.........................The Therapeutics Research Institute (TRI)...................

Stroke – The Protocol – 2014 (a)                                                                                     


There are a number of crucial things that can be implemented following stroke that will likely greatly improve your outcomes.  I will list the key entries, giving just one study in support of it.  There is in fact a great many more citations for each item [dozens and in some cases, even 1000's], but to give a quick view, we will present just some significant findings.  At the end of each discussion, I will suggest the specific doses you need.  At the end of the entire Protocol, I will suggest specific products that can be considered.


1. Take Ginkgo biloba to reduce stroke symptoms


This supplement improves circulation and thus can be expected to help stroke patients.  For example, a 2005 study published in the Journal of Stroke and Cerebrovascular Disease confirms that ginkgo biloba protects against stroke-related neurologic deficits in human subjects.[1]  Researchers at the University of Medical Sciences, Tabriz, Iran, lead a double-blind, placebo-controlled, randomized controlled trial, in order to assess its usefulness on functional outcomes in patients with acute stroke. In order to measure functional outcome they used the National Institutes of Health Stroke Scale (NIHSS), a 15-item neurologic examination stroke scale [2] used to evaluate the effect of acute cerebral infarction on the levels of consciousness, language, neglect, visual-field loss, extra-ocular movement, motor strength, ataxia, dysarthria, and sensory loss.


A total of 102 patients with acute ischemic stroke were studied. 52 patients received Ginkgo biloba and 50 patients placebo tablets, both for 4 months. The primary outcome of treatment was a 50% reduction in the 4-month follow-up NIHSS score compared to the baseline NIHSS score, and was reached in 17 patients (58.6%) and 5 patients (18.5%) in the Gingko biloba and placebo groups, respectively. When results were adjusted via multivariate regression for age and sex, there was observed a significant NIHSS decline in the Gingko biloba group compared to the placebo group.


The researchers also pointed out that acute ischemic stroke is a major cerebrovascular disease with potential morbidity and mortality, and that despite the availability of thrombolytic therapy (“blood thinners”), risk factor modification and rehabilitation therapy are the mainstays of stroke management. Ginkgo biloba, they stated, could "afford neuroprotection and improve the outcomes of patients with acute ischemic stroke."



[1] X Zeng, M Liu, Y Yang, Y Li, K Asplund.  “Ginkgo biloba for acute ischaemic stroke.” Cochrane Database Syst Rev. 2005(4):CD003691. Epub 2005 Oct 19.

[2] http://www.nihstrokescale.org


Dose: Take a total of 120 mg of ginkgo, standardized to 24% flavone glycosides and 6% terpene lactones with less than 5 parts per million (ppm) of ginkgolic acid [this is not good for you], twice a day.



2.  Take DHA to Reduce the Severity of Stroke.


A study adds to an ever-growing body of science supporting the potential cardiovascular and brain health benefits of omega-3 fatty acids.  The heart-health benefits of fish oil, and the omega-3 fatty acids it contains, are well-documented, being first reported in The Lancet and The American Journal of Clinical Nutrition in the early 1970s by Dr. Jorn Dyerberg and his co-workers. To date, the polyunsaturated fatty acids (PUFAs) have been linked to improvements in blood lipid levels, a reduced tendency of thrombosis, blood pressure and heart rate improvements and improved vascular function.


The 2011 study, reported in the journal Stroke, indicates that DHA may reduce levels of molecules that stimulate tissue inflammation and, conversely, produce a larger quantity of molecules that prevent the activation of cell death.  "This is the first convincing demonstration of the powerful anti-inflammatory effect of DHA in the brain," added Professor Frederic Calon, co-author of the study.  According to the Canadian researchers, the effects are linked to DHA partially replacing arachidonic acid (AA), an omega-6 fatty acid known for its inflammatory properties.


