turns out I also have a bit of long covid
the covid S1 spike protein was found in my monocytes (a kind of immune cells) along with cytokine signature similar to long covid patients
gonna try maraviroc + statin
# the theory
monocytes are like garbage cans that ingest viral debris and break it down; but for some reason the S1 protein resists breakdown
instead it keeps the monocyte alive for long periods of time (months to years even) and increases its inflammatory signaling
in one mechanism, these monocytes attach to capillary endothelium
-> release inflammatory cytokine
-> microclots form in blood vessel
-> local tissue hypoxia
-> more inflammation
-> attracting more monocytes
-> repeat
this dynamics could partly explain symptoms like fatigue, brain fog, pain, autonomic issues, etc
# treatment
maraviroc (an HIV drug) + statin (a cholesterol drug) blocks the receptors that guide monocytes and bind them to inflamed endothelium -- when the monocytes don't feel the inflammation any more, they kill themselves safely (apoptosis), taking the S1 spike protein with them
so eventually the S1-containing monocytes all die off and inflammation and symptoms mitigated, as the theory goes
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