2355 Canyon Blvd.   |   Suite 102   |   Boulder, CO 80302

Author: Dr. Amy Reidhead and Dr. Terri Rebibo Fox

COVID-19: What to do if you get sick!

Ok, so you’ve stayed home, limited your contact, washed your hands like crazy, disinfected everything and still, you or someone you love gets sick. What can you do?
FIRST THINGS FIRST — STAY CALM. Remain at home, do your best to hydrate and take good care of yourself while avoiding others. Call our office for an assessment. Our goal is to keep you out of the hospital, so paying close attention to the illness and its progression is essential. Make a list of your symptoms and note any new symptoms should they arise.
What to do now
Use these tips as a potential means for reducing the severity of the infection should you become sick. You can view and print a pdf of these recommendations by clicking here.
Immediately do your best to isolate from your family or other members of your household. It is best to have an isolation strategy beforehand to limit the number of sick people in your home. According to the NIH, the average COVID-19 patient infects 2.2 other people. Many of those are close family members. It’s essential that you have a plan to mitigate transmission within your household. 
Change your dosages of antivirals from a prevention strategy to active treatment. This means picking at least one of the anti-viral herbal combinations and tripling your dose. These antivirals include: Allimed, Cat’s Claw Elite, Olivirex, Viragraphis, Sinatrol, Samento, our custom herbal tincture based on the Buhner Protocol, and Beyond Balance IMN V and IMN V III.
Start taking natural anti-inflammatories — as many as you can stomach. This includes Quercetin, Curcumax Pro, Meriva, Cyflacalm II, Nrf2 activators, Melatonin and ResveraCel. Part of this disease ramps up the pro-inflammatory processes in the body called cytokines. Supplementing with natural anti-inflammatories may help by reducing these substances in the body. 
Continue to take your basic immune support.
a. Vitamin C: 1000-3000mg throughout the day in divided doses.
b. Vitamin D3: 50,000 IU for 3 days then return to regular dose of
5,000 IU daily
c. Zinc: 30-60 mg daily with food
d. Probiotics: High dose 100 + billion CFU daily
e. Immunoglobulins: SBI Protect, Mega IgG
Add in additional lung support. This bug seems to have a special affinity for the lungs, so lung support is essential. 
a. N-acetyl cysteine or NAC 1000mg 2X’s/day. Thins mucus secretions 
b. Bromelain 2-6 caps on empty stomach to try to help dry out the lungs
c. Diamine Oxidase is good for runny nose, and excess histamine response
d. Honey or “Ivy Calm” for cough suppressant.
e. Melatonin has also been found to be useful in reducing inflammation in the lungs. Doses vary depending on your previous experience with melatonin. Start with 3 mg at night and slowly increase as tolerated. Max sick dose is 20 mg twice daily. 

Try to be equipped with the proper home supplies

If at all possible, consider having some basic equipment to weather this illness at home.

  1. Thermometer. Use the thermometer to monitor and keep track of your temperature. 88% of COVID-19 patients run a fever.
  2. Home nebulizer. Nebulizers can be used to help if you become short of breath. It is possible to nebulize saline, or hypertonic Quinton water to help. Omron is a good brand, but there are others. You can try to find one on Amazon or we have had luck with justnebulizers.com. If you cannot find one, placing a towel over you head while breathing in a pot of steaming water can also be an effective tool. **Other nebulized solutions may be necessary during treatment: Nebulized Glutathione, NAC and/or albuterol can be very effective–all require a prescription from one of our doctors.  
  3. Finger clip pulse oximeter. An oximeter monitors your blood oxygen levels. Oxygen monitoring is critical in knowing when it is time to get to the hospital if that becomes necessary. 
  4. Spirometer. Some of you may have this piece of equipment from a previous hospitalization or surgery. An incentive spirometer helps to improve lung function. You can typically find them at a drug store on online.
Other ways to support the lungs naturally
There are some amazing practices that can help to support your lungs should you become sick. These methods can also be used to strengthen the lungs and prevent illness.
  1. Click here for some home osteopathic exercises to acute lung infection by Dr. Eva Shay
  2. Lymphatic self massage
  3. Try dry skin brushing
  4. Break a sweat. Viruses die at elevated temperature. Sweating can happen with a home sauna or you can even just take a hot steam shower or bath with essential oils.
  5. Qigong exercises for lungs
Buhner’s Ginger Tea Recipe & Recommendations for Dosing
  • Two thumb sized pieces of raw ginger
  • Roughly chop or grate into 1 quart of filtered water
  • Place in a pot on the stove and bring to a boil
  • Simmer for 1 hour. 
  • Drink one cup twice daily for prevention
  • Drink one cup per hour for treatment
  • Can add Manuka honey or a small amount of local honey for sweetness. 
Potential Pharmaceutical Treatments
Some early studies are showing potential promise for hydrochloroquine and azithromycin. Consult with your provider to determine whether this is a good option for you.
References on Hydroxychloroquine and Azithromycin Treatment:
  1. https://www.ncbi.nlm.nih.gov/pubmed/32150618
  2. http://www.zjujournals.com/med/EN/10.3785/j.issn.1008-9292.2020.03.03
  3. https://www.mediterranee-infection.com/wp-content/uploads/2020/03/Hydroxychloroquine_final_DOI_IJAA.pdf
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OFFICE UPDATE-Coronavirus (COVID-19) — Safeguarding Your Health

