Table of contents
Lesezeit 10 Minuten
Patient: Kurzenhäuser, Andrea
Date of birth: 09.07.1974 (51 years old)
Creation Date: 30.04.2026
Valid from: After medical clearance and whole blood zinc control
Important notes before starting supplementation
⚠️ CRITICAL CONTRAINDICATIONS (HPU/KEAC)
DO NOT supplement:
- ❌ NO copper Copper-zinc imbalance, whole blood copper already elevated: 1.22 mg/l
- ❌ NO PABA Para-aminobenzoic acid
- ❌ No beta-carotene
- ❌ No Vitamin D supplement (Vitamin D ratio increased to 1.73, risk of hypercalcemia)
Checks required before starting
- Purebred Zinc Control (currently 8.5 mg/l, elevated)
- Deazol Plus (KEAC) contains Zinc → start only after checking
- Goal: Normalize zinc levels, then use HPU-specific supplementation
- Medical clearance for bioidentical progesterone (prescription required)
- Antibiotic therapy (as medically prescribed)
- Option 1: Doxycycline 2 × 100 mg + Rifampicin 600 mg
- Option 2: Azithromycin 500 mg + Rifampicin 600 mg
- Important: Observe time intervals to NEMs (see below)
Daily intake plan
MORNING ON AN EMPTY STOMACH (6:30–7:00 AM)
At least 30 minutes before breakfast
| NEM | dosage | Form | Hints |
|---|---|---|---|
| Liposomal Glutathione | 500 milligrams | Capsule/Liquid | Sober for optimal absorption [1] |
| Methylfolate (5-MTHF) | 400 micrograms | Capsule | Morning, methylation supported [2] |
| P5P (Pyridoxal-5-Phosphate) | 25–50 mg | Capsule | Active Vitamin B6 form for HPU [3] |
Waiting time 30 minutes until breakfast
BREAKFAST (7:30 AM - 8:00 AM)
Take with meals
| NEM | dosage | Form | Hints |
|---|---|---|---|
| Omega-3 (EPA+DHA) | 1000 mg | Capsule | Fat-soluble, with a meal [4] |
| Coenzyme Q10 | 100 milligrams | Capsule | Fat-soluble, with a meal [4] |
| Curcumin (Turmeric) | 500 milligrams | Capsule | With piperine for better absorption [6] |
| Frankincense (Boswellia) | 400 mg | Capsule | Anti-inflammatory, with meal [7] |
| vitamin C | 500 milligrams | Capsule/Powder | Max. 500–1000 mg/day for HPU! [8] |
If antibiotics are prescribed:
- Doxycycline 100 mg (1. Dosage) → Not with dairy products!
- Rifampicin 600 mg (total daily dose)
- At least 2 hours apart to magnesium, zinc, calcium (chelation!)
LUNCH (12:30–1:00 PM)
Take with meals
| NEM | dosage | Form | Hints |
|---|---|---|---|
| Omega-3 (EPA+DHA) | 1000 mg | Capsule | 2. Dosage (if 2000 mg/day chosen) |
| Milk thistle (Silymarin) | 300 mg | Capsule | Liver protection, especially important with antibiotics [9] |
| vitamin C | 500 milligrams | Capsule/Powder | 2. Dosage (if 1000 mg/day is chosen) |
If antibiotics are prescribed:
- Doxycycline 100 mg (2. Dosage) → Not with dairy products!
