DESCRIPTION

Influenza, better known as "the flu," is a highly contagious viral infection of the upper respiratory tract causing acute infection of the throat, nose, bronchial tubes, lungs, and middle ear. The virus enters the body's airways through mucous membranes in the nose, eyes, or mouth. Because this illness can be spread easily by coughing and sneezing, influenza epidemics are very common, especially in the winter months, During an epidemic, from 25 to more than 50 percent of the population can become infected. Up to 36,000 Americans die each year from influenza, with approximately 200,000 hospitalized. The flu is unpredictable and can strike anyone, at any age. More than 200 different viruses can cause colds and flu, and strains of these viruses are constantly changing (mutating), so vaccinations against influenza have only been partly successful in preventing outbreaks of the disease. Influenza is not the same thing as "the common cold." When you have the flu, you will often miss more work or school than you would with other illnesses. You may remember the flu as one of the worst illnesses you have had.

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CAUSES

The influenza virus causes the classic flu. Health care providers classify the virus as influenza type A and type B, each of which includes several offshoots called subtypes or strains. These strains are different from the original virus but retain some of its characteristics.

Type A is usually responsible for the annual outbreaks that typically occur in the late fall and early winter.

The influenza virus changes often, so having flu caused by one strain does not give you full immunity to other strains.

Widespread outbreaks of the flu usually follow significant changes (called antigenic shifts) in the virus. These epidemics occur about every 10 years. People who get the flu tend to become much sicker when a shift in the flu virus occurs. Minor changes in the virus (called antigenic drifts) occur nearly every year.

The virus is spread from person to person:

• Through small droplets that form when a person sneezes or coughs.
• By contact with objects such as handkerchiefs that have been in contact with fluids from an infected person's nose or throat.
• Direct contact such as shaking hands.

People who have the flu are most contagious and likely to pass it to someone else from 1 day before to 5 days after symptoms develop. Children may be infectious for up to 6 days before symptoms develop.

Symptoms usually develop 1 to 4 days after you are infected. Because symptoms may not develop for a couple of days, you may pass the flu to someone before you know you have it.

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SYMPTOMS

The symptoms of influenza begin much like those of the common cold:

• Headache.



• Pain when you move your eyes.



• Body aches and muscle pain (often severe), commonly in the back, arms, or legs.



• Fever of 100°F (37.8°C) to 104°F (40°C), which can reach 106°F (41.1°C) when symptoms first develop. Fever is usually continuous, but it may come and go. Fever may be lower in older adults than in children and younger adults. When fever is high, other symptoms are usually more severe.



• Chills with body shaking. In many cases, a fever develops, and you may feel unbearably hot one moment and chilled and shaking the next.



• A dry cough, runny nose, and dry or sore throat. You may not notice these during the first few days of the illness when other symptoms are more severe. As fever goes away, these symptoms usually become more evident.



• Nausea and vomiting may occur.



• Fatigue. A general feeling of malaise.



• Weakness. Often a person with the flu is so weak and so uncomfortable that he or she does not feel like eating or doing anything else.

Influenza usually comes on suddenly. In many cases you can pinpoint the hour when symptoms started. Symptoms develop 1 to 4 days after you are infected.

Classic flu involves fever for 3 days, followed by a gradual decrease in other symptoms. Fever is usually slightly lower on the 2nd and 3rd days. It may last up to 8 days.

Respiratory symptoms (cough, runny nose, sore throat) become more noticeable as fever and other symptoms decrease. They usually last 3 to 4 days after the fever goes down. A dry, hacking cough may linger for up to 10 days after other symptoms are gone.

Complete recovery may take 1 to 2 weeks or longer. Fatigue and weakness can last for several weeks.

Influenza is rarely dangerous in healthy adults 60 years of age or younger, but it does make a person more susceptible to pneumonia, ear infections, and sinus trouble. Complications of influenza may develop in anyone, but they are much more likely in older adults and people who have other health problems, especially heart and lung diseases. Among people 65 or older, serious respiratory infections such as pneumonia and influenza are the fifth leading cause of death, so the flu is clearly a serious infection for older people.

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OTHER CONDITIONS WITH SYMPTOMS SIMILAR TO THE FLU

Sometimes it is difficult to tell whether you have influenza or some other viral illness. Many other respiratory viruses, including common cold viruses (rhinoviruses), may mimic the symptoms of a minor case of the flu.

Conditions that people mistake for the flu include:

• A common cold.
• Bacterial infections, such as strep throat, bronchitis, or pneumonia.
• Infectious mononucleosis.
• Viral infections such as a cold or flu tend to cause widespread symptoms, such as fever, body aches, a headache, and a sore throat. Bacterial infections tend to have specific symptoms involving only one system, such as a fever and sore throat only.

The flu makes you feel much worse than the common cold.

One large study found that people who had fever and cough within 48 hours of the beginning of symptoms more often had the flu rather than some other viral respiratory infection.

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RISK FACTORS

Anyone can get influenza. Exposure to the influenza virus is the major risk factor for getting the flu. The virus is contagious and spreads easily among people in groups, such as in nursing homes, hospitals, shelters, schools, and day care. Working, visiting, or living in any of these areas increases your risk of getting the flu. People using public transportation to commute to work or for daily activities, such as the train, subway or bus lines or even the use of taxi cabs can put themselves at higher risk for exposure during flu season.

Factors that may increase the risk of a more serious illness and complications include:

• Being under age 4.
• Being over age 65. About 90% of the deaths caused by flu occur in this age group.
• Women who will be in their second or third trimester of pregnancy during the flu season.
• Having chronic obstructive pulmonary disease (COPD), other lung diseases, or heart failure.
• Having a medical condition (such as acquired immunodeficiency syndrome [AIDS]) or using a medication that impairs the immune system.

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PREVENTION - FLU VACCINATIONS

Some people may be helped in preventing influenza or reducing its severity by getting immunized with an influenza vaccine each year, ideally in October or November. The inactivated influenza vaccine, commonly known as the "flu shot," is given by injection. This form of the vaccine effectively prevents most cases of the flu, although success rates vary according to age, health status, and how closely the virus strains contained in the vaccine match those that are circulating through the population.

Keep in mind, viruses mutate and the strain that was prevalent last year may not be the same one going around this year. If your health care provider is using the same strain of vaccine from last year, it may not work or may have only limited protection. As in several years past, there is often a shortage of flu vaccine and vaccines that were ineffective (black market vaccines often appear during severe shortages and may not be anything more than water in a bottle). Be sure your health care provider or clinic is using the right vaccine from a credible source.

Even if a flu shot does not prevent the flu, the vaccine may reduce the severity of flu symptoms and decrease the risk of complications. Studies have found that the flu shot results in fewer days missed from work and fewer visits to a health care provider for respiratory infections, and reduces the number of people who develop complications from the flu, such as pneumonia.

In spite of these results, many people choose not to get a flu shot. The flu shot may cause side effects in some people, but they are usually minor and do not last long. Research the pros and cons of vaccinations before you decide to use this method.

An alternative to the flu shot is now available. The U.S. Food and Drug Administration (FDA) recently approved a nasal spray flu vaccine. This vaccine, called FluMist, is available to healthy children and adults between ages 5 and 49 years. To avoid transmitting the virus after being vaccinated, close contacts (such as health care workers or family members) of people with impaired immune systems should not be immunized with FluMist; they should consider getting a flu shot.

Because the FluMist nasal vaccine is more expensive than a flu shot, it may not be covered by your health insurance plan. Check with your insurance company first.

MoonDragon's Health & Wellness: Vaccination

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OTHER WAYS TO REDUCE RISK

Other ways to reduce your risk of getting the flu or developing complications and other viral respiratory infections if you:

• Wash your hands often, especially during winter months when the flu is most common. Good hand washing techniques and hygiene is one of the best things you can do for yourself to minimize threat of being infected. If you are unable to wash hands, carry disposable hand wipes to clean hands that have been specially treated to be anti-viral and anti-bacterial.


MoonDragon's ObGyn Information: Handwashing Tips - Infection Control


• Avoid crowds and sick people. Avoid touching areas possibly contaminated with the flu virus, such as public restrooms, door knobs, elevator buttons, public telephones, commuter trains and other public transportation methods and areas, etc. Reducing exposure risk helps to prevent illness.



• Keep your hands away from your nose, eyes, and mouth. Viruses are most likely to enter your body through these areas.



• Stop smoking. It irritates the lining of your nose, sinuses, and lungs, which may make you susceptible to complications of the flu.



• Eat a balanced diet with plenty of fruits and vegetables. Build and maintain a strong immune system. (See Nutrition below for more information.)



• Get regular exercise.

You cannot prevent the flu or make yourself better faster by taking:

• Antibiotics. Taking antibiotics will not treat viral infections such as the flu or prevent complications. If a bacterial infection such as an ear or sinus infection develops after the flu, antibiotics may be helpful.

Some people cannot have a flu shot because they are allergic to eggs, from which the vaccine is made. The antiviral medications amantadine and rimantadine can prevent flu caused by influenza A. Two other antiviral medications (zanamivir and oseltamivir) can prevent the flu caused by influenza A and B viruses. These medications may also reduce the length of the illness if they are given no more than 48 hours after the first symptoms. During a flu outbreak, these medications may be given at the same time as the flu shot and for 2 weeks after while your body produces antibodies to protect you from the virus. These medications are taken by mouth (pill) or inhaled into the lungs (inhaler).



TREATMENT

DIAGNOSIS & HEALTH EXAM

Health professionals can diagnose influenza using your symptoms alone if many cases of a similar illness have occurred in the community and the local health department has confirmed a flu outbreak. Routine testing of people who have typical flu symptoms is not necessary.

