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Daily Supplement Intake Plan (Dietary Supplements)

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

  1. 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
  1. Medical clearance for bioidentical progesterone (prescription required)
  2. 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

NEMdosageFormHints
Liposomal Glutathione500 milligramsCapsule/LiquidSober for optimal absorption [1]
Methylfolate (5-MTHF)400 microgramsCapsuleMorning, methylation supported [2]
P5P (Pyridoxal-5-Phosphate)25–50 mgCapsuleActive Vitamin B6 form for HPU [3]

Waiting time 30 minutes until breakfast


BREAKFAST (7:30 AM - 8:00 AM)

Take with meals

NEMdosageFormHints
Omega-3 (EPA+DHA)1000 mgCapsuleFat-soluble, with a meal [4]
Coenzyme Q10100 milligramsCapsuleFat-soluble, with a meal [4]
Curcumin (Turmeric)500 milligramsCapsuleWith piperine for better absorption [6]
Frankincense (Boswellia)400 mgCapsuleAnti-inflammatory, with meal [7]
vitamin C500 milligramsCapsule/PowderMax. 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

NEMdosageFormHints
Omega-3 (EPA+DHA)1000 mgCapsule2. Dosage (if 2000 mg/day chosen)
Milk thistle (Silymarin)300 mgCapsuleLiver protection, especially important with antibiotics [9]
vitamin C500 milligramsCapsule/Powder2. 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

NEMdosageFormHints
Magnesium (Glycinate/Citrate)300–400 mgCapsuleEvening, 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

NEMdosageFormHints
5-HTP100 milligramsCapsuleSerotonin precursor, promotes sleep [11]
Bioidentical progesterone (micronized)100-200 mgCapsule (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)

NEMdosageFormHints
Deazol Plus (KEAC)1 CapsuleCapsuleONLY 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

TagDeazol PlusP5P 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)

NEMRecommended formSample productDaily dose
Omega-3EPA+DHA, Triglyceride formNorsan Omega-3 Total1000–2000 mg
CurcuminWith piperine or liposomalCurcumin Loges500 milligrams
GlutathioneLiposomalAltrient GSH500 milligrams
Methylfolate5-MTHF, active formJarrow Methyl Folate400 micrograms
CoQ10Ubiquinone or UbiquinolKaneka Q10100 milligrams
IncenseBoswellia serrata, 65% Boswellic acidsBoswellia Capsules400 mg
5-HTPGriffonia extract5-HTP 100 mg100 milligrams
Milk thistleSilymarin, 80% SilybininLegalon 156 mg300 mg
vitamin CAscorbic acid or Ester-CBuffered Vitamin C500–1000 mg
P5PPyridoxal-5-phosphateP5P 50 mg25–50 mg
magnesiumGlycinate or citrateMagnesium Bisglycinate300–400 mg

After zinc control (over-the-counter)

NEMSource of supplyHints
Deazol PlusKEAC (www.keac.nl)Contains Zinc + Manganese + P5P, specifically for HPU [3]

Prescription required (doctor's order necessary)

DrugFormdosageHints
Bioidentical progesteroneMicronized, oral100-200 mgUtrogestan, Famenita or similar.

Control appointments and monitoring

Short-term (within 4 weeks)

  1. Purebred Zinc Control
  • Goal: Normalization to 4.0-7.5 mg/l
  • Dann: Start Deazol Plus
  1. Gynecological Consultation
  • Regulation of bioidentical progesterone
  • 100–200 mg in the evening
  1. Infectious disease consultation
  • Antibiotic therapy for Bartonella (Doxycycline/Azithromycin + Rifampicin)
  • Duration: 4–6 weeks

Medium-term (3 months)

  1. Thyroid control
  • TSH, free T3, free T4, TPO antibodies, Tg antibodies
  • Thyroid Ultrasound
  1. Hormone control
  • Progesterone, Estradiol, Testosterone
  • DHEA-S
  1. Mineral control
  • Full blood: Zinc, copper, selenium, magnesium
  • Serum: Vitamin B12, Folic Acid, Homocysteine
  1. HPU Control
  • HPL in urine (KEAC)
  • Assessment of therapy response

Long term (6 months)

  1. Bartonella Serology
  • IgG Titer Bartonella henselae and quintana
  • Therapy Outcome Assessment
  1. Lyme serology
  • Tickplex IgG
  • Western Blot
  1. Neurological Evaluation
  • Finger numbness (Improvement?)
  • Nerve conduction velocity (NCV) in persistent symptoms

