Public protocols

Skin, Hair, Nail Support 101 - Dr Nicole Hoff DMS PA-C

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This protocol provides targeted nutritional support and lifestyle strategies to enhance structural integrity, promote collagen synthesis, and reduce oxidative stress for optimal hair, skin, and nail health.

Glp-1 Shot Transition to Supplements Plan

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Subject: Supporting Your Weight Loss Journey: Transitioning from GLP-1 Medications AVAILABLE TO DISCUSS WITH YOUR PRIMARY CARE PROVIDER Not intended to use without support from a provider. Hi there From PA Nicole, As you begin to transition off prescription GLP-1 medications, I want to ensure you feel supported with the right tools to maintain your weight loss and continue moving toward your health goals. GLP-1 medications have been a powerful jumpstart, but long-term success comes from building sustainable habits supported by high-quality supplementation, a low-carb nutrient-dense diet, and an active lifestyle. Below is a recommended supplement plan designed to optimize your metabolism, support appetite control, reduce inflammation, balance glucose, and help maintain your progress. Plan to start these before stopping the GLP-1 shots (in the last month if possible): Days 1-5: 1. ProThrivers™ Wellness Multivitamin A well-rounded, oncology-formulated multivitamin that supports daily cellular health, stress resilience, and nutritional repletion—important as we shift away from pharmaceutical support. 2. Berberine + Chromium A natural alternative to metformin that improves insulin sensitivity and supports healthy lipid metabolism. One below : OR https://equi.life/products/berberine?irad=1923800&irmp=7061522 3. MetaFiber® A blend of soluble and insoluble fiber that helps with satiety, stabilizing blood sugar, and supporting regular bowel movements—especially important during dietary transitions. Then ….. Days 5-10 add to above daily: 4. Calocurb Amarasate Appetite Control Plant-based support for appetite regulation via gut-brain signaling. It mimics some of the satiety effects of GLP-1 naturally. 5. Strength by InfiniWell Adaptogenic formula to support energy, stress response, and hormone balance—especially helpful as the body adjusts to life post-GLP-1. 6. GLP-1 Probiotic Pro (Pendulum) Contains Akkermansia and other strains shown to enhance the body’s natural GLP-1 production and maintain metabolic health post-medication. Then… days 10-15 add to above daily: 7. Creatine (Thorne) Supports lean muscle maintenance, strength, and metabolic function—especially important when paired with resistance exercise. 8. L-Glutamine (Lidtke) An amino acid that supports gut lining repair, reduces sugar cravings, and helps preserve lean muscle mass. 9. Glucose Control Pro (Pendulum) Supports healthy glucose levels with targeted probiotics and polyphenols—ideal for maintaining glycemic control after stopping GLP-1s. Then… days 15-20 add to above daily: 10. MegaMarine (Gut-Specific Fish Oil) High in EPA/DHA and designed to support gut health and reduce systemic inflammation, which can improve insulin sensitivity and support fat metabolism. 