A note on updating the Klenner protocol for 2013 and beyond

Dr Klenner modified and improved his protocol over many decades. Coenymated forms of vitamins are not included in Klenners protocol because they were not an option at that time. Since the 1980s research has brou ht new discoveries in the area of ! vitamins and newer information su ests stron ly that many people need to ta"e only the coen#ymated forms of some ! vitamins$ and that synthetic folic acid should be strictly avoided. %hile & still support the Klenner approach in eneral terms$ & feel the followin points need to be made' ( Klenner recommends ) m a day of folate as folic acid. &n fact folic acid should be avoided and hi h doses can cause real problems includin increased cancer ris" * especially for those with the +,-./ polymorphism. &t ma"es sense in 0011 to omit all folic acid and instead to only ta"e active forms of folate such as calcium folinate and methylfolate. See the main ! vitamin pa e for more information on +,-./. ( Klenner recommends very lar e doses of vitamin !1 as thiamine and !0 riboflavin. &t ma"es sense in 0011 to instead ta"e active and preferably also sublin ual forms of !1 and !0. ,hese forms dont re2uire conversion before use and so do not put as much strain on the body as does ta"in very lar e amounts of uncoen#ymated vitamins. &t seems lo ical that a much smaller dose of !1 and !0 may suffice in this very efficient form. 3t the very least some of each form could be ta"en so the overall dosa e of the non*coen#ymated forms could be very much lowered. ( Klenner recommends very lar e doses of vitamin !) as pyrido4ine. +any nutritional e4perts have stated that to4icity from vitamin !) is rare and only occurs with doses over 500 6 0000 m ta"en alone. !ut rare or not some people do seem to have difficulty convertin !) to its active form 757 and for some this can occur well below the dosa es listed by Klenner and when they are ta"in !) with all the supportive nutrients. ,his can cause numbness and tin lin in the arms and le s and while it is usually reversible in some cases it is permanent. Substitutin very lar e doses of pyrido4ine with a far smaller amount of 757 seems a much better and safer idea. 00 m of 757 is the e2uivalent of 100 m of pyrido4ine. 8& should note here that & recently turned out to be one of those 9very rare people who has an issue convertin pyrido4ine to 757. :ot fun;< ( Klenner recommends in=ections of !10 as cyanocobalamin. &n=ections of this form of !10 are no lon er used by the best nutritional doctors and instead activated forms of !10 such as hydro4ycobalamin$ methylcobalamin and dibenco#ide are iven$ usually sublin ually but sometimes by in=ection or &>. Smaller doses are needed when activated forms of !10 are used. ( Klenner recommends vitamin ? as 1)00 &@ d*alpha tocopheryl acetate. 3 more modern approach would be to use 800 &@ or more of the non*acetate form and to combine it with appropriately balanced amounts of the other A forms of vitamin ?. ( Bther' Klenner also recommends !5 as calcium pantothenate instead of pantethine 8a superior form<$ recommends ma nesium orotate which is a very poorly absorbed form$ and lists vitamin 3 acetate rather than vitamin 3 from cod liver oil or similar which may be preferable. ,he recommendation for !1 as niacin and the rest of the protocol are fine. ,here is also the 2uestion of many newer supplements such as ubi2uinol which are not mentioned and which may well have

been if Klenner were still refinin his protocol today.

%hat & ta"e from readin Klenners wor" now is the importance of ! vitamins and a basic nutritional protocol. .or the most part & use his listin s of supplement types and dosa es as interestin historical information and not as a plan to be strictly followed to the letter today. & would hi hly recommend that others do the same. & feel that the resources we have today allow us to improve the 2uality and safety of the pro ram si nificantly. %e can also add many ood thin s not even mentioned by Klenner that are useful. ,his is especially true if you have a hi h 2uality nutritional doctor to help you formulate your own best nutritional plan usin clinical information such as that provided by Klenner but also newer research and your own test results and responses. & have left intact the information on Klenners e4act dosa es in this paper for informational purposes only.

