The Team of Doctors and Biohackers Who Seem to Be Successfully Treating “Long Covid”

Nikita Alexandrov, Chem, MBA
19 min readNov 12, 2020

While trying to understand the mechanism of Long Covid, which obviously involved serotonin dysfunction balanced by mast cell activation as I wrote about previously - I met a group who seems to have the last pieces of the puzzle and the ultimate scientific validation: they appear to be giving people their lives back using low cost compounds anyone can buy at the pharmacy, the ultimate application and validation of a scientific theory.

Their research, COVID-19: NAD+ deficiency may predispose the aged, obese and type2 diabetics to mortality through its effect on SIRT1 activity, has received an excellent response and seems to be validated in mice, relevant abnormalities found in ferrets and the mechanism echoed by other researchers. Dysfunction of relevant systems are found in COVID19 and correlated with inflammatory markers. Clinical trials are under way to treat the same mechanism using more exotic and commercial compounds than the simple ones used with success in their case.

According to this theory, cofactors coupled to the oxidation/NAD+ cascade are critical to outcomes and this is seen in the observation that low selenium levels correlated to poor outcomes in China. Observations of high blood sugar being a predictor of death in COVID19 patients, regardless of diebetic status validate metabolic changes being a major risk factor of COVID19 according to NAD+ theory. Activation of the same kynurenine pathways predicted in NAD+ theory of COVID19 correlate to blood sugar deregulation.

Unrelated to the core mechanism, a recent publication in the journal Nature, stated: “vitamin B3 (niacin or nicotinamide) is highly effective in preventing lung tissue damage. It might be a wise approach to supply this food supplement to the COVID-19 patients.” A recent bioinformatics analysis also indicated niacin should be studied as a treatment for COVID19. A forward looking pre-print indicates nicotinic acid may act as a one of a kind bioenergetic “pump” of inflammatory molecules out of cells, critical for COVID19. Niacin has been seen to easily cure systematic NAD+ deficiency in clinical research. In 2010, this exact biochemical cascade surrounding NAD+ has been speculated as an HIV cascade in the paper, “The oxidative stress-induced niacin sink

Nikita Alexandrov, Chem, MBA

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