  • Please do not come to the office if you have a fever, cough or shortness of breath. Call or email instead.
  • We are happy to arrange phone and video consultations for symptomatic patients
  • Our pharmacy is open for all your immune health needs

Dearest Friends of Boulder Holistic,
In light of recent events and recommendations, we have decided to close our doors to the public at Boulder Holistic, Functional Medicine PC. However, we are doing our best to adapt in-office so that we can continue taking care of your healthcare needs. 
All consults have been switched to phone consults as of Monday, March 16. Because we cannot ensure social distancing compliance, we will not be doing IV’s or blood draws onsite. We will be happy to email you your lab requisition for your next blood draw. Below is a list of places to get your blood drawn.
Our first priority is the health and wellbeing of the Boulder Holistic team, our patients and our community. As long as we can ensure the health of our staff, we will all be in the office, answering emails, phone calls and doing phone consults with patients. We have a wonderful system in place to leave your supplements and test kits in front of our office for you to pick up or we would be happy to ship them to you.  Our online pharmacy, Fullscript is also an option for obtaining many supplements.
Our focus now, is to continue to support your ongoing treatment plans as well as help you stay healthy!
Please note: we are selling out of immune boosters, anti-virals and anti-inflammatories as soon as they come in the door. Please let us know if you would like to order or pre-order now. We will continue to order what we can, while we can.
Click here for our latest blogs about COVID-19 and our recommended immune system boosters: https://boulderholistic.com/boulder-holistic-blog/
Click here for places to get your blood drawn: https://boulderholistic.com/resources/
While times like these are stressful and uncertain, we are here to support you and your family. We have ordered our favorite go-to’s for stress, anxiety, adrenal and sleep support to help harmonize and soothe our mind, body and sprits.  
Remember to breathe, sleep, exercise, eat your green veggies and wash your hands!
Nothing like this has ever happened before, there’s no medical/historical precedence from which to glean insight. The infinite, unlimited access we have to all types of information, helpful or not, is unique to any global health crisis we have seen before. 
In this time of uncertainty and upheaval, let’s try to support, love and take care of each other. There’s an opportunity here to come out of this with more care, understanding and compassion for our fellow humans. There’s an opportunity to bond more deeply with our family. 
We are here to help in any way we can.
Be well,
Terri Fox MD, Dr. Amy Reidhead, Melissa and Sara

CRITICAL UPDATE-Coronavirus (COVID-19) — Safeguarding Your Health

  • Please do not come to the office if you have a fever, cough or shortness of breath. Call or email instead.
  • We are happy to arrange phone and video consultations for symptomatic patients
  • Our pharmacy is open for all your immune health needs

COVID-19 Update 

Boulder Holistic is currently open. We are following the CDC guidelines for healthcare facilities for the best practice of containing a viral outbreak. We will do our best to care for our patients to the best of our abilities during these difficult times.
As per CDC guidelines, we ask that patients refrain from coming in to the office if you are exhibiting signs and symptoms of a viral illness, including fever, cough, sore throat, or body aches.
Our doctors will schedule virtual appointments for ill patients to help assess health situations and decide if further medical work-up and testing is required.
We are happy to switch any scheduled in-person consults to phone or video consults. Given the large volume of emails and phone calls, please allow up to 2-3 days for responses to non-symptomatic patients.
Our role is to help direct you to the best and most current information available about COVID-19 as well as to provide immune support to help maintain healthy immune systems in our patients.
Immune Boosting Supplements:
Antiviral and immune boosting supplements are flying off our shelves. We placed new orders at the end of last week and we expect to receive shipments the first part of the week. Call or email the office for preorders. We will be happy to set aside or ship supplements to you.

