Friday, May 9, 2014

Synthetic steroids

Prednisilone
In general, serious toxicity with prednisilone starts at 7.5 mg/day.  Moreover, the need for high doses of 1 mg/kg/day in severe autoimmune activity is now being questioned, since much lower doses seem as effective. Pulse methylprednisolone, 500 mg/day, during three consecutive days, is a potent therapy for severe flares (with few side effects).

Medrol (prednisilone) comes in 2, 4, 8, 16, 24 and 32 mg tablets.  Medrol is also injectable at: 20, 40, and 80 mg/ml.  Medrol can be prescribed at various daily doses or as alternate days.  
GC doses can be clustered: low doses are ≤7.5 mg of prednisone-equivalent; medium doses are 7.5-30 mg; high doses are 30-100 mg prednisone-equivalent per day; very high doses >100 mg; when doses are >250 mg of prednisone-equivalent per day for few days, usually no more than 5 days, it is called pulse therapy.
The typical Medrol dosepak is 4 mg tablets given over 6 days in decreasing dosages. 
  • Day 1: 2 tablets before breakfast, 1 tablet after lunch, 1 tablet after dinner, 2 tablets at bedtime;
  • Day 2: 1 tablet before breakfast, 1 tablet after lunch, 1 tablet after dinner, 2 tablets at bedtime;
  • Day 3: 1 tablet before breakfast, 1 tablet after lunch, 1 tablet after dinner, 1 tablet at bedtime;
  • Day 4: 1 tablet before breakfast, 1 tablet after lunch, 1 tablet at bedtime;
  • Day 5: 1 tablet before breakfast, 1 tablet at bedtime;
  • Day 6: 1 tablet before breakfast.

Prednisone and other anti-inflammatory steroids are very different from testosterone and other sex steroids (but people often feel better).  

Dexamethasone (within 18 hours) induces increase in endocytic activity, which favors the scavenging of antigen from the external milieu, decreasing antigen concentration and availability, and simultaneously inhibiting the capacity to stimulate T cells.
Prednisone suppresses immune response, and is medically used when immunity attacks healthy cells (friendly fire).  Steroids are used in asthma, MS, poison ivy, polymyalgia rheumatica, inflamed nerves, rheumatoid arthritis, lupus and many other diseases.

Dexamethasone, a synthetic GC, is a multi-ring structure with an added fluorine.  Fluorine increases drug potency by slowing metabolism and also increases the affinity of dexamethasone for its receptor.

Just as aspirin suppresses prostaglandins everywhere, anti-inflammatory steroids reduce immune response in every organ, beginning with inhibiting movement of white blood cells through capillary walls to attack infections and less surveillance of any fungi or other chronic infection that is being kept in check. 

It is important to be aware that steroids have many effects and to protect against the negative.  Otherwise, like Eleanor Roosevelt, prolonged overuse can cause death (from overwhelming TB, parasite infection and/or adrenal failure).  As a doctor, trained in the 1960s, I always feared steroids.  (Now, I know why: the president's wife.)

Many are infected with TB without knowing.  With a robust immune system, one generally confines live TB to the lungs. But with enough prednisone for long enough, then immune surveillance of the live TB is suppressed, TB germs multiply, and they can spread and kill. 

Before you start on an oral steroid, skin test for TB, and treat with isoniazid or other anti-tubercular if your skin test is positive for as long as you take the steroid.  

Strongyloides is a common intestinal parasite.  This nematode fastens to the distal colon, and its reproduction and spreading is kept in check by our immunity.  Giardia lamblia and Entamoeba histolytica are common protozoans.  Their effects vary from no symptoms as carrier to severe GI disease with malabsorption in giardiasis, or amoebic colitis.

Do albendazole or herbal treatments for intestinal parasites when beginning steroids before attempting to kill systemic parasites. 

Praziquantel is the treatment of choice for systemic helminths.  Prazquantel gets everywhere and even crosses the BBB.  Take steroids first to inhibit any further inflammatory damage from 'friendly fire' (to the nervous system) triggered by their dead bodies, their stressed biofilm or their eggs (that have hooks).  

Helminth worms use suckers to adhere to the wall of the blood vessel, where they can live for up to 30 years.  If the flukes have invaded the CNS, loss of balance or coordination may result, then steroids are given as well in order to reduce the inflammatory response.  Invasion of our CNS is too close for comfort, and must be taken seriously.

Unappealing as parasitic infestations are, mostly these infections go unnoticed.  It is normal to live a long time with a worm or other parasite.  Symptoms often lead to a surgery (on knee, ankle, elbow or low back) or hernia repair.  
Taking steroids also reduces immunity that keeps live viruses under active suppression.  With a live virus vaccine (mumps, rubella, oral polio, yellow fever) or an active herpes infection, steroids are deferred until one month after the vaccine or until the infection has cleared.  Theoretically, one would also defer any steroids because of a bacterial problem, like acute diverticulitis or root canal tooth.

The GCs produced by the body are called cortisone and hydrocortisone and they help to control metabolism (the chemical reactions that convert fuel from food into energy). During the day, when active, there are more GCs made. During the night, or sleep, there are less GCs produced.
The body's normal production of cortisone is about 5-10 mg/day, cortisol rhythm has much diurnal variation, it peaks around 5 AM.  The secretion of cortisone is controlled by a feedback loop to the pituitary, which secretes ACTH to stimulate cortisone.  

GCs make you feel better (about yourself).  They provide a 'sense of well-being'.  In some people with large doses of GC can result in becoming enthusiastically over-active, along with difficulty sleeping.
When one feels threatened, the adrenal glands can increase secretion 1,000X.

When taking enough steroids for long enough, then the pituitary gets so suppressed that when you stop, the pituitary has lost its ability to make ACTH, so when your body is stressed (by an infection), the adrenals can't make "stress amounts" of cortisone and death ensues.

Use of high-dose steroids for more than a week begins to produce suppression of the adrenal glands because the exogenous GCs lower CNS hypothalamic cortico-tropin releasing and pituitary adrenocorticotropic (ACTH) hormones.  

Prolonged taking of steroids at supra-physiologic doses causes suppression.  The adrenal glands (and their circuitry) literally atrophy (undergo apoptosis and shrink like inactive muscles).  Full robust recovery can take months.

GCs cause immune suppression, and the therapeutic part of this effect is mainly decreases in the function and numbers of both B and T lymphocytes.

GCs act in part by inducing the synthesis of IkBa, a protein that traps and thereby inactivates NF-kb (an activator of cytokine genes and a mediator of the proinflammatory action of tumor necrosis factor). Pulsed GCs may impair cytokine generation.
GCs also have direct effect upon cell membranes. In very high doses, GCs dissolve in cell membranes, thereby altering their physicochemical properties and the activities of membrane-associated proteins, which may explain why only high doses are effective in treating acute exacerbations of immunologically-mediated diseases.