Consuming the omega-3 fatty acid docosahexaenoic acid (DHA) may reduce the extent of damage following a stroke by 25%, according to a new study with mice.  Researchers from Universite Laval in Canada report that feeding mice a diet rich in DHA for three months significantly reduced the severity of a stroke.  "The consumption of omega-3s creates an anti-inflammatory and neuroprotective environment in the brain that mitigates damage following a stroke," said Professor Jasna Kriz from Laval’s Faculty of Medicine. "It prevents an acute inflammatory response that, if not controlled, is harmful to brain tissue."


Mice that were genetically pre-disposed to stroke were divided into three groups: One group was fed a control diet, the second group was fed a diet with low levels of DHA, and the third group was fed a DHA-enriched diet.  The daily dose of DHA in the third group was about 0.7 grams of DHA per kg of body weight per day.  Following three months of intervention, the researchers reported that the high DHA group displayed an inhibition of levels of pro-inflammatory compounds, including COX2 and IL-1beta, but no changes in other inflammatory compounds.  A favorable change in the ratio of omega-3 to omega-6 fatty acids in the brain was also observed. "Since DHA is readily available, inexpensive and reduces the risk of a number of health problems without causing significant side-effects, the risk-benefit ratio tends to favor the regular consumption of fish or DHA," added Calon.


"A mouse eats more than a human relative to its weight and has a much higher metabolism rate; therefore extrapolation of dosage from across species is challenging," Calon said.  "However, given a consumption of 2,000 calories per day on average for humans, this high dose would represent approximately between 2.5 to 3 g of DHA/EPA per day, which is still reasonable from a nutraceutical point of view."  They noted that a lower dose may be sufficient in humans since mice have much higher fat metabolism.



Mélanie Lalancette-Hébert et al., “Accumulation of Dietary Docosahexaenoic Acid in the Brain Attenuates Acute Immune Response and Development of Postischemic Neuronal Damage.”   Stroke. 2011; 42: 2903-2909


Dose: Tale a capsule with 500 mg of DHA, twice a day.



3.  Take Green Tea to reduce mortality risk


A large epidemiological (population-based) study in Japan has found a significant reduction in the risk of death –  especially deaths due to strokes –  among people who drank five cups of green tea per day. The Ohsaki National Health Insurance Cohort Study, published in the Journal of the American Medical Association in September, 2006, was begun in 1994. It eventually involved over 40,000 Japanese adults who had no prior history of stroke, coronary heart disease, or cancer. Participants were monitored for up to 11 years. In the follow-up period, a total 4,209 of the participants who could be traced had died, with 892 participants dying of cardiovascular disease while 1,134 died of cancer.

The more green tea participants drank, the less their chance of dying of any cause, and particularly of cardiovascular diseases (including heart attacks and strokes). The effect of green tea in preventing death from any cause was stronger in women than in men. In men there was a 7 percent reduction in risk of death for those who drank just 1 to 2 cups of green tea per day; 5 percent for those who drank 3 to 4 cups; and 12 percent for those who drank five cups or more per day. The corresponding data for women were 2 percent reduction for those who drank 1 to 2 cups; 18 percent for those who had 3 to 4 cups; and a large 23 percent reduction in risk of death for those who drank 5 cups or more daily.

The reduction in death from cardiovascular disease was also strongest in women, with a 31 percent reduction in strokes among women who drank the highest amount of green tea.

Note:  The key ingredient in tea is its polyphenols.  There are 50-100 mg of polyphenols in each cup of tea.  Thus 5 cups would imply at least 250 mg (up to 500 mg) of polyphenols. 



Kuriyama S, Shimazu T, et al., “Green tea consumption and mortality due to cardiovascular disease, cancer, and all causes in Japan: the Ohsaki study.” JAMA. 2006 Sep 13;296(10):1255-65.


Dose: Take a capsule with about 500 mg with at least 60% polyphenols per capsule.



