-420d-bcca-424a418935df_1122x1120.jpeg 848w, https://substackcdn.com/image/fetch/$s_!vA2H!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F037c3611-7ecd-420d-bcca-424a418935df_1122x1120.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!vA2H!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F037c3611-7ecd-420d-bcca-424a418935df_1122x1120.jpeg 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!vA2H!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F037c3611-7ecd-420d-bcca-424a418935df_1122x1120.jpeg" width="1122" height="1120" 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srcset="https://substackcdn.com/image/fetch/$s_!vA2H!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F037c3611-7ecd-420d-bcca-424a418935df_1122x1120.jpeg 424w, https://substackcdn.com/image/fetch/$s_!vA2H!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F037c3611-7ecd-420d-bcca-424a418935df_1122x1120.jpeg 848w, https://substackcdn.com/image/fetch/$s_!vA2H!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F037c3611-7ecd-420d-bcca-424a418935df_1122x1120.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!vA2H!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F037c3611-7ecd-420d-bcca-424a418935df_1122x1120.jpeg 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p>The saddest thing about this is that:</p><p>&#8226;In each case, the child&#8217;s pediatrician failed to recognize the initial adverse reaction (which should have been recognized a contraindication to the subsequently permanently disabling reaction) and often denied the child&#8217;s injury, insisting the vaccine was 100% safe and effective.</p><p>&#8226;The benefit of the pertussis vaccine is marginal at best (e.g., outbreaks often happen in vaccinated communities).</p><p>&#8226;Pertussis can easily be treated with antibiotics and oral vitamin C.</p><p>&#8226;It was possible to make a safer (but not completely safe) pertussis vaccine. However, since it cost more to make those, the industry never did so until lawsuits in the 1980s and the 1986 Vaccine Injury Act incentivized them to.<br><br><em>Note: this is very similar to the infamous</em> <em><a href="https://www.spokesman.com/blogs/autos/2008/oct/17/pinto-memo-its-cheaper-let-them-burn/">Ford Pinto memo</a>, where Ford&#8217;s management decided they would not fix the Pinto&#8217;s tendency to explode after car accidents as the cost to settle lawsuits was significantly less than the cost to make the cars safe in crashes. Sadly, many similar examples of profits being put over people also exist.</em></p><p>However, rather than pull the pertussis vaccine from the market (or at least ask for a safer one to be made), government officials ignored the innumerable issues they came across and continued to push the vaccine upon the world (even as other developed nations gradually dropped it).</p><p><em>Note: one school of thought argues that the government&#8217;s attachment to the pertussis vaccine comes from the fact that it is always packaged with the tetanus and diphtheria vaccine, and tetanus vaccine (when laced with HcG) is the most effective sterilizing vaccine that was ever developed (<a href="https://www.midwesterndoctor.com/p/the-forgotten-history-of-sterilizing">the WHO spent decades developing it and there are many tragic cases of it being deployed in the third world</a>).</em></p><p>Eventually in 1982, NBC decided to air a program on this vaccine that shocked America and again highlighted the degree to which the American government will lie to protect the vaccine program:</p><div class="native-video-embed" data-component-name="VideoPlaceholder" data-attrs="{&quot;mediaUploadId&quot;:&quot;c1fea42b-fb75-4b1a-b500-bac6cf6c48c6&quot;,&quot;duration&quot;:null}"></div><p>Once the video was aired, lawsuits began being filed against the DPT manufacturers and parents from across the nation began to contact NBC to ask to be connected with other parents with similar injuries. Before long, these parents joined to form a group which successfully began the modern political movement against the vaccine manufacturers.</p><p><em>Note: that group (<strong>D</strong>issatisfied <strong>P</strong>arents <strong>T</strong>ogether), which Barbara Loe Fisher cofounded, later became the National Vaccine Information Center (<a href="https://www.nvic.org/">NVIC.org</a>), and for decades has been one of the primary groups advocating for vaccine safety and parental choice. Many of the videos in this article were originally archived by them, were deleted after YouTube wiped their channel (but fortunately were mirrored by many others before the deletion) and can now be viewed on <a href="https://rumble.com/c/NVIC">their Rumble Channel</a> alongside many other segments NVIC has produced over the years (along with all of these videos also being mirrored on my channel). I strongly encourage you to download them and share them so the public can be aware that there was a longstanding opposition to vaccination which simply was erased by mass censorship and that vaccine injuries, contrary to popular belief, are very real and have existed for a long time.</em></p><p>Likewise, the attention the NBC program brought to the issue resulted in the Donahue show (America&#8217;s largest talk show&#8212;who&#8217;d previously hosted Morris in 1976) spending an hour hosting a 1983 public debate between medical experts on the dangers of this vaccine and the ethics of vaccine mandates. Nothing like it has happened since, as candid discussions like this always expose the issues with vaccinations and hence always harm vaccine promoters.</p><div class="native-video-embed" data-component-name="VideoPlaceholder" data-attrs="{&quot;mediaUploadId&quot;:&quot;e27236da-b5ce-487b-90b2-4ca901e184b7&quot;,&quot;duration&quot;:null}"></div><p>Next in 1985, New York&#8217;s WOR-TV &#8220;Straight Talk&#8221; hosted a live debate on between Barbara Loe Fisher, then vice president of Dissatisfied Parents Together and co-author of <em><a href="https://archive.org/details/shotindarkwhypin00coul">DPT: A Shot in the Dark</a></em><a href="https://archive.org/details/shotindarkwhypin00coul">,</a> and a hospital infectious-disease chief, in which Fisher pressed that the safety test used to screen the pertussis vaccine had been known for twenty years not to predict its capacity to cause death or brain damage, that a far less reactive vaccine had been in use in Japan since 1981, and that the country still had no system for counting how many children it was injuring.</p><div class="native-video-embed" data-component-name="VideoPlaceholder" data-attrs="{&quot;mediaUploadId&quot;:&quot;a8aa3582-1861-4df5-9b88-b518c8648bc6&quot;,&quot;duration&quot;:null}"></div><p>Then, in 1986, ABC news aired a segment on the dangers of the DPT vaccine where experts were allowed to be challenged.</p><div class="native-video-embed" data-component-name="VideoPlaceholder" data-attrs="{&quot;mediaUploadId&quot;:&quot;4958fb9e-272d-4d9a-9781-db9060cfecc6&quot;,&quot;duration&quot;:null}"></div><p><em>Note: over the decades, Barbara Loe Fisher has been the primary person invited on television to speak out against mandatory vaccination and it is remarkable to observe both her fortitude and also how the media landscape evolved as the years went by.</em></p><p>Around 1988, Philadelphia&#8217;s WCAU aired a multi-part investigation by consumer reporter Herb Denenberg into the DPT vaccine: children left brain-damaged or dead, parents never warned, city health centers falsely telling families the shot was required for school, an FDA official conceding there had never been a controlled study proving the vaccine safe, and a safer Japanese acellular vaccine the FDA still hadn&#8217;t approved. It closed by pointing viewers to the parent group that would become NVIC.</p><div class="native-video-embed" data-component-name="VideoPlaceholder" data-attrs="{&quot;mediaUploadId&quot;:&quot;91f75639-6bee-4ee9-95ad-0b2298044b61&quot;,&quot;duration&quot;:null}"></div><p>Next, in 1990, CNN also aired a segment on the dangers of the DPT vaccine where experts were also allowed to be challenged.</p><div class="native-video-embed" data-component-name="VideoPlaceholder" data-attrs="{&quot;mediaUploadId&quot;:&quot;6b4d031b-8416-43c6-ae8f-ddb556f330dd&quot;,&quot;duration&quot;:null}"></div><p>In 1992, the Lifetime Network also exposed the dangers of the DPT vaccine (along with discussing a healthcare worker being injured by the rubella vaccine).</p><div class="native-video-embed" data-component-name="VideoPlaceholder" data-attrs="{&quot;mediaUploadId&quot;:&quot;c74dcd63-cd53-49b2-83d6-40baed454b7e&quot;,&quot;duration&quot;:null}"></div><p>In 1994, NBC aired a program by Katie Couric on the dangers of the DPT vaccine which criticized the CDC and discussed the widespread problem of hot DPT lots.</p><div class="native-video-embed" data-component-name="VideoPlaceholder" data-attrs="{&quot;mediaUploadId&quot;:&quot;4004e4d7-f9ea-4be4-b8e2-efa4604f6fbb&quot;,&quot;duration&quot;:null}"></div><p>In 1996, MSNBC's Ann Curry interviewed Barbara Loe Fisher about Money Magazine's December cover investigation into the vaccine industry, which reported that the older whole-cell DPT shot, tied to brain damage and death, with many deaths misclassified as SIDS, remained in widespread use even though a safer purified acellular version had already been licensed.</p><div class="native-video-embed" data-component-name="VideoPlaceholder" data-attrs="{&quot;mediaUploadId&quot;:&quot;fc2e1678-1c98-488b-90d6-ad9313f33118&quot;,&quot;duration&quot;:null}"></div><p>Finally, in 1997, NBC aired a debate with a member of the American Academy of Pediatrics on the need for mass vaccination.</p><div class="native-video-embed" data-component-name="VideoPlaceholder" data-attrs="{&quot;mediaUploadId&quot;:&quot;d51eafb5-fcda-4bcc-a09e-a356d9872d5c&quot;,&quot;duration&quot;:null}"></div><h3>Hepatitis B Vaccine</h3><p><span>The hepatitis B vaccine has long been marred with controversy due to the fact:</span><br><br><span>&#8226;</span><a href="https://www.midwesterndoctor.com/p/why-is-every-newborn-forced-to-get">It primarily benefits specific high risk groups</a><span> (e.g., healthcare workers, intravenous drug users who share needles, individuals who engage in large amounts of unprotected sex with multiple partners, children of Southeastern Asian immigrants&#8212;which became a significant public health challenged following the Vietnam war) rather than the general population.</span><br><br><span>&#8226;It is given to all newborns in the hospital despite </span><a href="https://www.midwesterndoctor.com/p/why-is-every-newborn-forced-to-get">there being no benefit to them</a><span> (you have to vaccinate millions to prevent a single case of chronic hepatitis&#8212;the primary justification for mass vaccination), and there&#8217;s been no change in chronic hepatitis B since the program was enacted&#8212;a policy which I learned recently through an ACIP member was adopted </span><a href="https://www.midwesterndoctor.com/p/why-is-every-newborn-forced-to-get">to insure the high-risk urban youth could have some coverage against hepatitis</a><span> as it was unlikely they would ever return for vaccines (and likely continued to avoid the hassle of having to selectively vaccinate high risk groups).</span><br><br><span>&#8226;</span><a href="https://www.midwesterndoctor.com/p/why-is-every-newborn-forced-to-get">It frequently caused significant autoimmune problems</a><span> due to it somewhat matching the lining of the nerves.</span></p><p>One 1999 ABC News program exposed all of this:</p><div class="native-video-embed" data-component-name="VideoPlaceholder" data-attrs="{&quot;mediaUploadId&quot;:&quot;2ac3f390-ebdb-47e3-aa72-d79b44a50bb5&quot;,&quot;duration&quot;:null}"></div><h1>Pneumococcal Vaccine</h1><p>In 2001, a Dallas News Station aired a scathing investigative of the pneumococcal vaccine which noted that it frequently caused seizures, sometimes caused death and was not tested against an inert placebo, so its rate of adverse reactions was likely higher. This program also highlighted that both the CDC and ACIP members who voted for had financial conflicts of interest, that it was being falsely advertised by the CDC to prevent ear aches, and that a similar issue had happened with a now withdrawn rotavirus vaccine:</p><div class="native-video-embed" data-component-name="VideoPlaceholder" data-attrs="{&quot;mediaUploadId&quot;:&quot;ba243614-12b6-4098-874e-8c0930f6a700&quot;,&quot;duration&quot;:null}"></div><p><em>Note: Barbara Loe Fisher had an excellent line at the end of this segment: &#8220;What&#8217;s scientific about that assumption, that every time something bad happens after vaccination it&#8217;s a coincidence? That&#8217;s not science, that&#8217;s politics.&#8221;</em></p><p>Additionally, more recently, another Texas news station covered the increasing interest by members of the community to opt out of vaccination (e.g., on Facebook and with billboards).</p><div class="native-video-embed" data-component-name="VideoPlaceholder" data-attrs="{&quot;mediaUploadId&quot;:&quot;63063084-e8ce-4c63-9f05-53a670f98a2b&quot;,&quot;duration&quot;:null}"></div><h1>Anthrax</h1><p><span>In the lead-up to the Bush&#8217;s Gulf War, the US military was worried Saddam Hussein would use anthrax (we&#8217;d given him) on US troops, so they urgently attempted to make an experimental anthrax vaccine (delegating it to a faction within the military deeply invested in it). While Hussein never used anthrax, this vaccine ended up severely injuring far more soldiers than the entire war (</span><a href="https://web.archive.org/web/20090511155122/https://www.va.gov/gulfwaradvisorycommittee/docs/GWIandHealthofGWVeterans_RAC-GWVIReport_2008.pdf">approximately 250,000 of the 697,000 who served</a><span> developed a debilitating &#8220;Gulf War Syndrome&#8221;). Remarkably, the vaccine was not discontinued and instead routinely forced on servicemen, eventually resulting in widespread resistance against the policy (despite military hierarchies typically prohibiting dissent).</span></p><p><span>Eventually, investigations revealed three possible explanations for what happened (which were detailed </span><a href="https://www.midwesterndoctor.com/p/the-forgotten-lessons-of-the-militarys">here</a><span>):</span><br><br><span>&#8226;The anthrax vaccine was part of a covert experimental program to develop a new squalene-based adjuvant that later hit the market.</span><br><br><span>&#8226;Due to challenges with making the anthrax vaccine, the manufacturer (</span><a href="https://archive.is/TGVip#selection-159.263-166.0">as revealed by the GAO</a><span>) decided to use a larger filter of the vaccine product, which prevented the filters from clogging but also allowed many toxic components to enter the vaccine.</span><br><br><span>&#8226;There was </span><a href="https://rumble.com/v29598o-garth-nicolson-weaponized-mycoplasma.html">mycobacterial contamination of the vaccines</a><span> (which may be linked to ALS as the mycoplasma&#8217;s discoverer believes it infected the general population).</span><br><br><em>Note: while the evidence for each is compelling, I think the bad filters is the most probable explanation, although I have met members of the military who were given unlabeled vaccines and then developed chronic health issues and spoken to people who cured their Gulf War syndrome with antibiotics targeted to the mycoplasma.</em></p><p>As this vaccine caused an immense degree of suffering, there was widespread public demand to investigate it (which eventually resulted in a law being passed that restricted the military from giving troops experimental vaccines, but, not surprisingly, was ignored during COVID-19). Because of this, a scathing 2003 program was produced that was aired by Democracy Now (which aired on smaller stations including PBS), suggesting it was aired on national television.</p><div class="native-video-embed" data-component-name="VideoPlaceholder" data-attrs="{&quot;mediaUploadId&quot;:&quot;87f01ba2-02aa-451c-92b8-54a0f74f32e1&quot;,&quot;duration&quot;:null}"></div><p><em>Note: the Institute of Medicine was tasked to determine if the anthrax vaccine injured veterans. It concluded there was &#8220;insufficient evidence,&#8221; much in the same way it concluded vaccines do not cause sudden infant death syndrome or autism (discussed further</em><span> </span><em><a href="https://www.midwesterndoctor.com/p/erasing-encephalitis-why-vaccine">here</a><span>).</span></em></p><h3>Smallpox</h3><p>In the run-up to the Bush (II)&#8217;s Iraq War, to gain public support for the war, he promoted the idea Hussein was planning to release smallpox upon America (despite him not having it). As such, an aggressive push for the vaccine was conducted throughout the national media, initially targeted at the military and healthcare workers (much like the COVID vaccines). However, because of its poor risk to benefit ratio (e.g., it caused myocarditis), many opposed the plan and by the time it was ready to be deployed on the general public, the program was largely finished due to the injuries it caused in the military and programs like this one publicizing its issues.</p><div class="native-video-embed" data-component-name="VideoPlaceholder" data-attrs="{&quot;mediaUploadId&quot;:&quot;61c588a2-6853-429f-9639-0248eae63507&quot;,&quot;duration&quot;:null}"></div><p>As such, I believe the lessons from the failures of this campaign were incorporated into ensuring the same did not happen with COVID-19.</p><p>Much later, a CBS affiliate in Jacksonville, Action News Jax, aired an investigation into a Marine, Sean Kelly, who developed pericarditis (a labeled side effect) after the ACAM2000 smallpox vaccine he was ordered to take, was denied VA benefits, and learned the VA admits it has no mechanism to track smallpox or any other vaccine injury, with Barbara Loe Fisher (once again) noting the government simply refuses to acknowledge how many people these vaccines hurt.</p><div class="native-video-embed" data-component-name="VideoPlaceholder" data-attrs="{&quot;mediaUploadId&quot;:&quot;e8d10a86-4021-4527-90d2-c24e5ee76b88&quot;,&quot;duration&quot;:null}"></div><h3>Flu Shots</h3><p>In 2005, CNBC hosted a debate over a recent legislative move to give vaccine manufactures blanket immunity for any &#8220;emergency&#8221; vaccines they developed. Of note, everything Barbara Loe Fisher predicted here subsequently came to pass:</p><div class="native-video-embed" data-component-name="VideoPlaceholder" data-attrs="{&quot;mediaUploadId&quot;:&quot;cf4838c6-2319-411c-bdb4-d1662540c1e1&quot;,&quot;duration&quot;:null}"></div><p><span>Annual flu shots have been repeatedly shown </span><a href="https://www.midwesterndoctor.com/p/why-do-vaccines-cause-the-illnesses">to provide minimal benefit to their recipients</a><span> (e.g., because they normally do not match the actual strain which is circulating) while simultaneously, have a variety of minor and severe side effects (e.g., I&#8217;ve met numerous healthcare workers who got GBS from one). In 2006, </span><a href="https://x.com/SharylAttkisson/status/1843444795470938459">Sharyl Attkinson</a><span> had a brief CBS segment which highlighted a CDC study which showed the entire program was pointless for preventing deaths in the elderly, but nonetheless, that the CDC had no plans to change it.</span></p><div class="native-video-embed" data-component-name="VideoPlaceholder" data-attrs="{&quot;mediaUploadId&quot;:&quot;4dff9414-0f73-4495-9210-09d39cd35251&quot;,&quot;duration&quot;:null}"></div><p><em>Note: in addition to the flu vaccines not being proven to provide significant benefit, they can frequently make flus much worse, something</em><span> </span><em><a href="https://www.midwesterndoctor.com/p/why-do-vaccines-cause-the-illnesses">supported by extensive data</a></em><span> </span><em>and which we have observed in severely ill flu patients.</em></p><p>In 2008, the Christian Broadcasting Network aired a segment highlighting why annual flu shots were absurd.</p><div class="native-video-embed" data-component-name="VideoPlaceholder" data-attrs="{&quot;mediaUploadId&quot;:&quot;e0bb75dd-73b1-4069-a3d4-2ef67cbeb8d6&quot;,&quot;duration&quot;:null}"></div><p>In 2008, ABC aired a segment on the widespread public pushback against New Jersey mandating flu shots for children six months and older (as the CDC had recently added it to the immunization schedule).</p><div class="native-video-embed" data-component-name="VideoPlaceholder" data-attrs="{&quot;mediaUploadId&quot;:&quot;929a464c-fcf6-48f0-a19f-766942899cac&quot;,&quot;duration&quot;:null}"></div><p>In 2009, CNN aired a segment highlighting the very reasonable objections protesting New York healthcare workers had to a newly passed regulation requiring them to get annual flu shot and swine flu vaccines. This segment is particularly remarkable given what followed a decade later with COVID.</p><p><span>The same year, on CNN, in response to a guest saying he didn&#8217;t trust the flu shot, Piers Morgan stated that after being publicly vaccinated by Dr. Oz, ten days later, he caught the flu. This clip is noteworthy, because at the time he got the flu shot, </span><a href="https://odysee.com/@VaccineNews:d/Piers-Morgan-gets-a-flu-shot:3">they specifically said it was impossible for it to give you the flu</a><span>, (whereas in reality, as noted before, </span><a href="https://www.midwesterndoctor.com/p/why-do-vaccines-cause-the-illnesses">vaccines frequently cause the illnesses they prevent</a><span>) with Piers telling Dr. Oz &#8220;if I get the flu, I&#8217;m coming after you.&#8221;</span></p><div class="native-video-embed" data-component-name="VideoPlaceholder" data-attrs="{&quot;mediaUploadId&quot;:&quot;eb4c8633-dc60-446f-9947-6a9280600ce7&quot;,&quot;duration&quot;:null}"></div><p><em><span>Note: given the previous, it makes </span><a href="https://x.com/piersmorgan/status/1732805411848241263?lang=en">this COVID tweet</a><span> by Piers even more remarkable.</span></em></p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://x.com/piersmorgan/status/1732805411848241263?lang=en" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!CrZc!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F46855315-b899-452c-9b72-5fe2740d49cb_810x282.png 424w, https://substackcdn.com/image/fetch/$s_!CrZc!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F46855315-b899-452c-9b72-5fe2740d49cb_810x282.png 848w, https://substackcdn.com/image/fetch/$s_!CrZc!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F46855315-b899-452c-9b72-5fe2740d49cb_810x282.png 1272w, 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class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p><span>Likewise, in 2009, </span><a href="https://en.wikipedia.org/wiki/Sky_Angel">the Sky Angel Network</a><span> (a Christian station that was on satellite television) aired a critical segment about the influenza vaccines:</span></p><div class="native-video-embed" data-component-name="VideoPlaceholder" data-attrs="{&quot;mediaUploadId&quot;:&quot;d335d743-4e21-488e-8166-aaabaedc33be&quot;,&quot;duration&quot;:null}"></div><p>In 2010, MSNBC hosted a flu-season debate between Barbara Loe Fisher and a pediatric vaccine expert, in which Fisher argued that America mandates more vaccines than any nation, that almost everyone now knows someone injured after one of the 69 doses on the schedule, and that the long-term study comparing vaccinated and unvaccinated children, requested for decades, had still never been done.</p><div class="native-video-embed" data-component-name="VideoPlaceholder" data-attrs="{&quot;mediaUploadId&quot;:&quot;03513631-2497-4bd7-87d5-9b52659e3df0&quot;,&quot;duration&quot;:null}"></div><p>In 2012, CNBC allowed opposing parties to discuss if it was ethical or rational to fire healthcare workers for refusing flu shots.</p><div class="native-video-embed" data-component-name="VideoPlaceholder" data-attrs="{&quot;mediaUploadId&quot;:&quot;b5b96be3-f9ba-4c03-8db7-b73ac8c0a3b9&quot;,&quot;duration&quot;:null}"></div><p>An Atlanta WSB-TV Channel 2 investigation examined how the federal Vaccine Injury Compensation Program, funded by a surcharge consumers pay while manufacturers are shielded from lawsuits, was failing the people it was built for. It followed an EMT left with a permanent brain injury after a job-required flu shot who waited seven years for the government to acknowledge her claim, with Barbara Loe Fisher noting she had advised Congress when the program was created.</p><div class="native-video-embed" data-component-name="VideoPlaceholder" data-attrs="{&quot;mediaUploadId&quot;:&quot;47d3d550-9245-4494-b4c6-e91af2fda62a&quot;,&quot;duration&quot;:null}"></div><h3>Autism</h3><p>A few segments have aired which discussed the link between vaccines and Autism. In 1999, shortly before a Congressional hearing on autism, it was discussed on Fox News.</p><div class="native-video-embed" data-component-name="VideoPlaceholder" data-attrs="{&quot;mediaUploadId&quot;:&quot;3f7d076f-0fc1-44d6-a15b-3a923fdf77bc&quot;,&quot;duration&quot;:null}"></div><p>In 1999, CNN aired a balanced program on vaccine induced autism which included injured children.</p><div class="native-video-embed" data-component-name="VideoPlaceholder" data-attrs="{&quot;mediaUploadId&quot;:&quot;1fc93bb9-cb6d-4fbd-a321-3775e990ed4c&quot;,&quot;duration&quot;:null}"></div><p>In 1999 and 2000, ABC News aired two segments on the links between vaccines and autism (including cases of rapid regressions), noting that everyone agreed the condition was increasing (whereas now vaccine defenders claim it is not), and that the government would &#8220;do more research&#8221; to find out why.</p><div class="native-video-embed" data-component-name="VideoPlaceholder" data-attrs="{&quot;mediaUploadId&quot;:&quot;94278737-a019-4b42-8966-9246d77fbbc8&quot;,&quot;duration&quot;:null}"></div><p> </p><div class="native-video-embed" data-component-name="VideoPlaceholder" data-attrs="{&quot;mediaUploadId&quot;:&quot;5dfdd0a0-e8a2-4698-a3c3-2b9b22a6018a&quot;,&quot;duration&quot;:null}"></div><p><em><span>Note: the endless mantra within the medical field is that people only have concerns about vaccines because &#8220;Wakefield conned the public with a fraudulent study and incited a hysteria.&#8221; As the chronology of these media clips shows, it should be very clear major concerns existed about vaccine brain damage long before Wakefield (</span><a href="https://www.midwesterndoctor.com/p/why-do-vaccines-cause-autism">whose accurate study has been continually misrepresented</a><span>).</span></em></p><p><span>In 1999, ABC&#8217;s Nightline (October 14) aired a segment examining public concerns over vaccine safety, featuring parental anecdotes of post-vaccination injuries (including autism and seizures), Barbara Loe Fisher discussing her son&#8217;s DPT reaction and the role of anecdotal evidence, and a debate between Dr. Jane Orient (who raised informed-consent and Nuremberg Code issues around mandates, especially hepatitis B) and mainstream experts Dr. Samuel Katz and ABC&#8217;s Dr. Tim Johnson. I have only been able to find </span><a href="http://www.whale.to/vaccines/katz.html"><span>a transcript of that segment</span></a><span> (rather than the actual video).</span></p><p>In 2000, MSNBC aired a segment on what parents should know before vaccinating that moved from an Offspring Magazine editor&#8217;s cautious tips into a debate between Barbara Loe Fisher and Dr. Nancy Snyderman, where Fisher recounted her son&#8217;s DPT convulsion and regression and pressed how many &#8220;coincidences&#8221; it would take before the medical community stopped attributing every post-vaccination injury to chance.</p><div class="native-video-embed" data-component-name="VideoPlaceholder" data-attrs="{&quot;mediaUploadId&quot;:&quot;4f39f65a-f2e4-4fcc-9f44-dfd1575a7b70&quot;,&quot;duration&quot;:null}"></div><p><em>Note: <a href="https://global.comminit.com/files/communicatingsciencetothepublic.pdf">in 2000</a>, 60 minutes aired a program showing both sides of the autism causing vaccines issue, but I have not been able to find a video of it.</em><br><br>In 2002, WFAA (a Dallas station) aired a program highlighting the link between mercury containing vaccines and autism and the CDC&#8217;s refusal to share their data assessing the link:</p><div class="native-video-embed" data-component-name="VideoPlaceholder" data-attrs="{&quot;mediaUploadId&quot;:&quot;058a63bc-7b84-4f83-b868-1c1e54590ece&quot;,&quot;duration&quot;:null}"></div><p>In 2002, a local Fox station also aired a segment focusing on how vaccines cause autism.</p><div class="native-video-embed" data-component-name="VideoPlaceholder" data-attrs="{&quot;mediaUploadId&quot;:&quot;11e0044a-8999-4daa-9a82-257f180a388e&quot;,&quot;duration&quot;:null}"></div><p>In 2004, CNN aired a segment which openly discussed the dangers of vaccination and the importance for parental choice on vaccination:</p><div class="native-video-embed" data-component-name="VideoPlaceholder" data-attrs="{&quot;mediaUploadId&quot;:&quot;f63ca605-14ad-4cbb-bd2c-979eedf5a290&quot;,&quot;duration&quot;:null}"></div><p>In 2007, CBS hosted a program which discussed vaccination in general and developmental regression:</p><div class="native-video-embed" data-component-name="VideoPlaceholder" data-attrs="{&quot;mediaUploadId&quot;:&quot;8bd2640f-e75c-46bf-bef5-ac01099f1c06&quot;,&quot;duration&quot;:null}"></div><p>In 2007, The Christian Broadcasting Network hosted a vaccines and autism segment:</p><div class="native-video-embed" data-component-name="VideoPlaceholder" data-attrs="{&quot;mediaUploadId&quot;:&quot;39d68110-53ed-4e89-9dc7-bf071197b7d9&quot;,&quot;duration&quot;:null}"></div><p><span>In 2008, CBS&#8217;s </span><em>The Doctors</em><span> allowed a gentle debate on the subject where vaccine brain injury was discussed:</span></p><div class="native-video-embed" data-component-name="VideoPlaceholder" data-attrs="{&quot;mediaUploadId&quot;:&quot;33d8033a-5a01-4764-b35e-af27f9d4dff1&quot;,&quot;duration&quot;:null}"></div><p>The same year, CNN had the doctor who was able to get the US government to acknowledge vaccines caused his daughter&#8217;s autism to also discuss the topic with their medical correspondent:</p><div class="native-video-embed" data-component-name="VideoPlaceholder" data-attrs="{&quot;mediaUploadId&quot;:&quot;99f2249a-f330-4db9-9ba3-6ec2203f667f&quot;,&quot;duration&quot;:null}"></div><p>Likewise, in 2008, Sharyl Attkisson interviewed the former NIH director, who acknowledged that some children may develop autism from vaccines and that this possibility needs to stop being dismissed and instead researched so the susceptible children can be identified (which I agree is critically important to do, but unfortunately never will happen because it reduces potential vaccine sales).</p><div class="native-video-embed" data-component-name="VideoPlaceholder" data-attrs="{&quot;mediaUploadId&quot;:&quot;d129f917-55e2-41e2-aa9a-10354e813e6f&quot;,&quot;duration&quot;:null}"></div><p>Additionally, in 2008, CBS aired a segment by Sharyl Attkisson which highlighted the immense conflicts of interest with the &#8220;experts&#8221; pushing many vaccines.</p><div class="native-video-embed" data-component-name="VideoPlaceholder" data-attrs="{&quot;mediaUploadId&quot;:&quot;3cf814f9-dbc4-41ce-81b3-352e6ad1a305&quot;,&quot;duration&quot;:null}"></div><p>In 2009, Larry King on CNN hosted Jenna McCarthy and Jim Carrey discussed the dangers of excessive vaccination, how they treated vaccine-induced autism and how doctors were refusing to help autistic children.</p><div class="native-video-embed" data-component-name="VideoPlaceholder" data-attrs="{&quot;mediaUploadId&quot;:&quot;fd9e5780-cfde-4745-9ee7-dcccdad2768d&quot;,&quot;duration&quot;:null}"></div><p><em>Note: in 2007, Jenny McCarthy extensively discussed vaccines causing autism with Opra (detailed <a href="https://web.archive.org/web/20180127093131/https://www.oprah.com/oprahshow/mothers-battle-autism/all">here</a>),  2012, <a href="https://www.youtube.com/watch?v=aNeT5lgqZ4k">on a different briefly syndicated talk show</a> (which was hosted on Ora TV), Larry King briefly discussed the same topic with Jenna McCarthy.