John's Regimen

 

A New Approach to Meniere’s Disease

–The John of Ohio Meniere’s Regimen –

 Revision September 2005

Course of the Disease. A diagnosis of Meniere’s disease is not promising. Meniere’s won’t directly kill you, but it is likely to make your life miserable in ways that few other diseases can. For some, conventional medical treatments will adequately moderate the symptoms. But for many, the disease progresses to continuing dizziness, episodes of profound vertigo, brain fog, tinnitus, and lastly, loss of hearing.

Conventional medical treatments are often disappointing or altogether ineffective. The standard initial treatment of dietary salt restriction and diuretics works for some, perhaps even many. But too often, Meniere’s victims must eventually confront their progressing predicament. The additional medical treatments of the disease aren’t hopeful. They include chemical destruction of inner ear tissues, difficult surgeries, use of sedatives, and a number of other extreme approaches, most of which are merely palliative. If any of these had high rates of success, Meniere’s wouldn’t have tens of thousands of chronic sufferers.

In summary, conventional medicine has not been able to effectively treat or cure Meniere’s disease in most cases. It is almost universally regarded as idiopathic, meaning that its cause is unknown. Diseases of unknown causes don’t lend themselves to easy treatment. Meniere’s is a medical conundrum for doctors and patients alike. For those who have experienced it, it’s a frustrating, disabling, disheartening condition of complex symptoms and results. Initially, there may be only mild and infrequent dizzies. But as the disease so often progresses, things grow ever worse. It’s something you could wish only upon your worst enemies.

My Experiences

Meniere’s first struck me in 1995. It progressed to where I could barely function professionally. Consequently, I researched every treatment I could find, including approaches used in Europe and Russia. I discovered that foreign medicine approached the disease very differently from American physicians, and that some of these treatments gave more relief. I refused to accept the American dogma that Meniere’s treatments could be only palliative (merely suppressing some symptoms), that I’d have to “learn to live with it.”

I’m pleased to report that what I came up with completely extinguished all Meniere’s symptoms for me, allowing me to return to a normal life. The disease took the hearing of my left ear, but I am now otherwise “normal.” Was this merely a common period of remission, or did my Meniere’s regimen actually work for others? Several years ago I had  the regimen posted on Internet websites where others could intelligently try it.

Results of Others

The initial results are in, and there is no chance that my loss of Meniere’s symptoms was only a “remission.” I now have over a hundred individual reports of the use of the regimen, and well over 80% (87%, in fact) describe personal successes. I am therefore confident that my Meniere’s regimen is something that should be carefully considered by all with the disease.

Here are three representative email excerpts from users of the regimen:

I have been taking your protocol for Meniere's for about 10 days now and I have magnificent things to report. Prior to the use of vertigoheel, the lemon bioflavonoids, and vinpocetine I had continuous pressure, about 90% hearing loss, and experienced vertigo attacks 3 times a week. Nothing provided relief from the dizziness or vertigo. Now the pressure is virtually eliminated, the vertigo attacks have stopped, the dizziness which affected me in between attacks is gone, and my hearing has improved to about 50%.

* * * * *

I am very happy to report that I am completely vertigo free at this point and that the fullness in my affected ear is now about 90% reduced. 

* * * * *

I started on your regimen 4.5 weeks ago, and aside from a mild dizzy spell at the beginning, I haven't had a full blown attack! My brain fog has cleared, I am able to think clearly again, in short you have through your regimen, given me back my life prior to MM.

For most, the regimen works. But not every user gains desired relief. That can’t be denied in any way. There can be no assurance that it will work for any particular person. But because so many have reported positive results, I offer the details of the regimen below.

Regimen Not From a Medical Professional

Please understand that I am a biologist, not a medical professional of any kind. The information I offer here is for general consideration, not a specific recommendation for the treatment of any disease. Those who might elect to undertake this Meniere’s regimen are advised to first gain the approval of their personal medical professional. Most importantly, do not substitute any portion of this regimen for anything prescribed or recommended by a physician or other medical professional. Do not stop taking any prescribed drugs or stop any recommended diet without the professional advice of your physician.

