Photobiomodulation Devices and Research (including Long COVID)

MedCram - Medical Lectures Explained CLEARLY
19 Mar 202426:15

Summary

TLDR本视频深入探讨了光生物调节(photobiomodulation)这一快速发展的科学领域,特别是其在健康领域的应用。光生物调节利用特定波长的光来影响人体细胞,从而调节激素、增强巨噬细胞活性、减少炎症等。视频中特别关注了光生物调节在治疗长期COVID-19症状中的潜力,包括其对线粒体功能的积极影响。此外,介绍了市面上的光生物调节设备,如近红外光头盔,以及它们在治疗脑损伤、抑郁、焦虑和长期COVID-19中的潜在效果。

Takeaways

  • 🌞 光生物调节(photobiomodulation)是利用光在健康领域的应用,涉及使用特定波长的光来影响细胞功能。
  • 🧠 光生物调节特别关注于脑光生物调节,即利用光来改善大脑功能,可能对长期新冠症状有潜在益处。
  • 📈 从1980年至今,光生物调节领域的研究数量呈指数级增长,显示出这一科学领域的快速发展。
  • 🔍 光生物调节可以影响多种生理过程,包括激素调节、免疫反应、抗微生物效果、细胞保护和细胞信号传导。
  • 🛑 光生物调节对线粒体功能有显著影响,这与长期新冠症状中的线粒体功能障碍有关。
  • 💡 近红外光能够深入身体内部,影响线粒体,可能有助于减少氧化应激和改善线粒体功能。
  • 🧪 研究表明,近红外光可以改善新冠患者的住院时间、肺功能和血液学指标。
  • 🤔 尽管光生物调节显示出巨大潜力,但目前还没有FDA批准的设备,且研究仍在进行中。
  • 🎓 光生物调节设备如Neuronics和vLight正在寻求FDA批准,并进行临床试验以支持其安全性和有效性。
  • ⚠️ 光生物调节设备使用需谨慎,应在专业人士的指导下进行,以确保安全和效果。

Q & A

  • 什么是光生物调节疗法(photobiomodulation)?

    -光生物调节疗法是指使用光来影响健康的一种科学领域,它涉及使用特定波长的光来调节生物体内的生化反应,从而促进伤口愈合、组织再生、增加循环、减少炎症和疼痛,以及帮助恢复正常的细胞功能。

  • 光生物调节疗法在治疗新冠长期症状(long covid)方面的潜力是什么?

    -光生物调节疗法,特别是近红外光的使用,被认为可以改善新冠长期症状,如疲劳和脑雾。这与光疗法能够减少氧化应激、刺激褪黑激素产生以及改善线粒体功能有关。

  • 近红外光如何影响线粒体功能?

    -近红外光能够激活线粒体代谢,促使细胞从依赖糖酵解转向氧化磷酸化,这一转变有助于干细胞离开其缺氧微环境,寻找足够的氧气以支持能量产生,进而分化为可以修复大脑的细胞。

  • 光生物调节疗法设备是否已经获得FDA批准?

    -目前,光生物调节疗法设备尚未获得FDA批准。两家主要公司,neurionic和vlight,正在努力获得FDA对其设备的认可,这可能需要2到3年的时间。

  • 光生物调节疗法设备通常用于哪些医疗条件?

    -光生物调节疗法设备被研究用于多种医疗条件,包括阿尔茨海默病、脑损伤、抑郁症、焦虑症、新冠长期症状等。

  • 为什么光生物调节疗法设备需要专业咨询?

    -光生物调节疗法设备需要专业咨询,因为它们需要根据特定疾病和个体情况定制治疗方案,包括光的强度、持续时间和频率等,以确保安全和治疗效果。

  • 光生物调节疗法的剂量-反应曲线是什么样的?

    -光生物调节疗法的剂量-反应曲线通常是非线性的,存在一个最大效应点,超过这个点,治疗效果不会增加,反而可能减少。

  • 脉冲光在光生物调节疗法中有什么作用?

    -脉冲光可以产生不同的频率,这可能有助于产生特定的神经认知效果。研究表明,脉冲光可以改善睡眠质量、提高注意力和记忆测试的得分。

  • 如何获取更多关于光生物调节疗法的信息?

    -可以通过访问medcram.com获取更多关于光生物调节疗法的医学教育信息,或者查看相关的科学研究和数据库,如Vladimir Hekinan整理的包含7000多项研究的电子表格。

  • 光生物调节疗法设备的价格如何?