GCs inhibit NF-kb (enhancer of activated B cells). Inhibition of NF-kb blunts the capacity of the immune system to mount a response. GCs suppress cell-mediated immunity by inhibiting genes that code for the cytokines Il-1, 2, 3, 4, 5, 6, 8 and IFN-γ, the most important of which is IL-2.  Less cytokine production reduces T cells.

GCs not only reduce T cell proliferation, but also lead to GC-induced apoptosis. The effect is more prominent in immature T cells still inside in the thymus, but peripheral T cells are affected as well.
GCs also suppress humoral immunity.  GCs cause B cells to express less IL-2 and IL-2 receptors, which diminishes both B cell clone expansion and antibody synthesis. Less IL-2 also causes less T lymphocyte activation.

Since GCs  are steroids, they regulate transcription; but GCs also lessen  Fc receptors on macrophages, which decreases phagocytosis.

Kitchen herbal parasite remedies

Natural Parasite Remedies:
If you believe you could have parasites, submit your feces for examination.  These tests  may be misleading or help determine whether you are infected and suggest very effective medications.  Without 'knowing,' here are herbal remedies that are usually effective.
Parasites are accumulation indicators of heavy metal pollution.  Certain parasites, particularly intestinal acanthocephalans and cestodes of fish, can accumulate heavy metals that are 50-100X higher than those in the host or the environment.  Do a lot of fiber, water and fermented foods or probiotics.
Microorganisms use toxic heavy metals, along with minerals, to help build biofilm.   Biofilms structurally sequester a lot of heavy metals.  The biofilm matrix has a horizontal and a vertical weave. 

Garlic is anti-parasitic, anti-helminthic and active against many different infections. Garlic oil and garlic extract promote immune defenses, and help inhibit parasite function.  Besides probiotics and/or fermented foods, two cloves of fresh garlic a day help fight off parasites, especially if traveling. 
Garlic is also anti bacterial.  Garlic inhibits TB via its most active ingredient, allicin. It also is anti fungal.  One way to prepare it is by boiling garlic cloves in water and milk.
Cleanses can include herbs like rosemary, thyme, marshmallow, orange peel, grapefruit seed extract, black walnut, wormwood and garlic, along with supportive nutraceuticals like undecylenic acid and bismuth citrate. Herbs like goldenseal, barberry and Oregon grape contain berberine, and can help fight parasites that cause diarrhea.
Parasites do not thrive when one has normal enzymes and hydrochloric acid.  Keep stomach acid production powerful (apple cider vinegar before or with meals).  Vinegars add flavor and enhance digestibility.  Acidity keeps the stomach free of parasites and help kill off any larvae inadvertently eaten with meals.  

Discover the tasty healing powers in combining garlic, vinegar and honey with its pollen! Its amazing what you can heal with these three. 

Improve flexibility of breathing physiology (remaining mentally calm while nose breathing) by inducing hormesis with intermittent exercise and breath holding and/or smoking (potentiated with occasional hunger, spicy/colorful food, some sunshine, moderate amounts of fruit sugar or alcohol).

Carbon dioxide plays a big role in oxygen transport (and in gastric acid production).  Fatigue means that we have trouble manufacturing stomach acid.  
Breathing is a very complex behavior.  It is voluntary and involuntary.  Breathing is greatly influenced by emotion.  Buffer depletion results from long-term over breathing.  Oxygen from blood then enters tissues (and that requires CO2 as well as nutrition).  
Buffer depletion has very big implications for attitude and health.  Running out of buffers with just crossing a few streets to lunch, or preparing dinner means exhaustion and pain doing simple routines.  
Wellness is about embracing both heart and brain, about bringing together awareness of  physiology with personal consciousness.  Health is about seeking, presence, not about ego and defensiveness.”  The breathing/heart wave is created by the way we think.
Over breathing may not only lead to buffer depletion but may then also become its own short-term solution to the resulting acidosis (a vicious cycle).  One's flexibility can be evaluated with endurance exercise and noting the drop in CO2, the starting point of over breathing (the hormetic ROS threshold between intermittent and continuous). 
No matter how long and confusing the list of symptoms, from chronic fatigue to infertility to mental problems,  They probably have pollutants and/or parasites.  Inducing hormesis will enhance coping mechanisms.  For parasites and pollution, enhance excretion; electronic and herbal treatments assist both.  
Candida invites many other problems. It is not a matter of whether or not there are parasites. It is a matter of how many and which ones, protozoa, cryptosporidia, hookworm, liver flukes, and toxoplasmosis gondi are favorites, but all are probable.
Fungus begets fungus. Bacteria infection can intertwine with candida and make an alliance that won't budge unless the bacteria is addressed along with the candida. The chief binding bacteria is staph, especially if there is a history of taking nystatin. Second is Staph/Strep/Shigella.  Strep, the third common binder.  Coxsackie is occasionally seen. 
Healthy bile flow is one's strongest defense against parasites and candida! Bile has a very alkaline (pH 9.5) which kills or dismembers whatever the stomach acid didn't and prevents damage to the lining of the intestines by neutralizing hydrochloric acid (both demand energy and buffer reserves)!
The herbal parasite program is sometimes insufficient with tapeworms and Ascaris.  Dr. Clark used to suggest Rascal and electrical frequencies for combating these intruders. 

Coenzyme Q-10 in a one time high dose kills most tapeworms. Dr. Clark says to use 3,000 mg of Coenzyme Q-10 to get rid of tapeworms.  People with HIV and AIDS take the high dose once a week plus a daily reduced dose. 

Immune system cells divide more rapidly than most, and they need constant repair or maintenance.  This work requires energy, and Co–Q10 is a critical co–factor in making energy.  Co–Q10 compensates for many immune deficiencies. 

Extracellular toxoplasma is sensitive to pyrrolidine dithiocarbamate (PDTC).  Lots of parasite destruction is mediated by oxidation. Intracellular parasites, by contrast, are resistant to PDTC killing, although treatment does cause growth arrest (reversible).

Tapeworms that can escape this treatment are the common roundworm (Ascaris), which can be killed with 'mop-up' of ozonated olive oil and L-cysteine.

This will kill any parasites left over except for the ones in pockets in the lower colon.  The active ingredients are too weak by the time they reach the lower colon to kill parasites.  They can finally be killed with a black walnut hull enema.

Wormwood (artemesinin is its most active ingredient) tea is also effective against some parasites, by paralyzing or killing them.  Drinking wormwood tea three times a day (for no more than 10 days) helps with parasites.  However, because wormwood is related to absinthe, don't overuse it.  Women (pregnant or breastfeeding) best not take wormwood. 
Black walnut extract of green black walnut hulls has pigments toxic to parasites, and it tends to also soothe diarrhea and/or constipation.  Black walnut extract (1000 mg ) taken three times a day with water (for no longer than six weeks) may kill parasites.  However, pregnant and breastfeeding women should not take it. 
Clove oil/strong cloves is the only substance that will kill the eggs. According to Dr. Hulda Clark, this is for all parasite eggs (not just nematodes, protozoa).  That is why she insists on using it with the Wormwood and Black Walnut Hull.