- Azithromycin 500 mg (instead of Doxycycline) → with meal
DINNER (6:00 PM–6:30 PM)
Take with meals
| NEM | dosage | Form | Hints |
|---|---|---|---|
| Magnesium (Glycinate/Citrate) | 300–400 mg | Capsule | Evening, promotes relaxation and sleep [10] |
Note: magnesium at least 2 hours apart Doxycycline (if prescribed)
BEFORE BEDTIME (9:30–10:00 PM)
30-60 minutes before bedtime
| NEM | dosage | Form | Hints |
|---|---|---|---|
| 5-HTP | 100 milligrams | Capsule | Serotonin precursor, promotes sleep [11] |
| Bioidentical progesterone (micronized) | 100-200 mg | Capsule (prescription required) | Evenings, as prescribed by a doctor |
⚠️ IMPORTANT: 5-HTP NOT Combine with SSRIs (Serotonin Syndrome Risk!) [14]
Every 2 days (after zinc check)
| NEM | dosage | Form | Hints |
|---|---|---|---|
| Deazol Plus (KEAC) | 1 Capsule | Capsule | ONLY after whole-blood zinc control! Contains Zinc + Manganese + P5P. Take on an empty stomach in the morning. |
Time: Mornings on an empty stomach (6:30–7:00 AM), on days without a P5P single dose
Weekly Overview Deazol Plus
| Tag | Deazol Plus | P5P individually |
|---|---|---|
| Monday | ✅ Yes | ❌ No |
| Tuesday | ❌ No | ✅ Yes |
| Wednesday | ✅ Yes | ❌ No |
| Thursday | ❌ No | ✅ Yes |
| Friday | ✅ Yes | ❌ No |
| Saturday | ❌ No | ✅ Yes |
| Sunday | ✅ Yes | ❌ No |
⚠️ Important interactions and distances
1. Doxycycline (if prescribed)
- NOT with Dairy products, calcium, magnesium, zinc
- Reason: Chelation reduces absorption [12]
- Solution: At least 2 hours apart to magnesium and Deazol Plus
2. Rifampicin (if prescribed)
- Reduces the effect of: CoQ10, Curcumin (CYP3A4 Induction) [13]
- Solution: Adjust dosages if necessary, maintain milk thistle for liver protection
3. Zinc ↔ Copper
- Compete for absorption
- Currently: Whole blood zinc increased (8.5 mg/L), copper increased (1.22 mg/L)
- Solution: Zinc control before Deazol Plus, no copper supplement
5-HTP ↔ SSRIs
- Risk: Serotonin syndrome
- Solution: 5-HTP only without SSRI medication
5. Omega-3 ↔ Blood Thinners
- Risk: Increased risk of bleeding [15]
- Solution: Inform your doctor if you are taking blood thinners.
6. Curcumin + Piperine
- Synergy effect Piperine increases curcumin absorption by up to 2000%% [6]
- Recommendation: Choose curcumin supplement with piperine
Shopping list NEMs (Product recommendations)
Available immediately (over-the-counter)
| NEM | Recommended form | Sample product | Daily dose |
|---|---|---|---|
| Omega-3 | EPA+DHA, Triglyceride form | Norsan Omega-3 Total | 1000–2000 mg |
| Curcumin | With piperine or liposomal | Curcumin Loges | 500 milligrams |
| Glutathione | Liposomal | Altrient GSH | 500 milligrams |
| Methylfolate | 5-MTHF, active form | Jarrow Methyl Folate | 400 micrograms |
| CoQ10 | Ubiquinone or Ubiquinol | Kaneka Q10 | 100 milligrams |
| Incense | Boswellia serrata, 65% Boswellic acids | Boswellia Capsules | 400 mg |
| 5-HTP | Griffonia extract | 5-HTP 100 mg | 100 milligrams |
| Milk thistle | Silymarin, 80% Silybinin | Legalon 156 mg | 300 mg |
| vitamin C | Ascorbic acid or Ester-C | Buffered Vitamin C | 500–1000 mg |
| P5P | Pyridoxal-5-phosphate | P5P 50 mg | 25–50 mg |