    -光生物调节疗法设备的价格不菲,类似于外科手术刀,它们是专业工具,最好在了解其功能和使用方法的专业人士指导下使用。

Outlines

00:00

🌞 光生物调节疗法与人体健康

本段介绍了光生物调节疗法(Photobiomodulation)的概念,这是一种利用光线对人体健康产生积极影响的科学领域。特别提到了光生物调节疗法设备,以及它们在调节激素、增强巨噬细胞活性、降低炎症因子、调节免疫系统、抗菌、细胞保护、抗病毒、细胞信号传导等方面的潜在作用。此外,还提到了光生物调节疗法在治疗长期COVID-19症状方面的潜力。

05:01

🌡️ 光生物调节疗法与COVID-19的关系

本段深入探讨了光生物调节疗法在治疗COVID-19方面的应用,特别是近红外光对改善COVID-19患者的氧化应激和线粒体功能障碍的潜在益处。提到了COVID-19患者体内氧化应激标志物的增加,以及光生物调节疗法如何通过刺激线粒体来改善这些症状。还讨论了光生物调节疗法在改善COVID-19患者的住院时间和肺功能方面的临床试验结果。

10:02

🧠 光生物调节疗法对大脑健康的潜在影响

本段讨论了光生物调节疗法对大脑健康的潜在影响,包括对线粒体功能的改善、减少氧化应激、刺激褪黑激素的产生以及提高能量产生效率。介绍了光生物调节疗法在治疗脑损伤、阿尔茨海默病、抑郁症、焦虑症、长期COVID-19等症状方面的研究进展。同时,还提到了光生物调节疗法设备,如头盔式设备,以及它们在提供脑部治疗方面的潜力。

15:03

🛠️ 光生物调节疗法设备的使用与研究

本段介绍了光生物调节疗法设备,如Neuronics公司的Neur Radiant 1070头盔,以及它们在治疗脑部疾病方面的应用。讨论了设备的使用方式、设置的可定制性以及如何通过专家咨询来优化治疗效果。同时,还提到了光生物调节疗法的剂量反应曲线,以及脉冲光在产生神经认知效应方面的潜在优势。

20:03

🏥 光生物调节疗法的临床应用与未来展望

本段讨论了光生物调节疗法在临床应用中的现状,包括在阿尔茨海默病、脑损伤、抑郁症、焦虑症、长期COVID-19等症状的治疗中的作用。提到了目前尚无FDA批准的光生物调节疗法设备,但有公司如Neuronics和Vlight正在努力获得FDA批准。同时,还提到了光生物调节疗法设备在安全性和有效性方面的研究,以及未来的研究方向。

Mindmap

Keywords

💡光生物调节

光生物调节是指使用光来影响生物体的生理过程,特别是细胞和组织的生化反应。在视频中,光生物调节被用来讨论如何利用特定波长的光,特别是近红外光,来治疗疾病和改善健康。例如,视频中提到光生物调节可以调节激素、增加巨噬细胞活性、减少炎症细胞因子等。

💡近红外光

近红外光是一种光波,波长范围大约在700纳米到1毫米之间。视频中提到,近红外光能够深入人体组织,影响线粒体的功能,从而对健康产生积极影响。近红外光在治疗COVID-19和长期COVID症状中的应用被特别强调。

💡线粒体

线粒体是细胞内的能量工厂,负责产生细胞所需的能量。视频中提到,线粒体功能失调与长期COVID症状有关,而光生物调节能够激活线粒体代谢,促进氧化磷酸化,从而可能有助于修复受损的细胞。

💡氧化应激

氧化应激是指体内氧化剂和抗氧化剂之间的不平衡,导致细胞受到损伤。视频中提到,COVID-19患者体内氧化应激水平升高,这与线粒体功能失调有关。光生物调节被认为可以通过减少氧化应激来改善健康。

💡光疗

光疗是一种使用光来治疗疾病的疗法。在视频中,光疗被用来讨论如何利用光生物调节来治疗COVID-19和其他疾病。例如,视频中提到了使用特定波长的光来改善COVID-19患者的预后。

💡光生物调节疗法设备

光生物调节疗法设备是指用于光生物调节的医疗设备,如视频中提到的头盔式设备,可以发出特定波长的光来治疗大脑。这些设备目前尚未获得FDA批准,但正在研究其在治疗长期COVID症状和其他疾病中的潜力。

💡剂量-反应曲线

剂量-反应曲线描述了药物或治疗的剂量与其效果之间的关系。视频中提到,光生物调节并非剂量越高效果越好,而是存在一个最大效应点,超过这个点效果会递减,这强调了在光生物调节治疗中精确剂量的重要性。