11. Weight Management Formula (Professional Formulas) A gentle homeopathic option to support metabolism, fat burning, and appetite regulation. For improving weight loss efforts by temporarily relieving increased appetite or cravings, occasional headache, and irritability due to a restricted diet. Consider adding these as protein and electrolyte options: 12. Plant Protein+ or ProVeg Organic Pea Protein Clean, plant-based proteins to help maintain muscle mass and keep you full—ideal for meal replacement or post-workout recovery. Offering 15g of protein, 4g of carbs and 0g of sugar, Plant Protein+ is an easy and delicious way to power your day. It’s great post-exercise to support muscle strength and recovery or to fortify your daily diet. AND KETO Electrolyte Powder (Trace Minerals) Supports hydration, energy, and electrolyte balance, especially helpful during carb restriction or intermittent fasting.Keto friendly - 0g Carbs - Replenishes lost electrolytes† - Rapid rehydration† - Sustained energy & endurance† - NO muscle cramps† - Efficient muscle recovery† - Full spectrum trace mineral & electrolyte complex - Delicious flavor OR Any other favorite protein powder OR electrolyte drink. How to Begin: • The Month before stopping shots: Start with 2-3 new supplements every 3–5 days to allow your body to adjust. This helps reduce the chance of digestive discomfort and ensures optimal absorption. • Take all products with food unless otherwise instructed. Morning or lunchtime is often ideal to support energy and appetite regulation. • Intermittent Fasting: If you’re not already practicing it, begin intermittent fasting at least 2 weeks before stopping GLP-1. A common approach is the 16:8 method—eating all meals within an 8-hour window and fasting for 16 hours (e.g., 11 AM–7 PM). This helps your body maintain insulin sensitivity and fat-burning rhythms. • Low-Carb Diet: Transition to a low-carb, whole-food-based diet at least 2 weeks before stopping the medication. Focus on protein (chicken, turkey, eggs, fish), healthy fats (avocado, olive oil, nuts), and fiber-rich vegetables (leafy greens, cruciferous veggies). Avoid processed carbs and sugars to stabilize blood glucose and hunger signals. Aim for 90g protein a day. • Hydration: Aim for at least 80–100 oz of water daily. Adding electrolytes (like in the Keto Electrolyte Powder) can prevent fatigue, headaches, and muscle cramps—especially during carb restriction or fasting. • Movement: Stay physically active with a goal of 30 minutes per day, at least 5 days a week. This can include brisk walking, weight training, yoga, swimming, or cycling for example—anything that helps maintain muscle and supports mood, metabolism, and glucose control. • Continue these supplements for 5-6 months to give your body the best chance to recalibrate after GLP-1 therapy. Note: These habits need to become routine , and will help your body transition off the GLP-1 medication more smoothly and ensure the supplements work effectively to support your ongoing weight and health goals. Remember, weight loss is about more than medication. It’s about creating a new foundation for long-term health, and this plan is built to do just that—with the right fuel, nutrients, and lifestyle support. I understand that this supplement plan may seem like a $$$$💸 financial investment , but it’s important to recognize that the long-term cost of GLP-1 injections—often ranging from several hundred to over a thousand dollars per month—far exceeds the cost of this targeted, nutrient-rich support. These supplements are carefully chosen to work synergistically to help your body function optimally, reduce cravings naturally, and maintain weight loss without ongoing pharmaceutical dependency. This approach not only supports your health more holistically but is also far more sustainable financially over time. ps. please also see the attachments for support during this transition. Kindly, In health, Dr. Nicole Hoff, DMS, PA-C

