I am thinking about a question for some time, it may also be interesting for @bobbyD if further testing is done for bacteria (I agree with @Hip that viruses don't appear elevated, although not all usual suspects were tested).
My question is: After a past infection, do bacterial antibody titers return to zero or will there be a (low) positive IgG titer remaining even after the infection has been cleared?
I am on on the west coast (LA) and there is not a list of ME/CFS doctors in LA and to the best of my knowledge, Dr. Chia is the only one. He was not the right doctor in my case but I know he has helped many people. My doctor is 7 hrs north of me in No. CA. My MCAS (mast cell) specialist, however, is in LA about 45 min south of me.
The Center for Complex Diseases and the Stanford CFS Clinic are in the Bay Area. In LA, you might look for functional medicine doctors, like Dr. Holtorf.
I haven't been to him, but my functional medicine doctor up here in Seattle has used a similar approach to the attached which has helped significantly, along with traveling to the Bay Area for my specialist.
One question you could ask Dr Chia if you don't mind is: Does oxymatrine only work for enterovirus-associated ME/CFS, or can oxymatrine also be used to treat ME/CFS associated with other viral infections, such as EBV, cytomegalovirus and HHV-6?
I think is fairly certain that ribavirin and interferon do not work against CVB4, as in the Invest in ME London 2009 conference, in the video at timecode 41:30, Dr Chia says:
Then at timecode 42:30, Dr Chia says:
In this part of the video, Dr Chia is talking about treating his son and some other ME/CFS patients with ribavirin and interferon, and how their CVB3 antibody titers dropped after treatment, but the CVB4 antibody titers were unchanged after treatment.
So I think this question is already answered; but you may want to see what Dr Chia recommends for treating CVB4.
I am not sure how important a question this is. Oxymatrine may have a lowish 19% bioavailability, but that presumably is taken into account when setting the oxymatrine doses. If the bioavailability were to be increase, then the dose would have to be lowered.
I can tell you the answer the LDN part of this question: Dr Chia says that LDN only works for a very small subset of ME/CFS patients, but he notes that the patients LDN works for get major benefits from it.
I know that Dr Chia finds Equilibrant to be slightly stronger in effect than pure oxymatrine, and some patients find Equilibrant too strong, so he switches to oxymatrine only.
Do you know any other patients on the forum I could talk to about Oxymatrine? After substantial research, I have found the Alternative Medicine Solutions supplier to be very reputable and even obtained a sheet of the testing and purity standards of his product.
Yes, the Alternative Medicine Solutions oxymatrine seems to be a pure pharmaceutical quality product, as the capsules contain just a white powder which is oxymatrine. Whereas the White Tiger tablets look like they are the made from compressed Sophora root herbal powder.