Protocol · Autoimmune/Musculoskeletal Disorders
Myositis Supportive Care Protocol
Vitamin D and Creatine Monohydrate are the core of this stack, with 4 supporting supplements. Each row gives the amount the protocol lists and the grade our evidence database holds for that supplement in Myositis Supportive Care.
We are re-verifying the studies cited on protocol pages; only confirmed citations are shown.
The stack
6 supplements · none graded yet
| Grade | Supplement | Amount listed | Why it’s in the stack | Evidence on file | Shop |
|---|---|---|---|---|---|
| Primary stackThe core of this protocol | |||||
| Vitamin D | Amount listed: 2,000–4,000 IU daily (titrate to levels) | Often deficient in autoimmune diseases; supports immune modulation and muscle function | Not graded yet | ||
| Creatine Monohydrate | Amount listed: 5–10 g daily | Supports muscle energy and may help maintain muscle mass during disease activity | Not graded yet | ||
| Supporting stackListed as additions to the core | |||||
| Omega-3 Fatty Acids | Amount listed: 2–4 g EPA+DHA daily | Anti-inflammatory properties; may help modulate immune response | Not graded yet | ||
| Coenzyme Q10 | Amount listed: 100–300 mg daily | Supports mitochondrial function in muscle cells; antioxidant | Not graded yet | ||
| Calcium | Amount listed: 1,000–1,200 mg daily | Supports bone health; corticosteroid treatment increases osteoporosis risk | Not graded yet | ||
| Protein | Amount listed: 1.2–1.5 g/kg/day total protein | Supports muscle protein synthesis and maintenance during inflammatory states | Not graded yet | ||
Shop the evidence-backed picks
Support alongside medical care. These supplements are not a treatment for Myositis. If you are being treated for it, talk to your clinician before adding one: supplements can interact with medicines.
The collection holds the supplements we grade A or B for its theme, in third-party tested products where the catalog has them. It opens in our Fullscript store. You can look through it without signing in; Fullscript asks for a free account to order.
Or shop one supplement
Each opens third-party tested products, matched to the dose above where we can.
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How this protocol works
In plain language
Myositis refers to a group of rare conditions characterized by chronic muscle inflammation, leading to muscle weakness. The main types are dermatomyositis, polymyositis, and inclusion body myositis.
TYPES:
- Dermatomyositis: Muscle weakness + skin rash
- Polymyositis: Muscle weakness without rash
- Inclusion Body Myositis (IBM): Slowly progressive; often older adults
- Juvenile myositis: Occurs in children
SYMPTOMS:
- Progressive muscle weakness (proximal muscles)
- Difficulty climbing stairs, rising from chairs
- Difficulty lifting arms overhead
- Fatigue
- Skin rashes (dermatomyositis)
- Swallowing difficulties
- Shortness of breath (if respiratory muscles affected)
CRITICAL: Myositis requires comprehensive medical management. This protocol is SUPPORTIVE ONLY.
MEDICAL TREATMENTS:
- Corticosteroids: First-line (prednisone)
- Immunosuppressants: Methotrexate, azathioprine, mycophenolate
- IVIG: For refractory cases
- Rituximab: For difficult cases
- Physical therapy: Essential for maintaining function
ASSOCIATED CONDITIONS:
- Interstitial lung disease (requires monitoring)
- Increased cancer risk (dermatomyositis in adults)
- Cardiac involvement (possible)
- Calcinosis (especially in children)
MONITORING:
- Muscle enzymes (CK, aldolase)
- Pulmonary function tests
- Cancer screening (dermatomyositis)
- Bone density (if on steroids)
Vitamin D* supports muscle function and immune modulation.
Calcium* is important for bone health on corticosteroids.
Adequate protein* helps maintain muscle mass.
Expected timeline: Medical treatment response varies (weeks to months). Supplements support overall health during treatment.