My 10-Day Supplement Trial for Mild Bronchiectasis

Posted by Peter_1979 @peter1979, 4 days ago

I wanted to share the results of a small self-experiment I recently did. Obviously, this is just one person’s experience and not medical advice, but perhaps it will be useful or interesting to someone dealing with similar symptoms.

A little background on my journey:
Earlier this year, in February/March, I developed what felt like a fairly typical but persistent bronchitis, with a lot of intense coughing.
Then in April, I developed a new set of symptoms: increased bronchial mucus production, chest rattling/rhonchi when exhaling due to loose mucus, a frequent need to clear my airways, and significant nasal and sinus congestion.

That was followed by several months of medical detective work: steroid inhalers, oral steroids, five courses of antibiotics including levofloxacin, pulmonary function testing, chest and sinus CT scans, extensive blood work, allergy testing, and multiple sputum cultures.

My chest CT showed only:
“Trace right middle lobe peripheral bronchial plugging and airway irregularity.”
In contrast, my sinus CT showed much more extensive disease:
“Pan-sinus mucosal inflammatory disease with opacification of all paranasal sinus outflow tracts, pneumatized/layering secretions as well as high-density secretions.”

Initially, none of the pulmonologists I saw mentioned bronchiectasis. However, my symptoms seemed quite consistent with a bronchiectasis-type mucus-clearance problem, and by July the working interpretation became very mild/borderline bronchiectasis together with significant chronic sinusitis.

My symptoms are objectively fairly mild, but they have still affected my quality of life considerably. I constantly feel some degree of chest congestion, and once you become aware of that sensation, it is difficult not to think about it.

Why I tried supplements
I asked about trying the new DPP1 inhibitor Brinsupri, but my disease was considered far too mild to justify starting a relatively new prescription drug.
That got me interested in whether any nutritional compounds or supplements might partially overlap with some of the inflammatory pathways affected downstream by DPP1 inhibition.

To be clear, I could not find any natural compound that directly reproduces the mechanism of brensocatib or directly inhibits DPP1 in a clinically comparable way.

Brensocatib acts upstream by inhibiting activation of neutrophil serine proteases during neutrophil maturation. Nutritional compounds, by comparison, may influence various downstream inflammatory, oxidative-stress, mucus-production, or neutrophil-signaling pathways — but much less specifically and with substantially weaker evidence.

Still, I found several compounds with at least some mechanistic or preclinical rationale for modulating neutrophilic inflammation and/or mucus production. I combined these with NAC and several traditional herbal/mucus-support products.

The idea of my experiment was deliberately to combine everything at once and maximize the potential effect, fully recognizing that this would make it impossible to know which individual component was responsible and that such a large regimen might not be appropriate or sustainable long term.

The regimen
Everything was readily available on Amazon and cost approximately $200 in total.

Turmeric/Curcumin with BioPerine — Nutricost
2,300 mg/day
• 767 mg morning
• 767 mg noon
• 767 mg evening

Omega-3 EPA/DHA — ZenWise
• 1 softgel morning
• 1 softgel noon
• 1 softgel evening

Ginger Root Extract — Nutricost
4,400 mg/day
• 2,200 mg morning
• 2,200 mg evening

Resveratrol — Nutricost
700 mg/day
• 350 mg morning
• 350 mg evening

Sulforaphane Glucosinolate — Nutricost
100 mg/day
• 50 mg morning
• 50 mg evening

Green Tea Extract — NOW Foods
400 mg/day
• 400 mg morning

Quercetin with Bromelain — Nutricost
880 mg/day
• 440 mg morning
• 440 mg evening

Additional Bromelain — Nutricost
500 mg/day
• 500 mg morning

N-Acetylcysteine (NAC) — Nutricost
600 mg/day
• 600 mg morning

ClearLungs Extra Strength — RidgeCrest Herbals
• 1 morning
• 1 noon
• 1 evening

SinusClear — RidgeCrest Herbals
• 1 morning
• 1 noon
• 1 evening

Mullein Leaf Extract — RespiClear
• 1 mL morning
• 1 mL evening

Mucus-Clear — Native Remedies
• 0.75 mL morning
• 0.75 mL noon
• 0.75 mL evening

What happened?
I followed this regimen consistently for 10 days.
Subjectively, I would estimate that my bronchial mucus production and associated airway-clearing cough decreased by approximately 50%.