Tests to confirm you have the flu and to determine the type of virus may be important if:

• The results may affect treatment decisions. During a confirmed flu outbreak, however, testing may not be needed even if treatment with an antiviral medication is being considered.
• In addition to flu-like symptoms, you have any unusual symptoms that suggest another condition.
• Health authorities have not identified any other cases of flu in your area.

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BLOOD TESTS

Testing may involve blood tests (rarely used) or a culture to identify the virus. Some cultures take 24 to 48 hours for results, so they will not help your health care provider decide whether to prescribe an antiviral medication. A rapid flu test is now available that gives results in 30 minutes. While this test is not 100% accurate, it can be useful when deciding whether to use an antiviral medication.

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CONVENTIONAL MEDICAL TREATMENT

In most healthy people, influenza will go away in 7 to 10 days. The worst symptoms usually last 3 to 4 days. Home treatment to ease symptoms and prevent complications is usually all that is needed.

Antiviral medications can be taken to:

• Reduce the severity and duration of symptoms caused by infection with influenza A or B virus.
• Shorten the length of the illness.
• Control outbreaks of the flu in nursing homes or other high-risk facilities.
• Reduce the spread of the virus to people at high risk for severe complications of the flu (high-risk groups).
• Reduce complications from the flu.

People at high risk of complications are encouraged to contact their health care provider within 48 hours of their first symptoms to find out whether they need medication to shorten their illness. They also should call their health care provider to receive medication if they have been exposed to the flu. If medications are not used, contact your health care provider if signs of a complication develop.

It is estimated that only 30% of people under age 65 who are at high risk of developing the flu are vaccinated every year. All people in high-risk groups and those who could transmit the virus to them because of regular contact are strongly encouraged to get the flu shot.

Almost every community has a program that offers flu shots at low cost during the months of October and November. You also can get a flu shot during a routine visit to a health care provider during the same months. Many health care providers do not require a scheduled appointment to give a flu shot.

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MEDICATIONS

Antiviral medications may reduce the severity and shorten the duration of influenza symptoms by 1 or 1-1/2 days if given within 48 hours of the first symptoms.

Amantadine or rimantadine are effective at preventing the flu caused by influenza A (but not influenza B) infection. The antiviral medications zanamivir and oseltamivir are used to prevent and treat influenza A and B infections. They can lessen the severity and shorten the duration of flu symptoms and may be beneficial for people with immune system problems.

• Zanamivir (Relenza), an inhaled antiviral drug, battles flu symptoms and shortens the duration of the illness. It has also been shown to be effective in preventing the flu in both strains of influenza.



• Another medication, oseltamivir (Tamiflu) has shown comparable results.

Antiviral medications also can be used to control outbreaks and prevent the spread of infection, especially in people at high risk of developing flu complications.

Two types of antiviral medications can treat influenza infections:

• Amantadine or rimantadine (used to prevent or treat influenza A infections)
• Zanamivir or oseltamivir (used to treat and prevent influenza A and B infections)

Most people do not need antiviral medications. They recover from influenza without developing complications. However, given how sick most people are when they have the flu, some people may choose to take medication even if they are at low risk for complications.

The U.S. Centers for Disease Control and Prevention (CDC) recommends using amantadine or rimantadine to control outbreaks of influenza A among people:

• At high risk for flu complications.
• Who did not get a flu shot and who are in contact with people at risk, such as nursing home and hospital staff.

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HOME TREATMENT

Good home treatment for influenza will relieve your symptoms. It may also help lower your risk of developing complications. Home treatment may include:

NON-PRESCRIPTION FLU REMEDIES: Non-prescription products can treat symptoms of influenza. These products contain the same ingredients found in cold remedies. Most contain an antihistamine to stop a runny nose and sneezing, a decongestant, a cough suppressant, an expectorant to bring up mucus, a fever reducer, and a pain reliever such as acetaminophen, aspirin, or ibuprofen. Non-prescription products may help relieve some symptoms, but they will not help you get over the flu faster.

In most cases of the flu, a simple pain reliever and fever reducer such as aspirin, acetaminophen (Tylenol), or ibuprofen (for example, Advil) is all that is needed. However, to avoid the risk of Reye's syndrome, do not give aspirin to anyone under the age of 20. See Reye's Syndrome for more information.

Follow these guidelines when choosing non-prescription flu remedies:

• Avoid antihistamines. They are not effective in treating flu symptoms and may thicken nasal drainage.
• No good evidence suggests that non-prescription products are useful for children under age 5. Some combinations of antihistamines and decongestants help adults, but you need to weigh their benefits against their side effects.
• The best approach is to treat each symptom separately. Use a cough medicine when you have a cough, a decongestant when your nose is stuffy, and a mucus-thinning product (mucolytic) when nasal drainage is thick and causes problems.
• Read labels to make sure you know what the medications contain. Some have a large percentage of alcohol, and others have aspirin or acetaminophen. If you are giving a flu remedy to a child along with acetaminophen, check the label to be sure the flu remedy doesn't contain acetaminophen.

DECONGESTANTS & NASAL SPRAYS: Try a decongestant or nasal spray if your main influenza symptom is a stuffy nose. Decongestants shrink swollen tissues in the space behind the eardrum (middle ear). This may relieve pressure and pain. They can be taken by mouth or in nose drops or sprays. Oral decongestants, such as pseudoephedrine (Sudafed), are probably more effective and provide longer relief than drops or sprays, but they cause more side effects.

Sprays and drops provide rapid but temporary relief. Neo-Synephrine is an effective nasal spray. Sprays and drops are less likely to interact with other medications, which can be a problem with oral decongestants.

Decongestant Precautions:

• Look for a single-ingredient decongestant that contains pseudoephedrine or phenylephrine.
• Do not give cold medications or oral decongestants to babies or children unless instructed by your health professional. Non-prescription cold medications have not been proven effective for preschool children.
• Do not use medicated nasal sprays or drops more often than directed and not longer than 3 days. Continued use will cause your mucous membranes to swell more than before using the spray (rebound effect).
• Drink extra fluids when taking cold medications.
• If you are uncertain about which decongestant to use, ask your pharmacist or health professional for help.
• Decongestants can cause problems for people with other health problems such as heart disease, high blood pressure, prostate problems, glaucoma, diabetes, or hyperthyroidism.
• Decongestants also may interact with other medications such as some antidepressants and high blood pressure medications.

RELIEVING SYMPTOMS

If nasal drainage is thick, a mucus-thinning drug (mucolytic) such as guaifenesin may help keep it thin and draining.

You also can try a homemade saline solution nasal spray that contains 0.25 teaspoon (1.25 grams) of salt in 1 cup (0.2 Liter) of water. This will not cause rebound symptoms.

Reducing fever, headache, and body aches. Fever, headaches, and body aches are typical influenza (flu) symptoms.

• If fever is uncomfortable, take acetaminophen or ibuprofen to lower it. You may also sponge your body with lukewarm water to reduce fever. Do not use cold water or ice. Lowering the fever will not make your symptoms go away faster, but it may make you more comfortable.
• If the fever is not causing discomfort, you may just want to watch for signs that it is going higher. A slight fever may help the body fight the virus.
• To relieve body aches and headache, take aspirin, acetaminophen, or ibuprofen. To avoid the risk of Reye's syndrome, do not give aspirin to anyone under age 20. Also, be aware that aspirin and ibuprofen can cause stomach upset, while acetaminophen does not.

Cough relief. You may develop a cough while you have influenza.

• Drinking extra fluids will help relieve a scratchy throat that is making you cough.
• Using cough drops or plain, hard candy can help ease coughing.
• Taking a non-prescription cough medicine that contains dextromethorphan may help you get some sleep. Some products contain a high percentage of alcohol. Use them with caution, especially when giving them to children.
• Elevating your head at night with an extra pillow may help if coughing keeps you awake.

General self-care tips. When you have the flu:

• Get extra rest. When you have the flu, you will most likely need no urging to stay home in bed for a few days. Bed rest will also help you avoid spreading the virus to others.
• Drink plenty of extra fluids to replace those lost from fever. Extra fluids also ease a scratchy throat and keep nasal mucus thin. Hot tea with lemon, water, fruit juice, and soup are all good choices.
• Avoid smoking and breathing other people's smoke. This is good advice anytime, but it is especially important when you have a respiratory infection like a cold or the flu.
• Breathe moist air from a hot shower or from a sink filled with hot water to help clear a stuffy nose. use a mist air humidifier or a pan of boiling water to add moisture to your home during the winter months.
• If the skin around your nose and lips becomes sore from repeated rubbing with tissues, apply a bit of petroleum jelly to the area. Disposable tissues containing lotion also may help.

FOR OTHER HELP:

U.S. Centers for Disease Control and Prevention (CDC)
1600 Clifton Road
Atlanta, GA 30333
Phone: (404) 639-3311 (CDC Operator)
1-800-311-3435 (public inquiries)
Fax: (404) 332-4564
E-mail: netinfo@cdc.gov
Web Address: http://www.cdc.gov

The Centers for Disease Control and Prevention (CDC) is an agency of the U.S. Department of Health and Human Services, working with state and local health officials and the public in the fight against communicable diseases and cancer. The agency provides information to the public about disease prevention and treatment.

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HOLISTIC & NUTRITIONAL RECOMMENDATIONS

CONSIDERATIONS

Antibiotics are useless against viral infections like influenza. The best way to get rid of the flu or any other infectious illness is to attack it head-on by strengthening the immune system. The thymus and the adrenal glands are the power seat of the immune system. When the body is getting sick, or already is sick, it is under stress, and stress taxes the immune system. Researchers have linked vulnerability to colds and flu to psychological stress. See Stress for more information.

Many holistic health care providers do not recommend flu shots. Their usefulness is questionable, and the side effects may be worse than the flu would be. Enhancement of the immune-system is preferable - and safer.

MoonDragon's Health & Wellness: Immune Disorders & Weakened Immune System

Dyslexia, a learning disability, appears to occur most often in summer babies than in babies born at other times of the year. Some researchers theorize this may be connected to flu contracted by women who are pregnant during the winter. Pregnant women should try to minimize their exposure to the virus.

