Q&A 5/17/22 D-Dimer, micro-clotting, Nattokinase, Serrapeptase, Long COVID Symptoms


Podcast Highlights:

06:11 High D-Dimer test results while in ER

45:42 Type of magnesium recommended for long-COVID heart problems.

47:14 Which brands of nattokinase and serrapeptase do you recommend?

48:10 What do you think about Health Concerns supplement – Serramend?

Transcript from Webinar:

Hi there.  Welcome to another edition of “Ask Dr. John.” We’re here to take a shallow dive, sometimes a little deeper dive, into issues that arise from day to day in my practice with my patients other people that are watching us. We are open to taking your questions. It’s great if you can send them to us in advance. Some of them I may be able to handle if you send them in on the chat if we have time.  If you send them in advance, even the day of, I can usually put together a quick PowerPoint, which then makes it more memorable and you can go back and watch it in case you missed something. I live for questions. That’s my life. That’s my job – I’m a questioner and I love looking into questions with you and looking to see what we can discern together. That’s my purpose.  I’m going to go ahead and share my screen with you right now.

I’ve got a moderately long presentation. Not real long, but moderate. Today we’re looking at microclotting problems.  If you don’t think you have a problem with microclotting, you are probably wrong. It’s a very serious issue right now with the pandemic and vaccinations, etc.. However, microclotting is always an issue.  I was part of a summit this last weekend looking at combining functional medicine with traditional Chinese medicine.  I went through what I look for in an initial intake in my practice, and there were at least ten things that point at microclots and blood stasis. It is what kills people.


One of my heroes recently published a book on aging and blood stasis, and he kind of turned the entire Chinese medicine community upside down.  When I was in school, I was taught that aging and death is brought on by kidney deficiency. Now translate kidney deficiency as hormone deficiency, because if you look at any of the aspects of kidney deficiency, (kidney yang, kidney yin, and kidney chi), they are all related to hormonal issues, male hormones, female hormones.  I use those terms advisedly because all humans have all of the hormones. They’re just in different ratios and then your adrenal hormones. So when those are out of balance, when they’re disrupted, then death occurs. However, this good doctor pointed out that really that’s not what kills people. That’s what makes people susceptible. What actually kills them and what ages them is blood stasis. For example, diabetes – high blood sugars do not kill people except in rare, rare occasions, but the high blood sugars will lead to thick, sticky blood that will destroy the kidneys, will cause blindness, will cause peripheral vascular disease. It isn’t directly the sugar. It is the blood that can’t move to where it needs to go. It can’t supply oxygen, it can’t supply nutrients, and it can’t take away all the toxic waste products. The same with cardiovascular disease. It’s really blood stasis, right? Coronary artery disease, atherosclerosis, arteriosclerosis, stroke.  Those are all blood stasis issues. We’ve all got them. If you are aging, and I hope you are, then you have those issues, and it’s good to be aware of them.

Now, those of you that have seen me or have seen another acupuncturist, you know that we put a great deal of attention on tongue and pulse diagnosis.  In the pulse, we can feel blood stasis; it is very, very clear. We can feel many other blood related issues.  If we look at the tongue, we can also see blood stasis very, very clearly. Now, there are lots of other signs and symptoms on the body that we look at and/or can look at that will also give us more information. It’s very, very rich.  Let’s take a little deeper dive here. 


This is a question that came in, I believe, yesterday. This is a patient that I have been treating for a while. She was doing really well. She had gotten a vaccine and could not function for several months.  Her job required her to talk to people and to do Zoom calls, and she was totally incapable of doing it. At around the same time, her young son developed COVID. When I saw them a couple of months after their vaccine and  COVID experience, they had almost identical symptoms. I mean, really, really close to identical. Now, Mom was doing really, really well.

Then I hadn’t really seen her much, and this email came in. Her chest pressure had gotten really bad, so she went to urgent care. They ran some tests, a CBC, a complete blood count and a metabolic profile, and she attached those. She said she guessed that her red blood cell count, hematocrit and hemoglobin were a bit low.  They were, but not low enough that it would have caused her symptoms.


