bookmark_borderLong-COVID: What We Know

by Daniel Brouse
November 29, 2023

In February of 2020, I contracted SARS-CoV-2. Then, I continued to experience long-term complications and chronic conditions. The article Long COVID Update: 3 Years of Living With It describes the symptoms and the knowledge gained from the experience.

Now I am approaching 4 years and continue to get asked for help by others. Here is what I have learned:

Long-COVID has pretty much been classified into three categories — complications from the infection, persistent virus (chronic infection), and epigenetic changes. Complications from infection are lifelong chronic conditions most often seen in the lungs and respiratory system. Persistent virus can sometimes be cured with post-infection vaccination. Epigenetic changes can sometimes be reversed but many times they cannot. It is likely some epigenetic changes can become genetic changes that may be passed on to future generations (similar to cigarette smoking.)

The increase in excess deaths and long-term amplification of genetic conditions indicates most COVID complications cannot be cured. Unfortunately, this means a shorter life-expectancy as well as a diminished quality of life. On October 26, 2023, Insurance News Network reported, “Excess mortality is the difference between the total number of deaths for a specific time period and the number that would have been expected. The numbers were naturally forecast to climb during the pandemic, but some industry and health authorities are concerned the rates haven’t greatly diminished as COVID infection rates have declined.”

Personally, it forever messed with my blood pressure, lipid profile, hepatic function panel, A1C, and others.

IMPORTANT NOTE: The reason I am aware of my condition is because I am actively researching long-COVID and am aggressively pursuing medical testing. If you had COVID, there is a 99% chance that you, too, have chronic conditions. “SARS-CoV-2 causes genetic and epigenetic changes to your DNA. These changes include long-term compromising of the immune system, increased risk of diabetes, hypertension, and cancer, as well as, damaging the neurological, circulatory, and cardiovascular systems. Any ailments for which you are predisposed will likely be elevated to the next stage. See your doctor. Get all the tests you can especially blood work. If you have a family history of inherited genetic disorders, seek counsel from your physician. Many of the epigenetic changes are undetected for a year or two after infection; however, the sooner treatment is started, the better. Medications, diet, and other lifestyle changes can help treat the conditions, improve your quality of life, and increase your life expectancy.

High levels of cardiovascular issues have occurred in youth. We do not know why COVID causes this problem; however, it appears NAD+ is another common factor in the youth (in effect causing them to age faster/shortening life expectancy.) We don’t know if the two are related. Niacin is recommended to help stabilize NAD+.

Did you know that milk does not naturally contain vitamin D? How about that Niacin is added to breakfast cereals? This is because most Americans main source of D and Niacin is through their “fortified” breakfast fooda. Chances are large you are starting deficient in D and Niacin. Both of these slow the aging process and prevent diseases.

Niacin is crucial to NAD+. COVID hijacks the precursors that create NAD+. Niacin is a substitute. Niacin does not cure the cause but it does treat the symptoms. At my worst symptoms, I was taking 500mg/day. After the vaccines were invented and I was vaccinated, most of my “long-COVID” symptoms (brain-fog, fatigue, inflammation, etc) subsided. Vaccination appears to have cured the persistent virus part of the disease. The epigenetic changes still persist, though. Now, I take 50mg/day to help my naturally aging NAD+. The most important part of the Niacin protocol is that you are really taking Niacin — nicotinic acid — NOT no-flush Niacin. If you are deficient in Niacin, you will flush. This will help you know you are taking the right supplement. Here is our paper on it… please feel free to ask any questions and to have me on standby the first time you take it if you have concerns. Flushing is normal and will not harm you; nevertheless, you may want to start with a small dose to mentally prepare. The paper COVID, Vitamin B3 (Nicotinic Acid), and the Immune System helps explain Niacin in more detail.

Did you know that milk does not naturally contain vitamin D? How about that Niacin is added to breakfast cereals? This is because most Americans main source of D and Niacin is through their “fortified” breakfast foods. Chances are large you are starting deficient in D and Niacin. Both of these slow the aging process and help prevent diseases. Talk to your doctor about taking supplements.

