[Jeff Gerber]

I think medical education is the first thing I think of when I ask myself what needs to change (aside from putting the food pyramid in the proper hands).

Is it not true that what we put in our bodies is one of the greatest influences on our general health? Is it not true that we look to doctors as an authority on our general health?

Then why is the following the state of medical practice today?

Copilot:
“Yes, it’s largely true—**most doctors receive minimal formal training in nutrition** during medical school. On average, U.S. and U.K. medical students get **about 11 hours** of nutrition education throughout their entire program, often focusing on biochemistry rather than practical dietary guidance.

Historically, nutrition has been undervalued in medical education, with many schools failing to meet the **recommended 25-hour minimum** set by the National Academy of Sciences in 1985. While some physicians pursue additional nutrition training, it’s not a standard part of most curricula. However, there are efforts to improve this, including specialized certifications like the **Physician Nutrition Specialist (PNS)** credential.

Would you like to explore how this gap affects patient care or what initiatives are working to change it?”

“Several initiatives are working to improve nutrition education for doctors:

– **Harvard Law School’s Food Law and Policy Clinic (FLPC)** has published reports advocating for policy changes to integrate nutrition into medical training. Their latest report, *Doctoring Our Diet II*, highlights federal efforts and opportunities to expand nutrition education.

– **Congressional Action**: In recent years, the U.S. House of Representatives passed a bipartisan resolution calling for meaningful nutrition education for physicians and health professionals.

– **Proposed Nutrition Competencies**: A panel of medical and nutrition experts has developed recommended nutrition competencies for medical students and physician trainees, which could be adopted by accrediting bodies.

These efforts aim to ensure doctors receive the necessary training to provide science-based nutrition advice to patients. Would you like to explore how these initiatives are being implemented in medical schools?”

[Jeff Gerber]

I know I’ve spent more than 11 hours reading about nutrition and I’m betting that @vegandan has as well 😉.

It’s frustrating to say the least that when you visit a cardiologist (such as I did yesterday) they are quoting common practices and beliefs from the 80’s such as egg yolks are bad and should be avoided because they contain cholesterol.

https://www.health.harvard.edu/heart-health/are-eggs-risky-for-heart-health

health.harvard.edu

Are eggs risky for heart health? - Harvard Health

Large studies have not found evidence of higher rates of heart attacks, strokes, or other cardiovascular diseases in people who eat up to one egg per day....

[Jeff Gerber]

I wouldn’t mind hearing more about clots in general and what we know about them post COVID and vaccination.

Microclots are one thing and then I’m wondering about the formation of much larger clots. My brother, 63 years old, just died at the end of May unexpectedly. He was in good shape physically, went to stand up to walk across the room for dinner, and had extreme pain in both legs. Helicopter ride to the hospital, clots in both legs. Death certificate reads “Acute aortic occlusion due to thrombus. Post-operative hemorrhagic and distributed shock. Acute kidney injury.” He was just up at his cabin doing yard work a day before and had a routine of going for walks.

So, I’m curious is there any information linking much larger clots to say spike protein?

[Jeff Gerber]

Absolutely! I had no idea. This brings up an important point which is you can’t get any kind of support unless there is an ICD code that defines a condition. Basically, if there is no ICD code, it doesn’t exist. Doctors at times have to become creative due to this short coming. So, whoever controls the ICD codes has much more influence than one realizes.

Here’s what copilot has to say on the subject:

Absolutely! The absence of an ICD code can create several challenges for doctors, including:

– **Difficulty in Insurance Reimbursement** – If a condition lacks an official ICD code, insurers may refuse to cover treatment, leaving patients and providers in financial limbo.

– **Limited Research & Data Collection** – Without a standardized code, tracking the prevalence and outcomes of certain conditions becomes difficult, hindering medical research and policy decisions.

– **Challenges in Diagnosis & Treatment** – Some emerging or rare conditions may not have an ICD code, making it harder for doctors to communicate diagnoses and coordinate care.

– **Social Determinants of Health (SDOH) Issues** – Factors like housing insecurity or food scarcity can impact health, but if they aren’t coded properly, they may be overlooked in patient care.