</em> <br><br>In 2009, CBS also aired a national and local segment on the link between autism and vaccines (with the national one featuring Andrew Wakefield)</p><div class="native-video-embed" data-component-name="VideoPlaceholder" data-attrs="{&quot;mediaUploadId&quot;:&quot;ff001abe-a7fd-4ba0-846b-ce2bd86077ec&quot;,&quot;duration&quot;:null}"></div><div class="native-video-embed" data-component-name="VideoPlaceholder" data-attrs="{&quot;mediaUploadId&quot;:&quot;40d97897-24cf-45d0-ac1e-a2d6339081b8&quot;,&quot;duration&quot;:null}"></div><p><em>Note: the &#8220;expert&#8221; here who obnoxiously dismissed autism causing vaccines</em><span> </span><em><a href="https://www.midwesterndoctor.com/p/how-corruption-dictates-the-practice">was a close friend of Fauci</a></em><span> </span><em>and a decade later was nominated by Fauci to chair the NIH panel which decided how COVID should be treated in America. There, he repeatedly concluded remdesivir should be the primary treatment and dismissed off patent therapies which much better evidence, likely in part due</em><span> </span><em><a href="https://www.midwesterndoctor.com/p/how-corruption-dictates-the-practice">to him having received significant funding from remdesivir&#8217;s manufacturer</a><span>.</span></em></p><p>In 2011, Fox News aired a segment on vaccines causing autism and that parents who&#8217;d received compensation for it were willing to speak out on the issue at risk of losing that compensation.</p><div class="native-video-embed" data-component-name="VideoPlaceholder" data-attrs="{&quot;mediaUploadId&quot;:&quot;4e9419e8-8f70-4a89-845d-b48cee0667e2&quot;,&quot;duration&quot;:null}"></div><p>That same year, a local Fox station hosted a mother of an autistic child who defended Andrew Wakefield&#8217;s work.</p><div class="native-video-embed" data-component-name="VideoPlaceholder" data-attrs="{&quot;mediaUploadId&quot;:&quot;33da8712-7258-4f94-8854-cd9928d130b1&quot;,&quot;duration&quot;:null}"></div><p><em><span>Note: in a </span><a href="https://rumble.com/vnkmm9-washington-post-2013.html?e9s=src_v1_ucp_v">2013 Washington Post segment</a><span> (largely a defense of vaccination (a physician was brought on to rebut the concerns), NVIC&#8217;s Theresa Wrangham was still given room to make the informed-consent case: that the Institute of Medicine&#8217;s own reports concede large gaps in vaccine science, that many reported reactions have never been properly studied, and that parents are entitled to weigh those risks themselves.</span></em></p><p>In 2015, Newsmax aired, what as far as I know, was the last vaccines causing autism segment aired until RFK&#8217;s H.H.S.&#8217;s nomination forced it back into the public discourse.</p><div class="native-video-embed" data-component-name="VideoPlaceholder" data-attrs="{&quot;mediaUploadId&quot;:&quot;313c6e35-646d-43d3-90ac-587b0f1de2c8&quot;,&quot;duration&quot;:null}"></div><h3>Measles</h3><p>In 2015, during a measles outbreak, CNN allowed an integrative cardiologist to challenge the MMR vaccination push and highlight the neurological dangers of vaccination.</p><div class="native-video-embed" data-component-name="VideoPlaceholder" data-attrs="{&quot;mediaUploadId&quot;:&quot;e6413509-71fb-495e-81ff-559e1c7112a7&quot;,&quot;duration&quot;:null}"></div><p>Likewise, that year Fox News aired a brief debate on the subject.</p><div class="native-video-embed" data-component-name="VideoPlaceholder" data-attrs="{&quot;mediaUploadId&quot;:&quot;85e37f59-5bec-4a54-a9a8-efa4ee3c8642&quot;,&quot;duration&quot;:null}"></div><p>In 2015, Newsmaxx also invited an integrative neurosurgeon to explain why the push for the measles vaccine was unwarranted.</p><div class="native-video-embed" data-component-name="VideoPlaceholder" data-attrs="{&quot;mediaUploadId&quot;:&quot;aa1807ab-fc7c-4591-aa84-1d1d67e38e88&quot;,&quot;duration&quot;:null}"></div><p>In another 2015 Newsmax segment, Barbara Loe Fisher debated a health commentator, arguing that because the 1986 Act and the 2011 Supreme Court &#8220;unavoidably unsafe&#8221; ruling stripped away all liability, the informed-consent ethic must govern vaccination, and that with waning pertussis and measles immunity and a huge pipeline of new vaccines, the science was nowhere near settled.</p><div class="native-video-embed" data-component-name="VideoPlaceholder" data-attrs="{&quot;mediaUploadId&quot;:&quot;b16049f7-a8de-4d20-827b-6e50e070bc7c&quot;,&quot;duration&quot;:null}"></div><p>Finally, a local Virginia station covered why the measles vaccine is not completely necessary.</p><div class="native-video-embed" data-component-name="VideoPlaceholder" data-attrs="{&quot;mediaUploadId&quot;:&quot;1672f494-ee60-4436-9001-57c40ad8ed87&quot;,&quot;duration&quot;:null}"></div><h3><strong>Vaccine Mandates and Exemptions</strong></h3><p>Alongside the disaster-specific coverage, the media occasionally aired the broader fight, whether the state can compel a growing list of vaccines and how easily it can strip away a family&#8217;s right to say no. These debates always exposed the same fault line, and they&#8217;ve all but vanished from television.</p><p>In 1995, NBC&#8217;s Today Show aired a debate between Barbara Loe Fisher and the chickenpox vaccine&#8217;s developer and (just as the FDA approved it), with Fisher questioning whether mass-injecting healthy babies with a live virus, originally developed for immunocompromised children, might wane after five to ten years, push chickenpox into a more dangerous adult population, and raise the risk of shingles later in life.</p><div class="native-video-embed" data-component-name="VideoPlaceholder" data-attrs="{&quot;mediaUploadId&quot;:&quot;64a2d91a-585d-4c48-88ca-21b51f5b8982&quot;,&quot;duration&quot;:null}"></div><p><em><span>Note: reducing shingles was initially a primary rationale for the vaccination program and something the CDC eagerly studied. However, after the found the opposite (mass chickenpox vaccination reduced population herd immunity </span><a href="https://www.midwesterndoctor.com/p/how-rare-is-justin-biebers-vaccine">and created a significant subsequent singles spike that&#8217;s persisted ever since</a><span>), the researcher&#8217;s results were buried and he was kicked out of the CDC.</span></em></p><p>In 2007, CNN hosted a debate between Barbara Loe Fisher and the CDC&#8217;s Dr. William Schaffner over Prince George&#8217;s County, Maryland threatening parents with jail for not getting their children chickenpox and hepatitis B shots, with Fisher arguing that mandating an ever-growing list of new vaccines for school entry, for diseases not even transmitted in a school setting, abandons the principle of informed consent.</p><div class="native-video-embed" data-component-name="VideoPlaceholder" data-attrs="{&quot;mediaUploadId&quot;:&quot;a3646b9b-23e1-4eae-b731-0e5d72720ee6&quot;,&quot;duration&quot;:null}"></div><p>Also in 2007, Fox News Live hosted a debate between Fisher and a pediatrician over parents turning to religious exemptions, where Fisher recounted her sons&#8217; DPT and post-vaccination injuries and argued that officials should spend less energy interrogating parents&#8217; religious sincerity and more explaining why so many highly vaccinated children are chronically ill.</p><div class="native-video-embed" data-component-name="VideoPlaceholder" data-attrs="{&quot;mediaUploadId&quot;:&quot;0390dd74-de49-4561-b143-aa57187320f2&quot;,&quot;duration&quot;:null}"></div><p><span>A California news segment featured actor-comedian Rob Schneider (who has since become </span><a href="https://x.com/RobSchneider">a massive vaccine safety advocate on Twitter</a><span>), an NVIC representative, and a legislative candidate debating AB 2109, Dr. Richard Pan&#8217;s bill (then on the governor&#8217;s desk) requiring parents to obtain a physician&#8217;s signature to claim a vaccine exemption, arguing it would gut the existing opt-out by letting doctors who refuse to sign simply turn unvaccinated families away.</span></p><div class="native-video-embed" data-component-name="VideoPlaceholder" data-attrs="{&quot;mediaUploadId&quot;:&quot;299918a8-03a1-458f-bebd-d5024971a36c&quot;,&quot;duration&quot;:null}"></div><p>In 2014, Mississippi Public Broadcasting aired an interview with Barbara Loe Fisher in which she recounted her son&#8217;s 1980 DPT injury, explained how the schedule had since tripled, and made the case for the vaccinated-versus-unvaccinated outcomes study that health authorities have long refused to conduct.</p><div class="native-video-embed" data-component-name="VideoPlaceholder" data-attrs="{&quot;mediaUploadId&quot;:&quot;09d8b622-22c3-4c9c-bf3f-9f3c8f14df7a&quot;,&quot;duration&quot;:null}"></div><p>More recently, Charlottesville&#8217;s NBC29 covered a Virginia General Assembly hearing where hundreds turned out over a proposal to restrict religious and medical vaccine exemptions, and Barbara Loe Fisher received a standing ovation for speaking against forced immunization.</p><div class="native-video-embed" data-component-name="VideoPlaceholder" data-attrs="{&quot;mediaUploadId&quot;:&quot;8cb23dd2-20ee-46f6-8233-3e630bfe97fe&quot;,&quot;duration&quot;:null}"></div><p>In a follow-up report, NBC29 covered the Joint Commission on Healthcare briefing at which 674 of 679 public comments favored keeping Virginia&#8217;s existing exemptions and the state health department recommended no change to the law.</p><div class="native-video-embed" data-component-name="VideoPlaceholder" data-attrs="{&quot;mediaUploadId&quot;:&quot;8d18f743-7e15-4f07-b5be-01f2b6110a58&quot;,&quot;duration&quot;:null}"></div><p><em><span>Note: in 2010, PBS&#8217;s Frontline aired </span><a href="https://rumble.com/v1glsdv-frontline-vaccine-wars-2010.html?e9s=src_v1_ucp_v">a mostly pro-vaccine documentary, &#8220;The Vaccine War,&#8221;</a><span> that framed hesitant parents as a threat to public health, yet still gave communities like Ashland, Oregon real airtime to explain why they were opting out. That an hour of primetime once treated parental vaccine refusal as a serious phenomenon worth engaging (rather than simply censoring) again illustrates how much the media landscape has narrowed since.</span></em></p><h3>Gardasil</h3><p><span>Prior to COVID-19, I considered </span><a href="https://www.midwesterndoctor.com/p/the-hpv-vaccine-disaster-was-a-test">the HPV vaccine</a><span> (Gardasil) to be one of the worst vaccines in history as:</span><br><br><span>&#8226;It was completely unnecessary and was produced purely for profit.</span><br><br><span>&#8226;</span><a href="https://www.midwesterndoctor.com/p/the-hpv-vaccine-disaster-was-a-test">Its clinical trials</a><span> showed it was extremely dangerous. For example, between 2.5%-50% of those who got the vaccine (the range is wide because Merck was deliberately vague in reporting the injuries) developed autoimmune and neurological conditions.</span><br><br><span>&#8226;Many young girls I know suffered a severe and permanent injury from the vaccine.</span><br><br><span>&#8226;From the moment Gardasil hit the market, the FDA and CDC were deluged by reports of severe adverse reactions&#8212;which like the COVID-19 vaccines, they did everything in their power to cover up (</span><a href="https://www.midwesterndoctor.com/p/the-hpv-vaccine-disaster-was-a-test">often in a very similar manner</a><span>).</span><br><br><span>&#8226;It </span><a href="https://www.midwesterndoctor.com/p/what-makes-all-vaccines-so-dangerous">severely affected the physiologic zeta potential</a><span>, a trait I have seen in many of the other most harmful vaccinations in history (e.g., </span><a href="https://www.midwesterndoctor.com/p/the-forgotten-lessons-of-the-militarys">Anthrax</a><span> and </span><a href="https://www.midwesterndoctor.com/p/how-to-improve-zeta-potential-and">COVID-19</a><span>).</span><br><br><span>Sadly, as it launched in 2006, there was very little reporting of its dangers (or the fraud which occurred during its clinical trials) in the American Press, with the only coverage being:</span></p><p>A 2007 NBC News, in response to public outcry against mandating the HPV vaccine for schoolchildren, hosted a segment where opposing parties briefly debated mandating it.</p><div class="native-video-embed" data-component-name="VideoPlaceholder" data-attrs="{&quot;mediaUploadId&quot;:&quot;57bb3081-0ec1-49c7-b6d9-d83bb8f0fa02&quot;,&quot;duration&quot;:null}"></div><p>In 2009, CBS&#8217;s Washington DC station aired a segment highlighting the serious issues with the HPV vaccine.</p><div class="native-video-embed" data-component-name="VideoPlaceholder" data-attrs="{&quot;mediaUploadId&quot;:&quot;dfa0ad37-16a5-4472-babe-26fdee37c440&quot;,&quot;duration&quot;:null}"></div><p><span>On a 2013 daytime talk show (which </span><a href="https://www.bitchute.com/video/TIdY1hEVQS8l">received significant pushback from a coordinated pharma campaign</a><span>, </span><a href="https://healthland.time.com/2013/12/10/is-katie-couric-the-next-jenny-mccarthy-couric-responds">and led to the host apologizing for airing it</a><span>&#8212;along with the cancellation of Katie Couric&#8217;s show being announced two weeks after this segment aired).</span></p><div class="native-video-embed" data-component-name="VideoPlaceholder" data-attrs="{&quot;mediaUploadId&quot;:&quot;b339b0dd-483b-406f-8aea-092695f27836&quot;,&quot;duration&quot;:null}"></div><p>Along with two brief somewhat critical CBS 2008 and 2009 segments (the first of which was produced by Sharyl Attkisson):</p><div class="native-video-embed" data-component-name="VideoPlaceholder" data-attrs="{&quot;mediaUploadId&quot;:&quot;c1e8d22a-eb97-43f1-8338-6262a2183241&quot;,&quot;duration&quot;:null}"></div><div class="native-video-embed" data-component-name="VideoPlaceholder" data-attrs="{&quot;mediaUploadId&quot;:&quot;79d37b83-2f8e-461d-92ec-1e12aed70364&quot;,&quot;duration&quot;:null}"></div><p><span>Finally a few critical segments were aired on local news stations (ie. this 2016 one, which was immediately followed </span><a href="https://www.youtube.com/watch?v=0g01yTK1C3Y">by a local segment where an "expert" debunked it</a><span>):</span></p><div class="native-video-embed" data-component-name="VideoPlaceholder" data-attrs="{&quot;mediaUploadId&quot;:&quot;601d6924-5cee-4c63-a0ac-822eca05d944&quot;,&quot;duration&quot;:null}"></div><p><em>Note: I also found another news segment on YouTube of girls injured by Gardasil I forgot to download before it was deleted for &#8220;violating the terms of service&#8221;).</em></p><p>Then in 2022, Charlotte&#8217;s WSOC (Action 9, reported by Jason Stoogenke) covered local North Carolina women who had filed federal suits against Merck over the lasting symptoms they attributed to Gardasil, alongside the story of a girl left with persistent stomach and joint problems after receiving the shots at age nine.</p><div class="native-video-embed" data-component-name="VideoPlaceholder" data-attrs="{&quot;mediaUploadId&quot;:&quot;c7f9522e-f057-4c46-a622-09967e6c7fff&quot;,&quot;duration&quot;:null}"></div><p><span>Note: those 2022 filings fed into the larger wave of Gardasil injury cases consolidated into a federal multidistrict litigation in North Carolina. Even after a judge dismissed a group of more than 200 of those cases in 2025 (concluding they were preempted by the FDA&#8217;s approval of the vaccine&#8217;s labeling), Merck chose in 2026 to </span><a href="https://www.bloomberg.com/news/articles/2026-06-04/merck-to-settle-bulk-of-gardasil-lawsuits-for-around-50-million">settle the bulk of the remaining litigation</a><span>, paying more than $50 million to resolve over 200 cases, including the long-running California case of Jennifer Robi that had been headed for a jury. Merck admitted no liability and maintained the vaccine was safe, but it acknowledged the payout was &#8220;considerably less&#8221; than the cost of continuing to defend the suits, (which tells you why it preferred to make them disappear rather than face a jury and let the evidence obtained through discovery play out in open court).</span></p><p><span>Finally, since the pharmaceutical industry did not own the European media (as they can&#8217;t advertise there&#8212;although the Gates foundation has still found ways to buy out the press</span><a href="https://www.midwesterndoctor.com/p/californias-misinformation-epidemic"><sup>1</sup></a><sup>,</sup><a href="https://hectordrummond.com/2020/05/22/the-bill-and-melinda-gates-foundations-sponsorship-of-the-guardian/"><sup>2</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/how-medicine-became-too-big-to-fail"><sup>3</sup></a><span>), one Danish station eventually produced a (very restrained) 2015 program on the injuries from the HPV vaccine and the government&#8217;s unwillingness to do anything about it</span>:</p><div class="native-video-embed" data-component-name="VideoPlaceholder" data-attrs="{&quot;mediaUploadId&quot;:&quot;8ca5874f-db41-4991-9e36-49284b5a71fc&quot;,&quot;duration&quot;:null}"></div><p>Like many of the previous news programs, this one (despite being extremely restrained in what it mentioned) was immensely controversial, caught on like wildfire, and made many HPV vaccine injured girls realize they were not alone.</p><h1>Conclusion</h1><p>One of the key points RFK has repeatedly emphasized is how much power the pharmaceutical industry holds over the press. He often tells the story of his close friend Roger Ailes, the chairman and CEO of Fox News, who was supportive of RFK coming on air to discuss his documentary critical of vaccination. Despite that, Ailes couldn&#8217;t allow it, because roughly 70% to 75% of Fox&#8217;s advertising came from pharmaceutical companies, and Fox couldn&#8217;t afford to lose that revenue by offending its sponsors.</p><p><span>Much of this traces back to a 1997 FDA decision to effectively legalize direct-to-consumer pharmaceutical advertising, making America one of only two countries on earth (alongside New Zealand) to permit it. In response, two solutions are now emerging. First, RFK&#8217;s team is making </span><a href="https://www.newsweek.com/rfk-jr-announces-major-changes-drug-ads-tv-2127850">a historic attempt to pull back and restrict pharmaceutical advertising</a><span>, something that has needed doing for decades. Even sitting presidents are now willing to say things that would have been unthinkable on network television a few years ago. In </span><a href="https://www.youtube.com/watch?v=e73syW1fKEY">a recent Full Measure interview with Sharyl Attkisson</a><span>, for example, President Trump argued that the childhood schedule has ballooned far beyond that of comparable countries, that injecting so much into small infants is a harmful thing to do, and that he&#8217;d like to see far fewer and smaller shots given over more visits, which he expects would produce far better outcomes on autism.</span></p><p>Second, every large media business is ultimately balancing two things: not offending its sponsors, and not offending (but rather growing) its audience. Because of the monopoly the mass media long held, it was possible to air inane and frequently false content that served sponsors without losing viewers, so there was never any incentive to air the truth audiences actually wanted. The recent rise of independent media, which frequently outpaces its conventional counterparts, has broken that monopoly, because once people can choose, they would rather watch real news that is relevant to their lives (which is why I am so grateful to each of you for supporting Substack&#8217;s model which lets me do just that).</p><p>Likewise, consider Sharyl Attkisson, Megyn Kelly, and Tucker Carlson. All three had to leave their pivotal mainstream positions to become independent journalists, yet each now arguably has more influence than before, along with the freedom to cover what they want to. As a result, once-untouchable subjects like the dangers of vaccination are finally getting widespread exposure on their platforms, and more independent productions have been made on the dangers of the COVID vaccines than on virtually every prior vaccine combined. Nonetheless, it&#8217;s also worth noting we still are seeing virtually no mainstream commentary on COVID vaccine injuries (excluding occasional ones on Fox and a few smaller conservative networks) despite the fact far more people were injured from the COVID vaccine than any other one in history&#8212;which I believe encapsulates why the mainstream media is rapidly making itself extinct.</p><p>Finally, if you watched all of the segments above, you&#8217;ll have noticed that the person who advocated for the vaccine-injured on national television across the decades was, again and again, Barbara Loe Fisher, who accurately predicted the mishaps and catastrophes that would follow each successive vaccine. That fell to her partly through her own unwavering dedication, but also because there was almost never a physician available to do the same, other than Robert S. Mendelsohn, an articulate media presence who featured in the 1983 Donahue debate but regrettably passed away in 1988. COVID changed that. For the first time, there is now a contingent of highly persuasive physicians receiving regular airtime to wake the public up and lend the movement the mainstream credibility it never had.</p><p>Even ten years ago, almost no one in the vaccine safety movement imagined a shift like this was possible, and much of it is thanks to readers and viewers like you, whose support makes the rise of independent media possible. I am truly grateful to every one of you who has supported the work that I, and so many others, are now able to do.</p><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://www.midwesterndoctor.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">Your support makes The Forgotten Side of Medicine Possible! To receive new posts and support my work, please consider becoming a free or paid subscriber.</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div><div class="captioned-button-wrap" data-attrs="{&quot;url&quot;:&quot;https://www.midwesterndoctor.com/p/vaccine-amnesia-75-forgotten-segments?utm_source=substack&utm_medium=email&utm_content=share&action=share&quot;,&quot;text&quot;:&quot;Share&quot;}" data-component-name="CaptionedButtonToDOM"><div class="preamble"><p class="cta-caption">Click below to share this post!</p></div><p class="button-wrapper" data-attrs="{&quot;url&quot;:&quot;https://www.midwesterndoctor.com/p/vaccine-amnesia-75-forgotten-segments?utm_source=substack&utm_medium=email&utm_content=share&action=share&quot;,&quot;text&quot;:&quot;Share&quot;}" data-component-name="ButtonCreateButton"><a class="button primary" href="https://www.midwesterndoctor.com/p/vaccine-amnesia-75-forgotten-segments?utm_source=substack&utm_medium=email&utm_content=share&action=share"><span>Share</span></a></p></div><p><em><span>To learn how other readers have benefitted from this publication and the community it has created, their feedback can be viewed </span><a href="https://www.midwesterndoctor.com/p/reader-feedback">here</a><span>. Additionally, an index of all the articles published in the Forgotten Side of Medicine can be viewed </span><a href="https://www.midwesterndoctor.com/p/an-index-of-the-forgotten-side-of">here</a><span>.</span></em></p>]]></content:encoded></item><item><title><![CDATA[Healing Back Pain and Ending The Spinal Surgery Pipeline]]></title><description><![CDATA[July&#8217;s Open Thread]]></description><link>https://www.midwesterndoctor.com/p/healing-back-pain-and-ending-the</link><guid isPermaLink="false">https://www.midwesterndoctor.com/p/healing-back-pain-and-ending-the</guid><dc:creator><![CDATA[A Midwestern Doctor]]></dc:creator><pubDate>Sun, 19 Jul 2026 12:43:29 GMT</pubDate><enclosure url="https://substack-post-media.s3.amazonaws.com/public/images/e910ccdc-3734-4232-9a24-7cd8524633a4_1168x784.jpeg" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p><strong>Story at a Glance:</strong></p><p><strong>&#8226;Modern medicine acts as a sales funnel, where patients are seen for the minimum time necessary to refer them onward to lucrative services rather than identifying the root cause of their condition.</strong></p><p><strong>&#8226;Since back pain has multiple causes, 90% of low back pain is simply labeled &#8220;nonspecific,&#8221; the most common causes go unrecognized and patients are placed on a standardized escalation ladder instead, where almost every rung either misses the actual cause or worsens it (e.g., all the common pain medications have serious issues).</strong></p><p><strong>&#8226;Some spinal surgeries are necessary or offer tangible benefits. Fusions, the most lucrative ones, have repeatedly failed to outperform non-surgical care in randomized trials while carrying a host of common and serious complications, yet have become increasingly favored &#8212; a dynamic illustrated by an extensive investigation of one hospital that generated record revenues from high-volume neurosurgery while its own physicians resigned and departed in protest over what they described as inappropriate surgeries and unsafe conditions.</strong></p><p><strong>&#8226;Meanwhile, countries without the wealth to sustain a medical monopoly actively explored inexpensive alternatives, and Russia and Eastern Europe built an entire literature around treating disc herniations and radiculopathies with topical DMSO, including a placebo-controlled trial and national treatment guidelines. Hundreds of readers here have independently found the same thing, including many recovering from fusions that had already failed them.</strong></p><p><strong>&#8226;This article will detail why each step of the conventional pathway is dangerous, the forgotten approaches my colleagues and I have relied upon for decades to resolve neck and back pain without surgery and how DMSO specifically can be used in these instances.</strong></p><p>One of the greatest issues in healthcare, which I believe is a reflection of the society at large, is that everything has become so rushed that there is no longer time for doctors to actually connect with their patients. Because of this, a lot of the most critical parts of medicine get missed, and I have known so many patients who were harmed by the medical system because of the fifteen-minute-visit model.</p><p>When I started this newsletter, my goal was to correspond with each of the readers who reached out to me, but as this publication has grown that has become impossible. The best solution I have been able to come up with is these monthly open threads, where any question that has accumulated over the last month can be asked publicly (which is much faster for me to work through and lets everyone see the answers), paired with a topic many readers have requested.</p><p>This month&#8217;s topic is a major shortcoming of medicine that has bothered me for a very long time.</p><h1>Why Back Pain Defeats Modern Medicine</h1><p>Medicine, as it currently exists, serves as a sales funnel where patients are seen for the minimal amount of time necessary to refer them to (lucrative) medical services, which frequently involved perpetual symptom management and escalation to increasingly invasive therapies which are both more profitable and harmful to patients.  As such, many &#8220;sales funnels&#8221; exist in medicine, and I&#8217;ve repeatedly cited this chart I made of one I find particularly egregious.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!3JdZ!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb2e88d69-66f4-4ab5-9d55-5029c6563c20_1792x774.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!3JdZ!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb2e88d69-66f4-4ab5-9d55-5029c6563c20_1792x774.png 424w, https://substackcdn.com/image/fetch/$s_!3JdZ!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb2e88d69-66f4-4ab5-9d55-5029c6563c20_1792x774.png 848w, https://substackcdn.com/image/fetch/$s_!3JdZ!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb2e88d69-66f4-4ab5-9d55-5029c6563c20_1792x774.png 1272w, https://substackcdn.com/image/fetch/$s_!3JdZ!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb2e88d69-66f4-4ab5-9d55-5029c6563c20_1792x774.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!3JdZ!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb2e88d69-66f4-4ab5-9d55-5029c6563c20_1792x774.png" width="1456" height="629" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/b2e88d69-66f4-4ab5-9d55-5029c6563c20_1792x774.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:629,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:163397,&quot;alt&quot;:&quot;&quot;,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" title="" srcset="https://substackcdn.com/image/fetch/$s_!3JdZ!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb2e88d69-66f4-4ab5-9d55-5029c6563c20_1792x774.png 424w, https://substackcdn.com/image/fetch/$s_!3JdZ!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb2e88d69-66f4-4ab5-9d55-5029c6563c20_1792x774.png 848w, https://substackcdn.com/image/fetch/$s_!3JdZ!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb2e88d69-66f4-4ab5-9d55-5029c6563c20_1792x774.png 1272w, https://substackcdn.com/image/fetch/$s_!3JdZ!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb2e88d69-66f4-4ab5-9d55-5029c6563c20_1792x774.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p>In most cases, this status quo is due to the fact visits are so short doctors (outside of private cash pay ones) do not have time to look at the broader clinical picture and identify the root cause of the patient&#8217;s condition and because <a href="https://www.midwesterndoctor.com/p/why-medicine-wont-cure-you-and-whats">the medical system is incentivized to develop products that can be perpetually sold</a> (e.g., symptom managing drugs) rather than actual cures for common conditions.</p><p>One classic illustration of this dynamic is with pain, as temporarily alleviating pain guarantees a perpetual stream of repeat business, whereas understanding what causes it and permanently addressing the pain rapidly eliminates its customer pool.  Because of this, the key drivers of back (and neck) pain remain surprisingly unrecognized by the medical field and incorrect causes (we can be managed with medical services) are frequently ascribed to them rather than the actual causes.  Likewise, I&#8217;ve lost count of how many people I&#8217;ve seen who had a simple cause of back pain that was never recognized, leading to them spending years pursuing ineffective interventions.</p><p>As such, I believe it&#8217;s important to highlight the common causes of back pain:</p><p>&#8226;<strong>Tight muscles.</strong> This is by far the most common cause and the most consistently missed. Physical therapy, which would ordinarily be responsible for addressing this, tends to focus on strengthening weak muscles rather than releasing tight ones (in part because insurance reimbursements incentivize this).</p><p>&#8226;<strong>Ligamentous laxity.</strong> Ligaments are responsible for holding the bones within the body in the correct place, particularly when external strain would otherwise push them out of place (which frequently happens in settings of laxity).  Once this occurs, the joints will often &#8220;grind&#8221; against each other (producing inflammation and facet joint degeneration) and irritate the surrounding structures (e.g. impinging nerves).  </p><p>&#8226;<strong>Bone Misalignment:</strong> while bones being directly out of place (which are often corrected with manual adjustments) are recognized to cause this issue, the focus typically is on putting them back into place rather than correcting the underlying issue (e.g., ligamentous laxity, myofascial dysfunction or a leg length inequality) which causes them to go out of place&#8212;which is why many spinal adjustments do not last and need to be continually repeated.<br><em>Note: one of the most commonly missed causes of low back pain is sacroiliac (SI) joint dysfunction</em></p><p>&#8226;<strong><span>Seronegative spondyloarthropathies</span></strong><span> </span><a href="https://www.ncbi.nlm.nih.gov/books/NBK459356/"><span>are a family of inflammatory joint conditions</span></a><span> that do not have some of the classic blood markers for rheumatologic diseases (and hence are often missed). They are characterized by inflammatory axial back pain (starting at the sacrum) that onsets before age 45, and often is accompanied by morning stiffness lasting around 30&#8211;60 minutes that improves with activity along with other signs of joint inflammation in the body.  The appropriate (relatively non-toxic) rheumatologic drug can be very helpful for these conditions, as can foundational natural methods for reducing inflammation.