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www.ivnutritionaltherapy.com/ChronicExam
Chronic and Neurological Infections CME Exam
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Which testing method tests for current exposure?
ELISA
LC-Mass Spec
Mycotoxin Anti-bodies- IgE
Mycotoxin Anti-bodies- IgA only
Vitamin D
Has a contraindication in primary hypoparathyroid disease
Excessive Vitamin D leads to serum hypocalcemia
Deficiencies can allow for more sensitivities to aflatoxin
Has no correlation to inflammation and infection
Which is true when administering HDIVC:
If watching kidney/liver functions closely, do labs every week when doing HDIVC
It is ok to do a series of 10-15 IV’s. Check kidney or liver function when the series of all IV’s are completed.
Hydration does not matter as much as the speed of dosage
B Vitamins complete the biochemistry of the oxidative process and better outcomes are seen.
Vitamin D improves the neurological protective effects of Progesterone
True
False
Estrogen use in women over the age of 65 yo…
Can use be used without major side effects
Continuous use of Estrogen from the start of menopause can be used in women over the age of 65 yo without significant risk of Cardiovascular disease or stroke
Initiating the use of Estrogen after the age of 65 yo can show significantly improvement in Alzheimer’s Dz and does not have the risks of cardiovascular disease or stroke
Continuous use of Estrogen from the start of menopause can be used in women after 65 yo with the same risk of Estrogen creating cardiovascular disease or stroke.
Lyme Dz needs to keep it’s host alive to survive, Mold is only trying to compost its host
True
False
Artemisia and its various types are all synergistic with chemotherapy.
True
False
Which therapies can be used on closed brain tumors?
Mistletoe, H2O2
Nutrients only
None, pack your bags and go to Hawaii
HBOT and Artesunate
Which is true about the immune response…
Mast cells are important for the development of immune response in early infection, while the spirochetes still reside in the skin
Antibiotics do not work
There is a lack of immune response to Lyme Dz, which is part of the pathology
There is a lack of immune response to Mold
Mast cells do not play a role in the initial immune response
All mycotoxins discussed deplete glutathione.
True
False
Mold can cause sleep issues.
True
False
What is the purpose of the Pregnenolone steal in response to stress?
To increase the cortisol response
To decrease Estrogen in Estrogen dominant patients
To improve the uses of Testosterone in men and women
To decrease Progesterone in response to Estrogen dominance
What is true about fat soluble vitamins?
DO NOT give to patients with liver disease or liver cancer
The fat soluble vitamins can accumulate if given in too high dose over time and may result in toxicity
The fat-soluble vitamins, including A, D, E, K and biotin are available in “water soluble” forms as stable emulsions
The fat soluble vitamins are relatively non-toxic as they do not accumulate in the body
Which additives can be added to High Dose Vitamin C?
Amino Acids
B Vitamins
Minerals
Glutathione
Is Artesunate synergistic with oxidative therapies?
No, and should never be given on the same day
Yes, it can be given on the same day but should not be combined with other therapies at time of administration.
Yes, it can be given on the same day and can be administered at the same time with HDIVC
No, it is not to be while a course of oxidative therapies are being given.
What are some ways to test for Thiamine sensitivity?
Begin to infuse at calculated drip rate and watch patient for adverse effects
Nasal swab is not effective and can not see if a reaction takes place
Nasal Swab or SubQ injection and wait 15 min
What is the presentation of adrenal fatigue?
Hyporeflexia
Orthostatic Hypertension
Fatigue
Excessive hydration
Which oxidative therapy produces H2O2 extracellularly for use in the cell?
Ozone with B vitamins only
H2O2
Ozone with Glutathione
High Dose Vitamin C
Which statement is true?
High Dose Vitamin C produces H2O2 intracellularly and has the potential for cell damage by this mechanism.
H2O2 infusion gets intracellularly when using DMSO to drive it into the cell. Providing the mechanism for H2O2 mediated cell damage.
High Dose Vitamin C produces H2O2 extracellularly and in the plasma.