The Klenner B vitamin/neurological disease protocol for M ! and other diseases

Dr Klenner and those who continued his wor" after his death have had a lot of success in treatin diseases similar to +.?.$ such as +ultiple Sclerosis and +yasthenia Cravis$ with a hi h*dose ! vitamin protocol combined with a eneral nutritional protocol. /esults are sometimes seen within =ust a few wee"s where the patient was treated while the disease was in the early sta es althou h patients that had been ill for many years sometimes too" 5 years or more to respond. Dr Klenner e4plains$ 3ny victim of +ultiple Sclerosis who will dramatically flush with the use of nicotinic acid and has not yet pro ressed to the sta e of myelin de eneration$ as witnessed by sustained an"le clonus$ can be cured with the ade2uate employment of thiamin$ ! comple4 proteins$ lipids and carbohydrates. %e had patients in wheelchairs who returned to normal activities after five to ei ht years of treatment. Considerin the safety of this treatment protocol and the similarity of the diseases discussed and studied$ and +.?.$ a reasonably compellin case can be made for its bein tried in +.?. also$ as well as in other somewhat similar diseases 6 in combination with hi h*dose or saturation level vitamin C. ,he benefits of correctin any nutritional deficiencies and ma"in sure that the body has all the nutrients it needs to function properly and to have the immune system fully powered up and to heal$ are well documented. &t is also well documented that a body sufferin with a serious infection will have a much hi her need for certain nutrients than a person that is healthy.

Dr Klenners protocol for +ultiple Sclerosis$ +yasthenia Cravis and other neurolo ical diseases. Dr Klenner wor"ed on perfectin his +S and +C protocol for over 10 years. -is treatment protocol for +ultiple Sclerosis$ +yasthenia Cravis and other neurolo ical diseases in 1980 included the followin ' ,hiamin -Cl 8>itamin !1< one ram 81000 m < ta"en thirty minutes before meals and at bedtime. :icotinic 3cid 8:iacinD >itamin !1< 50 m to 100 m $ dependin on flushin of s"in$ thirty minutes before meals and bed time. /iboflavin 8>itamin !0< 050 m after meals and bed time. 7yrido4ine 8>itamin !)< 100 m after meals and bed time. Calcium pantothenate 8pantothenate acidE>itamin !5< one ram after meals and bed time. Fecithin. 1000 m one capsule after meals and at bed time. >itamin 3 8palmitate< one 50$000 unit capsule after brea"fast and supper. >itamin ? 8d*alpha tocopheryl acetate< G00 &. units. .our capsules at bedtime. :iacinamide 8>itamin !1 amide< 500 m . tablets. Bne after meals. +a nesium o4ide 100 m tablet. Bne tablet after meals and before bed time. .olic acid. ,wo milli rams after each meal. Hinc luconate 10 m $ three times each day. ,a"e several hours after vitamin !0. 7rotein supplement containin ei hteen amino acids. &ntramuscular in=ection$ iven five to seven days each wee".' ,hiamin -Cl$ 8!1<$ G00 m daily$ pyrido4ine 8!)< 150 m daily$ cyanocobalamin 8!10< 1500 mc daily$ riboflavin 8!0< A5 m daily$ niacinamide 8!1< 150 m daily. 3t least 10 6 00 rams of vitamin C daily orally or by &>. /:3 and D:3 tablets 8100 m of each$ ta"en one to three times daily< are helpful to some patients. 500 6 1500 m of inositol. 3 hi her protein diet is recommended. Dr Klenner says of ! vitamin comple4 iven by &>$ &ntravenous medication can be iven dailyD it should be administered at least twice wee"ly. Due to sensitivity possibilities$ we always have the patient ta"e the intramuscular in=ections for three wee"s before startin intravenous therapy. .indin a 2ualified doctor is important. &f you still cannot find a 2ualified doctor$ do the best you can by readin as much as possible and buyin your own sublin ual and coen#ymate ! vitamin comple4 tablets and so on. Some aspects of the treatment can be started alone while you continue your search for a helpful doctor.

