2020 Update

Dear patients, colleagues, and friends,

In this uncertain, life-altering time we all face, I hope you will join me in turning this into an opportunity to optimize health, especially immune system function. At our home, we are taking additional vitamins and herbs, more walks, and time to plan what actions we can take every day to stay grounded. Blair (5) is enjoying online cooking classes for kids, and Teddy (1) is finding joy in light switches and toilet paper(!).

With our government suspending non-emergency surgery, I am liberated from the O.R. and have been given the rare gift of time! When I am not on call for the ER, I am happy to pass that on to you in 2 ways below.

I also want to let you know that in my continued study of integrative and functional medicine, I have expanded on my background in biochemistry by working hand-in-hand with world leaders in the future of medicine over the last 4 years. For example, back in 2017, my herbal mentor turned me on to astragalus as an immune system supportive herb, and now it is more important than ever to have this raw herb on hand if illness strikes. Dosing is optimal when you use the raw herb as opposed to pills.

I have also studied historical remedies attributed to prevention/recovery from Spanish Flu in 1918 and have direct experience with these.

Currently, I am studying the amazing biochemical effects of vitamin D on our cells’ DNA—how they unlock histones that then allow transcription of genes that modulate inflammation (both to keep cells’ strong to fight viruses and to modulate over-response implicated in cytokine storm).

2 ways to connect with me via video (or in-person on a case-by-case basis) are below.

1. We are offering a 50% longer consultation in my holistic neurosurgical/spine practice for my standard fee. This is a great opportunity for us to do the following:

  • Discuss immune system optimization in addition to brain and spine health
  • Address treatment options for smaller ailments that you may have been hesitant to discuss
  • Do additional workup including functional medicine in-depth lab evaluations
  • Create a holistic wellness plan that includes anti-aging tools (IV’s, peptides, light therapy/laser, hyperbaric oxygen, cell/biologic regenerative treatment)

2. We are offering our shorter, specialized Immune Boost Consult at 50% off regular hourly fees.

Consult Includes:

  • 30-minute video visit with Dr. Madera for $200
  • Vitamin D level lab order
  • Individualized advice on treating viral symptoms when they strike.
  • Personalized, specific recommendations on immune system optimizers (vitamins, herbal supplements, diet)
  • Stress reduction strategies

Please contact the office by calling 512-817-4600 to schedule your visit!

Finally, below are some vitamins and supplements I recommend for you to keep your cells strong. These are some of the tools I am using for my own family based on our physiologies. I look forward to creating a personalized plan that supports you in staying well and achieving optimal health!

Enjoy a 20% discount that can be applied to these products.

Enter code IMMUNE20 during checkout.

Click here to purchase; select supplement, and then add to cart.

My favorite multi supplement (I take it daily!), Multi-Vitamin Elite provides daily essential vitamins with morning and evening formulas to optimize your cells’ usage of vitamins and micronutrients. This formula includes B vitamins, Zinc, Selenium, and Magnesium, all known to support cellular health and function, especially in the setting of viral season.*

Vitamin D/K2 Liquid is a convenient way to supplement with both vitamins D and K2, which offer greater support for bones and the immune and cardiovascular systems together than either does individually.*

Oliverex combines standardized olive leaf extract with a synergistic blend of botanicals to enhance the broad-spectrum qualities of olive leaf and support clearance of toxins. It contains oleuropein, a compound which has demonstrated antioxidant and immune-enhancing properties.*.

This product’s manufacturer requests that customers use password protected purchasing. Sign up for AIS GetHealthy account here.

Vitamin C with flavonoids optimizes the beneficial effects of vitamin C, including support of immune function, by replicating the way it’s found in nature. Vit C has been shown to modulate NLRP3 inflammasomes that induce cytokine storms that eventually result in severe lung damage. Regularly administered vitamin C has been shown to shorten the duration of colds, and higher doses of vitamin C during an illness can also act as a natural antihistamine and anti-inflammatory.*

Astragalus has the unique ability to support a healthy inflammatory response within the lungs as well as provide antioxidant support. Making the whole herb into a delicious tea is a comforting way to boost your immune system.*

Add 1 oz (30g) of dry herb to 2 cups of water and bring to a boil.
Let simmer 30 min-1 hour until liquid reduces by 3/4 to 1/2.
Pour through a strainer into a glass container or tea cup; squeeze/press out every last bit of liquid.

*These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease.



Bergman P, Lindh AU, Björkhem-Bergman L, Lindh JD. Vitamin D and respiratory tract infections: a systematic review and meta-analysis of randomized controlled trials. PLoS One. 2013;8(6):e65835. doi:10.1371/journal.pone.0065835

Biesalski HK, Nohr D. Importance of vitamin-A for lung function and development. Mol Aspects Med. 2003;24(6):431-440. doi:10.1016/s0098-2997(03)00039-6

Cannell JJ, Vieth R, Umhau JC, et al. Epidemic influenza and vitamin D. Epidemiol Infect. 2006;134(6):1129-1140. doi:10.1017/S0950268806007175

Clinton CC. Preparing yourself for the flu season naturally. American Association of
Naturopathic Physicians. Published October 29, 2012. Accessed March 5, 2020. http://aanpsite.qa.membershipsoftware.org/article_content.asp?article=779

Hemilä H. Vitamin C and infections. Nutrients. 2017;9(4):E339. doi:10.3390/nu9040339

Martineau AR, Jolliffe DA, Hooper RL, et al. Vitamin D supplementation to prevent acute respiratory tract infections: systematic review and meta-analysis of individual participant data. BMJ. 2017;356:i6583. doi:10.1136/bmj.i6583

Rondanelli M, Miccono A, Lamburghini S, et al. Self-care for common colds: the pivotal role of vitamin D, vitamin C, zinc, and echinacea in three main immune interactive clusters (physical barriers, innate and adaptive immunity) involved during an episode of common colds—practical advice on dosages and on the time to take these nutrients/botanicals in order to prevent or treat common colds. Evid Based Complement Alternat Med. 2018;2018:5813095. doi:10.1155/2018/5813095

Steinbrenner H, Al-Quraishy S, Dkhil MA, Wunderlich F, Sies H. Dietary selenium in adjuvant therapy of viral and bacterial infections. Adv Nutr. 2015;6(1):73-82. doi:10.3945/an.114.007575

Higdon J, Drake VJ, Delage B, Ross CA, Tan L. Vitamin A. Linus Pauling Institute. Reviewed March 2015. Accessed March 5, 2020. https://lpi.oregonstate.edu/mic/vitamins/vitamin-A

Higdon J, Drake VJ, Angelo G, Delage B, Carr AC, Michels AJ. Vitamin C. Linus Pauling Institute. Reviewed December 2018. Accessed March 5, 2020. https://lpi.oregonstate.edu/mic/vitamins/vitamin-C

Somerville V, Moore R, Braakhuis A. The Effect of Olive Leaf Extract on Upper Respiratory Illness in High School Athletes: A Randomised Control Trial. Nutrients. 2019;11(2):358. Published 2019 Feb 9. doi:10.3390/nu11020358

Qi Y1, Gao F2, Hou L3, Wan C1. Anti-Inflammatory and Immunostimulatory Activities of Astragalosides. Am J Chin Med. 2017;45(6):1157-1167. doi: 10.1142/S0192415X1750063X. Epub 2017 Aug 22.

Gombart, A.F.; Pierre, A.; Maggini, S. A Review of Micronutrients and the Immune System-Working in Harmony to Reduce the Risk of Infection. Nutrients 2020, 12,