Children who have the flu frequently should be checked for thyroid malfunctions. (See Hypothyroidism for more information.

The term "stomach flu" is commonly used to refer to another condition, gastroenteritis. This is not influenza, but an acute inflammation of the lining of the stomach. Gastroenteritis is characterized by diarrhea, vomiting, and abdominal cramps that vary in severity, and may be accompanied by fever, chills, head and body aches, chest pain and cough, and extreme fatigue. It may be caused by a number of different factors, including food poisoning, viral infections, alcohol intoxication, sensitivity to drugs, and certain allergies. This type of illness usually runs its course in one or two days.

See Common Cold and Pneumonia for more information about these disorders.

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RECOMMENDATIONS

Maintain the best overall health possibly to ward off infectious germs by getting sufficient sleep, eating nutritiously, and getting moderate daily exercise.

Do not share glasses, cups or utensils. Scrub your desk down at work with a disinfecting wipe once a week. Spray your keyboard and your telephone with a disinfecting spray.

Consume plenty of fluids, especially fresh juices, herbal teas, soups, and quality water, to prevent dehydration and help flush out the body. Drink several cups of echinacea tea daily. This helps to build up your immune system. To shorten the length of the flu, go on a liquid diet emphasizing hot herbal teas and hot broth for one or two days.

Take hot chicken or turkey soup. This is grandmother's old remedy and it is still good today. Add some cayenne pepper and fresh crushed or sliced garlic to your soup (the more the better). Cayenne pepper helps to prevent and break up congestion and the fresh garlic helps to fight viral infections. Sometimes I make a fresh onion, fresh garlic, and cayenne soup in a chicken or turkey broth. I use lots of onion and several cloves of fresh garlic in my soup. Be sure to consume the onions and garlic while drinking the broth. This is my favorite "flu soup" for when I am not feeling well with the flu.

Sleep and rest as much as possible.

Drink kombucha tea. This beverage has antiviral and immune-boosting properties. See Making Kombucha Tea for more information.

In treating a sore throat, avoid using aspirin chewing gum and aspirin gargles. Aspirin applied directly to mucous membranes does not reduce pain and can act as an irritant.

Do not take zinc at the same time you eat or drink citrus fruits or juices. It will diminish the effectiveness of the zinc. Do consume a lot of other types of fruit.

Do not take iron supplements while a fever exists.

Do not give aspirin to a child who has the flu. The combination of aspirin and a viral illness has been linked to the development of Reye's Syndrome, a potentially dangerous complication.

If you consume alcoholic beverages even occasionally, or if you have liver or kidney disease, be cautious about using the pain killer acetaminophen (Tylenol, Datril, and others). The combination of alcohol and acetaminophen has been associated with serious liver problems.

If you are over 65, see your health care provider. Influenza can cause serious complications for people in this age group.

Since flu viruses are often transmitted by way of the hands, wash your hands frequently with an antibacterial soap. Rinse and dry your hands thoroughly and keep them away from your eyes, nose, and mouth. If you sneeze or cough, cover your nose and mouth and use a disposable tissue (and then wash your hands again). Teach your children not to touch their eyes or noses, or to put things in their mouths and wash their hands frequently.

Buy a new toothbrush. Toothbrushes can harbor viruses and prolong the illness.

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HOMEOPATHIC PREVENTION & REMEDIES

Try one or more of the following homeopathic remedies to ease flu symptoms:

The homeopathic Influenzum 200k can be used as an alternative to the vaccine: 3 x 2 granules in November to be repeated in January.

Also the homeopathic remedy Rhus Tox 200 can be used: 4 pills 3 - 4 times a day can be used as an alternative.

HP 2 from Metagenics is a homeopathic combination remedy containing Aconite, Bryonia, Eucalyptus Globulus, Eupatorium Perfoliatum, Ipecacuanha, Gelsemium, Phosphorus, and Pulsatilla, to relieve chills, fatigue, fever, headache, nasal congestion, sneezing, and overall aching and discomfort. Caution: Do not use this formula if you are pregnant.

Anas Barbariae (Oscillococcinum), a homeopathic treatment works very well if taken at the first signs of the flu.

Aconitum Napellus, Belladonna, and Eupatorium Perfoliatum help to ease the symptoms.

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HERBS

If it is necessary to lower fever, take Catnip tea enemas and 1/4-1/2 teaspoon Lobelia Tincture every 3 to 4 hours until fever drops. This is good for children also. Caution: Do not use this mixture if you are pregnant or breastfeeding, and do not give it to a child under one year old. Do not take Lobelia internally on an ongoing basis. See Enemas for more information.

Astragalus, Black Cherry, Echinacea, Ginger, Goldenseal, Pau D'Arco, Slippery Elm, and Yarrow tea are good for influenza. Combining Peppermint tea with any of these herbal teas is effective for helping to open up the nasal passages. Caution: Do not take Goldenseal internally on a daily basis for more than one week at a time, do not use it during pregnancy, and use it with caution if you are allergic to ragweed. For Ginger tea, I use the fresh root, cutting it in several pieces and adding it to hot water (I also like it in hot milk), letting it steep for about 15 minutes or so. This is very soothing for the digestive system.

The herb Boneset works as an expectorant and eliminates mucus from the lungs.

Cat's Claw may cut the duration of the flu. Cold-X10 from Olympian Labs is a complex that contains Cat's Claw and many nutrients effective against flu and colds.

At the first sign of a cough, place one dropperful of Alcohol-Free Echinacea & Goldenseal extract in your mouth and hold it there for five to ten minutes. Repeat this every hour for three to four hours. This stops the virus from multiplying.

Alcohol-free Echinacea and Goldenseal combination extract is recommended for children. Give a child 4 to 6 drops of combination extract in water or juice every 4 hours for 3 days. Echinacea is very effective at enhancing the body's own natural defenses. Goldenseal is a natural antibiotic and helps to relieve congestion.

Cayenne (capsicum) helps to keep the mucus flowing, aiding in preventing congestion and headaches. Simply add a bit of cayenne powder to soups and other foods. My favorite is a "Cayenne Cocktail" made from tomato or vegetable-tomato (V8) juice, heated using a microwave or in a stove top pan, with about 1/2 to 1 teaspoon of cayenne pepper added to it (this is very hot to the taste). Sip it down as quickly as possible while the juice is warm. I usually make this using a coffee mug as a container before adding the cayenne pepper. I find this is soothing on a sore throat and it clears the sinuses.

ClearLungs is an herbal combination that reduces inflammation and protects the lungs. Take 2 capsules three times daily. It is also available in liquid form.

The Chinese mushroom Cordyceps is available in a tonic formula to support the lungs.

Herbal Remedies: Cordyceps Cs-4, 400 mg, 90 VCaps

Herbal Remedies: Cordyceps, Standardized 10% Cordycepic Acid, Nature's Way, 60 VCaps

Herbal Remedies: 5 Mushroom Formula, 100% Natural Immune System Supplement, 475 mg, 90 VCaps

Elderberry has antiviral properties and reduces flu symptoms. Elderberry tea promotes sweating and cleanses the body of toxins.

Herbal Remedies: Elderberry Juice & Supplement Products

Ephedra (Ma Huang) is beneficial for relief of congestion and coughing. Caution: Do not use this herb if you suffer from anxiety, glaucoma, heart disease, high blood pressure, or insomnia, or if you are taking a monoamine oxidase (MAO) inhibitor drug.

Eucalyptus Oil is beneficial for relieving congestion. Put 5 drops in a hot bath or 6 drops in a cup of boiling water, put a towel over your head, and inhale the vapors.

Fenugreek breaks up phlegm and mucus, and Slippery Elm helps remove them from the body.

Fenu-Thyme from Nature's Way helps to rid the nose and sinuses of mucus by loosening it so it can flow easily. It does not dry up the mucus, so healing is faster.

Linden-Flower tea suppresses cough and reduces fever.

Lung-Tonic Extract is a mixture of herbs designed to protect the lungs.

Maitake, Shiitake, and Reishi mushrooms possess Beta-1,3-D-Glucan, a type of polysaccharide that stimulates the immune cells. Their immune-boosting power makes them essential for fighting the flu.

Herbal Remedies: 5 Mushroom Formula, 100% Natural Immune System Supplement, 475 mg, 90 VCaps

Herbal Remedies: Mushroom Master 3 Mushroom Tincture, Red Reishi, Shiitake & Maitake Mushroom Extracts, Herbal Remedies USA, 2 fl. oz.

Herbal Remedies: Immune-RX, Immune System Supplement, Hi-Tech Pharmaceuticals, 60 Tabs

Olive Leaf extract enhances immune function and fights all types of infection, including the flu virus.

Herbal Remedies: Olive Leaf Herb, Nature's Way, 470 mg, 100 Caps

For cough and sore throat, mix 1 tablespoon of Slippery Elm Bark Powder with 1 cup of boiling water and 1/2 cup honey. Take 1 teaspoon of this mixture every three to four hours. It can be taken either hot or cold, as you prefer.

Herbal Remedies: Manuka Honey, Bio Active 10+, 500 g

Herbal Remedies: Multiflora Honey, 100% Pure New Zealand Honey, 1.1 lb.

Herbal Remedies: Slippery Elm Bark Powder (Ulmus Rubra), 4 oz. Bulk

Herbal Remedies: Slippery Elm Lozenges, Thayers, Tangerine Flavor, 24 Lozenges

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NUTRITIONAL SUPPLEMENTS

Unless otherwise specified, the following recommended doses are for adults over the age of 18. For a child between 12 and 17 years, reduce the dose to 3/4 the recommended dose. For a child between 6 and 12 years old, use 1/2 the recommended dose, and for a child under 6, use 1/4 the recommended dose. See Cold Supplements & Products for more helpful recommendations.