</span></p><p><span>&#8226;</span><strong><span>Immobility and prolonged sitting</span></strong><span> triggers many of the different factors which set off back pain (e.g., poor fluid circulation and tight muscles)&#8212;providing another key argument for avoiding a sedentary lifestyle (which sadly is quite challenging in many professions).</span></p><p><span>&#8226;</span><strong><span>Psychological pain</span></strong><span> (e.g., due past trauma, suppressed emotions, depression, feeling unsupported, or having anxiety and fear avoidant behaviors that cause individuals to minimize back motion) while not always applicable, can be either a key cause of back pain, or exacerbate an existing issue.  As such, some individuals have found dramatic results addressing the potential emotional contributors to refractory back pain, while others have experienced negligible benefit from prolonged attempts to manage the emotional component of the disease.</span></p><p>&#8226;<strong>A disc herniation compressing a nerve root.</strong> These occur, but are far less common than the amount of attention it receives would suggest and often are secondary to ligamentous laxity.</p><p>&#8226;<strong>Referred pain</strong> (from an issue in another organ such as a kidney stone) can often be critical to identify so that the underlying disease can be prevented from causing a serious complication in the future.</p><p>&#8226;<strong>Structural disease</strong> (e.g., a fractured or weakened vertebra). These are fairly rare and sometimes genuinely require surgery (although they become more common with age and certain medications such <a href="https://www.midwesterndoctor.com/p/steroid-dangers-and-safe-autoimmune">as longterm corticosteroid usage</a>).</p><p>Layered on top of these, I consistently find that chronic inflammatory conditions (mold toxicity, Lyme, spike protein injuries), sympathetic overactivation, trapped emotions, <a href="https://www.midwesterndoctor.com/p/regenerative-medicine-and-the-cell">scars generating autonomic dysregulation</a>, and altered central pain processing all substantially worsen whatever else is happening (or sometimes independently trigger it).</p><p>Unfortunately, most of these are typically missed. For example, 90% of low back pain is diagnosed as nonspecific mechanical low back pain that does not have a specific identifiable pathoanatomical origin for the pain.<a href="https://www.iasp-pain.org/resources/fact-sheets/the-global-burden-of-low-back-pain/"><sup>1</sup></a><sup>,</sup><a href="https://www.who.int/news-room/fact-sheets/detail/low-back-pain"><sup>2</sup></a><sup>,</sup><a href="https://www.ncbi.nlm.nih.gov/books/NBK538173/"><sup>3</sup></a></p><p>As such, rather than taking the time to sort through each possible cause (and because imaging findings that are easy to see frequently have nothing to do with the pain) medicine defaults to a standardized treatment ladder instead that often fails, hence funneling many patients into the most extreme treatments.</p><p><em>Note: this also explains why nearly every treatment for back pain shows partial evidence. If 40% of cases share a particular cause, a treatment targeting that cause will look &#8220;effective&#8221; in 40% of patients while failing or worsening the rest, and the averaged result will look like a modest, unimpressive benefit.</em></p><h1>Ambiguous Imaging and Disc Herniations</h1><p>Medicine is biased to believe something must be visible to be real. Beyond causing important things that are hard to see to be rejected outright, this also causes things that are easy to see to be treated as consequential when they are not.</p><p>MRI abnormalities are used to assess back pain, judge its progression, and decide whether someone gets an opioid or a fusion, because the problem appears self-evident on the scan. Yet when this has been studied, patients with abnormal MRIs <a href="https://pubmed.ncbi.nlm.nih.gov/30614517/">frequently do not have back pain</a> and do not go on to develop it, while patients with severe back pain frequently have normal MRIs, with <a href="https://pubmed.ncbi.nlm.nih.gov/30614517/">no correlation</a> between imaging findings and pain severity.</p><p>My own experience mirrors this. The MRI only becomes meaningful when there are also clear clinical signs that a nerve is actually being compressed, meaning a weakness or a loss of sensation in the distribution of that specific nerve. This turns out to matter enormously, because it is precisely those patients (the ones with a demonstrated radiculopathy rather than an abnormal-looking picture) in whom surgery actually has evidence behind it.</p><h1>The Escalation Ladder</h1><p>What follows is the standard pathway, and what is wrong with each step of it.</p><p><strong>NSAIDs.</strong> These are arguably among the most dangerous drugs in America. They are <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4809680/">the most common drug class</a> resulting in hospital admission for a drug reaction, and as I show <a href="https://www.midwesterndoctor.com/p/why-isnt-there-a-safe-and-effective">here</a>, they increase kidney disease, heart attacks, strokes and fatal gastric bleeds anywhere from 24-154% (e.g., Vioxx and Celebrex jointly are estimated to have killed roughly 195,000 people while their manufacturers concealed the risk)&#8212;leading to <a href="https://www.amazon.com/-/he/Deadly-Medicines-Organised-Crime-Healthcare/dp/1846198844">numerous (pre-COVID) authors considering NSAIDs to be the deadliest class of drugs</a> on the market. Notably, NSAIDs have also been shown to <a href="https://www.aptei.ca/wp-content/uploads/NSAID-Paper-2014-3.pdf">impair ligament repair after injury</a>, creating weakened joints that are further predisposed to injury and irritation.</p><p><strong>Tylenol.</strong> Rarely sufficient for significant pain, it produces roughly <a href="https://www.ncbi.nlm.nih.gov/books/NBK441917/">500 deaths and 56,000 emergency visits</a> a year in the United States from liver toxicity, in part because like NSAIDs, people take more when the standard dose does not work.</p><p><strong>Gabapentin and Lyrica.</strong> Originally approved for epilepsy, then illegally marketed for everything else at a cost of <a href="https://www.fiercepharma.com/sales-and-marketing/pfizer-adds-another-325m-to-neurontin-settlement-tally-total-945m">nearly a billion dollars in fines</a>. For certain neuropathies these work quite well. For most back pain they do almost nothing, while producing sedation, cognitive impairment, dizziness, and sometimes dependence.</p><p><strong>Opioids.</strong> <span>Effective, and also the origin of one of the worst public health disasters in American history (which has caused their use to be restricted in the patients who most need them). Beyond addiction and overdosing, long-term use commonly leads to tolerance (requiring ever-higher doses for the same effect), opioid-induced hyperalgesia (where the drugs paradoxically make patients more sensitive to pain, worsening the original condition), severe constipation that rarely improves and can cause bowel obstruction, profound hormonal disruption (low testosterone or estrogen leading to sexual dysfunction, fatigue, depression, bone loss, and fractures), sedation and cognitive impairment that interfere with daily life and rehabilitation, increased fall risk, immune suppression, and a host of other issues that often leave patients worse off after months or years of treatment. In many cases of chronic back pain, they either do not help or provide only marginal or short-lived relief while creating new problems that make recovery harder.</span></p><p><strong>Physical therapy.</strong> Some physical therapists consistently help their patients, but they are hard to find, and I attribute this both to training that does not emphasize the most effective approaches for musculoskeletal pain and to an insurance model that rewards checking boxes over resolving problems. Because of this, patients who are in pain often spend a significant amount of time seeing physical therapists before it is deemed a failure and they are moved up the ladder.</p><p><strong>Steroid injections.</strong> Since inflammation in the spine&#8217;s facet joints and the nearby nerve roots creates back pain, a common approach to back pain which does not respond to conservative interventions are steroid injections into those areas.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!BtWR!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F8fa39763-2f5c-4959-b297-25ffaff6035f_1448x990.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!BtWR!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F8fa39763-2f5c-4959-b297-25ffaff6035f_1448x990.png 424w, https://substackcdn.com/image/fetch/$s_!BtWR!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F8fa39763-2f5c-4959-b297-25ffaff6035f_1448x990.png 848w, https://substackcdn.com/image/fetch/$s_!BtWR!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F8fa39763-2f5c-4959-b297-25ffaff6035f_1448x990.png 1272w, https://substackcdn.com/image/fetch/$s_!BtWR!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F8fa39763-2f5c-4959-b297-25ffaff6035f_1448x990.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!BtWR!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F8fa39763-2f5c-4959-b297-25ffaff6035f_1448x990.png" width="1448" height="990" 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srcset="https://substackcdn.com/image/fetch/$s_!BtWR!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F8fa39763-2f5c-4959-b297-25ffaff6035f_1448x990.png 424w, https://substackcdn.com/image/fetch/$s_!BtWR!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F8fa39763-2f5c-4959-b297-25ffaff6035f_1448x990.png 848w, https://substackcdn.com/image/fetch/$s_!BtWR!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F8fa39763-2f5c-4959-b297-25ffaff6035f_1448x990.png 1272w, https://substackcdn.com/image/fetch/$s_!BtWR!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F8fa39763-2f5c-4959-b297-25ffaff6035f_1448x990.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p>The major problem with this approach is that corticosteroids damage bone and ligaments, so in exchange for the temporary relief the steroid provides, the underlying irritation gets worse. </p><p><em>Note: most injected steroids <a href="https://media-now.aapmr.org/wp-content/uploads/2021/03/11182315/Steroids-and-Corticosteroids-Chart-1.pdf">are not water soluble</a> and will persist in the injection site for a long time. An orthopedic colleague once showed me arthroscopic footage from inside a live joint where previously injected steroid could be seen coating it. Beyond that, steroids carry a remarkable systemic burden: at typical doses they cause <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4613168/">a 5 to 15% loss of bone every year</a>, roughly <a href="https://pubmed.ncbi.nlm.nih.gov/16739208/">70% of long-term users report weight gain</a>, roughly <a href="https://pubmed.ncbi.nlm.nih.gov/25844620/">half of oral users develop some degree of adrenal insufficiency</a>, and one study found <a href="https://pubmed.ncbi.nlm.nih.gov/16739208/">90% of users reported adverse effects</a> with 55% reporting at least one that was very bothersome. I have seen a patient develop avascular necrosis in both hips following a course of steroids.</em></p><p>Furthermore, in addition to the spine being destabilized, the discs depend upon the ligaments in the back of the spine (where steroids are injected) to prevent herniations and bulges.  This is because when the spine bends backwards (e.g., because the ligaments in the back pull the vertebrae together) the discs are pushed forward, whereas when they bend forward, the discs are pushed backwards and against the nerve roots.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!3jVI!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F386a1ed7-efaf-4cdd-a38e-85d32edc764b_1356x874.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!3jVI!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F386a1ed7-efaf-4cdd-a38e-85d32edc764b_1356x874.png 424w, 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15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!iuwe!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F159ef83d-2777-4b38-9c7d-f8d8a9d0274d_1456x742.webp" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!iuwe!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F159ef83d-2777-4b38-9c7d-f8d8a9d0274d_1456x742.webp 424w, https://substackcdn.com/image/fetch/$s_!iuwe!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F159ef83d-2777-4b38-9c7d-f8d8a9d0274d_1456x742.webp 848w, https://substackcdn.com/image/fetch/$s_!iuwe!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F159ef83d-2777-4b38-9c7d-f8d8a9d0274d_1456x742.webp 1272w, https://substackcdn.com/image/fetch/$s_!iuwe!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F159ef83d-2777-4b38-9c7d-f8d8a9d0274d_1456x742.webp 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!iuwe!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F159ef83d-2777-4b38-9c7d-f8d8a9d0274d_1456x742.webp" width="1456" height="742" 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srcset="https://substackcdn.com/image/fetch/$s_!iuwe!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F159ef83d-2777-4b38-9c7d-f8d8a9d0274d_1456x742.webp 424w, https://substackcdn.com/image/fetch/$s_!iuwe!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F159ef83d-2777-4b38-9c7d-f8d8a9d0274d_1456x742.webp 848w, https://substackcdn.com/image/fetch/$s_!iuwe!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F159ef83d-2777-4b38-9c7d-f8d8a9d0274d_1456x742.webp 1272w, https://substackcdn.com/image/fetch/$s_!iuwe!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F159ef83d-2777-4b38-9c7d-f8d8a9d0274d_1456x742.webp 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p><em>Note: as the ligaments play a key role in keeping the disc in place, when a bulging disc is suspected, we often focus on them. However, it can also be the case that the issue is not the disc, but rather that the existing ligamentous laxity is affecting and irritating a facet joint (which I believe is one reason why disc herniations observed on MRI can be a red herring).</em> </p><p><strong>Nerve ablations.</strong> A needle is placed into the nerve thought to be generating the pain and electricity is run through it to destroy the nerve. This works, but peripheral nerves regenerate, so it typically has to be repeated within a year.</p><p>Finally, when all of those approaches fail (and sometimes sooner), patients are referred to the culmination of this funnel&#8212;spinal surgery.</p><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://www.midwesterndoctor.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">The Forgotten Side of Medicine is a reader-supported publication. To receive new posts and support my work, please consider becoming a free or paid subscriber. To see how others have benefitted from this newsletter, click <a href="https://www.midwesterndoctor.com/about">here</a>!</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div><h1>Spinal Surgeries</h1><p>Various types of spinal surgeries exist.  I would like to highlight three:</p><p>&#8226;Repairs of a fractured bone (which are necessary, have benefits which greatly outweigh their risks and are performed in a variety of different ways depending on the circumstances).</p><p><strong>&#8226;</strong>Decompression surgeries (laminectomy, discectomy). These remove bone or disc material compressing a nerve and outside of the previously mentioned emergency repairs, offer the <strong>greatest benefit of any spinal surgery.</strong> In the lumbar spine they are frequently life-changing with minimal side effects. In the cervical spine they help most patients but carry more risk of complications. Existing evidence, in turn, supports them in patients who have <strong>both</strong> pain <em><strong>and</strong></em> clinical signs of nerve impingement and I have seen many people experience dramatic improvement from them.</p><p><strong>&#8226;</strong>Spinal Fusions join vertebrae together with hardware (metal and screws), permanently eliminating motion at that segment. For as long as I can remember I&#8217;ve met people who had fusions which did not help them and caused a host of problems (as the body depends on the entire spine being able to freely move in a myriad of ways).  Given that, I would hence like to briefly review the data on spinal fusions:</p><p>&#8226;In a <strong><a href="https://link.springer.com/article/10.1007/s00586-012-2382-0">Norwegian trial</a></strong> comparing instrumented lumbar fusion against cognitive intervention and exercises for chronic low back pain with disc degeneration, the <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3508245/">nine-year outcome</a> showed no difference between the two groups, one-third of the patients randomized to fusion had been re-operated, and when compared to the non-surgical group, the fusion patients were using more pain medication and were more likely to be out of work.</p><p>&#8226;The British <strong><a href="https://www.bmj.com/content/330/7502/1233">MRC Spine Stabilisation Trial</a></strong> (349 patients) found no clear evidence that spinal fusion was more beneficial than intensive rehabilitation.</p><p>&#8226;Additionally, fusions are often added to decompression surgeries.  <a href="https://www.nejm.org/doi/full/10.1056/NEJMoa1513721">A Swedish 2016 RCT</a> (247 patients) found that two years out and five years out, there was no significant benefit from adding on the fusion.  However, it did increase post-operative infections (from 4%-10%), post-operative hospital stays (from 4.1 to 7.4 days) and direct costs ($6,800 higher).</p><h1>Why the Fusions Happen Anyway</h1><p>Given all of that, you would expect fusions to be rare and shrinking. The opposite happened.</p><p><a href="https://pubmed.ncbi.nlm.nih.gov/20371784/">A 2010 JAMA analysis</a> of Medicare claims examining surgery for lumbar spinal stenosis between 2002 and 2007 found that overall surgical rates declined slightly, but the rate of complex fusion procedures increased fifteen-fold, from 1.3 to 19.9 per 100,000 beneficiaries (with half of the recipients of those complex fusions having neither scoliosis nor spondylolisthesis&#8212;the structural indications that could justify adding the hardware in the first place).  In parallel, life-threatening complications rose with surgical invasiveness, from 2.3% among patients having decompression alone to 5.6% among those having complex fusions, as did 30-day mortality (0.6% versus 0.3%) and hospital charges (being three times higher for the complex fusions).</p><p>Why?</p><p>Fusions are <a href="https://orthojournalhms.org/16/article31_36.html">reimbursed dramatically more</a> than decompressions, and they are reimbursed <a href="https://www.medtronic.com/content/dam/medtronic-wide/public/united-states/customer-support-services/reimbursement/spinal-procedures-billing-and-coding-guide.pdf">per level fused</a>, which means there is a direct financial reward for fusing more of the spine than the pathology requires (despite more fusions creating greater subsequent impairment for the patients).</p><h1>The Five Problems With Fusion</h1><p>1. Adjacent segment disease: The spine continually transfers force through itself, so when a segment cannot move, the force disproportionately concentrates at the vertebrae immediately above and below the fusion. Those segments then wear out. <a href="https://qims.amegroups.org/article/view/146866/html">Reported rates range from 5% to 27%</a>, and the risk increases the longer patients are followed, with <a href="https://thejns.org/spine/view/journals/j-neurosurg-spine/35/3/article-p270.xml">reoperation for it running at roughly 2.5% to 3.9% per year</a> for traditional posterior approaches. That is a per-year rate, which compounds. A 45-year-old getting a fusion is signing up for decades of that arithmetic.</p><p><em>Note: any time a wave travels through a medium and the density of that medium changes, the wave refracts, with part reflecting, part being absorbed at the transition, and part continuing on. The spine&#8217;s alternating flexible (lumbar and cervical) and inflexible (thoracic) zones create these transition points, which is why the junctional areas before and after each part of the spine are the most common sites of musculoskeletal spinal pain. Fusing a segment creates an artificial and far more abrupt transition, and the tissue at the boundary absorbs the difference.</em></p><p><span>2. Pseudarthrosis (failed fusion): </span><a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC12014583/"><span>in 5&#8211;35% of cases</span></a><span> the bones never solidly fuse, leading to ongoing pain, hardware loosening or breakage, and often more surgery (with the risk being higher in smokers, diabetics, and multi-level fusions).</span></p><p><strong>3. </strong>Failed back syndrome: persistent pain after the operation is common enough to have its own name and its own ICD code. <a href="https://www.ncbi.nlm.nih.gov/books/NBK539777/">Failure rates range from 30% to 46%</a> for lumbar fusion versus 19% to 25% for microdiscectomy, with increasing surgical complexity (e.g., vertebrae fused) increasing the likelihood of this.</p><p>4. Hardware issues: Defective and counterfeit screws, unapproved bone cement, and metallosis (a toxic reaction to the implant metals&#8212;most often cobalt, chromium or nickel <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2219664/">which seep into the body</a> and can cause symptoms <a href="https://pubmed.ncbi.nlm.nih.gov/26733018/">weeks to years after the fusion</a>). Most physicians have never heard of metallosis (despite it being acknowledged within the scientific literature<a href="https://pubmed.ncbi.nlm.nih.gov/26733018/"><sup>1</sup></a><sup>,</sup><a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2219664/"><sup>2</sup></a>), but I have run into numerous patients who developed debilitating complications from it (and learned of a few cases which resulted in medically assisted dying because no one recognized what was causing the symptoms).  </p><p>5. Irreversibility: Once a fusion is bonded into bone and the adjacent segments rapidly begin compensating for the abnormal spinal mechanics, revisions to the original surgery become harder to perform, riskier, and much less likely to work than the original surgery. One review reported that <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3382643/">success rates drop to 30% after a second spine surgery, 15% after the third, and approximately 5% after the fourth</a>, and that <a href="https://www.dovepress.com/failed-back-surgery-syndrome--current-perspectives-peer-reviewed-fulltext-article-JPR">instrumented fusion performed to treat failed back surgery syndrome produced good outcomes in only 35% of patients</a> at 15 months, with 65% unsatisfactory. Likewise, regardless of how compromised someone&#8217;s back is, a solution normally exists to resolve, or at least improve their condition&#8212;but once a fusion is present, it becomes much more difficult to (non-surgically) improve their symptoms, with partial improvements typically being the best that can be achieved.<br><br><em>Note: many patients report agonizing and debilitating complications after spinal fusions.  Additionally, I have observed a variety of more subtle issues arise in the body mind and spirit following spinal fusions.</em></p><p>Much of this is synopsized by two large state workers&#8217; compensation studies, which objectively tracked the results of these surgeries.</p><p><a href="https://pubmed.ncbi.nlm.nih.gov/21178839/">In Ohio</a>, 725 lumbar fusion patients were compared to 725 randomly selected non-surgical controls with the same diagnoses. Two years out, <strong>26% of the fusion patients had returned to work versus 67% of those who never had surgery</strong>, permanent disability was awarded to 11% versus 2%, and total days off work were 1,140 versus 316. Additionally, 27% required a reoperation, 36% had a complication, and daily opioid use <em>increased 41% after the surgery</em>, with 76% still taking them more than 90 days postoperatively. As the authors put it, "This procedure is offered to improve pain and function, yet objective outcomes showed increased permanent disability, poor RTW [return to work] status, and higher doses of opioids.&#8221;</p><p><a href="https://pubmed.ncbi.nlm.nih.gov/17077740/">In Washington State</a>, among 1,950 injured workers who underwent lumbar fusion, 64% were still on work disability two years later, 22% had a reoperation, and 12% had a complication. That study also found adding cages or instrumentation increased complications without improving disability or reoperation rates at all &#8212; despite their use rising from 3.6% of fusions in 1996 to 58.1% in 2001.</p><h1>The Business of Spinal Surgeries</h1><p>Everything above describes incentives in the abstract. What follows is what happened at one hospital that deliberately built those incentives into its physicians&#8217; contracts, and what happened to the doctors who objected.</p><p>In 2011, Providence Health &amp; Services acquired Swedish Health, and with it Swedish&#8217;s Cherry Hill campus in Seattle, an institution with a growing reputation as a center for neuroscience research and treatment. Over the next few years, Providence and Swedish <a href="https://projects.seattletimes.com/2017/quantity-of-care/hospital/">overhauled how Cherry Hill&#8217;s neuroscience program approached the business of medicine</a>.</p><p>By 2015, the campus was generating half a billion dollars in net operating revenue, a 39% increase in three years, and had <strong>the highest Medicare reimbursements per inpatient visit of any hospital in the United States with at least 150 beds.</strong> Five of the six top-billing brain and spine surgeons in Washington State worked there, averaging $67 million in billed charges each.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!JHh4!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F51c78db3-df26-4238-9433-0a23752059fb_1778x834.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!JHh4!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F51c78db3-df26-4238-9433-0a23752059fb_1778x834.png 424w, https://substackcdn.com/image/fetch/$s_!JHh4!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F51c78db3-df26-4238-9433-0a23752059fb_1778x834.png 848w, https://substackcdn.com/image/fetch/$s_!JHh4!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F51c78db3-df26-4238-9433-0a23752059fb_1778x834.png 1272w, https://substackcdn.com/image/fetch/$s_!JHh4!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F51c78db3-df26-4238-9433-0a23752059fb_1778x834.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!JHh4!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F51c78db3-df26-4238-9433-0a23752059fb_1778x834.png" width="1456" height="683" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/51c78db3-df26-4238-9433-0a23752059fb_1778x834.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:683,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:1011337,&quot;alt&quot;:&quot;&quot;,&quot;title&quot;:&quot;&quot;,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" title="" srcset="https://substackcdn.com/image/fetch/$s_!JHh4!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F51c78db3-df26-4238-9433-0a23752059fb_1778x834.png 424w, https://substackcdn.com/image/fetch/$s_!JHh4!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F51c78db3-df26-4238-9433-0a23752059fb_1778x834.png 848w, https://substackcdn.com/image/fetch/$s_!JHh4!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F51c78db3-df26-4238-9433-0a23752059fb_1778x834.png 1272w, https://substackcdn.com/image/fetch/$s_!JHh4!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F51c78db3-df26-4238-9433-0a23752059fb_1778x834.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p>All of this was documented in <a href="https://projects.seattletimes.com/2017/quantity-of-care/hospital/">a year-long Seattle Times investigation</a> that reviewed more than 10,000 pages of records across four states and interviewed over 100 people, including more than 30 current and former Cherry Hill staff. The reporting was subsequently challenged in federal court and upheld in full, with the judge finding no evidence had been produced that any of it was false.</p><p><em>Note: my interest here is entirely in the institutional decisions, so I have deliberately left the individual physicians out of this account as I believe the events were ultimately a result of the system in place.</em></p><h2>The Contract Change</h2><p>The most consequential thing that happened at Cherry Hill was not a surgery. It was a change to how surgeons got paid.</p><p>Previously, the neuroscience institute&#8217;s surgeons <strong>pooled a portion of their pay and redistributed it among themselves.</strong> That system existed for a specific reason: it removed the financial penalty for handing a patient to a colleague who was a better fit for that particular case. If the patient would do better with someone else, you lost nothing by saying so. In some surgical settings all income is pooled this way, for exactly this reason.</p><p>Administrators ended the pooling. Surgeons would instead be paid almost entirely on their individual production, measured in Relative Value Units, the Medicare formula that assigns a point value to each procedure.</p><p>In other words, the mechanism specifically designed to prioritize patient fit over personal volume was removed, and replaced with one that rewarded doing more yourself.</p><p>And here is where this connects directly to everything I described earlier about fusions. The Times laid out the arithmetic:</p><p>-A spinal decompression at one vertebral level totals <strong>15.37 RVUs.</strong></p><p>-Adding a second level of decompression adds only <strong>3.47 RVUs.</strong></p><p>-But converting it to a fusion of two vertebrae totals <strong>23.53 RVUs.</strong></p><p>-Each additional vertebra fused adds <strong>6.43 RVUs</strong>, and more can be added by using more hardware.</p><p>So decompressing two levels earns roughly 18.8 units. Fusing those same two levels earns 23.5, and every additional level fused adds nearly twice what a second level of decompression would have. <strong>This is the per-level financial incentive I described above, stated in actual numbers, inside an institution that had just made those numbers the basis of physician pay.</strong></p><p>For scale: a typical neurosurgeon performs about <strong>9,400 RVUs per year</strong>, according to the firm Swedish itself used to benchmark compensation. The two top producers at Cherry Hill each exceeded <strong>27,000</strong>, and in 2014 earned roughly $2 million and $2.3 million respectively, according to Providence&#8217;s nonprofit tax filings. The national median for a neurosurgeon is about $772,000.</p><p>In 2014, those two surgeons ranked first in the state for lumbar fusions performed on patients whose primary diagnosis was lumbar stenosis <strong>without</strong> a displaced vertebra, with 24 such cases each. That is precisely the scenario in which, as Richard Deyo told the Times, the evidence does not support adding the fusion.</p><p><em>Note: an economist focused on health policy interviewed for the investigation put the general principle plainly, which is that there is evidence physicians respond to volume incentives by adding more procedures, including unnecessary ones, to a patient&#8217;s visit. The federal government has spent recent years trying to shift hospital reimbursement toward effectiveness rather than volume. Cherry Hill went the other direction on purpose.</em></p><h2>What the Volume Required</h2><p>Sustaining that output required practices staff found alarming enough to report.</p><p>Six current and former staffers described surgeons running multiple operating rooms simultaneously, with fellows handling portions of procedures while the attending was elsewhere. This is not prohibited, and Medicare permits it if the attending is present for the &#8220;critical&#8221; portions. But four staffers said the attending was sometimes in the room for less than fifteen minutes of a case, and several described the operating room pausing mid-surgery, with the patient open and under anesthesia, waiting for the attending to arrive.</p><p>Patients did not necessarily know this was the arrangement. The consent forms they signed included small print permitting the attending physician to use associates &#8220;to perform and/or assist with part or all of my procedure(s),&#8221; while the hospital&#8217;s advertising emphasized the personal involvement of its star surgeons, drawing patients from hundreds of miles away.