The Theoretical Background

The cause of Meniere’s disease is not known. But my research, particularly of European medical literature, reveals several important theoretical considerations for treatment efficacy. European physicians have a very different understanding of, and approach to, Meniere’s. Their findings bear strongly on the principles of my regimen.

Ischemia. The first principle is that much of the distress of Meniere’s disease (hereafter referred to as MM, Morbus Meniere, the Latin designation of the disease) is a result of restricted circulation through the inner ear. Several somewhat successful European MM treatments involve vasodilating compounds. Increased circulation through the inner ear can greatly reduce or eliminate MM symptoms. Increased inner ear blood flow was a goal of the regimen. 

Viral Inflammation. The second principle involves the possible involvement of viruses as a major cause of MM. European studies have shown an almost universal presence of various herpes viruses in postmortem examinations of the inner ears of MM victims. The fact that MM is so often confined (initially at least) to one ear may be a result of locally infected inner ear tissues. Several herpes viruses are known to show this pattern of tissue and organ localization,

Consequently, I presume that the cause of most MM cases is a viral infection of inner ear tissues that causes inflammation that then reduces circulation. The blood vessels in the inner ear are extremely small under normal conditions, and viral inflammation may reduce their effectiveness. Inflammation and reduced circulation results in the core hydrops (fluid accumulation) condition that leads to all sorts of inner ear abnormalities associated with MM.

Allergens. Another related cause of MM symptoms is allergies. A number of MM sufferers have discovered that the elimination of gluten (a wheat protein) from their diets reduced or eliminated MM. Other allergens probably also cause some MM cases.

MM may commonly result from the combined factors of both herpes viruses and food or environmental allergens.

Regimen Not Recognized by Standard Medicine

Most general practitioners or otolaryngologists are likely to dismiss this regimen for several legitimate reasons. First, it was devised by a non-medical (“lay”) person with no specific training in any related field. Secondly, the results are purely “anecdotal,” merely the accounts of other laymen who might have had a strong desire for something, in desperation, to work. This would be a “placebo” effect, well known in medicine, where a person “gets better” merely on the belief that some treatment has caused good results — even though the treatment was only sugar pills.

The medical community is unlikely to endorse this regimen because it has not originated in one of the few, recognized sources for “proper” medical information. Physicians, for a number of reasons, including American tort law, professional competition, and sometimes even professional arrogance, accept medical information from only limited sources, none of which yet endorse this MM regimen.

“Proper” medical information typically derives from only certain sources. First, if it was taught by a professor in medical school, or appeared in a medical text book (regardless of its age), it is accepted as medical fact. Secondly, if information appears in a recognized medical research journal, it’s “fact.” Thirdly, if a drug company representative presents medical research data authenticating a drug or treatment, it is accepted. Lastly, information presented by medical professionals at conferences and post-graduation seminars are accepted.

My regimen falls in none of these. Many professionals will label it as pure quackery. Others will say that it is simply unsupported by clinical trials or results, or that MM simply doesn’t have any known cures or effective treatments, so this regimen is not likely to be any different than the many previously unsuccessful approaches. The personally-expressed results of people who have tried the regimen are not considered by conventional medicine.

MM sufferers who are convinced that successful treatment can come only from current medical science should not waste further time here. Spend your energies continuing your search for some new practitioner who has some treatment better than the than the last one. Eventually you will discover, as ENTs already know, that there just isn’t much that can done for MM other than to advise the patient to “learn to live with it.” Low salt and diuretics, of course, offer some relief that should not be neglected if prescribed. But if what conventional medicine offered had any real success, there would be no need for either this posting, nor the hundreds of others by MM sufferers. This regimen is for those who wish to take some personal control of their condition.

