Peyronie's Disease Institute Newsletter - September 2015 - Increasing a Peyronies or Dupuytren treatment plan

September 1, 2015 PDI Newsletter

Greetings to all PDI and DCI Warriors,

Welcome to this September 2015 PD Institute newsletter. We have made it to the back end of summer now, with a few early autumn changes in the air. Just one or two more times to cut the lawn before a rake will be the tool of choice.

This month we are going to cover two different emails, one from a man with PD who beginning to see progress with his problem and wants to know about increasing his plan, and the other is from a man with DC who is seeing the cord in his hand getting weaker and thinner but wants to know about making changes to his plan to push his progress along faster. Even though DC and PD affect different parts of the body, the treatment approach is very similar. For this reason anyone with PD will benefit greatly from reading the DC emails, and anyone with DC will likewise benefit greatly by reading the PD emails. Treatment concepts are basically the same for both these problems, so read on.

This first email exchange is from MMXXXXX, a man with Peyronie’s disease who stated the first series of emails by asking a question about Serretia. His question resulted in me deciding to finally add Serretia to the DCI and PDI therapy lineup after I have been working with it on and off for several years. Prior to this time I was gaining experience with Serretia by working with it now and then, having only stubborn cases of PD and DC use it as an added booster to help along stalled plans. But, I hesitated to add it formally to the PDI and DCI lineups because I wanted to be sure of its effectiveness. In these emails you will be able to read how this particular addition to the therapy lineup came to be.

Also, you will see here in this series of emails a rather large discussion and detailed explanation that I have never before put together or presented to anyone. Specifically, I write to MMXXXXXX to explain the mechanics of how a good plan is laid out and how it operates in a deliberate and methodical manner. I think this explanation is long overdue, and that everyone will be happy to see this detailed explanation of how a treatment plan should advance over time. I outline how each individual step of a plan is taken that ultimately can lead to the elimination of the fibrous tissue of DC or PD. Please read all the way down to the bottom of this series of emails to learn how a good plan is conducted, step-by-step.

Actually, in the month or two since sending this treatment plan outline to MMXXXXXX I have gotten motivated to convert this particular email into a form that will be included with PDI and DCI orders. So you will see this same information again included with your next order.

For those of you who are new to this newsletter series, please read this series of combined emails like the back-and-forth of two people talking while one occasionally interrupts the other to make an important point or answer a question. To understand the flow of the conversation, keep in mind that the text in black is from MMXXXXX and the text in red is from me:

From: MMXXXXXXX
Sent: Thursday, July 9, 2015 1:34 PM
To: info@peyronies-disease-help.com
Subject: Serrapeptase

Hello Dr. Herazy … would it be possible for me to purchase Serrapeptase at 250,000 SPU’s from you? This product is not available in Canada and my past experience leads me to believe that it is making a difference in the shape of my Peyronie’s scar. It seems that it may be thinning.

Sincerely,

MMXXXXXX

From: “Theodore Herazy” <herazy@comcast.net>
To: “MMXXXX”
Sent: Thursday, July 9, 2015 4:04:28 PM
Subject: RE: Serrapeptase

Great to learn that you have found a boost to help you along. I have several sources of serrapeptase products. However, it makes more sense to get for you what you have previously used that you think is making a difference in your situation. Who is the manufacturer and what is the name of the formula you are using?

Regards,

Theodore R. Herazy, DC, LAc
Peyronie’s Disease Institute
Dupuytren’s Contracture Institute

From: mmxxxxxxxx
Sent: Thursday, July 9, 2015 10:04 PM To: Theodore Herazy
Subject: Re: Serrapeptase

Dr. Herazy … Thank you for your support. The Pure Serrapeptase 250,000 SPU’s I have been using is manufactured by Arthur Andrew. The Label says “Serretia”. I hope this helps. What would the cost be to myself?

MMXXXXXXX

From: “Theodore Herazy” <herazy@comcast.net>
To: “mmxxxxx”
Sent: Friday, July 10, 2015 8:16:21 AM
Subject: RE: Serrapeptase

Greetings MMXXXXXXXXX,

Sure, I know about Serretia. I left a message with Arthur Andrew Labs. They are to call me back “in a few hours” to discuss this product. I have worked many times with Serretia in the past, but I want to know if the product formula has changed in any way in the last year.