Cloves contain eugenol, caryophyllene and tannins, powerful antimicrobials. These travel through the blood, killing microscopic parasites and parasitic larvae and eggs. Cloves are very effective in killing malaria, TB, cholera, scabies and other parasites, viruses, bacteria and fungi (Candida).  Cloves also destroy Pseudomonas aeruginosa (a pathogen from plants), all Shigella, Staphylococcus and Streptococcus.
The oil of oregano (marjoram or Mexican wild sage) is taken by mouth for intestinal parasites, allergies, sinus pain, arthritis, cold and flu, swine flu, earaches and fatigue. 

Clove and cinnamon are both well known to be anti-parasitic. Rub a couple drops on bottom of each foot and put 1 drop in water or in a capsule for kids and 2-3 drops for adults. 

Some people can handle a drop in a shot of water while others prefer to put the oils into an empty vegetable capsule. This blend fights fungii, bacteria and viruses that accompany parasites. When parasites die, they release their biofilm.  Essential oils help counteract other infections and reduce die off symptoms.

Lemon oil supports the liver while killing off worms and parasites.  One can rub it directly over the liver.  One can drink a couple drops in water daily to assist the body in flushing out toxins the parasites give off when dying.  You can also rub it on feet.

Oregano is a natural antibiotic and is great for killing off bacteria, candida, parasites and viruses.  It is a hot oil so on the bottom of the feet is best for children. If rubbing anywhere else, dilute the oil. 

Melaleuca oil kills bacteria, fungi and viruses on contact.

Bergamot, Basil and Roman Chamomile are all worm expellers.  One can take a drop of each 1-2 times a day in a shot of water or hide it in capsules.  Also, these oils can be rubbed on bottoms of kids feet and diluted a little and tummy rubbed. A great night time tea uses 1-2 drops Roman Chamomile essential oil in warm water with raw honey and is a worm expeller as well.

It is important that the bowels are moving and not stagnant.  An easy remedy is to take a spoonful of fresh coconut oil each morning with breakfast.  Three hours later take a teaspoon of castor oil. Repeat this daily if not having a bowel movement while trying to kill intestinal worms.

Everyone in the family (including pets) is likely to share pests.

Coconut oil contains lauric acid.  Coconut oil is about 50% this saturated fat which is converted to efficiently kills parasites, yeasts, viruses, and pathogenic bacteria in the gut.

Pumpkin seed, like most parasite treatments, need to be taken in sufficient amounts to be effective. A traditional parasite treatment uses raw pumpkin seeds.  This remedy for may not actually kill.  High levels of cucurbitins paralyze the worms, preventing them from holding on to the intestinal walls, as they usually do during a bowel movement.  Follow pumpkin seeds with a laxative like triphala, to assist expelling as many worms as possible.  

Winter squash and pumpkin seeds share similar properties.  Besides expelling parasites, they are high in zinc and omega-3 fats.  When next preparing butternut or other squash, save and rinse the seeds. Allow them to air dry, or toss with oil and salt and bake at 350 degrees for about 20 minutes.

Pumpkin seeds can also be prepared as pepitas, they are hulled and are green with a delicate texture and taste. To be effective against parasites, pumpkin seeds can be eaten in a variety of ways:
  • raw or roasted;
  • made into tea by boiling 3 cups of water with 2 Tbsp of pumpkin seeds for 30 minutes;
  • made into pumpkin seed milk by blending 4 cups of water with one cup of seeds and straining.  Sweetener can be added to taste.

The nutmilk can be used on cereal or as a base for smoothies. The seeds can be mixed with other nuts and dried fruits to be eaten as a snack.

Thyme contains flavonoids that are mostly known for their antioxidant activity, and thymol and carvacrol, which are effective in killing bacteria, fungal infections, and yeast infections. Thyme is especially effective in killing hook-worms, roundworms, threadworms and skin parasites. Thyme also destroys Cryptococcus neoformans, Aspergillus, Saprolegnia, Salmonella typhininum, Staphylococcus aureus, and Escherichia coli.
Used as an antibiotic, thymol is 25 times more effective than phenol (a manufactured substance found in a number of consumer products known to cause liver damage), yet less toxic to parasites. 
Basil is antibacterial, antiseptic, anti-fungal and also antispasmodic. Basil stimulates the immune system by increasing the production of antibodies. The part of the basil plant used for these properties are the leaves and the oil.
Basil relieves colds, coughs, asthma, sinus congestion, headaches, arthritis, rheumatism, and fevers. Basil oil kills intestinal parasites, and is recommended for abdominal conditions, parasites, and stomachache.  A basil poultice treats ringworm infections.
Basil can be drunk as tea or juice, cooked into ghee (clarified butter), used in inhalation, massaged as oil, or made into a compress or a poultice.  Basil is also used  with camphor, rosemary, juniper, lemon, eucalyptus, myrtle, lavender, bergamot, lime, and/or clary sage.
Basil has a strong effect on the emotions, easing fear or sadness.  Basil also makes an infusion (acne remedy).  Steep 3 teaspoons of dried leaves in 1 cup of boiling water for about 20 minutes. Apply to freshly washed skin, or drink up to 3 cups of the tea per day as an internal treatment.
Fennel is a mild laxative and anti-parasitic. Fennel seed is used to help remove and expel parasites and their wastes. Fennel is also very effective against Candida albicans.

Any member of the Capsicums, known for assisting with assimilation, healing, improved circulation, cleansing, indigestion, urinary tract health, colds, flu and other benefits like inducing hormesis cayenne also destroys parasites.

The gingerol, the active constituent of fresh ginger, destroys parasites including the roundworm, the blood fluke, the ascaris worm and Salmonella bacteria.

Gentian rids the body of parasites including plasmodia, which is a malaria-causing parasite. Gentian is also good for treating anemia and counteracting the effects of parasite toxins in the body by stimulating the liver to produce more bile. 
The seeds of the annual flowering plant, Nigella sativa, have been prized for their healing properties since time immemorial.  In English-speaking cultures it is called Roman coriander, black sesame, black cumin, black caraway and onion seed, it is known mostly as black seed.   
The earliest record of its cultivation and use come from Egypt.  Black seed oil was found in Egyptian Pharaoh Tutankhamun's tomb (he died 3,300 years ago).  In Arabic cultures, black cumin is called Habbatul barakah (seed of blessing).  It is believed that the Islamic prophet Mohammed said of it that it is "a remedy for all diseases except death.
Black seed oil and is active ingredients have beneficial immuno-modulatory properties, augmenting the T cell- and natural killer cell-mediated immune responses.

Its anti-microbial properties include protective effects for viral and bacterial infections, and even parasites.  Black seed oil was injected in those with murine cytomegalovirus (very similar to herpes). After 10 days, the virus was no longer detectable in the either spleen or liver.  Botanical extracts are effective against many drug-resistant bacterial infections, including E. coli.  Essential oils from Nigella sativa are effective against parasites like tapeworms, even when diluted at a 1:100 ratio.