💡脉冲光

脉冲光是指以脉冲形式发射的光,与传统的连续波光不同。视频中提到,脉冲光可以产生独特的神经认知效应,这在光生物调节治疗中是一个重要的考虑因素。

💡褪黑激素

褪黑激素是一种在大脑中的松果体产生的激素,对调节睡眠-觉醒周期至关重要。视频中提到,褪黑激素可以减少氧化应激,并且阳光中的近红外光可能有助于在体内产生褪黑激素,从而对健康产生积极影响。

💡长期COVID

长期COVID是指在COVID-19病毒感染后持续出现的症状,这些症状可能包括疲劳、脑雾和认知功能下降。视频中讨论了光生物调节如何可能帮助改善长期COVID患者的症状,特别是通过改善线粒体功能和减少氧化应激。

Highlights

光生物调节是一种使用光来促进健康的科学领域,正在迅速发展。

光生物调节可以调节激素、增强巨噬细胞活性、减少炎症细胞因子等。

光生物调节的研究文章数量自1980年以来呈指数级增长。

光生物调节对改善健康和治疗某些疾病具有巨大潜力。

近红外光的光生物调节对COVID-19患者可能有益。

COVID-19感染可能导致ACE2受体减少,从而加剧氧化应激。

褪黑激素是减少氧化应激和改善COVID-19患者状况的关键因素。

阳光中的近红外光能深入身体内部,对线粒体产生积极影响。

光生物调节对线粒体功能的影响是其在治疗中发挥最大作用的关键。

光生物调节可能有助于改善长期COVID症状,如疲劳和脑雾。

光生物调节治疗设备尚未获得FDA批准,但正在积极研究和开发中。

光生物调节治疗的剂量反应曲线是非线性的,存在最大效应点。

脉冲光可能产生独特的神经认知效应。

光生物调节治疗设备,如Neuronics和Vlight,正在寻求FDA批准。

光生物调节治疗设备需要专业知识来正确使用,以达到最佳效果。

Neuronics和Vlight的设备提供了可定制的治疗方案,以适应不同疾病的需求。

光生物调节治疗的未来研究可能会揭示更多关于其在治疗长期COVID和其他疾病中的潜力。

Transcripts

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meg.com welcome to another megr video

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we've talked a lot about sunlight and

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how the benefits of sunlight can impact

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the human body but there is another area

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of science which is growing very quickly

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termed

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photobiomodulation which is the use of

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light in health and we're going to talk

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about that today we're going to talk

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about some of the devices that are being

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used specifically for brain brain

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photobiomodulation and the potential

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that these could have on long covid this

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slide that we're starting out with shows

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a photobiomodulation therapy device and

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a summary of all the things that can

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happen the modulation of hormones

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increasing maccrage activity decreasing

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pro-inflammatory cyto kindes modulation

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of the Adaptive immune system and then

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there's some other issues like

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antimicrobial effects cytoprotective

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effects antiviral effects cytotoxic

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molecule rupturing the microbial

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membrane we have blood vessels and

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specific cellular functions and injured

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lung tissue cell signaling all of these

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things are involved with

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photobiomodulation and specifically what

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I wanted to show you is this slide here

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which is a search of the

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photobiomodulation articles that have

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been published going back to 1980 the

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knowledge and the amount of information

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that we're getting in this particular

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field of study is growing exponentially

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these are the total number of studies

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accumulated for the year and for me this

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has been an evolution in my

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understanding and thinking about light

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therapy and how light can affect the

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human body we've talked about circadian

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rhythm and depression and these are

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things that have been welln but we're

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now delving into areas that are not

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wellknown and are amazing in terms of

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the Frontiers that we're learning about

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this is an emerging field for those

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people that really want to know how to

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improve health and some of the

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treatments that are coming down and some

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of the possible devices this is going to

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be a good

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video so I'm going to use covid-19 as a

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prototype for exactly what the benefits

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of near infrared light

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photobiomodulation can actually have

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this goes way back to a video that we

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published on our channel in April of

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2020 and it's this understanding that

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the ace2 receptor and its loss because

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of covid-19 infection can perate the

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balance between oxidative molecules and

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reducing molecules causing an

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exacerbation in reactive oxygen species

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and therefore blood clots and hypoxemia

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we actually showed that covid-19

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increases the amount of Von willbrand

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factors secreted into the bloodstream

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which causes those clots and you get the

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happy hypoxics that we talked about one

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of the things that is well known to

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mitigate reactive oxygen species is

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melatonin and very early on we talked

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about about the importance of sleep and

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its effect on the immune system and also

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on oxidative

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stress the findings of oxidative stress

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in covid-19 is well documented this was

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a paper that was published back in

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December of 2021 showing that in

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patients admitted to the hospital with

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covid-19 they had a reduction in

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antioxidants in the cell they had an

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increase in the marker of oxidative