I know you have worked hard for over a year to get ahead of your PD, and I am happy to hear of your progress.

Many times in the past I have worked directly with PD and DC cases who needed help to make their initial progress or to get their stalled progress off a plateau. My usual strategy is to add in serrapeptase via Fibrozym, because it is a good product and has other enzymes like protease, papain, that are also effective against the PD scar; but, it does not have the walloping large serrapeptase dosage of Serretia, however. I think at this time I should add Serretia to the PDI and DCI therapy lineup. So, for you and others, I guess that is the good news. I would like to do a newsletter around Serretia to introduce the idea and explain the methodology of usage to the larger DC and PD audience of readers. To do this it would be great to have a little firsthand story from you and your personal experience to give an example of how it can make a difference in these stubborn cases (like yours).

Could you please send me an email that gives some of your PD treatment background and experience with how you have responded so far, and how Serretia made a difference in your situation? Dosage details and specifics of how your scar structure responded in your report are always important to someone who wants to learn from someone else’s progress. I know you have been a diligent and dedicated warrior dealing with your PD, and I am sure what you might say can be helpful to many newsletter readers who are looking for direction and encouragement.

In the meanwhile I will get some answers for you on a supply of Serretia and pass it on to you as soon as I can. The folks at Arthur Andrew Labs are good people so I should be able to get you on that Serretia soon.

Regards,

Theodore R. Herazy, DC, LAc
Peyronie’s Disease Institute
Dupuytren’s Contracture Institute

From: mmxxxxxxxxx
Sent: Friday, July 10, 2015 10:04 PM
To: Theodore Herazy
Subject: Re: Serrapeptase

Hello Dr. Herazy … not a problem with composing a letter regarding my own personal journey with Peyronies Disease. Just give me a day or two, as I am dealing with a couple of home issues at the moment.

Cheers,

MMXXXXXXXX

From: “Theodore Herazy” <herazy@comcast.net>
To: “mmxxxxxxxx”
Sent: Saturday, July 11, 2015 7:16:04 AM
Subject: RE: Serrapeptase

Greetings again,

Wonderful. The more detailed your treatment story the better.

Hope your home issues are just bumps in the road.

Thank you for your help in getting the word out. This Peyronies treatment protocol works surprisingly well, but men are so reluctant to talk about it even when it is successful. I cannot tell you the number of success stories I learn about indirectly, or a few years later after-the-fact of a problem clearing up and simply going away, in which the people involved do not think to send an email giving me the written details of what they did and how they responded. Men just do not like to discuss this problem, even when they treat it successfully. This makes it difficult to get the many success stories out to the general public.

Regards,

Theodore R. Herazy, DC, LAc
Peyronie’s Disease Institute
Dupuytren’s Contracture Institute

From: “Theodore Herazy” <herazy@comcast.net>
To: “mmxxxxxxxxx
Sent: Sunday, July 12, 2015 3:02:44 PM
Subject: RE: Serretia and Serrapeptase

Greetings,

Thank you for taking the time to discuss what happened to you after you developed Peyronie’s disease. Your story will help many men, I am sure.

Please see below for comments…

Regards,

Theodore R. Herazy, DC, LAc
Peyronie’s Disease Institute
Dupuytren’s Contracture Institute

From: mmxxxxxxxxx
Sent: Sunday, July 12, 2015 2:35 PM
To: Theodore Herazy
Subject: Re: Serretia and Serrapeptase

Dr. Herazy … as we discussed my journey with peyronies for other PD warriors for their reading.

My story started three years ago at age 58. I will mention that I was on occasion using the Little Blue Pill as an enhancer to a modestly active sexual relationship with my wife. The first indication of a change in shape of my shaft came after one night together. I am curious. How many times did you actually use the Little Blue Pill before you noticed your shaft was a different shape; how many doses did you use before you saw a structural problem develop? The curve upward was left turning at a forty-five degree angle, So, you are saying that your shaft had a compound or dual-bend, upward and to the left at 45 degrees? How far did it bend upward before your self-treatment started? and there was definitely a loss of girth particularly half way down the shaft from the glands. An hourglass deformity also? Wow. A narrowing of the shaft and a compound bend makes for a very weak and vulnerable situation. I trust you have been very careful during coitus. Once inserted and engaged you must stay close to her during thrusting, or you run the risk of the shaft suddenly folding or bending, that will only cause injury that will worsened the PD. Needless to say I was concerned. I turned to the internet looking for possible answers and found a name (Peyronies Disease) to my symptoms. Everything was there to research but no cure.