Her email continues to read, “They couldn’t find anything wrong, so they sent me home. But then this morning I coughed up some phlegm, and there was a bit of blood in it.” She went to the E.R. They tested her D-Dimer and found it was quite high at 2, and they want that to be 0.5 or under, so they did a chest C.T. with contrast and a leg ultrasound to check for clots. They didn’t find any.” That’s pretty standard. In the Western medical system, D-Dimer is used to predict essentially whether or not there may be a deep vein thrombosis (or a clot in one of the deeper veins of the body), which can be very dangerous.  It can move to the lungs or to the heart, or it can move to the brain and cause heart attacks and stroke. 

She said, “That gave me some peace of mind, but I don’t know what to make of the blood I coughed up…” She had some theories, but to me this was a big, big deal.

This was my week that I do projects, but I immediately got back to her. Unfortunately, I’m not in the clinic, so I was unable to do a pulse diagnosis or a tongue diagnosis. But I wrote back, “Dear patient, the high D-dimer with the clear ultrasound points to a lot of microclotting. That is probably what’s causing the chest bleed. If you can come by the office, it would be good to get some stronger anti-clotting items going.”  I mentioned three items, and if I saw her in person, I would probably recommend more or other. But without seeing her, these are really safe, and they are very effective. I mentioned to her if she started menstruating, she may have a bit more bleeding, so to be a little careful because it will thin your blood some.  They call it thinning the blood.  It doesn’t really thin it. It just makes it so that it doesn’t clot as easily.


The importance of the test. D-Dimer is a marker for fibrin breakdown.  Blood clots form, you get all these clotting factors that come together, and they form a blood clot. As the clot is breaking down; it’s a multi-stage process. One of the last processes is fibrin is released, and it floats around the system; so it’s a marker for blood clotting. It’s very standard to determine the likelihood of a deep vein thrombosis  (Again, a blood clot in one of the larger veins.) In most cases, when it’s elevated, they do an ultrasound of the legs and the chest CT, which was appropriate. Now, that’s as far as it goes, and they sent her home. They found nothing, even though the tests were bad. You have to keep looking. Why would the test be bad? There’s a reason. That’s why they have those tests.  Most MDs are completely unconcerned – and I say this from a great deal of experience. They’re completely unconcerned about the tiny clots that don’t show on ultrasound. Now, I do a very thorough exam on my new patients, and I’m looking at several different signs of these microclots.

Now, pathologists and epidemiologists from around the world are reporting massive microclotting disorders that occur in COVID cases and with vaccine injuries. I saw a video of a summit yesterday where 17,000 of the top MDS, pathologist, epidemiologists from around the world signed a consensus statement, and those are some of the things that they reported that in most cases are not being treated at all.


I’ve done D-dimer tests that indicated significant elevations, and the patient said that the doctor told the patient the test was worthless. Well, then why do they keep running it? Right. Yet, it’s used in medicine every single day, so it is not a worthless test.

From what I got from that that simple email, the D-dimer of 2.0 informs of clear fibrin breakdown. That’s four times high.  A high breakdown is anything over 5.0, so this is four times. When you look at some of the research from around the world, which we’re going to look at some today, it’s a frightening level, actually. The most likely reason for this is that blood clots have formed.  The ultrasound of the legs and CT of the chest is great; it rules out the big clots, the ones that, you know can kill you quickly.  The microclotting seems to be about the only reasonable thing that’s left. You can get some endothelial damage, which both long COVID and the vaccines do cause, where you get damage to the lining of the blood vessels. That can also cause some of this these tests to be positive. Because she had bloody sputum, I’m thinking maybe the microclots are in her lungs or in the bronchial tree because, again, you can’t see them on the CT.

Now, her M.D. was unwilling to admit her for a heparin infusion, and he wasn’t even prescribing any blood thinners to treat the clots.  Fortunately, traditional Chinese medicine is very good at treating what we call blood stasis, which includes blood clotting.  That’s why I sent her those recommendations. Now. I would not send those to someone off the street who just sent me an email, but she is a patient that I have been treating.