4.  Take Nattokinase to prevent another clot.


Recall that a stroke may be caused by a blocked artery (ischemic stroke) or a leaking or burst blood vessel (hemorrhagic stroke). Some people may experience a temporary disruption of blood flow through their brain (transient ischemic attack, or TIA).   About 85% of strokes are ischemic strokes. Ischemic strokes occur when the arteries to your brain become narrowed or blocked, causing severely reduced blood flow (ischemia). The most common ischemic strokes include:


            Thrombotic stroke. A thrombotic stroke occurs when a blood clot (thrombus) forms in one of the arteries that supply blood to your brain. A clot may be caused by fatty deposits (plaque) that build up in arteries and cause reduced blood flow (atherosclerosis) or other artery conditions.

            Embolic stroke. An embolic stroke occurs when a blood clot or other debris forms away from your brain — commonly in your heart — and is swept through your bloodstream to lodge in narrower brain arteries. This type of blood clot is called an embolus.


Physicians often use a drug called Coumadin [the compound generically called warfarin] which is said to thin the blood to try to prevent clots.  The blood is not really “thinned.”  This is just a metaphor.  What is happening is that there are certain elements in the blood that help it to clot [needed when you cut yourself so you don’t bleed to death].  These are blocked by Coumadin.  Coumadin (also known by the brand names Jantoven, Marevan, and Uniwarfin) is used in the prevention of thrombosis and thromboembolism, the formation of blood clots in the blood vessels and their migration elsewhere in the body, respectively.   It was initially introduced in 1948 as a pesticide against rats and mice [the rats would bleed to death] and is still used for this purpose.  It is still most commonly used, and physicians are loathed to give up on this archaic drug.


Often patients will be put on this drug with severe restrictions in terms of taking many other drugs, supplements, and certain foods.  It must be monitored extremely carefully and regularly and has a large number of possible negative side effects.  For example, you will bleed to death like the rats if you take too much.  Getting physicians to use anything else has been very difficult since they “know” this drug.  Finally they are very hesitant to take you off the drug once on it.  So now let’s introduce nattokinase.


Nattokinase is an enzyme that floats to the top of the pot when you boil the vegetable natto.  It has the remarkable properties that it prevents clots from forming, and it also will help to dissolve clots that have formed.  It would be nice if you could just eat the boiled natto – a food – which your doctor would probably not mind, having no idea that it is extremely healthful.  However it is said that boiled natto is one of the more disgusting foods you may ever encounter outside of Japan where it is more likely consumed.  There is another option – capsules of nattokinase.


Taking one proper dose of this enzyme will work to significantly prevent clots and dissolve small ones that may have formed.  This is a remarkable substance.  At the right dose [given later], it lasts for about eight hours.  So one would take the first dose right before bed since the likelihood of a clot forming is greatest while you are sleeping [and your blood is just pooling].  Taking another upon awakening will add another eight hours of protection.  Finally a third at mid-day will complete the protective cycle.  Even if you never have had a stroke, this supplement is an ideal protective for virtually anyone over 40 [at least take the one before bed time when the risk of stroke is greatest].


Dose: Take a capsule with 2275 FU units per capsule [this is how this product is measured], once before bed time, once when awakening in the morning, and ideally, once in the mid-afternoon if you are at high risk.


5.  Improve your arteries with magnesium.


If your arteries ruptured [hemorrhagic stroke], obviously they were not in ideal shape.  Arteries can in fact get to be like a garden hose left out all year: brittle and somewhat inflexible.  This inflexibility also can add to your blood pressure since the arteries are not supple, helping to squeeze the blood along. A crucial mineral that will help with this problem is magnesium. 


The arteries are lined with muscles, and magnesium aids in muscle contraction and muscle integrity.  If you have cramps in your legs at night, you often can remedy this entirely by just adding magnesium supplements to your regimen.  Similarly the muscles all along the arteries will perform far better when you have sufficient magnesium.  Many studies have documented how a significant part of the population is magnesium deficient.  To improve your arterial health, you want to add magnesium supplements to your regimen.


Dose: The government’s own daily RDA is roughly 400 mg per day, so take at least this amount daily.  If you tolerate it, take up to 800 mg daily.