NUTRIENTS
Supplement	Suggested Dosage	Comments
Essential
ACES Plus Zinc (Carlson Labs)	As directed on label.	Contains vitamins A, C, and E plus the minerals selenium and zinc.
Echinacea & Goldenseal Extract	For Adults: 1 dropperful Tincture in mouth, hold it for five minutes, then swallow, every 3 hours for 3 days. Children: 8-10 Drops in mouth, hold it for a few minutes (or as long as possible) and then swallow, every 2 hours for 3 days. Use non-alcoholic Tincture.	Builds immune system and fights infections. Echinacea Goldenseal Tincture, Alcohol Free, Nature's Way, 1 fl. oz., Echinacea Goldenseal Supplement, Nature's Way, 180 Caps
Vitamin A	15,000 IU. If you are pregnant, do not exceed 10,000 IU daily.	A powerful antioxidant and immunity booster. Helps heal the inflamed mucous membranes and strengthens the immune system. Vitamin A, 10,000 IU, 100% Natural, Nature's Way, 100 Softgels
Plus Natural Beta-Carotene Or Carotenoid Complex	15,000 IU daily. As directed on label.	An antioxidant and precursor of vitamin A. Antioxidant and free radical scavengers. Beta Carotene (Natural Dunaliella Salina), Nature's Way, 100% Natural, 25,000 IU, 100 Softgels, Multi-Carotene Antioxidant, Nature's Way, 60 Softgels
Vitamin C With Bioflavonoids	5,000-20,000 mg daily, in divided doses. See Ascorbic Acid Flush.	Fights the cold and flu virus infection and boosts and strengthens the immune system function by increasing the number and quality of white blood cells. Use a buffered form for children or calcium ascorbate. Vitamin C Liquid w/ Rose Hips & Bioflavonoids, Kosher, Natural Citrus Flavor, Dynamic Health, 1000 mg, 16 fl. oz., Ester C With Bioflavonoids, Nature's Way, 1000 mg, 90 Tabs, Vitamin C 1000 With Bioflavonoids, Nature's Way, 100% Natural, 1000 mg, 250 VCaps, The Right C, Nature's Way, 1000 mg, 120 Tabs
Zinc	75 mg daily. For Lozenges: 1 15-mg lozenge 5 times daily. Do not exceed a total of 100 mg daily from all supplements.	zinc is a potent immunostimulant that nourishes the cells. Enhances and stimulates immune function to fight the virus. Zinc is absorbed quickly in lozenge form. Keep these on hand and use them at the first sign of a cold or the flu. Zinc Ionic Mineral Supplement, Fully Absorbable, 100 +/- ppm, 16 fl. oz., Colloidal Silver & Zinc Lozenges, Silva Solution, 90 Lozenges, Zinc Lozenges W/ Echinacea & Vitamin C, Nature's Way, 23 mg, 60 Lozenges, Zinc (Chelated), 100% Natural, Nature's Way, 30 mg, 100 Caps
Important
Colloidal Silver	As directed on label.	Natural antibiotic and antiviral properties. Good for viral infections. Promotes healing. Colloidal Silver, Trace Minerals, 8 fl. oz., Colloidal Silver Liquid, Silva Solution, Super Strength Pro 50, 8 fl. oz., Colloidal Silver, Silva Pro 50 Spray, 2 fl. oz., Colloidal Silver Pump Spray, Silva Solution, 2 fl. oz.
L-Lysine	500 mg twice daily, on an empty stomach. Take with water or juice. Do not take with milk. Take with 50 mg vitamin B-6 and 100 mg vitamin C for better absorption.	Aids in combating viral infection, destroying viruses and preventing cold sores in and around the mouth, common when the body is under stress from illness. Caution: do not take longer than 6 months at a time. L-Lysine, Pharmaceutical Grade, Stable Tartrate Form, NOW Foods, 500 mg, 100 Caps
Garlic (Kyolic)	2 tablets 3 times daily, with meals.	Acts as a natural antibiotic and immunity enhancer. Garlic Oil Tincture, Alcohol Free, Nature's Way, 1 fl. oz., Garlic Bulb Cloves, Garlic Supplement, Nature's Way, 580 mg, 100 Caps, Odorless Garlic Supplement, NOW Foods, 50 mg, 250 SoftGels, Garlic Supplement, Kwai, Triple Concentrated, 180 Tabs, Every Day Garlic Supplement, Kwai, 30 Tabs, Garlic Tincture, 100% Organic, 2 fl. oz., Aged Garlic Extract, Cardiovascular Formula 100, Wakunaga Kyolic Supplements, 300 Caps, Kyolic Liquid Aged Garlic Extract, Cardiovascular, Vegetarian, Wakunaga Kyolic, 4 fl. oz., Kyolic Aged Garlic Extract, One-A-Day, Vegetarian, 1000 mg, Wakunaga Kyolic, 30 Caps, Aged Garlic Extract, Cholesterol Formula 104, Wakunaga Kyolic, 200 Caps
Free-Form Amino Acid Complex	As directed on label.	Supplies needed protein in a form that is rapidly absorbed and assimilated. Use a sublingual form. Amino 1000 Complete, NOW Foods, 120 Caps, Branched Chain Amino Acid Powder, NOW Foods, 12 oz., Amino 1500, Chewable Blend of 20 Amino Acids, Predigested, NOW Foods, 150 Tabs, Branched Chain Amino Acids, Free Form, 120 Caps
N-Acetylcysteine (NAC)	As directed on label.	Thins mucus and aids in preventing respiratory disease. NAC (N-Acetyl Cysteine), NOW Foods, Selenium, Molybdenum, 600 mg, 100 Caps
Helpful
Bifido Factor (Natren) Or LifeStart from Natren	As directed on label. As directed on label.	For adults. Replaces "friendly" bacteria and acts as an antibiotic. For infants and children.
ClearLungs (Ridgecrest Herbals)	2 capsules 3 times daily.	Reduces inflammation and protects the lungs.
Dioxychlor (American Biologics)	10-20 drops sublingually 1-2 times daily. Also add 20 drops to 1 ounce of water and instill a dropperful in each nostril daily.	An important antibacterial, antifungal, and antiviral agent. Especially good for elderly people.
Acidophilus Or Kyo-Dophilus	As directed on label. Take on an empty stomach for easier access into the small intestine.	Helps to maintain healthy intestinal flora. Use a non-dairy formula. Acidophilus Supplement Powder, Non Dairy, 3 oz. Bulk, Acidophilus, 3 Billion, NOW Foods, 90 Tabs, Lactobacillus Acidophilus Supplement, Non Dairy, 100 Caps, Lactobacillus Acidophilus, Kosher Liquid, All Natural, Vegetarian Medium, Lactose Free, Apple Strawberry Flavor, Dynamic Health, 16 fl. oz.,
Cold-X10 (Olympian Labs)	As directed on label.	A combination of nutrients, herbal extracts, and enzymes that boost the immune system and fight viral and bacterial infection.
Fenu-Thyme	2 Capsules 3 times daily.	Rids nasal passages of mucus. Fenu-Thyme, Fenugreek Supplement, Nature's Way, 350 mg, 100 Caps
Maitake Or Shiitake Or Reishi	As directed on label. As directed on label. As directed on label.	To boost immunity and fight viral infection. Mushroom Master 3 Mushroom Tincture, Red Reishi, Shiitake & Maitake Mushroom Extracts, Herbal Remedies USA, 2 fl. oz., Reishi Mushroom, Whole, 100% Organic, 4 oz., Shiitake Mushroom, Whole, 100% Organic, 4 oz., Maitake Mushroom, Whole, 100% Organic, 4 oz.
Multi-Vitamin Complex	As directed on label.	All nutrients are needed in balance for healing and for immune response. Super Multi-Vitamin & Multi-Mineral, Pure Vital Earth, 32 fl. oz. (98% Bio-Available for Absorption), Damage Control Master Formula, High Potency, Multi-Vitamin & Mineral, 60 Packets (30 Day Supply)
Kelp	1,800-3,600 mg daily.	A rich source of important vitamins, minerals, and trace elements. Kelp Supplement, Nature's Way, Certified, 650 mg, 100 Caps, Kelp Seaweed, Norwegian, NOW Foods, 100% Natural, 550 mg, 250 Caps, Kelp Seaweed, Norwegian Powder, 4 oz. Bulk
Vitamin B Complex	50-100 mg 3 times daily. (Amounts of individual vitamins in a complex will vary.)	For healing and to reduce stress. Ultimate B (Vitamin B Complex), Nature's Secret, 60 Tabs, Vitamin B-100 Complex, w/ Coenzyme B-2, Nature's Way, 631 mg, 100 Caps
Olive Leaf Extract	As directed on label.	Antibiotic and antiviral properties. Olive Leaf Herb, Nature's Way, 470 mg, 100 Caps
Selenium	200 mcg daily. If you are pregnant, do not exceed 40 mcg daily.	Boosts the immune response, enhancing the body's ability to fight infection. Caution: Do not take supplemental selenium if you are pregnant or have heart, kidney, or liver disease. Selenium Supplement, Yeast Free, NOW Foods, 200 mcg, 180 Caps, Selenium Ionic Mineral Supplement, Fully Absorbable, 50 +/- ppm, 16 fl. oz., Ionic Selenium, Trace Minerals, 300 mcg, 2 fl. oz., Selenium, 100% Natural, Nature's way, 200 mcg, 100 Caps

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COMMON COLD & FLU SUPPLEMENTS & PRODUCTS

Information, products and supplements for influenza (the flu), a contagious respiratory illness caused by influenza viruses that result in severe sickness that can lead to life threatening complications. Included are products and supplements for the common cold which include symptoms like head congestion, nasal congestion, sore throat, coughing, headache, sneezing and watery eyes.