I very soon went to my family doctor who correctly diagnosed the symptoms and recommended I take Vitamin E in dosages of 800 IU for awhile to see if there was any positive results. About six months into his recommendations and not too much positive was responding I started to take in small doses Nattokinase and Serrapeptase. A further six months of using these two products resulted in a small improvement in shape and size to my manhood. A small program of taking just vitamin E and the enzymes serrapeptase and nattokinase for six months would usually not get much improvement. You were lucky to see the small improvement you got. My family doctor then suggested I see a urologist for additional information which I did do. He did nothing and said nothing after our meeting that was of any value. His last words were “Let me know if there are any improvements, and thanks for doing my job”.

It was then I decided to contact the Peyronies Disease Institute and Dr. Herazy for support. I started a more aggressive plan for my personal treatment. The Medium Better Plan was my choice to start. As well using twice a day as an external application the Super CP, Vitamin E oil, and PMD DMSO directly to my curvature. I followed these two plans pretty religiously for one year. I varied the dosages as I thought, although sometimes the differences were very small and difficult to notice I continued. My dosages internally were increased every two to three weeks with a week off in between increases. Examining the PD scar and increasing your plan every 14-21 days is a bit slower than the 7-10 day schedule that PDI recommends; you probably could have gotten more accomplished during that year if you were advancing your dosages at a slightly faster rate.

My final dosages A-L-Carn 2/1/2/, Fundamental Sulphur 1/1/1/, Paba 2/0/2/, Quercetin Bromelain 1/1/1/, Vitamin C 1/0/0/, Inflamazine 0/3/0/, Nattokinase 4/4/4/, Neprinal 4/4/4/, Vitamin E 2/0/2/, resulted in a very positive change in straightening my shaft and regaining girth. There is no more 45 left turning degree of my shaft. It is straight, although now curved upwards only of about 30 degrees, and my girth is almost where it should be except at the hard scar tissue area midway down the shaft, were there are two small dents here on the sides. The scar tissue is hard. Hard like what? You must be able to explain these things to your self because this gives you the exact mental image and vocabulary that pinpoints the exact condition of your fibrous tissue. There are hundreds of ways of explaining something that is hard, because there are hundreds of states of something being hard. Once that hardness changes during therapy you must have a vocabulary to explain each of those hardness changes. It feels like two overlapped cooked beans with loose fibres on top. Excellent, excellent observation. Those fibers are very real because many men I work with also notice them as their scars begin to weaken and fall apart. When you say you can feel loose fibers on top of the “beans” that tells me you are running your finger gently across the top surface of the scar to determine if the “surface features” are changing. I would say that 75% or more of the men who report eventual elimination or reduction of the PD scar will tell me that one of the very first structural changes they noticed was that the previously slippery and very smooth surface of the scar will change so that they notice “loose fibers” on top of the scars’ long stringy bumps are noticed that seem to move and make them almost feel like they are loose threads laying on the surface of the scar. These kinds of changes are critical to be aware of. If you are not looking for these kinds of small but very important changes you will just not notice them. The result is that you will mismanage your therapy plan because you do not know what is going on below the beltline – you will be guessing about dosages because you will not know if are making progress or not. The end result of guessing is your PD plan will not work as well as it should and you could eventually go under the knife. There is also a long thin strip of scar tissue that runs upwards to the base of the glands as well. I believe this is what causes the upward curve. Probably so. If you did not notice this long thin strip before, it is likely that this strip of scar tissue is now in the process of separating from the mass of the primary scar as it begins to fragment and get reabsorbed by the body. Keep your eye on it, and make notes about it so you will not forget those details. Check it out as a separate structure for changes in shape, density, thickness, etc.