I’ve read several brilliant studies coming out of South Africa lately on microclotting and the blood types that it’s more prevalent in; some of the snips, the genetic problems, that make people more likely to develop the micro clots, etc..  There’s a lot of good information coming out. In a case I recently read, they had a cohort of 845 people that they identified by symptoms and by the fact that they had proven COVID and the symptoms had been around for over two months (I think they were 12 weeks in their study), and so they were diagnosed with long COVID. They took blood samples from 70 confirmed long-COVID patients. They outlined a one-month dual antiplatelet therapy for 24 of them. They did Clopidogrel, which I’ve seen in other studies they used a different blood thinner that I think was even more effective, but in this case they used that one and 75 mg of aspirin once a day, every day before breakfast. So again, a dual antiplatelet therapy. All 70 participants were determined to have had microclots.  That’s based on all the studies that they did of their blood and that all 24 that received the antiplatelet and anticoagulant therapy had complete improvements.  Most of them was complete remission, but they all had significant improvements in their long COVID symptoms, and also a huge reduction in microclots. This was reported in Medical News Today.

D-Dimer is a prognostic indicator in critically ill patients. Now, wait a minute -here’s that worthless test again. But in China, they run a D-dimer on literally almost everybody that shows up at the hospital with COVID, and they have a much lower death rate from COVID than does most of the world.  They looked at this to see how important elevated D-Dimer was. They took a bunch of people, 343, and they used a cutoff of 2.0.  Remember that number? That’s the number that my patient sent over with her doctor not being concerned. So that was the cutoff. Here’s the bottom line. Look down at the numbers in green. If the D-Dimer was greater than 2.0, 12 out of 67 people died.  If it was less than 2.0, 1 out of 267 died. That’s an insane difference. Many hospitals will check D-dimer, and they will quartile patients. So if they are over 0.7, up to a particular number, they will usually do out of hospital treatment (a take-home treatment). If they’re at the next highest level (I don’t want to quote that because I don’t remember it exactly), but if they’re in the second quartile, then they are given pretty strong treatment and sometimes hospitalized. If they’re in the third level, they are always hospitalized, usually in intensive care. And if they’re in the highest level of d-dimer, they are expected to die. That’s how important that test is. They are going to try to save them. They’re going to do everything they can. They’re going to put them on heparin and anti-inflammatories and everything else they can, but they know once you get into that top quartile level, it’s quite, quite dangerous. D-dimer is a big deal.  

This was a little fascinating.  At Baylor they did standard clotting profile on patients.  I didn’t see what they did, but I assumed a few things like prothrombin time, INR, sedimentation rate, things like that, but they didn’t say. They just said that that was the first level. They then went to the second level of more specific tests, which were fibrinogen and D-dimer. Those are the tests that I run – fibrinogen and D-Dimer.  Fibrinogen is the protein that makes up the clot and the D-Dimer levels indicate that the patient’s clots are being broken down. One builds it; one breaks it down, but they will both be elevated in these conditions. For the COVID 19 patients in the ICU, they found that the levels of fibrinogen were more than three times the normal range. Now, fibrinogen is a grossly, grossly overlooked blood factor. Kathryn and I will be talking about that in the book that we’re bringing out this summer. How unfortunate it is that there are a few tests that are basically just overlooked, fibrinogen being one of them.  I don’t mean that’s overlooked. I mean, if it’s astronomically high or extremely low, someone’s going to pay attention.  However, much lower levels than are looked for can also be lethal. The same with platelet levels.


Here’s the interesting thing, though. They did the third level, which is the thromboelastography test, for the risk of forming blood clots. This is only used generally if someone’s having a heart surgery or they’re having brain surgery where this is a really, really, really big issue and can kill people quickly.  They found a very high number of COVID 19 patients that tested positive with this TEG test that were undetected on the other tests. Now, unfortunately, you aren’t going to get this test.  You can talk to your doctor, and they’re just going to look at you and laugh. However, a D-dimer and a fibrinogen is as another issue, you may be well able to get those. This is the routine in my clinic for these problems.

