Checklist for starting the Marshall Protocol

Before starting the Marshall ProtocolA curative medical treatment for chronic inflammatory disease. Based on the Marshall Pathogenesis. (MP), patients should:

1. Enlist the care of a physician willing to prescribe MP medications and support the patient throughout the treatment.
2. Ensure that their physician is following the MP correctly. Also, be sure that he or she understands both the effectiveness of the MP and the dangers inherent in deviation from the guidelines.
3. Assess level of vitamin D metabolites. While there is no level of either 25-D or 1,25-D which must be achieved before one begins the MP, a high 1,25-DPrimary biologically active vitamin D hormone. Activates the vitamin D nuclear receptor. Produced by hydroxylation of 25-D. Also known as 1,25-dihydroxycholecalciferol, 1,25-hydroxyvitamin D and calcitirol. could reveal extensive inflammationThe complex biological response of vascular tissues to harmful stimuli such as pathogens or damaged cells. It is a protective attempt by the organism to remove the injurious stimuli as well as initiate the healing process for the tissue. and a higher 25-DThe vitamin D metabolite widely (and erroneously) considered best indicator of vitamin D "deficiency." Inactivates the Vitamin D Nuclear Receptor. Produced by hydroxylation of vitamin D3 in the liver. could show a suppressed immune response. Note that a level of 25-D below 3X ng/ml is not necessary to begin the MP, but it is necessary to progress to Phase Two.

1. Realize the MP is contraindicated for pregnant women and nursing mothers. Women of childbearing age on the MP should take adequate contraceptive precautions.
2. Discontinue consumption of vitamin D in food and supplements. Other foods such as soy and soy products are also restricted.
3. Obtain sunglasses that block infrared light, of which there is only a small percentage. These include NoIRs, but there are other styles as well. MP patients may not begin olmesartan (Benicar)Medication taken regularly by patients on the Marshall Protocol for its ability to activate the Vitamin D Receptor. without NoIR sunglassesSpecial sunglasses worn by Marshall Protocol patients to block light. or the equivalent. MP patients must be willing to adapt their lifestyle to avoid sun and lights and be willing to look somewhat unconventional due to any measures needed to restrict light.
4. Modify home and work environment with regard to light exposure. If necessary, patients may need to avoid or limit sun or lights if still employed or responsible for raising children.
5. Reduce workload if possible so it is possible to stay indoors during daylight hours, at least during the initial stages of the MP.
6. Enlist or have the support, physical if needed, of family and friends.
7. Be willing and able to use a computer to visit and participate on the MP study site.

1. Read the Tips for using the Marshall Protocol Knowledge Base.
2. Understand that the MP is a serious and often multi-year commitment.
3. All MP patients should be familiar with the list of safety warnings.
4. Understand immunopathology (IP). IP is the unavoidable increase in the severity of symptoms caused by increased activation of the immune response. IP can be symptoms a patient already has or new symptoms. In rare cases, IP may even cause an adverse event. Patients must be able to learn, early in the MP, to independently manage immunopathologyA temporary increase in disease symptoms experienced by Marshall Protocol patients that results from the release of cytokines and endotoxins as disease-causing bacteria are killed. by adjusting MP medications so as to avoid taxing the resources of the study site moderators.
5. Understand photosensitivity. Photosensitivity is not caused by the MP so much as revealed by it. One may discover that one is not photosensitiveAbnormal sensitivity to sunlight and bright lights. Also referred to as "sun flare" or "light flare." may decrease in latter stages of the treatment or that was something of a non-issue.
6. Review the Marshall Protocol Knowledge Base to understand the fundamentals of the MP.
7. Review the Phase One guidelines.
8. Review appropriate articles on life-threatening conditions. Articles are devoted to patients who have cardiac, kidney, neurological, or respiratory illnesses and symptoms.
9. Learn about how frequent dosing of minocycline can control strong immunopathology.
10. Ask any unanswered questions at CureMyTh1.org.

1. Possess the desire to recover health instead of merely palliate symptoms.
2. Be convinced of the merits and validity of the Marshall Protocol and Pathogenesis. Between the Knowledge Base, the MP study site, Bacteriality, and all the papers which discuss different aspects of the MP, there should be enough information available for any patient to make an informed decision about the MP. Given that there is a waiting list to join the study site, it shouldn't be up to any moderator to convince a patient to do the MP.
3. Be willing to share all progress data, including all medical reports, when requested by Board Staff. Failure to continue posting regular reports will result in a status change to guest. Patients must post progress reports at appropriate intervals, volunteer pertinent, detailed information and answer all questions from the Moderators.
4. Be willing and able to comprehend and follow moderators' instructions. Patients must also be able to communicate effectively in English.

1. Discontinue other protocols and alternative treatments especially immunosuppressants. Patients should work with their physician to discontinue alternative treatments and, when necessary, wean off corticosteroids and other immunosuppressants. Note that the use of some palliative medications is okay provided it is necessary.
2. Obtain one month's supply of olmesartan (Benicar): 90-120, 40mg tablets. Olmesartan is essential to the MP. There are no substitutes. Further, there is no such thing as a “different version” of the MP that does not use olmesartanMedication taken regularly by patients on the Marshall Protocol for its ability to activate the Vitamin D Receptor. Also known by the trade name Benicar. . Note that Benicar HCT is contraindicated. Do not take Benicar HCT. Patients are also expected to locate access to a reliable supply of olmesartan, especially if it is not available in their home country.
3. Obtain one month's supply of minocycline: 30, 100mg tablets.
4. Possess the finances to afford olmesartan and MP antibiotics as well as regular doctor visits, D-metabolites tests, and appropriate sunglasses.

Patients who complete these requirements have the option of doing a therapeutic probe, a brief trial of the MP, or beginning the Protocol in earnest.

1. Print out the Notice for Health Care Providers, a guide for treating patients in an emergency situation.