– **Administrative Burden** – Doctors may have to use vague or less accurate codes, leading to extra paperwork and potential misclassification of diseases.

Would you like to explore a specific case where this has caused significant issues?

[Jeff Gerber]

It looks like I was off a bit on my understanding but the relationship definitely underscores the importance of CPT as well:

CPT and ICD codes work together in medical billing and documentation, but they serve distinct purposes:

– **ICD Codes (International Classification of Diseases)** describe the **diagnosis**—the reason a patient needs medical care. These codes, maintained by the World Health Organization (WHO), classify diseases, conditions, and symptoms.

– **CPT Codes (Current Procedural Terminology)** describe the **procedures and services** performed by healthcare providers. These codes, maintained by the American Medical Association (AMA), detail treatments, tests, and interventions.

Together, they ensure accurate billing: **ICD codes explain “why” the care was needed, while CPT codes explain “what” was done**. If they don’t align correctly, insurance claims can be denied or delayed.

Would you like to explore how mismatched codes can cause billing issues?

[Jeff Gerber]

I’m not an expert on this but I asked copilot the following question:

“What are the constituents of a flu vaccine? How many different manufacturers and variations exist. Of those constituents, which might a person have a bad reaction to?”

The answer from copilot:

“Great questions — flu vaccines are more complex than they seem at first glance.

### Constituents of a Flu Vaccine

Most flu vaccines contain:

– **Inactivated or weakened influenza viruses**: These are the main components that train your immune system.

– **Stabilizers**: Like sucrose or sorbitol, to maintain vaccine potency.

– **Preservatives**: Such as thimerosal (in multi-dose vials) to prevent contamination.

– **Adjuvants**: Like aluminum salts, used in some vaccines to boost immune response.

– **Residuals from the production process**: These might include egg proteins (from egg-based vaccines), antibiotics (like neomycin), or formaldehyde (used to inactivate viruses).

### Manufacturers and Variations

For the 2025–2026 U.S. flu season, several manufacturers are producing **trivalent vaccines**, which protect against three flu strains:

– Two influenza A strains (H1N1 and H3N2)

– One influenza B strain (B/Victoria lineage)

There are **egg-based**, **cell-based**, and **recombinant** versions, each with slightly different virus strains depending on the production method. The FDA has coordinated with manufacturers to ensure a diverse and adequate supply.

### Potential Allergens or Reactions

Some people may have adverse reactions to:

– **Egg proteins**: Found in egg-based vaccines — a concern for those with severe egg allergies.

– **Thimerosal**: Though rare, some individuals may be sensitive to this mercury-based preservative.

– **Gelatin or antibiotics**: Used as stabilizers or to prevent bacterial contamination.

– **Latex**: Occasionally found in vial stoppers or syringe plungers.

Most reactions are mild (like soreness or low-grade fever), but severe allergic responses are extremely rare. If someone has a history of allergies, it’s best to consult a healthcare provider before vaccination.

Would you like help finding the best flu vaccine option for your needs or preferences? I can also help you compare egg-free or preservative-free versions.”

[Jeff Gerber]

I think an interesting experiment they should run for each vaccine is to create a vaccine without the weakened influenza virus but include all the other junk. Then do a test on people’s blood to look for immune response, without injecting them with it. Then for people with a reaction put that in the medical records at the pharmacy or wherever you typically get a vaccine from. Since each manufacturer might do different alchemy to arrive at a “vaccine”, and since each person might have a different reaction to that alchemy, you need to prove this for each person and each manufactured vaccine. Once you have that data, you can know to some degree if a vaccine is appropriate for a given individual. Though this does not necessarily mean it is safe because people can develop allergies with repeated exposure. A latex allergy is just one such example.

[Jeff Gerber]

Unfortunately tests like food sensitivity are not covered by insurance, but they probably should be. When you have a food product such as egg being put into a vaccine, it would be very nice to know if that is a sensitivity or an allergy for a person. I’ve attached an example of my own blood work which tests IgG, IgE and IgA. If a person shows IgE (defined as food allergy) to egg… that person should clearly not be given the vaccine containing egg.

[Jeff Gerber]

I’d love to hear about red light therapy in conjunction with methylene blue taken internally if anyone knows of such a protocol.