In March of 2015, this year after a year of treatment I think I plateaued and there was no further progress noticed. At Dr. Herazy’s suggestion I started to use a product called Serretia which is Pure Serrapeptase of 250,000 SPU’s. Very potent. After two months of including this product into my program 5/5/5/ there seemed to be more positive changes to my scar tissue that was located on the top of my shaft. The scar tissue seemed more defined and thinner. When you say “more defined” could it be that the edges and surface features of the scar are becoming thinner and in a way “sharper?” Once you gain confidence and experience feeling that scar, it can be amazing how much detail you can detect as it begins to shrink. All it takes is that you spend a little time with an open mind and some creativity to be able to practically “see” what is going on below the surface. It was feeling smaller perhaps and I am wanting to continue further with this product. The scar tissue hasn’t gone completely away and I will continue to follow the Medium Better Plan, but at 61 years of age I am not ready to give up yet. This condition takes time for improvements however small. You know this is the first time you and I have communicated about the details of your plan; how you are using it, and how your doses are taken. So this is the first time I have had the opportunity to comment on what you have decided to do. Overall, your plan is slightly to moderately aggressive. If you are happy with your current rate of progress, I suggest you make no changes. If you find that your scar changes have plateaued I suggest you think about a few dosages changes 7-10 days after you decide you have plateaued: Reduce your vitamin E (a more expensive vitamin) to 2/ day, and increase vitamin C (a less expensive vitamin) dosage to 3-4/day. On a different subject, after watching the dosage patterns of men who are beating their PD – and men and women who are beating their DC – I often see that enzymes are very important to treatment success. Now, they cannot do it alone; enzymes must be combined with other therapy products as you have done. All I am saying is that the enzymes appear to be the work horses of PD and DC therapy plans, that must be supported with the other things like MSM, PABA, Acetyl-L-Carn, coenzyme Q10 (Ubiquinol), vitamin E and C, and all the external therapies (the DMSO trio, stretching, US, etc.). In a developing treatment plan I think the best results come when all therapies are increased, but with special emphasis on the enzymes. Please do not misunderstand me here. All therapies in the PDI program are important; it takes diversity to treat PD well. But usually it helps to push the enzymes a bit more than the others, OK? It takes all the different musical instruments to make up an orchestra, even if you think the most important one is the violin. Otherwise all you have is a bunch of violins – and that is not what you want. You have to use all the instruments (all the different horns, strings and drums) and have them working together in a balanced way to make beautiful music.

I believe my condition is hereditary in nature. Perhaps stress might have brought it out, I do not have the answers. I know your last name, so I agree that your UK ancestors gave you a genetic predisposition. But, I would also add that your adventure with the Little Blue Pill was possibly contributory to your PD – guys with blood from the UK who use the Little Blue Pill = Peyronie’s disease. Hope to hear back from you on those questions I asked. TRH But I do know that Dr. Herazy and the PD Institute has been very supportive and I have made a difference using their products. Just thought I would share my journey with other PD sufferers and say never give up. I would like to thank all your letters as well for me to read and be encouraged by them.

Sincerely,

MMXXXXXXXXX

P.S. Dr. Herazy would you not include my name All of that will be cleaned up, along with the email address. TRH if you are going to post this letter of mine. But certainly go ahead and post if it will have some value to other men suffering from Peyronies disease.

From: mmxxxxxxxxxx
Sent: Monday, July 13, 2015 1:13 PM
To: Theodore Herazy

Subject: Re: Serretia and Serrapeptase

Sorry … Just one last question Dr. Herazy. Is my program missing any essential enzymes? Thank you.

MMXXXXXXXXXXX

Greetings MMXXXXXXXX,

Sorry for the delayed response. Many emails coming in lately.

As far as I can tell you appear to have all your enzyme bases covered. But, you see, it is up to you – not me – to figure out if you are taking the right enzymes. I can give you my ideas, but they are only suggestions for what you can try to do to see it if it works for you. The list of enzyme products from the PDI storefront are all useful to get rid of extraneous fibrous tissue in the body. Any and all work. However, which ones to use for each individual is best determined by watching how your body reacts to them when you slowly introduce and increase them into your plan. What you and I think is unimportant – compared to how your scar responds to what is used in your plan. No one can figure that out for you. The real question is, “What enzymes plus everything I am using do I need to get rid of my PD scar and get my distortion corrected?”

We can think what we want to think. Some of our ideas turn out to be good, and some turn out to be bad. We try to do our best so that we do is brilliant and helpful to promote your recovery. We start out with a treatment plan, any plan that makes sense to us at the start of care, and we follow it well for a minimum of 3-4 months to see if it will reduce the scar. If it works immediately, great; we continue the plan. If it does not work, it makes sense to change the plan until we find a combination of things that reduces the scar.