AHCC (Active Hexose Correlated Compound), NOW Foods, Vegetarian, 500 mg, 60 VCaps NOW Foods AHCC is a rich source of polysaccharides such as beta glucan 1,3 and activated hemicellulose produced by enzymatic modification of organic medicinal mushrooms, including shiitake.

AlliBiotic CF, Non-Drowsy, Immune Support, 60 Softgels NOW Allibiotic CF is scientifically designed to help support healthy seasonal and year-round immune function.

Alpha SH Homeopathic Sinus Headache & Congestion, Boericke & Tafel, 40 Tabs Alpha SH Homeopathic Sinus Headache & Congestion includes a combination of herbs recommended to alleviate minor sinus headaches, shrink nasal membranes, decongest sinus openings, and encourage sinus drainage.

Antibiotic (Without) Poke Root Tincture, 2 fl. oz. Herbal Antibiotic (Without) Poke Root tincture contains three well known herbs: Echinacea Root, Goldenseal Root and Cayenne Pepper.

Astragalus Extract, Standardized 0.5% Astragalosides, Nature's Way, 60 VCaps Astragalus Extract is standardized to 0.5% astragalosides, one of the most studied components.

Bee Propolis Formula Tincture, 100% Organic, 2 fl. oz. Bee Propolis, a resin collected from plants by bees and used in the construction of hives, is a medicinal marvel of the hive. Research shows it has antiseptic, antibiotic, antibacterial, antifungal, and even antiviral properties.

Bio Defender, Antibacterial, Antiviral & Antifungal Formula, Balanceuticals, 56 Caps This unique antibacterial, antiviral and antifungal formula is a clinical nutritionist response to bio terrorism such as anthrax.

Bird Flu Tincture, Alternative Health & Herbs, 2 fl. oz. Elderberry has been used in folk medicine for centuries to treat influenza, colds and sinusitis, and has been reported to have antiviral activity against influenza and herpes simplex.

Black Elderberry Extract, Premium Quality, Kosher, Dynamic Health, 8 fl. oz. Dynamic Health's Black Elderberry extract is of premium quality and kosher.

Black Seed & Honey Herbal Lozenges, Echinacea Berry, 28 Pieces, 4 oz. Enjoy the nutritional benefits of pure Black Seed Oil, Echinacea Berry, Zinc & Honey, these lozenges are sure to please the taste buds of kids & adults alike. Select from Honey-Lemon Ginger or Echinacea-Berry flavors.

Black Seed Herbal Honey, Energizing, 16 fl. oz. A sensational blend of honey and herbs in three different formulations that offer a natural boost of energy, immune support, or relaxation that's great for anyone who wants to enjoy the benefits of Black Seed without taking capsules or oil.

Black Seed Theramune Ultimate With Garlic, 100 Caps Promotes healthy circulation, useful for arthritis and cardiovascular & respiratory support. It also supports digestion and is a natural remedy for ulcers. Garlic is known to lower cholesterol naturally.

Body Ache Relief Wellness Oil, 2 fl. oz. Body Ache Relief Wellness Oil was created to help with all of those cumbersome dull pains from overexertion to sitting all day at work.

Brigham Tea, Nature's Way, 415 mg, 100 Caps Brigham Tea was used by early settlers for energy and lung ailments. Brigham Tea was also used anciently to promote circulation.

Bronchitis & Asthma Aide, Homeopathic Asthma Treatment, Boericke & Tafel, 100 Tabs Bronchitis & Asthma Aide, Homeopathic Asthma Treatment, helps loosen phlegm (mucus) and thin bronchial secretions to rid bronchial passageways of bothersome mucus and drain bronchial tubes.

Calcium Ionic Mineral Supplement, Fully Absorbable, 700 +/- ppm, 16 fl. oz. WaterOz Ionic Calcium is a pure liquid Calcium supplement. Calcium is one of the most essential of the major biochemical elements needed in human nutrition. It is needed in every organ of the body, including the brain. Calcium is called the "knitter" because it promotes healing or knitting everywhere in the body. It is valuable for tone, power, strength, longevity, vitality, and endurance, healing of wounds, counter-acting acids, and helping regulate metabolism.

Clear Head & Neck Comfort, TCM Formula, 100% Natural, 60 Caps Clear Head & Neck Comfort formula is made of snidium, angelica root, notopterygium rhizome and root, asarum, siler, wild mint, schizonepeta and licorice, herbs for headache.

Cold Aid, 100 Tabs Research during the past ten years into medicinal plants has shown that herbal medicines offer the potential to help the immune system stave of these colds.

Cold & Flu Chewable For Children, Alpha CF, Homeopathic, Boericke & Tafel, 100 Tabs Children's Alpha CF, Colds & Flu, Chewable by Boericke & Tafel temporarily relieves fever and symptoms associated with colds and the flu.

Cold & Flu Homeopathic Clikpak, 100% Natural, 84 Pellets Homeopathic Nelson's Colds & Flu in the new clikpak is easy to carry and dispense for minor symptoms of colds or flu and therefore much better suited to a busy lifestyle.

Cold & Flu Homeopathic Remedy, Boericke & Tafel, Alpha CF, 40 Tabs Alpha CF, Colds & Flu Homeopathic Remedy is clinically proven as an all natural cold and flu remedy that offers relief for your cold or flu in a great homeopathic remedy! Take it for runny nose, fever, chills, stuffy nose and aches.

Cold & Flu Moisture Bath & Shower Gel, Kiss My Face, 16 oz. You don't need to have a cold to be able to enjoy this popular pick-me-up and all-around soother. Kiss My Face Cold and Flu Bath and Shower Gel is the perfect day-starter or antidote for those under-the-weather blues.

Cold & Flu Moisture Bath & Shower Gel, Kiss My Face, 16 oz. You don't need to have a cold to be able to enjoy this popular pick-me-up and all-around soother. Kiss My Face Cold and Flu Bath and Shower Gel is the perfect day-starter or antidote for those under-the-weather blues.

Cold & Flu Tincture, Natural Cold Remedy, 100% Organic, 2 fl. oz. Cold & Flu Tincture, Natural Cold Remedy, is 100% Organic and can be used for colds, flu, infection, and influenza.

Cold Flu Virus Tincture, Elderberry Formula, 100% Organic, 2 fl. oz. This Herbal Cold Remedy is a combination of elderberry, echinacea and goldenseal is ideal for the cold and flu season.

Cold Season Tea, Cold Remedy, Certified Organic, Caffeine Free, 16 Tea Bags This Organic Cold Season tea is a soothing organic herbal tea that is specially formulated for use during the cold-weather season.

Cold Season Tea Sampler, Yogi Tea, Caffeine Free, Certified Organic, 16 Tea Bags These assorted healing herbal teas from Yogi Tea will assist you in the prevention of common ailments during the cold season and bring you balance and harmony in any type of weather.

Colloidal Silver & Zinc Lozenges, SilvaSolution, 90 Lozenges Now you can get powerful liquid silver in the most convenient form ever with new SilvaSolution Silver & Zinc Lozenges.

Colloidal Silver, Liquid Silver Homeopathic Formula, SilvaSolution Advanced Immune System Activator For Colds & Flu, 8 fl. oz. TriMedica SilvaSolution Advanced Liquid Silver Homeopathic Formula integrates the basic principles of homeopathy and is a profound healing system designed to increase the body's ability to respond to immune challenges and restore optimal health.

Colostrum Chewables, Natural Vanilla Flavor, 480 mg, 90 Chewables Colostrum known for its powerful healing factors offers optimal health. Colostrum research proves a wide spectrum of immunoglobulins, antibodies, and accessory immune factors.

Colostrum Nature's Gift To The Immune System, Revised & Updated By Beth Ley, Ph.D. Colostrum offers help for: auto-immunity (Arthritis, Multiple Sclerosis, Allergies, Asthma) immune deficiency, Cancer, Inflammation, etc. plus offers Growth Factors to benefit Athletes and Body Builders (speeds tissue healing).

Comfrey Leaf Powder, 100% Organic, 4 oz. Bulk One of the most well-known healing plants, especially for its ability to heal tissue and bone.

Cough & Bronchial Syrup With Zinc, Homeopathic Boericke & Tafel, 4 fl. oz. Cough & Bronchial Syrup with Zinc temporarily relieves coughs due to minor throat & bronchial irritation occurring with a cold or inhaled irritants.

Cough Syrup, Olbas, 100% Natural, Swiss Made, 4 fl. oz. Olbas natural cough syrup is a pleasant tasting and effective combination of herbal extracts, essential oils and wildflower honey.

DefendAir Immune System Supplement, Trace Minerals, 15 Packets DefendAir Immune System Supplement helps optimize your body's natural defenses by boosting your immune system with a special formula of Vitamins, Minerals, Herbs, and Amino Acids.

Defend RX, Immune System Supplement, Hi-Tech, 45 Tabs Defend-RX is a revolutionary immune system supplement that was designed to support and boost immune response.

Earache Relief Earache Drops, Homeopathic For Children, 5 Single Use Droppers Gentle enough for children but strong enough for adults, Earache Relief Earache Drops may be used alone or in conjunction with other OTC pain relievers or prescription antibiotics.

Earache Relief Earache Drops, Homeopathic, 0.33 fl. oz. This pharmacist-recommended Active Response Formula promptly stimulates the body's natural ability to relieve ear pain.

Echinacea Immune Support Tea, Yogi Tea, Certified Organic, 16 Tea Bags Echinacea Immune Support tea is a superior blend of several species of Organic Echinacea Root (Echinacea angustifolia, purpurea, pallida) designed to boost your immune system.

Echinacea Root Complex, Nature's Way, 180 Caps Echinacea Root Complex helps promote general well-being during the cold and flu season and support the immune system.

Echinacea Root Tincture, 100% Organic, 2 fl. oz. Echinacea Root is also known as Purple Coneflower and considered very valuable by the North American Indians.