My takeaway from these studies and dozens more. I mean, dozens and dozens and dozens more, is that these are the principles that I go by.  All long COVID patients should have appropriate testing done. By the way, with this latest iteration of variant, I found quite a few patients that felt pretty bad, kind of like mild flu. Then they felt pretty good, went back to work and then got really, really sick. Very sick. I mean, on death’s door, kind of sick.  If you do get COVID, don’t be cavalier about it. You want to take your time getting back up to full activity even after you feel good. So, in my opinion, all long-covid patients or anybody that’s not feeling better after a month should get fibrinogen, D-dimer, platelets, CBC and a chem 14. All of those together is not that expensive; $60, I would guess, maybe 70, somewhere in that range for all of those and well worth doing.

Now, if you want to go beyond that, you could get a prothrombin time. I don’t do that because I find I get enough information from the other things generally. Cytokine testing is the gold standard. However, it’s very expensive. Insurance definitely won’t pay if I run it. But generally, even if you go to a Western medical lab, Stanford, usually your insurance won’t pay for it.

Dr. Patterson at Stanford has developed a very specialized COVID panel. It’s brilliant, and it’s amazing.  One of the things it does is it allows the level of inflammation to be tracked because the cytokines cause inflammation, and they’re inflammation markers. He has pulled out a particular group of cytokines that is elevated in long COVID.  He monitors that, and he has a magical treatment for it. However, I don’t know any other doctors other than those people at Stanford that are currently using it. 


My next item is all COVID vaccine injury patients should have the same testing done. All patients should consult with their MDs for appropriate treatment. If you’ve got up a D-dimer test of 2.0 or higher, and you’ve got elevated fibrinogen, it is my opinion that you should be either hospitalized on heparin. I’m not an MD, so I can’t do that. If you aren’t going to be hospitalized, you should be getting very strong dual antiplatelet therapy, such as they did in South Africa. You should consult with your MDS and try to get the treatment. If they won’t supply the treatments, you should seek appropriate treatment from other medical sources.

You could see an acupuncturists.  Some are not as clear, but there are acupuncturists treating this.

You could see a functional medicine MD would be a great choice. They’re very expensive, typically, but very good.

You could go to a chiropractor that utilizes supplements and understands this. Most do. Some don’t. Some just do adjustments, and that’s fine, but it wouldn’t help you much with the blood stasis.

A functional medicine nutritionist. Not just any nutritionist. Most of them will have no idea what to do for blood stasis and microclots. That is not what they do, so you would need someone that was a functional medicine nutritionist who clearly understands blood stasis.

You could go to a naturopath.

I’m sure there are lots of other things I haven’t mentioned out there, but that’s just to give you an idea.


There are some basic items I recommend.  (1) Nattokinase to lower blood clot risk and dissolve fibrin. (2) Serrapeptase, which is sometimes called serratiopeptidase, to break down clots and fibrin. (3) Herbs to resolve the blood stasis and to breakdown microclots.  That is what I recommended for the lady who sent me the email because I didn’t see her in person.

I would then look at herbs to resolve any other inflammatory conditions.  I might use Huang Qin or Skullcap or Andrographisfor the lungs or for inflammatory build up in the lungs. There are herbs for everything. 

One thing that is really way too overlooked are supplements to reinvigorate the immune system. It’s clearly possible to catch COVID multiple times. I have patients that have tested positive three and four times. I have family that have had COVID three times so you can definitely catch it. At the time of this writing, 17,000 doctors, the top people in the world, are saying that the majority of those testing positive are vaccinated. I’m not saying don’t get vaccinated. That’s not the take away. What I’m saying is if you’ve been vaccinated, you’re not protected. Go ahead and vaccinate, if that’s your choice, and then take the supplements that you need to reinvigorate your immune system. There are very specific ones for viruses. There are a whole range of immune system stimulants that are very, very good for viruses.