Fructose receptor

Fructose receptor and fast grains (and maybe mycotoxins or heavy metals) switch us from fit to flabby
The gustatory receptor 43a (Gr43a) functions as a narrowly-tuned fructose receptor in taste neurons. Gr43a also functions as a fructose receptor in the brain.
The hormone leptin regulates appetite.  When leptin rises, it signals fullness. Grains and refined sugar (especially fructose) cause leptin resistance.  Similar calorie counts from fructose or glucose, fructose and protein, or fructose and fat, cause different metabolic effects.
Food companies have mastered the art of creating addictive foods through combining salt, fat, sugar and many proprietary flavorings. 
Mycotoxins infect around 25% of the world’s grain, and response may seem typical, even generationally.  Mycotoxins are not disabled during cooking or processing so they often make their way into final products.  

Eating spices boosts resistance to toxins.  Turmeric (curcumin), garlic and ellagic acid (in pomegranate) inhibit damage.  Antioxidants may help reduce aflatoxin-induced mutagenicity and carcinogenicity. In the feed and food industry it is common to add  binding agents like Montmorillonite or bentonite clay to affectively adsorb mycotoxins.

Bread made with ground grains and airborne microorganisms ferments more slowly and becomes more acidic removing more invisible lectins (which makes fatter babies and receptors less sensitive to insulin or leptin) while creating a final product that stays palatable longer. 

Baker's yeast is a hybrid that is quick and convenient, although it produces bubbles very fast, more lectins remain and there is a shorter shelf-life to the leavened product.     

Mannose/fucos receptor

Mannose/fucose receptor (a lectin)
Parasites bring bound biofilm (yours and theirs) with them as they secretly settle or sneakily travel and settle to farm us and our biofilm so they can lay eggs. 
Cells have proteins called receptors that bind to signaling molecules and initiate a response. Different receptors are specific for different molecules. Dopamine receptors bind dopamine, insulin receptors bind insulin, nerve growth factor receptors bind nerve growth factor, and so on. 
Hundreds of receptor types are found in cells, and varying cell types have different populations of receptors.  Receptors can also respond directly to light or pressure, which makes cells sensitive to physical events. 
There are various kinds, like glycoprotein and lipoprotein.  Hundreds of different receptors are known and many more remain undiscovered.  Almost all known membrane receptors are proteins that cross the membrane (1-7 times). 
A certain cell can have several membrane receptors while displaying various amounts.  A receptor may also exist at varying concentrations on different membrane surfaces, depending on function. Since receptors usually form “clusters” on the membrane surface, distribution is mostly heterogeneous. 
The macrophage expresses cell surface lectins with activities that support specific functional roles and corresponds to differentiation.   Besides about a half million marking glycoproteins and many MR, receptors exist for HSPs or AGEs, mannose-6-phosphate, β-glucan, sialoadhesin and several others that bind to galactose. 
Human peripheral blood low density mononuclear cells cultured in granulocyte/macrophage colony-stimulating factor (GM-CSF) and interleukin (IL)-4 develop into dendritic cells (DCs) that are extremely efficient in presenting soluble antigens to T ceils. 
DCs respond to TNF or, CD40 ligand, IL-1, and LPS with changes that include down-regulation of macropinocytosis and Fc receptors, disappearance of class II compartment, and up-regulation of adhesion and co-stimulation. 
These changes occur within 1-2 days and are irreversible, since neither pinocytosis nor the class II compartment are recovered when the maturation-inducing stimulus is removed. The specificity of the MR and the capacity to respond to inflammatory stimuli maximize the capacity of DCs to present infectious non-self antigens to T cells.
Receptors are generally transmembrane proteins, which bind to extracellular signaling molecules and then transmit the message through a sequence of molecular switches to internal signaling pathways. 
Membrane receptors fall into three major classes: G-protein-coupled, ion channel and enzyme-linked.  Since membrane receptors interact with both extracellular signals and molecules within the cell, they permit signals to affect cell function without actually entering.  Most signaling molecules are too big or too charged to cross a membrane.
Not all receptors exist on the exterior of the cell.  Some receptors are deep inside, even in the nucleus. These receptors typically bind to molecules that can pass through the plasma membrane, gases like nitrous oxide as well as fats and steroids.
Agglutination (binding) of different sugars on the about a half million glycoprotein lectins that mark individual cells by crossing cell membranes determines human blood type.  Although a few lectins are hormetic, identifying excess irritating lectins can help define a lower stress diet.
The mannose receptor (MR) can cause internalization of compounds that are recognized by three cysteine-dependent binding sites. The MR is subject to proteolytic processing and glycosylation, has a complex expression pattern and has tissue-dependent binding properties.  The MR is important in homeostasis, like clearance of endogenous products (hormones) and cell adhesion, as well as pathogen recognition and antigen presentation. 
The innate immune system is the first line of defense against invading pathogens. Innate cells recognize microbes via pattern recognition receptors (PRRs) initiate innate immune responses; and eventually trigger adaptive immunity. Association of heterologous PRRs synergistically enhances their signal intensity. Such PRR cluster formation is essential for generating anti-fungal immunity.
Relative to viruses and bacteria, sizes of fungi are, in general, significantly larger. It is therefore logical for host cells to form PRR clusters in an effort to maximize the interaction between PRRs and the fungal surface. 
CD206 is widely known as the MR, or more precisely as the mannose receptor C type 1 (MRC1).  The MR is a 162-175 kDa type -1 transmembrane protein and a member of the Group VI C-type lectins along with CD280 (ENDO180), CD205 (DEC205, and the phospholipase A2 receptor. Cells can increase or decrease the number of receptors to alter sensitivity, as a locally acting feedback mechanism. 

The MR is a heavily glycosylated endocytic receptor that recognizes both mannosylated and sulfated ligands.  MR function is altered through proteolytic cleavage and changes in glycosylation and conformation. 

G protein-coupled receptors are a large protein family of transmembrane receptors, and are characteristic of eukaryotic membranes.  The ligands that bind and activate these receptors include light-sensitive compounds, odors, pheromones, hormones, sugars, and neurotransmitters, and vary in size from small molecules to large proteins. The effect created is usually bewilderingly biphasic.

Heat shock proteins (HSPs) are mimicked by dietary or smoked advanced glycosylation end-products (AGEs).  HSPs or AGEs bind to antigen presenting cells and are internalized spontaneously by receptor-mediated endocytosis.  There is also co-localization of internalized HSPs and surface MHC class I molecules in early and late endosomes.
In healthy brain, MRs cannot be detected in oligodendrocytes, ependymal cells, endothelial cells or parenchymal microglia. The MR is expressed by perivascular macrophages/microglia and meningeal macrophages, where it seems important for  immune defense, and by two populations of brain cells, astrocytes and neurons.
The developmentally dependent, regionally regulated expression of MR in glial and neuronal cells suggests that the MR plays an important role in homeostasis during brain development and/or neuronal function.
Bacteria (and our cells) use sugars to communicate.  Sugars trigger changes in bacteria.  Sugar use in living communication systems is called glycobiology.  Mannose, galactose, fucose, xylose, N-acetylglucosamine, N-acetylneuraminic acid, N-acetylgalactosamine and other sugars are used to make structure, regulate as well as signal. 