Echinacea With Elderberry & Zinc, Nature's Way, 100 Caps Nature's Way Echinacea with Elderberry and Zinc is a synergistic combination of the latest scientific research and traditional herbal medicine to support the immune system.

Effer-C Instant Fizzy Vitamin C Drink Mix Powder, Punch Flavor, 1000 mg, 0.3 oz, 36 Packets This excellent tasting fizzy Vitamin C drink mix is for energy & immune support. Select orange, raspberry or cranberry flavor.

Elderberry Flower Powder (Sambucus Nigra), Alternative Health & Herbs, 4 oz. As a hot infusion, the flowers are sweat-inducing and in combination with yarrow and mint are specific for colds and flu. The flowers are used to treat bronchial and upper respiratory disorders as well as hay fever. A cold infusion of the flowers can be used as a compress for chilblains. (Chilblains are the inflammation of the toes, feet, or fingers, due to the presence of a cold.) The ointment of Elderflower is soothing, cooling and healing, used for irritations of the skin. Considered to have a mild laxative action and may be used for rheumatism and gout.

Elderberry Flower (Sambucus Nigra) Tincture, 100% Organic, 2 fl. oz. As a hot infusion, the flowers are sweat-inducing and in combination with yarrow and mint are specific for colds and flu. The flowers are used to treat bronchial and upper respiratory disorders as well as hay fever. A cold infusion of the flowers can be used as a compress for chilblains. (Chilblains are the inflammation of the toes, feet, or fingers, due to the presence of a cold.) The ointment of Elderflower is soothing, cooling and healing, used for irritations of the skin. Considered to have a mild laxative action and may be used for rheumatism and gout.

Elderberry Herb, Nature's Way, 575 mg, 100 Caps Elderberry herb is popular for health concerns during the winter season.

Elderberry Juice Concentrate, 12.5 fl. oz. Elderberry Juice Concentrate is a Non-Alcoholic source for the health benefits of Elderberries. A medically proven strong anti-viral and immune system enhancer, elderberry is recommended as part of a health maintenance program.

Elderberry Whole Powder, 4 oz. Bulk Elderberry is a purgative, anti-inflammatory, expectorant, and diuretic.

Elderberry Whole Tincture, 100% Organic, 2 fl. oz. Elderberry kills viruses and is well known as a natural cold and flu treatment. A gargle of Elderberry can be used for tonsillitis and as an herbal sore throat remedy.

Eucalyptus Essential Oil, 100% Pure, 4 fl. oz. Eucalyptus Essential Oil is a potent decongestion with strong antiseptic properties. Eucalyptus Oil is used as an inhalant for asthma, diphtheria, sore throats, sinus and respiratory problems.

First Defense Homeopathic Formula For Children, 4 fl. oz. A complete and effective natural broad spectrum anti-infective formula available for infants and children. Completely safe and non-toxic for infants and children of all ages. A homeopathic Formula.

Flu & Cold Times Tincture, Herbal Cold Supplement, NatureWorks, 1.69 fl. oz. NatureWorks Flu & Cold Times is a homeopathic herbal cold supplement that stimulates your body's natural defense mechanisms.

Garlicin CF, Cold & Flu Formula, Odor Free Garlic, Nature's Way, 404 mg, 90 Enteric Coated Tabs Garlicin CF Odor Free Garlic Immune Support Formula combines all the healthy benefits of high allicin release Garlicin with the added benefits of Echinacea, Ester-C, and OptiZinc.

Gelsemium Homeopathic Clikpak, 30C, 84 Pellets Homeopathic Nelson's Gelsemium in the new clikpak is easy to carry and dispense for flu, runny nose and sore throats and therefore much better suited to a busy lifestyle.

Germ Defense Cold & Flu, Effervescent Tablets, Improvita, 10 Tabs Germ Defense, Like Airborne, for Cold & Flu is a Dietary Supplement that contains 7 herbal extracts, antioxidants, electrolytes, amino acids, 1,000 mg of Vitamin C and more. The effervescent technology offers 100% immediate absorption. For maximum benefit, it should be taken before entering a crowded environment.

Germ Defense Hand Sanitizer, Improvita, 0.5 fl. oz. Germ Defense Personal Hand Sanitizer comes in a unique 15 mil spray bottle that fits in your pocket, purse of a child's back pack.

Ginger Honey Crystals, 10 Packets Per Box Ginger Honey Crystals can help to relieve motion sickness, aids digestion and temporary nausea.

GlyMordica Bitter Melon, 100% Natural, 450 mg, 60 Caps Bitter melon is one of the few agents which has the potential to bolster a flagging pancreas. Known for it's ability to help with liver problems, Diabetes and HIV also an excellent natural common cold remedy.

Grapefruit Seed Extract, By Louise Tenney, M.H. Used for everything from the common cold to ringworm, grapefruit seed extract could represent a viable alternative to antibiotics and other medicines.

Grapefruit Seed Extract (GSE) Liquid Concentrate, 1 Gallon Grapefruit Seed Extract may be used topically as an antiseptic wound cleaner and to treat infections of the skin. Internally, the concentrate is useful as a supportive treatment for a wide variety of ailments.

Grapefruit Seed Extract (GSE) Liquid Concentrate, 2 fl. oz. Grapefruit Seed Extract may be used topically as an antiseptic wound cleaner and to treat infections of the skin. Internally, the concentrate is useful as a supportive treatment for a wide variety of ailments.

HAS (Hayfever Allergy Sinus), Hayfever Remedy, Original Formula, Nature's Way, 440 mg, 100 Caps HAS (Hayfever Allergy Sinus) Hayfever Remedy contains many herbs traditionally used to assist the body in dealing with symptoms associated with seasonal allergies.

Head & Throat Soother Herbal Tea, 20 Tea Bags This caffeine-free tea is an ideal drink for the cold & flu season to remove heat and maintain normal nasal and respiratory functions and sooth the head and throat.

Herbal Chest Rub, Natural Cold Medication, NatureWorks, 1.4 oz. A fresh herbal vaporizing balm, NatureWorks Herbal Chest Rub relieves bronchial congestion and alleviates coughing.

Holy Basil Extract, NOW Foods, 500 mg, 90 VCaps Holy Basil has been used to enhance the body's ability to respond to stress and minimize the negative effects of stress on the body.

Horehound Tincture, 100% Organic, 2 fl. oz. Horehound herb is often used to treat respiratory disorders and has 350 years of history as a soothing expectorant.

Hyland's C-Plus Cold Homeopathic Formula for Children, 125 Tabs For generations, wise mothers have used Hyland's C-Plus Cold Tablets to ease the drippy misery.

Hyssop Throat Comforts, Natural Herb Comforts, 61 Lozenges Throat Soothers with natural Hyssop can be used to comfort the throat while undergoing ear candling treatments.

Hyssop Tincture, 100% Organic, 2 fl. oz. Traditionally, Hyssop was used as a natural cold and flu remedy. Hyssop is also great for lung congestion, fevers, digestion and blood pressure regulation.

Immune-RX, Immune System Supplement, Hi-Tech Pharmaceuticals, 60 Tabs Immune-RX, Immune System Supplement, was formulated to strengthen your immune system because Immune-Rx offers the most powerful protection against the elements.

Immune Support Group For Infants & Children (Vitamin C, Echinacea, First Defense) The Immune Support Group stimulates natural immune responses and defends the body.

Immune Support Wellness Oil, 2 fl. oz. Keep the flu away, fight infection and disease naturally. This oil works by stimulating the production of white blood cells.

Instant Energy B-12, NOW Foods, 2000 mcg, 75 Packets NOW® Vitamin B-12 Instant Energy is the perfect way to keep alert and energized, regardless of the situation. These convenient, fast-acting packets are perfect when traveling or for convenience.

Irwin Naturals Immune Shield, Immune System Support, 100 Gelcaps Irwin Naturals multi-herb complex addresses two key areas, immune support and bacterial/viral control.

Kombucha 2000, Concentrated Kombucha Capsule, 30 Caps Concentrated Kombucha Capsules are new to the market, but Kombucha 2000 is one of the very first successful kombucha tea producers in the United States.

Kombucha Miracle Fungus, Kombucha Tea Benefits, By Harald Tietze, Paperback One time best seller, Kombucha Miracle Fungus is all about synergy and Kombucha Tea Benefits it is an easy read for those interested in the synergy Kombucha offers or Kombucha benefit 's.

Lactobacillus Acidophilus Supplement, Non-Dairy, 100 Caps Lactobacillus Acidophilus Supplement taken as a dietary supplement may help to detoxify and to rebuild a balanced intestinal flora.

L-Glutathione, 250 mg, 60 Caps L-Glutathione is a tripeptide amino acid produced in the liver primarily from cysteine. L-Glutathione acts as a cellular antioxidant by inhibiting free radical proliferation.

Liquid Flavored Sweetleaf Stevia, 4 Bottles, 6 ml, 60 Servings Each Flavored Sweetleaf Stevia has Four exciting All Natural, Zero Cal, Zero Carb, Zero Glycemic index - Flavored Stevia bottles at an exciting value of only one penny per drop.

Meta C Vitamin C Supplement, 1000 mg, 100 Tabs Meta C Vitamin C Supplement is a unique form of vitamin C that is absorbed faster than regular vitamin C and maintains higher serum levels for longer period of time with no intestinal discomfort.

Multiple Effects Oil, TCM Formula Shixiang Baixiangyou, Cold, Headache & Pain Formula, 100% Natural, 0.34 fl. oz. Multiple Effects Oil, TCM Cold, Headache and Pain Formula opens stuffy noses, removes headache pain, joint pain, and drowsiness.

Multi-Vitamin Without Iron, Nature's Way, 100 Caps The vitamins and minerals in this Multi Vitamin without Iron play many important roles in the body: antioxidants to protect fats, cells and DNA, coenzyme precursors for energy production and metabolism, and cofactors for hormones and enzymes which regulate body processes.