Ozone is the only oxidative therapy that can produce H2O2 intracellularly
Reactions to antibiotics for Lyme can sometimes serve as clues that your patient is mold toxic from a water-damaged building exposure.
True
False
What are some side effects of Ozone?
Oxidative- can cause hemolysis at >80mcg/ml
Immune Inhibitory at high doses
Contraindicated use with Heparin when Heparin allergies present
All of the above
What is the most common preservative used with IV Curcumin products?
Sodium Bicarb- check for patient intolerances
Sodium Hydroxide- check for patient intolerances
Benzyl Alcohol- check for patient intolerances
Potassium Sorbate- check for patient intolerances
Magnesium Chloride and Calcium Chloride can be added to HDIVC
True
False
What are some serious side effects of Artemisia? Neutropenia, anemia
B12 deficiency, usually only seen with oral use
Iron deficiency anemia, usually only seen with IV use
Neutropenia and anemia, usually only seen with oral use
Thalassemia, usually only seen with oral use
Quercetin cannot be nebulized with NAC for lung conditions
True
False
Which statements are TRUE about Artesunate?
Only compatible with IV nutrient therapies, not oxidative therapies
It must be given slow enough to tolerance due to the bitter quality which can stimulate vomiting.
Resistance does not develop to Artesunate
Must be given very slow at higher doses
The overview of how to protect and repair the negative health effects of mycotoxins includes all of the following, EXCEPT:
Eat a high fruit and carbohydrate diet to boost energy stores
Dilute the fat-soluble toxins with copious amounts of “good fats”
Eat and supplement bioflavonoids to excess
Assist the organs of detoxification to detoxify mycotoxins
How long do you typically continue HDIVC protocols?
One and done!
Make sure your patient knows this is a long-term therapy and 12-15 IVs are typical protocol
Until normal cancer marker levels are achieved, then protocol can be terminated
For 4 months, every year for the rest of the patients life.
Quercetin can be used orally, nebulized, intravenous, and topically.
True
False
Hormones:
Which of these statements about Artesunate is FALSE?
ART and HDIVC have a synergistic relationship
Start at low dose, can be given rapidly
Not to be given in the same bag as HDIVC. Give ART, clear the line, then HDIVC
This is a good therapy to give continuously while doing other therapies. It does not need to be pulsed- done on and off every so often.
Avoidance of mold includes all of the following, except…
Home or Office/Environment
Mold infections are hard enough to deal with, the patient shouldn’t eliminate comforts of daily living
Diet- foods contaminated with mold
Supplements
Since mycotoxins are ___________, meaning they absorb easily into fatty tissues, one focus of therapy is to dilute those toxins with Copious Clean Correct fats.
Heavy metals
Fat-soluble or lipophilic
Water-soluble or lipophobic
Protein dense
Mycotoxins are…
Lipophilic
Water soluble
Not lipophilic or water soluble
Are only attracted to Vitamin C
HDIVC and nutrients should be given on same day to stimulate all the co-factor associated with the oxidative process.
True
False
Addressing Testosterone Replacement in women
5-10mg dose of 1% Testosterone in women has been proven to show signs of masculinizing side effects
There is a potential to see signs of masculinizing side effects in women when giving doses beyond physiological levels
No risk of masculinizing signs in women with Testosterone use
Decreases HDL cholesterol levels
Since Iron is used in the metabolism of Artesunate, should we give Iron with Art?
No, it is not necessary. This reaction will happen despite Iron levels being low.
No, not enough is used to create an Iron deficiency
Yes, this keeps further symptoms and exacerbation of iron anemia
Yes, it is a good idea despite patient’s iron status since it is used in the metabolism of Artesunate.
Vitamin D increase the level of Progesterone in the body.
True
False
Which statement is true about mold spores?
The immune response to spores in not variable and can be predictable in symptomatic response
Causes Inflammation and irritation in the lungs but not degradation of the mucosal lining
They cause Inflammation, irritation and then degradation of mucosal linings over time
Does irritate but does not cause inflammation
When optimizing methylation pathways,
we never stimulate just one methyl pathway. All methyl pathways need to be stimulated.
we activate the least active methyl pathway to prime the pump.
we use specific methyl nutrients to obtain balance within the methyl pathways.
all methyl nutrients should be supplemented for essential optimization of all methyl pathways.
