Protocol Decision Logic Tree

graph TD Start["Start: Protocol Selection"] --> Q1{"I have recently been feeling ill for the past few months
and/or I am still fairly functional,
aka I can still work out"} Q1 -->|Yes| Beginner["You fall under the Beginner Scorch Protocol
Focus: Phase 1, 2, 3"] Q1 -->|No| Q2{"I have been sick for over 6 months
and it is affecting my daily life significantly
but I can still manage it with tons of supplements or medication.
I get PEM after exercise."} Q2 -->|Yes| Intermediate["You fall under the intermediate Scorch Protocol
Focus: Phase 1, 2, 3, 4"] Q2 -->|No| Q3{"I have been sick for well over a year,
I have tried tons of therapies and only kept getting worse.
I am not functional."} Q3 -->|Yes| Advanced["Focus on the Advanced Scorch Protocol
Focus: Phase 1, 2, 3, 4, 5"] Q3 -->|No| Consult["Further Assessment Needed
Consult with the community or coach"] style Beginner fill:#d4edda,stroke:#28a745,stroke-width:2px style Intermediate fill:#fff3cd,stroke:#ffc107,stroke-width:2px style Advanced fill:#f8d7da,stroke:#dc3545,stroke-width:2px

graph TD Start["Monitor Vital Signs & Status"] --> Hemo{"1. Hemodynamic Signals
(BP / HR / Orthostasis)"} Hemo -->|Abnormal| STOP["STOP FAST
IMMEDIATELY"] Hemo -->|Normal| Fluid{"2. Fluid & Renal Status
(Weight / Urine)"} Fluid -->|Abnormal| STOP Fluid -->|Normal| Thermo{"3. Thermoregulation
(Sustained Fever)"} Thermo -->|Abnormal| STOP Thermo -->|Normal| Neuro{"4. Neurological Status
(Confusion / Delirium)"} Neuro -->|Abnormal| STOP Neuro -->|Normal| Cont["Continue Fast &
Monitor Regularly"] %% Threshold Tooltips or Labels Hemo --- H_Note["BP: <80 or >180
HR: >120 or <40
Syncope"] Fluid --- F_Note["Weight Loss: >5-7% / 24h
Urine: 0ml / 24h"] Thermo --- T_Note["Fever: >38.0°C (100.4°F)"] Neuro --- N_Note["Confusion / Delirium
Inability to obey commands"] style STOP fill:#f8d7da,stroke:#dc3545,stroke-width:4px,color:#721c24 style Cont fill:#d4edda,stroke:#28a745,stroke-width:2px style H_Note fill:#fff,stroke:#ddd,stroke-dasharray: 5 5 style F_Note fill:#fff,stroke:#ddd,stroke-dasharray: 5 5 style T_Note fill:#fff,stroke:#ddd,stroke-dasharray: 5 5 style N_Note fill:#fff,stroke:#ddd,stroke-dasharray: 5 5

graph TD Start["Start: Chronic Symptoms + Extreme Diet History"] --> Assess{"Assess Current Diet Background"} Assess -->|Path A: Carnivore / Low-Carb| PathA["Path A: Carnivore/Low-Carb Background
• Belly fat and High LDL
• Cold Extremities
• Low Energy Availability"] Assess -->|Path B: High-Carb| PathB["Path B: High-Carb Background
• Lean or Skinny-Fat
• Wired/Hot and High FGF21
• Difficulty Gaining Mass"] PathA --> Bloodwork["Full Bloodwork + Symptom Check"] PathB --> Bloodwork Bloodwork --> Urgent{"Any Urgent Issues?
Gallstones, Tumors, Organ Dysfunction"} Urgent -->|Yes| Medical["Address Medically First
STOP HERE"] Urgent -->|No| Proceed["Proceed on Your Path"] Proceed -->|Path A| Phase1A["Phase 1A: Gradual Carb Reintroduction
The goal here is to carefully reintroduce carbs
and bridge the metabolic gap with the scorch protocol"] Proceed -->|Path B| Phase1B["Phase 1B: Figure out weight loss issue:
• Is it high metabolism?
• Is it insulin resistance (diabetes)?
• Is it high FGF21?
• Try and fix to put on weight."] Phase1A --> Converge["Phase 3: Liver Therapy & Bioenergetics
• Restore energy production
• Target 98.6F / 80-85 bpm"] Phase1B --> Converge Converge --> T3["Phase 4: Introduce T3 Therapy
• If Low Temps + Poor Conversion
• Start low/slow"] T3 --> Scorch["Phase 5: Scorch Protocol (Dry Fasting)
• When metabolism stable
• Build: 36h -> 72h -> 5-day
• Goal: Stem Cell Activation"] Scorch --> Maintain["Ongoing: Cycle & Maintain"] style PathA fill:#e2e3e5,stroke:#383d41,stroke-width:2px style PathB fill:#e2e3e5,stroke:#383d41,stroke-width:2px style Urgent fill:#ffcccc,stroke:#f00,stroke-width:2px style Scorch fill:#d4edda,stroke:#28a745,stroke-width:2px

