Light-headedness, anemia – general update

[stevewrightfilmmusic]

Hi everyone,

I recently posted a number of threads, relating to a number of things. I was hoping to get some advice on what our next steps can be, as we have made some changes, in general for the better thankfully! But still struggling with a few things.

As you may know, my MIL suffers from Scleroderma, Lyme, Bartonella. Consequentially, she is experiencing light-headedness (previously described as dizziness, but MIL is not very good as describing her symptoms!), presumably due to the anemia she suffers from. We had a brief few weeks of worry, when some blood work threw up the possibility of Multiple Myeloma, but further tests ruled this out. As we all know, these diseases are ever-winding mysteries, and each persons journey is different from another. However, hopefully someone might be able to read into these results, and advise something. (Her Lyme Dr has told us that she needs to see a haematologist to help with the Anemia unfortunately, and there isnt any way of going to see him now due to the COVID19 situation.)

Below, I’ll post the previous tests of two months ago, followed by the results from this week, to show you all the changes, and maybe someone could see something that we cant…

Neutrophils (ref 43-65%):
Before: 64% (within range), Now: 73.5% (above normal range, worse than before)
Lymphocytes (ref 20-45%):
Before: 30.2% (within range), Now: 21.2% (almost below normal, worse than before?)
Monocytes (ref 4-11.7%):
Before: 3.1% (below normal range), Now: 3.9% (just below normal, better than before)
RBC count (ref 4.2-5.4M/uL):
Before: 3.31 (below range), Now: 3.33 (below range, slightly better than before)
Haemoglobin (ref 12-16 g/dL):
Before: 8 (below range), Now: 7.8 (below range, slightly worse than before)
Hematocrit (ref 37-47%):
Before: 28% (below range), Now: 26.5% (below range, worse than before)
Mean Cropuscular Volume (ref 81-99fL):
Before: 86 (within range), Now: 80 (just below normal range, worse than before)
MCH (ref 27-31.2pg):
Before: 24.2 (below range), Now: 23.6 (below range, worse than before)
MCHC (ref 32-36d/dL):
Before: 28.1 (below range), Now: 29.6 (below range, little bit better than before)
Platelets (ref 150-440K/uL):
Before: 551 (above range), Now: 501 (above range but better than before)
Total Proteins (6.6-8.7g/dL):
Before: 9.05 (above range), Now: 8.2 (within range, better than before)
SED Rate (ref 0-30mm/h):
Before: 33 (little above range), Now 30 (just within range, better than before).

That covers the basic bloodwork. As you can see, the results that led the Dr to run additional tests, namely Monocytes and Total proteins, are both better (good news!) But, a lot of the RBC-related points are slightly worse, ie the anemia isn’t better. I found this chart online which explains the meaning behind each of the values, and many of the entries lead to possible iron deficiency (low MCV, low MCH, low MCHC). We don’t have specific iron levels in blood, but her previous test of a few months ago showed normal Ferritin level (111.8ng/ml, ref 20-250).

Finally, Thyroid… it turns out that she had been taking too little Thyroid for a long time (confusion on her part). She was supposed to be taking 75mcg, but was only taking half of this (37.5). Upon realising this just over a month ago, she began at her actual prescribed dose of 75. A little more than a month later, the results are as follows:

TSH (ref 0.4-4.0 uIU/mL):
Before: 5.1 (too high), Now: 0.07 (too low)
FT4 (ref 0.93-1.91 ng/dL)
Before: 0.84 (too low), Now: 0.97 (within range, better than before).

Having read online, a low/barely detectable TSH along with normal FT4 is suggestive of Subclinical Hyperthyroidism – basically, over-medication. We are therefore going to split the difference at 50mcg, and get her checked again in 1 month. We know that LDN can often modulate things, and Thyroid can be affected as a result, so perhaps it’s her LDN that is regulating things a bit. I’ve also read that both hypo and hyper thyroid can lead to anemia, as well as causing the symptoms that coincide with anemia (such as light-headedness/fatigue etc).

I think this covers all of the main blood elements, and I’ll quickly resume her med schedule below:

Meds:
Levothyroxine 50mcg (5-6am, depending on when she wakes up)
Prednisone: 5mg (9am w/ breakfast)
MC-BAR2 (https://beyondbalanceinc.com/products/core-immune-support/mc-bar-2/) w/ breakfast
Minocycline 100mg 11am
Clopidogrel (only every other day) 75mg 12pm
Gabapentin 300mg 4pm
Mino 100mg 5pm
Melatonin (8pm – we managed to get her off everything else for sleeping).