Our Immune Boosting Recommendations

  • Vit A 10,000-30,000 iu/day
  • Vit D 5,000-10,0000 iu/day
  • Zinc 25-50mg/day with food
  • Vit C 1,000-3,000mg/day as tolerated
  • High dose physician grade probiotics 1 cap/packet daily
  • Allimed 1-2 caps/day preventively, 1 caps 3X’s/day if symptomatic.
  • Mega IgG 4 caps/day

We have multiple anti-viral herbal combinations. We are also making our own anti-viral herbal tincture based on the most up-to-date information on herbs that may help with this virus.a

Most importantly:

  • Wash your hands frequently
  • Avoid crowds
  • Stay hydrated
  • Get plenty of sleep and fresh air

Remember to be kind, caring and loving to friends and family during these scary and unprecedented times.

What has changed?
Since last Monday, the CDC has changed their website considerably to make it more user friendly. They now have quick access buttons to guide folks looking to protect themselves from the coronavirus, as well as what to do if you think you may be sick. 
Here is the simplified breakdown of the new, expanded criteria for prioritizing individuals who should be tested from multiple reputable sources: 
  1. Boulder Holistic guidelines published on our blog. Additionally, the CDC updated their criteria on March 9, broadening inclusion to hospitalized patients, those with chronic illness and healthcare workers. https://www.cdc.gov/coronavirus/2019-ncov/if-you-are-sick/steps-when-sick.html
  2. Boulder county’s new expanded criteria is found here: https://www.bouldercounty.org/families/disease/covid-19/
  3. Colorado Department of Health testing criteria is published here: https://www.colorado.gov/pacific/cdphe/covid-19-testing
Note: These criteria are changing as we speak, so it is important to check back with the CDC often to keep up with current guidelines. CDC guidelines. 
Again, signs and symptoms include fever and a dry cough. Click here for a full list of symptoms Mildly ill patients are encouraged to stay home and contact their healthcare providers by phone or email for guidance about clinical management of their symptoms. 
Patients with severe symptoms, such as difficulty breathing, should seek emergency care immediately. If you require emergency care or need to call 911, call ahead and let them know that you may be infected with COVID-19 so that adequate precaution can be made with transport and isolation in the emergency center. 
Older patients who have underlying medical conditions or are immune compromised should contact their physician early in the course of even mild illness. 
It is not recommended that you go into any doctor’s office or healthcare facility with a fever and signs of upper respiratory symptoms. Instead, patients are encouraged to call the healthcare facility ahead of time and receive instructions for next steps from the healthcare provider. 
What to expect if it is determined that you need to be tested: After calling, you may be instructed to go to the facility where specially protected healthcare providers will come out to your car and assess you for fever and other symptoms. It’s possible you will need to undergo further testing. 
Information on Drive up testing in Colorado: 
Let us know if we can help!
Be well,
Terri, Amy, Ame, Melissa and Sara

Coronavirus (COVID-19) — Essential facts about this new virus

Vital Support for You and Your Family
If you are tuned in to the media at all, it’s hard to ignore the anxiety-provoking news concerning the latest viral outbreak of the coronavirus (COVID-19). Over the past week many people are contacting our office, understandably concerned. Dr. Fox and I wanted to reach out to you, our community, and hash out fact from fiction while giving you the best evidence-based advice on how to safeguard your health from this spreading disease. This post is long, but it contains the most current information available from reliable sources such as the World Health Organization.

Boulder Holistic Immune System Booster Kits

Basic Stay Healthy Kit — Vitamins D, A, Zinc, Probiotic 100 billion
Premium Immune Booster Kit — Vitamins D, A, Zinc, Allimed, 350 Probiotic plus a single or combination of antiviral herbs
Dr. Stephen Buhner Protocol — World-renowned master herbalist Dr. Stephen Buhner recently released his recommendations to integrative providers to address coronavirus. Dr. Buhner has extensive knowledge in treating many microbial diseases, including Lyme and other related diseases, using his well crafted and researched herbal blends. He has studied this virus and has suggested a new three-tincture protocol to provide antiviral activity against coronavirus. These herbal blends are considered both preventative as well as specific for treating an acute infection with only a change in dose and frequency.
Contact the office to order any of these personalized kits.