,he importance of vitamin !1

Dr Klenners neurolo ical disease treatment protocol stron ly emphasises vitamin !1 as it plays an important role in the metabolic cycle$ facilitatin muscle function and also aids in the remyelination of dama ed nerves. Dr Klenner writes$ ,he importance of thiamin in treatin +yasthenia Cravis and +ultiple Sclerosis cannot be over*emphasi#ed. ,wo molecules of thiamin hydrochloride in combination with two molecules of phosphoric acid is cocarbo4ylase. .or the reaction to acetyl coen#yme 3 plus o4aloacetic acid to continue throu h to citric acid with the release of coen#yme 3$ cocarbo4ylase must be present. &f this reaction does not ta"e place$ due to one of many factors$ there will be no coen#yme 3 present to react with another molecule of pyruvic acid to set in motion the elements necessary for the continuance of the metabolic cycle. &n thiamin deficiency$ both pyruvates and lactate accumulate in the blood. 7yruvates also accumulate at the neuro*muscular =unction causin cloudy swellin of the distal portion of the nerves. Cocarbo4ylase$ also "nown as diphosphothiamine$ is necessary in the synthesis of acetyl*choline and in the control of its hydrolysis. ,he activity of choline esterase of serum is also stron ly inhibited by cocarbo4ylase. ,he chief chemical factor in both diseases is thiamin hydro*chloride. Bther fractions of the !*comple4 are also essential but in lesser amounts. +yasthenia Cravis is due to enetic fault$ most li"ely involvin an intermediate lethal ene or roup of enes. +ultiple Sclerosis is more comple4. ,he initial patholo y is sic"ness caused by the Co4sac"ie virus. ,his virus mimics poliomyelitis$ and for many years accounted for thousands of so*called polio cases. ,his virus$ li"e the polioviruses$ can cause paralysis but never permanently. ,he nerve dama e is the result of microscopic hemorrha es in the central nervous system. %ith the contraction of the scar at the site of bleedin $ the vessels carryin nutrients to the nerve cells are virtually clamped off. ,his leaves nerve tissue$ in many instances$ alive but not capable of wor". 3s time oes on$ this wastin of nerve tissue results in loss of its myelin protection. ,his is similar to electrical wires that have lost their insulation when e4posed to the wear of daily use$ or e4posure to the elements. Dr Klenner ma"es the followin comments about the history of thiamine in treatin neurolo ical diseases$ &n the late thirties$ Stern from Columbia @niversity$ was employin thiamin hydrochloride intraspinally with astonishin results in +ultiple Sclerosis. -e reported ta"in patients to the operatin room on a stretcher$ and followin 10 m . thiamin iven intraspinally$ they would wal" bac" to their room. ,he response was relatively transient$ but it led Stern to believe that +ultiple Sclerosis was nothin more than vitamin !1 avitaminosis$ the modus operandi bein dama e to the filter bed of the choroid ple4us. Stern also found that the effective dose of vitamin !1$ when iven in the lumbar subarachnoid space$ was too close to the lethal dose as was demonstrated in do s. Sterns hypothesis was bac"ed by the "nowled e that de eneration of the myelin sheaths of peripheral nerves as well as of the an lion cells of the brain and spinal cord can be produced in e4perimental polyneuritis. Similar findin s are observed in starvation$ even when the supply of thiamin appears to be ade2uate. Bne school of thou ht re ards the neurolo ical syndrome of polyneuritis as a functional defect concerned with the neurons. .rom 10 years of observation$ & am certain that in +yasthenia Cravis and +ultiple Sclerosis$ it is not a functional defect$ nor is it due to impaired diffusion which would deny to the total metabolism sufficient 2uantities of the vitamin to satisfy the re2uirements of the neuro*muscular systems. ,he problem is supply and demand. &n this li ht$ Dr. Feon /osenber of Iale @niversity +edical School$ in wor"in with ! vitamins$ distin uishes between vitamin*deficiency diseases and vitamin*dependent diseases. -e states that the successful treatment of vitamin*dependent diseases re2uires dosa es up to 1$000 times the calculated minimal daily re2uirement. 1.1 m . has been established for thiamin hydrochloride which would indicate that in the patholo ical conditions

