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COVID infection best practice for UC patients

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Ulcerative Colitis
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GrittyHope
Regular Member
Joined : Mar 2022
Posts : 95
Posted 8/2/2022 1:00 PM (GMT -8)
Hi, everyone. I'm DELIGHTED to report that after my fourth dose of Entyvio, my fecal calprotectin is down to 14 (the lowest it's ever been). I'm fully off steroids and slated to be teaching back in the classroom in the fall, and my kids are going back to in-person school after two years.

So far we've avoided COVID, but I expect it will get us at some point. I know there are LOTS of different opinions here, and I'm not keen to invite debate about vaccinations, etc. (For the record, I'm going for my second booster next week, although I'm a little nervous about it). Kiddos and I will mask, and my university may re-institute masking for everyone, but the kids' classmates and teachers are unlikely to be masked. One way or another, we're going to get sick this fall, and while Entyvio is gut specific, it's still suppressing immunity.

My question: some of you are excellent researchers, and I'd love to collate a list of best-practice advice for the likely event of the 'rona coming to my household. I've been combing the internet for high-quality medical research, but I'd love to hear about your findings or your more integrative-inclined care providers' advice, as I'm not yet finding clear protocols.

Here's what I've found so far: a lot of the anti-inflammatory and antioxidant supplements we're already likely on are showing hopeful signs for covid, both as treatment and prophylaxis.

This includes supplements I'm already taking:

- curcumin: https://pubmed.ncbi.nlm.nih.gov/35057437/

- omega 3: https://www.ncbi.nlm.nih.gov/pmc/articles/pmc9012318/

- probiotics: https://www.ncbi.nlm.nih.gov/pmc/articles/pmc8781206/

I'm also intrigued by the research on:

- quercetin: https://www.ncbi.nlm.nih.gov/pmc/articles/pmc8573830/

- famotidine (Pepcid AC) as a histamine blocker: https://gut.bmj.com/content/71/5/879

- glutathione


So: what else have you found?

AND have you found protocols for what to take in combination and how much?

My concern about a DIY approach to this is that my blood pressure is already quite low, and I worry about the compounded effect of too many meds with anticoagulant or anti-inflammatory effects. Can you go too far in this direction?

Thanks, all!
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poopydoop
Veteran Member
Joined : Dec 2018
Posts : 1848
Posted 8/2/2022 1:49 PM (GMT -8)
There is some evidence that vitamin D deficiency increases both the likelihood of getting sick and of having a severe disease course. In other words, a vitamin D supplement may help.

Furthermore when I've seen friends get long covid or have protracted recovery, they tended to push themselves too hard too early (e.g. going for a run as soon as they felt better). Therefore it's important to take time to rest, even after symptoms have apparently resolved. I think the advice is take it easy for 7-10 days after symptoms have gone? And then start slowly.
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ks1905
Veteran Member
Joined : Sep 2005
Posts : 6394
Posted 8/3/2022 5:42 AM (GMT -8)
Have you considered Evusheld? My GI’s practice wasn’t giving it out.

The new vaccine coming out this fall will be more protective against the omicron variants.
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IamCurious
Veteran Member
Joined : Jan 2010
Posts : 3696
Posted 8/3/2022 7:19 AM (GMT -8)
Vitamin D, Zinc, Quercetin, vitamin C.

Get your blood levels of vitamin D checked. Some studies say that levels above 50 ng/ml can help protect you from Covid.
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GrittyHope
Regular Member
Joined : Mar 2022
Posts : 95
Posted 8/3/2022 1:22 PM (GMT -8)
Thanks for all the advice, everyone!

Keith, I'm not sure if Evusheld is common in my part of Canada.

Curious, my D levels were pretty good last time we checked. I might look at my bloodwork again, and I do supplement (the days get very short here in the winter).

I think the advice to take it slow when sick is really good. I've tried to push through in the past and really regretted it. And the folks I know who've gotten covid in the past few weeks have actually gotten very ill, even after boosters, so I think the slow and steady approach is necessary.

In case anyone else is interested, I did find this functional medicine roundup yesterday, with supplements and amounts, along with research footnotes: https://www.ifm.org/news-insights/the-functional-medicine-approach-to-covid-19-virus-specific-nutraceutical-and-botanical-agents/
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FlowersGal
Veteran Member
Joined : Feb 2017
Posts : 1708
Posted 8/4/2022 11:45 AM (GMT -8)
FYI — also on entyvio for 5 years now! Glad it’s given you relief and hope it’s long-lived as mine! 😀

I’ve had both vaccines (moderna) a 3rd full dose booster , and a 4th “regular” booster (which was 1/2 strength). UNC (university of North Carolina) did a study on vaccines and antibodies according to the type of immunosuppressants we were on. Entyvio was one of the better-performing — meaning that our antibody levels were among the highest of all the UC immunosuppressant drugs. I’m still on a John Hopkins antibody study and my antibody level is very high and at the same level as 1 month after my last booster — so hasn’t dropped any in 2-3 months. So far I have not caught covid even though I’ve been exposed twice.
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GrittyHope
Regular Member
Joined : Mar 2022
Posts : 95
Posted 8/5/2022 1:49 PM (GMT -8)
Thanks so much for this update, Flowers! I’ve had a course of steroids since my third dose, and I read that could diminish immunity further, but it’s good to know the relative mildness of Entyvio’s piece of the puzzle. So glad these studies exist and for the folks who participate in them!
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