Coronavirus: Science Based Information on the Covid-19 Virus

bookmark_borderWhat Causes COVID Long Haulers?

Post Acute Covid Syndrome 19 (PACS19), long-COVID, and Long Haulers Syndrome are names for the condition that an individual has after recovering from the SARS-CoV-2 virus. Long-COVID is actually a combination of several conditions and syndromes.

There are over 60 proteins involved in the epigenetic response to COVID. So far out of these 60 proteins, three long-COVID epigenetic syndromes have been identified. There are likely many more. (The epigenetic changes are in addition to the organ damage caused by the virus.)

COVID-19 also causes other long term damage that we are still discovering.

Rogue Antibodies
Autoantibodies are antibodies (immune proteins) that mistakenly attack a person’s own healthy tissues and organs. A study published in Nature found “rogue antibodies involved in almost one-fifth of COVID deaths. The self-targeting antibodies attack type 1 interferons that play a key role in fighting infection. Antibodies that turn against elements of our own immune defences are a key driver of severe illness and death following SARS-CoV-2 infection in some people, according to a large international study. These rogue antibodies, known as autoantibodies, are also present in a small proportion of healthy, uninfected individuals — and their prevalence increases with age, which may help to explain why elderly people are at higher risk of severe COVID-19.”

Up to three percent of the population already has faulty genes that create these autoantibodies. Of those between the ages of 18 and 69, 0.18% had existing autoantibodies against type 1 interferon. “Autoantibodies were present in around 1.1% of 70- to 79-year-olds, and 3.4% of those over the age of 80.”

A follow up study, “New-onset IgG autoantibodies in hospitalized patients with COVID-19,” found “Coronavirus Disease 2019 (COVID-19), caused by Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2) infection, is associated with many different clinical features that are commonly found in autoimmune diseases, including arthralgias, myalgias, fatigue, sicca, and rashes. Less common manifestations of autoimmunity have also been observed in COVID-19 patients, including thrombosis, myositis, myocarditis, arthritis, encephalitis, and vasculitis. These clinical observations, and the increasing proportion of “recovered” patients with persistent post-COVID-19 symptoms (so-called “long haulers”, or “long COVID”) suggest that inflammation in response to SARS-CoV-2 infection promotes tissue damage in the acute phase and potentially some of the long-term sequelae. A subset of autoantibodies targeting traditional autoantigens or cytokines develop de novo following SARS-CoV-2 infection.”

“The team also found that individuals with genetic mutations that disrupt the activity of type 1 interferons are at higher risk of life-threatening disease” suggesting COVID causes changes to the genes resulting in the creation of rogue autoantibodies.

Coronavirus Transforms Pancreas Cell Function
When COVID infects cells, it impairs cell activity and can also change their function. When insulin-producing beta cells in the pancreas become infected with the virus, they produce much less insulin than usual, and also start to produce glucose and digestive enzymes. “We call this a change of cell fate,” said study leader Dr. Shuibing Chen, who described the work in a presentation at the annual meeting of the European Association for the Study of Diabetes.

It is not clear whether the changes are long-lasting, or if they might be reversible, the researchers reported in Cell Metabolism, “SARS-CoV-2 infection induces beta cell transdifferentiation“. “Single-cell RNA sequencing and immunostaining from ex vivo infections confirmed that multiple types of pancreatic islet cells were susceptible to SARS-CoV-2, eliciting a cellular stress response and the induction of chemokines. Upon SARS-CoV-2 infection, beta cells showed a lower expression of insulin and a higher expression of alpha and acinar cell markers, including glucagon and trypsin1, respectively, suggesting cellular transdifferentiation. Trajectory analysis indicated that SARS-CoV-2 induced eIF2-pathway-mediated beta cell transdifferentiation, a phenotype that could be reversed with trans-integrated stress response inhibitor (trans-ISRIB). Altogether, this study demonstrates an example of SARS-CoV-2 infection causing cell fate change, which provides further insight into the pathomechanisms of COVID-19.”