Nasya Oil, Certified Organic, For Sinus Congestion, Banyan Botanicals, 1 fl. oz. When an excess of bodily fluids accumulates in the sinus, throat, nose or head areas, it is best eliminated through the nose. Administration of herbally infused oil, or nasya, helps facilitate this cleansing process. Nasya Oil soothes and protects the nasal passages and helps relieve sinus congestion. Daily nasal lubrication helps to release tension in the head and relieve accumulated stress.

Nature's Antiseptics Tea Tree Oil & Grapefruit Seed Extract, CJ Puotinen, Paperback Nature's Warfare, this book covers tea tree oil and grapefruit see extract use in safely destroying viruses, bacteria, molds, yeasts and parasites that want to live in us and on us.

Natural Aspirin Alternative, White Willow Bark Extract, 390 mg, 60 Tabs Used to treat bursitis, tendonitis, headaches, osteoarthritis, dysmenorrhea, rheumatoid arthritis, back pain, toothache, and menstrual cramps, White Willow is being used by more people as a safer, natural alternative to aspirin.

Natural Cough & Bronchial Syrup, Children's Homeopathic, Boericke & Tafel, Cherry Flavor, 4 fl. oz. Temporarily relieves coughs due to minor throat & bronchial irritation occurring with a cold or inhaled irritants. Helps loosen phlegm (mucus) & thin bronchial secretions to rid the bronchial passageways of bothersome mucus & drain bronchial tubes.

Natural Cough & Bronchial Syrup, Daytime, Boericke & Tafel, 4 fl. oz. Temporarily relieves coughs due to minor throat & bronchial irritation occurring with a cold or inhaled irritants.

Natural Cough & Bronchial Syrup, Nighttime, Boericke & Tafel, 4 fl. oz. Don't let a cough keep you awake! B & T Nighttime Cough & Bronchial Syrup combines an all-natural, non-narcotic sleep aid with America's favorite homeopathic cough medicine.

Neti Wash Plus, 2 fl. oz. For use with the Neti-pot, this wash's main ingredient is zinc which helps in cleaning up the sinuses and supporting the immune system.

Nutribiotic Nasal Spray, With Grapefruit Seed Extract, 1 fl. oz. Nasal Spray is useful to aiding many conditions. During allergy season it helps to remoisturize the nasal passages and clean them of dust, dirt, dander and other allergens. The nasal spray is also useful during a bout of sinusitis, or inflammation and infection of the sinus passages.

Odorless Garlic Supplement, NOW Foods, 50 mg, 250 SoftGels Odorless Garlic supplement is extracted from Allum sativum and is a specially made Japanese product. Our Odorless Garlic yields high amounts of Scordiin, a unique sulfur compound which may be responsible for many of garlic's renowned benefits.

PainEase (Analgesic Formula), 100% Natural, 350 mg, 60 Caps Made of corydalis tuber and angelica root, this well-known formula is used in Chinese medicine for its tranquilizing, analgesic, antibacterial, and anti-hypoxia properties to regulate the Qi, promote normal blood circulation, protect mucous membrane of the stomach and to stop pain.

Pastilles, Olbas, 100% Natural, Swiss Made, 27 Herbal Cough Drops Olbas Herbal Cough Drops, pastilles, temporarily controls cough due to minor throat and bronchial irritations associated with the common cold or inhaled irritants.

Pau D'Arco Bark (Tabebuia Impetiginosa) Powder, 4 oz. Bulk Pau D'Arco bark is a rich source of iron, which contributes to the elimination of wastes from the body and the assimilation of nutrients.

Pelargonium, Coughs & Chest Ailments, 3 fl. oz. Pelargonium is rich in phytochemicals, vitamins, minerals and amino acids that enhance the body's functioning and protects it against diseases.

Peppermint Leaf (Mentha X Piperita) Powder, 4 oz. Bulk Peppermint leaf calms the muscles of the stomach and improves the flow of bile, which the body uses to digest fats. As a result, food passes through the stomach more quickly.

ProstaClean, Prostate Herbs Balanceuticals, TCM Prostate Formula, 100% Natural, 60 Caps Chinese medicine uses this well-known formula for its diuretic and immune supporting properties to clear the prostate and eliminate heat and toxins, and to rejuvenate.

Protein From Rice Powder, Dairy Free, Vegetarian / Vegan, Hypoallergenic, Chocolate, 1 lb 6.9 oz. A great tasting vegetable protein made from non-genetically modified California grown brown rice. Free of the common food allergens from soy, milk, egg, wheat and yeast.

Protein From Rice Powder, Dairy Free, Vegetarian / Vegan, Hypoallergenic, Mixed Berry, 1 lb 5 oz. A great tasting vegetable protein made from non-genetically modified California grown brown rice. Free of the common food allergens from soy, milk, egg, wheat and yeast.

Protein From Rice, Powder, Dairy Free, Vegetarian / Vegan, Hypoallergenic, Plain, 1 lb 5 oz. A great tasting vegetable protein made from non-genetically modified California grown brown rice. Free of the common food allergens from soy, milk, egg, wheat and yeast.

Protein From Rice, Powder, Dairy Free, Vegetarian / Vegan, Hypoallergenic, Vanilla, 1 lb 5 oz. A great tasting vegetable protein made from non-genetically modified California grown brown rice. Free of the common food allergens from soy, milk, egg, wheat and yeast.

Respiratory Support Supplement, TheraVeda Pavan, 60 VCaps TheraVeda's Respiratory supplement provides the benefits of both supercritical extracts and whole herbs in an innovative, paten-pending technology that uses no harmful chemical solvents.

Rosemary Leaf (Rosmarinus Officinalis) Tincture, 100% Organic, 2 fl. oz. Rosemary has been traditionally used for tension headaches, stimulating circulation, strengthening the nervous system. Good tonic for the heart and for high blood pressure.

Sambucol Black Elderberry Extract, Nature's Way, 7.8 fl. oz. Sambucol is used by millions of people with positive results being reported worldwide, Sambucol is especially popular for promoting good health against the Flu and Colds during the winter season.

Sambucol Elderberry & Vitamin C, Nature's Way, 30 Lozenges Sambucol Lozenges contain the original formulation of the award winning black elderberry extract. Sambucol Black Elderberry extract has been used by millions of people with positive results being reported worldwide.

Sambucol For Kids, Elderberry Formula, 4 fl. oz. Sambucol for Kids supports the immune system, and is especially popular during the winter season. Sambucol black elderberry extract has been used by million of people with positive results being reported worldwide.

Sambucol Immune System Formula, 30 Lozenges Sambucol Immune System Formula Lozenges support your natural defenses, and are especially popular during the winter season. Sambucol black elderberry extract has been used by millions of people with positive results being reported worldwide.

Sambucol Immune System Formula With Elderberry & Echinacea, 7.8 fl. oz. Sambucol Immune System Elderberry Formula supports your natural defenses against the Flu, and Colds, and is especially popular during the winter season.

Selenium, 100% Natural, 200 mcg, 100 Caps Selenium is an essential component of glutathione, the body's most potent natural antioxidant system. It is a popular choice in many antioxidant regimens.

Silver Biotics Liquid, Silver Supplement, 8 fl. oz. Silver Biotics was tested by researchers and was found to kill every strain of bacteria that it was tested against and that these bacteria, many of which have become resistant to antibiotics, cause many human ailments.

SilverColloidal Generator Rods, 99.9% Pure 14 Gauge, 2 Per Package Make colloidal silver yourself. Colloidal Silver is considered to be effective against numerous disease causing organisms, such as the Escherichia Coli bacteria and the fungus Candida albicans.

Sinus & Lung Congestion Formula Tincture, 100% Organic, 8 fl. oz. The Sinus & Lung Congestion Formula was created to help clear the lungs and sinuses of congested matter.

Sitopladi Churna, 450 mg, 120 VCaps Sitopladi Churna was traditionally used in respiratory affections, mild fever, acidity, and coughs.

Sitopaladi Powder, Certified Organic, Banyan Botanicals, 1/2 lb. Certified Organic Sitopaladi Powder contains cane sugar, banslochan, pippali, cardamom, cinnamon and corn starch. Traditionally used for colds, congestion and bronchial conditions.

Sutherlandia (Sutherlandia Frutescens), 300 mg, 60 Tabs Sutherlandia powerfully assists the body to mobilize its own immunological physiological resources to cope with diverse physical, mental and chemical stressors.

Sympacho Tea, 20 Tea Bags Sympacho tea is a delicious, all-natural way to reduce inflammation and pain and boost immunity.

SystemWell Ultimate Multisystem Immunity Supplement, 180 Tabs SystemWell Ultimate Multisystem Immunity Supplement is the multi-system defense formula for seven essential aspects of healthy immunity.

Talisadi Churna, 450 mg, 120 VCaps Talisadi Churna is very effective in fighting common colds, cough, asthma, and helps to liquefy phlegm.

Talisadi Powder, Certified Organic, Banyan Botanicals, 1/2 lb. Certified Organic Talisadi Powder Adding talisa, black pepper and ginger to Sitopaladi's ingredients, this compound is considered useful for coughs, sore throat and bronchial conditions.

Tea Tree Therapy, Eucalyptus Chest Rub, 2 oz. Tea Tree eucalyptus chest rub it is a 100% natural treatment to ease nasal congestion, enhance breathing and provide relief.

Throat Spray GSE, 4 fl. oz. This natural formulation is designed to promote healthy conditions in the mouth and throat. Nutribiotic Throat Spray provides protection from sore throat due to germs.

Umcka Cold & Flu Syrup, Berry Flavor, Nature's Way, 4 oz. Umcka Cold & Flu Berry Syrup combines two clinically tested natural ingredients into one complete, multi-action cold and flu formula.