Tiny Health - Common Recommendations with MAX Discount

Teen Girl Wellness - Dr Hoff

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Brain Health – Hyperactivity + Focus

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Sick Early Treatment —Family Get Well Kit

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Dear patients, parents, and sick friends and family! This list is going to seem overwhelming AND expensive at first, but this is a very calculated protocol of what to ”have on hand“ and in your “wellness/ first aid kit” tool box during times of viral and/or bacterial illness. I assure you this kit will treat your entire family in an acute situation—see it as cheaper than several urgent care or ER visits! You (or your child) may NOT be taking these ALL at once, but they are very helpful when illness hits the home for you to have on hand because I WILL MENTION these and I prefer you have them on hand when a bug hits in the middle of night and you do not feel well enough to get to the store or cant get fast shipping! My Tele-health fee for a viral illness is $75 for existing patient, $150 for new patient. Register here if new patient: https://rifepediatrics.atlas.md/enrollment/index.html?account=4MeVnvPl0u5GKoUJ3DkB Email me with any questions or concerns ! NicoleHoffPA@gmail.com PA Nicole —————————————————— You can go to my links for the FLCCC Protocols to see if they are a good fit for you: Kids Viral Infection https://covid19criticalcare.com/wp-content/uploads/2023/02/I-CARE-For-Kids-Summary-2023-02-22.pdf Adults Viral Infection https://covid19criticalcare.com/wp-content/uploads/2023/02/I-CARE-Early-Covid-Treatment-Summary-2024-04-08.pdf RSV/Flu Viral Infection https://covid19criticalcare.com/wp-content/uploads/2022/12/I-CARE-RSV-and-Flu-Summary.pdf Prevention https://covid19criticalcare.com/wp-content/uploads/2022/12/I-PREVENT-Summary-2024-02-01.pdf EARLY COVID TREATMENT Also works well for flu, rsv, or other viral illness . Based on: I-CARE Early COVID Treatment Summary · March 30, 2023 Infection with SARS-CoV-2, the virus that causes COVID-19, progresses through a number of stages and phases. Treatment is therefore highly stage-specific and should be initiated immediately after the onset of flu- like symptoms. A confirmed antigen or PCR test is not required. The multiple therapies and drugs in this protocol have different mechanisms of action and work synergistically during various phases of the dis ADULT First Line Therapies: (In Order of Priority; not ALL required) https://covid19criticalcare.com/wp-content/uploads/2023/02/I-CARE-Early-Covid-Treatment-Summary-2023-10-16.pdf ——————————- Prescriptions ( contact Nicole PA, for a tele-med visit and prescription ) 1. Ivermectin: 0.4 to 0.6 mg/kg – one dose daily for at least 5 days or until symptoms resolve. If symptoms persist longer than 7 days, consult a healthcare provider. See Table 1 for help with calculating correct dose. Due to a possible interaction between quercetin and ivermectin, these drugs should be staggered throughout the day (see Table 2). For COVID treatment, ivermectin is best taken with a meal or just following a meal, for greater absorption. 2. Hydroxychloroquine (HCQ): 200 mg twice a day for 5 to 10 days. Best taken with zinc. HCQ may be taken in place of, or together with, ivermectin. While ivermectin should be avoided in pregnancy, the FDA considers HCQ safe in pregnancy. Given the pathway used by the Omicron variant to gain cell entry, HCQ may be the preferred drug for this variant. 3. Z-Pack: If needed for a secondary infection that is bacterial. 4. Steroids/saline/nebulizer: F or Inhalation if needed for continuous cough. ———————————— Over-The-Counter, Online/HEB/CVS/Etc or ORDER HERE! Feel free to price shop. 1. Mouthwash : 3 times a day. Gargle three times a day (do not swallow) with an antiseptic-antimicrobial mouthwash containing chlorhexidine, cetylpyridinium chloride (e.g., ScopeTM, ActTM, CrestTM) or 1% povidone-iodine. Find at: (HEB, Walmart) or order Tea Tree Mouthwas here from Nicole. 