Corona measures


Nov 22, 2019
Hey guys, thought I'd give the community a brief-ish info dump on 2.0 relevant corona stuff. This is close to my area of practice so hopefully what you'll get from this is some useful health/industry info from a 2.0 perspective. Hastily written, none of this should be viewed as professional medical advice, all my own views, etc etc.


1. Why I'm not going to quote mortality statistics at you

2. Which AM should be more concerned both short and long term, and balancing risk vs lifestyle with women

3. Things you CAN do/control and infection risk vs complication risk

4. Why contingency plans are everything

1. Why I'm not going to quote mortality statistics at you

There are a number of mortality rates being thrown around, some more specific than others, but I virtually guarantee none of them are specific enough.

Let's say on a population level. One figure suggests 0.3% out of Germany, but 9% in Italy. Where do you live, what are the population habits and what is your personal access to healthcare like?

So let's say I live in Italy (I don't so already this figure doesn't apply to me). 9% holy shit. But Italy skews to an older demographic and I'm a younger male, so that 9% doesn't apply to me in that situation. We get more specific. Let's pull a demographic and made up figures out of our ass (ALL FIGURES MADE UP REMEMBER) and say 35 year old Italian male- 0.1% mortality. But that's all 35 year old males, are you comparing my 35 year old perfect body composition, low stress, good diet and outdoor habits to the borderline diabetic guy sucking down cheetos? Or even the skinnyfat everyman who doesn't quite get out as much as he should? Risks are going to vary there considerably.

Basically I don't know enough about your medical history, habits, access to healthcare to even guess. Nor does anyone else right now.

Also remember mortality is not everything, we're seeing some really novel post infection complications like cardiovascular injury, glucose metabolism disorders and lung function complications in post SARS-CoV patients (a very similar virus to the SARS-CoV-2 virus we're talking about here). You don't wanna survive infection (which the vast, vast majority of you guys will and we'll talk about higher risk guys in a minute) only to get post infection complications.

2. Which AM should be more concerned both short and long term, and balancing risk vs lifestyle with women

Almost all of you are in the non at risk category, as will almost all of your partners. Just remember to not swap saliva/mouth kiss (you have the entire rest of the body to work with big deal). The virus has not been detected to my knowledge in any other body fluid other than respiratory droplets and saliva (and fecal matter so...I mean if you're into that, stop...). Wash hands when you have visitors (so should they) wash up after more carefully (take a shower) change sheets after and you'll be minimizing transmission risk.

Knowing this and taking these actions will reassure partners, who want to feel safe with you. They are craving reassurance and a calm rock right now.

Complete social isolation reduces risk the best, and honestly for a very few of you this option is probably best. SARS-CoV-2 infects via ACE2 receptors present in the pulmonary and cardiac systems, you got respiratory or heart conditions? Yea be more careful and maybe isolation might be a better option. You got friends family like that? Stay the fuck away from them and they should be self isolating. Clearly you should stay away from anyone with a dry cough or fever (and if you develop that self isolate, duh).

Certain medications make this problem worse, a few high blood pressure drugs and diabetic drugs affect the ACE2 receptors.

Basically if your baseline health isn't great or you're an older guy know that either your risk of infection (or just as/more importantly your risk of complications) almost certainly goes up.

All of this stuff is relative risk for most of you (e.g. a percent of less than a percent), and so many factors go into it all you can do is inform yourself, take the positive action you think is appropriate, and follow current societal guidelines (which in most places would be no group gatherings, only in a few places are they going full lockdown which kind of screws you there).

Gamble with your health (we literally do it every time we step outside) but make good bets and don't fuck with other people's health. Wash hands, don't touch face, stay away from at risk people and large groups. This hardly affects the fundamentals of your lifestyle assuming 2.0 is in place, and assuming you've worked on your health up till now (you should have been) you're probably in a better position than 90%+ of people out there.

3. Things you CAN do/control and infection risk vs complication risk

Fuckin nutrition ahead, bear with it because it sounds like bargain basement naturopath shit but I'll explain. Remember all of this is marginal gains vs who you have close contact with and hygiene measures but it's all under your control.

Nutritional zinc, copper and vitamin C, N-Acetyl-Cysteine, sunlight, exercise.

Zinc (ideally in smaller doses across the day), oysters are the best bet here (honestly all guys should be eating these for sexual health) and cover the copper too but moderate supplementation is fine. Interferes with viral replication vs the original SARS-CoV, safer bet.

Copper (toxic to SARS, does it help to combat infections when taken orally in reasonable doses? Fuck knows but you gotta balance Zinc with Copper anyway so get some of this in you via dark chocolate or spirulina etc).

Vitamin C, high doses of C support compromised lung function reducing the severity of complications if you do get them (which you almost certainly won't, again these are just positive things you can focus on for the time being). Don't go crazy, supplement sensibly.

N-Acetyl-Cysteine supports immune and lung health to possibly (possibly!) reduce complications post infection but does nothing to prevent infection. Good idea if you're at risk, it's cheap. Don't take mega doses long term, some negative side effects there. Supplement sensibly.

Sunlight, because high dose vitamin C and A can increase ACE2 expression hold off on supplementing those, so we gotta get vitamin D from the sun. Honestly walking and sunlight especially midday will be such a boost to the immune system you should be doing it anyway. Go for a walk with a partner, the less covered skin the more vitamin D absorption remember! Wink wink.

Exercise. If I have to explain the benefits of exercise to you and your immune system then you probably don't take care of yourself very well. Do exercise. Buy a home gym, power cage complete with dip station, pull up bar and barbell plus outside walks/sprints. Boom. Done (at least get a pullup bar and do some pressups).

Oh and get a handle on your sleep and stress. Drop the ball on either of those and it tanks your immune system.


4. Why contingency plans are everything and why they should be well thought out.

Backup food for a month- good (you should have prepped for this before this stuff went down).

Getting the hell out of dodge to a low population area to escape the virus like a bad zombie movie- bad (all you're doing is moving from a high population area with big hospitals to a remote area with shitty/unprepared for extra population healthcare. People are about learn this the hard way)

Having backup savings and multiple income sources for black swan situations- good

Taking no precautions and assuming healthcare will take care of your at risk ass- bad (if things get bad enough TRUST me, your local healthcare provisioner will almost certainly have a list of people that are less likely to make it through severe illness. If you are on that list and you need an ambulance, that ambulance is driving right past your house to pick up someone with better chances than you have on paper. No it's not fair and you might be the fittest 60 year old in the country benching three times what the other guy does, doesn't matter. Just be warned, happening in Italy, going to happen where I practice too).

Personally I have contingency plans for contingency plans right down to "I am now homeless", and "I am now dead", so what the fuck do I have to worry about? Shit happens, but I don't stress about it because at least I have a plan to work on, and that unflappability will calm down everyone around you (and help your partners feel safe visiting you).