LDN Optimum Dose Trouble Shooting etc скачать в хорошем качестве

LDN Optimum Dose Trouble Shooting etc

Join LDN Support Group -   / 2927649837416056   www.LDNSupportGroup.Org Education & Consulting: www.yoonhangkim.com Virtual Clinical Services: www.directintegrativecare.com Related Video: No Side Effects from LDN allowed    • LDN Side Effects Not Allowed Mitigate by A...   Hi, this is Dr. John Kim. I'm an integrative and functional medicine physician specializing in LDN therapy. I've been using LDN for more than 20 years, and I would say it's one of the pillars of helping people in my practice. Today's topic covers optimal starting dose, how to increase the dose, what to do if it doesn't work, and how to handle side effects. Optimal Starting Dose There's a common idea that if a dose worked for another person, it must work for you. I don't think that's true. You have to look at the individual and assess their endorphin status. Is that person functioning at a healthy level? If someone has a decent job, is able to perform well, has leftover energy at night, and wakes up with energy to go about their day, I would say their endorphin system is intact. Those people can probably start at 0.5 milligrams, maybe even higher. If that person cannot tolerate that dose, you have to start asking other questions. Are they sensitive to medications? How long have they been sick? What's their functional status? In the worst cases—when someone is really compromised functionally and is very medication-sensitive—I may start them on one microgram or even lower. There are ways to dilute LDN at home, down to microgram or even nanogram doses. I think patients need to have control over their starting dose, and they cannot have a bad experience. If they do, it becomes hard for them to continue. When I started using LDN, everyone thought 1.5 milligrams was a great starting dose. I was one of the people who advocated for 0.5 milligrams. Now I start everyone on 0.1 milligrams unless I think they're compromised, in which case I start with one microgram and dilute further if needed. There are people who don't even tolerate nanogram doses. It happens. How to Increase the Dose I leave dose increases to my patients because it's an individualized process. I tell them: if you've been taking one, try two. If you can't tolerate two, stay on one for another week and try again. If one week isn't enough, wait two weeks. Slowly build up tolerance. For autoimmune conditions, the dosing can range from low to medium to high. In my clinic, I'll start as low as one microgram if I think someone is endorphin-depleted, and I'll push it all the way to 25 milligrams over time. We're talking about increasing weekly if tolerated—one microgram the first week, two micrograms the second week, three micrograms the third week, then five, ten, fifteen micrograms, and so on. Usually toward the end, patients don't have issues. If they do, I ask them to stop for seven days, restart at the lowest dose, and go up very slowly. What If LDN Doesn't Work? LDN is an important pillar, but it's not the only pillar I use. My framework is integrative and functional medicine, which includes lifestyle interventions, methylene blue, rapamycin, and other approaches. I think it's a mistake to say LDN works for everybody at some magical dose and that there's only one right way to do it. That's not how it works—at least not in the 20 years I've been doing this. Treatment is highly individualized, and individualizing minimizes side effects. If LDN doesn't work, you need to reset. A reset takes about seven days, sometimes longer. And you need to find a prescriber who knows what they're doing. These days, anyone with prescriptive authority can write for LDN. If your case is simple, that works. If it's not simple, you need to find someone with expertise in your community or licensure area. About My Practice I do have a telemedicine practice—I'll fully disclose that. I'm not trying to recruit more patients, but I serve Illinois, Missouri, Texas, Florida, Georgia, and hopefully soon Iowa. I do this because while anyone can write for LDN, not everyone knows how to use it effectively. The patients who come to me are usually very complex or want to make sure they're getting the best care possible. I know people write to me and send messages. It's a little tricky because Facebook doesn't allow us to practice medicine on the platform. If you post something that looks like a medical question, it gets flagged as spam. I delete it and repost when I have time. If you send me direct messages, I'm not allowed to accept or reply. I can call, but that depends on my availability. What I'd ask everyone to do is please use the videos I've posted. Most of your answers are there. The blog is different—it's factual, referenced, and evidence-based. I don't discuss the same things in both formats. The videos are sanitized and referenced so no one can say I'm giving medical advice. My advice: find a prescriber who knows what they're doing. All right, everyone. Have a great weekend. Take care.