Before the experiment, my morning airway-clearance session would typically produce around a tablespoon of white mucus/phlegm. During the trial, the amount became noticeably smaller, and I needed to cough and clear my airways less frequently.

I also tolerated the regimen surprisingly well. I took everything with food and did not notice any side effects during those 10 days.

That said, I definitely would not describe this as a cure. I still have a mild sensation of chest congestion during the day, so whatever underlying process is causing the problem is clearly still present.

And because I started so many things simultaneously, there is absolutely no way to know whether the improvement came from one specific supplement, several of them acting together, normal recovery over time, changes in my sinus disease, or simply day-to-day variation.

The next part of my experiment
I have now stopped everything completely.
I want to see what happens during the post-intervention/washout period. If the mucus and congestion noticeably return, that would at least make the observation more interesting.

If they do return, I may eventually reintroduce selected components individually or in smaller groups to see whether I can identify which ones — if any — are actually contributing.

I’ll report back once I see where things settle after the washout.

Again, this is just my personal self-experiment, not a recommendation that anyone else take this combination, particularly because supplements can have side effects, drug interactions, and effects on the liver, bleeding risk, etc. But I thought the observation was interesting enough to share with the group.

Interested in more discussions like this? Go to the MAC & Bronchiectasis Support Group.

You might want to look into NMN (precursor to NAD). After reading a few studies and numerous discussions with 2 of my siblings (an anesthesiologist and a geneticist/medical researcher), I started on 300 mg/day. It helps with increased NAD production and study results have shown improvements to fatigue and strength, particularly for older populations and those chronically ill. Most nutrients that optimize the NAD production from NMN are in your list and many are included in a good diet-not all. Based on my diet, I will be adding NAC, curcumin, maybe resveratrol, and 1 or 2 others. Resveratrol isn't an NAD precursor and does better if there's NAD available. I consume a lot of omega 3 and foods high in resveratrol.
I have also added CoQ10. There have been no NR or NMN human studies pertaining to lung function, but PFT improvements were noted in mice, which certainly doesn't mean the same would hold true for humans but hopefully a human study on NMN and lung function is in the works. NAD is needed for cellular repair and energy output. Epithelial cells are NAD dependent. I did find a posting on the site from a few years ago which mentioned NMN and that they opted to take MAAC10 which included 150 mg NMN, Berberine-can't recall what else. Interesting read on how a number of family members noticed significant hair growth and color change. The human studies suggest 250-500 mg/day is the optimum dose, and 300 mg/day a good choice. I started NMN and CoQ10 about 3 weeks ago and have noticed an increase in energy and strength. For those younger and more athletic, may not notice any benefit-this was observed in the studies and makes sense since NAD levels decrease significantly as we age and if chronically ill.

REPLY
Profile picture for blm1007blm1007 @blm1007blm1007

@peter1979 Regarding my post to you above that I sent.
Did you research about the companies and sources you bought the vitamins from.?
Sometimes that is hard to do or to know if all information is true and correct, as we know.
Hope you are having a good morning/day.
Barbara

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@blm1007blm1007 http://www.consumerlab.com is very worth it for testing on supplements and rating also!