</p><p>There was also a marked institutional shift toward more invasive procedures. In treating brain aneurysms, surgeons can either &#8220;coil&#8221; the aneurysm through a catheter threaded up from a small incision in the groin, or &#8220;clip&#8221; it by removing a section of the skull and working through the brain tissue (which provides more RVUs<a href="https://fastrvu.com/specialties/neurosurgery"><sup>1</sup></a><sup>,</sup><a href="https://www.federalregister.gov/documents/2025/11/05/2025-19787/medicare-and-medicaid-programs-cy-2026-payment-policies-under-the-physician-fee-schedule-and-other"><sup>2</sup></a>). Coiling has grown in use because research indicates the less invasive option is often better for patients, and it avoids opening the skull.</p><p>At Cherry Hill, the clipping rate rose from 36% of cases in 2012 to 57% in 2014, while the statewide average stayed under 40%. Over roughly the same period, <strong>9% of aneurysm patients treated at Cherry Hill had an ischemic stroke during their stay, versus 4% at every other hospital in the state.</strong> For clipping procedures specifically, the stroke rate was double the rest of the state, 14% versus 7%.</p><p>On the federal government&#8217;s patient safety indicators, Cherry Hill ranked below national levels in three areas: post-surgical blood clots, collapsed lungs, and serious complications. State data showed that among neuro and spine patients admitted electively, the rate who developed accidental cuts or other surgical problems climbed from 0.1% in 2011&#8211;2012 to <strong>2.6% in 2015.</strong></p><p>The strain reached the units where patients recover. A nurse who co-chaired Swedish&#8217;s staffing oversight committee described ICU patients who would normally receive one-on-one care being watched by nurses handling a second patient, charge nurses forced to take patients on top of administrative duties, and patients lingering in post-op for hours because there was no ICU capacity. She said it was not uncommon for some operating room nurses to work twenty hours in a twenty-four hour period, and noted a loophole in Washington&#8217;s nurse overtime law that allowed it.</p><blockquote><p>&#8220;If the caregivers are completely spent, they&#8217;re not going to be able to take care of you.&#8221;</p></blockquote><h2>What the Doctors Did About It</h2><p>This is the part that matters most, and the part I want to sit with.</p><p>The physicians at Cherry Hill were not silent. They escalated, in writing, repeatedly, to the top of the organization, for years.</p><p>When administrators moved to appoint new leadership for the neuroscience institute from within rather than conducting a national search, one of the surgeons at the meeting suggested they take a vote on how to proceed. According to four people present, the chief executive of Providence, a physician himself overseeing fifty hospitals across seven states, ended the discussion:</p><blockquote><p>&#8220;This is not a democracy.&#8221;</p></blockquote><p><strong>The head of Swedish&#8217;s own internal committee on surgical quality resigned in protest</strong> over the appointment, writing to Swedish and Providence leadership that he could not do the job while administrators promoted someone who &#8220;has shown very little respect for the Culture of Safety and related processes,&#8221; and that the &#8220;number of negative reports submitted by so many different individuals is, in my judgment, a serious indicator of deficiencies.&#8221;</p><p>Administrators proceeded with the appointment, and then revised the surgical contracts described above to further incentivize the high-volume approach.</p><p>Within sixteen months, staff had filed <strong>49 internal complaints</strong> concerning quality of patient care and professional conduct.</p><p>One neurosurgeon wrote to the Swedish CEO that &#8220;this toxic, repressive environment has already negatively impacted the ability of the SNI community to provide the quality care (to) our patients that they deserve,&#8221; and that fundamental issues including &#8220;patient safety, appropriate surgery, and quality of care have been rebuffed by the leadership.&#8221;</p><p>An internal memo cited these problems as a reason <strong>more than 60 staff members had left in two years.</strong></p><p>Then, in November 2016, the chief executive of physicians at Swedish wrote directly to the chief executive of Providence. He reported that the neurosurgeons felt intimidated about raising what they considered unsafe practices at the morbidity and mortality conference, the standard forum where physicians review bad outcomes specifically so they are not repeated. He said he had heard of decisions that led to significant patient harm and death. And then he said this:</p><blockquote><p>&#8220;It has created a perception that what really matters at Swedish is vast RVU production without concern for the means by which it is achieved.&#8221;</p></blockquote><p>The month before, ten surgeons and staff members had met in person with the Swedish CEO and two other administrators to make the same case. The minutes show they warned that a reporter was calling staff, and that everything which had been ignored was about to become public.</p><p>Nothing changed until the investigation was published.</p><p>That is the whole story in one sequence. The quality committee chair resigned. Forty-nine complaints were filed in sixteen months. Sixty staff left. The chief executive of physicians put it in writing to the CEO of a fifty-hospital system that the institution appeared to value production over the means by which it was achieved. Ten surgeons made a direct plea in person.</p><p><strong>And the answer was no, because the model was working financially.</strong></p><p>An anonymous whistleblower did reach the state Department of Health in early 2016, outlining inappropriate surgeries, rising complications and infection rates, unsupervised fellows, and ignored complaints. After a two-day investigation, the investigator concluded the allegations were &#8220;not substantiated due to lack of evidence.&#8221;</p><h2>What This Cost</h2><p>I want to close with one patient, because the numbers above are easy to read past.</p><p><a href="https://projects.seattletimes.com/2017/quantity-of-care/talia/">Talia Goldenberg</a> was 23, an artist, a former gymnast and pole vaulter, with Ehlers-Danlos syndrome, a connective tissue disorder causing unstable joints and chronic pain. It was not going to kill her. But her flexible cervical spine meant even a vigorous laugh could jostle her neck and trigger debilitating headaches, and she was told a cervical fusion could improve her life.</p><p><em>Note: EDS in fact</em> <em><a href="https://www.midwesterndoctor.com/p/the-hidden-link-between-hypermobility-c69">responds very well to certain treatments like nutritional supplementation</a>, but it is typically mismanaged and worsened by the increasingly invasive treatments it receives.</em></p><p>She traveled from Oregon with her parents in February 2014. Her father was a family physician. The surgery lasted four and a half hours and was declared a success, with no complications, described to her parents as &#8220;perfect.&#8221;</p><p>As the anesthesia wore off, her jaw was jutting forward and would not open wide enough to admit a finger. Her face was swollen. Her voice came out as a rasp. She told the nurse she was having difficulty breathing, then vomited twice.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!Olvw!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Faaf13b7b-0947-4066-b23b-fc2c498c3958_1752x1292.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!Olvw!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Faaf13b7b-0947-4066-b23b-fc2c498c3958_1752x1292.png 424w, https://substackcdn.com/image/fetch/$s_!Olvw!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Faaf13b7b-0947-4066-b23b-fc2c498c3958_1752x1292.png 848w, https://substackcdn.com/image/fetch/$s_!Olvw!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Faaf13b7b-0947-4066-b23b-fc2c498c3958_1752x1292.png 1272w, https://substackcdn.com/image/fetch/$s_!Olvw!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Faaf13b7b-0947-4066-b23b-fc2c498c3958_1752x1292.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!Olvw!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Faaf13b7b-0947-4066-b23b-fc2c498c3958_1752x1292.png" width="1456" height="1074" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/aaf13b7b-0947-4066-b23b-fc2c498c3958_1752x1292.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:1074,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:3051438,&quot;alt&quot;:&quot;&quot;,&quot;title&quot;:&quot;&quot;,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" title="" srcset="https://substackcdn.com/image/fetch/$s_!Olvw!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Faaf13b7b-0947-4066-b23b-fc2c498c3958_1752x1292.png 424w, https://substackcdn.com/image/fetch/$s_!Olvw!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Faaf13b7b-0947-4066-b23b-fc2c498c3958_1752x1292.png 848w, https://substackcdn.com/image/fetch/$s_!Olvw!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Faaf13b7b-0947-4066-b23b-fc2c498c3958_1752x1292.png 1272w, https://substackcdn.com/image/fetch/$s_!Olvw!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Faaf13b7b-0947-4066-b23b-fc2c498c3958_1752x1292.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p>Her father understood immediately what that combination meant. If her airway closed, intubation requires tipping the head back, which her newly fused neck would not permit, and passing a tube through the mouth, which her locked jaw would not permit. The only remaining option would be a cricothyrotomy, cutting an emergency airway through the front of the throat. He told the staff, repeatedly, that they needed a crike kit and a plan.</p><p>Over the following hours a nurse paged the attending about her medications and received no response, then paged the physician assistant, then paged again asking for a doctor to come as soon as possible, then paged the neurosurgical fellow, then called a Rapid Response team instead. Talia was moved to the ICU.</p><p>The next morning she texted her friend: &#8220;My throat is nearly swollen closed.&#8221; She texted her cousin: &#8220;Yeah feel like my throat is literally barely open. Can&#8217;t even talk well or swallow!&#8221; At 11:56 she texted: &#8220;Still having a very, very hard time breathing and feel like the docs aren&#8217;t quite takin it seriously.&#8221;</p><p>A note filed by the surgical team that morning recorded &#8220;subjective mild difficulty breathing,&#8221; attributed it to the tube used during surgery, observed that she sounded hoarse but did not appear to be in distress, and said she was ready to transfer out of intensive care.</p><p>At 1:26 p.m. Talia coughed, looked at her parents, and forced out: &#8220;I can&#8217;t breathe! Help me! I can&#8217;t breathe!&#8221;</p><p>Staff tried to force airway devices past her clenched teeth, switching sizes, shoving and twisting and levering to try to pry her jaw open. It did not work. Her father pleaded for the cricothyrotomy and paced the bedside watching her color turn gray. Her mother stood at the foot of the bed holding her daughter&#8217;s foot.</p><p>Someone asked whether any of it was getting air in.</p><blockquote><p>&#8220;No!&#8221; the respiratory practitioner answered. &#8220;Maybe randomly.&#8221;</p></blockquote><p>About fifteen minutes after Talia&#8217;s last breath, a doctor entered the room, assessed it, and called for the crike kit.</p><blockquote><p>None was in the room.</p></blockquote><p>She went into cardiac arrest roughly twenty minutes after asking for help. Staff performed CPR, retrieved the kit, and did the cricothyrotomy. Her heartbeat returned. She never regained consciousness, and died nine days later after her parents made the decision to withdraw support.</p><p>Swedish&#8217;s autopsy could not determine why she had suddenly been unable to breathe. Her parents still do not know.</p><p>A week after her death, a letter arrived at their home addressed to Talia, asking her to complete a survey about her stay. &#8220;By sharing your thoughts and feelings, you can help us improve the care we provide.&#8221;</p><p>Her father has not practiced medicine since.</p><h1>What Happens in Countries That Can&#8217;t Afford This</h1><p>In studying the history of the forgotten side of medicine, you will inevitably discover that many of the most revolutionary discoveries originated in America&#8212;but beginning in the 1950s they gradually stopped appearing here.  This, I believe was a result of the American Medical Association (discussed <a href="https://www.midwesterndoctor.com/p/dermatologys-disastrous-war-against-f81">here</a>) and then the FDA (discussed <a href="https://www.midwesterndoctor.com/p/the-fdas-war-on-americas-health">here</a>) not only suppressing each low-cost discovery which threatened the medical monopoly but also intimidating scientists who researched &#8220;unapproved&#8221; therapies (culminating in <a href="https://www.midwesterndoctor.com/p/how-anthony-fauci-weaponized-science">Fauci cutting off research grants to undesirable researchers</a>).</p><p>Because of this, we have a system of medicine which neglects affordable and unpatentable solutions to monetizable diseases, costs more and more each year and frequently fails to address the ailments patients suffer from.</p><p>However, in places where there is not enough available wealth to sustain a medical monopoly, many of those solutions are actively explored. For instance, in Russia and Eastern Europe, there is an extensive body of evidence showing DMSO can treat a wide range of back issues:</p><p>&#8226;A <strong><a href="https://cyberleninka.ru/article/n/sravnitelnyy-analiz-primeneniya-dimeksid-gelya-i-platsebo-u-bolnyh-s-vertebrogennymi-dorsalgiyami">placebo-controlled trial</a></strong> in 68 patients with acute, subacute and chronic vertebrogenic dorsalgia found topical DMSO gel (twice daily for ten days) significantly outperformed placebo across every measure: mean pain on VAS fell from 7.46 to 2.58 versus 7.13 to 4.73 for placebo, the muscle syndrome index shifted to mild severity in 76.3% versus 33.3%, spinal mobility restriction fully resolved in 39% versus 27% (with 20% of the placebo group remaining severe versus 0% of the DMSO group), and Roland-Morris disability scores improved 60% versus 35%.</p><p>&#8226;A <strong><a href="https://pubmed.ncbi.nlm.nih.gov/5639509/">1968 controlled trial</a></strong> in 38 patients with lumbar and cervical disc herniation found treatment duration in the DMSO group was roughly halved compared to controls.</p><p>&#8226;In a <strong><a href="https://cyberleninka.ru/article/n/programma-meditsinskoy-reabilitatsii-bolnyh-s-vertebrogennym-bolevym-sindromom">staged rehabilitation program</a></strong> across 320 patients with vertebrogenic pain syndrome, topical DMSO on the painful segment reduced pain to 0&#8211;2 points on VAS in 89% versus 73% in controls, with long-term remission maintained in 80% when repeated annually.</p><p>&#8226;Across <strong><a href="https://cyberleninka.ru/article/n/nekotorye-aspekty-diagnostiki-i-lecheniya-radikulopatiy-u-bolnyh-s-degenerativno-distroficheskimi-izmeneniyami-v-sheynom-otdele">four studies</a></strong> from the same research group spanning 2005 to 2018, with 64 to 147 patients each, DMSO with procaine applied as compresses to painful myotonic points on the neck or shoulder for 1.5 to 2 hours per session over 10 to 15 procedures succeeded in 68.8% to 84.4% of patients with cervical radiculopathy and myelopathy, with improvements in pain, sensation, strength, cervical mobility and EMG parameters.</p><p>&#8226;For <strong><a href="https://kazanmedjournal.ru/kazanmedj/article/view/59780/en_US">cervical osteochondrosis with pronounced neuralgic syndromes</a></strong>, a DMSO mixture applied for 40 to 45 minutes every other day over 20 to 22 days produced analgesia from the first application, eliminated spontaneous pain within 3 to 4 procedures in patients with reflex syndromes, and over two years dropped total disability days roughly 4.7-fold, from 481 to 104.</p><p>&#8226;In a comparison of <a href="https://kazanmedjournal.ru/kazanmedj/article/view/101521">DMSO-mud applications</a> against mud alone for cervical osteochondrosis, clinical improvement occurred in 100% of the DMSO group after only 5 to 6 procedures versus 50% in the mud-only group after 10, with hand dynamometry (grip strength) in one case improving from 20 kg to 53 kg.</p><p>Likewise <a href="https://www.caripain.ru/public/47.pdf">Karipain</a> (a papaya-derived proteolytic preparation containing papain, chymopapain, proteinase and lysozyme) is delivered into herniated discs via iontophoresis, with DMSO added as the penetration enhancer. Across well over a dozen studies (detailed <a href="https://www.midwesterndoctor.com/p/how-dmso-heals-the-spine-and-reverses">here</a>) this protocol has been reported to reduce hernia size by 2 to 7 mm on MRI (and volume by up to 52%) in 75% to 98% of patients, avoid surgery in approximately 45%, and produce improvements of 54&#8211;72% on the McGill Pain Questionnaire, 33&#8211;54% on Oswestry, 58&#8211;76% on Roland-Morris, and 29&#8211;66% on VAS. In the <a href="https://dspace.ksaeu.kherson.ua/bitstream/handle/123456789/5605/SCIENCE-SOCIETY-EDUCATION_TOPICAL-ISSUES-AND-DEVELOPMENT-PROSPECTS_7-9.06.20.pdf?sequence=1&amp;isAllowed=y#page=218">largest single series</a>, 221 patients with cervical and lumbar herniations showed significant reduction in hernia dimensions on spiral CT in 98.2% after two courses. Enzyme therapy combined with DMSO-enhanced delivery was used in <a href="https://link.springer.com/article/10.1023/B:NEAB.0000028280.47712.2e">over 8,500 patients across Armenian medical institutions</a>.</p><p>Finally, DMSO applications appear as a <a href="https://cyberleninka.ru/article/n/dimetilsulfoksid-veschestvo-s-pleyotropnymi-effektami-aktualnymi-pri-zabolevaniyah-oporno-dvigatelnogo-apparata">standard component in Russian, Ukrainian and Uzbek clinical guidelines</a> and treatment protocols for back pain, is in <a href="https://www.babyblog.ru/user/svetilein/3165985">national guidelines for radiculitis and sciatica</a> and is used at <a href="https://innoscience.ru/2307-9266/article/view/111337">military rehabilitation sanatoriums</a> as part of standardized 21-day courses&#8212;yet almost no one in American medicine has heard of any of it.</p><h1>What Readers Have Reported</h1><p>At this point I have received <a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety">thousands of reports</a> from readers using DMSO for pain, and my best estimate is that between 80 and 90% of people who try it for pain notice a meaningful improvement (which matches what the early DMSO researchers observed). Spinal pain is the most common pain condition readers here write to me about, and across the hundreds of reports I&#8217;ve reviewed, pain relief was typically in the 60&#8211;100% range (happening anywhere from within minutes to weeks in certain long lasting cases), many people were able to reduce or eliminate NSAIDs, opioids, or other pain medications and a striking number describe it working after years or decades of failed conventional treatment&#8212;including many individuals suffering from the complications of spinal fusions.</p><h3><strong>Acute Back Injuries</strong></h3><p><span>Readers have consistently reported rapid pain relief from acute back injuries, often within minutes. A welder with 10 years of work-related back pain was pain-free 20 minutes after a single DMSO application,</span><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/135720994"><sup>1</sup></a><span> and similar rapid responses were reported after car accidents,</span><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/145144738"><sup>1</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/132117513"><sup>2</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/188128139"><sup>3</sup></a><sup> </sup><span>falls,</span><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/100288674"><sup>1</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/232188890"><sup>2</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/146720858"><sup>3</sup></a><span> sports injuries,</span><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/172883810"><sup>1</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/166149775"><sup>2</sup></a><sup> </sup><span>and lifting injuries,</span><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/79031700"><sup>1</sup></a><span> with pain relief typically occurring within minutes to hours and often persisting without need for reapplication.</span><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/128106422"><sup>1</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/79031700"><sup>2</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/135721061"><sup>3</sup></a><span> One reader was &#8220;in agony&#8221; and &#8220;a hobbling cripple&#8221; after a tennis fall until DMSO restored 90% of pain relief and movement within one minute.</span><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/110923271"><sup>1</sup></a><span> A Navy EOD trainee in 1980 who severely bruised his tailbone in a ski accident was able to fully resume training after two days of DMSO use.</span><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/244623266"><sup>1</sup></a><sup> </sup><span>Multiple readers also reported rapid relief from tailbone injuries (fractured or bruised coccyx), typically reducing pain from &#8220;searing&#8221; to manageable within days to weeks</span><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/160998043"><sup>1</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/174724108"><sup>2</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/142106160"><sup>3</sup></a><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/83828842"><sup>,4</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/83615748"><sup>5</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/83615524"><sup>6</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/113221589"><sup>7</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/190307928"><sup>8</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/232188890"><sup>9</sup></a><span>,</span><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/244623266"><sup>10</sup></a><sup> </sup><span>along with another who said it &#8220;changed my life&#8221; after a spinal fracture.</span><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/282443751"><sup>1</sup></a></p><h3><strong>Chronic Back Pain</strong></h3><p><span>A large number of readers with chronic back pain (ranging from years to decades) reported significant or complete relief from topical DMSO. </span><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/128106422"><sup>1</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/118287932"><sup>2</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/143543335"><sup>3</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/74997088"><sup>4</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/132117942"><sup>5</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/143539282"><sup>6</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/128111733"><sup>7</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/113183225"><sup>8</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/175776905"><sup>9</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/142594909"><sup>10</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/166437699"><sup>11</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/166444227"><sup>12</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/105245739"><sup>13</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/72609461"><sup>14</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/72644765"><sup>15</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/187508347"><sup>16</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/76129031"><sup>17</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/79032241"><sup>18</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/79054127"><sup>19</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/80695984"><sup>20</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/105299253"><sup>21</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/110926155"><sup>2</sup></a><sup>2,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/113093408"><sup>23</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/113178026"><sup>24</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/112969534"><sup>25</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/105303762"><sup>26</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/105258631"><sup>27</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/105244315"><sup>28</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/105258030"><sup>29</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/105233420"><sup>30</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/89206580"><sup>31</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/79038981"><sup>32</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/79045878"><sup>33</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/74225985"><sup>34</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/74681235"><sup>35</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/129654459"><sup>36</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/128114926"><sup>37</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/129662464"><sup>38</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/129672803"><sup>39</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/131285837"><sup>40</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/131285411"><sup>41</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/131284192"><sup>42</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/132185426"><sup>43</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/132129947"><sup>44</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/132127324"><sup>45</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/135946018"><sup>46</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/142106748"><sup>47</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/142106268"><sup>48</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/143659835"><sup>49</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/143542846"><sup>50</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/143768219"><sup>51</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/152956361"><sup>52</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/166171343"><sup>53</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/166526859"><sup>54</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/158962321"><sup>55</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/168454581"><sup>56</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/172864869"><sup>57</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/200953029"><sup>58</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/what-we-now-know-about-covid-vaccine/comment/221482303"><sup>59</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/218747618"><sup>60</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/233733322"><sup>61</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/155312712"><sup>62</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/121372344"><sup>63</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/129791075"><sup>64</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/80694307"><sup>65</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/77748976"><sup>66</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/261140730"><sup>67</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/261198283"><sup>68</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/273123624"><sup>69</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/273132603"><sup>70</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/273144047"><sup>71</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/273050023"><sup>72</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/272694277"><sup>73</sup></a><br><br><span>A few consistent patterns stood out: pain relief was typically 60&#8211;100%, onset ranged from minutes to weeks (with longer-standing conditions taking longer), and many were able to reduce or eliminate NSAIDs,</span><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/105299253"><sup>1</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/93527379"><sup>2</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/111627452"><sup>3</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/128114721"><sup>4</sup></a><span> opioids,</span><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/121884469"><sup>1</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/132125235"><sup>2</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/132132059"><sup>3</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/261140730"><sup>4</sup></a><span> or other pain medications. One reader with severe chronic back pain described DMSO as the only substance in their life that &#8220;beat the too good to be true rule&#8221;</span><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/118287932"><sup>1</sup></a><span> and a physician with 26 years of practice and chronic lower back pain called it &#8220;a game changer,&#8221;</span><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/143543335"><sup>1</sup></a></p><p><span>One particularly detailed account described a reader with 30 years of &#8220;severe disc degeneration L1-S1&#8221; who applied DMSO once to the lower back: &#8220;It worked immediately and I haven&#8217;t had to use it for my back again. That was about 60+ days ago.&#8221;</span><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/128106422"><sup>1</sup></a><span> Another reader with severe chronic spinal pain soaked their entire back in a DMSO-mineral solution for six hours (far exceeding recommended contact time). &#8220;Unbelievably, 7 pitch black lumps rose to the surface and formed eschar scabs which finally came off about 4 weeks later.&#8221; After these masses were expelled, &#8220;my back felt fantastic and I felt 20 years younger,&#8221; though subsequently &#8220;it felt like something was moving up and down my spine in the fluid.&#8221;</span><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/166428469"><sup>1</sup></a></p><h3><strong>Post-Surgical Back Pain</strong></h3><p><span>Pain which persists after spinal surgeries, particularly after spinal fusions, is sadly quite common, termed &#8220;</span><a href="https://www.ncbi.nlm.nih.gov/books/NBK539777/">failed back syndrome</a><span>&#8221; (or sometimes &#8216;failed neck syndrome&#8217;), and notoriously difficult to treat. However, readers who had this after spinal surgery including fusions, laminectomies, and multiple revision surgeries frequently reported significant relief from DMSO.</span><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/77746702"><sup>1</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/77752073"><sup>2</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/105293730"><sup>3</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/113183225"><sup>4</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/158966674"><sup>5</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/169623903"><sup>6</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/105245739"><sup>7</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/72482013"><sup>8</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/187508347"><sup>9</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/158966893"><sup>10</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/72481757"><sup>11</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/208649605"><sup>12</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/129654459"><sup>13</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/135907654"><sup>14</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/158966628"><sup>15</sup></a></p><p><span>One reader with over 50 surgeries and a thoracic spinal cord injury (who was also allergic to opioids) called DMSO &#8220;life changing,&#8221;</span><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/187508347"><sup>1</sup></a><span> while another after 23 spinal operations reported a 50% reduction in medications within weeks.