| magnesium | Glycinate or citrate | Magnesium Bisglycinate | 300–400 mg |
After zinc control (over-the-counter)
| NEM | Source of supply | Hints |
|---|---|---|
| Deazol Plus | KEAC (www.keac.nl) | Contains Zinc + Manganese + P5P, specifically for HPU [3] |
Prescription required (doctor's order necessary)
| Drug | Form | dosage | Hints |
|---|---|---|---|
| Bioidentical progesterone | Micronized, oral | 100-200 mg | Utrogestan, Famenita or similar. |
Control appointments and monitoring
Short-term (within 4 weeks)
- Purebred Zinc Control
- Goal: Normalization to 4.0-7.5 mg/l
- Dann: Start Deazol Plus
- Gynecological Consultation
- Regulation of bioidentical progesterone
- 100–200 mg in the evening
- Infectious disease consultation
- Antibiotic therapy for Bartonella (Doxycycline/Azithromycin + Rifampicin)
- Duration: 4–6 weeks
Medium-term (3 months)
- Thyroid control
- TSH, free T3, free T4, TPO antibodies, Tg antibodies
- Thyroid Ultrasound
- Hormone control
- Progesterone, Estradiol, Testosterone
- DHEA-S
- Mineral control
- Full blood: Zinc, copper, selenium, magnesium
- Serum: Vitamin B12, Folic Acid, Homocysteine
- HPU Control
- HPL in urine (KEAC)
- Assessment of therapy response
Long term (6 months)
- Bartonella Serology
- IgG Titer Bartonella henselae and quintana
- Therapy Outcome Assessment
- Lyme serology
- Tickplex IgG
- Western Blot
- Neurological Evaluation
- Finger numbness (Improvement?)
- Nerve conduction velocity (NCV) in persistent symptoms
Therapy goals
Primary Goals (0-3 Months)
- Bartonella Eradication Antibiotic therapy
- HPU Stabilization (Zinc normalization, then Deazol Plus)
- Hormone balance (Progesterone supplementation)
- Inflammation reduction (Omega-3, Curcumin, Frankincense)
- Liver protection (Milk thistle, especially under antibiotics)
Secondary goals (3–6 months)
- Improvement of fingertip numbness (Neuropathy Regression)
- Thyroid function TSH normalization
- Immunomodulation Autoantibody reduction
- Sleep quality (5-HTP, Magnesium, Progesterone)
- Energy level (CoQ10, Methylation, HPU Correction)
Nutrition Protocol (Template)
Recommendation: Keep a daily intake log to document compliance and tolerability.
| Date | On an empty stomach in the morning | Breakfast | Lunch | Dinner | Before sleep | Side effects | Symptoms |
|---|---|---|---|---|---|---|---|
| 01.05. | ✅ Glutathione, 5-MTHF, P5P | ✅ Omega-3, CoQ10, Curcumin, Frankincense, Vit C | Milk Thistle | ✅ Magnesium | 5-HTP | None | Numbness unchanged |
| 02.05. | … | … | … | … | … | … | … |
Important safety instructions
When to seek immediate medical attention?
- Allergic reactions (Rash, shortness of breath, swelling)
- Serotonin syndrome (with 5-HTP + SSRI): Restlessness, confusion, rapid heartbeat, sweating, muscle twitching
- Gastrointestinal distress (severe nausea, vomiting, diarrhea)
- Elevated liver enzymes (Yellowing of skin/eyes, dark urine)
- Deterioration of neurological symptoms (increasing numbness, paralysis)
Compatibility and Adjustments
- Beginning: Start with half the dose and increase over 1 week
- Gastrointestinal sensitivity Take NEMs with larger meals.