The specific binding of N-acetylneuraminic acid to wheat-germ agglutinin (WGA) is based on configuration similarities between N-acetylneuraminic acid and N-acetylglucosamine.
Lectins are widespread in the plant kingdom, and are anti-nutrients in food. Cereal grain lectins are called WGA.  WGA can interfere with digestive/absorptive activities and can shift the balance in bacterial flora. 
WGA stimulates pro-inflammatory messengers, even at very low concentrations.  WGA  binds to and activates white blood cells.  WGA crosses the blood-brain barrier and attaches to myelin. It can inhibit nerve growth factor, important for growth, maintenance and survival of neurons.  WGA may induce apoptosis.  
WGA binds to, interacts and disrupts a basic component found within all neural, connective and epithelial tissue (n-acetyl-glucosamine).  Once WGA makes it through the mucosa and/or digestive lining, it can exert systemic effects which are easily overlooked.
One way to gauge the pervasive adverse effects of WGA is the popularity of glucosamine. Its main source is from acetyl-glucosamine-rich chitin of crustaceans, like shrimp and crab.  Glucosamine effectively reduces pain and inflammation by binding with WGA.
Chitins are long polymers of n-acetyl-glucosamine, the primary binding target of WGA.  WGA and "chitin-binding lectin" share functional similarities.  Besides WGA-rich wheat, these chitin-binding lectin containing foods are: potato, tomato, barley, rye and rice. 
WGA sits on the leptin receptor for a really long time, though it doesn’t elicit the same downstream signaling effects.  WGA is one of the most widely used lectins in cell biology. WGA contributes to leptin resistance and other metabolic issues (like insulin resistance).  WGA crosses the blood brain barrier.
Sugars are the "letters of the cellular alphabet." These markers exist on cell surfaces and help communicate.  These sugars are used by pathogens to enhance virulence in many subversive ways.  Instead, intelligent use of 6-carbon mannitol, or 5-carbon xylitol reduces both biofilm virulence and modulates host inflammatory response.  

After eating fructose, a functional ketone, metabolic burden falls on the liver.  Glucose (dextrose), which acts as an aldehyde, is used by every cell as "blood sugar."  Much glucose is "burned up" immediately (the liver processes about 20%).  

Instead, fructose is turned into free fatty acids (FFAs), VLDL (the damaging form of cholesterol) and triglycerides, which get stored as fat.  The fatty acids created during fructose metabolism accumulate as fat droplets, causing insulin resistance and liver inflammation. Insulin resistance progresses to metabolic syndrome and type II diabetes.  

Fructose is the most lipophilic carbohydrate and converts to activated glycerol (g-3-p), which turns FFAs into triglycerides. The more g-3-p, more fat stored.  When glucose is eaten, less than 1% is stored as fat, however 1/3 of fructose becomes fat.  

The metabolism of fructose is like ethanol and creates many waste products and toxins (ROS), which have a biphasic effect, inducing beneficial hormesis with perceived mild, intermittent stress or similar excessive chronic stress (over an individual threshold).  

Glucose suppresses ghrelin (hunger hormone) and stimulates appetite-lowering leptin.  Fructose has little effect on ghrelin and interferes with leptin, resulting in overeating.  Sucrose is a disaccharide composed of glucose and fructose.  We use glucose as our primary energy source and the excess energy from fructose is used in fat synthesis, which is stimulated by the insulin released in response to glucose.

Mannose and glucose are different variants of sugars.  Both are monosaccharides, but but they differ in chemical structure and look.  The hydroxyls on carbon 2 in glucose are headed in the same direction as hydroxyls on carbon 4 and 5, while in mannose, the hydroxyls on carbon 2 point in the same direction as the hydroxyl on carbon-3.

Mannose is different from other 6-carbon rings of sugar like fructose, lactose and table sugar (sucrose).  Glucose is stored for carrying out various energy-dependent processes, while its stereoisomer mannose  increments immune response.  Mannose is involved in many metabolic transformations being added to glycoproteins and glycolipids or formed into fucose incorporated into glycoproteins.

The primary source of mannose is glucose.  Mannose is absorbed from the GI tract of rats at only about 12% the rate of glucose.  Three naturally occurring aldohexoses are glucose, mannose and galactose.

Molecules of bacteria, viruses, and toxins have receptor sites that are drawn to sugars on particular cells and can hang onto them.  This allows bacteria to stick to the surface of cells.  If bacteria (and viruses) cannot stick, normal cleansing washes them out. 

The MR is a carbohydrate-binding receptor expressed by selected populations of macrophages and dendritic cells (DCs) and nonvascular endothelium (like the bladder, mouth or sinuses).

Carbohydrate recognition by MR facilitates macrophage uptake of bacteria, yeast and parasites, part of innate immunity. MR is also important in adaptive immunity, partly by bringing antigens to MHC class II–containing compartments in immature dendritic cells for processing, and by delivering the attacker's glycolipids to endosomes in T cells.  
Organelles in the endocytic pathway are composed of a mosaic of structural and functional regions. These regions consist, at least in part, of specialized protein–lipid domains within the plane of the membrane, or of protein complexes associated with specific membrane lipids. 
The capability to take up mannosylated protein antigens is important for the biologic function of epidermal dendritic cells, as many glycoproteins derived from bacteria and fungi are mannosylated.
The MR is an integral membrane protein expressed on the surface of tissue macrophages, skin cells and endothelial cells.  MRs are also on fibroblasts and keratinocytes.  The MR is part of a family of endocytic receptors.  After binding to mannose-rich conjugates or pathogens, the MR mediates endocytosis.
Many pathogens use binding at the MR to enhance virulence.  Without this settling, pathogens, viruses to parasites, can't enter the cell and/or won't create an inflammation-inducing biofilm.  Leishmania donovani uses a MR on macrophages to establish intracellular parasitism.
The cell walls of each E. coli are covered with tiny fingers called fimbria, which allows them to "stick" to the bladder walls and even work their way up to ureter and kidneys.  Because they cling, they can't simply be washed out with urine.  Fimbria are made of an amino acid-sugar complex, a glycoprotein called lectin, which makes them sticky.
Lectin on the bacteria's fimbria binds to mannose, which is made by your cells and covers  internal linings (like throat, sinuses and urinary organs).  Mannose allows pathogens to adhere (like Velcro).  
Increased binding to epithelial cells from non-secretors occurs regardless of blood group.   Being able to secrete more immunoglobulins or blood type into saliva, mucus or other fluids, gives more  protection, especially from microorganisms and lectins.  Secretor status determines IgA concentrations and is significant in streptococcal throat infections. Non-secretors have more risk to rheumatic fever and rheumatic heart disease.