When I say these (the supplements/herbs) have been found, I’m not talking about some acupuncturist in our clinic.  I mean, there’s a great deal of research. Not one study, not two, but a lot of research showing that these things are what it says here. They keep the blood flowing and they promote cardiovascular health.

Now, the combination that I’m going to talk about today is really good to prevent blood clotting in general. There are studies showing that nattokinase, serrapeptase, and one other thing that I didn’t mention here can prevent deep vein thrombosis after airline flights by 80%. Now not generally known by the public, there are years when 100,000 people a year die from deep vein thrombosis after airline flights. I personally know a couple of people who died, well I don’t know them anymore, but people who died after airline flights because of being stationary in that position, often being dehydrated, and the changes in the way the cabin pressure is done, all of those things contribute to form deep vein thrombosis.


Also, long driving trips have been found to facilitate or make it more likely to get deep vein thrombosis. So if you’re going to do a trip, take these things. You have nothing to lose, and there is one caveat that I’m going to mention a few minutes, but you have everything to gain. They’re inexpensive, and they’re very effective.

Nattokinase is an enzyme. It’s from natto, which is (in my opinion) an inedible food from Japan. There are people that ingest large amount of natto are some of the healthiest people in the world and just don’t have heart attacks. It pretty much doesn’t happen.  I can’t get close to it. It just grosses me out. I’ve had several patients just be really loving and bring it to me, and it’s like, “Oh God, this is going to be close…” so I take a pill much easier.  This has been researched in Japan for decades and decades. I have a whole magazine from one of the nutraceutical companies that was devoted to nattokinase studies from about 20 years ago, so this is not something new. By the way, these things are used by many doctors outside of the United States. It’s just difference in how they look at issues. It can lower blood pressure.


It can reduce the risk of atherosclerosis. This is often misunderstood. Anthro means porridge-like. Sclerosis means hardening like scarring. So atherosclerosis is the buildup of this porridge-like substance called cholesterol on inside the lining of the blood vessels that can eventually impede blood flow and lead to clotting. Arteriosclerosis is a hardening of the arteries, but without the porridge. So that’s a little different. It can lower lipids. Those are those nasty blood fats that your doctors constantly try and get you to take statins for. It supports optimal blood flow with its anticoagulant properties.

By the way, I’ll have people say, “John, why should I listen to you?” And I’ll say, “I don’t know. I just do my best. I do a lot of research. I love people in general, and I kind of want to get the word out there. Sometimes I can be wrong. I have been wrong. Always do your own research.”

However, I’ll tell you, there’s one thing that sets me apart a little bit. I don’t make nattokinase. Whether you take nattokinase or not in general, I’m not going to make a penny on it. I mean, if you’re in my clinic, I’ll make a few dollars on it. However, if it wasn’t that, I could sell you something else.  You know what I’m saying?  I’m not pushing nattokinase because I have a company that makes nattokinase. I’m pushing it because I’ve seen it work. I’ve seen it work on me on a level that you wouldn’t even believe.  There was a time when I had to be very, very stationary, and I was pretty much confined to my recliner.  I developed blood clots from the medial malleolus (that’s the bone on my ankle on the inside) all the way up past my knees in both legs.  I went and got an ultrasound. Now, the first ultrasound completely missed it, because they only looked for deep veins. The saphenous vein, where I had this blockage, is a superficial vessel. I went to a physician’s assistant who was superb. He said, “No, you’ve got to go see this guy. He is a magician with ultrasound, and he let me watch while he did it on the screen. I could see it was completely clotted from my ankle past my knee. The report went over to the doctor who said, “We’re going to have to admit you. Well, let me think about it. We may just strip your veins.”


I said, okay, well, you decide and I’ll be back next week. While I was gone, I did all of the substances that I’m talking to you about here. Plus I did a very strong B vitamin supplement because I tend to be B12 and folate deficient, which can also assist in sticky blood. I basically used nattokinase, I used seropepties, and I used Chinese herbs. When I went back, they were stunned.  Absolutely stunned.  In fact, their comment was, “Gosh, I’ve never seen this [physician’s assistant] make a mistake before, you know, but obviously you couldn’t have unclotted during that time,” which I hear all the time. You know, it couldn’t possibly happen even when it’s right in front of their face. That was my experience with this. It’s an anticoagulant, and it may be neuroprotective. I don’t use it for that so much because I haven’t seen as much literature.