COVID-19 — What is it?
The latest coronavirus, abbreviated COVID-19, is considered a novel or new virus, meaning it has not been previously seen by humans.
Coronaviruses are a large family of viruses that typically cause mild upper respiratory illness in people. Respiratory viruses are common this time of year, so what makes this latest viral outbreak so different? Though COVID-19 is new, you may remember hearing about its close cousins, SARS (Severe Acute Respiratory Syndrome) and MERS (Middle East Respiratory Syndrome). While currently less deadly, COVID-19 is alarming due to its rapid global spread.
Because this particular virus is new to us, information is emerging every day as scientists and doctors are scrambling to understand how COVID-19 is diagnosed, treated and exactly how to prevent and manage the disease in our communities.
How is it transmitted?
Like the flu, human-to-human transmission of coronavirus occurs mainly through droplets, released in the air by coughing, sneezing and close contact with sick individuals. Many viruses can also survive on surfaces for a period of minutes to even hours. These possible infection sources are called fomites and can include just about anything: think keyboards, cash, credit cards, countertops, swipe machines, gas pump handles, hand railings, door handles, cell phones, toys, utensils, toothbrushes, clothes etc.
The incubation period for COVID-19 is thought to be 2-14 days on average, with a median period of 4 days from the time of exposure until symptoms begin to appear. People are thought to be most contagious when they are symptomatic.
What about pets?
The WHO says it’s very unlikely that humans can get the coronavirus from household pets.
What are the symptoms?
It’s important to remember that like most upper respiratory viruses, coronavirus causes mild to moderate cold- or flu-like symptoms in the average person. There is some evidence that the coronavirus may be more contagious than the flu, and may cause more severe symptoms in at-risk individuals, including the elderly as well as those with preexisting lung or heart disease, or those who suffer from any number of chronic illnesses such as diabetes. With that in mind, people in these groups should be especially diligent in following the prevention measures listed below.
Commonly reported symptoms:
  • Mild symptoms include fever, headache, runny nose, sneezing, sore throat, cough and muscle aches and pains.
  • Moderate symptoms include all the above symptoms plus a feeling of shortness of breath and mild pneumonia.
  • Severe presentations of the illness include severe pneumonia symptoms including labored breathing and signs of respiratory distress and should be managed in a hospital setting.
How do we test for coronavirus?
Although subject to change, currently office-based testing is not available for the COVID-19 virus. While the CDC has reported shortages of tests, the private sector labs, including LabCorp and Quest Diagnostics, have announced the private development of tests which should be available soon.
What if I have symptoms?
If you suspect that you may have been exposed to the coronavirus and are experiencing symptoms, you should call your local public health department right away, using the guidelines below:
The CDC is rapidly updating their guidelines for testing. Click here for the latest information.
Contact the public health department if: 
  1. You have FEVER + lower respiratory symptoms (cough, or shortness of breath) plus a personal history of recent travel to China, Italy, South Korea, Japan, Iran or other known countries heavily impacted by the epidemic
  2. You have FEVER + lower respiratory symptoms above + known contact with someone who has tested positive for the virus
  3. You have FEVER + severe lower respiratory symptoms (severe shortness of breath, or signs of respiratory distress) that require hospitalization, even without know contact or exposure to the virus
Help contain the virus. Do not go to your local doctors’ office or the hospital unless you have severe life-threatening symptoms. This is cautionary advice issued by the public health department in an effort to try to contain the virus.
If you suspect you have become infected with COVID-19, contact the public health department and they will assess the situation and coordinate with local hospitals to get you the care you need.
For general questions about COVID-19 in Colorado:
  • Call CO-HELP at 303-389-1687 or 1-877-462-2911.
  • You can also email COHELP@RMPDC.org for answers in English.
For local public health agencies and healthcare providers only:
  • From Monday thru Friday, 8:30 a.m.- 5:00 p.m., please call 303-692-2700.
  • For after-hours, holidays, and weekends, please call 303-370-9395.
What if I do not qualify for the coronavirus criteria, but I am still experiencing symptoms?
Because we are still in the normal cold and flu season, it is much more likely that people with acute upper respiratory symptoms have a typical virus, such as a common cold, influenza or streptococcal infection (strep throat). If you feel acutely ill, but you do not meet the above CDC coronavirus criteria, we recommend that you let the medical facility know that you are exhibiting viral illness symptoms and wish to be seen. Make sure and call the facility well before your visit. That way you and the staff can plan for the appointment by providing the appropriate isolation practices for safe strep and flu testing.
Should I wear a mask?
If you are symptomatic, you should wear a mask or handkerchief covering your nose and mouth when you go to and from public settings such as urgent care, medical offices and the hospital. This is vital in protecting others from the illness. Right now, masks like the N95 are in high demand, causing dangerous shortages in the medical field, price gouging and counterfeits. For these reasons we discourage the stockpiling of masks.
Prevention: How do I protect myself and my loved ones?
The absolute best thing you can do to protect yourself is to avoid contact with known sick people or those exhibiting symptoms of an upper respiratory infection.
Here is the CDC’s website to better educate yourself on virus prevention: https://www.cdc.gov/coronavirus/2019-ncov/about/prevention-treatment.html
Our recommendations for protecting you and others from all viral illnesses:
  • Sanitize, sanitize, sanitize!
  • Wash your hands (correctly and often!) Click here for a tutorial
  • Train yourself to avoid touching your face, eyes, nose and mouth. It may prove harder than you think, so practice often.
  • Stay home if you are sick.
  • Cover your cough with your elbow or a tissue.
  • Say hello from a distance instead of shaking hands.
  • Load up on healthy foods, especially those with ginger, garlic, turmeric, and oregano.
  • Eat colorful fruits and vegetables.
  • Stay hydrated.
  • Avoid sugar.
  • Get fresh air and moderate exercise daily while avoiding large crowds.
  • Get good sleep.
  • Decrease stress with relaxation and family games.
Using supplements to bolster your immune system, in addition to frequent hand washing, may also help to safeguard your health.
Our favorite immune boosting and immune modulating tools include:
  • Upping your Vitamin C intake.
  • Scheduling intravenous Vitamin C as a potent antiviral strategy.
  • Adding Zinc to your daily intake.
  • Optimizing your Vitamin D 3 levels.
  • Taking a high potency probiotic daily.
  • Adding Vitamin A to your intake.
  • Practicing daily nasal rinsing.
Virus prevention:
Known viral medications, like Tamiflu and other antivirals, have not been effective against coronavirus. There are also no known supplements, herbs or vitamins that will kill the COVID-19 virus. The CDC anticipates that a vaccine won’t be available for at least a year. Our best bet at this time is prevention.
Some research points to the effectiveness of a number of herbs in providing notable immune system boosts. We carry and recommend a number of known antiviral herbs in our office:
  • Allimed. Allimed contains high potency allicin, the active ingredient in garlic and has potent antimicrobial effects.
  • Curcumax Pro or Meriva: contain turmeric/curcumin, and boswellia which provide both immune modulating and inflammation support
  • Quercitin
  • Oregano oil
  • Olivirex
  • Monolaurin
  • Quick silver Cat’s Claw
  • Nutramedix Samento
  • Artemisia
Mental wellness
This outbreak is causing a lot of added stress to our daily lives. It’s important to remember to take good care of your mental health. This includes exercise, preferably in the sun, eating well, sleeping well, and supporting each other. Remember, it’s okay to moderate your coronavirus news consumption. It may even prove healthy.