Upregulation of IDO
Indoleamine 2,3-dioxygenase (IDO) is an immune checkpoint molecule in the sense that it is an immunomodulatory enzyme produced by alternatively activated macrophages and other immunoregulatory cells. IDO is known to suppress T and NK cells, generate Tregs and myeloid-derived suppressor cells, and also supports angiogenesis.

Memory T cells are crucial for the immune system to remember how to fight pathogens. IDO is also related to the viscosity of body fluids and membrane function. Brain fog, dizziness, tinnitus, ear aches, vertigo, and pressure in the ears are some of the symptoms associated with epigenetic changes in the upregulation of Indoleamine 2,3-dioxygenase.

Dr. Ade Wentzel said, “The epigenetic upregulation of IDO will determine the amount of quinolinic acid. Quinolinic acid comes from the kynurenine pathway. If the viscosity of the whole middle ear is increased then the ability to equalize will be less… same as having a cold. So, the ear isn’t equalizing correctly on increasing pressure. The same as when you land in a plane. If the viscosity in the semicircular canals is increased, the otoliths may well be lagging causing the vertigo. The otoliths usually “Float” in the semicircular canal and trigger tiny sensory hairs that allow you to detect position.”

NAD+ Deficiency
COVID both increases the breakdown of NAD+ and decreases the production of NAD+. “NAD regulates the inflammatory response in immune and non-immune cells through Sirtuins. Epigenetic regulation of histones and non-histone proteins is induced by sirtuins and is essential for the development, reprogramming, and differentiation of the immune system and its related pathologies. A deregulation of the NAD+ levels has been associated with metabolic diseases and aging-related diseases, including neurodegeneration, defective immune responses, and cancer.” — NAD-immune-system

The NAD+ deficiency results in a compromised immune system. The body can not properly metabolize vitamins nor mount a proper immune response. The NAD+ deficiency also resembles an autoimmune disease where the immune system appears to be attacking a healthy body. Without NAD+ regulating the immune system, the immune response becomes dysfunctional.

Though there is no cure for the NAD+ Deficiency Syndrome (CISP — COVID-19 Induced Secondary Pellagra), the symptoms can be treated with Niacin (Nicotinic Acid).

Increased Risk of Cancer
In the case of cancer and tumor suppression, COVID chooses people that have reduced P53 (the tumor suppression gene.) It is also possible that COVID further reduces functional P53 genes. “Mutations in p53 are found in most tumor types, and so contribute to the complex network of molecular events leading to tumor formation.” — The p53 tumor suppressor protein

COVID also suppresses NK cells. “A type of immune cell that has granules (small particles) with enzymes that can kill tumor cells or cells infected with a virus. A natural killer cell is a type of white blood cell. Also called NK cell and NK-LGL.” — Natural Killer Cell

COVID in Your Genes

COVID-19 Delta Variant and Vaccines

COVID Breakthrough Cases

MORE ON COVID: COVID-19 / SARS-CoV-2 / Novel Coronavirus

bookmark_borderCOVID, Health, and Wellness

ABOUT COVID:
Viral load and aerosolization appear to be the leading causes of contracting COVID… even if you are vaccinated. What does this mean?
1) To limit your viral load limit your exposure time. How do you know you are being exposed? You don’t. So, assume there are people carrying the virus — avoid contact with people outside of your circle. Social distance and avoid people without masks.
2) Airborne transmission is the primary way COVID is contracted. Normally, I would suggest staying outside… however, on days like today the air pollution is too high. Breathing outdoors will actually damage your lungs and make you more prone to COVID. So, stay home in air conditioning. Indoors in a public setting, without masks, in poor ventilation, with inadequate air filters is the most dangerous place to be.
3) Limit your exercise and stress level. Extreme exercise and stress consume NAD+. The lower your NAD+, the more susceptible your are. On days like today with high ozone levels, exercising outside causes irreparable damage to your lungs. Running everyday is one of the worse things you can do for your health. Limit your inflammation, Take a day or two off between workouts. Vary the types of exercise. Swimming is a good idea. Exercise is important, but exercise with thought.
4) the Delta variant appears to spread with very little viral load. A case in Australia shows a person contracting COVID simply by walking by someone in a shop. The greater your viral load, the more severe your disease and the more likely you will contract long-COVID. COVID eats NAD+.
5) Inadequate NAD+ has been linked to many mental health and neurological disorders.
6) Take the vitamin stack (Ade n’ Rob’s recipe). Ensure your NAD+ is at optimum level to avoid illness. Ade’s latest research shows that not only is NAD+ related to COVID severity, but that NAD+ is also related to many other diseases. Here is a diet based on their principles:
NAD+ Plus Immune System Diet