2. Nasal spray with 1% povidone-iodine: 2-3 times a day. Do not use for more than 5 days in pregnancy. Products include Immune MistTM, CofixRXTM, ViraldineTM, or IoNovoTM. If premixed product is not available, dilute the more widely available 10% solution (see box) and apply 4-5 drops to each nostril every 4 hours. **Pour 1 1⁄2 tablespoons (25 ml) of 10% povidone-iodine solution into a 250 ml nasal irrigation bottle; fill bottle to top with distilled, sterile, or previously boiled water. To use: tilt head back, apply 4-5 drops to each nostril. Keep head tilted for a few minutes, then let drain. ***Order Here from Nicole: *** For adults: Co-Fix or Bio-Active Silver Hydrosol Immune Fine Mist Spray By Sovereign Silver For Kids: Co-Fix Bio-Active Silver Hydrosol Immune Kids Fine Mist Spray by Sovereign Silver —-EACH MEMBER OF FAMILY EACH THEIR OWN BOTTLE, DONT SHARE—— 3. Quercetin (or a mixed flavonoid supplement): 250-500 mg twice a day. Due to a possible interaction between quercetin and ivermectin, these drugs should not be taken simultaneously (i.e., should be staggered at different times of day.) As supplemental quercetin has poor solubility and low oral absorption, lecithin-based and nanoparticle formulations are preferred. **(Order here from Nicole)** Bio-Quercetin By Life Extension 4. Nigella sativa (black cumin): If using seeds, take 80 mg/kg once a day (or 400 to 500 mg of encapsulated oil twice a day). Black Cumin Seed Oil and Curcumin Elite™ Turmeric Extract By Life Extension; includes taking Curcumin (turmeric). 500 mg twice a day. Take with full fat milk and black pepper to enhance absorption. Treatment for more than 14 days is not suggested. **(Order here from Nicole)** Black Cumin Seed Oil and Curcumin Elite WITH Turmeric Extract 5. Honey : 1 g/kg one to two times a day. Do not give honey to infants (under 12 months of age). Melatonin: 5-10 mg before bedtime (causes drowsiness). Slow- or extended-release preferred. Curcumin (turmeric): 500 mg twice a day. Take with full fat milk and black pepper to enhance absorption. Treatment for more than 14 days is not suggested. Find at: (HEB, Walmart, Farmers Market for best local honey). ***Order Here from Nicole: *** Superfood Honey 6. Melatonin: 5-10 mg before bedtime (causes drowsiness). Slow- or extended-release preferred. **(Order here from Nicole)** Melatonin Time Release 5mg By Bioclinic Naturals 7. Zinc: 75-100 mg daily. **(Order here from Nicole)** Immuno-Zn™ Lozenge By Designs for Health. 8. Aspirin: 325 mg daily (unless contraindicated). Find at: (Walmart for cheapest) 9. Kefir and/or Bifidobacterium Probiotics: NOTE: Depending on the brand, these products can be very high in sugar, which promotes inflammation. Look for brands without added suga r or fruit jellies and choose products with more than one strain of lactobacillus and bifidobacteria. Try to choose probiotics that are also gluten free, casein free and soy free. Find at: (HEB, Walmart) **(Order here from Nicole)** ** For Kids: MetaKids™ Probiotic By Metagenics ** For Adults: UltraFlora® Immune Booster By Metagenics 10. Vitamin C **(Order here from Nicole)** High dose 500-1000 Ascorbic Acid, by Thorne ————————- Second-line Therapies Add to above plan when: 1) more than 5 days of symptoms; 2) poor response to first line agents; 3) significant comorbidities (auto-immune, diabetes, high blood pressure, etc). Nitazoxanide: Prescription: 500 mg, 2 times daily Vitamin D3: as dosed in table 3 attached N-acetyl cysteine (NAC): 600-1200 mg orally, 2 times daily Omega-3 fatty acids: Integrative Therapeutics B complex vitamin: Integrative Therapeutics Pain Patch-Tiger Balm Of note, added to list, that are not on FLCCC protocol: *** Dr. Peter McCullough-Early Treatment Protocol** Dr. McCullough is a well-respected North Texas cardiologist with impeccable academic credentials.  He is a full professor of medicine at Texas A&M College of Medicine in Dallas.  