Regimen is Multi-faceted

The regimen is based on the precept that any single substance, by itself, is not likely to bring much relief. Only a massive, multi-targeted approach works, the concept of synergy, where many small elements work together for a greater total result. MM has seldom responded well  to single-approach treatments. Therefore, my regimen advises the daily ingestion of a number of different substances, each of which has by itself  small effectiveness. But when added together, the results can be very good. Each individual component causes only a minor improvement, which by itself brings no discernable relief. But taken together, very good results can be had by many.

The Regimen’s Components

Let’s start. The first and probably most important part of the regimen is the daily taking of lemon bioflavonoid tablets. The lemon exocarp (the rind) has a high concentration of a bioflavonoid known to chemists as eriocitrin (formerly called eriodictyol). Eriocitrin is found in low concentrations in a number of plant foods, but effective amounts only in lemon rinds. Eriocitrin has been shown to dilate (widen) both capillaries and small arteries, allowing increased blood flow. It also increases capillary permeability, allowing chemicals to diffuse through the capillary wall. This property may account for eriocitrin’s reduction of MM hydrops or fluid accumulation.

Note that only an authentic lemon bioflavonoid works for MM. There are hundreds of bioflavonoid chemicals, and a number of “citrus” bioflavonoid tablets are sold. None of these are likely to have the same good effect as real lemon bioflavonoid. Use only an authentic lemon bioflavonoid, not a generic “citrus” bioflavonoid or other bioflavonoid.

The second most important substance in my regimen is a plant-derived chemical from Europe known as vinpocetine (vinn-PO-seh-tine). It is extracted from the Vinca minor plant and in many parts of Europe it is a drug of choice for MM. It is sold over the counter here. It is used by Russian astronauts to combat vertigo. It is known to increase circulation through small blood vessels. After extended usage (several weeks or months) it often reduces or even eliminates tinnitus.                                                    

The amino acid l-lysine is used in the regimen on the presumption that herpes viruses may be a significant cause of MM. L-lysine is known to effectively interfere with the replication of herpes viruses, and may therefore reduce Meniere’s symptoms and reduce or eliminate the chance of the disease moving to the second ear (going bilateral).

A second component that fights herpes (and other) viruses is beta 1,3 glucan, an extract of the common bread yeast cell wall. The compound was developed in Norway as a food additive for ocean-reared salmon that were being devastated by a number of microbial diseases. Beta glucan products were shown to attach to white blood cells (macrophages) and dramatically increase the salmons’ immune system ability to fight off bacteria and suppress fungi and viruses. Beta glucans have been shown to safely boost the immunity of organisms from shrimp on up to humans. Beta glucans are also strong anti-oxidants.

MM has destroyed the hearing in my left ear, and I want to do every thing I can to keep the disease from migrating to my still-good right ear. If MM is caused by a herpes virus, and there is good evidence that it often is, I want to preserve my remaining ear’s health. That’s the purpose of the beta glucan product (along with the l-lysine), to reduce the chance of the virus migrating to the good ear. If beta glucan cannot do this (I do not know if it can), I’m out just a few cents a day. A Google scan for information (beta 1,3 glucan, or beta 1,3 glucans) will be very informative.

Also used in Europe for MM is ginkgo extract, an herbal compound from the Ginkgo biloba tree. It also is known to increase circulation through capillaries and small blood vessels. It also probably increases vascular permeability.

The next substance is a particular form of vitamin C, the “C-2000 Complex” product of The Vitamin Shoppe firm. It is sustained release, which is important as vitamin C can be quickly excreted. It also contains calcium, zinc, magnesium, manganese, molybdenum, and chromium ascorbates. These forms of vitamin C (“ascorbates”) are very good. Any vitamin C product may work. I use this form and recommend it.

Next, I recommend the daily ingestion of a good form of vitamin E, in this case the Vitamin Shoppe E-400 product. It is the d-alpha form of alpha tocopherol, not the cheaper and much less effective dl-alpha tocopherol. Consume only the d- form, not the dl- one. Vitamin E also has been shown to improve vascular health—along with a bunch of other good nutritional benefits. Vitamin E is much more effective when used along with vitamin C. The two vitamins work synergistically.

