In this episode, Evan H. Hirsch, MD welcomes Troy Roach, a citizen scientist and educator, to discuss the revolutionary use of low-dose nicotine patches in the treatment of Long COVID.

Troy Roach, originally from California and a graduate of Virginia Tech, works as a Medical English teacher for nursing and physiotherapy students at two universities in Madrid, Spain. After being severely debilitated by COVID-19 in March 2020, with his functional capacity reduced to approximately 30 percent, Troy dedicated himself to Long COVID as a citizen scientist.

He joined the Renegade Research community, including Remission Biome, and spearheaded an observational study in 2023 on the use of low-dose nicotine patches for the condition. This study analyzed data from 231 participants, with the results published alongside Dr. Leitzke in 2025. Troy is currently preparing for a longitudinal, IRB-approved follow-up study aimed at further developing evidence-based recovery strategies for Long COVID.

In this episode, you'll learn:

• Why nicotine patches differ from smoking or vaping
• How the cholinergic system and vagus nerve are involved in Long COVID
• What the "toxic five" are and how they relate to recovery
• Safe dosing strategies, brands, and protocols used by thousands
• Why some patients experience "remission events" after just a few doses
• Key risks, detox reactions, and how to prepare the body for nicotine use

Learn more about Troy's work, community and resources:

• Blog: https://unitedstatesian.blogspot.com/
• Main Resources: https://linktr.ee/thenicotinetest

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We help you resolve your Long Covid and Chronic Fatigue (ME/CFS) by finding and fixing the REAL root causes that 95% of providers miss. Learn about these causes and how we help people like you, Click Here.

Do you have fatigue, brain fog, shortness of breath, muscle pain, or other strange symptoms? You might have Long Covid. Take our free quiz to find out if Long Covid is behind the mystery symptoms you're experiencing, Click Here.

For more information about Evan and his program, Click Here.

Prefer to watch on Youtube? Click Here.

Please note that any information in this episode is for educational purposes only and does not constitute medical advice.

In this episode, Evan H. Hirsch, MD, unpacks one of the most frustrating and misunderstood symptoms of Long Covid and ME/CFS: post-exertional malaise (PEM).

If you feel worse after physical or mental activity (even simple things like doing the dishes or going for a short walk) you might be experiencing PEM.

In this episode, you'll learn:

• What PEM is and how it impacts people with Long Covid and Chronic Fatigue
• Why traditional exercise recommendations can make things worse
• The role of mitochondria, adrenals, and hormone dysfunction in energy crashes
• The "Toxic 5" root causes behind PEM: heavy metals, chemicals, mold, infections, and nervous system dysfunction
• A powerful new study showing the biological damage exercise causes in Long Covid patients
• How to identify your baseline and pace activity to reduce symptom flares

If you've ever been told to "just push through it," this episode will show you why that advice fails, and what actually works.

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We help you resolve your Long Covid and Chronic Fatigue (ME/CFS) by finding and fixing the REAL root causes that 95% of providers miss. Learn about these causes and how we help people like you, Click Here.

Do you have fatigue, brain fog, shortness of breath, muscle pain, or other strange symptoms? You might have Long Covid. Take our free quiz to find out if Long Covid is behind the mystery symptoms you're experiencing, Click Here.

For more information about Evan and his program, Click Here.

Prefer to watch on Youtube? Click Here.

Please note that any information in this episode is for educational purposes only and does not constitute medical advice.

In this episode, Evan H. Hirsch, MD, explores the evolving role of nicotine patches in long COVID recovery and why a personalized approach is essential. Building on nearly a year of new findings, Evan shares how nicotine interacts with key receptors in the body, helps dislodge spike proteins, and supports parasympathetic nervous system function, but also why it's not a magic bullet.

In this episode, Evan breaks down:

• Why nicotine helps some people and not others
• The importance of finding your "Goldilocks dose"
• How toxins, infections, and mold can block healing, even with nicotine
• What symptoms are connected to blocked acetylcholine receptors
• Why true recovery requires more than one solution
• When to consider a deeper detox process to address the Toxic 5

Nicotine may support the healing process, but knowing when and how to use it, and what else your body needs, can be the key to finally moving forward.

.

We help you resolve your Long Covid and Chronic Fatigue (ME/CFS) by finding and fixing the REAL root causes that 95% of providers miss. Learn about these causes and how we help people like you, Click Here.

Do you have fatigue, brain fog, shortness of breath, muscle pain, or other strange symptoms? You might have Long Covid. Take our free quiz to find out if Long Covid is behind the mystery symptoms you're experiencing, Click Here.

For more information about Evan and his program, Click Here.

Prefer to watch on Youtube? Click Here.

Please note that any information in this episode is for educational purposes only and does not constitute medical advice.