FINALLY A SOLUTION! I've commented a couple of times on this thread as I've dealt with this as well since late 2022. I have visited an ENT as well as pulmonologist many times, yet the persistent symptom of phlegm in my throat and mucus hyper production has been consistent. Tried everything on this forum with limited improvement. However, in the past three days I have had dramatic relief. If you have the means to afford the ingredients in this neti cocktail (the Manuka honey is the most expensive), I believe it is the game changer, at least for me. I think my culprit may be unresolved fungal or bacterial biofilm causing persistent local inflammation, goblet cell hyperplasia, and mucus hyper-secretion with hyper-viscosity, which this neti rinse obliterates! Disclaimer - if you are allergic to honey or bees, consult your doctor first.

Here's what I did:

In collaboration with AI, I made a "NETI-BOMB" solution that I use morning and night. Here is the recipe.

You will need a gram scale and some sort of sterile kitchen thermometer - Infrared thermometers work well.

First half - put directly in neti pot-
4 fluid ounces of room temperature distilled water
1 packet NeilMed sinus rinse with xylitol
7g NutriBiotic Sodium Ascorbate (Vitamin C) Powder
1/4 teaspoon NOW brand NAC pure powder
1/4 teaspoon Sodium Bicarbonate (baking soda)

Stir this together well - this will have a chemical reaction and will bubble a little bit.

Second half:
Microwave 4 fluid oz distilled water in a GLASS measuring cup to around 150 degrees F. - This is about 30 seconds in my microwave.
Stir in 1 level tablespoon high UMF (15+ or 20+) Comvita Certified UMF Manuka Honey.
Stir until fully dissolved 30-60 seconds.

Final mix and heat:
Pour the honey solution into the neti pot mixture and stir
Check temperature with a sterile or infrared thermometer.
If temp is below 98.6 deg. F (probably will be around 90 deg) Heat in very short bursts in the microwave until temp is close to 98.6 degrees F.

Rinse through nostrils/sinuses morning and evening daily.

The solution may sting just a slight bit, but this mixture seems to be adequately buffered with the Baking soda (bicarbonate) and comfortable for me.

Some important notes on why following this method exactly is important:

Xylitol, NAC, and Sodium Ascorbate can be damaged by high temperatures, and this method protects that from happening.

The MGO in manuka is the active agent and is safely heated to 150 degrees F for short periods. This method allows easy dissolution of the thick honey without overheating other ingredients.

I can finally eat again without food getting stuck in the back of my throat! I am also truly hoping for relief for all of you from this nightmare in slow motion! Let me know if you try this out and it helps you like it did me.

Read my post below if you are interested in the mechanisms involved and why this may work for you.

To clear days ahead,
Mike