The PDI treatment protocol for self-treatment process is very much like the art of medical practice your MD uses to lower blood pressure: Start with a drug that should work, at a dosage that should work. Observe the response of the body to see if the blood pressure goes down. If the blood pressure lowers, change the dose until it does go down. If that does not work, then add in another drug until the blood pressure goes down. We are generally doing the same thing with your PD while using Alternative Medicine.

As I understand you are taking Neprinol 4/4/4, Serretia 5/5/5, Nattokinase 1500 4/4/4, and Inflamazyme 0/3/0 – those are a lot of enzymes, my friend. But maybe your body needs an even greater amount of enzymes to get the job done for you. Who knows for sure? I have seen people take even higher dosages to remove their foreign proteins without any adverse reaction or problem. As long as your body can tolerate a greater dose without developing side effects, you must carefully monitor yourself and go forward. But first, rather than add any more enzymes to your plan at this time I would suggest that you simply change the way you are taking the enzyme dosages in your current plan. I suggest that you emphasize or off-set the number of enzymes you take during the course of the day so that your intake is lighter or smaller early in the day, and heavier or larger late in the day. This would mean that the 12 Neprinol you are now taking in a day at the rate of 4/4/4 could instead be taken on a 2/3/7 or 3/3/6 or 2/4/6 schedule. The same could be done for the 15 Serretia you now take in a day; those 15 Serretia could be taken on a 3/5/7 or 4/4/7 schedule, or a similar pattern. Your 12 Nattokinase 1500 could be taken in a 2/4/6 or 3/3/6 schedule. Your three Inflamazyme could be taken in a 1/1/1 or 0/1/2 schedule. Further, if you decide to make a change in your Neprinol schedule to an off-set pattern I would not advise to go later back to a level or even pattern; keep it off-set and then make an off-set pattern change to next enzyme. If that pattern shift makes all the difference in the world to your scar structure – as it has done for some people – do not make any more changes to your plan. Stay on the winning horse. If it does not make a difference to the scar, then on the next 7-10 day cycle change the intake pattern of your next enzyme. And so on. This is the way you can make small but very significant changes to your plan, without actually increasing your plan or incurring greater expense.

It occurs to me I have never presented a formal description of how a good plan operates. Please read each step individually since the subtle changes as you progress are important. Here is how it is done step-by-step:

