Hello group,
Another month or so has passed and I thought it was time to post another
update. I am very pleased to say that I am still doing great! I am at
90% relief of symptoms! I almost can't believe it. The brain fog has
lifted, the lethargy, the apathy, the pain is almost all gone! I still
have some swelling in my knees and some synovitis in my elbows, but they
don't hurt. My hands, which had been the worst affected body parts have
completely cleared, zero pain. I can feel that there's some damage in
there (and my NIH MRIs and x-rays confirm this as well), but the active
disease seems to be gone.
This morning our office manager brought her pet rabbit in to work (she
has a vet appointment later this morning) and I stopped by to play with
it for a few minutes. Funny thing is, I happened to notice that I had
squatted down (all the way down to the floor) and didn't even realize
it! Plus I was able to stand up--no problem!
Call me the biggest skeptic in the world, but I am still not 100%
convinced so I live with the fear that all the symptoms might return,
but it's been about 10 weeks now and I've held 75% reduction for the
entire time, with one exception.
(quick update on my protocol. For the first week or 10 days I took 300mg
Allopurinol three times a day and 2 consecutive days a week I take 2
grams Metronidazole after dinner. I started both those medications on
the same day. I also have continued to take Minocin 200mg twice a day, 3
days a week, as well as olive leaf extract 2 caps 3 times a day,
slippery elm, tons and tons of acidolphilous and naproxen as needed,
plus vits and minerals)
After I had complete the first 6 weeks of treatment, since I was not
totally clear, I decided to run through another 6 weeks. So I took 300mg
of Allopurinol three times a day for another 10 day course. On a
thursday I started the Allopurinol and that evening I took 2 grams of
Metronidazole. Friday was miserable. I was back to vomiting in a violent
fashion. The entire weekend was horrible, severe nausea through
saturday, and saturday night I starting flaring in the joints (and of
course the obligatory night sweats, fever, malaise and general flu-like
symptoms). This when I felt I had actually lost ground, and I was
concerned the RA was coming screaming back. Tuesday the herx started
breaking. By wednesday night I was feeling better than I had in a year!
Thursday was time again to take Metronidazole, but this time, I had no
herx! No nausea, no flu, no flare, I actually made it through the entire
weekend without losing ground at all (mind you I was still taking
allopurinol). I do not think that the nausea was caused by the drugs, I
think it was a herxheimer reaction. This really drove home the point to
me that the Allopurinol is a very important part of this AP and that it
should be taken according to protocol (900mg a day for 7 to 10 days).
The literature is quite clear that smaller doses of either Allopurinol
or Metronidazole will not be effective!
Some of you may know that Mark Holmes and I seem share quite a bit. We
both have sudden-onset severe RA. We both started Minocin approx. 2 to 3
months after major symptoms presented themselves. We both have the same
rheumatologist. We both are in the same NIH study and have the same
rheumatologist at NIH. The only major difference, other than our ages,
is that he got sick about 6 months before I did (age before beauty? <big
grin
their prognosis and recommendations are also 100% applicable to me
(including their discussions about erosions and methotrexate). I could
have written some of his more recent post as I have had the same
discussions with the exact same people. Except for my last visit. I went
to NIH for my 6 month follow up about 2 weeks after I started the
metro/allo protocol. At that time I was already feeling much, much
better. They did all the standard stuff, took blood, scheduled my for an
MRI and spent a lot of time trying to talk me into taking methotrexate,
while telling me that Metronidazole and allopurinol couldn't possibly be
doing anything to help. Well, I went back last week to go over the MRI
and bloodwork. Guess what? For the first time in a year, my labs are
starting to go down! My rheumatoid factor was down from 463 to 265! My
ESR is now 100 (still very high) but that is down from 140. My
C-reactive Protein was also down by 30 to 40%. I am no longer anemic. It
was all seemingly good news. I still have a ways to go before the labs
return to normal, but it sure is nice to see those numbers drop, and
drop 30-40% across the board! Funny, on that last visit, my NIH rheumy
didn't try to talk me into methotrexate, for the first time ever! He
also accepted a gift from me, a copy of Dr. Clark's "Why Arthritis" and
he promised to read it. (side note: Isn't it appalling that an highly
trained NIH research physician had never read this book and was quite
frankly somewhat ignorant of antibiotic protocols and the mycoplasma
theory?!) His eyes seem to open wide for me, I just hope maybe we have
started to crack his traditional armor.
I am sure glad I resisted the MTX, as I too, like Mark was seriously
considering it.... I just hope anyone considering MTX would consider a 6
week trial of this protocol before you take that plunge. I don't think
you have much to lose, as these drugs are fairly safe (certainly far
safer than methotrexate).
So that's about it for now. I plan on completing the second 6-week trial
and reassess the situation from there. I will continue to keep you all
posted of my progress, good or bad!
A couple other people have written me privately to say that they too
have started this AP, has anyone else had any success? and if so or not,
what protocol are you following?
Again, I am open to discussions either privately or within the group for
anyone wishing to discuss.....
Take care,
j.