Dr. McCullough is an internist, cardiologist, epidemiologist, and holds a Master of Public Health degree.  He is known as one of the top five most-published medical researchers in the United States and is the editor of two medical journals. McCullough recommends keeping these in your over-the-counter toolbox to help your immune system fight the effects of the COVID-19 virus: He recommended three supplements to mitigate harm and degrade spike proteins: 1. Nattokinase - 2000 units twice a day. Breaks down spike protein. 2. Bromelain - 500 milligrams once a day. Also breaks down spike protein. 3. Curcumin - 500 milligrams twice a day–this is in the Nigella Sativa/Black cumin listed above . Reduces inflammation and spike protein damage. And over the counter: Famotidine or Pepcid at a high dose, 80 mg/day active treatment ————————— Children Therapies, adapted from above: FLCCC Protocol referenced and adapted to this patient: https://covid19criticalcare.com/protocol/i-care-for-kids/ Below are the Over the Counter Treatments to add as tolerated: Mouthwash 3x a day if old enough to do so without swallowing/choking Nasal spray : Saline Spray, and/or Co-fix nasal spray Elderberry : 4 times daily, according to manufacturer’s dosing guideline Combo of: Quercetin (or a mixed flavonoid supplement like Elderberry Syrup): 250-500 mg twice a day. This is in D-Hist Jr. for kids, NOT on this list. Vitamin C: 500-1000 mg twice a day. Vitamin A: about 400mcg daily OR——-> Order KINDERMUNE for KIDS which has all these above in it: Vitamin A  (100% as beta carotene) ... 2,003IU Vitamin C  (as ascorbic acid) ... 252mg Vitamin E  (as d-alpha and mixed tocopherols) (Sunvitol®) (non-GMO) ... 53IU Thiamine HCI  (vitamin b1) ... 32mg Zinc  (as zinc citrate oxide) 1.6mg Selenium  (as selenium glycinate) ... 2.8mcg L-Lysine  HCL ... 252mg Trypsin  1:75 ... 28mg Bromelain  (3,600MCU/g) ... 28mg Papain  (2,000USP/mg) ... 20mg Echinacea purpurea  (root) ... 300mg Shiitake  (whole mushroom)(Lentinus edodes) ... 76mg Quercetin 95%  (Japanese Sophora (flower bud) ... 76mg Thymus  ... 252mg Pituitary  ... 12mg Elder  (berry) Children under age 3 take half a tablet three (3) times a day. Children 3 years of age or older, take one (1) to four (4) tablets daily, on this list which has all the vitamins in it. AND Vitamin D3 1,000 IU daily with food, drops & gummies on this list : depend on age. Honey: 1 g/kg one to two times a day, IF OVER 12 months old. Melatonin : 1-5 mg before bedtime (causes drowsiness). Slow- or extended-release formulations preferred. Sleep Gummies, on this list. Kefir and/or Bifidobacterium Probiotics: For Kids: MetaKids™ Probiotic By Metagenics Children CAN also be prescribed liquid flavored, Ivermectin as needed, call for more information. ———————————- SYMPTOM RELIEF-optional The last few items are just to help you and children with : fever, aches, pains, cough, congestion etc. Throat Sprays Throat Calm Throat Lozenges with Honey Bronchial Tea: for adults Kids Fever & Pain Liquid Badger Chest Rub ChestALL for kids Pain Patch-Tiger Balm: for aches and pains ALL AGES: Also consider for all patients in the home : Home pulse oximeter monitoring: if less than 94% oxygen get medical attention Only accept values associated with a strong pulse signal Observe readings for 30–60 seconds to identify the most common value Warm up extremities prior to taking a measurement Use the middle or ring finger Remove nail polish from the finger on which measurements are made Advised to call or follow up if not improving or worsening or for any other concerns. Please see the attached resources to see a schedule of how much, and when to take each item. Kindly your PA, Nicole Hoff, PA-C www.facebook.com/PAnicolehoff www.RifePediatrics.com For updates and more information on our protocols please see: www.flccc.net © 2020-2023 FLCCC Alliance. Some rights reserved pursuant to Creative Commons CC BY-NC-ND license, which generally permits others to distribute the work, with attribution, provided it is not altered or used commercial.