Supps (we have cut down a bunch recently):
w/ Breakfast:
Alpha Lipoic Acid 600mg (for the Neuropathy)
NAC
Milk Thistle
Vitamin B12

w/ Lunch:
Alpha Lipoic Acid 600mg
Probiotic

IF anyone might be able to give some suggestions as to why she might be so lightheaded, or better still how we might be able to go about helping her symptomatically at least, that would be amazing! Understood that people here aren’t Drs, and we figure that the anemioa is just part of her chronic disease, which all being well will resolve as the underlying causes can be tackled. But in the meantime if there is anything we can do to help the symptoms, she would be feeling far better overall..

Thank you everyone for reading, and I hope everyone is staying well!

PS I found this extremely interesting webpage, where someone was supposedly able to resolve their Neuropathy with Supps alone… 50 pills a day! Quite extreme, but there is a load of very useful information on there for anyone else in a similar situation: https://peripheralart.com/2018/11/fifty-pills-a-day-cure/

---

Here for my Mother In Law.

Scleroderma 30+ years, Lyme/Bartonella (perhaps 30+ years too, diagnosed in October 2019), Hypothyroid, Anemia (of chronic diseases we think?), Neuropathy, Mini-stroke/brain lesions Oct 2019, Candida.

Current Meds:
**Minocin 100mg x2 day, every day. **Rifampin 300mg 1x day MWF. **75mcg Levothyroxine. **5mg Prednisone. **Clopidogrel 75mg. **300mg Fluconazole every Sunday. **300mg Gabapentin. **LDN 4.5mg.

Current Supps:
Vitamin B-complex, C, D, E. Potassium Glucona

[Maz]

Being hypo or hyperthyroid (possibly also causing BP issues?) may cause dizziness and light-headedness, but also anemia, Minocycline, neuroborreliosis, mini-stroke, gabapentin, and occasionally Clopidogrel (both according to drugs.com). Potentially, numerous variables here and would be very tricky for a medical professional to decipher what is what unless any of those variables change.

You are asking this question, I know, but can you reach back in time to identify when the dizziness seemed to start and what was added around that time, or if it preceded any treatments (also any meds used before but later stopped)? I think you said MIL may have had Lyme for a few decades? Some Lyme folk get diagnosed with Dysautonomia, which affects the autonomic nervous system, causing things like vertigo and dizziness.

Just a few random fellow-patient thoughts…all in all, it’s no wonder you are having trouble narrowing this down. I hope something shifts for her and she begins to turn the corner soon.

PS You likely already shared this, but did MIL test positive for babesiosis?)

[stevewrightfilmmusic]

Hi Maz,

Thanks for your reply, I hope you and family are all staying well in this time.

Yes, understood that its not easy to get to resolve these kinds of things! As you yourself have told us before, ultimately many things stem from the core issue(s), and without resolving them, the overlying issues will continue, such as with anemia of chronic diseases.

In response to your points, we have done some ‘experimenting’ to see what improves/worsens her lightheadedness. Specifically…:

1) Mino: She took a holiday from the Mino for a month. She maybe felt a tiny tiny bit better, but still had the lightheadedness.
2) Gabapentin: Similarly to above, she did go a while without taking it, but the light headedness remains. Its a very small dose too compared to what some take, and she takes it at 4pm. The light headedness is present from when she wakes up, by which time one would assume the Gabapentin effects had faded?
3) Mini-stroke: This kind of goes hand in hand with your question about when it started… Her stroke took place in October 2019. We then came to the US in December 2019 to see the Dr. Upon returning from the US (literally within days, so right at the start of January 2020), is when she really noticed the shift. Note that at this time, she still hadn’t begun the full set of treatments, just restarted the Minocycline (which was again temporarily suspended since her stroke). So it doesn’t seem to coincide with that event. No doubt it could be related though, although much of her stroke-related symptoms have improved (swallowing, talking, no double vision any more, etc). Her walking is still not quite there, but we’re working on that!
4) Clopidogrel: For sure she feels worse after taking this (I’ve discussed this with your previously, and the possibility of switching to a systemic enzyme in the future to replace this when other things settle a bit more). However, even on the days she doesn’t take it (and on the days she does, but before the dose), she still feels the light-headedness. Encouragingly, her platelet count is lower than previously, despite taking half the dosage compared to before (when she had the first round of blood taken, it was Clopidogrel every day – her neurologist suggested taking it every other day, so thats what we do now).
5) Around the time of the dizziness was when she stopped a bunch of meds she was previously taking (Buprenorphine patches, tramadol). She went through pretty rough withdrawal of the Buprenorphine, but I doubt this is related to that…?