bein considered$ the daily re2uirement would be at least 1100 m . +oore$ in 19G0$ published a mono raph on the use of hi h intravenous doses of nicotinic acid for the cure of +ultiple Sclerosis. +oore employed a dru combination called :icobee. ,his preparation contained 100 m . nicotinic acid and )0 m . of thiamin in each 10cc solution. +any of the components of the !*comple4 must also be administered in varyin amounts$ alon with thiamine hydrochloride$ since they too e4ert a dynamic influence in eneral metabolism. +any believe that the ! vitamins are actually metabolic rea ents. -oa land has referred to them as protective catalysts. :ote that the focus in many of Klenners articles is +.S. and +.C.$ and that while we have no direct evidence that this protocol is successful for +.?. patients$ the Klenner protocol has been used in many other neurolo ical diseases with success. ,he mention of enteroviral infections and the success of this protocol in treatin patients with neurolo ical diseases caused by this type of infection also has particular relevance to +.?. as +.?. is also a neurolo ical disease caused by an enterovirus. 3dvocates of the Klenner pro ram today consider daily G00 m vitamin !1 in=ections as an essential and non*ne otiable part of the therapy and that all oral forms are inade2uate and will not provide the same level of healin . 7urely oral forms of the other vitamins however$ seem to be an acceptable substitute. !1 as sublin ual coen#ymated thiamine 8,D7 or ,77< $ benfotiamine or liposomal thiamine is the best choice for patients that cannot yet access vitamin !1 in=ections. -i h enou h doses of these types of !1 may in fact have the same effect as G00 m of thiamine in=ected daily. !ut as yet the research on the success of this substitution and how it should best be done has not been completed and so stic"in with the daily in=ections is seen as the safest way to o. ,77 is a critical lin" between the lycolytic cycle and its main ener y*producin cycle$ the Krebs cycle$ and plays "ey roles in the Krebs cycle itself. ,77 participates in the conversion of amino acids into ener y and is a "ey coen#yme in the pentose phosphate pathway$ which provides red blood cells with their ener y. ,77 is also critical in fatty acid synthesis$ synthesis of the "ey neurotransmitter acetylcholine$ and for nerve cell membrane function 8this is critically important since the nerves messa es must pass alon its cell membrane<. ,hiamin diphosphate 8,D7<$ also called thiamin pyrophosphate 8,77< or cocarbo4ylase$ is the active$ coen#yme form of vitamin !1. &t is available in sublin ual form as part of a ! comple4$ and sin ly. !enfotiamine 8belon in to the family of compounds "nows as Jallithiamines< is more bioavailable and physiolo ically active than thiamin. !enfotiamine raises the blood level of ,77$ the biolo ically active coen#yme of thiamine. !enfotiamine controls formation of advanced lycation end*products 83C?s< and helps maintain healthy cells in the presence of blood lucose. ,his synthetic form of vitamin !1 is fat soluble rather than water soluble. Dosa e is usually 150 to 1000 m daily. ,he ! vitamins have recently become available in a liposomal delivery system. 3 liposomal ! comple4 product is now available from Fivon Fabs which contains decent amounts of vitamin !1.

,he product is called 3C? bloc"er. ,he downside here is that the ! vitamins are not available individually and so it may not be possible to et enou h !1 without ettin more than needed of the other ! vitamins as well as the other nutrients included in the product. Fiposomal delivery systems ma"e nutrients very bio*available and so smaller amounts are needed than with oral forms.