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stress and also in the marker of

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oxidative damage and they showed that

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very clearly here for instance this was

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a measure of oxidative damage and you

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can see across all of the different

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years that in those that had covid there

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were higher levels of oxidative stress

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in the cell and specifically as a result

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of

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mitochondria and this mitochondrial

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dysfunction has come to the surface as

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the major way that people develop long

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Co you can see here a tweet from Eric

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toppel who's been following this and

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other articles here mitochondria and

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microbi dysfunction in covid-19

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pathogenesis here's another article that

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was published in science translational

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medicine in late August of 2023 core

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mitochondrial genes are downregulated

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during SARS K2 infection of rodent and

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human hosts another one here a study

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identifies mitochondrial dysfunction as

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the cause of long covid fatigue and so

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here we have the intersection of

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photobiomodulation exerts its greatest

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effects also the intersection of the

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cause of one of the newest disabling

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diagnoses that we've had in the last

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four years which is long

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covid this paper was published before

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the covid pandemic hit back in 2019 it

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was published in melatonin research and

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it was in this article that I first

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began to understand what was going on

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with photobiomodulation and the effect

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of natural sunlight which contains a lot

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of infrared radiation had on the

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mitochondria and the ability of near

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infrared light to penetrate deep inside

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the body going back to our Paradigm you

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can see here very clearly that melatonin

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secreted from the pineal gland could be

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a mitigating Factor against excessive

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reactive oxygen species in covid-19

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patients and in SARS cov2 infected cells

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but what became apparent to me is that

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melatonin from the sun which is produced

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on site in the mitochondria could also

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have a benefit of that the fact that

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sunlight itself through near infrared

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radiation could have a benefit in

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addition to obviously ultraviolet

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radiation producing vitamin D in the

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skin this was something that I think was

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a paradigm

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shift and we produced at least three

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videos over the next year the first one

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was in January of 22 where we published

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light as medicine over 4 million views

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now on that video also the case for

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sunlight in Co just a few days later in

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January 26th of 20122 and finally when

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the randomized control trial using near

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infrared light in covid-19 from a group

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in Brazil was published in a prestigious

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Journal we published that about a year

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later on January 2nd 2023 which showed

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that 940 nanom of infrared radiation for

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15 minutes a day 7 days in a row could

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actually improve outcomes in covid-19 in

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the hospital specifically length of stay

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and also pulmonary function testing and

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hematological testing and of course with

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that my practice changed and added the

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ability for covid patients to get

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sunlight and we discussed that with a

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case where we took a patient outside who

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had Co severe enough to require high

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flow oxygen at 100% 35 lers and we were

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able to get them outside in the sunlight

