A specific question has been asked a lot lately, as to what is my protocol for busting through Biofilm. Most of these questions have been directed to me by those diagnosed with or think they may have H. pylori bacterial infection or Lyme’s Disease (See also: Biofilms of Borrelia burgdorferi And Clinical Implications for Chronic borreliosis by Alan B. MacDonald, MD). The reason that I’ve put this “biofilm busting protocol” post together is because of this fact: the day I discovered how to handle biofilm in the human body, was the day that chronic conditions, from the sinus to the prostate, were no longer a ‘project’, so to speck, to handle. I hope this information is helpful to you.
First a little background on – what is biofilm:
Fig. 1: The biofilm life cycle. 1: individual cells populate the surface. 2: extracellular polymeric substance (EPS) is produced and attachment becomes irreversible. 3 & 4: biofilm architecture develops and matures. 5: single cells are released from the biofilm. Related Post – Biofilm Basics and Quorum Sensing and Biofilm
Here is an excerpt from a Klaire Labs, product monograph, which is a basic primer on the topic (My additions are in RED) The National Institutes of Health (NIH) estimates that 60% of all human infections and 80% of refractory infections (def. unresponsive to medical treatment) are attributable to biofilm colonies. I have seen this, most commonly, in cases I’ve worked-up, where the pathogen is: Chlamydia pneumoniae, Pseudomonas aeruginosa, Helicobacter pylori, [Lyme disease - Borrelia burgdorferi] and Candida albicans.
- The protection conferred upon microorganisms by biofilm allows them to achieve a high level of antibiotic resistance, stealth and invisibility.
- Biofilm not only provide a physical barrier to antimicrobial agents (pharmaceutical antibiotics) and host antibodies, but facilitate the exchange of antibiotic-resistant genetic material between organisms and may contain antibiotic-degrading (hydrolysing) enzymes such as b-lactamase, effectively neutralizing incoming antibiotic (b-lactam antibiotics) molecules.
- In fact, biofilm communities can be 1000 times more resistant to antibiotics than free-floating bacteria.
- The decreased growth rate of sessile microorganisms (def. Permanently attached to a substrate; not free to move about; “an attached oyster”) also reduces their antibiotic susceptibility as most antimicrobial agents require rapid cell growth in order to effectively kill or inhibit the microbes. Biofilm thus render pathogenic microorganisms enormously difficult to eradicate, and can almost single-handedly contribute to localized or systemic inflammatory reactions and delayed wound healing. “…. Once established, however, biofilm infections persist. They are rarely resolved by host defense mechanisms, even in individuals with healthy innate and adaptive immune reactions. Active host responses, such as invading neutrophils (the most abundant type of white blood cells in mammals and form an essential part of the innate immune system), can even be detrimental since those cells can cause collateral damage to neighboring healthy host tissue. Biofilm infections respond only transiently to antibiotic therapy.” James Garth, PhD
- Depending on the type of biofilm, one or more species of pathogens may be found embedded in the extracellular polymeric substance (def. Composed primarily of polysaccharides and can either stay attached to the cell’s outer surface, or be secreted into its growth medium). Bacterial extracellular polymeric substance (EPS) maybe a carrier of, or may have heavy metals embedded in them, thus the indication for chelation w/EDTA. EDTA, ethylenediaminetetraacetic acid, is a chelating agent used to lower one’s body burden of heavy metals).
Pathogenic bacterial known to reside in biofilms include, but are not limited to: Borrelia burgdorferi (Lyme bacteria), Escherichia coli, Candida albicans (yeast and fungal mutation), Clostridium difficile (the most common cause of GI infection and a growing epidemic), Clostridium perfringens, Helicobacter pylori, Klebsiella pneumoniae, Legionella pneumophila, Listeria monocytogenes, Pseudomonas aeruginosa, Salmonella typhimurium, Staphylococcus aureus, Staphylococcus epidermidis, and Vibrio cholerae. Chlamydophila species such as Chlamydia pneumoniae don’t form biofilm, as they are intercellular, but may some how get accidentally get caught-up in them before entering a host cell. Here is a good video on Chlamydia and biofilm (Video [biofilm section 7:45 min. mark] – Dr. Wilmore Webley on C. pneumoniae & Biofilms).