Which statement is FALSE about IV Curcumin?
Safe at doses used in common protocols
Start low and titrate up to dose needed
IV form is a lipid
The water soluble form is safe and comfortable for IV administration.
What shifts in electrolytes are seen when infusing High Dose Vitamin C and must be accounted for with your Vitamin C infusion to reduce side effects?
Hypocalcemia, Hypokalemia, Hyponatremia, Hypochloremia
Hypercalcemia, Hyperkalemia, Hyponatremia, Hyperchloremia
Hypocalcemia, Hypokalemia, Hypernatremia, Hypermagnesemia
Hypocalcemia, Hypokalemia, Hypernatremia, Hypochloremia
Lyme:
Mycotoxins
Depletes glutathione
Decreases the integrity of the BBB
Can cross the placenta
Causes mitochondrial damage
All of the above
Estrogen
Can improve the cognitive function of patients
Should never be used in men
Should never be used in women over 65yo
Estrogen can improve many functions of the body when in physiological doses
All types are created equal, with equal dosing.
True
False
What is the function of Quercetin?
Mast cell destabilizer
An oxidative therapy
Tyrosine Kinase inhibition and tumor growth suppression
Inflammatory agent, used to modulate the immune system
Which statement is FALSE about Quercetin?
IV Quercetin is well tolerated and safe
Dosed to patient tolerance, not just by protocol
Incompatible with other IV nutrients
Mixed in the same bag as Vitamin C
Does ART need to be kept away from light?
Yes
No
Which B Vitamin is the lease likely to flare up a chronic disease patient?
Thiamin
Pyridoxine
Dexpanthenol
Methyl cobalamin
Mold fragment exposure and asbestos have similar symptoms, such as shortness of breath, cough, pain in the chest or abdomen, fatigue, fever or night sweats, respiratory complications, muscle weakness, nausea or bloating.
True
False
Ozone’s mechanism of regeneration is all EXCEPT:
Improved oxygenation
Increased Lipid Oxides (LOP) and cytokine signals
Sterilization of the site
Upregulation of antioxidant pathways
What is the initial stimulus of an immune response to an infectious agent?
ACT
Cytokines
Cortisol
Vitamin C
Which of these statements are true regarding Ozone therapy?
A regular IV line can be used and will not clot due to filter size
Cannot be used topically
Lab work of a G6PD must be obtain before initiating treatment
It’s ok to use Heparin even when there is a Heparin allergy, to make sure the ozonated blood won’t clot
Testosterone levels are more responsive to low cortisol level vs. the perceived stressor.
True
False
Estrogen can be used in neurological conditions…
To improve cognitive function
For migraines
Alzheimer’s Dz
All of the above
Stress depletes Cortisol:
Stressors have no effect on Cortisol levels or the immune response
Stressors influence Cortisol levels but no effect on the immune response.
Stressors have no effect on Cortisol levels but does influence the immune system
Stressors have an effect on Cortisol levels which then have an effect on the initial immune response
What are stressors to the adrenal gland that can decrease adrenal function with time
Mental/Emotional- School
Physical- Too much exercise
Chemical- Drugs
All of the above
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Testimonials
Seminars
Advanced IV Therapies for Acute and Chronic Diagnosis (JAN) 2025
Fundamentals (March) 2025
Online Courses
Heavy Metal Toxicology, From A-Z
Video Seminar – Advanced IV Therapy Strategies Nov. 2018
Buy The Textbook!
Consults
3 Day Power
2 Day Express
1 Day Consultation
Hourly Consult : The Business of Health Remote
Hourly Consultations Terms & Conditions
IIVNTP Library
What is IV Nutritional Therapy
Resources
Clinical Applications and Advanced Topics of IV Therapies in Oncology
Sponsors
Blog
Contact Us
541-777-3356
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