Evaluate scar in great detail to determine the size, shape, density and surface features.
Write notes and draw a picture of your scar with details of its features using the “Current Strategy” form. Keep all records about each change of your treatment plan for future comparison.
Start whatever treatment plan that makes sense to you and your treating doctor.
Keep on this basic plan for 7-10 days.
Re-evaluate scar.
No change in scar?
Make a small change in plan. The plan is now just a little larger.
Use this overview of all therapies to help you decide how to increase your plan if you have not made any progress in the previous 7-10 days:
1. “Group 1” – any enzymes you are taking, such as:
  1. Inflamazyme
  2. Neprinol
  3. Serretia
  4. Nattokinase 1500
  5. Fibrozym
  6. Bromelain 5000
2. “Group 2” – any of the internal support therapies you are taking, such as:
  1. Vitamin E – do not increase to more than 2-3/day
  2. Vitamin C
  3. MSM
  4. PABA
  5. Acetyl-L-Carnitine
  6. L-Arginine
  7. Coenzyme Q10 (Ubiquinol)
  8. Quercetin-Bromelain – do not increase to more than 4/day
3. “Group 3” – any of the external therapies you are using, such as:
  1. Moist heat – local application usually applied for 5-10 minutes immediately prior to any of the other external therapies
  2. Gentle manual stretching
  3. DMSO, with vitamin E and Super CP serum
  4. Ultrasound
  5. Genesen acutouch pens
4. An effective plan has a diversified balance of 2-3 or more therapies from all Groups, 1, 2 and 3
Increase the level of treatment each 7-10 days if no structural changes have occurred to the scar tissue as a result of the previous increase of therapy
1. For the early changes (1^st to 3^rd plan increases) you can usually do more changes at a time; early changes can be more aggressive per 7-10 day cycle, but later changes are smaller
  1. For 2-3 products in “Group 1” AND “Group 2” increase daily dosages by 2-3 pills daily (Example: Go from Neprinol 6/day to 8/day or 9/day, and L-Arginine from 4/day to 6/day)
2. For the later changes (after the 3^rd increase) make smaller and fewer changes – make only one increase from one group at a time – do not make changes to therapies in two groups at a time
  1. Increase one product from “Group 1” OR “Group 2” by one more pill per day in a 7-10 day cycle
    1. Example – Serretia goes from 4/day to 5/day
    2. Example – Nattokinase 1500 goes from 2/day to 3/day
3. For the later changes switch the group you will increase each 7-10 days
  1. In one 7-10 day cycle select one enzyme to increase from “Group 1” and increase the dose by one pill
  2. In the next 7-10 day cycle select one therapy product from Group 2” and increase the dose by one pill
  3. In the next 7-10 day cycle select one enzyme to increase from “Group 1” and increase the dose by one pill
  4. In the next 7-10 day cycle select one therapy product from Group 2” and continue as needed
4. Seldom are there changes made to treatment from ”Group 3”
  1. When “Group 3” changes are made they are done in addition to changes in “Group 1 / 2 alternation pattern”
Keep slowly expanding your plan for each 7-10 days
Re-evaluate scar.
No change in scar?
Make a small change in plan. The plan is again a little larger.
Keep on your new plan for another 7-10 days.
Re-evaluate scar.
This pattern of “evaluate/increase every 7-10 days” can continue for 1-2-3-4 months, until one day…
Slight change in scar structure
1. Smaller
2. Softer
3. Different shape
4. Surface feels less smooth or “fibrous”
5. Edges feel tapered, rounder or thinner
6. More difficult to find
If the small change satisfies you, make no more changes to plan but simply continue with plan until scar stops making changes or it is gone.
If the small change does not satisfy you, make a small change in your plan. The plan is again a little larger and more complex.
Keep on your plan for 7-10 days.
Re-evaluate scar.
Big change in scar?
If the big change satisfies you, make no more changes to plan but simply continue with plan until scar stops making changes or it is gone.
If the big change does not satisfy you, make a small change in your plan, but realize that you could be so changing your successful plan so much that it will no longer be effective.
If no fibrous tissue changes are found after 3-4 months of faithful and aggressive self-treatment, consult with your medical doctor to determine the next best medical treatment to use.

This natural Alternative Medicine approach does not work for everyone – but neither do drugs and surgery. The difference is that when this natural approach does not work, it does no harm; when drugs and surgery do not work the side-effects can be a disaster. Based on almost 15 years of doing this work with PD and DC, that I get 8-10 reports of complete or partial success for every one report of failure. When I talk to that one person who has failed or not noticed some change in the size, shape, density or surface features of the fibrous material I usually learn they were not following the DCI and PDI protocol correctly. If you faithfully use these ideas and this approach for at least three months you can reasonably assume you have done all you can to help your body naturally eliminate the PD or DC fibrous material. If this conservative therapeutic trial of care does not help you, you can then consider the next, more aggressive, form of treatment that is surgery.

MMXXXXX, I like this 25-point outline that I put together for you. I have never taken the time to present this kind of overview of how treatment should be done. It makes sense to me, but I know it so well. Does it make sense to you? Are there areas that are confusing or that you do not understand? Is there anything that could be explained better? I am thinking of turning this outline into a new “stuffer” that is put into the box when someone places an order, so that men will have a better idea how to use the PDI treatment plan idea. Do you think this outline would be helpful? Can you offer any suggestions to make it better or easier to understand? Any help you can offer would be appreciated.

Regards,

Theodore R. Herazy, DC, LAc
Peyronie’s Disease Institute
Dupuytren’s Contracture Institute

The last email is from a man with Dupuytren’s contracture who has a basic dosage question, plus a few others, that many people confront.

—–Original Message—–

From: DSXXXXXXXXX

Sent: Tuesday, August 11, 2015 12:08 PM
To: Theodore Herazy <herazy@comcast.net>
Subject: Serretia

Hello.

Thank you for your last monthly update. I am interested in increasing my enzyme intake for my DC but am not sure if I should just add another one like the Serretia you mentioned in your past newsletters. I am currently taking Inflamazyme in a 1/3/4 dosage pattern. If adding Serretia do I keep Inflamazyme at same level? Are there any health concerns with doing so while adding another enzyme? And at what dosage level would Serretia be recommended initially and then to what maximum level?