Nattokinase dissolves Fibrin – What are clots made of? Fibrin, and other things also, but if you dissolve the fibrin, and the body starts to destroy the clots; they fall apart. However, even if you don’t have clots, as we age, we experience an increase in blood viscosity. Our blood gets thicker as we age. Blood that’s too thick is more prone to clotting, and it doesn’t flow as easily through the blood vessels. I mean, that makes sense, right?

You know, the heart is only about the size of your fist, and it’s pushing a relatively thick liquid through over 70,000 miles of blood vessels. Actually isn’t what happens, but that’s what we’re told. Actually, most of the pumping is done by your arteries, which are very strong, very muscular. If one’s heart stops, they do die. However, if your arteries aren’t doing their job, you’re not going to move your blood either. So that’s a really, really important thing. If it’s thick, you’re going to increase the blood pressure, right? It takes more pressure to get that blood, that thickened blood through the arteries, so the heart has to pump harder. There’s no doubt about it that nattokinase helps to decrease that thick blood and supports healthy blood flow.


For one study, there was randomized, double blind, placebo controlled. That is the gold standard in medicine – those three things. God bless Archie Cochrane, who the Cochrane Collaborative is named after. He’s the guy in Scotland who created the randomized double blind placebo controlled trial. They looked at 86 people that had high blood pressure, and they used either nattokinase or a placebo for only eight weeks.  Two months.  There was a significant reduction in blood pressure amongst those taking nattokinase.


Another study involved atherosclerosis, or hardening of the arteries. In this 26-week study, volunteers were instructed to take 300 mg of nattokinase. (that’s a pretty hefty dose), or 20 mg a day of simvastatin, which is a statin, an anti-cholesterol medication. Now, simvastatin has all kinds of side effects, potential side effects.  it really does; it’s not a benign drug in any way. Nattokinase is very benign. So with the study, the arterial wall thickness, which is one of the major diagnostic tools, especially in studies, and the size of the arterial plaques, decreased. Take a look at these numbers.  The plaque size decreased by 36.6% in the nattokinase group, and 11.5% in the simvastatin group.

This would be a good one to share with your doctor; not that they’re going to change their prescribing advice, but we have to keep getting this information in front of them so that they start questioning what they’re doing.

You get a patient that goes on simvastatin. They come in with the side effects of simvastatin:  muscle aches, memory issues, etc. Not everybody has that, but a significant number do. So what do you do? Well, you could tell them to take some nattokinase, which is three times better, and also has the benefit of thinning their blood.

So you see that nattokinase is actually taking the place of multiple pharmaceuticals. The nattokinase volunteers had reductions in total cholesterol, low density lipoprotein (that’s the bad stuff) and triglycerides, which is actually even worse stuff for most people while it increased their good cholesterol. That’s crazy for a few pennies a day.


Here’s a study on carotid artery issues. They’re saying that their findings from this study suggest that daily nattokinase supplementation is an effective way to manage the progression of atherosclerosis and potentially may be a better alternative to statins, which are commonly used to reduce atherosclerosis and further to prevent cardiovascular attack. I want you to read that over a few times. I want you to pull up that study. You can find it. It’s not really hard to find. Take 2 minutes and take a good read on that one. Even if you’re going to do the Western pharmaceuticals, if you add this in most cases, again, there’s some caveats when you wouldn’t add it, but if you add it, you should get three times better results. Sounds awesome to me.

Now, here’s the caution. People who are taking blood thinners, including warfarin, or any of the blood thinners need to know that nattokinase may promote bleeding and easy bleeding or bruising. If you’re taking a blood thinners, you should always consult your doctor before taking it.

 I want to give a big shout out to Ron Grisanti at Functional Medicine University. Most of this information on nattokinase, not the studies, but all the other information is from Functional Medicine University and supplied by Dr. Ron, so we really want to give them a thanks. He does some great work in the world.


