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What tests are required to determine that one has an active, chronic rickettsial infection, rather than carrying dormant bacteria? How accurate are these tests

The Rickettsial investigation has to be completed by the following blood tests.

Rickettsial Infections Liver function
Chlamydia non spec Kidneys function tests
Mycoplasma IgE
Bartonella CRP, RF, ANF,
Helicobacter pylori Cholesterol study
Bilharzia Iron study
Toxoplasmosis KFT
FBC and ESR Thyroid function tests and thyroid antibodies

One germ is normally not enough to impair the immune system. The biological functions tested are those which are frequently abnormal with intra-cellular organisms’ infections. If these are not relevant, the parasites could be dormant. The blood test can be compared to a photo as opposed to a video, over a period of time; it can only reveal what is passing in the blood taken by the syringe.

What causes certain patients with rickettsia to suffer constant heart palpitations for long periods of time?

Rickettsia and Chlamydia are well known to produce cardio-vascular diseases like endocarditis, myocarditis, valve damage, pericarditis.

What treatment protocol do you suggest for patients who test positive for mycoplasma or chlamydia as well as rickettsia?

The same antibiotherapy as for rickettsia. Also, please see the patients’ guidelines at the end of this document.

Can patients with chronic rickettsia infect others?

No, except through the placenta from mother to child. Also to mention here that the transmission of Q fever has been described as happening from human to human.

Can antibiotic therapy completely eradicate the rickettsia or will patients always be prone to recurrent symptoms of rickettsia?

Like in the case of any other chronic infection (syphilis, malaria, tuberculosis, leprosy, bilharzias, aids, herpes, shingles etc.) patients will remain infected but will be able to manage the infection.

At what point do you recommend stopping the antibiotic treatment? Should this be continued until the patient is completely asymptomatic?

When patients are asymptomatic and when the blood test concerning the differing organic functions and auto-immune factors are normalised. Maintenance treatment is advised to patients that have been presenting auto-immune factors.

What are your views on accompanying your protocol with treatments such as oxygen therapy, ionized air, ozone therapy, hypobaric therapy?

Oxygen therapy, ionized air and ozone therapy are not considered as a great help because intra-cellular germs are acting like a screen between the blood and the tissue. I have not much experience of hyperbaric therapy as access to it is not easy in South Africa. Le Gag reported in 1986 some success using it for MS. Hyperbaric therapy has been assumed to activate cancer.

How important is detoxification?

Depending on what type of detoxification; during the treatment, sauna or hot baths are important, as well as a large intake of water; the objective being to rid the body of particles of antigens released by the antibiotic. A liver booster is advised in case of liver disorder

Do you recommend any other form of treatment to complement your protocol in order to treat symptoms such as ‘brainfog’ or cognitive deficits, heart palpitations, sore joints, muscle weakness? This may be especially relevant when antibiotic therapy helps some symptoms but not others.


  • Piracetam (nootropil) increasing the cerebral vascular net
  • Peripherical vascular support (betahistine) to improve circulation
  • Beta blockers for tachycardia – but be sparing
  • Anti-inflammatory and painkillers if necessary.
Are you aware of any correlation between rickettsia and obesity?

Rickettsia produces CFS. CFS patients are tired and spend their life resting. Exercise is not undertaken and obesity could be a result. They are also looking for energy in food. On the other hand many CFS patients are either normal or even thin.

What is the mechanism behind sensitivity to sunlight?

This is a side-effect of antibiotics. Also CFS patients, due to their poor vascularisation, will be more sensitive to any light.

How important is it to take supplements other than Vit B and probiotics?

According to my personnel experience, vitamins are important in presence of digestive problems with a limitation of normal food absorption. The same applies for athletes and for pregnant women. I have not done any research on vitamins because my patients recover well on antibiotherapy. I would not be confident to use vitamins or any other supplement in presence of germs as this could contribute to its growth.

Are there any prescription medications that should not be taken by rickettsia patients?

The sulpha group, as they enhance the growth of rickettsia in guinea pigs. So does magnesium. Vitamin A and E are to be avoided because of their tendency to produce intra cranial micro-hemorrhages.

Do you have any suggestions for minimizing Herxheimer reaction?

To minimise Herxheimer reaction increase your intake of water. Regular daily exercise for short periods of time will help the circulation of your toxins and hot baths will expel them through the skin.

Have you used Protocel? If so, is this effective?


  • DO take medicine AFTER food despite chemists’ advice
  • DO drink lots of fluid — at least 2—2.5 litres per day. Your aim is to pass at least 1.5 litres of urine daily.
  • If you can drink Indian tonic water: the quinine it contains helps the medication’s absorption.
  • DO take HOT baths( 40CC) or a Sauna nightly – (no steam/Turkish baths) for at least 10 minutes. This is to sweat out (remove) toxins via the skin and to increase blood circulation. Add 5 capfuls of Algibad (available from Canyon Product agents) or 2 tablespoons of Epsom Salts to your bath to assist this process.
  • DO exercise. if you are fit, keep to your normal exercise program as normally as possible: if you are not fit, try to become lit as soon as possible, with short and repetitive periods of gentle exercise.
  • DO keep out of the sun, as your skin will be more sensitive to sun and you could burn
  • DO take extra precautions against pregnancy if on oral contraceptives, as they are less efficient during antibiotherapy.

Do Not:

  • DO NOT take medication on an empty stomach.
  • DO NOT consume any dairy products (milk, yoghurt, fresh cream, Ice cream, cheese) as this changes the PH of your stomach and Interferes with the absorption of the medicine.
  • DO NOT take any analgesics, antacids, vitamins, minerals, homeopathic medicines, or any other drugs, Including Legal on, without first discussing with Dr Jadin.
  • DO NOT smoke at all
  • DO NOT drink alcohol with FLAGYL
  • DO NOT become pregnant until after all treatments have been completed
  • DO NOT breastfeed. Stop before commencing treatment.
  • DO NOT stop your 7 day medication.

At all times:

  • Avoid caffeine (Coffee, tea, Coke etc) and nicotine, because of their vaso-constrictive action.
  • Flu vaccine, Gamma globulin, Berlgiobulin and cortisone are not recommended.
  • Avoid Sulfa drugs
  • Local anesthesia should be used without adrenalin
  • Avoid sugar — if you crave sugar, DO NOT give in to it!
  • Keep away from places where there could be fleas, ticks, lice like stables, manure etc. As a precaution, fumigate your house. In any circumstances, do not touch ticks.
  • DO NOT consume unpasteurised milk.
  • DO NOT eat raw meat (biltong, dry wors etc.) or raw fish.
  • Avoid, If possible, close contact with chemicals like paint and fertilizers
  • Body massages are not recommended
  • Avoid Magnesium Glutamate. Take Vitamins A, D, E and K very sparingly, if at all.
  • All patients, especially children, must de-worm themselves and their animals on a regular basis.
  • If you suffer of an auto immune disease, any laser treatment should be avoided