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Inflammation Therapy requires a high degree of personal involvement by the patient, including the ability to self-manage this treatment. Some patients may need assistance from a caregiver or supportive family member, and not everyone will be able or willing to make this commitment.

Acquiring self-management skills requires both study and experience. In order to enhance this learning process, especially for those patients who suffer from cognitive disabilities (e.g., memory loss, brain fog, etc.), we have identified a list of basic competencies that each patient should strive to acquire:

1. Manage light exposure, including the following tasks:

a) acquire appropriate clothing
b) purchase NoIR sunglasses or their equivalent
c) adjust lifestyle to limit daylight activities
d) reduce lighting in the home and workplace

2. Identify reactions caused by light exposure from the following sources:

a) artificial light falling on the eyes
b) natural (sun) light falling on skin and/or eyes

3. Identify improvements in symptoms as a result of minimizing light exposure.

4. Explain light sensitivity to others.


Light Sensitivity

5. Explain to family and friends the need to limit intake of vitamin D.

6. Identify supplements and foods high in vitamin D by reading the information available on the website and by reading labels.

7. Control 25-D levels to a therapeutic level by dietary measures and by limiting natural light exposure.


Vitamin D Sources to Avoid
Vitamin D

8. Identify Herxheimer reactions.

9. Manage herxing to maintain tolerable symptoms.


Herxheimer Reaction
Herxheimer Symptom Management

10. Identify the most palliative Benicar (olmesartan/Olmecip) dosing regimen (i.e., that which results in the most tolerable level of herxing).

See Benicar®

11. Determine if Minocycline is primarily herx-inducing or has a palliative effect.

See Minocycline

12. Understand basic characteristics of therapy antibiotics (e.g., likely effect, timing of doses, combinations).


Antibiotic Therapy Management
Two-antibiotic Combinations
Three-antibiotic Combinations

13. Recognize the need to ask for help and know how to do that.

Although this list of skills may seem daunting, most patients do learn them and the CIR Health Team is available to help with the process. See Testimonials.

See also Getting Started.

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