Okay, the second thing – serrapeptase. You might remember I had the supplement that I recommended to the person with D-Dimer was something called Natto Serrazime.  We found that it’s much easier for people to take one pill than it is to take four. This is a higher dose nattokinase and serrapeptase than we get in most of our supplements and they are combined together. We find that that’s very effective.

After a silkworm reaches maturity within the silk cocoon, the moth has to get out of the cocoon. That is incredibly strong. It is amazingly strong. It releases proteolytic enzymes to make the hole in the cocoon. It basically burns a hole in the cocoon so it can emerge as an adult moth. When they’re making silk, they actually kill the silkworm or the moth probably in the Silkworm stage actually, so that it doesn’t destroy their silk because silk can be in a hundred hundreds of feet long, over a mile, and if you burn it, then you get random length and they actually use that random length for a few things. You really want the mile in length strand. How strong does that have to be? Crazy. So the primary proteolytic enzyme (lytic means that breaks down/destroys, and proteo is for protein) breaks down the silk, and it’s called serrapeptase, or serratiopeptidase, depends on where you look, and it will reduce any inflammation in the area.  It breaks down the scar tissue without affecting healthy tissue.

I found the study quoted in The Irish Examiner, but it was a medical study. It improves wound healing by clearing old or damaged tissue, including blood clots, mucous cysts, arterial plaque and fibrosis. Now, if you look at the information on serrapeptase and nattokinase, they both say you have to be very careful with liver cirrhosis because it’s going to destroy the tissue. My experience is we have reversed liver cirrhosis in at least one patient by using these to break down that dead liver tissue. You can talk to your doctor about it. 


From Yashoda Hospital in India, there’s a question and answer page. The second question is, “How does serrapeptase work?” There is a good answer here. It binds with microglobulin in blood plasma, which helps it reach the inflamed area.  That gives it a chariot to ride around the body in until it gets to the inflamed area. It also helps relieve pain by eliminating bradykinin, and that is a compound that instigates pain. It also reduces the chance of heart attack or cardiovascular disease by breaking down the fibrin. Naturally, serrapeptase helps in breaking down the fibrin and fat molecules, and it increases blood flow. Pretty good deal.

Here’s a little video from a company that sells this herb, Dan Shen. D-A-N S-H-E-N. When I was in school, I remember every single Chinese doctor over 45 or so would have these double wall glass containers that they put hot water in over their herbs. Every single one of them sipped Dan Shen all day long. They would put the root in there. It comes as a root and they would just continually pour hot water over it during the course of the day. It’s an amazing herb. Now, this is not a great video. I took it off their site, but I’m going to have to walk you through it a little bit. They used to have a really good one, but I couldn’t find it. This is a video of blood flow, obviously. Here we see the blood is kind of flowing through pretty well. Here we see the plaque and the platelets that are forming, making clots. You can see right along that arterial wall and you see they’re getting bigger. Here’s a huge platelet aggregation there, and so you see the blood is not going very well. Now, this is an area that is dead from the clotting, but you look at that blood flow; it’s now racing through there.  This is 30 minutes after administration of Dan Shen. Pretty cool.

Bottom line, Long-Covid is very real. I have had patients from all over the country come see me, and it’s horrible. Vaccine injuries are occurring. They’re occurring at a rate that most people don’t really understand or believe. There are tests available to clearly identify every one of the problems.  There are numerous, inexpensive, scientifically proven over-the-counter natural treatments, natural having no side effects, to help these conditions.

Find a practitioner that takes your problem seriously and knows how to treat it effectively. Don’t suffer needlessly because this can be life and death. It’s not. It’s bad enough to feel bad, but when that patient’s D-dimer gets up over 2, remember that the chances of dying really skyrocket from that Chinese study. Take this very, very seriously. If you feel like you haven’t fully recovered from COVID or a vaccine, get your doctor to run those tests. They are very inexpensive.


Do we have any questions?

Kathryn: We do on our Facebook. Adelaide from South Australia has a question.

