The Covid Dilemma

The Covid Dilemma

The Covid Dilemma 1920 1280 Gary Ruelas, D.O., Ph.D.

Recently there was an article published in the Journal of Science: February 2024 titled “Solving the puzzle of Long Covid.” It was evident that the effects of Covid continue to linger for many, reportedly in the “millions.” These negative effects include but are not limited to a constellation of symptoms and the ages range from children to adults. It is described as a complex non-monolithic multisystemic disease, which can affect multiple organ systems. Additionally, there may be an array of various subtypes. Some of the symptoms and systems affected include fatigue, brain fog, dysautonomia and malaise, some include the cardiovascular system and metabolic syndrome, amongst others.

Ironically, these problems are not necessarily an outcome of moderate to severe Covid, many had mild cases. There is some evidence that the use of antivirals could reduce the effects of long-term Covid by 26%, but not everyone qualifies for these antivirals and the majority are still affected. Also, reinfection may be playing a role in this multi-system long term by problem.

The article goes on to outline the effects including viral persistence, immune dysregulation (poor immunity) microbiome dysbiosis (toxic gut), endothelial and neuronal inflammation (poor tissue regulation) and mitochondrial dysfunction (mostly loss of Adenine Triphosphatase). Though the article does well in defining the disease and the pathways associated with the syndrome, it does little to provide remedy. Perhaps because no remedies are yet proven.

As life goes on, each individual is different and each one comes into infections with a unique biology, some of which may be compromised by depletion.

HOWEVER, because it is a science journal it does not allow for consideration of options or potential, without “scientific proof.” The approaches I am referring to have been proven to exist and their purposes have been established; they have not been applied to the clinical field as much as they should on a clinical and research basis. Ironically, they are often more applied in Pediatrics than adults, but even then, it remains a disease-based model looking for pathology not deficiencies.

These approaches of function is what is being discussed here without suggestion of cure or remedy but perhaps common sense and plain out correction.

Gastrointestinal Dysbiosis can cause a decrease in nutritional uptake. This depletion can lower our energy, cause inflammation and fatigue and even “foggy brain.” The depletion goes further by affecting the Mitochondria in its well-known system of a KREB Cycle responsible for producing energy, that affects the body systemically as there are multiple mitochondria in each cell, so billions are suppose to be adequately at work all the time.

Though the Guts Microbial environment needs to be addressed and corrected as well as mineral and vitamin levels, while a review of absorption rate completed they are often not looked at. WHY, perhaps it is too basic of a discussion or test and potentially assumed all is well at the cellular level so why look. Ironically, these pathways are not basic or simple, we just get trained to look at pathology and disease not at the function. These tests are best used as the backbone for all forms of treatment.

It has been our experience here at IMI, with the patients we have seen, that as the depletion and the imbalance are noted and get correct in the patients as we begin to work with them, many reductions, if not elimination of symptoms for many problems occur, not just for long term Covid, symptoms may be diminished and or resolved. So please get your GUT corrected and your levels checked.


Blessings to all!


Gary Ruelas, D.O., Ph.D.

Dr. Ruelas holds doctoral degrees and is licensed to practice in both medicine and psychology. He approaches his patients by gathering and analyzing data differently from other physician’s moving away from a disease model to a holistic functional model. Read Bio

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