</span><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/105245739"><sup>1</sup></a><span> Another with a spinal cord injury and two ACDF (cervical fusion) surgeries said DMSO was &#8220;the only product that worked on nerve pain or rigidity.&#8221;</span><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/282463472"><sup>1</sup></a><span> A reader whose wife had nerve shocks in her toes following a poorly executed spinal fusion found that nightly DMSO application to the spine adjacent to the fusion incision &#8220;immediately had less severe and less frequent toe shocks&#8221; and she no longer needed to charge her back nerve stimulator.</span><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/218837449"><sup>1</sup></a><sup> </sup><span>Another with hardware in the back from fusion surgery gets &#8220;a DMSO back rub every day, and it helps,&#8221;</span><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/158966893"><sup>1</sup></a><span> while a reader with Morvan&#8217;s disease following viral encephalitis (who had undergone cervical fusion among multiple surgeries) reported 75% pain reduction and visible inflammation decrease after two weeks of topical DMSO.</span><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/152884648"><sup>1</sup></a></p><p><span>A reader whose severe neck and shoulder spasms began 11 years after a cervical discectomy and fusion &#8212; and had failed both PT and injections &#8212; found DMSO &#8220;helped within minutes,&#8221; and eventually stopped needing it entirely except during flares.</span><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/265617820"><sup>1</sup></a><span> Others with fusions at various levels have also reported reduced pain and improved function.</span><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/110973889"><sup>1</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/72481757"><sup>2</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/145190900"><sup>3</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/208649605"><sup>4</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/282449551"><sup>5</sup></a></p><h3><strong>Scar Tissue and Adhesions</strong></h3><p><span>Multiple readers reported DMSO softening and reducing surgical scars on the spine, with one noting that a scar on the back of the neck (operated on three times over 30 years) &#8220;softened and untwisted&#8221; and the spine came back into alignment.</span><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/170483221"><sup>1</sup></a><span> Others reported scar tissue pain from back surgeries diminishing with regular use.</span><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/158966674"><sup>1</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/105299349"><sup>2</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/208587224"><sup>3</sup></a></p><h3><strong>Neck Pain and Stiffness</strong></h3><p><span>Topical DMSO applied to the neck produced rapid improvements across a wide range of cervical conditions. Readers consistently reported pain reduction of 80&#8211;100%,</span><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/74997088"><sup>1</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/132118988"><sup>2</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/80695944"><sup>3</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/166442760"><sup>4</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/166168034"><sup>5</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/166430981"><sup>6</sup></a><span> often within minutes,</span><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/132292763"><sup>1</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/80695944"><sup>2</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/166442760"><sup>3</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/166164073"><sup>4</sup></a><span> with many noting restored range of motion they had not had for years.</span><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/249132725"><sup>1</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/166758021"><sup>2</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/170498637"><sup>3</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/132292763"><sup>4</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/129670859"><sup>5</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/173960898"><sup>6</sup></a><span> A 55-year-old whose neck pain had persisted since a car wreck at age 19 (and did not respond to surgery) was &#8220;100% pain free in 1.5 hours&#8221; after a family physician applied DMSO gel.</span><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/80695944"><sup>1</sup></a><span> A 78-year-old with five rear-end car accidents over decades, spinal stenosis, and bone spurs started oral DMSO two years ago and now walks three miles daily with only occasional shoulder pain remaining.</span><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/166758021"><sup>1</sup></a></p><p><span>Neck mobility improvements were particularly striking. One reader&#8217;s neck rotation &#8220;increased 30 degrees each way in the first week,&#8221; causing them to almost cry while driving upon realizing the change.</span><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/129670859"><sup>1</sup></a><span> After an electric scooter crash producing a severe trapezius/whiplash injury, another reader endured two weeks of excruciating pain and only two hours of sleep per night despite multiple treatments until a morning application of oral and topical DMSO eliminated the pain within 15 minutes</span><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/132117244"><sup>1</sup></a><span> (similar significant scooter injuries in other readers also resolved, including one 20 years after the original accident</span><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/172883810"><sup>1</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/158967002"><sup>2</sup></a><sup> </sup><span>as did other whiplash injuries</span><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/272696812"><sup>1</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/273117564"><sup>2</sup></a><span>).</span></p><p><span>Additional readers reported relief from chronic neck pain,</span><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/218653371"><sup>1</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/233729403"><sup>2</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/233737041"><sup>3</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/233732835"><sup>4</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/258081287"><sup>5</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/249132725"><sup>6</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/244316924"><sup>7</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/202121982"><sup>8</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/202123931"><sup>9</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/166770866"><sup>10</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/172887918"><sup>11</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/144888477"><sup>12</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/166171296"><sup>13</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/166361587"><sup>14</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/166386646"><sup>15</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/146720003"><sup>16</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/163685338"><sup>17</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/166148043"><sup>18</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/166147542"><sup>19</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/143539282"><sup>20</sup></a><a href="https://substack.com/profile/19183561-steve?utm_source=substack-feed-item"><sup>,21</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/105229544"><sup>22</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/105303240"><sup>23</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/113175694"><sup>24</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/113217305"><sup>25</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/113210011"><sup>26</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/117177619"><sup>27</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/127626604"><sup>28</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/128113830"><sup>29</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/142594909"><sup>30</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/128113426"><sup>31</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/77648869"><sup>32</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/125020383"><sup>33</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/155312712"><sup>34</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/77270196"><sup>35</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/77648869"><sup>36</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/125020383"><sup>37</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/128113426"><sup>38</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/77270196"><sup>39</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/155312712"><sup>40</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/272698478"><sup>41</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/261203710"><sup>42</sup></a><span> with several noting improved sleep</span><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/153489354"><sup>1</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/127626604"><sup>2</sup></a><span> and reduced medication use.</span><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/144888477"><sup>1</sup></a></p><h3><strong>Cervical Disc and Vertebral Conditions</strong></h3><p><span>Readers with diagnosed cervical disc degeneration, herniations, and stenosis reported significant improvements. Multiple readers with conditions at specific vertebral levels (C3-C4, C4-C5, C5-C6, C5-C7) reported 80&#8211;90% pain reduction, often within minutes of application, with continued improvement over weeks to months of use.</span><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/166442760"><sup>1</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/166168034"><sup>2</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/166430981"><sup>3</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/166833232"><sup>4</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/131209909"><sup>5</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/244316924"><sup>6</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/166167694"><sup>7</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/74684203"><sup>8</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/166147958"><sup>9</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/158966773"><sup>10</sup></a></p><p><span>Additional reports of cervical condition improvements include cervical spondylitis or spondylosis,</span><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/74691294"><sup>1</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/131285467"><sup>2</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/171150782"><sup>3</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/250136701"><sup>4</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/157786878"><sup>5</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/74690719"><sup>6</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/244320967"><sup>7</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/244622745"><sup>8</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/258080709"><sup>9</sup></a><span> cervical arthritis,</span><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/113217305"><sup>1</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/74690719"><sup>2</sup></a><span> and post-neck-surgery pain.</span><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/77746702"><sup>1</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/77752073"><sup>2</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/105293730"><sup>3</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/166446555"><sup>4</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/244320967"><sup>5</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/265617820"><sup>6</sup></a></p><h3><strong>Spinal Stenosis and Spondylolisthesis</strong></h3><p><span>Readers with diagnosed spinal stenosis reported significant improvements. One reader with moderate to severe cervical stenosis (worst at C3-C5, with additional lumbar and thoracic involvement) that had required hospitalization reported &#8220;life-changing&#8221; improvements and full range of neck motion after DMSO.</span><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/272697332"><sup>1</sup></a></p><p><span>One with &#8220;severe spinal stenosis and a slipped disk&#8221; who was not a candidate for surgery and had no relief from pain injections described DMSO as giving them &#8220;my life back.&#8221;</span><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/118315009"><sup>1</sup></a><span> Another with stenosis and spondylolisthesis who had discontinued opioids after a decade found topical DMSO &#8220;kept me moving&#8221; with rare need for NSAIDs.</span><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/113220440"><sup>1</sup></a><span> A 75-year-old with grade 1 spondylolisthesis and severe spinal stenosis at L4-L5 reported DMSO &#8220;reduces, even removes the pain for a few hours&#8221; and combined with other therapies made them &#8220;noticeably more functional,&#8221;</span><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/74197883"><sup>1</sup></a><span> while another with 20% forward slippage of L4 over L5 found DMSO &#8220;reduced my perceptions of pain considerably&#8221;</span><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/79035960"><sup>1</sup></a><span> (and noted an unexpected side effect of transient erections from larger doses, which they attributed to improved pelvic blood flow&#8212;something numerous other readers here have also reported alongside prostate improvements). A reader with grade 3 spondylolisthesis at L5-S1 (with bulging discs, nerve compression, and stenosis at levels above, making fusion inadvisable) who had discontinued epidural steroids after they damaged bone density reported DMSO was &#8220;the only thing that works,&#8221; producing entirely pain-free days after years of unrelenting chronic pain.</span><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/272627661"><sup>1</sup></a><sup> </sup><span>Others with foraminal stenosis,</span><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/182776126"><sup>1</sup></a><span> stenoses at various levels</span><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/142660462"><sup>1</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/128113268"><sup>2</sup></a><span> and spondylolisthesis at various levels</span><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/77751017"><sup>1</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/169623982"><sup>2</sup></a><span> also reported pain relief. One reader with a similar L4-over-L5 slippage (triggered by a decades-old motorcycle injury) causing six years of daily pain found topical DMSO largely eliminated his back pain.</span><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/261196133"><sup>1</sup></a></p><h3><strong>Disc Herniation Reports</strong></h3><p><span>Reader reports of DMSO treating disc herniations are amongst the most dramatic I&#8217;ve received. Most remarkably, a reader whose 12.5 mm bulging disc had left them unable to stand without crying reported that after seven days of DMSO use, they could stand, and after seven months, imaging showed the disc had shrunk to 3&#8211;4 mm without surgery.</span><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/114809506"><sup>1</sup></a><sup>,</sup><a href="https://x.com/lonestarangle/status/2028280820171985079"><sup>2</sup></a><sup> </sup><span>A reader with a herniated L5-S1 disc who had been confined to bed for seven months and unable to stand reported being able to stand and return to physiotherapy within six weeks of oral DMSO.</span><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/77751017"><sup>1</sup></a><span> One with symptoms heading toward cauda equina syndrome (from multiple disc compressions&#8212;making it urgent to address immediately) declined surgery and found relief through spine decompression therapy combined with topical DMSO and THC cream.</span><sup>&#11030;</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/166542184"><sup>1</sup></a></p><p><span>Other readers with confirmed disc herniations reported similar patterns: pain elimination within days to weeks,</span><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/74682424"><sup>1</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/74157865"><sup>2</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/77751017"><sup>3</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/128108973"><sup>4</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/135721295"><sup>5</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/152883006"><sup>6</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/166168708"><sup>7</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/174762717"><sup>8</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/110923354"><sup>9</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/113208715"><sup>10</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/194767312"><sup>11</sup></a><span>,</span><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/125004245"><sup>12</sup></a><span> reduced need for epidural injections,</span><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/128108973"><sup>1</sup></a><span> healing slipped disc with castor oil,</span><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/273138763"><sup>1</sup></a><span> and functional recovery sufficient to return to work and normal activities.</span><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/77752444"><sup>1</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/125004245"><sup>2</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/132940232"><sup>3</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/132112888"><sup>4</sup></a><sup> </sup><span>One reader avoided a planned back fusion surgery entirely, noting their surgeon &#8220;had 0 curiosity&#8221; when told why.</span><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/273050023"><sup>1</sup></a></p><p><span>Readers with degenerative disc disease similarly reported significant relief,</span><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/258065128"><sup>1</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/118315009"><sup>2</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/72440396"><sup>3</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/76129031"><sup>4</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/131280284"><sup>5</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/72481757"><sup>6</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/73642945"><sup>7</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/74684203"><sup>8</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/128106422"><sup>9</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/143540544"><sup>10</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/144874343"><sup>11</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/158965322"><sup>12</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/166147958"><sup>13</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/166736920"><sup>14</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/206777546"><sup>15</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/223819138"><sup>16</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/132112888"><sup>17</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/166175560"><sup>18</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/244622423"><sup>19</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/166542184"><sup>20</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/79035960"><sup>21</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/73642945"><sup>22</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/265539992"><sup>23</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/261196650"><sup>24</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/272694559"><sup>25</sup></a><span> with several noting DMSO was the first treatment to provide meaningful improvement after years of failed therapies, and one reader whose wife&#8217;s 50-year-old disc injury (sky diving accident) had been considered untreatable finding that topical DMSO (combined with other therapies), to her doctor&#8217;s astonishment, appeared to be healing the disc.</span><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/166164939"><sup>1</sup></a></p><h3><strong>Ankylosing Spondylitis</strong></h3><p><span>Multiple readers with ankylosing spondylitis reported dramatic improvements from DMSO. Two readers with 23+ year histories of AS (one with 29 fractures from prescription drug complications) reported being off all medications and thriving, with one no longer needing daily DMSO.</span><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/166783613"><sup>1</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/166538474"><sup>2</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/166783613"><sup>3</sup></a><span> A reader who started topical DMSO on their knees for AS found that within an hour &#8220;I could feel a difference&#8221; and could walk stairs normally for the first time in years; after two months, their CRP inflammatory marker dropped from a chronic 9&#8211;12 to 3 (near remission levels), with DMSO being the only change made.</span><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/129791075"><sup>1</sup></a><span> One reader reported &#8220;literally ZERO lumbar pain&#8221; after one week.</span><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/152957331"><sup>1</sup></a><span> Others with AS or autoimmune spondylitis reported significant pain and inflammation reduction.</span><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/166147700"><sup>1</sup></a><sup>,</sup><a href="https://www.midwesterndoctor.com/p/the-remarkable-history-and-safety/comment/80694307"><sup>2</sup></a></p><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://www.midwesterndoctor.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">Your support makes the Forgotten Side of Medicine Possible! To receive new posts and support my work, consider becoming a free or paid subscriber.</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div><h1>Treating Spinal Pain</h1><p>Back pain has many different causes (e.g., tight muscles, weakened ligaments, impaired circulation, inflammation and edema compressing a nerve root, a bulging disc, scar tissue, a hypersensitized neural circuit). Each requires a different treatment, and the reason the conventional ladder fails so reliably is that it applies the same standardized sequence regardless of which one is actually present and then often defaults to pain killers which do nothing for the underlying cause of the illness.</p><p>DMSO succeeds precisely because <a href="https://www.midwesterndoctor.com/p/how-dmso-heals-nerves-and-eliminates">it addresses many of these causes</a> so it will often be applicable to the cause of the individual&#8217;s pain when utilized rather than being stuck focusing on a single molecular target like most pharmaceutical drugs.</p><p>However, that same non-specificity is also its ceiling. When DMSO produces a partial response rather than a complete one &#8212; the backaches resolve but the nerve pain persists, or the pain improves but the mobility does not &#8212; it almost always means one particular cause is dominant and needs something aimed directly at it. </p><p>In the remainder of this article, which as always doubles as an open forum for whatever questions have accumulated over the past month, I will cover:</p><p>&#8226;The specific DMSO protocols for spinal pain, drawn from both the Russian clinical literature and what readers here have worked out on their own, including concentrations, application sites, and what to combine it with.</p><p>&#8226;Why applying DMSO to the site of pain is frequently not enough, and how to reason out where it actually needs to go (along with how to dose and procure it).</p><p>&#8226;How we address the muscular, and ligamentous components of back pain (which are typically our primary approach), including in hypermobile patients.</p><p>&#8226;Methods we have found helpful for disc herniations.</p><p>&#8226;Simple at-home approaches which are often extremely helpful for neck and back pain.</p>
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   ]]></content:encoded></item><item><title><![CDATA[What The US Senate Showed America About COVID-19 Vaccine Toxicity]]></title><description><![CDATA[COVID-19 vaccine injures are so common many of the legislators who pushed them have also been severely injured&#8212;but still won't admit it. This culture of silence around these injuries must end.]]></description><link>https://www.midwesterndoctor.com/p/what-the-us-senate-showed-america</link><guid isPermaLink="false">https://www.midwesterndoctor.com/p/what-the-us-senate-showed-america</guid><dc:creator><![CDATA[A Midwestern Doctor]]></dc:creator><pubDate>Thu, 16 Jul 2026 22:38:14 GMT</pubDate><enclosure url="https://substack-post-media.s3.amazonaws.com/public/images/e5858ee5-1296-4f10-b174-702032427114_1448x990.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>One of the things which has always fascinated me about the world is how certain invisible laws govern the &#8220;spontaneous&#8221; events that occur around us (e.g., radioactive decay). For example, to quote one friend after I remarked how surreal it&#8217;s been to see many of the malevolent things I&#8217;d read about humans doing throughout history emerge around us:</p><blockquote><p>I feel the same way. It&#8217;s always so shocking to see, but it shouldn&#8217;t be. Genesis was written 3,500 years ago and there&#8217;s not a single human frailty described there that I can&#8217;t relate to.</p></blockquote><p><span>In middle school, I was introduced to the bell curve (normal distribution) concept in statistics, which stated that with many sets of natural values or variable quantities, they will become exponentially rarer as you deviate from the mean value (e.g., men who are 6&#8217;8&#8221; are much rarer than men who are 5&#8217;8&#8221;) and for years, I marveled at how some invisible force was able to maintain this distribution as I noticed it again and again in the world around me.</span></p><p>Once I dove into medicine and health, it hence was apparent to me that a bell curve distribution existed for how people would react to toxicity and injury (much of which is likely due to the human body having a inherent but variable resistance to toxicity and injury along with an ability to heal from it).  As such, when people are exposed to a toxic pharmaceutical or chemical, severe injuries will be rarer than moderate injuries, moderate injuries rarer than minor ones and subtle injuries most people rarely notice will be far more common than the minor ones.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!9euU!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F4382fc89-fa7a-4b43-99da-72d08848e855_1438x870.jpeg" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!9euU!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F4382fc89-fa7a-4b43-99da-72d08848e855_1438x870.jpeg 424w, https://substackcdn.com/image/fetch/$s_!9euU!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F4382fc89-fa7a-4b43-99da-72d08848e855_1438x870.jpeg 848w, https://substackcdn.com/image/fetch/$s_!9euU!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F4382fc89-fa7a-4b43-99da-72d08848e855_1438x870.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!9euU!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F4382fc89-fa7a-4b43-99da-72d08848e855_1438x870.jpeg 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!9euU!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F4382fc89-fa7a-4b43-99da-72d08848e855_1438x870.jpeg" width="1438" height="870" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/4382fc89-fa7a-4b43-99da-72d08848e855_1438x870.jpeg&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:870,&quot;width&quot;:1438,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:null,&quot;alt&quot;:&quot;&quot;,&quot;title&quot;:null,&quot;type&quot;:null,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:true,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" title="" srcset="https://substackcdn.com/image/fetch/$s_!9euU!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F4382fc89-fa7a-4b43-99da-72d08848e855_1438x870.jpeg 424w, https://substackcdn.com/image/fetch/$s_!9euU!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F4382fc89-fa7a-4b43-99da-72d08848e855_1438x870.jpeg 848w, https://substackcdn.com/image/fetch/$s_!9euU!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F4382fc89-fa7a-4b43-99da-72d08848e855_1438x870.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!9euU!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F4382fc89-fa7a-4b43-99da-72d08848e855_1438x870.jpeg 1456w" sizes="100vw" loading="lazy" fetchpriority="high"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p>When the COVID-19 vaccines were initially released, I had a large number of patients immediately show up with &#8220;moderate&#8221; reactions to the COVID vaccines (<em>none of which were reported in the vaccine trials)</em>, with many of them stating something to the effect of: &#8220;I have gotten a flu shot for years and I have never experienced anything like this.&#8221;  This was alarming to me, as I knew, per the above bell curve, if that many moderate injuries were occurring, this was likely the tip of the iceberg and I would likely be seeing far more severe reactions to the vaccine than I had initially anticipated. </p><p>In turn, before long, people around the country began reaching out to me to ask if the vaccine could cause sudden death or rapidly accelerate dementia due to this happening to a relative (which <a href="https://amidwesterndoctor.substack.com/p/adverse-reactions-to-covid-vaccines">I spent a year documenting</a>), and in time, I began seeing the same pattern within patients of other providers in my community (again demonstrating how the bell curve distributes).</p><p><em>Note: on the other end of the spectrum, I began noticing a lot of people around me developed abducens nerve palsies (one of the <a href="https://www.midwesterndoctor.com/p/what-makes-all-vaccines-so-dangerous">most easy to detect and frequent complication of vaccine induced microstrokes</a>), and in each case when I asked, they shared they had been vaccinated, and in many cases acknowledged they&#8217;d experienced other effects from the vaccine.</em></p><p>However, while it was plainly apparent there was a major issue, due to how much religious euphoria surrounded the &#8220;95% effective vaccines which would end the pandemic&#8221; it was essentially an exercise in futility to make my colleagues see it (even when they had patients skip visits because, in the relative&#8217;s words, they&#8217;d died suddenly from a vaccine).</p><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://www.midwesterndoctor.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">The Forgotten Side of Medicine is a reader-supported publication. To receive new posts and support my work, please consider becoming a free or paid subscriber. To see how others have benefitted from this newsletter, click <a href="https://www.midwesterndoctor.com/about">here</a>!</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div><h1>The Absence of Evidence is Not the Evidence of Absence</h1><p>One of the particularly frustrating things about this situation was that there was a complete lockdown on any information about vaccine injuries, and as such, when people observed them, they normally were dismissed with statements such as: &#8220;it&#8217;s anecdotal&#8221; &#8220;if the vaccines were that dangerous it would have shown up in the trials&#8221; or &#8220;there are no safety signals showing the vaccines are dangerous&#8221; and told the observation they made was a complete coincidence that had no bearing on reality.