Long Covid: A framework for improving energy and resolving inflammation


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Overview 

This CPD course...

  • is delivered: As an online on-demand-video from a live course 
  • nutritional therapists, nutritionists, dieticians, naturopaths,  other health care providers  and final year nutrition students interested in applying  functional medicine approaches to health and well-being (i.e. exploring how nutrients, other foods and lifestyle factors influence the function of the body and how to apply findings in a person–centred manner that recognises individuals’ unique differences)
  • is with: Dr Sarah Myhill
  • spans: 5 hours recording time
  • provides: BANT CPD 5 hours, NNA CPD 5 hours

‘Long Covid’ is now recognised as a persistent illness 12 weeks post infection with Covid-19 and, in some cases,  post SARS-CoV-2 vaccination. It appears to affect approximately 10% of those with Covid-19 and cases are very likely to rise. The long Covid clinical picture consists of a chronic fatigue syndrome that causes both physical and mental fatigue together with inflammation causing flu- like symptoms, muscle pain, malaise, headaches and other symptoms. 

Whilst long Covid is a new clinical picture, relevant evidence and clinical experience to support resolution does exist from work to address other post viral syndromes. This course with Dr Sarah Myhill explains the biochemistry and physiology by which the body generates energy in order to understand how to support these mechanisms to reduce fatigue. It then looks at how to identify and address what might be causing inflammation- like symptoms including persistent infections, the activation of an underlying infection, or immune dysregulation related to allergies or auto-immune conditions. 

The course provides a very practical framework developed by Dr Sarah Myhill from her experiences with hundreds of clients spanning four decades for working through energy delivery and inflammation issues, using the paleo-ketogenic diet as a foundation.  

The course focuses on developing practitioners as effective ‘enablers’.  Clients may well need to make long term changes which is a particular challenge if fatigued and therefore they need to understand the principles of the approach and how they can help themselves. The course will give you the rationale and analogies to help explain, motivate and support your clients and it will signpost you to further sources of information that you can tailor to your clients’ needs. 

The course also considers who might be most at risk of long Covid and therefore what practitioners can do to support these clients to be able to better manage and resolve acute infections.

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What will I learn?

By the end of the recording you will be able to: 

  • Explain the biochemical imbalances that may contribute to long Covid and be able to evaluate their potential importance in person- specific contexts based on history taking, test results and other forms of evidence.
  • Critically analyse some of the approaches around the management of post viral syndromes and long Covid and be able to judge their appropriateness to support personalised recommendations.
  • Critically discuss key  dietary recommendations, tests, potential supplements and related approaches around the management of long Covid and be able to apply this knowledge to personalised recommendations

What will be covered?

Session 1 approx. 1hr 15 mins
Recognising long Covid and patient specific patterns and energy delivery

  • The clinical picture of long Covid: Signs and symptoms of poor energy delivery and inflammation
  • Q & A
  • Effective clinical history taking around poor energy and inflammation: Particular pointers and questions
  • Q&A
  • Energy delivery mechanisms: The overview. Key interrelationships between gut function, mitochondrial activity and thyroid and adrenal function.
  • Effective energy delivery part 1:  Putting the correct ‘fuel in the tank’ with the Paleo ketogenic diet
    • What is it and what does evidence tell us are the benefits and potential pitfalls?
    • Balancing up calories, proteins, fats, fibre and carbohydrates
    • How to get into and maintain ketosis
  • Q&A 

Session 2 approx. 1hr 15 mins
Effective energy delivery 

  • How to address upper fermenting gut issues to ensure sufficient micronutrients for mitochondria. 
  • How and why to encourage Vitamin C to bowel tolerance
  • Key supplements
  • Q&A
  • Macro and micronutrient ‘fuel’  requirements
  • Anti-nutrients and common environmental antecedents and mediators causing mitochondrial dysfunction
  • How to ensure that the  thyroid (‘gear box’) and adrenal (‘accelerator’) function are appropriately supporting mitochondrial function  
  • Key detoxification principles for energy production
  • Q&A
  • Commonly used blood tests and how to interpret them