graph TD Start[Start: Analyzing Blood Work] --> Thyroid{Evaluate Thyroid Panel} Thyroid -->|High TSH + Low T4/T3| Primary[Primary Hypothyroidism Detected
Consider Standard T4/T3 Meds
Re-assess in 3 months] Thyroid -->|Normal TSH + Fatigue and Low temps| Chronic[Euthyroid + Chronic Fatigue Profile] Thyroid -->|Low TSH Under 1| Hyper[Hyperthyroidism Detected - Need to Address with Fasting] Chronic --> Markers{Check Key Markers:
Cholesterol, eGFR, Insulin Resistance} Markers -->|Low Cholesterol| Preg[Protocol: T3 Therapy + Pregnenolone] Markers -->|High Cholesterol OR
Low eGFR OR
Insulin Resistance| Strong[Strong Rec: T3 Therapy Only] Markers -->|None Elevated| Mild[Milder T3 Therapy
Monitor/Optional] Preg --> Liver{Check Liver Enzymes
ALT/AST} Strong --> Liver Mild --> Liver Liver -->|High ALT/AST| Tudca[Add TUDCA + NAC] Liver -->|Normal| Standard[Continue Standard Protocol] style Strong fill:#ffcccc,stroke:#f00,stroke-width:2px style Preg fill:#ccffcc,stroke:#0f0,stroke-width:2px style Tudca fill:#e1f5fe,stroke:#03a9f4,stroke-width:2px style Primary fill:#e9ecef,stroke:#6c757d,stroke-width:2px,stroke-dasharray: 5 5

graph TD Start["Start: Patient w/ Long COVID Symptoms
(Brain Fog, Fatigue, Suspected IR)"] --> Assess{"Assess Baseline:
Check IR Markers (HOMA-IR >3)
& Liver Function"} Assess -->|IR Confirmed| Trial["Initiate Ivermectin Trial
(e.g., 12mg/day for 4-6 weeks)
Rationale: Reset FXR, Reduce IR"] Assess -->|IR NOT Confirmed| Mock["Rule out other drivers (e.g. Neuro-inflammation).
Still consider trial (Low Dose)"] Mock --> Trial Trial --> Result?{"Result after 4-6 weeks"} Result? -->|Improved| Sust{"Monitor Sustainability
(3 months)"} Result? -->|No Improvement| Pivot["Pivot Strategy
Reassess non-FXR drivers"] Pivot --> Alternate["Root Cause First
(Fasting / Autophagy)"] Sust -->|Stable| Taper["Taper to PRN
(Path 1: Reset / Epigenetic Shift)"] Sust -->|Relapse| Maint["Switch to Maintenance Pulse
(e.g., 12mg 3-5 days biweekly)"] Maint --> Root["Address Root Cause:
Fasting / Autophagy Protocols
(Clear Viral Reservoirs)"] style Trial fill:#d4edda,stroke:#28a745,stroke-width:2px style Remission fill:#c3e6cb,stroke:#28a745,stroke-width:4px style Pivot fill:#f8d7da,stroke:#dc3545,stroke-width:2px style Root fill:#fff3cd,stroke:#ffc107,stroke-width:2px