</p><p>As such, those who could see the injuries were so frequent it was hard <strong>not</strong> to miss them were stuck in a cat and mouse game where we had to rely upon finding every possible data set which slipped through the web of censorship that indicated there was an issue (e.g., spikes in disability data, explosions on VAERS etc.) while in tandem, the medical system did all they could to hide those datasets and downplay the ones which emerged (e.g., V-Safe, the system which was supposed to accurately monitor COVID vaccine safety via a set sample size <a href="https://www.midwesterndoctor.com/p/we-now-have-clear-proof-the-vaccine">was altered so significant adverse reports would not be reported in it</a>, the CDC blocked public access to incriminating V-Safe data <a href="https://www.midwesterndoctor.com/p/we-now-have-clear-proof-the-vaccine">until courts forced them to disclose it</a> and Senator Ron Johnson has obtained records <a href="https://www.midwesterndoctor.com/p/we-now-know-how-the-government-lied">that proved the FDA deliberately suppressed safety signals</a> showing many of the severe injuries from the COVID vaccines were indeed happening).<br><em>Note: recognizing this dynamic early on was essentially why I put so much effort over 2021 into <a href="https://amidwesterndoctor.substack.com/p/adverse-reactions-to-covid-vaccines">creating that log</a> of individuals injured by the COVID vaccines as I felt things were so censored it was unlikely something like that would ever be published otherwise.</em></p><p>Given the censorship from every angle we faced, a novel solution was eventually arrived at&#8212;use polling firms to determine the scale of injury.  For example, in any sane society, this survey Charlie Kirk took in December 2021 should have permanently ended the vaccine campaign (which three months prior had become mandatory because so many people were not willing to take it):</p><div class="native-video-embed" data-component-name="VideoPlaceholder" data-attrs="{&quot;mediaUploadId&quot;:&quot;b94a94b4-1d7e-460d-8ab6-47406c77f995&quot;,&quot;duration&quot;:null}"></div><p>Likewise, numerous polls (which I summarized in detail <a href="https://www.midwesterndoctor.com/p/polling-reveals-a-profound-shift">here</a>) <span>showed 9%&#8211;34% of COVID vaccine recipients developed side effects from the vaccine, 7-13% developed serious side effects, 7.5-22% know someone with a severe vaccine injury, 24-28% know someone who they believe died from the vaccine and 46-55% believe the COVID vaccines have killed a significant number of people.</span></p><p><span>Ultimately, the thing we really needed was to have a set sample of people who were comprehensively assessed for symptoms before and after vaccination so that an actual injury rate could be calculated, but since the medical system&#8217;s game plan was to argue the absence of COVID vaccine injury evidence was proof the vaccine was safe, that data set was never created.  Nonetheless, because of how frequent the injuries were, they kept appearing.</span></p><h1>High-Profile Injuries</h1><p>Given the high rate of significant COVID-19 vaccine injuries, two possibilities seem quite plausible.</p><p>The first is that the COVID-19 vaccines have also injured numerous public officials.</p><p>The second is that if those officials pushed for mandating the COVID-19 vaccines on the population, they would likely try to cover up their injury rather than speak out on the issue.</p><p>For example, Illinois Democrat and US Representative Sean Casten&#8217;s 17-year-old vaccinated daughter Gwen died suddenly and unexpectedly in her sleep Sunday night, June 12, 2022. For context, prior to the vaccines, a sudden death in an adolescent was extraordinarily rare (one reader <a href="https://amidwesterndoctor.substack.com/p/what-can-the-us-senate-teach-us-about/comment/16672675">calculated</a> a US Representative would be expected to lose a child under 18 once every 200 years).<br><br>When&nbsp;<a href="https://stevekirsch.substack.com/p/us-congressman-sean-castin-is-responsible">independent journalists investigated the events</a>, they found both that Casten&#8217;s family aggressively promoted the vaccine and that there was a high likelihood it killed his daughter. However, rather than supply any information to dispel these rumors, Casten&nbsp;<a href="https://twitter.com/RepCasten/status/1537173631570255872">in a statement</a>, simply said:</p><blockquote><p>&#8220;The <strong>only thing we know</strong> about her death is that it was peaceful. And the <strong>only lesson</strong> we can take from that is to savor the moments you have with your loved ones.&#8221;</p></blockquote><p><em>Note: quite a few parents took strong exception to how Casten handled this, and sadly there are other <a href="https://www.dailymail.co.uk/news/article-10811647/South-Australia-doctor-reveals-daughter-died-sleep-heartbreaking-Twitter-post.html">similar examples</a> I can also cite of the &#8220;Casten Response.&#8221;</em></p><p>In addition to Casten, there have been <a href="https://stevekirsch.substack.com/p/gavin-newsom-is-lying-about-his-vaccine">other suspicious incidents</a> strongly suggestive of COVID-19 vaccine injury existing throughout the Democratic leadership (that included prolonged and conspicuous absences) and of <a href="https://stevekirsch.substack.com/p/gavin-newsom-is-lying-about-his-vaccine">those injuries being covered up</a>.</p><h1>Democrat Senators</h1><p>The best dataset I have come across can be found in the U.S. Senate. Briefly, since the vaccines entered the market:</p><p><a href="https://en.wikipedia.org/wiki/Ben_Ray_Luj%C3%A1n">Ben Ray Luj&#225;n</a>&nbsp;is a freshman New Mexico Democratic Senator&nbsp;<a href="https://www.lcsun-news.com/story/news/2021/05/04/senator-lujan-talks-vaccines-mental-health-and-immigration-las-cruces/4942116001/">who repeatedly promoted the COVID-19 vaccines</a>:</p><blockquote><p>On January 27, 2022, Luj&#225;n (then 49) was hospitalized in Santa Fe after feeling fatigued and dizzy. He was found to have had a stroke affecting his cerebellum and was transferred to the University of New Mexico Hospital for treatment, which included a <a href="https://en.wikipedia.org/wiki/Decompressive_craniectomy">decompressive craniectomy</a>. A statement from his office said that "he is expected to make a full recovery".<sup> </sup>Luj&#225;n returned to work at the Senate on March 3 and stated by April 21 that he was 90% recovered.</p></blockquote><p>John Fetterman, a freshman Pennsylvania Democratic Senator (then aged 52) on May 17, 2022,&nbsp;<a href="https://twitter.com/JohnFetterman/status/1517299749312946176">less than a month after strongly endorsing the vaccine</a>, suffered a stroke two days before the state primary for his senate seat. Despite significant signs of cognitive impairment since his stroke, Fetterman somehow won the primary and then the general election. Since becoming elected, Fetterman <a href="https://en.wikipedia.org/wiki/John_Fetterman">has had</a> prolonged periods of absence from the U.S. Senate due to needing specialized medical care:</p><blockquote><p>Fetterman was hospitalized for <a href="https://en.wikipedia.org/wiki/Syncope_(medicine)">syncope</a> (lightheadedness) for two days beginning on February 10, 2023.<sup> </sup>Two days after his release he was hospitalized again, for a severe case of major depression. For about two months, Fetterman lived and worked at the Walter Reed Army Medical Center.<sup> </sup>As part of his daily schedule at the hospital, his chief of staff arrived at 10 a.m. on weekdays with newspaper clips, statements for Fetterman to approve, and legislation to review. During his hospitalization, Fetterman co-sponsored a bipartisan rail safety bill, introduced after the derailment of a chemical-carrying train in East Palestine, Ohio, close to the border with Pennsylvania; the regulation aimed to strengthen freight-rail safety regulations to prevent future derailments.</p></blockquote><blockquote><p>On April 17, 2023, Fetterman returned to the Senate to chair the Senate Agriculture, Nutrition and Forestry subcommittee on food and nutrition, specialty crops, organics and research.<sup> </sup><em>The Washington Post</em> said that Fetterman's "voice stumbled at times while reading from prepared notes" during the subcommittee hearing, but "he appeared in good spirits" and communicated a message about the importance of fighting hunger.</p></blockquote><p>Senator Chris Van Hollen, <a href="https://www.nytimes.com/2022/05/16/us/politics/senator-chris-van-hollen-stroke.html">on May 15, 2022</a>, had <a href="https://www.frontiersin.org/articles/10.3389/fneur.2022.1019671/full">an unusual hemorrhagic stroke</a> (in a vein rather than an artery) <strong>while giving a speech. </strong></p><p>It is also important to consider that in addition to strokes being one of the most common complications of the COVID-19 vaccines, both Luj&#225;n and Fetterman were at an age where unexpected strokes are fairly rare (while due to the type Van Hollen&#8217;s was also quite rare).</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!DVW7!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F857662aa-e717-4a4c-ad9a-9f77062bfba1_769x557.jpeg" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!DVW7!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F857662aa-e717-4a4c-ad9a-9f77062bfba1_769x557.jpeg 424w, https://substackcdn.com/image/fetch/$s_!DVW7!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F857662aa-e717-4a4c-ad9a-9f77062bfba1_769x557.jpeg 848w, https://substackcdn.com/image/fetch/$s_!DVW7!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F857662aa-e717-4a4c-ad9a-9f77062bfba1_769x557.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!DVW7!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F857662aa-e717-4a4c-ad9a-9f77062bfba1_769x557.jpeg 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!DVW7!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F857662aa-e717-4a4c-ad9a-9f77062bfba1_769x557.jpeg" width="769" height="557" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/857662aa-e717-4a4c-ad9a-9f77062bfba1_769x557.jpeg&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:557,&quot;width&quot;:769,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:82721,&quot;alt&quot;:&quot;&quot;,&quot;title&quot;:&quot;&quot;,&quot;type&quot;:&quot;image/jpeg&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" title="" srcset="https://substackcdn.com/image/fetch/$s_!DVW7!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F857662aa-e717-4a4c-ad9a-9f77062bfba1_769x557.jpeg 424w, https://substackcdn.com/image/fetch/$s_!DVW7!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F857662aa-e717-4a4c-ad9a-9f77062bfba1_769x557.jpeg 848w, https://substackcdn.com/image/fetch/$s_!DVW7!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F857662aa-e717-4a4c-ad9a-9f77062bfba1_769x557.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!DVW7!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F857662aa-e717-4a4c-ad9a-9f77062bfba1_769x557.jpeg 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p><em>I would argue that both of these events occurring not long after the vaccines entered the market (to a 49-year-old and a 52-year-old within a group of 48 people) was so unlikely that it cannot be attributed to chance.</em></p><p>However, while those two senators' stories are compelling, Dianne Feinstein's is the most important one in my opinion.</p><p><a href="https://www.mercurynews.com/2023/03/05/what-is-shingles-sen-feinsteins-diagnosis-explained/">In late February</a>, Dianne Feinstein was hospitalized for shingles. To quote&nbsp;<a href="https://stevekirsch.substack.com/p/why-is-us-senator-diane-feinstein">Steve Kirsch's investigation</a>&nbsp;of his California senator:</p><blockquote><p>The <a href="https://www.mercurynews.com/2023/03/05/what-is-shingles-sen-feinsteins-diagnosis-explained/">article in the </a><em><a href="https://www.mercurynews.com/2023/03/05/what-is-shingles-sen-feinsteins-diagnosis-explained/">San Jose Mercury News</a></em> said her office wouldn&#8217;t comment on her medical history regarding shingles due to privacy concerns.</p></blockquote><blockquote><p>But I&#8217;d like to know how keeping her history secret benefits the public.</p></blockquote><blockquote><p>She pushed the vaccines. Over and over. And over.</p></blockquote><blockquote><p>She even wanted to require vaccination or COVID tests for air travel.</p></blockquote><blockquote><p>We all know now how ludicrous such a suggestion was.</p></blockquote><p>Given that shingles&nbsp;<a href="https://www.cdc.gov/shingles/surveillance.html">typically does not require hospitalization</a>, many assumed Feinstein had suffered a rare but severe complication of shingles like Ramsay Hunt Syndrome due to vaccine immune suppression. Her staff, of course, insisted nothing of concern had happened, and she would be able to return to work soon.</p><p>Unfortunately, like Fetterman, a significant neurological injury occurred that became impossible to coverup once she returned, forcing Feinstein and her staff&nbsp;<a href="https://www.chicagotribune.com/nation-world/ct-aud-nw-feinstein-illness-complications-20230519-lsy6eftqnbbenpjv2blt5zcine-story.html">to come clean about what happened</a>:</p><blockquote><p>Adam Russell, a spokesman for Feinstein, said that the encephalitis, or inflammation of the brain, &#8220;resolved itself shortly after she was released from the hospital in March.&#8221; Feinstein continues to have complications from the Ramsay Hunt syndrome, Russell said.</p></blockquote><blockquote><p>Russell confirmed the two complications after the New York Times first reported them, raising questions about whether she had been hiding the extent of her illnesses. Upon her return last week, Feinstein was using a wheelchair and noticeably thinner, and has appeared confused at times when speaking to reporters or being wheeled through the halls.</p></blockquote><blockquote><p>&#8220;The senator previously disclosed that she had several complications related to her shingles diagnosis,&#8221; Russell said in the statement. &#8220;As discussed in the New York Times article, those complications included Ramsay Hunt syndrome and encephalitis.&#8221;</p></blockquote><blockquote><p>Feinstein&#8217;s face has appeared partially paralyzed since she returned to the Senate, stirring some speculation about whether she had had a stroke&#8230;.Encephalitis can also be caused by shingles. The swelling of the brain can have a number of different symptoms, including personality changes, seizures, stiffness, confusion and problems with sight or hearing, according to the Mayo Clinic.</p></blockquote><blockquote><p>Aides to Feinstein said last week that she is still recovering from her illness and would operate on a reduced schedule. Since she has returned, she has missed some votes where she was not needed. On Wednesday, for example, she missed the first three Senate votes of the day but appeared for the last two, in which the margin was much closer.</p></blockquote><p>While this speaks for itself, the one additional detail I wish to highlight is that, as the above compilation of vaccine injuries shows, encephalitis is a much rarer complication of shingles than the already rare Ramsay Hunt syndrome.</p><blockquote><p>One of the potential complications of this infection is involvement of the central nervous system causing encephalitis. An increased risk of this complication is associated with the immunocompromised patient&#8230;.According to the World Health Organization, encephalitis occurs in one out of every 33,000&#8211;50,000 cases of VZV [shingles].</p></blockquote><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!eWSV!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe6d0dd34-2019-48b9-9aee-58450a5a8df9_810x820.webp" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!eWSV!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe6d0dd34-2019-48b9-9aee-58450a5a8df9_810x820.webp 424w, https://substackcdn.com/image/fetch/$s_!eWSV!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe6d0dd34-2019-48b9-9aee-58450a5a8df9_810x820.webp 848w, https://substackcdn.com/image/fetch/$s_!eWSV!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe6d0dd34-2019-48b9-9aee-58450a5a8df9_810x820.webp 1272w, https://substackcdn.com/image/fetch/$s_!eWSV!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe6d0dd34-2019-48b9-9aee-58450a5a8df9_810x820.webp 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!eWSV!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe6d0dd34-2019-48b9-9aee-58450a5a8df9_810x820.webp" width="810" height="820" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/e6d0dd34-2019-48b9-9aee-58450a5a8df9_810x820.webp&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:820,&quot;width&quot;:810,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:42842,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/webp&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!eWSV!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe6d0dd34-2019-48b9-9aee-58450a5a8df9_810x820.webp 424w, https://substackcdn.com/image/fetch/$s_!eWSV!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe6d0dd34-2019-48b9-9aee-58450a5a8df9_810x820.webp 848w, https://substackcdn.com/image/fetch/$s_!eWSV!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe6d0dd34-2019-48b9-9aee-58450a5a8df9_810x820.webp 1272w, https://substackcdn.com/image/fetch/$s_!eWSV!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe6d0dd34-2019-48b9-9aee-58450a5a8df9_810x820.webp 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p><em>Note: despite complete physical and cognitive disability (<a href="https://web.archive.org/web/20230430113009/https://www.nytimes.com/2022/05/02/us/politics/dianne-feinstein-memory-issues.html">which was an open secret throughout Congress</a>), Feinstein refused to resign and only was replaced after she passed in September 2023.</em></p><p>For context, amongst the 48 Democrat Senators, this constituted <a href="https://www.midwesterndoctor.com/p/polling-reveals-a-profound-shift">an 8.3% rate of severe adverse reactions</a>, which is inline with rates of injuries found throughout polling on this subject.</p><h1>Republican Senators </h1><p>Within the Republican party two senators who served at the time of COVID vaccine roll-out have suffered severe health issues that prevented them from being able to work (or three if you include Ben Sasse who resigned in January 2023 and was later diagnosed with <a href="https://www.nytimes.com/2026/04/09/opinion/ben-sasse-death-pancreatic-cancer.html">stage four pancreatic cancer in December 2025</a>).</p><p>On Saturday, Senator Lindsey Graham (who was one of the strongest Republican supporters of the vaccine) <a href="https://apnews.com/article/lindsey-graham-death-aorta-tear-dissection-1e6c14e6073138ae1f3936d3284bf956">died suddenly from an aortic dissection</a>, a rare (about <a href="https://www.ahajournals.org/action/downloadSupplement?doi=10.1161%2FCIRCULATIONAHA.112.000483&amp;file=000483_supplemental_material.pdf">6 in 100,000 persons a year</a>) but often lethal event.  This immediately caught my eye as I know two people who suffered aortic dissections after the COVID vaccine, along with a colleague who had a good 40-year-old friend who suffered immediate injuries (loss of hearing in one ear) from a COVID vaccine they were forced to take to work, then a year later had a (<a href="https://www.ahajournals.org/action/downloadSupplement?doi=10.1161%2FCIRCULATIONAHA.112.000483&amp;file=000483_supplemental_material.pdf">&lt;1 in 100,000</a>) aortic dissection and in the ICU was found to have blood clots throughout their body (so they died shortly after).</p><p>When one of the first aortic dissection happened, I hypothesized it was likely due to the COVID vaccine because:<br><br>&#8226;The doctor one of the two dissections I personally knew of felt there was no other explanation which could account for it.</p><p>&#8226;At the time of the surgical repair, the surgeons noted there was unusual damage to the artery (which likely weakened it and caused it to rupture), something I suspected was likely due to the spike protein damaging the blood vessel.</p><p>&#8226;When <a href="https://pierrekorymedicalmusings.com/p/pathologists-are-unaware-of-the-pathogen">one pathologist extensively examined the bodies of individuals</a> who died from the COVID vaccines, these were some of his findings:</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!qzYl!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fca92286b-d821-4318-9ff6-053d8ca61e84_1438x598.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!qzYl!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fca92286b-d821-4318-9ff6-053d8ca61e84_1438x598.png 424w, https://substackcdn.com/image/fetch/$s_!qzYl!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fca92286b-d821-4318-9ff6-053d8ca61e84_1438x598.png 848w, https://substackcdn.com/image/fetch/$s_!qzYl!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fca92286b-d821-4318-9ff6-053d8ca61e84_1438x598.png 1272w, https://substackcdn.com/image/fetch/$s_!qzYl!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fca92286b-d821-4318-9ff6-053d8ca61e84_1438x598.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!qzYl!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fca92286b-d821-4318-9ff6-053d8ca61e84_1438x598.png" width="1438" height="598" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/ca92286b-d821-4318-9ff6-053d8ca61e84_1438x598.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:598,&quot;width&quot;:1438,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:372575,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:&quot;https://www.midwesterndoctor.com/i/207214461?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fca92286b-d821-4318-9ff6-053d8ca61e84_1438x598.png&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!qzYl!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fca92286b-d821-4318-9ff6-053d8ca61e84_1438x598.png 424w, https://substackcdn.com/image/fetch/$s_!qzYl!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fca92286b-d821-4318-9ff6-053d8ca61e84_1438x598.png 848w, https://substackcdn.com/image/fetch/$s_!qzYl!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fca92286b-d821-4318-9ff6-053d8ca61e84_1438x598.png 1272w, https://substackcdn.com/image/fetch/$s_!qzYl!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fca92286b-d821-4318-9ff6-053d8ca61e84_1438x598.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a><figcaption class="image-caption">Some of this may be coming from microclots in the vessels which feed the aorta (<a href="https://www.midwesterndoctor.com/p/what-makes-all-vaccines-so-dangerous">as blood sludging researchers showed this destroyed vessels in the 1960s</a>).</figcaption></figure></div><p>&#8226;VAERS also supports this correlation:</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!UQLo!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F93278f80-e761-42e2-b2f1-e73030f7c446_786x730.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!UQLo!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F93278f80-e761-42e2-b2f1-e73030f7c446_786x730.png 424w, https://substackcdn.com/image/fetch/$s_!UQLo!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F93278f80-e761-42e2-b2f1-e73030f7c446_786x730.png 848w, https://substackcdn.com/image/fetch/$s_!UQLo!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F93278f80-e761-42e2-b2f1-e73030f7c446_786x730.png 1272w, https://substackcdn.com/image/fetch/$s_!UQLo!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F93278f80-e761-42e2-b2f1-e73030f7c446_786x730.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!UQLo!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F93278f80-e761-42e2-b2f1-e73030f7c446_786x730.png" width="786" height="730" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/93278f80-e761-42e2-b2f1-e73030f7c446_786x730.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:730,&quot;width&quot;:786,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:198032,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:&quot;https://www.midwesterndoctor.com/i/207214461?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F93278f80-e761-42e2-b2f1-e73030f7c446_786x730.png&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!UQLo!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F93278f80-e761-42e2-b2f1-e73030f7c446_786x730.png 424w, https://substackcdn.com/image/fetch/$s_!UQLo!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F93278f80-e761-42e2-b2f1-e73030f7c446_786x730.png 848w, https://substackcdn.com/image/fetch/$s_!UQLo!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F93278f80-e761-42e2-b2f1-e73030f7c446_786x730.png 1272w, https://substackcdn.com/image/fetch/$s_!UQLo!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F93278f80-e761-42e2-b2f1-e73030f7c446_786x730.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p>Mitch McConnell (another strong advocate of the COVID vaccines due to his childhood polio), like Feinstein, suffered a rapid cognitive degeneration beginning in 2023, but like Feinstein, refused to acknowledge or discuss what was happening, and has become increasingly absent and dependent upon aides to do anything (e.g., since 2023, more and more he is only seen on a wheel chair).  Suspicions arose that he might have a neurological disorder due to the fact in <a href="https://www.newsweek.com/full-timeline-of-mitch-mcconnell-health-issues-as-senator-hospitalized-12074128">July 2026</a> he abruptly stopped speaking mid-sentence (while discussing the NDAA defense bill at a press conference), stared blankly ahead, and remained silent for about 20&#8211;30 seconds, after which he was escorted away along with <a href="https://abcnews.com/Politics/mcconnell-medically-cleared-capitol-attending-physician-after-freeze/story?id=102837213">a similar episode happening in August 2023</a>.  Most recently, he suffered some type of cardiac event and has been sequestered from the public for the last month, but as questions regarding his condition have not been answered, major questions exist surrounding his capacity to serve.</p><p>Notably, his chronology is very similar to what we saw in many elderly patients (particularly within nursing homes), where after receiving a COVID vaccine, they rapidly progressed into dementia (which was written off as &#8220;just Alzheimer&#8217;s&#8221;)&#8212;something I thought was very sad as those individuals had no ability to advocate for themselves and I detailed much more extensively <a href="https://www.midwesterndoctor.com/p/we-now-have-proof-the-covid-vaccines">here</a> (e.g., I highlighted all the corroborating evidence and mechanisms). </p><p><em>Note: a very good case can be made this decline also happened to Biden, as a sequential drop in cognitive capacity was seen each time he received a COVID vaccine (all of which I detailed <a href="https://www.midwesterndoctor.com/p/is-joe-bidens-brain-vaccine-injured">here</a>).</em></p><h1>Denial or Coverup?</h1><p>Since the COVID vaccines hit the market, both I and many colleagues have been approached by a variety of famous and influential figures seeking help with their COVID vaccine injuries (some of whom have paid immense amounts of money for help because they could not find any support within the conventional medical system&#8212;which in my case, I&#8217;ve used to facilitate charitable contributions in lieu of being paid). In virtually every case, they have been insistent on absolute privacy regarding their condition, in part because showing weakness could weaken their current position, and partly because insinuating there were any dangers from the COVID vaccine would cause them to be excommunicated by their peers.</p><p>Because of this, it is not at all surprising most of the politicians who have been injured are unwilling to publicly disclose it (particularly since they voted for the COVID vaccines) and to the best of my knowledge, the only person in Congress who has publicly stated they were injured by a COVID vaccine was representative Nancy Mace (who ironically is well-positioned to become Lindsey Graham&#8217;s successor).</p><p>As such (given the bell curve), I felt it was almost certain there were a significant number of senators and representatives who had less severe injuries they could cover up and had never publicly disclosed. Given this, I reached out to a few people I trust who are connected to the Senate. They corroborated that there are senators who have privately acknowledged they experienced adverse effects from the COVID vaccines, <strong>along with others who are in denial about it</strong> and instead have attributed their new medical challenges to long COVID.  However, unlike Nancy Mace, none of them have publicly acknowledged their vaccine injuries.</p><p><em>Note: since both are caused by spike protein toxicity, the symptoms of long COVID and COVID-19 vaccine injury overlap (although COVID-19 injuries are typically more severe and common than long COVID and if long COVID exists, COVID vaccines typically make it worse) and in many (but not all) cases, vaccine injuries are misdiagnosed as long COVID to remove culpability from the vaccines. Gardasil proponent Senator Tim Kaine has acknowledged he suffers from long COVID and people I know who&#8217;ve worked with him suspect that is in part a vaccine injury but based on the publicly available information, it cannot be reasonably inferred what he is actually suffering from. As you might guess, he has advocated for (largely pointless) research into long COVID treatments but nothing for COVID vaccine injury.</em></p><h1>The Culture of Silence</h1><p>Since COVID vaccine injuries began emerging, a common story I have heard within left-wing circles is that being COVID vaccine injured is like being in the closet (homosexual) in the 1980s due to the social stigma within their peer group of publicly acknowledging that issue is present.  For example this was a <a href="https://x.com/RiverParrish1/status/1704873242438275542">September 2023 tweet</a> which illustrates why Ron Johnson has been working so hard to host hearing that will make people recognize vaccine injuries are real:</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!UtlI!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F31000dc4-b2cc-4998-840e-1ba0aea0004b_1050x940.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!UtlI!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F31000dc4-b2cc-4998-840e-1ba0aea0004b_1050x940.png 424w, https://substackcdn.com/image/fetch/$s_!UtlI!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F31000dc4-b2cc-4998-840e-1ba0aea0004b_1050x940.png 848w, https://substackcdn.com/image/fetch/$s_!UtlI!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F31000dc4-b2cc-4998-840e-1ba0aea0004b_1050x940.png 1272w, https://substackcdn.com/image/fetch/$s_!UtlI!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F31000dc4-b2cc-4998-840e-1ba0aea0004b_1050x940.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!UtlI!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F31000dc4-b2cc-4998-840e-1ba0aea0004b_1050x940.png" width="1050" height="940" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/31000dc4-b2cc-4998-840e-1ba0aea0004b_1050x940.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:940,&quot;width&quot;:1050,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:1483637,&quot;alt&quot;:&quot;&quot;,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:true,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" title="" srcset="https://substackcdn.com/image/fetch/$s_!UtlI!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F31000dc4-b2cc-4998-840e-1ba0aea0004b_1050x940.png 424w, https://substackcdn.com/image/fetch/$s_!UtlI!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F31000dc4-b2cc-4998-840e-1ba0aea0004b_1050x940.png 848w, https://substackcdn.com/image/fetch/$s_!UtlI!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F31000dc4-b2cc-4998-840e-1ba0aea0004b_1050x940.png 1272w, https://substackcdn.com/image/fetch/$s_!UtlI!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F31000dc4-b2cc-4998-840e-1ba0aea0004b_1050x940.png 1456w" sizes="100vw" loading="lazy" fetchpriority="high"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><blockquote><p><span>A hiking buddy of mine who had noticeably and suddenly stopped doing the more strenuous 14,000ft hikes a couple of years ago called me and made a confession:</span><br><br><span>He got myocarditis from his second mRNA shot. Listening to him describing being alone on a trail run and suddenly having chest pains and trouble breathing was horrifying. He was afraid he was going to die alone. He&#8217;s a marathoner and highly active, in his mid 30s.