The number of human diseases shown to be associated with biofilms is ever expanding and includes: chronic bacterial prostatitis, chronic rhinosinusitis (chronic sinus infections), cystic fibrosis pneumonia, infective endocarditis, periodontitis, recurrent otitis media, and virtually all device and implant related infections. Strong evidence is also beginning to emerge for an etiologic (causative) role of pathogenic mucosal biofilm in gastrointestinal diseases, such as Irritable Bowel Disorders (IBS): Crohn’s disease and ulcerative colitis.
Dr. Marcus Ettinger’s Biofilm Protocol: You can get help with any of these steps by going HERE.
A. Products (mandatory products in red).These are ONLY the basics. Additional nutraceuticals may be needed, based on each individuals unique situation.
- Monolaurin or Lauricidin [AKA Glyceryl laurate or glycerol monolaurate] (monolaurin information).
- Nattokinase (a potent oral fibrinolytic enzyme supplement) Some prefer Boluoke Lumbrokinase.
- InterFase Plus™ (broad-spectrum enzyme formula w/EDTA)
- NAC (N-Acetyl-Cysteine)
- Lactoferrin (I like Nutricillin by Ecological Formulas) Dr. Anju Usman of Illinois states, “Our bodies make proteins, transferrin and lactoferrin, which mop up iron and block the ability of biofilm to form,” she said. “But pathogenic bacteria secrete iron chelators to snatch up iron and thus compete with the transferrin and lactoferrin for what they need to survive.”
- Xylitol (sugar alcohol)
- Nutiva Extra-Virgin Coconut Oil (42-52% Medium Chain Fatty Acids [MCFA], lauric acid, by volume)
- Serrapeptase (a potent oral fibrinolytic enzyme supplement)
Updated 09 July 2013: I have been helping patients with H. pylori, a biofilm producing bacteria, for over 4 years now. In the beginning, eradicating this bug was very easy, in my opinion. As time progressed I noticed that the same protocol I had been using was becoming less and less effective – on first timers, not re-treatments. Medically there is no explanation for this, energetically there is, for me anyway, based on the research done by Rupert Sheldrake, PhD on Morphic Fields and Morphic Resonance. Please read about this theory for further clarification.
Because of this new shift in loss of effectiveness, in some patients, I have had to use more than one round of products or add more products to the protocol. The end result has always been eradication but it’s now taking more to achieve this result. Also, the people that are contacting me have undergone triple and quadruple therapies to no avail. This proves in my mind that biofilm and the bacterias that create them are learning to defend themselves more effectively.
My theory is that with the introduction of blogs, chat-rooms and websites devoted to H. pylori and biofilm, more and more people are self-treating. This self-treating is not killing the H. pylori or eliminating the biofilm but to the contrary, making them both stronger by building-up the biofilm defense. Every time a bacteria that produces a biofilm is unsuccessfully treated it becomes more resistant to the next protocol. When this is combined with the theory of Morphic Fields, it’s no wonder that H. pylori and biofilm eradication is becoming harder and harder to achieve. The point of all of this is that there is still effective treatment options available, it may just take a little more time and/or more products, allopathic and natural to get to the desired end result.
Lastly, I am not against self treating but the data out there on biofilm and H.pylori is not comprehensive enough for the layperson to be their own doctor and self-treat successfully. I have always advocated that if you want to get better with or at something, you need a coach who is an expert in that field or subject. There are times and places where self-help is good – biofilm and H. pylori treatment is not one of them. This is just my opinion.
Additional Data – Interview with Dr. Cohen concerning biofilms and enzyme therapies (Nattokinase and Lumbrokinase) and Effect of xylitol on an in vitro model of oral biofilm (I have seen increased effectiveness since adding this to the protocol)
B. Avoid supplemental forms of: iron, magnesium and calcium during the biofilm protocol, as they may contribute to biofilm formation or increasing biofilm density, thus decreasing the overall effectiveness of the biofilm protocol.
C. Take a broad-spectrum probiotic and prebiotic. I like Now Foods brand Probiotic-10.VSL-3 can also be used as well as Elaine Gotschall’s SCD™ yoghurt. These products will help to crowd out the bad bacteria, and also help disrupt and replace biofilm colonies along the mucus membrane.
