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Oh how I wish I didn’t have to keep writing about COVID! More than a year and a half into this pandemic and we are still in trouble, still seeing increasing cases, deaths, and, what I am seeing most in my practice, long Covid. There are several things you can do to help prevent both a serious infection with Covid and long Covid. Many of these I have talked about before in previous articles and social media posts. Some are new. Since we are far from out from under this virus, I think it is so important that ALL of us do ALL that we can to mitigate the seriousness of the virus as well as doing our best to stop the spread.


Get Vaccinated
I do feel inclined again to encourage everyone to get vaccinated. I can completely understand the fear of a new vaccine and I have spent my career as a cautious vaccinator (Cautious, not anti). However, the wild virus (getting a Covid infection) is much more dangerous than the vaccine seems to be. There seems to be a low, not zero, risk of side effects from the vaccine. I have heard anecdotal reports of death and debility from the vaccine, but have not personally known, nor seen in my practice, any of these cases.

On the other hand, I have seen many, many patients, and known many people personally, with long Covid. When you get the wild virus, your immune system has to respond to a rapidly increasing viral load as the virus replicates. The larger the viral load, the more spike proteins your immune system has to fight, resulting in a very large immune response. This robust immune response can cause cross-reactivity in the body, and, as we have seen in the past year and a half, can increase the possibility of autoimmunity.

Worse yet, in addition to the huge volume of spike protein a wild virus infection of Covid brings with it, Covid also carries with it many different protein sequences, or epitopes. This means that in addition to the spike proteins, the immune system also has to deal with all of these various epitopes, further increasing the risks of immune cross-reactivity.

In contrast, the Covid vaccines give the body instructions to make the spike protein that is unique to Covid. The body produces short-lived spike proteins. These spike proteins, in absence of the whole virus, are unable to replicate, so the immune system mounts a limited reaction and creates antibodies to the spike protein. If and when we come into contact with the live virus, our immune system is ready to fight Covid.

We are seeing that in most cases, a person who is vaccinated against Covid and does get infected with the wild virus, the immune system is able to respond, and the infection is much less severe.

This entire pandemic has been rife with information and disinformation, fear and disbelief. There is still so much we don’t know. In an effort to live with love in our hearts and compassion for others, I think we do less harm by taking the most cautious approach. Regardless of how personally uncomfortable it might be, get your vaccine. Wear your mask. We have to have SOME way through this, and this is perhaps, hopefully, probably, the best way to get out of this exhausting pandemic.



Tiny organelles inside each cell are responsible for the generation of vital cellular energy. When there is inadequate cellular nutrition, you might not have the proper energy reserves to combat the free radical damage caused by Covid infection. Most of my Long Covid patients experience fatigue, a sign that these organelles have been damaged and are no longer producing adequate levels of ATP. Healthy mitochondrial function is absolutely necessary for restoring health after an infection of any type. I have found that key nutrients, such as Alpha Lipoic Acid, Acetyl-l carnitine, and CoQ10, along with vitamin and mineral cofactors help keep your mitochondria humming!


Is there anything that is not affected by your microbiome? We know that the microbiome is central to immune function, and that Covid can be found in the stool. I often use a comprehensive stool analysis to measure the health of your microbiome. This test can identify imbalances of beneficial bacteria, commensal bacteria, and dysbiotic bacteria. In addition, we use it to identify markers of inflammation and digestion. This valuable information helps us to predict your overall health, and correcting the imbalances found in the gut can certainly prevent long term illnesses of all kinds.



Adrenal Health
A healthy stress response is another area that helps in all areas of health. Adrenal health is one of the most important indicators of a healthy lifestyle. Chronic stress and chronic elevated cortisol levels can lead to weight gain, blood sugar dysregulation, and immune dysfunction. Low levels of cortisol also causes immune dysfunction, leaving you more susceptible to infection and less able to mount a robust immune response.

While there are many herbs to support adrenal function and a healthy stress response, there is no real way to supplement yourself into healthy adrenal function. Stress management is essential. So, pay attention to how you are living your life. Are you overworked? Do you play too hard? Are you getting enough sleep? Do you spend time outside? Are you aware, awake, grounded? It is so important to take some time and live your life at an appropriate pace. Breathe. Laugh. Rest.


You knew this was coming, right? All of the cells in your body, mitochondria included, depend on the vitamins, minerals and macro nutrients that you eat. You have to provide the required nutrients to your body if you expect it to actually work for you. Your immune system cannot be expected to fight a fierce virus if you are depriving it of nutrition.

Seriously. Eat whole foods.

Most people have chronic, low-grade nutrient deficiencies of which they are completely unaware. These deficiencies become a problem over time, and lead to problems of all of the systems in the body, including the immune system, the adrenals, and the mitochondria. So if you practice eating for nutrient value every day, it can benefit you in every way, and keep you stronger to fight infections like Covid.

Whole food diet

We all feel pretty desperate, I think, at this point, to be done with Covid. And now, in the midst of another surge, we find ourselves having to be cautious once again. It might feel like there is a lot we don’t know and that is still true, unfortunately. However, we do know that the healthier you are the better you fare- in all of life. Work on getting healthier. Because you are loved.

Dr. Eliza

P.S. If you are looking for supplements that can assist, Liza can help! 

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