</span><br><br><span>The worst part: He was afraid to tell me or anyone in his friend group.</span><br><br><span>His literal quote:</span><br><br><span>&#8220;I saw how Oz [his best friend] and especially his fiance [a med school graduate in residency who is super attached to the establishment covid narrative] were talking about the antivaxxers, and I felt like if I talked about it with any of them, I would have hurt Oz&#8217;s relationship. I also felt like Kristen [a mutual friend of ours] would have judged me and stopped hanging out. I just kept it quiet. But yeah man, I&#8217;m still having a hard time with the 14ers, and my run times are all way down.&#8221;</span><br><br><span>This is a photo of him (on the left, not showing his face out of respect for his privacy) on our last hike where we were only at 10,000ft altitude, and at the time I had noticed he was struggling, but when we asked him about it, he said he was &#8220;hungover&#8221;. He wasn&#8217;t. It was about 10 months after the myocarditis, and he was hiding it from us.</span><br><br><span>Self-censorship is perhaps the most horrifying aspect of this. None of us should find out years later that our friends had to be hospitalized. The fact that he felt he had to hide it is horrifying.</span><br><br><span>He is an incredibly smart and driven guy, and he bluntly told me that he &#8220;knows, deep down, that if I said anything about this publicly, I&#8217;d be flushing my career down the toilet. I work in the software industry in Boulder. I know what will happen if I say something.&#8221;</span><br><br><span>When I told him that I believed him, and told him about my mother-in-law and my neighbor, he obviously felt a huge sense of relief. He was afraid that I was going to judge him for the crime of telling me about a medical side-effect. Ironically, his first job out of college was working for a pharma company, specifically on a new statin.</span><br><br><span>His description of the science on statins, and the things they were and were not allowed to study on statins, was horrifying. His exact words, which echoed what I&#8217;ve heard </span><a href="https://twitter.com/BretWeinstein">@BretWeinstein</a><span> say:</span><br><br><span>&#8220;Working there, the entire culture is so messed up man. Like, the way they think is &#8216;we&#8217;re going to market this, now you go and make sure we can get it approved, and it was obvious that without studying anything, they already were making it clear that we WILL get it approved, and your job is to make sure you design the studies to make that happen.&#8217; Dude, they don&#8217;t care about people at all. It&#8217;s just numbers to them.&#8221;</span></p></blockquote><p>Likewise, I&#8217;ve lost count of how many times I&#8217;ve observed someone on a left-wing internet forum state they had a COVID vaccine injury and then everyone attacked them for spreading anti-vaccine propaganda and killing people by making people not want to vaccine&#8212;in a manner eerily similar to how detransitioners who attempt to reverse sex changes due to complications they experienced are attacked by trans advocates (who previously were their friends) for &#8220;spreading hate and misinformation&#8221;).</p><h1>Conclusion</h1><p>My longstanding belief has been that due to the frequency of risks inherent to vaccination (which in most cases outweigh any possible benefits of eliminating diseases) the only way the vaccine profession has been able to sustain their market has been by instilling the widespread (<strong>and deliberately vague</strong>) belief &#8220;vaccines are safe and effective,&#8221; having people religiously identify with it, and then using the faith in that belief as a way to dismiss refute and ignore all evidence to the contrary.  </p><p>Fortunately, while propaganda can prop up and sustain beliefs at odds with reality, there is a limit to what it can do, and once it becomes sufficiently divorced from reality, people will wake up to it&#8212;which due to the pharmaceutical industry&#8217;s greed, happened with COVID-19, as they not only chose to push a highly ineffective and dangerous vaccine on the population, but also mandate it and double-down on burying all evidence of harm even as more and more emerged.</p><p>Because of this, a profound loss of trust has occurred in medicine I never expected to see in my lifetime&#8212;<a href="https://www.midwesterndoctor.com/p/polling-reveals-a-profound-shift">surveys show</a> in just a few years, trust in doctors and hospitals has declined from 71.5% to 40.1%, <span>along with a significant loss of trust in the pharmaceutical industry, government health authorities and support for childhood vaccinations (e.g., almost half of the population no longer fully trusts the CDC vaccine schedule now).  </span></p><p><span>As such, the industry appears to be scrambling to get as many of these lucrative products to market as they can (with minimal regards for their toxicity) while the goldmine is still there and in parallel, since the system has no way to address the increasing disability emerging in our society, we are now seeing a (previously unimaginable) widespread push beginning for medically assisted dying (which is particularly tragic as many of these &#8220;incurable cases&#8221; could easily be addressed with affordable solutions like DMSO).  <br><br>On the other end, the political climate is starting to shift, as in recent hearings, I&#8217;ve noticed more and more Republican senators are becoming comfortable publicly denouncing predatory corporate practices which threaten our health and </span><a href="https://www.fiercepharma.com/pharma/compensation-push-hhs-gears-draft-covid-19-countermeasure-injury-table"><span>RFK Jr. is finally beginning to be able to push through government recognition</span></a><span> of compensable COVID-19 vaccine injuries.</span></p><p><span>Ultimately, I believe it is impossible for widespread recognition of the toxicity of vaccines to return to the old &#8220;safe and effective&#8221; status quo, so in my eyes, it is much more a question of how long it will take to happen and how much unnecessary suffering will have to occur before it does.  That said, given the forces we faced at the start of this, the rate at which the public has awakened to the catastrophe has been astonishing (I never expected the mandates would be overturned in a year) and at this point </span><a href="https://www.cdc.gov/respvaxview/dashboards/vaccination-behavioral-social-drivers.html"><span>only 16% of adults are still boosting</span></a><span> (assuming the CDC numbers aren&#8217;t exaggerated).</span></p><p><span>When this newsletter started, my goal was to do what I could to help accelerate the reversal on public opinion of the COVID vaccines, as they were so dangerous, I knew each day they remained in widespread use, significant short and long term suffering would result (e.g., it&#8217;s really painful to deal with all the unusual cancers I am seeing emerge now).  While I wish things could have flipped sooner, I am nonetheless immensely grateful they did as quick as they did, and I sincerely thank each of you for providing the support that allowed me to play a role in helping that shift happen.  For the next phase, my hope is that articles like this can be used to convince legislators (particularly the injured ones) that they are not alone and the culture of silence around this issue, not only must break, but electorally is in their interest to break.</span></p><p></p><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://www.midwesterndoctor.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">Your support makes the Forgotten Side of Medicine is a reader-supported publication. To receive new posts and support my work, please consider becoming a free or paid subscriber!</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div><div class="captioned-button-wrap" data-attrs="{&quot;url&quot;:&quot;https://www.midwesterndoctor.com/p/what-the-us-senate-showed-america?utm_source=substack&utm_medium=email&utm_content=share&action=share&quot;,&quot;text&quot;:&quot;Share&quot;}" data-component-name="CaptionedButtonToDOM"><div class="preamble"><p class="cta-caption">Click below to share this post!</p></div><p class="button-wrapper" data-attrs="{&quot;url&quot;:&quot;https://www.midwesterndoctor.com/p/what-the-us-senate-showed-america?utm_source=substack&utm_medium=email&utm_content=share&action=share&quot;,&quot;text&quot;:&quot;Share&quot;}" data-component-name="ButtonCreateButton"><a class="button primary" href="https://www.midwesterndoctor.com/p/what-the-us-senate-showed-america?utm_source=substack&utm_medium=email&utm_content=share&action=share"><span>Share</span></a></p></div><p></p>]]></content:encoded></item><item><title><![CDATA[How Modern Medicine Made Your Bones Brittle]]></title><description><![CDATA[Why the drugs that raise your bone density often leave you more likely to break, and the forgotten ways to restore the strength of bone.]]></description><link>https://www.midwesterndoctor.com/p/how-modern-medicine-made-your-bones</link><guid isPermaLink="false">https://www.midwesterndoctor.com/p/how-modern-medicine-made-your-bones</guid><dc:creator><![CDATA[A Midwestern Doctor]]></dc:creator><pubDate>Sun, 12 Jul 2026 13:41:46 GMT</pubDate><enclosure url="https://substack-post-media.s3.amazonaws.com/public/images/06f5bbfe-3d54-4796-aef2-05eab6fd4764_1040x545.webp" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p><strong>Story at a Glance</strong></p><p><strong>&#8226;A gradual weakening of the bones which predisposes one to fractures is one of the most common and significant consequences of aging.  Presently, to address it, we wisely try to head off bone loss in our younger years and routinely scan the density of aging bones so that a large volume of patients can be sold drugs to increase bone density.<br><br>&#8226;This approach is misguided because the data from those scans often does not correlate to the actual strength of the bones and because simply increasing bone density often creates brittle bones that fracture under stress.  Additionally, the most commonly used drugs to address bone density are notorious for their side effects.</strong></p><p><strong>&#8226;Remarkably, medicine&#8217;s own data now shows that two-thirds of fractures happen to people who do not have osteoporosis, which means the number we have built this entire industry around is not the number that actually breaks bones.<br><br>&#8226;Anytime a large drug market exists (e.g., presently osteoporosis affects around 20% of women over 50), the medical industry will dismiss any approach to the condition which does not result in it being able to sell large amounts of lucrative medical services.</strong></p><p><strong>&#8226;Because of this, there is relatively little knowledge of the actual causes of osteoporosis or the most effective ways to restore the strength of the bones. The causes and treatments of osteoporosis, along with the specific things we use to restore the resilience (rather than merely the density) of bone, will be the focus of this article.</strong></p><p>The years I have spent studying the medical industry have made me appreciate how often economic principles can allow one to understand its complex and contradictory behavior.  For example, I believe <a href="https://www.midwesterndoctor.com/p/modern-medical-ethics">many of the inconsistencies in medical ethics</a> (e.g., &#8220;mothers have an absolute right to abort their children&#8221; and &#8220;mothers cannot refuse to vaccinate their children because it endangers their child&#8217;s life&#8221;) can be explained by simply acknowledging that whatever makes money <a href="https://www.midwesterndoctor.com/p/modern-medical-ethics">is deemed &#8220;ethical.&#8221;</a></p><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://www.midwesterndoctor.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">The Forgotten Side of Medicine is a reader-supported publication. To receive new posts and support my work, please consider becoming a free or paid subscriber. To see how others have benefitted from this newsletter, click <a href="https://www.midwesterndoctor.com/about">here</a>!</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div><h1>Sales Funnels</h1><p>In my eyes, one of the most important business principles for understanding medicine are <a href="https://en.wikipedia.org/wiki/Purchase_funnel">sales funnels</a>, a method of selling products where you initially cast a wide net, and then successively cast smaller nets for increasingly expensive products after catching your initial customers.<br><em>Note: the term &#8220;funnels&#8221; is used to describe how the sales pipeline gets narrower as you move to more expensive products.</em></p><p>I typically see two types of (often overlapping) sales funnels in medicine.<br><br>The first works by normalizing giving an &#8220;innocuous&#8221; drug to broad swathes of people and then selling increasingly expensive pharmaceutical drugs to treat the complications many experience from those drugs.  One of the most insidious ones affects many of our girls and is one <a href="https://www.midwesterndoctor.com/p/why-are-antidepressants-so-harmful">I&#8217;ve repeatedly tried to draw attention to</a>:</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!3JdZ!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb2e88d69-66f4-4ab5-9d55-5029c6563c20_1792x774.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!3JdZ!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb2e88d69-66f4-4ab5-9d55-5029c6563c20_1792x774.png 424w, https://substackcdn.com/image/fetch/$s_!3JdZ!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb2e88d69-66f4-4ab5-9d55-5029c6563c20_1792x774.png 848w, https://substackcdn.com/image/fetch/$s_!3JdZ!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb2e88d69-66f4-4ab5-9d55-5029c6563c20_1792x774.png 1272w, https://substackcdn.com/image/fetch/$s_!3JdZ!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb2e88d69-66f4-4ab5-9d55-5029c6563c20_1792x774.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!3JdZ!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb2e88d69-66f4-4ab5-9d55-5029c6563c20_1792x774.png" width="1456" height="629" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/b2e88d69-66f4-4ab5-9d55-5029c6563c20_1792x774.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:629,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:163397,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!3JdZ!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb2e88d69-66f4-4ab5-9d55-5029c6563c20_1792x774.png 424w, https://substackcdn.com/image/fetch/$s_!3JdZ!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb2e88d69-66f4-4ab5-9d55-5029c6563c20_1792x774.png 848w, https://substackcdn.com/image/fetch/$s_!3JdZ!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb2e88d69-66f4-4ab5-9d55-5029c6563c20_1792x774.png 1272w, https://substackcdn.com/image/fetch/$s_!3JdZ!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb2e88d69-66f4-4ab5-9d55-5029c6563c20_1792x774.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p><em>Note: <a href="https://www.midwesterndoctor.com/p/how-much-damage-have-vaccines-done">a good case</a> can be made that many of the chronic illnesses our children suffer from now (which are very lucrative to &#8220;treat&#8221;) are a direct consequence of <a href="https://www.midwesterndoctor.com/p/how-much-damage-have-vaccines-done">the ever increasing number of vaccines in the marketplace</a>.</em></p><p>The second funnel works by recasting &#8220;preventative medicine&#8221; and &#8220;promoting health&#8221; as the task of screening for each person for conditions they are at risk for.  The results from these universal screenings are then used to justify selling them medical services (e.g., drug prescriptions).  Once that screening becomes normalized, the industry will then pivot to expanding the funnel and having far more services be sold.  For example:<br><br>&#8226;What constitutes a &#8220;safe&#8221; blood pressure <a href="https://www.midwesterndoctor.com/p/the-great-blood-pressure-scam">has been continually lowered</a>, and as a result, more and more people are put on blood pressure medications.  This in turn has created a variety of problems (discussed further <a href="https://www.midwesterndoctor.com/p/the-great-blood-pressure-scam">here</a>).  For example, the elderly (due to the arteries calcifying with age) need a higher blood pressure for blood to reach the brain, and many hence suffer lightheadedness and catastrophic falls from their blood pressure being lowered.<br><br>&#8226;Since we started mass cholesterol screenings, what constitutes a &#8220;safe&#8221; cholesterol has also been continually lowered by <a href="https://www.midwesterndoctor.com/p/how-big-pharma-bought-the-federal-7fa">the corrupt committees</a> who create the guidelines doctors follow to practice medicine.  For example, <a href="https://www.epic.com/epic/post/heart-disease-risk-calculator-overestimates-risk-according-to-kaiser-study">a widely used calculator</a> which determines ones risk of a stroke or heart attack consistently concludes people are at a high risk of a heart attack and must urgently start statins, yet almost no doctor in practice knows that <a href="https://web.archive.org/web/20240317145305/https://www.epic.com/epic/post/heart-disease-risk-calculator-overestimates-risk-according-to-kaiser-study/">a 2016 study of 307,591 Americans</a> discovered the calculator overestimates their risk by 5-6 times.  Similarly, most doctors aren&#8217;t aware that beyond failing to benefit patients (in contrast to natural therapies <a href="https://www.midwesterndoctor.com/p/the-great-cholesterol-scam-and-the">which do improve heart disease</a>), statins are also immensely dangerous drugs (discussed further <a href="https://www.midwesterndoctor.com/p/the-great-cholesterol-scam-and-the">here</a>).</p><p><em>Note: the folly of this approach is highlighted <a href="https://pubmed.ncbi.nlm.nih.gov/17642388/">by a trial</a> which found removing on average 2.8 non-essential drugs from the elderly at one facility caused their 1 year death rate to go from 45%-21% and their hospitalizations that year to go from 30%-11.8%.  As far as I know, there is no intervention on the market which offers a benefit comparable to this.</em> </p><h1>Radiographic Screenings</h1><p>One of the common ways mass screenings are done is through giving lots of patients X-rays and then funneling those with abnormal imaging into being treated.</p><p>For example, women over the age of 50 are advised to get a mammogram every two years so that their deadly breast cancers can be identified and the women can be saved through early treatment for the cancers.  However, whenever these screening programs are studied, they are found to not provide a net benefit because:<br>&#8226;Fast growing cancers (the ones you want to catch) will rarely be in the early stage at the exact same time someone gets a mammogram.  Conversely, these cancers are normally noticed by doctors or patients (due to the sudden changes they create) and hence are radiographically evaluated independently of the mass screening programs. <br>&#8226;Slow growing cancers (which are unlikely to endanger women) are typically the ones which get caught.<br>&#8226;False positives are quite common with mammograms.<br>&#8226;A positive mammogram result is extremely psychologically stressful and frequently results in a variety of harmful treatments being performed on the women (e.g., having their breasts removed).</p><p><a href="https://en.wikipedia.org/wiki/Peter_C._G%C3%B8tzsche">Peter G&#248;tzsche</a> in turn conducted an exhaustive review of the evidence on routine mammogram screening which should have ended the practice (it can be read <a href="https://www.amazon.com/Mammography-Screening-Truth-Lies-Controversy/dp/1846195853">here</a>).  However, his data (which was widely publicized) had no effect on these screening programs.  Many (myself included) believe that was because radiologists make so much money from mammograms they have an inherent need to justify the necessity of this routine screening.<br><em>Note: many medical specialists depend upon repeatedly performing the same billable service (e.g., vaccinating a child, performing a female pelvic exam, or reading a mammogram).</em></p><h1>DEXA Scams</h1><p>Another universal screening practice for women are dual energy X-ray absorptiometry (DEXA) scans, which calculate the density of bones and hence are <em><strong>believed</strong></em> to be a proxy for bone strength.  It is then compared to the average bone density of a 30 year old, and a statistical method is applied to determine how far away their density is from that value which then produces their T-score.  Every medical student in turn is taught that a T-score of 0 to -1 is normal, -1 to -2.5 is on the way to being bad (osteopenia) and a T-score that is -2.5 or worse means your bones are weak enough that you have osteoporosis and must urgently begin treatment for it.</p><p>If you take a step back, a few questions should come to mind.</p><p><strong>&#8226;</strong>First, since bones naturally become less dense with age, most people will have bones that are less dense than those of a 30 year old.  In turn, the current management of osteoporosis accepts that bone loss is inevitable and reasonably <em><strong>tries</strong></em> to prevent that loss early on since it is so much harder to regain it later in life.</p><p>Hence, many people due to the normal process of aging will have osteopenia or osteoporosis.  Consider for example what <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9619280/">this study</a> concluded was the <strong>average</strong> T-score by age of Italians. </p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!9CKF!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6adb3a9a-f526-4469-a3a8-f5c2b3abfa97_1792x576.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!9CKF!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6adb3a9a-f526-4469-a3a8-f5c2b3abfa97_1792x576.png 424w, https://substackcdn.com/image/fetch/$s_!9CKF!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6adb3a9a-f526-4469-a3a8-f5c2b3abfa97_1792x576.png 848w, https://substackcdn.com/image/fetch/$s_!9CKF!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6adb3a9a-f526-4469-a3a8-f5c2b3abfa97_1792x576.png 1272w, https://substackcdn.com/image/fetch/$s_!9CKF!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6adb3a9a-f526-4469-a3a8-f5c2b3abfa97_1792x576.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!9CKF!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6adb3a9a-f526-4469-a3a8-f5c2b3abfa97_1792x576.png" width="1456" height="468" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/6adb3a9a-f526-4469-a3a8-f5c2b3abfa97_1792x576.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:468,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:340708,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!9CKF!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6adb3a9a-f526-4469-a3a8-f5c2b3abfa97_1792x576.png 424w, https://substackcdn.com/image/fetch/$s_!9CKF!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6adb3a9a-f526-4469-a3a8-f5c2b3abfa97_1792x576.png 848w, https://substackcdn.com/image/fetch/$s_!9CKF!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6adb3a9a-f526-4469-a3a8-f5c2b3abfa97_1792x576.png 1272w, https://substackcdn.com/image/fetch/$s_!9CKF!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6adb3a9a-f526-4469-a3a8-f5c2b3abfa97_1792x576.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p><em>Note: if, for instance, the average T-score for a group is -2.5, this will mean a lot of people within that group (half of them) will have a score below -2.5 and conversely, at lower &#8220;averages&#8221; even more will have osteoporosis.  Additionally, T-scores are calculated utilizing the standard deviation of the bone densities in 30 year olds, a value which <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8957281/">can be up to 50% smaller</a> than that of older adults (making it much easier to pass the -2.5 threshold). In contrast, a</em> Z-score (<strong>which is not typically discussed or focused on</strong>) compares you to other people of your own age and sex and can tell you whether your bones are genuinely unusual for someone your age.</p><p>Where did this all come from? In 1994, a small WHO study group proposed that osteoporosis be diagnosed at 2.5 standard deviations below the mean of a healthy young adult, and osteopenia between 1.0 and 2.5 below it, hence classifying <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC2206291/">52% of white women over 50 as having osteopenia and another 28% as having osteoporosis</a>, leaving only 20% of them with &#8220;normal&#8221; bones. The authors themselves described their cut-off values as &#8220;somewhat arbitrary,&#8221; and the criteria were intended for epidemiological research rather than as the clinical treatment thresholds they immediately became.</p><p><em>Note: <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC2206291/">as the BMJ later pointed out</a>, the WHO report disclosed its own funding, and the disclosure reads: &#8220;This meeting was organized by the WHO Collaborating Centre for Metabolic Bone Disease, Sheffield, England, the World Health Organization and the European Foundation for Osteoporosis and Bone Disease, with financial support from the Rorer Foundation, Sandoz Pharmaceuticals and Smith Kline Beecham.&#8221; In short, the definition which converted 80% of older women into patients was written by a committee three pharmaceutical companies paid for (which is sadly a fairly common pattern&#8212;for example, absurdly low cholesterol thresholds are created by committees of doctors <a href="https://www.midwesterndoctor.com/p/what-they-dont-tell-us-about-heart">who were shown to be taking money from statin manufacturers</a>) .</em></p><p>&#8226;Second, how accurate are the scans?  As it turns out, there is actually a great deal of variance in DEXA scan results <a href="https://www.medpagetoday.com/endocrinology/osteoporosis/48384">depending on which machine is used, how the operator performs the test and what bones are measured</a>, with <a href="https://www.medpagetoday.com/endocrinology/osteoporosis/48384">studies often finding</a> a 5-6% difference in bone density depending on where the test was done.  More importantly, since the T-score is based off standard deviations, a 5-6% difference in bone density can, in turn, change the T-score by 0.2-0.4 (which equates to a decade of bone loss) and hence tip many over to an osteoporosis diagnosis.<br><em>Note: a similar issue exists with blood pressure, as the stress of being a doctors office often creates enough of a BP elevation for people <a href="https://www.midwesterndoctor.com/p/the-great-blood-pressure-scam">to be erroneously diagnosed with hypertension</a> and started on blood pressure medications.  This condition, in turn, is euphemistically known as &#8220;white coat hypertension,&#8221; <strong>applies to 15-30% of hypertension diagnoses</strong>, but <a href="https://www.ahajournals.org/doi/full/10.1161/HYPERTENSIONAHA.113.01275?utm_version=158325314">rarely is corrected</a>.</em></p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://x.com/glwade53/status/1919550733592260772" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!DIKk!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F0652de82-fa23-44d7-a0e4-7725c71fccab_1450x524.png 424w, https://substackcdn.com/image/fetch/$s_!DIKk!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F0652de82-fa23-44d7-a0e4-7725c71fccab_1450x524.png 848w, https://substackcdn.com/image/fetch/$s_!DIKk!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F0652de82-fa23-44d7-a0e4-7725c71fccab_1450x524.png 1272w, https://substackcdn.com/image/fetch/$s_!DIKk!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F0652de82-fa23-44d7-a0e4-7725c71fccab_1450x524.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!DIKk!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F0652de82-fa23-44d7-a0e4-7725c71fccab_1450x524.png" width="1450" height="524" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/0652de82-fa23-44d7-a0e4-7725c71fccab_1450x524.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:524,&quot;width&quot;:1450,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:288673,&quot;alt&quot;:&quot;&quot;,&quot;title&quot;:&quot;&quot;,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:&quot;https://x.com/glwade53/status/1919550733592260772&quot;,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:&quot;https://www.midwesterndoctor.com/i/142845615?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F0652de82-fa23-44d7-a0e4-7725c71fccab_1450x524.png&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" title="" srcset="https://substackcdn.com/image/fetch/$s_!DIKk!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F0652de82-fa23-44d7-a0e4-7725c71fccab_1450x524.png 424w, https://substackcdn.com/image/fetch/$s_!DIKk!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F0652de82-fa23-44d7-a0e4-7725c71fccab_1450x524.png 848w, https://substackcdn.com/image/fetch/$s_!DIKk!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F0652de82-fa23-44d7-a0e4-7725c71fccab_1450x524.png 1272w, https://substackcdn.com/image/fetch/$s_!DIKk!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F0652de82-fa23-44d7-a0e4-7725c71fccab_1450x524.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p>&#8226;Third, is there any point to repeatedly doing them?  As it turns out, <a href="https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/411570">a study of 4124 older women</a> found that once an initial DEXA result was obtained, there was no additional information of use gained from repeating the study over the next 8 years.  Nonetheless, many guidelines often recommend getting a scan every 1-2 years, and likewise, Medicare pays for one every 2 years.  As these scans typically cost between $150 to $300, that quickly adds up.    </p><p>&#8226;Fourth, do the scans accurately reflect bone strength and the risk of fractures?  While they are generally predictive of the risk, they are not as accurate as is commonly believed.  For example, <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2822423">this study</a> found the osteoporosis status of a patient (determined by their T-score) frequently did not match what was directly observed within bones under a microscope.  Similarly, <a href="http://e-jbm.org/DOIx.php?id=10.11005/jbm.2014.21.3.205">this study</a> found that when bones were deliberately weakened, DEXA scans underestimated how much strength had been lost.</p><p>Furthermore, this is corroborated by publications in top journals:<br><br>&#8226;<a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1808066/">One review</a> estimated that <strong>roughly 85% of the contribution to fracture risk is unrelated to bone density altogether</strong>, and that over half of fragility fractures occur in people who cannot be classified as having osteoporosis at all. </p><p>&#8226;The <a href="https://academic.oup.com/jcem/article/104/8/3514/5427152">2019 paper</a> &#8220;<strong>Two-Thirds of All Fractures Are Not Attributable to Osteoporosis and Advancing Age</strong>&#8221;<strong> </strong>followed 3,700 adults for decades and found that only 16% of fractures in women and 15% in men could be attributed to low bone density, and that nearly 73% of the women and 94% of the men who actually broke a bone did not have osteoporotic bone density on their scans.</p><p>&#8226;In 1996, <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC2351094/">the Swedish Council on Technology Assessment pooled eleven study populations</a> encompassing roughly 90,000 person-years of observation and over 2,000 fractures to determine how well bone density predicts who will break a bone. Their conclusion, published in the BMJ, was that while bone density can predict fracture risk across a population, it &#8220;cannot identify individuals who will have a fracture,&#8221; and they stated plainly: </p><blockquote><p>We do not recommend a programme of screening menopausal women for osteoporosis by measuring bone density.