play06:41

for about 15 minutes a day every day and

play06:43

we actually published that finding in

play06:45

our video that was published on December

play06:47

6 2023 sunlight for hospitalized covid

play06:51

many have written me over the last

play06:54

couple of years in my advocacy of

play06:56

getting outside and getting sunlight

play06:58

that you live either in areas where that

play07:00

doesn't happen or the sun doesn't come

play07:02

up early enough and you're not able to

play07:04

get it or you're just not able to get

play07:05

outside and so there have been many

play07:07

requests and there have been many

play07:09

projects I can see in replies to making

play07:12

their own devices that have near

play07:14

infrared radiation not every single day

play07:16

of the week is bright and sunny

play07:18

sometimes you have overcast clouds and

play07:21

you can't get out into the Sun and one

play07:22

of the things that we've noted and

play07:24

talked about is that near infrared

play07:25

radiation is blocked by water vapor

play07:28

because water absorbs in the near

play07:29

infrared Spectrum specifically at

play07:31

actually around 940 NM as well as other

play07:34

areas what this causes of course is our

play07:37

human tendency to see if we can package

play07:39

and artificially produce something in

play07:41

nature first of all I'll just say here

play07:42

at this point in Venture that I still

play07:44

believe 100% that the absolute best way

play07:47

to take advantage of these mechanisms is

play07:50

to get outside and get natural sunlight

play07:52

and that is the best way to do it and

play07:54

it's absolutely free that being said

play07:56

there are situations where patients

play07:58

can't get outside it's too cold it's not

play08:00

enough sun it's too dark they're not

play08:02

able to physically patients are in the

play08:04

hospital they're too critically ill they

play08:06

can't be disconnected from the hospital

play08:08

there are so many reasons why this could

play08:10

happen and so people have looked into

play08:12

this area of

play08:13

photobiomodulation photo meaning light

play08:16

bio meaning living cells and modulation

play08:19

meaning an exertion influence on what

play08:22

photobiomodulation is specifically is

play08:24

describing the biochemical reactions

play08:26

that occur in living cells in response

play08:28

to light for some of us watching this

play08:31

video this may be news to us except for

play08:33

perhaps the retina of the eye we're not

play08:35

aware of any way in which sunlight or

play08:38

light affects the human body and what

play08:40

we're going to find out is that is not

play08:42

true light does affect the human body in

play08:45

profound ways and in ways that we're

play08:46

just starting to understand so just to

play08:49

be clear about this historically when

play08:51

you're looking up scientific articles

play08:53

you're going to see this term

play08:55

photobiomodulation used in its alternate

play08:58

terms specifically in bio stimulation

play09:00

cold or cool laser lowlevel laser

play09:04

therapy soft laser and low power laser

play09:07

therapy and these are all terms that

play09:09

have been used in the past fortunately

play09:11

in 2015 thanks to Dr Prine areni photo

play09:15

bio modulation therapy was actually

play09:17

added to the National Library of

play09:19

Medicine mesh database entry terms and

play09:22

so these things will be easier to find

play09:25

for the most part if you want to

play09:27

understand a little bit more about the

play09:28

definition this is how they would say it

play09:30

in this therapy a light source is placed

play09:33

near or in contact with the skin

play09:35

allowing the light energy or photons to

play09:38

penetrate tissue where it interacts with

play09:40

chromophores located in cells resulting

play09:42

in photo physical and photochemical

play09:45

changes that lead to alterations at the

play09:47

molecular cellular and tissue levels of

play09:49

the body light induces a complex chain

play09:52

of physiological reactions in diseased

play09:55

and damaged tissues to accelerate wound

play09:57

healing and tissue regeneration increase

play10:00

circulation reduce acute inflammation

play10:02

reduce acute and chronic pain and help

play10:04

restore normal cellular function

play10:07

interestingly recent Research indicates

play10:08

that light can enhance performance in

play10:10

normal tissues and cells as well and so

play10:13

this has been a very hot area of

play10:15

research and as you can see based on

play10:17

this graph the number of articles that

play10:19

are coming out are increasing and

play10:21

probably the number of indications and

play10:23

devices will be increasing as well so in

play10:26

my search for understanding about photob

play10:28

biom modul ation I came across this

play10:30

database which I'll make available to

play10:32

you in the link in the description below

play10:35

this spreadsheet was put together by a

play10:37

scientist involved in photobiomodulation

play10:40

who's living in Finland he's also a

play10:42

dentist his name is Vladimir hekinan

play10:45

quite an amazing spreadsheet that he's

play10:47

put together with over 7,000 different

play10:50

research studies that are categorized

play10:52

based on the part of the body the type

play10:54

of trial and the outcomes of course this

play10:57

is a searchable database and so for

play10:59

those of you who are really interested

play11:01

and hardcore in looking at

play11:03

photobiomodulation I highly recommend

play11:05

this link it is updated and you can find

play11:08

a lot of the information on

play11:10

here in this database you can find

play11:12

studies like this and case reports for

play11:14

instance like this a 57-year-old

play11:17

African-American man with severe

play11:18

covid-19 pneumonia who responded to

play11:21

supportive biomodulation therapy first