Holistic Gift Giving

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PA Nicole’s Mood Support-Bipolar Depression Plan

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Hello. It was a pleasure speaking with you. Attached you can find the products I think will be best suited to help with your mood symptoms. Please follow the instructions and follow up if you have any questions. 1. N-Acetyl-L-Cysteine Life Extension ( NAC ) is an antioxidant that may help prevent cancer and is often used to treat acetaminophen poisoning. A review of six clinical trials published in November 2021 in Bipolar Disorders suggested NAC supplements alongside standard treatments for bipolar depression was better than placebo. 2. Lithium (orotate) 1mg Pure Encapsulations The essential trace element lithium supports healthy mental function, including mood, emotion, memory and behavior. It is recommended that individuals taking this supplement have lithium levels and kidney function monitored regularly. 3. Coenzyme Q10 (CoQ10) + Omega-3 + EPA/DHA NOW Foods Coenzyme Q10 (CoQ10) is an antioxidant that helps keep the cells in your body healthy, according to the Mayo Clinic . The evidence Two hundred mg of CoQ10 per day, taken alongside standard mood stabilizers and antidepressant medication , was better than placebo at reducing bipolar depression over eight weeks, according to a study published in the October 2018 Journal of Clinical Psychopharmacology . The study authors theorized that CoQ10 may benefit bipolar depression because of its antioxidant and anti-inflammatory properties. Previous research has shown that inflammation may play a role in the development of bipolar depression, they noted. Omega-3 fatty acids are healthy fats that your body needs to function at its best. They’re very beneficial for heart and brain health, according to the National Institutes of Health (NIH) Office of Dietary Supplements . There are three types: Alpha-linolenic acid (ALA), found mainly in plant oils Eicosapentaenoic acid (EPA), found mainly in seafood and seaweed Docosahexaenoic acid (DHA), found mainly in seafood and seaweed Foods or supplements containing omega-3 fatty acids appear to improve bipolar symptoms, according to a systematic review of 33 studies related to nutrition and bipolar disorder, published in May 2022 in Nutritional Neuroscience . EPA and DHA may be the most beneficial omega-3 fatty acids for people with mood disorders, say experts at Harvard Medical School in Boston. But some research suggests omega-3s may be helpful only for the depressed phase of bipolar disorder, Harvard experts add. The bottom line Omega-3 supplements have more robust evidence of benefit for mood disorders like bipolar disorder than other vitamins and supplements. 4. BioActive Folate & Vitamin B12 Life Extension Folate (aka vitamin B9 ) helps your cells grow and stay healthy, according to the Mayo Clinic . The synthetic form of folate, called folic acid, is used in supplements. Research published in BMC Psychiatry in 2019 found an association between low levels of folic acid and bipolar disorder. In a review published in a 2022 issue of Biomedicine & Pharmacotherapy , investigators reported that 3 milligram (mg) folate supplements were effective and safe when used with the medicine sodium valproate to treat acute mania among people with bipolar I disorder . Additionally, folate supplements alongside traditional bipolar disorder treatment appears to be significantly better than placebo for depressive symptoms among people with either bipolar or unipolar depression, according to a systematic review of studies on folate for mental health conditions, published in the April 2020 Journal of Affective Disorders . 5. Liposomal Vitamin D 1000IU Dr. Mercola Premium Products Vitamin D helps your gut absorb calcium and maintain appropriate calcium levels for bone health, according to the NIH Office of Dietary Supplements . It’s found naturally in foods such as trout and salmon, added to foods like milk, and produced naturally in the body when your skin is exposed to the sun’s rays, NIH experts add. The evidence A study published in the Journal of Clinical Psychopharmacology found that vitamin D deficiencies were nearly five times more common in people with bipolar disorder, schizophrenia , or schizoaffective disorder than in the general population. You can make sure you’re getting enough vitamin D by spending a few minutes outside in the sun each day, eating more vitamin D–rich foods (such as salmon, tuna, mushrooms, and egg yolks), or taking a dietary supplement with your providers guidance. 6. Nanosnooze - Melatonin + Magnesium + L-Theanine BioPharma Scientific Magnesium is a mineral that the body needs to keep your muscles, bones, nerves, blood pressure, and blood sugar levels healthy, according to the NIH Office of Dietary Supplements . The evidence Limited research has suggested that magnesium levels in the body may play a role in regulating mood. Magnesium supplementation may improve symptoms among people with depression, according to a systematic review of 32 studies of magnesium and mental health conditions, published in June 2020 in the journal Nutrients . Magnesium may be helpful for insomnia , which can precipitate mania or signal the start of a manic episode. Melatonin is a hormone the brain makes in response to darkness, according to the NIH . While melatonin may not target bipolar symptoms directly, the supplement is known to help with sleep, which is important for preventing mood episodes among people with bipolar disorder. Approximately 80 percent of individuals whose bipolar disorder is in remission still have sleep problems, according to a review published in August 2017 in Encéphale . “Patients with bipolar disorder have been shown to have a later release of their own melatonin, so taking a supplement may help bring on tiredness earlier in the evening,” says Rakofsky. Melatonin supplements in conjunction with the usual treatments for bipolar disorder appear to be helpful for managing sleep issues among people with the condition, a review published in Current Pharmaceutical Design found. Melatonin may help some people with bipolar disorder sleep better, which in turn promotes mood stability and helps prevent future mood episodes. What does the Bible say about Bipolar Disorder: https://www.openbible.info/topics/bipolar Kindly your PA, Nicole Hoff PA-C

General Wellness – Everyday Health

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