I’m familiar with topical application of MB for tinea versicolor and skin cancer and I understand there is a synergy between the two, both acting on the electron transport chain as well as MB having some inhibitory effects on yeast, etc. Internal MB + NIR is where I haven’t heard much talk.

Macular degeneration treatment with NIR is also one I picked up on recently. It seems as if where blue light/UV causes damage; red light might fix.

[Jeff Gerber]

Overdosing and biphasic:

I’m also curious about the biphasic dose response with red light therapy. For example, are the recommendations different depending on the season and sun exposure? Can you get too much of a good thing in the summer? It’s very hard to know the dose you receive from the sun in a week (and this varies by latitude and likely overcast conditions) while it is very easy to know the dose you receive from LED panels in a week.

Clothing:

Clothing is another aspect I’m interested in as a filter. NIR is basically heat and heat penetrates clothing. So, I suspect when clothed out in the sun, you might still getting a good dose all over your body. I see advertisements for Platinum LED where folks are clothed, though I always stand in front of the panels unclothed. The truth of the filtering effect of clothing is an unknown to me. Does it matter?

[Jeff Gerber]

I have one more thought on the topic, and that is that a doctor gathers information over the course of their career that gives them a “sixth sense” when it comes to patient care. This is something that AI does not presently possess. A doctor can tell you things they’ve noticed that are not necessarily widely known or even tested or published in literature. If you had an AI that monitors the career activity of individual doctors, then it could be possible to develop this capacity in AI. But today, AI gives you a statistical average set of knowledge and that is what you can expect for your care via AI.

[Jeff Gerber]

I’m very much on the same page as @vegandan with respect to both finding strength in using AI but at the same time very wary of GIGO (Garbage In Garbage Out).

AI is “trained” on data. And the AI is only as good as the data you give it. For example:

Me: “What is the name of the lab that SARS2 leaked from?”

Copilot: “The **Wuhan Institute of Virology (WIV)** in Wuhan, China, is often mentioned in discussions about the lab leak theory regarding SARS-CoV-2. However, the origins of the virus remain a subject of debate, with many scientists supporting the idea that it emerged through natural zoonosis rather than a laboratory accident. Some U.S. intelligence agencies have assessed the possibility of a lab-related origin, but their conclusions vary and are made with low confidence.”

Depending on the questions you ask and what the prevalent assumption is on the internet you may get a very strong statement of fact from the AI… the virus came from pangolins, etc. The AI may state that there are many peer-reviewed papers indicating some “fact” when in truth it doesn’t know that we are living in a time of deceit. So, GIGO.

On the other hand, we are in a period of time that patients are able to arm themselves with AI and doctors too. I’m sure it will be not long before the average patient and doctor is comfortable and skilled at using AI.

So, the problem of GIGO is where I think some time needs to be spent. Say for example you weed out all articles with any relationship to big pharma or big farming, etc. There is work to be done, but the value is definitely there for AI in health.

[Jeff Gerber]

I was just reading the Harvard publication “Doctoring our Diet II” and this really stood out to me as relevant:

“…in February 2024,

almost a year after the convening of the Summit on

Medical Education in Nutrition by ACGME, AACOM,

and AAMC, ACGME published an update to the

program requirements for GME in Pediatrics and

these updated requirements still do not include any

nutrition competencies. The fact that physicians

responsible for the medical care of children, in the

face of the current epidemic of childhood obesity, are

not required to learn about nutrition is an issue that

demands immediate attention.“

https://chlpi.org/wp-content/uploads/2024/06/Doctoring-Our-Diet-II_FINAL_6.10.24.pdf

[Jeff Gerber]

I’m getting excited and this is a great step forward.

Today the other great news I received was my daughter texted saying that she went in to visit the doctor for my grandson’s 6-month-old checkup and they wanted to give him the COVID “vaccination” and she refused. I gave her a lot of praise, and I fear how many people who are too young to consent to anything are still getting pumped full of spike protein. We know adults are becoming increasingly wary and the incidence of injections has decreased but I imagine for infants and children this is still a constant. We can’t get rid of this fast enough. We’re going to be seeing issues in infants and children for the next few years if we stop this irresponsible behavior right now.

[Jeff Gerber]

❤