play11:24

use of pbmt in covid-19 the wavelengths

play11:28

that were used here was 88 and 905

play11:31

nanometers and it was published here in

play11:33

this article another one here that you

play11:34

see if you look over here on the right

play11:36

side of the screen the adjunct low-level

play11:38

laser therapy in morbidly obese patient

play11:40

with severe covid-19 pneumonia another

play11:43

case report again at 808 and 95

play11:46

nanometers you can see there the name

play11:48

for this therapy has actually changed

play11:49

from

play11:51

pbmt to L llt and that's another reason

play11:54

why there really needs to be

play11:55

standardization of this type of therapy

play11:57

in order for it to be searched but this

play11:59

database doesn't only include case

play12:01

studies but also randomized control

play12:03

trials as well here's a paper that was

play12:06

published in September of 2020 on the

play12:09

jamond network and this was a randomized

play12:11

clinical trial and it was looking at

play12:14

traumatic brain injury patients to see

play12:16

whether or not photobiomodulation would

play12:18

improve outcomes there and here they

play12:20

used a postconcussion symptoms

play12:23

questionnaire and the questionnaire

play12:25

ranked symptoms and so the higher the

play12:27

number the worse the score was this one

play12:31

specifically is the rpq 13 and the

play12:34

authors of this study made their own

play12:36

device their own helmet which emitted

play12:39

light at 8810 nanom and it showed that

play12:42

over 6 months period of time there was a

play12:45

statistically significant reduction in

play12:48

the RP Q13 assessment now again this is

play12:52

traumatic brain injury not in covid-19

play12:55

patients not brain fog or postco

play12:58

patients

play12:59

but this paper postco cognitive deficits

play13:02

at one year are Global and associated

play13:05

with elevated brain injury markers and

play13:07

gry matter volume reduction a national

play13:09

prospective study in this study they

play13:11

took 351 previously healthy but

play13:13

hospitalized long covid subjects and

play13:15

they match each one of them to at least

play13:17

eight or more match controls matched for

play13:20

age sex first language and level of

play13:22

education and they assessed them 1 to 26

play13:25

months post discharge to see how they

play13:27

were and what they found was that that

play13:29

these postco patients had lower

play13:31

cognitive scores and it did not

play13:33

correlate with covid-19 severity and

play13:36

that recovery took months and was

play13:38

incomplete as you can see over here in

play13:40

the graphs the normative graph here is

play13:42

on the left the middle one that's in red

play13:44

are the covid patients and then the long

play13:46

covid patients here you can see in

play13:49

multicolors things like the

play13:50

neurofilament light chain or NFL and the

play13:54

gal fibrillary acidic protein or the

play13:57

gfap here you can see where were

play13:59

elevated and were indicative of brain

play14:02

injury things like too which actually

play14:05

looks at cognitive impairment was

play14:08

statistically significantly elevated as

play14:10

well compared to the normative control

play14:12

groups and so what we see here in terms

play14:14

of long Co and brain fog is that it's

play14:18

not too dissimilar to what we are seeing

play14:21

in traumatic brain

play14:23

injury last year we published a video on

play14:26

our Channel treatment for long Co and we

play14:28

looked at at photobiomodulation and

play14:30

sunlight but specifically we looked at

play14:32

this study looking at a device that was

play14:35

a helmet that transmits at 170 nanom and

play14:39

the question that they were asking was

play14:41

can we get the same effects in the human

play14:43

body by just doing helmets as we do with

play14:46

whole body

play14:49

photobiomodulation and I guess the

play14:50

question might be why would we expect

play14:52

the radience of near infrared light into

play14:55

the brain by wearing a helmet help well

play14:58

first of all we've Ted talked about that

play15:00

near infrared light is able to penetrate

play15:03

through the scalp through the bone

play15:04

through the cable spinal fluid which

play15:06

then diffuses it throughout the surface

play15:08

of the brain and then the crevices

play15:10

conduct that light deep down into the

play15:13

surface of the brain where the gray

play15:14

matter is here's a paper that was

play15:16

actually just published at the time of

play15:18

our production of this video which is

play15:21

March of 2024 showing the trans cranial

play15:25

photobiomodulation for the brain and its

play15:27

wide range of clinical applications you

play15:30

can see here over on the right hand side

play15:32

of the screen a number of the different

play15:34

applications that they're talking about

play15:35

for instance

play15:37

angiogenesis anti- apotosis cell

play15:40

migration neuron growth etc etc here's

play15:43

neurogenesis even lymphatic drainage

play15:46

which is important in things like

play15:47

dementia so one of the questions is why

play15:50

would near infrared light help well

play15:53

there's been a number of theories that

play15:55

have looked at this and it has to do

play15:57

with the mitochondria that in the

play15:59

neurons and the fact that the

play16:00

mitochondria is where energy production

play16:03

occurs and that there's two ways of

play16:05

energy production there is oxidative

play16:08

phosphorilation and then there is

play16:10

glycolysis and it's interesting because

play16:12

a lot of the effects that are considered

play16:15

to be relevant here is there are

play16:17

proteins in the electron transport chain

play16:19

specifically cytochrome C oxidase which

play16:21

can interact with light and cause

play16:23

changes there's also other theories that