Other therapy dosages are currently (I am aware that I can also increase some of these and have and will do so based upon your recommended levels and methods of alternating with enzymes):

Unique E – 1/0/1
Acetyl-L – 2/0/2
PABA – 3/0/3
L-Arginine – 1/0/1
MSM – 1/2/2
Quercetin-Bromelain – 1/1/1
Scar Free, Super CP, Topical Vit. E and DMSO are all at 1/1/1

I have a pretty severe cord in which I’ve seen some degradation and changes in size, density, adhesion, etc, though I have not seen improvement in finger or palm measurements. At this point I may have stalled and am hoping to accelerate improvements in diminishing cord.

As always your help and advice is appreciated.

Thanks and best regards,

DSXXXXXXXXX

Greetings DSXXXXXXXXXX,

Since your Inflamazyme level is not super-high I suggest that adding the Serretia to your current Inflamazyme intake would make most sense, as opposed to substituting one for the other.

Since this whole concept of high dosage enzymes is unchartered water there are always health concerns. Having said that I can tell you that in almost 15 years of doing this work I have not had anyone report any liver or kidney problems as a result, and not even side-effects beyond transient diarrhea that is controlled by slight reduction of dosage while the body acclimates to the presence of break down products in the colon when first starting to take the enzymes. Be mindful and aware of any unusual response or reaction that is foreign for you while you are using your therapy plan.

When increasing your enzyme intake, or for that matter adding to any other area of your treatment plan, you will find there are few – if any – hard and fast rules to follow. Different people find that different combinations of therapies happen to work better for them; those people who eliminate their hand contractures do not follow the same treatment plans. You will find that experimentation and documentation are the best way to find out what makes the fibrous tissue in your hand to soften and get carried away. As you get closer to the correct combination of therapies at the correct dosage, you will find that your cords and nodules will rather rapidly begin to respond. This is why DCI has suggested that you evaluate and increase dosage slightly every 7-10 days.

Start Serretia at the dosage suggested on the label. The maximum dosage of Serretia ultimately has to be considered in relation to the other enzymes you are taking; if you are taking no other enzymes, then the dosage might be as high as 12/day or more; if you are on a multiple and heavy enzyme intake (many Neprinol, or Inflamazyme, or Nattokinase and Serrapeptase) the dosage of Serretia might have to be kept down to 3-6/day. What level of Serretia you use is best determined by how your gut responds when you take it (diarrhea that sometimes occurs when the dosage is brought too high too fast).

Yes, your other therapies probably should be increased if you are not pleased with your current rate of tissue response. I would not increase the vitamin E more than your current intake level, and increase the Quer/Bro perhaps only 1-2/day higher than your current intake level; the other therapies can be slowly bumped up typically and easily to double or so compared to your curate rates.

Regards,

Theodore R. Herazy, DC, LAc
Peyronie’s Disease Institute
Dupuytren’s Contracture Institute

Well there you have it. MMXXXXXXXX and DSXXXXXXXX are working hard and making progress with their problems. It can be done. They are not sitting around feeling sorry for themselves, nor are they looking for ways to change the basic PDI and DCI treatment concepts like some people do. They are following the basic treatment protocol as found on the two websites and getting results.

There are too many folks who spend more time and effort trying to discover the one isolated treatment (usually Neprinol or the ultrasound machine) so that they do not have to do much work; they want to use only the one most important treatment (like there is such a thing) and forget about all the rest. They think they can figure out the easiest, fastest and cheapest way to use just the single-most important therapy – and not mess around with all that other stuff. These are the people who are soon unhappy and disappointed with their treatment results. Most of those complainers and naysayers have never actually used the PDI and DCI treatment concepts; they play around a little bit picking at these ideas, but for the most part they avoid them because they think they can figure out a shortcut. So far, I have not seen any shortcuts.

What I present to you each month in these newsletters, and in the DCI and PDI nwebsites, is the best information and techniques I know about. If I can get this treatment protocol any better, in any way, I will let everyone know immediately.

I hope you all were able to benefit from this exchange of information. Let me know if you have any questions about what you are doing, please send an email at info@peyronies-disease-help.com

Stay focused to your treatment. TRH

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Dr.Herazy