,he importance of the niacin flush ,a"in enou h of the flushin form of niacin 1*G times daily to flush each time is recommended by some doctors. ,his includes Dr Klenner who includes it as an essential part of his protocol. ,his dilation of blood vessels helps et the nutrients you are ta"in to all the parts of the body and brain where they are needed. Dosa e should be in at =ust 05 m daily and be wor"ed up very slowly. ,he flush should always be mild and last no lon er than 10 minutes. Dr Klenner writes$ %e recommend whichever dose will produce a stron body flush. :iacin dilates the blood vessels$ even those that have been compressed by scar tissue$ allowin a reater amount of nutrient material to reach the cell laboratory or factor comprisin muscles and nerves. ,his constant$ repeated dilatation of the blood vessels acts in the same manner as the dilatin urethral catheter to correct constriction. Bne is chemical$ the other is mechanical. -ot fluids ta"en at the same time as the niacin will enhance the flush. 7yrido4ine has been a su ested stimulant. ,he lac" of constant flushin in +ultiple Sclerosis is disappointin but not hopeless. &t will re2uire a lon er time to achieve results. Some patients will flush sometimes and not at other times$ even durin a sin le day. &f no flush develops within G5 minutes$ the dose should be repeated. 3 delayed reaction of several hours can occur$ and should this be superimposed upon a previous medication$ the result could be severe. Do not scratch when itchin from niacin. Kust press the area with your fin ers$ or better still$ with a cube of ice.

,he importance of liver e4tract in=ections 3dvocates of the Klenner pro ram today consider twice*wee"ly liver in=ections as an essential and non*ne otiable part of the therapy. Fiver contains vitamin !10$ iron and vitamins 3 and D. Dr Klenner e4plains that liver also$ 9Contains factors still un"nown but essential in metabolism. ?atin some fresh coo"ed or anic rass*fed calf or beef liver each day$ or ta"in a tablespoon or more of a wholefood liver power 8placed on the ton ue and swallowed 2uic"ly with water while holdin your nose< or liver e4tract capsules is recommended for patients that cannot yet access these types of in=ections. ,he advanta e of the freshly coo"ed whole liver and liver wholefood powers is that they are not defatted$ as are many encapsulated liver products. ,his means that they still contain all the ori inal fat soluble vitamins such as vitamin 3 and D.&f possible buy non*defatted liver capsules. ,a"in some CoL10 daily is also considered a partial*substitute for lar e amounts of liver products$ accordin to the Cerson protocol.

,he importance of vitamin C ,he vitamin C ta"en daily on this pro ram is very important. Dr Klenner inspired Finus 7aulin and &rwin Stone to e4pand the research on the reat benefits of >itamin C.

,a"in ! vitamins in activated andEor sublin ual forms &n order for ! vitamins to be utili#ed by the body$ they must first be converted into their active coen#yme forms by the liver. ,his conversion ta"es time and re2uires metabolic ener y$ which may be in short supply in +.?.and other diseases. %here there are problems convertin one or more of the ! vitamins into their active coen#yme forms by the liver coen#ymated sublin ual ! vitamins will be by far the best choice of ! supplement. &n studies with chronic alcoholics 8a roup at hi h ris" of poor liver function< lar e doses of ! vitamins were iven by &>. :ormally$ the administration of these &>s would raise the bodys coen#yme levels$ but in the case of liver*impaired alcoholics$ it did not. ,his shows that a compromised liver may not be able to Coen#ymate vitamins optimally. ,hus when a person cannot convert ! vitamins properly$ even in=ections or &>s of non*coen#ymated vitamins will have little or no effect. So for some people$ the optimum way to ta"e in ! vitamins is not by &> or &+ but throu h coen#ymated products. Coen#yme forms of vitamins are biolo ically identical to those used by the body$ ma"in them hi hly bioavailable$ especially when they are also in a sublin ual form. Sublin ual tablets are absorbed rapidly into the hi hly capillarised tissues found in the chee"s and under the ton ue and enter the bloodstream intact$ without the ris" of bein de raded or diminished by the di estive system. ,a"in coen#ymate and sublin ual forms of ! vitamins also conserves valuable metabolic ener y and reduces the load on the 8probably very overwor"ed already< liver. >itamins ta"en in this form will also be faster actin . Smaller doses are needed when the coen#ymate forms of vitamins are ta"en and when nutrients are ta"en sublin ually$ as compared to ta"in standard oral forms of a vitamin.