play16:25

near infrared light also stimulates

play16:27

melatonin production and reduces

play16:29

oxidative stress and also that near

play16:31

infrared light makes the water around

play16:34

the ftpa where energy production occurs

play16:36

less viscous and therefore more

play16:39

effective and efficient but let's read

play16:41

what this article that was just

play16:43

published this month shows here quote

play16:45

the activation of mitochondrial

play16:47

metabolism by photobiomodulation can be

play16:50

characterized as a switch towards

play16:52

oxidative phosphorilation and away from

play16:55

glycolysis this switch has two important

play16:58

consequences firstly stem cells living

play17:01

in their hypoxic Niche mainly rely on

play17:04

glycolysis for their energy requirements

play17:07

however when their mitochondria are

play17:08

activated by PBM or photobiomodulation

play17:11

they must leave their Niche to go in

play17:13

search of sufficient oxygen to support

play17:15

oxidative phosphorilation once outside

play17:18

the niche the stem cells become

play17:19

progenitor cells and can be influenced

play17:22

by any cues that might be released from

play17:24

areas of tissue damage in order to

play17:26

differentiate into sematic cells where

play17:28

they can then repair the brain so

play17:31

basically what it's saying here is this

play17:32

light signals these progenitor cells

play17:35

these stem cells if you will to go out

play17:37

and start actually replacing the damaged

play17:39

cells that were there

play17:41

before this is a helmet that is made by

play17:44

the company neuronic and this is known

play17:46

as the neur radiant 1070 because it puts

play17:49

out light at 1070 nanm they did a

play17:51

head-to-head trial against the entire

play17:54

bed which is whole body

play17:56

photobiomodulation which puts out two

play17:58

different frequencies one at 660 and the

play18:01

other at 850 and what they wanted to do

play18:03

was to actually test out objectively to

play18:05

see whether or not you needed to have a

play18:08

helmet or a whole bed tissue radiation

play18:12

so what they looked at here is the data

play18:14

from these objective data sets and in

play18:18

the first half you're looking at trans

play18:20

cranial and in the second half you're

play18:22

looking at whole body and you can see

play18:24

that the Improvement in the cognition

play18:27

score was the same name here again

play18:29

you're looking at trans cranial and the

play18:31

Improvement there in the digital symbol

play18:34

substitution test and you're looking at

play18:36

whole body here as well and it was about

play18:39

the same in terms of improvements in

play18:42

patients who had these cognitive

play18:44

assessments and this led the authors to

play18:47

the conclusion that you could get the

play18:50

same effects with the helmet that you

play18:52

would get with whole body radiation of

play18:55

infrared light and if you want more

play18:57

information on that please watch our

play19:00

video and we'll put a link in the

play19:02

description below one of the things

play19:04

that's also important to understand

play19:06

about photobiomodulation is normally you

play19:08

would expect a dose response curve to be

play19:10

linear so in other words the higher the

play19:12

dose the more the effect in fact it's

play19:15

actually basic so in other words there

play19:18

is a point of maximal impact above which

play19:21

you actually start to see a diminishing

play19:23

impact and that was shown very

play19:25

effectively in this article the basic

play19:27

dose response in lowlevel light therapy

play19:30

or

play19:31

photobiomodulation and so these things

play19:33

need to be carefully thought out and

play19:35

there needs to be Advanced planning in

play19:37

terms of magnitude of the light

play19:40

therapy the other aspect of

play19:43

photobiomodulation is this idea that

play19:45

pulsed light can actually generate

play19:47

distinct and beneficial neurocognitive

play19:50

effects this was a paper that was

play19:51

published in 2023 and they looked at

play19:54

three different groups at 660 nanm 8 50

play19:59

nanm over 8 minutes and they had those

play20:01

that were a control group those that had

play20:03

continuous wave and those that were

play20:05

pulsed meaning that there was different

play20:07

frequencies 40 HZ and 100 HZ to see

play20:10

whether or not there would be an

play20:12

improvement what they notice is that

play20:13

when they pulsed the wave they had

play20:15

actually better scores in terms of the

play20:17

Sleep score the cych motor vigilance

play20:19

tasks and delayed match to sample scores

play20:23

that were actually improved and the

play20:25

average power within the gamma band

play20:27

which is another way of measuring

play20:28

cognitive ability and so this is

play20:30

something else that scientists have

play20:32

Incorporated in photobiomodulation

play20:35

therapy is the fact that they can be

play20:37

pulsed I want to say up front that I

play20:40

have no Financial relationship with

play20:41

either neuronic or vlight neither

play20:45

company is paying me to feature any of

play20:47

their devices in my video I'm just doing

play20:49

this because there has been a tremendous

play20:51

demand to comment on what's going on in

play20:53

terms of devices in terms of long covid

play20:56

and other diseases that have potentially

play20:59

photobiomodulation as a treatment so let

play21:02

me just tell you a little bit about what

play21:04

the current state of affairs are in

play21:05

terms of photobiomodulation helmets

play21:08

their use in Alzheimer's disease brain

play21:11

injury depression anxiety long covid etc

play21:14

etc and right now there are no devices

play21:18

that are FDA approved the two major

play21:20

companies are neuronic which you see

play21:21

here and also one that I'll show you in