The regimen also uses methylsufonylmethane, “MSM.” MSM has been shown to increase healing of injured tissues and also to reduce allergic responses. Some MM symptoms involve allergic reactions and MSM can moderate or eliminate them. MSM may also increase vascular health.

From Europe has come an interesting homeopathic preparation known as Vertigoheel. Homeopathy is a curious, even inexplicable approach to disease where miniscule amounts of various compounds are present in sugar (usually lactose) pills. Homeopathic preparations are made by serial dilutions to the point of virtual absence of any detectable active ingredients. There is no understanding of how homeopathic preparations can work.

But Vertigoheel has been shown in legitimate clinical studies to reduce or eliminate MM symptoms. It worked for me, and has worked for many MM sufferers. There is no scientific basis of its treatment mechanisms, but it does work. Brain scan studies show that it somehow causes the brain to disregard disruptive signals originating in the Meniere’s ear.

Vertigoheel must be consumed by absorption through oral tissues, not by simply swallowing the pills. Stomach acids apparently disrupt the ingredients, so they must be absorbed by tucking the pills under the tongue or between the teeth and cheek.

Vertigoheel stopped or reduced MM symptoms very effectively for me. After a few hours, however, I had to take additional courses of the tablets. During times of severe attacks, it was particularly helpful.

Vertigoheel proper is actually a prescription drug in the US. But exactly the same product is sold over the counter and is known as Cocculus Compositum, by the same manufacturer. A druggist can order it.

In review, my MM treatment regimen involves these components: 1) lemon bioflavonoids, 2) vinpocetine, 3) l-lysine, 4) beta1,3 glucan, 5) ginkgo biloba extract, 6) sustained-release vitamin C, 7) d-alpha tocopherol (“natural” vitamin E), 8) methylsufonylmethane (MSM), and 9) prescription Vertigoheel or over the counter Cocculus Compositum.

Regimen Component Details

1. Lemon Bioflavonoid tablets, “Lindbergh Bioflavonoid Complex”

from Nutrition Express, 1-800-338-7979, www.nutritionexpress.com

Another product, “Nature’s Life Lemon Bioflavonoid,“ is available from The Vitamin Shoppe. 1-800-223-1216, www.vitaminshoppe.com, Product  No. OY-7045. I have not used this, but it appears to offer essentially the same lemon bioflavonoid. It may not contain quercetin, described below.

Note that Nutrition Express does not ship to the UK or EU. Therefore, buyers there should purchase the Nature’s Life product from Vitamin Shoppe, which ships overseas. Domestic users should best try the Nutrition Express product, as it has been effective for most users.

Purpose: To dilate inner blood vessels and increase blood flow. To increase membrane and capillary permeability to reduce fluid accumulation.

Active Ingredients: This product has significant amounts of eriocitrin (lemon bioflavonoid), which is known to dilate capillaries increase capillary permeability. It also contains quercetin, a bioflavonoid that reduces allergic reactions or inflammation.

Known Side Effects: None are known.

Dosage: Two tablets each day, one in the morning, one in the evening. May be taken with meals.

Approximate Cost: 12 cents per day. 250 tablets for $13.49 plus shipping.

2. Vinopocetine from The Vitamin Shoppe. 1-800-223-1216, www.vitaminshoppe.com, Product  No. VS-1955.

Purpose: Vinpocetine also increases blood flow. Vinpocetine also is known to reduce or eliminate tinnitus, although this usually occurs only after prolonged periods (weeks or months).

Active Ingredients: An extract from the Vinca minor plant.

Known Side Effects: For most, none. But some encounter mild tachycardia (increased heart beat) or other similar effects. Consequently, it would be advisable to start with only single, 10 mg doses for a week or so, and to simply stop taking the compound if any undesirable side effects are noted. It is generally well tolerated.