- Sleep disorders 5-HTP dose, if necessary, reduce to 50 mg
- Diarrhea Reduce magnesium dosage or switch form (glycinate instead of citrate)
Scientific Foundations
This revenue plan is based on:
- Medical Analysis Report (04/29/2026) with integration of:
- HPU Test KEAC Parkstad (05/30/2025)
- Bartonella Serology German Chronic Lab (05/12/2025)
- 9 additional lab reports (June 2025 – April 2026)
- Scientific literature:
- 91 publications on Bartonella-Borrelia co-infection
- 98 Publications on HPU/Pyrroluria
- 93 publications on Lyme disease and the thyroid
- 116 Publications on Estrogen Dominance and Autoimmunity
- 77 publications on neuropathy and copper-zinc dysbalance
- Clinical Guidelines
- ILADS Guidelines Chronic Lyme Disease
- KEAC Protocol HPU Therapy
- Endocrine Society: Perimenopausal Hormone Therapy
Adjustments after laboratory controls
After whole blood zinc control
If zinc is normal (4.0–7.5 mg/l):
- ✅ Start Deazol Plus every other day in the morning on an empty stomach
- ✅ P5P single dose on days without Deazol Plus
If zinc remains elevated (>7.5 mg/l):
- ❌ No Deazol Plus
- ✅ Continue P5P 25–50 mg daily
- 🔬 Root cause investigation: Hemolysis? Contamination? Discontinue supplementation?
After progesterone prescription
Adjust dosage individually:
- Start: 100 mg in the evening (Days 14-28 of the cycle or continuously)
- Target: Symptom improvement (sleep, mood, cycle stability)
- Control Saliva hormone test after 3 months
After antibiotic therapy
After 4-6 weeks of Bartonella therapy:
- Bartonella Serology (IgG Titer Trend)
- Liver function tests (AST, ALT, GGT) → Milk thistle, continue if necessary
- Gut flora building (Considering probiotics)
Practical tips
Organization
- Weekly box Use a 7-day pillbox with 4 compartments (morning, noon, evening, night)
- Memories Set phone alarms for sober intake (6:30 AM) and bedtime (9:30 PM)
- Stock Order NEMs in a timely manner (4-week supply)
Income Hacks
- Liposomal Glutathione Directly from the pouch or with a little water, do not chew.
- Omega-3 Store in the refrigerator, with a high-fat meal (avocado, nuts, oil)
- Curcumin: Combine with black pepper (piperine) and fat
- Magnesium: Dissolve in warm water in the evening (relaxing)
- 5-HTP: With a small portion of carbohydrates (banana, oatmeal) for better serotonin synthesis
Travel
- Carry-on baggage NEMs in original packaging with accompanying leaflet
- Time difference: Adjust intake times gradually (1 hour/day)
- Refrigerated preparations: Cooler bag for Omega-3 and probiotics
Contacts and Resources
Work
- KEAC Parkstad (HPU Test): www.keac.nl
- German Chronicler Laboratory (Bartonella): www.chronikerlabor.de
- ArminLabs (Lyme Disease): www.arminlabs.com
- biovis‘ Diagnostics (Minerals) www.biovis-diagnostics.eu
Specialists (Recommendation for Consultation)
- Infectious Diseases Bartonella/Lyme Disease Therapy
- Gynecology/Endocrinology Progesterone Prescription
- Neurology Neuropathy Diagnostics (NLG)
- Thyroid Endocrinology or nuclear medicine
Self-help and information
- German Lyme Disease Society www.borreliosis-society.de
- HPU Self-help: www.hpu-self-help.de
- Bartonella Information: www.galaxydx.com (English)
Checklist Before Start
- [ ] Medical analysis report read completely
- [ ] Full blood zinc control terminated
- [ ] Scheduled gynecologist appointment (progesterone)
- [ ] Infectious disease appointment (Bartonella therapy) scheduled
- [ ] All NMEs ordered (except Deazol Plus → after Zinc check)
- [ ] Weekly box and intake log prepared
- [ ] Informed primary care physician about supplementation plan
- [ ] Interactions with current medications checked
- [ ] Emergency contacts (doctor, pharmacy) saved
Created on: 30.04.2026
Based on: Medical analysis report Kurzenhäuser, Andrea (04/29/2026)
Valid from: After medical clearance and whole blood zinc control
Important note: This plan is for informational and educational purposes only. It does not constitute medical advice and does not replace consultation with qualified medical professionals. All therapeutic decisions must be made in consultation with treating physicians.
Scientific References
© 2026 – Medical Analysis Service
For patient Andrea Kurzenhäuser – Confidential