6.  Getting at the heart of the matter: reducing inflammation with curcumin.


The heart of your problem if a clot formed was not cholesterol.  The primary underlying mechanism that leads to a clot is inflammation.   Inflammation within the arteries causes the body to coat over the inflamed area.  This it may do with cholesterol.  So cholesterol is the reaction, the scab over the wound – it is the inflammation that you need to reduce and eliminate.  There is one extremely powerful, safe, effective supplement with literally 1000's of articles demonstrating its ability to reduce inflammation.  The supplement is curcumin which comes from the herbal turmeric.  It is documented as one of the most powerful anti-inflammatory agents you can take.  Unless you are allergic to curry, you can take curcumin, and it will prove beneficial to you on many fronts.


Arthritis is in part an inflammatory condition.  Parkinson’s and Alzheimer are also inherently often an outcome from an underlying inflammatory process.  Innumerable other disease states are also a reflection of inflammation.  Curcumin will significantly reduce your inflammatory level.  Without any inflammation, your cholesterol has little bearing.  More on that later.  For now, you need a suitable curcumin regimen so that you get to the heart of the problem and reduce it significantly.  We will specific a curcumin regimen for you below.  I will reproduce one study about curcumin but quite frankly there are 100's, even 1000's, of others, many far superior to this one.  For the sake of brevity for now, I will just post the one.


In the study referenced [see below], they tested the effects of curcumin in focal cerebral ischemia in rats and the possible mechanisms. Adult male Sprague-Dawley rats were treated with curcumin (100, 300 and 500 mg/kg) administered intra-peritoneally after 60 min of occlusion.  Neurological score and infarct volume were assessed at 24 and 72 hours. Oxidative stress was evaluated by malondialdehyde assay and the apoptotic mechanisms were studied by Western blotting.


Curcumin treatment significantly reduced infarct volume and improved neurological scores at different time points compared with the vehicle-treated group. Curcumin treatment decreased malondialdehyde levels, cytochrome c, and cleaved caspase 3 expression and increased mitochondrial Bcl-2 expression.  The authors concluded that “Inhibition of oxidative stress with curcumin treatment improves outcomes after focal cerebral ischemia. This neuroprotective effect is likely exerted by anti-apoptotic mechanisms.“


Since curcumin is very poorly absorbed, you need a higher dose and you need to add a factor that will multiple its absorption substantially.  This is utterly imperative.  One such supplement is called bioperine and is simply an extract from black pepper that has been shown to multiply the absorption of curcumin substantially [possibly up to eight-fold better absorption].  We will identify the doses below.



Jing Zhao, Shanshan Yu, Weiping Zheng, Gang Feng, Guobiao Luo, Linli Wang, Yong Zhao. “Curcumin improves outcomes and attenuates focal cerebral ischemic injury via antiapoptotic mechanisms in rats.” Neurochem Res. 2010 Mar;35(3):374-9. Epub 2009 Sep 23.


Dose: Take 800-900 mg of curcumin that is standardized to at least 95% curcuminoids.  Take 4 capsules a day if you have had a stroke, otherwise two daily.  With each serving, take 10 mg of bioperine with it.


7.  Clearing arterial plaque with K-2 (MK-7).


For now, you may already have arterial plaque and you need to clean those arteries much as Roto Rooter cleans your pipes.  Some detoxing agents such as chelation therapy will work over time, although it nearly always really requires an IV approach to make a difference.  Even then there are may other issues involved.  One simple strategy is to add the vitamin K-2 to reduce calcium build-up in your arteries.


Now K-2 is NOT vitamin K.  In fact, there is a huge amount of confusion in the labeling of “vitamin K-2.”  Here is the shorter version.  Vitamin K can be thought of as vitamin K1 although the number “1" is always omitted.  Now K-2 is not even a single vitamin but in fact refers to a whole family of other vitamins.   So the K-2 family is made up of MK-1, MK-2, etc.  The one we are interested in is MK-7.   MK-7 is extracted from the Japanese fermented soy product called natto, and you can obtain all the K2 you’ll need (about 200 micrograms) by eating 15 grams of natto daily, which is half an ounce.  However, as previously mentioned, natto is relatively disgusting, at least to Westerner’s palates.  Gouda and Brie cheeses each contain about 75 mcg of vitamin K2 per ounce, while scientists have found high levels of MK-7 in an Edam cheese.  So in short, you want MK-7 for this application since you want a dose every day.