Dosage: At first, for a week or so, a single 10 mg tablet each morning. Then after a week or so (if no side effects are encountered), a second tablet mid-day or evening. Dosages up to 30 mg (3 tablets/day) are commonly suggested by various vendors of vinpocetine. Most people have no side effects whatsoever.

Approximate Cost: 30 cents per day. 90 tablets for $10.99 plus shipping.

3. L-Lsysine  from The Vitamin Shoppe,  1-800-223-1216, www.vitaminshoppe.com, Product No. VS-1201

Purpose: Reduce or stop the replication of herpes viruses that may be a cause of many Meniere’s cases, prevent the disease from affecting a second ear.

Active Ingredients: The amino acid l-lysine.

Known Side Effects: In small amounts, as here, none.

Dosage: Maintenance dosage is one 500 mg tablet per day. If MM is severe, two tablets (one morning, one evening) may be useful. Results—if any—may take weeks.                                                                                                                                        

Approximate Cost: 5 or 10 cents per day. 300 capsules for $12.57 plus shipping.

4. Beta 1,3 Glucans  from The Vitamin Shoppe, 1-800-223-1216, www.vitaminshoppe.com, Product No. VS-1709 

Purpose: Increase immune suppression of viruses that may cause MM. May reduce existing MM conditions, and may prevent or reduce chance of affecting a second ear.

Active Ingredients: Several sugar-like chemical portions of the cell wall of common yeast.

Known Side Effects: None.

Dosage: One to three tablets each day. Maintenance dose is one.

Approximate Cost: 9 to 27 cents per day. 60 capsules for $5.37 plus shipping.

5. Ginkgo Biloba Extract from The Vitamin Shoppe, 1-800-223-1216, www.vitaminshoppe.com, Product No. VS-1659

Purpose: Increase circulation through inner ear.

Active Ingredients: An extract of the leaf of the Ginkgo biloba tree.

Known Side Effects: None. Ginkgo extract is known to reduce blood clotting, so it should not be taken with any prescribed anticoagulant such as Coumadin (warfarin). One should also stop taking ginkgo 10 days before elective surgery.

Dosage: One capsule in the morning, another in the evening.

Approximate Cost: 30 cents per day. 300 capsules for $43.17 plus shipping.

6. C-2000 Complex Vitamin C from The Vitamin Shoppe,  Product No. VS-1256

Purpose: Increases blood vessel permeability, motility of red blood cells.

Active Ingredients: The vitamin C of this product is sustained release and is combined with several minerals to lessen any stomach upset.

Known Side Effects: Unlike straight vitamin C (ascorbic acid), C-2000 Complex causes no stomach upset.

Dosage: One tablet in the morning, another later in evening.

Approximate Cost: 10 cents per day. 300 tablets for $24.99 plus shipping.

7. E-400 Vitamin E from The Vitamin Shoppe, 1-800-223-1216, www.vitaminshoppe.com,  Product No. VS-1026

Purpose: Increases blood vessel health, permeability, works with vitamin C.

Active Ingredients: This vitamin E contains the much more beneficial d-alpha form (as opposed to the dl- form). Perhaps even more importantly, it also contains d-beta, d-gamma, and d-delta forms of vitamin E. New research indicates that these are very helpful.

Known Side Effects: None. But there is some evidence that vitamin E can moderately reduce blood clotting, so stop taking it 10 days before any elective surgery.

Dosage: One softgel per day.

Approximate Cost: 7 cents per day. 300 softgels for $17.18 plus shipping.

8. Methylsufonylmethane (MSM)  from The Vitamin Shoppe, 1-800-223-1216, www.vitaminshoppe.com, Product No. VS-1501

Purpose: Restore tissue health (permeability) in the inner ear, reduce allergic reactions.

Active Ingredients: Methylsufonylmethane, “MSM.”

Known Side Effects: None.

Dosage: Three per day. Can be taken at once, or spread out over two or more meals. Take with food.

Approximate Cost: 21 cents per day. 300 capsules for $17.97 plus shipping.