Yes, we don’t know how long exactly, but she has had Scleroderma for 30 years. If we are to assume the Scleroderma was a development of a Lyme/Bart infection, then she must have had the infection for at least 30 years. And I don’t think I’ve mentioned it before, but she came back negative on all Babesiosis tests from Igenex).

Thanks for your help as always Maz. Yes it is frustrating for her, as the lightheadedness really limits her ability in being mobile, which knocks on in her ability to practice walking, and makes her neuropathy symptoms worse, etc etc… you know the drill! In general, we are seeing tiny incremental improvements… so its really just to see if anything can help symptomatically meanwhile. A Band-aid, if you will.

Thanks again, and I really hope you and your family are staying safe.

Steve

---

Here for my Mother In Law.

Scleroderma 30+ years, Lyme/Bartonella (perhaps 30+ years too, diagnosed in October 2019), Hypothyroid, Anemia (of chronic diseases we think?), Neuropathy, Mini-stroke/brain lesions Oct 2019, Candida.

Current Meds:
**Minocin 100mg x2 day, every day. **Rifampin 300mg 1x day MWF. **75mcg Levothyroxine. **5mg Prednisone. **Clopidogrel 75mg. **300mg Fluconazole every Sunday. **300mg Gabapentin. **LDN 4.5mg.

Current Supps:
Vitamin B-complex, C, D, E. Potassium Glucona

[Linda L]

Does she take LDN 4.5 every day?

RA tried everything: Methotraxate, Arava, Humira. Pneumonia three times. Anemia. Very low iron. Hypothyroidism
AP from April 2014 till August 2015. No luck.
Current medications: Natural thyroid, Mobic, supplements,
vitamins and minerals.
MTHFR heterozygous

[Linda L]

It is a pity you still cannot see your MIL’s level of iron. My GP orders a full iron study with my every blood test. Don’t they see that she is very, very anemic not just anemic? I am against iron infusions but do they give her iron tablets? She is weak, she cannot breathe properly. Of course she can be dizzy. Also I am sure /even if our specialists don’t think so/ that the higher my iron is the less platelets I have. I keep records of my tests for more than 20 years and it is a proof.It is very important to address her anemia immediately. Iron tablets can be
purchased over the counter and it must be taken with vitamin C. If she starts being constipated she doesn’t have to take it every day.

RA tried everything: Methotraxate, Arava, Humira. Pneumonia three times. Anemia. Very low iron. Hypothyroidism
AP from April 2014 till August 2015. No luck.
Current medications: Natural thyroid, Mobic, supplements,
vitamins and minerals.
MTHFR heterozygous

[PhilC]

The lightheadedness may simply be a normal reaction to the treatment. In my case, it eventually went away, which suggests it may have been caused by toxins that are released when bacteria and/or infected cells die.

Phil

"Unthinking respect for authority is the greatest enemy of truth."
- Albert Einstein

[stevewrightfilmmusic]

Thanks you both for your responses. Linda, for sure her bloodwork shows up as anemic. When we last spoke to a hematologist from the blood lab, he said that there wasn’t anything we could do for the anemia, as it was part of her disease.. but she didn’t have any iron results on there. We are going to get a full iron work up done, which might hopefully give an insight for a Dr to make another suggestion, as we can’t accept that there is nothing to be done.

Phil, how long did it take for the dizziness to subside after starting treatment? I appreciate that everyone is different, but this has been non-stop since January. Even when she took a month off from all ABX and anti microbials, the dizziness continued. Her Dr said that he would expect herxing to be transient, and usually pass within 7-10 days of stopping treatment (this wasn’t the case when she stopped for a month).
As Maz said, I imagine it’s a combo of many things, but we feel the anemia is definitely a big part of that, and there must be some way of resolving it/improving it.