Now a key study was designed to compare the effect of oral administration of vitamin K2 (MK-7 type) plus vitamin D, or vitamin D alone, on the progression of coronary artery calcification score and carotid intima media thickness (the lining of the main arteries in your neck that feed blood to your brain), which are hallmarks of potentially lethal heart disease and stroke.  The data revealed a slower progression of calcification in those taking both vitamin K2 and vitamin D compared to those taking vitamin D alone.[1] The study’s lead author said: In this study, the K2 and D protected against cardiovascular calcification, while the D group alone did not. Clearly, this has positive implications for human health."


This makes sense because whereas vitamin D provides improved bone development by helping you absorb calcium, there is new evidence that vitamin K2 (MK-7) directs the calcium to your skeleton, while preventing it from being deposited where you don't want it, such as in your organs, joint spaces and arteries. A large part of arterial plaque consists of calcium deposits (atherosclerosis), hence the term "hardening of the arteries."


Moreover, atherosclerosis can progress for many years, even decades, without symptoms, because the opening of the artery (lumen) formed by the arterial lining is still elastic enough to stretch to accommodate a degree of accumulated plaque.  This is true only if the artery has not begun to calcify, as the formation of a calcified fibrous cap on top of the arterial plaque deposit prevents further compensatory luminal expansion and therefore is the final, fatal step in the progression of the fatal disease.  We also know that this form of vitamin K2 activates a protein hormone called osteocalcin, produced by osteoblasts, which is needed to bind calcium into the matrix of your bone. Osteocalcin also appears to help prevent calcium from depositing into your arteries.   Without the help of vitamin K2 (MK-7), the calcium that your vitamin D so effectively lets in might be working AGAINST you -- by building up your coronary arteries rather than your bones. 


In the absence of those other important cofactors, calcium CAN have adverse effects, such as building up in coronary arteries, initiating excessive clotting and causing heart attacks, which is really what this analysis detected.   Specifically If you take calcium and vitamin D but are deficient in vitamin K2, you could be worse off than if you were not taking those supplements at all, as demonstrated by one meta-analysis that linked calcium supplements to heart attacks.[2]  So if you are going to consume and/or take calcium, you need to be sure you have balanced it out with vitamin D and vitamin K2 (MK-7).


The authors of this featured study noted that, in addition to its role with osteocalcin, one of the mechanisms by which vitamin K2 exerts a protective role on the progression of vascular damage may be connected with its impact on Matrix GLA Protein, or MGP.[3] MGP is the protein responsible for protecting your blood vessels from calcification.   When your body's soft tissues are damaged, they respond with an inflammatory process that can result in the deposition of calcium into the damaged tissue.   When this occurs in your blood vessels, you have the underlying mechanism of coronary artery disease -- the buildup of plaque -- that can lead you down the path to a heart attack or a stroke.


Vitamin K2 and vitamin D again work together to increase MGP, which, in healthy arteries, congregates around the elastic fibers of your tunica media (arterial lining), guarding them against calcium crystal formation. According to Professor Cees Vermeer, one of the world’s top vitamin K2 researchers:  "The onlymechanism for arteries to protect themselves from calcification is via the vitamin K2-dependent protein MGP. MPG is the most powerful inhibitor of soft tissue calcification presently known, but non-supplemented healthy adults are insufficient in vitamin K2 to a level that 30 percent of their MGP is synthesized in an inactive form. So, protection against cardiovascular calcification is only 70 percent in the young, healthy population, and this figure decreases at increasing age."