</p></blockquote><p>In other words, medicine has known for years that the number it screens for, diagnoses with, medicates against, and re-scans every two years is not the number which determines whether your bones break. It simply has not changed anything, because that number is what the entire apparatus is built to sell.</p><p><em>Note: <a href="https://amidwestdoctor.substack.com/p/rems">a cheaper method of diagnosing bone strength</a> (which does not expose patients to ionizing radiation) is beginning to be used in Europe. <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10217295/">It works by sending ultrasound waves</a> into bone and then analyzing the spectrum created by those waves to assess the health of the bones.  <a href="https://amidwestdoctor.substack.com/p/rems">As the attached presentation shows</a>, it accurately predicts bone density, and additionally, predicts bone strength.  In short, this may be a dramatically superior approach to DEXA scans, but it is unlikely we will see it enter regular use in the United States for at least a decade due to how heavily invested many already are in performing DEXA scans.</em></p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!uxGR!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F918ef17c-68f3-43cc-875f-bfd977d424bc_1374x900.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!uxGR!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F918ef17c-68f3-43cc-875f-bfd977d424bc_1374x900.png 424w, https://substackcdn.com/image/fetch/$s_!uxGR!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F918ef17c-68f3-43cc-875f-bfd977d424bc_1374x900.png 848w, https://substackcdn.com/image/fetch/$s_!uxGR!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F918ef17c-68f3-43cc-875f-bfd977d424bc_1374x900.png 1272w, https://substackcdn.com/image/fetch/$s_!uxGR!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F918ef17c-68f3-43cc-875f-bfd977d424bc_1374x900.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!uxGR!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F918ef17c-68f3-43cc-875f-bfd977d424bc_1374x900.png" width="1374" height="900" 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https://substackcdn.com/image/fetch/$s_!uxGR!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F918ef17c-68f3-43cc-875f-bfd977d424bc_1374x900.png 848w, https://substackcdn.com/image/fetch/$s_!uxGR!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F918ef17c-68f3-43cc-875f-bfd977d424bc_1374x900.png 1272w, https://substackcdn.com/image/fetch/$s_!uxGR!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F918ef17c-68f3-43cc-875f-bfd977d424bc_1374x900.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p><em>Note: the story in the above comment is discussed in more detail in <a href="https://www.npr.org/2009/12/21/121609815/how-a-bone-disease-grew-to-fit-the-prescription">this NPR article</a> and a <a href="https://www.amazon.com/Myth-Osteoporosis-every-creating-health-ebook/dp/B00ZKI1AJ2">2011 book</a> that exposed the DEXA scam.</em></p><h1>Bisphosphonates</h1><p>Once a patient is diagnosed with osteoporosis (and in some cases after an osteopenia diagnosis), <a href="https://www.aafp.org/pubs/afp/issues/2023/0700/practice-guidelines-osteoporosis-treatment.html">the first line treatment</a> is to start a bisphosphonate and continue it <a href="https://www.aafp.org/pubs/afp/issues/2023/0700/practice-guidelines-osteoporosis-treatment.html">for up to 3-5 years depending</a> on if the drug is administered intravenously or orally.  <br><br><em>Note: the bisphosphonates include: Alendronate (Fosamax), Risedronate (Actonel), Ibandronate (Boniva), Zoledronic Acid (Reclast), Zoledronate (Zometa, Aclasta) Pamidronate (Aredia) Etidronate (Didronel), Neridronate (Nerixia), Tiludronate (Skelid), Clodronate (Bonefos, Loron)</em></p><p>A variety of factors influence the development of bone.  Two of the most important ones are the cells that build bone up (osteoblasts) and the cells that break bone down (osteoclasts).  Bisphosphonates in turn concentrate in the bone and <a href="https://en.wikipedia.org/wiki/Bisphosphonate">work by disabling or killing osteoclasts</a>.  This thus leads to bone density increasing because the balance of bone production shifts towards building them up rather than breaking them down.</p><p>Unfortunately, there are two problems with this approach.</p><p>1. Bisphosphonates are notorious for having a large number of side effects.  Commonly recognized ones include:</p><ul><li><p>Irritating the stomach and inflaming or eroding the esophagus (which can sometimes lead to esophageal cancer).  This side effect is common enough that it leads many patients to not want to continue the drugs.</p></li><li><p>Severe bone, muscle and joint pain throughout the body.</p></li><li><p>Osteonecrosis (death of bone tissue) within the jaw.  Since so many people have been affected by this (e.g., <a href="https://pubmed.ncbi.nlm.nih.gov/19772941/">Kaiser found</a> 0.1% of users were affected), <a href="https://www.drugwatch.com/fosamax/lawsuits/">class action lawsuits have been filed against the manufacturers</a> for this debilitating illness (<a href="https://www.bmj.com/bmj/section-pdf/186299?path=/bmj/339/7716/Feature.full.pdf">which revealed</a> Merck&#8217;s private discussions about it).  This appears to be a result of bisphosphonates concentrating in the jaw <a href="https://www.amazon.com/Your-Bones-Prevent-Osteoporosis-Life_Naturally/dp/160766013X">reducing the jaw&#8217;s ability to repair itself by around 90%</a>. Remarkably, the American Dental Association <a href="https://web.archive.org/web/20080222234548/http://www.ada.org/prof/resources/topics/osteonecrosis.asp">even cautions its members</a> to avoid working on patients who are taking a bisphosphonate (presumably due to the liability created by their increased risk of harm from a dental surgery).</p></li><li><p>Triggering flu like symptoms when injected.</p></li><li><p>Occasionally causing unusual fractures in the hips.</p></li><li><p>Roughly doubling one&#8217;s risk for atrial fibrillation</p></li><li><p>Low blood calcium levels (hypocalcemia can often be quite problematic).</p></li><li><p>Fatigue, nausea and lack of strength.</p></li><li><p>Declining kidney function.</p></li><li><p>Inflammation of the eyes.</p></li><li><p>Poor healing of bones after fractures.</p></li><li><p>Increased risk of fractures<br><em>Note: this is an understandably controversial side effect fraught with conflicting evidence, given that its the opposite of what the drug is supposed to do, but there is now enough evidence that it is acknowledged these drugs increase the risk of certain types of fractures.</em></p></li></ul><p>To illustrate, <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2206264/">a January 2008 FDA alert</a>, warned physicians that all bisphosphonates may cause: </p><blockquote><p>severe and sometimes incapacitating bone, joint, and/or muscle (musculoskeletal) pain . . . [which] may occur within days, months, or years after starting the medication, and in some patients, may not resolve even after discontinuing the medicine.</p></blockquote><p><em>Note: we also find a variety of other significant issues occur.  For example, we&#8217;ve seen many patients on bisphosphonates develop bone spurs in the jaw (which can be quite challenging for them to deal with).  Similarly, <a href="https://pubmed.ncbi.nlm.nih.gov/15598694/">a study</a> of individuals who have had fractures after 3-8 years of bisphosphonate usage discovered that they had almost no new bone formation occurring.</em></p><p>2. The way bisphosphonates work is very different to how the body was designed to build healthy bone, and in effect, much of the bone they leave you with is &#8220;old bone&#8221; that easily fractures (e.g., <a href="https://x.com/VigilantFox/status/1919367096816824568">in a thread</a> about this article that was seen by over 4 million people, many reported highly unusual fractures from these drugs).  </p><p><em>Note: a variety of other newer drugs exist to treat osteoporosis.  These drugs are often more effective at producing stronger bones, and often don&#8217;t have the same significant side effects seen with the bisphosphonates, so quite a few of my colleagues use them.  Unfortunately, those drugs tend to be much more expensive and each one still has its own set of side effects.</em></p><div class="captioned-image-container"><figure><div class="image-link image2" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!GqO7!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F27fcd2cb-3cdc-4edc-b221-a52be85eb7f2_1162x226.png 424w, https://substackcdn.com/image/fetch/$s_!GqO7!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F27fcd2cb-3cdc-4edc-b221-a52be85eb7f2_1162x226.png 848w, https://substackcdn.com/image/fetch/$s_!GqO7!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F27fcd2cb-3cdc-4edc-b221-a52be85eb7f2_1162x226.png 1272w, https://substackcdn.com/image/fetch/$s_!GqO7!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F27fcd2cb-3cdc-4edc-b221-a52be85eb7f2_1162x226.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!GqO7!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F27fcd2cb-3cdc-4edc-b221-a52be85eb7f2_1162x226.png" width="1162" height="226" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/27fcd2cb-3cdc-4edc-b221-a52be85eb7f2_1162x226.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:226,&quot;width&quot;:1162,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:80184,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!GqO7!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F27fcd2cb-3cdc-4edc-b221-a52be85eb7f2_1162x226.png 424w, https://substackcdn.com/image/fetch/$s_!GqO7!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F27fcd2cb-3cdc-4edc-b221-a52be85eb7f2_1162x226.png 848w, https://substackcdn.com/image/fetch/$s_!GqO7!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F27fcd2cb-3cdc-4edc-b221-a52be85eb7f2_1162x226.png 1272w, https://substackcdn.com/image/fetch/$s_!GqO7!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F27fcd2cb-3cdc-4edc-b221-a52be85eb7f2_1162x226.png 1456w" sizes="100vw" loading="lazy"></picture><div></div></div></div></figure></div><h1>Physiologic Momentum</h1><p>One of the most remarkable aspects of the human body is its ability to gradually adapt to whatever circumstances it finds itself in.  Conversely, one of the primary challenges one faces when dealing with a chronic illness is that typically by the time the symptoms of the disease emerge, the maladaptive physiologic process that gave rise to those symptoms is firmly established within the body and hence quite difficult (and time consuming) to shift.</p><p>For example, Alzheimer&#8217;s disease typically is a result of the processes which create neurons slowing down and being outpaced by the processes that destroy them, hence leading to an increasing neuronal loss and an increasing loss of neurological function.  In turn, <a href="https://www.midwesterndoctor.com/p/what-causes-alzheimers-disease">the only method</a> which has ever been proven to treat Alzheimer&#8217;s is to simply reverse that equation and have neuronal production outpace neuronal destruction.  Unfortunately, since a drug can&#8217;t be made to do that (rather it requires changing one&#8217;s lifestyle) the industry has instead relentlessly focused on drugs which eliminate the plaque the brain forms to protect its neurons from injury.  Thus all we have to show after decades of spending billions each year to find a cure for this disease are <a href="https://www.midwesterndoctor.com/p/what-are-the-priorities-of-the-healthcare">expensive plaque targeting</a> that have a wide range of side effects and are useless for actually treating Alzheimer&#8217;s disease.</p><p>One of the most important adaptive processes in the body is how it accommodates to the stresses and loads placed upon it.  For example, the reason why weight training &#8220;works&#8221; is because muscles being stressed through overexertion gives a signal to the body that it needs to build more muscle.</p><p>However, while the adaptive process with muscles is frequently recognized, many others are not.  For instance, the body continually remodels the soft tissue which connects the body together, and as a result, when someone experiences a pharmaceutical injury which damages the body&#8217;s ability to rebuild those tissues, they are likely to subsequently experience a critical structural failure.<br><br>This is most well known with the fluoroquinolone antibiotics, as the drugs (which have a high degree of toxicity to the mitochondria that fuel tissue buildup in the body) frequently cause tendon ruptures to occur over a month after the drugs are stopped.  Similarly, we also observe many of the other more dangerous drugs on the market over time (even if stopped) will cause the soft tissue of the body to become compromised (often to a degree which significantly impacts the patient&#8217;s life), which in part may be explained by the fact the cells that create connective tissue <a href="https://www.scirp.org/journal/paperinformation?paperid=103182">have abundant mitochondria</a>. <br><em>Note: a more detailed discussion of the treatments for ligamentous laxity (hypermobility is a condition that disproportionately affects the individuals who are the most sensitive to their environment and being injured by pharmaceuticals) can be found <a href="https://www.midwesterndoctor.com/p/the-hidden-link-between-hypermobility-5a5">here</a>.</em></p><h1>Bone Remodeling</h1><p>An adaptive process also continually reshapes the bones so that their architecture is arranged to optimally bear the loads placed upon them.  In most cases, we never think about this process because it just works as intended.  However, in certain cases, we do recognize where it has gone awry.</p><p>For example, since the bones depend upon the weight of gravity for the signal to be built up (<a href="https://www.sciencedirect.com/science/article/pii/S0254058423006685">via the electrical currents that are created when bone is compressed</a>), that signal is lost in low gravity environments.  Because of this, a longstanding problem in space travel was the rapid bone loss astronauts experienced (e.g., in 6 months <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8123809/">they lost 6-10% of their bone density</a>, which put them at a high risk for fractures once they returned to normal gravity and <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8123809/">typically took 3 or more years to recover from</a>). </p><p>Because of this, while we typically only focus on the cells which build bone, the reality is that the osteoclasts are also immensely important, as their destruction of bone is what allows bone to assume the shape which best allows it to effectively bear the weight of gravity.  In turn, when they are blocked by a bisphosphonate, bone density increases, but the bones that form are much more brittle and inflexible.  Our dislike of those drugs in turn comes about from how frequently we encounter the pathologic changes they create in our patient&#8217;s bones (e.g., we find that while compressive strength may be increased, bone mobility is not, and that is often far more consequential for the patients).</p><p>This in turn highlights a common problem in medicine.  Frequently doctors are trained to focus on treating numbers (e.g., reducing a &#8220;high&#8221; cholesterol) under the belief that correcting those numbers creates health.  Much of this comes from the fact it&#8217;s much easier to conduct a study that assesses benefit through the change of a value which is assumed to be good (e.g., a vaccine creating the target antibodies) than it is to evaluate if an actual improvement occurs for patients (e.g., a decrease in the total number of people who died&#8212;which <a href="https://www.nejm.org/doi/suppl/10.1056/NEJMoa2110345/suppl_file/nejmoa2110345_appendix.pdf">in Pfizer&#8217;s studies</a> did not occur despite the fact  &#8220;lifesaving&#8221; antibodies were consistently being produced).</p><p>In short I would argue that while bisphosphonates may be effective at improving a DEXA score, they aren&#8217;t necessarily good at improving health.</p><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://www.midwesterndoctor.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">Your support makes The Forgotten Side of Medicine possible! To receive new posts and support my work, please consider becoming a free or paid subscriber.</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div><h1>What Causes Osteoporosis?</h1><p>Since bone metabolism is linked to many other processes in the body, a variety of things can affect it.  In turn, I find that colleagues who focus on treating a specific aspect of the body are often able to provide proof their area of focus is the primary determinant of bone health.  This hence makes it quite challenging to establish which area in fact matters most.  That said, there are a few factors of particular importance.</p><p><strong>1.</strong> <strong>Mobility</strong>&#8212;since bone growth depends upon the signals generated from loading weight on the body, a good case can be made that our increasingly sedentary lifestyles are responsible for the continual increase in osteoporosis <a href="https://www.cdc.gov/nchs/images/databriefs/401-450/db405-fig3.png">occurring in America</a> (e.g., <a href="https://pubmed.ncbi.nlm.nih.gov/19533480/">one study</a> found sedentary postmenopausal women lost 2.26% of their bone mass in a year, while those who did a weight training program instead had a 1.17% increase).  Additionally, sunlight exposure <a href="https://bmcnutr.biomedcentral.com/articles/10.1186/s40795-023-00707-y">has been shown to increase bone density</a> (along with <a href="https://www.midwesterndoctor.com/p/dermatologys-disastrous-war-against">providing many other critical health benefits</a>), which further illustrates how problematic being sedentary inside can be. <br><em>Note: the contribution of immobility to osteoporosis also touches upon another challenging aspect of chronic diseases&#8212;often there is a self perpetuating downwards spiral since many of the causes worsen the others (e.g., osteoporosis increases immobility, poor circulation [which is commonly seen in chronic disease states] also creates immobility and <a href="https://www.midwesterndoctor.com/p/what-moves-water-inside-the-body">immobility simultaneously impairs fluid circulation</a>).</em><br><br><strong>2.</strong> <strong>Hormones</strong>&#8212;<a href="https://www.midwesterndoctor.com/p/puberty-blockers-are-incredibly-dangerous">in a previous article</a>, I discussed the severe dangers of drugs like Lupron which work by disabling the body&#8217;s production of sex hormones.  One of the most common side effects observed from them is a significant weakening of the bones, which commonly leads those injured by the drugs to remark that they &#8220;have bones like an 80 year old&#8221; (e.g., you will hear reports of a 30-year-old leaning against a wall with their arm and that bone snapping or them learning they need to get dentures).  Furthermore, in many cases these effects are often delayed, which again illustrates how a disruption of the remodeling of bone can ripple out far into the future.<br><em>Note: we have also seen cases where patients were prescribed high levels of aromatase inhibitors (drugs which prevent the conversion of testosterone to estrogen) which then appeared to trigger bone loss.</em></p><p>This, in turn, argues that hormones play a vital role in bone health, and this is one of the reasons why the hormonal medicine field frequently prescribes them to aging women.</p><p>However, in our experience the thing which determines whether a bone breaks is not its density but rather its elasticity and mobility as when healthy bones are subject to a loading stress, they bend to accommodate that stress and then spring back into their original shape, whereas if a bone is brittle, once it begins to bend, it will break.</p><p>This distinction matters enormously, because there is a specific hormonal balance which governs the elasticity of bone rather than merely its density, and in our experience, getting that balance right is one of the most helpful things which can be done to prevent fractures. Yet, despite this being recognized in the scientific literature, it is rarely, if ever, discussed within conventional medicine, and as such, patients are rarely told about it.</p><p><em>Note: osteoporosis, while rarer, also occurs in men. We find that for men, increasing testosterone levels can also help with bone loss, however the magnitude of benefit is not as much as is seen with other hormonal interventions.</em></p><p><strong>3.</strong> <strong>Inflammation</strong>&#8212;many of us have observed that patients with chronic inflammatory diseases tend to be at a greater risk of osteoporosis.  In turn, the mechanism to support these observations exists as the cytokines classically associated with those inflammatory disease states (e.g., TNF-&#945; and IL-6) <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7493444/">have been shown</a> to activate key receptors (e.g., RANKL) which cause osteoclasts to dismantle bone until the underlying disease which is generating those cytokines is addressed.</p><p><strong>4.</strong> <strong>Minerals</strong>&#8212;since bones are composed of minerals, this suggests bone strength is dependent upon the dietary intake of minerals.  Our own experience has been that supplementing with the correct minerals is often what restores bone health, so I am inclined to believe this is indeed a critical point.<br><br>Since mineral deficiencies appear to be such a common issue, we&#8217;ve tried to identify what may be responsible for this.  Presently we believe the chief culprits are:</p><p>&#8226;A stomach acid deficiency (since stomach acid is often necessary to absorb dietary minerals).  Two of the most common causes of this are acid blocking medications (<a href="https://link.springer.com/article/10.1007/s00198-023-06867-8">which have been repeatedly shown to cause osteoporosis</a>) and the tendency for stomach acid to decline with age (which may in turn explain why osteoporosis increases with age).</p><p><em>Note: <a href="https://link.springer.com/article/10.1007/s00198-015-3365-x">a meta-analysis of eighteen studies encompassing 244,109 fracture cases</a> found that taking the most common reflux medications (proton pump inhibitors) raised the risk of a hip fracture by 26%, along with raising the risk of spinal fractures by 58% and any-site fractures by 33%. Given that these drugs are amongst the most widely prescribed in the world and are routinely taken for years on end for a condition <a href="https://www.midwesterndoctor.com/p/stomach-acid-is-critical-for-health">that is frequently caused by </a><strong><a href="https://www.midwesterndoctor.com/p/stomach-acid-is-critical-for-health">too little stomach acid rather than too much</a></strong>, this again illustrates how keeping people healthy is not prioritized by the medical system (rather than <a href="https://www.midwesterndoctor.com/p/stomach-acid-is-critical-for-health">say utilizing cheap simple and safe methods to cure acid reflux</a> alongside the autoimmunity and sinus issues deficiencies low stomach acid often causes).<br></em><br>&#8226;The chronic depletion of essential micronutrients and minerals from the soil due to industrial agricultural practices (it&#8217;s a huge problem) and the removal of the mineral rich components of food when they are processed (e.g., when <a href="https://www.precisionnutrition.com/whole-grains-vs-refined-grains-infographic">changing a whole grain into a refined grain</a>).</p><p>&#8226;The tendency for the widely used herbicide Roundup <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3479986">to behave as a chelating agent</a> which binds essential minerals in the soil (particularly the +2 cations like magnesium) and hence prevents them from entering our bodies.</p><p><strong>5.</strong> <strong>Water Fluoridation</strong>&#8212;Fluoride was originally added to the water supply because it was a toxic waste product numerous industries needed a liability free way to dispose of.  Since fluoride was known to increase bone density, this was used to argue that it could protect our teeth, and hence that it could instead be viewed as a vital nutrient.  These attempts were initially unsuccessful (as fluoride has a wide range of toxicities), but eventually, <a href="https://en.wikipedia.org/wiki/Uranium_hexafluoride">since fluoride was needed to produce the original atomic bombs</a>, for national security reasons, the government relented and added fluoride to the water supply.<br><br>Unfortunately, like the bisphosphonates, while fluoride increases bone density, the bone that forms is less healthy and able to function normally.  In addition to many of my colleagues believing they&#8217;ve observed this harm within their patients, this has also been demonstrated both <a href="https://fluoridealert.org/studies/osteoid02/">by numerous studies linking fluoride to osteomalacia</a> (a condition where the bones soften and hence are more likely to fracture) and by <a href="https://fluoridealert.org/studies/bone02/">numerous studies</a> finding that administering fluoride increases rather than decreases one&#8217;s fracture risk.  Conversely however, since osteoporosis is defined not by fracture risk but rather by the loss of bone density, I don&#8217;t feel fluoride (which increases bone density) could be the primary culprit for the increasing osteoporosis rates.  However, it should be noted that<em> </em><strong>some <a href="https://fluoridealert.org/studies/bone11_/">of the newer research</a> shows that fluoride decreases rather than increases bone density</strong><em>.<br>Note: I believe one of the things that likely contributed to my physical health and cognition was taking proactive steps to avoid fluoridated water for most of my life.</em><br><br><strong>6.</strong> <strong>Pharmaceutical Drugs</strong>&#8212;In addition to the hormone blockers (e.g., Lupron) and the  stomach acid blockers (e.g., Prilosec) other pharmaceuticals have also been shown to significantly increase the risk of osteoporosis, particularly the glucorticoid steroids like prednisone (the vast dangers of which are discussed <a href="https://www.midwesterndoctor.com/p/steroid-dangers-and-safe-autoimmune">here</a>).  To illustrate&#8212;taking them <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4613168/">doubles one&#8217;s risk of a fracture</a> (and even more so for a vertebrae), at typical doses <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4613168/">they cause a 5-15% loss of bone each year</a>, and in long term users, <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4613168/">37% experience vertebral fractures</a> (additionally, high dose steroid use <a href="https://onlinelibrary.wiley.com/doi/10.1359/jbmr.2000.15.6.993">increases the risk of vertebral fractures fivefold</a>).  Glucorticoid bone loss in fact is such a common problem that treating it is one of the few official indications <a href="https://www.accessdata.fda.gov/drugsatfda_docs/label/2012/021575s017lbl.pdf">the FDA provides for bisphosphonates</a>.<br><em><br></em>Other drugs are also known to compromise bones.  Opioids for instance have been shown <a href="https://pubmed.ncbi.nlm.nih.gov/29680509/">to delay the healing of fractures or spinal fusions</a> and when used chronically, <a href="https://onlinelibrary.wiley.com/doi/10.1111/add.14732">to lower bone density and</a> <a href="https://onlinelibrary.wiley.com/doi/10.1111/add.14732">increase the risk of a fracture by 4.13 times</a>.  Some of the other drugs which have also been shown to weaken bones include the <a href="https://pubmed.ncbi.nlm.nih.gov/25173606/">thiazondones</a> (which are used for diabetes), <a href="https://pubmed.ncbi.nlm.nih.gov/32730935/">SSRI antidepressants</a>, the <a href="https://pubmed.ncbi.nlm.nih.gov/20226391">anticonvulsants</a> (which were initially developed to treat epilepsy but are now used for many other conditions), <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC552887/">Depo-Provera</a>, and the previously mentioned <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5384888/">aromatase inhibitors</a>. <br><br><em>Note: while they do not directly weaken bones, blood pressure medications dramatically increase the risk of falls in the elderly (e.g., <a href="https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/1832197">a large 2014 JAMA study</a> found moderate-intensity blood pressure therapy caused a 40-131% increase in the risk of a fall causing serious injury)&#8212;but nonetheless, as the years go by, more and more aggressive blood pressure treatment thresholds are recommended rather than healthy ways to address this condition (all of which is discussed <strong><a href="https://www.midwesterndoctor.com/p/the-great-blood-pressure-scam">here</a></strong>).</em></p><p><strong>7. Environmental Toxins</strong>&#8212;as the following links show, a variety of <a href="https://oulurepo.oulu.fi/handle/10024/34919">widely pervasive environmental toxins</a> (e.g., <a href="https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(99)04466-9/abstract">organophosphates</a>, <a href="https://www.sciencedirect.com/science/article/abs/pii/S0304389422012511">Bisphenol A</a>, <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6453153/">aluminum</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/15375291/">cadmium</a> and <a href="https://pubmed.ncbi.nlm.nih.gov/7833868/">nicotine</a>, <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2683156">lead</a>, <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6659129/">mercury</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/31237619/">triclosans</a>, along with <a href="https://sci-hub.yncjkj.com/10.1016/j.envint.2018.02.022">many other persistent organic pollutants</a>) can inhibit bone formation and are linked to osteoporosis (e.g., a few studies have linked reduced bone density to DDT exposure&#8212;a chemical that unfortunately persists in the body for decades<a href="https://www.scu.edu.au/news/2003/many-women-suffer-reduced-bone-density-due-to-ddt-in-the-blood.php"><sup>1</sup></a><sup>,</sup><a href="https://www.tandfonline.com/doi/pdf/10.1080/00039890009603403"><sup>2</sup></a><sup>,</sup><a href="https://pubmed.ncbi.nlm.nih.gov/11256895/"><sup>3</sup></a><sup>,</sup><a href="https://www.sciencedirect.com/science/article/abs/pii/S0013935109001522"><sup>4</sup></a>).<br><em>Note: <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7071508/">drinking soda</a> has been shown to significantly increase one&#8217;s risk of osteoporosis and fractures.</em> </p><p>At the same time however, I&#8217;m not completely sure these points paint the full picture because the most ancient medical texts in the world also discussed osteoporosis (at a time when, for instance, Roundup and Acid Blockers did not exist) </p><p>In addition to these mechanisms, there are a few others I suspect cause osteoporosis but I have less evidence to support those claims (e.g., the ancient Chinese medical texts made a specific claim about what governs the health of the bones which modern research has now begun to corroborate and ties directly into the zeta potential work I&#8217;ve done here for years).</p><p>For the remainder of this article, I will hence discuss:</p><ul><li><p>The specific hormonal balance which determines the elasticity of bone (rather than its density), how to test for it, and the levels we prioritize targeting.</p></li><li><p>Our preferred mineral and supplement protocol for restoring bone strength (along with some of the nuances not appreciated about bone supplementation).</p></li><li><p>The strategy I&#8217;ve employed to eliminate fluoride as part of my quest for attaining healthy water (which is surprisingly tricky to do, but I&#8217;ve managed to find a few filters and bottled water options over the years).</p></li><li><p>A few dietary approaches I&#8217;ve come across which provide remarkable results for bone health.</p></li><li><p>The common causes of &#8220;unexplained&#8221; bone loss, which are easily missed, easily treated, and often cause people years of unnecessary suffering.</p></li></ul>
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