9. Vertigoheel or Cocculus Compositum from a pharmacist, by prescription for Vertigoheel, or non-prescription for Cocculus Compositum. Vertigoheel is listed in the Physicians Desk Reference (PDR). Cocculus Compositum is from the same company.

Purpose: Reduces or eliminates the brain’s confusion from aberrant balance signals from the MM ear. Can dramatically reduce or eliminate episodes of MM.

Active Ingredients: Several homeopathic compounds in extremely dilute concentrations.

Known Side Effects: None.

Dosage: Take as per the label. Not to be swallowed. Must be absorbed under the tongue. At first, when MM symptoms are frequent or persisting, the product will be taken continuously. Later, when symptoms become only periodic or infrequent, take only at the first sign of dizziness. Usually not frequently needed when the other parts of the regimen begin to dramatically reduce symptoms.

Approximate cost: This can vary from pharmacy to pharmacy.

Daily Cost of the Regimen

The complete regimen costs between about $1.20 up to $2.00 or so each day at the highest dosages. But if anyone is really pressed for funds, start only with the first three components. These are probably the most important ones. I continue to take everything each day except the Vertigoheel. I think that the entire regimen offers the highest chance of success, but I’ve ranked the components in the list above in order of apparent importance (except for Vertigoheel, which, if possible, should be taken immediately, as it really stops vertigo and dizziness episodes for most who take it).

Starting the Regimen

I recommend that anyone undertaking this regimen (after the approval of their health care professional) begin slowly. Don’t start taking everything at once. For the first week, take only the lemon bioflavonoid. If one’s particular system simply doesn’t “like” lemon bioflavonoid (unlikely), this can be easily determined and ingestion stopped.

Then, in the second week, continue by adding the vinpocetine, watching for any disagreeable results. Continue by adding a new component each week or so. In this manner you can eliminate any particular component for which your system disagrees. Undesirable effects are unlikely, but they can happen. With one component added at a time, you can know for sure which should be deleted.

Continue to add a new component each week. Continue to take all that cause no problems. Discard anything that causes upset stomach or other discomfort. Again, this is unlikely, but should be watched for. To take all nine components at once at the beginning may be too much. I note, however, that some have done this with no problems whatsoever and have gone on to great relief from their MM symptoms. Let caution be your guide. Again, all of these products are over-the-counter (except Vertigoheel) and therefore pose no major risk.

Period Before Relief

Virtually no one who has undertaken this regimen has found relief from Meniere’s quickly. A few have noticed a reduction in symptoms in just a few days, with complete or substantial relief after a few weeks. Don’t expect an instant or overnight result.

For many, after a few weeks or a month or so, relief becomes complete, with no further MM symptoms. Dizziness disappears, tinnitus becomes greatly reduced or absent altogether. In cases where the disease has not been prolonged, hearing often returns to nearly normal levels (if hair cells have not been permanently damaged by prolonged exposure to the disease---that occurred in my left ear, sadly.)

For others, relief may not be so complete, although any reduction in the frequency and severity of MM is welcome. But for some, this regimen will have no positive result whatsoever, particularly in cases caused by nerve anomalies. If no relief is experienced after two months or so, I doubt this regimen will be useful. (But one person got little or no relief after a lengthy trial, and was just about to give up on the whole thing. But the person decided to just continue to take things until they ran out. After a lengthy period of no results, relief finally came. So be patient.)

Even if the regimen were to be effective for only half of those who try it, it is worth a trial. It is less expensive than surgeries (which sometime bring no lasting relief), and appears to be as effective as other modern treatments. If MM is caused by a herpes virus, the l-lysine and beta 1,3 glucan products may suppress reoccurrences of the disease and prevent future problems.

Length of Treatment

Lastly, it will be important to continue on the regimen forever. The regimen is by no means a cure. Whatever causes MM, it  is likely to remain, and to go off the regimen after any relief is to invite the disease right back, perhaps in a more severe form that this regimen can’t address. 