bookmark_borderCISP (COVID-19 Induced Secondary Pellagra) Long Haulers Syndrome

COVID Long Haulers Syndrome is COVID Induced Secondary Pellagra (CISP).

By treating the population for pellagra:

  • new COVID cases can be prevented (prophylactic)
  • the severity and duration of COVID symptoms can be reduced (treatment)
  • COVID-long can be cured (cure)

THE PROTOCOL: Niacin B3, Vitamin D, Vitamin C, Quercetin, Zinc, and Selenium.

Dr. Ade Wentzel from Port Elizabeth (South Africa) and his colleagues, Robert Miller (Cape Town) and Guy Richards (Johannesburg), developed a diet based protocol based on their research COVID-19: NAD+ deficiency may predispose the aged, obese and type2 diabetics to mortality through its effect on SIRT1 activity.

Long haulers syndrome is the depletion of NAD+ (nicotinamide adenine dinucleotide). NAD+ is involved in cell creation, maintenance, metabolism, and regulating cell processes. COVID both increases the breakdown of NAD+ and decreases the production of NAD+. The result is the same as the disease pellagra. A niacin deficiency results in pellagra. Long haulers syndrome is COVID-19 Induced Secondary Pellagra (CISP).

Index to COVID-19 / SARS-CoV-2 / Novel Coronavirus

COVID: The Cure?
Could Nicotinamide adenine dinucleotide (NAD+) be both a prophylactic and a treatment for COVID-19?

COVID-19: NAD+ Protocol
NAD+ is a crucial part of the immune system. COVID depletes your NAD+. The body needs the time and materials necessary to replenish NAD+.
Included in the elements you need are Vitamin B3,
Vitamin D, Vitamin C, Quercetin,
Zinc, and Selenium.

COVID-19: Immunity, Antibodies, and Memory T Cells
Until more is known, recovered COVID patients should take great care and avoid exposure to all bacteria and viruses, including COVID.

COVID-19 and Negative Feedback Loops
The more often your body suffers damage, than the more severe each additional exposure will become.

COVID, Tryptophan, Stress, Anxiety, and Pellagra
COVID depletes your NAD+. The body depletes tryptophan trying to make NAD+. This causes anxiety.

COVID, Vitamin K, and NAD+
… low NAD+ will result in low Vitamin K metabolism interfering with blood thinner medications and blood coagulation.

COVID Long Haulers Syndrome: NAD+ Deficiency
Research by Ade Wentzel, Robert Miller, and Guy Richards has found COVID-long (Long Haulers Syndrome) is a result of an NAD+ deficiency caused by SARS-CoV-2 (novel coronavirus).


COVID: Vitamin D, Sunlight, the Season, and People of Color

A human’s main source of Vitamin D is the synthesis of UVB radiation through your skin. The chemical reaction creates Vitamin D and other photoproducts essential for a healthy immune system. Taking a Vitamin D supplement is NOT the same as your body making Vitamin D.

COVID-19 Testimonial
There may be a complete recovery from COVID.

The Real Mortality Rate of COVID-19
The formula for calculating a mortality rate.

The Economic Costs of COVID Re-openings
What is the cost of a lifelong disability?

Difficulty of Testing for
COVID Infection and COVID Exposure

COVID-19 and Air Pollution
Large portions of world are susceptible to particulate and ozone pollution causing pre-existing respiratory and immune system problems.