Session 3 approx. 1hr 15 mins
Energy delivery: Appropriate thyroid and adrenal function and general immune support

  • Energy delivery part 4: How to balance the thyroid accelerator pedal and the adrenal gearbox
  • Diet, detox and die off reactions and how to appropriately manage them
  • Q&A
  • General ‘groundhog’ regimes for a healthy immune function for all and for clients who may be more likely to develop Long Covid.
  • How to help prevent and support clients with acute Covid – 19
  • Q&A

Session 4 approx. 1hr 15 mins
Improving immune defences for acute infection and reducing inflammation

  • Basic principles and specific nutraceuticals, pharmaceuticals and micro-immunotherapies for acute infections to reduce the infectious load
  • Q and A
  • Reducing inflammation with key anti-inflammatories and specific micro-immunotherapies for specific inflammatory patterns.
  • Q and A

ebinar waiting room opened

Session 1 (10-11.15am)
Developing personalised and staged functional medicine recommendations for specific oestrogen, progesterone and testosterone-related patterns

From menarche to menopause – pattern overview with a focus on oestrogen and progesterone

Managing oestrogen-progesterone balance and supporting healthy hormone metabolism

Case study reflection

Managing testosterone patterns in women

Monitoring progress using testing and clinical assessment and modifying your plan accordingly

Session key points

Q and A

Session 2 (11.30 am - 12.45pm)
Developing personalised and staged functional medicine recommendations for managing the menopause

Common themes in menopause management – nutrition, lifestyle and mind-body interventions and considerations around HRT, including recent evidence

HRT options (synthetic, body identical and bio-identical) – what’s the difference; which are available on the NHS and how best to support clients access these

Sexual health and contraception around perimenopause

Case reflection

Important considerations in post-menopausal health, including neglected areas such as addressing increased risk of cardiovascular disease and  certain cancers and cognitive support

Session key points

Q and A

Session 3 (1.45pm- 3pm)
Practical applications:  HPA-HPG axis case studies

This session will bring our earlier learning to life, looking at case studies in HPA-HPG axis management from the award-winning Synthesis Clinic. We will cover timeline and matrix consideration in each case and management plans, including nutrition, supplementation, lifestyle and mind-body approaches, as well as integrative medicine options.

Case study 1

Case 1 Q &A

Case study 2

Case 2 Q&A

Session 4 (3.15pm-4.30pm)
Complex women’s health cases and extended care team working

This session will cover different options in women’s healthcare, including medical, psychological and integrative modalities and potential indications for additional input. We will discuss how to work more effectively within extended care teams to support your client and successfully communicate your approach to GPs and other healthcare professionals.

The role of different professionals in women’s health and when/how to refer

Working with medical professionals effectively and guidelines for communication

Case study 3

Case 3 Q &A

  • Webinar waiting room opened

Session 1 (10-11.15am)
Developing personalised and staged functional medicine recommendations for specific oestrogen, progesterone and testosterone-related patterns

  • From menarche to menopause – pattern overview with a focus on oestrogen and progesterone
  • Managing oestrogen-progesterone balance and supporting healthy hormone metabolism
  • Case study reflection
  • Managing testosterone patterns in women
  • Monitoring progress using testing and clinical assessment and modifying your plan accordingly
  • Session key points
  • Q and A

Session 2 (11.30 am - 12.45pm)
Developing personalised and staged functional medicine recommendations for managing the menopause

  • Common themes in menopause management – nutrition, lifestyle and mind-body interventions and considerations around HRT, including recent evidence
  • HRT options (synthetic, body identical and bio-identical) – what’s the difference; which are available on the NHS and how best to support clients access these
  • Sexual health and contraception around perimenopause
  • Case reflection
  • Important considerations in post-menopausal health, including neglected areas such as addressing increased risk of cardiovascular disease and  certain cancers and cognitive support
  • Session key points
  • Q and A

Session 3 (1.45pm- 3pm)
Practical applications:  HPA-HPG axis case studies

This session will bring our earlier learning to life, looking at case studies in HPA-HPG axis management from the award-winning Synthesis Clinic. We will cover timeline and matrix consideration in each case and management plans, including nutrition, supplementation, lifestyle and mind-body approaches, as well as integrative medicine options.