Another advantage of being a secretor is promotion of a stabilized, blood-type friendly biofilm.  Many friendly bacteria actually use blood type as one of their preferred foods.  Secretors have a steady supply of blood type in mucus; their beneficial bacteria have a much more constant food supply.
D-mannose 'sticks' to E. coli lectins even better than E. coli lectins adhere to human cells. When one takes a large quantity of D-mannose, almost all spills into the urine, 'coating' E.coli so they can no longer adhere.  The E. coli are literally rinsed away. 
The MR is used by a coronavirus during URT infections.  MR is a binding receptor, which requires a partner (to trigger phagocytosis or other function).
The MR or mannose-binding lectin (MBL) or mannan-binding protein attaches to sugars.  Lectins activate complement (an immediate defense against infection, which is pro-inflammatory); it is part of innate and adaptive immunity.  MBL is versatile, it functions like IgM, IgG and C1q.  MBL is important in early infection and primary in innate immunity.  
Rheumatoid arthritis is described as a systemic inflammatory auto-immune disease that is partly genetic. The innate immune complement protein mannose binding lectin (MBL) and their MBL2 genetic variants are linked with different infectious and autoimmune diseases.
Parts of the alternative and classical complement pathways contribute to brain injury after ischemia and reperfusion.  Inhibition of these pathways is protective.  Inhibition of the MR decreases infarction size after ischemic stroke and reperfusion.
Without this binding, mobile white blood cells won't settle and become inflammatory cytokine-spewing mast cells.  The MR fuels immune response, like allergies. 
Protein O-mannosylation is common, but few such glycoproteins have been described.  The important cadherin and plexin families of cell membrane receptors are O-mannosylated. The mannose-binding lectin 2 gene is polymorphic and codes for a protein important in innate immunity.  Gene variants are linked with many diseases.
The MR is non-specific and toll-like.  This receptor is one of many of Nature's strategies present in garlic, carrots and berries.  It is a C-type lectin carbohydrate binding protein primarily present on the surface of our macrophages and dendritic cells.  
The MR can be detected in the circulation, including sulfated glyccoprotein hormones and glycoproteins released in response to pathologies.  The MR recycles continuously between the plasma membrane and endosomal compartments.
Bacteria causing infections like to bind to d-mannose on the cell membranes of tissue.  D-mannose is a monosaccharide sugar in fruits and is similar to glucose except in its three-dimensional form (stereochemistry).  Our body can convert glucose to mannose.
Glucose and sucrose are agonist and mannose is antagonist to the G protein-coupled MR in yeast.  
Expression of macrophage MR is inhibited by interferon y (a T helper type 1 lymphokine). 
Interleukin 4, made by Th-2 lymphocytes, up regulates major histocompatibility class II antigen but inhibits inflammatory cytokines made by macrophages.  Murine interleukin 4 enhances macrophage MR expression (10X) and activity (15X).
Mannose in the intestine is involved in immunological reactions.  In intestinal infections, dietary d-mannose competes with the d-mannose on the GI cells and allows bacteria to leave their binding sites and attach to the d-mannose in fruit and lessen the infection.
Xylitol is used in many ways and as a sweetener; (2-14 teaspoons/day) reduces tooth decay, sinus and upper respiratory tract infections (URTs) and urinary tract infections (UTIs) as well as diarrhea.  The right amount cures constipation; too much leads to flatulence and loose bowels.
Bacteria and viruses involved with gut pathology provoke an immune response (inflammatory products are pathogenic biofilm's favorite food).  Bacterial cell walls bind to mucosal cells (of the urinary and respiratory tracts and of the gut) via MRs.  Lectins bind to d-mannose. 
D-mannose is present in fruit and is there in lesser amounts than the monosaccharides, glucose and fructose.  Besides the mannose made in cells of the GI tract, It is also in fruit (peaches, pineapple, apples, oranges and berries (cranberries and blueberries).
Filling the MR is one strategy in ingesting sugar alcohols like xylitol.  Sugars made of rings of five carbons also make structurally weaker biofilms and aren't metabolized by most pathogens.
Unsweetened cranberry (or tart cherry) juice can be diluted in water.  Pomegranates taste sweet and sour.  Pomegranates destroy worms in the intestinal tract.  Eat them raw, away from regular meals.  Leishmania donovani uses a MR on our phagocytes to establish intracellular parasitism. 
The most active ingredient in cranberry juice is D-mannose.  D-mannose can actually be derived from berries, peaches, apples and other plants. So why not drink cranberry juice instead of taking sugary D-mannose?
The amount of D-mannose in cranberry juice is much less. Plus, cranberry juice is high in other sugars, which adds stress to the immune system and fuels pathogens.  D-mannose is 10-50 times stronger, non-toxic and has no adverse effects.
Unlike large amounts of fructose one gets with cranberry juice, D-mannose does not convert to glycogen or get stored in the liver.  Only very small amounts of D-mannose are metabolized, so it doesn't interfere with blood sugar or produce metabolic stress. 
D-mannose is more like glucose, which every cell uses (but D-mannose is absorbed much more slowly).  Most of the D-mannose is filtered through the kidneys and routed to the bladder, then quickly excreted in urine, making it ideal for those with diabetes or anyone who is not interested in drinking sugary fruit juice.

Carrot juice or the veggie eaten plain also kills parasites.  Carrots contain an essential oil that destroys roundworms and pinworms.  Grated carrots work best on an empty stomach.

Steroid 'replacement'

Steroid Hormone Replacement
Regimens for estrogen(s) replacement in menopause (besides first measuring) beg adding progesterone (and even testosterone).  Compounding pharmacists can make effective bioidentical transdermal creams of testosterone, the three estrogens and progesterone as well as pregnenelone.  
Cortisone is available over the counter in 1/2 or 1% topical forms not designed to penetrate, although they have some systemic effect. The lab test of choice for one's cortisol levels, is saliva testing, not blood. 
Natural desiccated thyroid (NDT) is taken successfully for hypothyroidism, whether made from pig or sheep glands. And it works beautifully because it provides the same hormones one's thyroid would be making: T4, T3, T2, T1 and calcitonin.
Even if those taking thyroid find themselves with good cortisol and iron,  it's important to raise desiccated thyroid high enough (not be held hostage to the TSH), but to be dosed according to the removal of symptoms and the Free T3 and Free T4.
High-quality protein from meat and fish, as well as organic fats (egg yolk, lard, and butter),  improves progesterone and DHEA secretion.  Progesterone can also be increased by vitamin A.  Fat-soluble vitamins generally benefit sex hormones.
Estrogens and progesterone are regularly taken by women to reduce signs and symptoms of menopause and aging (often a masquerade for heavy metals and/or parasites).  Men commonly augment testosterone when they measure low, to increase energy (along with other reasons).  

The stressed (or aged) body (heavy metals and/or parasite infestation is a common result as well as reason) makes few sex steroids and mostly GCs from cholesterol.  