D. Specific additions based on condition (not a complete list):
- Candida albicans – SF722* (10-Undecenoic Acid 50 mg) Thorne Research. This is as close as you can get to a medication and still be a natural substance. There are a few chat rooms blasting this product, based on who knows what – can’t make everyone happy. I’ve used SF722 for over 15 years and it is amazing – never a problem! *Do not take SF722 if you are allergic to fish. ADP by Biotics Research is also a dynamite product. There are many other amazing products that can be added to complement the SF722 and ADP. It’s really a matter of how many pills someone wants/doesn’t want to take per day or the severity of one’s condition, that will determine, if or which, additional products will be added. If the Candida albicans overgrowth is severe, has not responded to holistic methods or has mutated into its more virulent hyphal form/fungal infection (nails, underarms, groin or skin); Diflucan (fluconazole), a prescription medication, is my personal preference, but Nizarol (ketoconazol) can also be used. In Azole-resistant Candida albicans, lactoferrin must be added to either medication in order to increase their effectiveness. There are certain B vitamins, minerals and amino acids that possesses synergistic properties and I find them indispensable when taking Diflucan (fluconazole), Nizarol (ketoconazole), and for supporting candida (yeast/fungal) treatment, and die-off symptoms.
- Chlamydia pneumonia, Klebsiella pneumoniae or Pseudomonas aeruginosa – Pneumotrophin PMG by Standard Process, Inc. How it works. I use this because it helps direct the body’s attention to the effected area and assists the body’s healing efforts to the lung, where it’s needed most. Apex Energetics, H-PLR is also a mandatory addition. I also like to use OOrganik-15™ and Pneuma-Zyme™ by Biotics Research with some of my patients who manifest asthma, a chronic cough and/or emphysema like symptoms.
- H. pylori Protocol – Heartburn/gastritis/GERD or achlorhydria or H. pylori?
- Chronic bacterial prostatitis – Quercitin (600mg’s) and Bromelain (200mg’s) combination by Now Foods. Decreases inflammation and oxidant stress in the prostate while increasing local concentrations of beta-endorphins. Apex Energetics, H-PLR is also a mandatory addition.
E. Certain dietary restrictions and additions will need to be taken. These are determined on a case by case basis. After the desired result is achieved, there will need to be a rebuilding and regeneration protocol. This is as important as eliminating the biofilm.
In order to receive protocol information or help, you must become a distance patient – Distance Patient Application. I truly do want to help all who are interested, but it’s finally gotten to the point where too many people want free advice, treatment plans, personalized protocols…. I’m a firm believer in fair-exchange and I feel I have done that by providing the information in this post.
I will help you and I can create a tailor-made protocol for your individual situation. Please contact our office for product prices and distance patient information (714) 639-4360.
Biofilm testing is also available through Fry Laboratories. Fry Laboratories, L.L.C. is an independent clinical diagnostic and research laboratory located in Scottsdale, Arizona. We are committed to understanding chronic diseases and contributing to their cure through advancements in diagnostics and basic science research with emphasis on chronic inflammatory diseases, vector-borne diseases, and their intersection. Our clinical diagnostic laboratory offers general and targeted immunology services in conjunction with standard and cutting edge infectious disease detection and identification technologies. Our signature services include microscopy for visual identification and quantification of a wide range of blood-borne pathogens, co-infection serology, biofilm detection, and genus wide molecular detection technology with sequencing for individualized species and/or strain identification. We participate in both CAP and API quality control programs and provide worldwide testing service.
Diseases of Interest: Chronic Fatigue Syndrome, Fibromyalgia, Gulf War Veterans Illness, Chronic Lyme Disease, ALS (Lou Gehrig’s Disease), Parkinson’s Disease, Multiple Sclerosis, Autism, Lupus, Ulcerative Colitis, Scleroderma, Rheumatoid Arthritis, Osteoarthritis, Crohn’s Disease.
Infections of Interest: Borrelia (Lyme), Babesia, Bartonella, Anaplasma, Ehrlichia, Q-Fever (Coxiella), Toxoplasma, Rickettsia, Plasmodium, XMRV
Important: This post is not a substitute for medical advise or treatment and is for informational purposes only. Please consult with a physician before starting any nutritional or biofilm protocol on your own.
Tags: Bacterial Prostatitis, Biofilm, Biofilm Testing, Borrelia burgdorferi, Busting, Candida, Chlamydia pneumonia, extracellular polymeric substance, H. pylori, Lyme Disease, Monolaurin, Quorum Sensing, sessile microorganisms