Protocol Decision Logic Tree

graph TD Start["Start: Chronic Symptoms + Extreme Diet History"] --> Assess{"Assess Current Diet Background"} Assess -->|Path A: Carnivore / Low-Carb| PathA["Path A: Carnivore/Low-Carb Background
• Belly fat and High LDL
• Cold Extremities
• Low Energy Availability"] Assess -->|Path B: High-Carb| PathB["Path B: High-Carb Background
• Lean or Skinny-Fat
• Wired/Hot and High FGF21
• Difficulty Gaining Mass"] PathA --> Bloodwork["Full Bloodwork + Symptom Check"] PathB --> Bloodwork Bloodwork --> Urgent{"Any Urgent Issues?
Gallstones, Tumors, Organ Dysfunction"} Urgent -->|Yes| Medical["Address Medically First
STOP HERE"] Urgent -->|No| Proceed["Proceed on Your Path"] Proceed -->|Path A| Phase1A["Phase 1A: Gradual Carb Reintroduction
• Avoid Spikes
• Honey in milk, OJ with meals
• Bridge with frequent small meals"] Proceed -->|Path B| Phase1B["Phase 1B: Reduce Carb Load & Stabilize
• Lower total carbs temporarily
• Balance Protein/Carbs/Fats
• Cut stimulants/juice-only patterns"] Phase1A --> Phase2A["Phase 2A: Build Metabolic Capacity
• Increase carb volume
• Magnesium + Salt/Sugar Balance
• Gentle movement only"] Phase1B --> Phase2B["Phase 2B: Support Liver & Insulin Sensitivity
• Pro-metabolic foods (Fruit, Dairy, Roots)
• Liver support nutrients"] Phase2A --> Converge["Phase 3: Liver Therapy & Bioenergetics
• Restore energy production
• Target 98.6F / 80-85 bpm"] Phase2B --> Converge Converge --> T3["Phase 4: Introduce T3 Therapy
• If Low Temps + Poor Conversion
• Start low/slow"] T3 --> Scorch["Phase 5: Scorch Protocol (Dry Fasting)
• When metabolism stable
• Build: 36h -> 72h -> 5-day
• Goal: Stem Cell Activation"] Scorch --> Maintain["Ongoing: Cycle & Maintain"] style PathA fill:#e2e3e5,stroke:#383d41,stroke-width:2px style PathB fill:#e2e3e5,stroke:#383d41,stroke-width:2px style Urgent fill:#ffcccc,stroke:#f00,stroke-width:2px style Scorch fill:#d4edda,stroke:#28a745,stroke-width:2px

graph TD Start[Start: Analyzing Blood Work] --> Thyroid{Evaluate Thyroid Panel} Thyroid -->|High TSH + Low T4/T3| Primary[Primary Hypothyroidism Detected
Consider Standard T4/T3 Meds
STOP HERE] Thyroid -->|Normal TSH + Low T3/High rT3| Chronic[Euthyroid / Chronic Fatigue Profile] Chronic --> Markers{Check Key Markers:
Cholesterol, eGFR, Insulin Resistance} Markers -->|Low Cholesterol| Preg[Protocol: T3 Therapy + Pregnenolone] Markers -->|High Cholesterol OR
Low eGFR OR
Insulin Resistance| Strong[Strong Rec: T3 Therapy Only] Markers -->|None Elevated| Mild[Milder T3 Therapy
Monitor/Optional] Preg --> Liver{Check Liver Enzymes
ALT/AST} Strong --> Liver Mild --> Liver Liver -->|High ALT/AST| Tudca[Add TUDCA + NAC] Liver -->|Normal| Standard[Continue Standard Protocol] style Strong fill:#ffcccc,stroke:#f00,stroke-width:2px style Preg fill:#ccffcc,stroke:#0f0,stroke-width:2px style Tudca fill:#e1f5fe,stroke:#03a9f4,stroke-width:2px style Primary fill:#e9ecef,stroke:#6c757d,stroke-width:2px,stroke-dasharray: 5 5