We are programed so that as we senesce we lose energy and muscle mass, and have less endurance and libido.  Regularly adding testosterone will shut down the body's own production and results in smaller testicles, even though it may increase muscle mass. 

The steroids are fat soluble and about 10% travels through the skin, allowing topical treatment.  Before big Pharma could sell topical testosterone, they had their lawyers harass topical testosterone providers.  Now that the purveyors are making billions of dollars, lawyers are suing them saying that such use can cause sudden death.  

Leydig cells, which are in men's testes, start making testosterone at puberty.  These cells are programmed to function by stem cells during fetal development, when exposed to the correct amounts of testosterone at the right time.  Because of epigenetics, a mother's diet, lifestyle and exposure to drugs and chemicals can have a big impact on future testosterone levels. 

Testosterone is a sex steroid found in all humans, the highest levels are in post-pubescent males. It plays important roles in male sexual development and puberty, development of bone density and muscle mass, as well as libido and sexual function. 

Testosterone augments organ systems. Low testosterone increases risk to cardiovascular disease, diabetes, obesity and early death. Testosterone declines about 1% per year in men over age 39, which is not necessarily cause for concern.  Levels are not considered low until they dip below 300 nanograms/deciliter.

Testosterone levels parallel men who rank their diets as 'healthy' (high fruit, vegetables, poultry and fish); or 'unhealthy' (high red meat, fast and fried food).

Perpetual hormonal imbalance due to estrogenic pollutants during development makes the adult more prone to obesity, diabetes, heart disease, cancer and even mental illness.  Later exposure to environmental estrogens is linked with similar problems, including larger breasts in men (not seen as a problem in women).

Reducing excessive stress decreases GCs and makes more sex hormones.  Often heavy metals and/or parasites are an unseen chronic stress, as the conventional system looks in the other direction by measuring steroid levels.  

One can use topical testosterone in a pulsatile fashion so there is little adaptation, which enhances its systemic effects.  Topical testosterone also acts as as a pheromone.

New conventions provide 'options' for HRT.  Estrogens now range from very low doses (0.3 mg conjugated equine estrogen [CEE], 0.25 mg 17beta-estradiol), transdermal patches which deliver 20 micrograms of 17beta-estradiol per day, or intranasally 100-400 micrograms of CEE, to the common 0.625 mg CEE (0.5 mg 17beta-estradiol).
For a woman with vasomotor symptoms or urogenital complaints, there is little controversy regarding use. For the man that wants more energy or muscles, and those wanting more mental acuity, extra steroids are very appealing.  However, long-term use of steroids poses risks. 

The effects of maternal care on hippocampal GR expression, and therefore HPA responses to stress, are linked with an epigenetic dulling (methylation) of a GR promoter.

Berberine

Berberine
The most active ingredient in Oregon grape root, California poppy, barberry or goldenseal is berberine which has anti-bacterial properties and aids in killing (the TB) bacteria.  
Berberine [natural yellow 18, 5,6-dihydro-9,10-dimethoxybenzo(g)-1,3-benzodioxolo (5,6-a) quinolizinium] is an alkaloid present in plants of the Berberidaceae family and used in traditional Chinese and North American medicine. 
Berberine causes mitochondrial depolarization and fragmentation, with an increase in oxidative stress.  Berberine causes inhibition of mitochondrial respiration and less calcium loading capacity via more mitochondrial permeability.  Complex I of the respiratory chain is targeted and improves insulin sensitivity via increased AMPK activity. 
Induced by toxins, membrane-bound multidrug-resistance pumps (MDRs) in bacteria, fungi and (cancer) cells confer resistance to chemically unrelated amphipathic toxins.  
The function of microbial MDRs remains hotly debated.  Some MDRs can extrude all amphipathics (cationic, neutral, and anionic).  Amphipathic cations accumulate in the cell driven by membrane potential, which makes cations very dangerous toxins.  Amphipathic cations are also highly hydrated and do not permeate the membrane as readily as neutral compounds. 
The pump of B. subtilis that protects cells from amphipathic cationic antimicrobials is part of an operon that codes for a putrescine acetyl transferase.  The pump extrudes putrescine, suggesting that this might be its primary function, and drug resistance is coincidental.
Berberis medicinal plants making berberine also make an inhibitor of the NorA MDR pump (of Staph aureus).  The inhibitor is 5'-methoxyhydnocarpin (5'-MHC), a minor part of chaulmoogra oil, traditionally used for leprosy.
Antimicrobial activities of Rhizoma coptidis and berberine results in less degradation of  polysaccharides, which may signal gene expressions in visceral tissues  This may contribute to fitness.  The host influences gut microbes by patterns of thinking as well as choices in eating. 
Berberine reduces the cholera toxin-induced secretion of water, sodium and chloride. Berberine  also inhibits the intestinal secretory response of Vibrio cholerae and Escherichia coli enterotoxins without causing histological damage to the mucosa.
Berberine is also active against other intestinal infections that cause acute diarrhea like Shigella dysenteriae, Salmonella and various Klebsiella.  Berberine blocks adherence of Strep pyrogenes and E. coli, explaining it's action against many pathogens.  
Berberine ameliorates pro-inflammatory cytokines induced by damage at the epithelial tight-junction, and berberine may restore barrier function in intestinal disease. 
Berberine inhibits growth of Entamoeba histolytica, Giardia lamblia and Trichomonas vaginalis. Parasites all have morphological changes after berberine.  Berberine is useful in treating Leishmania donovani (intracellular protozoan). 
Berberine is anti-diarrheal.  It significantly inhibits muscle electric activity and transit in the small intestine.  This is party mediated by opioid and alpha-adrenergic receptors. The anti-diarrheal properties of berberine may be partly mediated by its ability to slow transit. 
Berberine is synergistic, it also acts as an herbal antidepressant.  California poppy has a reputation of being a milder, non-addictive version of other poppies, and can be used for pain relief, anxiety and hysteria.
Native Americans use California poppy for colic, sleeplessness and griping stomach pains (parasite symptoms).  It is often used to counter excitability and nervousness in children (hyperactivity). When used as a tea before bed, California poppy promotes long, restful sleep and is often used to treat insomnia.  This herb can also be smoked for relaxation.

As it is mild and non-addictive, this poppy is legal and can help opiate addiction and withdrawal: drinking a strong tea or smoking the herb as often as needed, has been used to help reduce heroin, morphine and opium cravings.  It also assists stopping cannabis and tobacco habits. 