-ow lon should this pro ram be continued !enefits may be lost if this treatment is stopped too soon and so it should be continued as lon as is necessary. 3 more scaled down pro ram may be necessary life*lon once the intensive pro ram is completed. Dr Klenner notes that 9?arly +.S. cases will respond 2uic"ly and cites e4amples where the protocol has ta"en 0 wee"s to wor" in some early cases$ and 5 * 10 years of constant treatment to be effective in lon er*term cases. Bne paper ma"es the statement that it may ta"e a year of treatment for every two years spent ill with +.S. for the full benefits of treatment to be seen. 8-e also notes that a cut*down version of his treatment protocol may also wor" but that it may ta"e much lon er

and not be effective in some cases.< 7atients often report seein noticeable improvements in their condition within 1 6 ) months of startin the vitamin !1 in=ections. .or the duration of the full treatment$ vitamin C should be "ept at 10 6 00 rams daily or at saturation level.

3re there other somewhat similar pro rams or re imesM +yers coc"tail therapy is similar in some ways to the Klenner protocol. !oth focus primarily on the ! vitamins but the +yers coc"tail re ime does not include in=ections of liver e4tract nor hi h levels of vitamin 3 and ?. 3 9+yers coc"tail is an &> containin ! vitamins$ ma nesium and calcium in particular amounts. ,his &> may be ta"en once or twice wee"ly or more 8alon with daily ! vitamins and other basic supplements iven orally each day<. ,his treatment must be administered by an e4perienced and 2ualified practitioner. .or more information on this treatment and instructions for doctors on how to ma"e the &>$ see the e4cellent article' &ntravenous nutrient therapy' the J+yersN coc"tailJ by &> vitamin e4pert 3lan /. Caby. -e e4plains$ 3ll in redients are drawn into one syrin e$ and 8*00 mF of sterile water 8occasionally more< is added to reduce the hypertonicity of the solution. 3fter ently mi4in by turnin the syrin e a few times$ the solution is administered slowly$ usually over a period of 5*15 minutes 8dependin on the doses of minerals used and on individual tolerance<$ throu h a 05C butterfly needle. Bccasionally$ smaller or lar er doses than those listed in ,able 1 have been used. Fow doses are often iven to elderly or frail patients$ and to those with hypotension. Doses for children are lower than those listed$ and are reduced rou hly in proportion to body wei ht. ,he most commonly used re imen has been G mF ma nesium$ 0 mF calcium$ 1 mF each of !10 8as hydro4ycobalamin<$ !)$ !5$ and ! comple4$ ) mF vitamin C$ and 8 mF sterile water. 3s the +yers coc"tail only contains a relatively small amount of vitamin C$ full*stren th vitamin C &>s may also be iven$ perhaps on alternate days. ,he Cerson =uicin pro ram for cancer and de enerative diseases is similar in some ways to the Klenner protocol$ althou h there are far more differences than similarities. !oth consider re ular flushin with niacin and in=ections of liver e4tract iven twice wee"ly or more as essential to the success of the therapy$ and both therapies recommend re ular in=ections of vitamin !10. ,he differences between the pro rams are many however. ,he Cerson pro ram recommends a very low*protein diet$ while the Klenner protocol involves a hi h*protein diet. ,he Cerson pro ram recommends that very few supplements be ta"en and places a very lar e focus on diet 8and hourly ve etable =uicin <$ while the Klenner protocol involves lar e amounts of many different types of supplements and only ives basic dietary advice. ,he Cerson pro ram recommends only small doses of vitamin C$ while the Klenner protocol involves a hi h dose of vitamin C$ and so on.