play21:23

a little bit called vlight here you can

play21:26

see on the neuronic website under

play21:28

research the different diseases and some

play21:31

of the research that neuronic was

play21:33

wishing to highlight both neuronic and

play21:36

vlight are trying to get FDA approval

play21:39

for their devices and of course the

play21:41

research that goes into that and the

play21:43

time and the effort is quite arduous and

play21:46

my understanding is they could be

play21:47

anywhere from 2 to 3 years before these

play21:50

devices get FDA approval and they will

play21:52

be specific for specific diseases if we

play21:54

look at that long covid category there

play21:57

at the neuronic website you'll see some

play21:59

of the references that they have used

play22:01

and if we look at their device it's not

play22:03

inexpensive I consider it like a

play22:05

surgeon's scalpel Just Like a Surgeon

play22:08

scalpel it is a tool that is used but is

play22:10

best used when under the control of

play22:13

someone who is knowledgeable and

play22:14

understands what that device can do as

play22:16

I'll show you here in a little bit this

play22:18

device is not something that you just

play22:19

put on your head and flip a button there

play22:21

is a number of inputs and there are

play22:23

variables that you can input to have the

play22:25

desired effect you can see here adding a

play22:28

3-month consultation in how to use this

play22:30

device is actually going to be very

play22:33

helpful this is the other company vlight

play22:36

and they have a similar appearance but I

play22:39

believe this one is slightly different

play22:41

in that there is a nasal probe as

play22:43

well back to the new radiant neuronic

play22:46

did send me a neuro radiant 1070 and

play22:49

they gave that to me for free to try out

play22:51

and I will be sending it back to them

play22:53

after I'm done with it so as you can see

play22:56

here this is simply a helmet that plugs

play22:58

in in and it's got light emitting

play23:00

devices on the inside that irradiates

play23:03

the outside of the skull and penetrates

play23:05

through you can put different sized pads

play23:07

on there and you can see as it fits

play23:09

pretty easily on your head however this

play23:11

controller has a number of different

play23:14

inputs and this is really where I think

play23:16

the genius of this type of a device has

play23:19

come in is they've made it so

play23:20

customizable that if protocols down the

play23:23

line are found for specific types of

play23:25

diseases they can very easily be entered

play23:27

here as you can see there is generalized

play23:30

settings like peace focus and energize

play23:32

and these have different settings and

play23:35

pulses and durations but there's also a

play23:37

customizable program where you can input

play23:40

specifically what part of the helmet is

play23:43

activated and for how long at what

play23:45

intensity and I think this is important

play23:47

in terms of being upfront with them in

play23:49

terms of consultation so they have

play23:51

experts who are knowledgeable about the

play23:54

types of settings that they would

play23:56

require for different types of

play23:58

conditions and again that's why I would

play24:00

say this is very similar to a scalpel so

play24:03

this is a tool that is used and the

play24:06

outcomes will be based on consultation

play24:08

with the experts that understand and

play24:10

know how this type of a device would be

play24:12

used for your particular

play24:15

situation I did notice on their website

play24:17

that they are starting a clinical trial

play24:19

and that they are looking for people to

play24:22

enter into that clinical trial so they

play24:24

can do further research and submit those

play24:25

to the FDA for approval these are are

play24:28

some of the eligibility criteria 50 to

play24:31

75 years of age located in the United

play24:34

States have mild cognitive impairment

play24:36

have a computer and a smartphone have a

play24:38

caregiver or family member willing to

play24:40

help and willing to drive for up to 20

play24:42

mil to obtain two EEG tests one at the

play24:45

beginning and one at the end of the

play24:46

study in the sake of equal time here we

play24:49

have vlight and they also have a similar

play24:52

device as we mentioned if we ask on

play24:54

their website whether or not this is FDA

play24:56

approved there is a message that comes

play24:58

up saying that no it is not FDA approved

play25:01

the FDA have categorized our devices as

play25:04

lowrisk General Wellness devices in

play25:07

accordance to the fda's draft on General

play25:09

wellness policy on lowrisk devices dated

play25:12

January 20 2015 all Vite devices have

play25:16

been independently TUV certified as safe

play25:19

for Consumer use and I believe that is a

play25:21

German or European Standard as this

play25:24

company is based in Europe so I hope

play25:27

this video has been informative you may

play25:29

not have gotten specific information

play25:31

about the conditions that you have but I

play25:33

believe that looking at that Excel

play25:35

spreadsheet which we'll give the link to

play25:38

and understanding more about the

play25:39

condition that you're specifically

play25:41

concerned about will give you more

play25:42

information in terms of that I will

play25:45

reiterate again I think that

play25:47

photobiomodulation therapy is a type of

play25:49

therapy that is a tool the way that that

play25:51

tool is used will determine the outcome

play25:54

when that tool is implemented please

play25:56

don't forget to join us at medcram.com

play25:59

for all of your continuing medical

play26:02

education needs don't forget to

play26:04

subscribe turn on notifications we'll

play26:06

see you next time thanks for joining

play26:13

us

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