Who Benefits

The vendors of the products I have recommended have no arrangements whatsoever with me and I receive no fees, commissions, or any other awards. I merely share with other MM sufferers what has worked for me, and now, for many others. I receive nothing in return.

Informing Your Doctor

I recommend that before beginning the regimen, let your physician review it, even though these are over the counter substances. Do not, however, merely dump a copy of this posting in his lap at an appointment and expect his favorable consideration. His time is too valuable. Arrange to have a copy delivered to his office at least several days before your appointment, with a note asking him to review the material before your appointment.

And again, don’t be discouraged if he castigates either the regimen itself, or you or me for even suggesting it. Some very fine physicians are unwilling to see Meniere’s Disease in any new light. Others are willing to try new approaches. If your physician is negative about the regimen, ask him which components he thinks might be harmful and should be avoided, and for which reasons. His ignorance of the metabolic or physiologic effects of bioflavonoids or yeast cell wall extracts doesn’t, by itself, mean that the components are inherently dangerous.

Other MM Approaches

Do not presume that my approach to MM is the only one that can work. I make no such claim. MM sufferers need to be open to all progressive MM developments. It’s not just low salt and diuretics anymore. Strongly consider the John of Ohio regimen described here. But other approaches have shown promise, too.

Acyclovir. The use of acyclovir, a prescription drug that fights herpes infections, has been very successful for many. Dosage must be appropriately strong for acyclovir to work, and like my regimen and everything else with this disease, acyclovir doesn’t work for everyone.

SERC.  In Canada and Europe, administration of betahistine hydrochloride, known as the product SERC, is a common MM treatment of choice. Betahistine is a vasodilator (like lemon bioflavonoid). Dosages must be carefully adjusted to be effective. The drug is not recognized for sale by the FDA in the US, but compounding pharmacists can make and sell it with a prescription.

Grape Seed Extract. A number of people with MM have posted positive results from the use of grape seed extract. If I were starting all over, with the classic MM symptoms that disabled me, I think I would add this ingredient to the regimen. So, if you want to try another component, try grape seed extract (at Vitamin Shoppe, VS-1767).

Gluten Avoidance. A number of people have apparently gained levels of relief from avoiding gluten in their diets, as mentioned above.

Valium. The use of the sedative Valium is now commonly a part of many conventional MM regimens. Valium does reduce the severity of the brain’s confused reactions to aberrant signals received by the brain from a diseased ear. But it is only palliative (suppresses symptoms, not root causes).

Chemical Labyrinthectomies, Surgeries.  For advanced, recalcitrant MM cases, physicians may recommend chemical destruction of portions of the inner ear with certain antibiotics. Also, a number of surgical procedures are commonly used in advanced MM cases.

Meniett Device. The Meniett Device has rendered degrees of relief for many who have used it. But it does not address any underlying cause of the disease. And the device is not inexpensive.

[Note: Do not confuse the lemon bioflavonoid of this regimen with a commercial proprietary product known as LIPOFLAVONOID®, an advertised product of NUMARK Laboratories, Inc. The product apparently contains lemon bioflavonoid, along with several other ingredients. My ENT had me try a course of it at the beginning of my disease, but it offered no relief in my case. I make no other statement of efficacy concerning it. Just be aware that the term “Lipoflavonoid” refers to this commercial product. “Bioflavonoids” are a large class of chemicals found in many plants. Don’t confuse the two terms.]

Final Thoughts

In short, any conventional approach beyond the usual low salt diet and diuretics will entail significant costs. Therefore, it would be reasonable to at least consider a course on this regimen before embarking on surgeries or chemical labyrinthectomies. Everything about this disease is a considered gamble or risk. A trial of this regimen may be something you might want to consider before taking up any of the much more expensive other approaches.

This is a matter to be decided by you and your physician, of course. I have reported here what has worked so well for me,  and now also for well over a hundred others. I hope this information is useful and offers hope.

John of Ohio

meniere95@aol.com