Umcka Cold Care Menthol Flavor Syrup, Nature's Way, 4 fl. oz. Umcka Cold Care shortens the duration and reduces the severity of symptoms associated with the common cold and throat, sinus, and bronchial irritations.

Umcka Cold Care Menthol Syrup, Nature's Way, 8 fl. oz. Clinically tested, UMCKA Cold Care shortens the duration and reduces the severity of throat, sinus and bronchial irritations.

Umcka Cold & Flu Syrup, Orange Flavor, Nature's Way, 4 oz. Umcka Cold & Flu Orange Syrup combines two clinically tested natural ingredients into one complete, multi-action cold and flu formula.

Umcka Cold & Flu, Berry Flavor, Nature's Way, 20 Chewable Tabs Umcka Cold & Flu Berry Chewable Tablets combine two clinically tested natural ingredients into one complete, multi-action cold and flu formula.

Umcka Cold & Flu, Orange Flavor, Nature's Way, 20 Chewable Tabs Umcka Cold & Flu Orange Chewable Tablets combine two clinically tested natural medicines into one complete, multi-action cold and flu formula.

Umcka Cold Care Alcohol Free Drops, Nature's Way, 1 fl. oz. Clinically tested UMCKA Cold Care with Pelargonium sidoides shortens the duration and reduces the severity of throat, sinus and bronchial irritations.

Umcka Cold Care Chewable Tablets, Cherry Flavor, Nature's Way, 20 Tabs Umcka Cold Care shortens the duration and reduces the severity of throat, sinus and bronchial irritations. Umcka Cold Care provides effective relief of upper respiratory tract irritations. Unlike other remedies that simply mask symptoms, Umcka Cold Care helps you recover faster.

Umcka Cold Care Chewable Tablets, Menthol Flavor, Nature's Way, 20 Tabs Umcka Cold Care shortens the duration and reduces the severity of throat, sinus and bronchial irritations. Umcka Cold Care provides effective relief of upper respiratory tract irritations. Unlike other remedies that simply mask symptoms, Umcka Cold Care helps you recover faster.

Umcka Cold Care, Original Formula Drops, Nature's Way, 1 fl. oz. Shortens duration and reduces severity of symptoms associated with the common cold and throat, sinus, bronchial irritations. Shortens duration & reduces severity of upper respiratory symptoms.

Umcka Cold Care, 99% Alcohol Free, Homeopathic Cherry Flavor Syrup, Nature's Way, 4 fl. oz. Shortens duration and reduces severity of symptoms associated with the common cold and throat/sinus/bronchial irritations. Umcka ColdCare is a natural cold flu remedy that will helps you recover faster.

Umcka Cold Care, 99% Alcohol Free, Sugar Free, Grape Flavor Syrup, Nature's Way, 4 fl. oz. Clinically tested UMCKA shortens the duration and reduces the severity of throat, sinus and bronchial irritations.

Umcka Cold Care Soothing Hot Drink, Cherry Menthol, Nature's Way, 10 Packets Umcka Cold Care Soothing Hot Drink shortens the duration and severity of nasty colds! Flavored with natural cherry and menthol for a soothing effect, and sweetened with Xylitol in a delicious, immune-boosting homeopathic formula from Nature's Way.

Umcka Cold Care Soothing Hot Drink, Lemon, Nature's Way, 10 Packets Try Umcka Cold Care hot drink at the first sign of cold or flu. Umcka is derived from the plant Pelargonium sidoides, a flowering herb native to Africa. For centuries, the roots of this herb have been used to combat respiratory infections; bronchitis, colds, and sore throats.

Usnea Tincture, 100% Organic, 2 fl. oz. Usnea is an antibiotic, antibacterial, antifungal, astringent, antiviral, and diuretic.

Vitamin A, 10,000 IU, 100% Natural, Nature's Way, 100 SoftGels Nature's Way vitamin A is 100% natural from fish liver oil. It contains no artificial ingredients or preservatives.

Vitamin B-12 Liquid Supplement, 50 mcg, & vitamin B-9 (Folic Acid), 400 mcg, 1 fl. oz. This liquid B-12 supplement with its combination of B vitamins can be a very effective revitalizer in supporting the nervous system, prenatal child health, vegetarians, and heart health.

Vitamin B-12 Complex Liquid, NOW Foods, 2 fl. oz. Vitamin B-12 Helps to maintain a healthy nervous system, and helps in the prevention of pernicious anemia. Folic Acid should be taken by all females of child bearing age to help prevent neuro-tube birth defects. Folic acid is also linked to heart health.

Vitamin C 1000 With Bioflavonoids, Nature's Way, 100% Natural, 1000 mg, 250 VCaps Nature's Way Vitamin C with Bioflavonoids provides antioxidant protection for many of the body's important enzyme systems.

Vitamin C Liquid With Rose Hips & Bioflavonoids, Kosher, Natural Citrus Flavor, Dynamic Health, 1000 mg, 16 fl. oz. Liquid Vitamin C with Natural Rose Hips & Bioflavonoids is an easy to swallow dietary supplement that exceeds the recommended daily intake of vitamin C.

Vitamin E, Natural D-Alpha-Tocopherol, 400 IU, 100 SoftGels Vitamin E has potent antioxidant activity, supplies oxygen to the blood, aids in strengthening capillary walls, and plays a beneficial role in cancer and cardiovascular disease prevention, anti-aging benefits, circulation, wound-healing, immune function, nervous system function, PMS, hot flushes, diabetes, vascular disease, eye health, tissue repair, athletic performance, leg cramps, skin and hair health, and alleviating fatigue.

Wellness Shots, California Natural, 4 oz. Created in a Malibu Juice Bar, Wellness Shots are a powerful tonic formulated from organic ginger, oregano oil; grapefruit seed extract, colloidal silver, and peppermint. It creates instant relief for colds, flu's, and allergy like symptoms.

Wellness Shots Spray, California Natural, 1 oz. Created in a Malibu Juice Bar, Wellness Shots are a powerful tonic formulated from organic ginger, oregano oil; grapefruit seed extract, colloidal silver, and peppermint. It creates instant relief for colds, flu's, and allergy like symptoms.

Yarrow Tincture (Achillea Millefolium), 2 fl. oz. yarrow is well-known for its use as a remedy for cold, flu and fever and also for its skin wound healing and antibiotic properties.

Zinc Lozenges With Echinacea & Vitamin C, Nature's Way, 23 mg, 60 Lozenges Nature's Way Zinc lozenge boosts cold season defense with zinc, widely recognized as an important nutritional support during the cold season, and echinacea pupurea, clinically shown to support the immune system, and Vitamin C, a vitally important vitamin for general health maintenance.

HerbalRemedies: Flu / Influenza Information

HerbalRemedies: Flu / Influenza supplements & Products

HerbalRemedies: Cold / Common Cold / Head Cold / Chest Cold Information

HerbalRemedies: Cold / Common Cold / Head Cold / Chest Cold supplements & Products

NOTIFY YOUR HEALTH CARE PROVIDER IF...

Call your health care provider immediately if:

• An infant under age 3 months has a fever of 100.4°F (38°C) or higher.
• A child age 3 months to 3 years has a fever of 104°F (40°C) or higher that does not come down after 4 to 6 hours of home treatment.
• A person age 4 or older has a fever of 104°F (40°C) or higher that does not come down after 2 hours of home treatment.
• You or your child has labored, shallow, rapid breathing with shortness of breath.
• You or your child has a fever with a severe headache or stiff neck or seems confused or hard to wake.

Call your health care provider if:

• Symptoms had improved but seem to be getting worse again.
• Signs of Reye's syndrome, a serious illness in children and teens, develop 3 to 7 days after the start of symptoms of the flu or another viral respiratory illness.
• Signs of a bacterial infection develop, such as an ear infection, bronchitis, or pneumonia.
• Influenza develops in a person over age 65 who has other health problems (lung, heart, or kidney disease or diabetes) or in someone who is being treated with chemotherapy for cancer.
• Influenza develops in a person of any age who has a long-term respiratory illness, such as asthma or chronic obstructive pulmonary disease (COPD).
• Symptoms include fever over 101°F (38.33°C), shaking chills, and a cough that produces mucus from the lungs (productive cough).
• Fever is high or prolonged. See Fevers: The guidelines for ages 3 and under or for ages 4 and older for more information. However, it is common for adults with the flu to have high fevers [up to 103 °F(39.4 °C)] for 3 to 4 days. If many people in your community have similar symptoms and it is flu season, it is likely you have the flu and do not need to see a health care provider. If you have any concerns, contact your health care provider.

In most healthy people, the flu will go away in 5 to 7 days, though fatigue can last much longer. Although you may feel very sick, home treatment is usually all that is needed. If it is flu season, you may just want to treat your symptoms at home. Watch closely for signs of a bacterial infection.

Early treatment (within 48 hours of your first symptoms) with antiviral medications may reduce the severity of influenza. However, it is not certain whether antiviral medications can prevent serious flu-related complications. Complications, which occur especially in infants, older adults, and people who have chronic health problems, may require a health care provider visit and care beyond home treatment.

Call your health care provider if you have any concerns that your symptoms are caused by something other than the flu.

A health care provider who specializes in treating infectious diseases may be needed if the diagnosis is unclear or severe complications develop.

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HELPFUL RELATED LINKS

VRAN: Flu Shot: Do They Really Work?

Flu Shot: How Useful Are They?

Chet Day: Why I Never Get Flu Shots or Snorts

Vaccine Lawyer Network: Vaccine Side Effects (DPT, Hepatitis B, Flu Vaccine)

MoonDragon's Health Information: Common Colds

MoonDragon's Health Information: Pneumonia

MoonDragon's Health Information: Ear Infection

MoonDragon's Health Information: Reye's Syndrome

MoonDragon's Health Information: Vaccination Information

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