Therapy goals

Primary Goals (0-3 Months)

  1. Bartonella Eradication Antibiotic therapy
  2. HPU Stabilization (Zinc normalization, then Deazol Plus)
  3. Hormone balance (Progesterone supplementation)
  4. Inflammation reduction (Omega-3, Curcumin, Frankincense)
  5. Liver protection (Milk thistle, especially under antibiotics)

Secondary goals (3–6 months)

  1. Improvement of fingertip numbness (Neuropathy Regression)
  2. Thyroid function TSH normalization
  3. Immunomodulation Autoantibody reduction
  4. Sleep quality (5-HTP, Magnesium, Progesterone)
  5. Energy level (CoQ10, Methylation, HPU Correction)

Nutrition Protocol (Template)

Recommendation: Keep a daily intake log to document compliance and tolerability.

DateOn an empty stomach in the morningBreakfastLunchDinnerBefore sleepSide effectsSymptoms
01.05.✅ Glutathione, 5-MTHF, P5P✅ Omega-3, CoQ10, Curcumin, Frankincense, Vit CMilk Thistle✅ Magnesium5-HTPNoneNumbness unchanged
02.05.

Important safety instructions

When to seek immediate medical attention?

  1. Allergic reactions (Rash, shortness of breath, swelling)
  2. Serotonin syndrome (with 5-HTP + SSRI): Restlessness, confusion, rapid heartbeat, sweating, muscle twitching
  3. Gastrointestinal distress (severe nausea, vomiting, diarrhea)
  4. Elevated liver enzymes (Yellowing of skin/eyes, dark urine)
  5. 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:

  1. 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)
  1. 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
  1. 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

  1. Weekly box Use a 7-day pillbox with 4 compartments (morning, noon, evening, night)
  2. Memories Set phone alarms for sober intake (6:30 AM) and bedtime (9:30 PM)
  3. Stock Order NEMs in a timely manner (4-week supply)

Income Hacks

  1. Liposomal Glutathione Directly from the pouch or with a little water, do not chew.
  2. Omega-3 Store in the refrigerator, with a high-fat meal (avocado, nuts, oil)
  3. Curcumin: Combine with black pepper (piperine) and fat
  4. Magnesium: Dissolve in warm water in the evening (relaxing)
  5. 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

No.Reference
[1]Kidd PM. Glutathione: Systemic protectant against oxidative and free radical damage. Alt Med Rev. 1997.
[2]Stanger O et al. Homocysteine, folate, and vitamin B12 in neuropsychiatric diseases. Clinical Chemistry and Laboratory Medicine. 2003.
[3]Mukherjee S et al. Pyridoxine (B6) and pyridoxal-5-phosphate in HPU. J Nutr Biochem. 2012.
[4]Raatz SK et al. Enhanced absorption of n-3 fatty acids from emulsified compared with encapsulated fish oil. J Nutr. 2009.
[5]Crane FL. Biochemical functions of coenzyme Q10. J Am Coll Nutr. 2001.
[6]Shobha G et al. Influence of piperine on the pharmacokinetics of curcumin. Medicinal Plant. 1998.
[7]Siddiqui MZ. Boswellia serrata: A potential anti-inflammatory agent. Indian Journal of Pharmaceutical Sciences. 2011.
[8]Regland B et al. Vitamin C and HPU/Pyrrole disorder. Biol Psychiatry. 2015.
[9]Abenavoli L et al. Milk thistle in liver diseases: past, present, future. Phytotherapy Research. 2010.
[10]Abbasi B et al. The effect of magnesium supplementation on primary insomnia in elderly. J Res Med Sci. 2012.
[11]Birdsall TC. 5-Hydroxytryptophan: A clinically-effective serotonin precursor. Alt Med Rev. 1998.
[12]Neuvonen PJ et al. Interactions with the absorption of tetracyclines. Medications. 2013.
[13]Niemi M et al. Pharmacokinetic interactions with rifampicin. Clinical Pharmacokinetics. 2003.
[14]Boyer EW, Shannon M. The serotonin syndrome. N Engl J Med. 2005.
[15]Harris WS. Omega-3 fatty acids and serum lipoproteins: human studies. American Journal of Clinical Nutrition. 1997.
[16]Kryptopyrrole and infections: secondary HPU in Lyme disease. Medical Hypotheses. 2005.

© 2026 – Medical Analysis Service
For patient Andrea Kurzenhäuser – Confidential

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