Nick Mark MD
Nick Mark MD

@nickmmark

18 Tweets 1 reads Dec 27, 2022
FLCCC has gone from anti-vax dog whistles to full blown anti-vax yells.
Their new “protocol” (based on zero studies) treats “vaccine injuries” with their usual snake oil: vitC, IVM, HCQ, + hyperbaric O2 & more.
A🧵debunking this nonsense & a call for medical boards to act.
1/
First, this organization & its fringe doc members have moved from anti-vax adjacent IVM pushers to outright anti-vaxxers.
The official FLCCC position is “there is no medical justification to recommend vaccination.”flccc.substack.com
About as clearly anti-vax as it gets.
2/
They’ve also developed a new protocol to treat what they call “vaccine injury”?
What is “vaccine injury” you ask? Well they say it isn’t defined.
Basically anything bad that happens to a vaccinated person (snake bite, car crash, stroke, etc) could be “post-vaccine syndrome”
3/
This is a classic move from the pseudoscience quack playlist.
If a condition is undefined it’s not falsifiable. Anyone who gets better was “cured.” Anyone who doesn’t improve didn’t have the disease in the first place! No study can ever prove or disprove their protocol.
4/
Another part of this “protocol” is the warning not to vaccinate people w/ long COVID.
This is blatant misinformation.
Not only to vaccines decrease the risk of *getting* long COVID, there is evidence vaccination can *improve* symptoms if you have it.
yalemedicine.org
5/
What about the “I-RECOVER” protocol itself?
It calls for 6 prescription medications🟥, a dozen OTC meds/vitamins/supplements🟧, various behavioral interventions🟪, and hyperbaric oxygen! Yikes!
6/
The prescription meds are the typical FLCCC snake oil cures:
- ivermectin
- hydroxychloroquine
- fluvoxamine
- chronic steroids
- naltrexone
I’ve reviewed the evidence & debunked most of these COVID treatments before. (See 👇)
Plus a new one: high dose intravenous vitamin C
7/
There’s no evidence for high dose (25 gm/week) IV vitamin C in pretty much anything. Even scurvy doesn’t require this high a dose.
Vitamin C “megadosage” is also a textbook pseudoscience cure for everything from cancer to the common cold.
en.wikipedia.org
8/
Marik has claimed for years that vitamin C cures sepsis. Those claims were thoroughly debunked by 9 RCTs.
onepagericu.com
Despite the lack of evidence, high dose vitamin C remains a common (& lucrative) alternative medicine treatment.
washingtonpost.com
9/
What’s the harm? It’s just a vitamin right?
Well like any drug there are side effects, occasionally serious.
Kidney stones, IV infusion site injuries, RBC hemolysis (with G6PD), & occasionally even anaphylaxis (to preservatives) have been reported.
Deaths have occurred.
10/
Hyperbaric Oxygen therapy (HBOT) is a worrisome new direction for COVID misinformation.
HBOT has legitimate uses: decompression, CO poisoning, etc
But like vitC, HBOT has long been hyped by quacks as a miraculous cure for cancer & other illnesses.
fda.gov
11/
There’s a long history of HBOT pseudoscience. Most impressive was this 5 story, spherical hospital built in 1928.
It’s creator was initially a reputable doctor but made millions selling HBOT as a miracle cure.
Some parallels worth considering
onepagericu.com
12/
HBOT has minimal evidence of efficacy in long COVID & nothing in this make-believe ill defined post vax syndrome.
I found one medical hypothesis paper proposing HBOT in long COVID & one n=10 clinical trial.
Not compelling
ncbi.nlm.nih.gov
rcpjournals.org
13/
Fortunately HBOT is relatively safe, at least when performed by docs who know how to use it. (Needless to say many of the quacks prescribing HBOT aren’t boarded in hyperbaric medicine.
There are some risks, especially with untrained staff.
fda.gov
14/
Bottom line: This is harmful misinformation.
FLCCC has moved from providing “vaccine alternatives” to actively discouraging vaccination.
They have also created a pseudoscientific “post vaccine syndrome” which they are treating with expensive evidence free therapies.
15/
What can we do about this?
1️⃣ write to their medical boards
State medical boards should (& have) suspended the license of docs who spread harmful misinformation. Especially those who profit from it.
For example in WA: washingtonpost.com
16/
2️⃣ write to @ABIMcert & ask them to act
ABIM’s new position - per a 5/22 @NEJM editorial - calls for doctors who spread misinformation to be penalized.
@RichardBaron17 this would be a great time to demonstrate that new position & make an example of Kory & Marik.
17/
3️⃣ get professional organizations (
@accpchest, @SCCM) to expel docs to peddle misinformation. Fellowship in these professional organizations is a privilege. Docs who spread anti-vax misinformation for profit should be expelled.

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