Thank you everyone.

PS and yes Linda, she takes 4.5 every day @ 8.45pm.

---

Here for my Mother In Law.

Scleroderma 30+ years, Lyme/Bartonella (perhaps 30+ years too, diagnosed in October 2019), Hypothyroid, Anemia (of chronic diseases we think?), Neuropathy, Mini-stroke/brain lesions Oct 2019, Candida.

Current Meds:
**Minocin 100mg x2 day, every day. **Rifampin 300mg 1x day MWF. **75mcg Levothyroxine. **5mg Prednisone. **Clopidogrel 75mg. **300mg Fluconazole every Sunday. **300mg Gabapentin. **LDN 4.5mg.

Current Supps:
Vitamin B-complex, C, D, E. Potassium Glucona

[Linda L]

“there wasn’t anything we could do?” How can a doctor say anything like that? Many things can be done. For someone with such a low HB I think she won’t get enough iron from food like spinach or red meat. Still I think it would be good to know the level of iron before she starts taking iron tablets. So many people are iron deficient and don’t know about it. The elderly people usually don’t have a diet rich in iron /less meat/
Also I’ve asked about LDN because I tolerate 2 mg only When I try to take 3 or more I feel a little bit dizzy, like vertigo. I don’t know how much she weighs but maybe it’s too much. Many people cannot tolerate 4.5 mg.

RA tried everything: Methotraxate, Arava, Humira. Pneumonia three times. Anemia. Very low iron. Hypothyroidism
AP from April 2014 till August 2015. No luck.
Current medications: Natural thyroid, Mobic, supplements,
vitamins and minerals.
MTHFR heterozygous

[PhilC]

stevewrightfilmmusic wrote:

Phil, how long did it take for the dizziness to subside after starting treatment?

I can’t say exactly because it was something that happened gradually. But I can tell you that it was many months.

stevewrightfilmmusic wrote:

Even when she took a month off from all ABX and anti microbials, the dizziness continued.

In that case, the dizziness is probably being caused by something else.

Phil

"Unthinking respect for authority is the greatest enemy of truth."
- Albert Einstein

[PhilC]

LDN can also cause dizziness, and the main reason I mention it is because there are doctors who still follow old, incorrect (outdated) information about LDN, such as “The optimum dose of LDN for adults is 4.5 mg”.

This is from a message I posted back in 2013:

According to Drs. Zagon and McLaughlin, the OGF
effect can be achieved by taking a dose of no
higher than 4.0 mg of LDN. Quote from Dr. Zagon:
“Please do remind folks if they want LDN to work
positively, and to fight cell proliferative
diseases, 3.0 to 4.0 mg is the very best. We’ve
tried it higher, and it is not good unless folks
want to accelerate cell division”. However, some
people are extremely sensitive to naltrexone and
find a dose as low as 1.0 mg to be sufficient.

Phil

"Unthinking respect for authority is the greatest enemy of truth."
- Albert Einstein

[stevewrightfilmmusic]

Thanks Phil, we will experiment using a lower dose of LDN. We’ve crept it back down to 3.75mg, we will stick at this new dose for a few weeks and see how she gets on. I completely agree with your theory that the herxing/die-off has something to do with it. When she raises her drops, she feels noticeably worse for a few days until adjusting to the dose. So clearly there is a relationship there.

Linda you’re echoing very much what Phil is saying. She weighs 47kg ish (been a while since we weighed her but more or less there). We’re going to experiment going lower on the LDN. Way back when, a few years ago when she first tried LDN, we noticed noticeable energy increase at a dose of around

She has her bloodwork back from the iron, results below:

Iron Serum: 46.2 ug/dI (range 37-145)
Total Iron Binding Capacity: 239.9ug/dL (range 250 – 400)
Transferrin: 1.87 g/I (range 2 – 4.3)
Ferritin: BEFORE: 111.8 ng/ml. NOW: 7.34 ng/ml (range 13 – 232)

So, aside from Iron Serum which is just within range, everything else is out of range. What’s weird is the huge drop in Ferritin levels between now and the previous tests. A quick search in google suggests that low Ferritin levels suggest iron deficient anemia. As she evidently doesn’t have a high iron serum level, it would seem safe enough to take the iron supplements (as in, she wont be suffering from an iron overload.) We are searching for a Skype-able haematologist, but would it seem a good plan to commence with iron supplements? Really hoping this will bring her some energy back!