!oth of these pro rams may also have somethin to offer the +.?. patient and other patients$ whether followed in part or more faithfully. /eadin up on both of them is hi hly recommended. 3n important note on the Cerson 7rotocol' & have some serious reservations about the Cerson 7rotocol bein used for +.?. and 2uestion whether' 8a< 3 very low fat$ salt and protein diet is appropriate for +.?. patients for a period of months let alone for 0 years or more. 8,his oes a ainst the evidence presented by a hu e number of reputable health e4perts and also the evidence of a vast number of +.?. patients and patients with other neurolo ical or mitochondrial diseases that find they feel very unwell if they dont have a reasonably hi h protein inta"e or ade2uate fat in the diet.< 8b< 3n 80O raw foods diet is appropriate considerin that most +.?. patients have poor di estion caused by poor blood flow to the stomach which can ma"e eatin even a small amount of raw food very painful. ,his would be counter*productive as well$ as little would be absorbed. 8c< ,he direction to avoid so many other important supplements is the best thin for +.?. patients. 8d< 3ny moderately*severely +.?. affected patient would be well enou h to do all the enemas and have the hourly =uices re2uired 8even if they could afford the full pro ram financially$ which is also a bi as"< without relapse. %hile parts of the pro ram 8includin uppin ve etable and ve etable =uice inta"e daily and supplementin with some of the ! vitamins and with liver< ma"e a lot of sense and are mentioned here$ this should not necessarily be ta"en as a recommendation of the full pro ram for +.?. patients or anythin other than perhaps cancer patients.

.indin a doctor that can administer the Klenner protocol .indin a doctor that is "nowled eable about +.?. specifically is e4tremely difficult. -owever$ findin a doctor that can safely administer nutrients by in=ection or &> and that is e4perienced in treatin diseases similar to +.?. 8such as +S or Fupus etc.< is far less difficult. @se the phone boo" or the internet to as" various 2ualified holistic$ environmental$ or orthomolecular medicine practitioners near you if they offer this therapy and if they are e4perienced in providin it. &f possible$ find an e4pert in one of these fields 8or more than one these fields< that is also a 2ualified doctor so that you can also have any tests you may need.

Cautions and other notes on this treatment Bccasionally$ hi h*dose ! vitamins may interfere with sleep. &f you have trouble ettin to sleep at ni ht$ try ta"in your ! vitamins as early in the evenin as possible and see if this helps. !etaine trimethyl lycine 8betaine ,+C or ,+C< may be included in some ! comple4 formulas. Such products may be best avoided as ,+C is often very poorly tolerated in +.?. and can cause severe relapse while the supplement is ta"en and for a wee" or so afterwards. &f well tolerated however$ ,+C is a beneficial supplement as it aids in the process of methylation. ,+C is probably best ta"en alone to start with$ at very small doses of =ust 100 * 000 m .

Dr 3t"ins warns that women who need to shrin" uterine fibroids$ or prevent breast cancer recurrences$ or deal with endometriosis or fibrocystic breasts should limit supplemental folate to )00 mc daily. ,he Klenner protocol is very low ris"$ and so the ris" to benefit ratio is ood. ,he doses may have to be raised far more slowly in +.?. and possibly some other conditions due to severe supplement tolerance issues$ however$ and each supplement will be better off bein introduced individually rather than all at once >itamin !1 iven by in=ection can very occasionally cause an anaphylactic reaction and so in=ections should always be started at a very low dose. Dr Klenner comments that while this reaction can occur$ he has not seen it occur once in all the thousands of patients he treated. ! vitamins iven by &> or &+ should be iven by medical practitioners that have considerable e4perience in this area. :ote that the vitamin !1 in=ections once recommended by Klenner may cause problems in some patients and so are no lon er recommended. 7reservative*free in=ectable vitamins should be used if at all possible as patients may sometimes react badly to these preservatives. ,he information iven in this paper is a very cut*down summary of Klenners recommendations B:FI. &t does not include the various cautions and additional details that are so important to effective and safe treatment. 7lease read the papers listed below before startin this pro ram. ,his paper should be read to ether with the papers on this site on ! vitamins and on vitamin C.