Efthymios Kalafatis Profile picture
Dec 24 12 tweets 3 min read Read on X
1/ A lot of patients have been asking me about the "Born Free" (BF) Protocol and given my research what do I think about it. Here are my thoughts : First things first : @joshual_tm - who I have spoken with- appeared to have a true drive....
2/ ..to solve the #MECFS puzzle. He has always been very friendly, calm and willing to answer questions. I am sure he has put a lot of effort in making this protocol. Now, is it possible for someone to become symptom free just with supplements or any such case should...
3/ ..be flagged as "snake oil" "? I may be biased here but this is what happened to me. It took me months but I am in remission due to supplements. Now, let's look at the BF protocol : I made several efforts to understand the basis of it but I found it extremely complex.
4/ Complexity here does not mean that I am able to dismiss its usefulness. I think that BF makes the assumption that a set of problems is applicable to all #MECFS patients. Is this true? If a patient is found to have a specific metabolic bottleneck..
5/ ..that requires specific interventions to be provided to the patient, we cannot expect that in this case dissolving a biofilm would work for this patient (I hope we can all agree to this) . Existence of different versions of the protocol may also be a concern.
6/ Since @DafoeWhitney had these remarkable results so far, this deserves a closer look. First, amazing for him. For the rest of us it shows that #MECFS is reversible. However we have patients who followed BF protocol and had adverse events. Others did not see any difference.
7/ Based on my research, I hypothesize that a significant brake to @DafoeWhitney's condition was the upregulation of GABA receptors from Lorazepam. A solid base was set back then. Then what was needed was the right boost. Is it possible that BF protocol gave that?
8/ As mentioned in an older tweet, I believe that we have convergence on a number of medical concepts as being important given research findings : Some examples : phospholipid dysregulation, glutamate metabolism, ER Stress, Proteostasis dysfunction, glycosylation etc
9/ It seems that BF includes interventions that address several of these topics. If some of these are indeed causes then some patients could benefit from it. OTOH I saw supplementation of L-Glutamine in the protocol. Could this negatively affect glutamate-sensitive patients?
10/ Question : If a patient has a certain metabolic problem such as hemochromatosis, would it be ok for this patient to follow BF protocol? There should be clear warnings for at least some patients and there are none. This, is also concerning.
11/ Since being actively engaged in research, I would say that we must look closely to BF and see whether it touches upon research findings. If research suggests that a single "fits all" intervention is unlikely then such "fits all" protocols could be extremely problematic.
12/.... We should therefore explore further why we had these patient responses and whether the theory behind this protocol aligns with current and older research findings.I also would like to make clear that there is no imply either to try or to avoid this protocol.

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More from @lifeanalytics

Dec 18
1/ Here are some slides from my upcoming video : Have we been missing key aspects for diagnosis and key mechanisms in #MECFS research ? Do certain metabolic bottlenecks NEED to be looked at more closely ? @OpenMedF @PlzSolveCFS @weandmecfs @MEAssociation. Let's begin :
2/ In the attached table (will link the source at the end) we read : Disorders of Nitrogen containing compounds. On the right, @OpenMedF currently looking at this (snapshot from MEPedia). Image
Image
3/ From the same file (left), we read Hemochromatosis and Wilson's disease.Attachments on center (from latest GWAS study) and a #LongCOVID study for Wilson's disease patients (right) : Image
Image
Read 9 tweets
Dec 5
1/ This is a thread on the results from #LOCOME project (links at the end) which involved work by @precisionlifeAI. Excited to say once again that when different methods identify the same "hotspots", it raises our confidence about these findings. Let's see why :
2/ In the study by @precisionlifeAI a total of 259 genes were identified as core genes as shown below. Observe the associations discussed (Inflammation, Cellular stress response etc). The question is : What can we make out of this gene subset? cc @Michaeltikus Image
3/ Here is a snapshot of these genes with some of them being annotated. The annotated ones are ABCA1, CYP7B1, CH25H, ABCC6, UGGT1 Image
Read 11 tweets
Nov 26
1/ This study on #LongCOVID is very important (link at the end), thanks to @Gmwetz for mentioning it ! From the study (left) , clear mention on N-Linked glycosylation. On the right, document specifically mentioning N-Glycans and N-Linked glycosylation I circulated in 2017. Image
Image
2/ We now should be looking forward to results of this study which checks glycosylation in #MECFS patients (cc @weandmecfs ) : wwtf.at/funding/progra…Image
3/ Why are these findings important ? Because they point to problematic N-Linked glycosylation. From the study : "Our findings of increased mannosylation on plasma EVs is suggestive of ongoing glycosylation pathway abnormalities that may play a role in Long
COVID pathology".
Read 10 tweets
Sep 16
1/ Another coincidence given my recovery ? Below is a causal hypothesis and interventions using the best performing #AI model (Full info included at the end of this thread). The causal hypothesis is for an "unknown syndrome" (however, findings related to #MECFS were used) Image
2/ So what are the proposed interventions ? A part of the answer is shown here, observe the annotated ones and also that a specific order of interventions is used : Image
Image
3/ The reasoning engine explains why such order is important. Note that we begin by restoring the cell membrane (cc @tamararivc ). Steps 1 & 2 are shown above. ISR = "Integrated Stress Response" Image
Read 8 tweets
Aug 13
1/ This is a thread on the use of 5 #AI reasoning engines in order to better understand #MECFS given the latest results by @DecodeMEstudy #GWAS study. I want to express a huge "Thank you" to @genspark_ai : Without your tools this would have not been possible!
2/ I wanted to simulate a committee of 5 "experts" hypothesising on what is behind #MECFS while presenting different layers of information. Then, each "expert" checked hypotheses of other "experts" and gave which one is best. Image
3/ The clear winner was the hypothesis by @OpenAI #ChatGPT5 Pro. *All* "experts" agreed that it is the most concise of all others. During the process, novelties on reasoning were also identified. For example, relevance of Ubiquitin Proteasome System was picked only from #Deepseek
Read 6 tweets
Jul 1
1/ I would like to share my personal experience with LOLA (L-Ornithine / L-Aspartate) supplementation and also an update from using it. When Dr Wenzhong Xiao first mentioned it to me, I told him about my first experience from using it which was in 2019. Back then, LOLA ..
2/ ...did not seem to "feel" right for me. I did not feel unwell but I had some strange lightheadedness after taking it so I decided not to move forward in further supplementing it. Given our recent publication (see below) & patient comments I decided to try it again, this time.. Image
3/ ...using a different LOLA supplement brand from the one I used. In 2019, I did not have many buying options for LOLA (which is used for hepatic encephalopathy). I can definitely now say it is working for me. Total dosage is 2 grams / day, spread in 4 doses.
Read 5 tweets

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