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Profile picture for kathyjjb @kathyjjb

You might want to look into NMN (precursor to NAD). After reading a few studies and numerous discussions with 2 of my siblings (an anesthesiologist and a geneticist/medical researcher), I started on 300 mg/day. It helps with increased NAD production and study results have shown improvements to fatigue and strength, particularly for older populations and those chronically ill. Most nutrients that optimize the NAD production from NMN are in your list and many are included in a good diet-not all. Based on my diet, I will be adding NAC, curcumin, maybe resveratrol, and 1 or 2 others. Resveratrol isn't an NAD precursor and does better if there's NAD available. I consume a lot of omega 3 and foods high in resveratrol.
I have also added CoQ10. There have been no NR or NMN human studies pertaining to lung function, but PFT improvements were noted in mice, which certainly doesn't mean the same would hold true for humans but hopefully a human study on NMN and lung function is in the works. NAD is needed for cellular repair and energy output. Epithelial cells are NAD dependent. I did find a posting on the site from a few years ago which mentioned NMN and that they opted to take MAAC10 which included 150 mg NMN, Berberine-can't recall what else. Interesting read on how a number of family members noticed significant hair growth and color change. The human studies suggest 250-500 mg/day is the optimum dose, and 300 mg/day a good choice. I started NMN and CoQ10 about 3 weeks ago and have noticed an increase in energy and strength. For those younger and more athletic, may not notice any benefit-this was observed in the studies and makes sense since NAD levels decrease significantly as we age and if chronically ill.

Jump to this post

@kathyjjb Hi... You mentioned a few things I am familiar with however not familiar with....NMN, NAD,NR., MAAC10. Could you help me with that, thanks.
Had you ever tried the Flaxseed Oil for the Omega's. That is something I have taken. I need to be more consistent with it.
Congratulations to your siblings and their dedication to medical studies and career. All so very needed in the big picture of life.
Hope you are doing better/well and finding your way around to manage this summer weather and conditions.
Barbara

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Profile picture for Beejenigma @beejenigma

@blm1007blm1007 http://www.consumerlab.com is very worth it for testing on supplements and rating also!

Jump to this post

@beejenigma Yes, thank you. Agree.
My sister has worked in the Vitamin Department of Whole Foods for 16 years and managed health food stores so I also rely on her due to her attitude towards researching all. She is very much into knowing what you are doing. At 71, so far she has no chronic illness and cleared all minor health problems with supplements verses pharmaceutical medications. For now, it has worked, for now.
Barbara

REPLY
Profile picture for blm1007blm1007 @blm1007blm1007

@kathyjjb Hi... You mentioned a few things I am familiar with however not familiar with....NMN, NAD,NR., MAAC10. Could you help me with that, thanks.
Had you ever tried the Flaxseed Oil for the Omega's. That is something I have taken. I need to be more consistent with it.
Congratulations to your siblings and their dedication to medical studies and career. All so very needed in the big picture of life.
Hope you are doing better/well and finding your way around to manage this summer weather and conditions.
Barbara

Jump to this post

@blm1007blm1007 Hi Barbara, I probably don't need omega 3 since I consume so much salmon, tuna, nuts, and chia seeds but I have it on hand if I don't feel like I'm getting enough in any given week. NMN and NR are precursors to NAD. NAD is used to keep cells healthy and energetic. This is a gross oversimplification. I like reading the research on the metabolic pathways and NMN or NR is really interesting in getting our NAD levels up. That said, if you just read some of the study results (minus the metabolic chemistry) it sure is interesting. We lose NAD rapidly as we age which explains why NMN and NR studies do not show benefits or at least not in short time periods for the young, healthy study participants (though body builders have been consuming for years). If you google NMN or NR there's a lot of information online. I really don't know anything about MAAC10 other than what was shared on a post from 2023(?). I just entered "NMN" on the Mayo Clinic Connect "SEARCH" and it came up. If taken 1/day, it only contains 150 mg and the studies I'm reading suggest that's too low a dose to get measurable improvement in strength and energy. Though the ingredients are intriguing and will take a closer look one of these days. I did message my NJH ID doctor that I was taking NMN and other supplements, but I doubt she will offer any advice on it. Also, beware of supplements and make sure the brands are 3rd party tested and don't contain unnecessary fillers. We are getting rain here and the AQI has been much better this week. Thank you about my siblings. I come from a family of doctors. I was the black sheep and studied Chemical Engineering.

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