Dr. Kate Rheaume-Bleue, a naturopathic physician, estimates that about 80 percent of Americans do not get enough vitamin K2 in their diet to activate their K2 proteins to shuttle the calcium where it needs to be and remove it from the places where it shouldn't be.  The next best thing to dietary vitamin K2 is a vitamin K2 supplement. MK-7 is the form you'll want to use.   Although the exact dosing is yet to be determined, Dr. Vermeer recommends between 45 mcg and 185 mcg daily for adults.  A reasonable specific choice [which we will discuss below] is 100-200 mcg per day.



1. Nephrology Dialysis Transplantation 2013, Volume 28, Issue supple 1, pp 1352-1357

2. BMJ 2010;341:c3691

3. Nephrology Dialysis Transplantation 2013, Volume 28, Issue supple 1, pp 1352-1357


Dose: Take 100 mcg of MK-7 once or twice a day.  Based on the above discussion, also take 5000 IU of vitamin D3 daily.



8.  CoQ10 for your heart and to overcome the deadly threat from statin drugs.


CoQ10 is an enzyme the body makes which heart tissue just loves.  Without this enzyme, you will in time simply very likely die from a lack of it.  The body makes less and less of it over time.  So it is invaluable for cardiovascular [heart] health.  Now here is the crucial fact: the same way that statin drugs block cholesterol in your body is the exact same pathway that is blocked which your body needs to make CoQ10.  So statins block the production of CoQ10 on their way to blocking cholesterol.  The result is your heart health is at extreme, quite dire added risk.  How ironic that statin drugs so reduce your heart health as a side effect.


Since statin drugs deplete your CoQ10, it is utterly imperative that you take a supplement or you simply have allowed yourself to increase your cardiovascular risk significantly.  The literature is quite definitive in this regard.  Even if you are not on a statin drug, your heart tissue is demanding more of this, and you will want to supplement with it.


Dose: Take at least 100 mg twice a day.  If you are taking a statin drug, take 400 mg minimum per day.



9.  An additional intervention for cerebral infarcts [clots]: sulforaphane.

Stroke is the third leading cause of death and disability in the United States. As several biochemical mechanisms have been proposed to contribute to stroke pathophysiology, treatments acting on multiple targets may be desirable. Sulforaphane (SUL), a naturally occurring isothiocyanate present in cruciferous vegetables, has been shown to induce the expression of multiple NF-E2-related factor-2 (Nrf2) responsive genes.  In short, this supplement helps a great deal.  In the study quoted below, they demonstrate that systemically administered SUL can enter the brain as determined by increased mRNA and protein levels of the Nrf2-responsive gene heme oxygenase 1 (HO-1).   Delayed administration (15 min) of a single dose of SUL significantly decreased cerebral infarct volume following focal ischemia, suggesting a potential therapeutic value for this compound.



Jing Zhao, et al.  Sulforaphane reduces infarct volume following focal cerebral ischemia in rodents. Neurosci Lett. 2006 Jan 30;393(2-3):108-12. Epub 2005 Oct 17.


Dose: Look for a product with 25-30 mg of sulforaphane, taking one a day.


10.  Nourishing the internal walls of blood vessels with vitamin C.

Important new research has found that vitamin C can significantly reduce the risk of cardiovascular disease.[1]   This new research involved a review of 44 clinical studies that showed that taking more than 500 mg of vitamin C a day has beneficial effects on endothelial cell function. Endothelial cells line the internal walls of blood vessels and are critical in helping blood pump throughout the body. Healthy blood circulation is key to preventing heart disease and strokes, as well as other conditions like diabetes, dementia, and neuropathy. So just imagine – a simple vitamin that you can find in everything from oranges to broccoli can improve the function of the very cells that help protect you from the key diseases associated with aging.  What's even more amazing about this research is that it shows vitamin C actually works even better in those who need it most. Scientists found that the vitamin had a stronger effect on the endothelial cells in people who already had heart problems or metabolic disorders like diabetes.


Ashor AW, et al. Effect of vitamin C on endothelial function in health and disease: A systematic review and meta-analysis of randomised controlled trials. Atherosclerosis, Vol. 235, Issue 1, pp 9-20, July 2014.

Dose: Take at least 500 mg of vitamin C once or twice daily.  Ideally you would take 1000 mg daily.


