HERE'S THE RESPONSE FROM CHERYL ALBERTO--TEITELBAUM'S PROTOCOL COUNSELOR
I can understand your disappointment, but will fill you in on where his response is coming from.
Every few years, a new batch of articles is featured that claims that "THE infection" that causes CFS/FM has been found. EBV, HHV6, and Mycomplasma are among the dozen or so that have popped into the media since I have worked with Dr. T. Sometimes treatment is linked with the articles, sometimes not. The list of references for each new "cause" is a mile long, which gives the perception of irrefutable. If you notice, each of the articles that are referenced in the original post (not bashing, just pointing out a subtlety) refers to the one piece of research. We get a flurry of calls and emails from people each time the new "cause" is revealed, and tell people the same thing: Any given person walking down the street can be infected with any one of these viruses or bacterial infections. What we have found is that each person is affected differently by infection. The majority can live with EBV in their system, and never have a viral symptom. They live perfectly normal, healthy lives. For others who have symptoms, or are debilitated with chronic fatigue, treating the EBV with anti virals can lead to dramatic improvement. In this subset of patients, one may benefit from heparin and famvir, while another has no reponse to this combination. However, they may repond to kutapressin injections. Some will have incredibly high EBV titers, and heavy viral symptoms, but not respond to any anti viral therapy. With the retrovirus, (and I admit that I have not read the full research), how many of the two thirds of those who test positive will actually respond to treatment?
As for the fact that 2/3 of the CFS/FM patients tested were positive for the virus, it is likely that a comparable percentage are positive for EBV as well. I honestly don't think that I have seen more than handful of patients in our office, or whom I have counselled, that did not have EBV antibodies.
A few years ago, Dr. Montoya did a study that had promising results. The named virus was HHV6, and a large percentage of participants in his study responded to Valcyte. This medication cost $7,000-$10,000 out of pocket for those without insurance, but since the research was promising (as is typical-think about it, if the research wasn't promising it wouldn't be published....), people were willing to take out loans or charge or spend their savings to pay for this treatment. Once again, while some patients responded dramatically to treatment, others had no reponse. Some that tried the Valcyte and got debilitated (either by die off or by the Rx itself), did a total 180 turn when he was swithced to heparin and famvir. Interestingly, a second study with Valcyte had much less promising results. The second study seemed to support our clinical findings.
Since viruses of this type can only be suppressed with treatment, symptoms often recurred when medications were stopped. For one woman in particular, she had to make the choice of whether she could afford to pay $7,000 each 6-9 months to do another round of Valcyte in order to maintain her level of wellness. This decision is aside from the considerations concerning the toxicity of the medication.
My understanding of the treatment for the retrovirus is thousands of dollars. Luckily for everyone, this likely means that it will be pushed through the FDA approval process quickly so that the research can be further validated among the general population.
This has been the pattern again and again. Valtrex, Valcyte, kutapressin. All cost hundreds to thousands of dollars a month out of pocket. Insurance often will dismiss expensive medications for "experimental" treatments. Trust me when I tell you that anything that has only recently been published in a study is considered experimental. It is absolutely heartbreaking to watch people realize that they cannot afford a treatment that may be key for their improvement. Most important is the fact that NONE OF THE TREATMENTS WERE THE "CURE" FOR A PATIENT'S CFS/FM. Even when patients had improvement with treatment for infection, they still needed to be treated for the after effects of the infection, such as disordered sleep, hormone imbalance, nutritional deficiencies, etc.
Here is another, very important thing to consider: It is not neccessarily so that everyone with CFS/FM has an infection that needs to be treated. Hmmmmm. A vast majority of people with CFS/FM get better with treatment of sleep, balancing hormones, and so on.
All of the above being said, alot of good definitely comes from the new research that surfaces. As with any component of CFS/FM treatment it simply varies as to whether this new treatment will be helpful or not for the individual. At our office, we have seen so many treatments fly into the CFS/FM circle and then disappear, that we may be a little skeptical. There is no malice intended. It simply is that we hope to avoid the broken hearts of those who pin all of their hopes on a new treatment, only to find it minimally or totally ineffective. Dr. T always says that there will be a "cure" for CFS/FM someday. I can tell you, without a doubt, that he would be thrilled if this latest research and the involved treatment irradicated CFS/FM. Let's just say that in this case he is skeptically optimistic.
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Cheryl Alberto
CFS/FM Protocol Counselor