TB is often concurrent with other infections

Tuberculosis (often concurrent with other infections)
Most common parasites are concurrent with Mycobacterium TB all over; those with weakness and/or travelers, and living in or coming from co-endemic areas are all likely to have an impact on co-infection.  Exposure is usually breathing or eating infected droplets.
TB and parasitic diseases are risk factors for each other. 
Co-infection inhibits host immunity, increases intolerance to therapy and is hurts prognosis.  Although artemisinin itself is not active against TB, taking it with an anti-mycobacterial (microbial iron chelator) analogue induces significant and selective anti-TB activity, including against multi- and extensively drug-resistant strains. 
Consider co-infections.  Many opinions include co-infection relative to chronic fatigue and EBV (mono).  It can't hurt to do an anti-parasite protocol, as long as it is done with awareness, as when the wee beasties begin to die, it can feel very bad. 
Compared to mono-infection, co-infection makes the host deal with more complexity.  Parasite infection can defuse the protective immune response to BCG vaccination (versus M. TB).
Mycobacteria are very small.  There are many different kinds.  The most common causes TB. Another causes leprosy.  Still others cause infections that are called atypical mycobacterial infections.  They aren't "typical" because they don't cause TB.  
But mycobacteria can still cause harm, especially if other problems affect immunity, like lack of sleep, excess sugar, invisible poisons or co-infection with parasites and/or AIDS.  Sometimes  infections create no clues.  Mycobacteria can also cause symptoms (and mimic TB). 
The TB skin test relies on detecting an immune response to a harmless part of the TB bacterium. With immunity subverted (by parasites), the response is not as strong.
TB is not as common as it once was in the US, but there has been a resurgence due to HIV, AIDS and the spread of drug-resistant forms.  TB is still a major health problem, especially in poor countries.  One-third of the world has TB, though the infection may not be active.  

Swollen lymph nodes or night sweats is common response to TB or parasites (and is also a hallmark of cancer).  Lack of appetite and/or weight loss (commonly ignored) is another clue.

Intestinal TB (with its granulomas) is increasing, partly due to the HIV diagnosis. The symptoms of intestinal TB, if any, are often vague (fatigue, weight loss and diarrhea), or occasional fevers and sweats, GI bleeding and pain.  Intestinal TB mimics inflammatory Crohn's disease and malignancies; diagnosis of these conditions is much more prevalent (as parasites are ignored).

A well-established family of drugs used to treat parasites (avermectins) shows big potential as a therapy for TB.  Mycobacterium TB (one of the biggest causes of death worldwide), is a facultative intracellular parasite that invades and persists within macrophages. TB bacteria are like one-cell protozoan parasites.

Within host cells, TB is surrounded by a capsule.  Some capsular glycans mediate adhesion and penetration into host cells; secreted and/or surface-exposed enzymes and transporters (probably involved in intracellular multiplication). Inducible proteases and lipases also exist. 
The capsule is also a passive barrier that impedes the diffusion of macromolecules; secreted enzymes potentially involved in the detoxification of ROS (catalase/peroxidase and superoxide dismutase).  The capsule also contains toxic lipids and contact-dependent lytic substances, as well as parts that inhibit both macrophage-priming and proliferation of lymhocytes. 
If taking antibiotics for a long time, liver problems will occur.  This side effect can be reduced by consuming methyl-donors like vitamins B6, B12 and folic acid along with lipoid acid. 
Chronic coughing weakens the mucus membrane, vitamin A and iodine can help.  Licorice soothes throat pain and alleviates coughing.  Licorice contains 10 antioxidants, at least 25 fungicides and 9 expectorants!
Additional minerals like copper, zinc, selenium, magnesium and calcium in balanced ratios and chelated form act as boosters.
Many links exist between the membrane-stabilizing steroid hormone called vitamin D to successful prevention and treatment of TB.  Vitamin D can be evaluated in the serum, with some thinking that levels 70-100 nmol/L provide greatest immune vigor, although serum levels of 30-40 ng/mL provide protection against dental caries.
Not only does vitamin D relieve inflammation and boost the attitude, it is key to fighting TB.  White blood cells convert vitamin D into a form that helps make a protein that kills TB bacteria.
Indonesians looked at the effect of vitamin D on 70 TB patients for nine months. Treating TB with 10,000 units of vitamin D daily versus 400 units (usually advocated) led to 100% cure. 
Vitamin D also helps prevent flu, colds and infections.  Finnish soldiers with 25-OH vitamin D higher than 16 ng/mL (40 nmol/L) had less respiratory infections.  With school girls, adding 1200 IU/day of D3 during the winter reduced influenza A infections.
Some recommend intakes of up to 2,000 IU a day (or enough to keep blood levels of 25-OH  vitamin D at 75-125 nmol/L).  Lifeguards have levels of 250 nmol/L without apparent toxicity.
Adequate vitamin D is needed to make satisfying serotonin.  Serotonin shapes structure and wiring of the brain, acts as a neurotransmitter and affects social behavior.  
However, most serotonin is in the gut (95%), where it triggers digestion.  Nerve cells in the gut also use serotonin to signal (to the brain).  We are told not to eat certain foods with pain, gas and/or other negative feelings.  
We have a mostly independent gut nervous system called the enteric brain, which is part of autonomic control.  One hundred million digestive nerves interact with one's biofilm and direct peristalsis and secretion. 
This "second brain" can work independently, but there is much communication.  A queasy stomach destroys motivation or nervousness can put 'butterflies in the stomach,' or anxiety can trigger cramps.
The gut immune system shares many mediators and receptors with the autonomic nervous system.  The parasympathetic (vagal) and sympathetic neurotransmitters, for which many immune cell types in a gut context express receptors or enzymes required for their synthesis. 

Lots of bidirectional interaction occurs between nervous and immune systems.  There is sympathetic immune modulation, and the parasympathetic vagal nerve is integral to immune regulation via acetylcholine.  Acetylcholine is a neurotransmitter that monitors and is necessary for brain speed and memory.  Foods high in fat provide an instant boost in acetylcholine.

Inflammatory response is limited by small amounts of steadying glycoalkaloids like nicotine in tobacco or solanines in nightshades (large amounts trigger inflammation).  

The inflammatory reflex is afferent (sensing inflammation) and efferent.  The cholinergic anti-inflammatory pathway inhibits innate immune responses. We also posses a "cholinergic anti-inflammatory reflex.”

Innate mucosal immunity is influenced by the neuronal system, and cells and receptors are involved.  Direct neuronal regulatory mechanisms as well as  microbes modulate communication in the gut-brain axis (bidirectional communication with neural and humoral mechanisms).

The gene that makes the enzyme tryptophan hydroxylase 1 (TPH1) is inhibited by vitamin D, which halts making of serotonin in the gut and other tissues.  When serotonin is excessive, it promotes inflammation and cancer.
Autism mysteries include: 1) the 'serotonin anomaly,' low in brain and high in blood; 2) four times male over female: estrogen, a similar steroid, also boosts brain serotonin; 3) mothers of autistic children have autoimmune antibodies to the fetal brain; vitamin D boosts inflammation-reducing regulatory T-cells through TPH1 repression.
We can generally improve poor cognition (which leads to inappropriate behavior) with a combination of sunshine and/or vitamin D, tryptophan and omega-3 fats.  This increases brain serotonin.

Another common autism finding is a larger brain.  Large brain implies lack of apoptotic pruning during development due to various stressors like vaccine-related mercury or aluminum, pathogenic gut flora and host immune response and/or electromagnetic waves as well as dietary factors like potato chips.