John: “Hey, how cool, Hi!.”

Kathryn: “I love listening to your podcast and wish you were here in our city so I could have an appointment with you.”

John: “Just so you know, I actually had someone come see me from Australia, right? Just to see me.”


Kathryn: I listened to your discussion of magnesium. Hoping you can help me.  I couldn’t catch the name of the magnesium. I think this might help my son in law. He had COVID, and that affected his heart. His rhythm goes fast, even with light exercise. He is training to be a policeman, but unless he gets his heart better, he cannot continue his course.  He has lots of medical tests. No diagnosis. Can you please some of the branded type of magnesium more helpful for heart irregularities? Please come and visit Australia.”

John: Most magnesium is helpful for heart rhythm. If someone comes into the hospital with a heart attack or even a suspected heart attack, they do a great job. They push huge amount of magnesium to get the heart to relax. If it’s primarily cardiovascular, I would probably go with magnesium citrate, malate, taurate, any of those are good – anything that ends with “ate.”    Glycinate is a little better for sleep and doesn’t have as much excess bowel activity. Threonate  penetrates the blood brain barrier. It’s the one I use most often, but for the heart, any of the forms that end in “ate” should be fine. Now, I hope you’re listening to today’s presentation because I just went through a whole list of things that can help with the inflammation in the heart. Hopefully you can listen to that.


We have another question. “Which brands of nattokinase and serrapeptase do you recommend?”

There’s a lot of debate which are good, which are bad. We buy our stuff from really, really reputable companies. My favorite is Ortho Molecular. I think their research department is astonishing. We get nattokinase from Ortho Molecular and natto-serrazyme from Designs for Health. 

Natto-serrazyme which I now use more often because I don’t have to give people as many pills we get from a company called Designs for Health. That’s what I take because, again, I’d rather take one pill than four, and it’s very high dose. That’s what I recommend.


What do you think about Health Concerns supplement – Serramend?

We carry that one, too. I think it’s fine. That’s a very good company, very reputable company. They’ve been around for a long time. Their kind of claim to fame is their supplements are generally food based, which I think is great. But again, you get different strengths when you’re doing food based versus nonfood based. However, we have used their product and we’ve had very good results from it. Again, I just like the idea of getting a much higher dose.  I started going with the higher doses after I started reading because of long COVID and vaccine, and I started reading more research and they were using much higher doses than I was using with my typical patient. Again, it is much easier for me to just give that natto-serrazyme. You know, I don’t get anything from any of these companies. Darn it. They should pay me, huh?

Anyway, I want to thank you for tuning in. Hopefully this helps you. Please forward this. I guarantee you have friends that are there’s no doubt who are suffering from microclotting and blood stasis issues. Try to get this out to them as just a little something to spur their interest to take care of themselves. Until next Tuesday ~ Be happy. Be healthy. Thank you.












Dr. John Nieters L.Ac, DAOM, is an acupuncturist, Chinese herbalist, functional medicine, writer, teacher, and leader in the community. In this episode, John talks about his experience with the importance of finding your vision and purpose in life, in order to create the right goals for you.

Disclaimer: Dr. John Nieters received his Doctor of Oriental Medicine and Acupuncture degree from Five Branches. His use of “doctor” or “Dr.” in relation to himself solely refers to that degree. Dr. Nieters is a licensed acupuncturist in California. This video is for general informational purposes only. It should not be used to self-diagnose and it is not a substitute for a medical exam, cure, treatment, diagnosis, and prescription or recommendation. It does not create a doctor-patient relationship between Dr. Nieters and you. You should not make any change in your health regimen or diet before first consulting a physician and obtaining a medical exam, diagnosis, and recommendation. Always seek the advice of a physician or other qualified health provider with any questions you may have regarding a medical condition. TheBalancingPoint.net, Alameda Acupuncture, and Dr. John Nieters L.Ac, DAOM are not liable or responsible for any advice, course of treatment, diagnosis or any other information, services or product you obtain through this video or site.

Leave a Reply

Up ↑