---

Here for my Mother In Law.

Scleroderma 30+ years, Lyme/Bartonella (perhaps 30+ years too, diagnosed in October 2019), Hypothyroid, Anemia (of chronic diseases we think?), Neuropathy, Mini-stroke/brain lesions Oct 2019, Candida.

Current Meds:
**Minocin 100mg x2 day, every day. **Rifampin 300mg 1x day MWF. **75mcg Levothyroxine. **5mg Prednisone. **Clopidogrel 75mg. **300mg Fluconazole every Sunday. **300mg Gabapentin. **LDN 4.5mg.

Current Supps:
Vitamin B-complex, C, D, E. Potassium Glucona

[Linda L]

I agree, it looks like iron deficiency anemia when ferritin is so low. Iron is stored in the liver as ferritin. Ferritin is also required for the utilisation of T3 hormone. Iron tablets sell together with folic acid. Ask the pharmacist which one is best. Start slowly….. and see how she feels. I would start taking every second day. Doctors want us to take too much. This I Confirm with her GP that it’s OK. If she starts being constipated decrease the amount of iron. It is very important to improve her blood.
Regarding food if she likes it give her liver once a week and more yolks. Yolks are very good for her. Don’t worry about cholesterol. I take two yolks a day for years. She needs more nutrients. Give her cacao drinks if she likes it.

RA tried everything: Methotraxate, Arava, Humira. Pneumonia three times. Anemia. Very low iron. Hypothyroidism
AP from April 2014 till August 2015. No luck.
Current medications: Natural thyroid, Mobic, supplements,
vitamins and minerals.
MTHFR heterozygous

[stevewrightfilmmusic]

Thanks again Phil and Linda for your responses, quick update…

She has been taking the iron for around 2 weeks now. She takes it far away from meals, with vitamin C effervescent. She says she doesn’t really feel any different with regards to the light headedness… my wife and I have noticed an outward improvement, we are with her 24/7 so we really know her ebbs and flows regarding her mood etc, and the past few days she has seemed more up-beat, and more cognitively with it (ie not just like a zombie whilst eating lunch). Smiling more, etc… of course we aren’t living with the feeling, and she says no improvement, so it’s very hard to know.

How long would we expect to have to wait until noticing improvement, given how severe her anemia is/was? I’ve read online minimum 2 weeks, other places a month at least… we don’t want to hang around if the supplements don’t start resolving the issue. We’ve also read a blood transfusion can be very helpful. Kind of scary in these COVID times, but do you think it would be a help to her?

Thank you for continually reading and takin get time to respond, it means a lot to all of us here! Hope you’re all safe and well.

---

Here for my Mother In Law.

Scleroderma 30+ years, Lyme/Bartonella (perhaps 30+ years too, diagnosed in October 2019), Hypothyroid, Anemia (of chronic diseases we think?), Neuropathy, Mini-stroke/brain lesions Oct 2019, Candida.

Current Meds:
**Minocin 100mg x2 day, every day. **Rifampin 300mg 1x day MWF. **75mcg Levothyroxine. **5mg Prednisone. **Clopidogrel 75mg. **300mg Fluconazole every Sunday. **300mg Gabapentin. **LDN 4.5mg.

Current Supps:
Vitamin B-complex, C, D, E. Potassium Glucona

[Linda L]

Your mother in law will see the improvement with iron tablets very quickly, within days but the question is how long it’s going to last. I don’t take iron all the time. I have written some times on this forum that I am against iron transfusions. I had it twice because the doctors wanted it but in my case it didn’t do anything. Zero. After one week it looked like before + unnecessary stress. I spoke once to a very clever doctor who works in the pathology’s laboratory many years and he told me that it is dangerous to do it and told me to never agree to it again. Too much iron is life threatening.
Do you know her B12 level?

RA tried everything: Methotraxate, Arava, Humira. Pneumonia three times. Anemia. Very low iron. Hypothyroidism
AP from April 2014 till August 2015. No luck.
Current medications: Natural thyroid, Mobic, supplements,
vitamins and minerals.
MTHFR heterozygous

[stevewrightfilmmusic]

Hi all,

Happy new year! Before I begin, I would like to wish everyone the best for the coming year, especially given the past year we have all had to endure. Stay safe and well. 

