I need some guidance with my Dupuytrens treatment plan. I understand “tissue response guides dosage”, but I am (better package) taking multiple (6) oral products with multiple dosages. If I don’t see progress after 3 weeks, then which product dosages should I increase first? It doesn’t seem logical to increase all 6 at once, but increasing only one at a time would be a slow process. Can you give me some additional guidance on my next step if the starting dosages don’t do the trick?
I am also curious if you had insight as to the relative merits of adding additional products vs increasing the dose of the products I already have. While I am not rich, the cost is not my major concern… healing the condition is.
Thank you for some interesting questions about Dupuytrens treatment.
Which particular therapies to increase first is dependent on what dosage you are currently taking. For most people the dosage of vitamin E stops at 800-1200 IU daily; a few have taken higher dosages of vitamin E but it is not common. So there is not much room to increase vitamin E dosage.
As a general approach to increasing dosage after the initial round at the start of self-treatment: the systemic enzymes (Nattokinase 1500, Fibrozym, Bromelain and Neprinol) are increased earlier and to a greater level than the other support therapies (acetyl-L-carnitine, PABA, Fundamental Sulfur or MSM, Quercetin-Bromelain, Scar-X homeopathic remedy, Omega T). More work and alteration of enzyme dosage is done than with the other therapies. I tend to favor an increase of enzyme intake and an increase of one of the support therapies per 7-10 day period when no change is noted in the nodule or cord tissue. If you follow this approach with your Dupuytrens treatment you will not make drastic or quick changes in your plan, but you will move it along nicely.
When the first change in the scar structure is noticed then no additional changes are made to the plan –until the tissue stops changing as it sometimes happens.
Your last question is most interesting, when you requested “insight as to the relative merits of adding additional products vs. increasing the dose of the products…” I find that people are far too eager and quick to add to their therapy plans – they make their plans too large too early, and only make it more complicated than it needs to be. Many people make the mistake of increasing dosage once of a particular product and then assume they can go no higher. It is far better to work deeply into the area of greater dosage and explore all the combinations of higher dosages that are possible before even thinking about adding another therapy item to your lineup.
If you have a specific question about this subject of dosage in your Dupuytrens treatment plan I would be most happy to hear it and answer as best I can. Most often these particular matters of higher dosage are so unique to the individual and the particular dosages you are using, as well as the level of tissue change that you have noticed, that it is sometimes necessary to set up a telephone discussion so we can talk about your particular situation and get the best answer fore you. Written generalities are often not as good as a one-on-one discussion about what is going on in your specific experience. Please contact me if you feel you have to do so. TRH