11. Fighting back after stroke: An easy therapy to implement.


One study looked at how stroke victims benefit from something many of us do in the shower every day: singing.   It's long been known that singing and speaking use different parts of the brain, which is why many stutterers can often belt out a tune without a single pause.  In recent years, stroke patients who've lost the ability to talk have been learning to sing instead. It's called "melodic intonation therapy," and researchers say that the singing appears to rewire the brain – putting regions to use that had not been used before the stroke.  Many patients who've lost all ability to speak can begin communicating again after just one therapy session.  Stroke is often a traumatic life-changing event that robs people of their independence along with many of their abilities. It can be a long way back – but there is a road that can take you there.




12.  If someone is having a stroke, what to do while waiting for the ambulance –

and while with them in the ER.


First, note that I indicated waiting for an ambulance.  An ambulance will bring the patient to the front of the line when he or she arrives at the hospital.  I have taken many a person by car to the ER – only to wait for sign-in, insurance verification, a nurse to then assess the person, and then your turn to be called.  Call an ambulance – they will more likely get the immediate attention they need upon arrival.


Now here is the key point:  Scientists inflicted ischemic (clot induced, the most common kind of stroke) strokes in mice. Then the researchers stimulated the whiskers in the afflicted mice. Those that received the stimulation within two hours of the stroke recovered normal cognitive function. The researchers looked at the animals' brains only a week later. They found that the "touching" of their whiskers caused the mice to re-route blood flow to the damaged area to compensate for the blockage.  This is a remarkable finding. All it took was simple touch to stimulate the body to heal itself. There was no technology, no drugs, nothing at all — except touch. Typically people languish alone in the ER for hours with stroke. All they need is someone to touch them to speed their healing.  Insist upon staying with them in the ER and continue to provide ongoing therapeutic touch.  [reported in the Los Angeles Times, 11-19-10].



 13.  A Prevention Regimen if you have not had a stroke.


For healthy adults, your greatest risk is cardiovascular disease [a greater risk than cancer, etc.].  At the

minimum, from the above, all of us should be taking a preventive regimen if we are currently healthy.  Specifically you would want to take:


*  nattozimes [at least one before bed time],

*  magnesium [at least 400 mg daily],

*  curcumin [the dose given, two capsules daily] along with a capsule of bioperine for absorption,

*  MK-7 [100 mcg daily] with 5000 IU of vitamin D3, and

*  500 mg of vitamin C daily.


Other Areas of Concern


In the remainder of this Protocol, I will just give for now an extremely brief synopsis of what extensive research has found.  The extended Protocol escalated to another 60 pages when all the research findings were added.  To make this Protocol usable, I will simply give the bottom line and delegate further discussion to a separate extended protocol.



These are nearly always a terrible idea.  Research continues to show that you are simply not better off with a stent inserted.   Cardiologist simply hate these studies that show the patient is not better off and in fact is likely worse off.  Stents inserted can cause clots.  They create incessant mishaps.  No one reading all the research literature would ever agree to it.  By the time you are reading this, it is likely too late – a stent was probably put in at the very onset.  So the regimen above will help you a lot.  Nothing to do about it. But if you ever have the choice or the option, adamantly refuse.  Later I will itemize the literature that supports this view.


Blood Pressure Medicines

First, you may not even need it.  These meds are prescribed like day follows night.  There are many natural supplements that you should try first.  In addition, there are known research findings that suggest which prescription meds to try first – yet these recommendations by the most respected medical experts are as likely not followed as followed.  We will quote the experts in the extended protocol on what one should do first.


The extended protocol will end with definitive citations to experts who flatly state you should tell the patient at the very onset that they may NOT need to be on these meds forever.  So after about a year, the body often adjusts, and the patient can then wean themselves off.  Testing your blood pressure gives definitive data if this applies to you.  If so, you are extremely better off not taking these powerful drugs with their extensive side effects.