I come back today in search of more answers. A really quick update regarding everything discussed in the posts above…

Mother in law still feeling very lightheaded!

She is weak, out of breath, lightheaded/dizzy, and fatigued. All the time. All the symptoms discussed before are largely unchanged in the months that have passed. She is taking iron every day with vitamin C. Her previous bloodwork showed tiny improvements with regards to the anemia, but not much. We have, at various moments, suspended medicines to see if they have an effect in any way on the lightheadedness, but largely unchanged. As am reminder, she has been feeling like this almost a year now.

I came across this web page today:

https://drtoddmaderis.com/neurological-lyme-disease

All stuff we’ve read before, but it really does serve as a reminder. In the first paragraph, it talks about symptoms of Lyme neuroborreliosis in late stages of the disease as numbness/tingling, burning sensation in the extremities, lightheadedness when standing, muscle weakness, cognitive impairment… these are the exact symptoms my MIL has.

We’ve always put much of her symptoms down to her ‘mini stroke’ some 14 months ago, but even when in the hospital at the time, the Drs could not determine the exact cause of the lesions on the brain. Seeing the symptoms listed like this just reinforces the possibility that the Lyme is the heart of the problem.

Reading on the website, I got to this page on hypercoagualbility:

https://drtoddmaderis.com/hypercoagulation-in-lyme-disease

Again, a specific paragraph stood out to us:

The fibrin layer along blood vessel walls creates stiffening of the vessel, which interferes with the vessels’ ability to expand and contract as they do in normal circumstances. A common symptom in chronic illness is lightheadedness, especially with a change in position. More severe forms of lightheadedness are diagnosed as dysautonomia and postural orthostatic intolerance syndrome (POTS). The spectrum of this presentation can be caused by the inability of blood vessels to expand and contract.

Again, Many of the symptoms of hypercoagulability coincide with MILs symptoms:

Generlized pain, Brain fog, irritability, anxiety, Pain/stiffness after sitting, fatigue, cold hands/feet…

This is an area I know very little about, but I know that the excess Fibrin mentioned above is one of the causes. As has been recommended many times by people on this forum, the systemic enzymes are great for breaking down this Fibrin. Similarly, I’ve read here that excess fibrin can have serious effects on your bodies ability to absorb nutrients, and expel toxins.

I believe I’m right in thinking that people with Scleroderma have a higher risk of atherosclerosis, right? Again, a real quick google search tells me there is a strong correlation between fibrin and atherosclerosis. This condition can of course lead to strokes, so it seems like everything ties in?

I understand that none of you are Drs here (although at times it doesn’t seem like thats the case!), is it possible that MIL could have a certain degree of hypercoaguability due to high fibrin levels? The symptoms seem to correlate, and it is a common complication of Lyme disease. It would also explain why her blood iron levels aren’t changing despite the iron supplements. Who knows how it might be affecting her ability to absorb other supps, medicines etc…

If so, would we be safe to start giving her something like Lumbrokinase, or Nattokinase? She is already taking an anti platelet medicine (Clopidogrel), once every other day. As both have a blood thinning effect, we wouldn’t want to put her at increased risk of bleeding, but maybe if we alternate between them each day, that would be safe? (She used to take Clopidogrel every day, but her Dr said she could cut down due to the dizziness). As always, our problem is that her Dr over here who prescribed the Clopidogrel does not even know about the systemic enzymes, and her Lyme Dr would not want to interfere in the department of blood thinning that has been prescribed by her Dr here, so we are stuck between a rock and a hard place!

Any advice would be greatly appreciated. Thank you all again and apologies for the long post.

Steve

---

Here for my Mother In Law.

Scleroderma 30+ years, Lyme/Bartonella (perhaps 30+ years too, diagnosed in October 2019), Hypothyroid, Anemia (of chronic diseases we think?), Neuropathy, Mini-stroke/brain lesions Oct 2019, Candida.

Current Meds:
**Minocin 100mg x2 day, every day. **Rifampin 300mg 1x day MWF. **75mcg Levothyroxine. **5mg Prednisone. **Clopidogrel 75mg. **300mg Fluconazole every Sunday. **300mg Gabapentin. **LDN 4.5mg.

Current Supps:
Vitamin B-complex, C, D, E. Potassium Glucona

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