  • Case study 1
  • Case 1 Q &A
  • Case study 2
  • Case 2 Q&A

Session 4 (3.15pm-4.30pm)
Complex women’s health cases and extended care team working

This session will cover different options in women’s healthcare, including medical, psychological and integrative modalities and potential indications for additional input. We will discuss how to work more effectively within extended care teams to support your client and successfully communicate your approach to GPs and other healthcare professionals.

  • The role of different professionals in women’s health and when/how to refer
  • Working with medical professionals effectively and guidelines for communication
  • Case study 3
  • Case 3 Q &A

Who is leading the course?

Dr Sarah Myhill MBBS

Dr Myhill qualified in 1981 and worked as an NHS GP from 1982-2000, as an independent GP 2000-2020, and now works as a Naturopathic Physician. She has a special interest in Chronic Fatigue and has an extensive practice supporting patients to understand the principles of her approach and in so doing, support themselves on the path to good health.

Dr Myhill is also the author of several award winning books including ‘Chronic Fatigue Syndrome and Myalgic-Encephalitis - it’s mitochondria not hypochondria’, ‘The Energy Equation’, ‘Ecological Medicine’. She has also authored three peer reviewed scientific papers with respect to fatigue syndromes and mitochondrial function.


How will I be taught?

ION’s CPD courses reflect best practice for online teaching and learning practice.  This is an edited recording of a live course. It contains presentations interspersed with recorded Q and A sessions. 


How much does it cost and what’s included?

The course price is £89.00. 

  • PDF of presentation  
  • Approx. 5 hours edited recording 
  • Viewing access for a least 90 days. You can access the course up to 10 times. 
  • BANT CPD 5 hours, NNA 5 hrs

What isn’t included?

Dr Myhill’s presentation will not include references to substantiate all points made. What is presented is her synthesis and approach based on four decades of clinical experience. Dr Myhill has written a 496 page book ‘Ecological Medicine - The Antidote to Big Pharma and Fast Food’ which details her approach and tools further and where appropriate provides references.  The book is not included within the ticket price however ION has reduced the price of the tickets to enable you to purchase this book to support your learning should you choose to do so. You do not need to have the book to benefit from the course but Dr Myhill may refer to it at times. It is available from Dr Myhill directly here  or from other online suppliers.


Important information

  About this on-demand recording

  • The speaker is not present on this recording and you will not be able to ask them questions but you will be able to see the recorded Q and A sessions.
  • This course was recorded in December 2021. All recordings are removed approximately one year after they are recorded so that we can ensure our courses contain up to date information. You will be able to access the course for at least 90 days and view it up to 10 times before the materials are taken down.

    How do I book?

  • Please check you have read ION’s FAQs including our cancellation and refund policy before booking
  • Click the "BOOK" button at the top or bottom of this page - you will be taken to our webinar platform 'Big Marker.' 
  • Please ensure you use the same name and email to register, login and purchase tickets on our website and any partner platforms. You are responsible for providing your correct email address across all ION and ION partner platforms.

Registration links and materials

  • You will be automatically sent a link to the course when you register. Please do not share this with anyone. This is set up to only allow entry to the first user that clicks it. Further links cannot be generated. 
  • Your booking confirmation email contains the password needed to access course materials (where applicable). Please type (rather than copying and pasting) this password when prompted and please ensure there are no spaces at the beginning or end. 
  • To download the course materials, click the HANDOUTS button in the video player (situated between the VOLUME and QUESTIONS buttons).  

CPD

  • Participation in an ION CPD course forms part of a practitioner's or individual's ongoing learning. It does not qualify a non-clinically trained practitioner or individual to work in a clinical setting. Individual’s boundaries of safe work, advice or practice are primarily determined by their formal qualifications and related personal insurance. 
  • This on-demand recording is recognised by BANT for 5 hrs CPD  (applicable to BANT members only) and the NNA for 5 hrs CPD
  • Non BANT registered practitioners may use this course for their CPD depending on the requirements and guidance of their professional body. 

If you have a queries, please email [email protected]