Statin Drugs

These are among the worst choices that can befall you.  Major national board-certified cardiologists have noted that perhaps 95% of the people taking these should not be doing so.  They have enormous down-side, extremely negative side-effects.  They came about due to an error in understanding about what was happening, and now that they are a $24 billion dollar business, there is no way to halt their use.  Your most effective strategy is to take the curcumin noted above since it is inflammation that is your enemy, not cholesterol.  Cholesterol was the “scab” that formed due to the inflammation.  So if you eliminate the inflammation, you are getting to the heart of the problem.



Many patients are placed on Coumadin and then told not to take virtually any of the supplements noted above, many important valuable foods for your healthy diet, etc.  The reason is that they have “normalized” you with a Coumadin level of the drug and you may disturb that level.


Here is another idea: the patient could take all of the above, perhaps obtain some degree of “blood thinning” [again this is a metaphor but we’ll use for now], and then the dose level of Coumadin itself could be selected with all the above going on so that you had the desired clotting levels.  So instead of taking 100% of the Coumadin and then taking nothing else which would be of enormous value, first get on your regimen and then let the Coumadin be adjusted accordingly [say at just 50% of what it might have been or whatever it comes to].  Somehow physicians cannot figure this out – or more likely, simply do not care since all of the above discussion has no value in their assessment.   Act accordingly.




As you can see, a fully documented Protocol would run easily 60-80 pages or more.  We have given you as terse a summary as seems suitable. Below we will now present at least one product that meets the requirements – which you can consider.


Stroke Regimen Products and Doses

Product                                   Recommendation*                           Dose


1.  Ginkgo                               SW893                        2 capsules twice a day at 60 mg per capsule

2.  DHA                                   SWE062                      1 of these 500 mg capsules twice a day

3.  Green Tea                          SWH099                     1 capsule of the 500 mg polyphenols daily

4.  Nattokinase                        SWU258                     1 capsule at bed time, 1 upon awaking, 1 at mid-day

5.  Magnesium                        SW808                        1-2 of the 400 mg capsules daily

6.  Curcumin                           SWH084                     2 cap. twice a day if you had a stroke, otherwise once

      Added Bioperine               SWU308                     1 capsule with each two-capsule curcumin serving

7.  K-2 [as MK-7]                     NWF989                     1 of the 100 mcg capsules twice a day

     Added D3 (with the K-2)    SW1371                      1 5000 IU capsule daily                     

8.  CoQ10                               SWU561                     1 100 mg cap. twice a day [double if you take statins]

9.  Sulforaphane                     JR050                          1 of these 30 mg sulforaphane capsules daily

10. Vitamin C                          SW101                        1 500 mg capsule twice a day


* The product numbers given are from the Swanson Vitamins Company at www.swansonvitamins.com or call 800-437-4148.  This is a reliable and very cost-effective source which we use ourselves.  We have no financial tie-in or connection with them in any way whatsoever.  They are just one good source.




All of the above is presented for educational purposes only.  There are no health care providers as part of TRI who are advising you regarding your own specific health care choices. You must check with your own health care provider(s) or any other consultants for actual health care actions that may be best for you.  None of the information above is intended as specific medical advice, consultation, or instruction for individuals nor substitutes for professional medical advice. This document does not present information which is alleged or intended to diagnose, treat, prevent or cure any diseases.  Moreover the information in his protocol is not intended to replace a one-on-one relationship with a qualified health care professional and is not intended as medical advice. It is intended as a sharing of knowledge and information from our research and experience, and we encourage you to make your own health care decisions based upon your research and in partnership with a qualified health care professional.  In other words, as Count Dracula said, enter at your own free will.


Finally, this Protocol contains copyrighted material the use of which has not always been specifically authorized by the copyright owner. We are making such material available in our efforts to advance understanding of issues of significance. We believe this constitutes a 'fair use' of any such copyrighted material as provided for in section 107 of the US Copyright Law. Specifically, in accordance with Title 17 U.S.C. Section 107, the material in this Protocol is distributed without charge or profit to those who have expressed a prior  interest in accessing the included information for research and educational purposes.