If you are not in Boulder, feel free to order your supplements through email or on Fullscript, and then ask Melissa, Sara or Ame for an email pdf of our doctors’ directions on recommendations and dosages.

Keep up-to-date with the latest information:

CDC: Coronavirus Disease 2019 at https://www.cdc.gov/coronavirus/2019-ncov/


https://www.ncbi.nlm.nih.gov/pubmed/15885816 natural compounds agains coronavirus

Adrenals: Tiny glands, Big Job!

My patients often ask, “Why is my energy always dragging?” Or for some, “Why am I so tired during the day, but then at bedtime I can’t sleep?” Most of us have heard of adrenaline and our “fight or flight” instinct, but what do our adrenals have to do with it? 

These tiny glands are so important that they have precedence, above all else, as they are the messengers of our survival instinct. When stress becomes prolonged,  when we burn the candle on both ends, our adrenals kick in for us –so we can still do it all!  Initially, we are wired and tired, but we can still manage our over-scheduled lifestyle.  Eventually the adrenals will stop compensating for our lack of natural energy, (whether that’s from lack of sleep, stress, infection, trauma, etc) and when they do, they take everything else out with them. 

When the adrenals finally stop compensating for our lack of natural energy, that’s when we get REALLY tired.  When this happens, the adrenals take the entire hormonal system down with them. That’s right, there goes your testosterone – your sex drive, workouts, muscle mass and mood.  And what’s more? There goes your progesterone – your Zen hormone, the hormone that keeps us calm and resilient.  When progesterone tanks, we have more anxiety, irritability, anger impatience and difficulty sleeping. Our ability to deal with stress and what life throws us, evaporates.  In essence, our adrenals create our force field, our grounding, our armor, our power and emotional strength…our very resiliency.  

And not only that!  Your adrenals and your thyroid are interconnected, as they compensate for each other and play in the same feedback loops.  One affects the other in every which way possible.  

Ok, so let’s back up, what are your “adrenals” exactly? 

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2355 Canyon Blvd.   |   Suite 102   |   Boulder, CO 80302

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